某陆军院校新训学员人体成分与军事训练伤调查研究  

Investigation on body composition and military training injury of new trainees in an army academy

作　　者：常进红 谭乔燕 倪振洪 谢杨丽 欧阳骏杰 孙先定 莫奇非 金可心 蒋宛凌 徐鹏 罗凤涛 李灿 杜晓兰 陈林 CHANG Jinhong;TAN Qiaoyan;NI Zhenghong;XIE Yangli;OUYANG Junjie;SUN Xianding;MO Qifei;JIN Kexin;JIANG Wanling;XU Peng;LUO Fengtao;LI Can;DU Xiaolan;CHEN Lin(Center of Osteoporosis and Bone Development/Laboratory of Injury Repair and Rehabilitation Medicine/Laboratory for Prevention and Rehabilitation of Training Injuries/State Key Laboratory of Trauma,Burns and Combined Injury,Army Medical Center of PLA,Chongqing 400042,China;Department of Rehabilitation Medicine,Army Medical Center of PLA,Chongqing 400042,China)

机构地区：[1]陆军特色医学中心战伤组织修复与康复医学研究室/军事训练伤防治与康复实验室/骨质疏松与骨发育中心/创伤、烧伤与复合伤国家重点实验室,重庆400042 [2]陆军特色医学中心康复理疗科,重庆400042

出　　处：《重庆医学》2022年第12期2104-2107,共4页Chongqing medicine

基　　金：军事医学创新工程(16CZ016);陆军军医大学临床医学科研人才培养计划(2018XLC3077)。

摘　　要：目的通过对新入学学员实施人体成分分析及军事训练伤调查,分析人体成分与军事训练伤的关系。方法从某陆军院校新训学员中随机抽取146名新生为研究对象(包括部队生源的战士学员和高考生源的非战士学员),其中男性111名,战士学员12名,非战士学员99名;女性35名,战士学员31名,非战士学员4名。新训前,用人体成分分析仪测量体重、体脂、基础代谢、水分、肌肉、蛋白质含量、骨量、内脏脂肪及体重指数(BMI)等多项数据。新训后,通过调查问卷收集军事训练伤情况,使用logistic回归(向前:Wald)分析训练伤发生的保护因素。结果大部分学生BMI在正常范围内,但男性肥胖前期者百分比明显高于女性(17.1%vs.2.8%,P<0.05)。新训前,战士学员训练伤发生率较高(男、女分别为45.4%,25.8%),男性及女性战士学员人体成分综合评分均明显高于非战士学员(P<0.05)。新训过程中,男性非战士学员训练伤发生率明显高于战士学员(46.7%vs.9.1%,P<0.05),女性非战士学员和战士学员训练伤发生率分别为50.0%和38.7%。logistic回归分析显示,人体成分综合评分是军事训练伤的潜在保护因素[OR=0.966,95%CI(0.934,0.999),P=0.044]。结论人体成分综合评分可作为预防新兵军事训练伤分组训练的依据,人体成分综合评分低的学员是军事训练伤的高发人群,应在军事训练中重点防护。Objective To analyze the relationship between body composition and military training injuries by conducting body composition analysis and military training injury investigation of the new students.Methods A total of 146 trainees were randomly selected from an army academy,including the soldier students from the army and non-soldier students admitted by college entrance examination.Among the students,there were 111 males,with 12 soldiers and 99 recruits,35 females,with 31 soldiers and 4 recruits.Before the training started,a test was conducted for the body composition analysis.The test included body weight,body fat,basal metabolism,body water,muscle,protein content,bone mass,visceral fat and body mass index(BMI),etc.After the training,the military training injuries were investigated,and logistic regression(forward:Wald)was used to analyze the protective factors of training injuries.Results Most of the students had a BMI within the normal range,however the percentage of pre-obesity of males was significantly higher than that of females(17.1%vs.2.8%,P<0.05).Before the training,the incidence of training injuries of soldier students were properly high(males and females were 45.45%,25.81%,respectively).The body composition scores of male and female soldier students were significantly higher than those of non-soldier students(P<0.05).During the training,the incidence of training injuries of male non-soldier students was significantly higher than that of soldier students(46.7%vs.9.1%,P<0.05),the incidence of training injuries of female non-soldier students and soldier students was 50.0%and 38.7%,respectively.Logistic regression analysis showed that the body composition score was a potential protective factor for military training injuries[OR=0.966,95%CI(0.934,0.999),P=0.044].Conclusion The comprehensive score of body composition can be used as the basis for the prevention of military training injuries in new recruits.The trainees with low score of body composition are with high-risk of incidence of military training inju

关 键 词：人体成分 军事训练伤 影响因素 新训学员 

分 类 号：R82[医药卫生—临床医学]