摘要
目的探讨握力测试对稳定期COPD患者活动能力评估的可靠性。方法对61例稳定期COPD患者进行握力测试、6 min步行测试,采用ROC曲线分析握力在稳定期COPD患者活动能力水平评估中的最佳截点值。结果稳定期COPD患者握力为(33.72±7.47)kgf,6 min步行距离为(437.06±97.96)m,握力与6 min步行距离呈中度正相关(r=0.404,P=0.001),以6 min步行距离≥350 m为截点进行等级划分,两组间握力水平有显著差异(P<0.05)。ROC曲线下面积为0.722,最佳截点值为32.8 kgf。结论握力测试可用于稳定期COPD患者活动能力的快速评估。当握力水平≤32.8 kgf时,稳定期COPD患者出现活动受限。
Objective To explore the reliability of handgrip strength test for evaluating mobility in patients with stable chronic obstructive pulmonary disease. Methods Sixty-one COPD patients in stable stage were measured for handgrip strength and 6-minute walking test（6MWT）. The receiver operating characteristic curve（ROC） was calculated to determine the best cutoff points of handgrip strength. Results Handgrip strength was （33.72±7.47） kgf, 6MWD was （437.06±97.96） m,handgrip strength was moderately correlated with 6MWD （r=0.404,P=0.001）. 6MWD≥350 m was used to classify two groups,and there was significant difference between two groups（P〈O.05）. Area under the curve was 0.722,and the best cutoff points was 32.8 kgf. Conclusion Handgrip strength test can be a useful tool to quickly identify mobility in patients with stable COPD.
出处
《中华护理杂志》
CSCD
北大核心
2017年第8期926-929,共4页
Chinese Journal of Nursing
基金
苏州市科教兴卫青年科技项目(KJXW2016009)
关键词
肺疾病
慢性阻塞性
握力
6分钟步行测试
Pulmonary Disease,Chronic Obstructive
Handgrip Strength
Six-minute Walking Test
