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[摘要] 目的 探討下肢康复机器人辅助康复训练对脑卒中后偏瘫患者下肢功能的影响。 方法 选取2019年1—6月我院康复治疗部就诊的脑卒中后偏瘫患者74例，随机分为干预组与对照组，每组各37例。两组均酌情予以控制颅内压、营养神经细胞、基础疾病治疗及预防并发症等基础治疗。对照组予常规康复训练，干预组在对照组基础上加用下肢康复机器人辅助康复训练，两组均干预8周。观察并比较两组患者干预前与干预8周后下肢肌力、运动、平衡及步行能力的变化。 结果 干预8周后，两组患者腘绳肌和股四头肌肌力较干预前明显上升（P<0.05或P<0.01），且干预组上升幅度高于对照组（P<0.05）;同时两组FMA评分、BBS评分和FAC评分较干预前明显上升（P<0.05或P<0.01），且干预组上升幅度高于对照组（P<0.05）。 结论 下肢康复机器人辅助康复训练用于脑卒中后偏瘫患者不仅可提高下肢肌力，还可促进下肢运动功能恢复，改善平衡能力和步行能力。
[关键词] 脑卒中后偏瘫;下肢康复机器人;下肢肌力;运动能力;平衡能力;步行能力
[Abstract] Objective To explore the effect of lower limb rehabilitation robot-assisted rehabilitation training on the lower limb function of the patients with post-stroke hemiplegia. Methods A total of 74 patients with post-stroke hemiplegia treated in the Rehabilitation Department of our hospital from January to June 2019 were selected and randomly divided into the intervention group and the control group with 37 patients in each group. Both groups were given basic treatments such as intracranial pressure control， nourishing nerve cells， treatment of basic diseases， and prevention of complications as appropriate. The control group received conventional rehabilitation training， while the intervention group received lower limb rehabilitation robot-assisted rehabilitation training on the basis of what the control group received. Both groups received interventions for 8 w. The changes of the myodynamia of lower limbs， motor， balance and walking ability before and after 8 weeks of interventions of the two groups of patients were observed and compared. Results After 8 weeks of interventions， the myodynamia of hamstring tendon and quadriceps femoris of the two groups of patients increased significantly when compared with before interventions（P
[关键词] 脑卒中后偏瘫;下肢康复机器人;下肢肌力;运动能力;平衡能力;步行能力
[Abstract] Objective To explore the effect of lower limb rehabilitation robot-assisted rehabilitation training on the lower limb function of the patients with post-stroke hemiplegia. Methods A total of 74 patients with post-stroke hemiplegia treated in the Rehabilitation Department of our hospital from January to June 2019 were selected and randomly divided into the intervention group and the control group with 37 patients in each group. Both groups were given basic treatments such as intracranial pressure control， nourishing nerve cells， treatment of basic diseases， and prevention of complications as appropriate. The control group received conventional rehabilitation training， while the intervention group received lower limb rehabilitation robot-assisted rehabilitation training on the basis of what the control group received. Both groups received interventions for 8 w. The changes of the myodynamia of lower limbs， motor， balance and walking ability before and after 8 weeks of interventions of the two groups of patients were observed and compared. Results After 8 weeks of interventions， the myodynamia of hamstring tendon and quadriceps femoris of the two groups of patients increased significantly when compared with before interventions（P