武警某队属医院收治的骨关节训练伤特点及膝关节损伤的危险因素

Abstract
Figure/Table
References
Related Citation (15)

Download: PDF (969 KB) HTML (0 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the characteristics of orthopaedic training injuries and the risk factors of knee joint training injuries in a hospital of Chinese People’s Armed Police Force. Methods To collect the cases data of soldiers hospitalized in the orthopaedics department of , Hubei Provincial Corps Corps Hospital from January 2020 to December 2020, and analyze the d characteristics of bone and joint training injuries by statistical analysis of the types and proportions of bone and joint training injuries as well as the subjects and time of injury training. A retrospective case-control study was designed. Eighty-three soldiers who had suffered knee joint injuries were selected as the injured group and 91 soldiers who had never suffered knee joint injuries as the uninjured group by stratified cluster sampling. Questionnaires were distributed to the two groups, and 20 questions were set in six dimensions: general situation, behavior habits, physical fitness, training amount, subjective emotion and social cognition. Univariate analysis and binary Logistic regression analysis were used to explore the risk factors of knee joint injury. Results In 2020, there were 155 hospitalized cases of bone and joint training injuries in the Hospital, including 12 kinds of in-patient diagnoses, among which knee joint injuries accounted for the highest proportion in the disease spectrum, and 400-meter obstacle was the most common training subject leading to the injuries, and the peak period of the training injuries was from January to March and from July to September. The single factor comparison of knee joint injury showed that the proportion of moderate and high intensity training and negative emotions in the injured group was higher than that in the uninjured group (P<0.05); Compared with the injured group, the number of people who had the habit of drinking tea in the uninjured group was higher (P<0.05). The proportion of overweight BMI, smoking habit and poor sleep quality in the injured group were higher than those in the uninjured group (P<0.05). Logistc regression showed that heavy training, negative emotions, poor sleep, high BMI and smoking were independent risk factors for knee joint training injury (P<0.05), and tea drinking habit was the protective factor (P<0.05). Conclusions The spectrum of bone and joint training injuries is mainly composed of 12 kinds of diseases, among which knee joint injuries account for the highest proportion. Among the eight training events with bone and joint injuries, the 400-meter obstacle training is the most prone to bone and joint injuries, and the highest incidence of bone and joint training injuries is from January to March and July to September every year. Excessive training, negative emotions, poor sleep, smoking and high BMI are the independent risk factors leading to knee joint injuries in military training, while the habit of drinking tea is the protective factor.

Key words： bone and joint military training injuries disease pedigree knee injury risk factors

Received: 17 March 2022

ZTFLH:

R823

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WEI Bin
	CHENG Zhitao
	NIE Shanhua
	LONG Zhijun
	LI Xinghua
	HU Bo
	YAN Mengzhu

Cite this article:

WEI Bin,CHENG Zhitao,NIE Shanhua等. Characteristics of bone and joint training training injury and risk factors of knee joint injury in a hospital[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(11): 945-949.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2022/V33/I11/945

[1]	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.
[2]	黄昌林,张莉,薛刚. 制定《军事训练伤诊断标准及防治原则》的说明[J]. 人民军医, 2002,45(10):559-560.
[3]	徐变霞,马艳伟,柴慈婧,等.部队军事训练伤的现状研究[J]. 中华灾害救援医学, 2022,10(3):152-155.
[4]	朱丽华,殷倩,贺格格,等.某军队医院军人训练伤住院情况调查[J].解放军医院管理杂志, 2020, 27(7):621-623.
[5]	Yancosek K E, Roy T, Erickson M. Rehabilitation programs for musculoskeletal injuries in military personnel[J].Curr Opin Rheumatol, 2012,24(2):232-236.
[6]	鲍宏玮,王黎平,张庆,等. 骨关节系统疾患伤残评定的问题[J]. 解放军医院管理杂志, 2021,28(1):39-41.
[7]	饶南,孙金海. 武警部队军事训练伤现状及防治[J]. 解放军医院管理杂志, 2017,24(12):1173-1175.
[8]	姜淑芳,袁本敏,马士朝. 我军骨骼肌肉损伤的现况调查与防治研究进展[J]. 海军医学杂志, 2022,43(3):341-344.
[9]	刘蕾,王萍,陈艳明, 等.2018-2019年海军某医院军事训练伤门诊病例调查[J]. 海军医学杂志, 2021,42(3):271-274.
[10]	McAninch J, Greene C, Sorkin J D, et al. Higher psychological distress is associated with unintentional injuries in US adults[J]. Inj Prev, 2014,20(4):258-265.
[11]	Weiser S, Lis A, Ziemke G, et al. Feasibility of training physical therapists to implement a psychologically informed physical therapy program for deployed U.S. sailors and marines with musculoskeletal injuries[J]. Military Medicine, 2018,183(suppl_1):503-509.
[12]	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.
[13]	肖蓉, 王齐秀子,郑泽珊. 大学生体育活动与抑郁的关系:性别差异的影响[J]. 中国运动医学杂志, 2017,36(9):812-816.
[14]	Kanter P E F , Garrido L E, Moretti L S, et al. A modern network approach to revisiting the positive and negative affective schedule (PANAS) construct validity[J]. J Clin Psychol ,2021(6):1-35.
[15]	Bagherniya M, Taghipour A, Sharma M, et al. Obesity intervention programs among adolescents using social cognitive theory: asystematic literature review[J]. Health Educ Res, 2018,33(1):26-39.
[16]	梁德清. 高校学生应激水平及其与体育锻炼的关系[J]. 中国心理卫生杂志, 1994, 8(1):2.
[17]	徐红波,周刚. 某部629例军事训练致膝关节损伤情况分析[J]. 解放军医药杂志, 2016,28(1):75-77.
[18]	洪丽蓉,柳杰,朱利锋, 等. 武警基层部队军事训练伤防控策略探讨[J]. 武警后勤学院学报(医学版), 2021,30(3):56-58.
[19]	陈增辉, 陈志华, 袁春森,等. 400米障碍军事训练伤与核心力量训练时间的关系及影响因素分析[J]. 解放军医学院学报, 2020,41(7):708-711.
[20]	国文,王启栋,李浩庭,等. 特战队员军事训练伤570例监测报告数据分析[J]. 武警医学, 2021,32(2):175-177.
[21]	冯杰, 王飞, 范跃星, 等. 武警某部冬、秋两季新兵基础训练前期下肢训练伤调查分析与对策[J]. 武警后勤学院学报(医学版), 2015,24(7):577-579.
[22]	Knapik J J. The importance of physical fitness for injury prevention: part 1[J]. J Spec Oper Med, 2015,15(1):123-127.
[23]	Jones B H,Hauschild V D. Physical training, fitness, and injuries: lessons learned from military studies[J]. J Strength Cond Res, 2015,29 (Suppl 11):S57-S64.
[24]	Taylor M K, Hernández L M, Sessoms P H, et al. Trauma exposure and functional movement characteristics of male tactical athletes[J]. J Athl Training, 2020,55(4):384-389.
[25]	汤先钊,高侨,黄宝真,等. 武警官兵军事训练伤危险因素分析[J]. 人民军医, 2011,54(9):763-764.
[26]	Fortier-Brochu E, Beaulieu-Bonneau S, Ivers H, et al. Insomnia and daytime cognitive performance: a meta-analysis[J]. Sleep Med Rev, 2012,16(1):83-94.
[27]	Sørensen L T, Jørgensen S, Petersen L J, et al. Acute effects of nicotine and smoking on blood flow, tissue oxygen, and aerobe metabolism of the skin and subcutis[J].J Surg Res, 2009,152(2):224-230.
[28]	Petersen A M, Magkos F, Atherton P, et al. Smoking impairs muscle protein synthesis and increases the expression of myostatin and MAFbx in muscle[J]. Am J Physiol Endocrinol Metab, 2007,293(3):E843-E848.
[29]	Barcelos R P, Lima F D, Carvalho N R, et al. Caffeine effects on systemic metabolism, oxidative-inflammatory pathways,and exercise performance[J]. Nutr Res, 2020,80:1-17.
[30]	Cesareo K R,Mason J R, Saracino P G, et al. The effects of a caffeine-like supplement, TeaCrine?, on muscular strength, endurance and power performance in resistance-trained men[J].J Int Soc Sports Nutr, 2019,16(1):47.

[1]	. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2022, 33(9): 812-816.