Meyer F J, Borst M M, Buschmann H C, Ewert R, Friedmann-Bette B, Ochmann U, Petermann W, Preisser A M, Rohde D, Rühle K-H, Sorichter S, Stähler G, Westhoff M, Worth H
Klinik für Pneumologie, Gastroenterologie, Internistische Intensiv- und Beatmungsmedizin, Städtisches Klinikum Harlaching, München.
Pneumologie. 2013 Jan;67(1):16-34. doi: 10.1055/s-0032-1325901. Epub 2013 Jan 16.
This document replaces the DGP recommendations published in 1998. Based on recent studies and a consensus conference, the indications, choice and performance of the adequate exercise testing method in its necessary technical and staffing setting are discussed. Detailed recommendations are provided: for arterial blood gas analysis and right heart catherterization during exercise, 6-minute walk test, spiroergometry, and stress echocardiography. The correct use of different exercise tests is discussed for specific situations in respiratory medicine: exercise induced asthma, monitoring of physical training or therapeutical interventions, preoperative risk stratification, and evaluation in occupational medicine.
本文件取代了1998年发布的DGP建议。基于近期研究和一次共识会议,讨论了在必要的技术和人员配置条件下,适当运动测试方法的适应症、选择和实施。提供了详细建议:关于运动期间的动脉血气分析和右心导管检查、6分钟步行试验、运动心肺功能测试和负荷超声心动图。针对呼吸医学中的特定情况,讨论了不同运动测试的正确使用:运动诱发性哮喘、体育锻炼或治疗干预的监测、术前风险分层以及职业医学评估。