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在军事飞行员的宫盘位移
Patrick J Tansey1, Cory F Janney1,2, Daniel C Jupiter1,3
1Department of Orthopaedic Surgery and Rehabilitation, The University of Texas Medical Branch, Galveston, TX 77555-0165, USA.
Military medicine
|February 9, 2024
概括
直升机飞行员面临的椎盘位移 (CDD) 的风险比固定翼飞行员更高. 这种危及职业生涯的情况需要提高航空人员的意识和预防措施.
科学领域:
- 航空医学 航空医学
- 流行病学 流行病学
- 脊柱的健康 脊柱的健康
背景情况:
- 宫椎间盘位移 (CDD) 可能导致飞行员失格并影响军事准备.
- 了解航空中CDD发生率和风险因素对于保持机组人员能力至关重要.
研究的目的:
- 为了确定美国军用飞行员症状性宫椎盘位移 (CDD) 的发生率.
- 确定固定翼,旋翼和地面人员中CDD的人口预测因素.
主要方法:
- 对国防军事流行病学数据库 (2007-2015年) 的回顾性审查.
- 对首次出现的CDD病例进行ICD-9代码722.0的分析.
- 每1000人/年发生率的计算,根据年龄,性别和等级进行标准化.
主要成果:
- 在美国军用飞行员中发现了934例新的CDD病例.
- 总体而言,CDD发生率为每1000人年2.715人.
- 与固定翼飞行员相比,直升机飞行员的发病率显著更高 (3.79/1000人年),即使在标准化后. 年龄的增加是军官中CDD的危险因素.
结论:
- 与固定翼飞行员和非飞行员控制器相比,美国军用直升机飞行员患CDD的风险较高.
- CDD是一种罕见但可能终结职业生涯的疾病.
- 建议飞行员和飞行医生加强对预防策略的教育,意识和调查.
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