某特种兵大队军事训练损伤调查的描述性分析  

Descriptive analysis on military training injuries in a special force corps

作　　者：孙磊[1] 张军 田敏[1] 宁廷民[1] 张红[1] 

机构地区：[1]解放军第88医院全军骨科中心 [2]解放军71770部队卫生队

出　　处：《中国矫形外科杂志》2009年第18期1417-1420,共4页Orthopedic Journal of China

摘　　要：[目的]探讨特种兵部队训练损伤的发病率、损伤原因、损伤高危科目、损伤发生部位,为有效防治提供依据。[方法]2006年11月对某特种兵大队823人训练损伤及相关情况进行问卷调查,并核对2005年11月～2006年10月该部队各级医疗记录。资料数量化后输入计算机,采用SPSS13.0软件行描述性分析。[结果]823人中,738人发生过训练损伤,占89.67%;525人因损伤影响了正常训练,占63.79%;221人因损伤导致停训1d以上,占26.85%,核对该部队各级医疗记录,因损伤停训1d以上213人,占25.90%。823人,共发生损伤1696次,其中,影响训练的损伤1263次,每100人平均每月损伤12.78次。24.12%的损伤是由于训练过多或负荷过大引起的,15.86%的损伤是意外事故,13.33%的损伤是因场地等外部环境因素所致。训练损伤主要发生在与跑步相关基础训练科目,其中22.17%发生在5km跑,20.87%发生在400m障碍;其次是举重物,占9.67%。下肢是发生损伤最多的部位,占65.74%,其中膝以下损伤最多,足部占18.75%,踝关节占13.50%,小腿占13.56%,膝关节占14.39%;其次是腰部,占14.21%。[结论]持续大负荷基础训练是造成训练损伤的主要科目,是改进训练的关键;下肢和腰部是损伤的主要部位,是防治训练损伤的重点。[Objective]To explore the incidence, causes, training courses at high risk and location of the body of training injury in a special force corps, provide evidence for effective prevention of the injury. [ Method] A questionnaire on training injuries and relative situations, and review of medical records from Nov 2005 to Oct 2006 were performed in 823 soldiers and officers in a special force corps at Nov 2006. Data were input into computers after quantization, and descriptive analysis was conducted with SPSS 13.0 software. [ Result] Of 823 soldiers and officers, 738 （89.67%） experienced one or more injuries in that year, 525 （63.79%） were affected in normal training, 221 （26.85%） lost more than one training day due to the injuries. Confirmed with the medical records, 213 （25.90%） lost more than one training day due to injuries. A total of 1696 injuries occurred in 823 soldiers and offices in that year, of them, 1263 injuries interfered with normal training. Injury rate was 12.78 per 100 per month. 24.12% of injuries were due to over-exertion, 15.86% due to accident and 13.33% due to environmental field. Injury occurred mainly in runing related training courses including 5km running （22.17%） and 400m obstacle running （20.87%） , followed by weight lifting （9.67%）. The most frequent site of injury was the lower extremities, accounted for 65.74 % of the inj urie s including the foot （ 18.75 % ） ,the ankle （ 13.50% ）, the leg （ 13.56% ） and the knee （ 14.39% ）, followed by low back （14.21%）. [ Conclusion] Persistent over-exertion basic training, the courses at high risk of injury, should be improved in focus. Lower extremities and low back, the most frequent locations of injury, should be taken as key points of prevention and treatment of training injury.

关 键 词：军事训练损伤 特种兵部队 流行病学 调查 描述性 

分 类 号：R82[医药卫生—临床医学]