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目的研讨鲁豫两省1994~1998年招飞全面检测阶段眼科淘汰原因。方法查阅两省上报空军报表,并对眼科淘汰疾病进行分类统计分析。结果近5年来眼科淘汰疾病构成比以视力不足为淘汰首位(1131例,43.7%),斜视为第2位(隐斜视451例,17.4%;显斜视122例,4.7%),屈光超标占第3位(231例,8.9%)。结论视力不足为鲁豫两省眼科历年淘汰率的首位,若加上与视功能有关的屈光异常淘汰率,使5年平均淘汰率占整个眼科所有检查项目淘汰率的一半以上。本组标准高于民航,而淘汰率低于民航,可能因地区差异以及与初检医生掌握标准的尺度有关。故体检中应认真检查视力。斜视淘汰率在本组居眼科第2位,较小的隐斜视不易发现,但在疲劳、紧张、缺氧的情况下可由隐斜视变成显斜视,甚至出现复视,因此严格把握斜视检查标准也是招飞体检工作的关键一环。眼底的视网膜脉络膜病变与黄斑部疾病淘汰率亦占一定比例,体检时亦应重视。眼科淘汰率呈逐年下降的趋势,而受检测环境、精神因素影响的其它项目变化规律还有待进一步探讨。
Objective To study the causes of ophthalmology elimination in the comprehensive testing phase of the recruit and fly between 1994 and 1998 in Luyu and Henan Provinces. Methods Two provinces reported to the Air Force report, and ophthalmic out of disease classification statistical analysis. Results The incidence of ophthalmic obesity in the past five years was the first to be eliminated (1131 cases, 43.7%) and the second was strabismus (451 cases, 17.4%, 122 cases, 127% ), The third highest refractive error (231 cases, 8.9%). Conclusions The lack of vision is the first place in the ophthalmological department of Luyu Province in the calendar year. If we add the abnormal rate of refractive abnormalities related to visual function, the average 5-year phase-out rate accounts for more than half of the total ophthalmology check-out rate. The standard of this group is higher than that of civil aviation, and the rate of elimination is lower than that of civil aviation. It may be due to the regional differences and the standards of primary examiners in grasping the standards. Therefore, physical examination should be carefully checked eyesight. Strabismus out of rate in the second group of ophthalmology, small hidden strabismus is not easy to find, but fatigue, tension, hypoxia can be changed from hiding strabismus to significant strabismus, and even diplopia, so strictly grasp the strabismus inspection standards It is also a key part of the prosecutorial work. Retinal chorioretinopathy and macular degeneration rate also accounted for a certain percentage, physical examination should also be taken seriously. The elimination rate of ophthalmology showed a trend of declining year by year. However, the changes of other items influenced by the testing environment and mental factors have yet to be further explored.