武警新兵胫骨疲劳性骨膜炎发病危险因素的研究  

The risk factors of fatigue-induced tibial osteotitis in recruits of Chinese People's Armed Police Forces

作　　者：吕尚军 李京京[2] 吴炜 

机构地区：[1]武警陕西总队第二支队卫生队 [2]武警江苏总队南京医院 [3]解放军71375部队医院外科

出　　处：《武警医学》2007年第1期20-22,共3页Medical Journal of the Chinese People's Armed Police Force

基　　金：武警部队科研立项课题(WKH2003032)

摘　　要：目的了解新兵胫骨疲劳性骨膜炎的危险因素,为部队选兵和制定相应的预防措施提供科学依据。方法选取武警某部2003年男性新兵519人,随访1年;对其体质进行测量和评价,检出其中胫骨疲劳性骨膜炎患者71例,采用病例对照研究方法,所有参数进行多因素非条件Logistic回归分析。结果武警新兵胫骨疲劳性骨膜炎的累积发生率为13.6人次/100(人.年)。多因素非条件Logistic回归分析发现,胫骨疲劳性骨膜炎的发病与吸烟史、下肢损伤史、跑步姿势呈正相关,与营养状况、身体协调性呈负相关,均具有统计学意义。结论选兵时应选择营养状况和身体协调性较好的,剔除有下肢损伤史者。在训练中改变不良的生活习惯和行为方式。Objective To investigate the risk factors of fatigue- induced tibial esteotitis in recruits, and to provide the scientific information for recruitment and working out corresponding preventive measures.Methods A case - control study was carried out among a total of 519 male recruits from a unit of Chinese People＇s Armed Forces in 2003 through one year＇s follow- up. 71 cases of tibial osteotitis were found by physical examination and physical fitness evaluation. Multivariate logistic regression analysis was performed for all factors.Results The accumulative incidence of tibial osteotitis in the recruits was 13.6 person times/100 （person·year）. Multivariate logistic regression analysis showed significantly positive association of fatigue-induced tibial osteotitis with history of smoking, history of lower limb injury, nmning form, and negative association with nutritional condition, and co - ordination of body. Conclusions Good physique quality and body co - ordination without history of lower limb injury should be considered during recmitselection, and bad living habit and behavior should be changed during military training;all these would decrease the incidence of fatigue- induced tibial esteotitis.

关 键 词：新兵 胫骨疲劳性骨膜炎 危险因素 

分 类 号：R681.2[医药卫生—骨科学]