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学科主题: 卫生统计学
题名:
腰椎间盘突出症物理治疗过程的数学表达与疗效预测分析
其他题名: Describing and predicting the effectiveness of physical therapy in treatment of lumbar disc herniation using a logistic curve model
作者: 李雪迎1; 王琳1; 黄真1
关键词: 腰椎间盘突出症 ; 物理治疗 ; 疼痛评定 ; Logistic模型 ; 预测 ; Lumber disc hernation ; Physical therapy ; Pain measurement ; Logistic model ; Prediction
刊名: 中华物理医学与康复杂志
发表日期: 2011
DOI: 10.3760/cma.j.issn.0254-1424.2011.03.012
卷: 33, 期:3, 页:198-201
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 探讨应用Logistic模型对腰椎间盘突出症物理治疗过程进行数学表达及疗效预测的可行性.方法 共选取31例腰椎间盘突出症患者,均连续接受10次物理治疗,于每次治疗前应用视觉模拟评分法(VAS)进行疼痛评定.采用前期建立的Logistic曲线模型,对人选31例腰椎间盘突出症患者治疗过程完成伞局化回归分析,并分别以治疗2~9次时的测最值预测全疗程的最终结果,将预测结果与实际测量结果进行比较.结果 该Logistic回归模型对腰椎间盘突出症物理治疗过程的数学表达能力充分,全局化决定系数为0.719;该模型的预测能力随治疗次数增多而增强,其中根据4次以下测量值完成的预测分析,其预测成功率较低;而根据5次以上测量结果进行预测时,其预测结果满意,明显优于4次以下测量值的预测结果.结论 采用Logistic回归模型能充分表达腰椎间盘突出症患者物理治疗过程中的病情变化;根据4次连续试验性治疗所获得的反馈数据能够有效预测全疗程疗效. Objective To establish a mathematical model for describing and predicting the effectiveness of physical therapy on lumbar disc hernation(LDH).Methods Daily comprehensive physical therapy interventions including lumbar traction,mobilization and physical agents were administered to 31 LDH patients for 10 sessions.A visual analogue scale was used to measure the pain intensity before each session.The logistic curve model was used in the regression analysis.The first 2 to 9 pain measurements were involved in different predictive models,and the predictive results were compared among different models.Results In regression analysis,the global R2 was 0.719.In predicting analysis,the more measurements involved in the predictive model,the more effective the prediction.The predictive power was low when the model included less than 4 measurements.the prediction power was high when more than 5 measurements were used in the model.Conclusion The logistic model can describe and predict the effectiveness of multiple physical therapy on LDH patients.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/44187
Appears in Collections:北京大学第一临床医学院_医学统计室_期刊论文

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作者单位: 1.北京大学第一医院医学统计室,北京,100034
2.北京大学第一医院物理医学与康复科,北京,100034

Recommended Citation:
李雪迎,王琳,黄真. 腰椎间盘突出症物理治疗过程的数学表达与疗效预测分析[J]. 中华物理医学与康复杂志,2011,33(3):198-201.
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