不同机种对飞行人员血压影响的调查研究

Analysis of influence of different types of aircraft on blood pressure of pilots

目的分析不同机种对飞行人员血压的影响,为我军飞行人员高血压的有效防控提供依据。方法选取2018年度多个飞行人员疗养中心采集的飞行人员体检资料,分析研究不同机种对飞行人员血压的影响。结果不同机种飞行人员正常高值血压和高血压的发生率存在显著差异;不同机种与收缩压、舒张压和脉压的相关系数(r)分别为r = 0.155(P < 0.01),r = 0.191(P < 0.01),r = 0.041(P = 0.172);在<35岁年龄段,不同机种之间的收缩压和舒张压指标有显著差异(F = 6.91,11.193,P < 0.05),在35-45岁年龄段,不同机种之间的收缩压和脉压指标有显著差异(F = 8.98,8.464,P < 0.05),在≥45岁年龄段,不同机种之间的收缩压、舒张压和脉压指标均无显著差异(F = 0.52,0.147,0.874,P > 0.05)。结论不同机种与飞行人员收缩压和舒张压之间存在相关关系,不同年龄段,不同机种对飞行人员收缩压、舒张压和脉压的影响不同,在飞行人员高血压的个体化防治中应当考虑到不同机种对其影响的差异性。

AIM To analyze the effects of different types of aircraft on the blood pressure of aircrews and to provide evidence for effective prevention and control of hypertension in military aircrews. METHODS The physical examination data of aircrews collected from various flight sanatoriums (2018) were selected to analyze the effects of different types of aircraft on the blood pressure of aircrews. RESULTS Significant differences were found in the incidence of high-normal blood pressure and hypertension between the aircrews in different types of aircraft. The correlation coefficients (r) of systolic blood pressure, diastolic blood pressure and pulse pressure with different types of aircraft were r = 0.155 (P < 0.01), r = 0.191 (P < 0.01), r = 0.041 (P = 0.172), respectively. There were significant differences in systolic and diastolic blood pressure between the aircrews, younger than 35 years old, in different types of aircraft (F = 6.91, 11.193, P < 0.05). Meanwhile significant differences were found in systolic blood pressure and pulse pressure between the aircrews, aged 35-45 years old, in different types of aircraft (F = 8.98, 8.464, P < 0.05). However, there was no significant difference in systolic blood pressure, diastolic blood pressure and pulse pressure between the aircrews, over 45 years old, in different types of aircraft (F = 0.52, 0.147, 0.874, P > 0.05). CONCLUSION There were correlations between different types of aircraft and the systolic and diastolic blood pressures respectively. The effect of different types of aircraft on systolic blood pressure, diastolic blood pressure and pulse pressure were different in aircrews of the different age group, and this should be taken into account in the individual prevention and treatment of hypertension in aircrews.