综合呼吸训练对老年帕金森病病人运动减少型构音障碍的影响  

Effect of comprehensive respiratory training on hypokinetic dysarthria in elderly patients with Parkinson’s disease

作　　者：郝世杰[1] 邹建鹏 卫晨 刘清江 HAO Shijie;ZOU Jianpeng;WEI Chen;LIU Qingjiang(School of Rehabilitation Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China;Department of Rehabilitation and Physiotherapy,Affiliated Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Rehabilitation Medicine Department,Shandong Provincial Hospital Affiliated to Shandong First Medical University,Jinan 250000,China)

机构地区：[1]山东中医药大学康复医学院,山东省济南市250355 [2]山东中医药大学附属医院康复理疗科,山东省济南市250014 [3]山东第一医科大学附属省立医院康复医学科,山东省济南市250000

出　　处：《实用老年医学》2024年第8期783-787,共5页Practical Geriatrics

基　　金：山东省社会科学规划研究项目(22CTYJ18);山东中医药大学临床实践教学研究课题(ZT2023009);山东中医药大学教学改革团队建设项目(JG2023035)。

摘　　要：目的观察综合呼吸训练改善老年帕金森病病人运动减少型构音障碍的效果。方法将严格按照纳入、排除标准筛选的48例老年帕金森病病人随机分为对照组和治疗组,每组各24例。对照组实施基础构音训练,治疗组在对照组的基础上联合综合呼吸训练,2组均治疗4周,观察2组病人治疗前后Frenchay构音障碍评定量表(FDA)评分、最长发音时间(MPT)、不同音节轮替运动速率(DR)和最大吸气压力(MIP)的改变。结果治疗前,2组病人的FDA评分、MPT、不同音节DR和MIP差异均无统计学意义(P>0.05)。治疗后,2组病人的FDA评分、MPT和不同音节DR均较治疗前显著提高(P<0.01),且治疗组FDA评分、MPT、不同音节DR和MIP水平较对照组改善更明显,差异有统计学意义(P<0.05或P<0.01)。结论综合呼吸训练可以促进呼吸与发声的协调性,改善老年帕金森病病人运动减少型构音障碍。Objective To observe the effect of comprehensive respiratory training on hypokinetic dysarthria in the elderly patients with Parkinson’s disease.Methods A total of 48 patients with Parkinson’s disease who were enrolled according to inclusion and exclusion criteria were randomly divided into the control group and the treatment group,with 24 patients in each group.The control group received basic articulation training,while the treatment group received comprehensive respiratory training on the basis of the control group.Two groups were treated for four weeks,and the changes in Frenchay Dysarthria Assessment(FDA)score,maximum phonation time(MPT),diadochokinesia rate(DR)of different syllables and maximum inspiratory pressure(MIP)were observed before and after treatment.Results Before treatment,there were no statistical differences in FDA score,MPT,DR of different syllables and MIP between the two groups(P>0.05).After treatment,FDA score,MPT and DR of different syllable in the two groups were significantly higher than those before treatment(P<0.01),and FDA score,MPT,DR of different syllable and MIP levels in the treatment group were higher than those in the control group(P<0.05 or P<0.01).Conclusions Comprehensive respiratory training can promote coordination of breathing and vocalization,and improve hypokinetic dysarthria in the elderly patients with Parkinson’s disease.

关 键 词：综合呼吸训练 基础构音训练 帕金森病 老年人 运动减少型构音障碍 

分 类 号：R742.5[医药卫生—神经病学与精神病学]