CAJ | 학술논문

目的探讨夜尿对飞行人员夜间睡眠时间、嗜睡评分以及白天精神状态的影响. 方法采取整群抽样方法对1397名男性飞行人员进行问卷调查,回收1392份问卷.排除慢性疾病和其他可能导致睡眠时间变化和嗜睡的因素,研究对象510名飞行人员.根据“每夜因排尿必须醒来≥1次”的夜尿标准,对170名夜尿飞行人员(夜尿组)和340名非夜尿飞行人员(非夜尿组)的夜间睡眠时间和爱泼沃斯嗜睡量表(Epworth sleepiness scale,ESS)评分进行分析,并对夜尿与非夜尿组睡眠质量不良、白天困倦、精力不足和焦虑或抑郁的发生率进行比较. 结果夜尿组夜间睡眠时间较非夜尿组更短(t=2.745,P＜0.01)；夜尿组ESS评分(6.23±4.62)明显高于非夜尿组(4.01±3.87),差异具有统计学意义(t=5.377,P＜0.01).夜尿组睡眠质量不良、白天困倦、精力不足和焦虑或抑郁的发生率(23.53％、37.65％、12.35％和40.00％)均高于非夜尿组(10.88％、20.59％、5.59％和25.59％),差异具有统计学意义(x2=7.175～17.026,P＜0.01). 结论夜尿可导致飞行人员夜间睡眠时间减少,白天嗜睡增加,可能对飞行操作和安全产生一定影响.建议航空卫生部门加强卫生宣教,重视其对飞行操作的影响,积极防治.
목적 탐토야뇨대비행인원야간수면시간、기수평분이급백천정신상태적영향. 방법 채취정군추양방법대1397명남성비행인원진행문권조사,회수1392빈문권.배제만성질병화기타가능도치수면시간변화화기수적인소,연구대상510명비행인원.근거“매야인배뇨필수성래≥1차”적야뇨표준,대170명야뇨비행인원(야뇨조)화340명비야뇨비행인원(비야뇨조)적야간수면시간화애발옥사기수량표(Epworth sleepiness scale,ESS)평분진행분석,병대야뇨여비야뇨조수면질량불량、백천곤권、정력불족화초필혹억욱적발생솔진행비교. 결과 야뇨조야간수면시간교비야뇨조경단(t=2.745,P＜0.01)；야뇨조ESS평분(6.23±4.62)명현고우비야뇨조(4.01±3.87),차이구유통계학의의(t=5.377,P＜0.01).야뇨조수면질량불량、백천곤권、정력불족화초필혹억욱적발생솔(23.53％、37.65％、12.35％화40.00％)균고우비야뇨조(10.88％、20.59％、5.59％화25.59％),차이구유통계학의의(x2=7.175～17.026,P＜0.01). 결론 야뇨가도치비행인원야간수면시간감소,백천기수증가,가능대비행조작화안전산생일정영향.건의항공위생부문가강위생선교,중시기대비행조작적영향,적겁방치.
Objective To investigate the influences of nocturia on nocturnal sleep duration,sleepiness score and daytime mental status in flying personnel.Methods A cluster sampling survey was performed in 1397 male flying personnel and 1392 questionnaires were received.When excluding the personnel with chronic diseases and other factors that might influence the sleep duration and cause sleepiness,510 flying personnel were analyzed in this research.According to the "awake at night one or more times to viod" standard,subjects were separated into two groups:nocturia group (≥1 voids/night) (n=170) and non-nocturia group (n=340).The differences on nocturnal sleep duration,Epworth sleepiness scale (ESS) score and occurrence of poor sleep quality,excessive daytime sleepiness,aneuria and anxiety or depression between nocturia group and non-nocturia group were analyzed.Results The average nocturnal sleep duration of nocturia group [(423.35±51.13) min]was significantly shorter than that of non-nocturia group [(436.24 ± 49.38) min] (t =2.745,P＜0.01).The ESS score of nocturia group (6.23 ± 4.62) was significantly higher than that of non-nocturia group (4.01±3.87) (t=5.377,P＜0.01).Occurrence rates of poor sleep quality,excessive daytime sleepiness,aneuriaand depression or anxiety (23.53％,37.65％,12.35％,40.00％) in nocturia group were higher than those in non-noeturia group (10.88％,20.59％,5.59％,25.59％),the differences were significant between two groups (x2 =7.175-17.026,P＜0.01).Conclusions Nocturia may result in the reduction of nocturnal sleep duration,lead to excessive daytime sleepiness,and may further affect the flying personnel's flight operation and flight safety.It is suggested that aeromedical support should strengthen the education and take preventive measurements on nocturia.