节律性听觉刺激联合健康操预防早中期帕金森患者跌倒的效果  

Effect of rhythmic auditory stimulation combined with health exercise on prevention of falls in patients with early and middle Parkinson’s disease

作　　者：周雅英 薛兰芳[2] 吴旻[3] 张琰[1] 黄春丽[1] 黄晓莲 高丽丽 ZHOU Yaying;XUE Lanfang;WU Min;ZHANG Yan;HUANG Chunli;HUANG Xiaolian;GAO Lili(Department of Nursing,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi,530021,China;Department of Emergency,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi,530021,China;Department of Physiotherapy,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi,530021,China;Department of Neurology,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi,530021,China)

机构地区：[1]广西壮族自治区江滨医院护理部,广西南宁530021 [2]广西壮族自治区江滨医院急诊科,广西南宁530021 [3]广西壮族自治区江滨医院物理治疗科,广西南宁530021 [4]广西壮族自治区江滨医院神经内科,广西南宁530021

出　　处：《当代医学》2022年第11期36-39,共4页Contemporary Medicine

基　　金：广西壮族自治区医疗卫生科研课题(Z20180844)。

摘　　要：目的观察节律性听觉刺激联合帕金森健康操预防帕金森患者跌倒的效果。方法选取2018年1月至2020年1月本院收治的90例早中期帕金森病患者作为研究对象,按随机数字表法分为对照组与观察组,每组45例。两组均接受常规药物治疗,对照组给予常规防跌倒护理干预,观察组在对照组基础上给予节律性听觉刺激联合健康操训练。比较两组起立-行走计时测验(TUGT)时间、修订版跌倒效能量表(MFES)评分及跌倒发生率。结果观察组TUGT时间为(19.42±5.68)s,明显短于对照组的(27.46±4.10)s,MFES评分为(8.53±0.60)分,明显高于对照组的(7.61±0.38)分,跌倒发生率为4.44%,明显低于对照组的17.78%,差异均有统计学意义(P<0.05)。结论节律性听觉刺激联合健康操预防帕金森患者跌倒效果显著,可提高平衡步行能力,降低跌倒发生率,值得临床推广应用。Objective To observe the effect of rhythmic auditory stimulation combined with health exercise on prevention of falls in patients with early and middle Parkinson’s disease.Methods 90 patients with early and middle Parkinson’s disease admitted to our hospital from January2018 to January 2020 were selected as study subjects.They were divided into control group and observation group according to random number table method,with 45 cases in each group.Both groups received routine drug treatment.The control group was given routine anti-fall nursing intervention,and the observation group was given rhythmic auditory stimulation combined with health exercise on the basis of the control group.The TUGT time,modified fall efficacy scale(MFES)score and fall incidence were compared between two groups.Results The TUGT time in the observation group was(19.42±5.68)s,which was significantly shorter than(27.46±4.10)s in the control group.The MFES score was(8.53±0.60)scores,which was significantly higher than(7.61±0.38)scores in the control group.The incidence of falls was 4.44%,which was significantly lower than 17.78%in the control group,and the difference was statistically significant(P<0.05).Conclusion Rhythmic auditory stimulation combined with health exercise has remarkable effect on preventing falls in patients with Parkinson’s disease,which can improve balance walking ability and reduce the incidence of falls,it is worthy of clinical promotion and application.

关 键 词：节律性听觉刺激 健康操 帕金森病 跌倒 

分 类 号：R742.5[医药卫生—神经病学与精神病学]