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手指血液循环对手掌施加压力和振动的急性反应。

Acute response of finger circulation to force and vibration applied to the palm of the hand.

作者信息

Griffin Michael J, Welsh Alexandra J L, Bovenzi Massimo

机构信息

Human Factors Research Unit, Institute of Sound and Vibration Research, University of Southampton, Southampton, SO17 1BJ, United Kingdom.

出版信息

Scand J Work Environ Health. 2006 Oct;32(5):383-91. doi: 10.5271/sjweh.1034.

Abstract

OBJECTIVES

This study investigated the effects of force at the palm on acute changes in finger circulation during exposure to vibration.

METHODS

Ten persons attended five sessions consisting of the following five successive 5-minute periods: (i) no force and no vibration, (ii) force and no vibration, (iii) force and vibration, (iv) force and no vibration, and (v) no force and no vibration. During the second and fourth periods, the palm of the right hand applied 5 N or 20 N to a platform that vibrated (125 Hz, 64 m/s2 root mean square) during the third period. Finger blood flow was measured in the middle and little fingers of the right (exposed) hand and the middle finger of the left (unexposed) hand.

RESULTS

A force of 20 N alone reduced the mean finger blood flow in the ipsilateral and contralateral fingers. Finger blood flow was also reduced by vibration, with greater reductions when vibration was combined with 20 N of force. Vibration caused vasoconstriction in the fingers of both the vibrated and nonvibrated hands.

CONCLUSIONS

Force applied to the palm reduced blood flow in the fingers of the exposed hand, probably due to compression of the vascular system supplying the fingers. There was evidence that force may reduce finger blood flow in the contralateral hand, possibly due to a central sympathetic effect. Vibration at 125 Hz applied to the palm of the hand reduced finger blood flow in fingers of that hand and also in a finger of the contralateral hand. In this study, any local effects of vibration were less than those of central sympathetic origin.

摘要

目的

本研究调查了手掌施加力对暴露于振动时手指循环急性变化的影响。

方法

10名受试者参加了5个阶段的实验,每个阶段由以下连续5个5分钟时段组成:(i)无施加力且无振动;(ii)施加力且无振动;(iii)施加力且振动;(iv)施加力且无振动;(v)无施加力且无振动。在第二和第四时段,右手掌对一个平台施加5 N或20 N的力,该平台在第三时段振动(125 Hz,均方根64 m/s²)。测量右手(暴露手)的中指和小指以及左手(未暴露手)的中指的手指血流量。

结果

单独20 N的力会降低同侧和对侧手指的平均手指血流量。振动也会降低手指血流量,当振动与20 N的力同时存在时血流量降低幅度更大。振动导致振动手和未振动手的手指血管收缩。

结论

施加于手掌的力会降低暴露手手指的血流量,可能是由于供应手指的血管系统受到压迫。有证据表明,力可能会降低对侧手的手指血流量,可能是由于中枢交感神经效应。施加于手掌的125 Hz振动会降低该手手指以及对侧手一根手指的血流量。在本研究中,振动的任何局部影响都小于中枢交感神经起源的影响。

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