文章詳目資料

中華職業醫學雜誌

  • 加入收藏
  • 下載文章
篇名 長期潛水型態對國軍潛水員睡眠品質的影響
卷期 27:3
並列篇名 The long-term effects of diving patterns on sleep quality of Navy divers in Taiwan
作者 曾為世黃曼媛李惠傑
頁次 169-176
關鍵字 高壓氧腦部損傷軍事潛水睡眠品質Hyperbaric OxygenBrain InjuryMilitary DivingSleep QualityTSCI
出刊日期 202007

中文摘要

潛水員因處於反覆加壓與減壓的水下環境作業,可能會產生無臨床症狀的寧靜泡泡(silent bubbles),此類泡泡被認為可能造成腦部的損傷。因清醒與睡眠依賴神經系統各單元多階段地自發協調作用,所以腦損傷或腦部有關的病變亦可能影響睡眠與清醒控制中樞的結構變化。本研究以睡眠量表針對現役軍職潛水人員(實驗組)與軍職非潛水員(對照組)的睡眠品質進行調查。共發出300份問卷(含量表),回收實驗組150份、對照組143份,篩選後共有99位潛水員、108位非潛水員符合收案條件。兩組僅在學歷與運動頻率上有差異,但在睡眠品質與嗜睡程度上並無差別。以二元羅吉斯迴歸分析軍職潛水員潛水屬性,如:累積潛水時數、深度、上升速率與減壓症罹病次數等因素,對睡眠品質的影響,發現潛水屬性與睡眠之間並無相關。推論在軍方潛水員遵守潛水規範與減壓程序的條件下,除了避免減壓病的發生外,也可能避免了寧靜泡泡的產生,進而減少對腦部的傷害。因此,未發現長期安全的潛水會對睡眠品質造成影響。

英文摘要

Divers working in an underwater environment suffering repeated pressure may produce silent bubbles without clinical symptoms. Such bubbles are thought to cause brain damage. Because sleep-wake cycles dependent nervous system units coordinate in multiple stages, brain damage or brain-related lesions may also affect structural changes in the control center of sleep and awake. This study investigated the sleep quality of active military divers (experimental group) and non-diving soldiers (control group) with sleep scales. A total of 300 questionnaires (including scales) were delivered, and 150 of the experimental group and 143 of the control group were recruited. A total of 99 divers and 108 non-divers met criteria of recruitment. The two groups differed only in academic qualifications and exercise frequency, but there was no difference in sleep quality and sleepiness. Binary Logistic regression analysis was used to analyze the diving attributes of military divers, such as cumulative diving hours, depth, ascent rate, and numbers of decompression illnesses. Sleep quality were found to be unrelated to diving attributes. It is inferred that under the condition that military divers strictly follow diving guideline and decompression procedures, in addition to avoid the occurrence of decompression sickness, also to avoid the generation of silent bubbles, thereby reducing brain damage. Therefore, no long-term safe diving has been found to affect sleep quality.

相關文獻