心理干预对帕金森病脑深部电刺激术疗效的效果分析

Analysis of the effect of psychological intervention on the curative effect of deep brain stimulation for Parkinson′s disease

目的对比分析帕金森病(PD)患者行脑深部电刺激术(DBS)后,心理干预实施成效。方法选取2020年7月至2021年12月在该院神经内科诊疗,拟行DBS治疗的118例PD患者为研究对象,随机分为干预组、对照组两组。其中,对照组行常规护理,干预组增设心理干预,程控随访6个月。结果两组患者统一PD评定量表(UPDRS)评分,运动症状改善(UPDRSⅢ)评分明显改善;焦虑、抑郁自评(SAS、SDS)量表、症状自评(SCL-90)量表评分改善同样显著,且干预组更佳;PD生活质量评价(PDQL-39)表、日常生活能力(ADL)量表评分也明显改善。结论PD患者DBS术后实施心理干预,可显著缓解其不良心理,利于手术效果及康复,值得推广。

Objective To compare and analyze the effectiveness of psychological interventions in patients with Parkinson′s disease(PD)after deep brain stimulation(DBS).Methods 118 PD patients who were diagnosed and treated in the department of neurology of the hospital from July 2020 to December 2021 and planned to be treated with DBS were randomly divided into intervention group and control group.Among them,the control group received routine nursing,the intervention group added psychological intervention,and the program-controlled follow-up was 6 months.Results The unified PD Rating Scale(UPDRS)score and the improvement of motor symptoms(UPDRSⅢ)score were significantly improved in the two groups;The scores of self-assessment of anxiety and depression(SAS,SDS)and SCL90 symptom self-assessment(SCL-90)were also significantly improved,and the intervention group was better;the scores of PD quality of life assessment(PDQL-39)and ability of daily living(ADL)were also significantly improved.Conclusion Psychological intervention in PD patients after DBS operation can significantly relieve their unhealthy psychology,which is beneficial to the curative effect of surgery and rehabilitation,and is worthy of promotion.