摘要
目的 探讨武警新兵应力性骨折发生的危险因素 ,为部队挑选新兵和制定相应的预防措施提供科学依据。方法 选取武警某部 2 0 0 0、2 0 0 1年度的新兵 170 2人 ,随访 1年 ,检出应力性骨折 12 6例 ,采用 1∶2配比的巢式病例对照研究 ,按GJB 110 2 - 91和GJB 1337- 92对其体质、体能进行测量和评价。结果 经单因素分析发现 :入伍前参加体育活动、参加跑步、下肢损伤史、训练中保护情况、训练中间休息、应激性生活事件 ,10 0m跑成绩 ,体重、体重指数和去脂体重均与应力性骨折有统计学联系 (P <0 .0 5 )。将上述 10项指标一次性引入逐步条件logistic回归方程分析发现 :应激性生活事件和入伍前不参加体育活动是应力性骨折发生的危险因素 ,而适宜的体重指数则是应力性骨折的保护因素 ,OR值分别为 2 .5 8、3.85和 0 .76。结论 应力性骨折的发生与入伍前和开训后的因素均有关。提示 ,在挑选新兵的过程中应尽量选择体形匀称、体质体能优秀、喜好运动的青年入伍 ,在训练期间应及时加强营养 ,并注意新兵的心理波动 ,及时进行心理疏导 。
Objective To study the risk factors of stress fracture in the Chinese People’s Armed Police Forces (CPAPF) recruits in military training, and to provide the scientific basis for conscription and working out corresponding preventive measures against stress fracture.Methods A nested case-control study of 1∶2 match was carried out. 126 cases of stress fracture were detected among a total of 1 702 recruits from a unit of CPAPF in 2000 and 2001 year after one year’s follow up. Their physical quality and fitness were measured and evaluated by GJB 1102-91 and GJB 1337-92. Results Univariate analysis showed that taking part in physical exercise before enlistment, history of running, history of lower limb injury, protection in training, relaxation in training, stress-related life events, the score of 100 m running,weight,body mass index,and lean body weight were significantly related to stress fracture(P<0.05). Multiple stepwise conditional logistic regression analysis of the above 10 items showed that lack of physical exercise,and stress-related life events were the risk factors of stress fracture, while suitable body mass index was the protective factor. Odds ratios (OR) of the three items were 2.58, 3.85 and 0.76 respectivey. Conclusion The occurrence of stress fracture was related with the factors before enlistment and during training. Those of shapely bodily form, good physical quality and fitness, be fond of sports should be selected during conscription. In military training, frequent psychological communication with soldiers is necessary and their nutrition should be improved so as to reduce the incidence of stress fracture.
出处
《解放军预防医学杂志》
CAS
北大核心
2003年第4期248-251,共4页
Journal of Preventive Medicine of Chinese People's Liberation Army
