空军招飞医学选拔复

发布时间：2018-03-18 22:01

本文选题：肾下垂　切入点：飞行学员　出处：《军事医学》2017年06期 　论文类型：期刊论文

【摘要】：目的对比空军招飞医学选拔复选和定选中肾下垂检查结果的差异,分析产生的可能原因,探讨更为合理的体检方法。方法收集2016年某地区参加空军招飞体检复选和定选2次选拔的1334名学员的肾触诊结果,对比肾下垂检查结果的差异。结果本研究入选的学员均否认腰酸、腰痛、反复泌尿系感染等肾下垂相关临床症状,且化验尿常规均正常。复选中,肾下垂阳性(肋下触及肾)检出率为10.2%,定选中肾下垂阳性检出率为5.5%,两者存在显著性差异(P0.001);对复选和定选的肾下垂检出率进行比较,二者差异具有统计学意义(Z=-2.942,P=0.003);复选时肾下垂淘汰率为1.3%,定选肾下垂淘汰率为0.22%,二者存在显著性差异(P=0.001);且肾下垂程度的分布情况具有统计学差异(Z=-6.987,P0.001)。结论复选和定选中肾下垂的医学选拔结果具有较大差异,提示我军目前肾下垂的体格检查精确度不高。有必要对招飞体检中如何进行肾下垂科学检查进行更深入的探究,改进体检方法,制定更为科学合理的体检标准。
[Abstract]:Objective to compare the air force Cadet medical selection check and will select the nephroptosis inspection results, analysis of the causes, to explore a more reasonable method of examination. Renal palpation results of 1334 students in an area collected in 2016 the air force Cadet medical check and will choose the 2 selection of the difference between the results of nephroptosis examination the results of this study. Students were selected to deny backache, back pain, clinical symptoms of recurrent urinary tract infections such as renal ptosis, and urine routine were normal. Check, nephroptosis (rib touch kidney) positive detection rate was 10.2%, the selected set of nephroptosis positive detection rate was 5.5%, there was a significant difference between the two (P0.001); to check and will choose the detection rate of renal ptosis were compared. The difference between the two was statistically significant (Z=-2.942, P=0.003); check out when renal ptosis was 1.3%, select nephroptosis elimination rate is 0.22%, two. The significant difference (P=0.001); with statistical difference distribution and the degree of renal ptosis (Z=-6.987, P0.001). Conclusion the check and select nephroptosis medical selection results have great differences, suggesting that our current physical examination accuracy of renal ptosis is not high. It is necessary to how to carry out the scientific examination of cadet candidates in nephroptosis for a more in-depth study, improve the examination methods, to develop a more scientific and rational examination standards.

【作者单位】：空军总医院招飞体检队;
【基金】：全军“十二五”后勤科研重大项目(AKJ11J003)
【分类号】：R851.3

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