CN111403041A - Diagnosis process simulation system based on virtual standard patient - Google Patents
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Abstract
The invention discloses a diagnosis process simulation system based on virtual standard patients, which comprises a disease scheme generation module, a medical history acquisition module, a physical examination module, an auxiliary examination module, an examination record generation module and a hospital admission diagnosis module. The system stores standard models of various diseases, the system randomly selects one standard model and is invisible to students, all symptom information is automatically generated by the selected standard model of the diseases, the students perform inquiry, physical examination and auxiliary examination on virtual patients to collect relevant symptom information of the virtual patients, make admission diagnosis and differential diagnosis on the virtual patients, and provide diagnosis bases. The process completely and comprehensively simulates the real clinical diagnosis process, and promotes the early combination of basic medicine and clinic by simulating the whole processes of medical history acquisition, physical examination, auxiliary examination and admission diagnosis after the patient is admitted, so that medical students can know the practical exercise knowledge of clinical diagnosis in the early stage of basic medicine learning.
Description
Technical Field
The invention relates to the field of medical simulation teaching, in particular to a diagnosis flow simulation system based on virtual standard patients.
Background
The medical simulation teaching is an extended application of simulation teaching in medicine and clinical medicine, is generally tightly combined with modern electronic technology, communication technology, computer programming technology and multimedia technology, and is a necessary way for the innovation of modern medical teaching.
According to the derivation of medical simulation technology and the process of participating in teaching, medical simulation education can be divided into five stages or types from low to high, namely: an underlying anatomical model, a local functional model, a computer-aided model, a virtual training system, and a physiologically-driven or omni-directional simulation system. In addition, the teaching of 'standard patient (SP for short)' simulating the patient with normal people also belongs to the field of simulation education, and is a special simulation form. Each simulation type is continuously improved along with the development of scientific technology and the self-improvement of medicine, provides corresponding education service for the learning and the cultivation of medical students in each stage, and is from theoretical knowledge learning, clinical skill cultivation to the comprehensive training of clinical actual working capacity.
The existing medical simulation teaching system only carries out specific simulation aiming at a certain link in clinical diagnosis and cannot simulate the whole diagnosis process. In order to enable medical students to become familiar with the clinical diagnosis process and know the relevant knowledge of clinical diagnosis in advance, a good teaching effect is difficult to achieve by relying on theoretical teaching, so that a clinical diagnosis simulation system based on virtual patient development is urgently needed to be provided, and the whole clinical diagnosis process is simulated through a software system.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide a diagnosis process simulation system based on a virtual standard patient, which simulates the whole processes of medical history acquisition, physical examination, auxiliary examination and admission diagnosis after the patient is admitted, promotes the early combination of basic medicine and clinic and enables medical students to know the practical exercise knowledge of clinical diagnosis in the early stage of basic medicine learning.
The purpose of the invention is realized by the following technical scheme: a virtual standard patient-based diagnostic procedure simulation system comprising a processor and a memory;
the memory is used for storing a computer program which can run on the processor and standard models of various diseases;
the processor executes the computer program to realize the following functional modules:
the disease scheme generation module is used for randomly generating a disease type which is unknown by a user and needs to be simulated, and the generated system calls a standard model of the disease to carry out diagnosis process simulation;
the medical history acquisition module calls preset inquiry questions in the standard model of the disease, displays the preset inquiry questions and outputs answers corresponding to the inquiry questions;
the physical examination module calls preset physical representation data in the standard model of the disease and carries out animation display through the virtual standard patient model;
the auxiliary inspection module is used for selecting an inspection item according to the judgment of the user and outputting a corresponding inspection result by the system;
the examination record generating module is used for recording the inquiry record, the physical examination record and the examination record obtained in the examination process of the medical history acquisition module, the physical examination module and the auxiliary examination module;
and the admission diagnosis module is used for making admission diagnosis and differential diagnosis on the virtual patient according to the virtual patient information collected by the medical history acquisition module, the physical examination module and the auxiliary examination module, and selecting diagnosis basis according to the inquiry record, the physical examination record and the examination record.
The standard models for various diseases include standard models for different kinds of diseases and standard models for a plurality of severity classifications for a single disease.
The inquiry content of the medical history acquisition module comprises any one or combination of a plurality of main complaints, current medical history, past history, family history and marriage and childbirth history.
The examination content of the physical examination module comprises any one or combination of a plurality of kinds of skin examination, consciousness state examination, head and neck examination, chest examination, heart examination, abdomen examination, limb and spine examination and genital examination.
The examination items of the auxiliary examination module comprise any one or combination of more of electrocardio examination, blood routine examination, B-ultrasonic examination, CT examination, X-ray examination, PET examination and nuclear magnetic resonance examination.
The diagnosis process simulation system based on the virtual standard patient further comprises a hospitalization module and a treatment result generation module:
an admission treatment module, wherein the user selects a treatment scheme aiming at the virtual patient according to the result of the admission diagnosis;
and the treatment result generation module is used for inputting the treatment scheme selected by the user into the standard model of the disease and outputting the treatment result.
The treatment regimen comprises any one or combination of general treatment, drug treatment, surgical treatment and rescue treatment.
The invention has the beneficial effects that:
the system stores standard models of various diseases, the system randomly selects one standard model and is invisible to students, all symptom information is automatically generated by the selected standard model of the diseases, the students perform inquiry, physical examination and auxiliary examination on virtual patients to collect relevant symptom information of the virtual patients, make admission diagnosis and differential diagnosis on the virtual patients, and provide diagnosis bases. The process completely and comprehensively simulates the real clinical diagnosis process, and promotes the early combination of basic medicine and clinic by simulating the whole processes of medical history acquisition, physical examination, auxiliary examination and admission diagnosis after the patient is admitted, so that medical students can know the practical exercise knowledge of clinical diagnosis in the early stage of basic medicine learning.
Drawings
FIG. 1 is a schematic illustration of a diagnostic flow in an embodiment of the present invention;
FIG. 2 is a schematic representation of a cardiac auscultation in an embodiment of the present invention;
fig. 3 is a schematic diagram of a pulmonary auscultation in an embodiment of the present invention.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the following embodiments, and it should be understood that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without inventive effort based on the embodiments of the present invention, are within the scope of the present invention.
Referring to fig. 1, the present invention provides a technical solution:
a virtual standard patient-based diagnostic procedure simulation system comprising a processor and a memory;
the memory is used for storing a computer program which can run on the processor and standard models of various diseases, wherein the standard models of various diseases comprise standard models of different diseases and standard models of a plurality of severity grades of a single disease;
the processor executes the computer program to realize the following functional modules:
the disease scheme generation module is used for randomly generating a disease type which is unknown by a user and needs to be simulated, and the generated system calls a standard model of the disease to carry out diagnosis process simulation;
the medical history acquisition module calls preset inquiry questions in the standard model of the disease, displays the preset inquiry questions and outputs answers corresponding to the inquiry questions; the inquiry content of the medical history acquisition module comprises but is not limited to chief complaints, current medical history, past history, family history, marriage and childbirth history and the like. Each item of content comprises preset questions and partial answers with different numbers, the rest answers are given after calculation through a background mathematical model, and all inquiry answers are given in a voice and caption mode.
The physical examination module calls preset physical representation data in the standard model of the disease and carries out animation display through the virtual standard patient model; the examination contents of the physical examination module include, but are not limited to, skin examination, consciousness state examination, head and neck examination, chest examination, heart examination, abdomen examination, limbs and spine examination, genital examination, and the like. Explaining and examining the steps, the manipulations and the operation forms of each physical examination, wherein each physical examination is matched with a corresponding animation display, and a corresponding result is given after the animation is finished.
The auxiliary inspection module is used for selecting an inspection item according to the judgment of the user and outputting a corresponding inspection result by the system; the examination items of the auxiliary examination module include, but are not limited to, an electrocardiographic examination, a blood routine examination, a B-ultrasonic examination, a CT examination, an X-ray examination, a PET examination, and a nuclear magnetic resonance examination. The inspection result is presented in the form of pictures and characters.
The examination record generating module is used for recording the inquiry record, the physical examination record and the examination record obtained in the examination process of the medical history acquisition module, the physical examination module and the auxiliary examination module; the operation process generates records, and an operator can review the operation history at any time and know the operation result.
And the admission diagnosis module is used for enabling a user to make admission diagnosis and differential diagnosis on the virtual patient according to the virtual patient information collected by the medical history collection module, the physical examination module and the auxiliary examination module, and selecting a diagnosis basis according to the inquiry record, the physical examination record and the examination record to simulate medical record writing.
The diagnosis process simulation system based on the virtual standard patient further comprises a hospitalization module and a treatment result generation module:
an admission treatment module, wherein the user selects a treatment scheme aiming at the virtual patient according to the result of the admission diagnosis; the treatment scheme includes, but is not limited to, general treatment (such as oxygen inhalation, electrocardiographic monitoring, bed rest, vein channel opening, central vein channel opening), drug treatment (such as epinephrine, norepinephrine, dopamine, furosemide and the like), surgical treatment (such as interventional operation, tumor resection and the like), rescue treatment (such as cardiopulmonary resuscitation, electrical defibrillation, tracheal intubation and the like) and the like.
And the treatment result generation module is used for inputting the treatment scheme selected by the user into the standard model of the disease and outputting the treatment result.
The software can promote early combination of basic medicine and clinic, and medical students can know the knowledge of clinical diagnosis in the early learning stage of the basic medicine, including but not limited to: the process of clinical diagnosis, the equipment used in clinic, clinical treatment, etc. Medical development is highly specialized, and therefore virtual standard patients should simulate standard patient admission diagnostic procedures, requiring that the procedure be complete, including but not limited to: the medical history collection, the physical examination, the auxiliary examination, the admission diagnosis and the like, the auxiliary examination is consistent with the means of different disease examinations of clinical diagnosis, and the aim of training medical students can be achieved only by training the clinical knowledge of the students according to the medical procedures strictly by virtual standard patients.
The following examples describe the technical solution of the present invention in connection with myocardial infarction cases:
the medical history acquisition module is used for presetting inquiry questions and specifically comprises the following steps:
"ask you where you are uncomfortable mainly in this visit," corresponds to the answer: "i suddenly feel severe pain in the chest 6 hours ago".
"which site pain occurs mainly" corresponds to the answer: "initially the chest and later felt sore throat and left shoulder".
"can describe whether the pain is angina, stabbing pain, distending pain or dull pain", corresponds to the answer: "angina, a particularly severe pain".
"ask for a continuous pain or intermittent pain, with pain relief midway", answer: "all this is pain and no relief at all".
"emotional agitation, trauma, exercise preceded pain", corresponds to the answer: "the person is walking before running".
"do there are other discomfort besides chest pain", corresponding to the answer: "the throat and left shoulder also begin to pain".
"there are symptoms of dizziness, palpitation, dizziness and syncope", corresponding to the answer: "none".
The physical examination module comprises general condition examination, head and neck examination, heart examination and chest examination, wherein the general condition examination specifically comprises skin examination and consciousness state examination, and the skin and consciousness state of a patient suffering from myocardial infarction are simulated and displayed through a virtual standard patient model, wherein the skin examination result is 'the skin of the patient is wet and cold, the color is pale', and the consciousness state examination result is 'the patient is restless'; simulating and displaying the head and neck conditions of a patient suffering from myocardial infarction through a virtual standard patient model, wherein the head and neck inspection result is 'anger of jugular vein'; as shown in fig. 2 and 3, the examination of the heart and the lungs is realized by means of analog auscultation, before auscultation, students need to select a heart auscultation sequence, audio is played during the heart auscultation, the auscultation result is "audible at the apex of the heart and the galloping law", audio is also played during the lung auscultation, students need to auscultate in sequence, and the auscultation result is "double lungs are scattered at the bottom of the damp romantic sound".
The auxiliary examination module is used for calling items to be examined in the myocardial infarction standard model and outputting corresponding examination results;
and the admission diagnosis module is used for enabling a user to make admission diagnosis and differential diagnosis on the virtual patient according to the virtual patient information collected by the medical history collection module, the physical examination module and the auxiliary examination module, and giving the admission diagnosis and the differential diagnosis in a question selection mode for students to select. Meanwhile, the basis of diagnosis is selected according to the inquiry record, the physical examination record and the examination record.
The foregoing is illustrative of the preferred embodiments of this invention, and it is to be understood that the invention is not limited to the precise form disclosed herein and that various other combinations, modifications, and environments may be resorted to, falling within the scope of the concept as disclosed herein, either as described above or as apparent to those skilled in the relevant art. And that modifications and variations may be effected by those skilled in the art without departing from the spirit and scope of the invention as defined by the appended claims.
Claims (7)
1. The diagnosis process simulation system based on the virtual standard patient is characterized in that: comprises a processor and a memory;
the memory is used for storing a computer program which can run on the processor and standard models of various diseases;
the processor executes the computer program to realize the following functional modules:
the disease scheme generation module is used for randomly generating a disease type which is unknown by a user and needs to be simulated, and the generated system calls a standard model of the disease to carry out diagnosis process simulation;
the medical history acquisition module calls preset inquiry questions in the standard model of the disease, displays the preset inquiry questions and outputs answers corresponding to the inquiry questions;
the physical examination module calls preset physical representation data in the standard model of the disease and carries out animation display through the virtual standard patient model;
the auxiliary inspection module is used for selecting an inspection item according to the judgment of the user and outputting a corresponding inspection result by the system;
the examination record generating module is used for recording the inquiry record, the physical examination record and the examination record obtained in the examination process of the medical history acquisition module, the physical examination module and the auxiliary examination module;
and the admission diagnosis module is used for making admission diagnosis and differential diagnosis on the virtual patient according to the virtual patient information collected by the medical history acquisition module, the physical examination module and the auxiliary examination module, and selecting diagnosis basis according to the inquiry record, the physical examination record and the examination record.
2. The virtual standard patient-based diagnostic procedure simulation system of claim 1, wherein: the standard models for various diseases include standard models for different kinds of diseases and standard models for a plurality of severity classifications for a single disease.
3. The virtual standard patient-based diagnostic procedure simulation system of claim 1, wherein: the inquiry content of the medical history acquisition module comprises any one or combination of a plurality of main complaints, current medical history, past history, family history and marriage and childbirth history.
4. The virtual standard patient-based diagnostic procedure simulation system of claim 1, wherein: the examination content of the physical examination module comprises any one or combination of a plurality of kinds of skin examination, consciousness state examination, head and neck examination, chest examination, heart examination, abdomen examination, limb and spine examination and genital examination.
5. The virtual standard patient-based diagnostic procedure simulation system of claim 1, wherein: the examination items of the auxiliary examination module comprise any one or combination of more of electrocardio examination, blood routine examination, B-ultrasonic examination, CT examination, X-ray examination, PET examination and nuclear magnetic resonance examination.
6. The virtual standard patient-based diagnostic procedure simulation system of claim 1, wherein: still include the treatment module of admitting to hospital and treatment result generation module:
an admission treatment module, wherein the user selects a treatment scheme aiming at the virtual patient according to the result of the admission diagnosis;
and the treatment result generation module is used for inputting the treatment scheme selected by the user into the standard model of the disease and outputting the treatment result.
7. The virtual standard patient-based diagnostic procedure simulation system of claim 6, wherein: the treatment regimen comprises any one or combination of general treatment, drug treatment, surgical treatment and rescue treatment.
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| CN113270140A (en) * | 2021-04-27 | 2021-08-17 | 温州医科大学 | Clinical accurate application virtual simulation experiment system of fluvoxamine based on CYP2D6 genotype |
| CN113299386A (en) * | 2021-05-08 | 2021-08-24 | 北京大学第三医院（北京大学第三临床医学院） | Clinical thinking evaluation method and device |
| CN117219267A (en) * | 2023-11-09 | 2023-12-12 | 北京大学第三医院（北京大学第三临床医学院） | Method, apparatus, device and medium for simulating and diagnosing malignant hyperthermia |
| CN117219267B (en) * | 2023-11-09 | 2024-02-06 | 北京大学第三医院（北京大学第三临床医学院） | Method, apparatus, device and medium for simulating and diagnosing malignant hyperthermia |
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Application publication date: 20200710 |