CAJ | 학술논문

目的了解空勤人员眼底疾病分布情况,探索眼底照相技术在临床航空医学中的作用.方法采用免散瞳眼底照相机和直接检眼镜对飞行员、空中交通管制人员及机械员进行检查,分析免散瞳眼底照相方法检查眼底的可靠性. 结果 1212人接受了眼底检查,两种方法同时检查的有723人.在后者中检出眼底疾病219例,其中视网膜动脉硬化居首位,占14.2%;其次为糖尿病视网膜病变和黄斑部病变,分别占5.6%和5.7%.眼底照相方法与传统的直接检眼镜检查结果符合率为92.4%,Kappa值为0.81,但优于后者.与直接检眼镜检查比较,眼底照相新发现眼底病54例. 结论免散瞳眼底照相是一项操作简便、记录客观的方法 ,适合在空勤人员体检和对心脑血管事件危险因子预测中应用.
목적 료해공근인원안저질병분포정황,탐색안저조상기술재림상항공의학중적작용.방법 채용면산동안저조상궤화직접검안경대비행원、공중교통관제인원급궤계원진행검사,분석면산동안저조상방법 검사안저적가고성. 결과 1212인접수료안저검사,량충방법 동시검사적유723인.재후자중검출안저질병219례,기중시망막동맥경화거수위,점14.2%;기차위당뇨병시망막병변화황반부병변,분별점5.6%화5.7%.안저조상방법 여전통적직접검안경검사결과 부합솔위92.4%,Kappa치위0.81,단우우후자.여직접검안경검사비교,안저조상신발현안저병54례. 결론 면산동안저조상시일항조작간편、기록객관적방법 ,괄합재공근인원체검화대심뇌혈관사건위험인자예측중응용.
Objective To investigate the ocular fundus disease in aircrew members and explore the role of ocular fundus camera in clinical aviation medicine. Methods The ocular fundus of pilots,air controllers and flight engineers were examined by direct ophthalmoloscope and non-mydriatic fundus camera during annual physical examination. Results 1212 aircrew members were examined and 723 subjects were examined by both methods. In latter,219 subjects were found to have abnormal ocular fundus. The most abnormal was retinal arteriosclerosis and was about 14.2%. The secondary abnormal were diabetic retinopathy and macular diseases and were about 5.6% and 5.7% respectively.The accordant rate of two methods was 92.4% and Kappa value was 0.81. Compared with directophthalmoscope method, additional 54 abnormal ocular fundus cases were found by non-mydriatic fundus camera. Conclusions Non-mydriatic fundus camera technique is a convenient and objective method to record abnormal retinal images. It is fit for medical physical examination and cardiovascular and cerebrovascular events risk factor prediction in aviation medicine.