vnelaboratorniy nagruzochni testlar

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vnelaboratornie (polevie) nagruzochnie testi s.yu.chikina k.m.n., starshiy nauchniy sotrudnik fgbu nii pulmonologii fmba svch@list.ru • step-testi • test s 6-minutnoy xodboy • shattl-test vnelaboratornie (field) nagruzochnie testi pokazaniya k vnelaboratornim testam • otsenka funktsionalnogo sostoyaniya (perenosimosti fizicheskoy nagruzki) • prognoz isxoda xirurgicheskix operatsiy • viyavlenie gipoksemii, indutsirovannoy nagruzkoy • opredelenie anaerobnogo poroga step-test visota stupenki chislo shagov v 1 min dlitelnost testa (min) regulyatsiya skorosti avtori step-test de andrade et al. // j. brasil pneumol. 2012;38 (1):116-124. step-test chestera etap i ii iii iv v chislo shagov v 1 min 15 20 25 30 35 vo2 (ml/kg/min) 15 sm 11 14 18 21 25 20 sm 12 17 21 26 29 25 sm 14 19 24 28 33 30 sm 16 21 27 32 37 buckley j.p. et al. // br. j. sports med. 2004;38:197-205. nachalnaya skorost 15 shagov / min skorost uvelichivaetsya na 5 shagov / min kajdie 2 …

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iio, balli r = 0,55 r 4% spo2 120 v 1 min. − ad sist. v pokoe > 180 mm rt.st. − ad diast. v pokoe > 100 mm rt.st. - nesposobnost patsienta vipolnit test (slabost, boli, odishka, diskoordinatsiya, psixicheskie narusheniya, nekontaktnost) protivopokazaniya: ats statement: guidelines for the six-minute walk test. am j respir crit care med. 2002; 166: 111-117. 6-minutniy test 6-minutniy test: vosproizvodimost raznitsa pri povtornix testax ≤ 20 m (8%) naviki: +7 - +2% nastroenie bolnogo: + 30 m + 53 m (larson j.l. et al., 1996; casanova c. et al., 2011) (steele b., 1998; weir n.a., 2013 ) (ats statement: guidelines for the six-minute walk test; 2002) xobl: krnt vs xodba palange p. et al. j appl physiol 2000; 88: 1715.! 54 56 58 60 62 64 66 vem xodba rao2 m m r t.s t. 0 1 2 3 4 5 6 7 8 odishka …

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henie + 78,4 m – znachitelnoe uluchshenie 75 bolnix xobl vozrast 70 let ofv1 52% doljn. minimalnaya znachimaya raznitsa polkey et al., am j respir crit care med. 2013;187(4):382-386. eclipse: 2110 bolnix xobl vozrast 63,4 goda ofv1 48,4% doljn. dlitelnost nablyudeniya 3 goda hr 1,93 (95%di 1,29 – 2,90) hr 1,18 (95%di 0,93 – 1,49) hr 1,24 (95%di 0,99 – 1,54) letalniy isxod gospitalizatsiya letalniy isxod ili gospitalizatsiya otnoshenie riskov neblagopriyatnogo isxoda (hazard ratio) - 30 m cote c.g. et al., eur respir j. 2008; 31 (3): 571-578. obshaya letalnost letalnost ot xobl 6-minutniy test prognosticheskoe znachenie pri xobl 350 m obshaya letalnost 30,6% letalnost ot xobl 11,3% obshaya letalnost 66% letalnost ot xobl 39,7% 1379 bolnix xobl vozrast 39 – 91 god ofv1 44% doljn. nablyudenie 4,5 goda fig. 2 6-minutniy test prognosticheskoe znachenie pri xobl spruit m.a. et al., jamda 2012;13(3):291-297. letalnost gospitalizatsii % b ol n i …

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vnelaboratornie (polevie) nagruzochnie testi s.yu.chikina k.m.n., starshiy nauchniy sotrudnik fgbu nii pulmonologii fmba svch@list.ru • step-testi • test s 6-minutnoy xodboy • shattl-test vnelaboratornie (field) nagruzochnie testi pokazaniya k vnelaboratornim testam • otsenka funktsionalnogo sostoyaniya (perenosimosti fizicheskoy nagruzki) • prognoz isxoda xirurgicheskix operatsiy • viyavlenie gipoksemii, indutsirovannoy nagruzkoy • opredelenie anaerobnogo poroga step-test visota stupenki chislo shagov v 1 min dlitelnost testa (min) regulyatsiya skorosti avtori step-test de andrade et al. // j. brasil pneumol. 2012;38 (1):116-124. step-test chestera etap i ii iii iv v chislo shagov v 1 min 15 20 25 30 35 vo2 (ml/kg/min) 15 sm 11 14 18 21 25 20 sm 12 17 21 26 29 25 sm 14 19 24 28 33 30 sm …

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