Comparison of disease spectrum in the annual physical examination of pilots

中华航空航天医学杂志 Pub Date : 2014-09-15 DOI:10.3760/CMA.J.ISSN.1007-6239.2014.03.001

K. Men, Dan Xiao, Tiecheng Yan

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Abstract

Objective To compare the disease spectrums of helicopter pilots and fighter pilots in 2012,to investigate the difference,and thus to provide scientific basis for aeromedical service.Methods Six hundred and fifty-two helicopter pilots of Army and 830 fighter pilots of Air Force,who attended the annual physical examination,were cluster randomly selected and recruited into this study.The prevalence and age-specific (20-29 yr,30-39 yr and older than 40 yr) prevalence of the top 10 diseases in helicopter pilots and fighter pilots were calculated and compared.The proportion of each disease system in helicopter pilots and fighter pilots was calculated and compared.Results ① Hyperlipidemia,fatty liver,hyperuricemia and gall bladder polyps were the top four most prevalent diseases both in helicopter pilots and fighter pilots,with the incidence in helicopter pilots was respectively 15.64％,14.57％,6.44％ and 5.37％,and in fighter pilots was respectively 24.22％,19.85％,14.08％ and 9.17％.②Hyperlipidemia and fatty liver were the top two diseases in age-specific disease spectrum both in helicopter pilots and fighter pilots.③Digestive diseases and endocrine system diseases ranked the top two in the disease spectrums of helicopter pilots and fighter pilots,with the incidence of 45.66％ and 26.91％ in helicopter pilots,and 39.69％ and 28.37％ in fighter pilots.Conclusions The main system diseases of helicopter pilots and fightcr pilots are similar,both are the digestive system disease and endocrine system disease,and hyperlipidemia and fatty liver rank the top two diseases.Endocrine system disease has become the main diseases that threaten the health of Army helicopter pilots. Key words: Prevalence; Physical examination; Epidemiologic studies; Occupational exposure; Pilots

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飞行员年度体检中疾病谱的比较

目的比较2012年直升机飞行员与战斗机飞行员的疾病谱，探讨其差异，为航空医疗服务提供科学依据。方法随机抽取参加年度体检的陆军直升机飞行员652名和空军战斗机飞行员830名进行研究。计算并比较直升机飞行员和战斗机飞行员前10种疾病的患病率和年龄(20-29岁、30-39岁和40岁以上)。计算并比较了直升机飞行员和战斗机飞行员各系统疾病的比例。结果①高脂血症、脂肪肝、高尿酸血症和胆囊息肉是直升机飞行员和战斗机飞行员中发病率最高的4种疾病，直升机飞行员的发病率分别为15.64%、14.57%、6.44%和5.37%，战斗机飞行员的发病率分别为24.22%、19.85%、14.08%和9.17%。②直升机飞行员和战斗机飞行员的高脂血症和脂肪肝在年龄特异性疾病谱中排在前两位。③消化系统疾病和内分泌系统疾病在直升机飞行员和战斗机飞行员的疾病谱中排名前两位，直升机飞行员的发病率分别为45.66%和26.91%，战斗机飞行员的发病率分别为39.69%和28.37%。结论直升机飞行员与战斗机飞行员的主要系统疾病相似，均为消化系统疾病和内分泌系统疾病，高脂血症和脂肪肝排在前两位。内分泌系统疾病已成为威胁陆军直升机飞行员健康的主要疾病。关键词:患病率;体格检查;流行病学研究;职业暴露;飞行员

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来源期刊

中华航空航天医学杂志航空航天医学

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2962

期刊介绍： The aim of Chinese Journal of Aerospace Medicine is to combine theory and practice, improve and popularize, actively advocate a hundred flowers bloom and a hundred schools of thought contend, advocate seeking truth from facts, promote the development of the related disciplines of aerospace medicine and human efficiency, and promote the exchange and penetration of aerospace medicine and human efficiency with other biomedical and engineering specialties. Topics of interest for Chinese Journal of Aerospace Medicine include: -The content of the journal belongs to the discipline of special medicine and military medicine, with the characteristics of multidisciplinary synthesis and cross-penetration, and mainly reflected in the aerospace industry, aerospace flight safety and efficiency, as well as the synthesis of special medicine, preventive medicine, environmental medicine, psychology, etc. -Military aeromedicine (Air Force, Navy and Army aeromedicine) and civil aeromedicine, with a balance of aerospace medicine are the strengths of the journal. -The change in aerospace medicine from a focus on promoting physiological compensatory adaptations to enhancing human performance under extreme environmental conditions is what the journal is helping to promote. -The expansion of manuscripts in high altitude medicine is also a special emphasis of the journal.