摘要
目的通过检索术后飞行员复飞相关文献,分析我国飞行员手术原因及其发生率、复飞飞行员手术前后的飞行情况以及人员基本信息等,为我国飞行员术后复飞提供循证学依据。方法检索万方、中国知网及维普数据库获取相关数据,对不同手术复飞时间、手术原因、人员组成及其基本信息等数据进行统计分析。结果纳入飞行员术后复飞文献共23篇,54例研究对象。文献发表年份为1999—2021年,数据统计时间为1970—2019年。手术原因前3名分别为外伤、恶性肿瘤及眼科,占比分别为38.89%、33.33%及11.11%;手术及复飞年龄分别为30岁、41岁及29岁。麻醉方式以全麻居多,共34例,占比62.96%。人员组成为军航48例,民航6例;男性52例,女性2例。军航术前飞行时间为2100 h,民航为6850 h;术后复飞时间分别为术后7个月到21个月。结论通过对我国术后复飞人员的统计分析,反映出外伤、肿瘤及眼科意外及疾病发生率较高。在医疗技术进步的情况下,如何延长飞行员的飞行寿命,对飞行的医疗鉴定及卫勤保障工作提出新的要求。
Object ive To analyze the causes and i ncidence of su rger y among Ch i nese pilots,thei r f lig ht performance before and after surgery,and basic information about them so as to provide evidence-based data for those who will resume f light after surgery.Methods Related data were retrieved from Wanfang and CNKI databases before the data about recovery time for different surgeries,causes of surgeries,personnel make-up and basic information were statistically analyzed.Results A total of 23 articles were included,involving 54 subjects.The literature was published between 1999 and 2021,and the data from 1970 to 2019 were collected.The top three causes of surgery were trauma,malignant tumor and ophthalmology,accounting for 38.89%,33.33%and 11.11%respectively.The age at which surgery was performed and f light was resumed was 30,41,and 29 respectively.General anesthesia was the most common means of anesthesia,involving a total of 34 cases that accounted for 62.96%.The patients consisted of 48 military aviators and 6 civil aviators.There were 52 males and 2 females.The hours of f light before operation were 2100 for military aviators and 6850 for civil aviators.The intervals between surgery and resumption of f light ranged from 7 months to 21 months.Conclusion The incidence of trauma,tumor,ophthalmic accidents and diseases is relatively high for pilots in China.With the progress of medical technology,how to prolong the f light time of pilots is a new priority for f light medical identification and medical support.
作者
金鑫
杨晓明
纪筠
刘珺
JIN Xin;YANG Xiaoming;JI Jun;LIU Jun(Department of Anesthesiology,Air Force Medical Center,Beijing 100142,China)
出处
《空军航空医学》
2022年第5期217-221,共5页
AVIATION MEDICINE OF AIR FORCE
关键词
飞行员
复飞
手术
麻醉
pilots
resume f lying
surgery
anesthesia
