呼吸训练对帕金森病患者肺功能和运动功能的效果

Effects of Respiratory Training on Pulmonary Function and Motor Function for Patients with Parkinson's Disease

目的探讨呼吸训练对帕金森病患者肺功能和肢体运动功能的影响。方法2018年1月至2019年11月选取上海市第二康复医院原发性帕金森病住院患者60例,随机分为对照组(n=30)和观察组(n=30),两组均予常规康复,观察组采用Power Breathe训练系统予呼吸训练。治疗前和治疗4周后,测量患者肺功能,采用统一帕金森病评定量表(UPDRS)第Ⅱ、Ⅲ部分和改良Barthel指数(MBI)进行评定。结果治疗后,两组UPDRS第Ⅱ、Ⅲ部分和MBI评分均改善(|t|>2.550,P<0.05);观察组用力肺活量(FVC)、第一秒用力呼气容积(FEV1)、50%肺活量时的最大呼气流速(MEF50)明显升高(|t|>2.838,P<0.01),对照组无明显变化(|t|<1.058,P>0.05);与对照组相比,观察组FVC、FEV1、MEF50、MBI和UPDRS第Ⅱ部分评分均改善更多(|t|>2.191,P<0.05)。结论增加呼吸训练能显著改善帕金森病患者肺功能,从而提高患者的日常生活能力,但并不能进一步改善患者的运动功能。

Objective To explore the effects of respiratory training on pulmonary and motor function for patients with Parkinson's disease.Methods From January,2018 to November,2019,60 inpatients with idiopathic Parkinson's disease from the Second Rehabilitation Hospital of Shanghai were randomly divided into control group(n=30)and experimental group(n=30).All the patients accepted routine rehabilitation,while the experimental group accepted respiratory training with Power Breathe in addition.They were measured the pulmonary function,and assessed with Unified Parkinson's Disease Rating Scale(UPDRS)partⅡand III,and modified Barthel Index(MBI)before and four weeks after treatment.Results The scores of UPDRSⅡandⅢ,and MBI improved in both groups after treatment(|t|>2.550,P<0.05),while the forced vital capacity(FVC),forced expiratory volume in the first second(FEV1)and maximum expiratory flow rate at 50%vital capacity(MEF50)increased in the experimental group(|t|>2.838,P<0.01),but did not in the control group(|t|<1.058,P>0.05).FVC,FEV1,MEF50,MBI score and UPDRS II score improved more in the experimental group than in the control group(|t|>2.191,P<0.05).Conclusion Respiratory training can improve pulmonary function for patients with Parkinson's disease,to further improve their activities of daily living.No synergistic effect is found on motor function.