关键词: 新兵, 新训期间, 军事训练伤, 荟萃分析, 军事医学

Abstract: Objective To systematically review relevant literature on military training injuries in China,analyze the incidence of training injuries among new recruits during the basic military training period,and provide evidence-based medicine for the prevention,treatment,and research of military training injuries in China. Methods A systematically literature search on military training injuries was performed in the Chinese and English database such as CNKI,CQVIP,CBM,Wanfang,PubMed and so on,and selected eligible literature. The publication time was limited between January 2010 and December 2022. The cross-sectional study quality evaluation standard recommended by the agency for health research and quality（AHRQ） in the United States were used to evaluate the quality of the included literature,determine the included studies,and extract relevant information. Fixed effect model or random effect model was selected through heterogeneity test results. The meta-analysis method was used to calculate the combined incidence of training injuries. Funnel plot method and Egger linear regression methods were used to evaluate publication bias. The sensitivity analysis was carried out by the one-by-one elimination method. Results A total of 46 articles were included in this study,including a sample of 106 329 cases. The combined incidence of training injury during the new recruits' basic training was 20.2%（95%CI：18.0%-22.5%）. Subgroup analysis showed that there was no statistically significant difference in the incidence of training injury between the recruits who were trained in winter or autumn（P>0.05）. The incidence of training injury after 2015（17.4%,95%CI：13.9%-21.0%） showed a downward trend compared to before 2015（22.2%,95%CI：19.5%-25.0%）,but the difference was not statistically significant（P>0.05）. Conclusion The incidence of training injuries during the recruits' basic training period in China was 20.2%. With the vigorous improvement of practical training,scientific group training,and logistical support in recent years,there is a downward trend in training injuries. It is recommended to implement active intervention measures such as in-depth health education,effective psychological intervention,health status assessment,functional movement screening,and corrective training on the basis of routine training in the future,in order to reduce the risk of training injuries and improve the quality of training.

Key words: Recruits, Basic military training, Military training injury, Meta-analysis, Military medicine