CAJ | 학술논문

目的观察MOTOmed智能运动训练系统对脑卒中偏瘫患者上肢运动功能和日常生活活动能力(ADL)的影响,并进行相关费用的分析和评价.方法将60例脑卒中患者分为对照和治疗组各30例,均采用常规康复治疗,治疗组在此基础上增加MO-TOmed智能运动训练系统训练,并对每组患者在入组时、治疗2个月和4个月末分别采用简式Fugl-Meyer评定法(FMA)、Barthel指数(BI)对患者的上肢运动功能和 ADL 进行评定,并进行成本-效果分析.结果治疗后,治疗组 FMA 和 BI 评分优于对照组(P<0.05).两组患者住院总成本之间无显著性差异(P>0.05),治疗组各项指标每改善1分(或5分)所产生的相关成本费用明显低于对照组(P<0.05).治疗组与对照组比较,上肢运动功能评分每增加1分,少花费56.3元;ADL评分每提高5分,少花费278.5元.结论脑卒中偏瘫患者上肢运动功能康复治疗中,应用MOTOmed智能运动训练系统是一种既经济又有效的康复治疗方案.
목적관찰MOTOmed지능운동훈련계통대뇌졸중편탄환자상지운동공능화일상생활활동능력(ADL)적영향,병진행상관비용적분석화평개.방법장60례뇌졸중환자분위대조화치료조각30례,균채용상규강복치료,치료조재차기출상증가MO-TOmed지능운동훈련계통훈련,병대매조환자재입조시、치료2개월화4개월말분별채용간식Fugl-Meyer평정법(FMA)、Barthel지수(BI)대환자적상지운동공능화 ADL 진행평정,병진행성본-효과분석.결과치료후,치료조 FMA 화 BI 평분우우대조조(P<0.05).량조환자주원총성본지간무현저성차이(P>0.05),치료조각항지표매개선1분(혹5분)소산생적상관성본비용명현저우대조조(P<0.05).치료조여대조조비교,상지운동공능평분매증가1분,소화비56.3원;ADL평분매제고5분,소화비278.5원.결론뇌졸중편탄환자상지운동공능강복치료중,응용MOTOmed지능운동훈련계통시일충기경제우유효적강복치료방안.
@@@@Objective To investigate the effects of MOTOmed Gracile on the upper limb motor function and activities of daily living (ADL) of stroke patients with hemiplegia, and to analyze its cost-effectiveness. Methods 60 stroke patients with hemiplegia were divided in-to control group (n=30) and treatment group (n=30). Both groups received routine rehabilitation; the treatment group was trained with MO-TOmed Gracile in addition. Their upper limb motor function and ADL were assessed with Fugl-Meyer assessment (FMA) and Barthel index (BI) before and 2, 4 months after treatment in order to analyze the cost-effectiveness. Results The scores of FMA and BI were higher in the treatment group than in the control group (P<0.01). There was no significant difference in the total cost between 2 groups (P>0.05). Com-pared with the control group, the treatment group paid RMB 56.3 yuan and 278.5 yuan less for the upper limb motor function improved 1 point and the ADL improved 5 points. Conclusion The MOTOmed Gracile is an economical and effective medical method for stroke pa-tients with hemiplegia.