Effectiveness of transcranial electrical stimulation in the comorbid course of occupational hearing loss and hypertension

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Abstract

Introduction. Diseases of the cardiovascular system, which are an additional unfavourable factor for the development and progression of occupational sensorineural hearing loss (OSNHS), should be taken into account when carrying out therapeutic and preventive measures among workers of noise professions.

The aim of the study was to evaluate the effectiveness of transcranial electrical stimulation (TES) in the comorbid course of OSNHS and arterial hypertension (AH).

Materials and methods. Two groups of OSNHS patients in combination with AH were examined. Group 1 (128 people) received only basic drug therapy, in group 2 (126 people), TES was carried out along with basic therapy. The dynamics of treatment was assessed by daily monitoring of blood pressure (DMBP), audiological parameters, and indicators of the quality of life according to the SF-36 questionnaire.

Results. As a result of treatment, in group 2 of patients receiving TES, there was a more pronounced positive dynamics of DMBP indicators and normalization of the daily blood pressure profile, an increase in the adaptive capabilities of the body from the level of “functional overstrain” to “sufficient, satisfactory adaptation” was found. TES contributed to the improvement of hearing, which was confirmed by the data of tonal threshold audiometry and optoacoustic emission, and indicators of quality of life according to the SF-36 questionnaire.

Limitations. The study is limited to the study of the effectiveness of the use of TES in patients with mild and moderate OSNHS on the background of stage 1-2 AH with mild and moderate arterial hypertension.

Conclusion. The results obtained give grounds to recommend the TPP methodology in a complex of therapeutic and preventive measures for OSNHS patients in combination with AH to ensure the most adequate therapy and effective prevention aimed at preserving health and longevity.

Compliance with ethical standards. The research program was approved by the Committee on Biomedical Ethics of the Federal Scientific Center of Hygiene named after F.F. Erisman of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing, (Protocol No. 16 of February 18, 2021).

Patient consent. Each participant of the study (or his/her legal representative) gave informed voluntary written consent to participate in the study and publish personal medical information in an impersonal form in the journal "Gigiena i Sanitariya (Hygiene and Sanitation, Russian journal)".

Contribution. All co-authors made an equal contribution to the research and preparation of the article for publication. 

Conflict of interest. The authors declare no conflict of interest. 

Acknowledgement. The study had no sponsorship. 

Received: July 15, 2022 / Accepted: December 8, 2022 / Published: January 12, 2023 

About the authors

Anna V. Sukhova

F.F. Erisman Federal Research Center of Hygiene of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing

Author for correspondence.
Email: annasukhova-erisman@yandex.ru
ORCID iD: 0000-0002-1915-1138

MD, PhD, DSci., Head of the Department of Rehabilitation, F.F. Erisman Federal Research Center of Hygiene of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing, Mytishchi, 141014, Russian Federation.

e-mail: annasukhova-erisman@yandex.ru

Russian Federation

Elena A. Preobrazhenskaya

F.F. Erisman Federal Research Center of Hygiene of the Federal Service for Supervision in Protection of the Rights of Consumer and Man Wellbeing

Email: noemail@neicon.ru
ORCID iD: 0000-0003-1941-0491
Russian Federation

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