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夜班对医务人员机体免疫功能的影响探讨

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目的 医务人员需要长期夜班,身体健康情况堪忧,通过检测夜班前后医务人员各项免疫指标,探讨夜班对医务人员机体免疫功能的影响,为提高医务人员身体健康提供理论支持。方法 选取2022年1月—2023年1月在本院急诊科工作的一线医务人员20人,男女各半,然后分别抽血检测夜班前和夜班后的各项免疫指标(IgA、IgG、IgM、C3、C4、CD3+T淋巴细胞、CD3+CD4+T淋巴细胞、CD3+CD8+T淋巴细胞),用配对t检验进行统计。结果 夜班前后各项免疫指标均在正常范围内,IgA、IgG、C4、CD3+T淋巴细胞、CD3+CD8+T淋巴细胞这五项免疫指标夜班前后对比无统计学意义(P>0。05),而IgM、C3、CD3+CD4+T淋巴细胞这三项免疫指标夜班前后对比有统计学意义(P<0。05),相比夜班前,夜班后IgM平均下降0。07g/L,C3平均下降0。08g/L,CD3+CD4+T淋巴细胞平均下降2。26%。结论 夜班使医务人员机体IgM、C3、CD3+CD4+T淋巴细胞这三项免疫指标下降,夜班对医务人员机体的细胞免疫和体液免疫功能均有抑制和损害。然而通过休息可使其恢复,故夜班对医务人员机体免疫功能的影响是轻微的、可逆转的。长期反复的下降有可能是医务人员处于亚健康状态的重要原因之一。
Effect Exploration of Night Shift on Immune Function of Medical Staff
Objective Medical staff have to work night shifts for a long time,their physical health is worrying.The paper detected various immune indicators of medical staff before and after night shifts,explored effect of night shifts on immune function,to provid theoretical support for improving physical health of medical staff.Methods The paper recruited 20 frontline medical staff working in emergency department of our hospital from January 2022 to January 2023,with half male and half female,blood samples to test various immune indicators(IgA,IgG,IgM,C3,C4,CD3+T lymphocytes,CD3+CD4+T lymphocytes,CD3+CD8+T lymphocytes)before and after night shift,and carried on statistical analysis with paired t-tests.Results Immune indicators before and after night shift were within the normal range,P<0.05.There was no statistically significant difference in five immune indicators of IgA,IgG,C4,CD3+T lymphocytes,and CD3+CD8+T lymphocytes before and after night shift.However,there was statistically significant difference in three immune indicators of IgM,C3,and CD3+CD4+T lymphocytes before and after night shift.Compared with before night shift,average decrease of IgM and C3 after night shift was 0.07g/L and 0.08g/L respectively,average decrease in CD3+CD4+T lymphocytes was 2.26%.Conclusion Night shift can reduce immune indicators of IgM,C3,CD3+CD4+T lymphocytes in body of medical staff,inhibit and damage cellular and humoral immune functions.However,rest can help them recover,night shifts have mild and reversible effect on immune function of medical staff.Long-term and repeated decline may be one of important reasons why medical staff are in a sub healthy state.

Night shiftMedical staffImmunologic function

彭文科、练志明、江丽仪

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广州市中西医结合医院,广东 广州 510800

夜班 医务人员 免疫功能

广州市花都区科技局项目

21-HDWS-082

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(7)
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