八段锦结合平衡垫训练对老年帕金森患者平衡功能改善的价值  

Analysis of the effect of the application of Baduanjin combined with balance pad training in nursing care of elderly Parkinsonundefineds patients to improve their balance function

作　　者：宋正新[1] 蔡增林[1] 王敏[1] 张自平[2] Song Zhengxin;Cai Zenglin;Wang Min;Zhang Ziping(Internal Medicine-Neurology,Lianyungang First People′s Hospital,Lianyungang 222002,China;Ophthalmology Department,Lianyungang First People′s Hospital,Lianyungang 222002,China)

机构地区：[1]江苏省连云港市第一人民医院神经内科,222002 [2]江苏省连云港市第一人民医院眼科,222002

出　　处：《中国实用护理杂志》2020年第2期100-104,共5页Chinese Journal of Practical Nursing

基　　金：2018年度江苏省第五期“333工程”科研资助项目(BRA2018293)。

摘　　要：目的探讨八段锦结合平衡垫训练对改善老年帕金森患者平衡能力和运动功能的价值。方法选取2017年3月至2018年3月神经内科收治的老年帕金森患者120例,依据锻炼方式的不同分成2组(2个病区),每组60例,对照组患者在药物治疗基础上进行平衡垫训练,观察组患者在平衡垫训练的基础上使用八段锦锻炼,持续锻炼2个月,使用Fugl-Meyer下肢运动功能评分表、6 min步行试验距离(6mWD)、Berg平衡量表(BBS)评估其下肢运动能力恢复情况和躯体平衡控制的变化;于训练前、训练2个月后采用帕金森综合评分量表(UPDRS)对患者的运动能力受损情况进行评估。结果训练前2组患者的Fugl-Meyer评分、BBS评分、6mWD、UPDRS评分比较差异无统计学意义(P>0.05);训练2个月后观察组BBS评分为(45.5±4.0)分、Fugl-Meyer评分为(25.5±3.2)分、6mWD为(362.2±44.9)m,对照组依次为(42.3±3.8)分、(22.7±3.6)分、(337.3±51.0)m,2组比较差异有统计学意义(t=4.493、4.503、2.839,P<0.05)。训练2个月后观察组UPDRSⅡ、Ⅲ评分分别为(11.8±3.0)、(15.8±1.9)分,对照组分别为(14.7±2.6)、(17.2±1.4)分,2组比较差异有统计学意义(t=5.658、4.595,P<0.05)。观察组患者跌倒率为16.67%(10/60)、无骨折病例,对照组依次为41.67%(25/60)、6.67%(4/60),2组比较差异有统计学意义(χ^(2)=9.076、Fisher确切概率法检验,P<0.05)。结论八段锦结合平衡垫训练能够改善老年帕金森患者下肢运动功能、恢复其步态,提升躯体平衡控制力,改善生命质量。Objective To investigate the value of Baduanjin combined with balance pad exercise in improving the balance ability and motor function of elderly Parkinsonundefineds patients.Methods Totally 120 elderly patients with Parkinsonundefineds disease admitted in our hospital from March 2017 to March 2018 were divided into two groups according to different exercise methods:the balance pad training group(60 cases)and the Baduanjin combined balance pad group(60 cases).After 2 months of continuous exercise,Fugl-Meyer lower limb motor function scale and Berg Balance Scale(BBS)were used to evaluate the recovery of lower limb motor ability and the changes of somatic balance control.Before training and 2 months after training,Parkinsonundefineds Scale(UPDRS)was used to evaluate the motor impairment of the patients.Results There were no significant differences between the two groups in the Fugl-Meyer score,BBS score,6mWD and UPDRS scores before training(P>0.05).After 2 months of training,the BBS score of the observation group was(45.5±4.0)points and Fugl-Meyer score.(25.5±3.2)points and 6mWD scores(362.2±44.9)points,the control group was(42.3±3.8)points,(22.7±3.6)points,(337.3±51.0)points,the difference was statistically significant(t=4.493,4.503,2.839,P<0.05).After 2 months of training,the UPDRSII and III scores of the observation group were(11.8±3.0)points and(15.8±1.9)points,respectively,which were significantly better than the control group(14.7±2.6)points,(17.2±1.4)points,the difference was statistically significant(t=5.658,4.595,P<0.05).;the observation group patients had a fall rate of 16.67%(10/60),no fracture cases,the control group was 41.67%(25/60),6.67%(4/60),the difference was statistically significant(χ^(2)=9.076,-,P<0.05).Conclusion Bazuanjin combined with balance pad training can significantly improve lower limb motor function,restore gait,improve body balance control and improve quality of life in elderly patients with Parkinsonundefineds disease.

关 键 词：老年人 帕金森病 八段锦 平衡垫 平衡功能 

分 类 号：R742[医药卫生—神经病学与精神病学]