运动性贫血发病机理的研究

THE STUDIES ON RELATED FACTORS OF SPORTS ANEMIA

分析了17～21岁耐力运动员181人(男89,女92)和非运动员160人(男82,女78)的血浆睾酮、促红细胞生成素、微量元素铜、锌、及铁、铁蛋白和运铁球蛋白水平,以探讨运动性贫血的发病机制。结果:1.运动员中低于贫血标准的万5人(5.6%)、女7人(7.6%),低于亚理想血红蛋白值的男12人(13.5%)、女18人(19.6%)。2.运动员睾酮水平升高,亚理想血红蛋白组则降低,运动员Epo升高,贫血者更明显。3.运动员血清铜含量下降,贫血者尤为明显。4.运动员的血清铁及铁蛋白水平低于非运动员,其中非贫血者的血清铁在正常范围,但铁蛋白水平亦明显低于非运动员。认为耐力运动员补充铁、铜可防治运动性贫血。

The hemoglobin,RBC and Cu,Zn,Fe,ferritin,transferrin,tes-tosterone and erythropoietin in serum of 181 endurance athletes and 160 no-nathletes were measured.we discover that the incidence rate of sports anemia is 5.6% for male and 7.6% for female.Taking the value of suboptimal hemoglobin as standard,the value less than the level is 13.5% for male and 19.6% female。The concentration of Cu,Fe and ferritin are all lower than con-trol group particularly in suboptimal Hb group.The concentration of trans-ferrin and erythropoietin are rising especially in suboptimal Hb group.The testosterone level in athletes are higher than normal but the athletes have anemia are remarkally lower.It suggested that endurance athletes should intake more Fe,Cu to prevent sports anemia.