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目的:调查了解某航空大学军事飞行学员因耳鼻喉疾病停飞情况,为招收飞行学员及在校飞行学员体格检查实施过程中,体检标准的掌握和结论评定提供参考。方法:选择空军某航空大学2006—2010年飞行学员因身体原因停飞461例。所有飞行学员均进行全面的医学体检,并行常规和耳鼻喉科(含口腔科)医学评价,必要时进行CT、MRI等检查。汇总受检飞行学员耳鼻喉疾病构成情况,进行统计分析。结果:5年间因耳鼻喉疾病停飞27例,占5.8%(27/461)。导致停飞耳鼻喉疾病包括鼻中隔偏曲、慢性鼻窦炎、鼓膜病变、鼻息肉和黏膜息肉样变、鼻腔粘连,以及听力超标、突发耳鸣、神经性聋。其中,排在前3位的病种分别为鼻中隔偏曲9例,占33.3%;慢性鼻窦炎7例,占25.9%;鼓膜病变4例,占14.8%。结论:鼻中隔偏曲、慢性鼻窦炎及鼓膜病变是导致在校军事飞行学员停飞主要耳鼻喉疾病,建议在选拔军事飞行学员时给予重点关注。
OBJECTIVE: To investigate the situation of military pilots suspended at an aeronautical university due to otolaryngological diseases, and to provide reference for the grasping and conclusion assessment of medical students who are recruiting pilots and flying alumni during their physical examination. Methods: Select 461 cases of flight students grounded due to physical reasons from 2006 to 2010 at an aviation university of the Air Force. All pilots conducted a comprehensive medical examination, routine and otolaryngology (including stomatology) medical evaluation, if necessary, CT, MRI and other tests. To summarize the constitution of ENT diseases of the inspected pilots, and carry out statistical analysis. Results: 27 cases (27/461) were grounded due to ENT disease in 5 years. Ozn-nasal diseases that cause glitches include nasal septum deviation, chronic sinusitis, eardrum lesions, nasal polyps and mucosal polyps, nasal adhesions, and excessive hearing, sudden tinnitus, and deafness. Among them, the top three diseases were nasal septum deviation in 9 cases, accounting for 33.3%; chronic sinusitis in 7 cases, accounting for 25.9%; tympanic membrane lesions in 4 cases, accounting for 14.8%. CONCLUSIONS: Nasal septum deviation, chronic sinusitis and tympanic membrane disease are the major otorhinolaryngological diseases that cause military flying students to suspend their flights at school. We suggest that we pay special attention to the selection of military flight trainees.