文章摘要
冯会成 黄迅悟 徐洪伟 孙继桐 余方圆 蒋长亮.入伍新训中膝关节损伤的特点与防治研究[J].,2015,15(27):5288-5290
入伍新训中膝关节损伤的特点与防治研究
Investigation and Treatment ofKnee Injuries in NewRecruitsMilitaryTraining
  
DOI:
中文关键词: 军事训练  膝关节损伤  损伤特点
英文关键词: Military training  Knee joint Injury  Injury characteristics
基金项目:国家自然科学基金项目(81371982)
作者单位
冯会成 黄迅悟 徐洪伟 孙继桐 余方圆 蒋长亮 中国人民解放军第309 医院关节外科 
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中文摘要:
      目的:通过对某部新入伍官兵训练中膝关节损伤发生原因、特点进行流行性病学调查和分析,为合理训练,预防损伤发生和 治疗相关伤病提供指导依据。方法:对某部2013 年度450 名新入伍官兵的训练伤发病情况进行统计分析,重点分析膝关节损伤 发生率、伤病类型和致伤原因,并对其严重者进行关节镜治疗,观察和分析术后随访效果。结果:某部新兵的训练伤发生率为 20.0%。以关节急性扭伤最为多见,占81.1%。其中膝关节损伤共发生32 例,占训练伤发病率为7.1%,占训练伤发病率43.8%,其 中膝关节周围肌肉损伤20 例、交叉韧带损伤1 例、半月板损伤9 例、侧副韧带损伤2 例。致伤率最高的前3 位科目是5000 米负 重跑、跨越障碍训练、格斗训练,共27 例,占膝关节训练伤总数的84.4%。所有受伤患者中,12 例行手术治疗,20 例给予石膏、支具 固定、休息等保守治疗。经随访所有患者均得到较好的功能恢复。结论:对于新兵膝关节训练伤预防工作非常重要,避免致残;关 节镜手术技术的进步对于膝关节军事训练伤治疗有良好的效果。
英文摘要:
      Objective:To investigate and analyses the knee injuries of a unit of new recruits in training and to provide a guidance for the reasonable training, injury prevention, and treatment-related injuries.Methods:The incidence of training injuries of the Total 450 new recruits soldiers in 2013 were statistical analysis. The incidence of knee injuries was specially investigated, including injury incidences, injury types and causes of injury. Arthroscopic treatment of their severe cases, observation and analysis of postoperative were follow-up.Results:The training injury incidence rate is 20.0%. The acute joint sprain is most common with accounting of 81.1%. A total of 32 cases in knee injury, the training injury incidence rate is 7.1%, accounting for 43.8%of all training injuries. The injuries is including 20 cases of muscle damage around the joint, 1 case of posterior cruciate ligament injuries, 9 cases of meniscus injury, and 2 cases of lateral collateral ligament injury. The highest injury rate of five subjects are 5000 m weight run, crossing barriers training, combat training, with a total of 27 cases, accounting for 84.4% in total training knee injury. In all the injured patients, 12 cases were underwent surgical treatment, and 20 cases were giving plaster, brace, rest and other conservative treatment. All patients were followed up to get a better functional recovery.Conclusion:Knee injury prevention training for new recruits is very important to prevent disability. Advances in arthroscopic surgical techniques for the treatment of knee injuries in military training showed good results.
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