Drobyshev V A, Efremov A V, Loseva M I, Britov A N, Michurin A I
Ter Arkh. 2002;74(10):62-5.
To follow up for 15 years prevalence of arterial hypertension (AH) in workers exposed to vibration, to study AH course and possible correction in long-term vibration exposure.
The survey covered 1232 males aged 25-59 years exposed to vibration at their working places for 1 to 30 years (test group) and 1163 males matched for age but not exposed to vibration (control group). Active primary and secondary prevention of AH and annual population control for 10 years were performed in the test group. The control group was followed up outpatiently without active intervention. Final screening was conducted 5 years after completion of the program of AH prophylaxis.
Among workers exposed to vibration AH prevalence was similar to that in the controls and tended to reduction in the process of preventive treatment. However, after the end of prophylactic measures AH incidence rate returned to the baseline level. In workers at risk of vibration aftereffects conversion of normal arterial pressure to hypertension was observed more frequently than in unexposed patients. This requires active prophylactic intervention.
Long-term exposure to moderate and high frequency vibration is an AH risk factor. Incidence rate of AH increases with longer exposure to vibration. Compared to controls, aged workers exposed to vibration have AH much more frequently.
对接触振动的工人进行为期15年的动脉高血压（AH）患病率随访，研究长期接触振动情况下AH的病程及可能的纠正措施。
调查涵盖1232名年龄在25 - 59岁之间、在工作场所接触振动1至30年的男性（试验组）以及1163名年龄匹配但未接触振动的男性（对照组）。试验组对AH进行了积极的一级和二级预防，并对人群进行了为期10年的年度监测。对照组在门诊进行随访，未进行积极干预。在AH预防计划完成5年后进行最终筛查。
接触振动的工人中AH患病率与对照组相似，且在预防性治疗过程中有下降趋势。然而，预防措施结束后，AH发病率又恢复到基线水平。与未接触者相比，有振动后效应风险的工人中正常动脉血压转变为高血压的情况更为常见。这需要积极的预防性干预。
长期接触中高频振动是AH的一个风险因素。AH发病率随接触振动时间延长而增加。与对照组相比，接触振动的老年工人患AH的频率更高。
