《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (7): 767-772.doi: 10.3969/j.issn.1006-9771.2018.07.004

• 专题 • 上一篇    下一篇

Valpar训练系统对帕金森病患者的疗效

崔立玲1a, 于洋1a, 王玥1a, 程元元1a, 陈荣杰1b, 巫嘉陵1a   

  1. 1.天津市环湖医院,a.康复医学科; b.神经内科,天津市 300350
  • 收稿日期:2018-05-28 修回日期:2018-07-06 出版日期:2018-07-25 发布日期:2018-08-01
  • 通讯作者: 巫嘉陵。E-mail: wywjl2009@hotmail.com
  • 作者简介:崔立玲(1986-),女,汉族,河北承德市人,硕士,主治医师,主要研究方向:神经康复。通讯作者:巫嘉陵(1974-),男,汉族,天津市人,博士,主任医师、教授,博士研究生导师,主要研究方向:神经系统损伤后修复。

Effects of Valpar Component Work Sample on Parkinson's Disease

CUI Li-ling1a, YU Yang1a, WANG Yue1a, CHENG Yuan-yuan1a, CHEN Rong-jie1b, WU Jia-ling1a   

  1. 1. a. Department of Rehabilitation Medicine; b. Department of Neurology, Tianjin Huanhu Hospital, Tianjin 300350, China
  • Received:2018-05-28 Revised:2018-07-06 Published:2018-07-25 Online:2018-08-01
  • Contact: WU Jia-ling. E-mail: wywjl2009@hotmail.com

摘要: 目的 探讨Valpar训练系统对帕金森病患者的影响。方法 2015年6月至2017年6月,40例帕金森病患者随机分为对照组(n=20)和观察组(n=20)。两组患者均接受基础治疗和作业治疗,观察组加用Valpar训练系统训练,共8周。治疗前后采用统一帕金森病评定量表第2部分(UPDRSⅡ)和第3部分(UPDRSⅢ)、简易精神状态检查(MMSE)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)和帕金森病生活质量量表(PDQ-39)进行评估。结果 治疗后,两组UPDRSⅡ、UPDRSⅢ、MMSE、HAMD、HAMA评分,PDQ-39综合指数均较治疗前改善(t>2.864, P<0.05),观察组优于对照组(t>2.237, P<0.05)。结论 Valpar训练系统可以提高帕金森病患者的日常生活活动和运动能力,改善认知功能,缓解抑郁和焦虑,进而提高帕金森病患者的生活质量。

关键词: 帕金森病, Valpar训练系统, 康复

Abstract: Objective To explore the effects of Valpar Component Work Sample on Parkinson's disease (PD). Methods From June, 2015 to June, 2017, 40 patients with PD were randomly divided into control group (n=20) and observation group (n=20). Both groups received routine treatment and occupational therapy, while the observation group accepted rehabilitation with Valpar Component Work Sample in addition, for eight weeks. They were assessed with Unified Parkinson's Disease Rating Score II and III (UPDRSII and UPDRSIII), Mini-Mental State Examination (MMSE), Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA) and the Parkinson's Disease Questionnaire-39 (PDQ-39) before and after treatment. Results The scores of UPDRSII, UPDRSIII, MMSE, HAMD, and HAMA, and Summary Index of PDQ-39 improved in both groups (t>2.864, P<0.05) after treatment, and improved more in the observation group than in the control group (t>2.237, P<0.05). Conclusion Combined with Valpar Component Work Sample may further improve the activities of daily living, motor, cognitive function, depression and anxiety, and then quality of life in patients with PD.

Key words: Parkinson's disease, Valpar Component Work Sample, rehabilitation

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