West Therese A, Marion Donald W
Defense and Veterans Brain Injury Center , Silver Spring, Maryland.
J Neurotrauma. 2014 Jan 15;31(2):159-68. doi: 10.1089/neu.2013.3031. Epub 2013 Oct 16.
Currently, there is considerable debate within the sports medicine community about the role of concussion and the risk of chronic neurological sequelae. This concern has led to significant confusion among primary care providers and athletic trainers about how to best identify those athletes at risk and how to treat those with concussion. During the first quarter of 2013, several new or updated clinical practice guidelines and position statements were published on the diagnosis, treatment, and management of mild traumatic brain injury/concussion in sports. Three of these guidelines were produced by the American Medical Society for Sports Medicine, The American Academy of Neurology, and the Zurich Consensus working group. The goal of each group was to clearly define current best practices for the definition, diagnosis, and acute and post-acute management of sports-related concussion, including specific recommendations for return to play. In this article, we compare the recommendations of each of the three groups, and highlight those topics for which there is consensus regarding the definition of concussion, diagnosis, and acute care of athletes suspected of having a concussion, as well as return-to-play recommendations.
目前，运动医学领域对于脑震荡的作用以及慢性神经后遗症的风险存在大量争论。这种担忧导致初级保健提供者和运动训练师在如何最好地识别有风险的运动员以及如何治疗脑震荡患者方面产生了极大的困惑。在2013年第一季度，关于运动中轻度创伤性脑损伤/脑震荡的诊断、治疗和管理，发布了几项新的或更新的临床实践指南和立场声明。其中三项指南由美国运动医学学会、美国神经病学学会和苏黎世共识工作组制定。每个小组的目标是明确界定与运动相关脑震荡的定义、诊断以及急性和亚急性管理的当前最佳实践，包括关于恢复比赛的具体建议。在本文中，我们比较了这三个小组的建议，并突出了在脑震荡的定义、诊断以及疑似脑震荡运动员的急性护理以及恢复比赛建议方面达成共识的那些主题。
