Page 62 - 南京医科大学自然版
P. 62
第44卷第8期
·1090 · 南 京 医 科 大 学 学 报 2024年8月
SpO2参数的运用;而本研究表明,将实时 SpO2检测 P5-P6
运用于 6MWT 能获取更有效、综合的病情信息,有 [10]ENRIGHT P L,SHERRILL D L. Reference equations for
助于简化 COPD 患者的评估方法,及时发现运动 the six ⁃ minute walk in healthy adults[J]. Am J Respir
SpO2变化和调整药物治疗、氧疗和有氧运动方案, Crit Care Med,1998,158(5 Pt 1):1384-1387
改善患者预后。虽然COPD临床实践已通过肺功能 [11]SANTOS C D,SANTOS A F,DAS N R,et al. Telemonitor⁃
ing of daily activities compared to the six ⁃ minute walk
或胸部CT检查发现并及时诊断COPD患者,但本研
test further completes the puzzle of oximetry⁃guided inter⁃
究采用 6MWT 联合持续 SpO2检测的客观临床方法
ventions[J]. Sci Rep,2021,11(1):16600
来评估病情,检查成本低、方法易行、安全,更易被
[12]DELBRESSINE J M,JENSEN D,VAES A W,et al. Refer⁃
患者接受,便于推广到社区及乡镇卫生院实施应 ence values for six⁃minute walk distance and six⁃minute
用,提示 6MWT 联合实时 SpO2检测在 COPD 管理中 walk work in Caucasian adults[J]. Pulmonology,2023,
的临床应用价值及前景。 29(5):399-409
[13]ADELOYE D,SONG P,ZHU Y,et al. Global,regional,
[参考文献]
and national prevalence of,and risk factors for,chronic
[1] GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE
obstructive pulmonary disease(COPD)in 2019:a system⁃
PULMONARY DISEASE(GOLD). Global Strategy for
atic review and modelling analysis[J]. Lancet Respir
Prevention,Diagnosis and Management of chronic ob⁃
Med,2022,10(5):447-458
structive pulmonary disease 2022 report[EB/OL].[2021⁃
[14]ZHOU M,WANG H,ZENG X,et al. Mortality,morbidity,
11 ⁃ 15]. https://goldcopd.org/wp ⁃ content/uploads/2021/
and risk factors in China and its provinces,1990⁃2017:a
12/GOLD⁃REPORT⁃2022⁃v1.1⁃22Nov2021_WMV.pdf
systematic analysis for the global burden of disease study
[2] JANJUA S,PIKE K C,CARR R,et al. Interventions to im⁃
2017[J]. Lancet,2019,394(10204):1145-1158
prove adherence to pharmacological therapy for chronic
[15]KIM T,KIM H,KONG S,et al. Association between regu⁃
obstructive pulmonary disease(COPD)[J]. Cochrane Da⁃
lar moderate to vigorous physical activity initiation follow⁃
tabase Syst Rev,2021,9(9):CD013381
ing COPD diagnosis and mortality:an emulated target tri⁃
[3] PIRES I M,DENYSYUK H V,VILLASANA M V,et al.
al using nationwide cohort data[J]. Chest,2024,165
Development technologies for the monitoring of six⁃min⁃
(1):84-94
ute walk test:a systematic review[J]. Sensors(Basel),
[16]VOGELMEIER C F,FRIEDRICH F W,TIMPEL P,et al.
2022,22(2):581
Impact of COPD on mortality:an 8⁃year observational ret⁃
[4] 中华医学会老年医学分会. 老年患者 6 分钟步行试验
rospective healthcare claims database cohort study[J].
临床应用中国专家共识[J]. 中华老年医学杂志,2020,
Respir Med,2024,222:107506
39(11):1241-1250
[5] 中华医学会心血管病学分会,中国康复医学会心肺预 [17]KIM C,KO Y,LEE J S,et al. Predicting long⁃term mortality
with two different criteria of exercise⁃induced desatura⁃
防与康复专业委员会,中华心血管病杂志编辑委员会.
6 分钟步行试验临床规范应用中国专家共识[J]. 中华 tion in COPD[J]. Respir Med,2021,182:106393
[18]AGARWAL M,ANAND S,PATRO M,et al. Early versus
心血管病杂志,2022,50(5):432-442
non⁃early desaturation during 6MWT in COPD patients:a
[6] SUNJAYA A,POULOS L,REDDEL H,et al. Qualitative
follow⁃up study[J]. Lung India,2023,40(3):235-241
validation of the modified Medical Research Council
[19]GARCIA⁃TALAVERA I,FIGUEIRA⁃GONCALVES J M,
(mMRC)dyspnoea scale as a patient⁃reported measure of
GOLPE R,et al. Early desaturation during 6⁃minute walk
breathlessness severity[J]. Respir Med,2022,203:106984
test is a predictor of mortality in COPD[J]. Lung,2023,
[7] GIL H I,ZO S,JONES P W,et al. Clinical characteristics
of COPD patients according to COPD assessment test 201(2):217-224
(CAT)score level:cross⁃sectional study[J]. Int J Chron [20]ANDRIANOPOULOS V,CELLI B R,FRANSSEN F M,et
Obstruct Pulmon Dis,2021,16:1509-1517 al. Determinants of exercise⁃induced oxygen desaturation
[8] GRAHAM B L,STEENBRUGGEN I,MILLER M R,et al. including pulmonary emphysema in COPD:results from
Standardization of spirometry 2019 update. An official the ECLIPSE study[J]. Respir Med,2016,119:87-95
american thoracic society and european respiratory soci⁃ [21]PEREZ T,DESLÉE G,BURGEL P R,et al. Predictors in
ety technical statement[J]. Am J Respir Crit Care Med, routine practice of 6⁃min walking distance and oxygen de⁃
2019,200(8):e70-e88 saturation in patients with COPD:impact of comorbidi⁃
[9] HEINICKE G,CLAY R,DECATO T W. Six⁃minute⁃walk ties[J]. Int J Chron Obstruct Pulmon Dis,2019,14:1399-
testing[J]. Am J Respir Crit Care Med,2021,204(3): 1410

