ЭКСПРЕСС-ДИАГНОСТИКА СОСТОЯНИЯ ЗДОРОВЬЯ РАБОТНИКОВ ОПАСНЫХ ПРОИЗВОДСТВ

Abstract

Purpose: To develop criteria for rapid diagnostics of the health status of workers of hazardous industries according to the parameters of vibration imaging. Material and methods: The object of the study is the personnel of the Moscow Regional Fire and Rescue Service (249 people), employees of the main workshop of the Electrohimpribor plant (EHP) (132 people) and operators of the scientific company of the Military Innovative Technopolis (VIT) “Era” (16 people, comparison group). The research was attended by specialists of VCMC “Protection”. The average age of rescuers was 43,4+3,2 years, ECP workers – 41,9+4,1 years, military personnel 24,4+1,5 years. According to medical examinations, a dispensary observation group/health group was established (in accordance with the Order of the Ministry of Health of the Russian Federation No. 36an). The examined individuals were also tested using the HealthTest program. The testing time was 3 minutes, during which the vibration image parameters were evaluated. Results: To develop criteria for rapid diagnostics of the health status of workers of hazardous industries, 10 basic parameters of vibration imaging E1–E10 and their coefficients of variation E1_V–E10_V were used as initial ones. The weight load of individual vibration imaging parameters included in the system complex separating groups 1 and 3 of dispensary observation is calculated. For a formalized assessment, a probabilistic nomogram for identifying the functional state according to the parameters of the vibration image has been developed. The average accuracy of their recognition using linear discriminant functions is 96,8 %. Conclusion: The improvement of medical and psychophysiological support of hazardous workers is associated with the development of methods of express diagnostics of their psychophysiological adaptation. Vibration imaging technology is promising for this, as evidenced by the results of the conducted research. The use of the developed one-dimensional multiparametric integral indicator as a “marker” of psychophysiological adaptation, which is a linear combination of vibration image parameters, allows for operational monitoring of the state of health. The developed integral indicator of rapid diagnostics of the state of health can be used to assess the effectiveness and sufficiency of rehabilitation and wellness measures.