八段锦对改善稳定期精神分裂症患者平衡功能的疗效  

Effect of Baduanjin on improving balance function of patients with stable schizophrenia

作　　者：陈晓亚 潘桂花[1] 陆如平 唐丽红[1] 徐国会 CHEN Xiaoya;PAN Guihua;LU Ruping;TANG Lihong;XU Guohui(Rehabilitation Department,Shanghai Mental Health Center,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China;Psychiatry Department,Shanghai No.1 Civil Mental Health Center,Shanghai 201105,China;Rehabilitation Department,Huadong Hospital Affiliated to Fudan University,Shanghai 200040,China)

机构地区：[1]上海交通大学医学院附属精神卫生中心康复科,上海200030 [2]上海民政第一精神卫生中心精神科,上海201105 [3]复旦大学附属华东医院康复科,上海200040

出　　处：《上海中医药大学学报》2022年第5期34-38,45,共6页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：上海市卫计委中医药科研专项项目(2016LP021);上海市精神卫生中心院级课题(2021-YJ05)。

摘　　要：目的:观察八段锦对稳定期住院精神分裂症患者平衡功能的影响。方法:选取稳定期精神分裂症患者76例,随机将其分为治疗组和对照组,每组各38例。对照组给予常规治疗,治疗组在此基础上增加八段锦,两组均干预12周,分别对两组患者干预前、干预6周、干预12周后进行平衡功能量表(Berg)、起立-步行计时测试(TUGT)、阳性和阴性症状量表(PANSS)和自知力与治疗态度问卷(ITAQ)评估。结果:研究过程中,对照组1例患者剔除或脱落,最终纳入统计分析者治疗组38例、对照组37例。重复测量方差分析结果显示,与对照组比较,八段锦联合常规治疗能够提高患者Berg得分和ITAQ得分,时间与组别存在交互作用(F=68.11,F=12.74,P<0.01);且可以降低TUGT的时间和PANSS得分,时间与组别存在交互作用(F=30.96,F=74.74,P<0.01)。结论:八段锦联合常规治疗能够提高精神分裂症患者的平衡功能,改善精神状态及自知力,具有较好的临床应用价值。Objective:To observe the effect of Baduanjin on the balance function in hospitalized patients with stable schizophrenia.Methods:A total of 76 inpatients with stable schizophrenia were selected and randomly divided into treatment group and control group,38cases in each group. The control group was given conventional treatment,and the treatment group was additionally given Baduanjin on this basis. Both groups were intervened for 12 weeks. The berg balance scale(Berg),the timed up and go test(TUGT),the positive and negative symptom scale(PANSS)and the insight and attitude to therapy questionnaire(ITAQ)were performed in both groups respectively before the intervention,6 weeks after the intervention,and 12 weeks after the intervention.Results:In the course of the research,one patient in the control group was eliminated or shed off,thus finally 38 patients in the treatment group and 37 patients in the control group were included in the statistical analysis. The results of repeated measures analysis of variance showed that compared with the control group,the Berg score and ITAQ score of patients were improved who were treated with Baduanjin combined with conventional treatment,and there was an interaction between time and group(F=68.11,F=12.74,P<0.01). And TUGT time and PANSS score were decreased,and there was an interaction between time and group(F=30.96,F=74.74,P<0.01).Conclusion:Baduanjin combined with conventional treatment can improve the balance function,mental state and insight of patients with schizophrenia,which has good clinical application value.

关 键 词：精神分裂症 八段锦 平衡功能 精神状态 自知力 

分 类 号：R749.3[医药卫生—神经病学与精神病学]