6min步行测试在急性期脑卒中患者中的应用

发布时间：2018-06-25 08:35

本文选题：脑卒中 + 急性期　；参考：《中国康复理论与实践》2016年09期

【摘要】：目的对急性期脑卒中患者进行6 min步行测试(6MWT)并分析其结果。方法 2014年11月~2015年1月,对29例急性期单发或多发性脑梗死住院患者进行6MWT,记录总距离、各分钟距离、测试前后血压和心率变化以及不适的发生,计算患者体力虚弱程度和疲劳评分。结果急性期脑卒中患者6MWT总距离为(240.1±17.2)m,相当于预测健康人水平的(46.8±3.3)%。其中男性平均(255.4±21.4)m,女性(214.9±28.4)m,两者无显著性差异(t=-1.151,P=0.26)。6MWT总距离与年龄接近负相关(r=-0.356,P=0.058)。各分钟距离相似。患者体力虚弱程度(46.8±3.3)%,疲劳评分多在-20~20,两者间无明显相关。测试结束时患者血压和心率较测试前升高(t2.476,P0.05)。个别患者测试过程中或结束时有轻微不适主诉。结论 6MWT可安全地用于急性期脑卒中患者活动能力测试,但需警惕意外发生。
[Abstract]:Objective to study the 6 min walking test (6 MWT) in patients with acute stroke. Methods from November 2014 to January 2015, 29 inpatients with acute single or multiple cerebral infarction were treated with 6MWT. the total distance, the distance of each minute, the changes of blood pressure and heart rate and the occurrence of discomfort before and after the test were recorded. The degree of physical weakness and fatigue score were calculated. Results the total distance of 6MWT in patients with acute stroke was (240.1 卤17.2) m, which was equivalent to (46.8 卤3.3) mm in predicting the level of healthy people. There was no significant difference between male (255.4 卤21.4) mm and female (214.9 卤28.4) m.The total distance of 6MWT was negatively correlated with age (r = -0.356, P 0.058). The distance between the minutes is similar. The degree of physical weakness was (46.8 卤3.3), and the fatigue score was -20 卤20, there was no significant correlation between the two. The blood pressure and heart rate at the end of the test were higher than those before the test (t 2.476g P 0.05). Individual patients had minor complaints of discomfort during or at the end of the test. Conclusion 6 MWT can be safely used to test the activity ability of patients with acute stroke, but it is necessary to be on guard against accidental occurrence.
【作者单位】：安徽省蚌埠医学院附属第一医院神经内科;苏州大学护理学院;
【基金】：国家自然科学基金青年项目(No.81501944) 苏州大学青年教师自然科学基金项目(No.SDY2014A20)
【分类号】：R473.74

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