首页|歼击机飞行员血压水平及相关危险因素调查分析

歼击机飞行员血压水平及相关危险因素调查分析

Investigation and analysis of blood pressure levels and related risk factors of fighter pilots

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目的 调查歼击机飞行员动脉血压水平,分析与歼击机飞行员血压相关的危险因素.方法 回顾性分析在空军杭州特勤疗养中心进行航空医学鉴定的歼击机飞行员的体检资料及同时段的问卷调查资料,根据血压水平分为高血压组[SBP≥140 mmHg(1 mmHg=0.133 kPa)和(或)DBP≥90 mmHg]、正常高值血压组[120 mmHg≤SBP<140 mmHg和(或)80 mmHg≤DBP<90 mmHg]和正常血压组(SBP<120 mmHg且DBP<80 mmHg),比较3组飞行员生理、生化指标差异,采用多元Logistic回归分析影响血压的危险因素.结果 共纳入歼击机飞行员414例,其中高血压组9例(2.17%),正常高值血压组274例(66.18%),正常血压组131例(31.64%).不同血压组飞行员年龄、飞行时间、体质指数、腰围、空腹血糖、总胆固醇、低密度脂蛋白胆固醇及血尿酸差异均有统计学意义(F=2.97~11.08,P均<0.05),但高密度脂蛋白胆固醇差异无统计学意义(P>0.05).影响歼击机飞行员血压增高的危险因素有饮酒量(OR=9.865,P=0.021)、食盐量(OR=8.971,P=0.033)、血尿酸(OR=1.013,P=0.046)、体质指数(OR=1.431,P=0.001)及腰围(OR=1.340,P=0.039),保护因素有蔬菜水果摄入量(OR=0.623,P= 0.033).结论 高钠饮食、超重或肥胖、过量饮酒、血尿酸增高、蔬菜水果摄入量偏少可能是歼击机飞行员血压升高的危险因素.
Objective To investigate the arterial blood pressure levels of fighter pilots and to analyze the risk factors associated with blood pressure in fighter pilots.Methods A retrospective analysis was conducted on the physical examination data and questionnaire data of the fighter pilots who underwent aeromedical assessment at Air Force Healthcare Center for Special Services Hangzhou.They were divided into hypertension group[SBP≥140 mmHg(1 mmHg= 0.133 kPa)and(or)DBP≥90 mmHg],normal high blood pressure group[120 mmHg≤SBP<140 mmHg and(or)80 mmHg≤DBP<90 mmHg]and normal blood pressure group(SBP<120 mmHg and DBP<80 mmHg)according to the blood pressure level.The differences of physiological and biochemical indicators among the pilots of 3 groups were compared,and the risk factors affecting blood pressure were analyzed by multiple Logistic regression.Results A total of 414 fighter pilots were included,with 9(2.17%)in the hypertension group,274(66.18%)in the normal high blood pressure group,and 131(31.64%)in the normal blood pressure group.There were significant differences in age,flying hours,body mass index,waist circumference,fasting plasma glucose,total cholesterol,low-density lipoprotein cholesterol,and blood uric acid among the pilots of different blood pressure groups(F=2.97-11.08,all P<0.05),but no significant difference in HDL-C(P>0.05).The risk factors for increased the blood pressure of fighter pilots included alcohol consumption(OR= 9.865,P=0.021),salt consumption(OR=8.971,P=0.033),blood uric acid(OR=1.013,P=0.046),BMI(OR=1.431,P=0.001)and waist circumference(OR=1.340,P=0.039).The protective factor was the consumption of vegetables and fruits(OR=0.623,P=0.033).Conclusions High sodium diet,overweight or obesity,excessive alcohol consumption,increased blood uric acid and low consumption of vegetables and fruits may be the risk factors result in high blood pressure of fighter pilots.

HypertensionRisk factorsNormal high blood pressureFighter pilots

梁家林、肖璐、张淑琴、宋佳、步笑辉、贺梅、王菲、郭莉、汤雪妹、董惠

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空军杭州特勤疗养中心疗养二区疗养二科,杭州 310013

陆军军医大学免疫研究所,重庆 400038

高血压 危险因素 正常高值血压 飞行员

2023

中华航空航天医学杂志
中华医学会

中华航空航天医学杂志

CSTPCD
影响因子:0.394
ISSN:1007-6239
年,卷(期):2023.34(4)
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