不同海拔地区新兵膝关节训练损伤MRI特点及分析.docVIP

不同海拔地区新兵膝关节训练损伤的MRI特点及分析 　　[摘要] 目的 探讨不同海拔地区新兵膝关节训练损伤的MRI表现特点及原因，为减少其发生提供理论依据。 方法 选取某部2013年10月～2014年10月的180名新兵作为研究对象，按照入伍地海拔高度分为低海拔组和高海拔组，在新训的第1、2、3个月行右膝关节MRI扫描，比较两组3个阶段及不同训练阶段的膝关节骨质、半月板、韧带及关节腔损伤情况。 结果 低海拔组前、中期的骨髓水肿与关节腔积液发生率显著高于高海拔组，差异有统计学意义（P0.05）。低海拔组中、后期的半月板损伤发生率显著高于高海拔组，差异有统计学意义（P0.05）。低海拔组不同训练阶段的骨髓水肿、半月板损伤及关节腔积液发生率比较，差异有统计学意义（P0.05）。高海拔组不同训练阶段的骨髓水肿和关节腔积液发生率比较，差异有统计学意义（P0.05）。 结论 低海拔地区新兵新训期膝关节损伤发生率高于高海拔地区，应该制订正确的防护措施和科学的施训策略来减少其发生。新训期膝关节损伤发生率随训练量加大明显增加，后期损伤率最高。 　　[关键词] 新兵；高海拔训练；膝关节损伤；磁共振成像 　　[中图分类号] R445.2 [文献标识码] A [文章编号] 1674-4721（2016）01（c）-0067-04 　　[Abstract] Objective To explore the feature and reason of MRI in knee training injury of new recruits from different altitudes region and to provide a theoretical basis for reducing the incidence of knee injury. Methods 180 new recruits from October 2013 to October 2014 in a unit were selected and divided into the low altitude group and the high altitude group according to the altitude of the recruitment place.MRI scan for the right knee joint was given in the first，second，third months of recruit training.The bone of knee joint，meniscus，ligament and joint cavity injury of the two groups was compared between the three stages and the different training stages. Results The incidence rate of bone marrow edema and joint effusion at the early stage and the middle stage in the low altitude group was higher than that in the high altitude group，with significant difference （P0.05）.The incidence rate of meniscal injury at the middle stage and the late stage in the low altitude group was higher than that in the high altitude group，with significant difference （P0.05）.There was significant difference in the incidence rate of bone marrow edema，meniscus injury and joint effusion between different training stages in the low altitude group （P0.05）.There was significant difference in the incidence rate of bone marrow edema and joint effusion in different training stages of the high altitude group （P0.05）. Conclusion The inciden