국내 항공 신체검진 시 시행하는 검사실 검사 현황 조사
Investigation of the Status of Laboratory Tests Conducted during Aviation Medical Examination
1중앙대학교 의과대학 내과학교실, 2성균관대학교 의과대학 강북삼성병원 직업환경의학과, 3대한항공 항공의료센터, 4인하대학교 의과대학 이비인후과학교실
1Department of Internal Medicine, Chung-Ang University College of Medicine, 2Department of Occupational & Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 3Aeromedical Center, Korean Air, Seoul, 4Department of Otolaryngology-Head & Neck Surgery, Inha University Hospital, Incheon, KoreaCorrespondence to:
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Korean J Aerosp Environ Med 2022; 32(2): 56-59
Published August 31, 2022
Copyright © Aerospace Medical Association of Korea.
Methods: In this study, medical examination items of the year of 2021 performed during the aviation medical examination in Korea were reviewed by retrospective analysis.
Results: Data from a total of 27 hospitals were collected. The number of inspection items ranged from a minimum of 22 items to a maximum of 57 items, showing a difference of more than double. Data from tertiary general hospitals and large airlines showed a tendency to perform more items of test compared to clinic-level institutions. The ratios for each inspection item are as follows: 1) 100% inspection items: urine test, ophthalmic test (except fundus test), fasting blood sugar, general blood test (complete blood count), electrocardiogram, electoencephalography, chest posterior anterior, pure tone audiometry, and total cholesterol; 2) 65%–74% inspection items: triglyceride, low-density lipoprotein-cholesterol, high-density lipoprotein-cholesterol, blood urea nitrogen/creatinine, and hepatitis B surface antigen; 3) 57% inspection items: hepatitis B surface antibody, human immunodeficiency virus, and venereal disease research laboratory; 4) 50% inspection items: urate and fundus examination.
Conclusion: There have been many changes in the medical field over the past 40 years, but in terms of examination items, the aviation physical examination does not reflect the flow of change. Over the past years, the number of pilots has increased significantly, the flight environment has changed, and medical examination methods have been developed and diversified. In accordance with this, it is necessary to change the test items.
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