Honey C R
Division of Neurosurgery, University of British Columbia, Vancouver, Canada.
Clin J Sport Med. 1998 Jan;8(1):43-6. doi: 10.1097/00042752-199801000-00010.
To review the incidence of brain injuries sustained while playing ice hockey.
MEDLINE was searched for articles from 1966 to 1997 relating to ice hockey and injuries. Additional references were reviewed from the bibliographies of the retrieved articles.
All clinical study designs were included.
In reviewing the literature, particular attention was paid to the relative strengths of the different study designs. Rates of head injuries were recorded (or calculated if possible) from the data.
The most common brain injury was concussion. The incidence of concussion (per 1000 player-hours) ranged from 0.0 to 0.8 for players aged 5 to 14 years, from 0.0 to 2.7 for high school players, from 0.2 to 4.2 for university players, and from 0.0 to 6.6 for players on elite teams. The incidence of concussion increases with higher levels of play, is higher in game play than practice for elite players. Is reduced by appropriate helmets, and is showing a downward trend for players aged 5 to 14 years. Other brain injuries included rare epidural and subdural hematomas that can be lethal. Recommendations for the further reduction of brain injuries and guidelines for future studies of the incidence of head injuries in hockey are provided.
回顾冰球运动中脑部损伤的发生率。
检索MEDLINE数据库中1966年至1997年与冰球和损伤相关的文章。从检索到的文章的参考文献中查阅了其他文献。
纳入所有临床研究设计。
在回顾文献时，特别关注了不同研究设计的相对优势。从数据中记录（或在可能的情况下计算）头部损伤的发生率。
最常见的脑部损伤是脑震荡。5至14岁球员的脑震荡发生率（每1000球员小时）为0.0至0.8，高中球员为0.0至2.7，大学球员为0.2至4.2，精英球队球员为0.0至6.6。脑震荡的发生率随着比赛水平的提高而增加，对于精英球员来说，比赛中的发生率高于训练。合适的头盔可降低发生率，并且5至14岁球员的发生率呈下降趋势。其他脑部损伤包括罕见的硬膜外和硬膜下血肿，可能致命。提供了进一步减少脑部损伤的建议以及未来冰球头部损伤发生率研究的指南。
