Varicose disease and harmful production factors

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Abstract

Background. Varicose disease is the most wide-spread vascular disease of the lower extremities. The form of occupation and work conditions significantly affect the cardiovascular system due to regular and unavoidable action of the human body.

Aim: to determine the influence of hazardous work conditions on the incidence of varicose veins of the lower extremities among the persons subjected to periodic medical examinations; to identify the most important factors in the development of this pathology; to propose methods for preventing the occurrence of varicose veins in the manufacturing sector with hazardous conditions. Methods. Analysis of the outpatient histories (account form No. 025 \ у-04) of employees having periodic medical examinations was performed, with 528 female and 1489 male patients in total. The analysis of the outpatient histories, as well as processing of the obtained material were accomplished using the universal statistical package of Statgraphics Plus for Windows.

Results. It has been established that hazardous work conditions, such as vibration, increase the incidence of varicose veins of the lower extremities, and the “hazardous” work experience plays the main role in increasing the incidence of this pathology.

Conclusion. Hazardous work factors affect the incidence of the varicose disease of the lower extremities towards its elevation. The age, “hazardous” work experience and conditions associated with vibration play the major role in the increase of the disease incidence. A set of measures aimed at the prevention of varicose disease in the manufacturing sector has been suggested as a result of the study.

About the authors

Vladimir I. Barabash

Polyclinic № 5, Krasnoyarsk Interdistrict Hospital № 3

Email: vlbarabash@yandex.ru

MD, PhD

Russian Federation, Krasnoyarsk

Valentina F. Tskhai

Siberian State Medical University

Email: v.czkhai@yandex.ru

MD, PhD, Professor

Russian Federation, Tomsk

Evgeny V. Semichev

Federal Siberian Research Clinical Centre under the Federal Medical Biological Agency

Email: evsemichev@yandex.ru

MD, PhD

Russian Federation, Krasnoyarsk

Valentina V. Mayer

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University

Author for correspondence.
Email: maier_2034@mail.ru

student

Russian Federation, Krasnoyarsk

References

  1. Савельев В.С. Варикозная болезнь — современное состояние старой проблемы // Анналы хирургии. — 1999. — №2. — С. 2–5. [Savel’yev VS. Varikoznaya bolezn’ – sovremennoye sostoyaniye staroy problemy. Annaly khirurgii. 1999;(2):2–5. (In Russ).]
  2. Шулутко А.М., Крылов А.Ю. Варикозная болезнь. Современные принципы лечения. — М.: Миклош, 2003. — 128 с. [Shulutko AM, Krylov AYu. Varikoznaya bolezn’. Sovremennyye printsipy lecheniya. Moscow: Miklosh; 2003. 128 р. (In Russ).]
  3. Tabatabaeifar S, Frost P, Andersen JH, et al. Varicose veins in the lower extremities in relation to occupational mechanical exposures: a longitudinal study. Occup Environ Med. 2015;72(5):330–337. doi: 10.1136/oemed-2014-102495.
  4. Ельшанский И.В., Журавлева Е.А. Особенности варикозной болезни нижних конечностей у лиц, работающих во вредных и опасных условиях труда // Флебология. — 2010. — Т.4. — №3. — С. 68–70. [El’shanskii IV, Zhuravleva EA. Specific features of primary varicosis of the lower extremities in subjects working in harmful and dangerous conditions. Flebologiya. 2010;4(3):68–70. (In Russ).]
  5. Литынский А.В., Поляков П.И., Горелик С.Г. Современные проблемы варикозной болезни нижних конечностей (эпидемиология, диагностика, лечение) и ее особенности у лиц старших возрастных групп // Научные ведомости Белгородского государственного университета. Серия: Медицина. Фармация. — 2012. — №10-1. — С. 101–105. [Litynskiy AV, Polyakov PI, Gorelik SG. Sovremennyye problemy varikoznoy bolezni nizhnikh konechnostey (epidemiologiya, diagnostika, lecheniye) i eye osobennosti u lits starshikh vozrastnykh grupp. Belgorod state university scientific bulletin. Medicine. Pharmacy. 2012;(10-1):101–105. (In Russ).]
  6. Heller JA, Evans NS. Varicose veins. Vasc Med. 2015;20(1):88–90. doi: 10.1177/1358863X14566224.
  7. Kohno K, Niihara H, Hamano T, et al. Standing posture at work and overweight exacerbate varicose veins: Shimane CoHRE Study. J Dermatol. 2014;41(11):964–968. doi: 10.1111/1346-8138.12643.
  8. Robertson L, Yeoh SE, Kolbach DN. Non-pharmacological interventions for preventing venous insufficiency in a standing worker population. Cochrane Database Syst Rev. 2012;1:CD006345. doi: 10.1002/14651858.CD006345.pub2.
  9. Кудыкин М. Н. Лечение хронической венозной недостаточности нижних конечностей // Медицинский совет. — 2019. — №12. — С. 153–158. [Kudykin MN. Treatment of chronic venous insufficiency of the lower extremities. Medical Council. 2019;(12):153–158. (In Russ).] doi: 10.21518/2079-701X-2019-12-153-158.
  10. Новикова Н.М. Современные представления о варикозной болезни вен нижних конечностей // Медицинский журнал. — 2016. — №1. — С. 61–65. [Novikоva NM. Modern concepts of varicosity lower limb. Meditsinskiy zhurnal. 2016;(1):61–65. (In Russ).]
  11. Labropoulos N. How does chronic venous disease progress from the first symptoms to the advanced stages? A review. Adv Ther. 2019;36(3):62. doi: 10.1007/s12325-019-0885-3.
  12. Зубко А.В., Сабгайда Т.П., Запорожченко В.Г. Социальный портрет пациента с сосудистыми заболеваниями хирургического профиля // Социальные аспекты здоровья населения. — 2018. — №4. — С. 5. [Zubko AV, Sabgayda TP, Zaporozhchenko VG. Social portrait of a patient with vascular surgical diseases. Social Aspects of Health. 2018;(4):5. (In Russ).] doi: 10.21045/2071-5021-2018-62-4-5.
  13. Хрыщанович В.Я. Комплексная оценка влияния факторов риска и венозного рефлюкса на развитие и прогрессирование варикозной болезни // Медицинские новости. — 2013. — №8. — С. 82–84. [Khryshchanovich VJa. Complex assessment of risk factors and venous reflux influence on development and progression of varicose disease. Meditsinskie novosti. 2013;(8):82–84. (In Russ).]
  14. Criqui MH, Denenberg JO, Bergan J, et al. Risk factors for chronic venous disease: The San Diego Population Study. J Vasc Surg. 2007;46(2): 331–337. doi: 10.1016/j.jvs.2007.03.052.
  15. Bahk JW, Kim H, Jung-Choi K, et al. Relationship between prolonged standing and symptoms of varicose veins and nocturnal leg cramps among women and men. Ergonomics. 2012;55(2):133–139. doi: 10.1080/00140139.2011.582957.
  16. Комарова Л.Н., Алиев Ф.Ш., Соколова В.В., и др. Этиопатогенетические аспекты варикозной болезни нижних конечностей и методы ее лечения (обзор литературы) // Медицинская наука и образование Урала. — 2018. — Т.19. — №2. — С. 168–171. [Komarova LN, Aliev FS, Sokolova VV, et al. Recent aetiopathogenetic aspects of varicose vein disease and new treatment tactics (literature review). Medical science and education of Ural. 2018;19(2):168–171. (In Russ).]
  17. Бабанов С.А., Бараева Р.А. Профессиональные поражения сердечно-сосудистой системы // РМЖ. — 2015. — Т.23. — №15. — С. 900–906. [Babanov SA, Barayeva RA. Professional’nyye porazheniya serdechno-sosudistoy sistemy. Russkiy meditsinskiy zhurnal. 2015;23(15):900–906. (In Russ).]
  18. Артамонова В.Г., Мухин Н.А. Профессиональные болезни. Изд. 4-е, перераб. и доп. — М.: Медицина, 2004. — 432 с. [Artamonova VG, Mukhin NA. Professional’nyye bolezni. 4th revised and updated. Moscow: Meditsina; 2004. 432 р. (In Russ).]
  19. Косарев В.В., Лотков В.С., Бабанов С.А. Профессиональные болезни. — М., 2009. — 352 с. [Kosarev VV, Lotkov VS, Babanov SA. Professional’nyye bolezni. Moscow; 2009. 352 р. (In Russ).]
  20. Бабанов С.А., Воробьева Е.В., Гайлис П.В. Особенности биологического старения в клинике профессиональных болезней // Известия Самарского научного центра Российской академии наук. — 2010. — Т.12. — №1. — С. 1532–1534. [Babanov SA, Vorobyov EV, Gailis PV. Assessment of biological age in professional diseases. Izvestiya Samarskogo nauchnogo tsentra Rossiyskoy akademii nauk. 2010;12(1):1532–1534. (In Russ).]

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