[从电生理学和心理生理学角度看微睡眠]。

Sbornik lekarsky Pub Date : 2003-01-01
J Faber, M Novák, P Svoboda, V Tatarinov, T Tichý
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引用次数: 0

摘要

机器操作员的清醒能力受损不仅对他们自己构成危险,而且常常对公众构成危险。在执勤时,这些人应不断地,即不间断地保持警惕。为此,我们设计并实施了一个连续警觉性监测的实验模型,使用脑电图(EEG)和反应时间作为先证者对声音反应的潜伏期来测量。如果构建好,该装置与其他逻辑元件和警报一起可以自动检测警惕性,并且可能在微睡眠的情况下也可以检测唤醒刺激。我们发现了以下新的事实,并证实了一些早期事实的有效性:脑电图记录中的α活动(振荡8-13赫兹)和反应时间(RT)为200-400毫秒(毫秒)。睡眠的特征是theta和delta活动(分别为4-7 Hz和0.5-3.5 Hz)没有反应。在清醒和睡眠之间至少有两个阶段:放松,RT延长400到800毫秒,脑电图α活动增加,有时也增加β活动。然后是睡眠阶段,α活动分解,α活动甚至δ活动增加,RT从800到1200毫秒不等。脑电图及其频谱的变化及其在颅表面的实际定位表现出个体差异;因此,不能对上述阶段建立直接的分类。在松弛期和睡眠期以及心理过程中,警觉性的变化以α和δ带最为显著,θ和β带不那么显著。在颅骨表面检测这些变化的最合适的位置是颞顶枕(TPO)区域,即在颅骨后部,肌肉和动眼力最少,α和δ活动能量最多的区域。在嗜睡状态下,大脑皮层并不是一个整体,这意味着入睡时不同的区域呈现出不同的光谱,这一事实很容易通过α / δ比值来表达,每个脑区都是分开的。在睡眠开始时,α / δ比值发生变化;它在清醒时大于1,在睡眠时小于1,在人入睡时处于1的区域。在零反应性的睡眠过程中,大脑皮层已经表现为一个整体,也就是说,所有的颅骨区域都有相似或相同的频谱图,整个颅骨的α / δ系数小于1。有时,在心理状态中(例如,在进行心理测试时)拍摄的频谱图类似于嗜睡,alpha/delta系数大于1。然而,有不同之处:在嗜睡时,δ活动在其整个波段都增加,即从0.5到3.5 Hz,而在睡眠期间,它只在慢δ活动波段(0.5到3.5 Hz)增加。在嗜睡时,θ波呈上升趋势,但在精神状态时则不然。在睡眠阶段,阿尔法完全消失了——与精神状态不同。综上所述,并不是每个申请自动报警警惕性探测器的人都能随机得到一个,并期望它在第一次出现睡眠迹象时就响起。相反,每个申请人都应被视为先证者,即同时进行脑电图登记、脑电图分析、确定颅面最佳合适区域和脑电图频率的测试,分别用于警戒、放松、睡眠阶段和精神状态,并根据上述规则相应地调整报警装置的单个参数。
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[Microsleep from the electro- and psychophysiological point of view].

Impaired wakefulness in machine operators poses a danger not only to themselves but often also to the public at large. While on duty, such persons are expected to be continuously, i.e., without interruption, on the alert. For that purpose, we designed and carried out an experimental model of continuous vigilance monitoring using electroencephalography (EEG) and reaction time measured as the latency of the proband's reaction to sound. If constructed, the set together with other logical elements and an alarm can make for an automatic detection of vigilance and, possibly, also of arousal stimuli in cases of microsleep. We found the following new facts and confirmed the validity of some of the earlier ones: Vigilance is marked by alpha activity in the EEG record (oscillation of 8-13 Hz) and reaction time (RT) of 200-400 ms (milliseconds). Sleep is characterized by theta and delta activities (4-7 and 0.5-3.5 Hz respectively) with no reaction. Between wakefulness and sleep there are at least two stages: relaxation with prolonged RT of 400 to 800 ms and increased EEG alpha, sometimes also beta activities. Then there is the hypnagogic phase with disintegrating alpha and growing theta or even delta activities and an RT of 800 up to 1200 ms. Changes in the EEG and its spectrum and their actual localization on the cranial surface exhibit individual differences; hence, no straightforward categories for the above stages can be established. As for changes in vigilance in the relaxation and hypnagogic phases as well as in the processes of mentation, the most significant are the alpha and delta, less so the theta and beta bands. The most suitable sites for the detection of those changes on the skull surface are temporo-parieto-occipital (TPO) regions, i.e., those over the posterior parts of the skull with the least muscle and oculomotor artifacts and with the most energy for alpha and delta activities. In somnolence, the cortex does not behave as a whole, which means that different areas show different spectra while getting off to sleep, a fact easy to express by means of the alpha/delta ratio, separately for each of the cranial areas. At sleep onset, the alpha/delta ratio undergoes changes; it is greater than one in wakefulness, less than one in sleep, and in the region of one as the person goes to sleep. In the course of sleep with zero reactivity, the cortex already behaves as a whole, i.e., all cranial areas have similar or the same spectrograms, with the alpha/delta coefficient being less than one all over the skull. At times, the spectrogram taken during mentation (e.g., while undergoing psychological tests) resembles that of somnolence, with the alpha/delta coefficient being greater than one. However, there are differences: in somnolence, the delta activity is increased all over its band, i.e., from 0.5 to 3.5 Hz, while during mentation it is increased solely in the slow delta activity band (0.5 to 3.5 Hz). In somnolence, theta is on the increase, but not so in mentation. In the hypnagogic phase, alpha becomes completely extinct--unlike in mentation. As follows from the above listed facts, not everyone applying for an automatic alarm detector of vigilance can be provided with one at random and expect it to go off at the first sign of slumber. Conversely, every applicant ought to be treated as a proband, i.e., tested with simultaneous EEG registration, EEG analysis, determination of the best suitable area on the cranial surface and EEG frequency, separately for vigilance, relaxation, hypnagogic phase and mentation, and--in keeping with the above rules--have individual parameters of the alarm device adjusted accordingly.

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