Imai Kenji, Kitakoji Hiroshi, Sakita Masakazu
Department of Clinical Acupuncture and Moxibustion II, Meiji University of Oriental Medicine, Kyoto, Japan.
J Physiol Sci. 2006 Oct;56(5):341-5. doi: 10.2170/physiolsci.RP005306. Epub 2006 Sep 28.
The purpose of this study was to investigate whether nausea or gastric dysrhythmia, including tachygastria, which was determined by electrogastrography (EGG), were observed during optokinetic motion sickness in healthy Japanese volunteers. Twelve volunteers (9 men and 3 women) participated in the study. The subjects were asked to sit in a chair with their heads positioned in the center of a drum whose inside had been painted with black and white stripes. After a 15 min resting period, the drum was rotated at a speed of 60 degree/sec for 15 min. The EGG was continuously recorded for a total of 45 min (15 min resting period, 15 min rotation period, and 15 min recovery period). The severity of nausea was evaluated with a visual analogue scale (VAS) before, immediately after, and 15 min after the cessation of drum rotation. Other motion sickness symptoms were evaluated by scores of subjective symptoms of motion sickness (SSMS). Of 12 subjects who completed the study, 10 complained of nausea immediately after cessation of drum rotation. The VAS score for nausea immediately after the drum rotation period and 15 min after cessation of the rotation was significantly higher than during the resting period. The EGG during the drum rotation period showed a decrease in normogastria, which was accompanied with an increase in tachygastria. We conclude that gastric tachyarrhythmia and nausea may be induced by viewing an optokinetic rotating drum in healthy Japanese subjects who may have a hypersusceptibility to vection-induced motion sickness. The gastric dysrhythmia obtained with EGG could be a useful observation to support the appearance of nausea induced by optokinetic motion sickness.
本研究的目的是调查在健康的日本志愿者进行视动性晕动病期间,是否会观察到恶心或胃节律紊乱,包括通过胃电图(EGG)测定的胃动过速。12名志愿者(9名男性和3名女性)参与了该研究。受试者被要求坐在椅子上,头部位于一个内部涂有黑白条纹的鼓的中心。在15分钟的休息期后,鼓以60度/秒的速度旋转15分钟。EGG连续记录总共45分钟(15分钟休息期、15分钟旋转期和15分钟恢复期)。在鼓停止旋转前、停止旋转后立即以及停止旋转15分钟后,用视觉模拟量表(VAS)评估恶心的严重程度。其他晕动病症状通过晕动病主观症状评分(SSMS)进行评估。在完成研究的12名受试者中,10名在鼓停止旋转后立即抱怨恶心。鼓旋转期后立即以及停止旋转15分钟后的恶心VAS评分显著高于休息期。鼓旋转期的EGG显示正常胃动减少,同时伴有胃动过速增加。我们得出结论,在对视动诱导的晕动病可能高度敏感的健康日本受试者中,观看视动旋转鼓可能会诱发胃快速心律失常和恶心。通过EGG获得的胃节律紊乱可能是支持视动性晕动病诱发恶心出现的有用观察指标。