武警某部2020年度新兵训练伤流行病学调查与分析

Epidemiological studies of military training-related injuries in recruits of the People’s Armed Police Force in 2020

目的探讨武警某部新兵军事训练伤的特点,为训练伤防控提供科学指导。方法随机抽取武警某部2020年6个新训点4150名新兵,进行军事训练伤的发生情况问卷调查,并分析新训阶段训练伤的发生率、伤病类别等。另非随机性地选择了680名新兵进行了骨密度测定(中指骨),其中已发生训练伤340例,未发生训练伤340例。本次调查均获得了每名新兵的知情同意。结果武警某部新兵共发生军事训练伤633例次,总发生率为15.25%,其中六个新训点训练伤发生率由高到低分别为17.47%、17.02%、15.23%、14.60%、14.11%、11.60%。按训练伤类别从高到低依次为:骨与关节损伤341例,占53.87%;软组织损伤258例,占40.76%;高原高寒高热特殊环境训练损伤31例,占4.9%;器官损伤3例,占0.47%。680名新兵骨密度检测示,两组骨密度均值都小于-1.0,较正常有所下降,而且受伤组比未受伤组骨密度值低,差异具有统计学意义(P<0.05)。结论在新兵入伍训练中,应科学组训、按纲施训,重点防控骨关节及软组织损伤,全面减少军事训练伤的发生。

Objective To investigate the characteristics of military training-related injuries in recruits of the People’s Armed Police Force(PAP)in 2020,and to provide data for the related prevention and intervention.Methods The incidence of military training-related injuries was investigated among a random sample of 4150 recruits during basic training in 2020 using questionnaires.The bone mineral density(BMD)in some recruits was also analyzed.Written informed consent was obtained from all the recruits.Results A total of 633 recruits suffered from military training-related injuries during basic training,and the total incidence of injures was 15.25%.The incidence of injuries as evidenced by six training sites of recruits and listed in descending order was 17.47%,17.02%,15.23%,14.60%,14.11%and 11.60%,respectively.The dominating type of injury was osteoarticular injury(53.87%),followed by soft tissue injury(40.76%),injury from the special environment(4.9%),and organ damage(0.47%).Especially,BMD in 680 recruits was significantly lower than normal.Conclusions With the implementation of methods for scientific training and systematical prevention,military training-related injuries in recruits can be decreased as a whole.