某特种部队新兵训练伤调查

发布时间：2018-05-12 20:39

本文选题：特种部队 + 新兵　；参考：《泰山医学院》2009年硕士论文

【摘要】： 目的自90年代以来,随着我国对军事训练伤的重视程度日渐提高,对军事训练伤的预防工作也逐渐受到人们重视。军事训练伤不仅损害战士的身体健康,而且对训练成绩的提高和军队军事计划的实施也带来严重影响。因此,探索军事训练中运动损伤的发生特点和规律,分析其发生的原因,提出有效的预防措施,最大限度地避免或减少军事训练伤的发生,对于提高训练成绩,减少训练伤的发生,顺利完成制定的训练计划有着重要意义。方法本课题分别采用问卷调查、现场体检、全程跟踪训练等方法,对某特种部队07年入伍新兵345人,集训期间3个月发生的训练损伤相关因素以及影响训练的相关因素进行了研究,并对收集的相关数据进行统计学处理,将所有训练伤危险因素数据进行汇总、量化、赋值。对各指标间进行卡方检验和T检验,P0.05为有统计学意义。对损伤情况进行单因素分析,P0.05为有统计学意义。对新兵有无训练损伤与其他指标进行多元线性回归分析,P 0.05为有统计学意义。对新兵有无训练损伤与其他指标进行logistic回归分析,分析结果P0.05为有统计学意义。新兵损伤情况与其他指标进行多元线性回归分析,P 0.05为有统计学意义。结果在本研究中,训练伤发生率为29.3%。实验组为未损伤组共244人,对照组为损伤组共101人,两组组间进行比较,身高t=2.392,P =0.0180.05,有统计学意义,说明身高与训练伤有关,身高较高者容易发生损伤。下肢长(t=2.084 , P=0.0390.05) ,小腿长(t=2.144 , P=0.0340.05) ,小腿加足高(t=1.977,P =0.05),有统计学意义,可以认为下肢长、小腿长、小腿加足高值较大者容易发生损伤。肩宽(t=2.003,P =0.0470.05),有统计学意义,可以认为肩宽较小者容易发生损伤。训练伤发生率经卡方检验得出(x2=59.272,P =0.0000.05),有统计学意义,可以认为在集训期间,未损伤的发生率要比发生损伤的发生率要高。损伤情况的分布经卡方检验得出(x2=52.762,P=0.0000.05),有统计学意义,可以认为部队在训练中,急性损伤占训练伤的主要部分。在损伤或疼痛部位分布调查中,经卡方检验得出(x2=18.881,P=0.0000.05),有统计学意义,可以认为损伤所发生各个部位间有统计学差异,膝关节以下最易发生损伤,其次为四肢。肩宽比身高(t=2.674,P=0.00890.05),有统计学意义,可以认为肩宽比身高值较小者容易引起损伤。在损伤性质的调查中,经卡方检验得出(x2=25.752,P =0.0000.05),有统计学意义,可以认为软组织损伤占所有损伤的主要部分。在损伤原因的调查中,经卡方检验得出(x2=143.030,P=0.0000.05),有统计学意义,可以认为训练伤的主要原因为训练过多或负荷过大。在损伤后的症状及功能分布的调查中,经卡方检验得出(x2=239.634,P=0.0000.05),有统计学意义,可以认为损伤后,主要症状为疼痛,在同一水平上使训练成绩下降。在对发生损伤的训练科目的调查中,经卡方检验得出(x2=55.000,P=0.0000.05),有统计学意义,可以认为发生训练伤的主要科目为三公里、五公里、百米,其次为投弹、单双杠、俯卧撑。损伤情况与其他指标的多元线性逐步回归分析结果:身高(t=3.6871, P=0.0003,b=0.1975)的标准化回归系数绝对值最大且为正相关,对损伤情况的影响最大,其次为腰围(t=-1.8995, P=0.0583,b=-0.1030)。有无损伤与其他指标的多元线性回归分析结果:各项因素中,腰围为负相关( t=-2.4577, P=0.0145,b=-0.1971 )和肩宽比身高为负相关(t=-2.7387, P=0.0065,b=-0.1493),两者的标准化回归系数绝对值较大,对有无损伤有比较大的影响。其它的相关因素还有:入伍前没有受过四肢及腰背部损伤、下肢力线异常、下肢长、胸围。有无损伤与其他指标的Logitic回归分析结果:下肢长(OR=1.062,OR95%CI:1.001,1.127)和下肢力线异常(OR=1.007,OR95%CI:1.001,1.022)两者的OR值1,为危险性因素。腰围(OR=0.914,OR95%CI:0.852,0.981)、入伍前没有受过四肢及腰背部损伤(OR=0.450,95%CI:0.216,0.939)两者的OR值1为保护性因素。
[Abstract]:objective
Since 90s, with the increasing attention to military training injuries in China, the prevention of military training injuries has been gradually paid attention to. Military training injuries not only damage the health of the soldiers, but also have a serious impact on the improvement of training results and the implementation of military military plans. It is of great significance to improve the performance of training, reduce the occurrence of training injury, and successfully complete the training plan, to avoid or reduce the occurrence of military training injury to the maximum extent.
Method
The subjects were investigated by questionnaire, on-site physical examination and whole course tracking training, including 345 recruits for 07 years in a special unit, related factors of training injury and related factors affecting training during the 3 months of training, and the related data were statistically processed to train all the risk factors for training injuries. The data were collected, quantified and assigned. With the chi square test and T test among the indexes, the P0.05 was statistically significant. The single factor analysis of the damage was carried out, and the P0.05 was statistically significant. The multiple linear regression analysis of the recruits had no training injury and other indexes, and the P 0.05 was statistically significant. There was no training damage to the recruits and the new recruits. Other indexes were analyzed by logistic regression analysis, and the results of P0.05 were statistically significant. The injury of recruits and other indexes were analyzed by multiple linear regression analysis, and P 0.05 was statistically significant.
Result
In this study, the incidence of training injury was 244 in the 29.3%. experimental group and 101 in the control group. The two groups were compared, the height t=2.392 and P =0.0180.05 were statistically significant, indicating that the height was associated with the training injury and the height of the lower limbs (t=2.084, P=0.0390.05), and the leg length (t=2.144, P). =0.0340.05), the leg plus the foot high (t=1.977, P =0.05), has statistical significance, can be considered the lower limbs long, the leg length, the leg plus the high value is easy to damage. Shoulder width (t=2.003, P =0.0470.05), there are statistical significance, can be considered as small shoulder width Rong Yifa injury. Training injury incidence (x2=59.272, P =0.0000.05) It is statistically significant that the incidence of uninjured is higher than that of injury during the training period. The distribution of the damage is statistically significant by the chi square test (x2=52.762, P=0.0000.05). It can be considered that in the training, the acute injury accounts for the main part of the training injury. According to the chi square test (x2=18.881, P=0.0000.05), it is statistically significant that there is a statistically significant difference between the various parts of the injury, the most easily damaged below the knee joint, the second is the limbs. The shoulder width is more than the height (t=2.674, P=0.00890.05), which is statistically significant, and it can be considered that the shoulder width is easier to cause damage than those with the smaller height. In the investigation of the nature of injury, x2=25.752 (P =0.0000.05) was found to be statistically significant. It was considered that the injury of the soft tissue was the main part of all the injuries. In the investigation of the cause of injury, the chi square test showed (x2=143.030, P=0.0000.05) that there were statistical significance, and the main reason for the training injury was too much training or negative training. In the investigation of the symptoms and function distribution after injury, the chi square test concluded that (x2=239.634, P=0.0000.05) was statistically significant, and that the main symptom was pain after the injury, and the training results were reduced at the same level. In the investigation of the injury training purpose, the chi square test obtained (x2=55.000, P=0.0000.05), Statistically significant, it can be considered that the main subjects of training injuries were three km, five km, 100 m, followed by throwing bombs, single parallel bars and push ups.
The results of multiple linear stepwise regression analysis of damage and other indexes: the absolute value of the normalized regression coefficient of height (t=3.6871, P=0.0003, b=0.1975) was the largest and positive correlation, the greatest impact on the damage situation, followed by the waist circumference (t=-1.8995, P=0.0583, b=-0.1030). The results of multiple linear regression analysis with no damage and other indexes were the results of the multiple linear regression analysis. The negative correlation (t=-2.4577, P=0.0145, b=-0.1971) and shoulder width were negatively correlated with the height of the shoulder (t=-2.7387, P=0.0065, b=-0.1493) in the item factors. The absolute value of the normalized regression coefficient was larger, which had a greater impact on whether there was no injury. The Logitic regression analysis of the lower extremity (OR=1.062, OR95%CI:1.001,1.127) and the lower limb force line (OR=1.007, OR95%CI:1.001,1.022) was 1, which was a risk factor. The waist circumference (OR=0.914, OR95%CI: 0.852,0.981) had no injuries to the limbs and the waist and back (OR=0.450,95%CI, OR=0.450,95%CI). 0.216,0.939) the OR value 1 of both is a protective factor.

【学位授予单位】：泰山医学院
【学位级别】：硕士
【学位授予年份】：2009
【分类号】：R82

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