| 摘要: |
| 目的 考察湿热环境下实验性晕动病研究中面色改变和出汗两项症状对Graybiel评分可能造成的偏倚，并对湿热环境下Graybiel评分进行改良。 方法 567名受试者被安排在常温环境、单纯高温环境和湿热环境下接受Collis旋转座椅实验，采用Graybiel法进行评分并分级，将所有结果按照均计算（面色和出汗）、不计算面色、不计算出汗和均不计算（面色和出汗）进行配对研究。 结果 常温、单纯高温和湿热3种环境下受试者的Graybiel总体评分差异有统计学意义（P<0.01），而不计算面色组、不计算出汗组和均不计算（面色和出汗）组的Graybiel评分在不同环境下亦有差异（P<0.01）。对应的Graybiel分级结果显示不计算出汗组和均不计算（面色和出汗）组的分级发生了变化，而不计算面色组则没有明显改变。 结论 建议湿热环境下应用Graybiel法评价晕动病时可考虑将面色项剔除，从而简化评价过程。 |
| 关键词: 晕动病 Graybiel评分法 湿热环境 |
| DOI：10.3724/SP.J.1008.2014.00684 |
| 投稿时间：2013-12-09修订日期：2014-03-25 |
| 基金项目:无 |
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| Improvement of Graybiel’s scoring system for grading of motion sickness in hot-humid environment |
| ZHANG Lei1△,MAO Jun-feng2△,WU Xiao-nong3*,BAO Ying-chun4* |
(1. Department of Orthopedics, Nanjing General Hospital, PLA Nanjing Military Area Command, Nanjing 210002, Jiangsu, China;
2. Department of Teaching Support, Training Division, PLA Naval Command College, Nanjing 210016, Jiangsu, China;
3. Department of Teaching Support, Education College of Commanding Officer, PLA University of Science and Technology, Nanjing 210000, Jiangsu, China;
4. Department of Military Physical Education, Faculty of Medical Services, Second Military Medical University, Shanghai 200433, China
△Co-first authors.
*Corresponding authors.) |
| Abstract: |
| Objective To observe the possible bias in Graybiel's scoring system caused by change of complexion and sweating for grading of motion sickness in hot-humid environment, so as to make improvement to the system. Methods A total of 567 subjects received Collis rotating chair tests in room temperature environment, hot temperature environment, and hot-humid environment. The severity of motion sickness was graded by Graybiel's scoring system. Paired design was done among 4 groups (calculated with pallor and sweating, no pallor, no sweating, and no pallor no sweating). Results Graybiel's scores were significantly different under 3 different environments, either calculated with pallor and sweating, or without pallor, without sweating, or without both (P<0.01). The corresponding grades of Graybiel's score were also significantly different when calculated without sweating and without both pallor and sweating, but not when calculated without pallor. Conclusion Our findings suggest that changes of complexion should not be considered when calculating Graybiel's score in hot-humid environment so as to simplify the evaluating process. |
| Key words: motion sickness Graybiel’s scoring criteria hot-humid environment |
