用Synapsys人体姿势平衡系统对早期帕金森病患者姿势障碍定量测试结果的分析研究

Analysis of quantitative test results of postural disorders in patients with early Parkinson's disease by using Synapsys Posturography System

目的应用Synapsys人体姿势平衡系统对早期帕金森病(Parkinson's disease,PD)患者姿势障碍定量测试评价效果分析。方法收集我院神经内科2015年7月-2016年7月收治的早期PD患者52例,随机分为试验组和对照组,每组26例。两组患者均给予常规治疗措施,试验组在常规治疗基础上给予康复治疗措施,最后两组均使用Synapsys人体姿势平衡系统和Berg平衡量表对患者进行评估和训练,观察测试结果。结果干预前动态和静态异常比例组间差异无统计学意义(P>0.05);干预后试验组动态和静态异常分别为34.62%、30.77%,低于对照组的69.23%、73.08%,差异有统计学意义(P<0.05);干预前Berg平衡量表评分组间差异无统计学意义(P>0.05),干预后试验组评分高于对照组,差异有统计学意义(P<0.05);干预后两组Berg平衡量表评分均升高,其中试验组干预前后比较差异有统计学意义(P<0.05)。结论应用Synapsys人体姿势平衡系统对早期PD患者姿势障碍准确定量测试,以评价康复效果,并且对于康复治疗具有重要作用。

Objective To analyze the clinical effects of quantitative test on early Parkinson＇s patients who suffering in postural disorders by using synapsys posturography system （SPS）. Methods 52 cases of early Parkinson＇s patients who treated in our department of neurology from July 2015 to July 2016 were collected and divided into experimental and control groups randomly, 26 cases in each group. During the treatment, cases in experimental group and control group received the same conventional treatments. Meanwhile, on the base of conventional treatments, the cases in experimental group also received recovery therapy. Finally, the clinical effects of different treatments in two groups were evaluated by using SPS and Berg balance scale （BBS）. Results Before intervention, the dynamic and static abnormal proportion between two groups had no significant difference （ P 〉 0. 05 ） ; However, after the intervention, dynamic and static abnormal proportion in experi- mental group were 34. 62% , 30. 77% , respectively, which was lower than those in control group （Dynamic： 69. 23% ; Static： 73.08% ） , and the difference was significant （P 〈 0. 05 ） ; In addition, the result of BBS showed there was no difference between the experimental group and control group before intervention （ P 〉 0. 05 ） , while the scores of BBS in experimental group was higher than that in control group after intervention, and the difference was significant （ P 〈 0. 05 ） ; At the same time, the scores of BBS in each group were both increased after the intervention, especially in the experimental group, and the difference in experimental group was significant （ P 〈 0. 05 ）. Conclusion The quantitative test on early Parkinson＇s pa- tients who suffering in postural disorders can perform accurately by using synapsys posturography system. And the synapsys posturography system can also evaluate the recovery effects, which is important for the recovery treatment.