部分新兵基础训练期间应力性骨折的病例对照研究

目的：探讨新兵基础训练期间过劳性损伤中发生率最高的应力骨折发生的危险因素。为制定应力性骨折的预防措施提供科学依据。方法：选择１９９８年度陆、海、空三军同期入伍参训的新兵３７６人,采用１：１配比的病例对照研究。结果：新兵应力性骨折发生率为１２．４５％,占过劳性损伤的７１．５％。应力性骨折的危险因素为吸烟和入伍后跟不上行军速度,ＯＲ值分别为１．６７和１．７０;保护因素为入伍前体育竞赛史、体育锻炼史和长

A CASE-CONTROL STUDY OF STRESS FRACTURE IN SOME RECRUITS DURING BASIC TRAINING

Objective:To find out the risk factors of stress fracture which is of high incidence in overuse injuries during recruit basic training, so as to provide scientific basis for making preventive strategies of stress fracture. Methods:376 recruits joined up at the same period in 1998 were chosen. A basic training for them and case-control study were carried out.Results:The incidence rate of stress fracture was 12.45% which was 71.5% that of overuse injuries. Smoking and drop behind during marching were risk factors with OR 1.67 and 1.70 respectively. History of match, physical exercise and long distance running were protective factors with OR 0.43, 0.47 and 0.56 respectively.Conclusion:The occurrence of stress fracture was related with the above-mentioned factors, suggesting that fond of sports, good physical quality of the young should be considered during selection of recruits, and the basic training should proceed in an orderly way and step by step so as to decrease the incidence.