摘要
目的基于Meta分析了解中国歼击机飞行员疾病谱, 探讨歼击机飞行员常见病患病特点, 为有针对性制定飞行员健康保障措施提供依据。方法检索自数据库收录以来至2020年12月在中国生物医学文献服务系统(SinoMed)、维普期刊全文数据库、中国学术期刊全文数据库、万方知识服务平台和PubMed数据库中有关中国歼击机飞行员疾病调查的文献。采用STATA 16和SPSS 26软件进行单类(种)疾病构成比的系统评价, 并依据调查年份进行亚组分析。结果纳入文献17篇, 发表年份为2002—2020年, 统计时间从1965—2019年, 总样本量为9 431人, 年龄为20~60岁。检出疾病涉及代谢性疾病、脊椎疾病、航空性职业病、肝胆疾病等。Meta分析结果显示, 脊柱疾病占比29.5%(95%CI为20.8%~38.2%, I^(2)=99.0%)、代谢性疾病22.2%(95%CI为12.5%~31.8%, I^(2)=99.5%)、心瓣膜病及心律不齐15.1%(95%CI为7.3%~22.8%, I^(2)=97.0%)、职业性航空病14.3%(95%CI为8.2%~20.4%, I^(2)=94.4%)、肝胆疾病10.5%(95%CI为5.4%~15.5%, I^(2)=98.9%)和胃肠疾病8.4%(95%CI为5.5%~11.3%, I^(2)=94.0%)。结论中国歼击机飞行员疾病谱中脊柱疾病、代谢性疾病、心瓣膜病及心律不齐、肝胆疾病构成比较高, 需要各级卫勤保障机构与部门采取相应措施, 提高飞行员健康水平。
Objective To discuss the characteristics of common diseases of fighter pilots and provide evidence and support for improving the health level and combat capabilities of Chinese fighter pilots by the Meta-analysis of disease spectrum.Methods The information of disease spectrum of Chinese fighter pilots was extracted from the literatures collected by SinoMed,China Academic Journal Network Publishing Database,China Scientific Journal Database,Wanfang Data and PubMed before December of 2020.STATA 16 and SPSS 26 software were used to make system evaluation for the constituent ratio of single disease,and the diseases were analyzed in subgroups by years.Results Seventeen literatures,that published from 2002 to 2020,were collected for Meta-analysis and 9431 persons were involved(aged from 20 to 60 years)based on the statistical analysis from 1965 to 2019.The results indicated metabolic diseases,spinal diseases,aviation occupational diseases,hepatobiliary diseases,etc..The Meta-analysis showed that the proportion of spinal diseases was 29.5%(95%CI was 20.8%~38.2%,I^(2)=99.0%),metabolic diseases was 22.2%(95%CI was 12.5%~31.8%,I^(2)=99.5%),valvulopathy and arrhythmia was 15.1%(95%CI was 7.3%~22.8%,I^(2)=97.0%),aviation occupational diseases was 14.3%(95%CI was 8.2%~20.4%,I^(2)=94.4%),hepatobiliary diseases was 10.5%(95%CI was 5.4%~15.5%,I^(2)=98.9%)and gastrointestinal diseases was 8.4%(95%CI was 5.5%~11.3%,I^(2)=94.0%)in Chinese fighter pilots.Conclusions The metabolic diseases,spinal diseases and hepatobiliary diseases are accounted for a relatively higher proportion among Chinese fighter pilots,and corresponding protective measures should be taken to improve the health level of pilots through the work of medical support departments at all levels.
作者
孟凡成
韩勇
梁鹏
熊延路
赵晋波
雷杰
冯杨波
乔天运
周永生
王怀宇
姜涛
邹志康
Meng Fancheng;Han Yong;Liang Peng;Xiong Yanlu;Zhao Jinbo;Lei Jie;Feng Yangbo;Qiao Tianyun;Zhou Yongsheng;Wang Huaiyu;Jiang Tao;Zou Zhikang(Department of Thoracic Surgery of Tangdu Hospital,Air Force Medical University,Xi′an 710038,China;Department of Thoracic Surgery,Air Force Medical Center,PLA,Beijing 100142,China;Department of Rehabilitative Physioltherapy of Tangdu Hospital,Air Force Medical University,Xi′an 710038,China;Research and Academic Affairs Division,Air Force Medical University,PLA,Xi'an 710032,China)
出处
《中华航空航天医学杂志》
2021年第2期92-98,共7页
Chinese Journal of Aerospace Medicine
基金
唐都医院学科提升计划-军事前瞻调研项目(2020QZDY005)。
