Wright M S, Bose C L, Stiles A D
Department of Pediatrics, University of North Carolina, Chapel Hill 27599-7596, USA.
J Emerg Med. 1995 Jan-Feb;13(1):15-20. doi: 10.1016/0736-4679(94)00106-5.
Motion sickness is a common and often debilitating problem. The purpose of this study was to determine the incidence and effects of the motion sickness syndromes, the Nausea and Sopite Syndromes, among medical transport personnel. Members of the Transport Teams of the University of North Carolina Hospitals completed a questionnaire to identify a history of susceptibility to motion sickness. An additional questionnaire evaluated each individual for symptoms of motion sickness during transport. The Digit Span Test portion of the Mini-Mental Status Examination (DST-MMSE) was used to evaluate cognitive function after transport. Control data on each subject were obtained by testing during nontransport shifts. The Nausea Syndrome was observed during transport in 46% of subjects; 65% experienced symptoms consistent with the Sopite Syndrome. Pretransport surveys were predictive of the Nausea Syndrome, but not of the Sopite Syndrome. The Nausea Syndrome was related to subjective assessments of the severity of motion experienced; the Sopite Syndrome did not correlate with the severity of motion. The DST-MMSE scores after transport were significantly lower than scores during nontransport periods in 85% of personnel. We conclude that transport personnel are susceptible to motion sickness manifested by both the Nausea Syndrome and the Sopite Syndrome. The presence of motion sickness is associated with a significant decline in performance on tests of attention and concentration.
晕动病是一个常见且往往使人虚弱的问题。本研究的目的是确定晕动病综合征（恶心和嗜睡综合征）在医疗运输人员中的发生率和影响。北卡罗来纳大学医院运输团队的成员填写了一份问卷，以确定晕动病易感性病史。另一份问卷评估了每个人在运输过程中的晕动病症状。简易精神状态检查表（DST-MMSE）中的数字广度测试部分用于评估运输后的认知功能。通过在非运输班次进行测试，获取每个受试者的对照数据。46%的受试者在运输过程中出现恶心综合征；65%的受试者出现与嗜睡综合征一致的症状。运输前的调查可预测恶心综合征，但不能预测嗜睡综合征。恶心综合征与对所经历运动严重程度的主观评估有关；嗜睡综合征与运动严重程度无关。85%的人员运输后的DST-MMSE分数显著低于非运输期间的分数。我们得出结论，运输人员易患由恶心综合征和嗜睡综合征表现出的晕动病。晕动病的存在与注意力和专注力测试中的表现显著下降有关。
