对受振动影响的地勤人员进行手指血流 (FBF) 测量:在美国东南部进行的一项试点研究。

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nathan Chen, Seunghyeon Yang, Justin Morgan Leach, Jonghwa Oh
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引用次数: 0

摘要

目的:本研究利用激光多普勒血流仪(LDF)评估了地面管理员的手指血流量(FBF),并评估了FBF与手臂振动(HAV)暴露剂量的关系。方法:使用LDF (PeriFlux 6000, Perimed, Järfälla,瑞典)对17名场地管理员和10名办公室工作人员进行为期3天的轮班前FBF基线测量(FBF基线)和轮班前后FBF的每日变化(ΔFBFdaily)。研究参与者的健康相关信息通过问卷调查获得,而甲型肝炎暴露和人口统计信息则来自我们与本研究并行进行的先前研究。采用线性混合模型估计甲型肝炎暴露剂量与FBF之间的关系。结果:暴露组右、左手平均fbf基线分别为241.5、239.9灌注单位(PU),对照组为305.6、307.3 PU。在接触组中,右手和左手的平均ΔFBFdaily分别为44.2和25.4 PU,在参照组中分别为-35.2和-33.2 PU。在调整年龄、体重指数、种族/民族和高血压后,线性混合模型中观察到终生HAV暴露与FBFbaseline之间存在显著负相关(右手:β=-0.0006和p=0.0055;左手:β=-0.0009, p=0.0068)。终生甲肝暴露与ΔFBFdaily之间以及每日甲肝暴露与ΔFBFdaily之间存在不一致的意义。结论:在饲养员中观察到终生甲型肝炎暴露与基线FBF之间存在显著负相关,支持使用LDF测量FBF作为甲型肝炎引起的血管疾病的有希望的健康指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Finger blood flow (FBF) measurement among vibration-exposed groundskeepers: a pilot study in the southeastern USA.

Objectives: This study assessed finger blood flow (FBF) among groundskeepers using laser Doppler flowmetry (LDF) and evaluated the association of the FBF with hand-arm vibration (HAV) exposure dose.

Methods: Baseline FBF measured before a work shift (FBFbaseline) and daily changes in FBF before and after a work shift (ΔFBFdaily) were measured among 17 groundskeepers and 10 office workers using LDF (PeriFlux 6000, Perimed, Järfälla, Sweden) for 3 days. Study participants' health-related information was obtained through questionnaires, while HAV exposure and demographic information were pulled from our previous study conducted in parallel with the present study. Linear mixed models were employed to estimate the association between HAV exposure dose and FBF.

Results: The average FBFbaseline for right and left hands was 241.5 and 239.9 perfusion units (PUs), respectively, among the exposure group and 305.6 and 307.3 PU, respectively, among the reference group. The average ΔFBFdaily for right and left hands was 44.2 and 25.4 PU, respectively, among the exposure group and -35.2 and -33.2 PU, respectively, among the reference group. A significant negative association between lifetime HAV exposure and FBFbaseline was observed in the linear mixed model after adjusting for age, body mass index, race/ethnicity and hypertension (right hand: β=-0.0006 and p=0.0055; left hand: β=-0.0009 and p=0.0068). Inconsistent significances were observed between lifetime HAV exposure and ΔFBFdaily and between daily HAV exposure and ΔFBFdaily.

Conclusions: A significant negative association between lifetime HAV exposure and baseline FBF among groundskeepers was observed, supporting FBF measurement using LDF as a promising health indicator for vascular disorders induced by HAV.

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来源期刊
Occupational and Environmental Medicine
Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.30
自引率
2.00%
发文量
98
审稿时长
2 months
期刊介绍: Occupational and Environmental Medicine is an international peer reviewed journal covering current developments in occupational and environmental health worldwide. Occupational and Environmental Medicine publishes high-quality research relating to the full range of chemical, physical, ergonomic, biological and psychosocial hazards in the workplace and to environmental contaminants and their health effects. The journal welcomes research aimed at improving the evidence-based practice of occupational and environmental research; including the development and application of novel biological and statistical techniques in addition to evaluation of interventions in controlling occupational and environmental risks.
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