混合武术的血管部限制:了解病理生理学,血液动力学和长期后果
Ariella Gartenberg1, Alexander Petrie2, Rene Dreifuss3
1Department of Emergency Medicine, Jacobi Medical Center and Montefiore Medical Center, Bronx, NY, USA.
The Physician and sportsmedicine
|April 9, 2025
概括
混合武术 (MMA) 中的血管部束 (VNR) 可以通过脑缺氧引起失去意识. 虽然在正确应用时通常是安全的,但需要对长期VNR影响进行更多研究.
科学领域:
- 运动医学 运动医学
- 神经学 神经学
- 心血管生理学心血管生理学
背景情况:
- 混合武术 (MMA) 是一个快速增长的运动,经常出现头部和部受伤.
- 部窒息,或血管部束 (VNRs),占MMA比赛中断的14.1%.
- 由于VNR引起的无意识的病理生理学及其长期后果尚不清楚.
研究的目的:
- 审查有关MMA中VNR的长期影响的现有文献.
- 探索VNRs的潜在病理生理学和血液动力学.
- 为MMA战士提供安全概况和管理指南.
主要方法:
- 对2025年之前发表的医学文献进行叙事审查.
- 在MEDLINE/PubMed和Cochrane图书馆进行的搜索.
- 文章按VNR病理生理学,安全性和并发症分类.
主要成果:
- VNRs可能会通过脑缺氧诱导失去意识,因为脑 perfusion 压力降低,主要是通过静脉和动脉压缩.
- 当VNRs被正确执行时,其安全概况似乎是可以接受的.
- 关于VNRs的长期影响的研究有限.
结论:
- 进一步的研究是必不可少的,以阐明VNR引起的无意识的病理生理学.
- 视频登记记录的长期影响需要调查,以建立战斗机安全标准.
- 对管理MMA战士的医疗保健专业人员的指导方针需要开发.
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