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
2013年
1期
48-51
,共4页
周平%李晓娟%司慧远%徐先荣%张宏伟%王纯巍
週平%李曉娟%司慧遠%徐先榮%張宏偉%王純巍
주평%리효연%사혜원%서선영%장굉위%왕순외
住院病人%传染病%肝炎,病毒性,人%纵向研究%合格鉴定
住院病人%傳染病%肝炎,病毒性,人%縱嚮研究%閤格鑒定
주원병인%전염병%간염,병독성,인%종향연구%합격감정
Inpatients%Communicable diseases%Hepatitis,viral,human%Longitudinal studies%Eligibility determination
目的 通过了解住院飞行人员传染病疾病谱和临床特点以及对飞行的影响,为飞行人员的传染病防治及医学鉴定提供依据. 方法 回顾性分析空军总医院1993年5月-2012年8月住院诊治的飞行人员传染病患者的临床病历资料. 结果 19年间传染病住院飞行人员共105例,占同期飞行人员住院人数的0.93％；近5年来下降至0.31％(15/4915),与其他时期比,差异有统计学意义(P＜0.05).飞行人员传染病发病人数呈逐年减少趋势(x2=53.354,P＜0.01).105例传染病疾病分类共12种,排在前3位的是病毒性肝炎(65例)、细菌性痢疾(11例)和感染性腹泻(8例).肝炎病毒感染最为常见,占本组传染病疾病构成比的61.90％；其中乙型肝炎病毒感染51例,占本组传染病疾病构成比的48.57％.105例中医学鉴定结论为飞行不合格52例,停飞率49.52％.65例肝炎病毒感染者中飞行不合格52例,停飞率80.00％;3例地面观察期,待做医学鉴定.其他40例患者中除2例尚在康复治疗外,均经临床治疗后康复痊愈,医学鉴定结论为飞行合格. 结论 飞行人员传染病的发病率及其在飞行人员疾病构成上的比例总体上呈逐年下降,疾病谱相对单一,主要以病毒性肝炎特别是乙型病毒性肝炎和肠道感染性疾病为主,乙型病毒性肝炎是飞行人员传染病中最常见的疾病,也是停飞的最主要原因.
目的 通過瞭解住院飛行人員傳染病疾病譜和臨床特點以及對飛行的影響,為飛行人員的傳染病防治及醫學鑒定提供依據. 方法 迴顧性分析空軍總醫院1993年5月-2012年8月住院診治的飛行人員傳染病患者的臨床病歷資料. 結果 19年間傳染病住院飛行人員共105例,佔同期飛行人員住院人數的0.93％；近5年來下降至0.31％(15/4915),與其他時期比,差異有統計學意義(P＜0.05).飛行人員傳染病髮病人數呈逐年減少趨勢(x2=53.354,P＜0.01).105例傳染病疾病分類共12種,排在前3位的是病毒性肝炎(65例)、細菌性痢疾(11例)和感染性腹瀉(8例).肝炎病毒感染最為常見,佔本組傳染病疾病構成比的61.90％；其中乙型肝炎病毒感染51例,佔本組傳染病疾病構成比的48.57％.105例中醫學鑒定結論為飛行不閤格52例,停飛率49.52％.65例肝炎病毒感染者中飛行不閤格52例,停飛率80.00％;3例地麵觀察期,待做醫學鑒定.其他40例患者中除2例尚在康複治療外,均經臨床治療後康複痊愈,醫學鑒定結論為飛行閤格. 結論 飛行人員傳染病的髮病率及其在飛行人員疾病構成上的比例總體上呈逐年下降,疾病譜相對單一,主要以病毒性肝炎特彆是乙型病毒性肝炎和腸道感染性疾病為主,乙型病毒性肝炎是飛行人員傳染病中最常見的疾病,也是停飛的最主要原因.
목적 통과료해주원비행인원전염병질병보화림상특점이급대비행적영향,위비행인원적전염병방치급의학감정제공의거. 방법 회고성분석공군총의원1993년5월-2012년8월주원진치적비행인원전염병환자적림상병력자료. 결과 19년간전염병주원비행인원공105례,점동기비행인원주원인수적0.93％；근5년래하강지0.31％(15/4915),여기타시기비,차이유통계학의의(P＜0.05).비행인원전염병발병인수정축년감소추세(x2=53.354,P＜0.01).105례전염병질병분류공12충,배재전3위적시병독성간염(65례)、세균성이질(11례)화감염성복사(8례).간염병독감염최위상견,점본조전염병질병구성비적61.90％；기중을형간염병독감염51례,점본조전염병질병구성비적48.57％.105례중의학감정결론위비행불합격52례,정비솔49.52％.65례간염병독감염자중비행불합격52례,정비솔80.00％;3례지면관찰기,대주의학감정.기타40례환자중제2례상재강복치료외,균경림상치료후강복전유,의학감정결론위비행합격. 결론 비행인원전염병적발병솔급기재비행인원질병구성상적비례총체상정축년하강,질병보상대단일,주요이병독성간염특별시을형병독성간염화장도감염성질병위주,을형병독성간염시비행인원전염병중최상견적질병,야시정비적최주요원인.
Objective To provide prevention,treatment and medical evaluation references by investigating the aircrew infectious disease spectrum and clinic characteristics,as well as the impacts on flying.Methods The clinical data of the aircrews,who suffered from infectious diseases and hospitalized in Air Force General Hospital from May 1993 to August 2012,were analyzed retrospectively.Results One hundred and five infectious disease aircrews accounted for 0.93％ of total hospitalized aircrews in that period.In recent 5 years,the ratio declined to 0.31％ (15/4915) and was significantly lower than that of other periods (P＜ 0.05).The infection disease incidence showed decrease trend by year (x2 =53.354,P＜0.01).The 105 cases covered 12 infectious diseases.The top 3 infectious diseases in the spectrum were viral hepatitis (65/105),bacillary dysentery (11/105) and infectious diarrhea (8/105).Viral hepatitis was invasive most and took 61.90％ of total infectious diseases,including hepatitis B virus infection that accounted for 48.57％ of total infectious diseases (51/105).Out of 105 aircrews 52 were disqualified for flying and the grounding rate was 49.52％.Among 65 hepatitis virus infected aircrews,52 (80.00％) were grounded while 3 aircrews were under supervision and stood for final medical evaluation.The rest 40 aircrews were recovered bv medical treatment and were qualified for flying excepted 2 aircrews who were recovering under rehabilitation treatment.Conclusion The number and ratio of the hospitalized aircrews with infectious diseases are declined year by year.The viral hepatitis and intestinal infectious diseases take the top 2 in the spectrum of infectious disease.Especially the viral hepatitis B is the most prevalent infectious disease and becomes a major cause of aircrew's grounding.
