Yang X E, Chen Z G, Long L, Zhai D S, Zhao X J, Fang R Y
No. 452 Hospital of PLA, Chengdu, China.
Space Med Med Eng (Beijing). 2000 Dec;13(6):440-3.
Objective. To study the heart morphology in the retired fighter pilots, and to provide clinical evidence for protection combined G-loads (+ Gz), heat, noise, hypoxic and vibration stress induced cardiac structural damage. Method. Parameters of heart morphology were studied using Doppler echocardiography in 40 retired fighter pilots with 40 veteran cadres as control. Result. LVDd, LVDs, LADs, LVEDV, LVPWs and LVM in pilot group were somewhat higher than those in control group (NS); while IVSs and LVMI in pilot group were slightly lower than those in control group (NS); LVESV, aortic valve area, internal diameter of the ring and sinus in pilot group were significantly higher than those in control group (P < 0.05). Conclusion. Analysis of the results revealed no pathomorphologic damage of the heart. It suggest that all the variations can be regarded as adaptive changes due to the effects of the combined environmental factors experienced in long time flying.
目的。研究退休战斗机飞行员的心脏形态,为保护其免受综合G负荷(+Gz)、热、噪声、缺氧及振动应激导致的心脏结构损伤提供临床依据。方法。采用多普勒超声心动图对40名退休战斗机飞行员的心脏形态参数进行研究,并以40名离休干部作为对照。结果。飞行员组的左室舒张末期内径(LVDd)、左室收缩末期内径(LVDs)、左房内径(LADs)、左室舒张末期容积(LVEDV)、左室后壁厚度(LVPWs)和左室质量(LVM)略高于对照组(无统计学意义);而飞行员组的室间隔厚度(IVSs)和左室质量指数(LVMI)略低于对照组(无统计学意义);飞行员组的左室收缩末期容积(LVESV)、主动脉瓣口面积、瓣环内径及主动脉窦内径显著高于对照组(P<0.05)。结论。结果分析显示心脏无病理形态学损伤。这表明所有这些变化可视为长期飞行中所经历的综合环境因素作用下的适应性改变。