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目的摸清新兵训练时胫前肿痛的发病情况,帮助部队基层带兵干部及早发现应力骨折隐患,及时合理地调整训练内容及强度,预防应力骨折的发生,为制订合理的训练计划提供科学依据。方法训练结束后,组织新兵进行统一普查,由经验丰富的骨科专家实施诊断,诊断为胫前肿痛的伤病员埴写《伤病员问卷调查表》;伤病员按主观感受将疼痛分为轻度、中度和重度3个等级进行评价。结果 726名新兵共确诊胫前肿痛伤病员312例,发病率为42.97%,其中发展成胫骨应力骨折者12例,占胫前肿痛发患者数的3.84%,发病率为1.65%;城镇新兵与农村新兵的胫前肿痛发病率相同,无地区差别。结论预防胫前肿痛一个重要对策是认真落实《军事训练健康保护规定》,制订训练计划要科学、循序渐进、劳逸结合,体能训练应遵循疲劳→休息恢复→训练再疲劳这一通则,适时调整训练内容及强度。
Objective To find out the incidence of tibiofemoral pain during recruits training, to help the army cadres at the grassroots level to detect the hidden dangers of stress fractures as soon as possible, to timely and reasonably adjust the training content and intensity, to prevent the occurrence of stress fractures, and to provide a scientific basis for formulating a reasonable training plan . Methods After training, recruits were recruited for a unified census, and experienced orthopedic specialists performed the diagnosis. The wounded and sick who diagnosed tibial anterior tibial pain wrote a questionnaire of “wounded and sick”; the wounded and sick were subjectively aware of the pain Evaluate for 3 levels of mild, moderate and severe. Results A total of 312 cases of ankle ankle pain were diagnosed in 726 recruits. The incidence rate was 42.97%. Among them, 12 cases developed tibial stress fractures, accounting for 3.84% of the total number of patients with anterior tibial ankle pain, the incidence was 1.65%. There was no regional difference in the incidence of anterior tibial swelling between recruits in cities and recruits in rural areas. Conclusions An important countermeasure to prevent anterior tibial swelling and pain is to conscientiously implement the Regulations on Health Protection for Military Training, formulate a training plan that is scientific, step by step, combine work and rest, and physical fitness training should follow the general principle of fatigue → rest and recovery → training and re-fatigue. Training content and intensity.