美国空军飞行人员主要疾病特许飞行统计分析

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目的了解美国空军飞行人员心血管、骨与关节、眼、精神与神经等疾病特许飞行情况。方法以美国空军航空医学咨询部(Aeromedical Consultation Service,ACS)2015年9月发布的疾病案例数据为统计对象,按人员类别进行特许人数分析。结果 5类主要疾病统计结果显示,心血管疾病鉴定3 456例,特许2 929例,占85.15%,其中FCⅡ类特许1 664例,占56.81%,冠心病鉴定人数为185例,特许115例,占62.16%;眼科疾病鉴定17 620例,特许14 220例,占80.70%;骨与关节疾病鉴定3 699例,特许2 983例,占80.64%,其中FCⅡ类特许1 638例,占54.36%;精神疾病鉴定4 676例,特许2 164例,占46.28%,情绪障碍、适应障碍、酒精滥用、焦虑症、注意力缺陷型(伴)多动症(障碍)5种疾病占鉴定的90.93%,FCⅠ类、FCⅡ类、FCⅢ类特许分别为55.41%、60.63%、45.93%;神经疾病鉴定3 868例,特许2 588例,占66.91%。发病率较高为头痛、创伤性脑损伤、睡眠障碍及晕厥,其中头痛鉴定1 643例,特许785例,占47.78%,FCⅠ类、FCⅡ类、FCⅢ类特许分别为77.43%、76.12%、62.03%。结论航空医学鉴定科学管理大大提升了飞行人员疾病特许的精准性,航空医学专家鉴定工作成效明显,使80%以上的患病人员返回飞行岗位,为最大化保留有作战经验的现役飞行人员,维护空军战斗力作出了贡献。 Objective To understand the chartered flights of cardiovascular, bone and joint, eye, mind and nerves in the USAF pilots. Methods Based on the data of disease cases released by the United States Air Force Aeromedical Consultation Service (ACS) in September 2015, the number of franchisees was analyzed by type of personnel. Results The statistical results of the five main diseases showed that 3 456 cases were identified, 2 929 cases were franchise, 85.15% were franchise, among which 1 664 cases were franchised to FC Ⅱ, accounting for 56.81%, 185 cases were identified as coronary heart disease, 115 cases were authorized, Accounting for 62.16%; 17 620 cases of eye disease identification, 14 220 cases of franchise, accounting for 80.70%; 3 699 cases of bone and joint disease identification, 2 983 cases of franchise, accounting for 80.64% 4 676 cases were identified as mental illness, 2 164 cases were authorized, accounting for 46.28%. The five diseases of mood disorders, adaptive disorders, alcohol abuse, anxiety disorders and attention deficit hyperactivity disorder (ADHD) accounted for 90.93% , FCⅡ and FCⅢ were 55.41%, 60.63% and 45.93% respectively; 3 868 neurological diseases were identified, and 2 588 were licensed, accounting for 66.91%. The incidence of headache, traumatic brain injury, sleep disturbance and syncope were higher, of which 1 643 were identified as headache and 785 were franchisees, accounting for 47.78%. The FCI, FC II and FCIII concessions were 77.43%, 76.12% and 62.03 respectively %. Conclusion The scientific management of aviation medical appraisal has greatly improved the accuracy of the disease charter of pilots. The appraisal work by aeromedical experts has achieved remarkable results. More than 80% of the sick staff members have returned to their flight positions. In order to maximize the maintenance of active pilots with operational experience, Air Force combat effectiveness has contributed.
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