生物反馈疗法对帕金森病患者情绪的改善作用  

Improvement effect of biological feedback therapy on emotion of patients with Parkinson disease

作　　者：朱艳霞[1] 甄宁[1] 吕冬芳[1] 王雪笠[1] 

机构地区：[1]石家庄市白求恩国际和平医院神经内科,河北石家庄050082

出　　处：《中国医药导报》2016年第7期12-15,23,共5页China Medical Herald

基　　金：河北省医学科学研究课题项目(20150375)

摘　　要：目的探讨生物反馈疗法对帕金森病患者情绪的改善作用。方法选取2013年10月~2014年10月白求恩国际和平医院诊治的帕金森病患者56例,采用随机数字表法分为两组,每组各28例。对照组患者实施常规治疗,观察组患者实施生物反馈疗法治疗。于治疗前后分别行汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）、帕金森病统一评分量表（UPDRS）评分。比较两组患者的治疗效果。结果治疗后,两组患者焦虑程度、抑郁程度均明显减轻,HAMA评分（躯体性焦虑、精神性焦虑、总评分）、HAMD评分（焦虑、体重、认知障碍、日夜变化、迟缓、睡眠障碍、绝望感、总评分）、UPDRS评分（精神行为和情绪、日常生活能力、运动检查、治疗的并发症、修订的HOEHN＆YAHR分级、SCHWAB＆ENGLAND日常活动能力量表）均显著降低,差异均有统计学意义（P〈0.05）。治疗后,观察组患者焦虑程度、抑郁程度均明显低于对照组,差异均有统计学意义（P〈0.05）;HAMA评分（躯体性焦虑、精神性焦虑、总评分）、HAMD评分（焦虑、体重、认知障碍、日夜变化、迟缓、睡眠障碍、绝望感、总评分）、UPDRS评分（精神行为和情绪、日常生活能力、运动检查、治疗的并发症、修订的HOEHN＆YAHR分级、SCHWAB＆ENGLAND日常活动能力量表）均明显低于对照组,差异均有统计学意义（P〈0.05）。结论生物反馈疗法可明显改善帕金森病患者的情绪状况。Objective To investigate improvement effect of biological feedback therapy on emotion of patients with Parkinson disease. Methods 56 Parkinson disease patients from October 2013 to October 2014 in Bethune International Peace Hospital were selected, who were randomly divided into two groups, 28 patients in each group. Control group was received routine treatment, and observation group was received biological feedback therapy. All patients were evaluated by Hamilton anxiety scale（HAMA）, Hamilton depression scale（HAMD）, unified Parkinson disease rating scale（UPDRS） before and after treatment. Treatment effect was compared between two groups. Results After treatment, degree of anxiety and depression reduced significantly, while HAMA score（somatic anxiety, mental anxiety, total score）, HAMD score（anxiety, body weight, cognitive impairment, diurnal variation, retardation, sleep disorders, despair sense, total score）UPDRS score（mental behavior and emotion, ability of daily life, motor examination, treatment of complications, revision of HOEHN＆YAHR grading, SCHWAB＆ENGLAND activities of daily living scale） decreased significantly in two groups, the differences were statistically significant（P 〈 0.05）. After treatment, degree of anxiety and depression in observation group were significantly lower than control group, the differences were statistically significant（P 〈 0.05）; HAMA score（somatic anxiety, mental anxiety, total score）, HAMD score（anxiety, body weight, cognitive impairment, diurnal variation, retardation, sleep disorders, despair sense, total score）, UPDRS score（mental behavior and emotion, ability of daily life, motor examination, treatment of complications, revision of HOEHN＆YAHR grading, SCHWAB＆ENGLAND activities of daily living scale） in observation group were significantly lower than control group, the differences were statistically significant（P 〈 0.05）. Conclusion Biological feedback therapy can significantly improve emotion of patients with Par

关 键 词：生物反馈疗法 帕金森病 情绪 

分 类 号：R651[医药卫生—外科学]