Опубликовать статью

Информационное партнерство

Инфоресурсы

Контакты

«

Vol. 24, Art. 16 (pp. 200-213)    |    2023       

»

Vibration disease

A.N. Vlasenko, G.A. Tsepkova, Yu.B. Goverdovsky, A.A. Mikhailov

Military medical academy of S.M. Kirov

Brief summary

Vibration is an etiological factor of vibration disease. By its nature, vibration is a mechanical oscillatory motion that repeats itself after certain periods. The effect of vibration is determined by the transfer of mechanical energy to a person from a source of vibrations. The normalized vibration indicators at the workplace are regulated by SanPiN 2.2.4.3359-16 (IV. Vibration at the workplace). Vibration is divided into local and general according to the method of transmission to a person. Local vibration is transmitted mainly through the hands, feet, lower back, thigh, chest of a person when contact with vibrating work surfaces. General vibration is transmitted to the body of a standing, sitting or lying person through the supporting surfaces. It is divided into transport, transport-technological and technological vibration. The simultaneous impact of local and general vibration is possible in industrial conditions. The pathogenesis of vibration disease is a complex of neuroreflex and neurohumora disorders, changes in the adaptation mechanism, disorders of immune regulation and microcirculation leading to the formation of both local changes in the zone of direct vibration exposure as well as in various parts of the central nervous system that regulate important vital functions. There is no unified classification of vibration disease in Russia. The preferred classification is that of G.N. Lagutina (2011) which is comparable with the recommendations of the International Labor Organization (ILO) and allows for a unified approach to assessing changes in the body caused by vibration. The diagnosis of the disease is based on the study of the professional history, assessment of the sanitary and hygienic working conditions, the totality of clinical manifestations of the disease, the results of laboratory and instrumental research methods. Treatment first of all involves a temporary or permanent cessation of work in conditions of exposure to vibration and other adverse factors, the use of vasodilators and pain relievers, antiplatelet agents, antioxidants, antihypoxants, physiotherapy methods. Prevention includes engineering and technical, organizational and administrative and medical preventive measures. The examination of the working capacity is carried out accordance with the requirements of the order of the Ministry o Health of the Russian Federation No. 29n of 2021


Key words

angiospasm, angiodystonic syndrome, vibration, vibration disease,polyneuropathy, prevention, occupational pathology, examination of working capacity

Reference list

1. O sostoyanii sanitarno-epidemiologicheskogo blagopolychiya naseleniya v Rossiiskoi Federacii v 2019 gody: Gosydarstvennii doklad /M.: Federalnaya slyjba po nadzory v sfere zashiti prav potrebitelei i blagopolychiya cheloveka, 2020. [O sostoyanii sanitarno-epidemiologicheskogo blagopoluchiya naseleniya v Rossijskoj Phederacii v 2019 godu: Gosudarstvennij doklad /M.: Phederalnaya sluzhba po nadzoru v sphere zachshiti prav potrebitelej i blagopoluchiya cheloveka, 2020 (in Russ)]


2. Professionalnaya patologiya: nacionalnoe rykovodstvo /Pod red. I.F. Izmerova - M.: GEOTAR-Media, 2011, S. 422 - 443. [Professionalnaja patologija: natsional?noe rukovodstvo. Pod red. Izmerova NF. M.: GEOTAR-Media, 2011: 422-443 (in Russ)]


3. Vibracionnaya bolezn: klinicheskie rekomendacii / M.: Associaciya vrachei i specialistov medicini tryda, 2021.[Vibracionnaya bolezn?: klinicheskiye rekomendacii. M.: Associaciya vrachej i specialistov medicini truda, 2021 (in Russ)]


4. Andreeva-Galanina E.C., Drogichina E.A., Artamonova V.G. Vibracionnaya bolezn /L.: Medgiz, 1961. [Andreyeva-Galanina E. C., Drogichina E.A. Vibracionnaya bolezn. L.: Medgiz, 1961(in Russ)]


5. Vakyrova N.V., Azovskaya T.A., Lavrenteva N.E. O sovremennih aspektah diagnostiki i klassifikacii vibracionnoi bolezni //Rossiiskii medicinskii jyrnal - 2014 - 16 - S. 1206-1209 [Vakurova N. V., Azovskaya T.A., Lavrenteva N. E. O sovremennikh aspektach diagnostiki i klassifikacii vibracionnoj bolezny. /Rossijskij medicinskij zhurnal, 2014; 16: 1206 - 1209 (in Russ)]


6. Sanitarno-epidemiologicheskie trebovaniya k fizicheskim faktoram na rabochem meste (aktyalizaciya 01. 01. 2021 g) /docs.cndt.ru/document/420362948/ [Sanitarno-epidemiologicheskiye trebovaniya k phizicheskim phaktoram na rabochem meste (aktualizaciya 01. 01. 2021 g) /docs.cndt.ru/document/420362948/ (in Russ)]


7. Katamanova E.V., Bichev S.S. Nyrbaeva D.J. Znachenie disfynkcii stryktyr golovnogo mozga v patogeneze vibracionnoi bolezni //Bulleten VSNC SO RAMN - 2012 - 1 - S. 32-36. [Katamanova E. V., Bichev S. S., Nurbayeva D.Zh. Znacheniye disphunkcii struktur golovnogo mozga v patogeneze vibracionnoj bolezny. Byuleten? WSNC SO RAMN, 2012; 1: 32-36 (in Russ)]


8. Herrick AL. Pathogenesis of Raynaud's phenomenon // Rheumatology (Oxford) - 2005; 44(5): 587-96


9. Gerhardsson L, Hagberg M. Vibration induced injuries in hands in long-term vibration exposed workers // J Occup Med Toxicol. - 2019; 23;14-25.


10. Azovskaya T.A., Lavrenteva N.E. O roli immynnoi sistemi v patogeneze vibracionnoi bolezni// Farmateka - 2016 - ?10 - S. 14-16. [Azovskaya T. A., Lavrenteva N. E. O roli immunnoj systemi v patogeneze vibracionnoj bolezny. //Pharmateka, 2016; 10: 14-16 (in Russ)]


11. Babanov S., Baraeva R. Pokazateli kletochnogo immyniteta i citokinovii profil pri vibracionnoi bolezni //Vrach - 2017 - ?1 - S. 53-56. [Babanov S., Barayeva R. Pokazately kletochnogo immuniteta i cytokinovij prophil pry vibracionnoj bolezny. Vrach, 2017; 1: 53-56 (in Russ)]


12. Shevchenko O.I., Lahman O.L., Bodienkova G.M. Vzaimosvyaz yrovnei citokinov s neiropsihologicheskimi pokazatelyami y pacientov s vibracionnoi boleznu //Medicina tryda i promishlennaya ekologiya - 2021 - 2 - S. 84-89 [Shevchenko O. I., Lakhman O. L., Bodienkova G. M. Vzaimosvyaz? urovnej citokinov s nejropsikhologicheskimy pokazatelyamy u pacientov s vibracionnoj boleznyu. Medicina truda i promishlennaya ekologiya, 2021; 2: 84-59 (in Russ)]


13. Poole C. J. M., Bovenzi M., Nilsson T. and all. International consensus criteria for diagnosing and staging hand-arm vibration syndrome // Int Arch Occup Environ Health. 2019; 92(1): 117-27.


14. Lagytina G. N. Klassifikaciya vibracionnoi bolezni v sovremennih ysloviyah s tochki zreniya dokazatelnoi medicini / Materiali Vserossiiskoi naychno-prakticheskoi konferencii «Svyaz zabolevaniya s professiei s pozicii dokazatelnoi medicini». ― Kazan. ― 2011, s. 107-110. [Lagutina G. N. Klassiphikaciya vibracionnoj bolezny v sovremennikh usloviyakh s tochki zreniya dokazatel?noj mediciny. Materiali Vserossijskoj nauchno-prakticheskoj konpherencii «Svyaz zabolevaniya s prophessiej s pozicii dokazatelnoj mediciny. Kazan, 2011; 107-110 (in Russ)]


15. Ye Y., Griffin MJ. Effect of room temperature on tests for diagnosing vibration-induced white finger: finger rewarming times and finger systolic blood pressures // Int Arch Occup Environ Health. 2017; 90 (6): 527-538.


16. Lundstrom R, Dahlqvist H, Hagberg M, Nilsson T. Vibrotactile and thermotactile perception and its relation to finger skin thickness.// Clin Neurophys Pract. 2018; 3: 33-39.


17. Babanov S. A., Vakyrova N.V., Azovskova T.A. Vibracionnaya bolezn. Optimizaciya diagnosticheskih i lechebnih meropriyatii /Samara.: «Ofort», 2012. [Babanov S. A., Vakurova N. V., Azovskaya T. A. Vibracionnaya bolezn. Ortimizaciya diagnosticheskikh i lechebnikh meropriyatij. Samara.: «Ophort», 2012 (in Russ)]


18. Kyrchevenko S.I., Bodinenkova G.M. Doklinicheskaya diagnostika vibracionnoi bolezni // Klinicheskaya laboratornaya diagnostika - 2017 - 8 (62) - S. 482-485. [Kurchevenko S. I., Bodiyenkova G. V. Doklinicheskaya diagnostika vibracionnoj bolezny //Klynicheskaya laboratornaya diagnostika, 2017; 8 (62): 482-485 (in Russ)]