摘要
目的比较改装体检直升机和歼击机飞行员的颈腰椎病症状况。方法 1 127名飞行员改装体检时(直升机飞行员149名,歼击机飞行员978名),全部行颈腰椎X线和L4、L5螺旋CT检查;统计两组资料颈腰椎病症的总检出率,并分别统计颈椎病症、腰椎弓峡部裂和其他腰椎病症的检出率及对改装体检结论的影响。结果直升机飞行员颈腰椎病症的总检出率为41.6%(62/149),高于歼击机飞行员的28.3%(277/978)(χ2=5.65,P<0.05)。直升机飞行员颈椎病症的检出率为9.4%(14/149),高于歼击机飞行员的5.2%(51/978)(χ2=4.16,P<0.05);直升机飞行员腰椎弓峡部裂的检出率为4.0%(6/149),与歼击机飞行员的6.9%(67/978)的差异无统计学意义;直升机飞行员其他腰椎病症的检出率为28.2%(42/149),高于歼击机飞行员的16.3%(159/978)(χ2=12.56,P<0.01)。直升机飞行员因颈腰椎病造成改装体检飞行不合格的比率为0,歼击机飞行员为2.4%(23/978),差异有统计学意义(χ2=10.23,P<0.01)。结论颈腰椎病症在改装体检直升机飞行员中的检出率很高,应作为高性能武装直升机飞行员重点随访内容之一。
Objective To compare the symptoms of cervical and lumbar disorder in pilots＇ physical examination prior to transferring to higher performance aircraft. Methods A total of 1 127 pilots （149 helicopter pilots and 978 fighter pilots） underwent X-ray examination of cervical and lumbar spine and spiral CT scan of L4 and L5. The total detection rates of cervical and lumbar disorder, cervical disorder, lumbar spondylolysis and other lumbar disorders were analyzed. Results The total detection rate of cervical and lumbar disorder was significantly higher in helicopter pilots than in fighter pilots （41.6% vs 28.3%,X2=5.65, P 〈 0.05）. The detection rate of cervical disorder was significantly higher in helicopter pilots than in fighter pilots （9.4% vs 5.2%,X 2---4.16, P 〈 0.05）. No significant difference was found in the detection rate of lumbar spondylolysis between helicopter and fighter pilots （4.0% vs 6.9%）. The detection rate of other lumbar disorders was significantly higher in helicopter pilots than in fighter pilots （28.2% vs 16.3%, X 2=12.56, P 〈 0.01）. No helicopter pilot was grounded while 2.4% of fighter pilots were grounded for flying higher performance aircraft （X2=10.23, P 〈 0.01）. Conclusion Cervical and lumbar disorder should be one of the major follow-up diseases in high performance armed helicopter pilots since its high detection rate in helicopter pilots＇ physical examination prior to transferring to higher performance aircraft.
出处
《解放军医学院学报》
CAS
2013年第9期931-933,共3页
Academic Journal of Chinese PLA Medical School
基金
空军后勤部资助项目(BKJ10J054)~~
关键词
飞行员
颈腰椎病
医学鉴定
pilot
cervical and lumbar disorder
medical identification
