Clinical and laboratory study of abnormal increase in creatine kinase caused by training injury
JIA Zhixin, HAN Bin, MU Lei, WANG Fang, MENG Haobo
No.2 Department of Internal Medicine, Inner Mongolian Autonomous Regional Corps Hospital of Chinese People’s Armed Police Forces, Hohehot 010040, China
Abstract：Objective To study the clinical and laboratory characteristics of creatine kinase elevation due to training injury, thereby guiding the grass-roots medical work and training injury prevention. Methods Retrospective analysis was made of 112 patients with training injury hospitalized from August 2008 to August 2014 and analysis was made of their clinical and laboratory data, especially creatine kinase (CK). Results (3246±80.24) U/L in 38 patients with fracture and (or) soft tissue injury were marked higher than in 74 subjects without evident trauma CK (2465.03±65.32) U/L with statistical significant difference (P< 0.01). CK-MB (14.10±2.64) ng/ml in 38 patients with fracture and soft tissue injury was slightly higher than that in 74 patients without trauma (12.67±2.36) ng/ml, without statistical significant difference (P>0.05). CK (2743.52±64.14) U/L in 38 patients with myalgia accompanied by syncope and dyspnea was higher than that in 36 patients with simple muscle pain, CK (2171.66±66.72) U/L, with statistical significant difference (P< 0.01). CK-MB (13.37±2.40) ng/ml in 38 patients with myalgia accompanied by syncope and dyspnea was slightly higher than that of 36 patients with simple muscle pain, CK-MB (11.82±2.33) ng/ml, without statistical significant difference. Conclusions CK-MB, cardiac troponin, myoglobin, ECG, cardiac ultrasound, X-ray examination can be used for, diagnosis of fracture and myocardial damage. In the recruit training process, lower age, emaciated soldiers are prone to training injury.
贾志新, 韩滨, 穆磊, 王方, 孟皓波. 训练伤肌酸激酶异常增高的临床及实验室分析[J]. 武警医学, 2015, 26(8): 821-823.
JIA Zhixin, HAN Bin, MU Lei, WANG Fang, MENG Haobo. Clinical and laboratory study of abnormal increase in creatine kinase caused by training injury. Med. J. Chin. Peop. Armed Poli. Forc., 2015, 26(8): 821-823.
2015, Vol. 26 
