Wiggins D L, Wiggins M E
Department of Obstetrics and Gynecology, Brown University School of Medicine, Providence, Rhode Island, USA.
Clin Sports Med. 1997 Oct;16(4):593-612. doi: 10.1016/s0278-5919(05)70044-2.
Women's participation in sporting activities is now diverse with new opportunities arising yearly. As a result, care of the the female athlete's unique medical concerns has become an important challenge and issue to the primary care physician. The major focus when caring for the female athlete should be the diagnosis and treatment of the female athlete triad. The components of the triad--disordered eating, amenorrhea, and osteoporosis--can have serious implications for the health of the female athlete. Appropriate prevention and screening methods for early diagnosis of the female athlete triad require future study and improvement. Healthy pregnant, postpartum, and breastfeeding women can continue to maintain physical activity. Musculoskeletal injuries from sports are, in general, not gender specific but are more often sport specific. One exception is the increased prevalence of anterior cruciate ligament injuries occurring in women soccer and basketball players. The exact cause of this is unknown but is continuing to be investigated.
如今,女性参与体育活动的形式多样,每年都有新的机会出现。因此,关注女性运动员独特的医疗问题已成为初级保健医生面临的一项重要挑战和议题。在照顾女性运动员时,主要关注点应是女性运动员三联征的诊断和治疗。三联征的组成部分——饮食失调、闭经和骨质疏松症——可能对女性运动员的健康产生严重影响。未来需要研究和改进针对女性运动员三联征早期诊断的适当预防和筛查方法。健康的孕妇、产后妇女和哺乳期妇女可以继续保持体育活动。一般来说,运动造成的肌肉骨骼损伤并非性别特异性的,而是更多地与运动项目相关。一个例外是,女性足球和篮球运动员前交叉韧带损伤的患病率有所增加。其确切原因尚不清楚,但仍在调查中。