阶梯式言语康复联合核心肌群控制训练在帕金森病患者护理中的应用  

Application of stepped speech rehabilitation combined with core muscle control training in nursing of patients with Parkinson's disease

作　　者：朱美连 刘啟 熊丽莎 卢国辉[1] 孙家蓉 Zhu Meilian;Liu Qi;Xiong Lisha;Lu Guohui;Sun Jiarong(Department of Neurosurgery,the First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China)

机构地区：[1]南昌大学第一附属医院神经外科,江西南昌330000

出　　处：《齐齐哈尔医学院学报》2024年第24期2393-2396,共4页Journal of Qiqihar Medical University

摘　　要：目的探讨阶梯式言语康复联合核心肌群控制训练在帕金森病患者护理中的应用。方法选择2020年1月—2023年12月本院收治的114例帕金森病患者作为研究对象,通过黑白摸球法随机均分为常规组和实验组两组,每组各57例。常规组给予常规护理干预,实验组在常规组基础上应用阶梯式言语康复联合核心肌群控制训练干预。比较两组干预前和训练8周后的帕金森病综合症状、言语表达能力、平衡状况、认知功能。结果训练8周后两组运动功能,日常活动,精神、行为和情绪评分均降低明显,实验组较常规组更低,差异具有统计学意义(P<0.05)。训练8周后两组言语表达能力评分均提高明显,实验组较常规组更高,差异具有统计学意义(P<0.05)。训练8周后两组Berg平衡量表(BBS)评分均提高明显,实验组较常规组更高;躯干压力中心前后移动距离标准差(AP-SD)、躯干压力中心左右移动距离标准差(ML-SD)均降低明显,实验组较常规组更低,差异具有统计学意义(P<0.05)。训练8周后两组认知功能评分均提高明显,实验组较常规组更高,差异具有统计学意义(P<0.05)。结论在帕金森病患者护理中应用阶梯式言语康复联合核心肌群控制训练,明显改善患者帕金森病综合症状、言语表达能力、平衡状况、认知功能。Objective To explore the application of stepped speech rehabilitation combined with core muscle control training in the nursing of patients with Parkinson's disease.Methods A total of 114 patients with Parkinson's disease who were admitted to the hospital from January 2020 to December 2023 were selected as study subjects and randomly divided into a conventional group and an experimental group by the black and white touch ball method,with 57 cases in each group.The conventional group was given routine nursing intervention,while the experimental group was given stepped speech rehabilitation combined with core muscle control training intervention.Parkinson's symptoms,speech expression ability,balance,and cognitive function were compared between the two groups before intervention and 8 weeks after training.Results After 8 weeks of training,motor function,daily activities,mental,behavioral,and emotional scores of both groups were significantly reduced,with the experimental group being lower than the conventional group,and the difference was statistically significant(P<0.05).After 8 weeks of training,the score of verbal expression ability of both groups improved significantly,with the experimental group being higher than the conventional group,and the difference was statistically significant(P<0.05).After 8 weeks of training,the BBS scores of both groups improved significantly,with the experimental group being higher than the conventional group;the standard deviation of the anterior-posterior movement of the trunk pressure center(AP-SD)and the standard deviation of the medio-lateral movement of the trunk pressure center(ML-SD)both decreased significantly,with the experimental group being lower than the conventional group,and the difference was statistically significant(P<0.05).After 8 weeks of training,the cognitive function scores of both groups improved significantly,with the experimental group being higher than the conventional group,and the difference was statistically significant(P<0.05).Conclusions In the nursing

关 键 词：阶梯式言语康复 核心肌群控制训练 帕金森病 言语表达能力 

分 类 号：R473.74[医药卫生—护理学]