颈椎旋提手法教学机器人用于旋提手法规范化培训的自身对照研究  

A Self-Controlled Study of Cervical Rotatory Lifting Manipulation Teaching Robot for Standardized Training of Rotatory Lifting Manipulation

作　　者：霍路遥 符碧峰 冯天笑 卜寒梅 苏瑾[1] 吴思[1] 李远栋[1] 王平[1] 冯敏山[2] 杨光[1] HUO Luyao;FU Bifeng;FENG Tianxiao;BU Hanmei;SU Jin;WU Si;LI Yuandong;WANG Ping;FENG Minshan;YANG Guang(First Teaching Hospital of Tianjin University of Chinese Medicine,National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Regional Orthopedics and Traumatology Diagnosis and Treatment Center of National Administration of Traditional Chinese Medicine,Tianjin 300192,China;Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 101002,China)

机构地区：[1]天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,国家中医药管理局区域中医骨伤科诊疗中心,天津300192 [2]中国中医科学院望京医院

出　　处：《中国中医骨伤科杂志》2021年第5期6-11,共6页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：国家中医药管理局中医药循证能力建设项目(2019XZZX-GK006)。

摘　　要：目的:评价旋提手法教学机器人在颈椎旋提手法操作规范化培训中的效果。方法:选取已熟练掌握颈椎治疗手法且临床工作5 a以上的20名骨伤科医师,通过旋提手法教学机器人采集每位医师在体质量指数(BMI)设定为正常状态下的手法操作的关键力学参数(预牵引力、提扳力、最大作用力、提扳时间、旋转幅度、俯仰幅度)。然后通过旋提手法教学机器人对20名医师进行2周手法规范化培训,培训后再次使用该系统进行考核并采集数据。比较培训前和培训后总合格率、合格次数、变异系数(CV)等数据指标。结果:培训前总合格率为25%,合格次数为1.30(1,1.75);培训后总合格率为90%,合格次数为2.50(2,3),P值均<0.05,差异有统计学意义(χ2=17.289,Z=-3.510)。培训前预牵引力、提扳力、最大作用力合格率分别为73.30%、36.70%、26.70%,培训后分别为95.00%、91.70%、90.00%,P值均<0.05,差异有统计学意义;培训前后的提扳时间、旋转幅度、俯仰幅度合格率经检验P值分别为0.079、0.591、0.094,差异无统计学意义。培训前预牵引力(15.41±5.42)N、提扳力(9.75±4.77)N、最大作用力(19.15±6.72)N的变异系数分别为0.352、0.489、0.351,培训后预牵引力(16.46±1.44)N、提扳力(9.98±1.99)N、最大作用力(26.70±3.72)N的变异系数分别为0.087、0.199、0.139,培训后受力作用参数更加稳定。结论:旋提手法教学机器人用于颈椎旋提手法规范化培训的效果良好,经过培训可达到手法操作的标准统一化。Objective:To evaluate the efficacy of rotator manipulation teaching robot in the standardized training of cervical vertebra rotator manipulation.Methods:20 orthopedic surgeons who have mastered cervical vertebra treatment techniques and worked clinically for more than 5 years were selected.The key mechanical parameters(pre-traction force,pull-up force,maximum acting force,pull-up time,rotation amplitude,pitch amplitude)of each doctor’s manual operation under the normal state set by body mass index(BMI)were collected by the rotary pull-up manual teaching robot.Then,20 doctors were given a 2-week standardized training of manipulation by the rotary manipulation teaching robot.After the training,the system was used again for assessment and data collection.The total pass rate,pass times,coefficient of variation(CV)and other data before and after training were compared.Results:The total pass rate was 25%,and the pass times were 1.30(1,1.75)before training.After training,the total pass rate was 90%,the pass times were 2.50(2,3)(P<0.05),and the difference was statistically significant(χ2=17.289,Z=-3.510).The qualification rates of pre-traction,pulling force and maximum force before training were 73.30%,36.70%and 26.70%respectively,and those after training were 95.00%,91.70%and 90.00%respectively(P<0.05),and those differences were statistically significant.After the training,the pass rate of lift and pull time,rotation amplitude and pitch amplitude were 0.079,0.591 and 0.094 respectively,with no statistical significance.The CV of pre-traction(15.41±5.42)N,pulling force(9.75±4.77)N and maximum force(19.15±6.72)N before training were 0.352,0.489 and 0.351 respectively,and the CV of pre-traction(16.46±1.44)N,pulling force(9.98±1.99)N and maximum force(26.70±3.72)N after training were 0.087,0.199 and 0.139 respectively.The mechanical parameters were more stable after training.Conclusion:The robot can be used in the standardized training of cervical vertebra rotation technique,and the training can reach the unified st

关 键 词：颈椎旋提手法 教学机器人 规范化培训 自身对照 

分 类 号：R681.5[医药卫生—骨科学]