特种兵持续超负荷强度训练的医务监督干预效果分析  

Intervention efficacy of medical supervision in continuous overload training for special forces soldiers

作　　者：盛莉 王王 陈南生 吴涤 井艳芳 刘蕾[2] 饶芳 SHENG Li;WANG Wang;CHEN Nansheng;WU Di;JING Yanfang;LIU Lei;RAO Fang(Laboratory Center of Special Operations,Guangzhou Military Camp,Army Special Operations Forces College,Guangzhou,Guangdong Province,510500;Research Center for Nutrition and Food Safety,Chongqing Key Laboratory of Nutrition and Food Safety,Chongqing Medical Center of Nutrition,Faculty of Military Preventive Medicine,Army Medical University (Third Military Medical University),Chongqing,400038,China)

机构地区：[1]陆军特种作战学院特种作战实验中心,广州510500 [2]陆军军医大学(第三军医大学)军事预防医学系军队营养与食品卫生学教研室,重庆400038

出　　处：《第三军医大学学报》2019年第11期1038-1043,共6页Journal of Third Military Medical University

基　　金：2018年度重庆市出版专项资金资助;全军后勤科研重大项目(AWS17J014)~~

摘　　要：目的探索特种兵持续超负荷强度训练的医务监督干预效果,掌握训练不同阶段官兵身体机能变化规律和特点。方法选取参加2018年5月特种兵持续超负荷强度训练模式的特种部队士官学员78名为研究对象,采用整群随机抽样方式,确定研究组(n=38)和对照组(n=40)。对研究组进行系统的医学服务,对照组则按照原有训练计划进行训练,不加入医务监督服务。训练时间均为5周,以常规生理生化指标对被试进行随堂机能评定,生理监测指标为肺活量、握力、背肌力、纵跳,生化监测指标为血红蛋白(HB)、肌酸激酶(CK)、血尿素(BU)、尿蛋白(PRO)、尿潜血(BLD)。结果生理监测结果显示:在持续超负荷强度训练后,两组肺活量、握力、背肌力、纵跳指标监测变化在训练初期、训练1周、训练3周、训练5周4个训练时段差异有统计学意义(P<0.01)。生化指标监测结果显示:除PRO、BLD两项尿生化指标差异无统计学意义外,两组其他各项生化监测指标(HB、CK、BU)在开训前、训练中期(第3周)和训练结束即刻3个不同的训练阶段表现出统计学差异(P<0.01)。结论特种兵持续超负荷强度训练医务监督干预对疲劳恢复和训练效果提升具有较好的军事训练价值,建议在特种部队的大强度超负荷训练中推广应用。Objective To explore the intervention efficacy of medical supervision in continuous overload training for special forces soldiers, and to understand the pattern and characteristics of physical functions at different stages of training. Methods A total of 78 sergeant students were subjected by cluster sampling from those assembled to participate in a mode of continuous overload training in May 2018. Then they were randomly divided into experimental group(n=38) and control group(n=40). Systematic medical services were provided to the subjects of the experimental group, while the control group was trained according to the original training plan. The routine physiological and biochemical indicators were measured to assess their in-class function, including vital capacity, grip strength, back muscle strength, vertical jump, and hemoglobin(HB), creatine kinase(CK), blood urea(BU), urinary protein(PRO), and urinary occult blood(BLD). Results The results of physiological indicators showed that after continuous overload training, significant differences were found in vital capacity, grip strength, back muscle strength and vertical jump between the 2 groups at 4 training periods(beginning of training, and 1, 3 and 5 weeks after training)(P<0.01). The results of biochemical indicators indicated that except for PRO and BLD, there were no significant differences in the other biochemical indicators(HB, CK, BU) between the 2 groups in 3 different training stages [pre-training, mid-training(3rd week) and immediately after training](P<0.01). Conclusion Medical supervision of continuous overload training shows military training value and good intervention effect on fatigue recovery and training effectiveness. It is suggested that it should be popularized and applied in overload training for special operations force.

关 键 词：特种作战分队 持续超负荷训练强度 集训学员 生理生化监测 训练医务监督 

分 类 号：R821.23[医药卫生—临床医学] R821.3