Оценка состояния адаптационных реакций и качества жизни у больных различных профессий в остром периоде инсульта

Abstract

The study of adaptive responses and indicators of quality of life was carried out in 457 men (aged 30–65 years) in the acute period of stroke. The patients were divided into 2 groups: the main group included 381 patients exposed to harmful production factors (general vibration, local vibration, industrial noise, combined exposure to noise and vibration, toxic dust factor, electromagnetic radiation); comparison group included 76 patients who did not work under the influence of harmful occupational factors. Adaptive responses were assessed by the ratio of formed elements in the leukocyte formula of the blood with the assignment of the tension rank (TR). Each tension rank was related to a certain adaptation state. To assess the quality of life of the patients, the SF-36 questionnaire was used; the survey was conducted in 2 stages — on the 3 rd and 21 st days of the disease. It was established that at the time of stroke development, the number of patients in the comparison group with a TR related to a balanced pathology was 2 times greater than in the main group. The number of patients in both groups with acute stress related TR did not differ significantly among themselves. The largest number of patients in the main group with TR related to a balanced pathology was among those affected by local vibration. Indicators of quality of life (physical and psychological components of health) of the main group without a significant difference did not exceed the same indicators of the comparison group both on the 3 rd and 21 st days of stroke.