帕金森操康复训练的临床疗效观察

Clinical efficacy of Parkinson's physical exercise in patients with Parkinson's disease

摘要:

目的 探讨帕金森健康操对帕金森病患者运动功能和日常生活能力的影响。方法 选取2013年4月至2014年7月期间我院收治的帕金森病患者38例。分为两组:治疗组给予临床常规药物治疗及常规康复治疗,并在此基础上教授帕金森健康操,每天2 h;对照组仅给予临床常规药物治疗及常规康复治疗。治疗5月及14月后观察疗效。结果 两组治疗5月后UPDRSⅡ评分和UPDRSⅢ评分均较治疗前降低,差异具有统计学意义(P<0.05);治疗组在治疗14月后,与治疗前比较降低更加显著(P<0.01)。治疗组在治疗14月后与治疗5月后比较也有明显降低,差异具有统计学意义(P<0.05)。治疗5月后和治疗14月后治疗组与对照组比较,差异均有统计学意义(P<0.05)。结论 帕金森健康操能提高帕金森病患者的运动功能,改善患者的日常生活活动能力,特别是长期预后具有较好的临床效果。

Abstract:

Objective To explore the impact of Parkinson's physical exercise on the motor function and ability of daily living in patients with Parkinson's disease (PD).Methods Thirty-eight PD patients were selected from those who had been hospitalized during April 2013 to July 2014 and were divided into two groups: treatment group and control group. The former group was provided with clinical conventional medical treatment and routine rehabilitation, as well as Parkinson's physical exercise, for two hours every day, while the later one received only clinical conventional medical treatment and routine rehabilitation. Clinical observations were taken after 5 and 14 months of treatment.Results After treatment for 5 months, the scores of both UPDRS II and UPDRS III for the two groups were significantly lower than before (P<0.05). The scores for the treatment group after 14 months of treatment were significantly lower than those before treatment (P<0.01) and those after 5 months of treatment (P<0.05). There were significant differences in the scores of UPDRS II and UPDRS III between the two groups after 5 and 14 months of treatment (P<0.05).Conclusions Parkinson's physical exercise can improve both the motor function and ability of daily living in PD patients, and it has good long-term clinical efficacy.