高性能战斗机飞行员泌尿系结石相关危险因素分析  

Analysis on risk factors of urinary stone disease in high performance fighter pilots

作　　者：彭成[1] 陈虹汝 易大莉 周克亮[3] 董燕[3] 张胜[3] 马金鹏[3] 张胜利[3] 

机构地区：[1]解放军456医院泌尿外科,山东济南250031 [2]第三军医大学统计教研室,重庆400038 [3]解放军456医院

出　　处：《实用医药杂志》2016年第6期481-483,486,共4页Practical Journal of Medicine & Pharmacy

基　　金：全军"十二五"计划重点项目资助课题(BWS11J002);国家自然科学基金面上项目(81172773)

摘　　要：目的探讨引起高性能战斗机飞行员泌尿系结石发病的危险因素。方法以多级分层随机整群抽样方法抽取样本,采取问卷调查形式进行回顾性流行病学调查,问卷内容包括:患有泌尿系结石一般情况、生活方式、飞行训练方式等3类暴露因素。患有泌尿系结石者为病例组,无结石者为对照组,采用方差分析和Logistic回归模型进行危险因素的筛选。结果得到有效样本为270例,泌尿系结石患病率5.19%(14/270)。共4个危险因素进入回归模型,危险性由高到低依次是饮水量(OR=2.847),泌尿系疾病感染史(OR=2.274),年龄(OR=2.176),不定时定量运动(OR=1.582)。结论高性能战斗机飞行员泌尿系结石发生率较高,在其生活方式等多种因素中,飞行前后饮水量、既往是否有泌尿系感染史可能是其发生率较高的重要危险因素。Objective To analyze the risk factors of urinary stone disease in high performance fighter pilots. Methods Fighter pilots were sampled by multistage stratified random sampling method,and investigated by using questionnaires designed to collect data including general condition, life style and flying style. The subjects with urinary stone disease constituted the case group and those without urinary stone disease served as the control group;and their data were analyzed by a Logistic regression model. Results Data of 270 pilots were qualified and further analyzed. The prevalence of urinary stone disease was 5.19%（14/270）. Of all the latent risk factors of urinary stone disease,the amount of water was the most relevant factor（OR=2.847）,followed by infection history of urinary diseases （OR=2.274）,age （OR=2.176）and no timing quantitative exercise （OR=1.582）. Conclusion The prevalence of urinary stone disease in high performance fighter pilots is comparatively high. Of all the risk factors among life styles, the amount of water and the infection history of Urinary diseases may be important risk factors to urinary stone disease in high performance fighter pilots.

关 键 词：泌尿系结石 危险因素 流行病学调查 高性能战斗机 军事飞行员 

分 类 号：R821.22[医药卫生—临床医学]