Microvascular abnormalities induced by hand-transmitted vibration reflects in finger systolic blood pressure: a cross-sectional study in China.

IF 1.2 4区 医学 Q4 PERIPHERAL VASCULAR DISEASE Blood Pressure Monitoring Pub Date : 2024-06-01 Epub Date: 2024-04-24 DOI:10.1097/MBP.0000000000000695
Maosheng Yan, Hanjun Zheng, Qian Liu, Bin Xiao, Chengmin Wang, Yanxia Jia, Siyu Pan
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Abstract

Objective: Local vibration can cause microcirculatory abnormalities such as blood stasis and symmetrical intermittent digital artery vasospasm. Finger SBP (FSBP) measurement is a potential way of assessing vascular components. This study aims to comprehensively investigate the relationship between the occurrence of the vibration-induced white finger (VWF) and changes in FSBP and then set the application value of FSBP measurements in the early diagnosis of VWF.

Methods: All samples were judgmental sampling from one factory. Totally 50 patients with VWF were the case group, while 50 without occupational hand-transmitted vibration exposure were the control group. FSBP measurements and epidemiological feature investigations were taken.

Results: There were significant reductions in FSBP level and %FSBP index at both 10 °C and 30 °C in fingers reported VWF ( P  < 0.05). The %FSBP abnormal rate of the index, ring and little finger in the VWF group was higher than the control (44.00% vs. 18.00%, 78.00% vs. 26.00%, 64.00% vs. 8.00%). The %FSBP of the ring and little finger had a relatively high application value (area under curve = 0.902, 0.737), while their standard regression coefficients were -0.23 and -0.412. The diagnostic cutoff value of the ring finger was 77.60%, while the sensitivity and specificity were 86.67%.

Conclusion: FSBP measurements were proven helpful in monitoring and diagnosing VWF prospectively and proved to have great application value in our study. %FSBP of the ring finger was the appropriate diagnostic index in FSBP measurements, while its abnormal value could be set as 80.00%.

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手部振动引起的微血管异常在手指收缩压中的反映:一项在中国进行的横断面研究。
目的:局部振动可导致微循环异常,如血液淤滞和对称性间歇性数字动脉血管痉挛。测量手指SBP(FSBP)是评估血管成分的一种潜在方法。本研究旨在全面探讨振动诱发白指(VWF)的发生与 FSBP 变化之间的关系,进而确定 FSBP 测量在 VWF 早期诊断中的应用价值:所有样本均来自一家工厂的判断性抽样。方法:所有样本均来自一家工厂的判断性抽样,50 名 VWF 患者为病例组,50 名无职业性手传振动暴露的患者为对照组。测量 FSBP 并进行流行病学特征调查:结果:报告的 VWF 手指在 10 ℃ 和 30 ℃ 时 FSBP 水平和 %FSBP 指数均有明显降低(P 结论:FSBP 水平和 %FSBP 指数在 10 ℃ 和 30 ℃ 时均有明显降低:事实证明,FSBP 测量有助于前瞻性监测和诊断 VWF,在我们的研究中也证明了其巨大的应用价值。在 FSBP 测量中,无名指的 %FSBP 是合适的诊断指标,其异常值可设定为 80.00%。
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来源期刊
Blood Pressure Monitoring
Blood Pressure Monitoring 医学-外周血管病
CiteScore
2.00
自引率
7.70%
发文量
110
审稿时长
>12 weeks
期刊介绍: Blood Pressure Monitoring is devoted to original research in blood pressure measurement and blood pressure variability. It includes device technology, analytical methodology of blood pressure over time and its variability, clinical trials - including, but not limited to, pharmacology - involving blood pressure monitoring, blood pressure reactivity, patient evaluation, and outcomes and effectiveness research. This innovative journal contains papers dealing with all aspects of manual, automated, and ambulatory monitoring. Basic and clinical science papers are considered although the emphasis is on clinical medicine. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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