慢性病管理实践中康复训练对早期帕金森病患者的作用  

Effects of rehabilitation training on patients with early Parkinson's disease in chronic disease management practice

作　　者：汪锡金[1] 管强[2] 吴兴军[3] 王大祝 罗懿[1] 刘振国[1] 

机构地区：[1]上海交通大学医学院附属新华医院神经内科,上海200092 [2]同济大学附属同济医院神经内科,上海200065 [3]上海市徐汇区中心医院神经内科,上海200031 [4]安徽省合肥市瑶海区铜陵路街道社卫卫生服务中心,合肥230011

出　　处：《上海交通大学学报（医学版）》2013年第10期1369-1371,共3页Journal of Shanghai Jiao tong University:Medical Science

基　　金：国家自然科学基金(81171204;81171203;30772280);上海申康医院发展中心项目(SHDC12012320)~~

摘　　要：目的探索慢性病管理实践中融入康复训练对早期帕金森病(PD)患者临床症状和经济负担的影响。方法在慢性病管理实践中纳入早期PD患者40例,随机分为对照组(n=20)和康复训练添加组(n=20),采用帕金森病综合评分表(UPDRS)Ⅲ对慢性病管理实施前和实施后3个月患者的临床运动症状进行评分,计算慢性病管理实施前3个月和实施后3个月的经济费用。结果与实施慢性病管理前比较,实施后两组PD患者的临床运动症状均得到显著改善(P<0.01),且生活费、误工费和总费用也显著降低(P<0.01)。与对照组比较,康复训练添加组临床运动症状改善更加显著(P<0.05),且生活费、误工费和总费用降低也更加显著(P<0.05)。结论康复训练能显著改善PD患者的临床运动症状并减轻其经济负担,应融入早期PD患者的慢性病管理实践中。Objective To investigate the effects of integration of rehabilitation training into chronic disease management practice on the clinical symptoms and economic burden of patients with early Parkinson＇s disease （PD）. Methods Forty patients with early PD were included into chronic disease management practice, and were randomly divided into control group （ n = 20） and rehabilitation training group （n = 20）. Unified Parkinson＇s disease rating scale （UPDRS） III was employed to evaluate the clinical symptoms before and 3 months after chronic disease management, and the economic costs 3 months before chronic disease management and 3 months after chronic disease management were calculated. Results The implementation of chronic disease management significantly improved the clinical symptoms （ P 〈 0.01）, and reduced the living expenses, lost incomes and total expenses in two groups （P 〈 0.01）. Compared with control group, the clinical symptoms were significantly improved （P 〈 0.05）, and the living expenses, lost incomes and total expenses were significantly reduced in rehabilitation training group （ P 〈 O. 05）. Conclusion Rehabilitation training can significantly improve the clinical symptoms and reduce the economic chronic disease management practice of patients with early burden of patients with PD, and should be integrated into the PD.

关 键 词：帕金森病 慢性病管理 康复训练 经济负担 

分 类 号：R742.5[医药卫生—神经病学与精神病学]