不同地区招飞体检学生静脉血细胞参数对比分析  

Comparison on the venous blood cells parameters of the candidates in physical examination for pilot recruitment in different areas

作　　者：厉淑红 郑军[2] 周金立[2] 马新伟 

机构地区：[1]空军济南招收飞行学员体检队,250002 [2]空军总医院体检队,北京100142 [3]空军招收飞行学员工作局成都选拔中心体检科,610061

出　　处：《中华航空航天医学杂志》2015年第1期51-58,共8页Chinese Journal of Aerospace Medicine

摘　　要：目的 分析我国不同地区招飞体检学生静脉血细胞各项参数的差异及变化规律,为招飞体检标准把握提供参考. 方法 同顾分析招飞体检学生的血常规检测资料.根据学生所在省份划分为华东、华南、华中、华北、西北、西南、东北7个地区,按随机数字表法,每个地区抽取224名学生,采用单因素方差分析对不同地区招飞体检学生的静脉血细胞检测结果进行比较. 结果 不同地区招飞体检学生白细胞计数、中性粒细胞、淋巴细胞、单核细胞比较差异无统计学意义（P＞0.05）,嗜酸粒细胞、嗜碱粒细胞比较差异有统计学意义（F=7.906、2.524,P＜0.01）;红细胞参数比较差异均有统计学意义（F=4.435～14.864,P＜0.01）;血小板参数比较差异均有统计学意义（F=4.847～20.657,P＜0.01）.招飞体检学生红细胞计数异常率为18.11％,血红蛋白异常率为43.56％,红细胞压积异常率为14.16％;淋巴细胞异常率为17.54％,中性粒细胞异常率为9.06％;血小板计数异常率为1.40％. 结论 不同地区招飞体检学生静脉血细胞参数存在地区差异,建议针对地区特点,完善血细胞参数检测项目和评价标准,为招飞体检鉴定和飞行人员血细胞参数的跟踪调查提供依据.Objective To analyze the difference and variation rule of the parameters of venous blood cells in the pilot candidates from different areas,and provide a reference for the revision of physical examination standard and physical evaluation.Methods The candidates were divided into seven groups：East China,South China,Central China,North China,Northwest China,Southwest China,and Northeast China,according to the areas they came from,and 224 candidates were randomly selected from each group.2 ml morning fasting venous blood was collected into a dipotassium ethylene tetraacetate anticoagulation tube.As the sample was mixed homogenously,parameters of blood cells were determined by Beckman Coulter system 2 Automated Hematology Analyzer and the results were shown in the form of mean ± standard deviation （x±s）.The statistical analysis was performed by using one-way analysis of variance （ANOVA）,and it took P〈0.05 as the statistical significance of difference.Results Comparing the blood cell parameters of the candidates from different areas,WBC,neutrophilic granulocyte,lymphocyte,and monocyte showed no statistical significance （P 〉 0.05）;eosinophilic granulocyte and basophilic granulocyte showed statistical significance （F=7.906,2.524,P〈0.01）;all parameters of red blood cell and platelet showed statistical significance （F=4.435-14.864,F=4.847-20.657,P〈0.01）.The percentage of abnormality was respectively 18,11% in RBC,43.56% in Hb,14.16% in hemoglobin,17.54% in lymphocyte,9.06% in neutrophilic granulocyte,and 1.40% in platelet.Conclusions There are regional differences in venous blood cell parameters among the pilot candidates from different areas.It is necessary to improve the items of blood cell test and the evaluation standard considering the area difference in order to obtain more accurate physical evaluation and the references for the tracking survey of the blood cell parameters in pilots.

关 键 词：血细胞计数 血红蛋白测定 血细胞比容 体格检查 人员选用 

分 类 号：R85[医药卫生—航空、航天与航海医学]