Helling K, Westhofen M
Klinik für Hals-, Nasen-, Ohrenheilkunde, Universitäts-Krankenhaus Hamburg-Eppendorf.
HNO. 1994 Apr;42(4):214-9.
To date the incidence and treatment of motion sickness have not been satisfactorily elucidated. Discrepancies among individuals in tolerating strong velocities and accelerations are well-known. To prevent motion sickness evaluations of individual predispositions are important. There are several current theories on the nature of motion sickness. These include the mismatching of sensory inputs, a Coriolis force, non-physiological stimuli and modulation of vestibuloocular reflexes (VOR). The main influence of the vestibular organ in generating kinetosis is obvious. Analysis of the chief movements of a ship demonstrates that linear acceleration is the principle factor in stimulating the vestibular organ. The moving gravity vector causes an intense otolith stimulation. By this means VOR is temporarily shut down. This effect can also be used for documenting motion sickness. A battery of vestibular tests was performed on the military research ship "Planet" during a 2-week autumny voyage on the Atlantic Ocean. Spontaneous nystagmus, bithermal bilateral responses and rotatory testing (slow harmonic acceleration) results were recorded by electronystagmography. Findings before starting and during the voyage were compared. A group of 3 unexperienced volunteers and 9 professional seamen were investigated. All unexperienced volunteers suffered from sea sickness, while none of the professionals showed any symptoms. At the beginning of the voyage the gain in nystagmus in harmonic acceleration testing was significantly lower in the professionals than in the unexperienced volunteers. During the voyage all professionals showed nearly constant gain values. All unexperienced individuals showed a decrease in gain only during the time of acute symptoms.(ABSTRACT TRUNCATED AT 250 WORDS)
迄今为止,晕动病的发病率及治疗方法尚未得到令人满意的阐明。个体在耐受强速度和加速度方面存在差异,这是众所周知的。为预防晕动病,评估个体易感性很重要。目前有几种关于晕动病本质的理论。这些理论包括感觉输入不匹配、科里奥利力、非生理刺激以及前庭眼反射(VOR)的调节。前庭器官在引发晕动病方面的主要影响是显而易见的。对船舶主要运动的分析表明,线性加速度是刺激前庭器官的主要因素。移动的重力矢量会引起强烈的耳石刺激。通过这种方式,VOR会暂时关闭。这种效应也可用于记录晕动病。在一艘军事研究船“行星号”于大西洋进行的为期两周的秋季航行期间,对一组人员进行了一系列前庭测试。通过眼震电图记录了自发性眼震、双侧冷热反应和旋转测试(慢谐波加速度)结果。比较了航行开始前和航行期间的结果。对3名无经验的志愿者和9名职业水手进行了调查。所有无经验的志愿者都晕船,而所有职业水手中没有一人出现任何症状。在航行开始时,职业水手在谐波加速度测试中的眼震增益明显低于无经验的志愿者。在航行期间,所有职业水手的增益值几乎保持不变。所有无经验的个体仅在急性症状出现时增益有所下降。(摘要截短至250字)