A FIELD-STUDY OF THE EFFECTS OF TRAFFIC NOISE ON HEART-RATE AND CARDIAC-ARRHYTHMIA DURING SLEEP
A FIELD-STUDY OF THE EFFECTS OF TRAFFIC NOISE ON HEART-RATE AND CARDIAC-ARRHYTHMIA DURING SLEEP
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DOI：
10.1006/jsvi.1994.1014
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发表时间：
1994-01-13
影响因子：
4.7
通讯作者：
HUNYOR, SN
中科院分区：
文献类型：
--
作者：
CARTER, NL;INGHAM, P;HUNYOR, SN
本研究的目的是检验交通噪音会增加易感人群睡眠时心率、心律失常的频率或严重程度的假设。对生活在繁忙道路上的七名老人进行连夜连续监测睡眠、心电图、呼吸和血氧饱和度等生理指标。在进行生理测量的同时，对室外、立面和室内卧室的噪声进行连续记录，并对交通进行视频记录。每隔 20 s 测量一次 LAeq、LAmax、LApk、LA90、LA10 和 LA1，并记录持续 2 s 或更长时间的室外超过 70 dB(A) 和室内超过 50 dB(A) 的噪声事件。 03:00 至 05:00 期间，65% 的交通由重型车辆组成。当窗户稍微打开时，室内和室外的噪音大大超过了当地和国际建议的充足睡眠标准。其中四名男性在睡眠期间出现心律失常。心率和心律失常频率与室内LAeq、LApkorLA1、第2阶段、第4阶段和快速眼动睡眠不相关。四名患有心律失常的受试者中的两名显示出单一室内噪音事件与 20-40 秒后心脏异位搏动频率之间的显着关联（p < 0·05），主要是在第 4 阶段睡眠中。
The aim of this study was to test the hypothesis that traffic noise could increase heart rate, and the frequency or severity of cardiac arrhythmias in susceptible people while asleep. Physiological indicators of sleep, electrocardiograph, and respiration and blood oxygen saturation were monitored continuously overnight in seven elderly men living on a busy road. Continuous recordings of the noise outdoors, at the facade, and indoors in the bedrooms, and video recordings of the traffic were made, simultaneously with the physiological measurements.LAeq,LAmax,LApk,LA90,LA10andLA1were measured in each 20 s interval, and noise events exceeding 70 dB(A) outdoors and 50 dB(A) indoors for 2 s or longer were logged. Between 03:00 and 05:00 hours, 65% of the traffic consisted of heavy vehicles. With windows open slightly, indoor and outdoor noise exceeded all local, and internationally recommended criteria for adequate sleep by a wide margin. Cardiac arrhythmia occurred during sleep in four of the men. Heart rate and frequency of cardiac arrhythmia were not correlated with indoorLAeq,LApkorLA1, in stage 2, stage 4 and REM sleep. Two of the four subjects with cardiac arrhythmia showed a significant association (p< 0·05), predominantly in stage 4 sleep, between single indoor noise events and the frequency of cardiac ectopic beats 20-40 s later.