Shift work and disturbed sleep/wakefulness.
Shift work and disturbed sleep/wakefulness.
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DOI：
10.1016/s1087-0792(98)90004-1
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发表时间：
1998-05-01
影响因子：
10.5
通讯作者：
Akerstedt, T
中科院分区：
文献类型：
--
作者：
Akerstedt, T
本文回顾了倒班工作的影响，发现强烈的，急性影响睡眠和警觉性有关的夜间和上午的工作。然而，这种影响似乎挥之不去，也影响了休息日。这些干扰的水平与临床失眠中观察到的水平相似，并且可能因疲劳相关事故和生产力下降而造成相当大的人力和经济成本。这些干扰背后的机制是昼夜节律系统在白天睡眠期间的睡眠干扰特性和在夜间工作期间相应的睡眠促进特性。可以使用各种策略来抵消轮班工作的影响，如小睡，轮班之间足够的恢复时间，顺时针旋转等，但似乎不可能更多地消除影响，只有减少它们。
This paper reviews the effects of shift work and finds strong, acute effects on sleep and alertness in relation to night and morning work. The effects seem, however, to linger and also affect days off. The level of the disturbances is similar to that seen in clinical insomnia and may be responsible for considerable human and economical costs due to fatigue related accidents and reduced productivity. The mechanism behind the disturbances is the sleep interfering properties of the circadian system during day sleep and the corresponding sleep promoting properties during night work. Various strategies may be used to counteract the effects of shift work, such as napping, sufficient recovery time between shifts, clockwise rotation, etc. Still it does not seem possible to more eliminate the effects-only to reduce them.