与伊拉克强制佩戴防护盔甲相关的伤害
John Kuckelman1, Christopher Mitchell2, Fernando Garcia2
1Department of Thoracic Surgery, Dwight D. Eisenhower Army Medical Center, Augusta, GA 30905, USA.
Military medicine
|November 27, 2024
概括
穿重型弹道盔甲 (BA) 显著增加了服务人员的肌肉骨 (MSK) 损伤和物理治疗需求. 这凸显了与BA部署相关的健康风险,需要对其必要性的审查.
科学领域:
- 军事医学 军事医学
- 职业健康 职业健康 职业健康 职业健康
- 肌肉骨损伤 肌肉骨损伤
背景情况:
- 在部署期间,防护弹道防护盔甲 (BA) 为服务人员 (SM) 增加了相当大的重量 (35-45磅).
- 这种额外的重量对中小企业和部署的医疗资源的影响并没有得到很好的描述.
研究的目的:
- 为了评估所需的弹道体盔甲 (BA) 磨损和肌肉骨 (MSK) 投诉之间的关联.
- 描述这些影响在部署的军事医疗保健系统中的表现.
主要方法:
- 追溯分析了2805次在Role III实地医院的遭遇.
- 在需要BA的时期与没有BA要求的时期之间的MSK损伤访问的比较.
- 数据包括SM类型,年龄,性别,MSK解剖学,提供者类型,处置和药物.
主要成果:
- 在所有遭遇中,MSK受伤占41.2%.
- 与没有BA组 (38%) 相比,BA组的MSK损伤访问量 (44%) 显著增加.
- 在BA组中,MS患者需要物理治疗的可能性是12倍 (60%比5%),并且对抗炎药和肌肉松剂的处方更高.
结论:
- 要求的BA磨损与美国中小企业中MSK访问和医疗保健利用率的增加有关.
- 肩膀和背部受伤是最常见的,在BA组中,物理治疗转诊的显著增加.
- 需要进一步的前性研究来证实因果关系,在威胁姿势中使用BA的风险效益分析应该考虑这些健康影响.
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