1415例飞行员脑白质高信号检出情况及影响因素分析OACSTPCD
Incidence and influencing factors of white matter hyperintensity in 1415 pilots
目的 分析飞行员脑白质高信号(WMH)的发生情况及影响因素.方法 采用回顾性病例对照研究,纳入2020年9月至2023年8月在某医院接受头颅磁共振成像检查的1415名飞行员,年龄19～58岁,根据是否发生WMH分为病例组和对照组.采用单因素和多因素Logistic回归分析筛选WMH的影响因素.结果 病例组219例(发生WMH者),对照组1196例(未发生WMH者).WMH总发生率为约15.48％,其中轻度、中度、重度WMH分别占70.78％、24.20％及0.47％.回归分析结果显示,年龄增加(OR=1.625,95％CI:1.099～2.404)和飞行时间过长(OR=1.282,95％CI:1.033～1.592)是飞行员发生WMH的危险因素.结论 飞行员WMH发生率约为15.48％,分级以轻度为主.年龄增加和飞行时间过长是飞行员发生WMH的危险因素.
Objective To analyze the incidence of and risk factors for white matter hyperintensity(WMH)in pilots.Methods A retrospective case-control study was performed.The subjects were 1,415 pilots ages 19 to 58 who had undergone cranial MRI examination in a hospital between September 2020 and August 2023.They were divided into two groups:the WMH group and the control group(without WMH).Univariate and multivariate logistic regression analysis were used to identify the risk factors for WMH.Results There were 219 cases in the WMH group and 1,196 cases in the control group.The total incidence of WMH was approximately 15.48％,with mild,moderate and severe cases of WMH accounting for 70.78％,24.20％,and 0.47％,respectively.Regression analysis results showed that age(OR=1.625,95％CI:1.099-2.404)and flight time(OR=1.282,95％CI:1.033-1.592)were risk factors for WMH in pilots.Conclusion The incidence of WMH in pilots was approximately 15.48％.Most of WMH were mild according to Fazekas grading.Age increase and long flight time are risk factors for WMH in pilots.
宋钰婷;李相生;常妙;孙鹏;方圆;方红;张金龙
空军特色医学中心医学影像科,北京 100142中国医科大学附属第一医院放射科,沈阳 110001
特种医学
脑白质高信号飞行员磁共振成像
white matter hyperintensitypilotsmagnetic resonance imaging
《军事医学》 2024 (009)
678-681 / 4
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