武警某部徒步行军脚外伤情况调查分析

Investigation on the External Injury in the Foot of one Military Detachment of Chinese People's Armed Police Forces Caused by March

目的:调查新兵新训期间长距离徒步行军脚外伤的发病情况及其影响因素,为探讨防治措施提供依据。方法:选取平素身体健康且没有正规体育训练史的165名男性新兵为研究对象,进行60 km长徒步行军,调查脚外伤发生情况,并在行军前后抽取其中20名新兵的静脉血测定血清中肌酸激酶(creatine kinase,CK)与乳酸脱氢酶(lactate dehydrogenase,LDH)活性。结果:脚泡发生率47.27%;脚踝扭伤发生率3.03%;腿脚疼痛发生率100%;腿脚肿胀发生率10.91%;腿部皮肤破溃发生率3.03%,且徒步行军后血清中CK与LDH活性较行军前活性升高(P<0.01)。结论:长距离徒步行军脚外伤发生率较高,应加强有针对性的训练和防护。

Objective： To observe the change of foot injury caused by march and research preservatical method. Methods： A total of 165 young soliders who was not formal disciplined were choosed,foot injury was investigated after 60 km long distance march,and biochemical methods were used to measure the activity of CK and LDH. Results： The incidence rate of bubble,ankle strain,pain,swelling and ulcer in the foot and leg were 47. 27%,3. 03%,100%,10. 91% and 3. 03%. The activity of CK and LDH after march was higher than that before march（ P〈0. 01）. Conclusions： Foot injury is very common in march and we must strengthen protection and training.