| 摘要: |
| 目的 探讨国产穿戴式经皮穴位电刺激手环在航海晕船反应防治中的应用效果。方法 选择2020年 1月至2022年7月76名首次执行航海任务的医护人员为研究对象。受试人员上船后填写成年期晕动症易感性问卷（MSSQ-Adt），计算成人期晕动症易感性指数（MSSQ-R3-Adt指数）。采用可变区组随机化分组方法，试验组和对照组均为38人。启航前半小时，试验组受试人员佩戴国产穿戴式经皮穴位电刺激手环，并开机通电刺激内关穴；对照组人员佩戴手环但不进行电刺激。航渡72 h后，所有受试人员填写改良的晕船症状调查表，并进行晕船反应严重程度评级。结果 试验组受试人员晕船反应的发生率低于对照组［31.6%（12/38）vs 65.8%（25/38），χ2＝7.584，P＝0.006］。对照组受试人员发生晕船反应的风险是试验组的2.0倍（RR＝2.0，95% CI 1.3～3.3）。女性受试人员晕船反应的发生率高于男性受试人员［80.0%（24/30）vs 28.3%（13/46），χ2＝17.441，P＜0.05］。有晕船反应的受试人员MSSQ-R3-Adt指数高于无晕船反应的受试人员［12.3（7.0，28.0）分vs 4.7（0.0，11.0）分，U＝330.0，P＜0.05］。结论 国产穿戴式经皮穴位电刺激手环可有效降低航海晕船反应的发生率。 |
| 关键词: 经皮穴位电刺激手环 晕船 预防 内关穴 可穿戴装置 |
| DOI：10.16781/j.CN31-2187/R.20220635 |
| 投稿时间：2022-07-29修订日期：2022-09-02 |
| 基金项目:国家自然科学基金（81873945），海军军医大学（第二军医大学）“远航”军事医学人才项目（2019-YH-11）. |
|
| Effects of a domestic wearable transcutaneous acupoint electrical stimulation bracelet on preventing seasickness |
| ZHENG Dong-yu,GONG Ming,LI Yong-hua* |
(Department of Anesthesiology, The Second Affiliated Hospital of Naval Medical University(Second Military Medical University), Shanghai 200003, China
*Corresponding author) |
| Abstract: |
| Objective To explore the effects of a domestic wearable transcutaneous acupoint electrical stimulation bracelet on preventing seasickness. Methods A total of 76 medical personnel who were on their first naval mission from Jan. 2020 to Jul. 2022 were selected. After all participants boarded the ship, they filled out the motion sickness susceptibility questionnaire-adult version (MSSQ-Adt), and the MSSQ-R3-Adt index was calculated. Participants were allocated to experimental group and control group using variable block randomization, with 38 participants in each group. The participants in the experimental group wore transcutaneous acupoint electrical stimulation bracelets 0.5 h before sailing and the bracelets were switched on to stimulate the Neiguan acupoint. The participants in the control group wore bracelets but did not receive electrical stimulation. After 72 h of sailing, all participants filled out an improved seasickness symptom questionnaire, and the severity of seasickness was rated. Results The incidence of seasickness in the experimental group was significantly lower than that in the control group (31.6% ［12/38］ vs 65.8% ［25/38］, χ2＝7.584, P＝0.006). The risk of seasickness in the control group was 2.0 times higher than that in the experimental group (relative risk＝2.0, 95% confidence interval 1.3-3.3). The incidence of seasickness in female participants was significantly higher than that in male participants (80.0% ［24/30］ vs 28.3% ［13/46］, χ2＝17.441, P＜0.05). The participants with seasickness had significantly higher MSSQ-R3-Adt index than those without seasickness (12.3 ［7.0, 28.0］ vs 4.7 ［0.0, 11.0］, U＝330.0, P＜0.05). Conclusion The domestic wearable transcutaneous acupoint electrical stimulation bracelet can effectively reduce the incidence of seasickness. |
| Key words: transcutaneous acupoint electrical stimulation bracelet seasickness prevention Neiguan acupoint wearable device |
