СLINICAL AND FUNCTIONAL CHARACTERISTIC OF CHRONIC PULMONARY DISEASES IN MILITARY PERSONNEL IN CORRELATION WITH CONCOMITANT PATHOLOGY

Abstract

To study the spread, risk factors and clinical and functional characteristics of chronic nonspecific pulmonary diseases in correlation with concomitant pathology in the military personnel, single-step representative research of 605 military personnel and reserve officers of Chelyabinsk garrison at the age from 25 till 75 years was done with the help of random sampling, including questioning, also with fluorography of lungs, laboratory analyses and spirography with the subsequent statistical processing of the received data. In 28.9% of the examined patients chronic nonspecific pulmonary diseases were revealed; among them there were 25.1% of people with chronic bronchitis, 2.4% with bronchial asthma, and 1.5% with chronic obstructive pulmonary disease. Chronic pulmonary diseases were accompanied by chronic diseases of gastrointestinal tract (in 25.2%), cardiovascular diseases (in 18.3%), top respiratory tract diseases (in 22.3%), and diabetes mellitus of the second type (in 2.3%). Incidence rate of chronic pulmonary diseases depends on age, the experience of service, frequency of trainings in the field, the contact with the sources of ionizing radiation, vibration, toxic chemicals, and industrial aerosols. Smoking is the prime risk factor of chronic pulmonary diseases development and concomitant pathology. It intensifies the influence of professional factors. Nicotine dependence and concomitant pathology increase the frequency and intensity of chronic non-specific pulmonary diseases and decrease indices of FEV₁and FEV₁/FVC.