Features of autonomic regulation in children and adolescents with recurrent headaches. Possibilities of medical correction

Purpose. To study the differences in the indicators of autonomic regulation in children and adolescents with recurrent headaches (RH). Materials and methods. 84 people aged 7–17 years were examined – patients of the pediatric department, of which 40 (47.6%) were boys and 44 (52.4%) were girls; the median age was 16 (15; 17)] years. The features of vegetative regulation were assessed by the method of cardiorhythmography with the orthostatic test and cardiovascular tests according to the method of R.M. Baevsky using the device "VNS-spectrum". The indicators were compared in groups with the presence of RН (n=68) and without RН (n=16), as well as in groups formed taking into account the presence/absence of RН, gender and age. Results. In patients with RН, a predominance of the sympathetic division of the autonomic nervous system (ANS) was revealed, confirmed by the presence of statistically significant differences in the quantitative values of the studied indicators of autonomic regulation. Discussion: Considering the significant role of the ANS in regulating the activity of organs and systems, the sympathicotonic orientation of the regulatory function of the ANS that we have identified, this can be regarded as a state of tension in the adaptive capabilities of the body of children and adolescents associated with the presence of RН. This assumption can be confirmed by further studies. As a medical correction, it is possible to use the sedative Nervo-Vit and the adaptogen Leveton P.