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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。
Objective: To explore and analyze the epidemiological and etiological characteristics of sudden exercise of sudden death, to provide scientific and effective preventive measures for competitive sports and universal fitness. Source: Applied Computer to Retrieve Medline1982-01 / 2005-07 Related Literature on Sudden Motion of Sudden Death, with the wording “exercise / sport, sudden death” and the article type limited to English. At the same time, we searched the related literature about sudden exercise death in the full-text database of Chinese science and technology periodicals in the same period by using computer. The search term was “exercise, sudden death,” and the limited article language was Chinese. Data selection: data primaries, selection of exercise-related sudden death literature, exclusion of repetitive research literature and cases. Data extraction: 63 papers, classified by classification, included 14 articles. DATA SYNTHESIS: The incidence of sudden death from exercise is low and progresses rapidly. There is no obvious correlation between sports events and exercise intensity, occurring mostly in 30-60 years old, more men than women. Etiology and brain mostly caused by sudden cardiac death, coronary atherosclerosis is a major cause of sudden exercise death. Conclusion: The incidence of sudden death from exercise is low, with gender characteristics. Coronary atherosclerosis is an important factor in sudden exercise-induced death. Research on the epidemiology and etiology of sudden-onset sudden death and preventive measures must be strengthened.