CAJ | 학술논문

目的：追踪低常远视力飞行学员远视力及屈光动态变化，为招飞体检标准提供依据。方法以空军航空航天大学2008年入校飞行学员为追踪对象，选择招飞时单眼或双眼0.8≤远视力＜1.0(低常远视力)飞行学员137人172眼为观察组；双眼远视力≥1.0(正常远视力)飞行学员134人268眼为对照组；分别对两组不同时间(招飞时、2009年和2010年)组内及组间远视力和屈光各变量进行比较分析。结果远视力中位数：2009、2010年观察组分别为1.04和0.94，对照组分别为1.24和1.20；远视力达标率：2009、2010年观察组分别为97.67%和97.65%，对照组分别为97.76%和93.56%；远视力变化：2009、2010年观察组分别有83.14%和45.89%由低常转变为正常；对照组远视力≥1.2比例较招飞时分别增加29.47%和8.78%。静态屈光构成：2009、2010年观察组和对照组均呈现组内近视和混合性散光比例逐年减少，远视比例稳定；静态屈光超标率：2009、2010年观察组分别为39.53%和28.65%，对照组分别为35.82%和31.72%，均无统计学意义。结论低常远视力飞行学员入学2年远视力均较招飞时提高，第一年尤为明显，屈光状态趋于稳定，两组屈光超标比例较高与单一电脑验光存在检测误差有关。
목적：추종저상원시력비행학원원시력급굴광동태변화，위초비체검표준제공의거。방법이공군항공항천대학2008년입교비행학원위추종대상，선택초비시단안혹쌍안0.8≤원시력＜1.0(저상원시력)비행학원137인172안위관찰조；쌍안원시력≥1.0(정상원시력)비행학원134인268안위대조조；분별대량조불동시간(초비시、2009년화2010년)조내급조간원시력화굴광각변량진행비교분석。결과원시력중위수：2009、2010년관찰조분별위1.04화0.94，대조조분별위1.24화1.20；원시력체표솔：2009、2010년관찰조분별위97.67%화97.65%，대조조분별위97.76%화93.56%；원시력변화：2009、2010년관찰조분별유83.14%화45.89%유저상전변위정상；대조조원시력≥1.2비례교초비시분별증가29.47%화8.78%。정태굴광구성：2009、2010년관찰조화대조조균정현조내근시화혼합성산광비례축년감소，원시비례은정；정태굴광초표솔：2009、2010년관찰조분별위39.53%화28.65%，대조조분별위35.82%화31.72%，균무통계학의의。결론저상원시력비행학원입학2년원시력균교초비시제고，제일년우위명현，굴광상태추우은정，량조굴광초표비례교고여단일전뇌험광존재검측오차유관。
Objective To provide the criteria for enrollment of combat flying cadets by following up their distant vision and refraction. Methods One hundred and thirty-seven flying cadets (172 eyes) from Aerospace and Aviation University of Air Force with their distant vision ≤0.8 (subnormal distant vision < 1.0) when they were enrolled in 2008 served as an observation group and 134 flying cadets (268 eyes) with their distant vision≥1.0 (normal distant vision) served as a control group. Their refraction and distant vision, examined at enrollment, in 2009 and 2010, were analyzed. Results The median distant vision (MDV) was 1.04 and 0.94 in observation group and 1.24 and 1.20 in control group in 2009 and 2010. The distant vision rate was 97.67%and 97.65%in observation group and 97.76%and 93.56%in control group in 2009 and 2010(P> 0.05). The distant vision became normal in 83.14%and 45.14%flying cadets of observation group and in 29.47%and 8.78%flying cadets of control group in 2009 and 2010(P<0.05). The myopia and mixed astigmatism decreased significantly and the hyperopia maintained stable in the two groups in 2009 and 2010. The state hyper-refraction was 39.53% and 28.65% in observation group and 35.82% and 31.72% in control group in 2009 and 2010(P>0.05). Conclusion The distant vision of flying cadets is higher 2 years after enrollment, especially 1 year after enrollment. The refraction is stable 2 years after enrollment. The high refraction rate is related to the error of auto-refractor.