心肺耐力评估方法及应用研究进展

Research Progress of Cardiopulmonary Endurance Assessment Methods and Applications

摘要: 美国心脏协会2016年发表的科学声明指出：建议将心肺耐力作为一项新的临床生命体征。大量证据表明，心肺耐力水平与心血管疾病的发病率、全因死亡率及预后相关。心肺运动测试已经被广泛认为是评估心肺耐力的金标准，已经在心血管疾病、呼吸系统疾病、内分泌代谢疾病、心肺康复领域得到广泛应用。然而，心肺运动测试在国内发展起步晚，基层推广目前难以实现。若能探索合理有效、简易经济的心肺耐力评估的替代方案将会带来巨大的经济价值，对国民健康做出更大的贡献。本篇综述主要总结心肺运动测试的临床应用和心肺耐力的徒手测试方法并进行评价。

Abstract: The American Heart Association’s scientific statement in 2016 recommended cardiopulmonary fit-ness as a new clinical vital sign. A large amount of evidence has shown that the level of cardiopul-monary fitness is related to the incidence of cardiovascular disease, all-cause mortality, and prog-nosis. Cardiopulmonary exercise testing has been widely considered the gold standard for assessing cardiopulmonary endurance and has been widely used in the fields of cardiovascular diseases, res-piratory diseases, endocrine and metabolic diseases, and cardiopulmonary rehabilitation. However, the development of cardiopulmonary exercise testing started late in China, and it is difficult to promote it in primary hospitals. If we can explore more reasonable, effective, simple, and economi-cal alternative methods of cardiopulmonary endurance assessment, it will bring greater economic value and make a greater contribution to national health. This review mainly summarizes and evaluates the clinical application of cardiopulmonary exercise testing and the manual test methods of cardiopulmonary endurance.