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[拳击运动员和足球运动员的脑损伤;荷兰国家卫生委员会的一份咨询报告]

[Brain injury in boxers and soccer players; an advisory report from the National Health Council of the Netherlands].

作者信息

de Bruijn S F T M, Keunen R W M

机构信息

Haga Ziekenhuis, locatie Leyenburg, afd. Neurologie, Leyweg 275, 2545 CH Den Haag.

出版信息

Ned Tijdschr Geneeskd. 2004 Nov 6;148(45):2209-12.

Abstract

The National Health Council of the Netherlands has released a report entitled 'Brain damage in boxers and soccer players'. It examines epidemiology and prevention of cerebral damage from professional and amateur sports, focusing particularly on soccer and boxing. The connection between cerebral injuries and acute and chronic sports injuries is well established. However, proper diagnosis and therapy may be difficult in acute head trauma and during the chronic stage. It makes proposals for a simple cognitive screening test for acute injuries (soccer-related in particular) and more extensive testing for the detection and follow-up of chronic cerebral injuries (boxing-related in particular). Neuropsychological testing may be an important additional diagnostic tool. Professional boxing should be banned if the measures suggested fail to prevent chronic cognitive dysfunction. A dedicated knowledge centre for soccer and boxing would enhance the epidemiology and knowledge of brain injuries, and could help to develop more evidence-based guidelines in the future.

摘要

荷兰国家卫生委员会发布了一份题为《拳击运动员和足球运动员的脑损伤》的报告。该报告研究了职业和业余运动中脑损伤的流行病学及预防措施,尤其关注足球和拳击运动。脑损伤与急性和慢性运动损伤之间的联系已得到充分证实。然而,在急性头部创伤和慢性阶段,正确的诊断和治疗可能会很困难。报告针对急性损伤(特别是与足球相关的损伤)提出了一种简单的认知筛查测试建议,以及针对慢性脑损伤(特别是与拳击相关的损伤)的检测和随访的更广泛测试建议。神经心理学测试可能是一项重要的辅助诊断工具。如果所建议的措施未能预防慢性认知功能障碍,应禁止职业拳击运动。一个专门的足球和拳击知识中心将加强脑损伤的流行病学研究和相关知识,并有助于未来制定更多基于证据的指导方针。

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