EUROMEDICA  Hanover 6-7  Juni 2008	Advanced methods of diagnosis, treatment and prophylactics
	European Academy of Natural Sciences, Hanover European Scientific Society, Hanover Russian Academy of Natural Sciences, Moscow

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In modern economic situation in Russia the incidence of occupational diseases has remained at a high level. Despite of great interest of scientists, the state and industry to the problems of prevention, treatment and rehabilitation in patients with occupational diseases, the use phytopreparations is still insignificant. Therefore the aim of our work was to investigate a factual use of herbal medications in treatment and rehabilitation of vibration disease and chronic silicosis.

Content-analysis of medical and sanatorium records of the patients with vibration and chronic silicosis showed that phytopreparations are used on the stage of resort rehabilitation. Most of the patients were treated with phytotherapy in herbal lounges at rehabilitation centers. The phytotherapy expenses ranged from 15,57 to 23,3% of the total budget on treatment and medications. Phytotherapy was administered to 52% of the patients, which underwent rehabilitation on chronic silicosis of occupational etiology and 67,74% of the patients that - on vibration disease. This imply that the use of herbal infusions (98% of all phytopreparations), their water solutions were made according to the package recommendations. All infusions were made by local manufacturers. 89,5% of the infusions had filter bags. The patients with vibration disease were treated to infusions with following effects: sedative (44,68%), expectorant (4,26%), vitamins (2,13%), cholagogue (4,26%), renal (2,13%). The patients with chronic silicosis received expectorant infusions (44%), sedative ones - 8%, laxative, renal and cholagoque infusions received 4% of the patients and sleeping pills were given to 4% of the patients.

The analysis of the consumer preferences among patients with occupational diseases conducted by means of questionnaires showed that 55,17% of the respondents prefer herbal medicines. Only 6,9% of the respondents spoke in favour of conventional medications. 37,93% of the patients do not see any difference between phytopreparations and conventional medicines. Among working respondents 49% spoke for phytopreparations, 4,7%, were for conventional medicines, the ones who did not see any difference - 46,3%. It was stated that most of the respondents purchase herbal raw materials at the pharmacy: 82,76% of the patients and 93,7% of the working subjects. Questioning of the occupational doctors revealed that 40% of the physicians prescribe herbal medicines, whilst 44,3% of them prefer conventional preparations and 15,7% are flexible in their prescriptions.

Thus, the investigation in factual application of phytopreparations confirmed its inadequate use especially at the stages of prevention and treatment of occupational diseases. However the consumer preferences among the patients and doctors demonstrated interest to phytopreparations. The results of the conducted investigation as well as advantages of herbal medicines (a low toxicity, their mildness and multifaceted effect) require further researches of rational application of phytopreparations for occupational diseases.