Analysis of seasonal training injuries of faculty and staff in a military medical university during an 85 km mountain trek

Anhong HU; Ling LIU

doi:10.16016/j.2097-0927.202209198

您当前的位置：

首页 >

文章列表页 >

Analysis of seasonal training injuries of faculty and staff in a military medical university during an 85 km mountain trek

Military Medicine | 更新时间：2026-01-09

- Analysis of seasonal training injuries of faculty and staff in a military medical university during an 85 km mountain trek
- Journal of Army Medical University Vol. 45, Issue 10, Pages: 1080-1086(2023)
- 作者机构：
  
  400038 重庆，陆军军医大学(第三军医大学)第一附属医院预防保健科
- 作者简介：
- 基金信息：
- DOI：10.16016/j.2097-0927.202209198
  CLC： R821.33;R873
- Received：22 September 2022，
  
  Revised：2023-01-18，
  
  Published：30 May 2023
- 稿件说明：
移动端阅览
Anhong HU, Ling LIU. Analysis of seasonal training injuries of faculty and staff in a military medical university during an 85 km mountain trek[J]. Journal of Army Medical University, 2023, 45(10): 1080-1086.
DOI：

Anhong HU, Ling LIU. Analysis of seasonal training injuries of faculty and staff in a military medical university during an 85 km mountain trek[J]. Journal of Army Medical University, 2023, 45(10): 1080-1086. DOI： 10.16016/j.2097-0927.202209198.

摘要

目的

分析某军医大学教职员(包括专业技术军官、文职干部和文职人员)在不同季节气候条件下进行山地徒步拉练的伤病情况。

方法

收集整理2021年两次共769名教职员徒步拉练保障就医资料，将参加2021年3月24-28日拉练的335名教职员分为春季组，参加2021年9月22-26日拉练的434名教职员分为秋季组。采用现况研究方法，比较2组拉练期间的季节气候、就诊率、各类伤病就诊构成比、各类伤病发病率、每日人均就诊次数的差异。

结果

2组在参与人员的性别、年龄构成比上差异均无统计学意义。秋季组拉练期间的气温、湿度均高于春季组。2组伤病就诊共计1 392人次，总体就诊率为181.01%，其中春季组共就诊440人次、就诊率131.34%，秋季组共就诊952人次、就诊率219.35%，秋季组就诊率显著高于春季组。2组伤病就诊构成比中占比最高的两种伤病均为运动伤和水疱，春季组分别为41.13%、23.86%，秋季组分别为25.11%、16.07%。2组运动伤、水疱发病率高，春季组分别为54.03%、31.34%，秋季组分别为55.07%、35.25%，差异无统计学意义；春季组上呼吸道感染、过敏性疾病的发病率高于秋季组(

0.05)；秋季组头晕、皮疹、摩擦伤、腹泻、便秘、虫咬伤、低血糖的发病率高于春季组(

0.05)；晕厥、胃炎发病率2组差异无统计学意义。秋季组每日人均就诊次数明显高于春季组。

结论

运动伤和水疱为教职员山地徒步拉练的主要伤病，不同季节条件下部分伤病发病率、伤病员的就诊率、日人均就诊次数均存在差异，应根据不同季节气候条件有针对性制定和开展山地徒步拉练医疗保障工作。

Abstract

Objective

To investigate the training injuries of faculty and staff (including specialized technical officers

non-ranking cadres and military civilians) in different seasons during an 85 km mountain trek

and to provide information for training medical support.

Methods

Data of 769 faculty and staff were collected (two treks

in 2021)

including 335 participants from the trek of March 24 to 28

2021 being assigned into the spring group

and 434 in the trek of September 22 to 26

2021 into the autumn group. A prevalence study was conducted to compare and analyze the differences in seasonal climate

clinical visit rate

proportion of kinds of injuries

incidence of kinds of injuries and number of daily visits per person.

Results

There were no significant differences in age and gender between the 2 groups. The temperature and humidity in the autumn group were higher than the spring group. The number of injuries in both groups was 1 392 (181.01%)

including 440 in the spring group (131.34%) and 952 in the autumn group (219.35%). The clinical visit rate in the autumn group was significantly higher than those in the spring group. Sports injury and blister were accounted for the highest p

roportion in all injuries

41.13% and 23.86% in the spring group and 25.11% and 16.07% in the autumn group

respectively. The incidences of sports injury and blister were 54.03% and 31.34% in spring group and 55.07% and 35.25% in autumn group

respectively. There were no significant difference of the incidences of sports injury and blister between two groups. The incidences of upper respiratory tract infection and allergic diseases in the spring group were higher than those in the autumn group (

0.05)

while the incidences of dizziness

rash

abrasions

diarrhea

constipation

insect bite and hypoglycemia in the autumn group were higher than those in the spring group (

0.05). There were no differences in the incidences of syncope and gastritis between the two groups (

0.05). The number of daily visits per person in the autumn group was significantly higher than that in the spring group.

Conclusion

Sports injury and blister are the major kinds of injuries in this mountain trek. There are significant differences in the incidence of some injuries

clinical visit rate

and number of daily visits per person with different seasonal conditions. The training medical support should be planed according to the different seasonal climatic conditions.

关键词

Keywords

references

常祺, 李春宝, 贺杰, 等. 军事训练伤诊断与防治原则专家共识(2022版)[J]. 军事医学, 2022, 46(9): 641-646. DOI: 10.7644/j.issn.1674-9960.2022.09.001.

CHANG Q, LI C B, HE J, et al . Expert consensus on principles of diagnosis and prevention of military training injuries(2022 edition)[J ] . Mil Med Sci, 2022, 46(9): 641-646. DOI: 10.7644/j.issn.1674-9960.2022.09.001.

杨陵, 刘雪梅, 张轩, 等. 某高校新生200 km徒步拉练伤病特点分析[J]. 第三军医大学学报, 2020, 42(21): 2162-2167. DOI: 10.16016/j.1000-5404.202005085.

YANG L, LIU X M, ZHANG X, et al . Characteristics of training injuries in college freshmen during a 200-km trek[J ] . J Third Mil Med Univ, 2020, 42(21): 2162-2167. DOI: 10.16016/j.1000-5404.202005085.

杨森, 夏磊, 马珍珍, 等. 某部队近5年军事训练伤调查分析[J]. 解放军医学院学报, 2021, 42(10): 1030-1034. DOI: 10.3969/j.issn.2095-5227.2021.10.005.

YANG S, XIA L, MA Z Z, et al . A retrospective analysis in military training injuries in recent 5 years in a group army[J ] . Acad J Chin PLA Med Sch, 2021, 42(10): 1030-1034. DOI: 10.3969/j.issn.2 095-5227.2021.10.005.

张雷, 王芬, 祁海霞. 湿热环境训练的人体温度安全指标[J]. 军事体育学报, 2014, 33(1): 125-128. DOI: 10.3969/j.issn.1671-1300.2014.01.044.

ZHANG L, WANG F, QI H X. Research on body temperature used to evaluate safety of training in hot and humid environment[J]. J Mil Phys Educ Sports, 2014, 33(1): 125-128. DOI: 10.3969/j.issn.1671-1300.2014.01.044.

余群, 王丽平, 翁锡全. 高温高湿环境对运动能力的影响[J]. 安顺学院学报, 2016, 18(3): 127-129. DOI: 10.3969/j.issn.1673-9507.2016.03.040.

YU Q, WANG L P, WENG X Q. Analysis of the effects of high temperature and high humidity environment on the exercise ability[J]. J Anshun Univ, 2016, 18(3): 127-129. DOI: 10.3969/j.issn.1673-9507.2016.03.040.

郭子维, 郭俊林, 刘树元, 等. 基层部队湿热环境高强度训练热射病预防与救治措施[J]. 空军医学杂志, 2020, 36(5): 445-447. DOI: 10.3969/j.issn.2095-3402.2020.05.023.

GUO Z W, GUO J L, LIU S Y, et al . Prevention and treatment measures of heat stroke in high-intensity training in hot and humid environment in grass-roots units[J ] . Med J Air Force, 2020, 36(5): 445-447. DOI: 10.3969/j.issn.2095-3402.2020.05.023.

季泰, 袁伟琪, 杨剑, 等. 运动人体对外能量耗散影响因素分析[J]. 武汉体育学院学报, 2016, 50(8): 94-100. DOI: 10.15930/j.cnki.wtxb.2016.08.016.

JI T, YUAN W Q, YANG J, et al . Factors influencing external energy consumption in sports[J ] . J Wuhan Inst Phys Educ, 2016, 50(8): 94-100. DOI: 10.15930/j.cnki.wtxb.2016.08.016.

KNAPIK J J, CANHAM-CHERVAK M, HAURET K, et al . Seasonal variations in injury rates during US Army Basic Combat Training[J ] . Ann Occup Hyg, 2002, 46(1): 15-23. DOI: 10.1093/annhyg/mef013.

陈孛玉, 董沫含, 罗卓荆, 等. 军校新学员长途行军中的下肢运动损伤[J]. 解放军医学院学报, 2018, 39(5): 373-375. DOI: 10.3969/j.issn.2095-5227.2018.05.003.

CHEN B Y, DONG M H, LUO Z J, et al . Lower extremity sport injuries in new army cadets during long distance march[J ] . Acad J Chin PLA Med Sch, 2018, 39(5): 373-375. DOI: 10.3969/j.issn.2095-5227.2018.05.003.

吴进, 李春宝, 黄鹏, 等. 我军军事训练伤流行病学研究综述[J]. 解放军医学院学报, 2020, 41(12): 1236-1239, 1246. DOI: 10.3969/j.issn.2095-5227.2020.12.015.

WU J, LI C B, HUANG P, et al . Review of prevalences of military training-related injuries in Chinese army[J ] . Acad J Chin PLA Med Sch, 2020, 41(12): 1236-1239, 1246. DOI: 10.3969/j.issn.2095-5227.2020.12.015.

HUA W, CHEN Q, WAN M, et al . The incidence of military training-related injuries in Chinese new recruits: a systematic review and meta-analysis[J ] . J R Army Med Corps, 2018, 164(4): 309-313. DOI: 10.1136/jramc-2016-000710.

胡晓飞, 刘玲玲, 甄志铭, 等. 大学生长途徒步拉练对膝关节急性损伤及软骨亚区影响的MRI定量分析[J]. 中华医学杂志, 2022, 102(9): 659-665. DOI: 10.3760/cma.j.cn112137-20210707-01523.

HU X F, LIU L L, ZHEN Z M, et al . Magnetic resonance imaging quantitative analysis of knee joint injury and cartilage before and after long-distance March and training for college students[J ] . Natl Med J China, 2022, 102(9): 659-665. DOI: 10.3760/cma.j.cn112137-20210707-01523.

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.

涂致远, 吴哲. 某支队冬季野营拉练足部水疱发病相关因素及防护措施效果分析[J]. 中华灾害救援医学, 2020, 8(7): 407-408. DOI: 10.13919/j.issn.2095-6274.2020.07.016.

TU Z Y, WU Z. Analysis on the related factors and protective measures of foot blister in winter camping and training of a detachment[J]. Chin J Disaster Med, 2020, 8(7): 407-408. DOI: 10.13919/j.issn.2095-6274.2020.07.016.

王太武, 艾乐乐, 张琪, 等. 东南沿海部队官兵中暑现状及影响因素分析[J]. 东南国防医药, 2019, 21(1): 110-112. DOI: 10.3969/j.issn.1672-271X.2019.01.028.

WANG T W, AI L L, ZHANG Q, et al . Analysis on the current situation and influencing factors of heatstroke among officers and men in southeast coastal troops[J ] . Mil Med J Southeast China, 2019, 21(1): 110-112. DOI: 10.3969/j.issn.1672-271X.2019.01.028.

杨若腾, 施犇, 胡超, 等. 50公里全装徒步拉练防热射病保障新模式[J]. 东南国防医药, 2020, 22(4): 436-438. DOI: 10.3969/j.issn.1672-271X.2020.04.025.

YANG R T, SHI B, HU C, et al . A new model of 50 km full-loaded hiking and training to prevent heat stroke[J ] . Mil Med J Southeast China, 2020, 22(4): 436-438. DOI: 10.3969/j.issn.1672-271X.2020.04.025.

崔立慧, 李素娟, 李士荣. 门诊上呼吸道感染途径及临床常用抗生素疗效调查[J]. 中国病原生物学杂志, 2019, 14(10): 1186-1189. DOI: 10.13350/j.cjpb.191014.

CUI L H, LI S J, LI S R. Route of an upper respiratory tract infection and clinical evaluation of common antibiotics used in outpatient care[J]. J Pathog Biol, 2019, 14(10): 1186-1189. DOI: 10.13350/j.cjpb.191014.

王昕蕊, 宋伊宁, 于铭川, 等. 蠕虫感染及其产物对过敏性疾病作用机制的研究进展[J]. 中国免疫学杂志, 2021, 37(14): 1780-1785, 1790. DOI: 10.3969/j.issn.1000-484X.2021.14.023.

WANG X R, SONG Y N, YU M C, et al . Research progress on mechanism of helminth infection and its products on allergic diseases[J ] . Chin J Immunol, 2021, 37(14): 1780-1785, 1790. DOI: 10.3969/j.issn.1000-484X.2021.14.023.

柴若楠. 鼻部过敏性疾病诊断评估及过敏原免疫治疗的作用机制[J].中华临床免疫和变态反应杂志, 2020, 14(5): 507-509.

CHAI R N. Diagnosis and evaluation of nasal allergic diseases and the mechanism of allergen immunotherapy[J]. Chin J Allergy Clin Immunol, 2020, 14(5): 507-509.

张媛, 王媛, 李至伟, 等. 某院校新生300km徒步行军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. DOI: 10.13704/j.cnki.jyyx.2016.03.033.

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. DOI: 10.13704/j.cnki.jyyx.2016.03.033.

史波, 郝华, 易永红. 某院校野外拉练卫生防病的特点及做法[J]. 空军医学杂志, 2019, 35(6): 529-530. DOI: 10.3969/j.issn.2095-3402.2019.06.022.

SHI B, HAO H, YI Y H. Characteristics and practice of health and disease prevention in field training in a college[J]. Med J Air Force, 2019, 35(6): 529-530. DOI: 10.3969/j.issn.2095-3402.2019.06.022.

向海兵, 刘积平, 李丹, 等. 武警某医院冬季野营拉练卫勤保障实践与思考[J]. 武警医学, 2019, 30(4): 363-366.

XIANG H B, LIU J P, LI D, et al . Practice and thinking of health service support in winter camp of a hospital of Armed Police[J ] . Med J Chin Peop Arm Pol, 2019, 30(4): 363-366.

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Stress-related growth and its influencing factors in fresh medical cadets after military training and 300-km hiking

Current situation and influencing factors of heatstroke in officers and soldiers from Southern Theater Command from 2017 to 2018

Characteristics and influencing factors of psychological problems of Chinese soldiers in non-war military operations

Relationships of perceived stress with emotional exhaustion and life satisfaction and moderating effect of emotion regulation in head nurses from affiliated hospitals of military medical universities

Multiple mediation effects of coping styles in anxiety sensitivity and workrelated fatigue among military personnel

Related Author

李敏

于永菊

陈秀秀

田益沁

张世昌

杨倩

Daibo LI

Tao YIN

Related Institution

Center for Disease Control and Prevention of Southern Theater Command

Department of Behavioral Medicine, Faculty of Medical Psychology, Army Medical University (Third Mlitary Medical University)

Department of Nursing, Army Medical University (Third Military Medical University)

Physical Examination Center, Army Medical University (Third Military Medical University)

Department of Neurology, Daping Hospital, Army Medical University (Third Military Medical University)

⁰