高原某部队军事训练伤的调查分析与运动康复建议

Survey analysis of military training injuries and recommendations for sport rehabilitation in a unit at high altitude

目的分析高原某部队军事训练伤防治现状,从运动康复视野下提出防治建议。方法选取常驻高原某部队基层官兵248人为研究对象,参照《军事训练伤防治手册》自主研制《高原特殊人群训练伤防治状况调查问卷》进行问卷调查,调查结果采用Logistic回归分析。结果单因素分析结果显示,军龄(P=0.002)、年龄(P=0.021)、训练频次(P=0.032)是导致训练伤的危险因素,军事训练伤防控学习(P=0.047)是保护因素。多因素分析结果显示,军龄(P=0.002)和训练频次(P=0.035)是导致训练伤的危险因素,军事训练伤防控学习(P=0.035)是保护因素。发生过军事训练伤有133例(53.6%),损伤后以药物治疗为主有83例(46.6%),体能训练是导致训练伤发生最多的训练科目[68例(51.1%)]。损伤类型以闭合性软组织损伤常见,共73例(54.9%);损伤程度以轻度损伤为主,共87例(65.4%);损伤部位以腰部居多,共78例(27%)。结论高原某部军事训练伤发生率显著高于其他调查结果,以轻度闭合性软组织损伤为主,损伤部位以腰部居多;导致训练伤的危险因素有军龄、年龄以及训练频次,参加军事训练伤防控学习有利于减少训练伤的发生。

ObjectiveTo analyze the current situation of prevention and control of military training injuries in a plateau army,and propose protective and therapeutic measures from the perspective of sport rehabilitation.MethodsA total of 248 grassroots officers and soldiers from a unit stationed in a plateau were enrolled as the research subjects.Then our self-made questionnaire,Questionnaire on the Prevention and Treatment of Training Injuries among Special Populations in the Plateau,which was developed based on Manual on the Prevention and Treatment of Military Training Injuries,was used to conduct a survey.The results were analyzed with logistic regression analysis.ResultsUnivariate analysis showed that time of military service(P=0.002),age(P=0.021),and frequency of training(P=0.032)were risk factors,while learning on preventing and controlling military training injuries(P=0.047)was protective factor for training injuries.Multivariate analysis indicated that time of military service(P=0.002)and frequency of training(P=0.035)were risk factors,and learning on prevention and control knowledge(P=0.035)was protective factor for training injuries.Among them,133(53.6%)experienced military training injuries,and 83(46.6%)were mainly treated with medication after injury.Physical training was the training subject that led to the most training injuries,accounting for 51.1%(68 participants),closed soft tissue injury was the most common type(73 participants,54.9%);injury degree was mainly mild(87 participants,65.4%).The injury site was mostly in the lumbar region,with a total of 78 participants(27%).ConclusionThe incidence of military training injuries in a plateau army is significantly higher than other findings,with mild closed soft tissue injuries and lumbar region most common.The risk factors for training injuries are time of military service,age and training frequency,and participation in military training injury prevention and control study is conducive to reducing the occurrence of training injuries.