Irgens Agot, Grønning Marit, Troland Kari, Sundal Endre, Nyland Harald, Thorsen Einar
Department of Occupational Medicine, Haukeland University Hospital, Bergen 5021, Norway.
Occup Med (Lond). 2007 Aug;57(5):349-54. doi: 10.1093/occmed/kqm032. Epub 2007 Jun 4.
Diving is associated with long-term effects on several organ systems.
The objective was to investigate the impact of decompression sickness (DCS) and diving exposure on health-related quality of life (HRQL) in former Norwegian North Sea divers.
HRQL was recorded by a questionnaire in the cohort of 375 Norwegian North Sea divers registered before 1990. Demographic data, relevant health data and data on diving education, history of DCS and SF-36 were recorded in 230 divers.
All SF-36 sub-scores were significantly reduced compared with Norwegian norms. Reduced scores were seen for all scales among divers who reported previous DCS compared to those without DCS. A decreasing trend in scores was seen when comparing no DCS, skin or joint DCS and neurological DCS. There was a decreasing trend in scores related to number of days in saturation and maximal depth. Stratification on DCS showed that the impact of saturation diving was present only in divers with DCS.
HRQL was reduced in this study sample of divers. Having had DCS during the diving career contributed significantly to the reduction in all SF-36 scales, and apparently neurological DCS has the most pronounced impact. Cumulative diving exposure including days in saturation and maximal depth contributed to a reduced HRQL.
潜水会对多个器官系统产生长期影响。
本研究旨在调查减压病（DCS）和潜水暴露对挪威前北海潜水员健康相关生活质量（HRQL）的影响。
通过问卷调查记录了1990年前登记在册的375名挪威北海潜水员队列的HRQL。收集了230名潜水员的人口统计学数据、相关健康数据、潜水教育数据、DCS病史和SF-36数据。
与挪威标准相比，所有SF-36子量表得分均显著降低。报告有既往DCS的潜水员所有量表得分均低于无DCS的潜水员。比较无DCS、皮肤或关节DCS和神经型DCS时，得分呈下降趋势。与饱和潜水天数和最大深度相关的得分也呈下降趋势。按DCS分层显示，饱和潜水的影响仅存在于患有DCS的潜水员中。
本研究中潜水员的HRQL降低。潜水生涯中患过DCS对所有SF-36量表得分的降低有显著影响，显然神经型DCS的影响最为明显。包括饱和潜水天数和最大深度在内的累积潜水暴露导致HRQL降低。
