在反复潜水后静脉气栓塞 (VGE) 的潜水者内部变化
David J Doolette1,2,3, F Gregory Murphy1
1Navy Experimental Diving Unit, Panama City, Florida, USA.
Diving and hyperbaric medicine
|December 13, 2023
概括
重复潜水后静脉气栓塞 (VGE) 度的大部分变化是在潜水员内部,而不是在潜水员之间. 这表明个体对去压力疾病 (DCS) 的敏感性有很大差异.
科学领域:
- 生理学 生理学 生理学
- 潜水医学是一门潜水医学.
- 生物统计学 生物统计学
背景情况:
- 静脉气栓塞 (VGE) 通常被用作减压疾病 (DCS) 的替代品.
- 之前的研究表明,在相同的潜水后,VGE等级存在变化,但这种变化的来源尚不清楚.
研究的目的:
- 量化潜水者之间和潜水者内部的峰值潜水后VGE等级的变化.
- 评估VGE等级对于评估个别解压实践的有用性.
主要方法:
- 追溯分析了6个潜水型号的834次人潜水.
- 包括151名潜水员在同一档案上进行重复潜水 (2-9次).
- 混合效应模型和类内相关系数被用于分析VGE等级变化.
主要成果:
- 67%的VGE等级变化在潜水者内部,而33%在潜水者之间.
- 潜水员在同一档案的重复潜水中展示了各种各样的VGE等级.
- 减压性疾病 (DCS) 病例与一个人更高,而不是更低的VGE等级相关.
结论:
- 在VGE等级的潜水员内部显著的变化表明对DCS的易感性波动.
- 潜水后的VGE等级对于评估个体潜水员减压效率是不可靠的.
- 潜水研究应该考虑到VGE反应的实质性个体内变异性.
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