远海长航舰艇人员阻塞性睡眠呼吸暂停低通气综合征问卷调查

Questionnaire on obstructive sleep apnea-hypopnea syndrome among the prolonged ocean-going shipboard personnel

目的对远海长航舰艇人员阻塞性睡眠呼吸暂停低通气综合征（obstructive sleep apneahypopnea syndrome，0SAHS）情况进行问卷调查，为进一步进行相关研究提供参考。方法在“和谐使命-2010”卫勤演练期间，对参与亚丁湾护航的2艘舰艇部分官兵进行0SAHS问卷调查。其中A组某舰官兵114名，出航时间3个月；B组为某舰官兵139名，出航时间6个月。对A、B组出航前后睡眠情况进行统计，并对2组的睡眠时间和OSAHS情况进行比较。结果B组每日的睡眠时间较A组缩短。A组有OSAHS倾向的19人，发生率16．7％；B组有34人，发生率24．5％，B组高于A组。2组中共有155人（61．3％）认为出航后睡眠情况较出航前差。结论远海长航舰艇人员OSAHS倾向的发生率较高，随着出航时间的延长睡眠情况逐渐变差，OSAHS倾向的发生率增高。提示远海长航舰艇人员OSAHS情况值得进一步研究。

Objective To perform a questionnaire on the obstructive sleep apnea-hypopnea syndrome （OSAHS） among the prolonged ocean-going shipboard personnel, so as to provide reference data for further study of this kind. Methods During the medical support exercise of ＂ Operation Harmony-2010 ＂, a questionnaire on OSAS was performed in the officers and men of the 2 naval vessels involved in the escort mission in the Gulf of Aden. Participating in the questionnaire were officers and men of a certain naval vessels belonging to group A in a prolonged deployment at sea for a duration of 3 months. The other 139 officers and men of the other naval vessels belonging to group B were deployed there for a duration of 6 months. Statistical analyses were made on the changes in the sleep status of the 2 groups both before and after deployment. Then, the sleep time and OSAHS were compared and analyzed between the 2 groups. Results Sleeping time each day for group B was shorter than that for group A. The number of people in group A who had a tendency of developing OSAHS was 19, with the incidence rate being 16.7% , while 34 people in group B developed OSAHS, with the incidence rate being 24.5%. The incidence rate of group B was obviously higher than that of group A. There were altogether 155 people （61.3%） in the 2 groups, who thought their sleeping status after deployment became worse, when it was compared with that before deployment. Conclusions Prolonged oceangoing shipboard personnel had a higher incidence rate of OSAHS. With the prolonging of deployment, sleeping among the deployed personnel would become worse and the tendency of developing OSAHS would become higher. This indicated that OSAHS occurring among the prolonged ocean-going shipboard personnel was a medical problem worth further close study.