中国医学装备2025，Vol.22Issue(11)：137-142,6.DOI:10.3969/j.issn.1672-8270.2025.11.023
人工智能康复系统联合远程医疗平台在长期昏迷患者个体化康复治疗中的效果分析
Analysis on the effect of AI rehabilitation system combined with telemedicine platform in individualized rehabilitation treatment for patients with long-term coma
摘要
Abstract
Objective:To analyze the applied effect of artificial intelligence(AI)rehabilitation system combined with telemedicine platform in individualized rehabilitation treatment for patients with long-term coma,so as to realize individual management for them.Methods:An AI rehabilitation system that aimed to patients with long-term coma was designed by integrating data of multimodal sensors included inertial sensor,image sensor and bioelectric sensor.A telemedicine platform,which included seven modules(patient management,consultation management,video communication,data transmission,electronic medical records,cost management and system maintenance),was designed by using a browser/server(B/S)architecture.The changes of patients'condition were followed up,and the full process of the management for rehabilitation treatment and the individualization of treatment plan were realized.A total of 60 inpatients whose coma duration exceeded 28 days were selected from the Coma Awakening Center of Dongguan Shipai Hospital between October 1,2021 and September 30,2022.They were randomly divided into control group(n=30)and observation group(n=30)by random number table.The control group received physical therapy and rehabilitation training based on evaluation results of rehabilitation,while the observation group adopted AI rehabilitation system combined with the telemedicine platform to conduct intervention.The consciousness levels,quality of life,hospital stay duration and treatment costs of two group were compared after intervention.Results:The Glasgow Coma Scale(GCS)scores,Coma Recovery Scale-Revised(CRS-R)scores,and Persistent Vegetative State(PVS)scores of two groups after intervention were significantly higher than those before intervention,and these indicators of observation group were significantly higher than them of control group after intervention,and the differences were significant(t=7.187,15.586,9.293,P<0.05),respectively.There were not significant differences in Glasgow Outcome Scale(GOS)scores and Activities of Daily Living(ADL)scores between two groups before intervention(P>0.05),and these scores of two groups were significantly increased after intervention,and these scores of observation group were significantly higher than them of control group after intervention,and the differences were significant(t=7.584,6.755,P<0.05).Additionally,the hospital stay duration and treatment costs of observation group were significantly less than those of control group,and the differences were significant(t=20.965,9.503,P<0.05).Conclusion:The intervention of AI rehabilitation system combines with a telemedicine platform on patients with long-term coma can enhance GCS,CRS-R,PVS,GOS and ADL scores,and reduce hospital stay duration and treatment cost.关键词
人工智能康复系统/循环神经网络(RNN)/远程医疗平台/长期昏迷/个体化干预/康复治疗Key words
Artificial intelligence(AI)rehabilitation system/Recurrent neural network(RNN)/Telemedicine platform/Long-term coma/Individual intervention/Rehabilitation treatment引用本文复制引用
邱伟祥,陈傍贵,王婉琴,蔡树雄,许超,黄利根,张波,孟兵..人工智能康复系统联合远程医疗平台在长期昏迷患者个体化康复治疗中的效果分析[J].中国医学装备,2025,22(11):137-142,6.基金项目
广东省中医药局科研项目(20232176) （20232176）
东莞市社会发展科技(重点)项目(20211800905332) Dongguan Social Development Science and Technology(Key)Project(20211800905332) （重点）
Research Project of the Administration of Traditional Chinese Medicine of Guangdong Province(20232176) （20232176）
