解放军医学院学报2025，Vol.46Issue(9)：848-854,7.DOI:10.12435/j.issn.2095-5227.25022801
航空医疗救援人员沉浸式模拟训练生理应激反应及关联因素分析
Physiological stress responses and associated factors in immersive simulation training for aeromedical rescue personnel
摘要
Abstract
Background Traditional aviation training lacks physiological stress simulation,the physiological challenges faced by aeromedical rescue personnel have not been adequately addressed.Objective To explore the physiological stress responses of aeromedical rescue personnel using an immersive simulation training system based on VR,AR technologies and analyze the associated factors.Methods An immersive simulation training system for aeromedical rescue was used to conduct a 30-minute training session for 121 medical rescue personnel.Physiological indicators such as skin temperature,heart rate,and blood pressure were collected before and after training,the changes were compared.SC levels after training were used as the dependent variable to analyze the associated factors.Results Among the 121 participants,there were 83(68.6％)males and 38(31.4％)females with a median age of 35(IQR:30-36)years old.The differences in skin temperature[M(IQR):30.2(29.5-31.2)℃vs 32.1(31.5-32.6)℃],heart rate[M(IQR):71(68-78)bpm vs 80(74-85)bpm],systolic blood pressure[113(110-116)mmHg vs 123(120-126)]mmHg,diastolic blood pressure[78(73-81)mmHg vs 84(79-87)mmHg],mean arterial pressure[90(86-93)mmHg vs 97(94-100)mmHg],ESR[470(335-600)kΩ vs 260(180-385)kΩ]and SC(9.42±2.10 nmol/L vs 14.48±3.98 nmol/L)before and after the training for aeromedical rescue personnel were statistically significant(all P<0.05).Post-training SC levels showed statistically significant differences across gender,age,BMI,only-child status,marital status,history of motion sickness,rescue scenarios and training posture(P<0.05).Multiple linear regression analysis revealed that gender,age,BMI,history of motion sickness,rescue scenarios and training posture were the associated factors for SC levels after immersive training(F=34.748,P<0.001),which explained 69.2％of the total variation.Conclusion The immersive simulation training system demonstrates high fidelity.Aeromedical rescue personnel exhibit physiological stress responses after immersive training,which are influenced by multiple factors.Corresponding intervention and management measures should be implemented to enhance the effectiveness of aeromedical physiological training.关键词
航空医学救援/虚拟现实暴露疗法/航空医学/医疗救援人员/应激生理学/航空生理训练/唾液皮质醇Key words
aeromedical rescue/virtual reality exposure therapy/aerospace medicine/medical rescue personnel/stress physiology/aviation physiological training/salivary cortisol分类
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暴雨,陈妍,李晓乐,吴莹,黄江娜,郝昱文,周欣雨,马燕兰..航空医疗救援人员沉浸式模拟训练生理应激反应及关联因素分析[J].解放军医学院学报,2025,46(9):848-854,7.基金项目
省部级课题 （）
