Sabath R J
Exercise Testing Laboratory, Section of Cardiology, The Children's Mercy Hospital, Kansas City, MO 64108, USA.
Adv Ren Replace Ther. 1999 Apr;6(2):189-94. doi: 10.1016/s1073-4449(99)70051-8.
The use of exercise testing in the assessment and management of various pediatric disorders has increased significantly during the past three decades. With age-appropriate equipment and exercise protocols, a well-trained and enthusiastic staff can evaluate patients as young as 3 to 4 years of age. Pediatric exercise testing may be conducted using either a cycle ergometer or a treadmill. The decision of which method to use is based on the parameters to be evaluated during the test, physical stature of the child, administrator preference, and availability of equipment in the laboratory. For children with renal disease, who are often short and may have poor leg muscle mass, the treadmill is used most often. The exercise testing protocols should use slow initial speeds and no grade, increase in small increments, and have stages of 1 to 2 minutes' duration. The benefits of testing in children with renal disorders include its ability to provide valuable information regarding the overall functional capacity of the patient, efficacy of pharmacological or surgical interventions, and outcome of rehabilitation programs.
在过去三十年中，运动测试在各种儿科疾病的评估和管理中的应用显著增加。使用适合年龄的设备和运动方案，训练有素且热情高涨的工作人员可以评估年仅3至4岁的患者。儿科运动测试可以使用自行车测力计或跑步机进行。选择使用哪种方法的决定基于测试期间要评估的参数、儿童的身体 stature、管理员的偏好以及实验室中设备的可用性。对于肾病患儿，他们通常身材矮小且腿部肌肉质量可能较差，最常使用跑步机。运动测试方案应采用缓慢的初始速度且无坡度，以小增量增加，并且阶段持续时间为1至2分钟。对肾病患儿进行测试的好处包括能够提供有关患者整体功能能力、药物或手术干预的疗效以及康复计划结果的有价值信息。
