Objective To investigate the effect of physical training on the non-motor symptoms of Parkinson's disease pa-tients .Methods Using the method of retrospective analysis and follow-up ,305 cases of Parkinson's disease (PD) diagnosed in Shaanxi Province Rehabilitation Hospital from March 2012 to September 2014 were investigated by Hamilton depression scale (HAMD scale 17) ,Hamilton anxiety scale (HAMA scale) and Alzheimer's disease assessment scale (ADAS-cog) evaluation .To-tally 239 patients who meet the requirements were divided into three groups :A depression group ,B anxiety group and C cognitive impairment group (when the patient had more than two kinds of symptoms meantime ,grouping according to the highest score) , then the exercise attitude with'exercise attitude scale',correlation analysis between non motor symptoms and each factor were in-vestigated .Executing the'physical training program'for 3—6 months to patients with factor's score was lower than normal ,then factor scores with exercise attitude scale ,HAMD ,HAMA and ADAS-cog scores were investigated again .Results There was a sig-nificant negative correlation between physical attitude and non motor symptoms in PD patients with mental and cognitive impair-ment and the physical attitude lower than normal (r<0 ,P<0.05) .After physical training ,the patients'emotional and cognitive impairment scores were significantly reduced(P<0.05) .Conclusion Continuous physical training can effectively improve the ex-ercise attitude of patients with PD ,and improve the non-symptoms .%目的 探讨运动训练对帕金森病非运动症状的改善作用.方洷采用回顾性分析与跟踪随访的方法 ,对2012-03—2014-09在陕西省康复医院确诊的305例帕金森病(PD)患者进行汉密尔顿抑郁量表、汉密尔顿焦虑量表和老年性痴呆评定量表-认知分量表测评,筛选符合要求的患者239例分为抑郁组、焦虑组和认知障碍组,进行《体育态度量表》调查,分析其与PD非运动症状的相关性.对体育态度各因子低于正常下限的患者实施运动训练3~6个月后,再次测评各项指标.结果 有精神障碍和认知障碍,且体育态度低于正常的PD患者,体育态度与非运动症状呈明显的负相关(r<0,P<0.05);连续运动训练后,患者情绪障碍和认知障碍评分均明显降低(P<0.05).结论 连续运动训练能够有效提高PD患者的体育态度,改善抑郁、焦虑和认知障碍.
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