摘要：

目的 探讨运动再学习训练对脑卒中急性期偏瘫患者运动功能的康复作用。方法 共64 例脑卒中急性期（病程≤ 14 d）偏瘫患者随机接受脑卒中常规药物治疗和常规康复训练（对照组，32 例）以及在此基础上联合运动再学习训练（观察组，32 例），采用Fugl-Meyer 平衡功能评价量表（FMA-Balance）、改良Rivermead 移动指数（MRMI）和改良Barthel 指数（mBI）评价训练前后运动功能。 结果 64 例患者均顺利完成康复训练，无一例发生严重不良事件，仅少数患者训练后偶有轻度疲劳感，休息后缓解。与训练前相比，训练后两组患者FMA-Balance 评分（P = 0.000）、MRMI 评分（P =0.000）和mBI 评分（P = 0.000）增加；与对照组相比，训练后观察组患者FMA-Balance 评分（P = 0.031）、MRMI 评分（P = 0.013）和mBI 评分（P = 0.049）亦增加。 结论 脑卒中患者早期进行运动再学习训练有助于运动功能的康复。

关键词: 卒中, 偏瘫, 运动活动, 康复

Abstract:

Objective  To explore the effect of motor relearning programme (MRP) on motor function recovery of patients with hemiplegia after acute stroke.  Methods  A total of 64 hemiplegic patients with acute stroke (duration ≤ 14 d) were randomly divided into 2 groups: control group (N = 32) and observation group (N = 32). Control group received routine drug therapy and conventional rehabilitation training, and observation group was treated by routine therapy and MRP training. Fugl-Meyer Assessment Scale - Balance (FMA - Balance), Modified Rivermead Mobility Index (MRMI) and modified Barthel Index (mBI) were used to assess the motor function of patients in both groups before and after treatment.  Results  All patients successfully completed the rehabilitation training without severe adverse events. A few patients felt fatigue occasionally after training and recovered after rest. Compared to before treatment, the FMA-Balance score (P = 0.000), MRMI score (P = 0.000) and mBI score (P = 0.000) after treatment in both groups were significantly increased. Compared to control group, the FMA-Balance score (P = 0.031), MRMI score (P = 0.013) and mBI score (P = 0.049) after treatment in observation group were significantly increased.  Conclusions  MRP training in the early stage of stroke is beneficial to the recovery of motor function of patients.

Key words: Stroke, Hemiplegia, Motor activity, Rehabilitation