护航直升机飞行人员长期驻舰睡眠变化特点及保障对策

Sleep change characteristics of long haul stationed escort helicopter flying personnel and aviation medical support countermeasures

目的 通过开展护航直升机飞行人员不同驻舰阶段和环境下睡眠状况的调查,分析长期驻舰对飞行人员睡眠质量的影响并探讨航卫保障对策. 方法 采用睡眠自评量表（self-rating scale of lleep,SRSS）,调查47名护航直升机飞行人员（护卫舰飞行人员10人,登陆舰飞行人员17人,岸基飞行人员20人）不同驻舰时间、不同驻舰环境下的SRSS总评分及各睡眠因子评分,并分别与岸基飞行人员和全国常模比较,分析驻舰飞行人员长期驻舰的睡眠变化特点. 结果 在驻舰7d及78 d时,驻舰飞行人员SRSS总评分分别为22.27±4.40和21.56±4.40;均明显高于岸基飞行人员（P＜0.01）.驻舰78 d飞行人员10个睡眠因子评分与岸基飞行人员比较,除早醒、服药情况、失眠后反应3项差异无统计学意义外,其余7项均明显高于岸基飞行人员（P＜0.05,P＜0.01）;睡眠时间因子评分为2.63±0.56,明显高于全国常模（P＜0.01）. 结论 长期驻舰对护航直升机飞行人员的睡眠质量有明显影响,驻舰航卫保障应关注飞行人员的睡眠问题,重视日常观察和飞行前体检把关.同时应尽早建立军事飞行人员睡眠状况常模,以求更科学有效地进行睡眠质量评价.

Objective To analyze sleep change characteristics of long haul stationed escort helicopter flying personnel by investigating their sleeping states on different ships in different stage of voyage and to sum up the countermeasures.Methods We selected 47 escort helicopter flying personnel as the subjects,including 10 flying personnel based on frigate,17 flying personnel based on landing craft,and 20 land-based flying personnel.We used a sleep questionnaire in clinic （self-rating scale of sleep,SRSS） to investigate sleep qualities of the flying personnel on different ships in different stage of voyage.By comparing with land-based flying personnel and national normal model,we analyzed sleep change characteristics of long haul stationed escort helicopter flying personnel.Results Till to 7 d and 78 d on ship,SRSS total scores of the flying personnel were 22.27±4.40 and 21.56±4.40 respectively,which were statistically higher than those of land-based flying personnel （P〈 0.01）.Ten scores of sleep factors of flying personnel for 78 d stationed on ship were respectively compared with those of land-based flying personnel.In spite of early awaking,drug dose and nightmare regression factors,the other 7 factors had statistically higher than those of land-based flying personnel （P〈0.05,P〈0.01）.Score of sleep time factor was 2.63±0.56,that was higher than national normal model （P 〈 0.01）.Conclusions Sleep quality of the escort flying personnel stationed on ship for a long time is significantly impacted as compared with that of the land-based flying personnel.It is suggested that more attention should be paid on sleep problems of the flying personnel stationed on ship for a long time,and health care and flight medical examination should be enhanced.Meanwhile,sleep model of military flying personnel should be developed to improve the scientificity and effectiveness of evaluation.