CAJ | 학술논문

目的：了解和分析不同机型海军飞行人员体质量指数（ BMI）相关疾病及指标情况，为飞行人员营养卫生和健康保障提供依据。方法选取2012年1月至2013年12月在我院疗养的海军3种机型的222名飞行人员，分析比较3种机型BMI超标组和BMI正常组相关疾病检出率及指标，并分析不同年龄、不同飞行时间相关疾病检出率。结果（1）3种机型飞行人员BMI均值差异无统计学意义（P＞0．05），超标检出率差异无统计学意义（P＞0．05）。（2）3种机型超标组飞行人员高三酰甘油血症（HTG）检出率均明显高于同机型BMI正常组（P分别＜0．01、＜0．05、＜0．05）。超标组机型二飞行人员高尿酸血症（HUA）、机型三飞行人员高胆固醇血症（HCHO）检出率均明显高于同机型BMI正常组（均为P＜0．05）。（3）不同机型BMI超标组比较：机型一飞行人员收缩压（SBP）水平明显低于机型三飞行人员（P＜0．01），机型一、机型二飞行人员尿酸（UA）水平明显高于机型三飞行人员（均为P＜0．05）。不同机型BMI正常组比较：机型一、机型三飞行人员空腹血糖（ FPG）水平均明显高于机型二飞行人员（均为P＜0．05）。（4）年龄和飞行时间对机型一、机型三飞行人员BMI超标检出率有不同程度影响（ P＜0．05或P＜0．01），对机型二飞行人员超标检出率无明显影响（P＞0．05）。结论不同机种飞行因素和BMI超标是导致飞行人员相关疾病及相关指标紊乱的重要原因，应予重视。
목적：료해화분석불동궤형해군비행인원체질량지수（ BMI）상관질병급지표정황，위비행인원영양위생화건강보장제공의거。방법선취2012년1월지2013년12월재아원요양적해군3충궤형적222명비행인원，분석비교3충궤형BMI초표조화BMI정상조상관질병검출솔급지표，병분석불동년령、불동비행시간상관질병검출솔。결과（1）3충궤형비행인원BMI균치차이무통계학의의（P＞0．05），초표검출솔차이무통계학의의（P＞0．05）。（2）3충궤형초표조비행인원고삼선감유혈증（HTG）검출솔균명현고우동궤형BMI정상조（P분별＜0．01、＜0．05、＜0．05）。초표조궤형이비행인원고뇨산혈증（HUA）、궤형삼비행인원고담고순혈증（HCHO）검출솔균명현고우동궤형BMI정상조（균위P＜0．05）。（3）불동궤형BMI초표조비교：궤형일비행인원수축압（SBP）수평명현저우궤형삼비행인원（P＜0．01），궤형일、궤형이비행인원뇨산（UA）수평명현고우궤형삼비행인원（균위P＜0．05）。불동궤형BMI정상조비교：궤형일、궤형삼비행인원공복혈당（ FPG）수평균명현고우궤형이비행인원（균위P＜0．05）。（4）년령화비행시간대궤형일、궤형삼비행인원BMI초표검출솔유불동정도영향（ P＜0．05혹P＜0．01），대궤형이비행인원초표검출솔무명현영향（P＞0．05）。결론불동궤충비행인소화BMI초표시도치비행인원상관질병급상관지표문란적중요원인，응여중시。
Objective To investigate and analyze BMI-related diseases and related indexes of naval aviators flying different types of aircraft, so as to provide good evidence for nutritional and health support of naval aviators.Methods Two hundred and twenty-two naval aviators flying 3 different types of aircraft, who stayed in the sanatorium from January 2012 to December 2013, were chosen as our study subjects.Then, disease detection rates and related indexes of the aviators flying 3 different types of aircraft were compared be-tween the high BMI group and the normal BMI group, and the relationship in different ages/different flying service time versus detection rates/related indexes was analyzed accordingly.Results (1) No significant differences could be noted in the average BMI data, when comparisons were made between the aviators flying the 3 different types of aircraft (P >0.05),and significant differences could neither be seen in the detection rates of high BMI (P >0.05).(2) Detection rates of hypertriglyceridemia (HTG) in the high BMI aviators flying the 3 different types of aircraft were obviously higher than those of the normal BMI aviators flying the same type of aircraft ( P<0.01, P<0.05, P<0.05).Detection rates of HUA for the high BMI aviators flying type II aircraft and detection rates of HCHO for the high BMI aviators flying type III aircraft were all significantly higher than those of the normal BMI aviators flying the same type of aircraft (P<0.05).(3)The following was a comparison between the high BMI aviators flying different types of aircraft.The SBP level of the aviators flying type I aircraft was significantly lower than that of the aviators flying type III aircraft (P<0.01).The UA level of the aviators flying type I and II aircraft was significantly higher than that of the aviators flying type III aircraft (P<0.05).The following was a comparison between the normal BMI aviators flying different types of aircraft.The FPG level of the aviators flying type I and III air-craft was significantly higher than that of the aviators flying type II aircraft (P<0.05).(4) For aviators flying type I and III aircraft, age and flying service time had effects to various extent on the detection rate of high BMI (P<0.05 or P<0.01), however, there was no sig-nificant difference in the detection rate of high BMI in aviators flying type II aircraft (P<0.05).Conclusion Flying factors and high BMI were the main factors associated with related diseases and disorder of related indexes, to which attention should be paid.