EHJ:不要上夜班!中国学者发现,上夜班超过10年的女性房颤风险增加64%!

2021-10-22 MedSci原创 MedSci原创

根据第六次欧洲工作条件调查,高达 21% 的工作人员从事着轮班工作。被确定为常规白天之外的不规则工作时间表,通常分为日班、夜班、轮班和其他类型的轮班工作。

说起夜班,想必在座打工人多有一种迷惑行为:下班却又没有完全下班。刨去“996”、“007”的加班大厂,医务工作者作为值夜的主力军,平均下来一周就要轮上一次极度劳累的夜班。且不说夜班工作会打破身体的昼夜节律,仅收班时心脏“突突”的感觉就足以令不少医护心有余悸。

 

根据第六次欧洲工作条件调查,高达 21% 的工作人员从事着轮班工作。被确定为常规白天之外的不规则工作时间表,通常分为日班、夜班、轮班和其他类型的轮班工作。

 

轮班,尤其是值夜班,与“心力交瘁”向来联系紧密。

 

图片
众所周知,心脏细胞中存在生物钟,通常由荷尔蒙信号同步,使我们的内部日常节奏与昼夜循环保持一致。
 
近日,一项发表在《Nature Communications》的研究发现,每个心脏细胞内的昼夜节律也会影响心率,心脏细胞会按照昼夜节律在白天和黑夜改变其内部钠和钾的水平,预测我们生活的日常需求,让心脏在我们活跃时更好地适应和维持增加的心率。
 
然而,长期、频繁的上夜班破坏了心脏的昼夜节律,也影响了新陈代谢和激素分泌。早在1995年有学者探讨过轮班工作与冠心病(CHD)的关系,结果发现轮班工作超过6年便可使得罹患冠心病的风险增加51%;而美国布莱根妇女医院也对女性护士进行了24年的跟踪随访,发现对于女性而言,轮班工作(每月>3 晚)显著增加了她们的冠心病患病风险。
 
冠心病是心房颤动(AF)常见的发病原因。心房颤动是临床最常见的心律失常,通常作为心力衰竭的原因或后果发生。
 
2017年的全球疾病负担研究表明,全世界约有 3760 万心房颤动患者,包括2017 年有300万新发心房颤动和28.7万人死于心房颤动。以往的医学调查发现,夜班工作可能与心房颤动有关。
 
近日,中国学者联合美国杜兰大学对于夜班引发心房颤动和冠心病进行了深入研究,并为其间关系提供了确切的数据支持。这项基于英国生物数据库的大规模前瞻性队列研究结果表明,长期、频繁的夜间轮班工作(上夜班),显著增加心房颤动和冠心病发生风险。
 
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https://doi.org/10.1093/eurheartj/ehab505
 
这项研究从英国生物数据库中选取了近28.4万名没有房颤史的成年人。根据上夜班的情况,他们被具体分为了四组:白班组,轮班组(轮班但几乎不上夜班),少夜班组(上夜班但频率不高),多夜班组(经常上夜班)。在随访的近10年期间,共有5777人诊断出了房颤。
 
具体的调查结果显示,与只上白班的正常人群相比,经常或一直上夜班的人发生房颤的风险最高,增加了16%。同时,值夜班超过10年的工作者出现房颤的风险增加了18%。如果队列中所有人都不上夜班,大约会避免1.5%的房颤和2.6%的冠心病病例发生。
 
有趣的是,在每月上夜班次数<3次或>8次的人中,房颤风险并未增加;而平均每个月值3~8次夜班的人出现房颤的风险却增加至22%。
 
前者同情后者“生物钟频繁打乱”,后者可怜前者“长年不见天日”。这可能是因为相对于不停倒班,固定夜班有助于形成稳定的生物钟,不至于影响人体睡眠饮食节律。曾有研究生物节律的专家建议“每个班别至少持续7~10天”。一周白班、一周夜班的“慢倒”,比较有利于身体健康。
 
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当前上夜班和曾经上过夜班的经历都与心房颤动和冠心病的风险增加有关
 
另外,对女性群体进行特别关注发现,长期上夜班主要“摧残”女士。女性更容易受到昼夜节律变化的影响,夜班超过10年的女士房颤风险增加64%,但男士不受明显影响。
 
勤于运动可以增强体质,更好地适应昼夜节律的改变,从而规避值夜带来的房颤风险。此项研究还发现,长期夜班的人如果每周运动量未达到150分钟的中等强度运动或75分钟的高强度运动,其房颤风险将会变得更高。而对于积极运动的人来说,上夜班带来的房颤风险要小一些。
 
综合以上调查,常年夜班会使得打工人,尤其是女性员工患心房颤动、冠心病的概率大幅度上升。那么除了“辞职”这种下下策之外,我们还能怎样规避这种风险呢?
 
笔者拙见,在不得不“轮班”的潮流之下,可以参考护士连续值白班或者连续值夜班的工作模式。这一模式提出的初衷是减轻长期倒班所导致的慢性身体消耗,缓解疲劳和焦虑状态。国内诸多研究表明,连续夜班排班可彻底将护士生物钟颠倒过来,并在短时期内适应白天睡眠、夜间工作的模式,同时护士在睡眠质量上也能得到最大程度的保证。
 
其次便是保持适当强度的运动。主流的运动方式以有氧训练为主,包括步行、骑车、爬山、游泳、打乒乓球和羽毛球等。
 
有节律的舞蹈、中国传统的拳操等也是合适的运动方式。大家判断运动强度是否合适最简单的方式是:运动时稍出汗,轻度呼吸加快但不影响对话。一般每周锻炼3~5 次就可以了。
 
如果是偶尔值夜班,可以尽量规律夜班后的补觉时间,让超负荷运作的身体得到充足的休憩。同时还要养成健康的饮食习惯,在膳食安排上应增加一些营养丰富的饭菜,吃些富有动物蛋白和植物蛋白的食物,如瘦肉、鱼虾、蛋类及豆制品、蔬菜等。一个好的身心状态,会大大削弱夜班期间生理紊乱带来的影响。
 
最后,祝愿每一位打工人面对夜班都能拥有一颗“健康而又强大”的心脏哟~
参考文献
[1] Compensatory ion transport buffers daily protein rhythms to regulate osmotic balance and cellular physiology. Nat Commun. 2021 Oct 15;12(1):6035. DOI: 10.1038/s41467-021-25942-4.

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    2022-05-17 赛华佗

    #夜班#中国医生能不上夜班??

    0

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    2021-10-22 ms1000001811715886

    不上夜班,医院怎么办?患者谁来看管,没用的话题!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1220426, encodeId=9bdd1220426b6, content=<a href='/topic/show?id=4ab143518a3' target=_blank style='color:#2F92EE;'>#夜班#</a>中国医生能不上夜班??, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43518, encryptionId=4ab143518a3, topicName=夜班)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:45:20 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532034, encodeId=909a15320348e, content=<a href='/topic/show?id=b0885428229' target=_blank style='color:#2F92EE;'>#房颤风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54282, encryptionId=b0885428229, topicName=房颤风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6ea612304943, createdName=whmdzju, createdTime=Sun Oct 24 00:16:59 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062988, encodeId=c5fd10629882e, content=不上夜班,医院怎么办?患者谁来看管,没用的话题!, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6325644571, createdName=ms1000001811715886, createdTime=Fri Oct 22 16:55:31 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062962, encodeId=30bf1062962dc, content=已经被摧残了,一度房室传导阻滞……, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=970d4676167, createdName=weizi75, createdTime=Fri Oct 22 15:15:20 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062933, encodeId=628c1062933af, content=夜班族要注意又多发现一个风险, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c01c5209406, createdName=14757fdfm46暂无昵称, createdTime=Fri Oct 22 13:58:35 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062925, encodeId=05811062925fd, content=赞同,不可能都不上夜班,积极应对显得尤为重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200606/779634fdc8944a13a6da20900ae58236/e941130f9cc742b19b7379e5a172b9c0.jpg, createdBy=97c65381808, createdName=Ms🧐🧐🧐🧐🧐🧐, createdTime=Fri Oct 22 13:48:24 CST 2021, time=2021-10-22, status=1, ipAttribution=)]
    2021-10-22 weizi75

    已经被摧残了,一度房室传导阻滞……

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1220426, encodeId=9bdd1220426b6, content=<a href='/topic/show?id=4ab143518a3' target=_blank style='color:#2F92EE;'>#夜班#</a>中国医生能不上夜班??, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43518, encryptionId=4ab143518a3, topicName=夜班)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:45:20 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532034, encodeId=909a15320348e, content=<a href='/topic/show?id=b0885428229' target=_blank style='color:#2F92EE;'>#房颤风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54282, encryptionId=b0885428229, topicName=房颤风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6ea612304943, createdName=whmdzju, createdTime=Sun Oct 24 00:16:59 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062988, encodeId=c5fd10629882e, content=不上夜班,医院怎么办?患者谁来看管,没用的话题!, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6325644571, createdName=ms1000001811715886, createdTime=Fri Oct 22 16:55:31 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062962, encodeId=30bf1062962dc, content=已经被摧残了,一度房室传导阻滞……, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=970d4676167, createdName=weizi75, createdTime=Fri Oct 22 15:15:20 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062933, encodeId=628c1062933af, content=夜班族要注意又多发现一个风险, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c01c5209406, createdName=14757fdfm46暂无昵称, createdTime=Fri Oct 22 13:58:35 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062925, encodeId=05811062925fd, content=赞同,不可能都不上夜班,积极应对显得尤为重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200606/779634fdc8944a13a6da20900ae58236/e941130f9cc742b19b7379e5a172b9c0.jpg, createdBy=97c65381808, createdName=Ms🧐🧐🧐🧐🧐🧐, createdTime=Fri Oct 22 13:48:24 CST 2021, time=2021-10-22, status=1, ipAttribution=)]
    2021-10-22 14757fdfm46暂无昵称

    夜班族要注意又多发现一个风险

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1220426, encodeId=9bdd1220426b6, content=<a href='/topic/show?id=4ab143518a3' target=_blank style='color:#2F92EE;'>#夜班#</a>中国医生能不上夜班??, beContent=null, objectType=article, channel=null, level=null, likeNumber=57, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=43518, encryptionId=4ab143518a3, topicName=夜班)], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20220519/c2ab253484ee4527a2d4e9589a4821ac/45de9bf494a54becb2ea4369c9d11e85.jpg, createdBy=7a3710, createdName=赛华佗, createdTime=Tue May 17 16:45:20 CST 2022, time=2022-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1532034, encodeId=909a15320348e, content=<a href='/topic/show?id=b0885428229' target=_blank style='color:#2F92EE;'>#房颤风险#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54282, encryptionId=b0885428229, topicName=房颤风险)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=6ea612304943, createdName=whmdzju, createdTime=Sun Oct 24 00:16:59 CST 2021, time=2021-10-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062988, encodeId=c5fd10629882e, content=不上夜班,医院怎么办?患者谁来看管,没用的话题!, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a6325644571, createdName=ms1000001811715886, createdTime=Fri Oct 22 16:55:31 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062962, encodeId=30bf1062962dc, content=已经被摧残了,一度房室传导阻滞……, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=970d4676167, createdName=weizi75, createdTime=Fri Oct 22 15:15:20 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062933, encodeId=628c1062933af, content=夜班族要注意又多发现一个风险, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c01c5209406, createdName=14757fdfm46暂无昵称, createdTime=Fri Oct 22 13:58:35 CST 2021, time=2021-10-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1062925, encodeId=05811062925fd, content=赞同,不可能都不上夜班,积极应对显得尤为重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200606/779634fdc8944a13a6da20900ae58236/e941130f9cc742b19b7379e5a172b9c0.jpg, createdBy=97c65381808, createdName=Ms🧐🧐🧐🧐🧐🧐, createdTime=Fri Oct 22 13:48:24 CST 2021, time=2021-10-22, status=1, ipAttribution=)]
    2021-10-22 Ms🧐🧐🧐🧐🧐🧐

    赞同,不可能都不上夜班,积极应对显得尤为重要

    0