健身气功锻炼对帕金森病患者的疗效观察

Effects of Health Qigong on treatments of Parkinson's disease

目的探讨健身气功锻炼对帕金森病(PD)患者的临床疗效。方法将41例PD患者随机分为健身气功组23例,对照组18例。2组均给予神经内科基础药物治疗,健身气功组患者在对照组治疗的基础上进行10周健身气功干预,每周5次,每次60min。对两组患者干预前、中、后分别进行起立-走计时(TUG)、单脚闭目站立测试,采用统一帕金森病评定量表-Ⅲ(UPDRS-Ⅲ)、Hoehn-Yahr(H-Y)评分、贝克焦虑量表(BAI)评价运动功能及情绪变化。结果锻炼10周后,健身气功组H-Y分级、UPDRS-Ⅲ评分、BAI评分较治疗前呈降低趋势(P<0.05,P<0.01),而对照组治疗前后变化无统计学差异(P>0.05)。健身气功组TUG计时测试时间在第5周、第10周均较治疗前下降(P<0.05),两侧单脚闭目站立测试时间在第5周、第10周均较治疗前延长(P<0.05)。结论健身气功锻炼可改善轻中度PD患者运动功能,尤其是患者的平衡能力,对患者的焦虑情绪亦能起到一定程度缓解作用,值得临床推广。

Objective To investigate the clinical effects of Health Qigong on patients with Parkinson＇s disease（PD）.Methods Forty-one PD patients were randomly divided into the Qigong group（23cases）and control group（18cases）.Regular medications were applied in both groups.Compared with the control group,10-week Health Qigong was conducted in the Qigong group,5times per week for 60 minutes each time.The timed ＂up and go＂（TUG）,one-legged blind balance test were performed before,during,and after the intervention.The physical coordination and mood test were performed by the Unified PD Rating Scale（UPDRS）,Hoehn-Yahr stage and Beck anxiety inventory（BAI）.Results After 10 weeks of Health Qigong exercises,patients in the Qigong group showed significant trend of reduction in the H-Y stage,UPDRS-Ⅲ and BAI（P〈0.05,P〈0.01）,but the control group was not obvious（P〉0.05）.By observing the data changes before and after the treatment in the Qigong group,the TUG reduced gradually in the fifth and tenth weeks,and the difference was significant（P〈0.05）;The one-legged blind balance test time prlonged in the fifth and tenth weeks（P〈0.05）.Conclusions Health Qigong exercises can improve the body functions of patients with mild and moderate PD,especially in the terms of balance.It might also relieve the anxiety to some degree.Health Qigong is worth promoting.