SIMULATED LONG-TERM DRIVING PERFORMANCE BEFORE AND AFTER UVULOPALATOPHARYNGOPLASTY

被引：32

作者：

HARALDSSON, PO

CARENFELT, C

PERSSON, HE

SACHS, C

TORNROS, J

机构：

[1] Departments of Neurology, Karolinska Hospital, Stockholm

[2] Swedish Road and Traffic Research Institute, Linköping

来源：

ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES | 1991年 / 53卷 / 02期

关键词：

DRIVING TEST; DRIVING PERFORMANCE; AUTOMOBILE ACCIDENTS; SLEEP APNEA;

D O I：

10.1159/000276198

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

To investigate whether automobile drivers with the clinical features of sleep apnea syndrome (SAS) perform worse than controls in a simulated long-term test drive, and to see if their driving improves after uvulopalatopharyngoplasty (UPPP), 15 male drivers with SAS, suffering from sleep spells whilst driving, and 10 matched controls without a history of SAS or hypersomnia at the wheel were tested in an advanced driving simulator. Brake reaction time, lateral position deviation and off-road episodes were measured during a 90-min rural drive at twilight conditions. The clinical evaluation was made by a questionnaire scoring symptoms of snoring, sleep disturbances and diurnal sleepiness before and after surgery. Before UPPP the patient group showed impaired performance in all three effect measures compared to controls. UPPP resulted in improved reaction time performance (average mean improvement: 0.5 s, average 90th percentile improvement 0.8 s). Furthermore, 12 of the 15 patients reported a marked improvement regarding sleepiness whilst driving. For these clinically successful cases the number of off-road episodes decreased substantially. We conclude that most patients improve their long-term driving performance as a result of UPPP.

引用

页码：106 / 110

页数：5

共 27 条

[11]

Macaluso R., Reams C., Gibson W., Vrabec D., Matragrano A., Uvulopalatpharyngoplasty: Postoperative management and evaluation of results, Ann Otol Rhinol Laryngol, 98, pp. 502-507, (1989)

[12]

Haraldsson P.-O., Carenfelt C., Laurell H., Tornros J., Driving vigilance simulator test, Acta Otolaryngol (Stockh), 110, pp. 136-140, (1990)

[13]

Kales A., Cadiuex R.J., Bixler E.O., Et al., Severe obstructive sleep apnea. 1. Onset, clinical course, and characterstics, J Chronic Dis, 38, pp. 419-425, (1985)

[14]

Riley R., Guilleminault C., Powell N., Simmons F.B., Palatopharyngoplasty failure, cephalometric roentgenograms, and obstructive sleep apnea, Otolaryngol Head Neck Surg, 93, pp. 240-243, (1985)

[15]

Fairbanks D., Fujita S., Ikematsu T., Simmons F.B., Snoring and Obstructive Apnea, pp. 116-120, (1987)

[16]

Keys A., Fidanza F., Karvonen M.I., Kimura N., Taylor H.L., Indices of relative weight and obesity, J. Chronic Dis, 25, pp. 329-343, (1972)

[17]

Goode B., Slyter H., Daytime polysomnogram diagnosis of sleep disorders, J Neurol Neurosurg Psychiatry, 46, pp. 159-161, (1983)

[18]

Guilleminault C., Sleep apnea syndromes: Impact of sleep and sleep states, Sleep, 3, 3-4, pp. 227-234, (1980)

[19]

Fourre J., Scoles V., Nahmias J., Karetzky M.S., The use of nap studies in diagnosing sleep apnea, Sleep Res, 15, (1986)

[20]

Bonnet M.H., Effect of sleep disruption, performance and mood, Sleep, 8, pp. 11-19, (1985)

← 1 2 3 →