摘要目的 调查了解空军飞行人员医学停飞的疾病谱分布及变化规律,为相关部门制定卫生政策和航卫保障措施提供客观依据. 方法 采用回顾性调查研究、整群抽样的方法系统收集1987年1月1日至2002年12月31日期间,空军航空兵部队医学停飞的飞行人员档案资料.用EpiData 3 .0建立数据库并双录入核查,保证数据录入的质量.用Excel 2003和SPSS 11 .5进行数据整理与统计分析. 结果 ①1987—2002年空军飞行人员医学停飞最小年龄为22岁,最大停飞年龄为52岁,平均33 .42岁;62 .98% 的人年龄≤35岁,13 .89% 的人＞40岁.②1987—2002年导致空军飞行人员医学停飞人数最多的疾病为神经精神疾病,是排名第12位的血液系统疾病的164 .61倍.③1987—2002年空军飞行人员医学停飞单病种疾病谱前10位分别为头痛、晕厥、神经衰弱、胃肠溃疡、病毒性乙型肝炎、高血压病、慢性胃肠炎、耳聋、耳气压功能不良和屈光不正;前10位疾病的疾病构成比达58 .24%;前3位的疾病均为功能性疾病. 结论 空军医学停飞人员年龄偏低,停飞疾病谱功能性疾病构成比偏高,应引起飞行人员和航卫保障人员重视,采取有效的预防措施和加强医学干预.

abstractsObjective To provide objective basis to the authorities for making health policies and aeromedical support measures by investigating the disease spectrum and its variations of the Air Force flying personnel who are grounded by medical reasons. Methods The data of the medical grounding flying personnel of Air Force ,that were collected by the cluster sampling from January 1st , 1987 to December 31st ,2002 ,were retrospectively investigated.The database entry was completed by EpiData 3.0 and the double entry verification was used to ensure the quality.Data collation and statistical analysis were conducted by Excel 2003 and SPSS 11.5. Results ①From 1987 to 2002 ,the youngest age of medical grounding flying personnel of Air Force was 22 years old ,the oldest age was 52 years old ,and the average age was 33.42 years old.The number of the grounding personnel younger than or equal to 35 years old accounted for 62.98%,while the personnel older than 40 years old for 13.89%.②The most common disease that caused the grounding from 1987 to 2002 was neuropsychiatric disease ,that was 164.61 times of the blood system disease which ranked 12th in spectrum.③The top ten diseases in the spectrum of the single disease that caused the grounding from 1987 to 2002 were headache ,syncope ,neurasthenia ,gastric ulcer ,viral hepatitis B ,hypertension , chronic gastroenteritis ,deaf ,ear barometric dysfunction and refractive errors.The composition ratio of top 10 diseases accounted for 58.24%.The top three were functional diseases. Conclusions The medical grounding flying personnel of Air Force show a trend to younger age.Functional diseases account for high proportion.Both flying personnel and aeromedical support personnel should pay attention to these.Taking preventive measures and strengthening the medical interventions are suggested.