神经行为评价系统在飞行员脑功能评定中的应用研究  

Application of neurobehavioral evaluation system for the identification of pilot＇s cerebral function

作　　者：陈勇胜[1] 贾宏博[1] 邓学谦[1] 强东昌[1] 曹淑玉[1] 

机构地区：[1]空军航空医学研究所,北京100142

出　　处：《中华航空航天医学杂志》2011年第1期22-25,共4页Chinese Journal of Aerospace Medicine

基　　金：解放军总后勤部青年科研基金项目（01Q033）

摘　　要：目的 探讨神经行为评价系统（neurobehavioral evaluation system-C3,NES-C3）在飞行员脑功能（cerebral function,CF）评定中的应用价值.方法 采用NES-C3评价系统中的情绪状态测试量表（profile of mood status,POMS）（包括紧张-焦虑、愤怒-敌意、疲惫-惰性、忧郁-沮丧、有力-好动、困惑-迷茫6个方面情绪状态）,以及记忆扫描、数字检索、视简单反应时、视复杂反应时、目标跟踪、连续操作等6项神经行为能力指数（neurobehavioral ability index,NAI）评定飞行员的脑功能.分别测试45名飞行员[飞行员组,年龄25～31岁,平均（27.6±2.5）岁]和45名非飞行员[对照组,本科生及研究生,年龄25～30岁,平均（27.5±2.6）岁]在无环境干扰及模拟喷气发动机噪声干扰环境下的CF状态,判断测试的差别.结果 无论有无干扰,飞行员组＂有力-好动＂项评分始终高于对照组,（t=9.74、12.52,P＜0.05）,而对照组的＂紧张-焦虑＂项评分始终高于飞行员组（t=10.46、14.25,P＜0.05）.在有噪声干扰时,对照组的POMS 6项指标均显著增加（t=2.85～6.33,P＜0.05）,飞行员组的POMS 6项指标除＂紧张-焦虑＂和＂有力-好动＂项增加外（t=4.12、5.92,P＜0.05）,余无显著差异.无干扰条件下,飞行员组有4项NAI测试指标高于对照组（t=2.91～10.55,P＜0.05）.而在干扰前后,飞行员组的6项NAI测试指标均无统计学差异,而对照组则在干扰后均显著降低（t=5.24～29.24,P＜0.05）,且均低于飞行员组（t=4.07～28.41,P＜0.05）.结论 NES-C3神经行为评价系统对飞行员CF鉴定具有实际应用价值.Objective To explore the application of neurobehavioral evaluation system-C3（NES-C3） for pilot＇s cerebral function （CF） evaluation. Methods The characters of CF under interference of simulated jet engine noise and neurobehavioral ability index （NAI） were investigated in 45 military pilots [（27.6±2.5） yr] （as pilot group） and in 45 college students [（27.5±2.6） yr] （as control group） by NES-C3. The variance of profile of mood statues （POMS） scales, （including tension-anxiety, angry-hostility, exhausted-inertia, gloom-depressed, powerful-restless and stumblepuzzle） and NAI （including memory scanning, digital scanning, visual simple reaction time, visual complex reaction time, pursuit aiming, and consecutive performance） were compared respectively.Results With or without interference of noise, the score of ＂powerful-restless＂ in pilot group was higher than that in control group （t=9.74, 12.52, P＜0.05）, and the score of tension-anxiety in control group was higher than that in pilot group （t= 10. 46, 14.25, P＜0. 05）. When noise was applied, the score of POMS in control group was significantly increased （t=2. 85-6. 33, P＜0. 05） but in pilot group only ＂tension-anxiety＂ and ＂powerful-restless＂ were significantly increased （t = 4. 12,5.92, P＜0.05）. The score of ＂tension-anxiety＂ in control group was higher than that in pilot group.Four items of NAI in pilot group were significantly higher than those in control group （t= 2 91-10.55, P＜0. 05）. There were no noised induced significant NAI changes in pilot group but in control group. They were not only lower than that in the state without noise interference （t-5.24-29.24,P＜0. 05） but also lower than that in pilot group （t=4. 07-28. 41, P＜0. 05）. Conclusions NES-C3 is a useful tool for the identification of pilot＇s CF.

关 键 词：脑 神经行为学表现 噪声 评价研究 

分 类 号：R85[医药卫生—航空、航天与航海医学]