目的 观察分析早期强化姿势控制训练对伴有高血压病的急性缺血性脑卒中（AIS）偏瘫患者的疗效。方法 选取2020年10月至2021年9月于内蒙古自治区人民医院神经内科收治的伴高血压病的急性缺血性脑卒中偏瘫患者104例为研究对象，分为常规训练组（n=52）和联合训练组（n=52）。两组患者均给予早期常规康复治疗，联合训练组在常规训练组基础上给予强化姿势控制训练，两组均治疗4周。4周后分别采用FugI-Meyer运动量表（FMA）、Berg平衡量表（BBS）、Barthel指数表（MBI）以及Holden步行功能分级（FAC）评估并比较两组治疗前后肢体运动功能、平衡能力、日常生活能力和步行能力差异，并分析治疗后两组的差异。结果 与治疗前比较，两组治疗4周后FMA、BBS、MBI评分和FAC分级均显著提高（P均＜0.001），且联合训练组FMA、BBS、MBI评分显著高于常规训练组（P＜0.001），但治疗后联合训练组FAC分级较常规训练组无显著性差异（P=0.199）。结论 早期康复能明显改善伴有高血压病的急性缺血性脑卒中偏瘫患者的运动功能恢复，强化姿势控制训练对其运动功能提高更为显著。

Objective To observe and analyze the curative effect of early training of enhanced posture control in hemiplegic patients with acute ischemic stroke (AIS) complicated by hypertension. Methods The patients (n=104) were chosen from Department of Neurology in People’s Hospital of Inner Mongolia from Oct. 2020 to Sept. 2021, and divided into routine training group and combined training group (each n=52). All patients in 2 groups were given early routine rehabilitation treatment, and combined training group was additionally given training of enhanced posture control for 4 weeks. The differences in limb motor function, balance ability, daily living ability and walking ability were reviewed, compared and analyzed by using FugI-Meyer exercise scale (FMA), Berg Balance Scale (BBS), Barthel Index (MBI) and Holden walking function classification (FAC) in 2 groups after 4 weeks. Results Compared with before treatment, the scores of FMA, BBS and MBI and FAC grades were significantly increased in 2 groups (all P<0.001), and scores of FMA, BBS and MBI were higher in routine training group than those in combined training group (P<0.001), while FAC grade had no significant difference between 2 groups (P=0.199). Conclusion Early rehabilitation can significantly improve the recovery of motor function, and the training of enhanced posture control has more significant effect on promoting motor function in hemiplegic patients with AIS complicated by hypertension.

内蒙古自治区科技计划项目(2021GG0123)