摘要
目的：评估研究空降兵前膝痛的发生率及相关因素。方法：对中原地区某部共1100空降兵根据其人口统计学特征、生活方式、职业因素、环境特点、心理因素、前膝痛相关病史及体格检查情况判断其相关因素。以基于流行病学调查表的方式收集相关数据，然后行二元逻辑回归分析，研究这些因素与前膝痛发生率之间的可能相关性。并用视觉模拟量表（VAS）评价前膝痛的疼痛程度。结果：共有935名空降兵参与者，其前膝痛患病率为8.98 %（n=84），平均VAS评分为 2.05±1.52。前膝痛与膝外伤史（OR=14.241，95% CI： 5.617- 36.108），扁平足（OR=4.422，95%CI： 2.611-7.489），体重指数（OR=1.415，95%CI ：1.176- 1.702），年龄（OR=1.183，95%CI： 1.096 -1.276），下腰痛（OR=0.397，95%CI ：0.217-0.726）呈显著相关。结论：前膝痛是空降兵中的常见问题。存在有五大相关因素：膝外伤史、扁平足、体重指数、年龄及下腰痛。训练造成的伤害并非意外因素，有些是可以预防的，也需要组织者通过合理的训练安排予以配合。
OBJECTIVE： The aim of the present study was to assess the prevalence and related factors of anterior knee pain（AKP）. METHODS： Risks of AKP according to demographic characteristics, lifestyle factors, occupational factors, environmental situation, psychological characteristics and AKP related history and physical examination were determined in a population of 1100 male paratroopers in the army in middle plain of China. Data were obtained by an epidemiologic cross-sectional questionnaire-based survey. A binary logistic regression model was used to look for possible associations between each of these factors and the occurrence of AKP. Estimates on AKP intensity were provided using visual analogue scales （VAS）. RESULTS： The prevalence of AKP was 8.98%（n=84） of 935 participants, and the mean VAS score is 2.05±1.52. Self-reported AKP was associated with history of knee injuries （OR=14.241,95% CI： 5.617 to 36.108）, pes planus （OR=4.422,95%CI： 2.611 to 7.489）, body mass index（OR=1.415, 95%CI： 1.176 to 1.702）, age（OR=1.183, 95%CI：1.096 to 1.276）, low back pain （OR=0.397,95%CI：0.217 to 0.726）. CONCLUSION： AKP is common among paratroopers. Five related situations are particularly well identified： history of knee injuries, pes planus, body mass index（BMI）, age and low back pain. It could be said that the training lesions are not accidental ones, as many of them can be prevented. There is a need for the administration to cooperate in this prevention, with reasonable training management.
出处
《中国疗养医学》
2014年第1期70-73,共4页
Chinese Journal of Convalescent Medicine
关键词
流行病学
相关因素
前膝痛
空降兵
Epidemiology
Relative factors
Anterior Knee Pain
Paratroopers
