冷水浸泡试验诊断手臂振动病的不同条件。
Different conditions of cold water immersion test for diagnosing hand-arm vibration syndrome.
机构信息
Department of Hygiene, Yamaguchi University School of Medicine, 1-1-1 Minamikogushi, 755-8505, Ube, Japan.
出版信息
Environ Health Prev Med. 2005 Nov;10(6):351-9. doi: 10.1007/BF02898196.
The cold water immersion test with finger skin temperature (FST) measurement is used to assess vascular disorders in hand-arm vibration syndrome (HAVS). The test method is currently being standardized within the International Organization for Standardization (ISO) in which a water temperature of 12°C for 5 min of hand immersion and an option of using a waterproof hand covering during immersion are proposed. It is necessary to evaluate the diagnostic significance of the test with FST measurement under different conditions to provide a proper management of HAVS patients. The aim of this article is to review research findings of this test with FST measurement and discuss test conditions influencing the results and diagnostic significance.Different conditions were employed, and the test results were shown to be influenced by water temperature, immersion time and other conditions such as room temperature, season, ischemia during immersion, and evaluation parameters. These factors need to be considered in the standardization of the cold water immersion test with FST measurement. It has been mentioned that a high water temperature, a short immersion time and other conditions should be chosen to expose a subject to minimal suffering during the test. A water temperature between 10°C and 15°C and a 5 min immersion might be suitable for the cold water immersion test. The reported sensitivity and specificity evaluating rewarming to the initial temperature for the test using a water temperature of 12°C and a 3 min immersion are 58% and 100%, respectively; these are low but similar to those for tlie water immersion test at 10°C. Therefore, the proposed cold water immersion test at 12°C for 5 min by the ISO (Draft International Standard) is the focus of much interest, and further studies are needed to obtain sufficient data for evaluating the diagnostic significance of the test. At present, the test needs to be used together with a test battery.
冷水浸泡试验结合指皮温度（FST）测量用于评估手部-手臂振动综合征（HAVS）中的血管疾病。该测试方法目前正在国际标准化组织（ISO）内标准化，其中建议使用 12°C 的水温进行 5 分钟的手部浸泡，并可选择在浸泡过程中使用防水手套。有必要评估 FST 测量下不同条件下的测试诊断意义，为 HAVS 患者提供适当的管理。本文的目的是回顾 FST 测量冷水浸泡试验的研究结果，并讨论影响结果和诊断意义的测试条件。不同的条件被采用，测试结果表明受水温、浸泡时间以及其他条件（如室温、季节、浸泡期间的缺血）和评估参数的影响。这些因素需要在 FST 测量的冷水浸泡试验标准化中加以考虑。有人提到，应该选择高水温、短浸泡时间和其他条件，以使受试者在测试过程中尽可能少地遭受痛苦。10°C 至 15°C 的水温和 5 分钟的浸泡时间可能适合冷水浸泡试验。使用 12°C 水温和 3 分钟浸泡时间的试验中，报道的恢复到初始温度的敏感性和特异性分别为 58%和 100%；虽然较低，但与 10°C 水温的水浸试验相似。因此，ISO（国际标准草案）提出的 12°C 水温 5 分钟的冷水浸泡试验引起了广泛关注，需要进一步研究以获得足够的数据来评估该测试的诊断意义。目前，该测试需要与测试组合一起使用。
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