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高原驻训飞行员心理状况变化特点调查 高原驻训飞行员心理状况变化特点调查
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.015
伊丽, 王生成, 刘庆峰, 焦志刚, 焦玉冰, 吴峰
高原自然环境恶劣,高寒、缺氧、低气压、强紫外线,习惯于平原地区生活的人在高原地区会出现不同程度的高原反应.在这种条件下进行飞行训练或执行飞行任务,不仅身体会受到影向,还会对心理上产生不良影响.为探讨高原驻训对飞行员心理状况的影响,笔者对某飞行团在经历4个月的高原驻训任务后进行了心理状况调查. 关键词:高海拔(Altitude);精神卫生(Mental health);问卷调查(Questionnaires) 分类号:R853;R395.6
高原自然环境恶劣,高寒、缺氧、低气压、强紫外线,习惯于平原地区生活的人在高原地区会出现不同程度的高原反应.在这种条件下进行飞行训练或执行飞行任务,不仅身体会受到影向,还会对心理上产生不良影响.为探讨高原驻训对飞行员心理状况的影响,笔者对某飞行团在经历4个月的高原驻训任务后进行了心理状况调查. 关键词:高海拔(Altitude);精神卫生(Mental health);问卷调查(Questionnaires) 分类号:R853;R395.6
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引用次数: 0
民航飞行学员扩张型心肌病一例 民航飞行学员扩张型心肌病一例
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.005
李娇, 易华, 包芳, 李伟
一、临床资料患者,男性,25岁,民航飞行学员.2012年8月,航校毕业入职体检时心脏超声示:左室扩大,左室室壁运动异常,左室射血分数51%.后在北京军区总医院行心脏形态MR检查示:左室心腔扩大,心肌变薄且不均匀,室壁运动减弱,考虑扩张型心肌病.经心内科会诊后,诊断为扩张型心肌病.追溯6年前招飞体检,未查心动超声,心电图示:大致正常.2007-2011年大学年度体检时,心电图均示:左室高电压.大学4年间未做心动超声检查.2012年8-9月,分别在多家医院就诊,心动超声示:左心室扩大,前室间隔心肌变薄,射血分数32%~51%;查体:心尖部可闻及Ⅱ级收缩期杂音.确诊为:扩张型心肌病.2012年12月14日,查心脏超声示:左心增大,心肌受累疾患,左室射血分数35%.给予比索洛尔、螺内酯、培哚普利等药物治疗,并建议2个月复查1次心动超声.2013年4月中国民用航空总局空勤人员体检鉴定中心鉴定,结论:飞行不合格. 关键词:心肌病,扩张型(Cardiomyopathy,dilated);合格鉴定(Eligibility determination);病例报告(Case report) 分类号:R856.5;R542.2
一、临床资料患者,男性,25岁,民航飞行学员.2012年8月,航校毕业入职体检时心脏超声示:左室扩大,左室室壁运动异常,左室射血分数51%.后在北京军区总医院行心脏形态MR检查示:左室心腔扩大,心肌变薄且不均匀,室壁运动减弱,考虑扩张型心肌病.经心内科会诊后,诊断为扩张型心肌病.追溯6年前招飞体检,未查心动超声,心电图示:大致正常.2007-2011年大学年度体检时,心电图均示:左室高电压.大学4年间未做心动超声检查.2012年8-9月,分别在多家医院就诊,心动超声示:左心室扩大,前室间隔心肌变薄,射血分数32%~51%;查体:心尖部可闻及Ⅱ级收缩期杂音.确诊为:扩张型心肌病.2012年12月14日,查心脏超声示:左心增大,心肌受累疾患,左室射血分数35%.给予比索洛尔、螺内酯、培哚普利等药物治疗,并建议2个月复查1次心动超声.2013年4月中国民用航空总局空勤人员体检鉴定中心鉴定,结论:飞行不合格. 关键词:心肌病,扩张型(Cardiomyopathy,dilated);合格鉴定(Eligibility determination);病例报告(Case report) 分类号:R856.5;R542.2
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引用次数: 0
Effects of high + Gz exposure on saliva α-amylase of fighter pilots 高+ Gz暴露对战斗机飞行员唾液α-淀粉酶的影响
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.002
Hong Xue, Weidong Li, Cheng-kang Xu, Yiran Liu, Xufang Wang
Objective To investigate the influence of +Gz acceleration on saliva a-amylase (SAA) of pilots,so as to assess the feasibility of taking SAA as an indicator of +Gz stress on pilots.Methods Saliva was collected from 47 pilots before and after + 6.5 Gz,+ 7.0 Gz and + 8.0 Gz centrifuge exposures.The SAA was measured by a-amylase kit (dynamic monitoring method) and chemiluminescnet immunoassay.Results ①The SAA and cortisol levels significantly changed by different +Gz exposures (F= 17.712,3.427,P<0.01 or P<0.05).Compared with that before exposures,the SAA levels measured after +6.5 Gz,+ 7.0 Gz and +8.0 Gz exposures were significantly higher (P<0.01).The cortisol levels after +7.0 Gz and +8.0 Gz exposures were significantly higher than the baseline (P<0.05 or 0.01).The cortisol level obtained after +8.0 Gz exposure was significantly higher than that before + 6.5 Gz,+ 7.0 Gz and + 8.0 Gz centrifuge exposures (P<0.05).②Multivariate analysis showed that the aircraft type,pilot's age and flying hours had no influence on SAA and cortisol levels obtained after +Gz exposures.③ Pilots' cortisol levels were negatively correlated to the age and aircraft type of (r=-0.328,-0.694,P<0.05) but positively correlated to flying hours and +Gz level (r=0.466,0.141,P<0.05).SAA was positively correlated to +Gz level (r=0.354,P<0.01).④The levels of cortisol and SAA had less correlation either before or after +Gz exposure.Conclusions SAA elevates sensitivity with +Gz stress increase and quickly returns to baseline.So we can conclude that SAA could be a valid indicator of +Gz stress. Key words: Acceleration;  Stress;  Saliva;  Alpha-amylase
目的探讨+Gz加速对飞行员唾液a-淀粉酶(SAA)的影响,评价将SAA作为飞行员+Gz应激指标的可行性。方法采集47名飞行员+ 6.5 Gz、+ 7.0 Gz和+ 8.0 Gz离心暴露前后的唾液。采用a-淀粉酶试剂盒(动态监测法)和化学发光免疫分析法测定SAA。结果①不同+Gz暴露对SAA和皮质醇水平有显著影响(F= 17.712,3.427,P<0.01或P<0.05)。与暴露前相比,+ 6.5 Gz、+ 7.0 Gz和+8.0 Gz暴露后SAA水平显著升高(P<0.01)。+7.0 Gz和+8.0 Gz暴露后皮质醇水平显著高于基线(P<0.05或0.01)。+8.0 Gz暴露后皮质醇水平显著高于+ 6.5 Gz、+ 7.0 Gz和+8.0 Gz暴露前(P<0.05)。②多因素分析表明,飞机类型、飞行员年龄和飞行时间对+Gz暴露后的SAA和皮质醇水平没有影响。③飞行员皮质醇水平与年龄、机型负相关(r=-0.328,-0.694,P<0.05),与飞行时数、+Gz水平正相关(r=0.466,0.141,P<0.05)。SAA与+Gz水平呈正相关(r=0.354,P<0.01)。④皮质醇水平与SAA水平在+Gz暴露前后相关性较低。结论SAA敏感性随+Gz应激增加而升高,并迅速恢复到基线水平。因此,我们可以得出结论,SAA可以作为+Gz应力的有效指标。关键词:加速度;压力;唾液;阿尔法
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引用次数: 0
Application of critical flicker fusion frequency and oculomotor measures in the evaluation of drug effects on central functions 临界闪烁融合频率和动眼力测量在药物中枢功能评价中的应用
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.023
H. Zhan
Objective To review the researches on the application of critical flicker fusion frequency (CFF) and oculomotor measures in the evaluation of drug effects on central functions.Literature resource and selection Relevant articles and monographs published in China and abroad.Literature quotation Seventy-six published references (73 papers and 3 monographs) were cited.Literature synthesis The research advances on the application of CFF and oculomotor measures in the evaluation of drug effects on central functions were reviewed.CFF measure was a simple and convenient method for central vigilance and fatigue evaluation.The main indices or parameters of oculomotor responsive measures were initial pupil diameter or area,constriction latency of pupil to light flash,amplitude of pupil constriction to light flash,saccadic velocity,saccadic amplitude,etc..Many studies at home and abroad showed that CFF and oculomotor responsive measures could be used for evaluating the central effects of following drugs:sedative hypnotics,histamine H1 receptor antagonists,antidepressants,central stimulants,alcohol,opiates and so on.Saccadic velocity was a sensitive index for assessing the sedative effects of these drugs.Pupil measures could be used for evaluating the awaking action of drug and its effects on autonomic nerve function,and were also sensitive to the central effects of alcohol and opiates.Conclusions CFF and oculomotor response measures have been widely applied in the evaluation of the central effects of different kinds of drugs and the medication safety for special population. Key words: Flicker fusion;  Pharmaceutical preparations;  Central nervous system;  Review literature;  Oculomotor responses
目的综述临界闪烁融合频率(CFF)和动眼力指标在评价药物中枢功能作用方面的研究进展。文献资源与选择国内外发表的相关文章和专著。文献引用已发表文献76篇(论文73篇,专著3部)。综述了CFF和动眼力测量在药物中枢功能评价中的应用研究进展。CFF法是一种简便易行的中枢警觉性和疲劳评价方法。动眼力反应测量的主要指标或参数为初始瞳孔直径或面积、瞳孔对光闪收缩潜伏期、瞳孔对光闪收缩幅度、扫视速度、扫视幅度等。国内外大量研究表明,CFF和动眼力反应指标可用于评价镇静催眠药、组胺H1受体拮抗剂、抗抑郁药、中枢兴奋剂、酒精、阿片类药物等药物的中枢作用。眼跳速度是评价这些药物镇静作用的敏感指标。瞳孔测量可用于评价药物的唤醒作用及其对自主神经功能的影响,对酒精和阿片类药物的中枢作用也很敏感。结论CFF和动眼力反应法已广泛应用于各类药物的中枢效应评价和特殊人群用药安全性评价。关键词:闪烁融合;制剂;中枢神经系统;回顾文学;眼球运动的反应
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引用次数: 0
飞行员肾结石50例随访及放飞医学标准的探讨 飞行员肾结石50例随访及放飞医学标准的探讨
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.011
杨崇格, 陈明, 李萌, 吴玮
自2002年腹部B超作为飞行人员疗养期间年度大体检常规必查项目之后,诊断为肾结石的飞行员越来越多,但这种结石基本是静息性结石,既无临床症状,也无临床体征.肾结石数量、大小、位置不尽相同,自然造成的危害也不一样,但现行鉴定标准没有区别对待,尤其是单座机飞行员是不允许带石飞行的.肾结石对飞行的潜在影响及威胁是否过度解读,现行《中国人民解放军空军飞行人员体格检查标准》中有关肾结石条款是否过于严厉,值得广大航卫工作者关注和探讨.笔者通过对50例肾结石飞行员5年或5年以上临床医学资料及飞行追踪随访观察,旨在探讨肾结石与飞行之间的相互影响,以便更科学地对患有肾结石的飞行员进行医学鉴定,并为修订体格检查标准提供科学依据. 关键词:肾结石(Kidney calculi);合格鉴定(Eligibility determination);参考标准(Reference standards);随访研究(Follow-up studies) 分类号:R856.6
自2002年腹部B超作为飞行人员疗养期间年度大体检常规必查项目之后,诊断为肾结石的飞行员越来越多,但这种结石基本是静息性结石,既无临床症状,也无临床体征.肾结石数量、大小、位置不尽相同,自然造成的危害也不一样,但现行鉴定标准没有区别对待,尤其是单座机飞行员是不允许带石飞行的.肾结石对飞行的潜在影响及威胁是否过度解读,现行《中国人民解放军空军飞行人员体格检查标准》中有关肾结石条款是否过于严厉,值得广大航卫工作者关注和探讨.笔者通过对50例肾结石飞行员5年或5年以上临床医学资料及飞行追踪随访观察,旨在探讨肾结石与飞行之间的相互影响,以便更科学地对患有肾结石的飞行员进行医学鉴定,并为修订体格检查标准提供科学依据. 关键词:肾结石(Kidney calculi);合格鉴定(Eligibility determination);参考标准(Reference standards);随访研究(Follow-up studies) 分类号:R856.6
{"title":"飞行员肾结石50例随访及放飞医学标准的探讨","authors":"杨崇格, 陈明, 李萌, 吴玮","doi":"10.3760/CMA.J.ISSN.1007-6239.2014.02.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1007-6239.2014.02.011","url":null,"abstract":"自2002年腹部B超作为飞行人员疗养期间年度大体检常规必查项目之后,诊断为肾结石的飞行员越来越多,但这种结石基本是静息性结石,既无临床症状,也无临床体征.肾结石数量、大小、位置不尽相同,自然造成的危害也不一样,但现行鉴定标准没有区别对待,尤其是单座机飞行员是不允许带石飞行的.肾结石对飞行的潜在影响及威胁是否过度解读,现行《中国人民解放军空军飞行人员体格检查标准》中有关肾结石条款是否过于严厉,值得广大航卫工作者关注和探讨.笔者通过对50例肾结石飞行员5年或5年以上临床医学资料及飞行追踪随访观察,旨在探讨肾结石与飞行之间的相互影响,以便更科学地对患有肾结石的飞行员进行医学鉴定,并为修订体格检查标准提供科学依据. 关键词:肾结石(Kidney calculi);合格鉴定(Eligibility determination);参考标准(Reference standards);随访研究(Follow-up studies) 分类号:R856.6","PeriodicalId":9904,"journal":{"name":"Chinese Journal of Aerospace Medicine","volume":"55 1","pages":"122-125"},"PeriodicalIF":0.0,"publicationDate":"2014-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85213433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
飞行员多发血管畸形一例 飞行员多发血管畸形一例
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.018
刘淑萍, 姚克纯, 李利, 汪娜, 张龙方, 徐雪纯, 张晓婷, 王建昌
一、临床资料患者,男性,39岁,教练机-8飞行员,飞行时间3 570 h.患者因入睡困难2个月余,胸痛1个月就诊.入院查体:左侧上肢血压:104/70 mmHg(1 mmHg=0.133 kPa),右侧上肢血压:134/76 mmHg,双侧收缩压相差30 mmHg,左锁骨上窝可闻及收缩期血管杂音.行颈部血管超声检查:双侧椎动脉起始处走行变异,均于C5水平人横突孔(图1,见封四);右侧椎动脉代偿性增宽,内径约0.41 cm,左侧椎动脉纤细,内径约0.08 cm.彩色及频谱多普勒检查显示:右侧椎动脉内血流通畅,峰值流速72.5 cm/s,左侧椎动脉血流呈反向血流信号(图2,见封四),峰值流速39.1 cm/s;左侧锁骨下动脉狭窄处呈花色血流信号,收缩期峰值流速347 cm/s. 关键词:锁骨下动脉盗血综合征(Subclavian steal syndrome);肠系膜动脉(Mesenteric arteries);肾动脉梗阻(Renal rtery obstruction);超声(Ultrasonography);体格检查(Physical examination);血管畸形(Vascular abnormalities) 分类号:R856.5
一、临床资料患者,男性,39岁,教练机-8飞行员,飞行时间3 570 h.患者因入睡困难2个月余,胸痛1个月就诊.入院查体:左侧上肢血压:104/70 mmHg(1 mmHg=0.133 kPa),右侧上肢血压:134/76 mmHg,双侧收缩压相差30 mmHg,左锁骨上窝可闻及收缩期血管杂音.行颈部血管超声检查:双侧椎动脉起始处走行变异,均于C5水平人横突孔(图1,见封四);右侧椎动脉代偿性增宽,内径约0.41 cm,左侧椎动脉纤细,内径约0.08 cm.彩色及频谱多普勒检查显示:右侧椎动脉内血流通畅,峰值流速72.5 cm/s,左侧椎动脉血流呈反向血流信号(图2,见封四),峰值流速39.1 cm/s;左侧锁骨下动脉狭窄处呈花色血流信号,收缩期峰值流速347 cm/s. 关键词:锁骨下动脉盗血综合征(Subclavian steal syndrome);肠系膜动脉(Mesenteric arteries);肾动脉梗阻(Renal rtery obstruction);超声(Ultrasonography);体格检查(Physical examination);血管畸形(Vascular abnormalities) 分类号:R856.5
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引用次数: 0
The comparison of vestibular illusions and vestibular autonomic reactions induced by various speed short arm centrifuge operation 不同转速短臂离心引起的前庭幻觉及前庭自主神经反应的比较
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.001
Xinliang Song, Yalei Zhou, Y. Geng, Weihua Li, Zenghui Yang
Objective To observe the effects and characteristics of vestibular illusions and vestibular autonomic reactions induced by short arm centrifuge exposure,and to search the appropriate rotation speed of short arm centrifuge for vestibular illusion simulation training on the ground.Methods Ninety healthy pilots were divided into 3 groups by the rotation speed of 21,30 and 37 r/min that generated by SAC-Ⅲ short arm centrifuge.By referencing the vestibular illusions simulation training on electric rotating chair,they were exposure to the simulation of counter-rotatory illusion and Coriolis illusion.Vestibular illusions and vestibular autonomic reactions were compared.Results ①When the speed was 21 r/min,the induced rates of the counter-rotatory illusion,Coriolis tumbling illusion (including head turn to right and to left) and Coriolis somatogyral illusion (including head pitched up and down) were lower than the induced rates under the speed of 30 r/min and 37 r/min (X2=6.477 20.000,P<0.01 or P<0.05).And when the speed was 30 r/min and 37 r/min,the induced rates showed no significant difference (x2 =0.073-0.351,P>0.05).②The expressions and characteristics of the centrifuge evoked counter-rotatory illusion were approximately the same under three different rotation speeds,while the illusion strength was enhanced with the speed increase.The expressions and characteristics of the Coriolis tumbling illusion induced by different speed showed no significant difference (X2 =0.090,0.056,P>0.05).And the expressions of the Coriolis somatogyral illusions were multiform.Under three different speeds,the Coriolis somatogyral illusions showed no significant difference when the pilot's head pitched down (X2 = 1.810,P>0.05).The case of Coriolis somatogyral illusions was very rare when pilot's head pitched up and the result was not taken into account.③The scores of vestibular autonomic reaction were increased with the rotation speed increase,and showed significant difference (F= 15.058,P<0.01).When the speed was 37 r/min,the score of vestibular autonomic reaction was significantly higher than the scores of 21 r/min and 30 r/min (P<0.01 or P<0.05),and there was no significant difference between the scores of 21 r/min and 30 r/min (P>0.05).Conclusions When the speed of centrifuge was 30 r/m in,the induced rate of the vestibular illusions was the highest and the vestibular autonomic reaction was mild.For the 2 m arm centrifuge,the 30 r/min rotation was appropriate for pilots' vestibular illusion simulation training on the ground. Key words: Centrifugation;  Illusion;  Vestibule;  Coriolis force
目的观察短臂离心机暴露对前庭错觉及前庭自主神经反应的影响及特点,探讨短臂离心机在地面上进行前庭错觉模拟训练的适宜转速。方法采用SAC-Ⅲ短臂离心机转速分别为21、30、37 r/min,将90名健康飞行员分为3组。参照电动旋转椅前庭错觉模拟训练,分别进行反旋转错觉模拟和科里奥利错觉模拟。比较前庭幻觉和前庭自主神经反应。结果①当速度为21 r/min时,反向旋转错觉、科里奥利翻滚错觉(包括头部向右和向左转动)和科里奥利躯体错觉(包括头部向上和向下倾斜)的诱发率均低于速度为30 r/min和37 r/min时的诱发率(X2=6.477 20.000,P<0.01或P<0.05)。转速为30 r/min和37 r/min时,诱导率差异无统计学意义(x2 =0.073 ~ 0.351,P>0.05)。②在3种不同转速下,离心机引起的反旋转错觉的表达和特征基本相同,错觉强度随转速的增加而增强。不同速度诱导的科里奥利翻滚错觉的表达和特征无显著差异(X2 =0.090,0.056,P>0.05)。科里奥利体感错觉的表现形式是多种多样的。在3种不同飞行速度下,驾驶员头朝下时的科里奥利体感错觉无显著差异(X2 = 1.810,P>0.05)。科里奥利体感错觉的情况是非常罕见的,当飞行员的头倾斜,结果不被考虑在内。③前庭自主神经反应评分随转速升高而升高,差异有统计学意义(F= 15.058,P<0.01)。速度为37 r/min时,前庭自主神经反应评分显著或极显著高于21 r/min和30 r/min (P<0.01或P<0.05), 21 r/min和30 r/min评分无显著差异(P>0.05)。结论离心转速为30 r/m / min时,前庭幻觉诱导率最高,前庭自主神经反应轻微。对于2 m臂式离心机,30 r/min的转速适合飞行员在地面进行前庭错觉模拟训练。关键词:离心;错觉;技工;科里奥利力
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引用次数: 0
The mechanism of in-flight hyperventilation and countermeasures 飞行中过度换气的机理及对策
Pub Date : 2014-06-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.02.021
Jianzhang Chen
Objective To review the mechanism and countermeasures of in-flight hyperventilation,and to afford reference for its prevention,monitoring,and the training for flight safety.Literature resource and selection Research papers,reviews and monographs in the field.Literature quotation Forty-four papers,6 monographs and 3 scientific and technical reports published at home and abroad were cited.Literature synthesis The incidence,mechanism and countermeasures of in-flight hyperventilation were reviewed.Future researches of in flight hyperventilation were also foreseen.Conclusions The incidence of in-flight hyperventilation is high and it is often overlooked because of the difficulties in distinguishing it from hypoxia if only referred the clinical symptoms.Raising awareness and further studies of in flight hyperventilation have great significance for improving flight efficiency and ensuring flight safety. Key words: Hyperventilation;  Flight safety;  In-flight incapacitation;  Hypoxia
目的探讨飞行中过度换气的发生机制及对策,为其预防、监测和飞行安全训练提供参考。文献资源与选择本领域的研究论文、综述和专著。文献引文引用国内外发表论文44篇,专著6部,科技报告3份。综述了飞行中过度换气的发生率、机制及对策。对飞行过度通气的未来研究进行了展望。结论飞行中换气过度发生率高,仅从临床症状上难以与缺氧区分,易被忽视。提高对飞行过度通气的认识并进一步开展研究,对提高飞行效率、保障飞行安全具有重要意义。关键词:换气过度;飞行安全;机上无能力;缺氧
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引用次数: 0
Examination of corneal refractive power in Air Force pilot recruitment and discussion on its application value 空军飞行员招募中角膜屈光度的检验及应用价值探讨
Pub Date : 2014-03-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.01.004
Xiang Zhang, Qing-hong Yang, Zhen Ma, Qing Tian, Zhong-xing Ma
Objective To discuss the value of applying corneal refractive power examination in Air Force pilot selection by analyzing the status of the check and the distribution of corneal astigmatism in candidates.Methods The refractive powers in corneal vertical and horizontal meridian were measured by Canon RK F1 full auto ref-keratometer for 5 172 eyes of 2 586 high school graduates who enrolled in final pilot selection.Mean corneal refractive power,corneal astigmatism,astigmatic axis and the difference of central refractive powers between two eyes of the same individual were calculated and the frequency distributions were described.The corneal astigmatism between two eyes of the same individual was compared.Results The mean corneal refractive power was (42.64± 1.23) D (range:37.95 to 47.31 D).The absolute value of the difference of corneal refractive powers between two eyes of the same individual was (0.20±0.18) D (range:0.00 to 2.53 D).The mean corneal astigmatism was (0.98±0.45) D (range:0.00 to 4.25 D).Astigmatism with rule,against rule and oblique astigmatism respectively took 96.83%,1.16% and 2.01%.The difference of the corneal astigmatism between two eyes of the same individual was statistically significant (Z=-6.517,P<0.05).The corneal astigmatism of left eyes was (1.00±0.46) D,a little higher than that of right eyes (0.96±0.45) D.Conclusion In Air Force pilot selection,corneal refractive power detected by full auto ref-keratometer provides a valuable clue in screening and identifying corneal refraction.Identifying if the cornea was done by kerato refractive surgery or keratoconus still needs other complemented methods.Most corneal astigmatism in healthy male aged from 16 to 20 yrs is the type with the rule.The individual corneal refractive power and astigmatism of eyes are symmetric to some extent. Key words: Refraction, ocular;  Cornea;  Astigmatism;  Refractometry;  Physical examination; Refractive power
目的通过分析候选者角膜屈光检查的现状及分布,探讨角膜屈光检查在空军飞行员选拔中的应用价值。方法采用佳能RK F1全自动参比式角膜屈光度计对2 586名最终选拔的高中毕业生的5 172只眼进行角膜垂直和水平经线屈光度的测定。计算了同一个体的平均角膜屈光度、角膜散光、散光轴和两眼中心屈光差,并描述了频率分布。比较了同一个体双眼角膜散光情况。结果平均角膜屈光度为(42.64±1.23)D(范围:37.95 ~ 47.31 D),同一个体双眼角膜屈光度差绝对值为(0.20±0.18)D(范围:0.00 ~ 2.53 D),平均角膜散光为(0.98±0.45)D(范围:0.00 ~ 4.25 D),顺条散光、反条散光和斜条散光分别占96.83%、1.16%和2.01%。同一个体双眼角膜散光差异有统计学意义(Z=-6.517,P<0.05)。左眼角膜散光为(1.00±0.46)D,略高于右眼(0.96±0.45)D。结论在空军飞行员选拔中,全自动参比式角膜屈光计检测角膜屈光度为筛选和鉴别角膜屈光度提供了有价值的线索。确定角膜是通过角膜屈光手术还是圆锥角膜手术完成的,还需要其他补充方法。16 ~ 20岁健康男性角膜散光多为有规律型。个体角膜屈光度与眼睛散光具有一定的对称性。关键词:屈光;眼;角膜;散光;屈光计检查;体格检查;折光力
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引用次数: 0
Study on 3-D digital measurement of posterior neck shape of fighter pilots 战斗机飞行员后颈形状三维数字测量方法研究
Pub Date : 2014-03-15 DOI: 10.3760/CMA.J.ISSN.1007-6239.2014.01.006
Wei-xin Zheng, Fei Zou
Objective To obtain the 3D shape data and features of 50th percentile posterior neck length in Chinese pilots.Methods The posterior neck length was measured in 150 fighter pilots by developed probe array and then 32 fighter pilots who were in accordance with 50th percentile posterior neck length were selected based on these 3D digitized posterior neck measurements.Results The method of digitized measurement was established.The range of posterior neck length was from 81 mm to 168 mm,the mean length was 127.3 mm in 150 pilots.In 32 fighter pilots with 50th percentile posterior neck length,the length range was from 120 mm to 123 mm,the mean length was 121.4 mm.The least square fitting curve was got then and 3D model was established.Conclusions The developed equipment and method are practical and effective.The results can be applied to the 3D analysis of posterior neck shape features and to the design of the neck support and head rest of ejection seat. Key words: Posterior neck;  Anthropometry;  3D digital measurement
目的获取我国飞行员后颈50百分位长度的三维形态数据及特征。方法采用研制的探针阵列测量150名战斗机飞行员的后颈长度,根据后颈三维数字化测量结果选择符合后颈长度第50百分位的32名战斗机飞行员。结果建立了数字化测量方法。150名飞行员后颈长度为81 ~ 168 mm,平均长度为127.3 mm。32名后颈长度为第50百分位的战斗机飞行员,后颈长度范围为120 ~ 123 mm,平均长度为121.4 mm,得到最小二乘拟合曲线,建立三维模型。结论所研制的设备和方法实用有效。研究结果可用于后颈部形状特征的三维分析,以及弹射座椅颈部支撑和头枕的设计。关键词:后颈部;人体测量学;三维数字测量
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引用次数: 0
期刊
中华航空航天医学杂志
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