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目的 :探讨军事训练所致髌尖末端病的发病特点及防治 ,保证部队训练的正常进行。方法 :由具有高、中级技术职务的医务人员组成调查小组 ,对某部 2 783名战士进行流行病学调查 ,采用问卷调查和现场检查的方式 ,对导致该病的致病因素进行分析 ,根据其发病特点制定防治方法。结果 :调查的 2 783人中 ,有 17人患髌尖末端病 ,发病率为 0 .6 1% ,发病特点主要与跑跳训练项目有关 ,采用针对致病因素制定的预防措施 ,于 1年后再次进行该部队 5 82 4人训练伤调查 ,髌尖末端病发病人数为 15人 ,发病率降至 0 .2 6 % (P <0 .0 1)。结论 :军事训练所致髌尖末端病多由跑跳训练项目所致 ,严重影响部队训练 ,治疗主要采用非手术疗法 ,该病主要以预防为主 ,通过预防干预可使发病率明显下降。
Objective: To explore the characteristics and prevention and treatment of patellofemoral-tip disease caused by military training so as to ensure the normal training of troops. Methods: A medical team with high and intermediate technical positions formed an investigation team to carry out epidemiological investigation of 2 783 soldiers in a certain department. By means of questionnaires and on-site inspection, the risk factors leading to the disease were analyzed. Its incidence characteristics of prevention and control methods. Results: Of the 2 783 persons surveyed, 17 had patellar tip disease with a prevalence of 0.61%. The incidence was mainly related to the running jogging training program. The preventive measures formulated according to the causative factors were used in 1 year After another 5 82 4 training injuries were investigated, the number of patients with patellofemoral tip disease was 15 and the incidence dropped to 0.26% (P <0.01). CONCLUSIONS: Most of the patellofemoral terminal diseases caused by military training are caused by running training programs, which seriously affect troop training. Non-surgical treatment is mainly used for the treatment. The disease is mainly prevention, and the incidence can be significantly reduced through preventive intervention.