Emergency Somatic
Hospital, Moscow, Russia
The analysis and
optimization of treatment of 28 men (outpatients) with
residual radiational reactions after contamination (23—30
roentgen) which took part in the liquidation of the
consequences of the Chernobyl disaster was carried out to
improve their quality of life (QoL).
All of these patients
complained of weakness, anxiety and astheno-hypochondrical
sensations, flabbiness, dizziness, headache, insomnia,
cardiac and intestinal pains, constipation, renal cramps,
impotentia and absence of libido and decline of weight.
However, there was no real
organic somatic nature to their complaints.
It was shown by
phenomenological method that these patients suffered from
so-called chronic post-radiational psycho-somatosis (term of
E. Chernosvitov). For the
improvement of QoL of these patients special schemes of
psychotherapeutical and psychopharmacological treatment were
created.
Combinations of rational psychotherapy,
autogenic relaxation and hypnotical suggestion with varied
psychopharmacotherapy using small doses of eglonil-sulpirid,
teralen-alimemazin, merlit-lorazepam, phenazepam,
xanaxalzolam and tofizopam-grandaxin) were the most
effective. At the
same time amitriptylin and anxiolitics with sedative
components (valium-diazepam and librium-chlordiazepoxid)
reinforced manifestations of astheno-hypochodrical.
