民航飞行人员视网膜血管病变的动态观察  

A dynamic survey on retinal vasculopathy in civil flying personnel

作　　者：王建智 张磊[2] 张东 李琳 耿佳[2] 朱宏海 焦小红 张作明[2] 

机构地区：[1]中国东方航空股份有限公司西北分公司,西安710082 [2]第四军医大学航空航天医学系,西安710032 [3]西安民航医院飞行人员体检中心,西安710082

出　　处：《中华航空航天医学杂志》2010年第3期201-204,共4页Chinese Journal of Aerospace Medicine

摘　　要：目的 动态了解民航飞行人员眼底血管的变化,探索眼底照像作为预测飞行人员心脑血管意外客观依据的可能性. 方法 采用免散瞳眼底照相机对参与体检的东方航空公司西北分公司飞行人员进行检查,通过眼底照片分析3年来视网膜血管病变的相关因素,对比飞行人员3年间视网膜血管变化及其与代谢综合征的关系. 结果 共904人接受了眼底检查,视网膜动脉硬化患病率最高,为9.62%(87人).高血压是视网膜动脉硬化最显著的危险因素,视网膜微血管瘤和视网膜出血与飞行人员代谢综合征有关.重新会诊飞行人员3年来视网膜血管病变眼底照片新发现2例视网膜微血管瘤. 结论 眼底照相技术能客观记录视网膜血管的动态变化情况,可用于监测代谢综合征对靶器官损害的发生、发展过程.Objective To investigate dynamic changes of civil flying personnel's ocular fundus blood vessel and explore the possibility of taking ocular fundus photograph as an objective evidence for predicting cardiovascular and cerebrovascular diseases. Methods In past 3 years the ocular fundus photographs of 904 flying personnel's, who were from the Northwest Branch of China Eastern Air Holding Company, were examined by fundus camera without mydriatic during annual physical examination. The correlation factors of retinal micro-vascular changes were analyzed and compared.Results Retinal arteriosclerosis was diagnosed from 87 f1ying personnel (9. 62%) and took the highest prevalence. Hypertension was the most hazardous to retinal arteriosclerosis. Retinal microaneurysm and retinal hemorrhage were related with metabolic syndrome. Two cases of retinal microaneurysm were newly found by reviewing fundus photographs that gathered in past 3 years.Conclusions The mydriatic-free fundus camera technique can objectively record the development of ocular retinal vessel change and can be used to monitor the occurrence and progress of the metabolic syndrome induced harm to target organ.

关 键 词：视网膜血管 眼底 代谢综合征 体格检查 

分 类 号：R774.1[医药卫生—眼科]