军训伤的干预措施评价

发布时间：2019-04-09 17:26

【摘要】：目的 :评价综合预防措施在军训伤预防中的作用。方法 :将部队按编制随机分为干预组 (16 13人 )和对照组 (15 5 9人 ) ,由军医按统一诊断标准定期筛检伤员 ,并收集周训练日志。干预措施为 :(1)开训后第 1个月不安排 5km跑 ,跑步距离从 1km、2km、3km逐渐增加 ;从第 2个月起 ,每周 5km跑限制在 3次以内 ,隔日进行。 (2 )现场培训班排骨干。 (3)开展心理咨询和心理疏导。 (4)进行军训伤防治知识教育。结果 :基础训练结束之后 ,干预组军训伤的发生率为17.2 % ,较对照组 (30 .3% )下降了 4 3.2 % ,有显著性差异 (P 0 .0 5 )。陆军、海军和空军干预组分别较对照组下降了 31.3%、5 9.6 %和 38.4 % ,均有显著性差异 (P 0 .0 5 )。对照分队 5km跑累积距离为 14 5km ,军训伤累积发生率为 2 8.6 % ;干预分队 5km跑累积距离为 10 5km ,军训伤累积发生率为 11.6 % ,显著低于对照分队 (P 0 .0 1)。结论 :制订的综合预防措施在降低训练伤方面是有效的 ,值得在部队推广
[Abstract]:Objective: to evaluate the role of comprehensive preventive measures in the prevention of military training injury. Methods: the troops were randomly divided into intervention group (1613) and control group (1559). The wounded were screened regularly by military doctors according to the unified diagnostic criteria, and weekly training logs were collected. The intervention measures were as follows: (1) in the first month after training, the running distance was increased from 1km, 2km and 3km without 5km running, and from the 2nd month on, the 5km run was limited to less than three times a week and was carried out every other day. (2) the backbone of the on-site training course. (3) develop psychological counseling and psychological counseling. (4) carry on the military training injury prevention and cure knowledge education. Results: at the end of basic training, the incidence of military training injury in the intervention group was 17.2, which was 43.2% lower than that in the control group (30.3%). There was a significant difference between the intervention group and the control group (P 0.05). Compared with the control group, the army, navy and air force intervention groups decreased 31.3%, 59.6% and 38.4%, respectively, with significant difference (P 0.05). The cumulative distance of 5km running in control group was 14 5km, the cumulative rate of military training injury was 28.6%, and the cumulative distance of 5km running in intervention group was 10 5km, and the cumulative rate of military training injury was 11.6%, which was significantly lower than that of control group (P 0.01). Conclusion: the comprehensive preventive measures are effective in reducing training injuries and are worth popularizing in the army.
【作者单位】：第四军医大学流行病学教研室第四军医大学流行病学教研室第四军医大学流行病学教研室第四军医大学流行病学教研室第四军医大学流行病学教研室第四军医大学流行病学教研室第四军医大学流行病学教研室第四军医大学流行病学教研室
【基金】：全军“九五”指令性课题 (No.96L0 4 5 )
【分类号】：R82

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