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6分钟步行试验评估老年高血压患者心功能社区干预治疗2年
引用本文:何民,张宜锦,肖桂红,韩梅,居领. 6分钟步行试验评估老年高血压患者心功能社区干预治疗2年[J]. 中国分子心脏病学杂志, 2012, 12(2): 72-75
作者姓名:何民  张宜锦  肖桂红  韩梅  居领
作者单位:221000,江苏省徐州市老年病医院心血管内科
基金项目:徐州市科技计划资助项目(XM09B112)
摘    要:
目的观察6分钟步行试验(6MWT)在社区老年高血压防治中随心功能改善的变化。方法社区高血压居民按心功能分A、、C、D四组建档并定期进行6MWT检查,进行社区高血压综合干预并观察2年后指标变化。结果高血压社区防控各项指标均明显改善。MWT可以参与社区高血压干预实践并且可以有效评估心功能。随年龄增长,高血压治疗难度越大,评估老年人群的心功能,6MWT数应调整,指标每级别水平降低50米可以更好地反映老年人群心功能状态;6MWT<250米提示预后差。结论社区高血压防治中,可以加6MWT检查有助于更好指导治疗和评估预后。

关 键 词:六分钟步行实验  老年高血压  心功能  社区干预

Evaluate heart function in the community intervention of elderly hypertensive patients within 2 years by 6 minutes walk test
Affiliation:He Min,Zhang Yi-jin,Han Mei,et al.Department of Cardiology,Geriatrics Hospital,Xu Zhou,221000,CHINA
Abstract:
Objective Evaluate the community feasibility of 6 minutes walk test(6MWT) in the intervention of Hypertension disease Methods a total of 539 elderly hypertension residents of the same community were established files and divided into four groups.All the patients underwent 6MWT measurement and were watched 2 years.Community’s comprehensive intervention measures of Hypertension disease were executed 2 years..Results Blood Pressure was effectively controlled.6MWT can evaluate effectively in cardiac function.When 6MWT<250m,the elderly patient would have a poorer prognosis.Conclusion The popularization of 6MWT is helper for cure and evaluation of Hypertension disease in community intervention.
Keywords:6 minuteswalk test  elderly hypertention disease  heart function  community intervention
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