CAJ | 학술논문

背景:运动成绩的提高需要超越极限运动来获取,如何在取得优异成绩的前提下保护运动员身体健康.目的:采用中国传统中医方法,减少运动员在极限运动后肾脏功能受到损害.设计:以体育教育专业学生为对象.随机对照观察.单位:曲阜市中医院中医内科和曲阜师范大学体育科学学院.对象:于2004-04-20从曲阜师范大学2000级体育教育专业学生16个自然小班中随机抽取2个自然小班,每班各抽取20名.方法:把40名学生按自然小班1,2班分为实验班和对照班.2004-04-24极限训练一次后15～20 min及晨起即刻取尿液少许测试.2004-05-24以同样的负荷强度、同样的方法测试和处理.期间实验组每天3次服补肾健脾中药胶囊(其主要成分包括怀山药、何首乌、仙灵脾、枸杞子、绞股兰、刺五加、丹参、柴胡等,0.3g/粒),每次6粒.采用放射免疫法测定尿糖蛋白、β2微球蛋白、尿白蛋白、免疫球蛋白.主要观察指标:两组学生极限运动后和次日晨起尿蛋白含量服药前后的比较.结果:两组学生均完成整个实验过程,所有数据无一脱落.①第1次实验即服药前,受试者极限运动后各种尿蛋白的含量均明显增加,次日晨起各类蛋白自然恢复情况有明显的差异:其中尿白蛋白的恢复最快,基本恢复到正常值;尿β2微球蛋白和免疫球蛋白的恢复比较明显;尿糖蛋白无明显的恢复现象.②第2次实验后,实验组和对照组比较发现,补肾健脾中药对极限运动后尿蛋白恢复有明显的影响:尿白蛋白因自然恢复太快无法显示出12 h药的作用;促进β2微球蛋白和免疫球蛋白的恢复;对尿糖蛋白的恢复作用明显,实验组和对照组相比差异有显著性(实验组基本恢复到正常值,对照组基本无变化).结论:极限负荷强度运动后尿蛋白明显增加,并且4种蛋白的自然恢复情况呈规律性变化,补肾健脾中药可促进极限运动后尿蛋白恢复至正常值,提示其对肾功能的保护作用. 揹景:運動成績的提高需要超越極限運動來穫取,如何在取得優異成績的前提下保護運動員身體健康.目的:採用中國傳統中醫方法,減少運動員在極限運動後腎髒功能受到損害.設計:以體育教育專業學生為對象.隨機對照觀察.單位:麯阜市中醫院中醫內科和麯阜師範大學體育科學學院.對象:于2004-04-20從麯阜師範大學2000級體育教育專業學生16箇自然小班中隨機抽取2箇自然小班,每班各抽取20名.方法:把40名學生按自然小班1,2班分為實驗班和對照班.2004-04-24極限訓練一次後15～20 min及晨起即刻取尿液少許測試.2004-05-24以同樣的負荷彊度、同樣的方法測試和處理.期間實驗組每天3次服補腎健脾中藥膠囊(其主要成分包括懷山藥、何首烏、仙靈脾、枸杞子、絞股蘭、刺五加、丹參、柴鬍等,0.3g/粒),每次6粒.採用放射免疫法測定尿糖蛋白、β2微毬蛋白、尿白蛋白、免疫毬蛋白.主要觀察指標:兩組學生極限運動後和次日晨起尿蛋白含量服藥前後的比較.結果:兩組學生均完成整箇實驗過程,所有數據無一脫落.①第1次實驗即服藥前,受試者極限運動後各種尿蛋白的含量均明顯增加,次日晨起各類蛋白自然恢複情況有明顯的差異:其中尿白蛋白的恢複最快,基本恢複到正常值;尿β2微毬蛋白和免疫毬蛋白的恢複比較明顯;尿糖蛋白無明顯的恢複現象.②第2次實驗後,實驗組和對照組比較髮現,補腎健脾中藥對極限運動後尿蛋白恢複有明顯的影響:尿白蛋白因自然恢複太快無法顯示齣12 h藥的作用;促進β2微毬蛋白和免疫毬蛋白的恢複;對尿糖蛋白的恢複作用明顯,實驗組和對照組相比差異有顯著性(實驗組基本恢複到正常值,對照組基本無變化).結論:極限負荷彊度運動後尿蛋白明顯增加,併且4種蛋白的自然恢複情況呈規律性變化,補腎健脾中藥可促進極限運動後尿蛋白恢複至正常值,提示其對腎功能的保護作用.
배경:운동성적적제고수요초월겁한운동래획취,여하재취득우이성적적전제하보호운동원신체건강.목적:채용중국전통중의방법,감소운동원재겁한운동후신장공능수도손해.설계:이체육교육전업학생위대상.수궤대조관찰.단위:곡부시중의원중의내과화곡부사범대학체육과학학원.대상:우2004-04-20종곡부사범대학2000급체육교육전업학생16개자연소반중수궤추취2개자연소반,매반각추취20명.방법:파40명학생안자연소반1,2반분위실험반화대조반.2004-04-24겁한훈련일차후15～20 min급신기즉각취뇨액소허측시.2004-05-24이동양적부하강도、동양적방법측시화처리.기간실험조매천3차복보신건비중약효낭(기주요성분포괄부산약、하수오、선령비、구기자、교고란、자오가、단삼、시호등,0.3g/립),매차6립.채용방사면역법측정뇨당단백、β2미구단백、뇨백단백、면역구단백.주요관찰지표:량조학생겁한운동후화차일신기뇨단백함량복약전후적비교.결과:량조학생균완성정개실험과정,소유수거무일탈락.①제1차실험즉복약전,수시자겁한운동후각충뇨단백적함량균명현증가,차일신기각류단백자연회복정황유명현적차이:기중뇨백단백적회복최쾌,기본회복도정상치;뇨β2미구단백화면역구단백적회복비교명현;뇨당단백무명현적회복현상.②제2차실험후,실험조화대조조비교발현,보신건비중약대겁한운동후뇨단백회복유명현적영향:뇨백단백인자연회복태쾌무법현시출12 h약적작용;촉진β2미구단백화면역구단백적회복;대뇨당단백적회복작용명현,실험조화대조조상비차이유현저성(실험조기본회복도정상치,대조조기본무변화).결론:겁한부하강도운동후뇨단백명현증가,병차4충단백적자연회복정황정규률성변화,보신건비중약가촉진겁한운동후뇨단백회복지정상치,제시기대신공능적보호작용.
BACKGROUND:The improvement of athletic achievements needs a super-limited exercise to gain,how to protect athletics health under the prerequisite of gaining excellent achievements?OBJECTIVE:To reduce the injury of athletic renal function following maximum exercise by using traditional Chinese medicinal methodDESIGN:A randomized and controlled trial,taking students majoring in sports education specialty as subjects.SETTING:Internal Medicinal Department of Traditional Chinese Medicine (TCM) Hospital of Qufu Hospital of Traditional Chinese Medicine and Sports Education College of Qufu Normal University.PARTICIPANTS :Two small natural classes were randomly drown up from 16 small natural classes of 2000 grade in Sports Education College of Qufu Normal University, with 20 students in each class, on April 20, 2004.METHODS:All 40 students were according to natural class divided as experimental class and control class.The urine specimens for test were collected 15-20 minutes after one time maximum loading training on April24,2004 and immediately after morning getting-up. The procedure was performed once more on May 24. During the process the students in experimental group had taken the capsule of kidney-and-spleen-strengthening Chinese drug (KSSD, containing mainly Rhizoma Dioscoreae, Radix Polygoni Multiflori, Herba Epimedii, Fructus Lycii, Gynostamma Pentaphyllum,Radix Acanthopanacis Senticosi,Radix Salviae Miltiorrhizae,Radix Bupleuri, etc., 0.3 g/pellet), 6 pellets, 3 times a day. Urinary glucoprotein,β2-microglobulin, albumin and globulin were detectedby radio-immunoassay.MAIN OUTCOME MEASURES:The changes of urinary proteins of the students before and after administration following maximum exercise and getting-up in next morning.RESULTS: All students involved were good for the trial, without any loss.① The contents of various urinary proteins for the subjects after the maximum exercise or before administration were all obviously increased,and the conditions of natural recovery of proteinuria on getting-up next morning were quiet different: the recovery of urinary albumin was the fattest, basically to the normal;recoveries of β2 micro-globulin and immune-globulin were obvious, but the recovery of glucoprotein was inconsiderable.② After the second trial,in comparing the experimental group with the control group it was found that KSSD can obviously influence the recovery of proteinuria following maximum exercise:The effect in 12 hours did not be shown because of too fast natural recovery of albuminuria. It could promote the recoveries of β2 micro-globulin and immune-globulin. The effect on recovery of urinary of glucoprotein was obvious,basically to the normal for experimental group and basically no change for control group,there was a significant differentiation between the two groups.CONCLUSION:The contents of urinary proteins were obviously increased following maximum loading training, and natural recoveries of the four kinds of proteins presented regulatory changes.KSSD can promote the recovery of proteinuria following maximum exercise to normal volume,suggesting that the medicine has a protecting role to renal function.