目的 调查统训试点新兵训练伤发生情况,为训练伤防治提供指导。方法 选取2017年度1420名新兵作为研究对象,查阅门诊登记日志收集数据,训练伤诊断分类参照《中国人民解放军军事训练伤诊断分类标准》,并进行数据统计分析。结果 训练伤发病率为20.14%。急性损伤占23.78%,其中关节扭伤和软组织挫裂伤分别占急性损伤44.12%和13.24%。过劳性损伤占76.22%,其中疲劳性骨折所占28.67%,其次是创伤性关节炎、腱炎及腱鞘炎。在训练第6~10周发生训练伤较多,占全部损伤51.74%。城市来源的新兵训练伤发生率(13.57%),低于农村来源新兵(21.75%),差异有统计学意义(P<0.05)。结论 训练第6~10周训练伤发生较多,其中过劳性损伤多于急性损伤,应重视农村来源新兵训练伤的防护;因人施训,有针对性预防能降低训练伤发生率。

Objective To analyze the incidence of training-related injuries among the recruits of the Chinese People’s Armed Police Force (PAPF) during unified training in order to contribute to the prevention and treatment of such injuries.Methods 1420 recruits were selected as subjects for this study. The data was collected from the daily records of outpatient registration. SPSS21.0 was used to analyze the data. Training-related injuries were classified with reference to Diagnostic and Classification Standard for Military Training Injury of PLA.Results The incidence of training-related injuries was 20.14%. The incidence of acute injuries was 23.78%. Joint sprain and chronic injuries accounted for 44.12% and 13.24% of acute injuries. Excessive fatigue injuries made up 76.22% of acute injuries. Fatigue fracture accounted for 28.67% of excessive fatigue injuries, followed by traumatic arthritis tendinitis and tenosynovitis. The incidence of training-related injures reached the peak during the sixth and the tenth weeks, which accounted for 51.74% of the total injuries. The incidence of training-related injures was lower in recruits from cities (13.57%) than in those from rural areas (21.75%), and the difference was statistically significant(P<0.05).Conclusions During the training of recruits, most of the injuries occur during the sixth and the tenth weeks. There are more fatigue injuries than acute injuries.Attention should be paid to the prevention of injuries among rural recruits. The training approach should be individualized.Targeted prevention can reduce the incidence of training-related injuries.