民航飞行员2017年度体检疾病谱分析  

Analysis of the disease spectrum of airline pilots in 2017

作　　者：张传印[1] 邓明钊 雷方[1] 李强[1] 朱业[1] Zhang Chuanyin;Deng Mingzhao;Lei Fang;Li Qiang;Zhu Ye(Southern Aviation Hygiene Management Division,Guangzhou 510405,China)

机构地区：[1]中国南方航空股份有限公司航空卫生管理部,广州510405

出　　处：《中华航空航天医学杂志》2018年第3期215-219,共5页Chinese Journal of Aerospace Medicine

摘　　要：目的分析南方航空公司飞行员2017年度疾病谱,为做好健康管理工作提供依据。方法采用回顾性研究方法,统计2017年度参加体检的1826名飞行员的相关疾病检出率。将飞行员分为20~29、30~39、40~49和≥50岁4个年龄组,比较各年龄组相关疾病检出率差异。结果高脂血症、脂肪肝、高尿酸血症、老视、胆囊息肉、屈光不正、听力减退、肥胖、视力下降和肾囊肿位列飞行员2017年度体检疾病谱前10位;不同年龄组高脂血症、脂肪肝、高尿酸血症、老视、胆囊息肉、屈光不正、听力减退、肥胖、视力下降、肾囊肿及高血压的检出率差异有统计学意义(Х^2=10,456~193,402,P<0,05);其中,脂肪肝、听力减退、肥胖、肾囊肿和高血压的检出率随着年龄的增长而明显增高。结论飞行员心血管疾病危险因素突出,代谢疾病和视听功能下降发生率较高。加强体质指数、尿酸和血脂的管理将是做好飞行员健康管理的关键。Objective To provide better health management for pilots by retrospective study of the disease spectrum of China Southern pilots in 2017. Methods The retrospective study method was applied to estimate the detection rate of related disease of 1 826 pilots who participated in the physical examination in 2017. The detection rates of related diseases were compared among 4 age groups(20-29 yrs,30-39 yrs,40-49 yrs and>50 yrs). Results Among 1 826 pilots,the top ten diseases were hyperlipidemia,fatty liver,hyperuricemia,presbyopia,gallbladder polyp,ametropia,hearing loss,obesity,vision loss and renal cysts. Among different age groups,the detection rates of hyperlipidemia,fatty liver,hyperuricemia,presbyopia,gallbladder polyp,ametropia,hearing loss,obesity,vision loss,renal cysts and hypertension were significantly different(Х^2=10.456-193.402,P<0.05). And the detection rates of fatty liver,hearing loss,obesity,renal cysts and hypertension increased with age significantly. Conclusions The risk factors of cardiovascular disease in pilots are prominent. And the detection rates of the metabolic related diseases and the decreased audio-visual function are high in them. Controlling the body weight,uric acid and blood lipid would be critical to pilot' s health management.

关 键 词：体格检查 患病率 高脂血症 脂肪肝 疾病谱 飞行员 

分 类 号：R856.5[医药卫生—航空、航天与航海医学] R851.3[医药卫生—临床医学]