Evaluation of the effectiveness of accelerated rehabilitation care after DBS in Parkinson's disease
帕金森病脑深部电刺激术后加速康复护理效果评价

摘要

目的 探讨早期肢体功能康复指导和锻炼在帕金森病患者脑深部刺激术（DBS）术后的应用效果。方法 将2019年1月至2023年12月深圳大学总医院收治的60例接受DBS手术治疗的帕金森病患者随机分为实验组（30例）和对照组（30例），通过对实验组患者进行肢体功能康复指导和锻炼，观察对其术后肢体功能障碍及各种并发症的改善情况。结果 术后 10 天，经过肢体功能康复和锻炼，实验组患者肌力改善、无变化、病情加重分别为 20 例（66.7%）、8 例（26.7%）、2 例（6.6%），整体情况明显好于对照组 9 例（30.0%）、15 例（50.0%）和 6 例（20.0%）。差异具有统计学意义（2 = 8.303，P<0.05）。实验组术后有 2 例合并症（6.7%）较对照组 8 例（26.7%）有明显下降，且差异有统计学意义（P<0.05）,合并症包括切口愈合不良，下肢深静脉血栓形成，压疮及肺部感染等。结论 早期肢体功能康复指导和锻炼能够改善术后肌力水平，降低并发症，是提高患者术后舒适程度及提高生活质量的关键。

Abstract

Objective To explore the application effect of early limb function rehabilitation guidance and exercise in patients with Parkinson's disease after deep brain stimulation (DBS).
Methods A total of 60 patients with Parkinson's disease who underwent DBS surgery in Shenzhen University General Hospital from January 2019 to December 2023 were randomly divided into an experimental group (30 cases) and a control group (30 cases). The patients in the experimental group were given limb function rehabilitation guidance and exercise to observe the improvement of their postoperative limb dysfunction and various complications.
Results Ten days after surgery, after limb function rehabilitation and exercise, the number of patients in the experimental group with improved muscle strength, unchanged muscle strength, and aggravated muscle strength was 20 cases (66.7%), 8 cases (26.7%), and 2 cases (6.6%), respectively. The overall condition was significantly better than that of the control group (9 cases (30.0%), 15 cases (50.0%), and 6 cases (20.0%). The difference was statistically significant (2 = 8.303, P<0.05). There were 2 cases of complications (6.7%) in the experimental group after surgery, which was significantly lower than that in the control group (8 cases (26.7%), and the difference was statistically significant (P<0.05). Complications included poor wound healing, deep vein thrombosis of the lower limbs, pressure sores and lung infection.
Conclusion   Early limb function rehabilitation guidance and exercise can improve postoperative muscle strength and reduce complications, which is the key to improving patients' postoperative comfort and quality of life.