MH/T 7013-2017Medical specification for recruitment of civil aviation airman trainees (English PDF)

Foreword

This standard was drafted in accordance with the rules given in GB/T 1.1-2009.

This standard was proposed by the Flight Standards Department of the Civil Aviation Administration of China.

This standard is under the jurisdiction of the China Academy of Civil Aviation Science and Technology.

This standard replaces and abolishes MH/T 7013-2006 "Civil Aviation Recruitment of Flight Students Physical Examination and Appraisal Specifications". With MH/T 7013-2006 in comparison, the main technical changes except for editorial changes are as follows.

- The Chinese and English names have been modified (see Chinese and English names on the cover);

- Delete the numerical requirements for height, leg length, etc. (see 4.1, 2006 version 3.1 and 3.2);

- Deleted the family history of epilepsy and other diseases and the medical history restrictions of some system diseases such as urinary and blood (see 2006 editions 4.7, 9.1 and

- Adjusted the classification and description of mental illness (see 5.1, 2006 version 4.1~4.4);

- Relaxed requirements for diseases such as liver and kidney cysts and distance vision, refractive power, high-frequency hearing, etc. (see 9.1, 10.1, 15.1, 15.2 and 16.1, 2006 editions 8.2, 9.1, 14.1, 14.2 and 15.1);

- Under certain conditions, the prohibitive requirements of corneal refractive surgery have been released (see 15.19, 15.20, 2006 edition 14.10);

--Clarified the requirements for various hernias, endometriosis, internal fixation, artificial joint, artificial intervertebral disc and other implants (see 9.5, 10.3 and 13.2);

-Standardize the requirements for low-frequency listening and speech-frequency listening (see 16.1, 2006 edition 15.1);

-Adjust blood pressure measurement procedures and syphilis screening items, delete some auxiliary examination items such as chest X-ray, increase total bilirubin and urine occult blood, Added some auxiliary inspection requirements and result judgments (see Appendix A, Appendix B, Appendix A, Appendix B of the 2006 edition).

Drafting organization of this standard. Civil Aviation Medical Center of Civil Aviation Administration of China.

1 Scope

This standard specifies the principles, items and methods of medical examination and identification for civil aviation enrolling flight students.

This standard is applicable to the medical examination and appraisal of civil aviation enrolling flight students.

2 Normative references

The following documents are indispensable for the application of this document. For dated reference documents, only the dated version applies to this article Pieces. For undated references, the latest version (including all amendments) applies to this document.

GB/T 16403 Acoustic audiometry method Pure tone air conduction and bone conduction hearing threshold basic audiometry

3 General

3.1 The conclusions of the medical examination and identification of civil aviation flight students are divided into.

a) qualified;

b) Failed.

3.2 The physical examination items and methods of civil aviation flight students are shown in Appendix A, and the auxiliary examination items are shown in Appendix B.

4 Basic requirements

4.1 The height, leg length and arm length should meet the requirements of flying occupation.

4.2 The body mass index (BMI) should not be greater than 24 or less than 18.5, but the following conditions are deemed qualified.

a) Body mass index is less than 18.5, and skeletal muscles are well developed;

b) Body mass index is greater than 24, waist circumference is less than 85 cm, waist-to-hip ratio is less than 0.90, well-proportioned, muscular, chest, abdomen, waist, etc.

No fat accumulation in the area.

4.3 There should be no malignant tumors and their medical history, and benign tumors that may affect function.

4.4 There should be no syphilis, gonorrhea, genital warts, genital herpes and other sexually transmitted diseases.

4.5 An HIV antibody test should not be positive.

4.6 There should be no abnormal clinically significant auxiliary examination results.

5 Mental and nervous system

5.1 There should not be the following mental illnesses and their medical history.

a) Organic (including symptomatic) mental disorders;

b) Use or dependence on opium, heroin, methamphetamine (meth), morphine, marijuana, cocaine, and those controlled by national regulations Other narcotic drugs and psychotropic drugs that can cause addiction;

c) Alcohol abuse or dependence;

d) Schizophrenia, and delusional disorders and their family history;

e) Mood (affective) disorder;

f) Neurotic, stress and somatoform disorders;

g) Behaviour syndrome accompanied by physical disorders and physical factors;

h) Adult personality and behavior disorders;

i) mental retardation;

j) Mental development disorders;

k) Behavioral and emotional disorders that usually start in childhood and adolescence;

l) Unspecified mental disorder.

5.2 There should be no psychological abnormalities or mental disorders of self-harm.

5.3 There should be no epilepsy, epileptiform seizures and their medical history.

5.4 There should be no unexplained or difficult to prevent consciousness disorder and its medical history.

5.5 There should be no central nervous system disease and its history.

5.6 There should be no peripheral nervous system disease.

5.7 There should be no autonomic nervous system diseases.

5.8 There should be no muscle diseases.

5.9 There should be no history of migraine, cluster headache or trigeminal neuralgia and their medical history.

5.10 EEG should not have epileptiform discharges, focal abnormalities or moderate or above abnormalities.

6 Psychology

The result of the psychological assessment should meet the requirements of the flying profession.

7 Respiratory system

7.1 There should be no chronic diseases or dysfunctions of the respiratory system.

7.2 There should be no tuberculosis.

7.3 There should be no pneumothorax.

7.4 There should be no history of thoracic organ surgery.

8 Circulatory system

8.1 There should be no cardiovascular diseases.

8.2 The systolic blood pressure should not be continuously less than 90 mmHg or greater than or equal to 140 mmHg; the diastolic blood pressure should not be continuously less than 60 mmHg or greater than or equal to 90 mmHg.

8.3 The heart rate should not be lower than 50 beats/min or higher than 110 beats/min.

8.4 There should be no abnormal resting ECG.

8.5 There should be no peripheral vascular disease, but the following conditions are qualified as qualified.

a) Mild varicose veins of the lower extremities;

b) Mild to moderate varicocele on the left.

9 Digestive system

9.1 There should be no digestive system disease, dysfunction or sequelae of surgery, but the following conditions are qualified as qualified.

a) The total number of simple liver cysts does not exceed two, and the maximum diameter is not more than 2 cm;

b) The total number of hepatic hemangioma does not exceed two, and the maximum diameter is not more than 2 cm;

c) The maximum diameter of gallbladder polyps is not more than 0.5 cm.

9.2 There should be no stones in the biliary system.

9.3 There should be no viral hepatitis or hepatitis B surface antigen positive. One year after the cure of acute viral hepatitis (except hepatitis B and C) those without recurrence can be identified as qualified.

9.4 There should be no rectal and anal diseases. Simple internal and external hemorrhoids, anal fissure, were identified as qualified.

9.5 There should be no hernias.

10 Urinary and reproductive system

10.1 There should be no urinary or reproductive system diseases or deformities, but the following conditions are qualified as qualified.

a) The total number of simple renal cysts does not exceed two, and the maximum diameter is not more than 2 cm;

b) The maximum diameter of a single renal hamartoma is not more than 2 cm;

c) Spermatic cord hydrocele, spermatic cord cyst, spermatic cord or small nodules in the scrotum, exclude tuberculosis and filariasis.

10.2 There should be no stones in the urinary system.

10.3 There should be no severe dysmenorrhea, endometriosis, dysfunctional uterine bleeding, polycystic ovary syndrome, amenorrhea and premenstrual syndrome disease.

10.4 Should not be in pregnancy.

11 Blood System

11.1 There should be no blood system diseases.

11.2 There should be no pathological splenomegaly; the spleen should not be larger than 13 cm × 5 cm (length × thickness).

12 Rheumatism, endocrine system and nutritional metabolism

There should be no rheumatic, endocrine system and nutritional metabolic diseases.

13 Movement System

13.1 There should be no bone, joint, muscle or tendon disease that affects function, as well as deformity, injury, surgical sequelae and dysfunction.

13.2 There should be no internal fixation, artificial joint, artificial intervertebral disc and other implants.

14 Skin and its appendages

There should be no infectious, difficult to cure or functional skin and appendage diseases.

Mild tinea pedis, mild underarm odor and localized neurodermatitis were identified as qualified.

15 Eyes and appendages

15.1 The distance vision in any one eye should be 0.7 or above, and the distance vision in both eyes should be 1.0 or above. As any distance vision when it is lower than 0.7, but meets the following conditions at the same time, it is judged as qualified.

a) The distance vision with the naked eye is not less than 0.1;

b) Corrected distance vision is not less than 1.0.

15.2 The diopter (equivalent spherical lens) should not exceed the range of -4.50D to 3.00D; the difference between the two axes of astigmatism should not be greater than 2.00D; the anisometropia is not should be greater than 2.50D.

15.3 The near vision of any one eye with the naked eye should not be less than 1.0.

15.4 The peripheral visual field should not be reduced by 15° or more than normal in any diameter, and the central visual field should not be enlarged or non-physiological.

Dark spots appear.

15.5 There should be no color blindness or color weakness.

15.6 There should be no night blindness or abnormal dark adaptation.

15.7 There should be no abnormal binocular vision.

15.8 There should be no extraocular muscle diseases such as strabismus or restricted eye movement.

15.9 Internal strabismus should not be greater than 10delta, external strabismus should not be greater than 5delta, and superior strabismus should not be greater than 1.5delta.

15.10 There should be no eyelid, conjunctival, lacrimal or orbital diseases that are difficult to cure or affect visual function.

15.11 There should be no corneal diseases or corneal opacity or scars that affect visual function.

15.12 There should be no scleral disease.

15.13 There should be no uveeal disease and its sequelae.

15.14 There should be no pupil deformities or abnormal reflections.

15.15 There should be no lens disease, but the following conditions can be identified as qualified.

a) A small amount of small congenital spot-like opacity in the visual axis area that does not affect the function;

b) Congenital punctate opacity scattered in the non-visual axis area.

15.16 There should be no glaucoma or ocular hypertension.

15.17 There should be no vitreous disease. The number of filamentous and punctate vitreous turbidity is small, the activity is small, and no conscious symptoms are identified as qualified.

15.18 There should be no diseases of the retina, choroid, or optic nerve, but the following conditions can be identified as qualified.

a) The macula is scattered in non-pathological spots;

b) Old retina and choroidal lesions outside the macular area that do not affect visual function, are isolated, and have no tendency to recur.

15.19 At least 6 months after undergoing corneal refractive surgery, and at the same time meeting the following conditions are considered qualified.

a) Be at least 18 years old at the time of corneal refractive surgery;

b) The refraction before the operation should not exceed the range of -4.50D to 3.00D, without other related pathological changes;

c) The surgical method is superficial or lamellar corneal refractive surgery using excimer laser or femtosecond laser;

d) The open-eye distance visual acuity of the operating eye should not be less than 0.9, and the open-eye distance visual acuity of both eyes should not be less than 1.0, and the diopter should remain stable;

e) The thickness of any cornea should not be less than 460 µm;

f) Binocular vision is normal;

g) No obvious post-operative complications or sequelae such as glare, dry eyes, haze, etc.;

h) Have original and complete preoperative inspection data and surgical records including surgical cutting parameters.

15.20 There should be no history of intraocular refractive surgery.

16 Otolaryngology and oral cavity

16.1 The pure tone air conduction hearing threshold should not exceed 25 dB at any frequency of 250 Hz, 500 Hz, 1,000 Hz, 2,000 Hz, and 3,000 Hz per ear;

The total binaural hearing threshold of 4 000 Hz, 6 000 Hz and 8 000 Hz should not be greater than 270 dB, and 4 000 Hz per ear should not be greater than 45 dB.

16.2 There should be no ear pressure dysfunction.

16.3 There should be no vestibular dysfunction, and the double rotation test should not show degree II or higher or delayed response.

16.4 There should be no external ear diseases and deformities that affect function.

16.5 There should be no tympanic membrane perforation, adhesions and other lesions, and serious changes such as calcium spots, invagination, atrophy, thickening, thinning, and scars.

16.6 There should be no middle ear disease.

16.7 There should be no inner ear disease and its history.

16.8 There should be no history of vertigo.

16.9 There should be no chronic diseases of the nose and sinuses that affect function, but the following conditions can be considered qualified.

a) For milder ethmoid sinus and (or) maxillary sinusitis, there is no obvious abnormality in the nasal cavity examination, and the sinus opening is smooth;

b) Maxillary sinus mucosal cyst, less than one-third of the sinus cavity, no obvious abnormality in the nasal cavity examination, and smooth drainage of the sinus ostium.

16.10 There should be no loss of smell.

16.11 There should be no pharynx and larynx diseases or deformities that affect function.

16.12 There should be no oral diseases or deformities that affect function.

Appendix A

(Normative appendix) Physical examination items and methods A.1 General this appendix includes routine inspection items and methods of each section. All items consistent with the requirements of clinical inspection methods should be carried out according to clinical inspection methods.

Other items can be checked if necessary.

A.2 Psychiatry and Neurology A.2.1 Routine inspection items the routine examination items of psychiatric and neurology department should be.

a) Medical history collection;

b) Mental examination;

c) Cranial nerve examination;

d) Exercise check;

e) Reflex inspection;

f) Sensory check;

g) Autonomic nerve examination;

h) Psychological assessment.

A.2.2 Routine inspection items and key content A.2.2.1 Medical history collection, including medical history inquiry and medical history investigation, the key content should be.

a) Growth and development history;

b) Study and life history;

c) Past medical history should include hysteria, neurosis, sleep disturbance, of consciousness, epilepsy, history of convulsions, history of headache, history of traumatic brain injury, History of central nervous system disease, muscle disease history, etc.;

d) Family history of genetic and genetic predisposition diseases. mental disorders, epilepsy, etc.

A.2.2.2 Mental examination should include.

a) Spirit;

b) emotions;

c) speech;

d) Behavior.

A.2.2.3 Perform cranial nerve examination.

A.2.2.4 Movement inspection should include.

a) Involuntary movement;

b) voluntary exercise;

c) Mutual aid exercises, including finger nose test, finger test, quick-and-return rotation test, heel knee shin test, and Angbert test.

A.2.2.5 Sensory inspection includes.

a) Shallow sensation. pain and touch, check temperature if necessary;

b) Deep sense. motor sense, position sense and vibration sense;

c) Complex feelings.

A.2.2.6 Reflection inspection, including.

a) Superficial reflex. abdominal wall reflex, cremasteric reflex, plantar reflex;

b) Deep reflex. biceps reflex, triceps reflex, knee reflex, Achilles tendon reflex;

c) Pathological reflex. Babinski's sign, Chaddock's sign, Oppenheim's sign, Gordon's sign, Hoffman's sign.

A.2.2.7 Autonomic nerve examination should include.

a) General inspection. observe whether the skin color is red, whitish, cyanotic or marbled; whether the hands and feet are sweaty;

b) Bent-back test inspection. The subject should bend over and lower his head, touch the ground with both hands as much as possible, and maintain an upright position after 3 s to 5 s. Normal face may have Temporary mild congestion, but no dizziness, vertigo, and body tilt;

c) Auxiliary examination of autonomic nerves (if necessary). eye-heart reflex, standing test, standing test.

A.2.2.8 Self-injury behavior is also called deliberate self-injury, which refers to intentional, non-fatal direct injury to one's body. Due to youth Actions that cause only one self-injury and multiple self-injury behaviors are obviously different in nature, and should be treated differently in the physical examination. detailed Ask about the cause and course of the behavior. If it is done by accident, it is not necessary to conduct self-harm related psychological tests. If there are two and more than If there is an injury that the medical examiner believes that the subject cannot reasonably explain, the relevant psychological test for self-injury should be carried out.

A.2.2.9 Family history of diseases with obvious genetic predispositions refers to third-degree relatives (level 1.parents, siblings, children; level 2.aunt, uncle, aunt, uncle, (Foreign) grandparents; Level 3.Tang, cousins) have genetic diseases and medical history.

A.2.2.10 Psychological assessment should be based on the results of the civil aviation industry-based mental health assessment test, and other assessment plans can be carried out if necessary Further testing (test methods and evaluation principles shall be specified separately).

A.3 Internal Medicine A.3.1 Routine inspection items Routine inspection items should include.

a) Medical history collection;

b) Pulse and blood pressure check;

c) Nutrition status check;

d) Head and neck examination;

e) Examination of chest and abdomen.

A.3.2 Blood pressure measurement A.3.2.1 The blood pressure measurement should be measured by a medical sphygmomanometer with a sleeve width of 12 cm.

A.3.2.2 No smoking, no coffee, and emptying the bladder within half an hour before the test. In a quiet environment, take a sitting position and measure the blood pressure of the right brachial artery. hand the arm and the heart should be at the same level.

A.3.2.3 The cuff should be tied 2 cm to 3 cm from the elbow socket. The head of the stethoscope should not be pressed too tightly, let alone under the cuff.

A.3.2.4 When using a mercury column type blood pressure timer, the systolic blood pressure should be the value of the first beating sound, that is, the first sound shall prevail. Diastolic blood pressure should be pulsatile the value when the tone suddenly disappears is based on the fifth tone. If the beating sound does not disappear for a long time, the acceptable beating sound suddenly changes from clear to deep (changes the value of the key is based on the fourth tone.

A.3.2.5 When the blood pressure exceeds the standard value, it should be rechecked twice after the examinee is fully rested. If the results are normal both times, the blood pressure should be identified normal. If only one of the two rechecks of blood pressure is within the normal range, 24-hour ambulatory blood pressure can be used to further clarify.

A.3.3 Heart rate counting the heart rate should be counted in a quiet state, and the number of heartbeats within 1 minute should be recorded when the heart is auscultated. When the heart rate exceeds the standard value, you should After the subject is fully rested, the patient is re-examined twice, and the results are normal both times, the heart rate is determined to be normal. Increased heart rate due to increased body temperature, should Review after the body temperature is normal. Each count of heart rate should be recorded and the time noted.

A.3.4 Heart auscultation A.3.4.1 The systolic murmur is divided into 6 levels according to the clinical classification method.

A.3.4.2 Functional systolic murmur of the heart, generally refers to the apex area or pulmonary valve area not exceeding grade 2, and is soft, blowing, and non-conductive.

If in doubt, it can be determined by echocardiography.

A.3.5 Liver palpation A.3.5.1 The subject should be in a supine position, knees bent, abdominal muscles relaxed, and abdominal breathing. The examiner should stand on the right side of the examinee, using the palm of his right finger Close to the abdominal wall, along the right edge of the rectus abdominis, approach the costal arch from bottom to top with the subject's abdominal breathing. Palpation should be done lightly to prevent pushing the liver back square.

A.3.5.2 The size of the liver should be in centimeters (cm). When the liver is touched, the subject should be instructed to inhale so that the abdominal wall and the costal arch are at the same size Prevail. When measuring the right lobe, the intersection of the right midclavicular line and the costal arch should be the starting point, and the measurement should be made at a right angle to the lower edge of the liver. Limited type the largest liver distance should be measured under the costal margin. When measuring the left lobe of the liver, the lower edge of the xiphoid process should be used as the starting point for measurement, and the measurement should be made vertically to the lower edge of the liver.

A.3.5.3 When judging the size of the liver, pay attention to the thickness, hardness and tenderness of the liver edge, whether the liver surface is smooth and the upper boundary position;

Identification of rectus abdominis sheath, right kidney and gallbladder. At the same time, consider before and after meals, before and after exercise, breathing depth, body shape, etc.

A.3.6 Palpation of the spleen A.3.6.1 The subject should be in a supine position, knees bent, abdominal muscles relaxed, and abdominal breathing. The examiner should stand on the right side of the examinee with the palm of his left hand on the subject's seventh to tenth ribs, place the right hand flat on the abdomen at a right angle to the bottom of the left costal margin. The ends of the fingers are slightly bent and gradually connect from bottom to top Near the costal margin, lightly press the abdominal wall, and palpate the subject while breathing deeply. Mildly enlarged spleen in supine position is often difficult to touch, so it can be used in right side position Check by palpation with both hands.

A.3.6.2 The size of the spleen should be in centimeters (cm). The subject should take the supine position and inhale until the abdominal wall is level with the costal arch, and the spleen touched at this time the vertical distance between the farthest point and the costal margin is the size of the spleen. Percussion should be performed after palpation. When judging the size of the spleen, pay attention to the thickness, hardness, Tenderness or percussion pain, whether the surface is smooth, and should be distinguished from an abdominal mass. If an enlarged spleen is found on physical examination, it should be further confirmed by ultrasound real.

A.3.6.3 The scale and judgment of splenomegaly are as follows.

a) Slight swelling of the spleen. When you breathe in peacefully in the supine position, the spleen can be reached just below the ribs. When yo...