在专业卡车司机的驾驶过程中,与微睡眠相关的行为归因于碰撞的危险因素
Hiroyuki Sawatari1, Hajime Kumagai2,3, Kengo Kawaguchi4
1Department of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Scientific reports
|March 17, 2024
概括
睡眠呼吸障碍 (SDB) 在卡车司机中很常见. 夜间脉冲氧计显示,与微睡眠相关的卡车碰撞的预测很差,这表明需要进行综合评估.
科学领域:
- 职业健康 职业健康 职业健康 职业健康
- 睡眠的药物 睡眠的药物
- 交通运输安全运输安全
背景情况:
- 睡眠呼吸障碍 (SDB) 在专业司机中很普遍.
- SDB是已知的卡车碰撞的风险因素,归因于微睡眠相关行为 (TC-MRB).
- 对于TC-MRBs,夜间脉冲氧计的预测价值是不确定的.
研究的目的:
- 为了评估夜间脉冲氧计参数之间的关联,使用爱普沃思睡眠度量表 (ESS) 和TC-MRBs.
- 评估脉冲氧计在预测职业卡车司机TC-MRB中的实用性.
主要方法:
- 对108名匹配的专业卡车司机进行了回顾性研究 (54名拥有TC-MRB,54名没有).
- 对一夜间脉冲氧计数据的分析 (4%氧气脱度指数[ODI],极点SpO2).
- 使用仪表盘摄像头录像来确认TC-MRBs.
主要成果:
- 夜间驾驶,4%的ODI和最低的SpO2与TC-MRB有显著的关联.
- 对于TC-MRB的几率比率为夜间驾驶25.63,4%的ODI为2.74和3.87,对于nadir SpO2.2,它们的几率比率为25.63.
- 4%的ODI和最低 SpO2 的曲线下的面积分别为0.50和0.57,表明预测灵敏度差.
结论:
- 夜间驾驶,4%的ODI和最低的SPO2与卡车司机的TC-MRB有关.
- 一夜间脉冲氧计本身对于预测TC-MRB的灵敏度很差.
- 结合主观 (例如,ESS) 和客观 (例如,Dashcam镜头) 的评估,可以提高TC-MRB预测的准确性.
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