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2003-2008年歼击机飞行员飞行不合格疾病谱分析
引用本文:刘红巾,徐先荣,程军,郑军,徐蜀宣,付兆君,张扬,崔丽,刘晶,熊巍.2003-2008年歼击机飞行员飞行不合格疾病谱分析[J].中华航空航天医学杂志,2009,20(3).
作者姓名:刘红巾  徐先荣  程军  郑军  徐蜀宣  付兆君  张扬  崔丽  刘晶  熊巍
作者单位:空军总医院全军临床航空医学中心,北京,100142
基金项目:军队医药卫生指令性课题 
摘    要:目的 分析2003-2008年近5年来歼击机飞行员飞行不合格疾病谱,并与我们曾报道的1965-2004年间歼击机飞行员飞行不合格的疾病谱比较,为联勤后航卫保障提供参考依据.方法 收集空军总医院2003年10月至2008年10月飞行不合格的180名歼击机飞行员病历资料,按疾病和机种类别、涉及专业及不同年龄段进行分类统计,并与既往资料比较.结果 ①飞行不合格的常见疾病为加速度耐力不良、颈腰椎病、头痛、高血压、神经症、地面晕厥、乙型肝炎、脑外伤和阻塞型睡眠呼吸暂停低通气综合征等.②飞行不合格机型分布以歼-7、歼-8最多.③与飞行不合格最相关的专科有神经科、骨科、耳鼻咽喉科和心血管内科等.④飞行不合格在35~39岁年龄段最多.⑤与既往资料比较,加速度耐力不良、飞行错觉和耳气压伤等所占比例下降;高血压等所占比例上升.结论 加速度耐力不良、颈腰椎病、头痛、神经症、胃肠功能紊乱、地面晕厥仍是飞行不合格的重要原因,高血压、糖尿病等占停飞比率有上升趋势,而航空病有下降趋势.

关 键 词:合格鉴定  体格检查  人员选用  患病率

Analysis of disease spectrum resulting in fighter pilots disqualified from 2003 to 2008
Abstract:Objective To investigate the disease spectrum resulting in fighter pilots disqualified from 2003 to 2008 and to compare with the former materials that we reported during the time from 1965 to 2004, in order to provide the reference for the aeromedical support of reformed logistics service union in army. Methods Medical case history data of grounded pilots' that kept in our hospital were reviewed and analyzed. Results ① The most contain diseases in spectrum that resulting in fighter pilot disqualified were acceleration intolerance, cervical and lumbar disorder, headache, hypertension, neurosis, ground syncope, hepatitis B, brain trauma, obstructed sleep apnca hypopnea syndrome(OSAHS). ② The F7 and F8 pilots were the most in disqualification. ③ The most disqualification related specialties were neurology, orthopedics, otorhinolaryngology and cardiovasology. ④ Most disqualified pilots were at the age from 35~39 years old. ⑤ By comparing with the case history data, the proportion of acceleration intolerance, flight illusion and ear barotraumas decreased while the proportion of hypertension increased. Conclusions The most common diseases of disqualified fighter pilots' were the acceleration intolerance, cervical and lumbar disorder, headache, neurosis, functional disturbances of gastrointestinal tract and ground syncope. The flying disqualification rates of hypertension and diabetes mellitus show increased tendency while the aviation diseases decreased.
Keywords:Eligibility determination  Physical examination  Personnel selection  Prevalence
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