舰艇部队军事训练伤分布特点与干预效果研究

目的：查明海军舰艇部队特殊军事训练伤的发生率和分布特征，以及施加干预措施后军事训练伤发生率的变化。方法：以整群抽样方式选取海军某舰艇部队官兵1648人，对全年军事训练伤进行前瞻性流行病学调查；以每个参试支队各抽2艘舰艇为干预试验单位，设同期对照组和历史对照组。结果：全年军事训练伤累积发生率为14．62％，时间分布以7月份为高峰；46．53％的伤者为机电部门人员；损伤部位以下肢为主，占32．64％；受伤类型以急性创伤性损伤为主；干预试验的军事训练伤发生率为8．96％，低于同期对照组(12．21％，P＜0、05)和历史对照组(14．62％，P＜0．01)。结论：舰艇部队军事训练伤发生情况与其它军兵种有较大的区别。施加干预措施可显著降低舰艇部队的军事训练伤。

The Distribution Characteristics of Military Trainig Injury in Naval Ship Troops and the Effect of Intervention on It

Objective:To investigate the incidence and distribution characteristics of special military training injury in naval ship troops and the effect of intervention on it.Methods:1 648 soldiers and officers from landing ship, submarine and detroyer were selected by cluster sampling for epidemiological prospective study. 491 of them were as intervention subjects, 172 as the corresponding period control and 985 as historical control.Results: The yearly cumulative incidece of military training injuies was 14.62%, and the peak incidence occurred in July, 46.53% of the injuries in the mechanical and electric department. The highest injury incidence(32.64%) was found in lower extremities, and acute trauma was the main type. The injury incidence in intervention group (8.96%) was significantly lower than that in corresponding period control(12.21%,P<0.05) as well as historical control(14.62%,P<0.01).Conclusion:The occurrence of injury in naval ship troops during special military training differed from other services and arms, and was significantly declined after intervention was taken.