Pang Chuan, Liang Wen-Quan, Zhang Gan, Lu Ting-Ting, Gao Yun-He, Miao Xin, Chen Zhi-Da, Liu Yi, Xu Wen-Tong, Xi Hong-Qing
Division of Abdominal Trauma Surgery, Department of General Surgery, First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China; Department of Interventional Ultrasound, Fifth Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Division of Gastric Surgery, Department of General Surgery, First Medical Center of Chinese PLA General Hospital, Beijing, 100853, China.
Chin J Traumatol. 2025 Jul;28(4):301-306. doi: 10.1016/j.cjtee.2024.09.003. Epub 2024 Sep 10.
This study aims to identify the prevalence and risk factors of military training-related abdominal injuries and help plan and conduct training properly.
This questionnaire survey study was conducted from October 2021 to May 2022 among military personnel from 6 military units and 8 military medical centers and participants' medical records were consulted to identify the training-related abdominal injuries. All the military personnel who ever participated in military training were included. Those who refused to participate in this study or provided an incomplete questionnaire were excluded. The questionnaire collected demographic information, type of abdominal injury, frequency, training subjects, triggers, treatment, and training disturbance. Chi-square test and t-test were used to compare baseline information. Univariate and multivariate regression analyses were used to explore the risk factors associated with military training-related abdominal injuries.
A total of 3058 participants were involved in this study, among which 1797 (58.8%) had suffered training-related abdominal injuries (the mean age was 24.3 years and the service time was 5.6 years), while 1261 (41.2%) had no training-related abdominal injuries (the mean age was 23.1 years and the service time was 4.3 years). There were 546 injured patients (30.4%) suspended the training and 84 (4.6%) needed to be referred to higher-level hospitals. The most common triggers included inadequate warm-up, fatigue, and intense training. The training subjects with the most abdominal injuries were long-distance running (589, 32.8%). Civil servants had the highest rate of abdominal trauma (17.1%). Age ≥ 25 years, military service ≥ 3 years, poor sleep status, and previous abdominal history were independent risk factors for training-related abdominal injury.
More than half of the military personnel have suffered military training-related abdominal injuries. Inadequate warm-up, fatigue, and high training intensity are the most common inducing factors. Scientific and proper training should be conducted according to the factors causing abdominal injuries.
本研究旨在确定军事训练相关腹部损伤的患病率及危险因素，并帮助合理规划和开展训练。
本问卷调查研究于2021年10月至2022年5月在6个军事单位和8个军队医疗中心的军事人员中进行，并查阅参与者的医疗记录以确定与训练相关的腹部损伤。纳入所有曾参加军事训练的军事人员。排除拒绝参与本研究或问卷填写不完整者。问卷收集了人口统计学信息、腹部损伤类型、发生频率、训练科目、诱发因素、治疗情况及训练干扰等信息。采用卡方检验和t检验比较基线信息。运用单因素和多因素回归分析探索与军事训练相关腹部损伤有关的危险因素。
本研究共纳入3058名参与者，其中1797名（58.8%）曾遭受与训练相关的腹部损伤（平均年龄24.3岁，服役时间5.6年），而1261名（41.2%）未发生与训练相关的腹部损伤（平均年龄23.1岁，服役时间4.3年）。546名受伤患者（30.4%）暂停训练，84名（4.6%）需要转诊至上级医院。最常见的诱发因素包括热身不足、疲劳和高强度训练。腹部损伤最多的训练科目是长跑（589例，32.8%）。文职人员腹部创伤发生率最高（17.1%）。年龄≥25岁、服役≥3年、睡眠状况差和既往腹部病史是与训练相关腹部损伤的独立危险因素。
超过半数的军事人员曾遭受与军事训练相关的腹部损伤。热身不足、疲劳和训练强度大是最常见的诱发因素。应根据导致腹部损伤的因素进行科学、合理的训练。
