Analysis on the disease spectrum of the military flying personnel temporarily grounded from 2012 to 2021
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目的 总结年度体检结论“暂时飞行不合格”军事飞行人员疾病特点，分析疾病谱变化规律，为航空卫生保障工作的持续改进提供数据支撑。 方法 回顾性分析2012—2021年于空军杭州特勤疗养中心行年度体检，且航空医学鉴定结论为暂时飞行不合格的军事飞行人员的临床资料，以5年为限，分为2012—2016年组、2017—2021年两组，统计比较两组暂时飞行不合格军事飞行人员疾病、年龄、飞行机种分布情况。 结果 共纳入飞行人员522例，年龄23~55岁，飞行时间100~20 000 h。2012—2016年组242例，2017—2021年组280例。与2012—2016年组相比，2017—2021年组新增疾病9种，排名前10位疾病中肺结节、高血压、糖尿病、肿瘤指标异常、大便隐血阳性的占比升高，甲状腺结节、肝功能异常、心律失常占比下降。两组暂时飞行不合格人员年龄分布差异有统计学意义（χ2=20.97，P<0.001），2017—2021年组中≥40岁人数所占比例增加。2017—2021年组中歼教机飞行员、轰运机飞行人员比例增加，差异有统计学意义（χ2=14.66，P=0.001）。 结论 近年来暂时飞行不合格军事飞行人员疾病谱疾病种类增多，且以隐匿性疾病为主。由于目前特勤疗养机构普遍仅在出院2个月内进行电话回访，而对于某些隐匿性疾病需长期观察才能确定对飞行的影响，因此应建立长期有效的回访制度。 Objective To provide data support for the improvement of aeromedical support by summarizing the disease characteristics and analyzing the change pattern of disease spectrum for the temporarily grounded military flying personnel assessed in the annual physical examination. Methods The clinical data of military flying personnel who were assessed as temporary grounding in the annual physical examination in Air Force Healthcare Center for Special Services Hangzhou from 2012 to 2021 were retrospectively analyzed. They were divided into 2012—2016 group and 2017—2021 group with a 5-year span. The distributions of disease, age and aircraft type were statistically compared between 2 groups of temporarily grounded military flying personnel. Results A total of 522 flying personnel, aged from 23-55 years and flew 100-20 000 h, were enrolled. There were 242 cases in 2012—2016 group and 280 cases in 2017—2021 group. Compared with 2012—2016 group, 2017—2021 group was found 9 new diseases. Among the top 10 diseases in 2017—2021 group, the proportion of pulmonary nodules, hypertension, diabetes, abnormal tumor indicators, positive fecal occult blood was increased, and the proportion of thyroid nodules, abnormal liver function, arrhythmia was decreased. There was a significant difference in the age distribution between 2 groups of temporarily grounded military flying personnel (χ2=20.97, P<0.001). The proportion of flying personnel aged ≥40 years old was increased in 2017—2021 group. The proportion of fighter-trainer pilots and bomb-transporter flying personnel increased in 2017—2021 group, and the difference was significant (χ2=14.66, P=0.001). Conclusions In recent years, more diseases, mostly occult diseases, are found in the disease spectrum of the temporarily grounded military flying personnel. Since some insidious diseases require more time to observe their convalescent effect and the influence to flight but the routine phone follow-up is called within 2 months of discharge, so a long-term and effective follow-up mechanism is suggested.
Objective To provide data support for the improvement of aeromedical support by summarizing the disease characteristics and analyzing the change pattern of disease spectrum for the temporarily grounded military flying personnel assessed in the annual physical examination. Methods The clinical data of military flying personnel who were assessed as temporary grounding in the annual physical examination in Air Force Healthcare Center for Special Services Hangzhou from 2012 to 2021 were retrospectively analyzed. They were divided into 2012—2016 group and 2017—2021 group with a 5-year span. The distributions of disease, age and aircraft type were statistically compared between 2 groups of temporarily grounded military flying personnel. Results A total of 522 flying personnel, aged from 23-55 years and flew 100-20 000 h, were enrolled. There were 242 cases in 2012—2016 group and 280 cases in 2017—2021 group. Compared with 2012—2016 group, 2017—2021 group was found 9 new diseases. Among the top 10 diseases in 2017—2021 group, the proportion of pulmonary nodules, hypertension, diabetes, abnormal tumor indicators, positive fecal occult blood was increased, and the proportion of thyroid nodules, abnormal liver function, arrhythmia was decreased. There was a significant difference in the age distribution between 2 groups of temporarily grounded military flying personnel (χ2=20.97, P<0.001). The proportion of flying personnel aged ≥40 years old was increased in 2017—2021 group. The proportion of fighter-trainer pilots and bomb-transporter flying personnel increased in 2017—2021 group, and the difference was significant (χ2=14.66, P=0.001). Conclusions In recent years, more diseases, mostly occult diseases, are found in the disease spectrum of the temporarily grounded military flying personnel. Since some insidious diseases require more time to observe their convalescent effect and the influence to flight but the routine phone follow-up is called within 2 months of discharge, so a long-term and effective follow-up mechanism is suggested.
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