Joy E, Clark N, Ireland M L, Martire J, Nattiv A, Varechok S
Department of Family and Preventive Medicine, Salt Lake City, UT, 84132, USA.
Phys Sportsmed. 1997 Apr;25(4):55-69. doi: 10.3810/psm.1997.04.1279.
Multidisciplinary management of the female athlete triad (disordered eating, amenorrhea, and osteoporosis) is optimal, but what exactly does it entail? With the primary care physician as the point person, the healthcare team addresses the underlying causes of disordered eating through such measures as drawing up a contract for returning to play, resolving nutrition issues, exploring psychotherapy options, and, sometimes, prescribing antidepressants. Hormone replacement therapy and conservative or orthopedic intervention for stress fractures may also be required. Communication among the members of the treatment team is crucial, and athletic trainers especially can provide valuable input. Prevention strategies need to involve education of coaches, teachers, trainers, parents, and others who work closely with female athletes.
女性运动员三联征（饮食失调、闭经和骨质疏松症）的多学科管理是最佳方案，但具体包括哪些内容呢？以初级保健医生为核心人物，医疗团队通过制定重返比赛合同、解决营养问题、探索心理治疗方案，有时还会开抗抑郁药等措施来解决饮食失调的根本原因。可能还需要进行激素替代疗法以及对应力性骨折进行保守或矫形干预。治疗团队成员之间的沟通至关重要，尤其是运动训练师能提供有价值的建议。预防策略需要涵盖对教练、教师、训练师、家长以及其他与女运动员密切合作的人员的教育。
