武警新兵应力性骨折危险因素的巢式病例对照研究

发布时间：2018-11-03 10:14

【摘要】：目的　探讨武警新兵应力性骨折发生的危险因素 ,为部队挑选新兵和制定相应的预防措施提供科学依据。方法　选取武警某部 2 0 0 0、2 0 0 1年度的新兵 170 2人 ,随访 1年 ,检出应力性骨折 12 6例 ,采用 1∶2配比的巢式病例对照研究 ,按GJB 110 2 - 91和GJB 1337- 92对其体质、体能进行测量和评价。结果　经单因素分析发现 :入伍前参加体育活动、参加跑步、下肢损伤史、训练中保护情况、训练中间休息、应激性生活事件 ,10 0m跑成绩 ,体重、体重指数和去脂体重均与应力性骨折有统计学联系 (P 0 .0 5 )。将上述 10项指标一次性引入逐步条件logistic回归方程分析发现 :应激性生活事件和入伍前不参加体育活动是应力性骨折发生的危险因素 ,而适宜的体重指数则是应力性骨折的保护因素 ,OR值分别为 2 .5 8、3.85和 0 .76。结论　应力性骨折的发生与入伍前和开训后的因素均有关。提示 ,在挑选新兵的过程中应尽量选择体形匀称、体质体能优秀、喜好运动的青年入伍 ,在训练期间应及时加强营养 ,并注意新兵的心理波动 ,及时进行心理疏导 ,以减少应力性骨折的发生
[Abstract]:Objective to explore the risk factors of stress fracture in armed police recruits and to provide scientific basis for selecting recruits and making corresponding preventive measures. Methods A total of 1702 recruits from a military police department in 2001 were selected and followed up for one year. 126 cases of stress fractures were detected. A nested case-control study was carried out at 1:2. According to GJB 1102-91 and GJB 1337-92, their physique and physical fitness were measured and evaluated. Results after univariate analysis, it was found that: participating in sports activities before enlistment, participating in running, history of lower limb injury, protection during training, rest during training, stress life events, score of 100 m running, weight. Body mass index (BMI) and fat free weight were significantly associated with stress fracture (P 0.05). The above 10 indexes were introduced into the stepwise conditional logistic regression equation. The results showed that stress life events and not participating in physical activity before enlistment were the risk factors of stress fracture. The appropriate body mass index (BMI) was the protective factor for stress fractures, with OR values of 2.58 and 0.76, respectively. Conclusion the occurrence of stress fracture is related to the factors before and after training. It is suggested that in the process of selecting new recruits, we should choose as far as possible a well-balanced body, excellent physique and physical ability, and young people who are fond of sports. During the training period, we should strengthen nutrition in time, pay attention to the psychological fluctuation of recruits, and conduct psychological guidance in time. To reduce the incidence of stress fractures.
【作者单位】：武警医学院卫生勤务学教研室天津医科大学流行病学教研室武警医学院临床医学系警医学院卫生事业管理学教研室
【分类号】：R82

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