新兵基础训练期间应力性骨折的发生率和分布特征

Incidence and distribution of stress fractures in military recruits during basic training

为了查明我军新兵基础训练期间应力性骨折的发生情况,作者于1992年1～3月,以^(99m)锝亚甲基二膦酸盐(^(99m)Tc-MDP)骨扫描为诊断依据,对某步兵师参训的1060名新兵进行了调查,发现应力性骨折的发生率为32.5％,正式开训后的第2和第7周为损伤高峰,训练强度较大的步兵分队的发生率(38.0％)高于炮兵分队(20.7％)及勤务分队(10.3％).各负重骨骼均可发生应力性骨折,但以胫骨最常见(占67％).作者指出应力性骨折是新兵对大强度军训适应过程中常见的损伤,不适当地增加训练强度可导致损伤人数的增多.应采用更科学的训练方法以减少应力性骨折的发生.

In order to investigate the issues of stress fractures (SF)in China military recruits, the authors, based on 99mTc-MDP bone scintigraphy for a randomized sample of injuried, clinically screened from 1060 recruits during basic training and found a total incidence of 32.5%. There were two peaks during 9 training weeks, one was in the 2nd, the other in 7th. Infantry had a more intensive training and also a higher incidence (38.0% ) than artillery (20.7%) and service troops (10.3%) did. Although SF can be found in most of weight-bearing bones, among which the tibia was the most common one (67% ). Authors point out that SF Is a major training related injury in military recruits during the course of adapting themselves to the heavy intensity training, and improperly strengthened training can increase the incidence. More scientific training method should be adopted to lower the SF incidence.