目的：探讨基于微信平台的居家康复指导对脑卒中患者出院后康复疗效的影响。

方法：2018年8月—2019年3月89例脑卒中患者随机分入微信干预组（45例）和对照组（44例）。出院前，2组患者均接受针对脑卒中的治疗以及健康宣教和康复训练指导。出院后，对照组患者进行自我康复训练，不给予任何干预；微信干预组患者通过微信平台接受康复训练指导和监督。分别于出院前、出院后3个月以及出院后6个月评估和比较2组的改良Fugl-Meyer运动功能评分和日常生活活动能力（改良Barthel指数）。

结果：2组患者出院前的改良Fugl-Meyer运动功能评分和改良Barthel指数的差异均无统计学意义（P ＞ 0.05）。出院后3个月和6个月，微信干预组的改良Fugl-Meyer运动功能评分和改良Barthel指数均高于对照组，出院后6个月2组的差异有统计学意义（P ＜ 0.05）。

结论：基于微信平台的居家康复指导可以提高脑卒中患者出院后的运动功能和日常生活活动能力。

Objective: To explore the influence of WeChat-based home rehabilitation guidance on the rehabilitation effect of patients with stroke after discharge.

Methods: From August 2018 to March 2019, 89 patients with stroke were randomly divided into WeChat-based intervention group (45 cases) and the control group (44 cases). Before discharge, patients in both groups received treatment for stroke, health education and rehabilitation training guidance. After discharge, the patients in the control group received self-rehabilitation training without any intervention; patients in WeChat-based intervention group received rehabilitation training guidance and supervision through WeChat. The modified Fugl-Meyer Assessment Scale score and the activities of daily living (modified Barthel Index) were evaluated and compared before discharge, and three months and six months after discharge.

Results: There were no significant differences in the modified Fugl-Meyer Assessment Scale score and modified Barthel Index between the two groups before discharge (P > 0.05). Three and six months after discharge, the modified Fugl-Meyer Assessment Scale score and modified Barthel Index of WeChat-based intervention group were higher than those of the control group, and the difference was statistically significant at six months after discharge (P < 0.05).

Conclusion: WeChat-based home rehabilitation guidance can improve the motor function and activities of daily living of patients with stroke after discharge.