非侵入式脑机接口技术在脑卒中患者上肢功能康复中应用的范围综述及护理启示

doi:10.3761/j.issn.0254-1769.2025.13.020

摘要/Abstract

摘要：

目的对脑卒中患者使用非侵入式脑机接口技术促进上肢功能康复的相关研究进行范围综述，为脑卒中患者康复护理提供参考。方法通过计算机系统检索中国生物医学文献数据库、万方数据库、中国知网、维普数据库、Cochrane Library、PubMed、Embase、Web of Science中非侵入式脑机接口在脑卒中患者上肢功能康复中的相关研究。检索时限为建库至2024年12月6日，对纳入文献进行整理分析。结果共纳入23篇文献，1 235例脑卒中患者。非侵入式脑机接口技术主要包括基于运动想象的脑机接口结合虚拟现实技术、功能性电刺激以及外骨骼机器人等。评价指标主要有Fugl-Meyer上肢部分量表得分、改良Barthel指数、事件相关去同步化强度、上肢运动功能评定量表等。非侵入式脑机接口技术可改善脑卒中患者上肢功能，提高生活自理能力和兴奋大脑皮层。结论非侵入式脑机接口技术在脑卒中患者上肢功能康复训练中可行且有效，但相关研究较少，未来可构建多学科康复模式，制订科学实用的评价指标，促进脑卒中患者快速康复。

关键词: 非侵入式脑机接口, 脑卒中, 上肢功能, 康复护理, 范围综述

Abstract:

Objective A scoping review was conducted on relevant studies regarding the use of non-invasive brain-computer interface（BCI） technology to promote the rehabilitation of upper limb function in stroke patients，aiming to provide new ideas and references for the rehabilitation nursing of stroke patients. Methods Relevant studies on non-invasive BCI in upper limb functional rehabilitation of stroke patients were searched through computer system including Chinese biomedical literature database，Wanfang database，CNKI，VIP database，Cochrane Library，PubMed，Embase and Web of Science. The search period was from the establishment of the database to December 6，2024，and the included literature was sorted and analyzed. Results A total of 23 articles were included，involving 1 235 stroke patients. Non-invasive brain-computer interface technology mainly includes brain-computer interface based on motion imagination combined with virtual reality technology，functional electrical stimulation and exoskeleton robot. The main evaluation indexes were Fugl-Meyer upper extremity partial scale，modified Barthel index，event related desynchronization intensity，upper limb motor function rating scale，etc. Non-invasive brain-computer interface technology can improve upper limb function，self-care ability and stimulation of cerebral cortex in stroke patients. Conclusion Non-invasive brain-computer interface technology is feasible and effective in upper limb functional rehabilitation training of stroke patients，but there are few relevant studies. In the future，a new era multidisciplinary rehabilitation model can be built，and scientific and practical evaluation indicators were formulated to promote rapid rehabilitation of stroke patients.

Key words: Non-Invasive Brain Computer Interface, Stroke, Upper Limb Function, Rehabilitation Nursing, Scoping Review

张霖, 郑雅兴, 熊桃, 隆军, 陈长蓉. 非侵入式脑机接口技术在脑卒中患者上肢功能康复中应用的范围综述及护理启示[J]. 中华护理杂志, 2025, 60(13): 1658-1664.

ZHANG Lin, ZHENG Yaxing, XIONG Tao, LONG Jun, CHEN Changrong. A scoping review of application of non-invasive brain computer interface technology in upper limb functional rehabilitation of stroke patients and nursing implications[J]. Chinese Journal of Nursing, 2025, 60(13): 1658-1664.

图/表 1

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