不同机种飞行人员血糖水平分析

Analysis of the plasma glucose level in the aircrews of different aircrafts

目的 了解不同机种飞行人员血糖水平情况并分析原因,为稳定飞行人员血糖水平和保证飞行安全提供依据. 方法 2011年1月至2013年8月来我院疗养的532名飞行人员.按年龄将飞行人员分为＜30岁、30～39岁、≥40岁3组;按飞行时间分为＜1 000 h、1 000～1 999 h、≥2 000 h 3组,对不同机种飞行人员FPG水平进行分析比较. 结果 ①飞行人员FPG平均水平为（4.55±0.54）mmol/L.不同年龄组、不同飞行时间组直升机飞行人员FPG水平差异均有统计学意义（F＝4.290、5.157,P＜0.05或0.01）.不同年龄组轰炸机飞行人员FPG水平差异有统计学意义（F＝4.582,P＜0.05）.其余机种飞行人员不同年龄组、不同飞行时间组之间FPG水平差异均无统计学意义（P＞0.05）.②＜30岁组的歼击机飞行员FPG水平明显高于直升机、轰炸机、预警机飞行人员（P＜0.01）;教练机飞行员FPG水平明显高于轰炸机、预警机飞行人员（P＜0.05）.30～39岁组歼击机、直升机、教练机飞行人员FPG水平均明显高于轰炸机飞行人员（P＜0.01）;直升机、教练机飞行人员FPG水平明显高于预警机飞行人员（P＜0.05）.≥40岁组,不同机种飞行人员FPG水平差异无统计学意义（P＞0.05）.③飞行时间＜1 000 h组歼击机飞行员FPG水平明显高于直升机、轰炸机和预警机飞行人员（F＝7.655,P＜0.01）.飞行时间1 000～1 999 h组歼击机、教练机飞行人员FPG水平明显高于轰炸机飞行人员（P＜0.01或0.05）;歼击机、直升机、教练机飞行人员FPG水平均明显高于预警机飞行人员（P＜0.05）.飞行时间≥2 000 h组歼击机、直升机、教练机飞行人员FPG水平均明显高于轰炸机飞行人员（P＜0.05或0.01）. 结论 不同机种飞行人员FPG水平存在不同程度差异,应予重视.

Objective To investigate the plasma glucose level in the aircrews of different aircrafts and to analyze its reasons,so as to provide the basis for stabilizing aircrew＇s plasma glucose level and ensuring flight safety.Methods Five hundred and thirty-two pilots,who were examined in our sanatorium from Jan of 2011 to Aug of 2013,were divided into 3 age groups （＜30 yr.,30-39 yr.and ≥40 yr.）,and 3 flying hour groups （＜1 000 h,1 000-1 999 h and ≥2 000 h）.Their fasting plasma glucose （FPG） levels were analyzed and compared.Results ①The average level of aircrew＇s FPG was （4.55±0.54） mmol/L.Helicopter aircrews showed significant different FPG levels among age groups and flying hour groups （F＝4.290,5.157,P＜0.05 or 0.01）.FPG level in bomber aircrew was significant different among age groups （F＝4.582,P＜0.05）.FPG level in other aircraft aircrews was insignificant neither among age groups nor among flying hour groups （P＞0.05）.②The FPG level of the fighter pilots in ＜30 yr group was significantly higher than that of helicopter,bombers and early warning aircraft aircrews （P ＜ 0.01）.FPG level of trainer aircrews was significantly higher than that of bomber and early warning aircraft aircrews （P＜0.05）.FPG level of the fighter,helicopter and trainer aircrews was significantly higher than that of bomber aircrews （P＜0.01）.FPG level of helicopter and trainer aircrews was significantly higher than that of early warning aircrews （P＜0.05）.For the aircrews in ≥40 yr group there were no significant FPG level differences among aircraft types （P＞ 0.05）.③For ＜ 1 000 h group,the FPG level of fighter pilots was significantly higher than that of helicopter,bomber and early warning aircraft aircrews （F＝ 7.655,P＜0.01）.In 1 000-1 999 h group,FPG level of fighter,trainer aircrews was significantly higher than that of bomber aircrews （P＜0.01 or 0.05）.FPG level of fighter,helicopter and trainer aircrews was significantly higher than early warning aircraft aircrews＇ （P＜ 0.05）.For flying hour ≥ 2 000 h group,FPG level of fighter,helicopter and trainer aircrews was significantly higher than bomber aircrews＇ （P＜0.05 or 0.01）.Conclusions There are differences in different aircraft aircrews＇ FPG level.We should pay enough attention to them.