心脏彩色超声检查在招飞体检中鉴别心脏杂音性质的应用

Application of ultrasonic cardiogram in physical examination of student pilot candidates with heart murmur

目的探讨彩色超声心动图技术在招飞体检内科中鉴定心脏杂音性质的应用价值。方法比较2005年(未采用心脏彩色超声检查)及2006年(采用心脏彩色超声检查)招飞体检中心脏问题超标的淘汰率,并分析比较2006年因不同原因进行了心脏彩色超声检查的63名学生的淘汰率。结果2005年招飞体检中心脏问题超标的淘汰率为17．41%(233/1338),2006年为12．33%(170/ 1379),其差异有显著性意义(P＜0．01)。2006年因心脏杂音超标进行心脏彩色超声检查的46人中20人被淘汰,因心脏其他原因进行检查的17人中2人被淘汰,其淘汰率的差异有显著性意义(P＜0．05)。结论心脏彩色超声检查为招飞体检提供了准确、科学的诊断依据,减少了招飞体检中的误淘,提高了招飞体检的质量。

Objective To evaluate the value of adopting ultrasonic cardiogram （UCG） for appraisement of student pilot candidates with heart murmur. Methods The elimination rate of candidates with cardiac problems before adopting UCG in 2005 was compared with that in 2006 after adopting UCG. UCG was performed in 63 candidates screened according to the indication, including 46 cases with cardiac murmur and 17 cases with cardiac problems other than cardiac murmur; the elimination rates of two groups were compared. Results The elimination rate due to heart problems in 2005 [17.41%（233/1338）1 was significantly higher than that in 2006 [12.33% （170/1379）]（P〈0.01）. The elimination rate based on UCG findings of 46 candidates with cardiac murmur （20/46） was significantly higher than that of 17 candidates with cardiac problems other than cardiac murmur （2/17） （P〈0.05）. Conclusions UCG can provide accurate, objective basis for medical assessment of candidates, decrease the rate of erroneous disqualification, and improve the quality of physical examination of flying student candidates.