军事飞行人员高脂血症患病影响因素分析  

Causes of hyperlipidemia in aircrews

作　　者：刘伟 滕跃[2] 张慧变 刘弋飞 仇实 魏丛然 李金兰[4] 于东睿 贾宏博 LIU Wei;TENG Yue;ZHANG Huibian;LIU Yifei;QIU Shi;WEI Congran;LI Jinlan;YU Dongrui;JIA Hongbo(Department of Medicine and Research,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142;Air Force Logistic Department,Aviation Health Division of Health Bureau,Beijing 100011;Department of Aviation Physiological and Training Research,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142;Department of Clinical laboratory,Hospital 901 of Joint Logistic Support Force,Hefei 230032;Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142,China)

机构地区：[1]空军军医大学空军特色医学中心医研部,北京100142 [2]空军后勤部卫生局航空卫生处,北京100011 [3]空军军医大学空军特色医学中心研究部航空生理鉴定训练研究室,北京100142 [4]中国人民解放军联勤保障部队第九○一医院检验科,合肥230032 [5]空军军医大学空军特色医学中心,北京100142

出　　处：《空军航空医学》2024年第1期9-12,共4页AVIATION MEDICINE OF AIR FORCE

摘　　要：目的分析军事飞行人员高脂血症患病情况及相关影响因素,为飞行人员的航卫保障提供参考依据。方法采用回顾性调查研究的方法,系统收集2020年1月—2021年12月在空军特色医学中心住院的军事飞行人员的病例数据,分别按机种、飞行时间、人员类别及BMI、饮酒史、吸烟史、血压、年龄和尿酸水平分组,比较不同组间飞行人员高脂血症患病率,对可疑因素与高脂血症患病率的关系进行多因素Logistic回归分析。结果本组926例军事飞行人员高脂血症患病率为17.7%,不同机种、人员类别的军事飞行人员高脂血症患病率差异均无统计学意义,不同飞行时间军事飞行人员高脂血症患病率差异有统计学意义(χ^(2)=32.61,P=0.001);血压水平高、尿酸水平高、体质量指数高的飞行人员较正常组高脂血症患病率高,差异有统计学意义(χ^(2)=10.13、18.82、33.59,P均=0.001);有吸烟史较无吸烟史飞行人员高脂血症患病率高,差异有统计学意义(χ^(2)=20.58,P=0.001);多因素Logistic回归分析显示,吸烟史、体质量指数、血压、尿酸水平是高脂血症的影响因素(OR=3.080、1.489、3.760、1.629,P<0.001、=0.025、<0.001、=0.026)。结论高脂血症在飞行人员中患病率较高,吸烟史、体质量指数、血压、尿酸水平是高脂血症的影响因素。航空卫生保障要重点关注飞行人员健康生活方式的养成,不断提高飞行人员的健康水平。Objective To analyze the prevalence of hyperlipidemia and related influencing factors in military aircrews,and to provide reference for aviation and health support for pilots.Methods A retrospective survey was used to collect health care data on hospitalized military aircrews in the Air Force Characteristic Medical Center between 2020 and 2021.The prevalence of hyperlipidemia was compared between these patients grouped according to aircraft types,length of flight,jobs,BMI,history of alcohol consumption,history of smoking,blood pressure,age and uric acid levels,respectively.Results The prevalence of hyperlipidemia among the 926 military aircrews was as high as 17.7%.There was no significant difference in the prevalence of hyperlipidemia between aircrews for different aircraft types and jobs,But there was significant difference between aircrews with different lengths of flight(χ^(2)=32.61,P=0.001).The prevalence of hyperlipidemia was significantly higher among aircrews with hypertension,high uric acid levels and high body mass index than in the normal group(χ^(2)=10.13,18.82,33.59,all P=0.001).Hyperlipidemia was more common among aircrews who smoked cigarettes,and the difference was statistically significant(χ^(2)=20.58,P=0.001).Multifactorial logistic regression analysis showed that smoking status,body mass index,blood pressure,and uric acid levels were influencing factors of hyperlipidemia(OR=3.080,1.489,3.760,1.629,P<0.001、=0.025、<0.001、=0.026).Conclusion The prevalence of hyperlipidemia is high among aircrews.Smoking,body mass index,blood pressure and uric acid levels are the influencing factors of hyperlipidemia.Aviation health support should focus on the development of he althy lifestyles a mong aircrews.

关 键 词：高脂血症 危险因素 航空卫生保障 飞行人员 

分 类 号：R851[医药卫生—航空、航天与航海医学]