目的 系统评价体感互动游戏对脑卒中患者平衡和肢体功能的干预效果，为脑卒中患者的康复护理提供参考。方法 检索PubMed、Web of Science、Cochrane Library、Embase、Medline、知网、万方、维普、中国生物医学文献数据库中关于体感互动游戏对脑卒中患者干预效果的随机对照试验，检索时间均为建库至2024年2月。采用RevMan 5.4和Stata 18.0进行Meta分析。结果 最终纳入26篇文献，共1281例患者。Meta分析结果显示，体感互动游戏可以改善患者平衡功能及肢体运动功能、提高日常生活能力、缩短“起立-行走”计时（均P＜0.01）。对10 m步行测试作敏感性分析后，改善效果由不显著变为显著，Meta分析结果不稳定。结论 体感互动游戏可以改善脑卒中患者平衡功能和运动功能，提高日常生活能力，但对10 m步行测试的效果还有待更多研究予以论证。

Objective To systematically evaluate the effects of somatosensory interactive games on the balance and limb function of stroke patients,providing reference for the rehabilitation care of the population.Methods Randomized controlled trials (RCTs) investigating the effects of somatosensory interactive games on stroke patients were searched in PubMed,Web of Science,Cochrane Library,Embase,Medline,CNKI,Wanfang,VIP,and CBM databases from their inception to February 2024.RevMan 5.4 and Stata 18.0 were used for the Meta-analysis.Results A total of 26 articles involving 1281 patients were included.Meta-analysis results showed that somatosensory interactive games could improve patients’ balance function,limb motor function,enhance activities of daily living,and reduce the “Up and Go” test time (all P＜0.01).After sensitivity analysis was performed on the 10-meter walk test,the improvement effect changed from non-significant to significant,indicating instability in the Meta-analysis results.Conclusions Somatosensory interactive games can improve balance and motor function in stroke patients and enhance their ability to perform activities of daily living.However,more studies are needed to confirm the effect on the 10-meter walk test.

R47-05

国家自然科学基金（82072931）；中华护理学会科研课题（ZHKYQ202307）