目的 研究以镜像视觉反馈(MVF)训练系统对脑卒中患者上肢运动功能及认知功能的临床疗效。方法 2016年10月至2017年7月，60例脑卒中患者随机分为对照组和治疗组，各30例。两组均予常规上肢及认知功能训练，治疗组应用基于镜像神经元理论的MNST治疗仪进行训练。治疗前及治疗8周后，采用蒙特利尔认知评估量表、简单反应时、Fugl-Meyer评定量表上肢部分、改良Barthel指数和威斯康星卡片分类测验进行评定。结果 治疗后，两组患者各项功能评分均较治疗前显著改善(t > 3.915, P < 0.001)，治疗组优于对照组(t > 2.452, P < 0.05)。结论 MVF与常规训练相结合，能更好地改善患者上肢功能和认知功能。
Objective To investigate the clinical effects of the mirror neuron system based mirror visual feedback (MVF) training on both upper-limbs motor function and cognitive function in patients after stroke. Methods From October, 2016 to July, 2017, 60 stroke patients were randomly divided into control group (n = 30) and treatment group (n = 30). Both groups accepted routine upper limb motor function and cognitive function training, and the treatment group accepted Mirror Neuron System Training (MNST) in addition. Before and eight weeks after treatment, they were assessed with Montreal Cognitive Assessment, reaction time, Fugl-Meyer Assessment-Upper Extremities, modified Barthel Index and Wisconsin Card Sorting Test. Results Both groups improved in all the indices after treatment (t > 3.915P < 0.001), and the indices improved more in the treatment group than in the control group (t > 2.452, P < 0.05). Conclusion MVF based on routine rehabilitation may further improve both the upper limb motor function and cognitive function for stroke patients.
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