654例应征飞行学员中美听力标准下检查结果对比分析  

Hearing evaluation to 654 cadet pilots under PLA versus US army medical standards

作　　者：马晓莉[1] 邹志康[1] 郭睿[2] 刘小波[3] 吴春妍[3] 王枫[1] 徐珀[3] MA Xiaoli ZOU Zhikang GUO Rui LIU Xiaobo WU Chunyan WANG Feng XU PO(Team of Aviation Physical Examination, Air Force General Hospital, Beijing 100142, China Department of Otorhinolaryngology, Air Force General Hospital, Beijing 100142, China Team of Physical Examination, the Affiliated Hospital of Institute of Aviation Medicine of Air Force, Beijing 100089, China)

机构地区：[1]空军总医院招飞体检队,北京100142 [2]空军总医院耳鼻喉科,北京100142 [3]空军航空医学研究所附属医院体检队,北京100089

出　　处：《解放军医学院学报》2017年第8期731-734,共4页Academic Journal of Chinese PLA Medical School

基　　金：部委级资助项目;全军后勤科研重点课题(BKJ15J006;BKJ15J007)~~

摘　　要：目的根据我军和美军招收飞行学员听力标准进行飞行学员医学选拔听力检查并分析检查结果的差异,为医学选拔听力标准的修改提供依据。方法收集2016年度某省招收飞行学员(17~20岁)的首次听力检查资料,按照我军和美军招飞听力标准进行评判,区分高频、中低频以及总体听力情况,统计合格和不合格人数并进行对照分析。结果检测654例,均为男性。两种标准下的高频(Kappa=0.53,P<0.05)、中低频(Kappa=0.66,P<0.05)以及总体听力(Kappa=0.56,P<0.05)筛查结果存在一定程度的一致性,我军标准合格的应征者美军标准也趋向于合格。654名应征者高频听力结果中美标准均合格606例,均不合格18例,美军标准不合格而我军标准合格30例,我军标准不合格而美军标准合格0人;654例中低频听力中美标准均合格630例,均不合格12例,美军标准不合格而我军标准合格3例,我军标准不合格而美军标准合格9例;654例总体听力中美标准均合格582例,均不合格30例,美军标准不合格而我军标准合格33例,我军标准不合格而美军标准合格9例。在高频听力筛查上,美军标准淘汰率(7.34%)较我军标准淘汰率(2.75%)更高(χ~2=28.03,P<0.05);在中低频听力筛查上,美军标准的淘汰率(2.29%)与我军标准淘汰率(3.21%)差异无统计学意义(χ~2=2.08,P>0.05);在总体听力的筛查上,美军标准淘汰率(9.63%)较我军标准淘汰率(5.96%)更高(χ~2=13.71,P<0.05)。结论美军招飞听力标准在高频听力方面严于我军标准;在中低频听力标准方面,美军标准略为宽松;两军标准各有侧重点,相较而言,美军标准更加严密具体,依据更为充分。Objective To analyze the hearing examination data of cadet pilots according to the hearing standards of PLA and US army, learn the differences of hearing standards between the two armies, and provide suggestions for the revision of medical standard of heating in the cadet pilots. Methods The first hearing examination data of cadet pilots （17-20 years old） were collected. The hearing data at high frequency, middle-low frequency and general hearing condition were determined according to the medical standards of PLA and of the US army respectively. The numbers of qualified and unqualified cases were counted respectively. Results Totally 654 male cadet pilots were examined. The results using PLA standard were consistent with that using US army＇s standard in high-frequency screening （Kappa=0.53, P 〈 0.05）, middle-low frequency screening （Kappa=0.66, P 〈 0.05） and general hearing screening in some degree （Kappa=0.56, P 〈 0.05）. There was a tendency that the qualified cases determined by PLA＇s selection standard tend to be qualified too when the US army＇s standard was used. In high-frequency hearing screening, 606 of 654 cadet pilots were qualified, and 18 were unqualified under the two hearing standards. Thirty cadet pilots were qualified under the PLA＇s standard, but they were unqualified under the US army＇s standard. The number of cadet pilots that were unqualified under the PLA＇s standard but qualified under the US army＇s standard was 0. In middle-low frequency hearing screening, 630 of 654 cadet pilots were qualified, and 12 were unqualified under the two hearing standards, 3 cadet pilots were qualified under the PLA＇s standard, but unqualified under the US army＇s standard, 9 cadet pilots were unqualified under the PLA＇s standard, but qualified under the US army＇s standard. In the general hearing screening, 582 of 654 cadet pilots were qualified and 30 were unqualified under the two standards, 33 cadet pilots were qualified under the PLA＇s standard, but unqualified unde

关 键 词：飞行学员 听力检查 人员选拔 标准 

分 类 号：R851.3[医药卫生—航空、航天与航海医学]