RETROSPECTIVE ANALYSIS OF ACUTRAUMA SYMPTOMS SPREADING AMONG WOUNDED AND SICK ATO (JFO) MEMBERS
The world data shows, sensory-neural damage to hearing organs as a result of acubarotrauma affects the quality of life of former combatants; their medical and social security costs are considerable, and often these injuries lead to disability.
The purpose of the study was to study the prevalence and degree of manifestation of the symptoms characteristic of acubarotrauma among military personnel participating in ATO (JFO) and deficiencies in the diagnosis of the specified pathology.
Research materials - the study was conducted on the basis of the MMCC of occupational pathology of the personnel of the Armed Forces of Ukraine and the National Military Medical Clinical Center “GVKG” according to a specially developed questionnaire “Evaluation of the prevalence of symptoms characterizing acubarotrauma”. 590 questionnaires of the wounded and sick members of the ATO (JFO) who were treated at these facilities in the period from 2014 to 2019 were analyzed. Methods of research - descriptive and analytical statistics.
Results. The main complaints of patients in the acute period of trauma were subjective tinnitus (96.95%), hearing impairment (96.10%), ear plugs (95.25%), headache (75.59%), stunning (64.75%), sleep disorders (60.0%). In the injury structure, isolated (59.32%) and combined (23.56%) injuries prevailed. Acubarotrauma was diagnosed in 85.25% of cases. Mine wounds and explosive injuries accounted for 68.27% of ATO (JFO) military personnel. Recurrent acubarotrauma was observed in 6.27% of cases. Loss of consciousness occurred in 17.12% of injured servicemen, most of whom lost consciousness within 10 minutes.
Conclusions. Acubarotrauma was found to be a fairly widespread pathology in contemporary military conflicts, since even during low-intensity conflicts it is 6.6% - 7.1% in the overall structure of combat casualties. The main symptoms inherent in acubarotrauma among the military personnel participating in the ATO were identified: subjective tinnitus (96.95%), hearing impairment (96.10%), ear plugs (95.25%), headache (75 , 59%), stunning (64.75%), sleep disorders (60.0%), 43.22% of traumas reported 9 or more complaints, which were characteristic of acubarotrauma. However, with increasing volume of the symptom complex, the severity of the clinical course of acubarotrauma due to the moderately expressed degree of manifestations of symptoms increases. In 16.47% of persons with no diagnosis at the MTFs of acubarotrauma, we identified a set of symptoms characteristic
of acubarotrauma, which may indicate deficiencies in the diagnosis of the specified pathology. In 15.11% of traumatized soldiers with acubarotrauma were diagnosed with mental disorders, the structure of which was dominated by acute stress reaction (65.79%).
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