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手指压迫器和对局部冷却的温度知觉反应,在 5 周间歇性的局部区域暴露于适度增加的跨壁血管压力后。

Finger constrictor and thermoperceptual responsiveness to localised cooling following 5 weeks of intermittent regional exposures to moderately augmented transmural vascular pressure.

机构信息

Division of Environmental Physiology, Swedish Aerospace Physiology Center, KTH Royal Institute of Technology, Stockholm, Sweden.

Division of Environmental Physiology, Swedish Aerospace Physiology Center, KTH Royal Institute of Technology, Stockholm, Sweden.

出版信息

Microvasc Res. 2021 Sep;137:104181. doi: 10.1016/j.mvr.2021.104181. Epub 2021 May 18.

Abstract

PURPOSE

To examine the effects of prolonged intermittent exposures to moderately increased transmural pressure on finger vasoreactivity and thermoperception to localised cooling.

METHODS

Eleven men completed a 5-week regimen (3 sessions·week; 55 min·session), during which the vasculature in one arm (EXP) was exposed intermittently (10-min exposure: 5-min pause) to increased transmural pressure (from +65 mmHg week-1 to +105 mmHg week-5). Before and after the regimen, finger cutaneous vascular conductance (CVC), temperature (T), and thermoperception (thermal sensation, discomfort and pain) were monitored during a 30-min hand cold (8 °C water) provocation trial. The responses of the non-trained hand were examined during an additional cold trial.

RESULTS

After the regimen, baseline finger CVC and T were higher in both hands (p ≤ 0.01). During cooling, neither finger CVC nor T were modified (p > 0.05). Yet the magnitude of the cold-induced drop of CVC was augmented in both hands, and to a similar extent (p ≤ 0.02). The regimen alleviated thermal pain in both hands (p ≤ 0.02); the sensation of coldness and thermal discomfort were attenuated mainly in the EXP hand (p = 0.02).

CONCLUSIONS

Present findings indicate that iterative local exposures to augmented intravascular pressure do not alter finger vasoreactivity to localised cooling. The pressure training, however, might impair finger basal vasomotor tone, and aggravate the magnitude of constrictor responsiveness to cooling. The pressure training also elicits thermoperceptual desensitisation to noxious thermal stimulus. To large extent, these vascular and perceptual adjustments seem to be transferred to the cutaneous vasculature of the non-trained limb.

摘要

目的

研究长时间间歇性暴露于适度增加的跨壁压力对指端血管反应性和局部冷却的温度感知的影响。

方法

11 名男性完成了 5 周的治疗方案(每周 3 次,每次 55 分钟),在此期间,一只手臂(实验组)的血管系统间歇性地(10 分钟暴露:5 分钟休息)暴露于增加的跨壁压力(从每周+65mmHg 增加到每周+105mmHg)。在治疗方案前后,在 30 分钟的手部冷(8°C 水)激发试验期间监测手指皮肤血管传导性(CVC)、温度(T)和温度感知(热感觉、不适和疼痛)。在另一个冷试验中检查了非训练手的反应。

结果

治疗方案后,双手的基础手指 CVC 和 T 均升高(p≤0.01)。在冷却过程中,手指 CVC 和 T 均未发生变化(p>0.05)。然而,在双手中,冷诱发的 CVC 下降幅度均增大,且程度相似(p≤0.02)。治疗方案缓解了双手的热痛(p≤0.02);主要在实验组手中,冷感和热不适的感觉减弱(p=0.02)。

结论

目前的研究结果表明,迭代局部暴露于增加的血管内压力不会改变手指对局部冷却的血管反应性。然而,压力训练可能会损害手指基础血管张力,并加重冷却时收缩反应的幅度。压力训练还会引起对有害热刺激的温度感知脱敏。在很大程度上,这些血管和感知的调整似乎被转移到未训练肢体的皮肤血管。

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