飞行人员神经衰弱病因学的对照研究

A CASE-CONTROL STUDY OF THE PATHOGENESIS OF NEURASTHENIA DISEASES IN PILOTS

用“病例-对照”的研究方法,探讨了飞行人员神经衰弱发生的有关危险因素。病例组和对照组共101例,详细分析比较了两组的人格结构、心理状况、负性生活事件史、躯体疾病史以及家族遗传史等。单因素统计分析结果显示,病例组的飞行人员不仅具有明显的心理不健康因素、内向性格和家族遗传倾向,而且遭遇了较强、较频负性生活事件的打击,多因素条件logistic回归分析结果也显示,人格因素、负性生活事件和心理情绪的病态是飞行人员神经衰弱发生的最主要危险因素。说明了该疾病的发生是多种个体因素和社会心理因素综合作用的结果。应引起航空医学部门和医学鉴定部门的关注和重视。

A cases control study was on the risk factors of neurasthenia in the pilots. 52 patients and 49 controls were matched with age, econmic stata, education level, flying time and types of aircraft. The results were as follows: (1) The singlular factor analysis indicated that the total scores of introversion, mental disorder, negative life events and hereditary factor were significantly higher than those of the controls. (2) The analysis of conditionlogistic -regression showed that the multiple psychological factors were taking part in the pathogenesis of neurasthenia in pilots.