综合康复对帕金森病患者的影响  

Effect of Comprehensive Rehabilitation on Patients with Parkinson's Disease

作　　者：严嫚莉 毛志娟[1] 李玲[1] 薛峥[1] YAN Man-li MAO Zhi-juan LI Ling XUE Zheng(Department of Neurology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology, Wuhan 430030, Chin)

机构地区：[1]华中科技大学同济医学院附属同济医院神经内科,武汉430030

出　　处：《神经损伤与功能重建》2016年第6期506-508,共3页Neural Injury and Functional Reconstruction

基　　金：国家自然科学基金(No.30700244);湖北省自然科学基金(No.2012FFB02501)

摘　　要：目的:探索综合康复对帕金森病患者的影响。方法:帕金森病患者200例,随机分为对照组88例和康复组112例,2组均给予帕金森病常规治疗、康复训练和护理,康复组在此基础上给予康复自护联合延续性护理。采用39项帕金森病调查表中文版(PDQ-39)、帕金森病非运动症状评价量表(NMSS)评估2组康复效果,Barthel指数(BI)评估日常生活活动能力。结果:2组康复治疗前,PDQ-39、NMSS、BI评分差异无统计学意义(P>0.05),治疗12月后,2组的PDQ-39、NMSS、BI评分优于治疗前,且康复组的PDQ-39、NMSS、BI评分优于对照组(P<0.05)。结论:综合康复对帕金森病患者疗效较好,患者的生活质量和帕金森病非运动症状得到明显改善。Objective： To explore the effect of comprehensive rehabilitation on patients with Parkinson＇s disease. Methods： Two hundred cases of Parkinson＇s disease were randomly divided into control group（n=88） and rehabilitation group（n=112）. The two groups were given conventional Parkinson treatment, rehabilitation and care while the rehabilitation group were given rehabilitation self- care combined with the continuity of careselfcare at the same time. The Chinese Version of the Parkinson s Disease Questionnaire（PDQ-39）, non-motor symptoms of Parkinson＇s disease Rating Scale（NMSS） were used to assess the effect of rehabilitation; Barthel Index（BI） was used to assess activities of daily living. Results： Before rehabilitation, PDQ-39, NMSS, BI score were no significant difference between the two groups（P〉0.05）. After 12 months, PDQ- 39, NMSS, BI scores of the two groups were better than those before treatment, and the PDQ- 39, NMSS, BI scores in rehabilitation group were better than the control group（P〈0.05）. Conclusion： The comprehensive rehabilitation on patients with Parkinson disease were more effective, significantly improving the quality of life and non-motor symptoms of Parkinson＇s disease patients.

关 键 词：帕金森病 自护理论 延续性护理 生活质量 非运动症状 

分 类 号：R741[医药卫生—神经病学与精神病学] R742[医药卫生—临床医学]