特高海拔地区某部官兵训练伤调查与分析  

Investigation and analysis of training injuries of officers and soldiers at extreme plateau areas

作　　者：于菲菲 李喆 陈森林 谢毅 Yu Feifei;Li Zhe;Chen Senlin;Xie Yi(Naval Medical Center,Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学海军特色医学中心,上海200433

出　　处：《海军医学杂志》2024年第8期779-783,共5页Journal of Navy Medicine

基　　金：海军特色医学中心“优秀青年人才”项目(21TPQN1601);海军特色医学中心装备自主科研项目(23M3401)。

摘　　要：目的调查特高海拔地区某部官兵训练伤发生情况,分析其危险因素,提出防治策略,为驻高原部队卫勤保障工作提供参考。方法2022年9月,采用实地走访、整群随机抽样方法结合流行病学问卷调查的方式,对西藏自治区海拔5000 m地区某部驻地官兵训练伤情况进行调查统计,分析结果并提出相应防治措施。结果收回调查问卷共41份,结果显示训练伤发生率为31.71%,受伤最常见类型是皮肤损伤,占46.15%。危险因素分析显示,身高和心理状况评分在发生高原训练伤和未发生训练伤的受训者间差异有统计学意义(P<0.05)。结论特高海拔地区官兵的训练伤主要表现为皮肤损伤、肌腱及关节损伤等,这些病情与该地区特有的低温低压和强紫外线辐射的气候条件密切相关。严格遵循高原地区的科学训练原则,合理安排训练计划,加强健康教育和心理辅导,提升官兵的健康意识和自我保护能力,以及完善训练保障措施,确保官兵在训练中得到充分的保护和支持,对于减少训练伤发生和提高部队的整体战斗力具有实际意义。Objective To investigate the occurrence and risk factors of training injuries among officers and soldiers at extreme plateau areas,so as to propose prevention and control strategies and provide reference for the medical support for troops stationed in plateau areas.Methods In September 2022,a cluster random sampling method combined with epidemiological questionnaire survey were used to investigate the training injuries of soldiers and officers stationed at an altitude of 5000 meters.The results were analyzed and prevention and control measures were proposed.Results A total of 41 health‑related survey questionnaires were collected,and the incidence of training injury was 31.71%.The most common injury was skin injury,accounting for 46.15%.There were significant differences in the body height and psychological status scores between the soldiers with and without highaltitude training injuries(P<0.05).Conclusion The main training injuries in officers and soldiers at extreme plateau areas include skin injuries,tendon and joint injuries,which is closely related to the unique climate conditions of low temperature,low pressure,and strong ultraviolet radiation.It is very important to reduce training injuries and improve the overall combat effectiveness by strictly obeying training principles at plateau areas,reasonably arranging training plans,strengthening health education and psychological counseling,enhancing the health awareness and self‑protection of officers and soldiers,and improving training support measures.

关 键 词：特高海拔 训练伤 高原官兵 

分 类 号：R874[医药卫生—运动医学]