强化核心肌力训练改善帕金森病运动障碍及便秘、抑郁的效果

Effect of Strengthening Core Muscle Strength Training to Improve Movement Disorder,Constipation and Depression in Parkinson Disease

目的:探讨强化核心肌力训练在帕金森病(PD)患者中的应用效果。方法:选取2021年1月—2022年8月中国人民解放军联勤保障部队庐山康复疗养中心收治的60例PD患者为研究对象,按随机数字表法将其分为两组,各30例。对照组给予常规治疗联合常规康复训练,观察组在对照组基础上采取强化核心肌力训练,持续治疗2个月。对比两组平衡能力、跌倒风险、便秘情况、抑郁情绪。结果:治疗前两组平衡能力、跌倒风险、便秘情况、抑郁情绪比较,差异均无统计学意义(P>0.05)。治疗后观察组步态稳定(8.30±0.25)分、姿势调整(4.83±0.34)分、方位觉(4.59±0.36)分、姿势反应(4.77±0.38)分,均高于对照组的(7.59±0.41)、(4.11±0.29)、(3.67±0.55)、(4.16±0.45)分,差异均有统计学意义(P<0.05)。治疗后观察组跌倒风险低于对照组(P<0.05)。治疗后观察组排便频率(0.33±2.16)分、排便费力感(0.19±0.13)分、排便未尽感(0.81±0.27)分、腹痛(0.36±0.33)分、大便时间(0.57±0.14)分、排便辅助情况(0.40±0.10)分、排便不成次数(0.31±0.11)分,均低于对照组的(0.60±0.15)、(0.43±0.16)、(1.41±0.36)、(0.70±0.28)、(0.93±0.20)、(0.71±0.13)、(0.65±0.17)分,差异均有统计学意义(P<0.05)。治疗后观察组17项汉密尔顿抑郁量表评分为(10.04±1.55)分,低于对照组的(13.64±2.06)分,差异有统计学意义(P<0.05)。结论:强化核心肌力训练能减轻PD患者运动障碍,提高平衡能力,并缓解便秘与抑郁情绪。

Objective:To investigate the effect of strengthening core muscle strength training in patients with Parkinson disease(PD).Method:A total of 60 patients with PD admitted to Lushan Rehabilitation and Recuperation Center of the Joint Logistic Support Force of the Chinese People's Liberation Army from January 2021 to August 2022 were selected as research objects,and they were divided into two groups according to random number table method,with 30 patients in each group.The control group were given routine treatment combined with routine rehabilitation training,and the observation group were given strengthening core muscle strength training on the basis of the control group,the treatment lasted for 2 months.The balance ability,fall risk,constipation and depression were compared between the two groups.Result:The differences were no statistically significant in balance ability,risk of falls,constipation,and depression between the two groups before treatment(P>0.05).After treatment,the gait stability(8.30±0.25)scores,posture adjustment(4.83±0.34)scores,orientation(4.59±0.36)scores,and posture response(4.77±0.38)scores of the observation group were higher than(7.59±0.41),(4.11±0.29),(3.67±0.55),and(4.16±0.45)scores of the control group,with statistical significance(P<0.05).After treatment,the risk of falls in the observation group was lower than that in the control group(P<0.05).After treatment,defecation frequency(0.33±2.16)scores,defecation effort(0.19±0.13)scores,incomplete defecation(0.81±0.27)scores,abdominal pain(0.36±0.33)scores,defecation time(0.57±0.14)scores,defecation assistance(0.40±0.10)scores and defecation frequency(0.31±0.11)scores of the observation group were lower than(0.60±0.15),(0.43±0.16),(1.41±0.36),(0.70±0.28),(0.93±0.20),(0.71±0.13),and(0.65±0.17)scores of the control group,the differences were statistically significant(P<0.05).After treatment,the 17 points of Hamilton depression scale score of the observation group was(10.04±1.55)points,which was lower than the control group's(13.64±2.06)points,the difference was statistically significant(P<0.05).Conclusion:Strengthening core muscle strength training can reduce the movement disorders,improve the balance ability,and relieve constipation and depression in patients with PD.