晕动症易感性分布特征及不同评估方法的效能比较  

Motion sickness susceptibility distribution characteristics and efficacy comparison of different evaluation methods

作　　者：潘磊磊[1] 祁瑞瑞[1] 刘志杰 张玲 赵龙 蔡懿灵[1] 王俊骎[1] PAN Leilei;QI Ruirui;LIU Zhijie;ZHANG Ling;ZHAO Long;CAI Yiling;WANG Junqin(Department of Nautical Injury Protection,Faculty of Naval Medicine,Naval Medical University(Second Military Medical University),Shanghai 200433,China;School of Health Science and Engineering,University of Shanghai for Science and Technology,Shanghai 200093,China)

机构地区：[1]海军军医大学(第二军医大学)海军医学系航海特殊损伤防护教研室,上海200433 [2]上海理工大学健康科学与工程学院,上海200093

出　　处：《海军军医大学学报》2024年第8期958-963,共6页Academic Journal of Naval Medical University

基　　金：国家自然科学基金青年科学基金(82001993);军队后勤科研项目(BHJ22J021)。

摘　　要：目的观察人群的晕动症易感性分布特征,比较修改版晕动症易感性问卷(MSSQ)、晕动症历史问卷和Graybiel量表3种方法的晕动症评估效能。方法采用MSSQ及晕动症历史问卷调查海军某部A、B、C单位共1661名男性的晕动症易感性及历史症状。选取C单位共389名人员进行仿真垂荡刺激,刺激过程中采用Graybiel量表评价晕动症严重程度。采用ROC曲线分析MSSQ、晕动症历史问卷及Graybiel量表对晕动症易感性的评估效能。结果该群体中MSSQ和晕动症历史问卷评估的总体晕动症易感性分布均呈右偏态,A、B、C 3个单位的分布特征与总体分布一致,且三者之间差异无统计学意义。A、B、C 3个单位中MSSQ评分与晕动症历史问卷评分均呈正相关(r_(s)=0.565、0.565、0.554),两者对晕动症及重度晕动症发生率的评估效能相当;而Graybiel量表评估的晕动症发生率低于MSSQ和晕动症历史问卷(均P<0.05),重度晕动症发生率高于MSSQ和晕动症历史问卷(均P<0.05)。ROC曲线分析显示,MSSQ对晕动症易感性及重度晕动症均有较好的预测价值(AUC=0.736、0.750),而Graybiel量表的预测能力较差(AUC=0.559、0.557)。结论本研究初步明确了晕动症易感性的总体分布均呈右偏态。在开展防晕动症习服训练时,可通过MSSQ筛选易感人群后进行垂荡刺激以提高训练效能。Objective To observe the distribution characteristics of motion sickness susceptibility and compare the efficacy of modified motion sickness susceptibility questionnaire(MSSQ),motion sickness history questionnaire and Graybiel scale in evaluating motion sickness.Methods The susceptibility to motion sickness and historical symptoms were investigated using MSSQ and motion sickness history questionnaire among 1661 males in navy units A,B,and C.A total of 389 people from the unit C were selected for simulating vertical oscillation stimulation,and the severity of motion sickness was evaluated by Graybiel scale during the stimulation process.The evaluation efficacy of MSSQ,motion sickness history questionnaire and Graybiel scale for motion sickness was analyzed by receiver operating characteristic(ROC)curves.Results The overall distribution of motion sickness susceptibility assessed by MSSQ and motion sickness history questionnaire in this population was right skewed.The distribution characteristics in the units A,B,and C were consistent with the overall distribution,and there was no significant difference among the 3 units.A positive correlation was observed between the MSSQ and the motion sickness history questionnaire in the units A,B,and C(r_(s)=0.565,0.565,0.554),and both of them were comparable in assessing the incidence of motion sickness and severe motion sickness.However,the incidence of motion sickness assessed by Graybiel scale was significantly lower than that assessed by MSSQ and motion sickness history questionnaire(both P<0.05),and the incidence of severe motion sickness was significantly higher than that assessed by MSSQ and motion sickness history questionnaire(both P<0.05).ROC curve analysis showed that MSSQ had good predictive value for motion sickness susceptibility and severe motion sickness(area under curve[AUC]=0.736,0.750),while the Graybiel scale had poor predictive ability(AUC=0.559,0.557).Conclusion The right skewed distribution of susceptibility to motion sickness is preliminarily determined

关 键 词：晕动症 易感性 仿真训练 历史问卷 易感性问卷 效能评估 

分 类 号：R835.1[医药卫生—航空、航天与航海医学]