Amir Offer, Alroy Sharon, Schliamser Jorge E, Asmir Ihab, Shiran Avinoam, Flugelman Moshe Y, Halon David A, Lewis Basil S
Department of Cardiovascular Medicine, Lady Davis Carmel Medical Center, Haifa, Israel.
Am J Cardiol. 2004 Apr 1;93(7):947-9. doi: 10.1016/j.amjcard.2003.12.032.
Brachial artery endothelial function, which is measured as responsiveness to reactive hyperemia (flow-mediated dilation [FMD]) was abnormal in residents and house staff after a 24-hour shift, including night duty. The greatest decrease in FMD was observed in physicians with a longer history of night-shift duty and in those reporting fewer sleeping hours during the shift. The finding that FMD is decreased after night duty raises the issue of the effects of shift duty on cardiovascular function in healthcare personnel, particularly in those undertaking night duty for a prolonged period of time.
肱动脉内皮功能通过对反应性充血的反应性（血流介导的舒张[FMD]）来衡量，在住院医师和实习医生经历包括夜班在内的24小时轮班后出现异常。FMD下降幅度最大的是那些有较长夜班工作史的医生以及那些报告在轮班期间睡眠时间较少的医生。夜班后FMD下降这一发现引发了轮班工作对医护人员心血管功能影响的问题，尤其是那些长期从事夜班工作的人员。
