中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (5): 894-897.doi: 10.3969/j.issn.1673-8225.2011.05.032

• 器官移植学术探讨 academic discussion of organ transplantation • 上一篇    下一篇

六分钟行走试验：运动耐力评价的方法及临床意义

张劭夫   

  1. 解放军济南军区总医院呼吸科，山东省济南市  250031
  • 收稿日期:2010-09-16 修回日期:2010-12-01 出版日期:2011-01-29 发布日期:2011-01-29
  • 作者简介:张劭夫★，1953年生，河北省邢台市人，汉族，1989年宁夏医学院毕业，硕士，主任医师，教授，主要从事慢性阻塞性肺疾病和肺部感染研究。 zhangshaofu625@sina.com

Methods and clinical significance of six-minute walk test in evaluating exercise tolerance

Zhang Shao-fu   

  1. Department of Respiratory Medicine, Jinan Military Area Command of Chinese PLA, Jinan  250031, Shandong Province, China
  • Received:2010-09-16 Revised:2010-12-01 Online:2011-01-29 Published:2011-01-29
  • About author:Zhang Shao-fu★, Master, Chief physician, Professor, Department of Respiratory Medicine, Jinan Military Area Command of Chinese PLA, Jinan 250031, Shandong Province, China zhangshaofu625@sina.com

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摘要：

背景：6分钟行走试验是一项便于操作、易于耐受、能较好反映患者日常运动状况的运动耐力试验。近年来6分钟行走试验还用于评价心、肺移植后的功能状态。尤其对于肺移植后原发性移植物无功能患者的运动能力评价具有一定价值。
目的：综述6分钟行走试验在运动耐力评价中的应用及研究进展。
方法：以PubMmed 和中国知网为检索工具，检索关于6分钟行走试验方法及其在胸肺疾病中应用的文章。检索时间范围：1963-01/2010-10，中文关键词为“6分钟行走试验，慢性阻塞性肺疾病”，英文关键词为“6MWT，COPD”。排除重复研究及Meta分析类文献。
结果与结论：从PubMed 和中国知网检索文献40余篇，选择其中23篇作为参考文献。其中论著20篇，指南2篇，述评1篇。结果提示6分钟行走试验对于评价慢性阻塞性肺疾病患者运动耐力和预测预后具有较大的应用价值，且简便易行，重复性好，能客观反映患者的病情状况。

关键词: 运动耐力, 6分钟行走试验, 方法, 影响因素, 慢性阻塞性肺疾病, 心肺移植

Abstract:

BACKGROUND: 6 minute walk test (6MWT) is a simple exercise tolerance test that can reflect daily exercise condition of patient. It has also been used to evaluate heart and lung functions following transplantation. In particular, it is valuable in evaluating exercise condition of patients with primary nonfunction following lung transplantation.
OBJECTIVE: To review the application of 6MWT in evaluation exercise tolerance.
METHODS: A computer-based online search of PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) and CNKI (http://www.cnki.net/) was performed for articles published from January 1963 to October 2010 related to 6MWT methods and its application in chronic pulmonary obstructive disease (COPD) with key words “6MWT, COPD” in English and Chinese. Repetitive studies and Meta analysis were excluded.
RESULTS AND CONCLUSION: Of 40 papers gotten from the database, 23 were selected, including 20 original articles, 2 guidelines, and 1 commentary. Results show that 6MWT is a useful method to evaluate exercise tolerance and predicate outcome of patients with COPD.

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