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2005年哥伦比亚民航飞行员心血管危险因素患病率

[Cardiovascular risk factor prevalence in civil aviation pilots in Colombia during 2005].

作者信息

Arteaga-Arredondo Luis F, Fajardo-Rodríguez Hugo A

机构信息

Universidad Nacional de Colombia.

出版信息

Rev Salud Publica (Bogota). 2010 Apr;12(2):250-6. doi: 10.1590/s0124-00642010000200008.

Abstract

OBJECTIVE

The human-flying machine interface relies heavily on flight safety. Coronary disease is the most commonly occurring sudden incapacitation during flight and involves factors described as leading to cardiovascular risk. Pilots probably have risk prevalence different to the rest of the population.

METHOD

This was a descriptive cross-sectional study. Medical histories from January to December 2005 for pilots certified by the Colombian Civil Aeronautic society were reviewed; these were randomly selected until 614 histories were obtained. A 95 % confidence level and 0.5 % accuracy level were used. Data was obtained regarding age, blood pressure, tobacco use, cholesterol, glycaemia, physical fitness, past history, gender, height, flying time and type of licence. STATG 6 software was used for analysing the data and the results were expressed as descriptive statistics.

RESULTS

Percentage risk factor prevalence in pilots was as follows: 7.8 % suffered hypertension, 1.3 % diabetes, 36 % hypercholesterolemia, 36 % hypertriglyceridaemia, 36 % had low HDL, 32 % high LDL, 12.8 % tobacco use, 7 % were obese and 6 % suffered from metabolic syndrome. There were differences between pilots holding first and second class licences, more prevalent risks occurring amongst second class pilots.

CONCLUSION

The prevalence of risk factors differs between pilots and the general population. According to the Framingham scale, 8 % of the pilots were in the high risk group so they require specific programmes and strict follow-up for modifying the risk profile and improving flight safety.

摘要

目的

人机飞行界面在很大程度上依赖于飞行安全。冠心病是飞行过程中最常见的突发失能情况,且涉及一些被描述为导致心血管风险的因素。飞行员的风险患病率可能与其他人群不同。

方法

这是一项描述性横断面研究。回顾了2005年1月至12月由哥伦比亚民航协会认证的飞行员的病史;随机选取这些病史,直至获得614份病史。采用95%的置信水平和0.5%的准确度水平。获取了有关年龄、血压、吸烟情况、胆固醇、血糖、体能、既往病史、性别、身高、飞行时间和执照类型的数据。使用STATG 6软件分析数据,结果以描述性统计表示。

结果

飞行员中危险因素的患病率如下:7.8%患有高血压,1.3%患有糖尿病,36%患有高胆固醇血症,36%患有高甘油三酯血症,36%高密度脂蛋白水平低,32%低密度脂蛋白水平高,12.8%吸烟,7%肥胖,6%患有代谢综合征。持有一等和二等执照的飞行员之间存在差异,二等飞行员中更普遍存在风险。

结论

飞行员与普通人群的危险因素患病率不同。根据弗雷明汉量表,8%的飞行员属于高危组,因此他们需要特定的项目和严格的随访,以改变风险状况并提高飞行安全。

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