作者：姜琳丽，徐菲，张劼琳，岳萍，逄东，王鹤霖

单位：

150001 黑龙江省哈尔滨市，哈尔滨医科大学附属第一医院；通信作者：姜琳丽，E-mail：2227578247@qq.com

Units：

The First Hospital Affiliated to Harbin Medical University，Harbin 150001，China；Corresponding author：JIANG Linli，E-mail：2227578247@qq.com

关键词：

卒中；镜像疗法；运动想象训练；下肢功能

Keywords：

Stroke；Mirror therapy；Exercise imagination training；Lower limb function

CLC：

R 743

DOI：

DOI：10.3969/j.issn.1008-5971.2020.01.y06

Funds：

黑龙江省卫生计生委科研课题（2017-087）

摘要：

目的　探讨镜像疗法结合运动想象训练对脑卒中患者的影响。方法　选取 2018 年 5 月—2019 年 5 月哈尔滨医科大学附属第一医院收治的脑卒中患者 98 例，按照住院床位单双号分为对照组和观察组，各 49 例。在规范化治疗基础上，对照组患者给予单纯运动想象训练，观察组患者在对照组基础上给予镜像疗法；两组患者均持续干预 8 周。比较两组患者干预前后 Fugl-Meyer 评定量表下肢部分（FMA-LE）评分、Brunnstrom 分期、改良 Barthel 指数（mBI）评分、Berg 平衡量表（BBS）评分及健康状况调查简表（SF-36）评分。结果　两组患者干预前 FMA-LE 评分、Brunnstrom 分期比较，差异无统计学意义（P>0.05）；观察组患者干预后 FMA-LE 评分高于对照组，Brunnstrom 分期优于对照组（P<0.05）。两组患者干预前 mBI 评分、BBS 评分、SF-36 评分及干预后 BBS 评分比较，差异无统计学意义（P>0.05）；观察组患者干预后 mBI 评分、SF-36 评分高于对照组（P<0.05）。结论　镜像疗法结合运动想象训练能有效促进脑卒中患者患侧下肢功能恢复，提高患者日常生活能力及生活质量。

Abstract：

Objective　To investigate impact of mirror therapy combined with exercise imagination training onpatients with stroke. Methods　A total of 98 patients with stroke were selected in the First Hospital Affiliated to Harbin MedicalUniversity from May 2018 to May 2019，and they were divided into control group and observation group according to number ofhospital beds（odd or even），with 49 cases in each group. Patients in control group received exercise imagination training onlybased on standardized treatment，while patients in observation group received mirror therapy based on that of control group；both groups were continuously intervened for 8 weeks. FMA-LE score，Brunnstrom staging，mBI score，BBS score and SF-36 score were compared between the two groups before and after intervention. Results　There was no statistically significantdifference in FMA-LE score or Brunnstrom staging between the two groups before intervention（P>0.05）；FMA-LE score inobservation group was statistically significantly higher than that in control group after intervention，while Brunnstrom staging inobservation group was statistically significantly better than that in control group（P<0.05）.There was no statistically significantdifference in mBI score，BBS score or SF-36 score before intervention or BBS score after intervention between the two groups（P>0.05）；mBI score and SF-36 score in observation group were statistically significantly higher than those in control groupafter intervention（P<0.05）. Conclusion　Mirror therapy combined with exercise imagination training can effectively promotethe recovery of lower limb function of patients with stroke，as well as improve the activity of daily living and quality of life.

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