运动性猝死

目的:探讨和分析运动性猝死的流行病学和病因学特征,为竞技体育和全民健身提供科学有效的预防措施。资料来源:应用计算机检索Medline1982-01/2005-07关于运动性猝死的相关文献,检索词为“exercise/sport,suddendeath”并限定文章的语种类为English。同时利用计算机检索同期维普中文科技期刊全文数据库关于运动性猝死的相关文献,检索词为“运动、猝死”,限定文章语言种类为中文。资料选择:对资料进行初选,选择与运动有关的猝死文献,排除重复性研究文献以及个案。资料提炼:在63篇文献中,经分类整理,纳入14篇。资料综合:运动性猝死发生率低,进展迅速,与运动项目和运动强度之间没有明显相关,多发生在30～60岁,男性多于女性。病因多为心源性和脑源性猝死,冠状动脉粥样硬化是运动性猝死的一个主要原因。结论:运动性猝死发生率低,存在性别特征,冠状动脉粥样硬化是运动性猝死的一个重要因素。必须加强对运动性猝死流行病学和病因学以及预防措施的研究。

Exercise-related sudden death

OBJECTIVE: To investigate and analyze the epidemiological and etiological characteristics of exercise-related sudden death, so as to provide scientific and effective preventive measures for competitive sports and the body building of the entire people.DATA SOURCES: A computer-based online search of Medline database was conducted to identify articles about exercise-related sudden death published in English between January 1982 and July 2005 by using the keywords of "exercise/sport, sudden death". Meanwhile, Chinese relevant articles at the same period were searched in VIP database with the same keywords in Chinese.STUDY SELECTION: The data were primarily checked, those about exercise-related sudden death were selected, and the repetitive studies and case report were deleted.DATA EXTRACTION: Fourteen of the 63 literatures were involved after classification.DATA SYNTHESIS: Exercise-related sudden death has low incidence and rapid progress, and it has no obvious correlation with the event and intensity of sports, it occurs more in males than in females of 30-60 years.Most of the etiological factors are sudden cardiac death and sudden cerebral death, and coronary atherosclerosis is one of the main causes for exercise-related sudden death.CONCLUSION: Exercise-related sudden death has low incidence, and there is sex characteristics, coronary atherosclerosis is an important factor for exercise-related sudden death. Studies on the epidemiology and etiology of exercise-related sudden death, as well as the preventive measures,should be reinforced.