Affiliation:
1. F.F. Erisman Federal Research Center of Hygiene of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing
Abstract
Introduction. Diseases of the cardiovascular system, which are an additional unfavourable factor for the development and progression of occupational sensorineural hearing loss (OSNHS), should be taken into account when carrying out therapeutic and preventive measures among workers of noise professions. The aim of the study was to evaluate the effectiveness of transcranial electrical stimulation (TES) in the comorbid course of OSNHS and arterial hypertension (AH). Materials and methods. Two groups of OSNHS patients in combination with AH were examined. Group 1 (128 people) received only basic drug therapy, in group 2 (126 people), TES was carried out along with basic therapy. The dynamics of treatment was assessed by daily monitoring of blood pressure (DMBP), audiological parameters, and indicators of the quality of life according to the SF-36 questionnaire. Results. As a result of treatment, in group 2 of patients receiving TES, there was a more pronounced positive dynamics of DMBP indicators and normalization of the daily blood pressure profile, an increase in the adaptive capabilities of the body from the level of “functional overstrain” to “sufficient, satisfactory adaptation” was found. TES contributed to the improvement of hearing, which was confirmed by the data of tonal threshold audiometry and optoacoustic emission, and indicators of quality of life according to the SF-36 questionnaire. Limitations. The study is limited to the study of the effectiveness of the use of TES in patients with mild and moderate OSNHS on the background of stage 1-2 AH with mild and moderate arterial hypertension. Conclusion. The results obtained give grounds to recommend the TPP methodology in a complex of therapeutic and preventive measures for OSNHS patients in combination with AH to ensure the most adequate therapy and effective prevention aimed at preserving health and longevity.
Publisher
Federal Scientific Center for Hygiene F.F.Erisman
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health,Pollution,General Medicine
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