民航空勤人员招聘体检中弱视的分布及航空医学鉴定

Distribution of amblyopia in medical examination for civil aviation aircrew recruitment and its aviation medicine identification

  • 摘要: 目的 分析民航空勤人员招聘体检中弱视的分布及航空医学鉴定。 方法 收集2012年10月- 2017年10月在中国南方航空有限公司行首次航空医学鉴定的民航空勤招聘人员(空中乘务员、安全员、招飞学生),诊断为弱视168例,其中男性77例,女性91例,年龄21.06±2.26(18 ~ 27)岁。对所有弱视受检者的弱视类型、弱视程度、双眼视功能、医学鉴定结果等资料进行分析。 结果 168例弱视受检者中屈光不正性弱视90例(53.57%),屈光参差性弱视40例(23.81%),斜视性弱视28例(16.67%),形觉剥夺性弱视10例(5.95%)。轻度弱视65例(38.69%),中度弱视95例(56.55%),重度弱视8例(4.76%)。受检者同时视、融合视、立体视异常率分别是40.48%、43.45%、63.10%。不同类型弱视受检者中,屈光不正性、屈光参差性、斜视性、形觉剥夺性的弱视立体视异常率分别是54.44%、65.00%、78.57%、90.00%(χ2=21.220,P=0.000)。轻度、中度、重度弱视者中弱视立体视异常率分别是50.77%、69.47%、87.50%(χ2=7.947,P=0.017)。空中乘务员招聘体检者中弱视90例,30人合格,60人因“视力不足”、“斜视”、“先天性白内障”、“角膜白斑”等原因被淘汰;安全员招聘体检者中弱视20例,2人合格,18人因“视力不足”“斜视”等原因被淘汰;民航招飞学生中弱视58例均不合格。 结论 弱视受检者立体视会出现一定的异常,其中形觉剥夺性弱视者、重度弱视者立体视受损更为常见。对于首次空勤人员及民航招收飞行学生弱视的航空医学鉴定,弱视类型、程度、致病因素、职业种类等是评定合格与否的关键因素。

     

    Abstract: Objective To analyze the distribution of amblyopia in medical examination for civil aviation aircrew recruitment and its aviation medicine identification. Methods One hundred and sixty-eight subjects (cabin crew, security guard, aviation recruits pilots) with amblyopia were identified in our center for first aviation medical examination from October 2012 to October 2017.There were 77 males and 91 females with average age of (21.06±2.26) years (18-27 years old). The type and degree of amblyopia, binocular vision and the results of medical identification from all subjects with amblyopia were analyzed. Results Of the 168 subjects with amblyopia, there were 90 cases (53.57%) of ametropia amblyopia,40 cases (23.81%) of anisometropia amblyopia, 28 cases (16.67%) of strabismus amblyopia, 10 cases (5.95%) of form deprivation amblyopia. Mild amblyopia was found in 65 cases(38.69%), moderate amblyopia in 95 cases (56.55%) and severe amblyopia in 8 cases (4.76%). The abnormal rates of simultaneous perception, fusion vision, stereoscopic vision were 40.48%, 43.45% and 63.10%, respectively. The abnormal rates of stereopsis in ametropia, anisometropia, strabismus and form deprivation amblyopia were 54.44%, 65.00%, 78.57% and 90.00% respectively in different types of amblyopia patients (χ2=21.220, P=0.000). The abnormal rates of stereopsis in mild, moderate and severe amblyopia were 50.77%, 69.47%, 87.50% (χ2=7.947, P=0.017). Thirty cabin crews were qualified,and 60 cabin crews were not approved due to vision deficiency, strabismus, congenital cataract and corneal leukoplakia. Two security guards were qualified, and 18 security guards were not approved due to vision deficiency and strabismus. Fifty-eight cases of amblyopia in civil aviation students were all unqualified. Conclusion Stereopsis abnormalities frequently occur in amblyopic subjects, especially in form deprivation amblyopia and severe amblyopia. For the candidates of aircrew and pilots with amblyopia attended the fi rst aviation medical identification, the type, degree, pathogenic factors and occupation types of the amblyopia subjects are the key factors to assess whether it is qualified or not.

     

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