陆军部队训练伤危险因素的研究

Study on Distributable Characteristic and Risk Factors of Military Tranining Injury in Army

为评价东北地区驻军 3个部队 1991年 1月 1日至 12月 31日期间训练伤发生率、分布特征 ,应用病例对照研究方法分析训练伤的危险因素。结果表明 :3个部队参训总人数为2 180人 ,共发生 370例训练伤 ,损伤率为 17 0 %。在 36个相关因素中睡眠不良、思想麻痹、精神紧张、未做准备活动、未从易到难、技术动作不熟练及组织工作不利均显著增高训练伤的危险性。Logistic回归分析除训练未从易到难外 ,其他因素对训练伤仍有显著性意义。

Three Military units of Shenyang Command had been chosen and the circumstance of Military Training Injury had been observed form Jan to Dec in 1991.The population selected for study included 2180 soldiers of 3 regiments.All of them took part in military training.A questionnaire was designed to document the injury type,distributable characteristics,and potential risk fators.Both cases and controls were directly inquired by investigators to complete similar questionnaires.Cases were defined as soldiers who injured in military training.Controls were defined as uninjured soldiers.The results show as following:①370 among 2180 soldiers injured.The rate of MTI was 17.0%.②The peak senson of the rate of MTI was in Spring,then Summer,and Winter the lowest.③Incidence rate of injuries of infantry unit ws 21.0%,significantly higher than that of other units.④Among various types of injuries,close soft tissue injuries were the most common,which took up 78.1% of the total,the skin tearing wounds and bruises was 11.4%,fracture was 8.6% and other wounds 1.9%.⑤The pelvic limbs were 61.1%,the thoracic limbs were 23.8%.⑥There were 286 cases and 179 controls.36 characteristics of cases and controls were compared by univariate analysis.Cases differed significantly from controls in 7 of the 36 variables:bad sleep,carelessness,nervousness,absence of preparing activities,not following the law of from the easy to the difficult ,unskillfulness about the action and the poor organization.Except not follwong the law of from the easy to the difficult,the other factors had significanty differences by means of the logistic regression.