潜水员脑小血管病发病特点及潜水医学鉴定  

Features of the cerebral small vessel disease in divers and related diving medicine evaluation

作　　者：郭红霞 王岩 周全 徐嵩莉 张师 周建光 Guo Hongxia;Wang Yan;Zhou Quan;Xu Songli;Zhang Shi;Zhou Jianguang(Department of Diving Medicine,Naval Special Medical Center,Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学海军特色医学中心海潜科,上海200433

出　　处：《海军医学杂志》2022年第11期1229-1233,共5页Journal of Navy Medicine

摘　　要：目的 观察潜水员脑小血管病的发病情况,优化潜水医学鉴定。方法 选取潜水员60名,采集一般临床资料以及颅脑核磁共振等特殊检查资料,进行认知、运动及情感功能评分。对潜水员是否患有脑小血管病进行诊断,分析发病影响因素,并对潜水员进行潜水资格和健康医学鉴定。结果 8名潜水员诊断为脑小血管病,占13.33%,健康评级为乙级。多因素分析提示,潜水时间>300 d和低密度脂蛋白高是脑小血管病的独立危险因素(P<0.05)。结论 潜水员中存在脑小血管病患病情况,应重视防治。Objective To investigate the incidence of the cerebral small vessel disease in divers and optimize diving medical evaluation, so as to ensure diving safety.Method General clinical data and craniocerebral MRI data were collected from 60 divers.Cognitive, motor and emotional function scores were evaluated and the cerebral small vessel disease was also diagnosed among them.Then, risk factors affecting the disease were analyzed, and diving qualification and medical evaluation were performed eventually.Results Eight divers were diagnosed to have the cerebral small vessel disease, accounting for 13. 33%, with grade B in health evaluation. Multi-factor analysis indicated that prolonged dive time and high blood LDL-C levels were independent risk factors for the disorder(P<0. 05).Conclusion The cerebral small vessel disease is relatively a common disorder among divers. Attention should be paid to the prevention and treatment of the disease.

关 键 词：潜水员 脑小血管病 医学鉴定 

分 类 号：R82[医药卫生—临床医学]