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幼儿与母亲在受热时的体温调节比较。

Thermoregulation during heat exposure of young children compared to their mothers.

作者信息

Tsuzuki-Hayakawa K, Tochihara Y, Ohnaka T

机构信息

Human Environment System Department, National Institute of Bioscience and Human-Technology, Tsukuba, Japan.

出版信息

Eur J Appl Physiol Occup Physiol. 1995;72(1-2):12-7. doi: 10.1007/BF00964108.

DOI:10.1007/BF00964108
PMID:8789564
Abstract

The study was conducted to investigate the thermoregulation of young children compared to that of adults. A group of 19 children (ages 9 months-4.5 years), with only 3 children aged 3 years or above, and 16 adults first rested in a thermoneutral room (air temperature 25 degrees C relative humidity 50%, air velocity 0.2 m.s(-1)). They were then exposed to a hot room (air temperature 35 degrees C, relative humidity 70%, air velocity 0.3 m.s(-1)) next door for 30 min, and then returned to the thermoneutral room where they stayed for a further 30 min. The rectal temperature (Tre), skin temperatures (Tsk) at seven sites, heart rate (HR), total sweat rate (Msw,t), local sweat rate (Msw,l) and the Na+ concentration of the sweat were measured. There was no significant difference in Tre between the children and their mothers in the rest phase. However, the Tre of the children increased as soon as they entered the hot room and was significantly higher than during the control period, and than that of the mothers during heat exposure. Mean Tsk, forehead, abdomen and instep Tsk were significantly higher in the children during both the thermoneutral and heat exposure. The Msw,t was significantly higher and Na+ concentrations in the sweat on the back and upperarm were significantly lower for the children during the heat exposure. They had a greater body surface area-to-mass ratio than the mothers by 64%, which indicated that they had advantages for thermal regulation. However, the sweating and Tsk responses of the children were not enough to prevent a rise in body temperature. These results would suggest that the young children had the disadvantage of heating up easily due to their smaller body sizes and there may be maturation-related differences in thermoregulation during the heat exposure between young children and mothers.

摘要

本研究旨在调查幼儿与成人的体温调节情况。一组19名儿童(年龄9个月至4.5岁,其中只有3名儿童年龄在3岁及以上)和16名成人首先在温度适中的房间(气温25摄氏度,相对湿度50%,风速0.2米/秒)休息。然后他们进入隔壁的热房间(气温35摄氏度,相对湿度70%,风速0.3米/秒)30分钟,之后回到温度适中的房间再停留30分钟。测量了直肠温度(Tre)、七个部位的皮肤温度(Tsk)、心率(HR)、总出汗率(Msw,t)、局部出汗率(Msw,l)以及汗液中的钠离子浓度。在休息阶段,儿童与其母亲的直肠温度没有显著差异。然而,儿童一进入热房间直肠温度就升高,且显著高于对照期,也高于热暴露期间其母亲的直肠温度。在温度适中及热暴露期间,儿童的平均皮肤温度、额头、腹部和脚背的皮肤温度均显著更高。热暴露期间,儿童的总出汗率显著更高,背部和上臂汗液中的钠离子浓度显著更低。他们的体表面积与质量之比比母亲大64%,这表明他们在体温调节方面具有优势。然而,儿童的出汗和皮肤温度反应不足以防止体温升高。这些结果表明幼儿因体型较小容易升温,并且在热暴露期间幼儿和母亲在体温调节方面可能存在与成熟相关的差异。

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