北京大学学报(医学版) ›› 2024, Vol. 56 ›› Issue (2): 313-317. doi: 10.19723/j.issn.1671-167X.2024.02.017

• 论著 • 上一篇    下一篇

北京冬奥会雪车雪橇项目医疗急救的保障

马勇1,杜昌1,*(),郭维1,朱继红1,朱凤雪2,党育3,郭鹏4   

  1. 1. 北京大学人民医院急诊内科,北京 100044
    2. 北京大学人民医院创伤救治中心,北京 100044
    3. 北京大学人民医院创伤骨科,北京 100044
    4. 北京大学人民医院急诊外科,北京 100044
  • 收稿日期:2023-08-14 出版日期:2024-04-18 发布日期:2024-04-10
  • 通讯作者: 杜昌 E-mail:dc17@yeah.net
  • 基金资助:
    北京市卫生健康科技成果和适宜技术推广项目(BHTPP2022097)

Medical emergency support for the snowboarding project during the Beijing Winter Olympics

Yong MA1,Chang DU1,*(),Wei GUO1,Jihong ZHU1,Fengxue ZHU2,Yu DANG3,Peng GUO4   

  1. 1. Department of Emergency Medicine, Peking University People's Hospital, Beijing 100044, China
    2. Trauma Treatment Center, Peking University People's Hospital, Beijing 100044, China
    3. Department of Traumatology and Orthopedics, Peking University People's Hospital, Beijing 100044, China
    4. Department of Emergency Surgery, Peking University People's Hospital, Beijing 100044, China
  • Received:2023-08-14 Online:2024-04-18 Published:2024-04-10
  • Contact: Chang DU E-mail:dc17@yeah.net
  • Supported by:
    the Beijing Health Technologies Promotion Program(BHTPP2022097)

摘要:

目的: 对国家雪车雪橇中心的雪车、雪橇、钢架雪车赛道医疗保障情况进行分析及总结,为今后赛事举办及群众冰雪运动的医疗保障工作提供经验。方法: 回顾性分析参加2021年10—11月雪车、雪橇、钢架雪车国际训练周和世界杯(以下简称“国际训练周”),及2022年2月北京冬奥会雪车、雪橇、钢架雪车项目(以下简称“北京冬奥会”)的运动员受伤、救治情况,参考和借鉴《冬季雪上运动项目医疗保障标准》制定具体的分类标准分析受伤部位、受伤类型、事故发生点位等。结果: 参加国际训练周和北京冬奥会总计743名运动员,比赛期间共发生翻车、翻撬、碰撞事故58次,其中有28次(运动员28例)出现了运动员受伤,占事故总数的48.3%,占运动员总数3.8%,其中男性9例(32.1%),女性19例(67.9%),平均年龄(26.3±4.7)岁。28例受伤运动员中20例(71.4%)为Ⅰ类伤,在现场得到了救治处理,8例(28.6%)伤情较重的,其中Ⅱ类伤(7例)、Ⅲ类伤(1例)转诊至定点医院进行进一步处理。28例受伤运动员中有3例(10.7%)出现了多发损伤,其中2例为2部位受伤,1例为3部位受伤,最常见的受伤部位为脚踝及脚趾(10/32,31.3%)。28例受伤运动员中有1例(3.6%)同时出现了2种受伤类型,最常见的受伤类型为关节和(或)韧带损伤(11/29,37.9%)。赛道最容易发生事故的点位为第9弯道(18/58,31.0%)。结论: 通过对医疗保障工作的分析和总结,能够更好地为今后我国开展雪车、雪橇、钢架雪车运动提供经验和参考,使国家雪车雪橇中心真正成为可持续发展的奥运资产。

关键词: 北京冬奥会, 医疗保障, 国家雪车雪橇中心

Abstract:

Objective: To analyze and summarize the medical security situation of the snowmobile, sled, and steel frame snowmobile tracks at the National Sliding Centre, and to provide experience for future event hosting and medical security work for mass ice and snow sports. Methods: Retrospective analysis of injuries and treatment of athletes participating in the International Training Week and World Cup for Ski, Sled, and Steel Frame Ski from October to November 2021(hereinafter referred to as "International Training Week"), as well as the Ski, Sled, and Steel Frame Ski events at the Beijing Winter Olympics in February 2022 (hereinafter referred to as the "Beijing Winter Olympics"). We referred to and drew on the "Medical Security Standards for Winter Snow Sports" to develop specific classification standards for analyzing injured areas, types of injuries, and accident locations. Results: A total of 743 athletes participated in the International Training Week and the Beijing Winter Olympics. During the competition, there were 58 incidents of overturning, prying, and collision, of which 28 (28 athletes) were injured, accounting for 48.3% of the total accidents and 3.8% of the total number of athletes. Among them, there were 9 males (32.1%) and 19 females (67.9%), with an average age of (26.3 ± 4.7) years. Among the 28 injured athletes, 20 cases (71.4%) received on-site treatment for Class Ⅰ injuries, while 8 cases (28.6%) had more severe injuries, including Class Ⅱ injuries (7 cases) and Class Ⅲ injuries (1 case), which were referred to designated hospitals for further treatment. Among the 28 injured athletes, 3 cases (10.7%) experienced multiple injuries, including 2 cases of 2 injuries and 1 case of 3 injuries. The most common injuries were in the ankle and toes (10/32, 31.3%). Out of 28 injured athletes, one (3.6%) experienced two types of injuries simultaneously, with joint and/or ligament injuries being the most common (11/29, 37.9%). The most accident prone point on the track was the ninth curve (18/58, 31.0%). Conclusion: Through the analysis and summary of medical security work, it can provide better experience and reference for the future development of snowmobile, sled, and steel frame snowmobile sports in China, making the National Snowy and Ski Center truly a sustainable Olympic heritage.

Key words: Beijing Winter Olympics, Medical security, National Sliding Centre

中图分类号: 

  • R683.2
1 赫然. 北京冬奥国家雪车雪橇中心场馆赛道用喷射混凝土的研究[J]. 工业建筑, 2022, 52 (2): 144- 150.
2 张玉婷, 高治, 刘紫骐, 等. "翩若惊鸿, 婉若游龙"——国家雪车雪橇中心设计[J]. 建筑学报, 2021, (7): 92- 109.
3 Reeser JC , Willick S , Elstad M . Medical services provided at the Olympic Village polyclinic during the 2002 Salt Lake City Winter Games[J]. WMJ, 2003, 102 (4): 20- 25.
4 Engebretsen L , Steffen K , Alonso JM , et al. Sports injuries and illnesses during the Winter Olympic Games 2010[J]. Br J Sports Med, 2010, 44 (11): 772- 780.
doi: 10.1136/bjsm.2010.076992
5 Watanabe K , Akama T , Asakawa S , et al. Medical services at the 2017 Sapporo Asian winter games: injury and illness epidemiology at a 34-nation multisport event[J]. Br J Sports Med, 2019, 53 (1): 32- 36.
doi: 10.1136/bjsports-2018-099061
6 中国创伤救治联盟, 北京医师协会院前急救分会. 冬季雪上运动项目医疗保障标准专家共识[J]. 中国急救医学, 2018, 38 (5): 373- 377.
7 马骁, 王佳宁, 陈拿云, 等. 2019—2020国际雪联滑雪世界杯医疗保障情况分析[J]. 中国运动医学杂志, 2021, 40 (5): 360- 363.
8 曹国林. 高山滑雪初学者运动损伤原因调查分析[J]. 辽宁体育科技, 2014, 36 (2): 32- 33.
9 陈兆飞, 景涛. 冬季滑雪意外事故损伤及其安全防护研究[J]. 冰雪运动, 2019, 41 (3): 33- 37.
10 巨雷, 于滢, 孙智博, 等. 我国雪车项目运动损伤特点及防治[J]. 哈尔滨体育学院学报, 2018, 36 (2): 24- 27.
11 周文琪, 袁正, 李彦, 等. 第21~23届冬季奥运会赛期运动损伤发生特点[J]. 中国运动医学杂志, 2021, 40 (11): 922- 926.
12 Ruedl G , Schobersberger W , Pocecco E , et al. Sport injuries and illnesses during the first Winter Youth Olympic Games 2012 in Innsbruck, Austria[J]. Br J Sports Med, 2012, 46 (15): 1030- 1037.
doi: 10.1136/bjsports-2012-091534
13 Steffen K , Moseid CH , Engebretsen L , et al. Sports injuries and illnesses in the Lillehammer 2016 Youth Olympic Winter Games[J]. Br J Sports Med, 2017, 51 (1): 29- 35.
doi: 10.1136/bjsports-2016-096977
14 梁志强, 岑炫震, 林程辉, 等. 国际雪车训-科-医综合监控研究动向[J]. 中国体育科技, 2021, 57 (9): 3- 10.
15 Steenstrup SE , Bere T , Bahr R . Head injuries among FIS World Cup alpine and freestyle skiers and snowboarders: A 7-year cohort study[J]. Br J Sports Med, 2014, 48 (1): 41- 45.
doi: 10.1136/bjsports-2013-093145
16 Reid SA . Stress fracture of the ulna in an elite bobsled brakeman[J]. Clin J Sport Med, 2003, 13 (5): 306- 308.
doi: 10.1097/00042752-200309000-00006
17 Severson EP , Sofianos DA , Powell A , et al. Spinal fractures in recreational bobsledders: An unexpected mechanism of injury[J]. Evid Based Spine Care J, 2012, 3 (2): 43- 48.
doi: 10.1055/s-0031-1298617
18 Piat SC , Minniti D , Traversi D , et al. Torino 2006 Winter Olympic Games: Highlight on health services organization[J]. J Emerg Med, 2010, 39 (4): 454- 461.
doi: 10.1016/j.jemermed.2009.08.028
19 于滢, 巨雷, 孙智博, 等. 雪车项目运动损伤的原因及预防[J]. 哈尔滨体育学院学报, 2018, 36 (4): 23- 27.
20 Stuart CA , Richards D , Cripton PA . Injuries at the Whistler Sliding Center: A 4-year retrospective study[J]. Br J Sports Med, 2016, 50 (1): 62- 70.
doi: 10.1136/bjsports-2015-095006
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