部分新兵基础训练期间应力性骨折的病例对照研究

发布时间：2018-11-25 12:12

【摘要】：目的 :探讨新兵基础训练期间过劳性损伤中发生率最高的应力骨折发生的危险因素 ,为制定应力性骨折的预防措施提供科学依据。方法 :选择 1998年度陆、海、空三军同期入伍参训的新兵 376人 ,采用 1:1配比的病例对照研究。结果 :新兵应力性骨折发生率为 12 .4 5% ,占过劳性损伤的 71.5%。应力性骨折的危险因素为吸烟和入伍后跟不上行军速度 ,OR值分别为1.67和 1.70 ;保护因素为入伍前体育竞赛史、体育锻炼史和长跑史 ,OR值分别为 0 .4 3、0 .4 7和0 .56。结论 :应力骨折的发生与入伍前和开训后的因素均有关。提示 ,选兵时尽量挑选喜好运动、身体素质好的青年入伍 ;新兵基础训练期间应循序渐进 ,不要盲目加大训练量 ,以降低应力性骨折的发生率
[Abstract]:Objective: to explore the risk factors of stress fracture, which is the highest incidence of stress fracture in recruits during basic training, so as to provide scientific basis for the prevention of stress fracture. Methods: 376 recruits from the army, navy and air force were enrolled in the same period in 1998, and the 1:1 matched case control study was used. Results: the incidence of stress fracture in recruits was 12.45%, accounting for 71.5% of overworked injuries. The risk factors of stress fracture were smoking and not keeping up with the marching speed after enlistment. The OR values were 1. 67 and 1. 70 respectively. The protective factors were the history of sports competition before enlistment, the history of physical exercise and the history of long distance running. The OR values were 0.43 0.47 and 0.56 respectively. Conclusion: the occurrence of stress fracture is related to the factors before and after training. It is suggested that young people who like sports and have good physical quality should be chosen as far as possible when selecting soldiers, and the recruits should be trained step by step during basic training, and the amount of training should not be increased blindly in order to reduce the incidence of stress fracture.
【作者单位】：第四军医大学流行病学教研室!西安 710032 第四军医大学流行病学教研室!西安 710032 第四军医大学流行病学教研室!西安 710032 第四军医大学流行病学教研室!西安 710032 第四军医大学航空勤务学教研室 39231部队海军湛江基地海军湛江基地
【基金】：全军“九五”攻关课题资助项目!(No .96L0 48)
【分类号】：R82

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