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目的:调查驻新疆炮兵某部高原驻训期间的训练伤发生情况,为开展针对性的高原训练伤防护工作提供借鉴。方法:驻训期间由该部军医通过门诊和巡诊等方式进行训练伤的监测与诊断,对训练伤患者进行个案调查并填写“高原训练伤个案调查表”。结果:(1)该部高原驻训期间,共发生训练伤221例次,发生率10.5%,类型以软组织伤(48.2%)为主,其他依次为急性高原反应等特殊环境损伤(31.7%)、骨与关节伤(13.3%)和器官损伤(4.6%);居前7位的训练伤伤种分别是急性高原反应、挫伤、关节扭伤、擦伤、冻伤、急性腰扭伤和腰肌劳损。(2)开训后第3~4周为训练伤发病高峰(21.7%),第7~8周和第11~12周为发病次高峰(分别占17.6%)。(3)主要致伤危险因素包括防护措施不到位、特殊地理环境、缺乏防护知识、技术动作掌握不到位及心理素质不佳等。结论:某部高原驻训训练伤发生率较高,在防护策略上应突出训练时的安全防护和卫生监督,并加强训练伤防护知识的宣教和心理调适与干预。
Objective: To investigate the occurrence of training injuries during stationed training in a plateau of Xinjiang Artillery, and to provide reference for carrying out targeted training work on plateau training injuries. Methods: During the training period, the military department of the PLA conducted monitoring and diagnosis of training injuries through outpatient clinics and patrols. Individual cases of training injuries were investigated and filled in with the “Table of Altitude Training Injuries”. Results: (1) A total of 221 trainee injuries occurred during the training period in the Ministry of Plateau, accounting for 10.5% of the total injuries. Soft tissue injuries (48.2%) were the main types of injury, followed by special environmental injuries (31.7%), , Bone and joint injury (13.3%) and organ injury (4.6%). The top seven training injuries were acute altitude sickness, contusion, joint sprain, abrasions, frostbite, acute lumbar sprain and lumbar muscle strain respectively. (2) The peak incidence of training injuries (21.7%) during the third to fourth week after open training, and the next highest incidence (17.6%) from the seventh to the eighth week and from the 11th to the 12th week. (3) The main risk factors of injury include lack of protective measures, special geographical environment, lack of protection knowledge, inadequate mastery of technical actions and poor psychological quality. Conclusion: The incidence of training injuries in a certain plateau is relatively high. In the strategy of prevention, safety and hygiene supervision during training should be emphasized, and the missionary and psychological adjustment and intervention of training and injury prevention knowledge should be strengthened.