Objective To investigate the effect of upper limb rehabilitation robot assisted training on the event-related potential P300, upper limb function and quality of life in stroke patients. Methods A total of 90 stroke patients admitted to Yuyao People＇s Hospital from May 2017 to January 2018 were randomly divided into control group(45 cases) and observation group(45 cases) according to the digital table.The control group received conventional rehabilitation exercise, and the observation group was supplemented by Motorika ReoGo upper limb rehabilitation robot on the basis of the control group. The P300 latency, P300 amplitude, upper limb function and quality of life of the two groups were compared before and after treatment.Results Before training,the latency of P300,amplitude of P300, upper limb function and quality of life score had no statistically significant differences between the two groups(all P>0.05).After training,the latency of P300,amplitude of P300 in the control group were (389.54 ± 28.19)ms,(2.79 ± 0.23) μV,respectively,which in the observation group were (356.25 ± 24.54)ms, (3.06 ± 0.19) μV,respectively.The latency of P300 in both two groups was significantly shorter than those before training(t=4.490,12.342,all P <0.05),and the amplitude of P300 were significantly higher than those before training(t= -3.476,-10.061,all P<0.05),which of the observation group were significantly better than those of the control group(t= -5.975,6.071,all P<0.05).After training,the Fugl-Meyer scale(FMA) and Barthel scale (MBI) scores of the control group were (35.62 ± 9.72) points,(81.35 ± 10.96) points,respectively,which of the observation group were (44.65 ± 11.23) points,(89.63 ± 11.59) points,respectively.The FMA and MBI scores in the two groups were significantly higher than those before training(t= -5.107,-8.595,-9.039,-11.417,all P<0.05),which of the observation group were significantly higher than those of the control group(t=4.078,3.482, all P<0.05).Conclusion Motorika ReoGo assisted upper limb rehabilitation robot can significantly improve P300 latency,amplitude,upper limb function and quality of life in stroke patients.%目的 探讨上肢康复机器人辅助训练对恢复期脑卒中患者事件相关电位P300、上肢功能、生活质量的影响.方法 选取余姚市人民医院2017年5月至2018年1月收治的恢复期脑卒中患者90例为研究对象,采用随机数字表法分为对照组和观察组各45例.对照组采用常规康复训练,观察组在对照组基础上辅以Motorika ReoGo上肢康复机器人训练.比较两组训练前后P300潜伏期、P300波幅、上肢功能以及生活质量评分的变化.结果 康复训练前,两组P300潜伏期、P300波幅、上肢功能以及生活质量评分差异均无统计学意义(均P>0.05).康复训练后,对照组 P300 潜伏期、 P300 波幅分别为( 389.54 ± 28.19 ) ms、 ( 2.79 ± 0.23)μV,观察组分别为(356.25 ± 24.54)ms、(3.06 ± 0.19) μV,两组P300潜伏期较训练前均明显缩短( t=4.490、12.342,均P<0.05),P300波幅较训练前明显升高( t= -3.476、-10.061,均P<0.05),且观察组均明显优于对照组(t= -5.975、6.071,均P<0.05);康复训练后,对照组Fugl-Meyer量表( FMA)评分、Barthel量表(MBI)评分分别为(35.62 ± 9.72)分、(81.35 ± 10.96)分,观察组分别为(44.65 ± 11.23)分、(89.63 ± 11.59)分,两组均较训练前明显升高(t= -5.107、-8.595、-9.039、-11.417,均P<0.05),且观察组均明显高于对照组(t=4.078、3.482,均P<0.05).结论 上肢康复机器人辅助训练可明显改善脑卒中患者P300潜伏期、波幅及上肢功能,提高生活质量.
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