Abstract: Objective　To evaluate the function of the rope bundled technology in the rehabilitation of cerebral infarction patients with hemiplegia.Methods　122 patients with cerebral infarction who were admitted to the rehabilitation therapy group in the Department of Neurology,Affiliated Jintan Hospital of Jiangsu University from January 2015 to January 2016,were assigned into observation group and control group with 61 cases in each group by using random number table method.Two groups of patients were given routine exercise therapy and physical therapy，and rope bundled technology was used for patients in observation group during walk training.The patients who quitted the study and follow-up were removed， at last 57 cases in observation group and 59 cases in control group were used to evaluate the efficacy.Before and after treatment，the patients underwent gait analysis by using the method of foot print analysis， the step length，step width and pace were measured， walking distance in 6 min was tested before and after treatment.Fugl-Meyer motor function score，Berg balance function scale（BBS）score and modified Barthel index（MBI） score were calculated before and after treatment.Results　Before treatment,there were no significant difference in step length，step width，walking speed and walking distance in 6 min,scores of Fugl-Meyer motor function,BBS,and MBI between two groups of patients（P>0.05）.Step length,step width,walking speed,walking distance in 6 min,scores of Fugl-Meyer motor function,BBS,and MBI in control group and observation group after treatment were significantly higher than those before treatment（P<0.05）.After treatment,step length,step width,walking speed,walking distance in 6 min,scores of Fugl-Meyer motor function,BBS,and MBI in observation group were significantly higher than those in control group（P<0.05）.Conclusion　Application of the rope bundled technology in rehabilitation therapy of cerebral infarction patients with hemiplegia can effectively improve abnormal gait，enhance exercise tolerance，meliorate the function of lower limbs and balance function，thus patients can return to the family and society better.

Key words: 【Key words】　Brain infarction, Hemiplegia, Rehabilitation, Rope bundled technology

摘要： 目的　评价绳带捆绑技术在脑梗死偏瘫患者康复治疗中的作用。方法　选取2015年1月—2016年1月在江苏大学附属金坛医院神经内科康复治疗组住院治疗的脑梗死患者122例，采用随机数字表法将患者分为观察组和对照组，每组61例，两组患者均予以常规运动疗法和理疗，观察组在步行训练时运用绳带捆绑技术。剔除中途终止和随访脱落者，最终纳入疗效评估者观察组57例、对照组59例。治疗前后采用足印分析法进行步态分析，测量其步长、步宽和步速；治疗前后测试6 min步行距离；治疗前后评价Fugl-Meyer运动功能评分、Berg平衡评价量表（BBS）评分和改良Barthel指数（MBI）评分。结果　治疗前，两组患者步长、步宽、步速、6 min步行距离、Fugl-Meyer运动功能评分、BBS评分、MBI评分比较，差异均无统计学意义（P>0.05）。对照组和观察组治疗后步长、步宽、步速、6 min步行距离、Fugl-Meyer运动功能评分、BBS评分、MBI评分较治疗前升高（P<0.05）。治疗后，观察组步长、步宽、步速、6 min步行距离、Fugl-Meyer运动功能评分、BBS评分、MBI评分较对照组升高（P<0.05）。结论　脑梗死偏瘫患者康复治疗中运用绳带捆绑技术，能有效改善患者的异常步态，增强运动耐力，改善患者的下肢功能和平衡功能，让患者更好地回归家庭和社会。

关键词: 脑梗死, 偏瘫, 康复, 绳带捆绑技术