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婴儿在桑拿浴期间对短期热应激的生理反应。

Infant's physiological response to short heat stress during sauna bath.

作者信息

Rissmann A, Al-Karawi J, Jorch G

机构信息

Clinic for General Paediatrics and Neonatology, Otto-von-Guericke University Magdeburg, Germany.

出版信息

Klin Padiatr. 2002 May-Jun;214(3):132-5. doi: 10.1055/s-2002-30149.

Abstract

Thermoregulatory response to Finnish sauna bath was investigated in 47 infants (age 3 - 14 month). Before taking a short sauna bath lasting 3 min, the infants stayed in a swimming pool for 15 min. Under these conditions sauna bathing did not increase the rectal temperature. Unexpectedly rectal temperature even decreased by 0.2 degrees C (p < 0.05) probably due to redistribution of cold peripheral blood into the core of the body. Mean systolic and diastolic arterial blood pressure and mean heart rate remained unchanged after sauna bathing. The blood pressure amplitude decreased significantly after the swimming period from 47 mm Hg to 38 mm Hg (p < 0.05) and rose again after sauna bathing to 42 mm Hg. All infants tolerated short heat exposure in the sauna without side effects. The circulatory adjustment was efficient. Even young infants were able to cope with the acute circulatory changes imposed by heat stress. Adequate thermoregulatory and cardiovascular adaptive responses to sauna bathing could be shown for the first time in infants between 3 and 14 months of age.

摘要

对47名3至14个月大的婴儿进行了芬兰桑拿浴的体温调节反应研究。在进行3分钟的短时间桑拿浴之前,婴儿们在游泳池中待了15分钟。在这些条件下,桑拿浴并没有使直肠温度升高。出乎意料的是,直肠温度甚至下降了0.2摄氏度(p < 0.05),这可能是由于寒冷的外周血重新分布到身体核心部位所致。桑拿浴后,平均收缩压和舒张压以及平均心率保持不变。游泳期后血压幅度从47毫米汞柱显著下降至38毫米汞柱(p < 0.05),桑拿浴后又回升至42毫米汞柱。所有婴儿都耐受了桑拿浴中的短时间热暴露,没有出现副作用。循环调节是有效的。即使是小婴儿也能够应对热应激引起的急性循环变化。首次在3至14个月大的婴儿中显示出对桑拿浴有足够的体温调节和心血管适应性反应。

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