1例脑机接口引导的主动康复在脑卒中恢复期偏瘫患者中的护理实践

doi:10.3761/j.issn.0254-1769.2026.01.017

摘要/Abstract

摘要：

总结1例脑卒中恢复期偏瘫患者应用脑机接口引导主动康复的护理经验。护理要点：构建由医护技与工程师组成的个案管理团队；实施以专科护士主导的主动康复动态评估，涵盖脑机接口治疗基础认知与知识需求评估、脑机接口治疗康复信心与情绪状态评估以及基于首次脑机接口治疗体验的护理问题再评估；执行个性化注意力维持策略，包括注意力波动的动态监测与记录、个性化的注意力波动干预。该例患者住院16 d，共行脑机接口治疗12次，出院时主动注意力提升71%，左下肢运动功能（Fugl-Meyer评分）由20分改善至23分，康复信心提升10%，焦虑程度下降25%。出院后1个月随访，左侧肢体肌力恢复至4级。

关键词: 脑卒中, 脑机接口, 注意增强, 康复护理

Abstract:

This study was conducted to summarize the nursing experience of using a brain-computer interface to guide active rehabilitation in a patient with hemiplegia at the convalescent stage of stroke. Key points of nursing care included the following aspects：the construction of a case management team composed of medical technicians and engineers；implementation of a specialized nurse-led dynamic assessment of the active rehabilitation，covering the assessment of basic cognitive and knowledge requirements for the treatment using brain-computer interface technology，the assessment of rehabilitation confidence and emotional states in the proposed treatment，and re-evaluation of nursing issues based on the first experience of this treatment；the performance of personalized strategies for attention maintenance，including dynamic monitoring and recording of attention fluctuations，and personalized interventions on attention fluctuation. The patient was hospitalized for 16 days and underwent a total of 12 times of treatments using brain-computer interface technology. Upon discharge，the patient was observed with strengthened active attention by 71%，and improved motor function of the left lower limb（Fugl-Meyer score） from 20 points to 23 points，with the rehabilitation confidence increased by 10%，and anxiety level decreased by 25%. Based on the 1-month follow-up after discharge，the patient experienced recovery of the left limb muscle strength to level 4.

Key words: Stroke, Brain-Computer Interface, Attention Enhancement, Rehabilitation Nursing

廖荣荣, 许旺, 郑洲雪, 覃慧敏, 吴文, 唐丹喆. 1例脑机接口引导的主动康复在脑卒中恢复期偏瘫患者中的护理实践[J]. 中华护理杂志, 2026, 61(1): 121-124.

LIAO Rongrong, XU Wang, ZHENG Zhouxue, QIN Huimin, WU Wen, TANG Danzhe. Nursing practice of brain-computer interface-guided active rehabilitation in a patient with post-stroke hemiplegia during the recovery phase[J]. Chinese Journal of Nursing, 2026, 61(1): 121-124.

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