2006年陆军航空兵直升机飞行员疾病谱分析
2006년륙군항공병직승궤비행원질병보분석
Analysis of disease spectrum of Army Aviation helicopter pilots in 2006
  • 万方数据
    中华航空航天医学杂志 중화항공항천의학잡지
    CHINESE JOURNAL OF AEROSPACE MEDICINE
    2009年 3期 161-165 ,共5页

    肖丹%闫永平%李海涛%王波%张磊%张景霞%张延亮%肇刚%潘建%周长明%于晓春%孟晨曦%朱长远%谢玮华%苏檩%任维乐%李红%吴新%叶义财%门可

    초단%염영평%리해도%왕파%장뢰%장경하%장연량%조강%반건%주장명%우효춘%맹신희%주장원%사위화%소름%임유악%리홍%오신%협의재%문가

    合格鉴定%体格检查%人员选用%患病率 閤格鑒定%體格檢查%人員選用%患病率
    합격감정%체격검사%인원선용%환병솔
    Eligibility determination%Physical examination%Personnel selection%Prevalence
    目的 研究陆军航空兵(陆航)直升机飞行员疾病谱,为航卫保障提供依据.方法 随机抽取2006年参加大体检的陆航直升机飞行员516人,查阅疾病诊断,分析疾病谱、年龄组疾病谱及主要疾病患病率,采用秩和比法比较各年龄组主要疾病类型构成.结果 ①2006年陆航直升机飞行员疾病谱的前10位疾病及其患病率分别是:脂肪肝(9.88%)、高脂血症(6.98%)、胆囊息肉(3.49%)、腰椎间盘突出症(2.33%)、窦性心动过缓(2.33%)、胆结石(2.13%)、慢性胃炎(1.74%)、肾囊肿(1.55%)、肝内钙化灶(1.36%)和高血压(1.16%).②3个年龄组陆航直升机飞行员脂肪肝患病率均较高,分别是1.98%、9.66%和45.59%.各年龄组患病率存在差异的主要疾病是脂肪肝、慢性胃炎、高脂血症、胆囊息肉、肝内钙化灶、高血压和糖尿病.③3个年龄组主要疾病类型构成的和谐系数是0.7486,各组主要疾病类型构成基本一致(χ~2=17.97,P<0.05).结论 ①陆航直升机飞行员主要疾病与我军空军飞行员基本相似,但疾病谱的前10位无歼击机飞行员常见的航空性疾病;疾病谱中多数顺位靠前的疾病患病率低于我军其他飞行员的患病率水平.②陆航直升机飞行员脂肪肝及高脂血症的患病率随年龄增长过快.各种致病因素对腰背部、颈肩部疾病的发生可能有累积作用.③在比较陆航直升机飞行员各组主要疾病类型构成的一致性时,秩和比法是一种有效的方法.
    목적 연구륙군항공병(륙항)직승궤비행원질병보,위항위보장제공의거.방법 수궤추취2006년삼가대체검적륙항직승궤비행원516인,사열질병진단,분석질병보、년령조질병보급주요질병환병솔,채용질화비법비교각년령조주요질병류형구성.결과 ①2006년륙항직승궤비행원질병보적전10위질병급기환병솔분별시:지방간(9.88%)、고지혈증(6.98%)、담낭식육(3.49%)、요추간반돌출증(2.33%)、두성심동과완(2.33%)、담결석(2.13%)、만성위염(1.74%)、신낭종(1.55%)、간내개화조(1.36%)화고혈압(1.16%).②3개년령조륙항직승궤비행원지방간환병솔균교고,분별시1.98%、9.66%화45.59%.각년령조환병솔존재차이적주요질병시지방간、만성위염、고지혈증、담낭식육、간내개화조、고혈압화당뇨병.③3개년령조주요질병류형구성적화해계수시0.7486,각조주요질병류형구성기본일치(χ~2=17.97,P<0.05).결론 ①륙항직승궤비행원주요질병여아군공군비행원기본상사,단질병보적전10위무섬격궤비행원상견적항공성질병;질병보중다수순위고전적질병환병솔저우아군기타비행원적환병솔수평.②륙항직승궤비행원지방간급고지혈증적환병솔수년령증장과쾌.각충치병인소대요배부、경견부질병적발생가능유루적작용.③재비교륙항직승궤비행원각조주요질병류형구성적일치성시,질화비법시일충유효적방법.
    Objective To investigate the disease spectrum of Army Aviation helicopter pilots and provide suggestions to aeromedical service. Methods Cases of 516 helicopter pilots, who were in annual physical examination, were randomly sampled and divided into 3 groups by age. Process included reviewing diagnosis history, analyzing spectrum of disease and its distribution by age, as well as the prevalence of common diseases. Rank Sum Ratio was employed for comparing the distribution of common diseases in different age group. Results ① The top 10 diseases in helicopter pilots of the Army Aviation in 2006 were fatty liver (9.88%), hyperlipidemia (6.98%), gallbladder polypus (3.49%), lumbar disc herniation(2.33%), sinus bradycardia (2.33%), gall-stone(2.13%), chronic gastritis (1.74%), kidney cyst (1.55%), calcify of liver (1.36%) and hypertension (1.16%). ② The prevalence of fatty liver in each group was respectively 2.13%, 9. 29% and 45.59%, which was at a relative higher level The prevalence of fatty liver, chronic gastritis, hyperlipidemia, gallbladder polypus, calcify of liver, hypertension and diabetes was significantly different from each age group. ③ The WR of 3 age groups was 0.7486 and it showed a good concordance of common diagnoses in each age group (χ~2=17.97, P<0.05). Conclusions ①The common diseases of helicopter pilot of Army Aviation are prevalent as common as those of Chinese Air Force pilot on the whole. Compared to more frequent prevalence in other military pilots, no nero-related diseases appeared in the top 10 of helicopter pilots. ② The prevalence of fatty liver and hyperlipidemia increases rapidly with age. The accumulative effect of nosogenesis may exist and result in the diseases of lumber, back, neck and shoulder. ③ Rank Sum Ratio is an effective indication for comparing the concordance of common diagnoses in different group.
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