军事飞行人员超龄特许航空医学鉴定回顾性研究  

Retrospective study on authorized aeromedical identification of overage military flying personnel

作　　者：苏楠 朱迪 齐林嵩 张家康 于东睿 王军 邢俊华 季洪阳 徐先荣 Su Nan;Zhu Di;Qi Linsong;Zhang Jiakang;Yu Dongrui;Wang Jun;Xing Junhua;Ji Hongyang;Xu Xianrong(Air Force Medical Center,Beijing 100142,China)

机构地区：[1]北京空军特色医学中心,北京100142

出　　处：《航天医学与医学工程》2024年第2期112-115,共4页Space Medicine & Medical Engineering

基　　金：空军特色医学中心十项课题(SXKT04);空军特色医学中心青年人才计划项目(22BJQN005);北京市首都卫生发展科研专项(首发2024-4-5122)。

摘　　要：目的对军事飞行人员超龄特许飞行航空医学鉴定情况进行回顾性分析,为相关人员的健康管理及超龄特许鉴定改进提供参考依据。方法收集2012—2023年于某军队医院申请超龄特许飞行航空医学鉴定的509人次飞行人员临床资料及鉴定结果,分析疾病检出情况及不合格疾病谱,并比较不同机种、飞行职务的飞行合格率。结果申请超龄特许飞行医学鉴定的509人次飞行人员中,79.57%检出疾病,检出疾病排序前10位的依次是高脂血症、脂肪肝、甲状腺结节、后天性肾囊肿、肝囊肿、胆囊息肉、高尿酸血症、颈内动脉斑块、高血压、肝血管瘤。96.08%人次鉴定结果为飞行合格,1.96%飞行不合格,1.96%暂时飞行不合格。不同机种、飞行职务超龄特许医学鉴定合格率无统计学差异(P>0.05)。结论达到最高飞行年龄的飞行骨干可通过积极申请超龄特许飞行,以延长飞行年限,维护部队战斗力。针对年大飞行人员常见的代谢性疾病及心血管疾病,在航卫保障中应重视防控,在超龄特许航空医学鉴定中进行科学评估及鉴定。Objective To retrospectively investigate and analyze the specially permitted aeromedical evaluation results of overage military flying personnel,in order to provide references for health management and related evaluation methods improvement.Methods The clinical data and evaluation results of overage flying personnel were collected from 2012 to 2023.Disease spectrum was analyzed,and qualified rates among different airplane types and aviation duties were compared.Results 79.57%of the 509 flying personnel were detected with diseases,and the top ten were hyperlipidemia,fatty liver,thyroid nodule,renal cyst,hepatic cyst,gallbladder polyps,hyperuricemia,carotid artery arteriosclerosis,hypertension and hepatic hemangioma.96.08%of the personnel were qualified to continue flying,1.96%were disqualified and 1.96%were temporarily disqualified.The qualified rates among different airplane types and aviation duties were not significantly different(P>0.05).Conclusion Overage military flying personnel could apply for specially permitted aeromedical evaluation to extend their flying lifespan.Attention should be paid to metabolic and cardiovascular diseases in aeromedical support and evaluation for these experienced flying personnel.

关 键 词：超龄特许 航空医学鉴定 飞行人员 疾病谱 

分 类 号：R85[医药卫生—航空、航天与航海医学]