某陆军院校新训学员军事训练伤情况调查研究

Investigation on Military Training-related Injuries of Cadets in a Military Academy

目的调查某陆军院校新训学员军事训练伤发生情况。方法采用问卷调查的方式,由专科医生现场讲解选项标准,对某陆军院校189名新训学员军事训练伤的发生率、发生部位及康复治疗情况进行回顾性调查和专业评估,并对发生训练伤的风险因素进行分析。结果 189名学员在新训阶段的军事训练伤发生率为59.26%,结果表明战士学员和非战士学员、基础体能成绩达标学员和未达标学员、体质量≤75 kg学员和体质量>75 kg学员、新训前运动强度大的学员和运动强度小的学员间发生军事训练伤的概率具有统计学差异(P均<0.01)。Logistic回归分析表明,是否为战士学员、训前运动强度与军事训练伤的发生具有相关性(P<0.05);军事训练伤的发生部位集中在下肢(占85.71%),其中膝关节军事训练伤最多(占39.29%);发生军事训练伤后,73.54%的学员十分希望接受康复治疗,而只有20.43%的学员接受了康复治疗。结论①陆军院校学员在新训阶段发生军事训练伤的比率较高,主要集中在下肢,其中膝关节是高发部位。②非战士学员和训前运动强度小的学员是军事训练伤高发人群,是军事训练的重点防护对象,是分组训练的依据。③学员接受康复治疗的意愿很强,应在后期强化此方面的工作。

Objective To investigate the occurrence of military training-related injuries in cadets of a military academy.Methods By means of questionnaire survey and on-site explanation of option standards by specialized doctors,the incidence,location and rehabilitation treatment of military training injury of 189 cadets in a military academy were retrospectively investigated,and the associated risk factors were analyzed.Results The incidence rate of military training-related injuries in 189 cadets during the new training period was 59.26%.There were significantly different in incidence rates of military training-related injuries between soldier cadets and non-soldier cadets,cadets with basic physical performance up to or below the standard,cadets with body mass≤75 kg and cadets with body mass>75 kg,cadets with high exercise intensity before new training and cadets with low exercise intensity(all P<0.01).Logistic regression analysis showed that military training-related injuries were associated with soldiers/non-soldiers and the exercise intensity before training(P<0.05).The location of military training-related injuries was mainly in the lower limbs(85.71%),especially the knee joint(39.29%).Most of cadets(73.54%)who had suffered military training-related injuries were willing to received rehabilitation,but only 20.43%of them received the treatment.Conclusion The incidence rates of military training-related injuries in the new training period of cadets in a military academy are relatively high,mainly in the lower limbs,especially the knee joint.Non-soldiers cadets and cadets with low pre-training intensity are the groups with high incidence of military training injury,which is the key protection object of military training and the basis of grouped training.Rehabilitation treatment is strongly expected by cadets,which should be considered in the later stage.