阻塞性睡眠呼吸暂停低通气综合征对飞行员情绪状况的影响

发布时间：2018-02-23 04:48

本文关键词： 睡眠呼吸暂停阻塞性情绪障碍飞行员阻塞性睡眠呼吸暂停低通气综合征情绪状况单纯鼾症标准分抑郁情绪相关性抑郁自评量表　出处：《解放军医学杂志》2009年10期 　论文类型：期刊论文

【摘要】：目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)对飞行员情绪状况的影响。方法对57名临床有睡眠异常主诉的飞行员进行多导睡眠图(PSG)监测,依据中华医学会呼吸病学分会睡眠呼吸疾病组制定的《阻塞性睡眠呼吸暂停低通气综合征诊治指南(草案)》进行临床诊断,其中鼾症组(PS)17人,OSAHS组40人。另选取同期健康体检飞行员20人作为对照组。所有入选者进行Epworth嗜睡程度问卷(ESS)、Zung抑郁自评量表(SDS)及焦虑自评量表(SAS)的自评。比较鼾症组、OSAHS组患者与对照组入选者情绪状况的差异,比较鼾症组及OSAHS组抑郁或焦虑的发生率,分析鼾症组、OSAHS组患者的SAS、SDS评分与ESS评分、PSG检测结果间的相关性。结果鼾症组及OSAHS组SDS、SAS标准分平均值明显高于对照组(P0.01)。OSAHS组抑郁发生率较鼾症组增高(χ2=5.522,P0.05);而两组间焦虑发生率无统计学差异(χ2=1.601,P0.05)。OSAHS组SDS、SAS标准分与ESS评分间存在显著正相关(r=0.58,P0.01;r=0.41,P0.01),但与PSG各项参数间未见明显相关性。结论飞行员患OSAHS存在不同程度的焦虑或抑郁情绪,在临床医学鉴定及治疗中应注意情绪状况对飞行能力的影响。
[Abstract]:Objective to investigate the effect of obstructive sleep apnea hypopnea syndrome (OSAHS) on pilots' emotional status. According to the "guidelines for the diagnosis and treatment of obstructive sleep apnea hypopnea syndrome (OSAS)" formulated by the Sleep Apnea Disease Group of the Chinese Medical Association Respiratory Society, the clinical diagnosis was carried out. There were 17 patients with snoring and 40 patients with OSAHS. Another 20 healthy pilots were selected as control group. All the subjects were assessed with Epworth self-rating depression scale and anxiety self-rating scale (SAS). Snoring was compared. The difference of emotional status between OSAHS group and control group, To compare the incidence of depression or anxiety between snoring group and OSAHS group, The correlation between ESS score and SAS score in snoring group was analyzed. Results the average value of SAS score in snoring group and OSAHS group was significantly higher than that in control group (P 0.01). The incidence of depression in OSAHS group was significantly higher than that in snoring group (蠂 2 + 5.522%, P 0.05), and anxiety between the two groups was higher than that in the control group (蠂 2 / 5.522 / P 0.05). There was no significant difference in the incidence rate (蠂 ~ 2 / 1.601 / P 0.05N. OSAHS). There was a significant positive correlation between the standard score of OSAHS and the ESS score, but there was no significant correlation between the incidence rate and the parameters of PSG. Conclusion the pilots with OSAHS have different degree of anxiety or depression. In clinical medical identification and treatment, attention should be paid to the influence of emotional state on flight ability.
【作者单位】：空军总医院全军临床航空医学中心;解放军第261医院精神病四科;
【基金】：全军医药卫生“十一五”科研项目资助课题(06Z010)
【分类号】：R766;R85

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