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两种手部加热方法对体温、前臂血流量和深部静脉血氧饱和度的影响。

Effect of two methods of hand heating on body temperature, forearm blood flow, and deep venous oxygen saturation.

作者信息

Gallen I W, Macdonald I A

机构信息

Department of Physiology and Pharmacology, University of Nottingham Medical School, United Kingdom.

出版信息

Am J Physiol. 1990 Nov;259(5 Pt 1):E639-43. doi: 10.1152/ajpendo.1990.259.5.E639.

Abstract

Two methods of hand heating [warmed blanket 40 degrees C (WB) and warm-air box 55 degrees C (WA)] were compared with the effect of no heating (control) in six healthy females. After 30 min baseline, the left hand was either heated for 1 h or not heated. Measurements were made of skin temperature (ST), core temperature (CT), right forearm (FBF) and skin blood flow (SBF), and right forearm deep venous blood oxygen content with and without occlusion of the hand circulation. CT rose above baseline in WB (by +0.2 degrees C, P less than 0.01) but not with control or WA. Abdominal ST rose only with WB (by +0.66 degrees C above baseline, P less than 0.01). FBF increased above baseline values with both WA (by +10 ml.l forearm-1.min-1) and WB (by +12 ml.l forearm-1.min-1), but neither was significantly greater than the control. SBF increased above baseline only with WB (by +202 mV, P less than 0.01), and this was significantly greater than control SBF. With an occluded hand circulation, deep venous oxygen content rose above baseline values with WB only (+6.0%, P less than 0.01) but was not greater than control with either method of hand heating. We conclude that using a warm-air box has less effect than a heated blanket on the measured variables.

摘要

在六名健康女性中,比较了两种手部加热方法[40摄氏度暖毯(WB)和55摄氏度暖空气箱(WA)]与不加热(对照)的效果。在30分钟基线期后,左手要么加热1小时,要么不加热。测量了皮肤温度(ST)、核心温度(CT)、右前臂血流量(FBF)和皮肤血流量(SBF),以及在手部循环阻断和未阻断情况下右前臂深静脉血氧含量。WB组的CT高于基线水平(升高0.2摄氏度,P<0.01),而对照组和WA组则没有。腹部ST仅在WB组升高(比基线水平高0.66摄氏度,P<0.01)。WA组(升高10 ml·l前臂-1·分钟-1)和WB组(升高12 ml·l前臂-1·分钟-1)的FBF均高于基线值,但两者均未显著高于对照组。仅WB组的SBF高于基线水平(升高202 mV,P<0.01),且显著高于对照组SBF。在手部循环阻断的情况下,仅WB组的深静脉氧含量高于基线值(升高6.0%,P<0.01),但两种手部加热方法均不高于对照组。我们得出结论,使用暖空气箱对所测量变量的影响小于加热毯。

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