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战斗机飞行员心肺储备功能调查及影响因素分析

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目的 调查战斗机飞行员的心肺储备功能,分析其相关影响因素。方法 选取自2022 年3 月至2023 年3 月于北部战区空军医院空勤科体检的战斗机飞行员112 例为研究对象。所有飞行员均接受运动心肺功能测试(CPET),记录飞行员的CPET结果,分析影响CPET指标的因素。结果 所有入组飞行员均达到极量运动标准,负荷运动时间控制在 6~10 min,符合测试标准。飞行员平均峰值摄氧量为(2 391。63±372。08)ml/min,平均峰值公斤摄氧量为(33。16±4。67)ml/(min·kg),平均无氧阈公斤摄氧量为(20。71±4。03)ml/(min·kg),平均无氧阈占峰值摄氧量百分比为(62。51%±7。89%),平均峰值代谢当量为(9。41±1。48),平均峰值心率为(169。01±11。83)次/min,平均峰值氧脉搏为(14。78±2。52)(ml·min)/次,平均峰值运动负荷为(215。47±27。80)Watt,平均峰值通气量为(78。59±16。83)L/min,平均峰值呼吸交换率为(1。20±0。03)。年龄是峰值运动负荷、无氧阈公斤摄氧量、峰值心率、无氧阈占峰值摄氧量百分比的影响因素(P<0。05);吸烟是峰值摄氧量、峰值公斤摄氧量的影响因素(P<0。05);颈围是峰值摄氧量的影响因素(P<0。05);体质量指数是无氧阈公斤摄氧量、峰值代谢当量、峰值心率、峰值公斤摄氧量、峰值通气量的影响因素(P<0。05);偏颇体质是无氧阈公斤摄氧量、峰值摄氧量、峰值公斤摄氧量的影响因素(P<0。05)。结论 受试战斗机飞行员均具备良好的心肺储备功能水平,年龄、吸烟、颈围、体质量指数、偏颇体质是飞行员心肺储备功能的影响因素,应注重引导飞行员养成健康生活方式、增强体质及改变不良习惯。
Investigation of cardiopulmonary reserve function of fighter pilots and analysis of influencing factors
Objective To investigate the cardiopulmonary reserve function of fighter pilots and analyze its related influencing factors.Methods A total of 112 fighter pilots who underwent physical examination in the Northern Theater Air Force Hospital from March 2022 to March 2023 were selected as the study objects.All pilots underwent cardiopulmonary exercise testing(CPET),CPET results were recorded,and factors affecting CPET indexes were analyzed.Results All pilots achieved the maximum exercise standard,and the load exercise time was controlled within 6-10 min,which met the test standard.The average peak oxygen uptake was(2 391.63±372.08)ml/min,the average peak oxygen uptake in kg was(33.16±4.67)ml/(min·kg),the average anaerobic threshold oxygen uptake in kg was(20.71±4.03)ml/(min·kg),the percentage of average anaerobic threshold to peak oxygen uptake was(62.51%±7.89%),the average peak metabolic equivalent was(9.41±1.48),the average peak heart rate was(169.01±11.83)times/min,the average peak oxygen pulse was(14.78±2.52)(ml·min)/time,the average peak exercise load was(215.47±27.80)Watt,the average peak ventilation volume was(78.59±16.83)L/min,and the average peak respiratory exchange rate was(1.20±0.03).Age was the influence factor of peak exercise load,anaerobic threshold oxygen uptake in kg,peak heart rate and anae-robic threshold to peak oxygen uptake(P<0.05).Smoking was the influence factor of peak oxygen uptake and peak oxygen uptake in kg(P<0.05).Neck circumference was the influence factor of peak oxygen uptake(P<0.05).Body mass index was the influence factor of anaerobic threshold oxygen uptake in kg,peak metabolic equivalent,peak heart rate,peak oxygen uptake in kg and peak venti-lation volume(P<0.05).Biased constitution was the influence factor of anaerobic threshold oxygen uptake in kg,peak oxygen uptake and peak oxygen uptake in kg(P<0.05).Conclusion All pilots tested have good cardiopulmonary reserve function.Age,smoking,neck circumference,body mass index and biased constitution are the factors affecting cardiopulmonary reserve function of pilots.Pilots should be guided to develop a healthy lifestyle,enhance physical fitness and change bad habits.

PilotCardiopulmonary reserve functionCardiopulmonary exercise testing

刘杰峰、吴晓彧、张义雪、程蕾、庞剑

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北部战区空军医院 呼吸与危重症医学科,辽宁 沈阳 110042

飞行员 心肺储备功能 运动心肺功能测试

空军后勤科研项目

CKJ20J023

2024

临床军医杂志
解放军沈阳军区卫生人员训练基地

临床军医杂志

CSTPCD
影响因子:0.465
ISSN:1671-3826
年,卷(期):2024.52(2)
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