海上100 m氦氧饱和-108 m巡潜潜水员医学保障效果评价  

Effectiveness evaluation of the medical support for divers in 100 m-108 m heliox saturation excursion diving at sea

作　　者：王炀炀 王义普 朱礼健 张庆元 谢泽昦 杨元青 吉梦瑶 周全 Wang Yangyang;Wang Yipu;Zhu Lijian;Zhang Qingyuan;Xie Zehao;Yang Yuanqing;Ji Mengyao;Zhou Quan(Naval Force No.92143,Sanya 572000,China)

机构地区：[1]解放军92143部队,海南省三亚572000 [2]海军军医大学第一附属医院

出　　处：《中华航海医学与高气压医学杂志》2021年第6期675-678,共4页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

基　　金：南京军区医学科技创新重点项目(14ZD43)。

摘　　要：目的通过对4名潜水员应激、营养、睡眠质量的监测,评价氦氧饱和潜水程序及医学保障的合理性。方法采用适用高气压条件的生命体征监测仪监测潜水员的生命体征,采用多普勒气泡监测仪对减压过程中机体气泡逸出状况进行评估,采用斯坦福急性应激反应问卷(SASRQ)和匹兹堡睡眠质量指数量表(PSQI)评估潜水员的应激水平和睡眠质量,根据血常规、血生化指标和大关节(双侧肩、髋、膝关节)核磁共振检测结果评估潜水后效应。结果4名潜水员训练全程生命体征整体稳定,各阶段生命体征指标差异均无统计学意义(P>0.05)。减压过程中,潜水员多普勒气泡监测结果均处于2级以下。潜水前后潜水员SASRQ总分均低于57分,处于中低应激水平,出舱后应激水平略有下降,差异无统计学意义(t=1.464,P=0.239)。潜水前后潜水员睡眠质量较好,潜水员出舱后睡眠质量下降,差异有统计学意义(t=-4.899,P=0.016)。4名潜水员潜水后血常规、生化、双侧肩、髋关节核磁共振检测结果均正常,仅1名潜水员显示关节少量积液。结论本次潜水训练潜水员身心健康状态保持良好,潜水程序及医学保障安全有效。Objective To evaluate the rationality of diving procedures and medical support through monitoring the stress,nutrition,and sleep quality of divers.Methods The vital signs of divers were recorded by the monitor designed for high pressure condition.The bubble escape during decompression was evaluated by Doppler bubble monitor.The stress levels of divers were evaluated by the Stanford acute stress reaction questionnaire(SASRQ),and the sleep qualities of divers were evaluated by Pittsburgh sleep quality index(PSQI).The post-diving effects were evaluated by the tests of blood routine and blood biochemistry,and MRI examination of large joints(bilateral shoulders,hips,and knees).Results The vital signs of the four divers were stable throughout the training,and there was no significant difference in the mean values of vital signs in each stage(P>0.05).During the decompression,all Doppler bubble monitoring results were below level 2.The total scores of SASRQ before and after diving were both lower than 57 points,indicating a moderate and low stress level;the stress levels of divers decreased slightly after surfacing,but the differences were not statistically significant(t=1.464,P=0.239).Before and after diving,the divers’sleep quality was good,but it decreased after surfacing,and the differences were statistically significant(t=-4.899,P=0.016).The results of blood routine test,biochemical test,and MRI of bilateral shoulders and hips of the four divers after diving were normal;the results of knee MRI showed that only one diver had a small amount of joint effusion.Conclusion The physical and mental health of the divers in this training maintained good,indicating the procedures of and the medical support for the diving were safe and effective.

关 键 词：氦氧 饱和潜水 医学保障 

分 类 号：R841[医药卫生—航空、航天与航海医学]