The paper presents the results of clinical and neurological research on the health status of working in hazardous conditions of production. Established a causal relationship between changes in the autonomic nervous system working. The criteria of forecasting the likelihood of disorders of the autonomic nervous system with the hygiene factors of working conditions at work. Among the professional pathology working collieries most frequent vibration disease and vertebral disease, significantly reducing the efficiency of industrial enterprises. Disorders of the peripheral nervous system to make statistics of different countries from 20 to 50% of all diseases of the nervous system [1,2,3]. At the heart of autonomic disorders in the formation of vertebral pathology in miners are neuro-reflex changes caused disorder relations sympathetic afferent and efferent pathways of the parasympathetic dysfunction nonspecific structures of the brain (limbic-reticular complex) [4,5,6,7]. The purpose of the work. Examine the state of the autonomic nervous system in vertebral pathology of the lumbar spine with varying degrees of pain in miners. The objects of study were 115 miners of «Ispat-Karmet» with vertebral pathology of the lumbar spine were examined and treated at the National Center for Hygiene and Occupational Diseases of Karaganda, whose average age was 46.3 ± 0.4; length of 20.1 + 8.5. Patients were divided into the following groups: the "K" practically healthy coal miners -42 people. (18.3%); Group 2 chronic radiculopathy (compression-radicular pain) 73 people. (16.5%) (PO);

В статье приведены результаты клинико-неврологических исследований по изучению состояния здоровья работающих во вредных условиях производства. Установлены причинно-следственные связи между изменениями состояния вегетативной нервной системы работающих. Определены критерии прогнозирования, вероятности развития нарушений вегетативной нервной системы с учетом гигиенических факторов условий труда у работающих. Для выявления дефекта симпатической и парасимпатической эфферентации наиболее информативными показателями явились коэфицент «Вальсальвы и Хильдебранта», которые неоднонаправленно изменялись с систолическим и диастолическим давлением работающих.