西南某部军事训练伤流行病学分析及对策

Epidemiological Analysis and Countermeasures to Military training-related Injury in a Troop in Southwest China

目的通过对西南某部军事训练伤情况进行流行病学分析,研究部队训练伤发生特点及其影响因素。方法利用军队军事训练伤监测信息系统资料,使用统计软件对该部队驻高原和内地部队训练伤情况进行对比分析。结果 2014年度该部共报告训练伤1 671例,其中驻高原部队359例,驻内地部队1 312例,士兵为训练伤主要人群。5 km越野、3 000m跑和超越障碍等共同训练科目为主要致伤科目,训练伤受伤部位构成由高到低为下肢、上肢、腹(腰)部及骨盆(会阴)、头面部,其中损伤类别以关节扭伤、急性骨折和挫伤为主。客观训练环境及条件对高原部队训练伤的发生影响较大,而对内地部队训练伤影响较大的因素更多在于参训者身心素质、技术动作掌握程度、防护措施等主观环节上。结论做好军事训练伤防控工作,要增强防护意识,严格按照《军事训练健康保护规定》要求落实科学组训,同时各组训单位要完善训练环境条件,加强训练伤监测和训练伴随卫生保障。

Objective To explore the characteristics of military training-related injury（ MTI） and associated factors. Methods The data were collected from the military training-related injury system and were comparatively analyzed in high land troops and inland troops. Results During 2014,1 671 cases of MTI were reported,among which 359 were highland troops and 1 312 were inland troops. The soldiers were the main vulnerable population. The 5km cross-country,3km run and surmount the obstacle were the mainly training items causes injuries. The injury constituent ratio of the body part injured were consecutively lower limbs,upper limbs,belly/ abdomen,pelvis / perineum and head and face. The injury type was mainly joint sprain,acute fracture and bruise. The objective training condition plays an important role in highland troops,while in inland troops,the subjective aspects,such as physical and psychological quality,mastery degree and protection measures were the mainly factors. Conclusion The protection awareness needs to be strengthened according to Military Training Health Protection Regulation. The surveillance on the training and training safeguard should be further improved.