某地区四十五年间住院军事飞行人员病伤死因调查

A RETROSPECTIVE SURVEY ON THE CAUSES OF DEATH IN THE HOSPITALIZED MILTARY PILOTS IN A CERTAIN REGION DURING 45 YEARS

目的：研究军事飞行人员病伤死因，旨在为加强军事飞行人员死因疾病的预防、诊治提供临床航空流行病学依据。方法：采用回顾性调查方法对某地区４５ 年间住院军事飞行人员病伤死亡病例进行分析。死因疾病按照ＩＣＤ－ ９ 分类，编制“１９５０ ～１９９５ 年某地区军事飞行人员病伤死因构成”。死亡率以１９６４ 年全国标准人口构成标化。结果：４５ 年间军事飞行人员病伤死亡３８ 例，平均死亡年龄３１ ．４７ 岁。总病死率０ ．１２３ ％ 。死因疾病构成２０ 种，前６ 位是白血病、再生障碍性贫血、鼻咽癌、肺癌、恶性淋巴瘤、胃癌。本地区军事飞行人员死因疾病中恶性肿瘤历年代均居首位。军事飞行人员恶性肿瘤平均死亡率２２ ．６７／１０ 万，中国标化死亡率２４ ．２５／１０ 万，世界标化死亡率２１ ．７６／１０ 万。结论：某地区４５ 年间军事飞行人员病伤死亡中恶性肿瘤占全部死亡人数６０ ．２５ ％ 。

Objective: The aim of this study is to investigate the causes of death in hospitalized military pilots, and then provide the basic data for clinical aviation epidemiology. Methods: Causes of diseases and death in hospitalized military pilots in a certain region during 45 years were investigated and analysed with a retrospective survey. The causes of death were classifed according to ICD-9 and tabulated as“Constitution of the causes of death in hospitalized military pilots in a certain region during 1950～1995”. Mortality was standardized with nationwide standard population constitution of 1964. Results: 38 male cases died and the average death age was 31.47 years. The whole mortality was 0.123%. The diseases leading to death were mainly 20 diseases, among which the first diseases were leukemia, aplastic anemia, nasopharyngeal cancer, lung cancer, lymphosarcoma and stomach cancer. Malignant neoplasm was the leading cause of death in the military pilots in northeast China during vaious periods. The average mortality was 22.67/100 000, while SDR of China was 24.25/100 000,SDR of the world was 21.76/100000. Conclusion: The hospitalized military pilots mortality due to malignant neoplasm at the rate of 60.52% of the totol mortality during the 45 years. The results showed that the malignant neoplasm was the major cause of death in the hospitalized military pilots in a certain region during the period of 45 years.