目的：探讨上肢康复机器人辅助训练对老年脑卒中患者上肢功能的改善效果。方法：选取 2021 年 1 月—2024 年 1 月 南京市高淳人民医院收治的 80 例老年脑卒中患者，采用随机数表法，将 80 例患者分为对照组（n=40，常规康复训练）和观 察组（n=40，常规康复联合上肢康复机器人辅助训练）。两组均治疗 4 周，比较两组治疗前后的上肢运动功能、日常生活活 动能力及综合功能独立性情况。结果：治疗后，两组患者的上肢运动功能、日常生活活动能力及综合功能独立性情况相较于 治疗前显著提升（P<0.05）；且观察组各指标的改善情况显著优于对照组（P<0.05）。结论：上肢康复机器人辅助训练对改 善老年脑卒中患者上肢运动功能、日常生活活动能力及综合功能独立性具有显著效果，临床值得推荐。

Objective: To explore the improvement effect of upper limb rehabilitation robot-assisted training on upper limb function in elderly stroke patients. Methods: 80 elderly stroke patients who were treated in Nanjing Gaochun People’s Hospital from January 2021 to January 2024 were selected. They were randomly divided into the control group (n=40, conventional rehabilitation training) and the observation group (n=40, conventional rehabilitation combined with upper limb rehabilitation robot-assisted training) using the random number table method. All patients received a 4-week treatment. Upper limb motor function, activities of daily living (ADL), and comprehensive functional independence before and after treatment were compared between the two groups of patients. Results: After treatment, both groups showed significant improvement in upper limb motor function, ADL, and comprehensive functional independence(P<0.05), while the above indicators in the observation group showed significantly greater improvement than those in the control group (P<0.05). Conclusion: Upper limb rehabilitation robot-assisted training can significantly improve upper limb motor function, ADL, and comprehensive functional independence in elderly stroke patients, which is worthy of clinical recommendation..

基金项目：江苏省卫生健康科研项目（JKC2021058） 

Foundation Item: Health and Medical Research Project of Jiangsu Province(JKC2021058) 

引用格式：张小玫，徐蓉贞 . 上肢康复机器人辅助训练对老年脑卒中患者上肢功能的影响 [J]. 机器人外科学杂志（中英文），2025，6（4）： 624-627. 

Citation: ZHANG X M, XU R Z. Effect of upper limb rehabilitation robot-assisted training on upper limb function in elderly stroke  patients[J]. Chinese Journal of Robotic Surgery, 2025, 6(4): 624-627. 

通讯作者（Corresponding Author）：徐蓉贞（XU Rongzhen），Email：x139139054@163.com

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