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军事训练致应力性骨折的影响因素

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目的:分析军事训练致应力性骨折的影响因素.方法:选取 2021 年 6 月至 2023 年 6 月于武警内蒙古总队呼和浩特支队卫生队就诊的 1205 例士兵进行横断面研究,统计应力性骨折发生率、发生部位,并采用Logistic回归分析军事训练致应力性骨折的影响因素.结果:1205 例就诊士兵中,发生应力性骨折 96 例,占 7.97%,设为发生组,未发生应力性骨折 1108 例,占 92.03%,设为未发生组;单因素分析结果显示,发生组年龄、文化程度、兵源地、个人骨折史及整理放松时间与未发生组比较,差异均无统计学意义(P>0.05);男性、兵龄<1 年、准备活动时间<15 min、日均训练时间≥4 h、维生素D缺乏、对军事训练存在恐惧心理和应激性生活事件的士兵占比均高于未发生组,差异有统计意义(P<0.05);经Logistic回归分析显示,兵龄<1 年、准备活动时间<15 min、日均训练时间≥4 h、维生素D缺乏、对军事训练存在恐惧心理和应激性生活事件等均为军事训练致应力性骨折的危险因素(OR>1,P<0.05).结论:兵龄<1 年、准备活动时间<15 min、日均训练时间≥4 h、维生素D缺乏、对军事训练存在恐惧心理和应激性生活事件等均为军事训练致应力性骨折的危险因素.
Influencing factors of stress fracture in military training
Objective:To analyze influencing factors of stress fracture in military training.Methods:A cross-sectional study was conducted on 1205 soldiers who were treated by the Hohhot Detachment of Inner Mongolia Armed Police Corps from June 2021 to June 2023.The incidence and the locations of stress fractures were statistically analyzed.Logistic regression analysis was used to analyze the risk factors affecting the occurrence of stress fractures in the military training.Results:Of the 1205 soldiers,96(7.97%)had stress fractures and were set as the occurrence group,and 1108(92.03%)had no stress fractures were set as the non-occurrence group.Univariate analysis showed that there were no significant differences in age,education level,source of troops,personal fracture history and relaxation time between the two groups(P>0.05).The proportions of male,military age<1 year,preparation time<15 min,average daily training time≥4 h,vitamin D deficiency,fear of military training and stressful life events in the occurrence group were higher than those in the non-occurrence group,and the differences were statistically significant(P<0.05).Logistic regression analysis showed that military age<1 year,preparation time<15 min,average daily training time≥4 h,vitamin D deficiency,fear of military training and stressful life events were all risk factors affecting the occurrence of stress fractures in the military training(OR>1,P<0.05).Conclusions:Military age<1 year,preparation time<15 min,average daily training time≥4 h,vitamin D deficiency,fear of military training and stressful life events are the risk factors affecting the occurrence of stress fracture in the military training.

Military trainingStress fractureFearVitamin DSource of troops

史小丹

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武警内蒙古总队呼和浩特支队卫生队,内蒙古 呼和浩特 010051

军事训练 应力性骨折 恐惧心理 维生素D 兵源地

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(10)
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