摘要
目的 探讨航校飞行员飞行前后及运动前后血尿、蛋白尿发生率及在航空医学鉴定中的价值。 方法 2 1 2例航校飞行教员和学员为受试对象 ,用干化学法筛查飞行前后及运动前后血尿、蛋白尿。以镜检法红细胞≥ 3个 /HP ;加热醋酸法尿蛋白≥ (+)者为阳性判定值 ,统计其阳性发生率。 结果 血尿、蛋白尿阳性发生率特点是 :运动后血尿、蛋白尿的发生率高于飞行后 ;运动后蛋白尿的发生率明显高于血尿的发生率 ;飞行学员运动后血尿、蛋白尿的发生率明显高于飞行教员。飞行后血尿、蛋白尿的发生率较低 ;飞行后发生血尿、蛋白尿者运动后同样产生血尿、蛋白尿。飞行前或运动前有轻度血尿者 ,在飞行后或运动后血尿仍为阳性 ,个别血尿程度加重。 结论 建议建立和完善尿液检测标准化方法和制度。飞行员无症状血尿、蛋白尿的防治以个体化防治为宜。
Objective To explore the incidence of hematuria and proteinuria before and after flying or exercise, and discuss its value in medical assessment of instructors and student pilots Methods Two hundred and twelve instructor/student aviators served as subjects Hematuria and proteinuria were screened by the dry chemistry test strips, and for positive cases hematuria was determined by microscopic examination and proteinuria by heating acetic acid method Results The incidences of hematuria and proteinuria after exercise were higher than those after flying and the incidences in student aviators were higher than those in instructors Proteinuria was more common than hematuria after exercise Conclusion The method of urinalysis should be further standardized The prevention and treatment of asymptomatic hematuria and proteinuria in pilots should be individualized
出处
《中华航空航天医学杂志》
CSCD
2004年第2期110-112,共3页
Chinese Journal of Aerospace Medicine
