CN111341440B - Method for intelligent diagnosis and treatment and intelligent diagnosis and treatment system - Google Patents
Method for intelligent diagnosis and treatment and intelligent diagnosis and treatment system Download PDFInfo
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Abstract
Description
技术领域technical field
本发明医疗信息技术领域,尤其涉及一种用于智能诊疗的方法及智能诊疗系统。The invention relates to the technical field of medical information, in particular to a method for intelligent diagnosis and treatment and an intelligent diagnosis and treatment system.
背景技术Background technique
随着病患的日益增加,医生大多需面对多名患者,这就会使医生门诊时间变长,但应对每名患者的会诊时间过短,容易发生误诊或需医生反复多次检查,造成了医疗资源以及治疗时间的浪费。并且,对于护理人员,也会存在面对多名患者的情况,这就会造成护理步骤混乱,不能及时的对患者进行正确的护理,不利于患者的病情恢复。With the increasing number of patients, most doctors have to deal with multiple patients, which will make the doctor's outpatient service time longer, but the consultation time for each patient is too short, which is prone to misdiagnosis or requires repeated examinations by doctors, resulting in Waste of medical resources and treatment time. Moreover, for the nursing staff, there will also be a situation of facing many patients, which will cause confusion in the nursing steps, and the correct nursing of the patients cannot be performed in time, which is not conducive to the recovery of the patient's condition.
发明内容Contents of the invention
本发明所要解决的技术问题在于,提供一种用于智能诊疗的方法及智能诊疗系统,能够显著提高医生诊断病症的效率和医疗护理质量,优化医疗护理流程、提高护理工作效率。The technical problem to be solved by the present invention is to provide a method for intelligent diagnosis and treatment and an intelligent diagnosis and treatment system, which can significantly improve the efficiency of doctors in diagnosing diseases and the quality of medical care, optimize the medical care process, and improve the efficiency of nursing work.
为了解决上述技术问题,本发明第一方面公开了用于智能诊疗的方法,方法包括:响应于输入指令,获取输入指令对应的诊疗参数和个人信息;根据诊疗参数和个人信息生成诊疗信息;响应于诊断指令和/或护理指令,在诊疗信息中获取匹配的第一诊疗内容和/或第二诊疗内容输出。In order to solve the above technical problems, the first aspect of the present invention discloses a method for intelligent diagnosis and treatment. The method includes: responding to an input instruction, obtaining the diagnosis and treatment parameters and personal information corresponding to the input instruction; generating diagnosis and treatment information according to the diagnosis and treatment parameters and personal information; responding Based on the diagnosis instruction and/or the nursing instruction, the matched first diagnosis and treatment content and/or the second diagnosis and treatment content are outputted in the diagnosis and treatment information.
在一些实施方式中,根据诊疗参数和个人信息生成诊疗信息,包括:获取与个人信息关联的历史临床信息和/或当前临床信息;将诊疗参数在历史临床信息和/或当前临床信息进行相关度筛查,生成临床信息;根据诊断规则和所述临床信息生成诊疗信息。In some embodiments, generating diagnosis and treatment information according to diagnosis and treatment parameters and personal information includes: obtaining historical clinical information and/or current clinical information associated with personal information; correlating diagnosis and treatment parameters with historical clinical information and/or current clinical information Screening, generating clinical information; generating diagnosis and treatment information according to diagnostic rules and the clinical information.
在一些实施方式中,诊断规则包括:为各分支系统分配多个具有映射关系的病症类目;为病症类目的各病症名称分配具有映射关系的临床信息;为临床信息分配具有映射关系的诊疗信息。In some embodiments, the diagnosis rules include: assigning multiple disease categories with mapping relationships to each branch system; assigning clinical information with mapping relationships to each disease name of the disease category; assigning diagnosis and treatment with mapping relationships to clinical information information.
在一些实施方式中,上述方法还包括根据诊断规则和历史临床信息输出多个相关临床信息;获取确定的临床信息生成诊疗信息。In some embodiments, the above method further includes outputting a plurality of related clinical information according to the diagnostic rules and historical clinical information; obtaining the determined clinical information to generate diagnosis and treatment information.
在一实施方式中,上述方法还包括:根据诊断规则和当前临床信息输出多个相关病症类目;根据历史临床信息对多个相关病症类目进行筛选,生成确定的病症类目,根据确定的病症类目和诊断规则获取对应的诊疗信息。In one embodiment, the above method further includes: outputting a plurality of relevant disease categories according to diagnostic rules and current clinical information; screening multiple relevant disease categories according to historical clinical information to generate determined disease categories, and according to the determined Disease categories and diagnosis rules to obtain corresponding diagnosis and treatment information.
在一些实施方式中,第一诊疗内容为与诊断指令对应的病症名称、治疗原则、治疗方法的一种或多种的组合;第二诊疗内容为与护理指令对应的病症名称、护理措施、护理注意事项的一种或多种的组合。In some embodiments, the first diagnosis and treatment content is a combination of one or more of the disease name, treatment principle, and treatment method corresponding to the diagnosis instruction; the second diagnosis and treatment content is the disease name, nursing measures, and nursing care instructions corresponding to the nursing instruction. One or more combinations of considerations.
本发明第二方面公开了一种智能诊疗的系统,该系统包括:信息获取模块,用于响应于输入指令,获取输入指令对应的诊疗参数和个人信息,处理模块,用于根据诊疗参数和个人信息生成诊疗信息;显示模块,用于响应于诊断指令和/或护理指令,在诊疗信息中获取匹配的第一诊疗内容和/或第二诊疗内容输出。The second aspect of the present invention discloses a system of intelligent diagnosis and treatment, the system includes: an information acquisition module, used to respond to input instructions, to obtain the diagnosis and treatment parameters and personal information corresponding to the input instructions, and a processing module, used to obtain information based on the diagnosis and treatment parameters and personal information The information generates diagnosis and treatment information; the display module is used to obtain the matching first diagnosis and treatment content and/or second diagnosis and treatment content in the diagnosis and treatment information in response to the diagnosis instruction and/or nursing instruction and output.
在一些实施方式中,处理模块包括:获取单元,用于获取与个人信息关联的历史临床信息和/或当前临床信息;筛查单元,用于将诊疗参数在历史临床信息和/或当前临床信息进行相关度筛查,生成临床信息;生成单元,用于根据诊断规则和临床信息生成诊疗信息。。In some embodiments, the processing module includes: an acquisition unit, configured to acquire historical clinical information and/or current clinical information associated with personal information; a screening unit, configured to include the diagnosis and treatment parameters in the historical clinical information and/or current clinical information Carry out correlation screening to generate clinical information; a generation unit is used to generate diagnosis and treatment information according to diagnostic rules and clinical information. .
本发明第三方面公开了一种用于智能诊疗的装置,装置包括:The third aspect of the present invention discloses a device for intelligent diagnosis and treatment, which includes:
存储有可执行程序代码的存储器;a memory storing executable program code;
与所述存储器耦合的处理器;a processor coupled to the memory;
所述处理器调用所述存储器中存储的所述可执行程序代码,执行本发明第一方面任一所述的用于智能诊疗的方法。The processor invokes the executable program code stored in the memory to execute the method for intelligent diagnosis and treatment described in any one of the first aspects of the present invention.
本发明第四方面公开了计算机存储介质,所述计算机存储介质存储有计算机指令,所述计算机指令被调用时,用于执行本发明第一方面任一所述的用于智能诊疗的方法。The fourth aspect of the present invention discloses a computer storage medium. The computer storage medium stores computer instructions. When the computer instructions are invoked, they are used to execute the method for intelligent diagnosis and treatment described in any one of the first aspects of the present invention.
与现有技术相比,本发明的有益效果在于:Compared with prior art, the beneficial effect of the present invention is:
实施本发明能够为医护提供临床指导,仅通过单一的诊疗参数,就可以结合患者的临床实际情况,智能筛查出有用的诊疗信息供临床诊断和临床护理的双向选择,由此可以显著提高医生诊断病症的效率和医疗护理质量,优化医疗护理流程、提高护理工作效率。The implementation of the present invention can provide clinical guidance for doctors and nurses. Only through a single diagnosis and treatment parameter, combined with the actual clinical situation of the patient, useful diagnosis and treatment information can be intelligently screened out for the two-way selection of clinical diagnosis and clinical care, thereby significantly improving the efficiency of doctors. The efficiency of diagnosing diseases and the quality of medical care, optimizing the medical care process and improving the efficiency of nursing work.
附图说明Description of drawings
图1为本发明实施例公开的一种用于智能诊疗的方法的流程示意图;Fig. 1 is a schematic flowchart of a method for intelligent diagnosis and treatment disclosed in an embodiment of the present invention;
图2为本发明实施例公开的另一种用于智能诊疗的方法的流程示意图;Fig. 2 is a schematic flowchart of another method for intelligent diagnosis and treatment disclosed in the embodiment of the present invention;
图3为本发明实施例公开的另一种用于智能诊疗的方法的流程示意图;Fig. 3 is a schematic flowchart of another method for intelligent diagnosis and treatment disclosed in the embodiment of the present invention;
图4为本发明实施例公开的一种智能诊疗系统的原理示意图;Fig. 4 is a schematic diagram of the principle of an intelligent diagnosis and treatment system disclosed in an embodiment of the present invention;
图5是本发明实施例公开的一种智能诊疗装置的结构示意图。Fig. 5 is a schematic structural diagram of an intelligent diagnosis and treatment device disclosed in an embodiment of the present invention.
具体实施方式Detailed ways
为了更好地理解和实施,下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。For better understanding and implementation, the technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention. rather than all examples. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.
本发明实施例的术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列步骤或模块的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或模块,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或模块。The terms "comprising" and "having" and any variations thereof in the embodiments of the present invention are intended to cover a non-exclusive inclusion, for example, a process, method, system, product or device comprising a series of steps or modules is not necessarily limited to expressly Instead, other steps or modules not explicitly listed or inherent to the process, method, product or apparatus may be included.
本发明实施例公开了一种用于智能诊疗的方法及智能诊疗系统,能够显著提高医生诊断病症的效率和医疗护理质量,优化医疗护理流程、提高护理工作效率。The embodiment of the invention discloses a method for intelligent diagnosis and treatment and an intelligent diagnosis and treatment system, which can significantly improve the efficiency of doctors in diagnosing diseases and the quality of medical care, optimize the medical care process, and improve the efficiency of nursing work.
实施例一Embodiment one
请参阅图1,图1为本发明实施例公开的一种用于智能诊疗的方法的流程示意图。其中,图1所描述的方法可以应用于医疗联网系统中,可选的,该医疗联网系统可以为医院使用的局域网系统,也可以为家庭医生使用的定制系统,本发明实施例不做限定。如图1所示,该用于智能诊疗的方法可以包括以下步骤:Please refer to FIG. 1 . FIG. 1 is a schematic flowchart of a method for intelligent diagnosis and treatment disclosed in an embodiment of the present invention. Wherein, the method described in FIG. 1 can be applied to a medical networking system. Optionally, the medical networking system can be a local area network system used by a hospital, or a customized system used by a family doctor, which is not limited in the embodiment of the present invention. As shown in Figure 1, the method for intelligent diagnosis and treatment may include the following steps:
101、响应于输入指令,获取输入指令对应的诊疗参数和个人信息。101. In response to an input instruction, acquire the diagnosis and treatment parameters and personal information corresponding to the input instruction.
其中,诊疗参数包含有血压检测值、血糖检测值、血红蛋白检测值等指标参数,需要说明的是,对于诊断参数的个数,本发明不做限定,一般地,仅通过输入单一的诊疗参数就可以进行下述步骤的操作。个人信息包括患者姓名、性别、年龄、住院号等。Among them, the diagnosis and treatment parameters include index parameters such as blood pressure detection value, blood sugar detection value, and hemoglobin detection value. It should be noted that the present invention does not limit the number of diagnosis parameters. Generally, only by entering a single diagnosis and treatment parameter. The following steps can be performed. Personal information includes patient name, gender, age, hospital number, etc.
可选地,作为一种优选实施方式,个人信息的采集方式可以通过输入指令的方式手动录入,也可以同步医院系统直接导入,对于已经导入的个人信息,即为既往入院病人,则可以直接提取。Optionally, as a preferred implementation, personal information can be collected manually by inputting instructions, or it can be imported directly by synchronizing with the hospital system. For the imported personal information, that is, patients who have been admitted to the hospital before, they can be directly extracted .
102、根据诊疗参数和个人信息生成诊疗信息。102. Generate diagnosis and treatment information according to diagnosis and treatment parameters and personal information.
首先,获取个人信息关联的历史临床信息和/或当前临床信息。对于已经在医疗系统中登记过的,与个人信息关联的历史临床信息可以直接通过医疗系统进行联网获取,即将个人信息输入到医疗系统中,就会得到病患的既往的临床信息。对于初次登记在医疗系统中的病患,就会由医生与其进行问询,手动记录病患的当前临床信息。对于具有新发症状的病患,可以同时获取个人信息关联的历史临床信息和当前临床信息,以便于得到的诊疗信息更加精准。Firstly, historical clinical information and/or current clinical information associated with personal information is obtained. For those who have been registered in the medical system, the historical clinical information associated with personal information can be obtained directly through the medical system, that is, the personal information is input into the medical system, and the patient's past clinical information will be obtained. For patients registered in the medical system for the first time, doctors will conduct inquiries with them and manually record the current clinical information of the patients. For patients with new symptoms, historical clinical information and current clinical information associated with personal information can be obtained at the same time, so that the obtained diagnosis and treatment information is more accurate.
进一步地,将诊疗参数在获取的历史临床信息和当前临床信息进行相关度筛查,生成临床信息,其中,该相关度筛查是指将获取的诊疗参数,例如血压值、血糖值与历史临床信息和当前临床信息中包含的与诊疗参数相关的信息进行筛查,例如,输入指令包含的诊疗参数为血糖值33.0mmol/L,在历史临床信息和当前临床信息中筛查出该病患的血糖值波动范围或与血糖值浮动有关的症状,将其提取出作为临床信息。Further, the diagnosis and treatment parameters are screened for correlation between the acquired historical clinical information and current clinical information to generate clinical information, wherein the correlation screening refers to the acquired diagnosis and treatment parameters, such as blood pressure value, blood sugar value and historical clinical information. Information related to the diagnosis and treatment parameters included in the information and current clinical information, for example, the diagnosis and treatment parameters contained in the input instruction are blood glucose value 33.0mmol/L, and the patient’s diagnosis and treatment parameters are screened out from the historical clinical information and current clinical information. The fluctuation range of the blood sugar level or the symptoms related to the fluctuation of the blood sugar level are extracted as clinical information.
进一步地,根据诊断规则和临床信息自动生成诊疗信息。其中,诊断规则包括:为各分支系统分配多个具有映射关系的病症类目;为病症类目的各病症名称分配具有映射关系的临床信息;为临床信息分配具有映射关系的诊疗信息。该诊断规则可以实现为供医护人员学习的知识库。Further, diagnosis and treatment information is automatically generated according to diagnosis rules and clinical information. Among them, the diagnosis rules include: assigning multiple disease categories with mapping relationship to each branch system; assigning clinical information with mapping relationship to each disease name of the disease category; assigning diagnosis and treatment information with mapping relationship to clinical information. The diagnostic rules can be implemented as a knowledge base for medical staff to learn.
该诊断规则可以参见如下的实施方式:The diagnostic rules can refer to the following implementation methods:
以不同的分支系统为主体单位,呈树状图向下各分支延伸。该分支系统包括:呼吸系统,消化系统,循环系统,内分泌系统等一种或多种的组合。With different branch systems as the main unit, it extends downward to each branch in a tree diagram. The branch system includes: one or more combination of respiratory system, digestive system, circulatory system, endocrine system, etc.
以循环系统为例,其下对应多个病症类目,例如包括高血压、冠心病、急性脑血管病、心力衰竭、心律失常、风湿性心脏病等一种或多种的组合。对于不同的病症类目具体不同的临床信息的表现形式,以心力衰竭为例,临床信息包括疲乏、运动耐力明显减低、劳力性呼吸困难、夜间阵发性呼吸困难、端坐呼吸、喘息不止、烦躁不安、频繁咳嗽并咯出大量粉红色泡沫样痰等。对于不同的临床信息分配有不同的诊疗信息,在本实施方式中,为了克服现有技术中仅具有单一的医生面诊使用的智能医疗系统,而对于护理人员并无专业的指导问题,诊疗信息由两部分组成,其包括第一诊疗内容和第二诊疗内容。Taking the circulatory system as an example, it corresponds to multiple disease categories, such as hypertension, coronary heart disease, acute cerebrovascular disease, heart failure, arrhythmia, rheumatic heart disease and other one or more combinations. For different disease categories, there are different forms of clinical information. Taking heart failure as an example, the clinical information includes fatigue, significantly reduced exercise tolerance, exertional dyspnea, paroxysmal nocturnal dyspnea, orthopnea, wheezing, Irritability, frequent coughing and expectoration of a large amount of pink foamy sputum, etc. Different clinical information is allocated with different diagnosis and treatment information. In this embodiment, in order to overcome the intelligent medical system that only has a single doctor's face-to-face consultation in the prior art, and there is no professional guidance for nursing staff, the diagnosis and treatment information It consists of two parts, including the first diagnosis and treatment content and the second diagnosis and treatment content.
可选地,第一诊疗内容包括病症名称、治疗原则、治疗方法的一种或多种的组合;第二诊疗内容包括病症名称、护理措施、护理注意事项的一种或多种的组合。Optionally, the first diagnosis and treatment content includes a combination of one or more of disease names, treatment principles, and treatment methods; the second diagnosis and treatment content includes a combination of one or more of disease names, nursing measures, and nursing precautions.
示例性地,对于根据上述的临床信息和诊断规则诊断为病症糖尿病酮症酸中毒的诊疗信息包括的第一诊疗内容为:Exemplarily, the first diagnosis and treatment content included in the diagnosis and treatment information for the diagnosis of diabetic ketoacidosis according to the above clinical information and diagnosis rules is:
病症名称:病症糖尿病酮症酸中毒Disease name: Diabetic ketoacidosis
治疗原则:纠正水和电解质失衡,纠正酸中毒,补充胰岛素促进葡萄糖利用,并寻找和去除诱发酮症酸中毒的应激因素。Treatment principles: correct water and electrolyte imbalance, correct acidosis, supplement insulin to promote glucose utilization, and find and remove stress factors that induce ketoacidosis.
治疗方法:补液原则上先快后慢。当血糖大于16.7毫摩尔/升时,采用生理盐水加胰岛素,以每小时500~1000毫升速度静脉滴注;定时监测血糖,当血糖为13.9毫摩尔/升时,可改为葡萄糖液加胰岛素静脉滴注,速度减慢。当血PH值为7.0或伴有高血钾时,应给予碱性药物,以碳酸氢钠溶液为宜。补减量不宣过多,速度不宜过快不可将胰岛素置入碱性溶液内,以免药物失效。Treatment method: In principle, rehydration should be fast first and then slow. When the blood sugar is greater than 16.7 mmol/L, use normal saline plus insulin, intravenous infusion at a rate of 500-1000 ml per hour; monitor blood sugar regularly, when the blood sugar is 13.9 mmol/L, it can be changed to glucose solution plus insulin intravenously Drip, slow down. When the blood pH value is 7.0 or accompanied by hyperkalemia, alkaline drugs should be given, preferably sodium bicarbonate solution. Do not add too much, and the speed should not be too fast. Insulin should not be placed in alkaline solution to avoid drug failure.
其它:对症处理及消除诱因。Others: Symptomatic treatment and elimination of incentives.
第二诊疗内容为:The content of the second diagnosis and treatment is:
病症名称:病症糖尿病酮症酸中毒Disease name: Diabetic ketoacidosis
护理措施:Nursing measures:
1.绝对卧床休息,应立即配合抢救治疗。1. Absolute bed rest, should cooperate with rescue treatment immediately.
2.快速建立静脉通路,纠正水、电解质及酸碱平衡失调,纠正酮症症状。2. Quickly establish venous access, correct water, electrolyte and acid-base balance disorders, and correct symptoms of ketosis.
3.遵医嘱运用正规胰岛素。小剂量胰岛素应用时抽吸剂量要正确,以减少低血糖、低血钾、脑水肿的发生。3. Follow the doctor's advice to use regular insulin. When applying small doses of insulin, the suction dose should be correct to reduce the occurrence of hypoglycemia, hypokalemia, and cerebral edema.
4.协助处理诱发病和并发症,严密观察生命体征、神志、瞳孔(见昏迷护理常规),协助做好血糖的测定和记录。4. Assist in the treatment of induced diseases and complications, closely observe vital signs, consciousness, and pupils (see coma nursing routine), and assist in the measurement and recording of blood sugar.
5.饮食护理禁食,待症状缓解后改糖尿病半流质或糖尿病饮食5. Diet care fasting, after the symptoms are relieved, change to a diabetic semi-liquid or diabetic diet
6.预防感染,必须做好口腔及皮肤护理,保持皮肤清洁,预防褥疮和继发感染,女性患者应保持外阴部的清洁6. To prevent infection, oral and skin care must be taken, and the skin should be kept clean to prevent bedsores and secondary infections. Female patients should keep their genitals clean
7.神经病变的护理,控制糖尿病,应用大量维生素B局部按摩及理疗,对皮肤感觉消失者应注意防止损伤。7. Nursing of neuropathy, controlling diabetes, applying a large amount of vitamin B for local massage and physical therapy, and those who lose skin sensation should pay attention to prevent damage.
作为一种优选实施方式,当根据诊断规则和临床信息自动生成诊疗信息后,还根据个人信息进行筛查生成其他诊断信息。示例性地,患者血糖过高,单独根据单一输入的诊疗参数血糖值,得出的诊断信息中病症名称包括有糖尿病(几种类型的糖尿病)、糖耐量异常、甲亢等诊断,但如果结合患者的个人信息,为女性,同时有妊娠,那么就会进一步地根据诊断规则进行筛查确定诊疗信息为妊娠糖尿病。如果患者为男性,则排除妊娠糖尿病的诊断,而是考虑为其他诊断信息。由此,可以使得确定的诊疗信息更加准确,有利于实习医生等学习。As a preferred implementation, after the diagnosis and treatment information is automatically generated according to the diagnosis rules and clinical information, other diagnosis information is also generated by screening according to the personal information. Exemplarily, the patient's blood sugar is too high. According to the blood sugar value of a single input diagnosis and treatment parameter, the name of the disease in the diagnosis information includes diabetes (several types of diabetes), abnormal glucose tolerance, hyperthyroidism, etc., but if combined with the patient If the personal information is female and pregnant at the same time, then further screening will be carried out according to the diagnostic rules to determine that the diagnosis and treatment information is gestational diabetes. If the patient is male, exclude the diagnosis of gestational diabetes and consider other diagnostic information instead. As a result, the determined diagnosis and treatment information can be made more accurate, which is conducive to the learning of interns and the like.
103、响应于诊断指令和/或护理指令,在诊疗信息中获取匹配的第一诊疗内容和/或第二诊疗内容输出。103. In response to the diagnosis instruction and/or the nursing instruction, obtain the matching first diagnosis and treatment content and/or the second diagnosis and treatment content from the diagnosis and treatment information, and output.
当获取诊疗信息后,可以通过在诊断的病症名称后设置两个交互按键选项“医学”和“护理”,医生或护理人员可以通过点击显示屏或语音交互的方式进行选择。当选择“医学”选项就会形成诊断指令,接收到这一诊断指令,就可以获取包含病症名称、治疗原则、治疗方法等的第一诊疗内容。After obtaining the diagnosis and treatment information, you can set two interactive button options "medicine" and "nursing" after the name of the diagnosed disease, and doctors or nurses can choose by clicking on the display screen or voice interaction. When the "medicine" option is selected, a diagnosis instruction will be formed. After receiving this diagnosis instruction, the first diagnosis and treatment content including the disease name, treatment principle, treatment method, etc. can be obtained.
可选地,当选择“护理”选项就会形成护理指令,接收到这一护理指令,就可以获取包含病症名称、护理措施、护理注意事项的第二诊疗内容。Optionally, when the "Nursing" option is selected, a nursing instruction will be formed. After receiving this nursing instruction, the second diagnosis and treatment content including the name of the disease, nursing measures, and nursing precautions can be obtained.
可选地,当同时选择“医学”和“护理”选项,则会获取包含病症名称、治疗原则、治疗方法等的第一诊疗内容和包含病症名称、护理措施、护理注意事项的第二诊疗内容。Optionally, when the "medicine" and "nursing" options are selected at the same time, the first diagnosis and treatment content including disease name, treatment principle, treatment method, etc. and the second diagnosis and treatment content including disease name, nursing measures, and nursing precautions will be obtained .
根据本实施例提供的用于智能诊疗的方法,能够为医护提供临床指导并且还能为护理人员提供专业指导。仅通过单一的诊疗参数,就可以结合患者的临床实际情况,智能筛查出有用的诊疗信息供临床诊断和临床护理的双向选择,由此可以显著提高医生诊断病症的效率和医疗护理质量,优化医疗护理流程、提高护理工作效率。According to the method for intelligent diagnosis and treatment provided in this embodiment, clinical guidance can be provided for doctors and nurses, and professional guidance can also be provided for nursing staff. Only through a single diagnosis and treatment parameter, combined with the actual clinical situation of the patient, useful diagnosis and treatment information can be intelligently screened for the two-way selection of clinical diagnosis and clinical care, which can significantly improve the efficiency of doctors' diagnosis of diseases and the quality of medical care. Medical care process, improve nursing work efficiency.
实施例二Embodiment two
请参阅图2,图2为本发明实施例公开的一种用于智能诊疗的方法的流程示意图。其中,图2所描述的方法可以应用于医疗联网系统中,可选的,该医疗联网系统可以为医院使用的局域网系统,也可以为家庭医生使用的定制系统,本发明实施例不做限定。如图2所示,该用于智能诊疗的方法可以包括以下步骤:Please refer to FIG. 2 . FIG. 2 is a schematic flowchart of a method for intelligent diagnosis and treatment disclosed in an embodiment of the present invention. Wherein, the method described in FIG. 2 can be applied to a medical networking system. Optionally, the medical networking system can be a local area network system used by a hospital, or a customized system used by a family doctor, which is not limited in the embodiment of the present invention. As shown in Figure 2, the method for intelligent diagnosis and treatment may include the following steps:
201、响应于输入指令,获取输入指令对应的个人信息。201. In response to an input instruction, acquire personal information corresponding to the input instruction.
其中,个人信息包括患者姓名、性别、年龄、住院号等。Among them, personal information includes patient name, gender, age, hospital number, etc.
可选地,作为一种优选实施方式,个人信息的采集方式可以通过输入指令的方式手动录入,也可以同步医院系统直接导入,对于已经导入的个人信息,即为既往入院病人,则可以直接提取。Optionally, as a preferred implementation, personal information can be collected manually by inputting instructions, or it can be imported directly by synchronizing with the hospital system. For the imported personal information, that is, patients who have been admitted to the hospital before, they can be directly extracted .
202、根据诊断规则和历史临床信息输出多个相关临床信息。在本实施例中,默认病患已经在医疗系统中登记过,与个人信息关联的历史临床信息可以直接通过医疗系统进行联网获取,即将个人信息输入到医疗系统中,就会得到病患的既往的临床信息即历史临床信息。202. Output a plurality of relevant clinical information according to the diagnostic rules and historical clinical information. In this embodiment, the patient has been registered in the medical system by default, and the historical clinical information associated with the personal information can be obtained directly through the medical system. The clinical information is the historical clinical information.
其中,诊断规则包括:为各分支系统分配多个具有映射关系的病症类目;为病症类目的各病症名称分配具有映射关系的临床信息;为临床信息分配具有映射关系的诊疗信息。该诊断规则可以实现为供医护人员学习的知识库。Among them, the diagnosis rules include: assigning multiple disease categories with mapping relationship to each branch system; assigning clinical information with mapping relationship to each disease name of the disease category; assigning diagnosis and treatment information with mapping relationship to clinical information. The diagnostic rules can be implemented as a knowledge base for medical staff to learn.
该诊断规则可以参见如下的实施方式:The diagnostic rules can refer to the following implementation methods:
以不同的分支系统为主体单位,呈树状图向下各分支延伸。该分支系统包括:呼吸系统,消化系统,循环系统,内分泌系统等一种或多种的组合。With different branch systems as the main unit, it extends downward to each branch in a tree diagram. The branch system includes: one or more combination of respiratory system, digestive system, circulatory system, endocrine system, etc.
以循环系统为例,其下对应多个病症类目,例如包括高血压、冠心病、急性脑血管病、心力衰竭、心律失常、风湿性心脏病等一种或多种的组合。对于不同的病症类目具体不同的临床信息的表现形式,以心力衰竭为例,临床信息包括疲乏、运动耐力明显减低、劳力性呼吸困难、夜间阵发性呼吸困难、端坐呼吸、喘息不止、烦躁不安、频繁咳嗽并咯出大量粉红色泡沫样痰等。对于不同的临床信息分配有不同的诊疗信息,在本实施方式中,为了克服现有技术中仅具有单一的医生面诊使用的智能医疗系统,而对于护理人员并无专业的指导问题,诊疗信息由两部分组成,其包括第一诊疗内容和第二诊疗内容。Taking the circulatory system as an example, it corresponds to multiple disease categories, such as hypertension, coronary heart disease, acute cerebrovascular disease, heart failure, arrhythmia, rheumatic heart disease and other one or more combinations. For different disease categories, there are different forms of clinical information. Taking heart failure as an example, the clinical information includes fatigue, significantly reduced exercise tolerance, exertional dyspnea, paroxysmal nocturnal dyspnea, orthopnea, wheezing, Irritability, frequent coughing and expectoration of a large amount of pink foamy sputum, etc. Different clinical information is allocated with different diagnosis and treatment information. In this embodiment, in order to overcome the intelligent medical system that only has a single doctor's face-to-face consultation in the prior art, and there is no professional guidance for nursing staff, the diagnosis and treatment information It consists of two parts, including the first diagnosis and treatment content and the second diagnosis and treatment content.
根据病患的历史临床信息就可以对应获取到相关的临床表现,并且提供多种临床表现以弹窗的方式供用户选择。According to the historical clinical information of the patient, the relevant clinical manifestations can be obtained correspondingly, and a variety of clinical manifestations are provided for users to choose in the form of pop-up windows.
203、获取确定的临床信息生成诊疗信息。203. Obtain the determined clinical information to generate diagnosis and treatment information.
当用户在多种临床表现中选择确定的临床信息后,就会根据确定的临床信息和诊断规则生成更加准确的诊疗信息。When the user selects certain clinical information among various clinical manifestations, more accurate diagnosis and treatment information will be generated based on the certain clinical information and diagnostic rules.
示例性地,在根据历史临床信息和诊断规则获取的病症名称为糖尿病,则会自动弹出多饮、多食、多尿、体重减轻,口干口苦、血糖波动范围等临床信息供用户选择,用户(医生、护理人员)根据患者的描述或对患者的观察选择出多饮、多食、多尿,则勾选这三个临床表现,那么就会直接获取更加符合病患当前疾病状态的诊疗信息。For example, when the disease name obtained according to historical clinical information and diagnostic rules is diabetes, clinical information such as polydipsia, polyphagia, polyuria, weight loss, dry mouth, and blood sugar fluctuation range will automatically pop up for users to choose. Users (doctors, nurses) select polydipsia, polyphagia, and polyuria based on the patient's description or observation of the patient, and then check these three clinical manifestations, then they will directly obtain the diagnosis and treatment that is more in line with the patient's current disease state information.
204、响应于诊断指令和/或护理指令,在诊疗信息中获取匹配的第一诊疗内容和/或第二诊疗内容输出。当获取诊疗信息后,可以通过在诊断的病症名称后设置两个交互按键选项“医学”和“护理”,医生或护理人员可以通过点击显示屏或语音交互的方式进行选择。当选择“医学”选项就会形成诊断指令,接收到这一诊断指令,就可以获取包含病症名称、治疗原则、治疗方法等的第一诊疗内容。204. In response to the diagnosis instruction and/or the nursing instruction, obtain the matching first diagnosis and treatment content and/or the second diagnosis and treatment content from the diagnosis and treatment information, and output. After obtaining the diagnosis and treatment information, you can set two interactive button options "medicine" and "nursing" after the name of the diagnosed disease, and doctors or nurses can choose by clicking on the display screen or voice interaction. When the "medicine" option is selected, a diagnosis instruction will be formed. After receiving this diagnosis instruction, the first diagnosis and treatment content including the disease name, treatment principle, treatment method, etc. can be obtained.
可选地,当选择“护理”选项就会形成护理指令,接收到这一护理指令,就可以获取包含病症名称、护理措施、护理注意事项的第二诊疗内容。Optionally, when the "Nursing" option is selected, a nursing instruction will be formed. After receiving this nursing instruction, the second diagnosis and treatment content including the name of the disease, nursing measures, and nursing precautions can be obtained.
可选地,当同时选择“医学”和“护理”选项,则会获取包含病症名称、治疗原则、治疗方法等的第一诊疗内容和包含病症名称、护理措施、护理注意事项的第二诊疗内容。Optionally, when the "medicine" and "nursing" options are selected at the same time, the first diagnosis and treatment content including disease name, treatment principle, treatment method, etc. and the second diagnosis and treatment content including disease name, nursing measures, and nursing precautions will be obtained .
根据本实施例提供的用于智能诊疗的方法,能够为医护提供临床指导并且还能为护理人员提供专业指导。仅通过单一的诊疗参数,就可以结合患者的临床实际情况,智能筛查出有用的诊疗信息供临床诊断和临床护理的双向选择,由此可以显著提高医生诊断病症的效率和医疗护理质量,优化医疗护理流程、提高护理工作效率。According to the method for intelligent diagnosis and treatment provided in this embodiment, clinical guidance can be provided for doctors and nurses, and professional guidance can also be provided for nursing staff. Only through a single diagnosis and treatment parameter, combined with the actual clinical situation of the patient, useful diagnosis and treatment information can be intelligently screened for the two-way selection of clinical diagnosis and clinical care, which can significantly improve the efficiency of doctors' diagnosis of diseases and the quality of medical care. Medical care process, improve nursing work efficiency.
实施例三Embodiment Three
请参阅图3,图3为本发明实施例公开的一种用于智能诊疗的方法的流程示意图。其中,图3所描述的方法可以应用于医疗联网系统中,可选的,该医疗联网系统可以为医院使用的局域网系统,也可以为家庭医生使用的定制系统,本发明实施例不做限定。如图3所示,该用于智能诊疗的方法可以包括以下步骤:Please refer to FIG. 3 . FIG. 3 is a schematic flowchart of a method for intelligent diagnosis and treatment disclosed in an embodiment of the present invention. Wherein, the method described in FIG. 3 can be applied to a medical networking system. Optionally, the medical networking system can be a local area network system used by a hospital, or a customized system used by a family doctor, which is not limited in the embodiment of the present invention. As shown in Figure 3, the method for intelligent diagnosis and treatment may include the following steps:
301、响应于输入指令,获取输入指令对应的个人信息。301. In response to an input instruction, acquire personal information corresponding to the input instruction.
其中,个人信息包括患者姓名、性别、年龄、住院号等。Among them, personal information includes patient name, gender, age, hospital number, etc.
可选地,作为一种优选实施方式,个人信息的采集方式可以通过输入指令的方式手动录入,也可以同步医院系统直接导入,对于已经导入的个人信息,即为既往入院病人,则可以直接提取。Optionally, as a preferred implementation, personal information can be collected manually by inputting instructions, or it can be imported directly by synchronizing with the hospital system. For the imported personal information, that is, patients who have been admitted to the hospital before, they can be directly extracted .
302、根据诊断规则和当前临床信息输出多个相关病症类目。302. Output multiple relevant disease categories according to the diagnostic rules and current clinical information.
其中,诊断规则包括:为各分支系统分配多个具有映射关系的病症类目;为病症类目的各病症名称分配具有映射关系的临床信息;为临床信息分配具有映射关系的诊疗信息。该诊断规则可以实现为供医护人员学习的知识库。Among them, the diagnosis rules include: assigning multiple disease categories with mapping relationship to each branch system; assigning clinical information with mapping relationship to each disease name of the disease category; assigning diagnosis and treatment information with mapping relationship to clinical information. The diagnostic rules can be implemented as a knowledge base for medical staff to learn.
该诊断规则可以参见如下的实施方式:The diagnostic rules can refer to the following implementation methods:
以不同的分支系统为主体单位,呈树状图向下各分支延伸。该分支系统包括:呼吸系统,消化系统,循环系统,内分泌系统等一种或多种的组合。With different branch systems as the main unit, it extends downward to each branch in a tree diagram. The branch system includes: one or more combination of respiratory system, digestive system, circulatory system, endocrine system, etc.
以循环系统为例,其下对应多个病症类目,例如包括高血压、冠心病、急性脑血管病、心力衰竭、心律失常、风湿性心脏病等一种或多种的组合。对于不同的病症类目具体不同的临床信息的表现形式,以心力衰竭为例,临床信息包括疲乏、运动耐力明显减低、劳力性呼吸困难、夜间阵发性呼吸困难、端坐呼吸、喘息不止、烦躁不安、频繁咳嗽并咯出大量粉红色泡沫样痰等。对于不同的临床信息分配有不同的诊疗信息,在本实施方式中,为了克服现有技术中仅具有单一的医生面诊使用的智能医疗系统,而对于护理人员并无专业的指导问题,诊疗信息由两部分组成,其包括第一诊疗内容和第二诊疗内容。Taking the circulatory system as an example, it corresponds to multiple disease categories, such as hypertension, coronary heart disease, acute cerebrovascular disease, heart failure, arrhythmia, rheumatic heart disease and other one or more combinations. For different disease categories, there are different forms of clinical information. Taking heart failure as an example, the clinical information includes fatigue, significantly reduced exercise tolerance, exertional dyspnea, paroxysmal nocturnal dyspnea, orthopnea, wheezing, Irritability, frequent coughing and expectoration of a large amount of pink foamy sputum, etc. Different clinical information is allocated with different diagnosis and treatment information. In this embodiment, in order to overcome the intelligent medical system that only has a single doctor's face-to-face consultation in the prior art, and there is no professional guidance for nursing staff, the diagnosis and treatment information It consists of two parts, including the first diagnosis and treatment content and the second diagnosis and treatment content.
对于初次登记在医疗系统中的病患,由医生与其进行问询,手动记录病患的当前临床信息例如有多饮,多食,消瘦等症状,那么根据诊断规则就可以提示初步诊断为糖尿病,甲亢等多个相关病症类目。For patients registered in the medical system for the first time, the doctor will inquire with them and manually record the current clinical information of the patient, such as polydipsia, polyphagia, weight loss and other symptoms, then the initial diagnosis of diabetes can be prompted according to the diagnostic rules. Hyperthyroidism and other related disease categories.
303、根据历史临床信息对多个相关病症类目进行筛选,生成确定的病症类目输出。该历史临床信息可以调用病患在医疗系统中的记录,当结合更加详细的近期历史临床信息就可以缩小诊断范围,生成最终的病症类目。303. Screen a plurality of relevant disease categories according to historical clinical information, and generate a determined disease category output. This historical clinical information can call the patient's records in the medical system. When combined with more detailed recent historical clinical information, the scope of diagnosis can be narrowed down to generate the final disease category.
304、根据确定的病症类目和诊断规则获取对应的诊疗信息。304. Obtain corresponding diagnosis and treatment information according to the determined disease category and diagnosis rules.
305、响应于诊断指令和/或护理指令,在诊疗信息中获取匹配的第一诊疗内容和/或第二诊疗内容输出。当获取诊疗信息后,可以通过在诊断的病症名称后设置两个交互按键选项“医学”和“护理”,医生或护理人员可以通过点击显示屏或语音交互的方式进行选择。当选择“医学”选项就会形成诊断指令,接收到这一诊断指令,就可以获取包含病症名称、治疗原则、治疗方法等的第一诊疗内容。305. In response to the diagnosis instruction and/or the nursing instruction, obtain the matching first diagnosis and treatment content and/or the second diagnosis and treatment content from the diagnosis and treatment information, and output. After obtaining the diagnosis and treatment information, you can set two interactive button options "medicine" and "nursing" after the name of the diagnosed disease, and doctors or nurses can choose by clicking on the display screen or voice interaction. When the "medicine" option is selected, a diagnosis instruction will be formed. After receiving this diagnosis instruction, the first diagnosis and treatment content including the disease name, treatment principle, treatment method, etc. can be obtained.
可选地,当选择“护理”选项就会形成护理指令,接收到这一护理指令,就可以获取包含病症名称、护理措施、护理注意事项的第二诊疗内容。Optionally, when the "Nursing" option is selected, a nursing instruction will be formed. After receiving this nursing instruction, the second diagnosis and treatment content including the name of the disease, nursing measures, and nursing precautions can be obtained.
可选地,当同时选择“医学”和“护理”选项,则会获取包含病症名称、治疗原则、治疗方法等的第一诊疗内容和包含病症名称、护理措施、护理注意事项的第二诊疗内容。Optionally, when the "medicine" and "nursing" options are selected at the same time, the first diagnosis and treatment content including disease name, treatment principle, treatment method, etc. and the second diagnosis and treatment content including disease name, nursing measures, and nursing precautions will be obtained .
根据本实施例提供的用于智能诊疗的方法,能够为医护提供临床指导并且还能为护理人员提供专业指导。仅通过单一的诊疗参数,就可以结合患者的临床实际情况,智能筛查出有用的诊疗信息供临床诊断和临床护理的双向选择,由此可以显著提高医生诊断病症的效率和医疗护理质量,优化医疗护理流程、提高护理工作效率。According to the method for intelligent diagnosis and treatment provided in this embodiment, clinical guidance can be provided for doctors and nurses, and professional guidance can also be provided for nursing staff. Only through a single diagnosis and treatment parameter, combined with the actual clinical situation of the patient, useful diagnosis and treatment information can be intelligently screened for the two-way selection of clinical diagnosis and clinical care, which can significantly improve the efficiency of doctors' diagnosis of diseases and the quality of medical care. Medical care process, improve nursing work efficiency.
实施例四Embodiment four
请参阅图4,图4为本发明实施例公开的一种智能诊疗系统原理示意图。其中。如图4所示,该智能诊疗系统包括:Please refer to FIG. 4 . FIG. 4 is a schematic diagram of the principle of an intelligent diagnosis and treatment system disclosed in an embodiment of the present invention. in. As shown in Figure 4, the intelligent diagnosis and treatment system includes:
信息获取模块401,用于响应于输入指令,获取输入指令对应的诊疗参数和个人信息。The information obtaining module 401 is configured to obtain the medical parameters and personal information corresponding to the input instruction in response to the input instruction.
处理模块402,用于根据诊疗参数和个人信息生成诊疗信息。The processing module 402 is configured to generate diagnosis and treatment information according to diagnosis and treatment parameters and personal information.
显示模块403,用于响应于诊断指令和/或护理指令,在所述诊疗信息中获取匹配的第一诊疗内容和/或第二诊疗内容输出。The display module 403 is configured to, in response to the diagnosis instruction and/or the nursing instruction, obtain and output the matched first diagnosis and treatment content and/or the second diagnosis and treatment content in the diagnosis and treatment information.
作为一种可选实施方式,信息获取模块401中,个人信息包括患者姓名、性别、年龄、住院号等,个人信息的采集方式可以通过输入指令的方式手动录入,也可以同步医院系统直接导入,对于已经导入的个人信息,即为既往入院病人,则可以直接提取。As an optional implementation, in the information acquisition module 401, the personal information includes the patient's name, gender, age, hospital number, etc. The collection method of the personal information can be entered manually by inputting instructions, or can be imported directly by synchronizing with the hospital system. For the imported personal information, that is, the previously admitted patients, it can be directly extracted.
进一步地,处理模块包括402:获取单元4021,用于获取个人信息关联的历史临床信息和/或当前临床信息。该模块实现为:对于已经在医疗系统中登记过的,与个人信息关联的历史临床信息可以直接通过医疗系统进行联网获取,即将个人信息输入到医疗系统中,就会得到病患的既往的临床信息。对于初次登记在医疗系统中的病患,就会由医生与其进行问询,手动记录病患的当前临床信息。对于具有新发症状的病患,可以同时获取个人信息关联的历史临床信息和当前临床信息,以便于得到的诊疗信息更加精准。Further, the processing module includes 402: an acquisition unit 4021, configured to acquire historical clinical information and/or current clinical information associated with personal information. This module is implemented as follows: For those who have registered in the medical system, the historical clinical information associated with personal information can be directly obtained through the medical system, that is, the personal information is input into the medical system, and the patient's previous clinical information will be obtained. information. For patients registered in the medical system for the first time, doctors will conduct inquiries with them and manually record the current clinical information of the patients. For patients with new symptoms, historical clinical information and current clinical information associated with personal information can be obtained at the same time, so that the obtained diagnosis and treatment information is more accurate.
筛查单元4022,用于将诊疗参数在历史临床信息和/或当前临床信息进行相关度筛查,生成临床信息。该模块实现为:将诊疗参数在获取的历史临床信息和当前临床信息进行相关度筛查,生成临床信息,其中,该相关度筛查是指将获取的诊疗参数,例如血压值、血糖值与历史临床信息和当前临床信息中包含的与诊疗参数相关的信息进行筛查,例如,输入指令包含的诊疗参数为血糖值33.0mmol/L,在历史临床信息和当前临床信息中筛查出该病患的血糖值波动范围或与血糖值浮动有关的症状,将其提取出作为临床信息。The screening unit 4022 is configured to perform correlation screening of diagnosis and treatment parameters in historical clinical information and/or current clinical information to generate clinical information. This module is implemented as: performing correlation screening of the acquired historical clinical information and current clinical information on the diagnosis and treatment parameters to generate clinical information, wherein the correlation screening refers to the acquired diagnosis and treatment parameters, such as blood pressure value, blood sugar value and The information related to the diagnosis and treatment parameters contained in the historical clinical information and current clinical information is screened. The fluctuating range of the blood sugar level or the symptoms related to the fluctuating blood sugar level are extracted as clinical information.
生成单元4023,用于根据诊断规则和临床信息生成诊疗信息。A generating unit 4023, configured to generate diagnosis and treatment information according to diagnosis rules and clinical information.
其中,诊断规则包括:为各分支系统分配多个具有映射关系的病症类目;为病症类目的各病症名称分配具有映射关系的临床信息;为临床信息分配具有映射关系的诊疗信息。该诊断规则可以实现为供医护人员学习的知识库。Among them, the diagnosis rules include: assigning multiple disease categories with mapping relationship to each branch system; assigning clinical information with mapping relationship to each disease name of the disease category; assigning diagnosis and treatment information with mapping relationship to clinical information. The diagnostic rules can be implemented as a knowledge base for medical staff to learn.
该诊断规则可以参见如下的实施方式:The diagnostic rules can refer to the following implementation methods:
以不同的分支系统为主体单位,呈树状图向下各分支延伸。该分支系统包括:呼吸系统,消化系统,循环系统,内分泌系统等一种或多种的组合。With different branch systems as the main unit, it extends downward to each branch in a tree diagram. The branch system includes: one or more combination of respiratory system, digestive system, circulatory system, endocrine system, etc.
以循环系统为例,其下对应多个病症类目,例如包括高血压、冠心病、急性脑血管病、心力衰竭、心律失常、风湿性心脏病等一种或多种的组合。对于不同的病症类目具体不同的临床信息的表现形式,以心力衰竭为例,临床信息包括疲乏、运动耐力明显减低、劳力性呼吸困难、夜间阵发性呼吸困难、端坐呼吸、喘息不止、烦躁不安、频繁咳嗽并咯出大量粉红色泡沫样痰等。对于不同的临床信息分配有不同的诊疗信息,在本实施方式中,为了克服现有技术中仅具有单一的医生面诊使用的智能医疗系统,而对于护理人员并无专业的指导问题,诊疗信息由两部分组成,其包括第一诊疗内容和第二诊疗内容。Taking the circulatory system as an example, it corresponds to multiple disease categories, such as hypertension, coronary heart disease, acute cerebrovascular disease, heart failure, arrhythmia, rheumatic heart disease and other one or more combinations. For different disease categories, there are different forms of clinical information. Taking heart failure as an example, the clinical information includes fatigue, significantly reduced exercise tolerance, exertional dyspnea, paroxysmal nocturnal dyspnea, orthopnea, wheezing, Irritability, frequent coughing and expectoration of a large amount of pink foamy sputum, etc. Different clinical information is allocated with different diagnosis and treatment information. In this embodiment, in order to overcome the intelligent medical system that only has a single doctor's face-to-face consultation in the prior art, and there is no professional guidance for nursing staff, the diagnosis and treatment information It consists of two parts, including the first diagnosis and treatment content and the second diagnosis and treatment content.
可选地,第一诊疗内容包括病症名称、治疗原则、治疗方法的一种或多种的组合;第二诊疗内容包括病症名称、护理措施、护理注意事项的一种或多种的组合。Optionally, the first diagnosis and treatment content includes a combination of one or more of disease names, treatment principles, and treatment methods; the second diagnosis and treatment content includes a combination of one or more of disease names, nursing measures, and nursing precautions.
示例性地,对于根据上述的临床信息和诊断规则诊断为病症糖尿病酮症酸中毒的诊疗信息包括的第一诊疗内容为:Exemplarily, the first diagnosis and treatment content included in the diagnosis and treatment information for the diagnosis of diabetic ketoacidosis according to the above-mentioned clinical information and diagnosis rules is:
病症名称:病症糖尿病酮症酸中毒Disease name: Diabetic ketoacidosis
治疗原则:纠正水和电解质失衡,纠正酸中毒,补充胰岛素促进葡萄糖利用,并寻找和去除诱发酮症酸中毒的应激因素。Treatment principles: correct water and electrolyte imbalance, correct acidosis, supplement insulin to promote glucose utilization, and find and remove stress factors that induce ketoacidosis.
治疗方法:补液原则上先快后慢。当血糖大于16.7毫摩尔/升时,采用生理盐水加胰岛素,以每小时500~1000毫升速度静脉滴注;定时监测血糖,当血糖为13.9毫摩尔/升时,可改为葡萄糖液加胰岛素静脉滴注,速度减慢。当血PH值为7.0或伴有高血钾时,应给予碱性药物,以碳酸氢钠溶液为宜。补减量不宣过多,速度不宜过快不可将胰岛素置入碱性溶液内,以免药物失效。Treatment method: In principle, rehydration should be fast first and then slow. When the blood sugar is greater than 16.7 mmol/L, use normal saline plus insulin, intravenous infusion at a rate of 500-1000 ml per hour; monitor blood sugar regularly, when the blood sugar is 13.9 mmol/L, it can be changed to glucose solution plus insulin intravenously Drip, slow down. When the blood pH value is 7.0 or accompanied by hyperkalemia, alkaline drugs should be given, preferably sodium bicarbonate solution. Do not add too much, and the speed should not be too fast. Insulin should not be placed in alkaline solution to avoid drug failure.
其它:对症处理及消除诱因。Others: Symptomatic treatment and elimination of incentives.
第二诊疗内容为:The content of the second diagnosis and treatment is:
病症名称:病症糖尿病酮症酸中毒Disease name: Diabetic ketoacidosis
护理措施:Nursing measures:
1.绝对卧床休息,应立即配合抢救治疗。1. Absolute bed rest, should cooperate with rescue treatment immediately.
2.快速建立静脉通路,纠正水、电解质及酸碱平衡失调,纠正酮症症状。2. Quickly establish venous access, correct water, electrolyte and acid-base balance disorders, and correct symptoms of ketosis.
3.遵医嘱运用正规胰岛素。小剂量胰岛素应用时抽吸剂量要正确,以减少低血糖、低血钾、脑水肿的发生。3. Follow the doctor's advice to use regular insulin. When applying small doses of insulin, the suction dose should be correct to reduce the occurrence of hypoglycemia, hypokalemia, and cerebral edema.
4.协助处理诱发病和并发症,严密观察生命体征、神志、瞳孔(见昏迷护理常规),协助做好血糖的测定和记录。4. Assist in the treatment of induced diseases and complications, closely observe vital signs, consciousness, and pupils (see coma nursing routine), and assist in the measurement and recording of blood sugar.
5.饮食护理禁食,待症状缓解后改糖尿病半流质或糖尿病饮食5. Diet care fasting, after the symptoms are relieved, change to a diabetic semi-liquid or diabetic diet
6.预防感染,必须做好口腔及皮肤护理,保持皮肤清洁,预防褥疮和继发感染,女性患者应保持外阴部的清洁6. To prevent infection, oral and skin care must be taken, and the skin should be kept clean to prevent bedsores and secondary infections. Female patients should keep their genitals clean
7.神经病变的护理,控制糖尿病,应用大量维生素B局部按摩及理疗,对皮肤感觉消失者应注意防止损伤。7. Nursing of neuropathy, controlling diabetes, applying a large amount of vitamin B for local massage and physical therapy, and those who lose skin sensation should pay attention to prevent damage.
作为一种优选实施方式,当根据诊断规则和临床信息自动生成诊疗信息后,还根据个人信息进行筛查生成其他诊断信息。示例性地,患者血糖过高,单独根据单一输入的诊疗参数血糖值,得出的诊断信息中病症名称包括有糖尿病(几种类型的糖尿病)、糖耐量异常、甲亢等诊断,但如果结合患者的个人信息,为女性,同时有妊娠,那么就会进一步地根据诊断规则进行筛查确定诊疗信息为妊娠糖尿病。如果患者为男性,则排除妊娠糖尿病的诊断,而是考虑为其他诊断信息。由此,可以使得确定的诊疗信息更加准确,有利于实习医生等学习。As a preferred implementation, after the diagnosis and treatment information is automatically generated according to the diagnosis rules and clinical information, other diagnosis information is also generated by screening according to the personal information. Exemplarily, the patient's blood sugar is too high. According to the blood sugar value of a single input diagnosis and treatment parameter, the name of the disease in the diagnosis information includes diabetes (several types of diabetes), abnormal glucose tolerance, hyperthyroidism, etc., but if combined with the patient If the personal information is female and pregnant at the same time, then further screening will be carried out according to the diagnostic rules to determine that the diagnosis and treatment information is gestational diabetes. If the patient is male, exclude the diagnosis of gestational diabetes and consider other diagnostic information instead. As a result, the determined diagnosis and treatment information can be made more accurate, which is conducive to the learning of interns and the like.
根据本实施例提供的系统,能够为医护提供临床指导并且还能为护理人员提供专业指导。仅通过单一的诊疗参数,就可以结合患者的临床实际情况,智能筛查出有用的诊疗信息供临床诊断和临床护理的双向选择,由此可以显著提高医生诊断病症的效率和医疗护理质量,优化医疗护理流程、提高护理工作效率。According to the system provided in this embodiment, clinical guidance can be provided for medical care personnel and professional guidance can also be provided for nursing staff. Only through a single diagnosis and treatment parameter, combined with the actual clinical situation of the patient, useful diagnosis and treatment information can be intelligently screened for the two-way selection of clinical diagnosis and clinical care, which can significantly improve the efficiency of doctors' diagnosis of diseases and the quality of medical care. Medical care process, improve nursing work efficiency.
实施例五Embodiment five
请参阅图5,图5是本发明实施例公开的一种智能诊疗装置的结构示意图。其中,如图5所示,该装置可以包括:Please refer to FIG. 5 . FIG. 5 is a schematic structural diagram of an intelligent diagnosis and treatment device disclosed in an embodiment of the present invention. Wherein, as shown in Figure 5, the device may include:
存储有可执行程序代码的存储器501;A memory 501 storing executable program codes;
与存储器501耦合的处理器502;a processor 502 coupled to the memory 501;
处理器502调用存储器501中存储的可执行程序代码,用于执行实施例一或实施例三任一项所描述的用于智能诊疗的方法。The processor 502 invokes the executable program code stored in the memory 501 to execute the method for intelligent diagnosis and treatment described in any one of Embodiment 1 or Embodiment 3.
实施例六Embodiment six
本发明实施例公开了一种计算机可读存储介质,其存储用于电子数据交换的计算机程序,其中,该计算机程序使得计算机执行实施例一或实施例三任一项所描述的用于智能诊疗的方法。The embodiment of the present invention discloses a computer-readable storage medium, which stores a computer program for electronic data exchange, wherein the computer program enables the computer to execute the method for intelligent diagnosis and treatment described in any one of Embodiment 1 or Embodiment 3. Methods.
实施例七Embodiment seven
本发明实施例公开了一种计算机程序产品,该计算机程序产品包括存储了计算机程序的非瞬时性计算机可读存储介质,且该计算机程序可操作来使计算机执行实施例一或实施例三中所描述的用于智能诊疗的方法。The embodiment of the present invention discloses a computer program product. The computer program product includes a non-transitory computer-readable storage medium storing a computer program, and the computer program is operable to enable the computer to execute the computer program described in Embodiment 1 or Embodiment 3. The described method for intelligent diagnosis and treatment.
以上所描述的的实施例仅是示意性的,其中所述作为分离部件说明的模块可以是或者也可以不是物理上分开的,作为模块显示的部件可以是或者也可以不是物理模块,即可以位于一个地方,或者也可以分布到多个网络模块上。可以根据实际的需要选择其中的部分或者全部模块来实现本实施例方案的目的。本领域普通技术人员在不付出创造性的劳动的情况下,即可以理解并实施。The above-described embodiments are only illustrative, and the modules described as separate components may or may not be physically separated, and the components shown as modules may or may not be physical modules, that is, they may be located in One place, or it can be distributed to multiple network modules. Part or all of the modules can be selected according to actual needs to achieve the purpose of the solution of this embodiment. It can be understood and implemented by those skilled in the art without any creative effort.
通过以上的实施例的具体描述,本领域的技术人员可以清楚地了解到各实施方式可借助软件加必需的通用硬件平台的方式来实现,当然也可以通过硬件。基于这样的理解,上述技术方案本质上或者说对现有技术做出贡献的部分可以以软件产品的形式体现出来,该计算机软件产品可以存储在计算机可读存储介质中,存储介质包括只读存储器(Read-Only Memory,ROM)、随机存储器(Random Access Memory,RAM)、可编程只读存储器(Programmable Read-only Memory,PROM)、可擦除可编程只读存储器(ErasableProgrammable Read Only Memory,EPROM)、一次可编程只读存储器(One-timeProgrammable Read-Only Memory,OTPROM)、电子抹除式可复写只读存储器(Electrically-Erasable Programmable Read-Only Memory,EEPROM)、只读光盘(CompactDisc Read-Only Memory,CD-ROM)或其他光盘存储器、磁盘存储器、磁带存储器、或者能够用于携带或存储数据的计算机可读的任何其他介质。Through the specific description of the above embodiments, those skilled in the art can clearly understand that each implementation manner can be implemented by means of software plus a necessary general-purpose hardware platform, and of course also by hardware. Based on this understanding, the above-mentioned technical solution essentially or the part that contributes to the prior art can be embodied in the form of a software product, and the computer software product can be stored in a computer-readable storage medium, and the storage medium includes a read-only memory (Read-Only Memory, ROM), random access memory (Random Access Memory, RAM), programmable read-only memory (Programmable Read-only Memory, PROM), erasable programmable read-only memory (Erasable Programmable Read Only Memory, EPROM) , One-time Programmable Read-Only Memory (OTPROM), Electronically Erasable Programmable Read-Only Memory (EEPROM), Compact Disc Read-Only Memory , CD-ROM) or other optical disk storage, magnetic disk storage, magnetic tape storage, or any other computer-readable medium that can be used to carry or store data.
最后应说明的是:本发明实施例公开的一种用于智能诊疗的方法及智能诊疗系统所揭露的仅为本发明较佳实施例而已,仅用于说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解;其依然可以对前述各项实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或替换,并不使相应的技术方案的本质脱离本发明各项实施例技术方案的精神和范围。Finally, it should be noted that: a method for intelligent diagnosis and treatment and an intelligent diagnosis and treatment system disclosed in the embodiments of the present invention are only preferred embodiments of the present invention, and are only used to illustrate the technical solutions of the present invention, not to Its limitations; although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that it can still modify the technical solutions described in the aforementioned embodiments, or perform equivalents to some of the technical features Replacement; and these modifications or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of the various embodiments of the present invention.
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