强化肌力训练联合经颅直流电刺激对帕金森患者的影响

Effects of applying strengthening muscle training combined with transcranial direct current stimulation for patients with Parkinson's disease

目的探讨强化肌力训练联合经颅直流电刺激对帕金森患者的影响。方法选取2016年6月至2019年6月收入我院治疗的帕金森患者80例,将其随机等分为对照组和研究组。对照组实施常规护理干预,研究组在对照组的基础上加以肌力训练联合经颅直流电刺激护理干预,比较两组步态冻结(FGQ)、功能独立(FIM)评分和5次坐到站测试计时(FTSST)、起立行走计时(TUGT)与Berg平衡能力(BBS)评分及认知功能障碍评分。结果实施护理干预后,研究组患者FGQ评分低于对照组(P<0.05),FIM,BBS评分高于对照组(P<0.05),FTSST,TUGT短于对照组(P<0.05)。研究组视空间/执行功能、命名、注意、语言、抽象、延迟记忆、定向等各认知领域评分均高于对照组(P<0.05)。结论强化肌力训练联合经颅直流电刺激可有效改善帕金森步态冻结以及认知功能障碍,提高远期治疗效果,值得临床推广应用。

Objective To explore the effect of strengthening muscle training combined with transcranial direct current stimulation for patients with Parkinson's disease.Methods To select 80 cases of Parkinson patients who were admitted to our hospital from June 2016 to June 2019.They were randomly divided into a control group and a study group.The control group received routine nursing intervention,and the study group received strengthening muscle training combined with transcranial direct current stimulation nursing intervention on the basis of the control group to compare the freezing of gait(FGQ),function independent measure(FIM)scores,five times sit to stand test(FTSST),timed up and go test(TUGT)and Berg balance scale(BBS)scores,and cognitive dysfunction score of the two groups.Results After nursing intervention,the FGQ score in the study group was lower than that in the control group(P<0.05),the FIM and BBS scores were higher than those in the control group(P<0.05),and the FTSST and TUGT were shorter than those in the control group(P<0.05).The study group scores were higher in each cognitive domain of visual space/executive function,naming,attention,language,abstraction,delayed memory,and orientation than those of the control group(P<0.05).Conclusion The application of strengthening muscle strength training combined with transcranial direct current stimulation could effectively improve Parkinson's gait freeze and cognitive dysfunction,and improve long-term treatment effect,which was worthy of clinical promotion and application.