Mathematical model of the influence of the deep pain sensitivity threshold in divers and divers on the clinical symptomatics of decompression disease
https://doi.org/10.22328/2413-5747-2021-7-2-47-51
Abstract
Purpose of the study: to develop a model for predicting the development of a painless form of decompression sickness from the level of pain sensitivity.
Research method:29 divers and divers aged 20 to 42 with decompression sickness and asymptomatic gas formation were examined.
Results and discussion. Painless forms are 1.6 times more common than decompression sickness with painful (classical) clinical manifestations. Determining the pain threshold for divers and divers is an important element in the prevention of chronic decompression sickness. When a diver’s or diver’s pain threshold is 10 volts or more, an ultrasound examination should be performed at each dive for the presence of intravascular gas formation. In such divers and divers, any symptoms that occur after decompression should be considered decompression sickness.
About the Authors
V. N. AlpatovRussian Federation
V. I. Sovietov
Russian Federation
A. N. Yatmanov
Russian Federation
References
1. Myasnikov A.A., Efitsenko E.V., Zverev D.P., Klenkov I.R. Chronic decompression sickness and its diagnosis. Bulletin of the Russian Military Medical Academy, 2018, No. 4 (64), рp. 26–31 (In Russ.)].
2. Myasnikov A.A., Petreev I.V., Shitov A.Yu., Andrusenko A.N., Shitov A.Yu. Problematic issues of naval medicine. Military Medical Journal, 2014, No. 5, рp. 89–91 (In Russ.)].
3. Marroni A., Cali-Corleo R., Fontaneto C.DAN Europe Diving Incident Report. 1996.
4. Smolin V.V., Sokolov G.M., Pavlov B.N.Decompression sickness.Kaliningrad: Guardian of the Baltic, 2010 (In Russ.)].
5. Mathieu D. Hyperbaric medicine. Moscow: Publishing house Binom, 2009 (In Russ.)].
6. Myasnikov A.A. Changes in pain sensitivity and pharmacodynamics of drugs with analgesic properties under conditions of increased partial pressure of indifferent gases. Materials of the All-Russian conference «Indifferent gases in diving practice, biology and medicine». Moscow: Publishing house Word, 1999 (In Russ.)].
7. Sowden L.M., Kindwall E.P., Francis T.J. The distribution of limb pain in decompression sickness // Aviat Space Environ Med. 1996. No. 67 (l). Р. 74–80.
8. Alpatov V.N., Soviets V.I., Yatmanov A.N. A method for diagnosing deep somatic pain sensitivity. Patent for invention 2738947 C1, 18.12. Application No. 2019131321 dated 02.10.2019 (In Russ.)]
Review
For citations:
Alpatov V.N., Sovietov V.I., Yatmanov A.N. Mathematical model of the influence of the deep pain sensitivity threshold in divers and divers on the clinical symptomatics of decompression disease. Marine Medicine. 2021;7(2):47-51. (In Russ.) https://doi.org/10.22328/2413-5747-2021-7-2-47-51