评估非喘慢性肺病儿童功能能力的实地测试:一个范围审查
Panagiotis Dalamarinis1, Eleni A Kortianou2, Aspasia Mavronasou2
1"Paediatric Respiratory Medicine", Medical School, National and Kapodistrian University of Athens, 12462 Athens, Greece.
Healthcare (Basel, Switzerland)
|October 16, 2025
概括
现场运动测试可用于评估患有慢性肺部疾病 (CLD),如囊性纤维化 (CF) 的儿童的功能能力. 六分钟步行测试 (6MWT) 和修改过的穿步行测试 (mSWT) 在监测患有CLD的儿童方面显示出良好的可靠性.
科学领域:
- 儿科肺病学 儿科肺病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 儿童慢性肺部疾病 (CLD),不包括喘,在评估功能能力方面存在挑战.
- 有限的证据存在于儿童非喘的CLD人群中的实地运动测试的应用和可靠性.
- 在这种情况下,囊性纤维化 (CF) 是研究最多的CLD.
研究的目的:
- 系统地审查和综合实地测试的证据,以评估儿科CLD (除喘) 的功能能力.
- 评估这些测试在患有CF和非CF支气管炎症 (NCFB) 的儿童中的可靠性和适用性.
主要方法:
- 在PubMed,Medline和Web of Science进行了全面的文献搜索,截至2025年5月20日.
- 两个独立的研究人员使用NIH质量评估工具选研究并评估方法质量.
- 数据提取的重点是研究设计,现场测试,测量结果和质量.
主要成果:
- 八项研究符合纳入标准,主要关注CF.
- 确定了五项实地测试:6分钟步行测试 (6MWT),修改过的穿步行测试 (mSWT),1分钟坐立 (1mSTS),3分钟步行测试 (3mST) 和TGlittre-P测试.
- 6MWT和mSWT在儿科患者群体中显示出良好的可靠性和临床适用性.
结论:
- 实地炼测试是可行的监测功能能力的儿童与CLD除了喘,特别是CF.
- 这些测试可以帮助跟踪进展,评估康复的有效性,并补充症状评估.
- 由于目前的证据有限,需要对NCFB和原发性纤维动力障碍 (PCD) 进行进一步的儿科研究.
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