Mănescu Veronica
Spitalul Clinic de Pneumoftiziologie Constanţa.
Pneumologia. 2012 Jul-Sep;61(3):153-9.
The 6 minutes walking test (6MW) and the measurement of dyspnoea using Medical Research Council modified scale (mMRC) for Chronic Obstructive Pulmonary Disease (COPD) allow an integrated diagnostic of severity, deficiencies and disability of active age, stable COPD patient, assisting the physician to create an adequate rehabilitation programme. The descriptive and prospective study that covered the period January 2008 - October 2010 aimed to determine the existing relationship between the dyspnoea degree, the 6 minutes walking test and the degree of severity of COPD patients, evaluated against GOLD stages.
In a sample of 105 eligible COPD patients, aged 44 to 65, we measured the degree of severity of COPD using GOLD staging, mMRC dyspnea scale and 6MWT.
The GOLD stages have a very strong correlation to dyspnoea degree measured by mMRC scale. The GOLD stages are moderately correlated with the distance covered in 6MWT. The dyspnoea degrees are strongly correlated with the distance covered in the 6MWT.
The dyspnoea degree measured by the mMRC scale allows the evaluation of the severity and also the disability of the COPD patient. The 6MWT allows the measurement of the disease severity and prognosis by the distance covered and also the effort endurance revealing the disability degree.
6分钟步行试验（6MW）以及使用医学研究委员会修订量表（mMRC）对慢性阻塞性肺疾病（COPD）患者的呼吸困难进行测量，有助于对活跃年龄的稳定期COPD患者的严重程度、功能缺陷和残疾状况进行综合诊断，辅助医生制定合适的康复计划。这项涵盖2008年1月至2010年10月期间的描述性前瞻性研究旨在确定呼吸困难程度、6分钟步行试验与COPD患者严重程度之间的现存关系，并根据慢性阻塞性肺疾病全球倡议（GOLD）分期进行评估。
在105例年龄在44至65岁之间符合条件的COPD患者样本中，我们使用GOLD分期、mMRC呼吸困难量表和6分钟步行试验（6MWT）来测量COPD的严重程度。
GOLD分期与通过mMRC量表测量的呼吸困难程度具有非常强的相关性。GOLD分期与6MWT中行走的距离呈中度相关。呼吸困难程度与6MWT中行走的距离呈强相关。
通过mMRC量表测量的呼吸困难程度可用于评估COPD患者的严重程度和残疾状况。6MWT可通过行走的距离以及揭示残疾程度的耐力来测量疾病的严重程度和预后。
