新兵基础训练应力性骨折61例.docVIP

新兵基础训练应力性骨折61例 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：新兵基础训练应力性骨折61例 1 1临床资料 2 16 治疗 方法与结果 3 文2：新兵基础训练后的心理健康状况 5 1对象和方法 6 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 新兵基础训练应力性骨折61例 文1：新兵基础训练应力性骨折61例 Abstract： ObjectiveTo investigate the risk facto, the early diagnosis and the preventive measure of the stress fracture led by military training. MethodsSixtyone cases of stress fracture in the recruits who were going into basic training were investigated and analyzed. Their training programs and methods were limb fracture (59 cases)s peak incidence was in the second and the third weeks of training. Out of the whole cases, there were 41 cases cured by rest and physiotherapy, 8 cases of full fracture without displacement cured by plaster fixation, 3 cases of fractures with displacement cured by skeletal traction, 9 cases of fracture with displacement cured by surgical fixationConclusionThe causes leading to stress fracture in the recruits during military training coist of individually internal facto and lack of scientific training methods. The days in the second and the third week are crucial for prevention and early diagnosis. Proper training is the key to prevention. Key words： stress fracture; military training 2003—2006年我院收治新兵基础军事训练中应力性骨折61例。现将诊治过程及随访结果报告如下。 1临床资料 11一般情况男性59例，女性2例，年龄17~21岁，平均岁。 12受伤部位右肱骨骨折2例，占%；单侧胫骨中上骨折42例（其中左侧37例，右侧5例），占%；股骨干骨折7例（股骨上段骨折2例，股骨下段骨折4例），占%。股骨颈骨折2例，占%；跖骨颈骨折2例（其中第2、第3跖骨各1例），占%；腓骨下段骨折3例，占%；右侧胫骨中上与右侧第2跖骨颈同时骨折1例，占% 13主要致伤训练科目5 kg 越野跑47例，占%，400 m 障碍跑5例，占%；正步训练4例，占%；投弹2例，占%，其他项目2例，占% 14发病时间性新兵基础训练应力性骨折多发生在训练开始后2~3周，投掷伤发生在7~8周。 15临床表现症状及体征：患处疼痛为主要症状，多呈酸胀钝痛，以训练时加剧,休息后缓解，部分人因不能坚持训练或出现跛行，患处肿胀，表浅骨可触及包块，压痛明显，严重者可触及骨折断，纵向叩击痛阳性。X线检查：轻者骨皮质可见不整齐透光区，两侧可见骨膜反应，呈葱皮状或多或少花边样改变；重者可见明显骨折线及骨折移位。 16 治疗 方法与结果 41例早期不完全骨折治疗以休息为主，症状重者辅以理疗，一般相对休息4~6周后可以逐步恢复训练；完全骨折无移位8例以石膏固定治疗；对完全骨折并移位3例行骨牵引治疗；9例（股骨干骨折4例，股骨颈骨折2例，胫骨上段骨折1例，2例右肱骨骨折）行切开复位、内固定手术治疗。结果：非手术治疗者均在4~10周内痊愈，手术9例均于术后12周内痊愈。随访3~36个月，除1例股骨颈骨折遗留轻度跛行不能参加正常训练和工作外，其余60例均恢复正常工作及训练。 2讨论 应力性骨折在部队训练