某特种作战团2011年度训练伤调查

Investigation of military training injuries in a special force corps in 2011

目的探讨特种作战部队训练损伤的发生率、损伤相关影响因素、好发部位,为其有效防治提供依据。方法 2011年5月采用抽签法随机选取某特种作战团464名官兵,对训练损伤及相关情况进行问卷调查,并核对2010年5月-2011年5月该部队各级医疗记录及体系医院住院资料,采用SPSS 19.0软件对结果进行统计分析。结果 464名接受问卷调查的官兵中,165人一年内从未发生过训练伤,占35.6%,299人一年内发生过训练伤,占64.4%,共计发生训练伤505人次,发生率为109次/100人年。发生训练伤的主要危险因素包括年龄大、爱好数量多、入伍前劳动强度大、入伍前体育锻炼频率高、训练负担致睡眠及饮食不良、SCL-90躯体得分高,主要保护因素包括职务高、训练强度低、文化程度高、入伍前劳动频率高、SCL-90恐怖得分高、SCL-90忧郁得分高、SCL-90精神得分高、训练合理性评价高。下肢和腰背部是训练伤的主要发生部位,占73.0%。膝以下损伤最多(49.0%),其中足部占6.5%、踝关节占13.6%、小腿占7.3%、膝关节占21.6%;其次是腰背部,占20.7%。结论军事训练伤的危险因素涉及多个方面,持续高强度、高难度训练是发生训练伤的主要原因,下肢和腰部是损伤的主要部位。心理因素与训练伤的发生密切相关。合理设置训练内容及强度、提高参训人员的身心素质对训练伤的预防具有重要意义。

Objective To investigate the incidence,related inluencing factors and predilection sites of training injuries in a special force corps for providing a basis of efective prevention of the injuries.Methods Four hundred and sixty-four oicers and soldiers were randomly selected by lotery method from a special force corps in May 2011,and the training injuries as well as their related information was investigated by a questionnaire method.he medical records of the 464 subjects from May 2010 to May 2011 were reviewed.he collected data were statistically analyzed using SPSS 19.0 software.Results Of the 464 subjects,165（35.6%） never experienced injuries,and 299（64.4%） were injured due to training in the last one year.A total of 505 person-time injuries occurred in 464 subjects,and the incidence of injury was 109 per 100 person-year.he major risk factors for training injuries included above average age,fondness of multiple sports,greater labor force,or higher frequency of sport exercises before enlistment,poor sleep or diet caused by training burden,and higher SCL90 somatization score.he major protective factors comprised of higher military rank,lower-intensity training,higher education level,higher labor frequency before enlistment,higher SCL-90 phobic anxiety score,higher SCL-90 depression score,SCL-90 spirit score,and higher satisfaction degree on training program.he major sites of training injuries were lower extremities and lower back（accounting for 73.0%）.Most injuries occurred below the knee（accounting for 49.0%）,including the foot（6.5%）,ankle（13.6%）,leg（7.3%） and knee（21.6%）,followed by the lower back（accounting for 20.7%）.Conclusions he risk factors of military training injuries involve various aspects,and continuous high intensive and highly diicult training items are the main reason of training injuries,and the lower extremities and lower back are the major locations.Psychological factors are also closely related to the occurrence of training injuries.Reasonable establishment of training program and intensity,and improve the physical and mental quality would be beneicial to prevention and treatment of training injuries.