运动中创伤性脑损伤并发症的预防

A. Smolenskiy, O. Shevelev, M. Petrova, M. Yuryev, E. Sheveleva, A. V. Tarasov, A. Miroshnikov
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引用次数: 0

摘要

该综述的目的是告知医生和运动队的培训人员有关预防运动性脑损伤并发症的技术。临床表现不明显、个体损伤反应的特异性、运动员的抗加重行为、缺乏公正的SBI诊断方法是低估创伤严重程度的主要原因。目前,轻度SBI的治疗和康复程序没有考虑创伤的具体特征,这些特征与创伤干预期间身体和大脑温度升高以及脑灌注减少有关。大脑受伤会导致大脑温度升高,这反过来又会加重创伤的后果。通过无创微波辐射测量可以实现对大脑温度的控制,而具有明显神经保护特性的颅脑低温(CCH)技术可以帮助预防SBI的并发症。
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Prevention of traumatic brain injury complications in sports
The aim of the review is to inform doctors and trainers of sports teams about technologies that prevent complications of sport brain injuries (SBI). Low levels of visibility of clinical manifestations, specific characteristics of individual reactions to injury, anti-aggravation behavior among sportsmen, absence of unbiased methods of diagnostics of SBI are the main reasons behind underestimation of the severity of trauma. Treatment and rehabilitation procedures of mild SBI do not currently consider specific characteristics of trauma, associated with the increase in body and brain temperature and reduced cerebral perfusion during the traumatizing intervention. Injury of the brain causes an increase in cerebral temperature, which, in turn, can aggravate the consequences of traumatization. The control of the temperature of the brain can be achieved with non-invasive method of microwave radiometry, while the technology of craniocerebral hypothermia (CCH), which has evident neuroprotective properties, can aid in the prevention of complications of SBI.
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