Psychophysiological correction of occupation-related arterial hypertension

Introduction. The relevance of optimizing medical and preventive measures for occupation-related arterial hypertension is determined by the significant prevalence of the disease among workers in hazardous industries and the social significance of the disease. The validity of studying the addition of psychophysiological effects to drug therapy is associated with a sufficient volume of research proving the pathogenetic role of chronic stress in the development of arterial hypertension. The purpose. To study of the effectiveness of the psychophysiological component of medical and preventive measures for occupation-related arterial hypertension. Materials and methods. An observational comparative study was conducted to evaluate the effectiveness of programs of resonance-acoustic oscillations in patients with arterial hypertension working in conditions where hygienic standards for indicators of industrial noise, heating microclimate, and labour intensity exceeded the norms. The study was conducted using dynamic monitoring of arterial pressure indices before and after sessions of psychophysiological correction conducted against the background of individually selected hypotensive therapy. The comparison group included patients with arterial hypertension of the same enterprise who received only drug therapy. Results. Positive trend were revealed in the form of a decrease in clinical blood pressure (BP), average daily and average night-time BP values, and arterial pressure variability after sessions of psychophysiological correction conducted against the background of individually selected hypotensive therapy. The effectiveness of the impact of resonance-acoustic oscillation programs in the main group was established in the form of a decrease in clinical systolic BP, average daily systolic BP, and average night-time systolic BP relative to similar indices in the examined control group. Limitations. The patients were workers in the aircraft engineering industry, working in conditions where hygienic standards for industrial noise, heating microclimate, and labour intensity were exceeded. It is difficult to isolate the leading factor causing hypertension. The data are limited to voluntary study participants. Conclusions. The effectiveness of the psychophysiological component of medical and preventive measures for occupation-related arterial hypertension has been established.