摘要
目的探讨重复经颅磁刺激辅助功能康复训练对帕金森病患者康复的效果.方法选择该院2019年10月—2021年1月收治的60例帕金森患者为研究对象,以随机数表法分为两组.对照组(n=30)采用功能康复训练,观察组(n=30)在对照组基础上采用重复经颅磁刺激干预.对比两组治疗前后的帕金森病生活质量问卷39(PDQ-39)与帕金森病评价量表(UPDRS)Ⅰ、Ⅱ、Ⅲ部分评分.结果治疗前,两组生活质量、日常生活能力与运动功能比较,组间差异无统计学意义(P>0.05).治疗后,观察组PDQ-39量表中身体活动、日常生活行为、精神健康、屈辱感、社会支持、认知、交流、身体不适的评分分别为(17.07±3.31)分、(9.20±3.28)分、(13.38±3.19)分、(5.10±1.35)分、(4.16±1.06)分、(4.10±1.84)分、(4.19±1.33)分、(4.75±1.20)分,均低于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组UPDRSⅠ评分与对照组比较,差异无统计学意义(P>0.05);观察组UPDRSⅡ、Ⅲ评分分别为(13.46±1.58)分、(18.10±3.75)分,均小于对照组,组间差异有统计学意义(P<0.05).结论重复经颅磁刺激辅助功能康复训练能有效提高帕金森患者的生活质量,并提高其日常生活能力以及运动功能,有利于延缓患者病情进展.
Objective To investigate the effect of repetitive transcranial magnetic stimulation-assisted functional rehabilitation training on the rehabilitation of patients with Parkinson's disease.Methods A total of 60 patients with Parkinson's disease who were admitted from October 2019 to January 2021 were selected as the research objects and divided into two groups by random number table method.The control group(n=30)was given functional rehabilitation training,and the observation group(n=30)was given repetitive transcranial magnetic stimulation on the basis of the control group.The Parkinson disease quality of life questionnaire-39(PDQ-39)and unified Parkinson's disease rating scale(UPDRS)I,II and III scores were compared between the two groups before and after treatment.Results Before treatment,there were no significant differences in the quality of life,daily living ability and motor function between the two groups(P>0.05).After treatment,the scores of physical activity,behavior of daily living,mental health,humiliation,social support,cognition,communication,and physical discomfort on the PDQ-39 scale in the observation group were(17.07±3.31)points,(9.20±3.28)points,(13.38±3.19)points,(5.10±1.35)points,(4.16±1.06)points,(4.10±1.84)points,(4.19±1.33)points,(4.75±1.20)points,respectively,all lower than the control group,with statistically significant differences between groups(P<0.05).After treatment,there was no significant difference in UPDRS I score between the observation group and the control group(P>0.05).The UPDRS II and III scores of the observation group were(13.46±1.58)points and(18.10±3.75)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Repeated transcranial magnetic stimulation-assisted functional rehabilitation training can effectively improve the quality of life of patients with Parkinson's disease,and improve their daily living ability and motor function,which is conducive to delaying the progression of the patient's disease.
作者
巩企霞
钱进军
束瑜
万晟霞
刘军
GONG Qixia;QIAN Jinjun;SHU Yu;WAN Shengxia;LIU Jun(Department of Neurology,Zhenjiang Fourth People's Hospital,Zhenjiang Jiangsu,212000,China;Department of Neurosurgery,Affiliated Hospital of Jiangsu University,Zhenjiang Jiangsu,212000,China)
出处
《反射疗法与康复医学》
2021年第19期127-130,共4页
Reflexology And Rehabilitation Medicine
关键词
帕金森
功能康复训练
重复经颅磁刺激
运动功能
日常生活能力
Parkinson's disease
Functional rehabilitation training
Repeated transcranial magnetic stimulation
Cognitive function
Motor function
