CAJ | 학술논문

目的本研究旨在对航空兵部队的中年歼击机飞行人员超声检查颈动脉测量其内-中膜（IMT）厚度，用以了解空勤食堂的饮食对歼击机飞行人员颈动脉的影响，从而为歼击机飞行人员预防高血压病、脑梗塞、冠心病、糖尿病等疾病以及评估这些疾病对歼击机飞行人员的影响提供临床价值。方法对航空兵部队的76名40岁以上患脂肪肝、高甘油三脂血症的歼击机飞行人员使用高频探头进行常规的颈动脉超声检查，分别检查双侧颈总动脉、颈内动脉。按内-中膜厚≥1.0mm为增厚，内-中膜局限性≥1.5mm定义为斑块的标准统计分析内-中膜厚度及其它阳性疾病。结果所检歼击机飞行人员颈动脉内-中膜正常67例，颈动脉局部内-中膜增厚9例，颈动脉粥样斑块4例，其中3例发生在颈总动脉膨大分叉处，另一例发生在颈内动脉起始处，其中2例斑块内伴钙化。结论颈动脉超声可以检出歼击机飞行人员的颈动脉的血管疾病，对歼击机飞行人员心血管疾病的预防和治疗具有重要的临床指导意义。
목적본연구지재대항공병부대적중년섬격궤비행인원초성검사경동맥측량기내-중막（IMT）후도，용이료해공근식당적음식대섬격궤비행인원경동맥적영향，종이위섬격궤비행인원예방고혈압병、뇌경새、관심병、당뇨병등질병이급평고저사질병대섬격궤비행인원적영향제공림상개치。방법대항공병부대적76명40세이상환지방간、고감유삼지혈증적섬격궤비행인원사용고빈탐두진행상규적경동맥초성검사，분별검사쌍측경총동맥、경내동맥。안내-중막후≥1.0mm위증후，내-중막국한성≥1.5mm정의위반괴적표준통계분석내-중막후도급기타양성질병。결과소검섬격궤비행인원경동맥내-중막정상67례，경동맥국부내-중막증후9례，경동맥죽양반괴4례，기중3례발생재경총동맥팽대분차처，령일례발생재경내동맥기시처，기중2례반괴내반개화。결론경동맥초성가이검출섬격궤비행인원적경동맥적혈관질병，대섬격궤비행인원심혈관질병적예방화치료구유중요적림상지도의의。
Object To detect carotid artery intima-media thickness(IMT) in Air Force pilots aged using the color Doppler ultrasound .In order to understand the influence of flight cafeteria diet on the pilot of carotid artery and prevent of hypertension, cerebral infarction, coronary heart disease, diabetes and other diseases to provide clinical value. Methods The pilots of air force in 76 over the age of 40 suffered from fatty liver and hyperlipidemia did the routine ultrasound examination. To analysis IMT and other diseases in accordance with the IMT ≥1.0mm for thickening and IMT≥1.5mm for plaque. Result The 67 cases of carotid artery intima-media were normal,9 cases were partial carotid intima-media thickening and 4 cases were carotid atherosclerotic plaque formation.Conclusion Carotid artery ultrasound could be used to detect pilot carotid vascular disease.It has the important clinical significance for pilots with cardiovascular disease prevention and treatment.