Harazin Barbara
Zakład Ochrony Zdrowia w Srodowisku Pracy, Wydział Zdrowia Publiczneg, Slaski Uniwersytet Medyczny, Katowice.
Med Pr. 2010;61(4):413-7.
A cold provocation test is used to assess the presence and extent of the peripheral vascular disorders in the upper extremities of workers exposed to hand-arm vibration. A quantitative evaluation of vascular response to cold provocation is determined by measuring the finger skin temperature. In the study two methods of cold exposure were used to assess the effect of water temperature and immersion duration on recovery time in subjects with the acropoikilothermic thermoregulation.
In the study two cold provocation tests were performed. One test consisted of a 10 min immersion of both hands in cold water at 14 degrees C (Polish requirements) and the second one adequately, of a 5 min immersion in cold water at 12 degrees C (ISO 14835-1:2004 standard). Twenty young (aged 22-24 years) and healthy subjects took part in each test. Finger skin temperature was measured on all fingers of both hands before and after immersion.
The mean recovery time of the cold provocation test was longer in the group examined by ISO 14835-1:2004 standard requirements than in the group examined by the method used in Poland.
Immersion parameters used in the cold provocation test performed in acropoikilotherms have a significant effect on recovery time.
冷激发试验用于评估接触手臂振动的工人上肢周围血管疾病的存在情况及程度。通过测量手指皮肤温度来定量评估对冷激发的血管反应。在该研究中,采用两种冷暴露方法来评估水温及浸泡持续时间对体温调节异常受试者恢复时间的影响。
在该研究中进行了两项冷激发试验。一项试验是将双手在14℃冷水中浸泡10分钟(波兰要求),另一项试验是按照ISO 14835-1:2004标准,将双手在12℃冷水中浸泡5分钟。每项试验有20名年轻(22 - 24岁)健康受试者参与。在浸泡前后测量双手所有手指的皮肤温度。
按照ISO 14835-1:2004标准要求进行检查的组,冷激发试验的平均恢复时间比采用波兰方法检查的组更长。
在体温调节异常者中进行的冷激发试验所采用的浸泡参数对恢复时间有显著影响。