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PDF(681 KB)
PDF(681 KB)
Breg平衡量表评估帕金森患者平衡功能的有效性
Validity of Breg Balance Scale on assessing the balance function in patients with Parkinson's disease
目的: 以平衡仪为标准，分析Berg平衡量表（Berg Balance Scale，BBS）在帕金森病患者平衡评估中的适用性，并制定针对性的干预方案。方法: 选取2020年1月至2022年9月就诊于复旦大学附属华山医院神经内科和康复医学科的186例帕金森病患者，使用平衡仪评估患者的静态平衡功能，并根据Berg平衡量表、左旋多巴等效药物剂量对患者的平衡功能参数进行分析。结果: 药物剂量不影响平衡仪得分；BBS与平衡仪之间的相关性较好，量表得分越高，平衡仪得分越低（r=-0.333，P < 0.001）；BBS总分21~40分的患者左旋多巴等效剂量与BBS第11项之间正相关（r=0.715，P=0.046），BBS总分51~56分的患者左旋多巴等效剂量与BBS第6项之间显著负相关（r=-0.300，P=0.001）。BBS失分最多的项目依次为：（14）无支持单腿站立（134人）、（13）无支持双足前后站立（122人）、（11）原地转身360度（75人）、（8）站立位双上肢前伸并向前移动（70人）和（12）双足交替踏台阶/踏板（56人）。结论: 在缺少专业设备的情况下，BBS评估PD患者的平衡功能具有良好的临床适用性，且可根据失分项目制定针对性的康复方案。
Objective: To analyze the applicability of Berg Balance Scale (BBS) in the balance assessment of Parkinson's disease (PD) patients with balancing instrument test as the standard, so as to formulate targeted intervention programs accordingly. Methods: A total of 186 patients with PD admitted to Department of Neurology and Department of Rehabilitation Medicine, Huashan Hospital, Fudan University from Jan 2020 to Sep 2022 were selected as the research objects. The static balance function of the patients was evaluated by balancing instrument. The balance function parameters were analyzed according to BBS and levodopa equivalent dose. Results: The drug dose did not affect the score of balance instrument. There was a good correlation between BBS and balance instrument. The higher the scale score, the lower the balance instrument score (r=-0.333, P < 0.001). There was a positive correlation between levodopa equivalent dose and item 11 of BBS in subjects with BBS total score of 21-40 (r=0.715, P=0.046). There was a significant negative correlation between levodopa equivalent dose and item 6 of BBS in subjects with BBS total score of 51-56 (r=-0.300, P=0.001). The number of people who lost the most points in BBS from large to small was item 14 of standing on one leg (134 cases), item 13 of standing without support with one foot in front (122 cases), item 11 of turning 360 degrees (75 cases), item 8 of reaching forward with outstretched arms (70 cases), and item 12 of placing one feet alternately on a step or a stool (56 cases). Conclusion: In the absence of balancing instrument, BBS has good clinical applicability in the evaluation of PD patients, and some items can be focused on according to the lost points.
帕金森病(PD) / Berg平衡量表(BBS) / 平衡仪 / 特征分析 {{custom_keyword}} /
Parkinson's disease (PD) / Berg Balance Scale (BBS) / balancing instrument / characteristic analysis {{custom_keyword}} /
表 1 186例PD患者的一般资料Tab 1 General information of 186 PD patients |
| Item | Mean [ | F | P |
| Age（y） | 63.16±9.18（35.00-83.00） | 1.079 | 0.300 |
| Course of disease（y） | 7.86±6.03（0.25-38.00） | 0.020 | 0.889 |
| Age of onset（y） | 55.32±11.08（18.00-82.00） | 0.833 | 0.362 |
| BMI（kg/m2） | 0.052 | 0.819 | |
| Male（n=93） | 51.12±4.88（32.00-56.00） | ||
| Female（n=93） | 51.28±4.74（30.00-56.00） |
| 1 |
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| 4 |
谭向红, 宋志彬, 王珲, 等. 帕金森病患者认知功能和平衡障碍关系的研究[J]. 脑与神经疾病杂志, 2017, 25(2): 85- 89.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
| 5 |
上海中西医结合学会慢性神经系统疾病专业委员会. 帕金森病运动处方专家共识[J]. 同济大学学报(医学版), 2021, 42(6): 729- 735.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
| 6 |
王晓岭. 新医改背景下医院医保管理面临的挑战及应对思路[J]. 投资与创业, 2025, 36(1): 188- 190.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
| 7 |
马舅福, 杨倩蓉, 张成喜, 等. 偏远地区的少数民族患者互联网预约挂号使用现状与需求期望分析[J]. 医学信息, 2024, 37(16): 35- 40.
{{custom_citation.content}}
{{custom_citation.annotation}}
|
| 8 |
李茂颖. 为偏远地区接入更多优质医疗资源[N]. 人民日报, 2024-12-03.
{{custom_citation.content}}
{{custom_citation.annotation}}
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| 9 |
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| 10 |
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作者贡献声明 王辰 数据收集，统计分析，论文撰写。田闪 研究设计，论文指导和修订。王卫宁 数据收集。李策 论文修改。朱玉连 经费获取，研究设计，论文指导。
利益冲突声明 所有作者均声明不存在利益冲突。
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