目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)对飞行员情绪状况的影响。方法对57名临床有睡眠异常主诉的飞行员进行多导睡眠图(PSG)监测,依据中华医学会呼吸病学分会睡眠呼吸疾病组制定的《阻塞性睡眠呼吸暂停低通气综合征诊治指南(草案)》进行临床诊断,其中鼾症组(PS)17人,OSAHS组40人。另选取同期健康体检飞行员20人作为对照组。所有入选者进行Epworth嗜睡程度问卷(ESS)、Zung抑郁自评量表(SDS)及焦虑自评量表(SAS)的自评。比较鼾症组、OSAHS组患者与对照组入选者情绪状况的差异,比较鼾症组及OSAHS组抑郁或焦虑的发生率,分析鼾症组、OSAHS组患者的SAS、SDS评分与ESS评分、PSG检测结果间的相关性。结果鼾症组及OSAHS组SDS、SAS标准分平均值明显高于对照组(P<0.01)。OSAHS组抑郁发生率较鼾症组增高(χ2=5.522,P<0.05);而两组间焦虑发生率无统计学差异(χ2=1.601,P>0.05)。OSAHS组SDS、SAS标准分与ESS评分间存在显著正相关(r=0.58,P<0.01;r=0.41,P<0.01),但与PSG各项参数间未见明显相关性。结论飞行员患OSAHS存在不同程度的焦虑或抑郁情绪,在临床医学鉴定及治疗中应注意情绪状况对飞行能力的影响。 Objective To investigate the influence of obstructive sleep apnea-hypopnea syndrome (OSAHS) on the pilot’s emotional status. Methods Fifty-seven pilots who complained of abnormal sleep were monitored by polysomnography (PSG). According to the Guidelines for the Diagnosis and Treatment of Obstructive Sleep Apnea-Hypopnea Syndrome (Draft) developed by the Sleep Respiratory Disease Group of the Chinese Society of Respiratory Diseases, Clinical diagnosis was performed, including 17 snoring patients (PS) and 40 OSAHS patients. Another selection of the same period 20 health examination pilots as a control group. All participants underwent self-assessment of the Epworth Sleepiness Questionnaire (ESS), the Zung Depression Self-rating Scale (SDS) and the Self-rating Anxiety Scale (SAS). The differences of emotional status among snoring group, OSAHS group and control group were compared. The incidences of depression or anxiety in snoring group and OSAHS group were compared. SAS, SDS score and ESS score, PSG Correlation between test results. Results The scores of SDS and SAS in snoring group and OSAHS group were significantly higher than those in control group (P <0.01). The incidence of depression in OSAHS group was higher than that in snoring group (χ2 = 5.522, P <0.05). There was no significant difference in the incidence of anxiety between the two groups (χ2 = 1.601, P> 0.05). There was a significant positive correlation between SDS, SAS standard score and ESS score in OSAHS group (r = 0.58, P <0.01; r = 0.41, P <0.01), but no significant correlation with PSG parameters. Conclusion There is varying degrees of anxiety or depression in pilots with OSAHS, and the influence of emotional status on flight ability should be noticed in clinical medical appraisal and treatment.