飞行人员慢性前列腺炎/慢性骨盆疼痛综合征的调查分析及干预对策

目的 了解男性飞行人员慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS)的发病情况,探讨有效的预防措施. 方法 将146名男性飞行人员、260名男性地勤人员分别按21～28岁、29～36岁、37岁以上分为3个年龄组;并将146名男性飞行人员,按1000 h以下、1001～2000 h、2001～3000 h、3001 h以上分为4个飞行时间段,及按歼击机、强击机、运输机、直升机和轰炸机分为5个机种.采用自编的前列腺健康知识调查问卷,根据美国国立卫生研究院慢性前列腺炎症状指数(NIH-CPSI)中的症状评分标准判定结果,及以前列腺液卵磷脂小体减少或消失,前列腺液细菌培养阴性做为诊断标准. 结果 共调查146名男性飞行人员,260名男性地勤人员.其中明确诊断为CP/CPPS的男性飞行人员和地勤人员,分别为16人和56人,且21～28岁年龄组的患病率高于其他年龄组,差异有统计学意义(P<0.05);不同飞行时间、不同飞行机种之间,CP/CPPS患病率差异无统计学意义. 结论 飞行人员中CP/CPPS的发病情况需引起重视.干预对策包括健康教育、心理辅导、饮水、适度的物理性治疗和药物治疗等方面.

Clinical survey on chronic prostatitis/chronic pelvic pain syndrome of flying personnel and countermeasures

Objective To get the information of flying personnel's chronic prostatitis/chronic pelvic pain syndrome(CP/CPPS) incidence, and discuss the effective countermeasures. Methods One hundred and forty-six flying personnel and 260 ground crews were questioned by a self-developed questionnaire on the subject of prostate gland health. In diagnosis the criteria of chronic prostatitis syndrome index issued by American National Institutes of Health (NIH-CPSI) was adopted, as well as the reduction or elimination of liquor prostaticus lecithine globule and negative result of liquor prostaticus germieulture test. The results from aviators were statistically analyzed by the groups of age (21-28 yrs, 29-36 yrs and older than 37 yrs), flying hours (<1000 h, 1001-2000 h, 2001-3000 h and >3001 h) and type of aircraft (fighter, attacker, transporter, bomber and helicopter). Results Sixteen flying personnel and 56 ground crews were diagnosed as CP/CPPS. The group of 21-28 years showed significant higher incidence than other age groups (P<0.05), but for that between flying hour groups and between aircraft type groups. Conclusions it is suggested that CP/CPPS should be cared in pilot recruiting and such countermeasures as healthy habit, psychological assistant, rehydration, proper physiotherapy and medication are proposed.