休闲滑雪者和滑雪运动员急性运动损伤的比较

doi:10.19723/j.issn.1671-167X.2021.05.005

摘要/Abstract

摘要：

目的: 对比分析大众滑雪场休闲滑雪者损伤和滑雪运动员比赛中急性运动损伤的差异,探讨针对这两类滑雪者的医疗保障服务建议。方法: 选择2018-2019和2019-2020雪季在河北张家口市崇礼区万龙滑雪场和富龙滑雪场这两个大型滑雪场的休闲滑雪者运动损伤情况与2019-2020雪季两项正式国际滑雪比赛及2021年冬奥会崇礼赛区国内测试赛受伤的滑雪运动员资料进行回顾性分析,比较其异同。结果: 2018-2019雪季两个休闲滑雪场共发生休闲滑雪者运动损伤1 187例,损伤率为0.3%;共有1 277个受伤部位,分析其受伤部位计次最多的是头颈部230例(18.0%), 其次为膝关节204例(16.0%)和下肢131例(10.3%)。2019-2020与2020-2021雪季两项正式滑雪国际比赛及2021年冬奥会国内测试赛共发生滑雪运动员损伤31例,其损伤率分别为11.5%、17.2%和12.0%;共有37个受伤部位,其中最多的是头颈部11例(29.7%), 其次为膝关节6例(16.2%)和胸肋腹部5例(13.6%)。结论: 为更好地保障滑雪人群安全和对运动损伤者及时提供相应医疗帮助,对于休闲滑雪的滑雪场,应增加安全设施与技术指导,滑雪场内设置医疗站。在正式滑雪比赛期间,因滑雪运动员在比赛期间损伤率比休闲滑雪高30~80倍,且与休闲滑雪相比,头颈部受伤比例更高,损伤更急且病情更重,需要更完备的急救设施和有经验的医务工作者提供医疗保障服务,所以赛场内应配备赛道内医疗点和赛道外固定医疗站,其周边的转诊医院应设立创伤中心,为运动员提供更及时的医疗保障服务。

关键词: 休闲滑雪者, 滑雪运动员, 滑雪世界杯

Abstract:

Objective: To compare and analyze the difference between the injuries of recreational skiers in public ski resorts and those of skiing athletes in official competitions, and to explore the suggestions of medical insurance for these two types of skiers. Methods: The injury data of recreational skiers in Chongli District, Zhangjiakou City, Hebei Province during 2018-2019 and 2019-2020 snow seasons, and the injury data of skiers in two official international skiing competitions during 2019-2020 snow season and domestic test events in Chongli District of 2021 Winter Olympic Games were analyzed retrospectively, and the similarities and differences were compared. Results: A total of 1 187 injuries occurred to recreational skiers in the two public ski resorts during the 2018-2019 snow season, with an injury rate of 0.3%.There were 1 277 injury sites in total, and the most frequent injury sites were head and neck (230 cases, 18.0%), followed by knee joint (204 cases, 16.0%) and lower extremity (131 cases, 10.3%). Thirty-one skiers were injured in the two official international skiing competitions in the 2019-2020 and 2020-2021 snow season, and in the domestic test competitions in the 2021 Winter Olympic Games, and the injury rates were 11.5%, 17.2% and 12.0%, respectively. There were 37 injury sites in total, among which 11 (29.7%) were in the head and neck, followed by 6 (16.2%) in the knee joint and 5 (13.6%) in the chest, rib and abdomen. Conclusion: In order to better guarantee the safety of skiers and timely provide corresponding medical help, safety facilities and technical guidance should be added to the snow resort for leisure skiing, and medical stations should be set up in the snow resort. As the formal ski racing for skiing athletes during the game has 30 to 80 times higher injury ratesthan recreational skiers, and compared with the recreational skiing, head and neck injury rate is higher, and the damage is much heavier, more complete first aid facilities and experienced medical workers are, needed so the field should be equipped with the circuit inside the quantities, track fixed outside the clinic, surrounding referral hospitals set up trauma centers to provide athletes with more timely medical care.

Key words: Recreational skiing, Skier, Skiing World Cup

中图分类号:

杨渝平,孔思敏,邓佳良,蒋艳芳,敖英芳. 休闲滑雪者和滑雪运动员急性运动损伤的比较[J]. 北京大学学报（医学版）, 2021, 53(5): 838-842.

Yu-ping YANG,Si-min KONG,Jia-liang DENG,Yan-fang JIANG,Ying-fang AO. Comparison of acute sports injury between recreational skiers and skiers[J]. Journal of Peking University (Health Sciences), 2021, 53(5): 838-842.

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参考文献 23

[1]	Carús L, Escorihuela M. Feature-specific ski injuries in snow parks [J]. Accid Anal Prev, 2016, 95(Pt A):86-90. doi: 10.1016/j.aap.2016.06.023 pmid: 27415812
[2]	Bergstrøm KA, Askild O, Jørgensen NA, et al. Evaluation of skiing injuries by injury severity score [J]. Scand J Med Sci Sports, 1999, 9(2):110-113. doi: 10.1111/j.1600-0838.1999.tb00218.x
[3]	Carús L, Escorihuela M. Epidemiology of feature-specific injuries sustained by skiers in a snow park [J]. Wilderness Environ Med, 2016, 27(3):415-420. doi: 10.1016/j.wem.2016.05.001
[4]	Dickson TJ, Terwiel FA. Injury trends in alpine skiing and a snowboarding over the decade 2008-09 to 2017-18 [J/OL]. J Sci Med Sport, 2020[2021-06-01]. https://doi.org/10.1016/j.jsams.2020.12.001 .
[5]	Laver L, Pengas IP, Mei-Dan O. Injuries in extreme sports [J]. J Orthop Surg Res, 2017, 12(1):59. doi: 10.1186/s13018-017-0560-9 pmid: 28420431
[6]	Pons-Villanueva J, Seguí-Gómez M, Martínez-González MA. Risk of injury according to participation in specific physical activities: a 6-year follow-up of 14 356 participants of the SUN cohort [J]. Int J Epidemiol, 2010, 39(2):580-587. doi: 10.1093/ije/dyp319 pmid: 19897466
[7]	Flørenes TW, Bere T, Nordsletten L, et al. Injuries among male and female World Cup alpine skiers [J]. Br J Sports Med, 2009, 43(13):973-978. doi: 10.1136/bjsm.2009.068759
[8]	Bere T, Flørenes TW, Nordsletten L, et al. Sex differences in the risk of injury in World Cup alpine skiers: a 6-year cohort study [J]. Br J Sports Med, 2014, 48(1):36-40. doi: 10.1136/bjsports-2013-092206
[9]	Soligard T, Palmer D, Steffen K, et al. Sports injury and illness incidence in the PyeongChang 2018 Olympic Winter Games: a prospective study of 2 914 athletes from 92 countries [J]. Br J Sports Med, 2019, 53(17):1085-1092. doi: 10.1136/bjsports-2018-100236
[10]	Castellani C, Singer G, Eibisberger M, et al. An epidemiologic analysis of winter sport accidents on ski slopes comparing two seasons [J]. J Sports Med Phys Fitness, 2019, 59(4):648-654. doi: 10.23736/S0022-4707.18.08665-6 pmid: 29877678
[11]	Spörri J, Kröll J, Gilgien M, et al. How to Prevent injuries in alpine ski racing: what do we know and where do we go from here [J]. Sports Med, 2017, 47(4):599-614. doi: 10.1007/s40279-016-0601-2 pmid: 27480763
[12]	王艳兵, 王文霞, 樊晓兵, 等. 高山滑雪场游客安全救护模式研究:以张家口崇礼区为例 [J]. 河北北方学院学报(社会科学版), 2017, 33(2):109-112.
[13]	Tarka MC, Davey A, Lonza GC, et al. Alpine ski racing injuries [J]. Sports Health, 2019, 11(3):265-271. doi: 10.1177/1941738119825842
[14]	Tuakli-Wosornu YA, Mashkovskiy E, Ottesen T, et al. Acute and chronic musculoskeletal injury in para sport: a critical review [J]. Phys Med Rehabil Clin N Am, 2018, 29(2):205-243. doi: S1047-9651(18)30014-7 pmid: 29627086
[15]	Flørenes TW, Nordsletten L, Heir S, et al. Injuries among World Cup ski and snowboard athletes [J]. Scand J Med Sci Sports, 2012, 22(1):58-66. doi: 10.1111/sms.2012.22.issue-1
[16]	Xu Y, Yang C, Yang Y, et al. narrative review of injury incidence, location, and injury factor of elite athletes in snowsport events [J/OL]. Front Physiol, 2021, 11:589983 [2021-06-01]. https://pubmed.ncbi.nlm.nih.gov/33488394/ .
[17]	Brucker PU, Katzmaier P, Olvermann M, et al. Recreational and competitive alpine skiing. Typical injury patterns and possibilities for prevention [J]. Der Unfallchirurg, 2014, 117(1):24-32. doi: 10.1007/s00113-013-2464-4
[18]	Bere T, Flørenes TW, Krosshaug T, et al. A systematic video analysis of 69 injury cases in World Cup alpine skiing [J]. Scand J Med Sci Sports, 2014, 24(4):667-677. doi: 10.1111/sms.2014.24.issue-4
[19]	Müller L, Hildebrandt C, Müller E, et al. Injuries and illnesses in a cohort of elite youth alpine ski racers and the influence of biological maturity and relative age: a two-season prospective study [J]. Open Access J Sports Med, 2017, 8:113-122. doi: 10.2147/OAJSM
[20]	Haaland B, Steenstrup SE, Bere T, et al. Injury rate and injury patterns in FIS World Cup Alpine skiing (2006-2015): have the new ski regulations made an impact [J]. Br J Sports Med, 2016, 50(1):32-36. doi: 10.1136/bjsports-2015-095467
[21]	Stenroos AJ, Handolin LE. Alpine skiing injuries in Finland: a two-year retrospective study based on a questionnaire among ski racers [J]. BMC Sports Sci Med Rehabil, 2014, 6(1):9. doi: 10.1186/2052-1847-6-9 pmid: 24565467
[22]	Kemler E, Valkenberg H, Gouttebarge V. Stimulating injury-preventive behaviour in sports: the systematic development of two interventions [J]. BMC Sports Sci Med Rehabil, 2019, 11:26. doi: 10.1186/s13102-019-0134-8 pmid: 31649824
[23]	Hébert-Losier K, Holmberg HC. What are the exercise-based injury prevention recommendations for recreational alpine skiing and snowboarding [J]. Sports Med, 2013, 43(5):355-366. doi: 10.1007/s40279-013-0032-2 pmid: 23463392

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Age/years Ski resort A Ski resort B Total
2-12, n(%) 58 (13.4) 52 (6.9) 110 (9.3)
13-20, n(%) 53 (12.3) 57 (7.5) 110 (9.3)
21-30, n(%) 155 (35.9) 254 (33.7) 409 (34.4)
31-40, n(%) 123 (28.5) 186 (24.6) 309 (26.0)
41-50, n(%) 31 (7.2) 114 (15.1) 145 (12.2)
51-60, n(%) 10 (2.3) 55 (7.3) 65 (5.5)
Above 60, n(%) 0 (0) 17 (2.3) 17 (1.4)
No data, n(%) 2 (0.4) 20 (2.6) 22 (1.9)
Total, n(%) 432 755 1 187

Injured parts Ski resort A Ski resort B Total
Head or neck, n(%) 75 (17.4) 155 (19.9) 230 (18.0)
Knee, n(%) 69 (16.0) 135 (17.3) 204 (16.0)
Wrist or fingers, n(%) 46 (10.6) 77 (9.9) 123 (9.6)
Ankle or toes, n(%) 15 (3.5) 52 (6.7) 67 (5.2)
Waist or hip, n(%) 32 (7.4) 54 (6.9) 86 (6.7)
Lower limb, n(%) 46 (10.6) 85 (10.9) 131 (10.3)
Upper limb, n(%) 44 (10.2) 67 (8.6) 111 (8.7)
Shoulder or back, n(%) 36 (8.3) 77 (9.9) 113 (8.8)
Chest, ribs or abdomen, n(%) 45 (10.4) 81 (10.4) 126 (9.9)
Soft tissue injury, n(%) 24 (5.6) 0 (0) 24 (1.9)
No data, n(%) 0 (0) 62 (7.9) 62 (4.9)
Total 432 845 1 277

Age/years skiers
17-20, n(%) 17 (56.7)
21-30, n(%) 12 (40.0)
Above 30, n(%) 1 (3.3)
Total 30

Injured parts Skiers
Head or neck, n(%) 11 (29.7)
Knee, n(%) 6 (16.2)
Wrist or fingers, n(%) 2 (5.4)
Ankle or toes, n(%) 1 (2.7)
Waist or hip, n(%) 3 (8.1)
Lower limb, n(%) 1 (2.7)
Upper limb, n(%) 3 (8.1)
Shoulder or back, n(%) 4 (10.8)
Chest, ribs or abdomen, n(%) 5 (13.6)
Soft tissue injury, n(%) 1 (2.7)
Total 37