早期功能锻炼对帕金森病患者术后肢体功能障碍康复的影响

Impact of Early Functional Exercise on Rehabilitation of Postoperative Extremity Dysfunction due to Sterotactic Operation in Patients with Parkinson' s Disease

目的 分析了早期肢体功能锻炼对帕金森病患者定向手术并发肢体功能障碍康复疗效的影响,探讨了提高康复质量,加快康复速度,减少相关并发症的方法。方法 帕金森病定向手术后并发肢体功能障碍45例,随机分为常规治疗对照组(22例)和康复组(23例),通过比较两组患者治疗前后简式Fugl-Meyer积分、简式Barthel指数及相关并发症发生率评价康复质量。结果 两组治疗前后Fugl-Meyer积分、Barthel指数及相关并发症发生率有显著差异,康复组明显优于对照组。结论 在常规药物治疗的同时,早期进行肢体功能锻炼,可明显提高帕金森病定向手术后并发肢体功能障碍的疗效,从而提高患者生活自理能力及生活质量,减少相关并发症的发生。

Objective To discuss the effect of early limb functional exercise on rehabilitation of postoperative extremity dysfunction due to sterotactic operation so as to explore appropriate methods for improve rehabilitation quality and speeding up recovery of patients with Parkinson' s disease. Method 45 patients were divided into 2 groups randomly: Group A including 22 patients who received conventional treatment as control, and Group B including 23 patients who received rehabilitative treatment. The pre-and post-operative conditions of each patient were evaluated by Fugl-Meyer integral and Barthel index. Results With regard to Fugl-Meyer integral and Barthel indexes and incidence of postoperative complications, patients of Group B were much better than those of Group A. Early functional training in combination with routine pharmacotherapy proved to help recovery of extremity motor dysfunction due to sterotactic operation for Parkinson' s disease. As a result, life quality and independence of these patients improved greatly, and the incidence of postoperative complications was much lower.