目的 优化飞行学员医学选拔鼻腔检查初选流程,减少鼻腔减充血剂的使用,简化工作流程,提高工作效率.方法 在某区招收飞行学员初选过程中,选取某省7个地区全部306名应征者,随机分为先运动组166人和先喷药组140人,第1组在未运动未喷药前、单纯运动后、喷药加运动后,第2组在未喷药未运动前、单纯喷药后、喷药加运动后分别在前鼻镜下观察鼻腔,并作出结论,统计每组在上述情况下能作出结论的比例,并进行统计分析.结果 在单纯运动或单纯鼻腔喷药的情况下均可对大部分应征者作出正确结论;单纯喷药组和单纯运动组能作出正确结论的比例差异无统计学意义,单纯运动组耗用时间更短.结论 在招飞初选过程中,可采取运动法来收缩鼻腔,对于少数不能在运动后作出结论的应征者再加用鼻腔喷减充血剂,能提高工作效率,并可减少鼻腔减充血剂的使用,从而减少对应征者的间接损害,也更好地实践了精准招飞的理念.在复选、定选阶段还应采取鼻腔喷减充血剂同时2 min快速蹲起50次的鼻腔收缩方法,对拟因鼻腔疾病淘汰的应征者还需经3次收缩鼻腔并在内镜下观察结果.“,”Objective To optimize the nasal examination procedures for preliminary medical selection of pilot cadets,to reduce the use of medicine for nasal congestion,to simplify the workflow and to improve the efficiency.Methods In the course of recruiting pilots,all the 306 candidates in seven districts of a province were selected and randomly divided into the exercise-first group (n =166) and the spraying-first group (n =140).In the exercise-first group,the nasal cavity of the students was observed under the anterior rhinoscope at three time points:before exercise/spraying,after simple exercise,and after exercise/spraying(exercise first).In the second group,the nasal cavity was observed under the anterior rhinoscope at three time points:before exercise/spraying,after simple spraying,and after exercise/spraying(spraying first).Conclusions were drawn after nasal examination,and the percentage of clear conclusions in each group was statistically analyzed.Results In the case of simple exercise or simple nasal spraying,clear conclusions could be drawn about most of the candidates.There was no significant difference between the simple nasal spraying group and simple exercise group in the rate of clear conclusions.Conclusion During the preliminary recruitment of pilot students,the exercise method can be used to shrink the nasal cavity.For a few candidates whose conclusions cannot be drawn after exercise,nasal spray can be added to reduce congestion improve efficiency,and reduce the use of nasal congestion,thus reducing the indireet damage to candidates.During the re-check and final check,the nasal spray agent can be used to reduce the congestion and at the same time fast squatting 50 times in two minutes can be used as a the nasal cavity contraction method.