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缺氧意识训练对飞行环境中职业安全个体症状熟悉度的贡献。

Contributions of Hypoxia-Awareness Training to the Familiarization of Personal Symptoms for Occupational Safety in the Flight Environment.

机构信息

Aviation Physiology Research Laboratory, Kaohsiung Armed Forces General Hospital Gangshan Branch, Kaohsiung City 820, Taiwan.

School of Public Health, National Defense Medical Center, Taipei City 114, Taiwan.

出版信息

Int J Environ Res Public Health. 2021 Mar 12;18(6):2904. doi: 10.3390/ijerph18062904.

DOI:10.3390/ijerph18062904
PMID:33809086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7998297/
Abstract

Hypoxia remains a flight-safety issue in terms of aviation medicine. Hypoxia-awareness training has been used to help aircrew members recognize personal hypoxia symptoms. There is still no study, as yet, to establish the association of within-subject data between inflight hypoxia events and the altitude chamber. The main purpose of our study was to use paired subjects' data on inflight hypoxia symptoms compared with those experienced during training. A questionnaire was developed to obtain information on military aircrew members in 2018. Among 341 subjects, 46 (13.49%) suffered from inflight hypoxia. The majority of the subjects detected ongoing inflight hypoxia on the basis of their previous experience with personal hypoxia symptoms or sensations in previous chamber flights. Of the top five hypoxia symptoms, the data revealed that hot flashes, poor concentration, and impaired cognitive function appeared both during the inflight events and during the hypoxia-awareness training. The occurrence rate of hypoxia symptoms was found to not be significantly different between the in-flight events and the past chamber flights through an analysis of within-subject data. Because the individual memory had faded away over time, fresher hypoxia awareness training is still mandatory and valuable to recall personal hypoxia experience for military aircrew members.

摘要

在航空医学方面,缺氧仍然是一个飞行安全问题。缺氧意识培训已被用于帮助机组人员识别个人缺氧症状。到目前为止,还没有研究建立飞行中缺氧事件与高压舱内个体数据之间的关联。我们研究的主要目的是使用配对受试者的飞行中缺氧症状数据与训练期间的症状数据进行比较。2018 年,我们开发了一份问卷来获取军事机组人员的信息。在 341 名受试者中,有 46 名(13.49%)出现了飞行中缺氧。大多数受试者根据自己以前的个人缺氧症状或以前在高压舱飞行时的感觉来检测正在进行的飞行中缺氧。在五个主要的缺氧症状中,数据显示在飞行中发生的事件和在缺氧意识训练中都出现了热潮、注意力不集中和认知功能受损等症状。通过对个体内数据的分析,发现飞行中事件和过去的舱内飞行中缺氧症状的发生率没有显著差异。由于个体记忆随着时间的推移逐渐消退,对军事机组人员来说,更频繁的缺氧意识培训仍然是强制性的,并且对于回忆个人缺氧经历是有价值的。

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本文引用的文献

1
Comparison of hypobaric hypoxia symptoms between a recalled exposure and a current exposure.低压缺氧症状在召回暴露和当前暴露之间的比较。
PLoS One. 2020 Sep 23;15(9):e0239194. doi: 10.1371/journal.pone.0239194. eCollection 2020.
2
Cognitive responses to hypobaric hypoxia: implications for aviation training.对低压缺氧的认知反应:对航空训练的启示
Psychol Res Behav Manag. 2014 Nov 10;7:297-302. doi: 10.2147/PRBM.S51844. eCollection 2014.
3
Flight physiology training experiences and perspectives: survey of 117 pilots.飞行生理学训练经历与观点:对117名飞行员的调查
Aviat Space Environ Med. 2013 Jun;84(6):620-4. doi: 10.3357/asem.3545.2013.
4
Hypoxia training: symptom replication in experienced military aircrew.低氧训练:经验丰富的军事机组人员的症状复制
Aviat Space Environ Med. 2012 Oct;83(10):962-7. doi: 10.3357/asem.3172.2012.
5
Recollection of hypoxia symptoms between training events.训练期间对缺氧症状的回忆。
Aviat Space Environ Med. 2011 Dec;82(12):1143-7. doi: 10.3357/asem.2987.2011.
6
In-flight hypoxia events in tactical jet aviation: characteristics compared to normobaric training.战术喷气式航空中的飞行中缺氧事件:与常压训练相比的特征
Aviat Space Environ Med. 2011 Aug;82(8):775-81. doi: 10.3357/asem.2941.2011.
7
Hypoxia awareness training for aircrew: a comparison of two techniques.机组人员的低氧感知训练:两种技术的比较。
Aviat Space Environ Med. 2010 Sep;81(9):857-63. doi: 10.3357/asem.2640.2010.
8
Hypoxia symptoms in military aircrew: long-term recall vs. acute experience in training.军事飞行人员的缺氧症状:长期回忆与训练中的急性体验
Aviat Space Environ Med. 2008 Jan;79(1):54-7. doi: 10.3357/asem.2013.2008.
9
Mask-on hypoxia training for tactical jet aviators: evaluation of an alternate instructional paradigm.战术喷气式飞机飞行员的面罩缺氧训练:一种替代教学模式的评估
Aviat Space Environ Med. 2006 Aug;77(8):857-63.
10
Depressurization in military aircraft: rates, rapidity, and health effects for 1055 incidents.军用飞机减压:1055起事故的减压速率、速度及健康影响
Aviat Space Environ Med. 2005 Jun;76(6):523-9.