导引术对帕金森病患者运动、平衡和生活质量的影响

doi:10.3969/j.issn.1006-9771.2020.07.019

《中国康复理论与实践》 ›› 2020, Vol. 26 ›› Issue (7): 836-841.doi: 10.3969/j.issn.1006-9771.2020.07.019

导引术对帕金森病患者运动、平衡和生活质量的影响

孙文玉¹,毕鸿雁²()

1.山东中医药大学康复学院,山东济南市 250014
2.山东中医药大学附属医院(山东省中医院),山东济南市 250014

收稿日期:2019-11-27 修回日期:2019-12-19 出版日期:2020-07-25 发布日期:2020-07-24
通讯作者: 毕鸿雁 E-mail:hongyan-bi@163.com
作者简介:孙文玉(1995-),女,汉族,山东滨州市人,硕士研究生,主要研究方向：神经损伤与腰背痛康复的临床与基础研究。|毕鸿雁(1967-),女,汉族,硕士,主任医师,主要研究方向：中医理论指导下脑卒中、神经退行性疾病及疑难重症的临床康复研究。
基金资助:
山东省中医药科技发展计划基金项目(2019-0167)

Effects of Daoyin on Motor Function, Balance and Quality of Life for Patients with Parkinson's Disease

SUN Wen-yu¹,BI Hong-yan²()

1. School of Rehabilitation, Shandong University of Chinese Medicine, Jinan, Shandong 250014, China
2. Affiliated Hospital of Shandong University of Traditional Chinese Medicine (Shandong Hospital of Traditional Chinese Medicine), Jinan, Shandong 250014, China

Received:2019-11-27 Revised:2019-12-19 Published:2020-07-25 Online:2020-07-24
Contact: BI Hong-yan E-mail:hongyan-bi@163.com
Supported by:
Shandong TCM Science and Technology Development Plan Fund(2019-0167)

摘要/Abstract

摘要：

目的观察导引术对帕金森病患者运动功能、跌倒预防和生活质量的临床疗效。方法 2016年8月至2018年9月,帕金森病患者62例随机分为对照组(n = 31)和观察组(n = 31)。对照组行常规药物治疗和健康教育,观察组加用自编导引功法,共6周。治疗前后,采用统一帕金森病综合评定量表中的第三部分(UPDRSⅢ)、计时起立-行走测试(TUGT)、修订跌倒效能量表(MFES)、帕金森病生活质量量表(PDQ-39)进行评定,采用平衡仪测试闭眼站立时压力中心前后和左右移动距离的标准差。结果治疗后,观察组UPDRSⅢ、TUGT、MFES和PDQ-39评分,以及质心前后和左右移动距离的标准差均较治疗前改善(|t| > 2.463, P < 0.05),且优于对照组(| t| > 2.261, P < 0.05)。结论改编导引术能改善帕金森病患者的运动功能和生活质量,预防跌倒。

关键词: 帕金森病, 导引术, 运动功能, 平衡, 跌倒, 生活质量

Abstract:

Objective To observe the clinical efficacy of Daoyin on motor function, fall prevention and quality of life in patients with Parkinson's disease (PD). Methods From August, 2016 to September, 2018, 62 PD patients were randomly divided into control group (n = 31) and observed group (n = 31). The control group received routine medicine and health education, and the observed group received Daoyin exercise in addition, for six weeks. They were assessed with Unified Parkinson's Disease Rating Scale Ⅲ (UPDRSⅢ), Timed "Up and Go" Test (TUGT), modified Falls Efficacy Scale (MFES) and Parkinson's Disease Questionnaire-39 (PDQ-39). Their anteroposterior standard deviation (AP-SD) and mediolateral standard deviation (ML-SD) of centre of pressure were measured with Balancer before and after treatment. Results The scores of UPDRSⅢ, TUGT, MFES and PDQ-39 improved in the observed group (|t| > 2.463, P < 0.05), as well as the length of AP-SD and ML-SD, and improved more in the observed group than in the control group (| t| > 2.261, P < 0.05) after treatment. Conclusion Daoyin can obviously improve motor function, balance and quality of life for PD patients, and prevent them from falling.

Key words: Parkinson's disease, Daoyin, motor function, balance, fall, quality of life

中图分类号:

R742.5

孙文玉,毕鸿雁. 导引术对帕金森病患者运动、平衡和生活质量的影响[J]. 《中国康复理论与实践》, 2020, 26(7): 836-841.

SUN Wen-yu,BI Hong-yan. Effects of Daoyin on Motor Function, Balance and Quality of Life for Patients with Parkinson's Disease[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(7): 836-841.

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组别	n	男/女(n)	年龄(岁)	病程(年)	Hoehn-Yahr分级
对照组	31	17/14	63.54±5.53	6.34±2.43	2.34±0.54
观察组	31	19/12	64.21±6.14	7.21±2.56	2.52±0.42
χ²/t值		0.134	1.743	0.582	0.528
P值		0.568	0.378	0.723	0.835

组别	n	干预前	干预后	t值	P值
对照组	31	20.98±3.56	18.76±3.63	1.762	0.071
观察组	31	20.79±3.52	16.32±3.58	4.412	< 0.001
t值		-0.227	-2.313
P值		0.779	0.017

组别	n	干预前	干预后	t值	P值
对照组	31	45.53±5.34	41.43±5.67	2.537	0.013
观察组	31	43.23±4.67	34.64±5.34	5.312	< 0.001
t值		-1.347	-4.651
P值		0.473	< 0.001

组别	n	干预前	干预后	t值	P值
对照组	31	79.56±18.45	76.52±19.35	1.112	0.247
观察组	31	78.47±17.83	61.34±18.31	2.463	0.019
t值		-0.474	-2.261
P值		0.714	0.032

组别	n	干预前	干预后	t值	P值
对照组	31	71.78±11.34	70.89±18.56	1.274	0.216
观察组	31	70.84±16.56	52.48±17.45	2.841	0.004
t值		-0.547	-2.895
P值		0.618	0.004

导引术对帕金森病患者运动、平衡和生活质量的影响

Effects of Daoyin on Motor Function, Balance and Quality of Life for Patients with Parkinson's Disease

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组别	n	干预前	干预后	t值	P值
对照组	31	4.62±1.17	5.83±1.28	-1.528	0.067
观察组	31	4.78±1.38	7.46±1.62	-6.631	< 0.001
t值		-1.779	-6.671
P值		0.082	< 0.001

组别	n	干预前	干预后	t值	P值
对照组	31	73.12±28.14	69.41±27.21	1.956	0.041
观察组	31	74.02±28.35	64.41±28.51	7.732	< 0.001
t值		0.162	2.689
P值		0.178	0.003

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