艺术行为治疗联合重复经颅磁刺激对帕金森患者精神行为症状及认知障碍的影响  

Effect of art Behaviour therapy combined with repetitive transcranial magnetic stimulation on psychobehavioral symptoms and cognitive impairment in patients with Parkinson's disease

作　　者：吉晓霞 王康娃 刘孟顺 游咏 JI Xiaoxia;WANG Kangwa;LIU Mengshun(The Second Affiliated Hospital of Hainan Medical College,Department of Neurology,Haikou 57031l,China)

机构地区：[1]海南省海南医学院第二附属医院神经内科,海口570311

出　　处：《国际精神病学杂志》2024年第6期1839-1842,共4页Journal Of International Psychiatry

基　　金：海南省重点研发计划(编号:ZDYF2022SHFZ108)。

摘　　要：目的 探讨在帕金森治疗中艺术行为联合重复经颅磁刺激的效果,并分析该方案对患者精神行为症状、认知障碍的影响。方法 以EXCEL表格统计2020年1月~2022年10月范围内在我院确诊为帕金森的62例患者,以随机数字表法分组,一组实施重复经颅磁刺激治疗(对照),一组实施艺术行为治疗联合重复经颅磁刺激(观察)。统计治疗后临床疗效、认知功能、运动功能,并对比患者精神行为症状改善情况。结果 观察组31例患者经艺术行为联合重复经颅磁刺激治疗后统计的临床疗效高于对照组(P<0.05);观察组统计的认知功能评分高于对照组(P<0.05);观察组统计的运动功能评分低于对照组(P<0.05);观察组统计的精神行为症状评分低于对照组(P<0.05)。结论 在帕金森治疗中采用艺术行为治疗联合重复经颅磁刺激方案可提高患者认知功能及运动功能,减轻疾病对患者日常生活能力的影响,值得推广。Objective To explore the value of choosing artistic behavior combined with repetitive transcranial magnetic stimulation in the treatment of Parkinson's disease,and to analyze the impact of this plan on patients' mental behavioral symptoms and cognitive impairment.Methods A study of 62 patients diagnosed with Parkinson's disease in our hospital from January 2020 to October 2022 was conducted using an Excel table.The patients were randomly divided into two groups:one group received repetitive transcranial magnetic stimulation therapy(control)and the other group received artistic behavior combined with repetitive transcranial magnetic stimulation therapy(observation).The clinical efficacy,cognitive function,and motor function and patients' mental and behavioral symptoms between two groups were compared.Results The clinical efficacy of 31 patients in the observation group after artistic behavior combined with repeated transcranial magnetic stimulation treatment was higher than that in the control group(P<0.05).The cognitive function score of the observation group was higher than that of the control group(P<0.05).The motor function score of the observation group was lower than that of the control group(P<0.05).The psychological and behavioral symptom scores of the observation group were lower than those of the control group(P<0.05).Conclusion The use of artistic behavior combined with repetitive transcranial magnetic stimulation in the treatment of Parkinson's disease can improve patients' cognitive and motor functions,and reducing the impact of the disease on their daily living ability.

关 键 词：艺术行为 重复经颅磁刺激 帕金森 精神行为症状 认知障碍 

分 类 号：R749.05[医药卫生—神经病学与精神病学]