动态心电图对飞行人员职业病的诊断价值

Diagnostic Value of Dynamic Electrocardiogram in Occupational Diseases of Flying Personnel

目的探究动态心电图对诊断飞行人员职业病的价值。方法抽取来我院普通门诊进行常规体检的80例飞行人员为研究对象,分别采用常规心电图和动态心电图进行检查。分析其心电图波形特点,对比心律失常的诊断效果,心肌缺血的检出率。结果动态心电图检查ST-T压低检出率22.5%,高于常规心电图检查的2.5%,比较差异有统计学意义(χ~2=14.629,P<0.05)。动态心电图检查对常见心律失常的检出率为32.5%,高于常规心电图的检出率10.0%,比较差异有统计学意义(χ~2=12.101,P<0.05)。体检飞行人员对动态心电图检查方式的总舒适度为92.5%,低于常规心电图检查方式为98.8%,但比较差异无统计学意义(χ~2=3.735,P>0.05)。结论动态心电图可较常规心电图更好地检测出飞行人员心脏相关职业病,可作为有心脏相关症状飞行人员的主要检测方法,以提高民航飞行的安全性。

Objective To explore the diagnostic value of ECG monitoring in diagnosis of occupational diseases in flying personnel.Methods 80 pilots were selected from our physical examination center for routine physical examination.The pilots were given routine electrocardiogram and dynamic electrocardiogram examination in physical examination respectively.The ECG waveform characteristics were analyzed,and the diagnostic effect of arrhythmia and myocardial ischemia was compared.Results The detection rate of ST-T depression by dynamic electrocardiogram examination was 22.5%,higher than 2.5%by routine electrocardiogram,and the difference was statistically significant(χ2=14.629,P<0.05).The detection rate of common arrhythmia by dynamic electrocardiogram examination was 32.5%,which was higher that by routine electrocardiogram of 10.0%,and the difference was statistically significant(χ2=12.101,P<0.05).The total comfort by dynamic electrocardiogram examination was 92.5%,the routine electrocardiogram was 98.8%,the dynamic electrocardiogram examination was lower than the routine electrocardiogram,but there was no significant difference(χ2=3.735,P>0.05).Conclusion The dynamic electrocardiogram can better detect the related occupational disease of the pilots than the conventional ECG.It can be used as the main detection method for the pilots with heart related symptoms,so as to improve the safety of the flight.