新疆某炮兵部队高原驻训训练伤发生情况调查分析

Training Injury Analysis of Xinjiang Artillery Troop During High Altitude Military Training

目的调查驻疆某炮兵部队高原驻训期间训练伤的发生情况。方法该部队军医通过门诊和巡诊等方式进行训练伤的监测与诊断,对发生训练伤的患者进行个案调查并填写"高原训练伤个案调查表"。结果该炮兵部队高原驻训期间,训练伤发生人次率为10.5%,发生类型以软组织伤为主,其他依次为特殊环境损伤、骨与关节伤和器官损伤;发生时间在开拔后第3-4周达到高峰,发生人群以士兵和士官为主;损伤部位从高到低依次为上肢、头部、下肢、腰腹部及骨盆。结论新疆炮兵部队高原训练伤的发生率并不高于其他高原及平原部队;需要特别注意防范的训练伤种除急性高原反应外,其他还是以炮兵专业训练多发伤种为主;在防范时间上,以到达高原展开训练后2周内、中期实施昼夜机动进行实战训练期、进入10月天气转冷及考核验收前为重点;在防护策略上,要突出训练时的安全防护措施,并加强对高原特殊环境认知、防护知识、技术动作规范及心理素质等方面的宣传教育。

Objective To investigate the state of training injury during high altitude training of Xin-jiang artillery troop. Methods The military surgeons monitored and diagnosed of military training injury through clinic and round service, carried out case investigation and filled in questionnaires for high altitude training injury patient. Results During the high altitude training, the incidence of training injury was 10.5% , shown as special environmental injury 〉 soft tissue injury 〉 bone and joint injury 〉 organic damage;The priod of the third to fourth week was the first peak of the military injury; The main crowds were the soldiers; Injury part from high to low in turn was ： the upper limbs, head, lower limbs, waist abdomen and pelvis. Conclusion The training injury incidence of Xinjiang artillery troop was not higher than any other plateau and plain troops. Acute high altitude reaction and artillery professional training injury were mainly protection ; The pro two weeks after training and day and night march and actual combat training in the intermediate stage and October the inspection before acceptance were the key protection time. On the protection strategy, we should strengthen the safe protective measures of training and enhanced propaganda and education on special plateau environment and protective technique with psychological diathesis.