机器人辅助训练对脑卒中患者康复效果的影响因素分析

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中图分类号 R49 R743.3文献标识码A文章编号 2096-7721（2026）03-0517-07

Analysis of influencing factors on the rehabilitation effect of robotassisted training in stroke patients

ANYue， JIANGMeiyu， CHEN Jingxia

（DepartmentofRehabiltationMedicine，QinuangdaoHospitalofekingUniversityThirdHospital，Qinghangdao660oCa）

AbstractObjectiveToinvestigatetheinfluencingfactorsontherehabiliationefftofrobot-assstedtraininginstrokepatients. Methods：A prospectivestudywasconducted toselect103 strokepatients whoreceivedrobot-assistedrehabilitation trainingat QinhuangdaoHospitalofPeking UniversityThirdHospitalfromMarch223toMarch2O25.Theefectsofrobot-asistedrehabiliation trainingnstrokepatientswithdiferentcharacteristicserecollctedandcompared.Multiplelinearregressionswasusedtoidentify independentfactorsafectingterehabilitationandquantifytheielationshipswithrehabilitationoutcomes.Adecisiontreemoelwas constructed toidentifykeypredictivevariables，andreceiveroperatingcharacteristic （ROC）curveswereplotedwithareauderthe curve （AUC）calculated toevaluatethepredictivevalueofthemodel.Results：At3monthsoftraining，themeanFgl-Meyerasssset （FMA）scoreofstrokepatientssgnificantlyincreasedcomparedtothatbeforetraining.Patientsaged5Oyears，withdiseaseduration <3 months， self-rating depression scale （SDS） score <53 ，Montreal cognitive assessment （MoCA） score ⩾26 ，and modified Barthel index （mBI） > 40 showed significantly better rehabilitation outcomes （P<0.05 .Multiple linear regression indicated that age，disease duration， SDS score，MoCA score， and mBI score were significant influencing factors （P<0.05） .The decision tree model identified disease duration， SDS，MoCAdsasdepntpictsofotsdbilietntsie durationbeingthemostsignificant.TheAUCfordiseasedurationinpredictingrehabiliationoutcomewasO.811（95%Cl：07895）， withsensiiviyieof4d7seb

cansignificantlypreorfucofroepaits.Isiestlyeedyge，seuratioio cognition，andctiviisofilyliingAmog，aseuratiosthostapactClicallrgeeditetio based on these risk factors can enhance the efficacy of robot-assisted rehabilitation.

Key WordsStroke; Robot-asssted Training; Rehabilitation; Influencing Factors

脑卒中作为全球范围内致残率最高的疾病之一，患者常遗留不同程度的运动功能障碍，严重影响其生活质量与社会参与[l。（剩余11698字）