东南沿海部队训练伤发生的影响因素和损伤特征分析  

Analysis on influencing factors and features of military training injuries in Southeast coast force

作　　者：王太武 艾乐乐 张琪[1] 丁晨曦[1] 朱长强[1] 叶福强 杨露[1] 吕瑞辰 谭伟龙[1] 王长军[1] WANG Taiwu, AI Lele, ZHANG Qi, DING Chenxi, ZHU Changqiang, YE Fuqiang, YANG Lu, LYU Ruichen, TAN Weilong, WANG Changjun(Center for Disease Control and Prevention of Nanjing Military Command, Nanjing, Jiangsu Province, 210002, China)

机构地区：[1]南京军区疾病预防控制中心,南京210002

出　　处：《第三军医大学学报》2018年第19期1723-1728,共6页Journal of Third Military Medical University

基　　金：全军后勤科技项目(AWS16J023;BWS14J025;BWS14C051)~~

摘　　要：目的了解东南沿海部队训练伤发生现状和损伤特征,找出影响部队训练伤发生的独立危险因素。方法采用整群抽样的调查方法,抽取不同地区的7个中队(连)共433人为调查对象,采用问卷调查的方式回顾性调查研究对象的单位、年龄、BMI、人员类别、军种及既往抽烟、饮酒、睡眠、饮食和入伍前身体状况、训练时间等信息,了解训练伤的发生特征;通过多因素Logistic回归分析揭示训练伤发生的独立影响因素。结果调查共收集有效调查问卷417份,其中发生训练伤158份,过去1年训练伤发生率37. 89%。多因素Logistic回归分析显示单位、睡眠质量低、饮食结构不合理是训练伤发生的独立影响因素(P <0.05)。训练伤发生全年较为均衡,损伤部位主要在腰部和膝关节。引起训练伤的科目和官兵惧怕科目均为5公里武装越野训练、400米障碍训练和器械训练等;客观因素和主观心理因素对训练伤的发生均为重要影响因素。结论东南沿海部队训练伤发生率较高,高发单位、睡眠质量低、饮食结构不合理等人群是训练伤的易感人群,在预防训练伤时,应该加以重点预防与保护。Objective To investigate the independent risk factors of military training injuries in the troops stationed in Southeast coastal areas of China by surveying the current status and features of the injuries. Methods A total 433 subjects from 7 squadrons being stationed in different regions were selected using cluster sampling method. Questionnaire was used to survey them, including unit, age, body mass index （BMI）, human type, services, consumption of alcohol and cigarette, sleep, diet, training time and physical condition before recruitment. Multivariate logistic regression analysis was used to analyze these factors for the independent influencing factors for the military training injuries. Results A total of 417 valid questionnaires were collected in this study. Among them, 158 were reported to have military training injuries, and the incidence within past 1 year was 37.89%. Multivariate logistic regression analysis showed that unit, low sleep quality and unreasonable dietary structure were independent factors for training injuries （P〈0.05）. Training injuries occurred in a balanced manner over the past year, and the injuries was mainly on the waist and knees. The main subjects and the subjects that soldiers were afraid of were 5 km armed training, 400 m obstacle training and equipment training, etc. Objective factors and subjective psychological factors might be important in the occurrence of training injuries. Conclusion These forces have relative higher incidence of military training injuries. The soldiers with low sleep quality and unreasonable dietary structure and in highrisk units are susceptible to the injuries. Prevention and protection should be emphasized in them to prevent the injuries.

关 键 词：军事训练伤 发生率 影响因素 LOGISTIC回归 损伤特征 

分 类 号：R823[医药卫生—临床医学] R873.1