6分钟步行试验在慢性心力衰竭中的应用思考
张忠玲;毛静远;
摘要(Abstract):
目的:评估6分钟步行试验在慢性心力衰竭中的应用价值。方法:研究6分钟步行试验的测试方法、适应症、禁忌症、影响因素及其在慢性心力衰竭中的应用。结果:6分钟步行试验较有利于评估慢性心力衰竭患者的日常活动和运动耐力,但其方法还缺乏规范性,禁忌症和影响因素较多。结论:6分钟步行试验简单、易行、安全、可靠,在评估慢性心力衰竭心功能、治疗效果、评估预后方面起重要作用,但其方法还有待于进一步规范。试验结果受多种因素影响,在慢性心力衰竭中的应用还有待于进一步研究,尤其是在预测心衰的预后和生存、发病率和死亡率方面,在中医药治疗慢性心力衰竭的疗效评价中的应用价值也有待于进一步研究。
关键词(KeyWords): 6分钟步行试验;慢性心力衰竭;心功能
基金项目(Foundation): “十一五”国家科技支撑计划项目(编号:2006BAI08B02-01)
作者(Author): 张忠玲;毛静远;
Email:
DOI: 10.13463/j.cnki.jlzyy.2011.07.041
参考文献(References):
- [1]Cooper KH.A mean of assessing maximal oxygenin-take[J].JA-MA,1968,203:135-138.
- [2]GuyattGH,Sullivan MJ,Thompson PJ,et al.The 6-minute walk:anew measure of exercise capacity in patients with chronic heartfailure[J].Can Med Assoc J,1985,132(8):919-923.
- [3]Ingle L,Shelton RJ,Rigby AS,et al.The reproducibility and sen-sitivity of the 6-minute walk test in elderly patients with chronicheart failure[J].Eur Hear J,2005,26(17):1742-1751.
- [4]ATS Committee on Proficiency Standards for Clinical PulmonaryFunction Laboratories.ATS statement guidelines for the six-minutewalktest[J].AmJ Respir Crit Care Med.2002,166(l):111-117.
- [5]BittnerV,WeinorDH,YusufS,et al.Prediction of mortality andmorbidity with a 6-minute walktest in patients withleft ventriculardysfunction.SOLVD Investigators[J].JAMA,1993,270(14):1702-1707.
- [6]刘国仗,胡大一,陶萍,等.心血管药物临床试验评价方法的建议[J].中华心血管病杂志,1998,26(1):405-413.
- [7]陈协兴,洪华山.6 min步行试验在慢性心力衰竭中的应用[J].世界临床医药,2005,26(4):212-215.
- [8]Pollentier B,Irons SL,Benedetto CM,et al.Examination of the SixMinute Walk Testto Determine Functional Capacityin People withChronic Heart Failure:ASystematic Review[J].CardiopulmPhysTher J,2010,21(1):13-21.
- [9]张萍.6 min步行试验[J].临床心电学杂志,2007,16(3):236-237.
- [10]黄亚莉.慢性心力衰竭患者6 min步行试验的临床研究[J].国际心血管病杂志,2006,33(1):21-24.
- [11]王灵枢,金玫.6 min步行试验与慢性心力衰竭的关系[J].陕西中医学院学报,2008,31(2):67-68.
- [12]Braunschweig F,Linde C,Adamson PB,et al.Continuous centralhaemodynamic measurements duringthe six-minute walktest anddailylife in patients with chronic heart failure[J].Eur J HeartFail,2009,11(6):594-601.
- [13]Cahalin LP,MichaierMA,SemigranMJ,et a.l The six-minutewalktest predict speak oxygen uptake and survival in patientswith advanced heart failure[J].Chest,1996,110(2):325-332.
- [14]Jehn M,Schmidt-Trucks?ess A,Schuster T,et al.Accelerome-ter-based quantification of 6-minute walktest performance in pa-tients with chronic heart failure:applicabilityintelemedicine[J].J Card Fail,2009,15(4):334-340.
- [15]Davis M,Espiner E,Richards G,et al.Plasma brain natriureticpeptide in assessmen of acutedy spnoea[J].Lancet,1994,34(8895):440-444.
- [16]陈协兴,洪华山.慢性心力衰竭患者6 min步行试验与血清脑利钠肽水平的临床研究[J].中国临床药理学与治疗学,2004,9(5):561-564.
- [17]Hogenhuis J,Jaarsma T,Voors AA,et al.Correlates of B-typenatriuretic peptide and 6-min walk in heart failure patients[J].Int J Cardiol,2006,22;108(1):63-67.
- [18]Rufus AAdedoyin,1 Samuel AAdeyanju,2 Michael OBalogun,et al.Assessment of exercise capacity in African patients withchronic heart failure using six minutes walk test[J].Int J GenMed.2010(3):109-113.
- [19]Olsson LG,Swedberg K,Clark Al,et al.Six minute corridor walktest as an outcome measureforthe assesment of treatment inran-domized,blindedinterventiontrials of chronic heartfailure:a sys-tematic review[J].Eur Heart J,2005,26(8):778-793.
- [20]张守琳,齐德杰.生脉饮在气阴两虚型冠心病慢性心力衰竭中的应用[J].吉林中医药,2009,29(7):585-586.
- [21]蒋红红.中西医结合治疗慢性充血性心力衰竭40例临床研究[J].吉林中医药,2010,30(5):408-409.
- [22]王妙,陆曙.慢性心力衰竭中医药治疗进展[J].吉林中医药,2010,30(10):919-920.
- [23]Rostagno C,Olivo G,Comeglio M,et al.Prognostic value of 6-minute walk corridor test in patients with mild to moderate heartfailure:comparison with other methods of functional evaluation.[J]Eur J Heart Fail.2003,5(3):247-52.
- [24]Alahdab MT,Mansour IN,Napan S,et al.Six minute walk testpredictslong-termall-cause mortality and heartfailure rehospital-izationin African-American patients hospitalized with acute de-compensated heart failure[J]J Card Fail.2009,15(2):130-135.
- [25]Guazzi M,Dickstein K,Vicenzi M,et al.Six-minute walktest andcardiopulmonary exercise testing in patients with chronic heartfailure:a comparative analysis on clinical and prognostic insights[J].Circ Heart Fail,2009,2(6):549-555.
- [26]Pulz C,Diniz RV,Alves AN,et al.Incremental shuttle and six-minute walking tests in the assessment of functional capacity inchronic heart failure[J].Can J Cardiol,2008,24(2):131-135.