飞行人员暂时飞行不合格情况分析  

Analysis on temporary grounding in the flying personnel

作　　者：董璐璐 伍潇潇 王玮 肖承祥 吕清明 张丹 Dong Lulu;Wu Xiaoxiao;Wang Wei;Xiao Chengxiang;Lyu Qingming;Zhang Dan(Department of Aviation Diseases,Southern Theater Air Force Hospital,Guangzhou 510600,China)

机构地区：[1]南部战区空军医院空勤科,广州510600

出　　处：《中华航空航天医学杂志》2024年第4期281-285,共5页Chinese Journal of Aerospace Medicine

摘　　要：目的通过研究飞行人员暂时飞行不合格的疾病谱及疾病特点,探讨改进航空卫生保障工作的有效措施。方法回顾性分析2011年11月至2023年3月在南部战区空军医院就诊,航空医学鉴定结论为暂时飞行不合格的244例飞行人员的临床资料,以机种(歼击机、运输机-轰炸机和直升机)、飞行时间(<2000 h和≥2000 h)分组,统计分析暂时飞行不合格疾病谱,比较不同机种和飞行时间飞行人员的疾病分布情况。结果经航空医学鉴定结论为暂时飞行不合格的244例(389人次)飞行人员中,涉及疾病专科主要为外科(52.5%)、内科(24.6%)和神经精神科(14.3%)。暂时飞行不合格疾病谱排序前10位的疾病依次是颈腰椎病、焦虑抑郁、膝关节损伤(手术治疗)、肛瘘(手术治疗)、睡眠障碍、软组织损伤、高血压、输尿管结石、跟腱断裂及骨折(保守治疗),不同机种飞行人员因焦虑抑郁导致暂时飞行不合格的比例差异有统计学意义(P=0.014),其余疾病导致暂时飞行不合格的比例在不同机种飞行人员间差异无统计学意义(P均>0.05)。飞行时间<2000 h的飞行人员中因膝关节损伤导致暂时飞行不合格的比例高于飞行时间≥2000 h飞行人员,差异有统计学意义(χ^(2)=4.47,P=0.035)。反复地面观察的71名飞行人员中最终28人鉴定结论为飞行合格,22人停飞,21人仍鉴定为暂时飞行不合格。结论飞行人员暂时飞行不合格比例较高,精准诊治及疾病康复后的航空医学鉴定是促进飞行人员早日复飞的重要环节。Objective To discuss the aeromedical support enhancement measures by analyzing the disease spectrum and the aeromedical characteristics of temporarily grounded flying personnel.Methods A retrospective analysis was conducted on the clinical data of 244 flying personnel who received medical treatment at the Southern Theater Air Force Hospital from November 2011 to March 2023 and were temporarily grounded in aeromedical assessment.The flying personnel were grouped by aircraft types(fighter,trans-bomber,helicopter)and flying hours(<2000 h and≥2000 h),and the spectrum of temporarily unqualified flight diseases were statistically analyzed.The disease distributions of flying personnel in different aircraft types and flying hours were compared.Results Among the 244 flying personnel(389 person-time)who were identified as temporarily grounded by aeromedical assessment,the major specialties involved were surgery(52.5%),internal medicine(24.6%)and neuropsychiatry(14.3%).The top 10 diseases leading to temporarily grounded were cervical and lumbar spine diseases,anxiety-depression,knee joint injury(surgical treatment),anal fistula(surgical treatment),sleep disorders,joint and soft tissue injuries,hypertension,ureteral stones,achilles tendon rupture and fracture(conservative treatment).There was a significant difference in the proportion of flying personnel temporarily grounded due to anxiety-depression among different aircraft types(P=0.014).There were no significant differences in other diseases among flying personnel in different aircraft types(all P>0.05).The proportion of temporarily grounded flying personnel due to knee joint injury in flying hours<2000 h was higher than that in flying hours≥2000 h,and the difference was significant(χ^(2)=4.47,P=0.035).Among the 71 flying personnel who underwent repeated ground observation,28 were identified as qualified,22 were grounded and 21 were still temporarily grounded.Conclusions The proportion of flying personnel temporarily grounded due to diseases is relatively high.Accura

关 键 词：体格检查 合格鉴定 疾病谱 飞行人员 

分 类 号：R851[医药卫生—航空、航天与航海医学]