身体活动与患有血友病的儿童出血风险之间的关联
Carolyn R Broderick1, Robert D Herbert, Jane Latimer
1Sydney Medical School, University of Sydney, Sydney, NSW, Australia. c.broderick@unsw.edu.au
JAMA
|October 11, 2012
概括
强烈的体力活动与血友病儿童的出血风险中适度,暂时的增加有关. 然而,与此类活动相关的出血总体增加可能很小.
科学领域:
- 儿科血液学 儿科血液学
- 运动医学 运动医学
- 血液流动障碍 血液流动障碍
背景情况:
- 在患有血友病的儿童中,由于担心出血风险,身体活动往往受到限制.
- 与身体活动相关的出血风险增加的确切程度尚不清楚.
研究的目的:
- 量化儿科血友病患者与体力活动相关的短暂增加的出血风险.
- 分析不同类别的身体活动与出血事件之间的关联.
主要方法:
- 一个案例交叉研究嵌入了104名患有血友病A或B的儿童 (4-18岁) 的前性队列.
- 在出血前8小时的体力活动暴露与对照期进行了比较,并对凝血因子水平进行了调整.
- 活动按碰撞频率和强度进行分类.
主要成果:
- 2类活动 (如篮球) 与不活动相比,显示出更高的出血风险 (OR,2.7).
- 第三类活动 (例如摔) 显示出出血风险的短暂增加 (OR,3.7).
- 凝血因子水平增加1%与出血发生率降低2%有关.
结论:
- 剧烈的体力活动暂时与血友病儿童和青少年出血风险的中度相对增加有关.
- 由于风险增加的短暂性质,身体活动导致的出血风险的绝对增加可能很小.
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