下肢军事训练伤特点分析

杨森; 杜诗宇; 张杰

doi:10.16016/j.2097-0927.202205144

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下肢军事训练伤特点分析

军事医学 | 更新时间：2026-01-09

- 下肢军事训练伤特点分析
- Analysis of characteristics of military training injuries in lower limbs
- 陆军军医大学学报 2022年44卷第22期页码：2346-2352
- 作者机构：
  
  1.453000 河南新乡, 陆军第八十三集团军医院骨科
  2.400042 重庆, 陆军特色医学中心战伤救治勤务研究室
  3.100091 北京, 解放军总医院京北医疗区红山口门诊部
- 作者简介：
  
  [张杰，E-mail: zhjj608@sina.com ZHANG Jie, E-mail: zhjj608@sina.com
- 基金信息：
- DOI：10.16016/j.2097-0927.202205144
  中图分类号： R821.33;R826.68;R873
- 收稿：2022-05-26，
  
  修回：2022-06-21，
  
  纸质出版：2022-11-30
- 稿件说明：
移动端阅览
杨森, 杜诗宇, 张杰. 下肢军事训练伤特点分析[J]. 陆军军医大学学报, 2022,44(22):2346-2352.

Sen YANG, Shiyu DU, Jie ZHANG. Analysis of characteristics of military training injuries in lower limbs[J]. Journal of Army Medical University, 2022, 44(22): 2346-2352.
杨森, 杜诗宇, 张杰. 下肢军事训练伤特点分析[J]. 陆军军医大学学报, 2022,44(22):2346-2352. DOI： 10.16016/j.2097-0927.202205144.

Sen YANG, Shiyu DU, Jie ZHANG. Analysis of characteristics of military training injuries in lower limbs[J]. Journal of Army Medical University, 2022, 44(22): 2346-2352. DOI： 10.16016/j.2097-0927.202205144.

摘要

目的

分析陆军某部队官兵下肢军事训练伤的发生特点及规律。

方法

利用某军队卫勤系统收集2010年1月至2019年12月陆军某部队符合下肢军事训练伤的伤残官兵数据资料。从伤员基本情况、损伤部位、损伤结构、损伤类型、伤残等级和损伤时间等方面对下肢训练伤发生特点进行流行病学调查。根据损伤类型不同，将下肢训练伤分为急性创伤性损伤和过劳性损伤，并从性别、年龄、岗位类型、损伤部位、损伤结构方面对两种损伤类型进行比较。

结果

2010-2019年共发生下肢军事训练伤2 223例，其中男性2 191例(98.56%)。21~30岁年龄组发生率最高(55.15%)，士兵是主要受伤群体(79.98%)。损伤部位前3位分别是膝关节(63.52%)、踝关节(18.13%)、小腿(7.42%)。损伤结构前3位分别是关节(45.16%)、韧带(36.39%)、骨骼(16.60%)，其中半月板、前交叉韧带和股骨分别是关节、韧带和骨骼的主要损伤结构。从损伤类型看，急性创伤性损伤2 058例(92.58%)，过劳性损伤165例(7.42%)，急性创伤性损伤在膝关节、踝关节、韧带的发生率显著高于过劳性损伤，但在髋关节、足部、骨骼的发生率显著低于过劳性损伤(

＜0.05)。伤残等级集中在8~10级(98.46%)，对应的伤残表现为轻度功能障碍。每年的3~5月与10~12月的下肢训练伤发生率较高，占比分别为27.85%和29.82%。

结论

下肢训练伤中膝关节是最常见损伤部位，半月板和前交叉韧带是主要损伤结构，急性创伤性损伤是主要损伤类型，轻度功能障碍是主要伤残特点。春冬季节是下肢训练伤的高发期。

Abstract

Objective

To analyze the characteristics and regularity of military training injuries in lower limbs in an army unit.

Methods

From January 2010 to December 2019

a military medical service system was used to collect the data of disabled officers and soldiers with military training injuries in lower limbs of an army unit. Epidemiology investigation was performed to analyze the features of military training injuries in lower limbs according to the basic information of the patients

the site of injury

the structure of injury

the type of injury

the degree of disability and the time regularity of injury. The military training injuries in lower limbs were classified as the acute traumatic injury and the overwork injury according to the types of injury

and the two types of injury were compared in terms of gender

age

position types

sites of injury and injury structures.

Results

A total of 2 223 cases of lower limbs training injuries were reported in 10 years

of which 2 191 cases (98.56%) were males. The highest incidence rate (55.15%) of the military training injuries in lower limbs appeared in the 21~30 age group. Soldiers were the main injured group (79.98%). Knee joints (63.52%)

ankle joints (18.13%)

and shanks (7.42%) were the top 3 injury sites. As to the injury structures

joints (45.16%)

ligaments (36.39%) and bones (16.60%) ranked the first

second and third place. Meniscus

anterior cruciate ligament and femur were the main injured structures of joint

ligament and bone. Regarding injury types

2 058 cases (92.58%) were classified as the acute traumatic injury and 165 cases (7.42%) were classified as the overwork injury. The incidence of acute traumatic injury in knee joint

ankle joint and ligament were significantly higher than that of the overwork injury

but the incidence of acute traumatic injury in hip joint

foot and bone were lower than that of the overwork injury (

0.05). Most patients injured were classified in 8~10 degree of the disability grade (98.46%)

with the mild dysfunction as the main symptoms. The military training injury in lower limbs tended to happen in the Spring (March to May) and the Winter(October to December)

accounting for 27.85% and 29.82% respectively.

Conclusion

Knee joint is the most common injury part

and meniscus and anterior cruciate ligament are the main injury structures. Acute traumatic injury is the leading type of injury

and mild dysfunction is the main feature of disability. It is found that the favorable incidence of the military training injuries of lower limbs is in Spring and Winter.

关键词

Keywords

references

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