Exercise testing: why, which and how to interpret
Exercise testing: why, which and how to interpret
复制标题
运动测试：为什么、哪些以及如何解释
作者：
R. Gosselink;T. Troosters;M. Decramer
运动试验应进行：如果有受损的运动耐量;找出哪个系统限制运动;确定哪些器官系统在运动期间或运动后有异常反应;调查多少运动是适当的/安全的患者;并确定对治疗的反应。仅根据静息肺功能测试来预测运动能力是不准确的。运动测试的金标准是递增运动测试。两种类型的测力计可以选择增量运动测试：跑步机或自行车测力计。与骑自行车相比，跑步机能使更多的肌肉发挥作用。递增运动测试和现场测试在例如肺康复中具有互补价值。应鼓励运动实验室在感兴趣的年龄范围内对一些健康对照受试者进行测试，以评估哪些正常值最适合他们的实验室设置。教育目的为了解决在临床常规中进行运动试验时经常出现的一些问题：进行运动试验的适应症是什么？哪种情况下应该使用哪种测试？在实践中应如何进行检验？测试结果应如何解释？运动试验广泛应用于临床实践。本文的目的是解决一些问题时，经常出现的运动试验在临床常规进行。两个互补的测试将更详细地讨论：最大增量测力计测试和定时步行测试。首先，进行运动试验的适应症进行了讨论。第二个问题是适用哪种测试以及如何在实践中进行测试。最后，对试验结果的解释进行了讨论。
Key points An exercise test should be performed: if there is impaired exercise tolerance; to find out which system is limiting exercise; to establish which organ systems have an abnormal response during or after exercise; to investigate how much exercise is appropriate/safe in a patient; and to determine the response to treatment. Prediction of exercise performance based solely on resting pulmonary function tests is inaccurate. The gold standard in exercise testing is the incremental exercise test. Two types of ergometers can be selected for incremental exercise testing: a treadmill or a cycle ergometer. More muscle mass is put to work using a treadmill when compared with cycling. Incremental exercise testing and field testing have complementary value in, for example, pulmonary rehabilitation. Exercise laboratories should be encouraged to test some healthy control subjects in the age span of interest to evaluate which normal values best suit their laboratory setting. Educational aims To address some questions that often arise when exercise testing is performed in the clinical routine: What are the indications to perform an exercise test? Which test should be used for which situation? How should the test be carried out in practice? How should the results of the test be interpreted? Summary Exercise testing is widely applied in clinical practice. The aim of this article is to address some questions that often arise when exercise testing is performed in clinical routine. Two complementary tests will be discussed in more detail: the maximal incremental ergometer test and the timed walk test. First, the indication to perform exercise testing is discussed. The second question is which test to apply and how to carry out the test in practice. Finally, the interpretation of the results of the tests are discussed.
DOI：
10.1164/rccm.200203-166oc
发表时间：
2003-06-01
影响因子：
24.7
作者：
Sciurba, F;Criner, GJ;Wise, RA
通讯作者：
Wise, RA