日常饮食影响高原官兵军事训练伤发生的调查分析  

Impact of daily diet on military training injuries among high-altitude officers and soldiers

作　　者：董雨桐 杨茂林 张洋铠 杨俊江[1] 李晓波[1] 李莫 张辰 阮艳[2] 张俊磊[2] 胡彦[1] DONG Yutong;YANG Maolin;ZHANG Yangkai;YANG Junjiang;LI Xiaobo;LI Mo;ZHANG Chen;RUAN Yan;ZHANG Junlei;HU Yan(Department of Military Basic Training and Army Management,Department of Histology and Embryology,College of Basic Medical Sciences,Army Medical University(Third Military Medical University),Chongqing;Laboratory of Stem Cell&Developmental Biology,Department of Histology and Embryology,College of Basic Medical Sciences,Army Medical University(Third Military Medical University),Chongqing;Training Office of Staff Department,Tibet Military Command,Lhasa,Xizang,China)

机构地区：[1]陆军军医大学(第三军医大学)军事共同与部队管理教研室,重庆 [2]陆军军医大学(第三军医大学)基础医学院组织胚胎学教研室干细胞发育生物学实验室,重庆 [3]西藏军区参谋部训练处,西藏拉萨

出　　处：《陆军军医大学学报》2025年第1期30-37,共8页Journal of Army Medical University

基　　金：研究生资助课题(2022)。

摘　　要：目的探究高原部队官兵军事训练伤的发生规律和日常饮食对训练伤发生的影响,为高原部队科学施训及卫勤保障提供理论支撑。方法本研究采用横断面研究设计方案,自主设计“高原部队军事训练伤调查表”,于2024年7月对常驻高原部队官兵的训练伤、日常饮食等情况进行问卷调查,对数据进行统计分析。结果在3655名调查对象中,训练伤发生率为17.87%。体能训练(45.94%)为训练伤高发课目,冬季(31.39%)为训练伤高发季节。腰(28.48%)、膝(22.21%)和踝部(18.07%)是常见的损伤部位。扭伤(28.48%)、慢性疲劳性损伤(18.38%)和拉伤(12.25%)为常见的损伤类型。高原部队官兵日常饮食中粗粮及薯类、豆制品类、水产类和坚果类摄入偏低。多因素Logistics回归分析显示摄入水果(OR=0.625,95%CI:0.508~0.768,P<0.001)和坚果(OR=0.759,95%CI:0.654~0.879,P<0.001)与高原训练伤发生具有关联性。结论较之既往研究数据,本次调查中高原官兵训练伤发生规律一致、发生率略有下降;这可能与经常摄入水果和坚果有关联。Objective To explore the characteristics of military training injuries in high-altitude troops and determine the possible impact of daily diet on these training injuries in order to provide theoretical reference for scientific training and medical service support for high-altitude troops.Methods A crosssectional scheme was adopted in this study.A self-designed Military Training Injury Questionnaire for Plateau Troops was used to survey the officers and soldiers from resident high-altitude troops in July 2024 for their training injuries,daily diet,and other situations.The obtained data were statistically analyzed.Results Among the 3655 participants,the incidence of military training injuries was 17.87%.The subject with highest incidence was physical training(45.94%),the most common season was winter(31.39%).The most common sites of injury were waist(28.48%),knees(22.21%),and ankles(18.07%),and the most common types were sprains(28.48%),chronic fatigue injuries(18.38%)and strains(12.25%).The intake amounts of coarse grains and potatoes,bean products,aquatic products and nuts were relatively low in the daily diet of high-altitude troops.Multivariate logistic regression analysis found intake of fruit(OR=0.625,95%CI:0.508~0.768,P<0.001)and of nut(OR=0.759,95%CI:0.654~0.879,P<0.001)were correlated with the occurrence of training injury.Conclusion The occurrence pattern of military training injuries in high-altitude troops in this survey is basically consistent with that of previous reports,but the incidence rate is slightly decreased.Regular consumption of fruit and nut may be protective factors for the occurrence of training injuries.

关 键 词：高原官兵 军事训练伤 健康 

分 类 号：R195.4[医药卫生—卫生统计学] R821.41[医药卫生—卫生事业管理] R873[医药卫生—公共卫生与预防医学]