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有强有力的证据表明职业拳击会导致慢性脑损伤。拳击手职业生涯中头部被击打的次数越多,风险就越大。

[There is a strong evidence that professional boxing results in chronic brain damage. The more head punches during a boxer's career, the bigger is the risk].

作者信息

Blennow Kaj, Popa Cornel, Rasulzada Abdullah, Minthon Lennart, Wallin Anders, Zetterberg Henrik

机构信息

Institutionen för klinisk neurovetenskap, Sahlgrenska Universitetssjukhuset/Mölndal, Sweden.

出版信息

Lakartidningen. 2005;102(36):2468-70, 2472-5.

PMID:16196432
Abstract

The clinical symptomatology and pathogenic mechanisms of chronic traumatic brain injury associated with boxing (CTBI-B) is reviewed. This syndrome is also known as punch drunk syndrome or dementia pugilistica. Since even milder forms of CTBI-B are rare among amateur boxers, we make a distinction between amateur and professional boxing throughout the review. Focus is also set on the interesting similarities in neurochemical changes and pathogenic mechanisms between CTBI-B, acute traumatic brain injury (e.g. road traffic accidents) and Alzheimer's disease.

摘要

本文综述了与拳击相关的慢性创伤性脑损伤(CTBI-B)的临床症状学和致病机制。该综合征也被称为拳击醉酒综合征或拳击性痴呆。由于即使是较轻形式的CTBI-B在业余拳击手中也很少见,因此在整个综述中我们区分了业余拳击和职业拳击。同时还重点关注了CTBI-B、急性创伤性脑损伤(如道路交通事故)和阿尔茨海默病在神经化学变化和致病机制方面有趣的相似之处。

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1
[There is a strong evidence that professional boxing results in chronic brain damage. The more head punches during a boxer's career, the bigger is the risk].有强有力的证据表明职业拳击会导致慢性脑损伤。拳击手职业生涯中头部被击打的次数越多,风险就越大。
Lakartidningen. 2005;102(36):2468-70, 2472-5.
2
Chronic traumatic brain injury associated with boxing.与拳击相关的慢性创伤性脑损伤。
Semin Neurol. 2000;20(2):179-85. doi: 10.1055/s-2000-9826.
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The risk of chronic traumatic brain injury in professional boxing: change in exposure variables over the past century.职业拳击运动中慢性创伤性脑损伤的风险:过去一个世纪暴露变量的变化
Br J Sports Med. 2005 Sep;39(9):661-4; discussion 664. doi: 10.1136/bjsm.2004.017046.
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[A case of dementia pugilistica in our practice].[我们临床中的一例拳击员痴呆症病例]
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Boxing-acute complications and late sequelae: from concussion to dementia.拳击运动的急性并发症和晚期后遗症:从脑震荡到痴呆。
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Exposure to sub-concussive head injury in boxing and other sports.在拳击和其他运动中遭受次脑震荡性头部损伤。
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Apolipoprotein E epsilon4 associated with chronic traumatic brain injury in boxing.载脂蛋白E ε4与拳击运动中的慢性创伤性脑损伤有关。
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Dementia pugilistica and cavum septi pellucidi: born to box?拳击性痴呆与透明隔腔:天生适合拳击?
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[Presentation of a case: encephalopathy of boxers].[病例报告:拳击运动员脑病]
Can J Psychiatry. 1994 May;39(4):211-4. doi: 10.1177/070674379403900403.
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Does Swedish amateur boxing lead to chronic brain damage? 2. A retrospective study with CT and MRI.瑞典业余拳击会导致慢性脑损伤吗?2. 一项CT和MRI的回顾性研究。
Acta Neurol Scand. 1990 Nov;82(5):297-302. doi: 10.1111/j.1600-0404.1990.tb03307.x.

引用本文的文献

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Severe Suicidality in Athletes with Chronic Traumatic Encephalopathy: A Case Series and Overview on Putative Ethiopathogenetic Mechanisms.慢性创伤性脑病运动员的严重自杀倾向:病例系列及潜在发病机制概述。
Int J Environ Res Public Health. 2021 Jan 20;18(3):876. doi: 10.3390/ijerph18030876.
2
Review: Contact sport-related chronic traumatic encephalopathy in the elderly: clinical expression and structural substrates.综述:老年人与接触性运动相关的慢性创伤性脑病:临床表现和结构基础。
Neuropathol Appl Neurobiol. 2011 Oct;37(6):570-84. doi: 10.1111/j.1365-2990.2011.01186.x.
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Prevalence of cerebral microhemorrhages in amateur boxers as detected by 3T MR imaging.
3T磁共振成像检测业余拳击手中脑微出血的患病率
AJNR Am J Neuroradiol. 2008 Feb;29(2):388-91. doi: 10.3174/ajnr.A0799. Epub 2007 Nov 1.