2007年解放军某部队军事训练等级考核期间训练伤调查

[目的]了解军事训练等级考核期间部队训练伤的发生情况和特点，为制定针对性预防措施提供依据。[方法]采取就诊登记，定期巡诊的方法，整群调查8个建制连的男性官兵在训练考评期间训练伤的发生情况。[结果]该部队在8个月的军事训练等级考评期间训练伤发生率为23．22％；训练伤发生率随军龄的增加逐渐下降；急性创伤性损伤发生率高于慢性过劳性损伤，急性创伤性损伤中关节扭伤发生率最高（占9．47％），其次为挫伤（占2．00％）、擦伤（占1．60％）、急性腰扭伤（占0．67％）和撕脱撕裂伤（占0．26％）；慢性过劳性损伤以滑膜炎发生最多（占2．54％），其次为胫骨疲劳性骨膜炎（占1．87％）、跖筋膜炎（占1．74％）、肌腱炎（占1．20%）、腰肌劳损（占1．07％）、疲劳性骨折（占0．53％）、髌骨软骨软化症（占0．27％）。损伤部位以下肢最多，占78．74％；其次为上肢、躯干和头部。下肢损伤以踝关节损伤最常见，其次为小腿、膝关节和足部。训练伤影响因素主要有训练强度过大、技术动作错误、场地不良、心里紧张、思想麻痹、有外伤史、睡眠不良、身体素质差等。伤员住院及伤休人均3．63d，其中有45．98％恢复良好。[结论]在高强度军事体能训练中，要普及训练伤防护知识，科学施训，特别要重视入伍1～2年士兵下肢急性创伤性损伤的预防。

An Inquiry of the Military Training Injury in the Grading Test of a PLA Unit in 2007

[Objective]Get to know the injuries and features during the military training in order to provide preventive measures. [Methods]The methods of examining by registering,regularly making a round of visits were adopted,the training injuries were examined among the eight male companies during the test as a whole. [Results]The injury rate was 23.22 % during the 8 months military training,and decreased with the time the soldiers serving in the army. The immediate injury rate was higher than that of the chronic strain injury. The highest rate（ 9.47 %） was joint sprain among acute trauma, next to it was contusion （2.00 % ）, abrasion （ 1.60% ）, acute lumbar muscle sprain （0. 67% ） and lacerated wound （0. 26%）;the maximum is synovitis among chronic strain injury（2.54%）,next to it was fatigue periostitis in shinbone （ 1.87 %）, faseitis in metatarsus （ 1.74 % ）, myotenosites （ 1.20 % ）, lumbar muscle strain （ 1.07 % ）, insufficiency fracture （0. 53%）,ehondromalacia of patella（0.27%）. The injury part was mainly in the lower parts,occupying 78.74% ,and the others including the upper arms, body and head. In the lower body the mostly injury parts were ankles, cnemis,knees and feet follow. The leading factors that lead to the injuries were overtraining, the errors of the technical actions, the poor fields ,the anxiety, carelessness ,formal illnesses, insomnia and poor physical qualities. Patients in the hospital and the people resting there were 3.63d, among them 45.98 % recovered well. [Conclusion] In the high qualified training, it was supposed to spread the knowledge of prevention,and train scientifically,especially pay much attention to newly recruited soldiers＇ prevention of the leg injury.