2006、2007年全军军训伤流行病学抽样调查  

Epidemiological sampling survey on military training related injuries in PLA during the period of 2006-2007

作　　者：黄昌林[1] 杨卫强[1] 朱履刚[1] 

机构地区：[1]解放军第150医院全军军事训练医学研究所,河南洛阳471031

出　　处：《解放军医学杂志》2009年第1期92-94,共3页Medical Journal of Chinese People's Liberation Army

摘　　要：目的随机抽样调查2006、2007年全军监控点部队军训伤的发生与分布情况,分析其流行病学特点及趋势。方法随机抽取全军9个军事训练伤监控点部队,以2006-2007年的参训军人为研究对象,按照《军事训练伤诊断标准及防治原则》的标准,采集所有军训伤资料数据并进行相关分析。结果两年中被调查的71 836名参训军人共发生各类训练伤6 262例,其中2006年参训军人35 582名,发生军训伤2 455例,总发生率6.9%,2007年参训军人36 254名,发生军训伤3 807例,总发生率10.5%,两年军训伤发生率有显著性差异(P<0.01)。骨关节损伤、软组织损伤、器官损伤的构成比2006年分别为30.0%、63.7%、6.3%,2007年分别为47.6%、42.5%、9.9%,其中骨关节损伤、器官损伤所占比例2007年明显高于2006年(P<0.01)。2007年度军训伤发生的高峰时间后移,器官损伤中以中暑比例较高。结论2006、2007年军训伤的发生率较往年有明显上升,构成比也发生了较大变化,器官、骨关节损伤应成为防治的重点;加强军事训练伤知识的普及教育以及严格贯彻《军事训练健康保护规定》是有效降低其发生率的关键。Objective Randomly sampling survey was performed among the troops stationed in the monitoring sites during the period of 2006--2007 for understanding and analyzing the incidence, distribution and the epidemiological features of military training related injuries （MTRI）. Methods Troops stationed in 9 monitoring sites were randomly selected for the survey, and soldiers participated in military training during the period of 2006--2007 served as the objects. The data concerning the military training injuries were collected and analyzed according to the ＂Diagnostic Criteria and Treatment Principle on Military Training Related Injury＂. Results 6262 out of 71836 soldiers who participated in assorted military training during the period of 2006--2007 suffered from military training related injuries. Among them 2455 out of 35582 soldiers who participated in military training in 2006 suffered the injuries, with an incidence of 6. 9%; while 3807 out of 36254 soldiers who participated in military training in 2007 suffered the injuries, with an incidence of 10. 5%. A significant difference existed in the incidence of military training related injuries between the years of 2006 and 2007 （P〈0. 01）. The constituent ratio in 2006 of osteoarticular injury, soft tissue injury and organ injury were 30. 0%, 63. 7% and 6.3%, respectively, while were 47. 6%, 42. 5% and 9.9% in 2007. The incidences of osteoarticular injury and organ injury were significantly higher in 2007 than that in 2006 （P〈0.01）. Heat stroke was the primary motivation leading to organ injury, and the time of high incidence of training injuries was postponed in 2007. Conclusions The incidence of military training related injuries rose remarkably in years 2006 and 2007, and the constituent ratio of injuries was changed a lot. The organic and osteoarticular injuries should be put on emphasis of prevention during military training. Moreover, the propagate education should be done on the knowledge of preventing training related injuries, and the ＂Rul

关 键 词：军事训练伤 创伤与损伤 流行病学研究 

分 类 号：R82[医药卫生—临床医学]