目的：探讨下肢康复机器人联合康复锻炼治疗脑卒中患者步行障碍的效果。方法：使用随机分配法，将 2021 年 1 月— 2023 年 12 月武汉大学人民医院收治的 190 例脑卒中患者分为对照组和研究组，对照组在常规功能锻炼基础上联合康复锻 炼，研究组在对照组基础上增加下肢康复机器人治疗，对比两组患者 6 min 步行试验（6MWT）步行距离以及 Berg 平衡量表 （BBS）、Fugl-Meyer 运动功能评分量表（FMA）、改良 Rankin 量表（mRS）、美国国立卫生研究院卒中量表（NIHSS）评分。 结果：干预后研究组患者 6MWT 步行距离高于对照组，BBS、FMA 评分高于对照组，mRS、NIHSS 评分低于对照组（P<0.05）。 结论：脑卒中患者行康复锻炼联合下肢康复机器人辅助训练，能明显改善患者预后下肢运动功能、神经功能及平衡状态，对 于改善患者步行障碍具有积极意义。

Objective: To explore the effect of rehabilitation exercise combining with lower limb rehabilitation robot in the treatment of walking disorders in stroke patients. Methods: 190 stroke patients who were admitted to the People’s Hospital of Wuhan University from January 2021 to December 2023 were divided into the control group and the study group using the random allocation method. The control group received conventional functional exercise combined with rehabilitation exercise, while the study group received lower limb rehabilitation robot treatment on the basis of the control group. The 6-Minute Walking Test (6MWT) walking distance, scores of Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA), Modified Rankin Scale (mRS), and National Institute of Health Stroke Scale (NIHSS) were compared between the two groups. Results: After intervention, the patients in the study group had longer 6MWT walking distance, higher BBS and FMA scores, lower mRS and NIHSS scores than those in the control group. Conclusion: Rehabilitation exercise combining with lower limb rehabilitation robot-assisted training can significantly improve lower limb motor function, neurological function and balance of stroke patients, which is of positive significance for improving patients’ walking disorders.

基金项目：湖北省重点实验室开放项目（2022KFH005） 

Foundation Item: Key Laboratory Open Program of Hubei Province (2022KFH005) 

引用格式：陈虹敏，何小俊 . 下肢康复机器人联合康复锻炼治疗脑卒中患者步行障碍的效果观察 [J]. 机器人外科学杂志（中英文），2025， 6（2）：271-275. 

Citation: CHEN H M, HE X J. Effect of rehabilitation exercise combining with lower limb rehabilitation robot in the treatment of walking  disorders in stroke patients[J]. Chinese Journal of Robotic Surgery, 2025, 6(2): 271-275. 

通讯作者（Corresponding Author）：何小俊（HE Xiaojun），Email：2596353485@qq.com

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