2010—2015年飞行不合格飞行人员疾病谱分析

Disease spectrum analysis of military aircrew from 2010 to 2015

目的 分析近5年飞行不合格飞行人员疾病谱特点和规律,为新时期进一步做好航卫保障工作提供参考资料。方法收集我院2010年1月—2015年4月190例飞行不合格飞行人员病历资料,按疾病种类、涉及专业科室及年龄分布进行分类统计。结果排在前20位的病症为头痛、高血压、腰椎间盘突出症、颈椎病、高脂血症、抑郁症、屈光不正、晕厥、神经性耳聋、心境不良等。前10位专业科室是神经内科、骨科、心血管内科、精神科、眼科、消化科、内分泌科、耳鼻喉科、全军临床航空医学中心及泌尿外科。31-40岁年龄段构成比最高,占51.05%。结论飞行人员医学停飞疾病谱较广涉及各专业科室,其中内科、骨科、眼科和耳鼻喉科疾病依然是医学停飞的常见原因,而精神性和代谢性疾病呈上升趋势,值得关注和重视。

Objective To analyze the characteristics of disease spectra of permanently grounded military pilots in order to improve aviation medicine. Methods Clinical data of military pilots from January 2010 to April 2015 were collected. According to the types of diseases and related departments, all the subjects were divided into different groups. Results The top twenty diseases included headache, hypertension, back pain, hyperlipidemia, depression, refractive errors, syncope, hearing loss, and dysthymic disorder. The top ten departments involved were those of neurology, orthopedics, cardiology, psychiatry, ophthalmology, digestion, othorhinolaryng-ology, endocrinology,urology and ENT, and most of these pilots were between 31 and 40 years old （51.05%）. Conclusion The disease spectra of permanently grounded military pilots are wide and different systems are involved. Most of these diseases are related to departments of internal medicine, orthopedics, ophthalmology and ENT. The incidence of psychiatric and metabolic diseasesis rising, which requires close attention.