Changes of balance function and related factors in patients with Parkinson's disease
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摘要: 目的 探讨帕金森病患者的平衡功能变化及其危险因素,旨在为临床预防和治疗提供参考价值。 方法 选自杭州师范大学附属医院于2015年1月-2017年1月期间收治的帕金森病患者279例,按照是否出现平衡功能障碍分为平衡功能正常组90例与平衡功能障碍组189例,患者均接受常规帕金森药物治疗,且进行平衡训练。调查患者性别、年龄、病程、文化程度、视觉条件等因素。 结果 平衡功能障碍组Berg平衡量表(Berg balance scale,BBS)评分和动态跌倒风险指数(dynamic fall risk index,DFI)评分低于平衡功能正常组,且静态跌倒风险指数(static fall risk index,SFI)评分高于平衡功能正常组,且差异均有统计学意义(均P<0.05)。干预后BBS评分和DFI评分高于干预前,且SFI评分低于干预前,差异均有统计学意义(均P<0.05)。单因素分析表明,平衡功能障碍组和平衡功能正常组性别、文化程度、帕金森家族史、使用抗抑郁药物和使用镇静药物比较差异无统计学意义(均P>0.05);而年龄、病程、视觉条件差异具有统计学意义(均P<0.05)。将上述单因素分析具有统计学差异的纳入多因素回归分析,年龄、病程、视觉条件为平衡功能障碍独立危险因素。 结论 帕金森病患者存在较高的平衡功能障碍,干预后可明显改善患者平衡功能,年龄、病程、视觉条件为平衡功能障碍独立危险因素,应按照相关危险因素采取防范措施,降低平衡功能障碍发生。Abstract: Objective To investigate the change of balance function and its related factors in Parkinson's disease, the aim is to provide reference value for clinical prevention and treatment. Methods Two hundred and seventy-nine patients with Parkinson's disease who were admitted to our hospital from January, 2015 to January, 2017 were selected, in terms of balance dysfunction was divided into 90 cases of normal balance function group and 189 cases of balance dysfunction group. The factors such as gender, age, course of disease, educational level and visual condition were investigated. Results Two hundred and seventy-nine patients with Parkinson's disease showed balanced dysfunction in 189 cases (balanced dysfunction group), the incidence was 67.74%; 90 patients with normal balance function (balanced function normal group) 32.26%. The Berg balance scale (BBS) score and Dynamic fall risk index (DFI) score of the balanced dysfunction group were lower than that of the normal group, and the Static fall risk index (SFI) score was higher than that of the normal group with balanced function (P<0.05). After the intervention, the BBS score and DFI score were higher than those before intervention, and the SFI score was lower than that before intervention (P<0.05). The single factor analysis showed that there was no significant difference in gender, education level, Parkinson family history, antidepressants and sedative drugs in the balance dysfunction group and the normal balance function group (P>0.05), while the age, course of disease and visual condition were statistically different (P<0.05). Multivariate regression analysis was used to analyze the univariate analysis. Age, duration and visual condition were independent risk factors of balance dysfunction. Conclusion Patients with Parkinson's disease have higher balance dysfunction. After intervention. The balance function can be improved obviously. Age, duration of disease and visual condition are independent risk factors of balance dysfunction, precautionary measures should be taken in accordance with relevant risk factors to reduce the balance of dysfunction.
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Key words:
- Parkinson’s disease /
- Balance function /
- Risk factors
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