减重步行训练对老年帕金森病患者心肺耐力、平衡能力及生活质量的影响  

Effects of body weight support treadmill training on cardiopulmonary endurance,balance ability and quality of life of elderly patients with Parkinson’s disease

作　　者：彭爱君 许银苹 潘召英 PENG Aijun;XU Yinping;PAN Zhaoying(Department of Geriatric Medicine of Zhongren Geriatric Nursing Hospital of Jinshan District,Shanghai 201501,China)

机构地区：[1]上海市金山区众仁老年护理医院老年内科,上海201501

出　　处：《上海医药》2023年第6期51-54,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的:探讨减重步行训练对老年帕金森病患者心肺耐力、平衡能力及生活质量的影响。方法:选取护理医院住院治疗的43例老年帕金森病患者,随机分为研究组(减重步行训练)22例和对照组(传统康复训练)21例。分析两种训练方案对老年帕金森病患者6 min步行距离(6MWD)、平衡能力(BBS)、跌倒风险(FRA)及生活质量(Barthel指数)的影响。结果:实施不同方案干预12周,研究组6MWD、BBS、FRA及Barthel指数改善程度优于对照组,差异均有统计学意义(均P<0.05);研究组临床综合疗效优于对照组(95.45%比71.43%,P=0.033),跌倒事件的发生率低于对照组(9.09%比38.10%,P=0.024)。结论:减重步行训练能有效改善老年帕金森病患者的心肺耐力,提高平衡能力,减少跌倒风险,进一步改善日常生活质量。Objective:To explore the effects of body weight support treadmill training on cardiopulmonary endurance,balance ability and quality of life of elderly patients with Parkinson’s disease.Methods:Forty-three elderly patients with Parkinson’s disease who were hospitalized in nursing hospital were selected and randomly divided into a study group(body weight support treadmill training)with 22 cases and a control group(traditional rehabilitation training)with 21 cases.The effects of the two training programs on 6 min walking distance(6MWD),balance ability(BBS),fall risk assessment(FRA)and quality of life(Barthel index)in the elderly patients with Parkinson’s disease were analyzed.Results:After 12 weeks of implementing different program interventions,the improvement of 6MWD,BBS,FRA and Barthel index in the study group was better than that in the control group,and the difference was statistically significant(P<0.05);the clinical comprehensive effect in the study group was better than that in the control group(95.45%vs 71.43%,P=0.033),and the incidence of fall events in the study group was lower than that in the control group(9.09%vs 38.10%,P=0.024).Conclusion:Body weight support treadmill training can effectively improve the cardiopulmonary endurance of elderly patients with Parkinson’s disease,improve balance ability,reduce the risk of fall,and further improve the quality of daily life.

关 键 词：减重步行训练 老年帕金森病 心肺耐力 平衡功能 生活质量 

分 类 号：R741[医药卫生—神经病学与精神病学]