军事院校学员训练伤发生情况调查分析  

Investigation and analysis of military training injuries of cadets

作　　者：周丽梅 李俊 李敏 徐媛媛 Zhou Limei;Li Jun;Li Min;Xu Yuanyuan(Department of Nursing,No.901 Hospital of Joint Logistics Support Force of PLA,Hefei 230031,China)

机构地区：[1]联勤保障部队第九〇一医院护理部,安徽合肥230031 [2]联勤保障部队第九〇一医院急诊医学科,安徽合肥230031 [3]联勤保障部队第九〇一医院全科医学科,安徽合肥230031 [4]联勤保障部队第九〇一医院门诊部,安徽合肥230031

出　　处：《海军医学杂志》2023年第11期1110-1114,共5页Journal of Navy Medicine

基　　金：全军护理创新与培育项目(2021HL062)。

摘　　要：目的分析某军事院校学员军事训练伤发生特点,为军事训练伤的预防提供依据。方法采用问卷法调查某军校911例学员军事训练伤发生情况,对调查对象一般情况、训练情况及训练伤发生情况进行分析。结果911例学员中有360例发生训练伤,发生率为39.51%,360例中有243例为轻度损伤,111例为中度损伤,6例为重度损伤。长跑及越野拉练[160例(44.44%)]、装备考核[55例(15.28%)]、障碍[33例(9.17%)]是训练伤高发项目;膝关节[141处(28.48%)]、脚[119处(24.04%)]、小腿[57处(11.52%)]是训练伤高发损伤部位。训练伤危险因素单因素分析显示,来自城市学员训练伤发生率较来自非城市学员更高,差异有统计学意义(P<0.05);无运动喜好或基础、训练前未热身、未掌握核心肌力训练内容、核心肌力训练时间≤30 min、训练后未进行整理运动、未掌握训练后放松技巧是发生训练伤的危险因素(P<0.05)。Logistic回归分析显示,来自城市、无运动喜好或基础、训练前不热身、未掌握核心肌力训练内容、核心肌力训练时间≤30 min、训练后未进行整理运动、未掌握训练后放松技巧等是发生训练伤的独立危险因素(P<0.05)。结论军事院校学员军事训练伤发生率较高。需要关注来源于城市、无运动喜好或基础、训练前不热身、未掌握核心肌力训练内容、核心肌力训练时间≤30 min、训练后未进行整理运动、未掌握训练后放松技巧的学员。Objective To analyze the characteristics of military training injuries of cadets in a military academy,so as to provide a basis for preventing military training injuries.Methods A questionnaire surgery was performed in 911 cadets in a military academy to investigate the military training injuries.The general situation,training situation,and training injuries of the respondents were analyzed.Results The incidence of military training injuries was 39.51%(360/911).There were 243 cases of mild injuries,111 cases of moderate injuries,and 6 cases of severe injuries.Long‑distance running and cross‑country training(160 cases,44.44%),equipment assessment(55 cases,15.28%),and obstacle race(33 cases,9.17%)were main high‑risk trainings.The knee(141 sites,28.48%),foot(119 sites,24.04%),and lower leg(57 sites,11.52%)were the high‑risk injury sites of training injuries.Univariate analysis of risk factors for training injuries showed that the incidence of training injuries in urban students was significantly higher than that in non‑urban students(P<0.05).No exercise preference or foundation,no warm‑up before training,no mastery of core muscle strength training content,core muscle strength training time≤30 min,no relaxation after training,and no relaxation skills after training were risk factors for training injuries(P<0.05).Logistic regression analysis showed that urban origin,no sports preference or foundation,no warm‑up before training,no mastery of core strength training content,core strength training time≤30 min,no relaxation after training,and no relaxation skills after training were independent risk factors of training injury.Conclusion The incidence of military training injuries is high in cadets.More attention should be paid to cadets who are from urban,or had no exercise proference or foundation,no warm‑up before training,no mastery of core muscle strength training content,core muscle strength training time≤30 min,no relaxation after training,or no relaxation skills after training.

关 键 词：军事训练伤 军校学员 受伤部位 危险因素 

分 类 号：R821.33[医药卫生—临床医学]