鼓膜内陷对飞行员发生航空性中耳炎影响因素的探讨

Discussion on factors affecting pilots with aerobic otitis media

目的探讨分析鼓膜内陷的飞行人员发生航空性中耳炎的易感性。方法将2016年—2018年体检过程中发现的鼓膜内陷的飞行人员的诊断资料进行回顾性分析,选择有鼓膜内陷的39名飞行学员为A组,无鼓膜内陷的39名飞行学员为B组,了解鼓膜内陷的飞行人员是否更容易引发航空性中耳炎。结果 A组出现压耳、疼痛及鼓膜充血的人员占48%(19/39),前期有感冒症状的4人。B组出现压耳、疼痛及鼓膜充血的人员占12%(5/39),前期有感冒症状的3人。结论鼓膜内陷的飞行人员比鼓膜无内陷的飞行人员发生航空性中耳炎的风险更大。

Objective To discuss whether the pilots with tympanic membrane retraction are more likely to cause aeronautical otitis media.Methods By using the pilots annual physical examination data from 2016 to 2018, the clinical data were summarized. Totally 39 pilots with tympanic membrane retraction were selected into Group A and 39 pilots without tympanic membrane retraction were selected into Group B. Whether the pilots with tympanic membrane retraction were more likely to cause aeronautical otitis media was discussed.Results There were 19 pilots(48%) with ear pressure pain and tympanic membrane hyperemia, including 4 person with flu in Group A, and there were 5 pilots(12%) with ear pressure pain and tympanic membrane hyperemia, including 3 person with flu in Group B.Conclusion The pilots with tympanic membrane retraction are more likely to cause aeronautical otitis media than those without tympanic membrane retraction.