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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
[刘灵,E-mail:51213529@qq.comLIU Ling, E-mail: 51213529@qq.com
收稿:2022-09-22,
修回:2023-01-18,
纸质出版:2023-05-30
移动端阅览
胡安红, 刘灵. 某军医大学教职员85千米山地徒步拉练季节伤病情况分析[J]. 陆军军医大学学报, 2023,45(10):1080-1086.
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.
胡安红, 刘灵. 某军医大学教职员85千米山地徒步拉练季节伤病情况分析[J]. 陆军军医大学学报, 2023,45(10):1080-1086. DOI: 10.16016/j.2097-0927.202209198.
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.
目的
2
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
2
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
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(
P
<
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(
P
<
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
2
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。
Objective
2
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
2
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
2
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 (
P
<
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 (
P
<
0.05). There were no differences in the incidences of syncope and gastritis between the two groups (
P
>
0.05). The number of daily visits per person in the autumn group was significantly higher than that in the spring group.
Conclusion
2
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.
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