2010 年国际足联世界杯裁判员和助理裁判员选拔的赛前医学评估。
Precompetition medical assessment of referees and assistant referees selected for the 2010 FIFA World Cup.
机构信息
FIFA Medical Assessment and Research Centre (F-MARC) and Schulthess Clinic, Zurich, Switzerland.
出版信息
Br J Sports Med. 2012 Apr;46(5):374-6. doi: 10.1136/bjsports-2011-090362. Epub 2011 Dec 5.
BACKGROUND
Several proposals for preparticipation screening to detect risk factors for sudden cardiac death in sports have been published, but referees have been neglected in this respect.
METHODS
A standardised precompetition medical assessment (comprising a general physical, orthopaedic and cardiac examination and blood analysis) was performed in all 90 referees and assistant referees selected for the 2010 Fédération Internationale de Football Association World Cup.
RESULTS
More than a third of the referees showed at least one pathological finding in cardiac examinations; however, all follow-up examinations proved to be normal. The relatively high prevalence of pathological findings in the blood analysis and the orthopaedic examination can be attributed to the average age of the referees and none of them was performance limiting.
CONCLUSIONS
Considering their risk of occult ischaemic heart disease, a precompetition medical assessment including an exercise ECG is recommended in elite male football referees.
背景
已有多项针对运动中猝死风险因素的参赛前筛查建议被提出，但在这方面裁判却被忽视了。
方法
对所有 90 名被选来执法 2010 年国际足联世界杯的裁判员和助理裁判员进行了标准化的赛前医学评估（包括一般体格、骨科和心脏检查以及血液分析）。
结果
超过三分之一的裁判员在心脏检查中发现了至少一个病理发现；然而，所有后续检查均证实正常。血液分析和骨科检查中病理发现的相对较高发生率归因于裁判员的平均年龄，且无任何发现会限制其表现。
结论
考虑到他们存在隐匿性缺血性心脏病的风险，建议在精英男性足球裁判员中进行包括运动心电图在内的赛前医学评估。
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