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中国军事直升机飞行人员疾病谱Meta分析

Meta-analysis of disease spectrum of Chinese military helicopter flying personnel

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目的 系统评价中国军事直升机飞行人员疾病谱,了解其患病特点,为维护和提升军事直升机飞行人员的健康水平及制定卫勤保障措施提供循证依据.方法 检索中国知网、维普期刊全文数据库、万方知识服务平台和PubMed数据库中有关中国军事直升机飞行人员疾病调查的文献.检索时限均从建库至2022年9月26日.由2名研究者独立筛选文献,提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.4软件进行单类疾病检出率的系统评价.结果 纳入研究文献12篇,发表年份为2009-2020年,研究对象7 034人,年龄为20~56岁.Meta分析结果显示,前5位检出疾病依次为肝胆疾病(22.4%,95%CI为14.0%~30.7%,I2=99%,P<0.001)、代谢性疾病(17.5%,95%CI为11.7%~23.3%,I2=97%,P<0.001)、头痛(10.3%,95%CI为4.8%~15.8%,I2=75%,P=0.007)、脊柱及关节疾病(10.0%,95%CI为7.4%~12.6%,I2=96%,P<0.001)和职业性航空病(7.8%,95%CI为3.1%~12.5%,I2= 76%,P=0.006).口腔疾病检出率虽然比较高(24.9%),但是纳入文献少,估计值不显著.结论 我军直升机飞行人员疾病检出率较高的疾病主要为肝胆疾病、代谢性疾病、头痛、脊柱及关节疾病和职业性航空病.应根据循证依据对军事直升机飞行人员实施合理的健康维护策略,更好地维护和促进其健康水平.
Objective To provide evidence-based references for maintaining and enhancing the health level of military helicopter flying personnel and formulating medical support measures by systematically evaluating the disease spectrum of Chinese military helicopter flying personnel and understanding the disease characteristics.Methods The literatures about disease investigation of Chinese helicopter flying personnel was extracted from China National Knowledge Infrastructure Database,VIP database,Wanfang database and PubMed database.The retrieval time span was from the establishment of the database to September 26,2022.Two researchers independently screened the literature,extracted the data and evaluated the bias risk included in the study.RevMan 5.4 software was used to systematically evaluate the detection ratio of single disease.Results Twelve research articles were included,published in 2009-2020,with 7 034 subjects aged 20-56 years.Meta-analysis results showed that the top 5 detected diseases were hepatobiliary diseases(22.4%,95%CI:14.0%-30.7%,I2=99%,P<0.001),metabolic diseases(17.5%,95%CI:11.7%-23.3%,I2=97%,P<0.001),headache(10.3%,95%CI:4.8%-15.8%,I2=75%,P=0.007),spinal and joint diseases(10.0%,95%CI:7.4%-12.6%,I2=96%,P<0.001),and occupational aviation diseases(7.8%,95%CI:3.1%-12.5%,I2=76%,P=0.006).Although the detection rate of oral diseases was relatively high(24.9%),it was not significant due to the limited number of included literatures.Conclusions Diseases with a high detection rate among Chinese military helicopter flying personnel are mainly hepatobiliary diseases,metabolic diseases,headache and spinal and joint diseases,and occupational aviation diseases.Rational health maintenance strategies for military helicopter flying personnel should be implemented on an evidence-based basis to better maintain and promote their health levels.

DiseasePrevalenceMeta-analysisHelicopterFlying personnel

张杰、刘涛、窦艳玲

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西部战区空军医院耳鼻咽喉头颈外科,成都 610065

疾病 患病率 Meta分析 直升机 飞行人员

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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