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某军区2011年度新兵集训期间伤害发生特征及影响因素
引用本文:刘鑫,谭爱春,李典富,梁章琴,王琦琦,朱松林,何琼,郭占胜,胡国清.某军区2011年度新兵集训期间伤害发生特征及影响因素[J].解放军预防医学杂志,2012,30(3):176-179.
作者姓名:刘鑫  谭爱春  李典富  梁章琴  王琦琦  朱松林  何琼  郭占胜  胡国清
作者单位:刘鑫 (湖南省军区门诊部,长沙,410011) ; 谭爱春 (湖南省军区门诊部,长沙 410011) ; 李典富 (中南大学公共卫生学院流行病与卫生统计学系) ; 梁章琴 (湖南省军区门诊部,长沙,410011) ; 王琦琦 (湖南省军区门诊部,长沙 410011) ; 朱松林 (中南大学公共卫生学院流行病与卫生统计学系) ; 何琼 (湖南省军区门诊部,长沙 410011) ; 郭占胜 (中南大学公共卫生学院流行病与卫生统计学系) ; 胡国清 (湖南省军区门诊部,长沙 410011) ;
摘    要:目的调查某军区陆军新兵集训期间军事训练伤和非训练伤的发生情况,并探讨其危险因素,为部队开展新兵伤害预防控制工作提供科学依据。方法采用随机整群抽样的方法,抽取某军区2011年度1389名新兵作为调查对象,随访收集新兵集训3个月内发生的伤害信息,并采用回顾性调查收集影响因素的信息。采用两水平Poisson回归分析伤害发生次数的影响因素。结果新兵集训期伤害发生率为9.4%,其中训练伤发生率为7.5%,占所有伤害的80.0%;非训练伤发生率为1.9%,占所有伤害的20.0%。伤害发生时间呈双峰分布,分别于第5-6周和第9周达到高峰;伤害性质以扭伤/拉伤/搓伤为主,伤害部位以下肢最多,分别占所有伤害的65.4%、61.5%;训练伤主要发生在体能训练中,占所有训练伤的53.8%。两水平Poisson回归分析显示,城市籍(IRR=1.51;95%CI:1.02~2.22)和自评训练量过大(IRR=2.32;95%CI:1.46~3.70)新兵发生伤害的风险明显高于农村籍和自评训练量尚可承受的新兵。结论该军区2011年度陆军新兵集训期伤害发生率为9.4%,其中训练伤发生率高于非训练伤,来自城市新兵和自觉训练量大的新兵应作为伤害预防的重点。

关 键 词:新兵  伤害  发生率  影响因素

CHARACTERISTICS AND INFLUENCING FACTORS OF INJURIES IN RECRUITS OF AN ARMY DURING BASIC MILITARY TRAINING IN 2011
LIU Xin,TAN Ai-chun,LI Dian-fu,LIANG Zhang-qin,WANG Qi-qi,ZHU Song-lin,HE Qiong,GUO Zhan-sheng,HU Guo-qing.CHARACTERISTICS AND INFLUENCING FACTORS OF INJURIES IN RECRUITS OF AN ARMY DURING BASIC MILITARY TRAINING IN 2011[J].Journal of Preventive Medicine of Chinese People's Liberation Army,2012,30(3):176-179.
Authors:LIU Xin  TAN Ai-chun  LI Dian-fu  LIANG Zhang-qin  WANG Qi-qi  ZHU Song-lin  HE Qiong  GUO Zhan-sheng  HU Guo-qing
Institution:( Outpatient Department, the Military Hospital of Hunan Province, Changsha 410011, China)
Abstract:Objective To investigate the incidences and characteristics of military training and non-training injuries in recruits during a three-month basic military training period, and to analyze the risk factors, so as to provide scientific evidence for preventing and controlling their injuries.Methods A random cluster sampling was used to select 1398 recruits from an army in 2011 year. The information of injuries and risk factors were collected by follow-up, and retrospective survey. Two-level Poisson regression was used to analyze the influencing factors of injury. Results The incidence of injuries was 9.4%, including 7.5 % training injuries and 1.9% non-training injuries, and the former accounted for 80.0% of all injuries, and the latter 20.0%. Injuries highly occurred in the 5 th, 6 th, and week. The majority of injuries came from sprain/strain/rub, accounting for 65.4% of all injuries, and the most common injury site was lower limb (61. 5% ). Fifty-three percent of training injuries occurred in physical fitness training. Poisson regression showed that recruits from urban areas IRR( incidemce rate ratio) = 1.51,95 % CI: 1.02 - 2.221, or those reported an inbeamble training intensity (IRR = 2.32,95% CI: 1.46 - 3.70) were more susceptible to suffering injury than those from rural areas,and re- ported a bearable training intensity. Conclusion The incidence of injury was 9.4 % in recruits of an army during the basic military training period in 2011, and the incidence of training injury is higher than non-training injury. Recruits from urban areas or those reported an inbearable training intensity should be targeted for injury prevention.
Keywords:recruits  injury  incidence  influencing factor
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