平原地区移防高原部队与高原驻训部队训练伤流行病学调查对比分析  

Comparative analysis on the epidemiological investigation of training injury between the plain area shifting to the high altitude army and the high altitude training army

作　　者：魏林节[1] 刘新培 舒艳[1] 叶东平[1] 范应磊[1] 王飞[1] 邹继伟 田文轩 涂继伟 蒋世维 许源[1] 张宇 WEI Linjie, LIU Xinpei, SHU Yan, YE Dongping, FAN Yinglei, WANG Fei, ZOU Jiwei, TIAN Wenxuan, TU Jiwei, JIANG Shiwei, XU Yuan, ZHANG Yu.(The 115th Hospital of PLA, Linzhi 860000, Chin)

机构地区：[1]解放军115医院,西藏林芝860000

出　　处：《西北国防医学杂志》2018年第4期246-249,共4页Medical Journal of National Defending Forces in Northwest China

摘　　要：目的:探讨平原地区移防高原部队与高原驻训部队训练伤发生的规律、特点,以提高防范措施,降低训练伤的发生率。方法:采用随机抽样方法从平原地区移防高原部队训练官兵中抽取2000人,同时从相邻任务相同高原驻训部队训练官兵中抽取2000人为研究对象,利用卫生连、我院门诊及住院登记的研究对象的军事训练伤相关数据资料填写问卷调查表。对研究对象的年龄、民族、文化程度、专业、受伤时间、受伤原因、受伤类型、受伤部位等进行统计分析。结果:平原地区移防高原部队移防高原后训练伤发生率高于平原训练时及高原驻训部队(P<0.01);移防高原之前,平原地区移防高原部队训练伤少于高原驻训部队(P<0.01)。高原驻训部队滑膜炎发生率高于平原地区移防高原部队(P<0.05);平原移防高原部队冻伤发生率高于高原驻训部队(P<0.05);其他训练伤人群分布和训练伤伤情类别未见明显差异。结论:在高原上,平原地区移防高原部队的训练伤发生率较高,多为急性损伤,有效的防范措施可降低训练伤的发生率。Objective：To explore the regularity and characteristics of training injury in the plain area shifting to the high altitude army and the high altitude training army,and to improve the preventive measure and to reduce the incidence of training injury.Methods：A total of 2000 training officers and soldiers were randomly selected from the plain area shifting to the high altitude army,at the same time,a total of 2000 training officers and soldiers were randomly selected from the same task of the high altitude army.The questionnaire were filled out by collecting the data of training injury in research objects by health company,the hospital outpatient and inpatient registration.The age,nationality,diploma,specialty,injury time,cause of injury,type of injury,site of injury were analyzed.Results：After moving to the high altitude area,the training injury incidence of the plain area shifting to the high altitude army was higher than that of the high altitude army（P〈0.01）,and also higher than that in the plain area（P〈0.01）.Before moving to the high altitude,training injury of the plain area shifting to the high altitude army was less than that of the high altitude army（P〈0.01）.The incidence of synovitis of the high altitude army was higher than that of the plain area shifting to the high altitude army（P〈0.05）.The frostbite of plain area shifting to the high altitude army was higher than that of the high altitude army（P〈0.05）.There was no significant difference in the population distribution of training injury and training injury category.Conclusion：In the high altitude region,the incidence of training injury of the plain area shifting to the high altitude army is high and the most training injury is acute injury.Make effective measures can prevent and reduce the incidence of training injury.

关 键 词：高原 训练伤 平原地区移防高原部队 流行病学 

分 类 号：R821.71[医药卫生—临床医学]