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目的:观察大学生运动前医学评估对运动性心血管意外预警机制效果。方法:选取2014年6月至2015年9月到肇庆学院医学院体检的参加运动的大学生120名,运动前进行医学评估,评估内容包括:既往病史、运动史、家族史,测定患者身高、体质量、体质量指数(BMI)、血压等,了解大学生基本情况,必要时邀请上级三甲医院医师联合检查,将评估结果与临床结果比较。结果:120例大学生临床病理最终确认12例存在心血管疾病,其中,5例心肌炎、4例心脏病、3例其他,发生率为10.00%。经过运动前医学评估诊断符合率为75.0%,与临床病理比较差异有统计学意义(P<0.05);发生心血管疾病与未发生心血管疾病患者同工酶(CK-MB)水平差异无统计学意义(P>0.05);发生心血管疾病患者肌酸激酶(CK)、高敏C反应蛋白(hs-CRP)、肌红蛋白(Mb)及天门冬氨酸氨基转移酶(AST)水平,高于未发生心血管疾病大学生,差异具有统计学意义(P<0.05)。结论:大学生运动前进行医学评估效果理想,建立预警机制,能降低心血管意外事件发生率。
Objective: To observe the pre-exercise medical assessment of college students on cardiovascular accident warning mechanism. Methods: From June 2014 to September 2015, 120 college students who participated in the physical examination of Zhaoqing Medical College were enrolled in this study. Before the exercise, medical assessment was conducted. The assessment included the following: past medical history, exercise history, family history, patient height, Quality, body mass index (BMI), blood pressure and so on, to understand the basic situation of college students, if necessary, to invite higher-level physicians in the top three joint examination, the assessment results and clinical outcomes. Results: The clinical pathology of 120 college students confirmed the existence of cardiovascular diseases in 12 patients. Among them, 5 cases of myocarditis, 4 cases of heart disease and 3 cases of others, the incidence was 10.00%. The pre-exercise medical assessment diagnostic coincidence rate was 75.0%, and clinicopathological differences were statistically significant (P <0.05); cardiovascular disease and no cardiovascular disease isoenzyme (CK-MB) levels were not statistically different (P> 0.05). The levels of creatine kinase (CK), hs-CRP, myoglobin and aspartate aminotransferase (AST) The difference was statistically significant (P <0.05) in the students without cardiovascular disease. Conclusion: University students exercise well before the medical assessment effect, the establishment of early warning mechanism, can reduce the incidence of cardiovascular accidents.