皮肤电活动在空军青少年航空学校学生晕动病评估中的应用  

Assessment of motion sickness in teenager aviation school students using electrodermal activity

作　　者：杨芬 张艺耀 于东睿 李文平 龚学晨 王建昌 邹志康 YANG Fen;ZHANG Yiyao;YU Dongrui;LI Wenping;GONG Xuechen;WANG Jianchang;ZOU Zhikang(Department of Neurology,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142;Department of Medical Research,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142;Department of Otorhinolaryngology,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142,China)

机构地区：[1]空军军医大学空军特色医学中心神经内科,北京100142 [2]空军军医大学空军特色医学中心医研部,北京100142 [3]空军军医大学空军特色医学中心耳鼻喉头颈外科,北京100142

出　　处：《空军航空医学》2024年第2期117-121,共5页AVIATION MEDICINE OF AIR FORCE

基　　金：国防科技创新特区项目(20-163-15-ZT-001-001-08);国防科技创新特区项目(17-163-12-ZT-002-174-01)。

摘　　要：目的探讨皮肤电活动(electrodermal activity,EDA)是否可以作为一种客观评价晕动病的指标,以期提高飞行学员的精准医学选拔水平。方法随机抽取350名参加飞行学员医学选拔的青少年航空学校学生,在进行90 s科里奥利(Coriolis)加速度耐力检测时,采用可穿戴监测设备实时同步记录EDA,并通过Graybiel评分评价自主神经症状,按照Graybiel得分,分为A组(Graybiel得0分)、B组(Graybiel得1~2分)和C组(Graybiel得≥3分),共3组。分析EDA与Graybiel评分之间的关系。结果剔除指标不完整的受试者,共有301名受试者纳入研究。晕动病学生EDA呈现明显升高的变化趋势。按照Graybiel得分,A组173名,B组102名,C组26名,其中B组和C组学生后测皮肤电活动反应(skin conductance reaction,SCR)、皮肤电活动水平(skin conductance level,SCL)较A组均升高(H=-5.408、-6.781、-3.002、-2.772,P<0.001、<0.001、=0.008、=0.017),B组学生的前测SCL与较A组高(H=-3.019,P=0.008)。结论EDA可用来客观评价晕动病。采用实时EDA检测联合Graybiel评分的评价方法,可以在招飞医学选拔中更加客观地检出晕动病。Objective To find out whether electrodermal activity(EDA)can be used for accurate assessment of motion sickness in order to provide reference for precise medical selection of teenager flying cadets.Methods A total of 350 students were selected randomly from teenager aviation schools who attended the final stage of medical selection.A 90-second Coriolis acceleration endurance test was performed among these students.A wearable monitoring system was used to collect EDA at the same time.The Graybiel method was adopted to evaluate autonomic nerve symptoms.According to the Graybiel score,it is divided into Group A:Graybiel=0 points,Group B:Graybiel score 1~2 points,and Group C:Graybiel≥3 points.The correlation between changes in EDA and Graybiel scores was analyzed.Results With the subjects with incomplete indicators excluded,301 students were included in this study.It was found that EDA was significantly increased in students with motion sickness,who were divided into three groups according to the total Graybiel scores:0 point(n=173),1~2 points(n=102),and≥3 points(n=26)groups.The post-test skin conductance reaction(SCR)and skin conductance level(SCL)were significantly higher in the last two groups than in the first group(H=-5.408,-6.781,-3.002,-2.772,P<0.001,<0.001,=0.008,=0.017).The pre-test SCL was significantly higher in the second group than in the first group(H=-3.019,P=0.008).Conclusion Our results indicate that EDA can be a useful index for objective evaluation of motion sickness.Real-time EDA data combined with Graybiel scores can help identify motion sickness during medical selection of Air Force cadets.

关 键 词：皮肤电活动 晕动病 Graybiel评分 青少年航空学校 

分 类 号：R856.7[医药卫生—航空、航天与航海医学]