不同住舱光照条件对舰员睡眠质量及唾液褪黑素水平的影响  

Effects of different cabin light conditions on sleep quality and salivary melatonin levels

作　　者：张朋 欧阳汤鹏 于辛 Zhang Peng;Ouyang Tangpeng;Yu Xin(Department of Neurology,No.971 Hospital of the People’s Liberation Army Navy,Qingdao 266071,China)

机构地区：[1]海军第九七一医院神经内科,青岛266071

出　　处：《中华航海医学与高气压医学杂志》2024年第3期390-393,共4页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的:探讨某舰不同住舱光照条件对舰员睡眠质量及唾液褪黑素水平的影响,为改进某舰住舱条件,保障舰员健康提供理论证据。方法:选取某舰78名存在睡眠障碍的舰员作为研究对象,按照随机数字表法分为试验组和对照组,每组39人。试验组舰员住舱的照明灯更换为色温4 000 K的暖白光灯管,床头灯更换为色温2 700 K的暖黄光灯管;对照组人员住舱采用原有的高色温冷白光灯管。所有人员工作战位光源均继续采用高色温冷白光灯管。试验时间15 d。使用匹兹堡睡眠质量指数(PSQI)量表、眼疲劳自测量表及焦虑自评量表(SAS)评估受试舰员试验前后的睡眠障碍程度、眼疲劳状态以及焦虑水平;采用酶联免疫吸附测定法检测受试舰员试验前后的唾液褪黑素水平。结果:共72人完成试验,其中试验组38人、对照组34人。试验组干预后PSQI量表得分较干预前明显降低( P<0.05)。试验前、后对照组的PSQI量表以及2组的眼疲劳自测量表、SAS评分以及唾液褪黑素水平比较差异均无统计学意义( P>0.05)。与试验前比较,试验后≤26岁试验组舰员唾液褪黑素水平升高,>26岁试验组舰员PSQI评分降低,差异有统计学意义( P<0.05)。 结论:在不影响舰员作息规律的情况下,优化住舱照明条件可改善舰员的唾液褪黑素水平和睡眠质量。ObjectiveTo explore the effects of different cabin light conditions on the sleep quality and levels of salivary melatonin,and to provide theoretical evidence for improving the living conditions of a warship and ensuring the health of the crew.MethodsA total of 78 sailors with sleep disorders from a warship were selected as the study subjects.They were divided into test group and control group by the random number table method,with 39 participants in each group.In the test group,the crew quarters lights were replaced with warm white light tubes with a color temperature of 4000 K,and the bedside lamps were replaced by warm yellow light tubes with a color temperature of 2700 K;while the crew quarters in the control group still used the original cold white light tubes with high color temperature.In all the work places,cold white light tubes with high color temperature were still used.This study lasted for 15 days.Pittsburgh sleep quality index(PSQI),self-rating eye fatigue scale,and self-rating anxiety scale(SAS)were used to evaluate the degree of sleep disorder,eye fatigue,and anxiety of the crew before and after the experiment respectively.Enzyme-linked immunosorbent assay(ELISA)was used to detect the salivary melatonin level of the sailors before and after the experiment.ResultsA total of 72 sailors completed the experiment,with 38 in the test group and 34 in the control group.The scores of PSQI scale in the test group were significantly lower than those before intervention(P<0.05).There was no statistically significant difference in the PSQI scale results of the control group before and after the experiment.There were also no statistically significant differences(P>0.05)in the eye fatigue self-test scale,SAS score,and salivary melatonin levels before and after the experiment in the test or control groups.However,after the experiment,the salivary melatonin levels of the subjects≤26 years old increased in the test group,and the PSQI scores of the subjects>26 years old decreased in the test group,with statisticall

关 键 词：睡眠障碍 光照疗法 褪黑素 

分 类 号：R831[医药卫生—航空、航天与航海医学]