Heinonen E, Färkkilä M, Forsström J, Antila K, Jalonen J, Korhonen O, Pyykkö I
Br J Ind Med. 1987 Jun;44(6):412-6. doi: 10.1136/oem.44.6.412.
The variation in heart rate (HRV) at rest and during deep breathing (6 cycles a minute) of 88 professional lumber jacks was studied using a computer technique. The traditional indexes of HRV (CV, CVS, MEAN) were calculated and the spectral components of the HRV were also computed. There was a significant difference (p less than 0.001) between the HRV indexes during the deep breathing test in those with the shortest (CV = 10.1 +/- 1.1) and those with the longest (CV V 6.2 +/- 0.4) exposures to vibration. The values of the HRV indexes decreased with age, but multiple regression analysis showed that the total exposure time to vibration had an independent negative association with the HRV. There were significant differences in all the frequency bands (frequency related power, FRP) of the heart rate between those with the longest and those with the shortest exposures. The HRV during a deep breathing test is associated with the activity of the parasympathetic nervous system and is decreased in autonomic neuropathies. Our results suggest that prolonged exposure to the vibration caused by a chain saw has a negative effect on the parasympathetic activity and thus causes autonomic dysfunction.
采用计算机技术研究了88名职业伐木工在静息状态和深呼吸(每分钟6次)时的心率变异性(HRV)。计算了HRV的传统指标(CV、CVS、MEAN),并计算了HRV的频谱成分。在深呼吸测试中,振动暴露时间最短(CV = 10.1 +/- 1.1)和最长(CV = 6.2 +/- 0.4)的人群之间,HRV指标存在显著差异(p < 0.001)。HRV指标值随年龄增长而降低,但多元回归分析表明,振动总暴露时间与HRV存在独立的负相关。暴露时间最长和最短的人群之间,心率的所有频段(频率相关功率,FRP)均存在显著差异。深呼吸测试期间的HRV与副交感神经系统的活动有关,在自主神经病变中会降低。我们的结果表明,长期暴露于链锯引起的振动对副交感神经活动有负面影响,从而导致自主神经功能障碍。