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某驻高原部队官兵运动损伤的流行病学调查分析

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目的 调查某驻高原部队官兵常见运动损伤的发生规律、特点,分析其危险因素并提出防治策略,以加强防范措施及降低运动损伤发生率,为驻高原部队卫勤保障工作提供参考.方法 采用整群抽样法,从某驻高原部队抽取1094人为研究对象.采用流行病学问卷调查表的方式收集数据,对研究对象的年龄、体质量指数(body mass index,BMI)、文化程度、人员类别、是否吸烟、驻地海拔高度等进行统计分析.结果 共收集有效调查问卷1063份(97.17%),其中有运动损伤者308例(28.97%).致伤因素分析显示,海拔3000 m以下驻地官兵的运动损伤的发生率低于海拔3000~4500 m驻地及海拔4500 m以上驻地的官兵(P均<0.01);进行针对性热身、机体无疲劳官兵的运动损伤发生率显著低于未进行针对性热身、机体疲劳的官兵(P均<0.01).病程影响因素分析显示,高中及以上文化程度、不吸烟、运动损伤后就诊治疗的官兵运动损伤病程超过1个月的比例显著低于初中及以下文化程度、吸烟、未就诊治疗的官兵(P<0.05);不同海拔驻地官兵运动损伤病程超过1个月的比例比较差异有统计学意义(P<0.05),海拔3000 m以下驻地官兵运动损伤病程超过1个月的比例最低,海拔4500 m以上驻地官兵运动损伤病程超过1个月的比例最高(P均<0.05).结论 驻高原某部官兵运动损伤发病率较高.在进驻高原前后,建议结合高原环境和硬件条件,有针对性地进行防治知识教育、组织适应性训练及运动前热身等干预措施;在运动损伤发生后能够得到合理有效地治疗,必要时及时转诊后送,从而最大限度地减少高原官兵运动损伤的发生及其所带来的不利影响,提高部队战斗力.
Epidemiological Investigation and Analysis of Sports Injuries Among Officers and Soldiers of A Plateau-based Army
Objective To investigate the regularity of outbreak and characteristics of common sports injuries among officers and soldiers at a plateau unit,to analyze the risk factors and propose prevention,so as to strengthen preventive measures and reduce the incidence of sports injuries and provide a reference for the security work of troops in the plateau.Methods A total of 1094 people were selected from a plateau based unit as study subjects by overall sampling method.Data were collected by means of the epidemiological questionnaire,and statistical analysis was performed on the age,body mass index(BMI),educational level,personnel category,whether smoke and the altitude of the station of the study sub-jects.Results A total of 1063 valid questionnaires(97.17%)was collected,of which 308 cases(28.97%)had sports in-juries.The analysis of injury factors showed that the incidence of sports injuries of the officers and soldiers stationed at the altitude less than 3000 m was lower than that of the officers and soldiers stationed at the altitude of 3000-4500 m and more than 4500 m(all P<0.01);the incidence of sports injuries in those who performed targeted warm-up and without body fatigue was significantly lower than those who did not perform targeted warm-up and with body fatigue(all P<0.01).The analysis of influencing factors of disease course showed that the proportion of patients with sports injuries course longer than 1 month who had high school or above education,no smoking and seeking medical treatment after sports injuries was significantly lower than those of patients with junior high school or below education,smoke and didn't seek medical treatment(P<0.05);there was a statistically significant difference in the pro-portion of officers and soldiers stationed at different alti-tudes with the course of sports injuries longer than 1 month(P<0.05),the lowest rate of duration of sports injury over 1 month was found less than 3000 m altitude,and the highest rate of duration of sports injury over 1 month was found at 4500 m altitude(all P<0.05).Conclusion The incidence of sports injuries is high in a unit stationed in plateau.Before and after entering the plateau,it is recommended that combined with the plateau environment and hard-ware conditions,targeted intervention measures such as prevention and control knowledge education,organization of adaptive training and warm-up before exercise should be carried out;after the occurrence of sports injuries,they can be treated reasonably and effectively,if necessary,they can be transferred and transported in time,so as to minimize the oc-currence of sports injuries and its adverse effects,and improve the combat effectiveness of the troops.

PlateauOfficer and soldierSports injuryEpidemiological investigation

郭姝君、吕苗苗、冯发辉、姚绍峰、张豪、张超、闫康

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710032 陕西西安,空军军医大学基础医学院

空军986医院麻醉科

解放军69316部队卫生队

空军军医大学第二附属医院骨科

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高原 官兵 运动损伤 流行病学调查

陕西省创新能力支撑计划-创新人才推进计划-科技创新团队空军军医大学第二附属医院临床研究项目重大项目

2021TD-452021LCYJ014

2024

华南国防医学杂志
广州军区医学科学技术委员会

华南国防医学杂志

CSTPCD
影响因子:0.748
ISSN:1009-2595
年,卷(期):2024.38(1)
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