高温高强度军事训练伤的医学干预研究

目的调查医学干预对降低高强度训练官兵训练伤发生的效果。方法对高强度训练的官兵随机抽取实验组（383例）和对照组（408例）。对实验组采取如下干预措施：改善训练设施，健康宣讲、科学施训、训练后相互按摩、理疗等治疗，对照组按照部队的常规训练要求进行训练。由军医按照统一诊断标准检查伤病情况，训练前后随机抽取两组各30名官兵抽血，检测血中胰岛素生长因子1、超敏C反应蛋白。结果实验组训练伤的总发生率（17．23％）低于对照组（25．0%），P〈0．0001。两组官兵训练前的胰岛素生长因子1、超敏C反应蛋白都无统计学差异，训练后胰岛素生长因子1、超敏c反应蛋白都升高了，两组间胰岛素生长因子1有统计学差异（P〈0．05）、超敏c反应蛋白无统计学差异。结论高强度训练容易引起训练伤，医学干预有利于降低训练伤的发生。

Study of the medical intervention effects on training injuries caused by intensive military training

Objective To investigate the medical intervening effects on injuries of officers and soldiers involving intensive military training. Methods Selected officers and soldiers involving intensive training were randomly divided into two groups - medical intervened group of 383 and control group of 408. The medical intervened group was applied with improved training facility and equipment, health education provided, rational rest time, and physical therapy after training while the other group continues on its routine training. Data of insulin-like growth factor 1 （IGF-1） and high sensitive C-reactive protein （hsCRP） were collected and analyzed on two groups prior to and after taining, 30 in each group, of which randomly selected from medical intervened group and control group respectively. Results The incidence of military training injuries in intervened group was 17.23 %, significantly lower than that the 25.0 % in the control group （P 〈 0.0001）. There is no difference between two groups on concentration of IGF-1 or hsCRP prior to training. The concentration of both IGF-1 and hsCRP increased, and there was a significant difference in the concentration of IGF-1 between the two groups after training （P 〈 0.05）. Conclusion The injuries is more likely to occur in intensive military training, but can be reduced from happening with proper medical intervention.