CAJ | 학술논문

目的：调查歼击机飞行员睡眠中打鼾现状，为阻塞性睡眠呼吸暂停综合征的预防提供航卫保障建议。方法对2008年9月-2012年5月在我院进行高性能战斗机改装体检的健康歼击机飞行员开展自制睡眠问卷调查、Epworth嗜睡程度问卷，并收集颈围、身高及体重数据。计算健康歼击机飞行员睡眠打鼾率的发生，并比较打鼾飞行员与非打鼾飞行员晨起头痛发生情况、白天困倦感、记忆力下降、空中错忘漏动作发生等的差别。结果歼击机飞行员平均睡眠时间为7.71 h。嗜睡量表(epworth sleepiness scale，ESS)平均分为6.79分。睡眠中打鼾发生率为22.94%，其中35岁以上飞行员睡眠打鼾发生率为37.5%。打鼾飞行员晨起头痛、记忆力下降及空中错忘漏动作的发生率明显高于睡眠中无打鼾症状者(P＜0.05)。打鼾飞行员颈围、体质量指数及ESS评分与无打鼾飞行员相比存在统计学差异(P＜0.05)。结论歼击机飞行员打鼾存在一定安全隐患，应注意追踪随访。
목적：조사섬격궤비행원수면중타한현상，위조새성수면호흡잠정종합정적예방제공항위보장건의。방법대2008년9월-2012년5월재아원진행고성능전두궤개장체검적건강섬격궤비행원개전자제수면문권조사、Epworth기수정도문권，병수집경위、신고급체중수거。계산건강섬격궤비행원수면타한솔적발생，병비교타한비행원여비타한비행원신기두통발생정황、백천곤권감、기억력하강、공중착망루동작발생등적차별。결과섬격궤비행원평균수면시간위7.71 h。기수량표(epworth sleepiness scale，ESS)평균분위6.79분。수면중타한발생솔위22.94%，기중35세이상비행원수면타한발생솔위37.5%。타한비행원신기두통、기억력하강급공중착망루동작적발생솔명현고우수면중무타한증상자(P＜0.05)。타한비행원경위、체질량지수급ESS평분여무타한비행원상비존재통계학차이(P＜0.05)。결론섬격궤비행원타한존재일정안전은환，응주의추종수방。
Objective To put forward suggestions for preventing obstructive sleep apnea-hypopnea syndrome (OSAHS) in aviation medical support by investigating snoring in pilots of modified fighters. Methods Snoring in healthy pilots of high performance modified fighters admitted to our hospital from September 2008 to May 2012 was investigated with self-designed sleep questionnaire and Epwoth sleepiness scale (ESS), respectively. Their neck circumference, body height and weight were measured. The incidence of snore in them was calculated. Headache, daytime drowsiness, decreased memory and mistaken maneuver during flight were compared between snoring and non- snoring fighter pilots. Results The average sleep time and average ESS score were 7.71 h and 6.79, respectively for the fighter pilots. The incidence of snoring was 22.94%in all the investigated fighter pilots and 37.5%in those aged over 35 years. The incidence of headache in the morning, decreased memory and mistaken maneuver during flight, the neck circumference, BMI and ESS score were significantly higher in the snoring pilots than in non-snoring pilots (P< 0.05). Conclusion To some extent, fighter pilots with snore at sleep are at risk to air safty, and should thus be followed up.