In vibration diseases there is abnormality of the dynamics of the peripheral circulation. It can be determined by means of skin temperature and hyperemia time by nail press test and so on. This paper describes observations on the change of the skin temperature and the hyperemia time by pressing nail after exposure,
i.
e., immersion of the hand into the water at 30°C, 20°C, 10°C and 5°C.
Subjects were 53 forestry workers, who had worked for the periods of 5-10 years using chain saws. Of 53 workers, while 23 were without white finger attacks, 30 were suffering from the attack. Other 7 laboratory workers were observed similarly as the control.
The results were as follows :
Rising of the skin temperature after exposure was in general the more distinguished, the more the water temperature was lowered. However, the skin temperature after exposure was slow in rising in workers with white finger attacks, there was a statistically significant difference in the skin temperature especially after exposure to 5°C water between two groups of workers without and with white finger attacks.
By means of the nail press test it was found that the hyperemia time lengthened, as the water temperature was lowered. There were a statistically significant difference of the hyperemia time after each of the exposures to 20°C, 10°C and 5°C water between the two groups without and with white finger attacks.
There were no significant differences in the skin temperature after immersions to water between the control group and the group with or without white finger attacks, except the case of immersion to 5°C water which was statistically significant. This may be due to the fact that subjects as the control were small in number.
Negative correlations between the rising of the skin temperature per minute after exposures to water at different temperatures and the hyperemia time by nail press procedure after respective exposures were all statistically significant.
Although abnormality of the dynamics of the peripheral circulation in the vibration disease can be judged either by the skin temperature or the hyperemia time by nail press procedure through immersion of the hand into water, those two tests in combination are effectively used to diagnose a slight abnormality of the dynamics of the peripheral circulation. Our criterion in the diagnosis is this : When the skin temperature is slow in rising or the hyperemia time by nail press procedure lengthens after exposure to 30°C or 20°C water, the abnormality of the dynamics of the peripheral circulation is manifest.
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