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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">gtrud</journal-id><journal-title-group><journal-title xml:lang="ru">Гигиена труда и медицинская экология</journal-title><trans-title-group xml:lang="en"><trans-title>Occupational Hygiene and Medical Ecology</trans-title></trans-title-group></journal-title-group><issn pub-type="epub">3106-5538</issn><publisher><publisher-name>Национальный центр гигиены труда и профессиональных заболеваний</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.65491/1727-9712-2025-3-60-66</article-id><article-id custom-type="elpub" pub-id-type="custom">gtrud-173</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ПРОФПАТОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>OCCUPATIONAL PATHOLOGY</subject></subj-group></article-categories><title-group><article-title>Оценка состояния вертеброгенной патологии пояснично-крестцового отдела позвоночника в сочетании с вибрационной болезнью у работающих угольного бассейна Караганды</article-title><trans-title-group xml:lang="en"><trans-title>Assessment of the state of vertebrogenicpathology of the lumbosacral spine in combination with vibration disease in workers of the Karaganda coal basin</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фазылова</surname><given-names>М.-Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Fazylova</surname><given-names>M-D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., заведующая отделением профессиональной неврологии </p><p>100017, г.Караганда, ул.Мустафина 15</p></bio><bio xml:lang="en"><p>Candidate of Medical Sciences, Head of the Department of Occupational Neurology </p><p>100017, Karaganda, Mustafina str. 15, e-mail: info@naoncgt.kz</p></bio><email xlink:type="simple">mangaz_dana@bk.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кожахметова</surname><given-names>К. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozhakhmetova</surname><given-names>K. M.</given-names></name></name-alternatives><bio xml:lang="ru"><p>100017, г.Караганда, ул.Мустафина 15</p></bio><bio xml:lang="en"><p>100017, Karaganda, Mustafina str. 15, e-mail: info@naoncgt.kz</p></bio><email xlink:type="simple">kunya-doc@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">НАО «Национальный центр гигиены труда и профессиональных заболеваний»<country>Казахстан</country></aff><aff xml:lang="en">NC JSC «National Centre Occupational Health and Diseases»<country>Kazakhstan</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>08</day><month>10</month><year>2025</year></pub-date><volume>0</volume><issue>3</issue><fpage>60</fpage><lpage>66</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Фазылова М.А., Кожахметова К.М., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Фазылова М.А., Кожахметова К.М.</copyright-holder><copyright-holder xml:lang="en">Fazylova M.A., Kozhakhmetova K.M.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://nauka.naoncgt.kz/jour/article/view/173">https://nauka.naoncgt.kz/jour/article/view/173</self-uri><abstract><p>Выявлена дисфункция вегетативно-сосудистой системы с поражением нервно-мышечного аппарата, характеризующимся электрофизиологическим полиморфизмом, степенью поражения нервных стволов у горнорабочих с сочетанной патологии.</p></abstract><trans-abstract xml:lang="en"><p>The dysfunction of the autonomic vascular system with damage to the neuromascular apparatus, characterized by electrophysiological polymorphism, the degree of damage to nervetrunks in miners with com bined pathology, was revealed.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>нервно-мышечный аппарат сочетанная патология</kwd><kwd>вегетативная нервная система</kwd><kwd>горнорабочие</kwd></kwd-group><kwd-group xml:lang="en"><kwd>neuromuscular apparatus</kwd><kwd>combined pathology</kwd><kwd>autonomic nervous system</kwd><kwd>miners</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Булавина М.В., Пустовая Н.Г., Косоротова Н.С., Решетенко И.Н. // Медицина труда и промыш. экология. – 2018. – № 1. – С. 12–16.</mixed-citation><mixed-citation xml:lang="en">Bulavina M.V., Pustovaya N.G., Kosorotova N.S., Reshetenko I.N. // Meditsina truda i promyshlennaya ekologiya. – 2018. – № 1. – S. 12–16.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Габуяни Р.И., Колесников Е.К. 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