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目的调查某军区陆军新兵集训期间军事训练伤和非训练伤的发生情况,并探讨其危险因素,为部队开展新兵伤害预防控制工作提供科学依据。方法采用随机整群抽样的方法,抽取某军区2011年度1389名新兵作为调查对象,随访收集新兵集训3个月内发生的伤害信息,并采用回顾性调查收集影响因素的信息。采用两水平Poisson回归分析伤害发生次数的影响因素。结果新兵集训期伤害发生率为9.4%,其中训练伤发生率为7.5%,占所有伤害的80.0%;非训练伤发生率为1.9%,占所有伤害的20.0%。伤害发生时间呈双峰分布,分别于第5-6周和第9周达到高峰;伤害性质以扭伤/拉伤/搓伤为主,伤害部位以下肢最多,分别占所有伤害的65.4%、61.5%;训练伤主要发生在体能训练中,占所有训练伤的53.8%。两水平Poisson回归分析显示,城市籍(IRR=1.51;95%CI:1.02～2.22)和自评训练量过大(IRR=2.32;95%CI:1.46～3.70)新兵发生伤害的风险明显高于农村籍和自评训练量尚可承受的新兵。结论该军区2011年度陆军新兵集训期伤害发生率为9.4%,其中训练伤发生率高于非训练伤,来自城市新兵和自觉训练量大的新兵应作为伤害预防的重点。
Objective To investigate the occurrence of military training injuries and non-training injuries among military recruits in a military region and to explore the risk factors to provide a scientific basis for the troops to carry out injury prevention and control work. Methods A random cluster sampling method was used to select 1389 recruits from a certain military district in 2011 as the survey subjects. The injuries were collected within 3 months after recruits training, and retrospectively collected the information about the influencing factors. Two levels of Poisson regression analysis of the impact of the number of injuries. Results Injury rate during training camp was 9.4%, including 7.5% of training injuries, accounting for 80.0% of all injuries, 1.9% of non-training injuries and 20.0% of all injuries. The time of injury occurred bimodal distribution, reaching the peak at week 5-6 and week 9 respectively. The injury was mainly sprain / strain / injury, with the most lower limbs accounting for 65.4% and 61.5 %; Training injuries mainly occurred in physical training, accounting for 53.8% of all training injuries. The two-level Poisson regression analysis showed that the risk of injury was significantly higher in city-based recruits (IRR = 1.51; 95% CI: 1.02-2.22) and those with a higher self-rated training rate (IRR = 2.32; 95% CI: 1.46-3.70) Recruiting new jobs in rural areas and self-assessment training capacity. Conclusions The military recruiting recruited by the military region during the training camp in 2011 was 9.4%, with a higher incidence of training injuries than non-training injuries. Recruits recruited from cities and recruits with a high level of conscious training should be the focus of injury prevention.