6min步行测试在急性期脑卒中患者中的应用  

Application of Six-minute Walk Test in Acute Stroke Patients

作　　者：李敏[1] 王丽[2] 石梦宇 高文贤[1] 刘玉芳[1] 王雪梅[1] 于维娜[1] 

机构地区：[1]安徽省蚌埠医学院附属第一医院神经内科,安徽蚌埠市233000 [2]苏州大学护理学院,江苏苏州市215006

出　　处：《中国康复理论与实践》2016年第9期1097-1100,共4页Chinese Journal of Rehabilitation Theory and Practice

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)

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（t〉2.476, P〈0.05）。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。Objective To apply Six-minute Walk Test （6MWT） in acute stroke patients and analyze the results. Methods From Novem-ber, 2014 to January, 2015, 29 acute stroke patients with multiple or single infarction accepted 6MWT. The distance, distance per minute, blood pressure and heart rate before and after test, adverse events or discomforts during the test were recorded. Weak and fatigue scores were calculated. Results The mean of distance in acute stroke patients was （240.1±17.2） m, that was （46.8±3.3）%of the predicted values in the healthy. Male patients walked （255.4±21.40） m, not different from （214.9±28.4） m in female （t=-1.151, P=0.26）. The distance liked to be negatively correlated with age （r=-0.356, P=0.058）. The distance was similar in each minute. Weak score was （46.8±3.3）%, fatigue score was mostly between-20 and 20, and no correlation was found between them. Blood pressure and heart rate increased significantly at the end of the test （t〉2.476, P〈0.05）. Few of patients complained mild discomforts. Conclusion 6MWT is safe and suitable for acute stroke patients for physical mobility judgement, but adverse events need to be cared.

关 键 词：脑卒中 急性期 活动能力 6min步行测试 

分 类 号：R743.3[医药卫生—神经病学与精神病学]