Health Problems in Survivors Exposed to Sulfur Mustard with Severe respiratory Complications

Q4 Medicine
M. Soroush, H. Akhavizadegan, B. Mousavi, Janbazan Medical
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Abstract

studied. This study evaluates health problems of other than the usual affected organs in survivors with severe respiratory injuries. In this descriptive cross-sectional study, 292 chemical warfare veterans with severe pulmonary complications due to exposure to sulfur mustard were examined by two physicians in 2016. Health problems in the veterans were recorded and a clinical examination was performed. Data using SPSS software version 2016 and Chi-square test and Lambda correlation coefficient were analyzed. The most common problems of chemical warfare victims with severe pulmonary complications were related to musculoskeletal problems 92.1% (low back pain 68.8%), neurological system 88.4%(headache 78.1%), auditory system 81.8%(Hearing loss 62%), gastrointestinal tract 78.1% (reflux 74.3%), kidney and urinary tract (65.1%), cardiovascular (52.4%), immune system disorders (43.4%) and infertility 10.6%. The mean systolic and diastolic blood pressure of the veterans were 121.1±14.7 and 79.7±8.8mmHg, respectively. Most of them were under treatment of respiratory corticosteroids (72.2%) and oral corticosteroids (45%). There were no significant relationships between gender, age, frequency of exposure to sulfur mustard, and the prevalence of physical complaints and musculoskeletal diseases, nervous system, gastrointestinal tract, cardiovascular system, and hearing loss (p>0.05). Conclusion The most important health problems were musculoskeletal, neurological, hearing loss, and gastrointestinal problems. Moreover, the rate of using corticosteroids was very high while the rate of Infertility was less prevalent than previous studies. These results will help investment policies aiming at considering future health promotion planning.
暴露于硫芥末并伴有严重呼吸道并发症的幸存者的健康问题
研究这项研究评估了严重呼吸损伤幸存者除常见器官外的其他健康问题。在这项描述性横断面研究中,两名医生于2016年对292名因接触硫芥而出现严重肺部并发症的化学战老兵进行了检查。记录退伍军人的健康问题,并进行临床检查。数据采用SPSS软件2016版,卡方检验和Lambda相关系数进行分析。具有严重肺部并发症的化学战受害者最常见的问题与肌肉骨骼问题92.1%(腰痛68.8%)、神经系统88.4%(头痛78.1%)、听觉系统81.8%(听力损失62%)、胃肠道78.1%(反流74.3%)、肾脏和泌尿道(65.1%)、心血管(52.4%),退伍军人的平均收缩压和舒张压分别为121.1±14.7和79.7±8.8mmHg。大多数患者正在接受呼吸皮质类固醇(72.2%)和口服皮质类固醇(45%)的治疗。性别、年龄、接触硫芥的频率、身体主诉和肌肉骨骼疾病、神经系统、胃肠道、心血管系统和听力损失的发生率之间没有显著关系(p>0.05)。结论最重要的健康问题是肌肉骨骼、神经、听力损失和胃肠道问题。此外,与先前的研究相比,皮质类固醇的使用率非常高,而不孕的发生率较低。这些结果将有助于旨在考虑未来健康促进规划的投资政策。
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来源期刊
Iranian Journal of War and Public Health
Iranian Journal of War and Public Health Medicine-Medicine (miscellaneous)
CiteScore
0.40
自引率
0.00%
发文量
0
审稿时长
16 weeks
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