Falkenbach A, Watanabe I, Hartmann B, Agishi Y
Kranken und Kuranstalt Gasteiner Heilstollen, Badgastein, Austria.
Angiology. 1997 Dec;48(12):1037-44. doi: 10.1177/000331979704801203.
Patients with vibration syndrome, suffering from Raynaud's phenomenon, are sensitive to cold. Rewarming time, after local cooling, is delayed. The present study evaluated whether rewarming of the hand after cooling is influenced by the temperature of the feet. In five Japanese patients (former forest workers) with vibration syndrome, suffering from Raynaud's phenomenon, and in five healthy controls, temperature changes of the hand after cooling were registered under the two test situations (on different days) with the feet immersed in water of 35 degrees C or 20 degrees C, respectively. In both patients and controls (in both groups, in four of five cases) rewarming of the hand after cooling was faster when the feet were immersed in cold water, compared with when the feet were immersed in warm water. In this test situation, the systemic thermoregulative counterreaction appears to be more important for rewarming of the hand after cooling than a possible synchronous passive reaction accompanying warming of the feet. A deliberate training of the systemic counterreaction may prove beneficial for patients with Raynaud's phenomenon.
患有振动综合征且伴有雷诺现象的患者对寒冷敏感。局部冷却后，复温时间会延迟。本研究评估了足部温度是否会影响手部冷却后的复温情况。在五名患有振动综合征且伴有雷诺现象的日本患者（ former forest workers）以及五名健康对照者中，在两种测试情况下（不同日期），分别将足部浸入35摄氏度或20摄氏度的水中，记录手部冷却后的温度变化。在患者和对照者中（两组中，五例中有四例），与足部浸入温水中相比，当足部浸入冷水中时，手部冷却后的复温速度更快。在这种测试情况下，全身体温调节性反作用对于手部冷却后的复温似乎比足部升温时可能伴随的同步被动反应更为重要。对手部全身反作用进行刻意训练可能对患有雷诺现象的患者有益。
