远北地区健康男性轮换工人适应机制的应变标准

A. E. Bayanova, Ekaterina V. Zhdanova, Ekaterina G. Luk’yanova
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摘要

由于人体功能系统在极北地区持续承受高压力,从健康状态到疾病状态的转变可能会在不知不觉中逐渐发生。因此,制定评估轮换工人身体适应能力储备的标准具有现实意义。本文旨在研究在极北地区轮换工作的健康男性的适应潜力,并确定适应状态的筛选标准。材料和方法。共调查了 56 名年龄在 35 至 60 岁之间、在石油和天然气行业轮换工作三年以上的男性。功能变化指数是根据人口统计学、人体测量学和血液动力学参数计算得出的。使用敲击测试技术测定了神经系统的强度。心理情绪状态使用 AC-6 Aktivatsiometr 设备进行评估。为了确定身体反应性,在拍打测试前后测量了受试者的心理情绪状态、血压和心率。测试结果通过计算功能变化指数,我们确定了受试者的两种适应程度:令人满意和适应机制紧张。适应机制紧张的男性大多体重超重,神经系统通常比较薄弱。应变表现为休息时的心理情绪高涨,以及该参数对心理情绪压力(拍击试验)的反应不足。适应机制应变时身体调节系统的减弱表现在高血管僵硬度时平均动态动脉压的升高和心肌需氧量的增加。作为适应机制应变的筛选标准,可以采用以下几点:体重指数高的人在静息状态下舒张压升高(超过 80 毫米汞柱),以及心血管系统对心理情绪应激反应较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Criteria of the Strain on the Adaptive Mechanisms in Healthy Male Rotational Workers in the Far North
Due to the persistent high stress the human body’s functional systems are subjected to in the Far North, the transition from a state of health to a state of illness can occur gradually and unnoticed. Therefore, developing criteria for assessing the body’s adaptive reserves in rotational workers is relevant. The purpose of this article was to study the adaptive potential of healthy men working in rotation in the Far North and to identify screening criteria for the state of adaptation. Materials and methods. A total of 56 men aged 35 to 60 years who have been working in rotation in the oil and gas industry for more than three years were examined. The index of functional changes was calculated based on demographic, anthropometric and haemodynamic parameters. The strength of the nervous system was determined using the tapping test technique. The psycho-emotional state was assessed using the AC-6 Aktivatsiometr device. To determine body reactivity, the subjects’ psycho-emotional state, blood pressure and heart rate were measured before and after the tapping test. Results. The calculation of the index of functional changes allowed us to identify two degrees of adaptation in the subjects: satisfactory and strain on the adaptive mechanisms. Men with strain on the adaptive mechanisms were mostly overweight and often had a weak nervous system. The strain was manifested in heightened psycho-emotional state at rest and this parameter’s lacking reaction to the psycho-emotional stress (tapping test). The weakening of the body’s regulatory systems during strain on the adaptive mechanisms was manifested in an increase in mean dynamic arterial pressure at high vascular stiffness and growing myocardial oxygen demand. As screening criteria of the strain on the adaptive mechanisms, the following can be used: increased diastolic pressure (over 80 mm Hg) at rest in people with high body mass index, as well as low reactivity of the cardiovascular system to psycho-emotional stress.
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