绿光视觉干预与听觉干预对帕金森病冻结步态的影响研究  

Effects of Green Visual Intervention and Auditory Intervention on Freezing of Gait in Parkinson's Disease

作　　者：孟茜 刘凤春[2] 王红星[2] 周涌涛[2] 李顷润 常红[1,2] MENG Qian;LIU Fengchun;WANG Hongxing;ZHOU Yongtao;LI Qingrun;CHANG Hong(School of Nursing,Capital Medical University,Beijing 100069,China;Department of Neurology,Xuanwu Hospital of Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学护理学院,北京市100069 [2]首都医科大学宣武医院神经内科,北京市100053

出　　处：《实用心脑肺血管病杂志》2022年第7期69-75,共7页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：中华医学会杂志社护理学科研究课题(CMAPH-RNG2019001);首都医科大学宣武医院护理专项课题(XWHL-2018021)。

摘　　要：目的探讨绿光视觉干预与听觉干预对帕金森病冻结步态(FOG)的影响。方法收集2019年4—9月首都医科大学宣武医院收治的帕金森病FOG患者25例为对照组,2019年10月至2020年8月本院收治的帕金森病FOG患者25例为绿光视觉干预组,2020年9月至2021年3月本院收治的帕金森病FOG患者25例为听觉干预组。对照组患者自入院起给予常规治疗及护理;绿光视觉干预组在对照组的基础上于入院第2天开始给予绿色激光线辅助行走的视觉干预训练;听觉干预组在对照组的基础上于入院第2天开始给予“1,2,1”口号辅助行走的听觉干预训练。三组患者分别于入院时、出院时、出院后1个月、出院后3个月采用ADDEEI便携式智能化步态分析仪测量步态指标(包括:坐位起立至站位时间、站位至起步时间、转身时间、站位坐下时间、平均步长及步频),采用统一帕金森病评定量表(UPDRS)评价患者帕金森病严重程度,采用39项帕金森病生活质量问卷(PDQ-39)评价患者生活质量。结果干预方法与时间在平均步长及步频上存在交互作用(P<0.05);干预方法在站位至起步时间及转身时间上主效应显著(P<0.05);时间在坐位起立至站位时间、站位至起步时间、转身时间、站位坐下时间、平均步长及步频上主效应显著(P<0.05)。出院时、出院后1个月、出院后3个月绿光视觉干预组站位至起步时间、转身时间短于对照组,平均步长大于对照组,步频快于对照组(P<0.05);出院时、出院后1个月、出院后3个月听觉干预组站位至起步时间短于对照组,步频快于对照组,出院时听觉干预组转身时间短于对照组,出院后1个月听觉干预组平均步长大于对照组(P<0.05)。干预方法与时间在精神、行为和情绪,日常生活活动,运动检查分量表评分上存在交互作用(P<0.05);干预方法在精神、行为和情绪分量表评分上主效应显著(P<0.05);时间在精神、行为Objective To investigate the effects of green visual intervention and auditory intervention on freezing of gait(FOG)in Parkinson's disease(PD).Methods Twenty-five PD patients with FOG admitted to Xuanwu Hospital of Capital Medical University from April to September 2019 were selected as control group,25 PD patients with FOG admitted to the same hospital from October 2019 to August 2020 were selected as green vision intervention group,and 25 PD patients with FOG admitted to the same hospital from September 2020 to March 2021 were selected as auditory intervention group.The patients in the control group were given routine treatment and nursing care,the patients in the green vision intervention group were given visual intervention training of green laser assisted walking on the second day after admission on the basis of control group,the patients in the auditory intervention group were given the auditory intervention training of"1,2,1"slogan assisted walking on the second day after admission on the basis of control group.The gait indexes(including sitting to standing time,standing to starting time,turning time,sitting down time,average step length and step frequency)were measured by ADDEEI portable intelligent gait analyzer,the severity of PD was assessed by the Unified Parkinson's Disease Rating Scale(UPDRS),and the quality of life was assessed by the Parkinson's Disease Questionnaire-39(PDQ-39)at admission,discharge,1 month after discharge and 3 months after discharge among the three groups.Results There was an interaction between intervention method and time on the average step length and step frequency(P<0.05);and the main effect of the intervention method was significant on the standing to starting time and turning time(P<0.05),the main effect of the time was significant on the sitting to standing time,standing to starting time,turning time,sitting down time,average step length and step frequency(P<0.05).At discharge,1 month after discharge and 3 months after discharge,the standing to starting time and turning

关 键 词：帕金森病 冻结步态 彩色视觉 绿光视觉干预 听觉干预 

分 类 号：R742.5[医药卫生—神经病学与精神病学]