目的 探讨武警某部官兵前交叉韧带重建术(ACLR)后恢复军事训练情况及其影响因素。方法 选取2020-01至2023-11在某队属医院接受ACLR官兵为研究对象,收集人口学特征、职业信息和术后9个月随访资料。根据术后1年官兵是否恢复军事训练进行分组,采用Logistic回归方法分析影响因素。结果 160例中有103(64.3%)例恢复军事训练,多因素Logistic回归分析显示官兵工作岗位(OR=16.094,95% CI:1.645~79.43)、3000 m跑成绩、30 m×2蛇形跑成绩、睡眠质量、术后9个月前交叉韧带损伤后恢复运动量表(ACL-RSI)评分及单腿跳身体对称性指数(LSI)是影响其恢复军事训练的独立危险因素(均P<0.05)。结论 指挥岗位官兵、良好的有氧耐力和膝关节协调性、无睡眠障碍、术后9个月时较高的ACL-RSI评分和单腿跳LSI指数有利于官兵恢复军事训练。
Abstract
Objective To investigate the return to military training after anterior cruciate ligament reconstruction (ACLR) among the officers and soldiers in a military unit and its influencing factors. Methods A total of 160 officers and soldiers who underwent ACLR at a subordinate hospital of Chinese People's Armed Police Force from January 2020 to November 2023 were selected as the research subjects. Demographic characteristics, occupational information, and follow-up data 9 months after surgery were collected. The subjects were divided into groups based on whether they returned to military training 1 year after surgery, and the logistic regression method was used to analyze the influencing factors. Results Of the 160 cases, 103 (64.3%) returned to military training. The multivariate logistic regression analysis showed that occupational role (OR=16.094, 95% CI: 1.645-79.43), 3000 m running time/s, 30×2 agility running time/s, sleep quality, ACL-RSI score and Limb Symmetry Index (LSI) of the single leg hop 9 months after surgery were independent risk factors associated with their return to military training (all P<0.05). Conclusions Service members in command roles, better aerobic endurance and knee coordination, no sleep disorders, and higher ACL-RSI score and LSI index of the single leg hop 9 months after surgery are conducive to the return to military training for officers and soldiers.
关键词
前交叉韧带损伤 /
前交叉韧带重建 /
武警 /
恢复军事训练 /
影响因素
Key words
anterior cruciate ligament injury /
anterior cruciate ligament reconstruction /
Chinese People's Armed Police Force /
return to military training /
influencing factor
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基金
陕西省重点研发计划项目(2020SF-094)
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