MSMR. 2021 Apr;28(4):16-20.
Among active component service members in 2020, there were 501 incident cases of exertional rhabdomyolysis, for an unadjusted incidence rate of 37.8 cases per 100,000 person-years (p-yrs). Subgroup-specific rates in 2020 were highest among males, those less than 20 years old, non-Hispanic Black service members, Marine Corps or Army members, and those in combatspecific occupations. During 2016-2020, crude rates of exertional rhabdomyolysis reached a peak of 42.9 per 100,000 p-yrs in 2018 after which the rate decreased to a low of 37.8 per 100,000 p-yrs in 2020. Most cases of exertional rhabdomyolysis were diagnosed at installations that support basic combat/ recruit training or major ground combat units of the Army or the Marine Corps. Medical care providers should consider exertional rhabdomyolysis in the differential diagnosis when service members (particularly recruits) present with muscular pain or swelling, limited range of motion, or the excretion of darkened urine after strenuous physical activity, especially in hot, humid weather.
在2020年现役军人中，有501例运动性横纹肌溶解症病例，未调整的发病率为每10万人年37.8例。2020年各亚组的发病率在男性、年龄小于20岁者、非西班牙裔黑人军人、海军陆战队或陆军成员以及从事特定战斗职业的人员中最高。在2016 - 2020年期间，运动性横纹肌溶解症的粗发病率在2018年达到每10万人年42.9例的峰值，之后在2020年降至每10万人年37.8例的低点。大多数运动性横纹肌溶解症病例是在支持陆军或海军陆战队基础战斗/新兵训练或主要地面作战部队的设施中诊断出来的。当军人（尤其是新兵）在剧烈体育活动后出现肌肉疼痛或肿胀、活动范围受限或排出深色尿液时，特别是在炎热潮湿的天气中，医疗服务提供者在鉴别诊断时应考虑运动性横纹肌溶解症。
