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发热时的体温调节:调定点变化还是增益变化?来自一项人体行为学研究的初步答案。

Temperature regulation during fever: change of set point or change of gain? A tentative answer from a behavioural study in man.

作者信息

Cabanac M, Massonnet B

出版信息

J Physiol. 1974 May;238(3):561-8. doi: 10.1113/jphysiol.1974.sp010543.

Abstract
  1. Four subjects were immersed in a stirred water-bath maintained at either 30 or 40 degrees C. The left hand was placed out of the bath in a glove receiving water at a temperature selected by the subject as most pleasurable. Experiments were conducted during the euthermic state and during either spontaneous or induced fever.2. The results of control experiments confirm a previous observation using the same method, that preferred hand skin temperature was a linear function of internal temperature but also indicated an influence by mean skin temperature.3. The general pattern of response during fever was identical to that when fever was absent except that the regulated steady state internal temperature was higher and the slopes of preferred temperature plotted against internal temperature were steeper.4. The results seem to support the concept of a change in set point rather than that of a change in the gain of the thermoregulatory processes during fever.
摘要
  1. 四名受试者被浸入温度维持在30或40摄氏度的搅拌水浴中。左手置于浴外,戴在手套里,手套接收受试者选择的最舒适温度的水。实验在正常体温状态下以及自发或诱导发热期间进行。

  2. 对照实验的结果证实了先前使用相同方法的一项观察结果,即偏好的手部皮肤温度是内部温度的线性函数,但也表明受到平均皮肤温度的影响。

  3. 发热期间的总体反应模式与不发热时相同,只是调节后的稳态内部温度更高,且偏好温度相对于内部温度的斜率更陡。

  4. 结果似乎支持发热期间设定点改变的概念,而非体温调节过程增益改变的概念。

相似文献

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The chill sensation in fever.发烧时的寒战感觉。
Pflugers Arch. 1980 Mar;384(1):103-4. doi: 10.1007/BF00589522.
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Effect of water temperature on cooling efficiency during hyperthermia in humans.水温对人体高热期间降温效率的影响。
J Appl Physiol (1985). 2003 Apr;94(4):1317-23. doi: 10.1152/japplphysiol.00541.2002. Epub 2002 Nov 27.

本文引用的文献

6
The thermosensitivity of the hypothalamus and thermoregulation in mammals.哺乳动物下丘脑的温度敏感性与体温调节
Biol Rev Camb Philos Soc. 1966 Aug;41(3):317-68. doi: 10.1111/j.1469-185x.1966.tb01496.x.
8
Thermoregulatory behavior of man during rest and exercise.
Pflugers Arch. 1973;338(4):303-12. doi: 10.1007/BF00586072.

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