161例民航飞行员动态血压分析  

Ambulatory blood pressure analysis of 161 cases of civil aviation pilots

作　　者：徐占民[1] 李谦[1] 

机构地区：[1]中国民用航空局民用航空医学中心航空医学鉴定所,北京100123

出　　处：《职业与健康》2017年第3期406-408,411,共4页Occupation and Health

摘　　要：目的分析民航飞行员诊室血压和动态血压的关系,获得其白大衣性高血压发病特点,提出民航飞行员高血压的航空医学鉴定建议。方法收集民航飞行员体检时诊室血压升高者161例,按动态血压参考值分为真性高血压和白大衣性高血压,比较两组在年龄、诊室收缩压、诊室舒张压和体重指数之间的差异,结合白大衣性高血压的临床医学知识和目前航空医学鉴定标准,提出首次诊室血压升高时的航空医学鉴定原则。结果真性高血压36例,占22.46%;白大衣性高血压125例,占77.60%。白大衣性高血压组,年龄(34.6±11.9)岁,诊室收缩压(151.6±9.2)mm Hg,诊室舒张压(89.4±8.8)mm Hg,体重指数(25.1±3.1)kg/m^2;真性高血压组,年龄(34.1±12.1)岁,诊室收缩压(152.4±9.0)mm Hg,诊室舒张压(93.1±8.3)mm Hg,体重指数(24.7±3.9)kg/m^2。两组在年龄(P=0.849)诊室收缩压(P=0.65)和体质指数(P=0.513)之间均无显著性差异,诊室舒张压(P=0.023)之间有差异性。结论民航飞行员有较高的白大衣性高血压发病率,在招收飞行学生时对白大衣性高血压需要进一步评估整体心血管危险因素后给予鉴定结论。[Objective]To analyze the relationship between office blood pressure and ambulatory blood pressure of civil aviation pilots,get characteristics of white coat hypertension,and offer proposals of aviation medical appraisal of hypertension in civil aviation pilots.[Methods]161 cases of civil aviation pilots with high office blood pressure were collected,and divided into true hypertension group and white coat hypertension group according to the reference value of ambulatory blood pressure. The differences of age,office systolic blood pressure,office diastolic blood pressure and BMI were compared between the two groups.The proposals of aeromedical appraisal of elevated office blood pressure by first consulting was given by reviewing clinical medical knowledge of white coat hypertension and current aviation medical appraisal standards.[Results]There were 36 cases of true hypertension and 125 cases of white coat hypertension,which accounted for 22.46% and 77.60% respectively. In the white coat hypertension group,the average age was（34.6 ±11.9） years old,the office systolic blood pressure and office diastolic blood pressure was（151.6±9.2）mm Hg and（89.4±8.8）mm Hg respectively,and body mass index was（25.1±3.1）kg/m^2. In the true hypertension group,the average age was（34.1 ±12.1） the office systolic blood pressure and office diastolic blood pressure was（152.4±9.0）mm Hg and（93.1±8.3）mm Hg respectively,and body mass index was（24.7±3.9）kg/m^2. There were no significant differences in age（P=0.849）,office systolic blood pressure（P=0.65）and body mass index（P=0.513）between two groups,while the difference in office diastolic blood pressure（P=0.023）was significant.[Conclusion]Civil aviation pilots have a higher incidence rate of white coat hypertension,and further evaluation of overall cardiovascular risk factors are needed when students enrolled in flight have white coat hypertensions before getting the medical appraisal.

关 键 词：民航飞行员 动态血压 白大衣性高血压 航空医学鉴定 

分 类 号：R134.2[医药卫生—劳动卫生]