军事飞行人员脑电图检查及鉴定标准中国专家共识  

Consensus of Chinese experts on electroencephalographic examination and identification criteria for military aircrew

作　　者：中国军事飞行人员脑电图检查及鉴定标准专家组 于生元[4] 江文 郑建勇 刘永红 胡耿瑶 陈蓓蓓 杨方 张迁 王湘庆[4] Expert Consensus Group on Electroencephalogram Examination and Qualification Criteria for Chinese Military Aircrew;Yu Sheng-Yuan;Jiang Wen;Zheng Jian-Yong

机构地区：[1]不详 [2]空军军医大学西京医院神经内科 [3]空军军医大学西京医院空勤科 [4]解放军总医院第一医学中心神经内科

出　　处：《解放军医学杂志》2024年第2期123-130,共8页Medical Journal of Chinese People's Liberation Army

基　　金：空军军医大学军事医学提升计划项目(2020JSTS26,2020JSTS21);空军军医大学航空医学重大课题(2019ZTB03);解放军总医院军队后勤重点项目(145BHQ090003000X12)。

摘　　要：脑电图检查是评估癫痫发作及脑功能的重要方法,对于筛查有潜在癫痫发作风险的高危人群、减少飞行人员空中失能事件意义重大。国内外飞行人员均有一定的癫痫检出率及空中癫痫发作的案例,然而,我军现行招飞医学选拔及飞行人员体格检查标准中尚无脑电图航空医学鉴定的详细标准。为进一步明确军事飞行人员“正常脑电图”“界线性脑电图”及“异常脑电图”的定义范围,统一军事飞行人员高失能风险的脑电图判别标准,规范军事飞行人员脑电图检查及航空医学鉴定标准,空军军医大学西京医院联合解放军总医院共同组织航空医学、神经病学、癫痫病学及神经电生理学等相关领域专家,通过检索PubMed、中国知网、万方及维普数据库共筛选相关文献287篇,并结合癫痫及脑电图相关指南及我国专家经验,共同制定本共识。本共识包括脑电图检查适用人群及质量要求、脑电图判读参考标准、脑电图评定标准及关于“暂时飞行不合格”飞行人员的处置四部分,旨在为军事飞行人员脑电图航空医学鉴定的规范性及精准性提供文献支持证据及实用性专家意见。The electroencephalography(EEG)is an important method to evaluate epileptic seizure and brain functions,and it is of great significance for screening aircrew with potential risks of seizure and thus reducing the incidence of airborne incapacitation events.There are cases of epileptic seizure and seizure attack during flight among military aircrew both at home and abroad.However,currently there is no detailed EEG standards for the selection of aircrew applicants and physical examination of military aircrew.This consensus of Chinese experts on electroencephalographic examination and identification criteria for military aircrew was compiled jointly by experts in the fields of aeromedicine,neurology,epilepsy,and neuro-electrophysiology,from Xijing Hospital of Air Force Military Medical University and PLA General Hospital.This consensus was formulated based on 287 relevant literatures from PubMed,CNKI,Wanfang Data and VIP,combined with guidelines in the fields of epilepsy and EEG and the clinical experiences of Chinese experts.The objectives of the consensus are to further clarify the definition of"normal EEG","borderline EEG"and"abnormal EEG"for military aircrew,unify the criteria of EEG identification for military aircrew with high risk of incapacitation,and standardize the criteria of EEG examination for aeromedical identification for military aircrew.This consensus includes four sections:applicable population and quality requirements for EEG monitoring,standards for EEG interpretation,standards for medical decision based on EEG,and the treatment of"temporarily unqualified"aircrew,which aim to literature supports and practical expert opinions for the standardization and accuracy of aeromedical qualification of EEG in military aircrew.

关 键 词：军事飞行人员 癫痫 脑电图 

分 类 号：R742.1[医药卫生—神经病学与精神病学]