No5(5) 2022
Back to the issue
|
DOI 10.37219/2528-8253-2022-5-02 |
Shydlovska TА, Shydlovska TV, Kozak N, Ovsyanik K, Petruk L
The peculiarities of hemodynamic violations for patients with combat
acoustic trauma and violations in the central departments of auditory
analyzer in the dynamics of treatment |
ShidlovskayaTetiana A.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Head of the laboratory of voice and hearing
Doctor of Medical Sciences, Professor
E-mail: lorprof3@ukr.net
Orchid ID: https://orcid.org/0000-0002-7894-359X
Shidlovskaya Tamara V.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Laboratory of Voice and Hearing
Doctor of Medical Sciences, Professor
E-mail: doctor_sh@ukr.net
Kozak Nikolay S.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of
National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Laboratory for Occupational Voice and Hearing Disorders (with phoniatrics
group)
LeadingResearcher
Doctor of Medical Sciences
E-mail: amtc@kndio.kiev.ua
Ovsyanik Kateryna V
State Institution “Institute of otolaryngology named after Prof. O.S.
Kolomiychenko of the National Academy of Medical Sciences of Ukraine”; Kyiv,
Ukraine.
The laboratory of voice and hearing
Candidate of Biological Sciences
Email: amtc@kndio.kiev.ua
ORCID ID: http://orcid.org/0000-0001-7670-0861
Petruk Lyubov G.
Military Medical Clinical Center of the Southern Region
Department of Otorhinolaryngology
PhD
E-mail: lorprof3@ukr.net
Orchid ID:http://orcid.org/0000-0002-1261-7054 |
|
Abstract
The active combat actions in our country resulted in the increasing the risk
of occurrence of the acoustics trauma, acubarotrauma. There is an increase
of number of cases of combat acoustic trauma in servicemen and now this
problem acquires a large value. The objective estimation of cerebral
hemodynamics in patients with acoustics trauma, got in battle conditions, is
a necessary condition for the effective complex treatment of sensorineural
violations of hearing in such patients.
Aim: the examination of quantitative and qualitative indexes of
rheoencephalography before and after the treatment of the sensorineural
hearing loss (SNL) that is accompanied by violations in the central
departments of auditory analyzer, in servicemen that got acoustic trauma in
the real combat terms.
Materials and methods: The 52 servicemen with acoustic trauma and 15
healthy persons were inspected.
There were analyzed 67 rheoencephalograms. Examinations were conducted by
means of computer rheography
firm "DX systems".
Results and their discussions: During the quality estimation of
rheograms of the inspected patient’s violation of circulation of blood of
cerebrum was educed both in the carotid (FM) and in vertebral-basilar (OM)
systems. Before the beginning of treatment, the normal indexes of the state
of cerebral circulation of blood by data of REG did not register in any
patient with acoustic trauma. The difficulty of venous outflow took place in
69,0% cases in the carotid system and in 87,0% in vertebral-basilar system.
Among the investigated patients we also registered the decline of tone of
cerebral vessels (15,0%) and cases of atony curve (23,0%). Only in 14,0%
examined fighters we found the increase of tone of cerebral vessels with the
phenomena of angiospasm. There was the considerable part of patients with
unsteady vascular tone with inclination to the increase (41,0%) or decline
(18,0%) in both systems of cerebral circulation of blood. In relation to the
pulse blood filling, in patients with acoustic trauma there was more than
half (51,0%) cases with its decline in the carotid system and (77,0%) in a
vertebral-basilar pool. In the vertebral-basilar system in patients with
acoustic trauma there was also marked asymmetry of REG-curves (13,0%).
After the treatment the improvement of quality indexes of REG took place. In
the carotid system the percent of registration of unsteady vascular tone
went down with inclination to the decline and cases of atony curve.
The patients with acoustic trauma after treatment had less of cases (33,0%)
of declines of the pulse blood filling in the carotid system. The percent of
asymmetry of REG-curves diminished also (3,0%) in both systems of cerebral
circulation of blood.
In the inspected patients the changes of tone of cerebral vessels and
difficulty of venous outflow, and also the declines of the pulse blood
filling, took place both in carotid and in vertebral-basilar systems. This
got the reflection in the quantitative indexes of REG: the changes of
indexes α, dicrotic (DCi), diastolic (DSi) and rheographic (Rі) indexes of
REG-curve in both systems of cerebral blood supply.
Conclusions:
The treatments of servicemen, that got acoustic trauma in the zone of battle
actions must be as possible quicker and complex taking into account the data
of audiometry and instrumental inspections, the cerebral circulation of
blood.
Patients with acoustic trauma have unsteady or decreased tone of cerebral
vessels, atony curve, fall-off of the pulse blood filling, difficulty of
venous outflow. The most informing quantitative indexes of REG are DCi, DSi
and Rі, that represent the presence of such changes of cerebral hemodynamics.
Conducted studies showed considerable violations of cerebral circulation of
blood both in carotid and, especially, in the vertebral-basilar system in
patients with acoustic trauma, got in the real battle terms.
The servicemen with battle acoustic trauma should be treated straightaway
with the presence of initial sensorineural violations, it is necessary in
time to begin a complex treatment taking into account the state of the
auditory system and extra aural changes, first of all the cerebral
circulation of blood. It will allow to warn the progression of auditory
violations and forming the heavy sensorineural hearing loss.
The results of the objective state of cerebral circulation of blood for
fighters with acoustic trauma can be useful in expertise questions. |
|
Keywords
auditory analyzer, sensorineural hearing loss, acoustic trauma, cerebral
hemodynamics. |
|
Reference
- Bereznjuk VV, Zaycev AV, Lishenko DV, Morgachova GK. [Peculiarities
of providing aid with the lesion of ear as a result of baroacoustic
trauma]. Zhurnal ushnyh, nosovyh i gorlovyh boleznej. 2015;(5-с):8-9.
[In Ukrainian].
- Brukhno R.P. Physiological-hygienic peculiarities of the labour
among the operators of the bottling of non-alcoholic and low alcoholic
beverages into the glass containers in modern manufacture. Environment &
Health. 2015;(4):55-8. [Article in Ukrainian].
- Voloshin PV, Maruta NO, Shestopalova LF. [Diagnostics. Therapy and
prevention of medicalpsychology consequences of battle actions are in
modern terms]. Methodological recommendations. Kharkiv; 2014. 80 p. [In
Ukrainian].
- Zenkov L, Ronkin MA. [Functional diagnostics of nervous diseases].
Мoscow: Medpress-inform; 2013. 488 p. [In Russian].
- Kalnish VV, Shvec AV, Pavljuk SS. [Changes in brain electrical
activity during the rehabilitation of servicemen with remote
consequences of combat mental trauma]. Fiziol. Zh. 2019;65(2):43-51. doi:
https://doi.org/10.15407/fz65.02.043. [Article in Ukrainian].
- Komarov MV, Hozin RS. [Peculiarities of tactics at the
mine-explosive trauma of middle and internal ear in the conditions of
multi-profile hospital]. Sovremennaia medytsyna. 2017;7(3):41-3.
[Article in Russian].
- Matyash M, Khudenko L. [Ukrainian syndrome: features post-traumatic
stress disorder in antiterrorist operation
participants]. Ukraпnskyĭ medychnyĭ chasopys. 2014;104(6):124-7.
[Article in Ukrainian].
- Petruk LG. [Sensorineural and hemodynamic disorders in acoustic
trauma] [dissertation]. Kiev; 2014: 20 p. [In Ukrainian].
- Shydlovska TA, Shydlovska TV, Petruk LG. Acoustic trauma in the
combat zone. Providing medical care for sensorineural hearing disorders:
diagnosis, treatment, stages, prevention. Guidelines. Kyiv: News. 64 p.
[In Ukrainian].
- Shydlovska TA, Petruk LG. Acoustic trauma in zone of combat actions.
Medical care for sensorineural hearing impairment: diagnostic,
treatment, phasing, prevention. Kiyv: Logos;
2020; 80 р. [In Ukrainian].
- Shydlovska TA, Shydlovska TV, Petruk LG. Correlation between the
main parameters SLAEP and rheoencephalography in patients with acoustic
trauma. Otorhinolaryngology. 2019;2(2-3):4-13. doi:
10.37219/2528-8253-2019-2-04. [Article in Ukrainian].
- Honeth L, Strom P, Ploner A, Bagger-Sjцbдck D, Rosenhall U, Nyrйn O.
Shooting history and presence of high-frequency hearing impairment in
Swedish hunters: A cross-sectional internet-based observat ional study.
Noise Health. 2015;17(78):273-81. doi: 10.4103/1463-1741.165043.
- Jain S, Dwarkanath VM. Effect of tinnitus locat ion on the
psychoacoustic measures of hearing. Hearing Balance and
Communication. 2015;14(1):1-12. DOI:10.3109/21695717.2016.1099885
|
|
