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反复低强度爆炸暴露与类似脑震荡症状学的关系。

Relation of repeated low-level blast exposure with symptomology similar to concussion.

作者信息

Carr Walter, Polejaeva Elena, Grome Anna, Crandall Beth, LaValle Christina, Eonta Stephanie E, Young Lee Ann

机构信息

Department of Behavioral Biology, Walter Reed Army Institute of Research, Silver Spring, Maryland (Dr Carr and Mss LaValle and Eonta); Department of Neurotrauma, Naval Medical Research Center, Silver Spring, Maryland (Ms Polejaeva); and Applied Research Associates, Albuquerque, New Mexico (Mss Grome, Crandall, and Young).

出版信息

J Head Trauma Rehabil. 2015 Jan-Feb;30(1):47-55. doi: 10.1097/HTR.0000000000000064.

Abstract

OBJECTIVE

To investigate anecdotal reports suggesting that repeated exposure to low-level explosive blast has myriad health impacts, including an array of neurological effects.

PARTICIPANTS

A total of 184 anonymous survey respondents from military and nonmilitary law enforcement populations (135 exposed to occupational blast and 49 controls).

DESIGN

Survey of self-reported history of occupational exposure to repeated low-level blast (breaching blast) and symptomology similar to concussion.

RESULTS

Findings suggest that number and severity of symptoms increase with history of chronic blast exposure (F = 18.26, P < .001) and that symptoms can interfere with daily activity (t = 2.60, P = .010).

CONCLUSION

Given the prevalence of repeated exposure to blast among some military and civilian law enforcement occupations, the results of this survey study support a role for blast surveillance programs as well as continued research on health impacts of low-level repeated blast exposure.

摘要

目的

调查一些传闻报告,这些报告表明反复暴露于低强度爆炸冲击波会对健康产生多种影响,包括一系列神经方面的影响。

参与者

来自军事和非军事执法人群的184名匿名调查受访者(135名接触过职业性爆炸冲击波,49名作为对照)。

设计

对自我报告的职业性反复暴露于低强度爆炸冲击波(爆破冲击波)的历史以及类似脑震荡症状进行调查。

结果

研究结果表明,症状的数量和严重程度随着慢性爆炸冲击波暴露史的增加而增加(F = 18.26,P <.001),并且这些症状会干扰日常活动(t = 2.60,P =.010)。

结论

鉴于在一些军事和民用执法职业中反复暴露于爆炸冲击波的情况普遍存在,这项调查研究的结果支持爆炸冲击波监测计划的作用,以及对低强度反复爆炸冲击波暴露对健康影响的持续研究。

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