通过手传输的振动引起的微血管异常反映在手指的缩血压中:中国的一项横截面研究
Maosheng Yan1,2, Hanjun Zheng1,2, Qian Liu3
1Guangdong Province Hospital for Occupational Disease Prevention and Treatment, Guangdong Provincial Key Laboratory of Occupational Disease Prevention and Treatment.
Blood pressure monitoring
|February 13, 2024
概括
指部静态血压 (FSBP) 测量可以帮助诊断振动诱导的白指 (VWF). 在VWF患者中减少FSBP表明潜在的血管问题,戒指显示诊断价值.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 血管生理学 血管生理学
- 诊断生物标志物 诊断生物标志物
背景情况:
- 当地振动暴露可能导致微循环功能障碍,包括血液静止和数字动脉血管.
- 振动诱导的白指 (VWF) 是一种常见的职业危险,影响暴露于手传递振动的个体.
- 指部静态血压 (FSBP) 测量是一种评估数字血管功能的非侵入性方法.
研究的目的:
- 调查VWF发生与FSBP变化之间的关系.
- 评估FSBP测量在VWF早期检测中的诊断价值.
主要方法:
- 一项涉及50名VWF患者和50名没有职业振动暴露的健康对照者的病例控制研究.
- FSBP测量是在受控温度 (10°C和30°C) 下进行的.
- 分析了流行病学数据和手指FSBP指数 (%FSBP).
主要成果:
- 在VWF患者中,在两种温度下 (P <0.05) 观察到FSBP和%FSBP的显著减少.
- 与对照组相比,指指,戒指和小指的VWF组中异常%FSBP率更高.
- 戒指和小指的FSBP%显示出高的诊断效用 (AUC分别为0.902和0.737).
结论:
- FSBP测量对于监测和诊断VWF非常有价值.
- 戒指的%FSBP是一个合适的诊断指数,异常值为80.00%用于有效的VWF诊断.
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