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热应激下产业工人的深部体核温度

Deep body core temperatures in industrial workers under thermal stress.

作者信息

Brake Derrick John, Bates Graham Peter

机构信息

School of Public Health, Curtin University of Technology, Australia.

出版信息

J Occup Environ Med. 2002 Feb;44(2):125-35. doi: 10.1097/00043764-200202000-00007.

Abstract

To date, no field study has continuously monitored the deep body core temperatures of industrial workers. A program to continuously measure deep body core temperatures in 36 industrial workers working 10-, 12-, and 12.5-hour day and nightshifts in a hot, deep, underground mine in the Tropics was conducted. No heat illness occurred in these workers during the study. Miniaturized radio-transponders ("pills") taken orally were used to measure temperature during the transit time in the gastrointestinal tract. Commonly recommended limits for industrial hyperthermia are 38.0 degrees C, or an increase of +1 degree C. The results showed that miners regularly exceeded these limits in terms of maximum deep body core temperature (average, 38.3 degrees C; standard deviation, 0.4 degree C), maximum temperature rise (1.4 degrees C, 0.4 degree C), and maximum heat storage (431 kJ, 163 kJ) without reporting any symptoms of heat illness. A significant component of the observed elevated core temperatures was attributable to the normal circadian rhythm, which was measured at 0.9 degree C (standard deviation, 0.2 degree C). Evidence was found that workers "self-pace" when under thermal stress.

摘要

迄今为止,尚无实地研究对产业工人的深部体核温度进行持续监测。我们开展了一项针对热带地区一个炎热、深邃的地下矿井中36名从事10小时、12小时和12.5小时日夜轮班工作的产业工人进行深部体核温度连续测量的项目。在研究期间,这些工人未出现热疾病。口服小型化无线电应答器(“药丸”)用于测量胃肠道传输时间内的温度。工业性体温过高通常推荐的限值为38.0摄氏度,或体温升高1摄氏度。结果显示,矿工在最高深部体核温度(平均38.3摄氏度;标准差0.4摄氏度)、最高体温升高(1.4摄氏度,0.4摄氏度)和最高蓄热量(431千焦,163千焦)方面经常超过这些限值,但未报告任何热疾病症状。观察到的核心温度升高的一个重要因素归因于正常的昼夜节律,其测量值为0.9摄氏度(标准差0.2摄氏度)。有证据表明,工人在热应激状态下会“自我调节节奏”。

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