摘要
近年来,运动试验在儿科领域,尤其是儿科心血管领域的应用越来越广泛,其能监测机体运动状态下的心率、血压、心电图、血氧饱和度、气体代谢参数等指标,是临床常用的辅助检查。在儿科心血管疾病中,运动试验可进一步评估心律失常,鉴别晕厥及发现心肌病、川崎病患儿的早期心肌灌注缺损;另外,运动试验的气体代谢参数可评价儿童的运动耐量,如心肌病患儿的运动受限程度,还可用于评价先天性心脏病的术后疗效等。随着对运动及其病理生理的研究的深入,运动试验将更广泛地应用于各个疾病诊疗中,其在儿科的临床价值亦将越来越高。该文对运动试验在儿童心律失常、心肌病、先天性心脏病、川崎病等疾病中的应用进行综述。
In recent years,exercise testing has been increasingly used in pediatrics,especially in pediatric cardiovascular diseases.Its ability to monitor heart rate,blood pressure,electrocardiogram,oxygen saturation,and expiratory gas analysis is of great clinical value.In pediatric cardiovascular diseases,exercise testing can further evaluate arrhythmias,facilitate the differential diagnosis of syncope,and detect early myocardial perfusion defects in children with cardiomyopathy and Kawasaki disease;in addition,expiratory gas analysis of exercise testing can assess cardiorespiratory fitness in children and the operative results of congenital heart disease,etc.This article reviews the use of exercise testing in children with arrhythmias,cardiomyopathy,congenital heart disease,and Kawasaki disease.
作者
蔺婷娟(综述)
石琳(审校)
Lin Tingjuan;Shi Lin(Beijing University Capital Institute of Pediatrics Teaching Hospital,Beijing 100020,China;Department of Cardiology,Children′s Hospital Capital Institute of Pediatrics,Beijing 100020,China)
出处
《国际儿科学杂志》
2023年第2期73-76,共4页
International Journal of Pediatrics
基金
北京市科学技术委员会首都临床诊疗技术研究及转化应用项目(Z211100002921035)。
关键词
儿童
运动试验
心血管疾病
Children
Exercise testing
Cardiovascular disease