6分钟步行运动对老年高血压病的康复作用  

The effect of 6 min walking test(6MWT) on the prognosis of aged patients with hypertension

作　　者：陈美娟[1] 徐佳[1] 董波[1] 李丽[1] 曾令忠[1] 沈丹萍[1] 

机构地区：[1]湖南省马王堆医院老年心血管科,410016

出　　处：《中国老年保健医学》2015年第1期55-57,共3页Chinese Journal of Geriatric Care

基　　金：湖南省卫生医药科研基金(B2007168)

摘　　要：目的探讨6分钟步行运动对老年高血压病患者的康复作用。方法 200例老年高血压病患者随机分成治疗组(100例)和对照组(100例),治疗组进行6分钟步行运动和常规药物治疗4个月,对照组实行常规药物治疗。对比两组试验前后脉搏波传导速度(ba PWV)和踝臂指数(ABI),了解试验前后有无差异,并随访两组间心脑血管事件(脑卒中、死亡)发生率有无差异。明确6分钟步行运动对老年高血压病患者预后有无改善。结果 6分钟步行运动组治疗后脉搏波传导速度(ba PWV)减慢;两组治疗后均随访1年,6分钟步行运动组心脑血管事件的发生率较对照组明显减少(10.8%vs25.5%,P<0.05)。结论 6分钟步行运动对老年高血压病患者预后有明显改善。Objectives To study the effect of Six minutes walking test on the prognosis of aged patients with hypertension. Methods 200 aged patients with hypertension were randomly divided into Six minutes test group （ 100 cases） and control group （ 100 cases）. The patients in Six minutes walking test group received Six minutes walking and conventional drug treatment for 4 months, and those in control group received routine drug treatment only. To understand the differences of arterial stiffness between two groups before and after the experiment, and to follow up the incidence of cardiovascular events （ stroke, death）. Results There was no difference between the two groups in general conditions, After 1 year follow up, the rate of cardiovascular events in Six mi- nutes walking test group were significantly lower than those of control group（ P 〈 0. 05 ）. The level of arterial stiffness of patients in Six minutes walking test group was improved. Conclusions Six minutes test could improve significantly the prognosis of aged pa- tients with hypertension.

关 键 词：6分钟步行运动 高血压病 老年 预后 

分 类 号：R544.1[医药卫生—心血管疾病]