1.400038 重庆,陆军军医大学(第三军医大学)第一附属医院:军人诊疗中心
2.400038 重庆,陆军军医大学(第三军医大学)第一附属医院:骨科
Received:12 May 2020,
Revised:2020-09-20,
Published:15 November 2020
移动端阅览
Ling YANG, Xuemei LIU, Xuan ZHANG, et al. Characteristics of training injuries in college freshmen during a 200-km trek[J]. Journal of Third Military Medical University, 2020, 42(21): 2162-2167.
Ling YANG, Xuemei LIU, Xuan ZHANG, et al. Characteristics of training injuries in college freshmen during a 200-km trek[J]. Journal of Third Military Medical University, 2020, 42(21): 2162-2167. DOI: 10.16016/j.1000-5404.202005085.
目的
2
探讨军医大学新学员徒步拉练伤特点,为科学施训和卫勤医疗保障救护提供依据。
方法
2
收集并整理本次徒步拉练就医资料,采用现况研究对2019年10月10日至19日军医大学318名学员拉练中发生伤病情况进行分析;采用回顾性队列研究的方法对使用和未用鞋垫的男学员各60名分别纳入暴露组和非暴露组,对其脚泡发生情况进行比较观察;并对急性胃肠炎暴发时间进行分析。
结果
2
参加拉练学员318人
伤病就诊共计813人次,就诊人次率为255.66%,常见伤病包括脚泡、软组织伤、上呼吸道感染、急性胃肠炎和皮炎等,其中前4种疾病就诊共600人次数,占伤病就诊总人次数的构成比为73.90%;与非暴露组比较,暴露组可显著减少脚泡及脚泡个数的发生(
P
=0.006);饮水污染是导致急性胃肠炎的重要原因;各伤病的就诊人次与训练计划有一定时间特征。
结论
2
新学员长途徒步拉练伤病谱和特征显示有一定规律性,以脚泡、软组织伤、上呼吸道感染、急性胃肠炎为主。拉练中使用合适鞋垫可有效防止脚泡发生,同时,加强饮水卫生可有效预防急性胃肠炎。
Objective
2
To provide references for scientific training and medical care by investigating the characteristics and influencing factors of the training injuries of the freshmen in a military medical university during their long-distance trek training.
Methods
2
The medical data of the injuries for 318 freshmen during the trekking from October 10 to 19
2019 were collected and analyzed with cross-sectional study. Then 60 male freshmen who used insoles and another 60 who did not were retrospectively recruited as insole group and control group
respectively to observed the incidence and numbers of foot blisters during the training. In addition
the onset time of the acute gastroenteritis outbreak were also studied with in-depth analysis.
Results
2
For the 318 freshmen taking part in the whole training
there were totally 813 admissions for medical support
with a rate of 255.66%. The common injuries included foot blisters
soft tissue injuries
upper respiratory tract infection
acute gastroenteritis and abrasion. And the number of medical visits for the first 4 causes took up to 600
accountting for 73.90% of the total diagnosis and treatment. Besides
the insole significantly decreased the rate and number of foot blisters (
P
=0.006). Contaminated drinking water was the main cause of acute gastroenteritis. The incidences of various injuries showed obvious relationship with the training plan.
Conclusion
2
The injury spectrum and injury characteristics of the freshmen in a long-distance trek training show certain rules
with foot blisters
soft tissue injuries
upper respiratory tract infection and acute gastroenteritis most common. Insole use could effectively prevent the occurrence of foot blisters. And paying attention to drinking water hygiene is useful to prevent acute gastroenteritis outbreak.
魏建永, 刘培刚, 范艳红, 等.关于落实《军队院校军事基础课程教学基本要求》的认识与思考[J].军事交通学院学报, 2013, 15(4): 93-95.
WEI J Y, LIU P G, FAN Y H, et al . Understanding and Thinking on the implementation of the "basic requirements of military basic course teaching in military academies and universities"[J ] . J Mil Communications College, 2013, 15 (4): 93-95.
西传坡, 王道亭, 段同华, 等.某军校新生野外综合演练足底水疱诱因调查[J].人民军医, 2009, 52(11): 741-742.
XI C P, WANG D T, DUAN T H, et al . Investigation on the causes of plantar blisters of freshmen in a military academy [J ] . People Mil Surg, 2009, 52(11): 741-742.
黄文繁, 戴传文, 严燚.一起饮用水污染引起急性胃肠炎暴发的调查分析[J].华南预防医学, 2005, 31(1): 49-50. DOI:10.3969/j.issn.1671-5039.2005.01.023.
HUANG W F, DAI C W, YAN Y. A gastric and enteric infection outbreak related to drinking water comtamination[J]. South China J Prev Med, 2005, 31(1): 49-50. DOI:10.3969/j.issn.1671-5039.2005.01.023.
黄昌林, 张莉, 薛刚. 《军事训练伤诊断标准及防治原则》的编制应用研究及其意义[J].解放军医学杂志, 2004, 29(4): 286-288. DOI:10.3321/j.issn:0577-7402.2004.04.003.
HUANG C L, ZHANG L, XUE G. The compilation of "Diagnostic criteria, principles of prophylaxis and treatment of military training injuries"[J]. Med J Chin PLA, 2004, 29(4): 286-288. DOI:10.3321/j.issn:0577-7402.2004.04.003.
张媛, 王媛, 李至伟, 等.某院校新生300km徒步拉练伤病情况及卫生防疫保障初步探讨[J].解放军预防医学杂志, 2016, 34(3): 404-406.
ZHANG Y, WANG Y, LI Z W, et al . The invaliding investigation in a college's freshmen during the period of 300km March on foot to explore sanitary and antiepidemic supporting measures support[J ] . J Prev Med Chin PLA, 2016, 34(3): 404-406.
CHOI S C, MIN Y G, LEE I S, et al . Injuries associated with the 580 km university student grand voluntary road March: focus on foot injuries[J ] . J Korean Med Sci, 2013, 28(12): 1814. DOI:10.3346/jkms.2013.28.12.1814.
段同华, 何彬, 蒋振萱, 等.军校学员拉练中容易出现的问题及防护[J].临床合理用药杂志, 2013, 6(2): 121. DOI:10.3969/j.issn.1674-3296. 2013.02.102.
DUAN T H, HE B, JIANG Z X, et al . Problems and protection of cadets in military training [J ] . Chin J Clin Ration Drug Use, 2013, 6(2): 121. DOI:10.3969/j.issn.1674-3296.2013.02.102.
KNAPIK J J.Prevention of foot blisters[J]. J Spec Oper Med, 2014, 14(2): 95-97.
泮云峰, 秦少清.某部官兵野外驻训足底水疱调查(摘要)[J].沈阳部队医药, 2010, 23(4): 237.
PAN Y F, QIN S Q. Investigation on blisters of soleus of officers and soldiers in field training (Abstract)[J]. Shenyang Army Med, 2010, 23(4): 237.
陈聪, 周维均, 刘明华, 等.负重徒步致足部水疱的发病机制研究[J].局解手术学杂志, 2016, 25(7): 478-481. DOI:10.11659/jjssx. 02E016058.
CHEN C, ZHOU W J, LIU M H, et al . Pathogenesis of foot blisters caused by weight-bearing March[J ] . J Reg Anat Oper Surg, 2016, 25(7): 478-481. DOI:10.11659/jjssx.02E016058.
段同华, 何彬, 王红中, 等.应用药物鞋垫预防足底水疱效果观察[J].人民军医, 2015, 58(9): 1054-1055.
DUAN T H, HE B, WANG H Z, et al . Effect of drug insole on prevention of plantar blister [J ] . People Mil Surg, 2015, 58(9): 1054-1055.
曾勇, 杨友林, 程春.空军地勤人员军事训练致踝关节损伤153例MRI特点分析[J].人民军医, 2020, 63(2): 143-146.
ZENG Y, YANG Y L, CHENG C. MRI features of 153 cases of ankle joint injury caused by military training in air force ground crew [J]. People Mil Surg, 2020, 63(2): 143-146.
李喆豪, 陈福兴, 刘晓荣.海军陆战队某部军事训练伤发生情况及其防治[J].职业与健康, 2020, 36(5): 658-661.
LI Z H, CHEN F X, LIU X R. Prevalence and prevention of military training injuries in a certain force of Marine Corps[J]. Occup Heal, 2020, 36(5): 658-661.
刘金京, 张春秋, 石恒源, 等.2013-2018年武警某部军事训练伤发生情况调查[J].人民军医, 2020, 63(2): 128-130.
LIU J J, ZHANG C Q, SHI H Y. et al . Investigation of military training injuries in a certain armed police unit from 2013 to 2018[J ] .People Mil Surgeon, 2020, 63(2):128-130.
陈坤, 刘薪余, 郑兰.某部冬季野营拉练期间伤病发生情况分析[J].解放军预防医学杂志, 2016, 34(2): 267.
CHEN K, LIU X Y, ZHENG L. Analysis of injuries and injuries during winter camping and training in a certain unit [J]. J Prev Med Chin PLA, 2016, 34(2): 267.
宋建强, 朱晓微, 楼银伟, 等.饮用不洁桶装水引起的一起诺如病毒急性胃肠炎暴发调查[J].浙江预防医学, 2015, 27(10): 1045-1048.
SONG J Q, ZHU X W , LOU Y W, et al . Investigation on an outbreak of norovirus gastroenteritis caused by drinking dirty bottled water [J ] . Zhejiang J Prev Med, 2015, 27(10): 1045-1048.
EL SAYED ZAKI M, ALSAYED M A L, SHRIEF R. Study of the diagnostic value of interleukin-6 and interleukin-8 in children with acute gastroenteritis[J]. Germs, 2020, 10(1): 27-33. DOI:10.18683/germs.2020.1182.
常晓燕, 姜洪.运动猝死和运动性晕厥的原因及防治[J].医学综述, 2011, 17(11): 1668-1671
CHANG X Y, JIANG H. Causes and prevention of exercise-related sudden death and Syncope[J]. Med Recapitul, 2011, 17(11): 1668-1671.
刘建英.某高校新生军训期间运动性晕厥的原因分析及对策[J].中国校医, 2011, 25(1): 34-35.
LIU J Y. Causation of syncope of college freshmen and countermeasures during military training[J]. Chin J School Dr, 2011, 25(1): 34-35.
孟志清.官兵训练期间发生晕厥的原因及急救措施[J].智慧健康, 2019, 5(4): 64-65. DOI:10.19335/j.cnki.2096-1219.2019.04.028.
MENG Z Q. Causes of syncope during training of officers and soldiers and first aid measures[J]. Smart Health, 2019, 5(4): 64-65. DOI:10.19335/j.cnki.2096-1219.2019.04.028.
齐静, 苏静.某高校新生军训期间运动性晕厥的原因分析及防治措施[J].中国卫生产业, 2019, 16(9): 183-186. DOI:10.16659/j.cnki.1672- 5654.2019.09.183.
QI J, SU J. Cause analysis and prevention measures of exercise syncope during military training of a freshman in a university[J]. China Heal Ind, 2019, 16(9): 183-186. DOI:10.16659/j.cnki.1672-5654.2019.09.183.
陈先华.军事医学综合演练学员42例晕厥原因分析及防治措施[J].第三军医大学学报, 2009, 31(8): 757-758. DOI:10.3321/j.issn:1000-5404.2009.08.028.
CHEN X H. Analysis on 42 cases of Syncope in military medical students during comprehensive training and preventive measures[J]. Acta Acad Med Mil Tertiae, 2009, 31(8): 757-758. DOI:10.3321/j.issn:1000-5404.2009.08.028.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621
