摘要
目的调查某边疆部队训练伤现况及其影响因素,提出训练伤防控改进策略。方法选取2021-06至2022-06武警某边疆总队基层官兵1年内训练伤病相关资料,采用分层整群抽样法抽取41个中队官兵为调查对象。根据部队任务性质和干预情况,将调查对象分为执勤传统组、执勤干预组、特战传统组和特战干预组。问卷调查内容包括基本情况、组训情况、训练伤情况、干预情况四部分。通过SPSS23.0进行数据统计分析,计数资料以例数、百分比表示;计数资料两组之间比较采用χ^(2)检验;训练伤诱发因素应用二分类多因素logistic回归分析。结果训练伤总体发生率为20.52%,软组织损伤占比30.56%,骨与关节损伤占比21.57%。训练前热身、训练中组训、训练后放松的伤病防控效果满意率分别为87.41%、86.56%、34.23%。多因素logistic回归分析得出军龄[OR(95%CI)为0.856(0.785,0.932)]和文化层次[OR(95%CI)为0.820(0.703,0.957)]具有统计学意义(P<0.05),提示军龄越短、文化层次越低,越容易发生训练伤。执勤和特战两个干预组比对应传统组训练伤发生率均明显降低,均具有统计学意义(P<0.05)。结论某边疆部队训练伤总体发生率处于中低水平,应关注军龄较短和文化层次较低战士的科学训练和伤病防控,应提高训练骨干科学组训及训练伤防控技能水平。
Objective To investigate the current situation of training injuries and its influencing factors in a frontier army,and improve corresponding prevention and control strategy.Methods The data related with the injuries and illnesses of the grass-root officers and soldiers of a frontier corps of Chinese People’s Armed Police Force from June 2021 to June 2022 were collected.The officers and soldiers in the 41 squadrons were selected as the subjects by the stratified cluster random sampling method.The subjects were divided into four groups including the groups of the traditional duty,the intervention duty,the traditional special war and the intervention special war according to the characteristics of the army task and the intervention.The content in the questionnaire includeed the basic facts,the organizational training,the training injury and the intervention training.The data were analyzed by SPSS23.0,and the counting data were expressed in cases and percentages,the chi square test was used for comparison between two groups about enumeration data,and the predisposing factors of training injury were analyzed by logistic regression.Results The overall incidence of training injuries was 20.52%,and the percentages of soft tissue injuries and bone and joint injuries were 30.56%and 21.57%respectively.The satisfaction rate of wound prevention and control effects of warm-ups before training,organizational training during training and relaxation after training were 87.41%,86.56%and 34.23%respectively.The factors of military age and cultural level were statistically significant by multi-factor logistic regression analysis(P<0.05),and OR(95%CI)of the two factors were 0.856(0.785,0.932),0.820(0.703,0.957),respectively.The results showed that the younger the military age and the lower the level of education,the more likely the training injuries.The incidence of training injuries in the two intervention groups was significantly lower than that in the corresponding traditional groups,respectively(P<0.05).Conclusions The overall incidence of training injuries in the frontier troop is at a medium and low level.Attention should be paid to the scientific training and injury prevention and control of the young and less educated soldiers,targeted muscle relaxation after training should be strengthened,and the level of scientific training and injury prevention and control skills of training backbone should be improved.
作者
高宏生
袁耀宗
邹宏雷
刘阳军
冯鑫
刘伟
陈莉
GAO Hongsheng;YUAN Yaozong;ZOU Honglei;LIU Yangjun;FENG Xin;LIU Wei;CHEN Li(Department of Military Preventive Medicine,Logistic University of Chinese People’s Armed Police Force,Tianjin 300309,China;Health Service Office,Corps Headquarters Hospital of Chinese People’s Armed Police Force,Urumqi 830017,China;Surgery Department,Corps Headquarters Hospital of Chinese People’s Armed Police Force,Urumqi 830017,China;Rehabilitation Physiotherapy Department,Corps Headquarters Hospital of Chinese People’s Armed Police Force,Urumqi 830017,China)
出处
《武警医学》
CAS
2023年第4期277-280,286,共5页
Medical Journal of the Chinese People's Armed Police Force
基金
武警后勤学院装备科研资助项目(WHY201903)
关键词
边疆部队
训练伤
影响因素
防控策略
frontier army
training injury
influencing factors
prevention and control strategy
作者简介
通讯作者:陈莉,E-mai:418996964@qq.com;高宏生,博士,教授