Effects on blood parameters from hand-arm vibrations exposure.

IF 1.7 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Toxicology and Industrial Health Pub Date : 2023-06-01 DOI:10.1177/07482337231173733
Niclas Johansson, Oscar Ragnebro, Albin Stjernbrandt, Pål Graff, Ing-Liss Bryngelsson, Per Vihlborg
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Abstract

Vibration exposure from handheld tools can affect the hands with neurological symptoms and vibration-induced Raynaud's phenomenon (VRP). The underlying pathophysiological mechanisms are not fully known, however, changes in the composition of blood parameters may contribute to VRP with an increase in blood viscosity and inflammatory response. The aim of this study was to examine the effect on blood parameters in capillary blood from fingers that had been exposed to a vibrating hand-held tool. This study involved nine healthy participants who had been exposed to vibration and an unexposed control group of six participants. Capillary blood samples were collected before and after vibration exposure for the exposed group, and repeated samples also from the control group. The exposed groups were exposed to vibration for a 15-min period or until they reached a 5.0 m/s2 vibration dose. Analysis of blood status and differential counting of leucocytes was performed on the capillary blood samples. The results of the blood samples showed an increase in mean value for erythrocyte volume fraction (EVF), hemoglobin, red blood cell count, white blood cell count and neutrophils, as well as a decrease of mean cell volume, mean cell hemoglobin, and mean cell hemoglobin concentration. The increase of EVF and neutrophils was statistically significant for samples taken from the index finger but not the little finger. Even though the study was small it showed that an acute vibration exposure to the hands might increase EVF and neutrophilic granulocytes levels in the capillary blood taken from index fingers.

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手臂振动暴露对血液参数的影响。
手持式工具的振动暴露可影响手的神经症状和振动诱发的雷诺现象(VRP)。潜在的病理生理机制尚不完全清楚,然而,血液参数组成的变化可能导致VRP,血液粘度和炎症反应增加。本研究的目的是检查手指接触振动手持工具对毛细血管血液参数的影响。这项研究涉及了9名健康的参与者,他们暴露在振动中,而对照组的6名参与者没有暴露在振动中。振动暴露组采集振动暴露前后的毛细血管血样,对照组重复采集。暴露组振动15 min或达到5.0 m/s2的振动剂量。对毛细血管血液标本进行血液状态分析和白细胞鉴别计数。血液样本的结果显示红细胞体积分数(EVF)、血红蛋白、红细胞计数、白细胞计数和中性粒细胞的平均值增加,平均细胞体积、平均细胞血红蛋白和平均细胞血红蛋白浓度下降。EVF和中性粒细胞的增加在取自食指的样本中有统计学意义,而在取自小指的样本中没有统计学意义。尽管这项研究规模很小,但它表明,接触手部的急性振动可能会增加从食指采集的毛细血管血液中的EVF和中性粒细胞水平。
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来源期刊
CiteScore
3.50
自引率
5.30%
发文量
72
审稿时长
4 months
期刊介绍: Toxicology & Industrial Health is a journal dedicated to reporting results of basic and applied toxicological research with direct application to industrial/occupational health. Such research includes the fields of genetic and cellular toxicology and risk assessment associated with hazardous wastes and groundwater.
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