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目的:调查了解驻豫某部新兵投弹骨折的危险因素。方法:回顾分析驻豫某部2012—2014年度确诊投弹骨折新兵51例的临床资料,并进行投弹骨折危险因素相关分析。结果:骨折发生时间为入伍后(87.1±9.6)天;骨折分型Ⅰ型8例、Ⅱ型33例、Ⅲ型10例;骨折部位在Ⅱ区和Ⅲ区39例、Ⅰ区和Ⅱ区之间7例、Ⅲ区和Ⅳ区之间5例。Pearson相关分析结果显示,入伍前缺乏体育锻炼、带伤训练、错误投弹动作与投弹骨折发生呈显著或非常显著相关(P<0.05,P<0.01)。Logistic多元逐步回归分析结果显示,经常参加体育锻炼、带伤训练、错误投弹动作进入以投弹骨折为因变量的回归方程(P<0.05,P<0.01)。提示,错误投弹动作、带伤训练是投弹骨折的危险因素,经常参加体育锻炼是投弹骨折的保护因素。结论:入伍前加强体育锻炼,训练中避免错误投弹动作、避免带伤训练,可降低投弹骨折的发生率。
Objective: To investigate and understand the risk factors for recruits’ bullet fracture in a certain unit in Methods: A retrospective analysis was conducted on the clinical data of 51 newly diagnosed recrudescents recruited in a certain station in Fuyu from 2012 to 2014, and the correlation analysis of the risk factors of the bullet fracture was performed. Results: The time of fracture was (87.1 ± 9.6) days after enlisting. There were 8 cases of fracture type Ⅰ, 33 cases of type Ⅱ and 10 cases of type Ⅲ. The fracture sites were in Ⅱ and Ⅲ, 39 cases in Ⅰ and Ⅱ Between the 7 cases, Ⅲ and Ⅳ area in 5 cases. The results of Pearson correlation analysis showed that there was a significant or very significant correlation between the lack of physical training, injury training, false bombing and the occurrence of bullet fracture before enlistment (P <0.05, P <0.01). Logistic multiple stepwise regression analysis showed that regular participation in physical exercise, trauma training, and error bombing into the regression equation with the bullet fracture as the dependent variable (P <0.05, P <0.01). Prompt, mistaken bombing action, trauma training is a risk factor for bombing fractures, often participate in physical exercise is a protective factor of the bombing fracture. Conclusion: Before entering the army to strengthen physical exercise, training to avoid mistaken bombing action to avoid injury training, can reduce the incidence of bombing fractures.