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生活在西澳大利亚州会使外科烧伤治疗团队产生一些季节性适应的生理变化。

Living in Western Australia induces some physiological adaptations of seasonal acclimatisation in the surgical burns team.

作者信息

Palejwala Zehra, Wallman Karen E, Landers Grant J, Anbalagan Prashan, Wood Fiona M, Maloney Shane K

机构信息

School of Human Sciences (Sports Science Exercise and Health), The University of Western Australia, Crawley, WA, Australia.

Burn service of Western Australia, WA Department of Health, Nedlands, WA, Australia.

出版信息

Temperature (Austin). 2023 Nov 7;11(2):110-122. doi: 10.1080/23328940.2023.2281210. eCollection 2024.

DOI:10.1080/23328940.2023.2281210
PMID:38846522
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11152095/
Abstract

Seasonal acclimatization is known to result in adaptations that can improve heat tolerance. Staff who operate on burn injuries are exposed to thermally stressful conditions and seasonal acclimatization may improve their thermoeffector responses during surgery. Therefore, the aim of this study was to assess the physiological and perceptual responses of staff who operate on burn injuries during summer and winter, to determine whether they become acclimatized to the heated operating theater. Eight staff members had physiological and perceptual responses compared during burn surgeries conducted in thermoneutral (CON: 24.1 ± 1.2°C, 45 ± 7% relative humidity [RH]) and heated (HOT: 31.3 ± 1.6°C, 44 ± 7% RH) operating theaters, in summer and winter. Physiological parameters that were assessed included core temperature, heart rate, total sweat loss, sweat rate, and urinary specific gravity. Perceptual responses included ratings of thermal sensation and comfort. In summer, CON compared to winter CON, baseline (85 ± 15 bpm VS 94 ± 18 bpm), mean (84 ± 16 bpm VS 93 ± 18 bpm), and peak HR (94 ± 17 bpm VS 105 ± 19 bpm) were lower ( < 0.05), whereas core temperature was not different between seasons in either condition ( > 0.05). In HOT, ratings of discomfort were higher in summer (15 ± 3) than winter (13 ± 3;  > 0.05), but ratings of thermal sensation and sweat rate were similar between seasons ( > 0.05). The surgical team in burns in Western Australia can obtain some of the physiological adaptations that result from seasonal acclimatization, but not all. That is most likely due to a lower than required amount of outdoor heat exposure in summer, to induce all physiological and perceptual adaptations.

摘要

已知季节性适应会导致一些能提高耐热性的适应性变化。处理烧伤的工作人员会面临热应激环境,季节性适应可能会改善他们在手术过程中的热效应反应。因此,本研究的目的是评估处理烧伤的工作人员在夏季和冬季的生理和感知反应,以确定他们是否适应了加热的手术室。在夏季和冬季,对八名工作人员在热中性(CON:24.1±1.2°C,相对湿度[RH]45±7%)和加热(HOT:31.3±1.6°C,RH44±7%)手术室进行烧伤手术时的生理和感知反应进行了比较。评估的生理参数包括核心体温、心率、总出汗量、出汗率和尿比重。感知反应包括热感觉和舒适度评分。在夏季,与冬季CON相比,CON组的基线心率(85±15次/分钟对94±18次/分钟)、平均心率(84±16次/分钟对93±18次/分钟)和最高心率(94±17次/分钟对105±19次/分钟)较低(P<0.05),而在两种情况下,不同季节的核心体温没有差异(P>0.05)。在HOT组中,夏季的不适评分(15±3)高于冬季(13±3;P>0.05),但不同季节的热感觉评分和出汗率相似(P>0.05)。西澳大利亚州烧伤手术团队能够获得一些季节性适应带来的生理适应性变化,但并非全部。这很可能是由于夏季户外热暴露量低于所需水平,无法引发所有的生理和感知适应性变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/1d530954aa18/KTMP_A_2281210_F0005_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/0c3527147176/KTMP_A_2281210_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/ee92f227dcd0/KTMP_A_2281210_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/708c12d8f3a7/KTMP_A_2281210_F0003_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/234eabc48fda/KTMP_A_2281210_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/1d530954aa18/KTMP_A_2281210_F0005_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/0c3527147176/KTMP_A_2281210_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/ee92f227dcd0/KTMP_A_2281210_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/708c12d8f3a7/KTMP_A_2281210_F0003_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/234eabc48fda/KTMP_A_2281210_F0004_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f15/11152095/1d530954aa18/KTMP_A_2281210_F0005_B.jpg

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本文引用的文献

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Seasonal influence on cognitive and psycho-physiological responses to a single 11-h day of work in outdoor mine industry workers.季节对露天矿业工人单次11小时工作日认知和心理生理反应的影响。
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Higher operating theatre temperature during burn surgery increases physiological heat strain, subjective workload, and fatigue of surgical staff.烧伤手术期间手术室温度升高会增加手术人员的生理热应激、主观工作量和疲劳感。
PLoS One. 2023 Jun 2;18(6):e0286746. doi: 10.1371/journal.pone.0286746. eCollection 2023.
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Seasonal Heat Acclimatisation in Healthy Adults: A Systematic Review.
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Sports Med. 2022 Sep;52(9):2111-2128. doi: 10.1007/s40279-022-01677-0. Epub 2022 Apr 23.
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