Objective We aimed to evaluate the application of ECG and ladder exercise test in physical examination for recruiting pilots and provide the basis of improvement of heart function test. Methods The results of physical examination for recruiting pilots in the period of 2005-2012 by ECG and ladder exercise test were analysed statistically and compared with each other. Results 300 candidates(accounting for 2.90% of the total candidates)were eliminated from 10 336 candidates by ECG, the top three abnormities were ECG axis deviation(accounting for 42.00%), arrhythmia (accounting for 39.33%), the change of T wave (accounting for 13.00%).221 candidates which accounted for 2.20% were eliminated from 10 036 candidates by the ladder exercise, and the first two abnormities were change of ST-T (accounting for 59.30%) and arrhythmia (accounting for 45.08%). Conclusion The ladder exercise increased the elimination rate, but the exercise load was insufficient and the exercise method was non-standard. The changes of blood pressure and arrhythmia were not detected timely during the exercise. The exercise treadmill test was suggested to further improve the ECG exercise method.%目的：探讨心电图与登梯运动试验在招飞体检中的应用价值，为改进心功能试验方法提供依据。方法对2005-2012年招飞体检学生心电图淘汰资料按常规心电图和登梯运动试验心电图检查方法进行分类统计比较。结果常规心电图检测10336名学生，淘汰300人，淘汰率为2.90%，前3位依次是心电轴偏移、心律失常、T波改变，构成比依次为42.00%、39.33%、13.00%。对余下的10036人进行登梯运动试验，淘汰221人，占检测人数的2.20%，前2位依次是ST-T改变、心律失常，构成比依次为59.30%、45.08%。登梯运动试验提高了心电图淘汰率。结论登梯运动试验提高了心电图淘汰率，但存在运动负荷不足、试验方法不规范、运动中不能即时发现血压变化和心律失常的不足。建议采用平板运动试验，进一步完善心电图运动试验方法。
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