Trace elements content in the hair of patients at the maxillofacial surgery department

Abstract

Relevance. The urgency of the problem of traumatism is constantly increasing, which is associated with an increase in road accidents, an increase in the number of interpersonal conflicts, the availability of firearms and cold steel weapon, etc. In addition, the proportion of victims with injuries of the maxillofacial region in a state of alcoholic intoxication is constantly growing. The aim of the study is to conduct a comparative analysis of trace elements in hospitalized patients with maxillofacial trauma, intoxicated, acute traumatic stress and the study of the effect of trauma on the balance of trace elements in patients of the Department of Maxillofacial Surgery with various alcohol history. Materials and Methods. The study involved 30 male patients of the department of maxillofacial surgery of the Moscow city clinical F.I. Inozemtseva hospital located in the city of Moscow. All patients were joined to the department for trauma of the maxillofacial tract and were divided into two groups: 15 of them regularly took alcohol and were in a state of alcoholic intoxication at the time of injury (group 1), 15 - without alcohol history (comparison group 2). All patients carried a general clinical blood test, a biochemical blood test, and the content of essential and conditionally essential elements in the hair were also determined. Results and Discussion. As a result, significant differences were revealed in the content of micro elements between the groups of patients: the content of copper (p = 0.013) and zinc (p = 0.000) in the hair examined of the first group was 1.4 lower than in the comparison group 2. The manganese content (p = 0.05), on the contrary, was also increased by 1.4 times in the hair of group 1 patients. Besides, leukocytosis was detected in the blood in patients with a history of alcohol and an increase in AST levels. Conclusion. The study showed an increase in the content of manganese and a decrease in the content of selenium, zinc and copper in the hair of patients with an alcoholic history. Diselementosis was accompanied by a significant increase in aspartate aminotransferase activity, as well as leukocytosis and lymphocytosis. Such an imbalance of chemical elements, together with a changes of peripheral blood and an increase in the activity of ASaT, can be reflected on the period the timing and peculiarities of the course of the reparative process.