Prerequisites for the development of forecasting system of cerebrovascular diseases development in the patients with vibration disease caused by the actions of the whole-body vibration in the post-exposure period.
DOI:
https://doi.org/10.26641/2307-0404.2018.3(part1).142337Ключові слова:
vibration disease, whole-body vibration, cerebrovascular diseases, post-exposure period, patients, forecasting, anthropometric indicators, indicators of systemic hemodynamicsАнотація
The health of the working population is an important characteristic of the economic and social state of the country. Occupational diseases according to WHO is the cause of 1.7 million deaths in the world. The third place in the structure of occupational morbidity is occupied by vibration-noise pathology (5-18%). In this group, cases of vibration disease (VD) make up 60-70%. In the structure of diseases of the circulatory system (DCS) among the adult population, cerebrovascular diseases (CVD) rank third after hypertension and coronary heart disease and make up 16.8%. Death rate from CVD takes the 4th place in the world. To develop a forecast for the emergence of CVD in patients with VD caused by whole-body vibration, we analyzed a number of anthropometric and physiological indicators. There was performed a profound in patient examination of 179 patients with VD (149 workers of mining enterprise with surface mining operations with VD caused by whole-body vibration without CVD and 30 patients with diagnosed CVD in addition to CVD). The diagnostic value of individual anthropometric indicators and indicators of systemic hemodynamics (arterial pressure) in VD caused by whole-body vibration and CVD in these patients was proved. Increased body weight with fat distribution by the abdominal type increases the risk of early VD and CVD occurrence. The regularity of dependence of arterial hypertension onset (increase of blood pressure above the level of 140/86 mm Hg) with the duration of the harmful effect of vibration was determined. At the same time, the share of workers with optimal blood pressure figures decreases with increasing duration of the action of the whole-body vibration. Thus, the metabolic and blood pressure indicators can be used to further construct predictive models for the development of CVD in patients with VD caused by whole-body vibration.
Посилання
Boronoev VV. [Hierarchy of biorhythms in the human body]. Mezhdunarodnyi zhurnal prikladnyh i fundamentalnyh issledovanii. 2015;11–1:37-40. Russian.
Kundiiev JuI, Nagorna AM, Sokolova MP, Kononova IG. [The dynamics of occupational disease in Ukraine and the experience of the Institute of Labor Medicine of the National Academy of Medical Sciences of Ukraine]. Ukrainskyi zhurnal z problem medycyny praci. 2013;4:11-22. Ukrainian.
Dvornichenko GB, Jashhenko AB, Gryniuk SV, Bazovkin PS, Matviichuk TD. [Epidemiological aspects of cerebrovascular diseases in mining workers suffering from vibrational illness from the effect of general vibration]. Ukrainskyi zhurnal z problem medycyny praci. 2014;2:6-13. Ukrainian.
Varyvonchyk DV, Nagorna AM, Vitte PM et al. [ Assessment of the emergence and risk management of industrial-caused diseases and injuries in the workplace: methodological recommendations]. SE "Institute of Labor Medicine of the Academy of Medical Sciences of Ukraine". Kyiv. 2010;20. Ukrainian.
Izmerova NF, Denisova JeI, editors [ Occupational health risk for workers (manual)]. Moskva, Trovant. 2003;448. Russian.
Svishhenko JeP, Bagrij AE, Ena LM et al. [Recommendations of the Ukrainian Association of Cardiologists on Occupational Pathology and Treatment of Arterial Hypertension]. A guide to the national program for the prevention and treatment of arterial hypertension. The 4th edition is re-engineered by the Institute of Cardiology named after Strazhesko. Kyiv. 2008;76. Ukrainian.
[Statistical collection "Labor of Ukraine 2012"]. Derzhstat Ukrainy. 2013;321. Ukrainian.
Hursa RV. [Pulse Blood Pressure: The Role in Hemodynamics and Applied Opportunities in Functional Diagnosis]. Medicinskie novosti. 2013;4:13-19. Russian.
##submission.downloads##
Як цитувати
Номер
Розділ
Ліцензія
Авторське право (c) 2018 Медичні перспективи
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
Ця робота ліцензується відповідно до Creative Commons Attribution 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.