减重步行机器人辅助下认知-运动双任务训练在脑卒中后认知障碍系统性康复中的应用  

Application of gait robot-assisted cognitive-motor dual-task training in systemic rehabilitation of patients with cognitive impairment after stroke

作　　者：温凤鸾 张娟 WEN Fengluan;ZHANG Juan(Rehabilitation Medicine Center,Northern Jiangsu People’s Hospital,Affiliated Hospital to Yangzhou University,Yangzhou 225001,China;Department of Rehabilitation Medicine,the Affiliated Huaian Hospital of Xuzhou Medical University,Huai’an 223001,China)

机构地区：[1]扬州大学附属苏北人民医院康复医学中心,江苏扬州225001 [2]徐州医科大学附属淮安医院康复医学科,江苏淮安223001

出　　处：《机器人外科学杂志(中英文)》2025年第3期398-403,共6页Chinese Journal of Robotic Surgery

基　　金：江苏省人兽共患病学重点实验室“护馨”基金(HX2415)。

摘　　要：目的:分析减重步行机器人辅助下认知-运动双任务训练(CMDT)在脑卒中后认知障碍系统性康复护理中的应用效果。方法:选取2021年5月—2024年5月扬州大学附属苏北人民医院收治的98例脑卒中后认知障碍患者。按随机数字表法将所有患者分为对照组(n=49例,采用系统性康复管理)和观察组(n=49例,系统性康复管理联合减重步行机器人辅助下CMDT),两组患者均连续干预2个月。比较两组患者的精神认知功能、认知功能、记忆障碍状况、步行功能、步态特征及不良反应发生率。结果:比较两组干预前简易智能精神状态检查量表(MMSE)评分、蒙特利尔认知评估量表(MoCA)评分、Rivermead行为记忆能力测验(RBMT)评分,差异无统计学意义(P>0.05);与干预前比较,干预15 d、1个月、2个月患者MMSE、MoCA、RBMT评分均提升,且观察组评分更高(P<0.05)。干预后患者10 MWT、步长比、足偏角比比干预前更优,且观察组数据更优(P<0.05)。比较两组不良反应发生率,差异无统计学意义(P>0.05)。结论:减重步行机器人辅助下CMDT可改善脑卒中后认知障碍患者的精神、认知与记忆状态,提升其步行功能,且具有一定安全性。Objective:To analyze the effect of gait walking robot-assisted cognitive-motor dual-task(CMDT)training in systemic rehabilitation of patients with cognitive impairment after stroke.Method:A total of 98 patients with cognitive impairment after stroke who were treated in Northern Jiangsu People’s Hospital from May 2021 to May 2024 were selected.They were divided into the control group(systematic rehabilitation management,n=49)and the observation group(n=49 cases,systematic rehabilitation management combined with gait robot-assisted CMDT training)using the random number table method.The psycho-cognitive function,cognitive function,memory impairment status,walking function,gait characteristics,and incidence of adverse reactions were compared between the two groups of patients.Results:The difference in scores of MMSE,MoCA,and RBMT was not statistically significant between the two groups of patients before intervention(P>0.05).Compared with that before intervention,the scores of MMSE,MoCA,and RBMT were all increased at 15 days,1 month,and 2 months after intervention,and the scores were higher in the observation group than those in the control group(P<0.05).Compared with that before intervention,patients’10 MWT,step ratio,and foot deflection angle were all increased after intervention,and they were higher in the observation group than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups of patients(P>0.05).Conclusion:Gait robot-assisted CMDT is safe,it can improve the mental,cognitive,and memory status and walking function in patients with cognitive impairment after stroke.

关 键 词：脑卒中 认知障碍 系统性康复护理 步行机器人 认知-运动双任务训练 

分 类 号：R473[医药卫生—护理学]