本文關(guān)鍵詞： 航天醫(yī)學(xué) 體格檢查 脊柱 X線放大攝影術(shù)　出處：《中國臨床康復(fù)》2005年38期 　論文類型：期刊論文

【摘要】：目的:調(diào)查分析殲擊機飛行員脊柱健康狀況和影響因素,為飛行航空衛(wèi)生保健工作提供參考。方法:選擇1999-11/2000-12解放軍空軍總醫(yī)院全軍臨床航空醫(yī)學(xué)中心體檢的空軍多個部隊的現(xiàn)役殲擊機飛行員240人(知情同意)。均為男性,平均年齡(32±4)歲,身體健康甲類。對其進行全脊柱X射線檢查,并對檢查結(jié)果進行分級比較,探討脊柱病變程度與年齡、飛行時間和加速度耐力的關(guān)系。根據(jù)脊柱X射線檢查結(jié)果,將頸椎、胸椎和腰椎的退行性病變程度分為4級:0級為未見異常;3級為嚴(yán)重病變。結(jié)果:240名參與體檢者均進入結(jié)果分析。①飛行員脊柱不同部位X射線病變情況:13.8%的人員脊柱X射線未見異常,75.4%的人員脊柱有輕度退行改變,10.8%的人員病變較明顯,其中腰椎雙側(cè)峽部裂伴Ⅰ°前滑脫、頸椎環(huán)樞關(guān)節(jié)半脫位以及脊椎腫瘤可能影響飛行安全。②飛行員年齡、飛行時間與脊柱病變程度的關(guān)系:脊柱病變發(fā)生比率以40歲者發(fā)生率最高,為33.3%。年齡是脊柱發(fā)生退行性改變的重要影響因素,并與腰椎X射線病變程度存在顯著相關(guān)關(guān)系(r=0.127,P0.05)。③飛行員脊柱病變與加速度耐力的關(guān)系:未發(fā)現(xiàn)脊柱X射線病變程度與飛行時間和加速度耐力有明顯相關(guān)關(guān)系。④醫(yī)學(xué)鑒定結(jié)果:飛行暫不合格者2人,分別診斷為頸椎環(huán)樞關(guān)節(jié)半脫位伴頸椎管髓外硬膜下腫瘤和有癥狀的腰椎雙側(cè)峽部裂伴Ⅰ°前滑脫。結(jié)論:1/10的飛行員存在較為明顯的脊柱X射線病變,對飛行安全造成隱患,應(yīng)在飛行員體檢和招飛工作中,加強脊柱X射線檢查,特別對年齡較大飛行員應(yīng)加強腰椎檢查。
[Abstract]:Objective: to investigate and analyze the health status and influencing factors of spinal column in fighter pilots. Methods: 240 active fighter pilots (with informed consent) were selected from the PLA General Hospital of the PLA Air Force from December 1999 to December 2000 to receive medical examinations in various units of the Air Force. The average age was 32 鹵4 years old. The patients were examined by X-ray examination of the whole spine, and the results were compared, and the degree and age of spinal lesions were discussed. The relationship between time of flight and acceleration endurance. Based on the results of X-ray examination of the spine, the cervical vertebrae, The degenerative degree of thoracic vertebrae and lumbar vertebrae were divided into 4 grade: 0 grade, no abnormal grade 3 and severe lesion. Results all 240 people who participated in the physical examination were involved in the analysis of the results. 1 the X-ray lesions of different parts of the pilots' spine were: 13. 8%. 75.4% of the patients had slight degeneration of the spine and 10.8% had obvious pathological changes. Lumbar bilateral isthmic fissure with 鈪，

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