中美空军飞行学员医学选拔对照实证研究——膝内、外翻

发布时间：2018-08-27 11:51

【摘要】：目的探讨中美两军空军飞行学员选拔膝内、外翻医学标准的不同,并对我军招飞体检标准改革提供思路。方法调查我军2012~2015年招飞定选体检中膝内、外翻淘汰率与综合评定率,对比我空军与美空军飞行学员膝内、外翻医学选拔标准,并进行实证研究。结果每年因膝内、外翻淘汰人数均较少,4年共18人,占骨科疾病淘汰人数的9.1%;膝内、外翻应征者中2014年获得综合评定合格资格4人,2015年为31人,占骨科疾病获得综评合格总人数的15%。我军对膝内、外翻的筛选淘汰标准为形态学标准,美军标准没有直接的膝内、外翻标准条目,而是从功能出发,对膝内、外翻可能造成的症状和体征进行了全面的规定。我军2012~2015年因膝内、外翻而淘汰的18名应征者中,按照美军标准应有9人为合格。2014~2015年综评合格的35名膝内、外翻应征者中,按照美军标准也应有32名合格。结论我军目前膝内、外翻标准准确性较低,建议参考美军标准侧重功能评估,同时引入胫股角概念,改进形态学标准。
[Abstract]:Objective to explore the difference of the selection standard of Chinese and American air force cadets and to provide some ideas for the reform of the standard of medical examination. Methods to investigate the selection rate and comprehensive evaluation rate of invagination and valgus in our army during the period of 2012-2015, and to compare the selection standard of Chinese Air Force and American Air Force flight cadets in knee and valgus, and to carry out an empirical study. Results each year, the number of valgus elimination was relatively small, accounting for 9. 1% of the total number of orthopaedic diseases eliminated in 4 years, and 4 of the patients who applied for valgus were qualified for comprehensive evaluation in 2014 and 31 in 2015. It accounted for 15% of the total number of patients with orthopaedic diseases who were qualified for comprehensive assessment. The criteria for selection and elimination of knee and valgus in our army are morphologic criteria. The US military standard does not have direct items for knee and valgus, but from the point of view of function, it makes a comprehensive regulation on the symptoms and signs that may be caused by varus in the knee. Of the 18 candidates eliminated in our army from 2012 to 2015 due to knee valgus, according to the US military standard, 9 should be qualified. In 2014-2015, 35 qualified candidates should be qualified, and among the valgus candidates, 32 should be qualified according to the US military standard. Conclusion at present, the accuracy of the varus criterion of our army is low. It is suggested to refer to the US military standard to emphasize the function evaluation, to introduce the concept of tibiofemoral angle and to improve the morphologic standard at the same time.
【作者单位】：空军总医院招飞体检队;空军总医院骨科;
【基金】：全军后勤科研“十二五”重大项目(AKJ11J003)
【分类号】：R851.3

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