6分钟步行试验：慢性心力衰竭患者运动能力的一项新指标。
The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure.
作者信息
Guyatt G H, Sullivan M J, Thompson P J, Fallen E L, Pugsley S O, Taylor D W, Berman L B
出版信息
Can Med Assoc J. 1985 Apr 15;132(8):919-23.
Abstract
Cycle and treadmill exercise tests are unsuitable for elderly, frail and severely limited patients with heart failure and may not reflect capacity to undertake day-to-day activities. Walking tests have proved useful as measures of outcome for patients with chronic lung disease. To investigate the potential value of the 6-minute walk as an objective measure of exercise capacity in patients with chronic heart failure, the test was administered six times over 12 weeks to 18 patients with chronic heart failure and 25 with chronic lung disease. The subjects also underwent cycle ergometer testing, and their functional status was evaluated by means of conventional measures. The walking test proved highly acceptable to the patients, and stable, reproducible results were achieved after the first two walks. The results correlated with the conventional measures of functional status and exercise capacity. The authors conclude that the 6-minute walk is a useful measure of functional exercise capacity and a suitable measure of outcome for clinical trials in patients with chronic heart failure.
摘要
踏车运动试验和跑步机运动试验不适用于老年、体弱及心力衰竭严重受限的患者，且可能无法反映其进行日常活动的能力。步行试验已被证明是评估慢性肺病患者预后的有效方法。为了研究6分钟步行试验作为慢性心力衰竭患者运动能力客观指标的潜在价值，在12周内对18例慢性心力衰竭患者和25例慢性肺病患者进行了6次该试验。受试者还进行了蹬车测力计测试，并通过传统方法评估了他们的功能状态。结果表明，患者对步行试验接受度很高，在前两次步行后即可获得稳定、可重复的结果。这些结果与功能状态和运动能力的传统测量方法相关。作者得出结论，6分钟步行试验是评估慢性心力衰竭患者功能性运动能力的有效指标，也是此类患者临床试验合适的预后评估指标。
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本文引用的文献
1
Lack of correlation between exercise capacity and indexes of resting left ventricular performance in heart failure.心力衰竭患者运动能力与静息左心室功能指标之间缺乏相关性。
Am J Cardiol. 1981 Jan;47(1):33-9. doi: 10.1016/0002-9149(81)90286-1.
2
Ventilatory muscle training improves exercise capacity in chronic obstructive pulmonary disease patients.通气肌训练可提高慢性阻塞性肺疾病患者的运动能力。
Am Rev Respir Dis. 1980 Feb;121(2):273-80. doi: 10.1164/arrd.1980.121.2.273.
3
Comparative reproducibility and validity of systems for assessing cardiovascular functional class: advantages of a new specific activity scale.评估心血管功能分级系统的比较可重复性和有效性：一种新的特定活动量表的优势
Circulation. 1981 Dec;64(6):1227-34. doi: 10.1161/01.cir.64.6.1227.
4
The effects of inspiratory muscle training on exercise performance in chronic airflow limitation.吸气肌训练对慢性气流受限患者运动能力的影响。
Am Rev Respir Dis. 1981 Apr;123(4 Pt 1):426-33. doi: 10.1164/arrd.1981.123.4.426.
5
Inspiratory muscle training compared with physiotherapy in patients with chronic airflow limitation.慢性气流受限患者吸气肌训练与物理治疗的比较
Am Rev Respir Dis. 1981 Apr;123(4 Pt 1):421-5. doi: 10.1164/arrd.1981.123.4.421.
6
Relationship of exercise capacity to resting left ventricular performance and basal plasma norepinephrine levels in patients with congestive heart failure.充血性心力衰竭患者运动能力与静息左心室功能及基础血浆去甲肾上腺素水平的关系
Am Heart J. 1982 Oct;104(4 Pt 1):725-31. doi: 10.1016/0002-8703(82)90003-5.
7
Long-term amrinone therapy in patients with severe heart failure: drug-dependent hemodynamic benefits despite progression of disease.重度心力衰竭患者的长期氨力农治疗：尽管疾病进展，但仍有药物依赖性血流动力学益处。
Am J Med. 1982 Jan;72(1):113-8. doi: 10.1016/0002-9343(82)90597-6.
8
Effect of oral salbutamol and slow-release aminophylline on exercise tolerance in chronic bronchitis.口服沙丁胺醇和缓释氨茶碱对慢性支气管炎患者运动耐量的影响。
Thorax. 1981 Oct;36(10):787-9. doi: 10.1136/thx.36.10.787.
9
Randomised controlled trial of rehabilitation in chronic respiratory disability.慢性呼吸功能障碍康复的随机对照试验
Thorax. 1981 Mar;36(3):200-3. doi: 10.1136/thx.36.3.200.
10
Controlled trial of supervised exercise training in chronic bronchitis.慢性支气管炎监督性运动训练的对照试验
Br Med J. 1980 Feb 23;280(6213):519-21. doi: 10.1136/bmj.280.6213.519.
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