民航飞行员颈动脉斑块与冠状动脉粥样硬化程度的关系研究  

Study on the correlation between carotid plaque and severity of coronary atherosclerosis in civil aviation pilots

作　　者：李杏[1] 蒋薇 朱业[1] Li Xing;Jiang Wei;Zhu Ye(Aviation Health Centre,China Southern Airlines,Guangzhou 510406,China)

机构地区：[1]中国南方航空股份有限公司航空卫生中心,广州510406

出　　处：《实用医技杂志》2025年第2期149-152,共4页Journal of Practical Medical Techniques

摘　　要：目的探讨民航飞行员颈动脉斑块与冠状动脉粥样硬化严重程度的相关性,分析颈动脉斑块对冠状动脉粥样硬化性心脏病的诊断效能及体检鉴定的影响。方法回顾性分析2023年1-12月60名于7 d内行冠状动脉造影(CAG)和颈动脉超声的民航飞行员数据。根据颈动脉超声所示病变计算颈动脉总斑块积分(Crouse积分),将患者分为6组,基于冠状动脉造影检查结果计算冠状动脉病变评分(Gensini积分),比较各组间Gensini积分差异,并计算颈动脉斑块协助诊断冠心病的灵敏度及特异度。结果颈动脉Crouse积分不同的飞行员,冠状动脉Gensini积分差异有统计学意义(P<0.05)。颈动脉斑块更严重时,冠状动脉粥样硬化程度往往更严重。基于颈动脉斑块协助诊断冠心病的灵敏度为93.8%(45/48),特异度为50.0%(6/12)。结论颈动脉斑块与冠状动脉粥样硬化程度存在相关性,颈动脉超声可作为一个简单易行的无创性检查方法,用于评估冠状动脉粥样硬化的严重程度,从而指导飞行员医学鉴定工作。Objective To investigate the correlation between carotid plaque and severity of coronary atherosclerosis in civil aviation pilots,and to analyze the effect of carotid plaque on the diagnosis of coronary heart disease and medical authentication.Methods A retrospective analysis was conducted on 60 civil aviation pilots who underwent coronary angiography(CAG)and carotid ultrasound within 7 days.The Crouse score was calculated based on the lesion found in carotid ultrasound,and the pilots were divided into 6 groups based on the results of coronary angiography.The Gensini score was calculated to evaluate the coronary artery lesion,and the differences in Gensini scores among the groups were compared.The sensitivity and specificity of carotid plaque in diagnosing coronary heart disease were calculated.Results For pilots with different carotid Crouse scores,there were significant differences in coronary artery Gensini scores(P<0.05).The more severe carotid plaque was,the worst coronary atherosclerosis tends to be.Based on the plaque at the carotid,the sensitivity and specificity of diagnosing coronary heart disease were 93.8%(45/48)and 50.0%(6/12),respectively.Conclusion There is a correlation between carotid plaque and the severity of coronary atherosclerosis.Carotid ultrasound can be used as a simple and non-invasive test to assess the severity of coronary atherosclerosis and direct medical authentication of pilots.

关 键 词：颈动脉狭窄 冠状动脉疾病 冠心病 飞行员 

分 类 号：R856.5[医药卫生—航空、航天与航海医学]