颂钵音疗在帕金森病康复治疗中的应用研究

Application research of singing bowl sound therapy in the rehabilitation treatment of Parkinson′s disease

目的研究颂钵音疗对帕金森病患者康复治疗的影响。方法纳入70例帕金森患者,随机分为对照组和观察组各35例。对照组予以常规健康教育,观察组在对照组基础上采取颂钵音疗的干预方式,共进行8周。干预前后,采用汉密顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评分评估患者焦虑抑郁情绪,采用蒙特利尔认知评估量表(MoCA)评估认知障碍程度、肌肉震颤评定量表(CRST)评估肌肉震颤状况,并进行肌张力评分。结果治疗后,观察组HAMD及HAMA评分较前显著降低,MoCA评分较前显著升高,且均优于对照组(P<0.05);治疗后观察组肌张力降低,且低于对照组(P<0.05);治疗前后两组肌肉震颤CRST评分比较,差异无统计学意义(P>0.05)。结论以颂钵音疗作为一种补充治疗干预手段,对改善帕金森病患者的焦虑抑郁、认知障碍及肌张力有积极的影响效果,可为此类患者提供一种安全、易学、有效的治疗康复保健模式。

Objective To investigate the effect of Tibetan singing bowl sound therapy on the rehabilitation of patients with Parkinson′s disease.Methods Seventy patients with Parkinson′s disease were randomly assigned into an observation group and a control group,35 in each group.The control group received the normal health education,and the observation group was given the intervention method of Tibetan singing bowl sound therapy based on the control group.The treatment course was 8 weeks.Before and after the intervention,the Hamilton Depression Rating Scale(HAMD)and the Hamilton Anxiety Scale(HAMA)were used to evaluate anxiety and depression,and the Montreal Cognitive Assessment Scale(MoCA)was used to evaluate the degree of cognitive impairment and the Muscle Tremor Rating Scale(CRST)was used to assess muscle tremors and muscle tension score.Results After treatment,the scores of HAMD and HAMA in the observation group were significantly decreased and the score of MoCA was significantly increased when compared to before treatment and the control group(P<0.05).The muscle tone in the observation group was decreased after treatment and lower than that in the control group(P<0.05).There was no significant difference in muscle tremor CRST scores before and after treatment between the two groups(P>0.05).Conclusions Singing bowl sound therapy as a supplementary treatment intervention has a positive effect on improving anxiety,depression,cognitive impairment and muscle tension in patients with Parkinson′s disease.It can provide a safe,easy-to-learn and effective treatment for such patient’s rehabilitation model.