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目的 探讨歼击机飞行员脊柱健康的评价标准。 方法 顺序采集46 名歼击机飞行员特别设定的体检资料,包括脊柱临床评价,全脊柱立位X线前后位及侧位摄片,腰椎双斜位摄片,颈椎MRI,腰椎CT等资料。将脊柱的生理曲度及异常曲度情况,结构退变情况和脊柱临床评价都给予量化,并进行统计分析,比较各项指标之间关系。 结果 ①飞行员的年龄和飞行时间与其颈椎和腰椎问题的大小都具有显著的相关性。②颈椎曲度异常和脊柱侧弯情况普遍存在,但与脊柱临床评价并无相关性。③脊柱退变的各项指标(包括椎间隙狭窄、椎间盘突出、椎体楔形变、椎体骨刺等)之间都有一定的相关性,但与脊柱的临床评价并不相关。 结论 歼击机飞行员的脊柱健康的临床评价与其结构形态的退行性改变并不平行;单纯以脊柱结构的改变来确定飞行员脊柱健康的标准值得商榷。
Objective To investigate the evaluation criteria of the spine health of fighter pilots. Methods The physical examination data of 46 fighter pilots were collected in sequence, including clinical evaluation of the spine, radiographic anteroposterior and lateral radiographs of the spine, radiographs of lumbar double oblique radiographs, cervical MRI and lumbar CT. The physiological curvature and abnormal curvature of the spine, structural degeneration and clinical evaluation of the spine are given quantification, and statistical analysis, comparison of the relationship between the indicators. Results ① The pilot’s age and flight time were significantly correlated with the size of cervical and lumbar problems. ② cervical curvature abnormalities and scoliosis prevalence, but no correlation with the clinical evaluation of the spine. ③ The indexes of spine degeneration (including intervertebral space stenosis, disc herniation, vertebral body wedging, spondylolisthesis, etc.) have some correlations, but not with the clinical evaluation of the spine. Conclusions The clinical evaluation of fighter pilot’s spine health is not parallel to the degenerative changes of its structural morphology. The criterion of determining the spine health of pilots simply by changing the structure of the spine is debatable.