某岛礁作业人员航行期间晕船状况调查

目的 调查某岛礁作业人员航行期间运动病的发病情况和治疗效果,为指导部队开展运动病管理与防控提供数据支持.方法 选择某岛礁驻防的相关人员中上岛时间、出海次数、乘坐舰艇、经历海况与居住条件均相同的132名作业人员为调查对象.通过问卷调查收集基本信息、晕船程度及伴随症状、治疗史、进食和睡眠情况,并分析与晕船相关的因素.结果 共发放问卷132份,收回有效问卷132份.132名调查对象中,女24人、男108人,6人(4.55％)出海前接受过防止晕船的前庭功能训练.航行期间16人(12.12％)无晕船症状,116人(87.88％)有晕船症状,91人(68.94％)伴有呕吐症状,90人(68.18％)伴有行走不稳.晕船期间101人(76.52％)接受过治疗,其中无效38人(28.79％)、部分缓解55人(41.67％)、有效8人(6.06％);31人(23.48％)未接受过治疗.乘船期间34人(25.76％)可以正常进食,98人(74.24％)食量减少或无法进食;72人(54.55％)睡眠正常,60人(45.45％)睡眠减少或失眠.不同进食情况、不同睡眠情况的被调查者之间晕船状况差异均有统计学意义(P均<0.05),食量减少或无法进食、睡眠减少或失眠的被调查者晕船症状均较多见.结论 岛礁作业人员换防航行期间晕船发生率高,航行前应加强防晕船训练,航行中应给予抗晕、护胃、助眠药物.

Survey on seasickness of island-reef personnel during navigation

Objective To investigate the incidence and treatment effect of motion sickness of island-reef personnel during navigation, so as to provide data support for guiding the army to carry out motion sickness management, prevention and control. Methods A total of 132 island-reef garrison personnel with similar time on island, times to sea, taking warships, and sea conditions experienced and conditions of residence were selected. Basic information, severity and concomitant symptoms of seasickness, treatment history, eating and sleeping conditions were collected using questionnaires, and the factors associated with seasickness were analyzed. Results A total of 132 questionnaires were sent out and all were valid. Of the 132 respondents, 24 were females and 108 were males, and 6 (4.55%) had received vestibular function training to prevent seasickness before the navigation. Sixteen (12.12%) had no seasickness symptoms, 116 (87.88%) had seasickness symptoms, 91 (68.94%) had vomiting symptoms, and 90 (68.18%) accompanied by walking instability during the navigation. Totally 101 patients (76.52%) received treatment during seasickness, of which 38 (28.79%) were ineffective, 55 (41.67%) were partially relieved, and 8 (6.06%) were effective; while 31 (23.48%) did not receive any treatment. During the navigation, 34 (25.76%) could eat normally, while 98 (74.24%) could eat less or could not eat; 72 (54.55%) had normal sleep, while 60 (45.45%) had reduced sleep or insomnia. There was significant difference in the incidence of seasickness among respondents with different eating and sleeping conditions (all P<0.05), and incidence of seasickness was higher in respondents with reduced food intake or inability to eat, decreased sleep or insomnia. Conclusion There is a high incidence of seasickness among island-reef personnel during defense rotation navigation. Training for seasickness prevention should be strengthened before navigation, and drugs for sickness prevention, stomach protection and sleep aid should be given during navigation.