海军某部不同岗位官兵腰痛发病情况调查及防治措施探讨  

Investigation and Prevention Measures on the Incidence of Low Back Pain of Naval Officers and Soldiers in Different Positions

作　　者：王新[1,2] 方凡夫[2] 陈洪达[2] 杨葛亮[2] 于熙义 顾伟[2] 

机构地区：[1]上海中医药大学,上海201203 [2]第二军医大学长海医院中医系,上海200433

出　　处：《中医药导报》2016年第20期26-28,共3页Guiding Journal of Traditional Chinese Medicine and Pharmacy

基　　金：军队后勤科研重点项目(BKJ14J007);第二军医大学军事医学项目(2011JS12)

摘　　要：目的:调查海军某部不同岗位的腰痛发病情况及防治措施,为制定适应部队的腰痛防治策略提供依据。方法:采用分层抽样方法从海军某部随机抽取官兵610人,进行问卷调查,数据录入计算机并进行统计分析。结果:海军某部官兵总体腰痛患病率为70.9%,其中岸基岗位官兵患病率58.8%,舰艇岗位官兵患病率81.2%。舰艇岗位腰痛患病率高于岸基单位(P<0.05)。舰艇岗位中机电兵、帆缆兵、枪帆兵、观通兵的腰痛患病率分别为89.0%、93.8%、91.3%、78.1%,而航海兵、厨师员的腰痛患病率分别为55.2%、44.4%,低于舰艇其他岗位。服役6年以上的腰痛患病率≥81.5%,高于服役≤6年。73.2%的官兵发生腰痛后没有接受过治疗,仅有1.8%的人选择康复锻炼,92.7%的人不了解腰部核心肌力锻炼方法。结论:水面舰艇不同岗位普遍存在较高的腰痛患病率,腰痛患病率随着服役年限的延长而递增,在日常训练中增加核心肌力锻炼将有助于海军官兵腰痛的防治。Objective： To make strategies for troops by surveying the incidence of low back pain and prevention measures in different positions. Methods：We chose 610 people from a Navy unit through stratified sampiing methods. They were surveyed by a questionnaire uniformly and did data entry and statistical analysis. Results： The overall prevalence of low back pain is 70.9%, including 58.8% in shore-based soldiers, and 81.2% in naval soldiers. The naval soldiers＇ prevalence of low back pain was significantly higher than the shore-based soldiers （P〈0.05）. The prevalence rates were 89.0%, 93.8%, 91.3% and 78.1% respectively in Warship posts, electromechanical soldiers, rigging soldiers, gun sail soldiers, observation soldiers and nautical soldiers. But the back pain prevalence rate was 55.2% in Sailing soldiers and 44.4% in Chef soldiers. And they had lower back pain prevalence rates with other jobs. Soldiers serving more than six years have higher back pain prevalence rates over 81.5%, and it was significantly higher than those who served less than six years. The 73.2% of low back pain officers had not received treatment before. Only 1.8% of people get rehabilitation exercises. The 92.7% of people did not understand the waist core muscle training methods. Conclusion： The surface ships of different positions show high prevalence of low back pain, and the risk increased with the extended service life. Core muscle training will be useful for back pain prevention.

关 键 词：腰痛 海军官兵 防治 流行病学 抽样调查 

分 类 号：R255.6[医药卫生—中医内科学]