6分钟步行试验在胸外科应用的临床价值和现状

Clinical value and status of six-minute walk test in thoracic surgery

6分钟步行试验(six-minute walk test,6MWT)是心肺功能运动试验(cardiopulmonary exercise testing,CPET)的一种,其临床应用范围逐渐扩大,不再局限于评估慢性阻塞性肺疾病患者的心肺功能、健康相关生活质量(health-related quality of life,HRQo L)和日常疾病自我管理。随着加速康复外科(enhanced recovery after surgery,ERAS)概念的提出,对于评价术前患者心肺功能情况、制定术前锻炼标准,术后早期锻炼,评价心肺功能康复情况格外重要,CPET逐渐被临床医生重视。本文将探讨6MWT在胸外科的临床价值和应用现状。

Six-minute walk test（6MWT） is one of the cardiopulmonary exercise testing（CPET）. It is not only used to assess the cardiac and pulmonary function of patients with chronic obstructive pulmonary disease（COPD）, but also used to assess COPD patients＇ health-related quality of life（HRQo L） or self-management in daily life. With the concept of enhanced recovery after surgery（ERAS） put forward, assessing patients＇ preoperative cardiac and pulmonary function, establishing preoperative and early postoperative exercises standards, as well as assessing cardiac and pulmonary rehabilitation after surgery become much more important. CPET gets more attention from clinical surgeons. This study focuses on the clinical value and status of 6MWT in thoracic surgery.