新兵基础训练应力性骨折61例

Sixty-one Cases of Stress Fracture in Recruits during Basic Training

目的探讨由军事训练导致的应力性骨折的发病因素、早期诊断及预防措施。方法对61例新兵基础训练应力性骨折进行病因调查及分析，并下部队了解训练计划及方法。结果下肢（59例）发病高峰期在训练的第2．3周，上肢（2）例。41例经休息理疗治愈，8例完全骨折无移位者经石膏固定治愈。3例骨折并移位经骨牵引治愈，9例骨折并移位者经手术内固定治愈。结论发病因素为个体内在因素及缺乏科学训练方法。开训的2～4周是预防的重点时期，早期诊断与合理练兵是预防的关键。

Objective To investigate the risk factors, the early diagnosis and the preventive measure of the stress fracture led by military training. Methods Sixty-one eases of stress fraeture in the reernits who were going into basle training were investigated and analyzed. Their training programs and methods were studied. Results Lower limb fracture （59 cases） ＇s peak incidence was in the second and the third weeks of training. Out of the whole cases, there were 41 cases cured by rest and physiotherapy, 8 Cases of full fracture without displacement cured by plaster fixation, 3 cases of fractures with displacement cured by skeletal traction, 9 cases of fracture with displacement cured by surgical fixation. Conelusion The causes leading to stress fracture in the recruits during military training consist of individually internal factors and lack of scientific training methods. The days in the second and the third week are crucial for prevention and early diagnosis. Proper training is the key to prevention.