|本期目录/Table of Contents|

[1]范志刚,夏巍巍,潘森鑫,等.某部新兵跖骨行军骨折风险因素的多元logistic回归分析[J].医学研究与战创伤救治(原医学研究生学报),2017,19(05):484-487.[doi:10.3969/j.issn.1672-271X.2017.05.009]
 FAN Zhi-gang,XIA Wei-wei,PAN Sen-xin,et al.Multivariate logistic regression analysis of risk factors for fracture of metatarsal bones in recruits[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2017,19(05):484-487.[doi:10.3969/j.issn.1672-271X.2017.05.009]
点击复制

某部新兵跖骨行军骨折风险因素的多元logistic回归分析()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第19卷
期数:
2017年05期
页码:
484-487
栏目:
出版日期:
2017-09-29

文章信息/Info

Title:
Multivariate logistic regression analysis of risk factors for fracture of metatarsal bones in recruits
作者:
范志刚夏巍巍潘森鑫刘美霞
作者单位:212001镇江,解放军第359医院放射科
Author(s):
FAN Zhi-gang XIA Wei-wei PAN Sen-xin LIU Mei-xia
(Radiology Department,the 359th Hospital of PLA,Zhenjiang 212001,Jiangsu,China)
关键词:
跖骨行军骨折logistic回归风险因素
Keywords:
Metatarsal boneMarching fractureLogistic regressionRisk factors
分类号:
R683.42
DOI:
10.3969/j.issn.1672-271X.2017.05.009
文献标志码:
A
摘要:
目的 探讨新兵战士跖骨行军骨折的风险因素,为部队建立新兵战士健康预警机制和防治提供依据。方法 采用多元logistic回归法对东部战区某部新兵战士身高、体重、训练时间、跖骨长度、跖骨宽度、跖骨密度、足弓高度、骨龄等风险因素进行逐层筛选分析。结果 跖骨宽度、跖骨密度、足弓高度、骨龄为跖骨行军骨折的消极因素。而训练时间、跖骨长度为跖骨行军骨折的积极因素。进一步的结果 显示训练时间、跖骨长度、跖骨宽度、足弓高度可进入logistic回归模型,且回归模型对数据的拟合度较好(P=0.847),具有统计学意义(χ2=52.449,P<0.001)。结论 多个因素参与行军骨折的发病过程,其风险因素应得到重视,以此建立有效的预防预警措施,减低跖骨行军骨折在新兵战士群体中的发病率。
Abstract:
Objective To explore the risk factors of the metatarsal fracture of the new recruits, and to provide evidence for the establishment of early warning mechanism and prevention and control of recruits.Methods The training time, height, weight, metatarsal length, metatarsal width, arch height of metatarsal, bone density and bone age of the eastern theater recruits were screened by layer regression analysis method with multiple logistic.Results The width of metatarsal bone, the density of metatarsal bone, the height of arch, and the bone age were the negative factors of metatarsal fractures, while the training time and the length of metatarsal bone were the positive factors. Further Results showed that the training time, metatarsal length, metatarsal width and arch height of metatarsal could enter the logistic regression model which fit the data well (P=0.847) with statistical significance (χ2=52.449, P<0.001).Conclusion Many factors were involved in the process of the progression of the fracture; The risk factors should be paid more attention so as to establish effective preventive measures to reduce the incidence of metatarsal fractures in recruits.

参考文献/References:

[1]Miller T, Kaeding CC, Flanigan D. The classification systems of stress fractures: a systematic review[J]. Phys Sportsmed,2011,39(1): 93-100.
[2]叶小明.疲劳骨折68例诊治体会[J].东南国防医药,2006,8(2):115-116.
[3]Taylor D, Casolari E, Bignardi C. Predicting stress fractures using a probabilistic model of damage, repair and adaptation[J]. J Orthop Res,2004,22(3): 487-494.
[4]许伟,李善杰,马小贝,等.军事训练致股骨疲劳骨折的MRI诊断[J].临床军医杂志,2013,41(7):766.
[5]Miller JR, Dunn KW, Ciliberti LJ, et al. Association of vitamin D with stress fractures: a retrospective cohort study[J]. J Foot Ankle Surg,2016,55(1): 117-120.
[6]Milgrom C, Finestone A, Sharkey N, et al. Metatarsal strains are sufficient to cause fatigue fracture during cyclic overloading[J]. Foot Ankle Int,2002,23(3): 230-235.
[7]Emmerson TD, Lawes TJ, Goodship AE, et al. Dual-energy X-ray absorptiometry measurement of bone-mineral density in the distal aspect of the limbs in racing Greyhounds[J]. Am J Vet Res, 2000, 61(10): 1214-1219.
[8]Chen Z, Chen X, Liu M, et al. Texture features of periaqueductal gray in the patients with medication-overuse headache[J]. J Headache Pain, 2017, 18(1): 14.
[9]Muir P, McCarthy J, Radtke CL, et al. Role of endochondral ossification of articular cartilage and functional adaptation of the subchondral plate in the development of fatigue microcracking of joints[J]. Bone, 2006, 38(3): 342-349.
[10]何东,陈兴灿,钟琦.四肢关节专用MRI诊断疲劳性骨折的价值[J].东南国防医药,2014,16(1):48-51.
[11]Carmont MR, Patrick JH, Cassar-Pullicino VN, et al. Sequential metatarsal fatigue fractures secondary to abnormal foot biomechanics[J]. Mil Med, 2006, 171(4): 292-297.
[12]Jacklin BD, Wright IM. Frequency distributions of 174 fractures of the distal condyles of the third metacarpal and metatarsal bones in 167 Thoroughbred racehorses (1999-2009) [J]. Equine Vet J, 2012, 44(6): 707-713.
[13]Tins BJ, Garton M, Cassar-Pullicino VN, et al. Stress fracture of the pelvis and lower limbs including atypical femoral fractures-a review[J]. Insights Imaging, 2015, 6(1): 97-110.
[14]Knobloch K, Schreibmueller L, Jagodzinski M, et al. Rapid rehabilitation programme following sacral stress fracture in a long-distance running female athlete[J]. Arch Orthop Trauma Surg, 2007, 127(9): 809-813.
[15]Weist R, Eils E, Rosenbaum D. The influence of muscle fatigue on electromyogram and plantar pressure patterns as an explanation for the incidence of metatarsal stress fractures[J]. Am J Sports Med,2004,32(8): 1893-1898.

相似文献/References:

[1]吴水培,俞立新,于凤宾,等.外踝缺损修复与重建前后力学变化的 对比研究[J].医学研究与战创伤救治(原医学研究生学报),2009,11(06):481.
 WU Shui-pei,YU Li-xin,YU Feng-bin,et al.Biomechanical changes of lateral malleolus defect before and after reconstruction[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2009,11(05):481.
[2]夏巍巍,范志刚,徐周继,等.基于灰度差分法对隐匿性跖骨行军骨折X线片诊断能力的研究[J].医学研究与战创伤救治(原医学研究生学报),2017,19(04):365.[doi:10.3969/j.issn.1672-271X.2017.04.008]
 XIA Wei-wei,FAN Zhi-gang,XU Zhou-ji,et al.A study on the diagnostic capability of the X ray of the occult metatarsal fracture based on the gray difference method[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2017,19(05):365.[doi:10.3969/j.issn.1672-271X.2017.04.008]

备注/Memo

备注/Memo:
-
更新日期/Last Update: 2017-09-20