中文摘要：

目的：探讨小组康复锻炼对脑梗死偏瘫老年患者上肢功能康复的影响.方法：128例脑梗死偏瘫老年患者随机分为小组康复锻炼组和对照组各64例.对照组给予常规上肢功能康复锻炼,小组康复锻炼组给予配合小组模式上肢功能康复锻炼和中医按摩,对比两组患者治疗前后的上肢功能、手功能、日常生活活动能力、焦虑、抑郁情况.结果：治疗前,两组脑梗死偏瘫老年患者的FMA-UE评分、UEFT评分及 MBI评分、HAMA评分及HADA评分差异无统计学意义;治疗后,两组脑梗死偏瘫老年患者的FMA-UE评分、UEFT评分、MBI评分、HAMA评分及HADA评分均显著提升;小组康复锻炼组脑梗死偏瘫老年患者的FMA-UE评分、UEFT评分及 MBI评分、HAMA评分及HADA评分改善程度均显著优于对照组.结论：小组模式上肢功能康复锻炼可以显著改善脑梗死偏瘫老年患者的上肢功能、手功能、日常生活活动能力、焦虑、抑郁情况.

英文摘要：

Objective：To explore the effect of rehabilitation training on upper limb function rehabilitation in elderly patients with hemiplegia after cerebral infarction.Methods：128 patients were divided into group rehabilitation exercise group and control group, 64 cases in each group.The control group gave conventional upper limb function rehabilitation exercise, the rehabilitation exercise group gave the model of upper limb function rehabilitation exercise and traditional Chinese medicine massage, after treatment 8 weeks, the upper limb function the hand function and activities of daily living, anxiety, depression of the two groups before and after were compared.Results：After treatment, the FMA scores of the elderly patients with cerebral infarction hemiplegia UE score, UEFI score, MBI score, HAMA score and HADA score were significantly improved in the rehabilitation group, while the scores of FMA-UE, UEFT, MBI, HAMA and HADA scores were significantly higher in the group of rehabilitation exercise hemiplegia better than those in the control group.Conclusion：The model of upper limb rehabilitation exercise can improve hemiplegia of cerebral infarction, hand function, activities of daily living, anxiety, depression.