Allen Thomas W
University of Oklahoma College of Medicine, 1111 St. Louis Avenue, Tulsa, OK 74120, USA.
Clin J Sport Med. 2005 Nov;15(6):421-5. doi: 10.1097/01.jsm.0000186684.59158.45.
To review evidence-based support for return to play criteria following acute exercise-induced bronchoconstriction.
Electronic databases Ovid Medline and PubMed were searched for papers relating to exercise related asthma and bronchoconstriction and return to play criteria. Additional references from the bibliographies of retrieved articles were also reviewed.
There is clear evidence that exercise-induced airways narrowing is increasing in prevalence among athletes from school children to Olympians to professionals, yet there have been no studies specifically addressing return to play criteria. Although deaths from exercise associated bronchoconstriction were previously thought to be rare, recent reports of such deaths call for increased awareness by physicians, athletic trainers, and coaches of the potential fatal consequences of unrecognized episodes or of inadequate treatment.
No agreed-upon protocol for safe return to play following an acute episode of exercise induced bronchoconstriction has been published. A specific detailed protocol for return to play would assist physicians and other heath professionals to determine with greater confidence that an athlete is fully recovered and can safely return to play.
回顾急性运动诱发支气管收缩后重返运动标准的循证支持。
检索电子数据库Ovid Medline和PubMed，查找与运动性哮喘、支气管收缩及重返运动标准相关的论文。还对检索文章参考文献中的其他文献进行了回顾。
有明确证据表明，从学龄儿童到奥运选手再到职业运动员，运动诱发的气道狭窄在运动员中的患病率正在上升，但尚无专门针对重返运动标准的研究。尽管此前认为运动相关支气管收缩导致的死亡很罕见，但近期此类死亡报告要求医生、运动训练师和教练提高对未识别发作或治疗不足潜在致命后果的认识。
尚未发表关于运动诱发支气管收缩急性发作后安全重返运动的共识方案。一份具体详细的重返运动方案将有助于医生和其他健康专业人员更有信心地确定运动员已完全康复并能安全重返运动。
