腹部扭转运动对帕金森病患者抑郁、便秘、运动症状和生活质量的效果

doi:10.3969/j.issn.1006-9771.2022.02.013

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (2): 220-226.doi: 10.3969/j.issn.1006-9771.2022.02.013

腹部扭转运动对帕金森病患者抑郁、便秘、运动症状和生活质量的效果

席晓明¹,毕鸿雁²()

1.山东中医药大学康复医学院,山东济南市 250355
2.山东中医药大学附属医院康复科,山东济南市 250014

收稿日期:2021-10-21 修回日期:2022-01-18 出版日期:2022-02-25 发布日期:2022-03-09
通讯作者: 毕鸿雁 E-mail:hongyan_bi@163.com
作者简介:席晓明(1996-),男,汉族,山东日照市人,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,女,硕士,教授,主任医师。
基金资助:
山东省中医药科技重点项目(2020Z04)

Effect of abdominal torsion movement on depression, constipation, motor symptoms and quality of life in patients with Parkinson's disease

XI Xiaoming¹,BI Hongyan²()

1. School of Rehabilitation, Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250355, China
2. Rehabilitation Department, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Ji'nan, Shandong 250014, China

Received:2021-10-21 Revised:2022-01-18 Published:2022-02-25 Online:2022-03-09
Contact: BI Hongyan E-mail:hongyan_bi@163.com
Supported by:
Shandong TCM Science and Technology Key Fund(2020Z04)

摘要/Abstract

摘要：

目的观察腹部扭转运动对帕金森病患者抑郁、便秘、运动症状和生活质量的影响。方法选择2021年3月至10月山东中医药大学附属医院住院的帕金森病患者66例,随机分为对照组(n = 33)和试验组(n = 33)。对照组给予常规康复训练和药物治疗,试验组在对照组基础上给予腹部扭转运动治疗,共8周。两组治疗前后比较汉密尔顿抑郁量表(HAMD)评分、慢性便秘严重度量表(CSS)评分、计时“起立-行走”测试(TUGT)时间、Berg平衡量表(BBS)评分、30 s内压力中心运动轨迹长和运动椭圆面积、39项帕金森病测量问卷(PDQ-39)评分。结果治疗前,两组HAMD评分、CSS评分、TUGT时间、BBS评分、平衡仪压力中心运动轨迹长和椭圆面积、PDQ-39评分均无显著性差异(P > 0.05),治疗后均显著改善(t > 9.674, P < 0.001),且试验组均明显优于对照组(t > 3.120, P < 0.01)。结论腹部扭转运动训练可以有效改善帕金森病患者抑郁、便秘、运动症状和生活质量。

关键词: 帕金森病, 导引, 脑-肠轴, 抑郁, 便秘, 运动症状, 生活质量

Abstract:

Objective To observe the effects of abdominal torsion movement on depression, constipation, motor symptoms and quality of life in patients with Parkinson's disease. Methods From March to October, 2021, 66 patients with Parkinson's disease hospitalized in Affiliated Hospital of Shandong University of Traditional Chinese Medicine were randomly divided into control group (n = 33) and experimental group (n = 33). Both groups were given conventional rehabilitation training and medication, and the experimental group was given abdominal torsion movement in addition, for eight weeks. They were assessed with Hamilton Depression Scale (HAMD), Chronic Constipation Severity Scale (CSS), Timed "Up and Go" Test (TUGT), Berg Balance Scale (BBS), and the Parkinson's Disease Questionnaire (PDQ-39), and the movement track length and ellipse area of pressure center within 30 seconds were compared before and after treatment. Results Before treatment, there was no significant difference in the scores of HAMD, CSS, BBS and PDQ-39, and the time of TUGT, the movement track length of pressure center and movement ellipse area between two groups (P > 0.05). All the indexes significantly improved after treatment in both groups (t > 9.674, P < 0.001), and were better in the experimental group than in the control group (t > 3.120, P < 0.01). Conclusion Abdominal torsion movement could improve the symptoms of depression, constipation and motor, and quality of life in Parkinson's patients.

Key words: Parkinson's disease, Daoyin, brain-gut axis, depression, constipation, motor symptoms, quality of life

中图分类号:

R742.5

席晓明,毕鸿雁. 腹部扭转运动对帕金森病患者抑郁、便秘、运动症状和生活质量的效果[J]. 《中国康复理论与实践》, 2022, 28(2): 220-226.

XI Xiaoming,BI Hongyan. Effect of abdominal torsion movement on depression, constipation, motor symptoms and quality of life in patients with Parkinson's disease[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 220-226.

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组别	n	性别/n		年龄/岁	病程/年	Hoehn-Year分期
组别	n	男	女	年龄/岁	病程/年	Hoehn-Year分期
对照组	33	15	18	67.02±4.52	3.36±1.52	3.67±0.48
试验组	33	17	16	67.41±4.42	4.00±2.06	3.70±0.47
t/χ²值		0.243		2.878	1.428	0.260
P值		0.622		0.970	0.158	0.795

组别	n	治疗前	治疗后	t值	P值
对照组	33	16.52±3.89	11.33±2.48	11.540	< 0.001
试验组	33	16.06±3.76	7.76±2.73	17.310	< 0.001
t值		0.483	5.569
P值		0.631	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	33	12.00±2.51	9.12±2.75	9.674	< 0.001
试验组	33	12.82±2.35	7.33±1.81	14.169	< 0.001
t值		1.366	3.120
P值		0.177	0.003

组别	n	治疗前	治疗后	t值	P值
对照组	33	24.06±2.42	19.67±2.25	10.000	< 0.001
试验组	33	23.06±2.45	15.97±2.28	14.914	< 0.001
t值		1.668	6.630
P值		0.100	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	33	30.42±4.20	36.39±3.90	10.795	< 0.001
试验组	33	30.64±3.68	39.39±3.13	13.660	< 0.001
t值		0.218	3.447
P值		0.828	0.001

腹部扭转运动对帕金森病患者抑郁、便秘、运动症状和生活质量的效果

Effect of abdominal torsion movement on depression, constipation, motor symptoms and quality of life in patients with Parkinson's disease

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组别	n	治疗前	治疗后	t值	P值
对照组	33	654.42±45.37	460.48±40.28	18.266	< 0.001
试验组	33	653.36±40.23	350.58±28.10	39.161	< 0.001
t值		0.100	12.856
P值		0.920	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	33	1298.79±120.22	733.79±81.60	23.639	< 0.001
试验组	33	1273.06±119.26	507.55±115.53	24.477	< 0.001
t值		0.873	9.188
P值		0.386	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	33	85.36±4.37	73.67±3.89	16.750	< 0.001
试验组	33	84.42±4.11	67.45±4.55	17.808	< 0.001
t值		0.900	5.959
P值		0.372	< 0.001

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