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
3期
168-172
,共5页
屈光不正%视网膜疾病%视神经疾病%合格鉴定%回顾性研究
屈光不正%視網膜疾病%視神經疾病%閤格鑒定%迴顧性研究
굴광불정%시망막질병%시신경질병%합격감정%회고성연구
Refractive errors%Retinal diseases%Optic nerve diseases%Eligibility determination%Retrospective studies
目的 分析近10年间因眼科疾病停飞的空军飞行员的患病情况,为进一步提高空军飞行员的航空卫生保障提供依据. 方法 回顾性分析近10年间在空军总医院住院诊疗期间因眼科疾病停飞的空军飞行员病例资料,对其基本情况、主要停飞疾病谱、飞行时间及飞行机种进行统计分析. 结果 近10年间总计有35例空军飞行员因眼科疾病停飞,均为男性,年龄(35.3±6.7)岁,飞行时间(1947.3±1252.8)h.其中歼(强)击机飞行员20例,轰炸机、运输机12例,直升机3例.导致停飞的前4位疾病是:屈光不正(11例)、视网膜疾病(8例)、视神经疾病(8例)、开角型青光眼(3例).主要眼科停飞疾病的年龄、机种、飞行时间分布,以及前5年与后5年主要停飞疾病分布均差异无统计学意义.11例屈光不正中6例为近视及近视散光,2例为混合散光,2例为老视,1例为远视;11例中仅1例屈光度在3.00 D以上. 结论 中青年空军飞行员是近10年间眼科疾病停飞的主要人群.屈光不正是最主要的眼科停飞疾病,其中低度数近视及近视散光比例最大.应尽快开展有关研究、采取有效措施,以维护空军飞行员合格的屈光状态,保障部队战斗力.
目的 分析近10年間因眼科疾病停飛的空軍飛行員的患病情況,為進一步提高空軍飛行員的航空衛生保障提供依據. 方法 迴顧性分析近10年間在空軍總醫院住院診療期間因眼科疾病停飛的空軍飛行員病例資料,對其基本情況、主要停飛疾病譜、飛行時間及飛行機種進行統計分析. 結果 近10年間總計有35例空軍飛行員因眼科疾病停飛,均為男性,年齡(35.3±6.7)歲,飛行時間(1947.3±1252.8)h.其中殲(彊)擊機飛行員20例,轟炸機、運輸機12例,直升機3例.導緻停飛的前4位疾病是:屈光不正(11例)、視網膜疾病(8例)、視神經疾病(8例)、開角型青光眼(3例).主要眼科停飛疾病的年齡、機種、飛行時間分佈,以及前5年與後5年主要停飛疾病分佈均差異無統計學意義.11例屈光不正中6例為近視及近視散光,2例為混閤散光,2例為老視,1例為遠視;11例中僅1例屈光度在3.00 D以上. 結論 中青年空軍飛行員是近10年間眼科疾病停飛的主要人群.屈光不正是最主要的眼科停飛疾病,其中低度數近視及近視散光比例最大.應儘快開展有關研究、採取有效措施,以維護空軍飛行員閤格的屈光狀態,保障部隊戰鬥力.
목적 분석근10년간인안과질병정비적공군비행원적환병정황,위진일보제고공군비행원적항공위생보장제공의거. 방법 회고성분석근10년간재공군총의원주원진료기간인안과질병정비적공군비행원병례자료,대기기본정황、주요정비질병보、비행시간급비행궤충진행통계분석. 결과 근10년간총계유35례공군비행원인안과질병정비,균위남성,년령(35.3±6.7)세,비행시간(1947.3±1252.8)h.기중섬(강)격궤비행원20례,굉작궤、운수궤12례,직승궤3례.도치정비적전4위질병시:굴광불정(11례)、시망막질병(8례)、시신경질병(8례)、개각형청광안(3례).주요안과정비질병적년령、궤충、비행시간분포,이급전5년여후5년주요정비질병분포균차이무통계학의의.11례굴광불정중6례위근시급근시산광,2례위혼합산광,2례위로시,1례위원시;11례중부1례굴광도재3.00 D이상. 결론 중청년공군비행원시근10년간안과질병정비적주요인군.굴광불정시최주요적안과정비질병,기중저도수근시급근시산광비례최대.응진쾌개전유관연구、채취유효조시,이유호공군비행원합격적굴광상태,보장부대전두력.
Objective To investigate the distribution of disqualified military pilots in last 10 years by reviewing the case reports from the Department of Ophthalmology of Air Force General Hospital for improving aeromedical support.Methods The clinical data of 35 disqualified Air Force pilots were collected from the Department of Ophthalmology of Air Force General Hospital.The age distribution,disease spectrum,flying hours and aircraft type were statistically analyzed.Results There were 35 male disqualified Air Force pilots due to opthalmic disease in the last 10 ten years.The mean age was (35.3±6.7) years and the mean flying hours were (1947.3±1252.8) h.There were 20 fighter (attack) pilots,12 transporter and bomber pilots and 3 helicopter pilots in these disqualified military pilots.The top four ophthalmic diseases of these disqualified pilots were ametropia (11cases),retinal disease (8 cases),optical neuropathy (8 cases) and open angle glaucoma (3 cases).There were no statistic differences in ages,aircraft types and flying hours among the main diseases.There were also no statistic differences in the distribution of the main diseases between the first and second five year periods of follow-up.There were 6 cases of myopia and myopic astigmatism,two cases of mixed astigmatism,two cases of presbyopia and one case of hyperopia in 11 cases of ametropia.Only one case of ametropia had the diopter more than 3.00 D.Conclusion The young and middle age Air Force pilots are the main population disqualified due to ophthalmic diseases in the last 10 years.Ametropia is the most common ophthalmologic disease causing medical disqualification.The myopia and myopic astigmatism with low or moderate refractive errors take the largest portion of ametropia.The necessary instruction and intervention are suggested.
