中华航空航天医学杂志
中華航空航天醫學雜誌
중화항공항천의학잡지
CHINESE JOURNAL OF AEROSPACE MEDICINE
2011年
1期
22-25
,共4页
陈勇胜%贾宏博%邓学谦%强东昌%曹淑玉
陳勇勝%賈宏博%鄧學謙%彊東昌%曹淑玉
진용성%가굉박%산학겸%강동창%조숙옥
脑%神经行为学表现%噪声%评价研究
腦%神經行為學錶現%譟聲%評價研究
뇌%신경행위학표현%조성%평개연구
Brain%Neurobehavioral manifestations%Noise%Evaluation studies
目的 探讨神经行为评价系统(neurobehavioral evaluation system-C3,NES-C3)在飞行员脑功能(cerebral function,CF)评定中的应用价值.方法 采用NES-C3评价系统中的情绪状态测试量表(profile of mood status,POMS)(包括紧张-焦虑、愤怒-敌意、疲惫-惰性、忧郁-沮丧、有力-好动、困惑-迷茫6个方面情绪状态),以及记忆扫描、数字检索、视简单反应时、视复杂反应时、目标跟踪、连续操作等6项神经行为能力指数(neurobehavioral ability index,NAI)评定飞行员的脑功能.分别测试45名飞行员[飞行员组,年龄25～31岁,平均(27.6±2.5)岁]和45名非飞行员[对照组,本科生及研究生,年龄25～30岁,平均(27.5±2.6)岁]在无环境干扰及模拟喷气发动机噪声干扰环境下的CF状态,判断测试的差别.结果 无论有无干扰,飞行员组"有力-好动"项评分始终高于对照组,(t=9.74、12.52,P＜0.05),而对照组的"紧张-焦虑"项评分始终高于飞行员组(t=10.46、14.25,P＜0.05).在有噪声干扰时,对照组的POMS 6项指标均显著增加(t=2.85～6.33,P＜0.05),飞行员组的POMS 6项指标除"紧张-焦虑"和"有力-好动"项增加外(t=4.12、5.92,P＜0.05),余无显著差异.无干扰条件下,飞行员组有4项NAI测试指标高于对照组(t=2.91～10.55,P＜0.05).而在干扰前后,飞行员组的6项NAI测试指标均无统计学差异,而对照组则在干扰后均显著降低(t=5.24～29.24,P＜0.05),且均低于飞行员组(t=4.07～28.41,P＜0.05).结论 NES-C3神经行为评价系统对飞行员CF鉴定具有实际应用价值.
目的 探討神經行為評價繫統(neurobehavioral evaluation system-C3,NES-C3)在飛行員腦功能(cerebral function,CF)評定中的應用價值.方法 採用NES-C3評價繫統中的情緒狀態測試量錶(profile of mood status,POMS)(包括緊張-焦慮、憤怒-敵意、疲憊-惰性、憂鬱-沮喪、有力-好動、睏惑-迷茫6箇方麵情緒狀態),以及記憶掃描、數字檢索、視簡單反應時、視複雜反應時、目標跟蹤、連續操作等6項神經行為能力指數(neurobehavioral ability index,NAI)評定飛行員的腦功能.分彆測試45名飛行員[飛行員組,年齡25～31歲,平均(27.6±2.5)歲]和45名非飛行員[對照組,本科生及研究生,年齡25～30歲,平均(27.5±2.6)歲]在無環境榦擾及模擬噴氣髮動機譟聲榦擾環境下的CF狀態,判斷測試的差彆.結果 無論有無榦擾,飛行員組"有力-好動"項評分始終高于對照組,(t=9.74、12.52,P＜0.05),而對照組的"緊張-焦慮"項評分始終高于飛行員組(t=10.46、14.25,P＜0.05).在有譟聲榦擾時,對照組的POMS 6項指標均顯著增加(t=2.85～6.33,P＜0.05),飛行員組的POMS 6項指標除"緊張-焦慮"和"有力-好動"項增加外(t=4.12、5.92,P＜0.05),餘無顯著差異.無榦擾條件下,飛行員組有4項NAI測試指標高于對照組(t=2.91～10.55,P＜0.05).而在榦擾前後,飛行員組的6項NAI測試指標均無統計學差異,而對照組則在榦擾後均顯著降低(t=5.24～29.24,P＜0.05),且均低于飛行員組(t=4.07～28.41,P＜0.05).結論 NES-C3神經行為評價繫統對飛行員CF鑒定具有實際應用價值.
목적 탐토신경행위평개계통(neurobehavioral evaluation system-C3,NES-C3)재비행원뇌공능(cerebral function,CF)평정중적응용개치.방법 채용NES-C3평개계통중적정서상태측시량표(profile of mood status,POMS)(포괄긴장-초필、분노-활의、피비-타성、우욱-저상、유력-호동、곤혹-미망6개방면정서상태),이급기억소묘、수자검색、시간단반응시、시복잡반응시、목표근종、련속조작등6항신경행위능력지수(neurobehavioral ability index,NAI)평정비행원적뇌공능.분별측시45명비행원[비행원조,년령25～31세,평균(27.6±2.5)세]화45명비비행원[대조조,본과생급연구생,년령25～30세,평균(27.5±2.6)세]재무배경간우급모의분기발동궤조성간우배경하적CF상태,판단측시적차별.결과 무론유무간우,비행원조"유력-호동"항평분시종고우대조조,(t=9.74、12.52,P＜0.05),이대조조적"긴장-초필"항평분시종고우비행원조(t=10.46、14.25,P＜0.05).재유조성간우시,대조조적POMS 6항지표균현저증가(t=2.85～6.33,P＜0.05),비행원조적POMS 6항지표제"긴장-초필"화"유력-호동"항증가외(t=4.12、5.92,P＜0.05),여무현저차이.무간우조건하,비행원조유4항NAI측시지표고우대조조(t=2.91～10.55,P＜0.05).이재간우전후,비행원조적6항NAI측시지표균무통계학차이,이대조조칙재간우후균현저강저(t=5.24～29.24,P＜0.05),차균저우비행원조(t=4.07～28.41,P＜0.05).결론 NES-C3신경행위평개계통대비행원CF감정구유실제응용개치.
Objective To explore the application of neurobehavioral evaluation system-C3(NES-C3) for pilot's cerebral function (CF) evaluation. Methods The characters of CF under interference of simulated jet engine noise and neurobehavioral ability index (NAI) were investigated in 45 military pilots [(27.6±2.5) yr] (as pilot group) and in 45 college students [(27.5±2.6) yr] (as control group) by NES-C3. The variance of profile of mood statues (POMS) scales, (including tension-anxiety, angry-hostility, exhausted-inertia, gloom-depressed, powerful-restless and stumblepuzzle) and NAI (including memory scanning, digital scanning, visual simple reaction time, visual complex reaction time, pursuit aiming, and consecutive performance) were compared respectively.Results With or without interference of noise, the score of "powerful-restless" in pilot group was higher than that in control group (t=9.74, 12.52, P＜0.05), and the score of tension-anxiety in control group was higher than that in pilot group (t= 10. 46, 14.25, P＜0. 05). When noise was applied, the score of POMS in control group was significantly increased (t=2. 85-6. 33, P＜0. 05) but in pilot group only "tension-anxiety" and "powerful-restless" were significantly increased (t = 4. 12,5.92, P＜0.05). The score of "tension-anxiety" in control group was higher than that in pilot group.Four items of NAI in pilot group were significantly higher than those in control group (t= 2 91-10.55, P＜0. 05). There were no noised induced significant NAI changes in pilot group but in control group. They were not only lower than that in the state without noise interference (t-5.24-29.24,P＜0. 05) but also lower than that in pilot group (t=4. 07-28. 41, P＜0. 05). Conclusions NES-C3 is a useful tool for the identification of pilot's CF.
