健康成人站立后掌心出汗与心率及经皮动脉血氧饱和度的比较

Kenzo Shibayama, Yoshimi Moriwaki, T. Nakagami
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摘要

本研究的目的是比较使用便携式湿度计测量的手掌出汗量的变化,以及使用脉搏血氧仪测量的心率(HR)和经皮动脉血氧饱和度(Spo 2)的变化。参与者为20名健康成人(平均年龄20.9±0.8岁)。静息心率为67.9±5.4次/min,站立10s后心率最高,为91.7±15.8次/min, 20s时心率降至86.4±13.3次/min。然而,在站立20 - 180秒期间,心率保持在约80次/分的高位。站立10和180秒的心率差异有统计学意义。与静息值(99.1±1.3%)相比,活动站立10s后Spo 2显著降低(98.1±1.0%),并在18s后保持低于静息值,但超过10s后差异不显著。与静息值(0.0±0.0 mg/min/cm 2)相比,站立10s后手掌出汗量显著增加(0.26±0.06 mg/min/cm 2), 18s后手掌出汗量下降,超过10s后手掌出汗量差异不显著。我们观察到,在站立活动的前180秒,心率持续增加,但手掌出汗量仅在站立活动的前10秒显著增加。在未来的研究中,我们计划研究手掌出汗量是否可以作为急性心肌梗死患者接受心脏康复的一种简单且无创的指标。
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Comparison of Palmar Sweating With Heart Rate and Percutaneous Arterial Blood Oxygen Saturation After Active Standing in Healthy Adults
The aim of this study was to compare changes in the amount of palmar sweating, measured using a portable hygrometric sweating meter, with changes in heart rate (HR) and percutaneous arterial blood oxygen saturation (Spo 2 ) measured using a pulse oximeter, after active standing. Participants were 20 healthy adults (mean age 20.9±0.8 years). Compared with a resting HR of 67.9±5.4 beats/min, HR was highest at 91.7±15.8 beats/min after 10s of active standing and then decreased to 86.4±13.3 beats/min at 20s. However, HR remained high at approximately 80beats/ min between 20 and 180s of active standing. The difference in HR between 10 and 180s of active standing was significant. Spo 2 was significantly decreased (98.1±1.0%) after 10s of active standing compared with the resting value (99.1±1.3%) and remained lower than the resting value for 180s, but the difference for periods longer than 10s was not significant. The amount of palmar sweating significantly increased (0.26±0.06 mg/min/cm 2 ) after 10s of active standing compared with the resting value (0.0±0.0 mg/min/cm 2 ) but then decreased for 180s after that, and the difference for periods longer than 10s was not significant. We observed that HR continued to increase for the first 180s of active standing, but the amount of palmar sweating was significantly increased only for the first 10s of active standing. In a future study, we plan to investigate whether the measured amount of palmar sweating can be used as an easy and noninvasive indicator in acute myocardial infarction patients undergoing heart rehabilitation.
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