研究感觉扩增法对改善中青年脑梗死后偏瘫患者神经功能和肢体运动功能的临床作用。

选择广东医科大学附属开平医院和江门市人民医院神经内科自2018年6月至2020年6月收治的40例中青年脑梗死后偏瘫患者作为研究对象，根据随机数字表法分为试验组和对照组，每组20例。试验组采用感觉扩增法训练，对照组采用随机振动法训练，比较2组患者的干预安全性、神经和肢体运动功能指标[害怕跌倒的变化、功能步态评估评分变化、活动专项平衡信心评分变化、地面自选步态速度变化、Fugl-Meyer运动功能评估量表（FMA）评分、美国国立卫生研究院卒中量表（NIHSS）评分等]以及临床预后指标（Barthel指数）差异。

2组患者训练前发病时间、偏瘫位置、第一次训练时步态评分、活动专项平衡信心评分、FMA评分以及NIHSS评分比较，差异均无统计学意义（P>0.05）。训练安全性上，2组患者不良事件发生率比较，差异无统计学意义（P>0.05）。训练结束后，试验组患者步态评分、活动专项平衡信心评分、FMA评分，以及NIHSS评分均优于对照组，差异具有统计学意义（P<0.05）。患者远期临床预后，试验组患者Barthel指数优于对照组，差异具有统计学意义（P<0.05）。

感觉扩增法训练具有较好的安全性，对中青年脑梗死后偏瘫患者神经和运动功能的改善作用较为明显。

To study the clinical effect of sensory amplification on the improvement of nerve function and limb motor function in young and middle-aged patients with hemiplegia after cerebral infarction.

Forty young and middle-aged patients with post-cerebral infarction hemiplegia were selected as the research objects and randomly divided into experimental group and control group, with 20 cases in each group. Experimental training by sensory augmentation method, the control group using the random vibration method training, then compared between two groups of intervention security, nerve and body movement function index [afraid of fall, functional gait assessment score changes, activities, special balance confidence score changes, ground free gait speed, Fugl-Meyer assessment (FMA) score, National Institute of Health stroke scale (NIHSS) score, etc.], as well as the clinical prognostic indicators (Barthel index).

There were no significant differences in onset time, hemiplegia position, gait score, active-specific balance confidence score, FMA score and NIHSS score between 2 groups before training (P>0.05). There was no significant difference in the incidence of adverse events between the two groups in terms of training safety (P>0.05). After the training, the gait score, activity specific balance confidence score, FMA score and NIHSS score of the experimental group were better than those of the control group, and the difference was statistically significant (P<0.05). The long-term clinical prognosis of patients in the experimental group was better than that in the control group, and the difference was statistically significant (P<0.05).

Sensory amplification training has good safety and can improve the nerve and motor function of young and middle-aged patients with post-cerebral infarction hemiplegia.