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.

基金项目：江苏省人兽共患病学重点实验室“护馨”基金（HX2415） 

Foundation Item: “Huxin Fund” Project of Jiangsu Key Laboratory of Zoonosis(HX2415) 

引用格式：温凤鸾，张娟 . 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 [J]. 机器人外科学杂志（中 英文），2025，6（3）：398-403. 

Citation: WEN F L, ZHANG J. Application of gait robot-assisted cognitive-motor dual-task training in systemic rehabilitation of patients  with cognitive impairment after stroke [J]. Chinese Journal of Robotic Surgery, 2025,6(3): 398-403. 

通讯作者（Corresponding Author）：张娟（ZHANG Juan），Email：zh15950388321@163.com

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