六分钟步行试验在急性冠脉综合征患者中的应用
Application of Six-Minute Walking Test in Patients with Acute Coronary Syndrome
DOI: 10.12677/ACM.2023.1361430, PDF,   
作者: 贾玉平, 吴昊天, 戚 玮：华北理工大学研究生学院，河北 唐山；马 燚*：唐山工人医院心血管内科，河北 唐山
关键词: 六分钟步行试验；急性冠脉综合征；心脏康复；冠状动脉介入治疗；Six-Minute Walking Test； Acute Coronary Syndrome； Cardiac Rehabilitation； Percutaneous Coronary Intervention
摘要: 急性冠脉综合征(acute coronary syndrome, ACS)是导致心血管病患者死亡的主要原因之一，随着医疗技术的发展，ACS患者的生存率有着明显的提高，但发生心血管不良事件的风险依旧很高。心脏康复可以通过运动训练来降低ACS患者心血管不良事件的发生率和死亡率，六分钟步行试验(six-minute walk test, 6MWT)作为一种简单、安全且可靠的运动试验方法，常在心脏康复中代替心肺运动试验来评价患者的心功能，指导心脏康复顺利进行。近年来，临床上逐渐将6MWT应用到ACS的治疗当中，来评价ACS患者的心功能、指导其进行心脏康复、评价其心脏康复的效果，有着良好的发展前景。
Abstract: Acute coronary syndrome (ACS) is one of the main causes of death in cardiovascular patients. With the development of medical technology, the survival rate of ACS patients has been significantly im-proved, but the risk of cardiovascular adverse events is still very high. Cardiac rehabilitation can reduce the incidence and mortality of cardiovascular adverse events in patients with ACS through exercise training. As a simple, safe and reliable exercise test, the six-minute walking test (6MWT) is often used instead of cardiopulmonary exercise test in cardiac rehabilitation to evaluate the cardiac function of patients and guide the smooth progress of cardiac rehabilitation. In recent years, 6MWT has been gradually applied in the clinical treatment of ACS to evaluate the cardiac function of pa-tients with ACS, guide their cardiac rehabilitation, and evaluate the effect of cardiac rehabilitation, which has a good development prospect.
文章引用：贾玉平, 吴昊天, 戚玮, 马燚. 六分钟步行试验在急性冠脉综合征患者中的应用[J]. 临床医学进展, 2023, 13(6): 10220-10225. https://doi.org/10.12677/ACM.2023.1361430

参考文献

[1] 《中国心血管健康与疾病报告2020》正式出版[J]. 中国心血管杂志, 2021, 26(3): 276.
[2] 陈晓苏, 骆骅, 刘春影, 等. 居家自助式心脏康复方案对PCI术后急性冠脉综合征病人预后的影响[J]. 中西医结合心脑血管病杂志, 2021, 19(4): 636-638.
[3] 王静. 不同有氧运动模式对急性冠脉综合征患者的心脏康复效果比较临床研究, 2021, 29(11): 77-78.
[4] 安爱荣, 庞春萍, 薛俊峰. 综合干预对急性冠脉综合征患者经皮冠状动脉介入术后近期疗效的影响[J]. 宁夏医科大学学报, 2017, 39(9): 1074-1076. [Google Scholar] [CrossRef] 
[5] 陈纪言, 陈韵岱, 韩雅玲, 等. 经皮冠状动脉介入治疗术后运动康复专家共识[J]. 中国介入心脏病学杂志, 2016, 24(7): 361-369.
[6] 侯春霞. 益气活血法联合心脏康复对急性冠脉综合征介入术后患者预后的研究[J]. 当代临床医刊, 2020, 33(5): 494+409.
[7] 蹇祥玉, 叶秀莲, 路海云, 等. PCI术后I期心脏康复患者不同时间行6分钟步行试验的安全性比较[J]. 护理学杂志, 2020, 35(7): 84-86.
[8] Anderson, L., Oldridge, N., Thompson, D.R., et al. (2016) Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease: Cochrane Systematic Review and Meta-Analysis. Journal of the American College of Cardiol-ogy, 67, 1-12. [Google Scholar] [CrossRef] [PubMed]
[9] Bumrungkittikul, J. and Thirapatarapong, W. (2023) Independent Predictors and Equation of Six-Minute Walk Test in Post-Cardiac Surgery. Heart Lung, 58, 134-138. [Google Scholar] [CrossRef] [PubMed]
[10] Radi, B., Ambari, A.M., Dwiputra, B., et al. (2021) Determinants and Prediction Equations of Six-Minute Walk Test Distance Immediately after Cardiac Surgery. Frontiers in Cardiovas-cular Medicine, 8, Article ID: 685673. [Google Scholar] [CrossRef] [PubMed]
[11] Dolecińska, D., Przywarska, I., Podgórski, T., Dylewicz, P. and Lewandowski, J. (2020) Use of the Six-Minute Walk Test in Exercise Prescription in Male Patients after Coronary Ar-tery Bypass Surgery. Kardiochirurgia i Torakochirurgia Polska, 17, 183-188. [Google Scholar] [CrossRef] [PubMed]
[12] 朱兴雷, 赵鹏. 急性冠脉综合征的发病机制[J]. 山东医药, 2010, 50(5): 100-101.
[13] 冷敏, 荣山伟, 曹国荣, 等. 居家自助式心脏康复方案在急性冠脉综合征行经皮冠状动脉介入术术后出院患者中的应用[J]. 解放军护理杂志, 2019, 36(1): 56-59.
[14] King, K.M., Humen, D.P. and Teo, K.K. (1999) Cardiac Rehabilitation: The Forgotten Intervention. The Canadian Journal of Cardiology, 15, 979-985.
[15] Anderson, J.L., Adams, CD., Antman, E.M., et al. (2007) ACC/AHA 2007 Guidelines for the Manage-ment of Patients with Unstable Angina/Non-ST-Elevation Myocardial Infarction. Journal of the American College of Cardiology, 50, 652-726. [Google Scholar] [CrossRef] 
[16] Okkonen, M., Havulinna, A.S., Ukkola, O., et al. (2021) Risk Factors for Major Adverse Cardiovascular Events after the First Acute Coronary Syndrome. An-nals of Medicine, 53, 817-823. [Google Scholar] [CrossRef] [PubMed]
[17] 中华医学会心血管学分会. 冠心病康复与二级预防中国专家共识[J]. 中华心血管病杂志, 2017, 41(4): 267-275.
[18] 张文娴, 智华, 邓春. 国内外冠心病患者自我管理能力的研究进展[J]. 实用心脑肺血管病杂志, 2013, 21(3): 8-9.
[19] Giallauria, F., et al. (2009) Two-Year Multicomprehensive Secondary Prevention Program: Favorable Effects on Cardiovascular Func-tional Capacity and Coronary Risk Profile after Acute Myocardial Infarction. Journal of Cardiovascular Medicine (Hagerstown, Md.), 10, 772-780. [Google Scholar] [CrossRef] 
[20] Thomas, R.J., et al. (2018) 2018 ACC/AHA Clinical Performance and Quality Measures for Cardiac Rehabilitation: A Report of the American Col-lege of Cardiology/American Heart Association Task Force on Performance Measures. Journal of the American College of Cardiology, 71, 1814-1837.
[21] Candelaria, D., Randall, S., Ladak, L. and Gallagher, R. (2020) Health-Related Quality of Life and Exercise-Based Cardiac Rehabilitation in Contemporary Acute Coronary Syndrome Patients: A Sys-tematic Review and Meta-Analysis. Quality of Life Research, 29, 579-592. [Google Scholar] [CrossRef] [PubMed]
[22] Giallauria, F., et al. (2013) Exercise Training Early after Acute Myocardial Infarction Reduces Stress-Induced Hypoperfusion and Improves Left Ventricular Function. European Jour-nal of Nuclear Medicine and Molecular Imaging, 40, 315-324. [Google Scholar] [CrossRef] [PubMed]
[23] 袁玮, 聂姗, 贾楠, 等. 运动康复对经皮冠状动脉介入术后急性冠状动脉综合征患者的效果[J]. 中国康复理论与实践, 2021, 27(2): 208-215.
[24] 刘佳妮, 徐峰. 心脏康复运动指导对ACS患者介入术后生活质量的影响[J]. 心血管康复医学杂志, 2017, 26(6): 581-586.
[25] Ji, H.G., Fang, L., Yuan, L. and Zhang, Q. (2019) Effects of Exer-cise-Based Cardiac Rehabilitation in Patients with Acute Coronary Syndrome: A Meta-Analysis. Medical Science Moni-tor, 25, 5015-5027. [Google Scholar] [CrossRef] 
[26] 陈秀丽, 车琳, 邓兵. 心脏康复与心血管疾病二级预防整合[J]. 中国现代医生, 2012, 50(18): 123-124+127.
[27] Bellet, R.N., Adams, L. and Morris, N.R. (2012) The 6-Minute Walk Test in Outpatient Cardiac Rehabilitation: Validity, Reliability and Responsiveness—A Systematic Review. Physiothera-py, 98, 277-286. [Google Scholar] [CrossRef] [PubMed]
[28] Gibbons, R. (2002) ACC/AHA 2002 Guideline Update for Ex-ercise Testing: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing). Journal of the American College of Cardiology, 40, 1531-1540. [Google Scholar] [CrossRef] 
[29] St John Sutton, M., Pfeffer, M.A., Plappert, T., et al. (1994) Quantitative Two-Dimensional Echocardiographic Measurements Are Major Predictors of Adverse Cardiovascular Events after Acute Myocardial Infarction. The Protective Effects of Captopril. Circulation, 89, 68-75. [Google Scholar] [CrossRef] 
[30] Ng, V.G., Lansky, A.J., Meller, S., et al. (2014) The Prognostic Im-portance of Left Ventricular Function in Patients with ST-Segment Elevation Myocardial Infarction: The HORIZONS-AMI Trial. The European Heart Journal—Acute Cardiovascular Care, 3, 67-77. [Google Scholar] [CrossRef] [PubMed]
[31] 郭兰, 王磊, 刘遂心. 心脏运动康复[M]. 南京: 东南大学出版社, 2014: 38-39.
[32] 张忠玲, 毛静远. 6分钟步行试验在慢性心力衰竭中的应用思考[J]. 吉林中医药, 2011, 31(7): 629-632. [Google Scholar] [CrossRef] 
[33] 葛均波, 徐永健. 内科学[M]. 第8版. 北京: 人民卫生出版社, 2014.
[34] 董珺楠. 家庭6分钟步行试验对经皮冠状动脉介入术后患者自我管理的影响[D]: [硕士学位论文]. 广州: 南方医科大学, 2014.
[35] 中华医学会心血管病学分会, 中国康复医学会心肺预防与康复专业委员会, 中华心血管病杂志编辑委员会. 六分钟步行试验临床规范应用中国专家共识[J]. 中华心血管病杂志, 2022, 50(5): 432-442.
[36] Mezzani, A., Hamm, L.F., Jones, A.M., et al. (2012) Aerobic Exercise Intensity Assessment and Prescription in Cardiac Rehabilitation: A Joint Position Statement of the European Association for Cardiovascular Pre-vention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation, and the Canadian Association of Cardiac Rehabilitation. The Journal of Cardiopulmonary Rehabilitation and Prevention, 32, 327-350. [Google Scholar] [CrossRef] 
[37] 齐喜玲, 许海燕, 于子凯, 等. 六分钟步行试验在经导管主动脉瓣置换术后心脏康复中的指导价值[J]. 中华老年心脑血管病杂志, 2019, 21(7): 695-698.
[38] 吴卫兵. 心脏康复运动处方制定方法[J]. 中国康复理论与实践, 2003(12): 67-68.
[39] American College of Sports Medicine (2000) ACSM’s Guidelines for Exercise Testing and Prescription. 6th Edition, Lippincott Williams & Wilkins, Philadel-phia, 145-149.
[40] 刘功亮. 冠心病康复有氧运动不同强度设定方法的一致性研究[D]: [硕士学位论文]. 上海: 上海体育学院, 2016.
[41] Gremeaux, M., Hannequin, A., Laurent, Y., et al. (2011) Usefulness of the 6-Minute Walk Test and the 200-Metre Fast Walk Test to Individualize High Intensity Interval and Continuous Exercise Training in Coronary Artery Disease Patients after Acute Coronary Syndrome: A Pilot Controlled Clinical Study. Clinical Rehabili-tation, 25, 844-855. [Google Scholar] [CrossRef] [PubMed]
[42] 李翔, 杨旭. 6分钟步行试验在心脏康复中的作用[J]. 中国临床医生杂志, 2018, 46(5): 507-510.
[43] 张斯斯, 赵丽, 孟晓萍. 冠心病患者6分钟步行试验与运动心肺评估结果的相关性研究[J]. 慢性病学杂志, 2019, 20(4): 630-631. [Google Scholar] [CrossRef] 
[44] De Feo, S., Tramarin, R., Lorusso, R., et al. (2009) Six-Minute Walking Test after Cardiac Surgery: Instructions for an Appropriate Use. European Journal of Cardiovas-cular Prevention and Rehabilitation, 16, 144-149. [Google Scholar] [CrossRef] 
[45] 陈艳俏, 曲畅, 张成英. 心脏康复对急性冠脉综合征患者的治疗效果评价[J]. 中国妇幼健康研究, 2017, 28(S1): 164-165.
[46] Hambrecht, R., Wolf, A., Gielen, S., et al. (2000) Effect of Exercise on Coronary Endothelial Function in Patients with Coronary Artery Disease. The New England Journal of Medicine, 342, 454-460. [Google Scholar] [CrossRef] 

为你推荐