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新兵军事训练性肌骨损伤现状及影响因素的横断面调查

李晓芳 高远 李欣潞 皮红英

解放军医学院学报2023,Vol.44Issue(9):979-985,7.
解放军医学院学报2023,Vol.44Issue(9):979-985,7.DOI:10.12435/j.issn.2095-5227.2023.081

新兵军事训练性肌骨损伤现状及影响因素的横断面调查

Cross-sectional survey on status and influencing factors of musculoskeletal injuries in recruits during military training

李晓芳 1高远 2李欣潞 3皮红英4

作者信息

  • 1. 解放军医学院,北京 100853||解放军第 960 医院普通外科,山东济南 250031
  • 2. 解放军总医院第一医学中心护理部,北京 100853
  • 3. 解放军总医院第一医学中心骨科,北京 100853
  • 4. 解放军总医院卫勤训练中心,北京 100853
  • 折叠

摘要

Abstract

Background Musculoskeletal injury(MSKI)ranks the first in the spectrum of military training injuries,and MSKI has become a major medical problem faced by militaries in the world.However,the epidemiological support for military training MSKI of recruits in our army is insufficient.Objective To investigate the status,characteristics and related factors of military training-induced MSKI in recruits.Methods By convenience sampling method,1515 recruits in 2020 were investigated with the Military Training Injury Epidemiology Questionnaire.Results The incidence of MSKI among recruits in 2020 was 34.33%.The main injuries were mild strain and sprain(410/504,81.35%),and the usual injured part were lower limbs(548/1013,54.10%),especially knees,waists,feet,ankles and shoulders,physical training was the main subject that caused injury(432/718,60.17%).By multivariate regression analysis,the recruits with a history of previous injuries(OR=5.093,95%CI:3.112-8.336,P<0.001)and high degree of fatigue(compared with very easy:easy,OR=1.630,95%CI:1.107-2.400;a little tired,OR=1.862,95%CI:1.264-2.742;tired,OR=1.939,95%CI:1.327-2.832;very tired,OR=2.185,95%CI:1.114-4.287)had a higher incidence of MSKI,the recruits with high education level(compared with technical secondary school or below:college,OR=0.553,95%CI:0.312-0.980;bachelor degree or above,OR=0.478,95%CI:0.275-0.830;sports enthusiasts,OR=0.523,95%CI:0.310-0.885)had a lower incidence of MSKI.Conclusion Sprains and strains of the lower limbs are common in MSKI of recruits.We find that previous injury history,fatigue and education level are the influencing factors of MSKI in recruits.

关键词

新兵/肌肉骨骼损伤/军事医学/军事训练伤/流行病学

Key words

recruit/musculoskeletal injury/military medicine/military training injury/epidemiology

分类

医药卫生

引用本文复制引用

李晓芳,高远,李欣潞,皮红英..新兵军事训练性肌骨损伤现状及影响因素的横断面调查[J].解放军医学院学报,2023,44(9):979-985,7.

基金项目

全军军事医学创新工程专项(18CXZ037) (18CXZ037)

军队护理创新与培育专项计划(2021HL070) (2021HL070)

解放军医学院学报

OACSTPCD

2095-5227

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