北京市某医院医务人员群体心肺运动试验指标概况及特点分析  

Overview and characteristics analysis of cardiopulmonary exercise test parameters in medical staffs in a Hospital in Beijing

作　　者：张倩[1] 周济红 刘君 程博[1] 陈浩[1] 汪芳[1] ZHANG Qian;ZHOU Jihong;LIU jun;CHENG Bo;CHEN Hao;WANG Fang(Department of Cardiology,Institute of Geriatrics,Chinese Academy of Medical Sciences,National Center of Gerontology,Beijing Hospital,Beijing 100730,China;Department of Cardiovascular Diseases,Beijing Pinggu District Traditional Chinese Medicine Hospital,Beijing 101200,China)

机构地区：[1]北京医院,国家老年医学中心,中国医学科学院老年医学研究院心血管内科,北京100730 [2]北京市平谷区中医医院心血管病科,北京101200

出　　处：《职业与健康》2025年第2期217-222,共6页Occupation and Health

基　　金：中国医学科学院健康长寿大赛立项项目(2021-JKCS-025);科技部重点专项(2020YFC2008100/2020YFC2008106);科技部重点专项(2021YFC2009205)。

摘　　要：目的了解北京医院医务人员群体运动心肺试验(cardiopulmonary exercise testing,CPET)生理指标的特征及心肺功能状态。方法2021年3月1日—9月1日,通过收集北京市某医院208例22~83岁健康医务人员群体的基本信息及心肺运动试验资料,按45岁、65岁年龄界值分为3组(青年、中年、老年组),评估各年龄组CPET生理指标的范围、组间变化趋势。结果208例医务人员的最大摄氧量、无氧阈摄氧量、峰值功率、峰值心率均随年龄增长有逐渐递减趋势,男性医务人员的峰值摄氧量在0~<45、45~<65和≥65岁组的中位数分别为31.3、25.45和18.35 mL/(kg·min)。0~<45、45~<65和≥65岁组女性医务人员的峰值摄氧量分别为28.2、21.2和15.05 mL/(kg·min)。结论北京医院医务人员群体的心肺耐力情况用我国预计值公式验证处于正常范围,且摄氧量、峰值功率及峰值心率随年龄增长递减,与西方国家所给出的正常值范围比较,北京医院医务人员心肺耐力值低。Objective To investigate the characteristics and cardiopulmonary function status of cardiopulmonary exercise test(CPET)parameters of the group of medical staff in Beijing hospitals.Methods From March 1st to September 1st,2021,basic information and cardiopulmonary exercise test data of 208 healthy medical staffs aged 22-83 years old from a hospital in Beijing were collected.They were divided into three groups based on age thresholds of 45 and 65 years old:young,middle-aged,and elderly groups.The range of physiological indexes for CPET in each age group and the trend of changes between groups were evaluated.Results The maximum oxygen uptake,anaerobic threshold oxygen uptake,peak power and peak heart rate of 208medical staff showed a gradually decreasing trend with age.The median VO2peak/kg of male medical staff in the age groups of 0-<45,45-<65,and≥65 years old were 31.3,25.45,18.35 mL/(kg·min),respectively.The VO2peak/kg of female medical staff in the age groups of 0-<45,45-<65,and≥65 years old were 28.2,21.2,15.05 mL/(kg·min),respectively.Conclusion The cardiorespiratory fitness of medical staff in Beijing Hospitals is within the normal range as verified by the Chinese prediction formula,and oxygen uptake,peak power,and peak heart rate decrease with age.Compared with the normal range given by Western countries,the cardiorespiratory fitness of medical staff in Beijing Hospitals is lower.

关 键 词：心肺运动试验 心肺耐力 摄氧量 医务人员 

分 类 号：R192[医药卫生—卫生事业管理]