CN106971064A - A kind of chronic kidney disease follow-up assistant - Google Patents
A kind of chronic kidney disease follow-up assistant Download PDFInfo
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- CN106971064A CN106971064A CN201710155131.0A CN201710155131A CN106971064A CN 106971064 A CN106971064 A CN 106971064A CN 201710155131 A CN201710155131 A CN 201710155131A CN 106971064 A CN106971064 A CN 106971064A
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- follow
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- G06F19/3418—
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- G06F19/3475—
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/20—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for electronic clinical trials or questionnaires
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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Abstract
The present invention provides a platform for facilitating doctor's management and patient's self-supervision, it is intended to help patient to understand health status and reminds patient to return institute's follow-up in time, its major function is filed including patient, each Index for examination typing, follow-up plan and rehabilitation programme are pushed with reminding, related follow up data is analyzed etc., there is provided on-line expert consulting to exchange with ward mate, facilitate patient to carry out self-management and self-supervision with this.The present invention is while covering above-mentioned follow-up, examining merely workflow management, to the data statistic analysis accumulated in running, and big data value is embodied comprehensively, and strong data supporting and decision support are provided for Nephrology dept.'s clinical research.The present invention is centered on follow-up, for Patients with Chronic Renal Disease, carries out follow-up in this way, it compensate for the problem of domestic nephrosis assistant thinks little of for follow-up at present, the burden of doctor is not only alleviated, patient is also reduced and removes the number of times of hospital, while saving some unnecessary expenses.
Description
Technical field
The invention belongs to medical science auxiliary diagnosis scope, i.e., long-term data supervision is carried out to chronic kidney disease by cloud platform,
It is particularly suitable for use in medical personnel and Patients with Chronic Renal Disease.
Background technology
At present, as the improvement of people's living standards, people while enjoying life because the influence of many factors is led
Dedicate one's life to body and various problems occur.Wherein, chronic kidney disease（CDK）Problem is especially pronounced.The Patients with Chronic Renal Disease of China there are about 1.195
Hundred million.Chronic kidney disease illness rate between one cross section, the investigation display of nationwide Chinese Adult representative sample, different regions is poor
Different larger, total prevalence rate is 10.8%.Renal glomerular disease is to cause End-stage renal disease（ESRD, 57.4%）Most commonly encountered diseases because,
Secondly it is diabetic nephropathy（16.4%）, hypertensive cerebral renal damage（10.5%）With cystic kidney popular name for（3.5%）.The prevalence of chronic disease
Rate, the incidence of disease all rise constantly every year.50% wherein, chronic all be accompanied by complication generation.Pass through research
It was found that, 33.3% adult suffers from hypertension, and 8% people suffers from diabetes, and 9%-16% people suffers from CKD（CKD）,
This ratio has exceeded well over the ratio of diabetic.CKD is a health problem of generally existing in global range, its early stage
Illness rate is 100 times of kidney failure illness rate, and 11% adult has been involved in the U.S..In these patients CKD, there is 44% to be
Caused by diabetes, 86% patient is accompanied by least one complication, and most of CKD patient has angiocardiopathy.In addition, eventually
Latter stage nephropathy（Dialysis）2% of the cost of patient much larger than whole health expenditures.
Interior CKD studies the research for epidemiology as the focus widely paid close attention at the international level nearly ten years.
Result is shown according to investigations, chronic kidney disease in the aged Adult Groups of China ten（CKD）Patient is 10.8%（95%CI
10.2%-11.3%）；Estimate accordingly, the existing CKD patient of China is up to 1.13 hundred million -1.25 hundred million）Example.Chronic kidney disease has become
The important threat of our healthy livings.Follow-up refers to hospital to once in the patient of hospital admission to communicate or other mode, entering
Row periodically understands conditions of patients change and instructs a kind of observational technique of Rehabilitation.Regular follow-up is conducive to the state of an illness control of patient
The generation of system and prevention complication.Yet with chronic kidney disease initial stage, patient thinks little of the state of an illness, or does not arrange time etc. properly
Reason, causes follow-up to postpone, or even without follow-up, final sb.'s illness took a turn for the worse, and What is more loses life.Therefore, we design
A kind of chronic kidney disease follow-up assistant, patient's whole process is instructed using informationization technology, development of Mobile Internet technology, big data method,
Guiding, returns institute's further consultation in time, improves secondary consultation rate, meanwhile, strengthen patient compliance and facilitate patient to carry out self-management,
Self-supervision, more facilities are brought to doctor and patient, help patient to move towards rehabilitation.
The content of the invention
It is an object of the invention to provide a kind of chronic kidney disease follow-up intelligence system, follow-up, propaganda and education, dialysis, rehabilitation, battalion are realized
Support and wait whole information to be turned into industry, improve in chronic kidney disease management institute/institute outside, the operating efficiency for the treatment of/rehabilitation whole-process management.
The present invention supports the equipment such as Intelligent weight scale/sphygmomanometer, blood glucose meter, bracelet to be examined in real time there is provided heart rate, urine simultaneously
Survey, statistical analysis patient data provides strong data supporting for Nephrology dept.'s clinical research, be easy to instruct patient to carry out science
Treatment and follow-up, mitigate doctor's burden.It includes heart rate measurement, urinalysis, blood glucose measurement, health education and nursing intervention, nutrition
Propaganda and education, medical record management, external equipment, wireless communication module, user terminal, cloud platform data processing, cloud platform data analysis, number
Imported according to collection, data.
Heart rate measurement can be by the heart rate measurement sensor typing Heart Rate data on mobile phone and the data of measurement
Store on the cache module of mobile phone.
Test paper picture and standard color range by camera typing test paper data and are carried out contrast fitting by urinalysis
The data of disease condition are drawn, and data are stored in cache module.
Blood glucose measurement is by being manually entered blood glucose level data or connecting smart machine automatic measurement typing by wireless module
Data, and the data of typing are stored in the cache module of mobile phone.
Education on nutrient provides food dictionary, and patient can inquire about the nutritional ingredient of each food, understand with reference to own situation
It is adapted to the food of oneself；The review to the daily diet situation of patient is provided, while supporting data to upload, to facilitate doctor to grasp trouble
Situation outside person institute, further instructs patient diet.
In medical record management patient can upload and preserve doctor's advice, medical history, idagnostic logout, audit report etc., be easy to doctor to look into
All previous diagnosis records are seen, patient is also allowed for and checks the positive partner treatment of doctor's advice at any time.
The data that network communication module can there will be in the machine cache module upload to instrument on remote server and stored
Record, the data that can also there will be on remote server download to the machine.
Wireless communication module is for connection to mobile phone and smart machine, to facilitate the data inputting hand intelligent measure equipment
Machine.
Remote server module can provide the functions such as the processing, calculating and storage of data.
User terminal can be downloaded from Cloud Server by network communication module and obtain patient medical record, care regimen, with
The information such as plan are visited, and are shown.
Brief description of the drawings
Fig. 1 is the theory diagram of chronic kidney disease follow-up assistant of the present invention.
Embodiment
The embodiment of the present invention is described below in conjunction with accompanying drawing, so that technical staff more fully understands this hair
It is bright.
Fig. 1 is the theory diagram of chronic kidney disease follow-up assistant of the present invention.The present invention is a kind of chronic kidney disease follow-up assistant, bag
Include heart rate measurement（3）, urinalysis（4）, blood glucose measurement（5）, health education and nursing intervention（6）, Education on nutrient（7）, medical record management（8）, it is outer
Portion's equipment（1）, wireless communication module（2）, user terminal（13）, cloud platform data processing（11）, cloud platform data analysis（12）、
Data acquisition（9）, data import（10）.
Heart rate measurement（3）Heart Rate can substantially be measured.When patient is placed a finger on camera, the benefit by camera
Light lamp is as lasting light source, when fresh blood is pressed into capillary by heart, due to heart when blood flows under the skin
Contraction can produce the change of pressure, so as to change the moment change in concentration of blood, camera can be under the irradiation of flash lamp
Detect the change of brightness, brightness（Red depth）Slight change is had, photo-sensitive cell is captured through skin and blood capillary
The light produced by light compensating lamp of pipe refraction, the beating of capillary can just be reflected by the cyclically-varying of picture lightness
This regularly changing interval is monitored by camera, heartbeat can be measured by rgb value.
So as to judge the contraction frequency of heart, heart rate can be calculated.
Urinalysis（4）14 entry value of urine can be determined by the Urine test paper photo of patient.It is corresponding in urine
Chemical composition makes corresponding test paper occur color change, and shade is directly proportional to respective substance concentration in urine.With mobile phone to test paper
Taken pictures, each reagent modules are irradiated by mobile phone light source and produce different reflected lights successively, mobile phone receives what difference was emphasized
Corresponding electric signal is converted into after optical signal, through microprocessor processes, the reflectivity of each detection project is calculated, with standard
Curve ratio is relatively corrected, by the color alignment algorithm analytic index of platform intergration, preserves measurement record.Then leucocyte, grape
Sugar, microalbumin, bilirubin, PH, proportion, ketoboidies, protein, nitrite, UBG, creatinine, hemoglobin, calcium ion
Registration etc. index is displayed on cell-phone customer terminal.
Blood glucose measurement（5）I.e. connection blood glucose meter measurement blood glucose, imports data by instrument and then synchronizes on mobile phone, so that real
Now daily blood sugar monitoring.Can also artificial input data be saved in mobile phone, so just can conveniently and efficiently check record.
Work as health education and nursing intervention（6）When inputting ACR and eGFR in module, data will be transmitted to high in the clouds and carry out processing calculating, then
The nephrosis index of correlation that the result of calculating is combined into authority is compared, and judges that conditions of patients is in that stage, and will correspondence
The nursing care plan in stage is transferred on mobile phone, allows patient to possess the introduction on discharge of science, so as to reach the purpose of long-range follow-up.
When in Education on nutrient（7）The specific food eaten in three meals in a day of patient and every kind of food are inputted in module
During particular number, these data will pass to the processing center on backstage, and the various battalion taken in one day are calculated by algorithm
The content of material is supported, and provides the recommended amounts of scientific and reasonable Relationship with other Nutrient Elements, client is passed it to.So patient just can
According to nutrient component meter come the diet of reasonable adjusting oneself, so as to allow follow-up effect to become more preferable, also mitigate medical personnel's
Workload.
In medical record management（8）In, after patient takes case history and audit report, case history can be cured by the form of taking pictures
Advise, audit report and idagnostic logout etc. upload to client, be saved in high in the clouds and shared with medical personnel, convenient recall at any time is looked into
See.
External equipment（1）Middle patient can be by the external equipments such as intelligent scale, blood glucose meter, Intelligent bracelet and electrocardiogram equipment and mobile phone
Connect, the data collected are uploaded in database.
Wireless communication module（2）It is responsible for receiving the request in user's mobile phone end or other mobile devices, and hands over
Send rear end handled and cloud server is sent information or system generation result be sent to client.
Data acquisition（9）It is that cloud is put down by the convergence of the smart machine collected by approach such as WiFi, bluetooths
Platform data processing（11）Prepare.Data are imported（10）By taking pictures, being manually entered, the mode such as phonetic entry by patient in hospital
Medical record data imported into user terminal（13）, and then be cloud platform data processing（11）With cloud platform data analysis（12）Do standard
It is standby.
User terminal（13）, the interactive interface of hommization is provided the user with, facilitates patient to input nephrosis relevant information, carry out
Operation, and by the presentation of information of server out for reading, analysis, judgement.
Cloud platform data processing（11）By the data such as the data collected or the case history of importing by data screening, missing
The preprocessing process such as value processing, feature selecting obtain meeting the data of data analysis algorithm, are cloud platform data analysis（12）Do
Prepare.
Cloud platform data analysis（12）, it is divided into index calculating, analysis and assessment and the part of Data Detection three.Index is calculated and saturating
Analysis assessment is that patient refers to the glomerular filtration rate in audit report, CrCl, residual renal function etc. after examination in hospital
Mark is manually entered, and algorithm is called after preservation, and result is shown, facilitates patient to refer to.Data monitoring part then by heart rate,
Blood glucose, the historical data of urine detection result are depicted as line chart, allow patient for the change feelings of the body indices of oneself
Condition is very clear and adjusts the diet work and rest of oneself accordingly.Remote lookup service is provided the user there is provided medical science propaganda and education nephrosis to know
Knowledge, the calculating processing of case history folder database and nephrosis index, data analysis etc., and result is fed back into user terminal（13）.
Claims (8)
1. a kind of chronic kidney disease follow-up assistant, it is characterised in that：The assistant is absorbed in the treatment and monitoring of chronic kidney disease, in follow-up
On the basis of diagnosis and treatment data are accumulated and analyzed, provide help to treatment of kidney disease；Calculated with expert data, system recommendation
Nutritious recipe, system data automatic mining, course is registered intelligent book keeping operation, and urine heart rate is fast measured, and sign data is obtained automatically,
Information-based follow-up propaganda and education function.
2. a kind of chronic kidney disease follow-up assistant according to claim 1, it is characterised in that：Described expert data calculates collection
Into eGFR, Ccr, dialysis adequacy in chronic evaluation index Kt/V, each assessment（Blood pressure, blood fat, urinary tract calcium etc.）Nephrology dept.'s specialty index is public
Formula, while being also integrated with the professional Index Formula of the nutrition dietaries such as standard weight, heat standard, index is calculated automatically.
3. a kind of chronic kidney disease follow-up assistant according to claim 1, it is characterised in that：Described system recommendation nutrition food
Spectrum provides food nutrient composition inquiry, by assessing patient's index of correlation（GFR etc.）, automatically generate the nutrition of food selected by patient
Component list, reminds patient's abnormal index, and push nutritious recipe.
4. a kind of chronic kidney disease follow-up assistant according to claim 1, it is characterised in that：Described system data is dug automatically
Pick provides data analysis function, can fully show each index and change pretty condition within the different time cycle, in addition, system is also
Integrated data parser, judges patient progress's situation and risk factors.
5. a kind of chronic kidney disease follow-up assistant according to claim 1, it is characterised in that：Described course is registered intelligent note
Account is for the auto-associating patient bank card book keeping operation of patient's course propaganda and education, patient's account balance SMS notification, at the same time it can also realize
Register book keeping operation, save queuing of patients's waiting time.
6. a kind of chronic kidney disease follow-up assistant according to Patient libraries 1, it is characterised in that：Described urine heart rate is fast surveyed
Integrating colour alignment algorithm and optical measurement algorithm are measured, by 14 entry value of camera sensitometry user Current heart rate and urine,
Urinalysis desired value corresponding with standard color comparison card check analysis.
7. a kind of chronic kidney disease follow-up assistant according to Patient libraries 1, it is characterised in that：Described sign data is obtained automatically
Support of the increase to equipment such as Intelligent weight scale, sphygmomanometer, thermometer, blood glucose meter, bracelets is taken, is supported to patient's automatic identification,
Sign data is automatically imported, exceeded early warning of blood pressure etc..
8. a kind of chronic kidney disease follow-up assistant according to Patient libraries 1, it is characterised in that：Described information-based follow-up propaganda and education
Intelligent Notification follow-up of patients propaganda and education, pushes follow-up of patients's plan and rehabilitation programme, propaganda and education and course project etc., by follow-up and propaganda and education
Flow is included into.
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Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107705858A (en) * | 2017-10-25 | 2018-02-16 | 上海林康医疗信息技术有限公司 | A kind of system of slow disease patient self-management |
| CN108937891A (en) * | 2018-08-31 | 2018-12-07 | 安徽国科生物科技有限公司 | A kind of slow sick diagnosis and therapy system |
| CN109166607A (en) * | 2018-09-11 | 2019-01-08 | 北京桑葚科技有限公司 | A kind of system of automatic acquisition processing Renal Data |
| CN109935345A (en) * | 2019-03-12 | 2019-06-25 | 深圳安泰创新科技股份有限公司 | Diagnosis and treatment follow-up method, device, equipment and storage medium |
| CN111033637A (en) * | 2017-08-08 | 2020-04-17 | 费森尤斯医疗保健控股公司 | System and method for treating and assessing the progression of chronic kidney disease |
| CN111584023A (en) * | 2020-05-11 | 2020-08-25 | 肖一珍 | Chronic disease management system and management method |
| CN111951983A (en) * | 2020-07-17 | 2020-11-17 | 重庆医科大学附属第二医院 | Intelligent follow-up system for stroke patient |
| CN111971755A (en) * | 2018-04-12 | 2020-11-20 | 费森尤斯医疗保健控股公司 | System and method for determining dialysis patient function to assess parameters and timing of palliative and/or end-of-care |
| CN112133430A (en) * | 2020-10-15 | 2020-12-25 | 丁玉 | Clinical biochemical dynamic monitoring system |
| CN112802595A (en) * | 2021-01-29 | 2021-05-14 | 中国医科大学附属盛京医院 | APP system applied to follow-up of inflammatory bowel disease conditions of children and using method thereof |
| CN114190943A (en) * | 2021-12-22 | 2022-03-18 | 南通大学 | Method and system for improving cognition of chronic nephropathy patient based on IKAP |
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Cited By (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111033637A (en) * | 2017-08-08 | 2020-04-17 | 费森尤斯医疗保健控股公司 | System and method for treating and assessing the progression of chronic kidney disease |
| CN111033637B (en) * | 2017-08-08 | 2023-12-05 | 费森尤斯医疗保健控股公司 | Systems and methods for treating and assessing the progression of chronic kidney disease |
| CN107705858A (en) * | 2017-10-25 | 2018-02-16 | 上海林康医疗信息技术有限公司 | A kind of system of slow disease patient self-management |
| CN111971755A (en) * | 2018-04-12 | 2020-11-20 | 费森尤斯医疗保健控股公司 | System and method for determining dialysis patient function to assess parameters and timing of palliative and/or end-of-care |
| CN108937891A (en) * | 2018-08-31 | 2018-12-07 | 安徽国科生物科技有限公司 | A kind of slow sick diagnosis and therapy system |
| CN109166607A (en) * | 2018-09-11 | 2019-01-08 | 北京桑葚科技有限公司 | A kind of system of automatic acquisition processing Renal Data |
| CN109935345A (en) * | 2019-03-12 | 2019-06-25 | 深圳安泰创新科技股份有限公司 | Diagnosis and treatment follow-up method, device, equipment and storage medium |
| CN111584023A (en) * | 2020-05-11 | 2020-08-25 | 肖一珍 | Chronic disease management system and management method |
| CN111951983A (en) * | 2020-07-17 | 2020-11-17 | 重庆医科大学附属第二医院 | Intelligent follow-up system for stroke patient |
| CN112133430A (en) * | 2020-10-15 | 2020-12-25 | 丁玉 | Clinical biochemical dynamic monitoring system |
| CN112802595A (en) * | 2021-01-29 | 2021-05-14 | 中国医科大学附属盛京医院 | APP system applied to follow-up of inflammatory bowel disease conditions of children and using method thereof |
| CN114190943A (en) * | 2021-12-22 | 2022-03-18 | 南通大学 | Method and system for improving cognition of chronic nephropathy patient based on IKAP |
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