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使用非侵入性测量方法预测人体核心体温。

Prediction of human core body temperature using non-invasive measurement methods.

机构信息

Laboratory for Protection and Physiology, EMPA, Swiss Federal Laboratories for Materials Science and Technology, Lerchenfeldstrasse 5, 9014, St. Gallen, Switzerland.

出版信息

Int J Biometeorol. 2014 Jan;58(1):7-15. doi: 10.1007/s00484-013-0687-2. Epub 2013 Jun 13.

Abstract

The measurement of core body temperature is an efficient method for monitoring heat stress amongst workers in hot conditions. However, invasive measurement of core body temperature (e.g. rectal, intestinal, oesophageal temperature) is impractical for such applications. Therefore, the aim of this study was to define relevant non-invasive measures to predict core body temperature under various conditions. We conducted two human subject studies with different experimental protocols, different environmental temperatures (10 °C, 30 °C) and different subjects. In both studies the same non-invasive measurement methods (skin temperature, skin heat flux, heart rate) were applied. A principle component analysis was conducted to extract independent factors, which were then used in a linear regression model. We identified six parameters (three skin temperatures, two skin heat fluxes and heart rate), which were included for the calculation of two factors. The predictive value of these factors for core body temperature was evaluated by a multiple regression analysis. The calculated root mean square deviation (rmsd) was in the range from 0.28 °C to 0.34 °C for all environmental conditions. These errors are similar to previous models using non-invasive measures to predict core body temperature. The results from this study illustrate that multiple physiological parameters (e.g. skin temperature and skin heat fluxes) are needed to predict core body temperature. In addition, the physiological measurements chosen in this study and the algorithm defined in this work are potentially applicable as real-time core body temperature monitoring to assess health risk in broad range of working conditions.

摘要

核心体温的测量是监测高温环境下工人热应激的有效方法。然而,对于这种应用,侵入性的核心体温测量(例如直肠、肠道、食管温度)是不切实际的。因此,本研究的目的是确定相关的非侵入性测量方法,以预测各种条件下的核心体温。我们进行了两项具有不同实验方案、不同环境温度(10°C、30°C)和不同受试者的人体研究。在这两项研究中,均应用了相同的非侵入性测量方法(皮肤温度、皮肤热通量、心率)。进行了主成分分析以提取独立因素,然后将这些因素用于线性回归模型。我们确定了六个参数(三个皮肤温度、两个皮肤热通量和心率),用于计算两个因素。通过多元回归分析评估了这些因素对核心体温的预测值。对于所有环境条件,计算的均方根偏差(rmsd)范围为 0.28°C 至 0.34°C。这些误差与以前使用非侵入性测量方法预测核心体温的模型相似。本研究的结果表明,需要多个生理参数(例如皮肤温度和皮肤热通量)来预测核心体温。此外,本研究中选择的生理测量值和定义的算法在广泛的工作条件下作为实时核心体温监测来评估健康风险具有潜在的适用性。

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