中美空军飞行学员医学选拔对照实证研究——腰椎峡部裂与脊柱侧弯  

An empirical study on medical selection of flying cadets regarding lumbar spondylolysis and scoliosis between PLAAF and USAF

作　　者：袁超凡[1] 邹志康[1] 陈肇一[1] 时惠平[1] 厉晓杰 马中立[1] 

机构地区：[1]空军总医院招飞体检队,北京100142

出　　处：《军事医学》2016年第1期20-23,共4页Military Medical Sciences

基　　金：全军后勤科研"十二五"重大项目(AKJ11J003)

摘　　要：目的通过分析中美招飞定选标准中腰椎峡部裂（lumbar spondylolysis）与脊柱侧弯的情况,明确我军在选拔标准中需要完善之处。方法对2013~2015年参加影像学选拔的学员按鉴定结果进行统计,将淘汰病种的中美标准进行对比后统计出按美军标准定选的结果,比较其差异。结果腰椎峡部裂和脊柱侧弯两个病种在我军的平均淘汰率为47%和30.3%,而按美军标准我军2015年峡部裂和脊柱侧弯淘汰者中分别有86.0%和92.5%可保留,两军淘汰率差异有统计学意义（P〈0.01）。结论我军现行招飞选拔标准中关于腰椎峡部裂和脊柱侧弯可以进一步完善。Objective To improve and determine the Medical Standards Directory of the Air Force of People’s Liberation Army of China（ PLAAF） by analyzing the differences in lumbar spondylolysis and scoliosis between PLAAF and the US Air Force（ USAF）. Methods All candidates of flying cadets participating in the final radiographic selection between 2013 and 2015 were chosen. They were judged to be qualified or not according to PLAAF and USAF Medical Standards Directory.Results The average morbility of lumbar spondylolysis and scoliosis in PLAAF was 47% and 30. 3% respectively. Arnong those who were eliminated in China,86. 0% and 92. 5% could be regarded as qualified according to the standard of USAF in 2015. The difference was statistically significant（ P 〈 0. 01）. Conclusion Our selection standards for lumbar spondylolysis and scoliosis should be improved based on this study.

关 键 词：飞行学员 医学选拔 腰椎峡部裂 脊柱侧凸 实证研究 体格检查 

分 类 号：R851.3[医药卫生—航空、航天与航海医学]