本文選題：特種部隊 + 新兵��； 參考：《泰山醫(yī)學院》2009年碩士論文

【摘要】： 目的 自90年代以來,隨著我國對軍事訓練傷的重視程度日漸提高,對軍事訓練傷的預防工作也逐漸受到人們重視。軍事訓練傷不僅損害戰(zhàn)士的身體健康,而且對訓練成績的提高和軍隊軍事計劃的實施也帶來嚴重影響。因此,探索軍事訓練中運動損傷的發(fā)生特點和規(guī)律,分析其發(fā)生的原因,提出有效的預防措施,最大限度地避免或減少軍事訓練傷的發(fā)生,對于提高訓練成績,減少訓練傷的發(fā)生,順利完成制定的訓練計劃有著重要意義。 方法 本課題分別采用問卷調(diào)查、現(xiàn)場體檢、全程跟蹤訓練等方法,對某特種部隊07年入伍新兵345人,集訓期間3個月發(fā)生的訓練損傷相關因素以及影響訓練的相關因素進行了研究,并對收集的相關數(shù)據(jù)進行統(tǒng)計學處理,將所有訓練傷危險因素數(shù)據(jù)進行匯總、量化、賦值。對各指標間進行卡方檢驗和T檢驗,P0.05為有統(tǒng)計學意義。對損傷情況進行單因素分析,P0.05為有統(tǒng)計學意義。對新兵有無訓練損傷與其他指標進行多元線性回歸分析,P 0.05為有統(tǒng)計學意義。對新兵有無訓練損傷與其他指標進行l(wèi)ogistic回歸分析,分析結果P0.05為有統(tǒng)計學意義。新兵損傷情況與其他指標進行多元線性回歸分析,P 0.05為有統(tǒng)計學意義。 結果 在本研究中,訓練傷發(fā)生率為29.3%。實驗組為未損傷組共244人,對照組為損傷組共101人,兩組組間進行比較,身高t=2.392,P =0.0180.05,有統(tǒng)計學意義,說明身高與訓練傷有關,身高較高者容易發(fā)生損傷。下肢長(t=2.084 , P=0.0390.05) ,小腿長(t=2.144 , P=0.0340.05) ,小腿加足高(t=1.977,P =0.05),有統(tǒng)計學意義,可以認為下肢長、小腿長、小腿加足高值較大者容易發(fā)生損傷。肩寬(t=2.003,P =0.0470.05),有統(tǒng)計學意義,可以認為肩寬較小者容易發(fā)生損傷。訓練傷發(fā)生率經(jīng)卡方檢驗得出(x2=59.272,P =0.0000.05),有統(tǒng)計學意義,可以認為在集訓期間,未損傷的發(fā)生率要比發(fā)生損傷的發(fā)生率要高。損傷情況的分布經(jīng)卡方檢驗得出(x2=52.762,P=0.0000.05),有統(tǒng)計學意義,可以認為部隊在訓練中,急性損傷占訓練傷的主要部分。在損傷或疼痛部位分布調(diào)查中,經(jīng)卡方檢驗得出(x2=18.881,P=0.0000.05),有統(tǒng)計學意義,可以認為損傷所發(fā)生各個部位間有統(tǒng)計學差異,膝關節(jié)以下最易發(fā)生損傷,其次為四肢。肩寬比身高(t=2.674,P=0.00890.05),有統(tǒng)計學意義,可以認為肩寬比身高值較小者容易引起損傷。在損傷性質(zhì)的調(diào)查中,經(jīng)卡方檢驗得出(x2=25.752,P =0.0000.05),有統(tǒng)計學意義,可以認為軟組織損傷占所有損傷的主要部分。在損傷原因的調(diào)查中,經(jīng)卡方檢驗得出(x2=143.030,P=0.0000.05),有統(tǒng)計學意義,可以認為訓練傷的主要原因為訓練過多或負荷過大。在損傷后的癥狀及功能分布的調(diào)查中,經(jīng)卡方檢驗得出(x2=239.634,P=0.0000.05),有統(tǒng)計學意義,可以認為損傷后,主要癥狀為疼痛,在同一水平上使訓練成績下降。在對發(fā)生損傷的訓練科目的調(diào)查中,經(jīng)卡方檢驗得出(x2=55.000,P=0.0000.05),有統(tǒng)計學意義,可以認為發(fā)生訓練傷的主要科目為三公里、五公里、百米,其次為投彈、單雙杠、俯臥撐。 損傷情況與其他指標的多元線性逐步回歸分析結果:身高(t=3.6871, P=0.0003,b=0.1975)的標準化回歸系數(shù)絕對值最大且為正相關,對損傷情況的影響最大,其次為腰圍(t=-1.8995, P=0.0583,b=-0.1030)。有無損傷與其他指標的多元線性回歸分析結果:各項因素中,腰圍為負相關( t=-2.4577, P=0.0145,b=-0.1971 )和肩寬比身高為負相關(t=-2.7387, P=0.0065,b=-0.1493),兩者的標準化回歸系數(shù)絕對值較大,對有無損傷有比較大的影響。其它的相關因素還有:入伍前沒有受過四肢及腰背部損傷、下肢力線異常、下肢長、胸圍。有無損傷與其他指標的Logitic回歸分析結果:下肢長(OR=1.062,OR95%CI:1.001,1.127)和下肢力線異常(OR=1.007,OR95%CI:1.001,1.022)兩者的OR值1,為危險性因素。腰圍(OR=0.914,OR95%CI:0.852,0.981)、入伍前沒有受過四肢及腰背部損傷(OR=0.450,95%CI:0.216,0.939)兩者的OR值1為保護性因素。
[Abstract]:objective
Since 90s, with the increasing attention to military training injuries in China, the prevention of military training injuries has been gradually paid attention to. Military training injuries not only damage the health of the soldiers, but also have a serious impact on the improvement of training results and the implementation of military military plans. It is of great significance to improve the performance of training, reduce the occurrence of training injury, and successfully complete the training plan, to avoid or reduce the occurrence of military training injury to the maximum extent.
Method
The subjects were investigated by questionnaire, on-site physical examination and whole course tracking training, including 345 recruits for 07 years in a special unit, related factors of training injury and related factors affecting training during the 3 months of training, and the related data were statistically processed to train all the risk factors for training injuries. The data were collected, quantified and assigned. With the chi square test and T test among the indexes, the P0.05 was statistically significant. The single factor analysis of the damage was carried out, and the P0.05 was statistically significant. The multiple linear regression analysis of the recruits had no training injury and other indexes, and the P 0.05 was statistically significant. There was no training damage to the recruits and the new recruits. Other indexes were analyzed by logistic regression analysis, and the results of P0.05 were statistically significant. The injury of recruits and other indexes were analyzed by multiple linear regression analysis, and P 0.05 was statistically significant.
Result
In this study, the incidence of training injury was 244 in the 29.3%. experimental group and 101 in the control group. The two groups were compared, the height t=2.392 and P =0.0180.05 were statistically significant, indicating that the height was associated with the training injury and the height of the lower limbs (t=2.084, P=0.0390.05), and the leg length (t=2.144, P). =0.0340.05), the leg plus the foot high (t=1.977, P =0.05), has statistical significance, can be considered the lower limbs long, the leg length, the leg plus the high value is easy to damage. Shoulder width (t=2.003, P =0.0470.05), there are statistical significance, can be considered as small shoulder width Rong Yifa injury. Training injury incidence (x2=59.272, P =0.0000.05) It is statistically significant that the incidence of uninjured is higher than that of injury during the training period. The distribution of the damage is statistically significant by the chi square test (x2=52.762, P=0.0000.05). It can be considered that in the training, the acute injury accounts for the main part of the training injury. According to the chi square test (x2=18.881, P=0.0000.05), it is statistically significant that there is a statistically significant difference between the various parts of the injury, the most easily damaged below the knee joint, the second is the limbs. The shoulder width is more than the height (t=2.674, P=0.00890.05), which is statistically significant, and it can be considered that the shoulder width is easier to cause damage than those with the smaller height. In the investigation of the nature of injury, x2=25.752 (P =0.0000.05) was found to be statistically significant. It was considered that the injury of the soft tissue was the main part of all the injuries. In the investigation of the cause of injury, the chi square test showed (x2=143.030, P=0.0000.05) that there were statistical significance, and the main reason for the training injury was too much training or negative training. In the investigation of the symptoms and function distribution after injury, the chi square test concluded that (x2=239.634, P=0.0000.05) was statistically significant, and that the main symptom was pain after the injury, and the training results were reduced at the same level. In the investigation of the injury training purpose, the chi square test obtained (x2=55.000, P=0.0000.05), Statistically significant, it can be considered that the main subjects of training injuries were three km, five km, 100 m, followed by throwing bombs, single parallel bars and push ups.
The results of multiple linear stepwise regression analysis of damage and other indexes: the absolute value of the normalized regression coefficient of height (t=3.6871, P=0.0003, b=0.1975) was the largest and positive correlation, the greatest impact on the damage situation, followed by the waist circumference (t=-1.8995, P=0.0583, b=-0.1030). The results of multiple linear regression analysis with no damage and other indexes were the results of the multiple linear regression analysis. The negative correlation (t=-2.4577, P=0.0145, b=-0.1971) and shoulder width were negatively correlated with the height of the shoulder (t=-2.7387, P=0.0065, b=-0.1493) in the item factors. The absolute value of the normalized regression coefficient was larger, which had a greater impact on whether there was no injury. The Logitic regression analysis of the lower extremity (OR=1.062, OR95%CI:1.001,1.127) and the lower limb force line (OR=1.007, OR95%CI:1.001,1.022) was 1, which was a risk factor. The waist circumference (OR=0.914, OR95%CI: 0.852,0.981) had no injuries to the limbs and the waist and back (OR=0.450,95%CI, OR=0.450,95%CI). 0.216,0.939) the OR value 1 of both is a protective factor.

【學位授予單位】：泰山醫(yī)學院
【學位級別】：碩士
【學位授予年份】：2009
【分類號】：R82

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