心肺适能评估在卒中患者中的应用和研究现状

心肺适能评估对卒中患者的康复、预后有重要意义，目前有学者提出其应作为常规评估项目之一应用于临床。心肺适能评估方式分为直接测量和间接测量2种，其中直接测量更为精准，间接测量更为简便易行。心肺运动试验作为心肺适能评估的金标准，在卒中患者中的应用以平板试验、功率自行车试验及其改良方式为主。此外，基于大部分卒中患者存在运动功能障碍，心肺适能评估还可采用功能性行走试验方式。目前心肺适能评估在卒中康复中的价值逐渐被重视，但针对其最佳介入时间尚无定论，这将是未来相关研究的重要探索方向之一。

Application and Research Status of Cardiorespiratory Fitness Assessment in Stroke Patients

The cardiorespiratory fitness assessment plays an important role in rehabilitation and prognosis of stroke patients, which is considered as a routine clinical evaluation for stroke patients. The evaluation method of cardiorespiratory fitness includes direct and indirect measurements. Direct measurement is more accurate and indirect measurement is simple and easy to operate. Cardiopulmonary exercise test in stroke patients, as the golden standard of cardiorespiratory fitness assessment, mainly includes treadmill test, cycling test and their modified pattems. For most of stroke patients have motor dysfunction, cardiorespiratory fitness can be assessed by the functional walking test. At present, value of cardiorespiratory fitness assessment in stroke rehabilitation has been paid more and more attention, while the optimal intervention time is inconclusive in stroke patients, which needs further research in the future.