五禽戏联合物理训练在帕金森病运动障碍患者中的应用

目的 探讨五禽戏联合物理训练对帕金森病患者平衡能力、焦虑抑郁及生活质量的影响。方法 选取笔者所在科室2020年1月-2021年6月收治的120例帕金森病患者为研究对象,按信封法将其分为观察组和对照组,各60例,观察组采用五禽戏联合物理训练,对照组采用常规物理训练。干预6周后,采用汉密顿焦虑量表(Hamilton anxiety scale,HAMA)、汉密顿抑郁量表(Hamilton depression scale,HAMD)、帕金森生活质量调查问卷(the 39-item Parkinson′s disease questionnaire,PDQ-39)及统一帕金森病评定量表第三部分运动症状(unified Parkinson′s disease rating scale-Ⅲ,UPDRS-Ⅲ)及Breg平衡量表(Berg balance scale, BBS)对2组患者进行评估。结果 干预6周后观察组HAMA、HAMD、PDQ-39、UPDRS-Ⅲ评分均低于对照组(t=2.22,P=0.03;t=3.26,P<0.01;t=2.33,P=0.02;t=2.34,P=0.02),BBS评分高于对照组(t=3.96,P<0.01)。结论 五禽戏联合物理训练能够改善帕金森病患者平衡能力、焦虑抑郁情绪,提高其生活质量。

Application of Wuqinxi combined with physical training in patients with Parkinson's disease

Objective To explore the effect of applying Wuqinxi combined with physical training on the balance ability, anxiety, depression and life quality of patients with Parkinson′s disease. Methods Totally 120 patients with Parkinson′s disease treated in the author′s department between January 2020 and June 2021 were selected, and divided into an observation group and a control group according to the envelope method, each of 60. The observation group was treated with Wuqinxi combined with physical training, while the control group was given routine physical training. After 6 weeks of intervention, both groups were observed the balance ability, anxiety, depression and quality of life using the Berg balance scale (BBS), Hamilton anxiety scale (HAMA), Hamilton depression scale (HAMD), 39-item Parkinson′s disease questionnaire (PDQ-39) and unified Parkinson′s disease rating scale-Ⅲ (UPDRS-Ⅲ). Results After 6 weeks of intervention, the HAMA, HAMD, PDQ-39 and UPDRS-Ⅲ scores of the observation group were significantly lower than those of the control group (t=2.22, P=0.03; t=3.26, P<0.01; t=2.33, P=0.02; t=2.34, P=0.02), while the BBS score of the former was significantly higher than the latter (t=3.96, P<0.01). Conclusion Wuqinxi combined with physical training can improve the balance ability, anxiety and depression of patients with Parkinson′s disease and improve their life quality.