Vallerand A L, Savourey G, Bittel J H
Centre de Recherches du Service de Santé des Armées Unité de Thermophysiologie, La Tronche, France.
J Appl Physiol (1985). 1992 Apr;72(4):1380-5. doi: 10.1152/jappl.1992.72.4.1380.
Measurements of core temperature (Tc) at different sites produce on some occasions different cooling curves in cold-exposed humans, suggesting that the corresponding thermometric heat debts (HD) could be equally different when calculated by conventional methods [via the change in either Tc or mean body temperature (Tb)]. The present study also compared these thermometric HD values with the calorimetric HD obtained by partitional calorimetry (S). Nine subjects who showed similar initial but different final Tc [rectal (Tre) and auditory canal temperatures (Tac)] during nude cold exposure (2 h at 1 degrees C at rest) were used. Tc-derived HD corresponded to a heat gain of 12 +/- 21 kJ and an HD of 78 +/- 20 kJ with use of Tre and Tac, respectively, whereas the Tb-derived HD varied from 266 +/- 35 to less than or equal to 1,479 +/- 71 kJ with the use of various well-known Tb weighing coefficients. In contrast, S corresponded to 504 +/- 79 kJ, a level that could have been obtained only if the thermoneutral/cold Tb weighing coefficients had been 0.818/0.818 for Tre and 0.865/0.865 for Tac. The results demonstrate that calculation by conventional methods can markedly overestimate or underestimate HD. These differences could not be explained by the site chosen to represent Tc, inasmuch as about the same effect was observed with use of either Tre or Tac. It is concluded that the thermometric value of HD in the cold is not, at least under the present conditions, as accurate and reliable as S.
在冷暴露的人体中,不同部位核心温度(Tc)的测量有时会产生不同的降温曲线,这表明当通过传统方法[根据Tc或平均体温(Tb)的变化]计算时,相应的体温热债(HD)可能同样不同。本研究还将这些体温HD值与通过分区量热法(S)获得的量热HD进行了比较。研究使用了9名受试者,他们在裸体冷暴露(1℃静息2小时)期间初始Tc相似但最终Tc[直肠温度(Tre)和耳道温度(Tac)]不同。使用Tre和Tac时,源自Tc的HD分别相当于12±21kJ的热量增加和78±20kJ的HD,而使用各种知名的Tb加权系数时,源自Tb的HD从266±35kJ变化到小于或等于1479±71kJ。相比之下,S相当于504±79kJ,只有当热中性/冷Tb加权系数对于Tre为0.818/0.818且对于Tac为0.865/0.865时才能获得该水平。结果表明,通过传统方法计算会显著高估或低估HD。这些差异不能用选择代表Tc的部位来解释,因为使用Tre或Tac时观察到的效果大致相同。得出的结论是,至少在目前的条件下,寒冷中HD的体温测量值不如S准确可靠。