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皮肤微循环在冷水浸泡(10°C)和半身冷冻疗法(-135°C)后的灌注。

Perfusion of the skin's microcirculation after cold-water immersion (10°C) and partial-body cryotherapy (-135°C).

机构信息

Department of Business Economics, Health and Social Care, University of Applied Sciences and Arts of Southern Switzerland, Landquart, Switzerland.

International University of Applied Sciences THIM, Landquart, Switzerland.

出版信息

Skin Res Technol. 2019 Sep;25(5):677-682. doi: 10.1111/srt.12703. Epub 2019 Apr 30.

Abstract

BACKGROUND

Investigations of the perfusion of the skin's microcirculation with laser speckle contrast imaging (LSCI) after cold treatments are rare. Therefore, the aim of this study was to compare the effects between cold-water immersion (CWI) conduction and partial-body cryotherapy (PBC) convection on perfusion of the microcirculation and skin temperature on the thigh.

MATERIALS AND METHODS

Twenty healthy males were randomly allocated to CWI (10°C for 10 minutes) or PBC (-60°C for 30 seconds, -135°C for 2 minutes). Perfusion and skin temperature measurements were conducted on the anterior thigh region up to 60 minutes post-treatment.

RESULTS

Cold-water immersion decreased perfusion of the microcirculation significantly compared to baseline values between 10 minutes (P = 0.003) and 30 minutes (P = 0.01) post-treatment. PBC increased perfusion of the microcirculation and decreased skin temperature only at the first measurement interval (0 minute, both P = 0.01) post-treatment. Additionally, local skin temperature was significantly decreased compared to baseline values only after CWI up to 30 minutes (P = 0.04) post-treatment.

CONCLUSION

Cold-water immersion reduced local skin microcirculation and skin temperature while PBC only slightly increased the perfusion of the microcirculation immediately after the treatment. For cooling purposes, the conduction method seems superior compared to the convection method, assessed with a LSCI device.

摘要

背景

用激光散斑对比成像(LSCI)研究冷疗后皮肤微循环灌注的研究很少。因此,本研究的目的是比较冷水浸泡(CWI)传导和全身冷冻疗法(PBC)对流对大腿皮肤微循环和皮肤温度灌注的影响。

材料和方法

20 名健康男性随机分为 CWI(10°C 10 分钟)或 PBC(-60°C 30 秒,-135°C 2 分钟)。在治疗后 60 分钟内,在前大腿区域进行灌注和皮肤温度测量。

结果

与基线值相比,冷水浸泡在 10 分钟(P=0.003)和 30 分钟(P=0.01)时,显著降低了微循环的灌注。PBC 仅在第一次测量间隔(0 分钟,均 P=0.01)后增加了微循环的灌注,并降低了皮肤温度。此外,与基线值相比,仅在 CWI 后 30 分钟(P=0.04)时,局部皮肤温度显著降低。

结论

冷水浸泡降低了局部皮肤微循环和皮肤温度,而 PBC 仅在治疗后立即轻微增加了微循环的灌注。对于冷却目的,与 LSCI 设备评估的对流方法相比,传导方法似乎更优越。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79f0/6849860/bd41de269c05/SRT-25-677-g001.jpg

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