歼击机飞行员航空性牙痛的调查及相关因素分析  

Survey on aerodontalgia in fighter pilots and relevant factors analysis

作　　者：金占国[1] 翟丽红[1] 刘玉华[1] 逄键梁[2] 郑军[1] 徐先荣[1] Jin Zhanguo;Zhai Lihong;Liu Yuhua;Pang Jianliang;Zheng Jun;Xu Xianrong(Center of Clinical Aviation Medicine,Chinese,General Hospital of Air Force,Beijing 100142,China)

机构地区：[1]空军总医院全军临床航空医学中心,北京100142 [2]空军总医院口腔颌面外科,北京100142

出　　处：《中华航空航天医学杂志》2018年第1期49-52,共4页Chinese Journal of Aerospace Medicine

基　　金：空军后勤部资助项目（BKJ10J054）

摘　　要：目的调查歼击机飞行员航空性牙痛的发生率，分析航空性牙痛的相关因素。方法采用横断面调查研究。对192名歼击机飞行员航空性牙痛的发生情况进行问卷调查，包括其发生时间、程度、部位；比较有无航空性牙痛患者的飞行时间、病牙情况等因素。结果飞行员航空性牙痛的发生率为4.17%（8/192）。8例航空性牙痛飞行员中7例患有牙病，而无航空性牙痛病史的184例飞行员中53例患有牙病（28.80%），两者差异有统计学意义（χ2＝109.634, P〈0.01）。8例航空性牙痛飞行员中5例发生在飞机起飞时、3例发生在着陆时，飞行高度为500～1 000 m。8例航空性牙痛飞行员中2例为上下颌牙痛，5例为下颌牙痛，1例为上颌牙痛，三者间比较差异无统计学意义（P〉0.05）。8例航空性牙痛飞行员的平均飞行时间为（2 425.00±1 445.93）h，184例无航空性牙痛飞行员的平均飞行时间为（1 703.56±1 331.08）h，两者差异无统计学意义（P〉0.05）。结论歼击机飞行员患有牙病者航空性牙痛的发生率较高，与牙痛部位、飞行时间无关。建议飞行员每半年至1年行口腔检查，以做到牙病的早发现、早治疗。Objective To investigate the incidence rate of aerodontalgia in fighter pilots and analyze the related factors . Methods The cross-section study was used . The invasion of aerodontalgia was obtained upon a questionnaire survey from 192 fighter pilots , including the occurrence time ,degree ,and location and the incidence rate was calculated .The flying hours and the dental disease were compared between the pilots with and without aerodontalgia . Results The incidence rate of aerodontalgia in fighter pilots was 4 .17% （8/192） .In 8 aerodontalgia cases 7 pilots had dental disease .But in 184 pilots who felt free of aerodontalgia ,53 pilots （28 .80% ） were diagnosed as dental disease .There were significant difference between the incidence rates （χ2= 109 .634 , P〈0 .01） .In 8 pilots with aerodontalgia ,5 cases had toothache during taking-off and 3 landing .The flying altitude was 500-1 000 m .Two of 8 aerodontalgia cases appeared the toothache on maxillary teeth and jaw ,5 on lower jaw and 1 on maxillary teeth .There was no significant difference among them （P〉0 .05） .The average flying hours of 8 pilots with aerodontalgia were （2 425 .00 ± 1 445 .93） h while the average flying hours of 184 pilots without aerodontalgia was （1 703 .56 ± 1 331 .08） h .There was no significant difference between them （P〉0 .05） . Conclusions The incidence rate of aerodontalgia was higher in the fighter pilots with dental disease .But the incidence rate has no correlation to the location of toothache and flying hours .It is suggested that pilots should conduct oral examinations every 6-12 months in order to detect and treat dental diseases in time .

关 键 词：牙痛 航空 口腔卫生 问卷调查 飞行员 

分 类 号：R856.78[医药卫生—航空、航天与航海医学]