《中国康复理论与实践》

《中国康复理论与实践》

• 康复护理 • 上一篇    下一篇

6 min步行测试在急性期脑卒中患者中的应用①

李敏1，王丽2，石梦宇1，高文贤1，刘玉芳1，王雪梅1，于维娜1   

  1. 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。
  • 出版日期:2016-09-25 发布日期:2016-12-05

Application of Six-minuteWalk Test in Acute Stroke Patients

LI Min1, WANG Li2, SHI Meng-yu1, GAO Wen-xian1, LIU Yu-fang1, WANG Xue-mei1, YU Wei-na1   

  1. 1. Neurological Department, Bengbu Medical University Affiliated First Hospital, Bengbu, Anhui 233000, China; 2. School of Nursing, Soochow University, Suzhou, Jiangsu 215006, China
  • Published:2016-09-25 Online:2016-12-05

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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。

关键词: 脑卒中, 急性期, 活动能力, 6 min步行测试

Abstract: Objective To apply Six-minute Walk Test (6MWT) in acute stroke patients and analyze the results. Methods From November, 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.

Key words: stroke, acute, physical mobility, Six-minuteWalk Test