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目的 :探讨由军事训练导致的应力性骨折的发病因素、早期诊断及预防措施。方法 :对 76例军训中应力性骨折进行病因调查及分析 ,并下部队了解训练计划及方法。结果 :第一年度兵 (5 4例 )发病高峰在训练的第2 ,3周 ,第二年度兵 (2 2例 )发病高峰在训练的第 3,4周。 5 9例经休息、理疗治愈 ,6例完全骨折无移位者经石膏固定治愈 ,3例骨折并移位者经骨牵引治愈 ,8例骨折并移位者经手术内固定治愈。结论 :发病因素为个体内在因素及缺乏科学训练方法。开训的 2～ 4周是预防的重点时期 ,早期诊断与合理练兵是预防的关键。
Objective: To explore the causes of stress fractures caused by military training, early diagnosis and preventive measures. Methods: A total of 76 cases of stress fracture in army training were investigated and analyzed, and the troops were trained to understand the training plans and methods. Results: The peak incidence of soldiers in the first year (54 cases) peaked at the second and third week of training, and the second year (22 cases) peaked at the third and fourth week of training. Fifty-nine patients were cured and cured by physical therapy. Six patients with complete fracture were cured by gypsum fixation. Three patients with fracture and displaced by bone traction were cured. Eight patients with fracture and displaced by internal fixation were cured. Conclusion: The incidence of factors for the individual factors and the lack of scientific training methods. Training 2 to 4 weeks is the key period of prevention, early diagnosis and reasonable training is the key to prevention.