运动相关脑震荡后的正静态生命体征:一个队列研究
Andrew R Sas1,2, Michael J Popovich2,3, Aleah Gillenkirk2
1Department of Neurology, Ohio State University Medical Center, Columbus, Ohio, USA.
The American journal of sports medicine
|August 27, 2024
概括
与对照人群相比,患有急性运动相关脑震荡 (SRC) 的运动员在静止生命体征 (VS) 期间心率 (HR) 和血压发生更大的变化. 这些自主神经系统变化,特别是HR升高,在患有SRC的年轻运动员中更为常见.
科学领域:
- 运动医学 运动医学
- 神经学 神经学
- 生理学 生理学 生理学
背景情况:
- "体育中脑震荡第六次国际共识声明"强调了评估自主神经系统 (ANS) 功能障碍的重要性,使用脑震荡后的静态生命体征 (VS).
- 有限的数据存在于运动相关脑震荡 (SRC) 后通过静态VSs识别的ANS功能障碍的患病率.
研究的目的:
- 为了比较急性SRC运动员和健康的对照运动员之间的心率 (HR),静脉血压 (SBP) 和透气血压 (DBP) 的正静态变化.
- 调查这些静止变化的年龄和性别相关差异.
主要方法:
- 一项横截面研究比较了133名急性SRC (<30天) 的运动员和100名对照运动员.
- 参与者接受了标准的静态生命体征评估,测量了卧卧和站立的HR,SBP和DBP (立即和2分钟).
- 使用线性和逻辑回归分析来比较生命体征变化 (ΔHR, ΔSPB, ΔDBP) 和组之间正正静态VS变化的频率,控制年龄和性别.
主要成果:
- 与对照组相比,SRC运动员的HR (ΔHR) 延迟增加和SBP (ΔSPB) 减少显著增加.
- 阳性静态HR变化 (≥30bpm增加) 在SRC运动员中更频繁 (18%vs7%).
- 在SRC组中,观察到年龄和ΔHR之间的弱逆关系,主要在儿童和青少年子组中发现正正静态HR结果.
结论:
- 与对照人群相比,与运动有关的急性脑震荡与显著的静态生命体征变化有关,主要是持续的心率升高.
- 标准的静态生命体征评估可以作为一个有价值的临床生物标志物来评估SRC后的自主功能障碍.
- 这一评估对被诊断患有脑震荡的儿科和青少年运动员尤为重要.
相关概念视频
01:26Exercise Stress Test
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Introduction
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
Exercise stress testing, commonly known as a treadmill test, is a noninvasive procedure used to evaluate cardiovascular function and diagnose heart conditions.
Definition
An exercise stress test measures the heart's response to exertion using a treadmill or stationary bicycle. Chest electrodes record the heart's electrical activity through an ECG, and blood pressure is monitored regularly.
Purposes
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01:28Special considerations while measuring blood pressure
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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
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