中华航空航天医学杂志
中華航空航天醫學雜誌
중화항공항천의학잡지
CHINESE JOURNAL OF AEROSPACE MEDICINE
2010年
3期
205-208
,共4页
肖晓光%郑军%王继红%刘淑萍%周金立%冯俊岩%宣萍%魏磊
肖曉光%鄭軍%王繼紅%劉淑萍%週金立%馮俊巖%宣萍%魏磊
초효광%정군%왕계홍%류숙평%주금립%풍준암%선평%위뢰
人员选用%体格检查%合格鉴定%肾下垂
人員選用%體格檢查%閤格鑒定%腎下垂
인원선용%체격검사%합격감정%신하수
Personnel selection%Physical examination%Eligibility determination%Nephroptosis
目的 观察飞行学员肾下垂随时间的变化情况,为招飞体检时肾下垂医学鉴定标准掌握提供参考. 方法 对招飞体检时肋下可触及肾脏的86名飞行学员(观察组)和随机选择的肋下未触及肾脏的51名学员(对照组)进行跟踪随访,并将观察组按照立位深吸气时是否肋缘下可触及右肾一半以上进一步分为肾下移组(63名)和肾下垂组(23名),观察其在基础学习训练期间的健康状况,两年后复查肾脏触诊和超声检查肾脏位置变化情况,以及有无运动后血尿,对检查结果 进行对比分析. 结果 经过两年学习训练,观察组飞行学员体重增加.超声测量右肾脏下极距右髂后上嵴距离显示:对照组学员肾脏位置无明显变化[(6.0±0.7)cm比(5.9±1.0)cm,t=0.668,P＞0.05],肾下移组肾脏位置有所下降[(5.3±1.0)cm比(5.6±0.7)cm,t=2.961,P＜0.01],肾下垂组肾脏位置下降更明显[(3.9±0.6)cm比(5.3±0.4)cm,t=10.451,P＜0.01].肾下垂组有2名飞行学员出现劳累后腰酸、腰痛等临床症状. 结论 通过两年航空大学常规基础体能训练,肾下移和肾下垂飞行学员肾脏位置没有改善,反而进一步下移,建议招飞体检时应进一步重视肾下垂的检查和医学鉴定,必要时结合超声检查进行评定.
目的 觀察飛行學員腎下垂隨時間的變化情況,為招飛體檢時腎下垂醫學鑒定標準掌握提供參攷. 方法 對招飛體檢時肋下可觸及腎髒的86名飛行學員(觀察組)和隨機選擇的肋下未觸及腎髒的51名學員(對照組)進行跟蹤隨訪,併將觀察組按照立位深吸氣時是否肋緣下可觸及右腎一半以上進一步分為腎下移組(63名)和腎下垂組(23名),觀察其在基礎學習訓練期間的健康狀況,兩年後複查腎髒觸診和超聲檢查腎髒位置變化情況,以及有無運動後血尿,對檢查結果 進行對比分析. 結果 經過兩年學習訓練,觀察組飛行學員體重增加.超聲測量右腎髒下極距右髂後上嵴距離顯示:對照組學員腎髒位置無明顯變化[(6.0±0.7)cm比(5.9±1.0)cm,t=0.668,P＞0.05],腎下移組腎髒位置有所下降[(5.3±1.0)cm比(5.6±0.7)cm,t=2.961,P＜0.01],腎下垂組腎髒位置下降更明顯[(3.9±0.6)cm比(5.3±0.4)cm,t=10.451,P＜0.01].腎下垂組有2名飛行學員齣現勞纍後腰痠、腰痛等臨床癥狀. 結論 通過兩年航空大學常規基礎體能訓練,腎下移和腎下垂飛行學員腎髒位置沒有改善,反而進一步下移,建議招飛體檢時應進一步重視腎下垂的檢查和醫學鑒定,必要時結閤超聲檢查進行評定.
목적 관찰비행학원신하수수시간적변화정황,위초비체검시신하수의학감정표준장악제공삼고. 방법 대초비체검시륵하가촉급신장적86명비행학원(관찰조)화수궤선택적륵하미촉급신장적51명학원(대조조)진행근종수방,병장관찰조안조립위심흡기시시부륵연하가촉급우신일반이상진일보분위신하이조(63명)화신하수조(23명),관찰기재기출학습훈련기간적건강상황,량년후복사신장촉진화초성검사신장위치변화정황,이급유무운동후혈뇨,대검사결과 진행대비분석. 결과 경과량년학습훈련,관찰조비행학원체중증가.초성측량우신장하겁거우가후상척거리현시:대조조학원신장위치무명현변화[(6.0±0.7)cm비(5.9±1.0)cm,t=0.668,P＞0.05],신하이조신장위치유소하강[(5.3±1.0)cm비(5.6±0.7)cm,t=2.961,P＜0.01],신하수조신장위치하강경명현[(3.9±0.6)cm비(5.3±0.4)cm,t=10.451,P＜0.01].신하수조유2명비행학원출현로루후요산、요통등림상증상. 결론 통과량년항공대학상규기출체능훈련,신하이화신하수비행학원신장위치몰유개선,반이진일보하이,건의초비체검시응진일보중시신하수적검사화의학감정,필요시결합초성검사진행평정.
Objective To observe the change of nephroptosis with time in flying cadets and provide references to the evaluation standard of diagnosing nephroptosis in selection of flying cadets.Methods Follow up was taken both for 86 flying cadets with different degree of nephroptosis (observation group) and 51 randomly selected cadets without nephroptosis (control group). The observation group was further divided into kidney descending group ((53 cadets) and nephroptosis group (23 cadets) according to if the half or more kidney could be touched by palpation when cadet was in standing position and holding deep breath. Two years later, kidney palpation and ultrasonic examination were performed again to check the position of kidney and their urine was tested after 3000 m running for inspecting occult blood. All data were compared and analyzed. Results Cadets in observation group showed increased body mass index in two years. The distance between anus perineum of right kidney and right posterior superior iliac spine depended by ultrasound examination was decreased significantly both in kidney descending group [(5. 3 ± 1.0) cm compared to (5. 6 ±0.7) cm, t=2.961, P＜0. 01] and nephroptosis group [(3.9±0.6) cm compared to (5.3±0.4) cm,t=10. 451, P＜0.01] but in control group [(6.0±0.7) cm compared to (5.9±1.0) cm, t=0. 668,P＞0.05]. Two cadets in kidney descending group had a complaint of waist soreness and lumbago after exertion. Conclusions Flying cadets' nephroptosis has not been ameliorated and even more serious in two years of routine exercise in aviation university. The nephroptosis should be paid more attention in selection of flying cadets and diagnosis may be conducted with ultrasonic examination if necessary.
