Incidence and determinants of pulmonary nodules in 1 465 military flying personnel
10.3760/cma.j.cn113854-20241007-00151
- VernacularTitle:1 465例军事飞行人员肺结节检出情况及影响因素分析
- Author:
Lidong WANG
1
;
Tianhao ZHANG
;
Xiaofeng JIA
;
Ruizhi LIU
;
Ling HU
;
Le LI
;
Puqiong HU
;
Chunyuan GAO
;
Bo BAI
Author Information
1. 联勤保障部队临潼康复疗养中心疗养七科，西安 710600
- Publication Type:Journal Article
- Keywords:
Pulmonary nodule;
Chest CT;
Eligibility determination;
Contributor;
Flying personnel
- From:
Chinese Journal of Aerospace Medicine
2025;36(2):137-140
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the results of detection of pulmonary nodules among military flying personnel and analyze the contributors to pulmonary nodules so as to provide data for early prevention and interventions.Methods:The physical examination data of 1 465 military flying personnel was retrospectively analyzed who had received the annual health checkup and undergone chest CT examinations at Lintong Rehabilitation and Recuperation Center. They were grouped by age (<40 years and ≥40 years), flying hour (<1 000 h and ≥1 000 h) and type of personnel [pilots and air support (technical) personnel]. The detection rates of pulmonary nodules among flying personnel were compared across groups, and a multivariate Logistic regression analysis was conducted to analyze the contributing factors to pulmonary nodules.Results:Among the 1 465 military flying personnel, 212 cases (14.47%) with pulmonary nodules were detected. A total of 230 pulmonary nodules were detected, including 35 pulmonary nodules (15.22%) in the left upper lung, 42 pulmonary nodules (18.26%) in the left lower lung, 52 pulmonary nodules (22.61%) in the right upper lung, 47 pulmonary nodules (20.43%) in the right middle lung, and 54 pulmonary nodules (23.48%) in the right lower lung. The detection rate of pulmonary nodules among military flying personnel in the ≥1 000 h group was higher than in the <1 000 h group, and the difference was statistically significant ( χ2=4.14, P=0.042). More pulmonary nodules were detected among military flying personnel who smoked than among those who did not, and the difference was statistically significant ( χ2=9.34, P=0.002). Age, types of personnel, body mass index, and complications with other lung diseases made no significant difference in the detection rate of pulmonary nodules (all P>0.05). Multivariate Logistic regression analysis showed that smoking was a risk factor for pulmonary nodules ( OR=1.692, 95% CI: 1.217-2.351). Conclusions:Among military flying personnel, pulmonary nodules are more likely to occur in the right lung. Smoking is an independent risk factor for pulmonary nodules, suggesting that routine chest CT screening should be carried out during the annual physical examinations of military flying personnel in order to exercise early interventions.
