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南极探险前后对全身及手指冷却的反应。

Responses to whole body and finger cooling before and after an Antarctic expedition.

作者信息

Rintamäki H, Hassi J, Smolander J, Louhevaara V, Rissanen S, Oksa J, Laapio H

机构信息

Oulu Regional Institute of Occupational Health, Finland.

出版信息

Eur J Appl Physiol Occup Physiol. 1993;67(4):380-4. doi: 10.1007/BF00357639.

Abstract

Eight subjects, who were indoor workers and not habitually exposed to cold, spent 53 days in Antarctica. They did mainly geological field work often requiring the use of bare hands. The effects of the expedition on responses to a whole body cold exposure test, a finger blood flow test and a cold pressor test were studied. After the expedition, during whole-body cooling the time for the onset of shivering was delayed by 36 min (P < 0.001) and forearm and thigh temperatures were 1.5 degrees C higher (P < 0.05) at the end of exposure. During local cooling of the finger with 10 degrees C perfusion, finger vascular resistance was 14.9 (SEM 6.6) mmHg.ml-1.min.100 ml (P < 0.05) lower and finger temperature 3.9 (SEM 0.8) degrees C higher (P < 0.01). However, the decrease in rectal temperature during whole-body cooling was unaltered and the response to a cold pressor test was unchanged. The data would indicate that partial acclimatization to cold had been developed. Changes in forearm temperature were correlated with the duration of cold exposure of the hands (P < 0.05) and finger vascular resistance and finger temperature were correlated with responses to cooling before the expedition (P < 0.001 and P < 0.01, respectively). Because the ambient temperature was not clearly lower in Antarctica in comparison to Finland, the reason for the changes developed seems to be the increased exposure to the outdoor climate in Antarctica.

摘要

八名受试者为室内工作者,并非经常暴露于寒冷环境,他们在南极洲度过了53天。他们主要从事地质野外工作,常常需要徒手操作。研究了此次考察对全身冷暴露试验、手指血流试验和冷加压试验反应的影响。考察结束后,在全身冷却过程中,寒颤开始时间延迟了36分钟(P<0.001),暴露结束时前臂和大腿温度高1.5摄氏度(P<0.05)。在用10摄氏度灌注液对手指进行局部冷却时,手指血管阻力降低了14.9(标准误6.6)mmHg.ml-1.min.100 ml(P<0.05),手指温度高3.9(标准误0.8)摄氏度(P<0.01)。然而,全身冷却过程中直肠温度的下降未改变,对冷加压试验的反应也未改变。数据表明已产生了部分冷适应。前臂温度的变化与手部冷暴露持续时间相关(P<0.05),手指血管阻力和手指温度与考察前对冷却的反应相关(分别为P<0.001和P<0.01)。由于与芬兰相比,南极洲的环境温度并非明显更低,产生这些变化的原因似乎是在南极洲更多地暴露于户外气候。

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