倒功训练致脑震荡伤发生机制分析  

Mechanisms and prevention of concussion of brain caused by fall training

作　　者：肖兴义 许国珍 蔡保仁 薛关生 毕建国 何永清 胡向军[3] 

机构地区：[1]解放军第二○五医院急诊科,辽宁省锦州市121000 [2]武装警察8620部队医院神经外科,辽宁省兴城市125000 [3]解放军军事医学科学院放射病理研究所,北京市100048

出　　处：《中国临床康复》2003年第2期288-289,共2页Chinese Journal of Clinical Rehabilitation

基　　金：全军医药卫生科学研究"十五"计划课题(01MB003)

摘　　要：目的:探讨倒功训练致脑震荡伤特点、发生机制,提出预防脑震荡发生的建议。方法:对驻东北地区1999-05/2002-05不同兵种官兵13594人进行随机整群抽样填表,结合临床和基础研究进行分析、探讨。结果:军事训练致脑震荡伤377例,发生率为2.77％,其中,因倒功训练致脑震荡伤170例,占军事训练伤45.1％。入伍一年以内致伤达88.8％。结论:脑震荡伤后主要表现为脑血液循环障碍和脑实质神经细胞变性、点状出血、神经元缺血等病理、生理改变。预防和降低脑震荡发生建议包括抓好教育,重视场地建设和防震帽应用等。AIM: To discuss the characteristics and mechanisms of concussion of brain caused by fall training , and to make suggestion to prevent the injure. METHODS: From May, 1999 to May, 2002 in northeast, the group sample filled in form randomly taking out form 13 594 soldiers of different arrays. The results were analyzed and combined with clinical and background research. RESULTS: Concussion of brain caused by drill were in 377 cases (2. 77% ) . 170 cases (45.1% ) are caused by fall training and the injure occured within one year after joining army. CONCLUSION: The characteristics after concussion of brain are the disfunction of cerebral blood flow, as well as degeneration, punctate bleeding of neurocyte and ischemia of neuron. Suggestions are made for preventing the injure as follows: detailedly instructing, individually training, thinking much of the training field and wearing the shockproof cap.

关 键 词：倒功训练 脑震荡 发生机制 预防 

分 类 号：R651.15[医药卫生—外科学]