集束化干预措施在防控新兵训练伤发生中的效果分析  

Effect of Cluster Intervention Measures on Prevention and Control of Training Injuries Among Recruits

作　　者：张建峰[1] 康坦坦[2] 王瑾瑾[3] ZHANG Jianfeng;KANG Tantan;WANG Jinjin(Department of Rehabilitation Medicine and Physiotherapy,Armed Police Corps Hospital of Henan,Zhengzhou Henan 450052,China)

机构地区：[1]武警河南总队医院康复医学与理疗科,河南郑州450052 [2]武警河南总队医院外三科,河南郑州450052 [3]河南中医药大学医学院

出　　处：《联勤军事医学》2024年第7期610-613,622,共5页Military Medicine of Joint Logistics

摘　　要：目的 分析集束化干预措施对训练伤防控的效果。方法 以2022年2566名新兵为研究对象,分为试验组1384人,对照组1182人。对照组新兵采用常规训练法,试验组新兵在此基础上采用集束化干预措施。比较干预前后两组新兵体质量指数(body mass index,BMI)、左室射血分数(left ventricular ejection fraction,LVEF)、用力肺活量(forced vital capacity,FVC)、骨密度、训练伤发生率、结业考试成绩的差异。结果 干预后,试验组新兵异常指标BMI、LVEF、FVC、骨密度的异常情况较干预前明显改善(P<0.05);对照组新兵异常指标BMI、LVEF、FVC、骨密度第二次体检情况较第一次体检差异无统计学意义(P>0.05)。第二次心理测评试验组新兵阳性人员比例明显低于对照组(P<0.05)。两组新兵结业考试成绩进行比较,试验组新兵3公里、03式自动步枪精度射击、战术基础动作、双杠杠端臂屈伸优秀比例,03式自动步枪精度射击、战术基础动作合格比例均高于对照组(P均<0.05)。试验组新兵训练伤的发生率低于对照组(P<0.001)。结论 基于集束化措施构建的训练伤干预体系,能够有效防控新兵训练伤的发生。Objective To analyze the effect of cluster intervention measures on prevention and control of training injury.Methods A total of 2566 recruits were selected as study objects in 2022,and they were divided into experimental group(n=1384) and control group(n=1182).The control group received routine training,while the experimental group received cluster intervention measures on this basis.The difference of body mass index(BMI),left ventricular ejection fraction(LVEF),forced vital capacity(FVC),bone density,incidence of training injuries and completion exam scores between the two groups before and after interventions were compared.Results After the intervention,the abnormal indicators of BMI,LVEF,FVC and bone density of recruits in the experimental group improved significantly than those before(P<0.05);the comparison of the abnormal indicators of BMI,LVEF,FVC and bone density among the recruits in control group at the second physical examination showed no statistically significant differences than the first one(P>0.05).In the second psychological assessment,the positive proportion of recruits in the experimental group was significantly lower than that in the control group(P<0.05).Completion exam scores of recruits between the two groups were compared,the excellence rate of 3 kilometers,03 type automatic rifle shooting accuracy,tactical basic movements and bar end arm flexion and extension,as well as the qualified rate of 03 type automatic rifle shooting accuracy and tactical basic movements in experimental group were higher than those in the control group(all P<0.05).The incidence of training injury in the experimental group was lower than that in the control group(P<0.001).Conclusion The training injury intervention system based on cluster measures can effectively prevent and control the occurrence of training injuries.

关 键 词：新兵 训练伤 集束化干预 干预效果 

分 类 号：R82[医药卫生—临床医学]