[目的]观察康复训练对脑卒中偏瘫患者患侧髋关节置换术后步行能力的影响。[方法]将脑卒中患侧人工髋关节置换术的患者24例分为2组,其中12例采用常规的人工髋关节置换康复程序进行手法训练,作为对照组;12例在常规程序训练基础上,加入了躯干、骨盆、平衡能力控制训练,作为观察组。8周后采用Holden功能步行分级进行比较。[结果]观察组步行能力方面优于对照组,2组之间差异比较具有统计学意义(P﹤0.01)。[结论]不同的康复训练可明显改善脑卒中患侧人工髋关节置换术后步行能力。 [Objective] To observe the effect of rehabilitation training on walking ability of patients with hemiplegia after stroke in hip replacement. [Methods] Twenty-four patients were divided into two groups, 24 patients were divided into two groups, of whom 12 were treated by conventional artificial hip replacement and rehabilitation program as the control group. On the basis of routine training , Joined the trunk, pelvis, balance control training, as the observation group. After 8 weeks using Holden walking grading comparison. [Results] The walking ability of the observation group was better than that of the control group, the difference between the two groups was statistically significant (P <0.01). [Conclusion] Different rehabilitation training can significantly improve the walking ability after artificial hip replacement in patients with stroke.