重型卡车司机的阻塞性睡眠呼吸暂停综合征:葡萄牙的一项前性队列研究
Cátia Pimentel1, Diana Amorim1, Cláudia Santos1
1Pulmonology, Centro Hospitalar de Leiria, Leiria, PRT.
Cureus
|March 14, 2024
概括
阻塞性睡眠呼吸暂停 (OSA) 影响近78%的重型卡车司机,增加了事故的风险. 早期查和治疗对于职业安全和公共健康至关重要.
科学领域:
- 职业健康 职业健康 职业健康
- 睡眠医学 睡眠医学
- 心血管健康 心血管健康
背景情况:
- 未经治疗的阻塞性睡眠呼吸暂停 (OSA) 对重型卡车司机构成重大风险,包括驾驶事故的可能性增加.
- 这项研究调查了这一专业群体内OSA和相关症状和并发症的患病率.
研究的目的:
- 为了估计重型卡车司机中阻塞性睡眠呼吸暂停 (OSA) 的患病率.
- 在这个人群中识别与OSA相关的常见症状和并发症.
- 突出OSA查对专业驾驶安全的重要性.
主要方法:
- 2019年至2022年期间,葡萄牙一家运输公司的员工参与的一项队列研究.
- 所有参与者都进行了家庭睡眠呼吸暂停测试 (HSAT).
- 使用SPSS进行统计分析,显著程度为p<0.05.
主要成果:
- 在包括86名卡车司机中的77.9% (平均年龄为48.02岁,平均体重指数为30.14公斤/米2) 观察到OSA的高患病率.
- 肥胖,高血压和脂质不良症与OSA显著相关. 夜间和白天的症状与OSA诊断有显著的相关性.
- 尽管报告的白天嗜睡率低 (爱普沃思嗜睡量表),但14名司机报告在驾驶时入睡,这表明潜在的睡眠不足.
结论:
- 在重型卡车司机中OSA (77.9%) 的非常高的患病率强调了系统查的必要性.
- 未经治疗的OSA是安全的专业驾驶的主要风险因素.
- 实施查计划可以减轻在这个高风险职业中与OSA相关的风险.
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