CN108615558A - A kind of assessment system and method for treating spastic hemiplegia based on shock therapy - Google Patents
A kind of assessment system and method for treating spastic hemiplegia based on shock therapy Download PDFInfo
- Publication number
- CN108615558A CN108615558A CN201810402834.3A CN201810402834A CN108615558A CN 108615558 A CN108615558 A CN 108615558A CN 201810402834 A CN201810402834 A CN 201810402834A CN 108615558 A CN108615558 A CN 108615558A
- Authority
- CN
- China
- Prior art keywords
- matrix
- spastic hemiplegia
- evaluation
- hemiplegia
- factors
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Classifications
-
- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
Abstract
The invention belongs to technical field of data processing, disclose a kind of assessment system and method for treating spastic hemiplegia based on shock therapy, using comprehensive evaluation system, quantification is combined with qualitative analysis, in conjunction with actually establishing evaluate collection, establish overall merit judgment matrix, according to each influence factor error total to the weight calculation for treating the security implication of spastic hemiplegia based on shock therapy, considering influences all factors for the treatment of spastic hemiplegia safety, and clearly each influence connects each other, makes comprehensive safety evaluation.By impacting targeted therapy, treatment is more accurate, and not by drug and tool, without any side effects to body, has the characteristics that time saving, laborsaving, safe, quick and curative effect is lasting.The present invention builds on sturdy anatomical basis, the assessment of science and quantification of principle, and scientific and effective stimulation Ipsilateral Spastic limb promotes the steady rehabilitation of patient.
Description
Technical field
The invention belongs to technical field of data processing more particularly to a kind of commenting based on shock therapy treatment spastic hemiplegia
Estimate system and method.
Background technology
Hemiparalysis recovery belongs to medical science of recovery therapy field, and the development time in the field is not grown.Hemiplegia refers to various hemiplegia protopathy
The motor nerve cells of caused encephalic damaged nerve cell, cranial nerve motor nuclei and gray nucleus anterior angle push control and cause
The body of corresponding portion is paralysed.It is said from the unrenewable angle of nerve cell, is difficult by the paralysis caused by neuronal cell death
Recovery with healing, therefore hemiplegia is one of the problem of world today's medicine tackling key problem, though not being incurable disease, is just really belonged to
In refractory chronic disease.Palsy is a kind of common disease, frequently-occurring disease threatening human health.With the development of modern medical service level, disease
Dead rate declines obviously, but disability rate is high.Related data is shown：4/5 or so Post stroke hemiplegic patient will appear difference
The hemiplegic limb spasm of degree.Clinic is common in stretching, extension spasticity in buckling spasm, lower limb with upper limb, can cause patient's spasm side
Limbs pain, and its voltuntary movement is influenced, the contracture of joint is caused, standing balance and activity of daily living are influenced.Limb spasm shape
State becomes the most thorny issue in sequelae, is the core and difficult point of Stroke Rehabilitation.Spasm can effectively be inhibited, and then induced
It is partially separated movement, is the key that improve rehabilitation efficacy.Therefore, the presence of early stage objective evaluation spasm and severity, give
Active intervention is most important to the functional rehabilitation of patient.Both at home and abroad researches show that：Multiple therapy methods can improve in various degree
Spasm hemiplegia, such as：Rehabilitation training, drug, orthoses and surgical operation etc.；Chinese medicine conventional method is such as：Chinese medicine, acupuncture, massage etc.
It is had been reported that when in recent years also.But because of medical expense height, curative effect is difficult persistently, and the state of an illness easily repeatedly, has the Traditional Rehabilitation treatment of hemiplegia still
To promote to lead to art as core, and use psychological rehabilitation therapy etc. as the main means for the treatment of hemiplegia, other methods have：Chinese and Western medicine limits to
Property unification treatment, arteria carotis pressurized drug injection treatment etc., but to still have the course for the treatment of longer for above-mentioned treatment, takes effect slowly, price
The shortcomings of expensive.Some hemiparalysis sequelas are difficult to cure, and Whole set prescription for rehabilitation of hemiplegia dosage is big, inconvenient to use.The prior art is big
Majority uses drug therapy, and drug is using a variety of, long-term use, increase patient burden.
In conclusion problem of the existing technology is：Existing Treatment of Stroke method medical expense is high, and curative effect difficulty is held
Long, the state of an illness is easily repeatedly.
Invention content
In view of the problems of the existing technology, commenting for spastic hemiplegia is treated based on shock therapy the present invention provides a kind of
Estimate system and method.
The invention is realized in this way a kind of appraisal procedure for treating spastic hemiplegia based on shock therapy, described to be based on
The appraisal procedure that shock therapy treats spastic hemiplegia uses comprehensive evaluation system, quantification to be combined with qualitative analysis,
In conjunction with evaluate collection is actually established, overall merit judgment matrix is established, convulsion is treated to being based on shock therapy according to each influence factor
The total error of the weight calculation of the security implication of contraction hemiplegia, consider influence treatment spastic hemiplegia safety it is all because
Element, and clearly each influence connects each other, makes comprehensive safety evaluation.
Further, comprehensive evaluation system includes：
Establish set of factors：
Influence the various parameters compositing factor set for the treatment of spastic hemiplegia；
Establish evaluate collection：
In order to quantitative analysis is carried out to each evaluation index it needs to be determined that each index evaluate collection, evaluated using 5 grades of hundred-mark system
Evaluate collection V is divided 5 opinion ratings, i.e. V={ v1, v2, v3, v4, v5}={ is minimum, very little, small, larger, big }, wherein v1For
It is minimum to treat spastic hemiplegia multifactor failure danger, scoring section is 90~100, intermediate value 95；v2For dangerous very little,
Scoring section is 80~89, intermediate value 84.5；The rest may be inferred；Select the intermediate value in each section as the parameter of grade, then 5 grades
Corresponding parameter be { 95,84.5,74.5,64.5,49.5 }, parameter column vector be ν=95,84.5,74.5,64.5,
49.5}T；
Establish weight sets：
(1) recursive hierarchy structure is established：
According to treatment spastic hemiplegia factor of evaluation collection, that is, assessment indicator system of foundation, each factor for being included by problem
It is divided into four levels：First layer is the general objective layer G of evaluation, that is, treats spastic hemiplegia comprehensive safety；The second layer is rule layer
C, i.e. defect, important component, material and internal environment；Finally using a specific targets as third layer, i.e. indicator layer P；
(2) multilevel iudge matrix two-by-two is constructed：
In terms of inviting pressure vessel safety, importance journey is successively carried out according to 1~9 scaling law between any two to each element
Spend assignment, Judgement Matricies U=(uij)n×n, wherein uijExpression factor uiAnd ujRelative to the importance value of rule layer, matrix U tool
There is property：uii=1, uij=1/uji, i, j=1,2 ..., n obtain judgment matrix：By matrix X1~X5By row normalization, i.e.,：
Calculating matrix Y is：
(3) under single criterion element relative weighting calculating：
Y matrix by rowss are added, by formulaIt obtains：
W1=(2.652 0.686 0.253 0.409)T
W2=(1 1)T
W3=(1.273 0.371 0.221 2.135)T
W4=(1.9 0.319 0.781)T
W5=(2.121 0.604 0.275)T
Obtain and vector is normalized, by formulaWeight vector can be obtained：
(4) consistency check of judgment matrix：
Calculate the Maximum characteristic root λ of judgment matrixmax, by formulaIt is calculated:
According to formulaConsistency check is carried out, is obtained：
CI1=0.019
CI2=0
CI3=0.031
CI4=0.020
CI5=0.048
By formula：
CR1=0.022
CR2=0
CR3=0.035
CR4=0.038
CR5=0.092
CR ＜ 0.1 are satisfied by coherence request, therefore the relative weighting of each factor
Degree of membership calculates：
Multidigit uses frequency number analysis, to the indices that are evaluated by evaluate collection to treating spastic hemiplegia indices
Degree of danger grade, obtain the degree of membership of set of factors：
It determines and judges Subject Matrix：
By obtaining the relative defects matrix of k-th of set of factors：
Wherein：
In formula：RkThe relative defects matrix of-k-th set of factors；
rkijI-th of factor of-k-th set of factors belongs to the degree of membership of the j in evaluate collection；
pkijI-th of factor index of k-th of set of factors of-group membership couple is rated the frequency of j；
Construct fuzzy matrix for assessment：
By the weight vector of each indexFuzzy matrix for assessment B can be constructed with matrix R,
Calculate Comprehensive Evaluation result：
By the parameter column vector of fuzzy matrix for assessment B and evaluate collection, Comprehensive Evaluation result Z can be acquired；
Z=BV
Arrive as available from the above equation fuzzy overall evaluation further according to opinion rating as a result, provides, it is spastic can to evaluate treatment
Hemiplegia multifactor failure danger size.
Another object of the present invention is to provide a kind of appraisal procedures for treating spastic hemiplegia based on shock therapy
Based on shock therapy treat spastic hemiplegia assessment system, it is described based on shock therapy treat spastic hemiplegia assessment system
System includes：
Fuzzy overall evaluation module is combined for quantification with qualitative analysis, in conjunction with evaluate collection is actually established, is established comprehensive
Close evaluation judgment matrix；
Weight computation module is used for according to each influence factor to the safe shadow based on shock therapy treatment spastic hemiplegia
The total error of loud weight calculation considers all factors for influencing treatment spastic hemiplegia safety, and clearly each influence
Connect each other, make comprehensive safety evaluation.
Further, the fuzzy overall evaluation module includes：
Set of factors unit is established, for establishing the various parameters compositing factor set for influencing treatment spastic hemiplegia；
Establish evaluate collection unit, with quantitative analysis is carried out to each evaluation index it needs to be determined that each index evaluate collection；
Weight sets unit is established, for establishing recursive hierarchy structure, constructing member under multilevel iudge matrix, single criterion two-by-two
The calculating of plain relative weighting, the consistency check of judgment matrix；
Degree of membership computing unit uses frequency number analysis, to the indices that are evaluated by evaluate collection to controlling for multidigit
The degree of danger for treating spastic hemiplegia indices is graded, and the degree of membership of set of factors is obtained；
It determines and judges Subject Matrix unit, by obtaining the relative defects matrix of set of factors；
Fuzzy matrix for assessment unit is constructed, for the weight vector and matrix construction fuzzy matrix for assessment by each index；
Comprehensive Evaluation result unit is calculated, by the parameter column vector of fuzzy matrix for assessment and evaluate collection, synthesis can be acquired and commented
Sentence result.
Advantages of the present invention and good effect are：The fortune that shock therapy intervenes Post stroke spastic hemiplegia patient is carried out for the first time
The sample study of the improvement situation of dynamic function, activity of daily living and Muscle tensility, Research Thinking is ripe, and design is rigorous, is expected to
It makes a breakthrough.Shock therapy be according to the cause of disease, the interpretation of the cause, onset and process of an illness and patient's dysfunction analysis and assessment, according to analysis result, with
Science gimmick based on massage manipulation and doctor trained in Western medicine rehabilitation theory builds on sturdy anatomic basis, the assessment of science and fixed
Amount is principle, the stimulation Ipsilateral Spastic limb of science, the rehabilitation for promoting patient steady.The present invention is higher using confidence level
The evaluations such as Fugl-Meyer motor function scores table (FMA), BarthelShi ADL index score methods, improvement Ashworth scales are treated
Effect, result of study will obtain preferable reliability and validity.The present invention uses clinical control observational study method.Using random point
Group controls research object individual difference, treatment technology consistency and standardization, reduces the difference of therapy to curative effect
It influences；All evaluation processes and result are examined by the blind of the above professional of associate chief physician.Therefore, the result obtained will have
There are objectivity and credibility.Shock therapy be professor Xie Hui summarized in the clinical position of Tibet severe cold region for a long time it is a set of with
Napratherapy is integrated as the therapy of theoretical foundation with doctor trained in Western medicine rehabilitation.This method is assessed according to the cause of disease, the interpretation of the cause, onset and process of an illness and dysfunction
Analysis takes Reusability external force gimmick quick washing affected part according to analysis result, and by impacting targeted therapy, treatment is more
Precisely, without any side effects to body and not by drug and tool, there is time saving, laborsaving, safe, quick and curative effect
Lasting feature.
The present invention overcomes the difficulty for being unable to dynamic detection, more preferable, more accurately timely can find the state of an illness, accomplish pre- in advance
It is anti-；Using comprehensive evaluation system, quantification is combined with qualitative analysis, in conjunction with evaluate collection is actually established, is established synthesis and is commented
Valence judgment matrix, abandon using single angle evaluation, excessively rely on subjective data by the way of, consider influence it is all it is main because
Element, and clearly each influence connects each other, makes comprehensive safety evaluation on this basis；Whether can not only correctly obtain can pacify
Full conclusion, moreover it is possible to solve the problems, such as safe coefficient；Simplify evaluation procedure, the subjectivity for eliminating evaluation is random, is convenient for commonly
Medical staff is applied to practical.The reliability of the present invention is high, operability is good, reflects reality with enabling assessment result more objective reality
Border.
Description of the drawings
Fig. 1 is the assessment system schematic diagram provided in an embodiment of the present invention that spastic hemiplegia is treated based on shock therapy.
Specific implementation mode
In order to make the purpose , technical scheme and advantage of the present invention be clearer, with reference to embodiments, to the present invention
It is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, it is not used to
Limit the present invention.
It is a set of with napratherapy that shock therapy is that professor Xie Hui summarizes in the clinical position of Tibet severe cold region for a long time
The therapy of theoretical foundation is integrated as with doctor trained in Western medicine rehabilitation.This method is according to the cause of disease, the interpretation of the cause, onset and process of an illness and dysfunction analysis and assessment, foundation
Analysis result takes Reusability external force gimmick quick washing affected part, and by impacting targeted therapy, treatment is more accurate, and not
It is without any side effects to body by drug and tool, there is time saving, laborsaving, safe, quick and lasting curative effect spy
Point.Shock therapy is according to the cause of disease, the interpretation of the cause, onset and process of an illness and patient's dysfunction analysis and assessment, according to analysis result, with massage manipulation and west
The science gimmick based on rehabilitation theory is cured, sturdy anatomical basis, the assessment of science and quantification of principle, section are built on
Effective stimulation Ipsilateral Spastic limb is learned, the steady rehabilitation of patient is promoted.
The application principle of the present invention is explained in detail below in conjunction with the accompanying drawings.
As shown in Figure 1, the appraisal procedure provided in an embodiment of the present invention for treating spastic hemiplegia based on shock therapy includes：
S101：Using comprehensive evaluation system, quantification is combined with qualitative analysis, in conjunction with actually establishing evaluate collection,
Establish overall merit judgment matrix；
S102：According to each influence factor to the weight calculation of the security implication based on shock therapy treatment spastic hemiplegia
Total error considers all factors for influencing treatment spastic hemiplegia safety, and clearly each influence connects each other, makees
Go out comprehensive safety evaluation.
The present invention based on shock therapy treat spastic hemiplegia appraisal procedure include：By observing shock therapy to soldier
In after spastic hemiplegia patient motor function, the improvement situation of activity of daily living and Muscle tensility, seek it is a kind of it is safer, have
The method of the treatment Post stroke spastic hemiplegia of effect improves the self-care of patient to provide modern evidence-based medicine EBM data for clinic
Ability and life quality reintegrate into society, mitigate family and burden on society early.
1. shock therapy is in conjunction with the science gimmick based on massage manipulation and doctor trained in Western medicine rehabilitation theory, in confrontation upper limb musculus flexor
Advantage and extensor of leg advantage make the Muscle tensility between agonist and an tagonist keep balance, mitigate affected limb muscle cramp,
Restore towards normal motor pattern.
2. the operating feature of shock therapy is quickly to exert a force, quickly remove power, have an effect repeatedly, operation receiveing person repeats stress, vibrations,
The Muscle tensility that apoplexy patient increases can be reduced, so that suffering limb muscle exception spasm is eased, local blood circulation is improved, flesh
The amplitude of connective tissue proliferation further mitigates between fiber, prevents muscular atrophy.
3. treating Post stroke spastic hemiplegia patient for shock therapy provides modern Study of evidence based medicine data, according to clinic
Data inference shock therapy clinical mechanism, the final development for promoting clinical rehabilitation medicine and massage Scientific Medical technology.
4. providing scientific basis for clinical treatment Post stroke spastic hemiplegia, accomplish that Scientific evaluation is former with gimmick graded quantitative
Then, adverse reaction, contraindication and indication of the shock therapy in process of clinical application are explored, is provided a kind of safe and effective
Treatment means are conducive to clinical application to improve quality of medical care.
The application principle of the present invention is further described with reference to specific embodiment.
1. establishing case is included in, excludes and rejects standard；
2. choosing Post stroke spastic hemiplegia patient 60, it is randomized non-Antihypertensive method and is grouped, each 30.
Control group：Post stroke routine medication is being used, on the basis of ensureing vital signs stable, is carrying out conventional rehabilitation
Training, each 30min, 1 time/d, 2 weeks be 1 course for the treatment of, continuous 4 weeks.It is put including (1) good limb；(2) active of affected limb and
Passive activity；(3) position diversionary training；(4) erect-position balance training is sat；(5) gait decomposition-training and up/down steps, loading by lower limbs
Functional training；(6) training of activity of daily living.
Treatment group：It is treated using shock therapy on the basis of control group is treated.(1) patient takes seat or dorsal position, determines
Lesion and misalignment, then to rub, by, the gimmicks such as play and apply art in the terminal of patient's neck, shoulder, muscle of back, fully put
Soft texture；(2) according to anatomy and Scientific evaluation, fixed proximal end bone can the fixation by the hand of doctor, bed, patient itself
Effect, around fist or hypothenar repeatedly the spasm position of fast ram patient, concrete position according to individual and
Difference, main selection impact patient do active kinesthesia by pain and joint limited opposite positions and the same direction.Its journey
Degree gimmick is selected, I grade with three-level is divided into depending on concrete condition：In the initiating terminal of patient's joint motion, small range, rhythmicity
The impact of ground slight dynamics back and forth.II grade：Patient's joint motion allow scope of activities in, on a large scale, rhythmicity back and forth in
Etc. dynamics impact, but do not contact joint motion starting and whole end.III grade：In the scope of activities that patient's joint motion allows
Interior, on a large scale, the rhythmicity relatively impact of strength degree back and forth, it is degree that can slightly exceed patient tolerance, touches joint motion every time
Whole end, and can feel the anxiety of periarticular soft tissues.Each 30min, 1 time/d, 6 times/week, 1 week be 1 course for the treatment of, continuous 2
Week.
3, efficacy evaluation：It is respectively evaluated before treatment, after 1 course for the treatment of, after 2 courses for the treatment of primary.
1) it is evaluated the effect of motor function:Using simplified Fugl-Meyer motor function scores table (FMA), to Ipsilateral
The motor function of upper and lower extremities is evaluated.Each point of 0,1,2 three-levels, total score 100 divide (wherein upper limb 66 divides, and lower limb 34 divide), ＜
50 points of prompt suffering limb severe motor disabilities, almost without motion；50~84 points of prompt apparent dyskinesia of suffering limb；85~95 points of prompts
Suffering limb medium exercise obstacle, hand dysfunction；96~99 points of prompt suffering limb mild dyskinesias.
2) daily life active ability is evaluated:Using BarthelShi ADL index score methods ,≤40 points are complete or big portion
Divide and relies on other people；41~60 points for partial dependency other people；>=61 points are to take care of oneself.
3) it is evaluated the effect of Muscle tensility:Using improvement Ashworth scales (Ashworth Scale, MAS), which will
Muscle tensility is divided into 0~IV grade, and classification is lower, represents Muscle tensility closer to normal, classification is higher, represents spasm or passive movement
Resistance increases.
4, safety evaluatio：Observation treatment adverse reaction simultaneously records.
The present invention based on shock therapy treat spastic hemiplegia appraisal procedure further include：Using fuzzy overall evaluation system
System, quantification is combined with qualitative analysis, in conjunction with evaluate collection is actually established, overall merit judgment matrix is established, according to each shadow
The factor of sound error rate total to the weight calculation for being treated the security implication of spastic hemiplegia based on shock therapy, is abandoned using single
Angle evaluation, the mode for excessively relying on subjective data consider all factors for influencing treatment spastic hemiplegia safety, and
Connecting each other for each influence is specified, comprehensive safety evaluation is made.
Further, comprehensive evaluation system includes：
Establish set of factors：
Influence the various parameters compositing factor set for the treatment of spastic hemiplegia；
Establish evaluate collection：
In order to quantitative analysis is carried out to each evaluation index it needs to be determined that each index evaluate collection, evaluated using 5 grades of hundred-mark system
Evaluate collection V is divided 5 opinion ratings, i.e. V={ v1, v2, v3, v4, v5}={ is minimum, very little, small, larger, big }, wherein v1For
It is minimum to treat spastic hemiplegia multifactor failure danger, scoring section is 90~100, intermediate value 95；v2For dangerous very little,
Scoring section is 80~89, intermediate value 84.5；The rest may be inferred；Select the intermediate value in each section as the parameter of grade, then 5 grades
Corresponding parameter be { 95,84.5,74.5,64.5,49.5 }, parameter column vector be ν=95,84.5,74.5,64.5,
49.5}T；
Establish weight sets：
(1) recursive hierarchy structure is established：
According to treatment spastic hemiplegia factor of evaluation collection, that is, assessment indicator system of foundation, each factor for being included by problem
It is divided into four levels：First layer is the general objective layer G of evaluation, that is, treats spastic hemiplegia comprehensive safety；The second layer is rule layer
C, i.e. defect, important component, material and internal environment；Finally using a specific targets as third layer, i.e. indicator layer P；
(2) multilevel iudge matrix two-by-two is constructed：
In terms of inviting pressure vessel safety, importance journey is successively carried out according to 1~9 scaling law between any two to each element
Spend assignment, Judgement Matricies U=(uij)n×n, wherein uijExpression factor uiAnd ujRelative to the importance value of rule layer, matrix U tool
There is property：uii=1, uij=1/uji, i, j=1,2 ..., n obtain judgment matrix：By matrix X1~X5By row normalization, i.e.,：
Calculating matrix Y is：
(3) under single criterion element relative weighting calculating：
Y matrix by rowss are added, by formulaIt obtains：
W1=(2.652 0.686 0.253 0.409)T
W2=(1 1)T
W3=(1.273 0.371 0.221 2.135)T
W4=(1.9 0.319 0.781)T
W5=(2.121 0.604 0.275)T
Obtain and vector is normalized, by formulaWeight vector can be obtained：
(4) consistency check of judgment matrix：
Calculate the Maximum characteristic root λ of judgment matrixmax, by formulaIt is calculated:
According to formulaConsistency check is carried out, is obtained：
CI1=0.019
CI2=0
CI3=0.031
CI4=0.020
CI5=0.048
By formula：
CR1=0.022
CR2=0
CR3=0.035
CR4=0.038
CR5=0.092
CR ＜ 0.1 are satisfied by coherence request, therefore the relative weighting of each factor
Degree of membership calculates：
Multidigit uses frequency number analysis, to the indices that are evaluated by evaluate collection to treating spastic hemiplegia indices
Degree of danger grade, obtain the degree of membership of set of factors：
It determines and judges Subject Matrix：
By obtaining the relative defects matrix of k-th of set of factors：
Wherein：
In formula：RkThe relative defects matrix of-k-th set of factors；
rkijI-th of factor of-k-th set of factors belongs to the degree of membership of the j in evaluate collection；
pkijI-th of factor index of k-th of set of factors of-group membership couple is rated the frequency of j；
Construct fuzzy matrix for assessment：
By the weight vector of each indexFuzzy matrix for assessment B can be constructed with matrix R,
Calculate Comprehensive Evaluation result：
By the parameter column vector of fuzzy matrix for assessment B and evaluate collection, Comprehensive Evaluation result Z can be acquired；
Z=BV
Arrive as available from the above equation fuzzy overall evaluation further according to opinion rating as a result, provides, it is spastic can to evaluate treatment
Hemiplegia multifactor failure danger size.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all essences in the present invention
All any modification, equivalent and improvement etc., should all be included in the protection scope of the present invention made by within refreshing and principle.
Claims (4)
1. a kind of appraisal procedure for treating spastic hemiplegia based on shock therapy, which is characterized in that described to be controlled based on shock therapy
The appraisal procedure for treating spastic hemiplegia uses comprehensive evaluation system, and quantification is combined with qualitative analysis, in conjunction with actually building
Vertical evaluate collection, establishes overall merit judgment matrix, according to each influence factor to treating spastic hemiplegia based on shock therapy
The total error of the weight calculation of security implication considers all factors for influencing treatment spastic hemiplegia safety, and clear
What is respectively influenced connects each other, makes comprehensive safety evaluation.
2. the appraisal procedure of spastic hemiplegia is treated based on shock therapy as described in claim 1, which is characterized in that fuzzy comprehensive
Closing evaluation system includes：
Establish set of factors：
Influence the various parameters compositing factor set for the treatment of spastic hemiplegia；
Establish evaluate collection：
In order to quantitative analysis is carried out to each evaluation index it needs to be determined that each index evaluate collection, using the evaluation of 5 grades of hundred-mark system commenting
Valence collection V divides 5 opinion ratings, i.e. V={ v1, v2, v3, v4, v5}={ is minimum, very little, small, larger, big }, wherein v1For treatment
Spastic hemiplegia multifactor failure danger is minimum, and scoring section is 90~100, intermediate value 95；v2For dangerous very little, scoring
Section is 80~89, intermediate value 84.5；The rest may be inferred；Select the intermediate value in each section as the parameter of grade, then 5 grade institutes are right
The parameter answered is { 95,84.5,74.5,64.5,49.5 }, and parameter column vector is ν={ 95,84.5,74.5,64.5,49.5 }T；
Establish weight sets：
(1) recursive hierarchy structure is established：
According to treatment spastic hemiplegia factor of evaluation collection, that is, assessment indicator system of foundation, each factor that problem is included is divided into
Four levels：First layer is the general objective layer G of evaluation, that is, treats spastic hemiplegia comprehensive safety；The second layer is rule layer C, i.e.,
Defect, important component, material and internal environment；Finally using a specific targets as third layer, i.e. indicator layer P；
(2) multilevel iudge matrix two-by-two is constructed：
In terms of inviting pressure vessel safety, importance degree tax is successively carried out according to 1~9 scaling law between any two to each element
Value, Judgement Matricies U=(uij)n×n, wherein uijExpression factor uiAnd ujRelative to the importance value of rule layer, having property of matrix U
Matter：uii=1, uij=1/uji, i, j=1,2 ..., n obtain judgment matrix：By matrix X1~X5By row normalization, i.e.,：
Calculating matrix Y is：
(3) under single criterion element relative weighting calculating：
Y matrix by rowss are added, by formulaIt obtains：
W1=(2.652 0.686 0.253 0.409)T
W2=(1 1)T
W3=(1.273 0.371 0.221 2.135)T
W4=(1.9 0.319 0.781)T
W5=(2.121 0.604 0.275)T
Obtain and vector is normalized, by formulaWeight vector can be obtained：
(4) consistency check of judgment matrix：
Calculate the Maximum characteristic root λ of judgment matrixmax, by formulaIt is calculated:
According to formulaConsistency check is carried out, is obtained：
CI1=0.019
CI2=0
CI3=0.031
CI4=0.020
CI5=0.048
By formula：
CR1=0.022
CR2=0
CR3=0.035
CR4=0.038
CR5=0.092
CR ＜ 0.1 are satisfied by coherence request, therefore the relative weighting of each factor
Degree of membership calculates：
Multidigit uses frequency number analysis, to the indices that are evaluated by evaluate collection to treating the danger of spastic hemiplegia indices
Dangerous degree is graded, and the degree of membership of set of factors is obtained：
It determines and judges Subject Matrix：
By obtaining the relative defects matrix of k-th of set of factors：
Wherein：
In formula：RkThe relative defects matrix of-k-th set of factors；
rkijI-th of factor of-k-th set of factors belongs to the degree of membership of the j in evaluate collection；
pkijI-th of factor index of k-th of set of factors of-group membership couple is rated the frequency of j；
Construct fuzzy matrix for assessment：
Fuzzy matrix for assessment B can be constructed by the weight vector W and matrix R of each index,
Calculate Comprehensive Evaluation result：
By the parameter column vector of fuzzy matrix for assessment B and evaluate collection, Comprehensive Evaluation result Z can be acquired；
Z=BV
Arrive as available from the above equation fuzzy overall evaluation further according to opinion rating as a result, provides, can evaluate treatment spastic hemiplegia
Multifactor failure danger size.
3. a kind of appraisal procedure for being treated spastic hemiplegia based on shock therapy as described in claim 1 is controlled based on shock therapy
Treat the assessment system of spastic hemiplegia, which is characterized in that the assessment system packet that spastic hemiplegia is treated based on shock therapy
It includes：
Fuzzy overall evaluation module is combined for quantification with qualitative analysis, in conjunction with evaluate collection is actually established, is established synthesis and is commented
Valence judgment matrix；
Weight computation module is used for according to each influence factor to the security implication based on shock therapy treatment spastic hemiplegia
The total error of weight calculation considers all factors for influencing treatment spastic hemiplegia safety, and the phase of clearly each influence
Mutually contact, makes comprehensive safety evaluation.
4. the assessment system of spastic hemiplegia is treated based on shock therapy as claimed in claim 3, which is characterized in that the mould
Pasting overall merit module includes：
Set of factors unit is established, for establishing the various parameters compositing factor set for influencing treatment spastic hemiplegia；
Establish evaluate collection unit, with quantitative analysis is carried out to each evaluation index it needs to be determined that each index evaluate collection；
Weight sets unit is established, for establishing recursive hierarchy structure, constructing element phase under multilevel iudge matrix, single criterion two-by-two
Consistency check to the calculating of weight, judgment matrix；
Degree of membership computing unit uses frequency number analysis, to the indices that are evaluated by evaluate collection to treating convulsion for multidigit
The degree of danger of contraction hemiplegia indices is graded, and the degree of membership of set of factors is obtained；
It determines and judges Subject Matrix unit, by obtaining the relative defects matrix of set of factors；
Fuzzy matrix for assessment unit is constructed, for the weight vector and matrix construction fuzzy matrix for assessment by each index；
Comprehensive Evaluation knot can be acquired by the parameter column vector of fuzzy matrix for assessment and evaluate collection by calculating Comprehensive Evaluation result unit
Fruit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810402834.3A CN108615558A (en) | 2018-04-28 | 2018-04-28 | A kind of assessment system and method for treating spastic hemiplegia based on shock therapy |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810402834.3A CN108615558A (en) | 2018-04-28 | 2018-04-28 | A kind of assessment system and method for treating spastic hemiplegia based on shock therapy |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108615558A true CN108615558A (en) | 2018-10-02 |
Family
ID=63661650
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810402834.3A Pending CN108615558A (en) | 2018-04-28 | 2018-04-28 | A kind of assessment system and method for treating spastic hemiplegia based on shock therapy |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108615558A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110047591A (en) * | 2019-04-23 | 2019-07-23 | 吉林大学 | One kind is for doctor's posture appraisal procedure in surgical procedures |
| CN110570946A (en) * | 2019-09-05 | 2019-12-13 | 东北大学 | Lower limb rehabilitation robot rehabilitation training motor function rehabilitation evaluation method |
| CN117253616A (en) * | 2023-11-17 | 2023-12-19 | 深圳市健怡康医疗器械科技有限公司 | Neurological rehabilitation degree evaluation method and system |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101937554A (en) * | 2010-09-15 | 2011-01-05 | 西安电子科技大学 | AHP (Analytic Hierarchy Process) based assessment method of teaching quality of fuzzy comprehensive remote education |
| CN102634450A (en) * | 2012-03-01 | 2012-08-15 | 东南大学 | Biological chip-based antidepressant drug curative effect risk evaluating system and application thereof |
| CN102722634A (en) * | 2012-04-20 | 2012-10-10 | 湖南省防雷中心 | Regional lightning disaster risk evaluation method |
| CN104997523A (en) * | 2014-04-18 | 2015-10-28 | 东北大学 | Upper limb rehabilitation robot rehabilitation training motion function assessment method |
| CN105488609A (en) * | 2015-11-23 | 2016-04-13 | 中国农业大学 | Grape disease and pest prevention and control effect evaluation method and system |
| CN107271540A (en) * | 2017-07-06 | 2017-10-20 | 湖北泰拓物联科技有限公司 | A kind of frozen food on-line monitoring method based on internet |
| CN107832264A (en) * | 2017-11-20 | 2018-03-23 | 宁德师范学院 | The overall evaluation system and evaluation method of a kind of design of electrical motor |
-
2018
- 2018-04-28 CN CN201810402834.3A patent/CN108615558A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101937554A (en) * | 2010-09-15 | 2011-01-05 | 西安电子科技大学 | AHP (Analytic Hierarchy Process) based assessment method of teaching quality of fuzzy comprehensive remote education |
| CN102634450A (en) * | 2012-03-01 | 2012-08-15 | 东南大学 | Biological chip-based antidepressant drug curative effect risk evaluating system and application thereof |
| CN102722634A (en) * | 2012-04-20 | 2012-10-10 | 湖南省防雷中心 | Regional lightning disaster risk evaluation method |
| CN104997523A (en) * | 2014-04-18 | 2015-10-28 | 东北大学 | Upper limb rehabilitation robot rehabilitation training motion function assessment method |
| CN105488609A (en) * | 2015-11-23 | 2016-04-13 | 中国农业大学 | Grape disease and pest prevention and control effect evaluation method and system |
| CN107271540A (en) * | 2017-07-06 | 2017-10-20 | 湖北泰拓物联科技有限公司 | A kind of frozen food on-line monitoring method based on internet |
| CN107832264A (en) * | 2017-11-20 | 2018-03-23 | 宁德师范学院 | The overall evaluation system and evaluation method of a kind of design of electrical motor |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110047591A (en) * | 2019-04-23 | 2019-07-23 | 吉林大学 | One kind is for doctor's posture appraisal procedure in surgical procedures |
| CN110570946A (en) * | 2019-09-05 | 2019-12-13 | 东北大学 | Lower limb rehabilitation robot rehabilitation training motor function rehabilitation evaluation method |
| CN117253616A (en) * | 2023-11-17 | 2023-12-19 | 深圳市健怡康医疗器械科技有限公司 | Neurological rehabilitation degree evaluation method and system |
| CN117253616B (en) * | 2023-11-17 | 2024-01-30 | 深圳市健怡康医疗器械科技有限公司 | Neurological rehabilitation degree evaluation method and system |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Pienimäki et al. | Progressive strengthening and stretching exercises and ultrasound for chronic lateral epicondylitis | |
| Escalante et al. | Effects of exercise on functional aerobic capacity in lower limb osteoarthritis: a systematic review | |
| Lau et al. | Physiotherapist-designed aquatic exercise programme for community-dwelling elders with osteoarthritis of the knee: a Hong Kong pilot study | |
| CN108615558A (en) | A kind of assessment system and method for treating spastic hemiplegia based on shock therapy | |
| Wang et al. | Effect of hospital-family rehabilitation intervention on walking function and lower limb surface electromyography in children with cerebral palsy | |
| Fournier et al. | A medical evaluation of the effects of computer assisted muscle stimulation in paraplegic patients | |
| Wahyuni et al. | Range of Motion Spherical Grip Affected the Upper Extremity Muscle Strength in Post Stroke Patients | |
| Takeda et al. | The effect of gait training with low-intensity neuromuscular electrical stimulation of hip abductor muscles in two patients following surgery for hip fracture: Two case reports | |
| Kamath | Physical Performance Variables in Pre-Adolescent Indian Children–Exploring Trends and Correlations to Obesity | |
| Kumari | The role of physiotherapy in women health | |
| SON et al. | Physical recovery through health management education for the disabled or the elderly | |
| Radziminska et al. | Assessment of the PNF method influence on gait parameters improvement in persons with cerebral palsy | |
| Verde et al. | Various Domains of Rehabilitation | |
| Telrandhe et al. | Physiotherapy Treatment In Osteoarthritis Of Knee: A Case Study | |
| Verde | Rehabilitation Methodology and Strategies: A Study Guide for Physiotherapists | |
| Kaka et al. | Overcoming challenges for exercise in the clinic, participation and adherence by patients with osteoarthritis of the knee | |
| Australia | Improving and expanding practice/se | |
| Rimal | Short term effect of spencers muscle energy technique on frozen shoulder patients attending at CRP, SAVAR | |
| DiPiro | Effects of aerobic exercise training on walking and health-related outcomes in individuals with chronic incomplete spinal cord injury | |
| Manteghian et al. | Demographic, Health, and Sexual Determinants of Quality of Life of Women with Back Pain | |
| Luo et al. | Efecto de la Intervencion de Ejercicio Combinada con Ejercicio de Contrapeso sobre la Funcion Articular y la Calidad de Vida de los Pacientes Ortopedicos Postoperatorios. | |
| ÖZETLERİ et al. | 1st EUROPEAN CONFERENCE ON EVIDENCE BASED AQUATIC THERAPY (ECEBAT) | |
| Zhao et al. | Rehabilitation Therapy of Neurological Training of Paraplegia | |
| Karppi | Telerehabilitation–A future opportunity in the field of rehabilitation | |
| Anitha | A study to assess the effectiveness of Allen exercise in reduction of muscle cramps among extubated patients at seletcted hospital, Erode |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20181002 |
|
| RJ01 | Rejection of invention patent application after publication |