CAJ | 학술논문

目的探讨过荷对歼击机飞行员颈椎和间盘组织可能产生的影响及其临床意义. 方法同期采集一组歼击机飞行员(n=57)和一组地勤人员( n=28)的颈椎CT, X线检查资料，进行颈椎病发生率的比较及其与颈椎结构、相关病史关系的分析. 结果飞行员颈椎病发生率高达33.3%，远较对照组10.7%高( P<0.05)，飞行员颈椎弧弦距小于0.7 cm者为40.4%，显著高于对照组17.9%，(P<0.05 ). 有颈椎病相关病史者(包括头晕、恶心、头痛、颈部不适、上肢麻木、无力等)，颈椎病发病率高. 结论过载是歼击机飞行员颈椎病发病率高的主要原因之一，年龄和飞行时间是主要影响因素，因此应加强歼击机飞行员颈部保护.
목적탐토과하대섬격궤비행원경추화간반조직가능산생적영향급기림상의의. 방법동기채집일조섬격궤비행원(n=57)화일조지근인원( n=28)적경추CT, X선검사자료，진행경추병발생솔적비교급기여경추결구、상관병사관계적분석. 결과비행원경추병발생솔고체33.3%，원교대조조10.7%고( P<0.05)，비행원경추호현거소우0.7 cm자위40.4%，현저고우대조조17.9%，(P<0.05 ). 유경추병상관병사자(포괄두훈、악심、두통、경부불괄、상지마목、무력등)，경추병발병솔고. 결론과재시섬격궤비행원경추병발병솔고적주요원인지일，년령화비행시간시주요영향인소，인차응가강섬격궤비행원경부보호.
AIM　To study potential effects of overload on pilots'cervical vertebrae and intervertebral disc, and its clinical significance.METHODS　Data of CT, X-ray examination of a group of pilot and a group of ground crew were synchronously collected. Incidences of cervical spondy lopathy were studied. Their relations to cervical vertebral structure and the relevant case history were analyzed. RESULTS　Pilots' incidence of cervical spondylopathy reached 33.3%, m uch higher than 10.7% of the control group (P<0.05). Pilots with cervical fl exure distance shorter than 0.7 cm accounted for 40.4%, significantly higher tha n 1 7.9% in the control group (P<0.05). People with history of spondylopathy ( including dizziness, nausea, headache cervical indisposition, brachial palsy, we ak ness, etc) had a high incidence of spondylopathy. CONCLUSION　1. Overload is one of the main reasons that causes of high incidence of cervical s po ndylopathy on pilots. 2. It is also one of the factors that accelerate degenera tive metamorphosis of cervical vertebrae with the result that the pilots cervi cal flexure distance becomes markedly less than normal.