军训致膝前交叉韧带损伤的流行病学研究

摘要

Objective To analyze the epidemiological characteristics of anterior cruciate ligament (ACL) injuries in military training , in order to guide training scientifically for better prevention, diagnosis and treatment of this kind of injuries. Methods Ninety - one soldier patients with lacerated ACL attending this clinic between January 2005 and June 2010 were recruited for this study, of incidence rate , high risk training items, reason and mechanism of injuries were statistically analyzed. Results The ACL injured incidence rate during 400 -meter obstacle race was the highest, the second was the basketball training and the training of capture and grappling . Moreover, these injuries were characterized by repeated occurrences. Conclusions ACL reconstruction operation should be performed within three months after the laceration for restoring the knee stability and preventing from the secondary injuries. Meanwhile, repeated or exhausted training should be avoided.%目的 分析武警军事训练中前交叉韧带(anterior cruciate ligament,ACL)损伤的流行病学特点,进而指导军事训练,做好预防、诊断、治疗工作.方法 回顾性研究2003-01至2010-06在我科住院治疗的ACL损伤部队患者153例(93膝),对损伤发生率、好发项目、损伤原因及机制、治疗方法等进行统计分析.结果在400 m障碍训练中发生率最高,其次为篮球、擒拿格斗训练;并且反复受伤为特点.结论 为减轻及预防ACL,应提高对本病的认识,避免反复、疲劳训练,ACL重建术应在伤后3个月内进行.