口罩对健康成年人呼吸困难感知、心肺参数和面部温度的影响。

Effect of face masks on dyspnea perception, cardiopulmonary parameters, and facial temperature in healthy adults.

机构信息

Department of Physiology, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.

Department of Neurosurgery, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia.

出版信息

Narra J. 2024 Apr;4(1):e574. doi: 10.52225/narra.v4i1.574. Epub 2024 Feb 28.

Abstract

Respiratory droplets, naturally produced during expiration, can transmit pathogens from infected individuals. Wearing a face mask is crucial to prevent such transmission, yet the perception of dyspnea and uncomfortable breathing remains a common concern, particularly during epidemics. The aim of this study was to investigate the impact of face mask use on the perception of dyspnea, cardiopulmonary parameters, and facial temperature during physical activity. A randomized crossover study was conducted on healthy adults at a physiology laboratory located in the Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia, in November 2022. Participants underwent five stages of physical exercise tests based on the Bruce Protocol under three conditions: without any face mask (control), wearing a surgical mask, and an N95 mask, forming the study's main groups. Dyspnea perception (measured by the Modified Borg Dyspnea Scale), cardiopulmonary parameters (heart rate, oxygen saturation, respiratory rate, blood pressure, and mean arterial pressure) and facial temperature were measured before the exercise test (pre-workout), at the end of stage 1, 2, 3, 4, 5, and after the whole exercise test (post-workout). A two-way repeated measures ANOVA was conducted, considering two factors: the type of mask (control, surgical mask, N95 mask) and the various stages of the exercise test. A total of 36 healthy adults were included in the study. We found that dyspnea perception was much worse in the N95 mask group, particularly during vigorous exercise. There was no significant difference between groups in cardiopulmonary parameters. However, participants wearing N95 had a greater supralabial temperature than those wearing surgical masks or no mask at all. It is recommended to undertake a more in-depth evaluation of cardiopulmonary physiological measures.

摘要

呼吸飞沫在呼气时自然产生,可将病原体从感染者传播给他人。佩戴口罩对于防止这种传播至关重要,但呼吸困难和呼吸不适的感觉仍然是一个常见的关注点,尤其是在疫情期间。本研究旨在调查佩戴口罩对面罩下呼吸困难感知、心肺参数和面部温度的影响,研究于 2022 年 11 月在印度尼西亚北苏门答腊大学医学院生理学实验室进行,为一项健康成年人的随机交叉研究。参与者在三种条件下接受基于 Bruce 方案的五次体力活动测试阶段:不戴任何口罩(对照)、戴外科口罩和 N95 口罩,这三种情况构成了研究的主要组。呼吸困难感知(通过改良 Borg 呼吸困难量表测量)、心肺参数(心率、血氧饱和度、呼吸频率、血压和平均动脉压)和面部温度在运动前测试(运动前)、第一阶段结束时、第二阶段、第三阶段、第四阶段、第五阶段以及整个运动后测试(运动后)进行测量。采用双因素重复测量方差分析,考虑两个因素:口罩类型(对照、外科口罩、N95 口罩)和运动测试的各个阶段。共有 36 名健康成年人参与了这项研究。我们发现 N95 口罩组的呼吸困难感知更差,尤其是在剧烈运动时。各组心肺参数无显著差异。然而,佩戴 N95 的参与者的上唇温度高于佩戴外科口罩或不戴口罩的参与者。建议对心肺生理措施进行更深入的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a804/11125298/0d823e095c28/NarraJ-4-e574-g001.jpg

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