Mizeva Irina, Frick Peter, Podtaev Sergey
Annu Int Conf IEEE Eng Med Biol Soc. 2015;2015:7382-5. doi: 10.1109/EMBC.2015.7320097.
We study the relationship between the blood flow and skin temperature variations under a cold pressor test (CPT). The simultaneous laser Doppler flowmetry (LDF) and skin temperature (ST) measurements were carried out for 8 healthy subjects on the skin surface of the distal phalanx of the second (LDF) and third (ST) fingers. The skin blood perfusion decreases stepwise about twice during contralateral CPT for all 8 subjects. The temperature of the finger pad decays monotonically during the test and dropped about 1°C in mean. The power spectral densities of LDF flow and ST variations are also affected by the CPT, but subjects under study demonstrate two different types of reaction. LDF pulsations at the frequency about 0.1 Hz, which corresponds to the myogenic mechanism of vascular tone regulation, decreases in 5 subjects and increases in other 3 subjects. However in all subjects the ST pulsations behave contradictory, namely, the changes in amplitude of blood perfusion and ST pulsations due to cold pressor test are strongly anticorrelated. We discuss possible mechanisms of vascular reaction that can cause the behavior observed.
我们研究了冷加压试验(CPT)下血流与皮肤温度变化之间的关系。对8名健康受试者的示指(用于激光多普勒血流仪测量)和中指(用于皮肤温度测量)远端指骨的皮肤表面同时进行了激光多普勒血流仪(LDF)和皮肤温度(ST)测量。在对侧CPT期间,所有8名受试者的皮肤血液灌注均逐步下降约两倍。指腹温度在测试过程中单调衰减,平均下降约1°C。LDF血流和ST变化的功率谱密度也受CPT影响,但研究中的受试者表现出两种不同类型的反应。频率约为0.1Hz的LDF搏动(对应于血管张力调节的肌源性机制)在5名受试者中降低,在其他3名受试者中升高。然而,在所有受试者中,ST搏动表现出相反的情况,即冷加压试验引起的血液灌注幅度变化与ST搏动强烈负相关。我们讨论了可能导致观察到的行为的血管反应机制。