针刺“百会、大椎”穴联合机器人训练对帕金森病平衡功能影响

目的 观察针刺“百会、大椎”穴与机器人训练的不同结合方式对帕金森病(Parkinson’s disease, PD)平衡功能的疗效。方法 选取2020年10月至2022年10月温州市中医院收治的60例帕金森病患者，随机分为A、B组，A组接受针刺“百会、大椎”穴治疗后予机器人训练；B组针刺上述穴位同时进行机器人训练。采用Berg平衡量表（Berg balance scale，BBS）、Morse跌倒评估表（Morse fall assessment scale，MFS）及“起立-行走”计时测试（timed up and go test，TUGT）评价治疗前后的平衡功能。结果 组内比较：治疗4周时，A组仅TUGT较治疗前显著改善（P<0.01）；B组MFS及TUGT较治疗前显著改善（P<0.01）。治疗8周时，A组BBS、TUGT较治疗前显著改善（P<0.01）；B组BBS、MFS及TUGT较治疗前显著改善（P<0.01）。第12周时，两组BBS、MFS及TUGT较各组治疗前显著改善（P<0.01）。组间比较：治疗4周时，B组BBS、MFS及TUGT相较A组，差异无统计学意义（P>0.05）；治疗8周时，B组MFS较A组显著改善（P<0.05），BBS及TUGT改善优于A组，差异无统计学意义（P>0.05）。治疗12周时，B组BBS（P<0.01）、MFS（P<0.01）及TUGT（P<0.05）较A组显著改善。结论 针刺“百会、大椎”穴同时进行机器人训练的结合方式更能改善帕金森病平衡功能及抗跌倒能力。基金项目：浙江省中医药科技计划项目（2016ZA181）；温州市科学技术局基础性医疗卫生科技项目（Y2020901） 通信作者：支英豪，电子信箱：396994024@qq.com]

Clinical study of acupuncture comnined with robot training on the balance function of Parkinson's disease

Objective To investigate the therapeutic effect of different combinations of acupuncture and robot training on balance function in patients with Parkinson''s disease. Methods A total of 60 patients with Parkinson''s disease admitted to Wenzhou Traditional Medicine Hospital from October 2020 to October 2022 were randomly divided into two groups. Group A was given robot training after receiving acupuncture of Baihui and Dazhui points. Group B received those treatments simultaneously. And the balance function of patients was evaluated by Berg balance scale (BBS), Morse fall assessment scale (MFS) and timed up and go test (TUGT). Results In the intra-group comparison, TUGT in group A was significantly improved after 4 weeks of treatment (P<0.01); MFS and TUGT in group B were significantly improved compared with those before treatment (P<0.01). After 8 weeks of treatment, BBS and TUGT in group A were significantly improved compared with those before treatment (P<0.01); BBS, MFS and TUGT in group B were significantly improved compared with those before treatment (P<0.01). At the 12th week, BBS, MFS and TUGT in both groups were significantly improved compared with those before treatment (P<0.01). Comparison between groups: BBS, MFS and TUGT in group B were not significantly different from those in group A at 4 weeks of treatment (P>0.05); After 8 weeks of treatment, MFS in group B was significantly improved compared with that in group A (P<0.05), BBS and TUGT were better than that in group A without significant difference (P>0.05). After 12 weeks of treatment, BBS (P<0.01), MFS (P<0.01) and TUGT (P<0.05) in group B were significantly improved compared with group A. Conclusion Acupuncture at Baihui and Dazhui points combined with robot training simultaneously can improve the balance function and anti-falling ability of Parkinson''s disease.