目的:探讨采用运动疗法结合辨证口服中药治疗自行车运动员突发或复发腰痛的疗效。方法:选择2006年1月~2012年3月突发或复发腰痛自行车运动员60例,按疾病分类和诊疗次序依次分成对照组和观察组。观察组采用运动疗法和辨证口服中药,对照组采用卧床休息、腰围保护等常规治疗。采用视觉模拟评分法(VAS)对两组治疗前后腰骶痛、下肢痛进行评估,并测量腰椎活动度。结果:与治疗前相比,两组近、中期腰骶痛、下肢痛评分均显著下降(P<0.05),远期对照组评分维持低水平,观察组中期评分维持低水平、远期为零;对照组近期腰椎活动度无显著性改善(P>0.05),观察组均显著增加(P<0.05)。组间同期比较,观察组三项指标均显著性优于对照组(P<0.05)。结论:运动疗法结合辨证口服中药对自行车运动员腰痛疗效显著。

目的:探讨优秀自行车运动员颈、腰椎间盘突出症治疗与康复方法及效果。方法:2010年9月至2011年5月对国家自行车队场地短距离组19名优秀运动员检查评估并确诊了8例颈、腰椎间盘突出症,从病因病机入手,开展综合治疗、康复与防控。结果:经平均28.88天的综合治疗康复与防控,6例治愈,2例显效。结果显示:综合康复与防控措施有效。

Purpose:To summarize and analyze emergency medical services and transportation(EMST) about three highly dangerous sport games,and cases of acute trauma and sickness(ATS),all attempts at patterns of effective games medical services are to provide reference and better service for similar games in the future.Method:By combining empirical research and theories analysis,the thought and management of 22 games EMST(Cycling,Triathlon,Motor) from 8,1995 to 10,2009,and the diagnosis and treatment of 368 cases(ATS of FOP) have been summarized and analyzed in retrospect.With overall recollection and case study,normalized,scientized,internationalized,standardized and specialized ways have been explored.Result:The games were involved in the factors:internal and international,indoor and outdoor,land and water,highland and lowland,hot and cold,wet and dry,body aod apparatus,endurance and high-speed,opposing and non-opposing,super-long and extra-short distance,government,association or(and) enterprise,etc.ATS:(internal medicine) ten kinds 144 cases,(surgery)seven kinds 224 cases;transporting rate 19.02%,hospitalizing rate 14.4%,zero mortality and FOP cure rate 80.98%.Have formed the patterns of(1)thought:prevention first in advance,safety and high-efficiency,harmony and smoothness;(2)normalized,scientized and internationalized management:following international conventions and policies,formulating contingency plans and procedures,being of one mind of the medical team of venue operating team,First-aid unit of three persons,training and exercise in accordance with the special situations,Medical Director pattern;(3)standardized and specialized health care:following ethical guidelines for health care in sports medicine and first-aid technical standards,curing sickness after saving life,diagnosis and treatment and stabilizing patient's condition,patterns of EMST of ATS,pre-hospital trauma life support procedure.Conclusion:Feasible patterns of medical services for similar games have been established.This has impelled games medical services for the complicated body of life and with characteristics of suddenness,time effectiveness,risk,flexibility and practicality,to be paid attention to prevention first in advance,simplification and smoothness,normal and right,safety and high-efficiency.These patterns have been become the foundation of the follow-up medical service practice.

On 19 August 2008 a South African cycling coach suffered from sudden death in the Laoshan Cycling Palaestra. A female cyclist,the first responder,practiced extra-thoracic cardiac massage immediately. Three minutes later the professional medical team staff members hurried to the spot at a run and took over the first aid. A chief physician-volunteer was appointed as the on-the-spot commander. Necessary equipments were sent without delay. The secretion in the mouth and trachea was removed so as to open an air path. External jugular vein puncture was practiced in addition to the use of indwelling needle in the basilica vein as the main venous route. Adrenalin and atropine were given via venous route. Extrathoracic cardiac compression with a high frequency was conducted. Sunken lower part of the sternum (dislocation of sternocostal joint) was found. Electrocardiac monitoring was established as soon as possible. Eleven minutes after CPR ventricular fibrillation occurred and defibrillation was performed in time successfully. Ice compress was applied to the head and neck. After cheeks became rosy and blood pressure was stable the patient was transported to a designated hospitals for Olympic Games via special driveway for Beijing Olympic vehicles. During the transportation there was a special person in charge of fixation of the tracheal tube. Nine minutes were needed on the way. The CPR lasted 39 minutes. One day later,the patient was weaned from the respirator,and the tracheal catheter was removed. No cerebral damage was found.

奥运医疗保障工作是关注人数最多、保障规模最大、理念技术要求最高、医疗事件传播最快、影响范围最大,强度最深远的医疗保障工作.