CN101853330A - Intelligent evaluation device of peritoneal dialysis sufficiency - Google Patents
Intelligent evaluation device of peritoneal dialysis sufficiency Download PDFInfo
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- CN101853330A CN101853330A CN201010169262A CN201010169262A CN101853330A CN 101853330 A CN101853330 A CN 101853330A CN 201010169262 A CN201010169262 A CN 201010169262A CN 201010169262 A CN201010169262 A CN 201010169262A CN 101853330 A CN101853330 A CN 101853330A
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Abstract
The invention provides an intelligent evaluation device of peritoneal dialysis sufficiency, which comprises an input device, a calculating device, an output device and a storage device which are connected through data lines for carrying out data communication, wherein the input device is used for doctors or information managers to input clinical data of a patient; the calculating device is used for processing and calculating the received clinical data of the patient to obtain an evaluation result of peritoneal dialysis of the patient, and the evaluation result is output by the output device; the storage device is used for storing the clinical data of the patient and the intermediate calculation result and the evaluation result of the calculating device; and the output device outputs a dialysis sufficiency evaluation curve for showing dialyses sufficiency conditions in the whole therapeutic process of the patient. An evaluation method is encapsulated in the device, so that an evaluator can obtain the evaluation result only by inputting the clinical data of peritoneal dialysis patients. The invention can clinically save the mental labor of attending doctors, improve the efficiency and prevent the evaluation result from being influenced by personal subjective factors.
Description
Technical field
The present invention relates to the peritoneal dialysis technical field, be specifically related to the intelligent evaluation device of a kind of peritoneal dialysis sufficiency (peritoneal dialysisadequacy).
Background technology
Owing to reasons such as the change of life style and life-span prolongations, (End Stage Renal Disease, morbidity rate ESRD) increases end-stage renal disease year by year, is threatening patient's life.Owing to be subjected to the restriction in kidney source, dialysis is the effective means of treatment ESRD, and wherein peritoneal dialysis is one of common mode of dialysis.
Peritoneal dialysis is meant and utilizes peritonaeum as semipermeable partition, utilize action of gravity the dislysate that configures to be poured into patient's cavum peritoneale through conduit, make the peritonaeum both sides owing to dispersion and osmosis take place the concentration gradient difference of solute, dispersion makes the solute of high concentration one side to low concentration one side shifting, and osmosis makes moisture ooze a side shifting from a hypotonic side direction height.Meanwhile, constantly change, reach the purpose of removing interior metabolism product, toxicant and correcting water, electrolyte balance disorder by abdominal dialysis liquid.
Along with the improvement of dialysis tubing connected system, the raising of operative technique and the improvement of dislysate biocompatibility, the quality of life of patients undergoing peritoneal dialysis and life cycle obviously improve, but assess how objective and accurately the dialysis adequacy problem become increasingly conspicuous.Show, 18% the patient inadequate sign that occurs dialysing is arranged at preceding 3 months that carry out peritoneal dialysis treatment according to authoritative department investigation, more than 3 months up to 42%.Along with the prolongation of dialysis time, this phenomenon is more outstanding.Yet, for the adequacy assessment of patients undergoing peritoneal dialysis, not having unified evaluation criteria at present, most hospitals also only are to assess for the observation of patient's clinical manifestation according to the attending doctor.The method relies on very big for subjectivity, and for same patient, different doctors may provide different adequacy assessment results, and this can cause puzzlement to patient's treatment undoubtedly, and is serious, even threatens patient's life.
Summary of the invention
The present invention be directed to the problems referred to above proposes, its objective is the intelligent evaluation device (hereinafter to be referred as apparatus for evaluating) that a kind of peritoneal dialysis sufficiency is provided, the present invention can provide the adequacy assessment result (hereinafter to be referred as assessment result) of patient's peritoneal dialysis quick, objective, exactly.Purpose of the present invention is achieved through the following technical solutions.
A kind of intelligent evaluation device of peritoneal dialysis sufficiency, comprise input media, arithmetic unit, output unit and memory storage, input media is used for the doctor or the information manager imports patient's clinical data, arithmetic unit carries out data processing and computing to the patient's clinical data that receives, obtain the assessment result of patient's peritoneal dialysis, export via output unit, described memory storage is used for the intermediate operations result and the assessment result of store patient clinical data and arithmetic unit, output unit output patient's dialysis adequacy assessment curve, represent intuitively in the whole therapeutic process of patient dialysis adequacy situation.Utilize data line to interrelate between each device, be used to transmit data.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, input media is made up of two modules of input part and monitoring portion, monitoring portion monitors in real time to patient's clinical manifestation, and clinical manifestation (comprises blood pressure by the biochemical investigation value, heart function, bio-electrical impedance, KT/V, Ccr, blood calcium, serium inorganic phosphorus, calcium-phosphorus product, blood sodium, bicarbonate radical, haemoglobin, parathyroid hormone, blood CRP concentration, have or not the heterotopic calcification kitchen range, blood albumin concentration, lean body mass) and clinical symptoms (comprise edema, the uremia symptom, the complication scoring, grip, quality of life) two parts are formed and are deposited data in memory storage; Input part receives the patient's personal information and the biochemical investigation value of entry personnel's input, and deposits data in memory storage.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, input media also is used to import the expert info that participates in assessment, and wherein expert info comprises expert's personal information I and the expert information C that gives a mark; Described patient's clinical data comprises patient's personal information and biochemical investigation value, and memory storage receives expert's personal information I of input media input and the expert information C that gives a mark, and updated stored has the expert info database of expert info.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, the information of storage device for storing comprises the dialyse assessment result PDV value of adequacy of pretreatment information, the graded index of peritoneal dialysis sufficiency evaluation index, the intermediate operations result of arithmetic unit, the patient of patient's clinical data and expert info.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, arithmetic unit receives the data of input media input and carries out computing, calculating process is the process of a group decision, avoids the influence of subjective factor to the assessment of patient's peritoneal dialysis sufficiency, has improved the accuracy of assessment.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, described intermediate operations result comprises the expert's who respectively participates in group decision weight
Weights omega with the index of assessing peritoneal dialysis sufficiency.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, described arithmetic unit according to patients undergoing peritoneal dialysis for described graded index middle finger target clinical manifestation and actual biochemical test value, in conjunction with expert's weight of storing in the described memory storage
With the index weights omega, to utilize the mode that patient's peritoneal dialysis sufficiency result is given a mark to quantize the adequacy of patient's peritoneal dialysis, and use patient's adequacy score PDV to carry out the adequacy assessment, the adequacy assessment result is exported by above-mentioned output unit.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, deposit the abundant patient's of dialysis PDV value in the described memory storage, arithmetic unit is compared the PDV value that need carry out the patient of adequacy assessment with this abundant patient's that dialyses PDV value, when ratio is 1, dialysis is described cmpletely; Ratio is less than 1, and ratio more hour, illustrates insufficient more.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, described expert's weight
Comprise that the dialysis patient of having been accepted for medical treatment by expert's academic title TV, length of service YV and place medical institutions is counted priori expert's weight of PV decision and by the posteriority expert weight definite of expert opinion in the group decision process with community opinion consistent degree S.
In the intelligent evaluation device of above-mentioned peritoneal dialysis sufficiency, the index weights omega of above-mentioned memory storage comprises the subjective index weight SW that calculates according to above-mentioned group decision and the entropy weight eW of index.
Compare with present peritonaeum adequacy appraisal procedure, the present invention has following advantage and effect:
(1) overcome subjective factor in the past for the too big problem of peritoneal dialysis sufficiency assessment result influence, appraisal procedure is encapsulated in the arithmetic unit, the clinical data that the evaluator only need import patients undergoing peritoneal dialysis can obtain assessment result, has improved the efficient of assessment and has guaranteed the objectivity of assessing.
(2) graded index among the present invention is made as adjustablely, and the doctor can be according to different patients' different clinical examinations, select to be used for assessing the index of peritoneal dialysis sufficiency neatly, and the adaptability of appraisal procedure is strong.
(3) a plurality of expert infos of importing in advance based on input media of the computing of arithmetic unit of the present invention, promptly assessment result is drawn by group decision-making, and this makes the reliability of assessment result be higher than the method for the individual decision making of adopting clinically at present.
(4) in the present invention, allow input media to import expert info at any time, expert info database in the while updated stored device, and arithmetic unit can in time be adjusted assessment result according to the expert info after upgrading, and this makes apparatus for evaluating can in time adjust the assessment result of oneself according to the latest tendency of medical circle.
Description of drawings
Fig. 1 is the connection diagram between each ingredient of apparatus for evaluating.
Fig. 2 is the mode chart as the apparatus for evaluating of the embodiment of the invention.
Fig. 3 is the work main flow chart of the embodiment of apparatus for evaluating.
Fig. 4 is the process flow diagram of medical matters personnel operation among the embodiment of apparatus for evaluating.
Fig. 5 is the process flow diagram of keeper's operation among the embodiment of apparatus for evaluating.
Fig. 6 is the process flow diagram of intelligent evaluation method in the arithmetic unit.
Fig. 7 is based on the graded index of existing adequacy evaluation index.
Fig. 8 is the PDV--t curve of dialysis adequacy assessment.
Embodiment
Fig. 1 is the connection diagram between each ingredient of intelligent evaluation device.This intelligent evaluation device comprises: input media 2a, memory storage 2b, arithmetic unit 2c and output unit 2d.
Input media 2a is made up of input part 2a1 and the 2a2 of monitoring portion.The function of input media 2a is to apparatus for evaluating input assessment desired data, comprise pretreatment information, doctor's personal information I, marking information C and patient's clinical data, wherein patient's clinical data comprises patient's personal information, biochemical investigation value and clinical manifestation.In the present embodiment, pretreatment information, doctor's personal information I and marking information C import apparatus for evaluating by the information manager through input part 2a1, patient's personal information, biochemical investigation value are imported apparatus for evaluating by medical matters affair personnel through input part 2a1, patient's clinical manifestation is monitored in real time by the 2a1 of monitoring portion, and directly imports apparatus for evaluating.
Memory storage 2b is responsible for storing the data of above-mentioned input media 2a input and the results of intermediate calculations of arithmetic unit 2c.
Arithmetic unit 2c is a core component of the present invention, arithmetic unit 2c utilization calculates patient's adequacy score PDV based on the intelligent evaluation method of group decision, and with the method that the abundant patient PDV of dialysis compares patient's adequacy is assessed with the PDV of patients undergoing peritoneal dialysis, if ratio is 1, patient's dialysis is described cmpletely, ratio is more little, and then dialysis is insufficient more.Assess required data by input media 2a input, the results of intermediate calculations of evaluation process and patient's adequacy score PDV is stored among the memory storage 2b, and patient's dialysis adequacy assessment result is exported by output unit 2c.
Output unit 2d output patient's peritoneal dialysis sufficiency assessment result can be the assessment result of special time, also can be based on the real-time monitoring of the 2a2 of monitoring portion, and the peritoneal dialysis sufficiency assessment curve in the whole therapeutic process of output patient.
At this, the computing of each height device can walk abreast and carry out among the present invention, and the present invention compares with present appraisal procedure, and is quicker.
As Fig. 2, be an example of apparatus for evaluating of the present invention.This apparatus for evaluating has main part 11, the importation 10 and the output 12 that link to each other with main part 11 parts.
Main part 11 inside comprise the general architecture of CPU11a, RAM11b, storer 11c, display card 11d and CD-ROM drive 11e etc.Wherein CUP11a is used to finish the computing and the control of whole device, RAM11b is used for storing the data that CPU calculates temporarily, storer 11C is used for the storage data of the operation program and the storage part of memory storage arithmetic unit, the instruction and data that display card 11d is used for that CPU11a is provided shows after handling accordingly and becoming literal that output 12 can accept or image, CD-ROM drive 11e is used to read the various removable mediums 2 (CD-ROM20 that insert from the outside, DVD-ROM21, removable storage 22).
Importation 10 is connected with aforementioned body part 11, is used for data inputs (input media).
Output 12 is connected with aforementioned body part 11, is used for data presentation (output unit), and output 12 can be display.
Peritoneal dialysis sufficiency intelligent evaluation algorithm promptly can be read in by CD-ROM drive 11e by storage medium 2, also can read in from other memory storage 3 or server 4 via network, is kept among the storer 11c after reading in.In this configuration example, storage medium comprises CD-ROM20, DVD-ROM21 and other memory devices 22.
The data that peritoneal dialysis sufficiency intelligent evaluation algorithm is required, can read in by CD-ROM drive 11e by storage medium 2, also can read in from other memory storage 3 or server 4 via network, also can be by information management person via input media 10 input, data are kept in the expert info database among the storer 11c.
In this intelligent evaluation device, patient's clinical manifestation information is by medical worker's 10 inputs through the importation, CUP11a carries out computing according to the data of input in conjunction with the preprocessed data that is stored among the storer 11c, and operation result (being adequacy intelligent evaluation result) is through output 12 outputs.Here, feature of the present invention is: appraisal procedure is encapsulated in device inside, and operating personnel only need be mutual with device by importation 10 and output 12, compares with the method for existing subjective evaluation, and the result of this device is more objective.
The present invention has realized the adequacy evaluation function to patients undergoing peritoneal dialysis, and output 12 can export this patient's history dialysis adequacy condition curve, makes assessment result accurately and directly perceived.
Fig. 3 is the work main flow chart of the embodiment of apparatus for evaluating.As shown in the drawing, before the device operation, need in memory storage, to write pretreatment information by the information manager, then be executable program, by the assessment result of output unit output patient peritoneal dialysis sufficiency.Particularly, the device among the present invention is by medical worker or information manager's operation, and the information manager is responsible for importing pretreatment information and the data of safeguarding in the memory storage, and the medical worker is responsible for manually input patient's clinical manifestation.
Medical worker's operating process such as Fig. 4.The medical worker can select hand input-data to assess or allow apparatus for evaluating assess automatically.If manually assessment is imported personal information and the biochemical investigation value of patient at a certain particular moment t by the medical worker, and according to monitoring portion in this detected patient's clinical manifestation constantly, provide this moment patient's dialysis adequacy assessment result.If automatically assessment, then the medical worker only need import a patient's personal information and biochemical investigation value, and monitoring portion can be in real time with the data input device that monitors, continuously, incessantly patient's peritoneal dialysis sufficiency is assessed.
Information manager's operating process such as Fig. 5.If starter gear then need at first be imported pretreatment information first; In the process of device operation, as described above, have in the process that new expert participates in group decision, need the message input device of information manager this moment with this part expert, idiographic flow is as shown in Figure 5.
The present invention can realize the hand input-data assessment and assess two kinds of assessment modes automatically, manually the assessment result of assessment is patient's dialysis adequacy score PDV with the abundant patient's of dialysis PDV comparison, different treatment times are (as T1～T4) assessment result of automatic assessment is shown as PDV--t curve (ordinate accounts for the number percent of the abundant standard value of dialysis for the PDV value of patient's adequacy assessment) as shown in Figure 8, assessment result is clear and intuitive, is convenient to observe.
In addition, the operation that the present invention relates to the medical worker is only for importing patient's information and biochemical investigation data, concrete appraisal procedure has been encapsulated in device inside, wherein the arithmetic unit intermediate operations result that carries out adequacy assessment computing is stored in the memory storage, the medical worker can read at any time, the method has been saved doctor's brainwork effectively having guaranteed that evaluation process is transparent, the objective while of assessment result.
In apparatus for evaluating of the present invention, arithmetic unit utilization intelligent evaluation method is calculated patient's peritoneal dialysis sufficiency score PDV, and utilize PDV that the patient is carried out the adequacy assessment, therefore before introducing the embodiment of this device, introduce earlier the mathematical model of this appraisal procedure briefly.
The mathematical model of intelligent evaluation method in this apparatus for evaluating
Graded index system shown in Figure 7 is made into questionnaire, and be distributed to the nephrology expert of different regions as much as possible, allow the expert select evaluation index according to actual conditions, and the index of choosing given a mark, it is high more to give a mark, and represents this index important more for the assessment of peritoneal dialysis sufficiency.Reclaim questionnaire, and, utilize the thought of group decision, determine the significance level of each expert in the group decision process, i.e. expert's weight according to expert's personal information I and marking information C
According to expert's weight, each index in this model of analysis-by-synthesis is determined the weights omega of each index.
According to patients undergoing peritoneal dialysis for target clinical manifestation of graded index middle finger and actual biochemical test value, in conjunction with above-mentioned expert's weight
With the index weights omega, the mode that utilization is given a mark to patient's peritoneal dialysis sufficiency result quantizes the adequacy of patient's peritoneal dialysis, and utilization patient's adequacy score PDV carries out the adequacy assessment, this mathematical model energy enough following mathematical expression (1-1)-(1-12) represent.Fig. 6 is the process flow diagram of this mathematical model.
ω
j＝β·Sw
j+(1-β)·Ow
j (1-13)
PDV＝P·ω(1-14)
In above-mentioned formula, formula (1-1)-(1-6) is the expert's weight that participates in group decision
The process of asking for, formula (1-7)-(1-13) is the process of asking for of each the index weights omega in the graded index, and (1-14) for calculating the final score of assess patient.
Particularly, in the process of calculating expert's weight, each expert's weight is divided into two parts, is respectively the priori weight
With the posteriority weight
Subscript i represents that this weight is the weight that participates in i expert of group decision herein.Wherein, the priori weight is by i the expert's who participates in group decision academic title TV
(i), length of service YV
(i)Count PV with the dialysis patient that place medical institutions have accepted for medical treatment
(i)Decision, TV
(i), YV
(i)And PV
(i)Be the fuzzy language variable, particularly, TV
(i)=(0.1,0.2,0.3,0.4), four components corresponding respectively academic title={ elementary academic, intermediate title, associate professorship, high title }; YV
(i)=(0.1,0.2,0.3,0.4), corresponding length of service={ in 2 years, 3-5 is more than 5 years, more than 10 years }; PV
(i)=(0.1,0.2,0.3,0.4), corresponding accepting for medical treatment patient's number={ be less than 50 people, 50-100 people, 100-500 people is more than 500 people }, specific algorithm shown in formula (1-1), and with (1-2) with the normalization of priori weight, obtain normalized priori weight
Wherein P is for participating in expert's number of group decision.Utilize formula (1-3)-(1-5), ask for i expert's posteriority weight according to i the expert of participative decision making and the consistent degree of community opinion
In (1-3), at first set up the marking matrix c of expert to index, C=(C according to the expert information C that gives a mark
Ij)
P * n, C
IjRepresent the marking of i expert to j index, p is expert's number, and n is the index number.d
(i, j)The similarity degree of representing i expert and j expert opinion, note is made s (c
(i), c
(j), C wherein
(j), C
(j)Be respectively i, a j expert's marking information,
Represent all C
IjMean value.Utilization formula shown in (1-4) is obtained i expert's posteriority weight
Max (d wherein
(i, j)) and min (d
(i, j)) represent all d respectively
(i, j)Minimum and maximum value, (1-5) with the posteriority weight
Normalization obtains the posteriority weight after the normalization
(1-6) the proportion of utilization factor alpha is comprehensively obtained expert's weight
(1-7)-(1-13) for the process of asking for of index weight, utilize the thought of group decision, the index weight of j index is divided into objective weight Ow
jWith subjective weight Sw
jDetermine.(1-7)-(1-10) utilize the transfer method to determine objective weight Ow
j, the transfer method is to be proposed by professor Xu Zeshui the earliest, is the common method of asking for the index weight in the multiattribute group decision.P (1-7)
IjB (1-8)
IjBe respectively the intermediate variable of computation process, utilize formula (1-9) can determine objective weight vector Ow, Ow is 1 * n dimension, and n is the number of index.In (1-10), Ow
iFor j component among the objective weight vector Ow, handle Ow as (1-10)
j, just obtained the objective weight Ow after the normalization of j index
jAfterwards, utilize (1-11) (1-12) to determine the subjective weight Sw of j index
j(1-11), hc
jRepresent the assembly value of all experts, (1-12) with the hc of j index to j index marking suggestion
jBe worth normalization, be the subjective weight Sw of j index
j(1-13) the proportion of utilization factor beta is determined final index weights omega.
According to expert's weight
With the index weights omega, just can determine the assessment models of peritoneal dialysis sufficiency, this model is stored in memory storage.Then, according to patient's performance for each index in the index system in therapeutic process, set up patient's clinical manifestation matrix P.Utilize P, carry out patient's peritoneal dialysis sufficiency assessment.
Clinically, the performance in the patient treatment process in the corresponding index system can obtain patient's inquiry by clinical biochemical check or doctor, and these values are entered into intelligent evaluation device of the present invention.
Particularly, index can be divided into two classes.One class directly consumption is divided the score of value representation patient for this index, and for example, index " urine amount " is a first kind index.For this index, patient's clinical manifestation has only three kinds of fixing situations, is more preceding increase, the same no change and more preceding minimizing, and correspondingly, score is respectively 2,1 and 0.Another kind of index needs by fuzzy theory and fuzzy membership functions, and patient's clinical manifestation is expressed as value in 0 to 1 scope quantitatively, is designated as the score of patient to this index.For example, index " blood sodium " normal range clinically is an interval, is 0.80-1.6mmol/L.When calculating the patient for the score of this index, need set up the fuzzy membership functions of patient's clinical manifestation for normal interval, determine the marking of patient for this index.
PDV is the dialyse final score of adequacy of patient if make, and then PDV can determine with (1-14).In (1-14), P is k * n dimension patient clinical manifestation matrix, and ω is the index weight vectors of n * 1 dimension, and PDV is the final score of patient's adequacy.
Apparatus for evaluating of the present invention adopts the dialysis adequacy based on the method assessment patients undergoing peritoneal dialysis of group decision, and this method is quicker, objective and accurate than the method that present most hospitals adopt.And apparatus for evaluating of the present invention is encapsulated in device inside with appraisal procedure, and is simple to operate, and therefore easy left-hand seat can be used for clinically the assessment for patient's peritoneal dialysis sufficiency.
Claims (10)
1. the intelligent evaluation device of a peritoneal dialysis sufficiency, be characterised in that and comprise input media, arithmetic unit, output unit and memory storage, connect by data line between each device and carry out data communication, memory storage and input media, arithmetic unit is connected with output unit, arithmetic unit also is connected with output unit, input media is used for the doctor or the information manager imports patient's clinical data, arithmetic unit carries out data processing and computing to the patient's clinical data that receives, obtain the assessment result of patient's peritoneal dialysis, export via output unit, described memory storage is used for the intermediate operations result and the assessment result of store patient clinical data and arithmetic unit, the dialysis adequacy assessment curve of the dialysis adequacy situation in the whole therapeutic process of output unit output expression patient.
2. the apparatus for evaluating of peritoneal dialysis sufficiency as claimed in claim 1, it is characterized in that, input media is made up of two modules of input part and monitoring portion, monitoring portion monitors in real time to patient's clinical manifestation, and depositing data in memory storage, described clinical manifestation comprises biochemical investigation value and clinical symptoms; Described biochemical investigation value comprises blood pressure, heart function, bio-electrical impedance, urea removing index, endogenous creatinine clearance rate, blood calcium, serium inorganic phosphorus, calcium-phosphorus product, blood sodium, bicarbonate radical, haemoglobin, parathyroid hormone, blood CRP concentration, has or not heterotopic calcification kitchen range, blood albumin concentration and lean body mass; Described clinical symptoms comprises edema, uremia symptom, complication scoring and grip; Input part receives the patient's personal information and the biochemical investigation value of entry personnel's input, and deposits data in memory storage.
3. the intelligent evaluation device of peritoneal dialysis sufficiency as claimed in claim 1 is characterized in that, input media also is used to import the expert info that participates in assessment, and wherein expert info comprises expert's personal information I and the expert information C that gives a mark; Described patient's clinical data comprises patient's personal information and biochemical investigation value, and memory storage receives expert's personal information I of input media input and the expert information C that gives a mark, and updated stored has the expert info database of expert info;
4. the intelligent evaluation device of peritoneal dialysis sufficiency as claimed in claim 1, it is characterized in that the information of storage device for storing comprises the dialyse assessment result PDV value of adequacy of pretreatment information, the graded index of peritoneal dialysis sufficiency evaluation index, the intermediate operations result of arithmetic unit, the patient of patient's clinical data and expert info.
5. the intelligent evaluation device of peritoneal dialysis sufficiency as claimed in claim 4 is characterized in that, arithmetic unit receives the data of input media input and carries out computing, and calculating process is the process of a group decision.
6. the intelligent evaluation device of peritoneal dialysis sufficiency as claimed in claim 1 is characterized in that, described intermediate operations result comprises the expert's who respectively participates in group decision weight
Weights omega with the index of assessing peritoneal dialysis sufficiency.
7. the intelligent evaluation device of peritoneal dialysis sufficiency as claimed in claim 6, it is characterized in that, described arithmetic unit according to patients undergoing peritoneal dialysis for described graded index middle finger target clinical manifestation and actual biochemical test value, in conjunction with expert's weight of storing in the described memory storage
With the index weights omega, to utilize the mode that patient's peritoneal dialysis sufficiency result is given a mark to quantize the adequacy of patient's peritoneal dialysis, and use patient's adequacy score PDV to carry out the adequacy assessment, the adequacy assessment result is exported by above-mentioned output unit.
8. the apparatus for evaluating of peritoneal dialysis sufficiency as claimed in claim 7, it is characterized in that, deposit the abundant patient's of dialysis PDV value in the described memory storage, arithmetic unit is compared the PDV value that need carry out the patient of adequacy assessment with this abundant patient's that dialyses PDV value, when ratio is 1, dialysis is described cmpletely; Ratio is less than 1, and ratio is more hour, illustrate dialyse insufficient more.
9. the intelligent evaluation device of peritoneal dialysis sufficiency as claimed in claim 7 is characterized in that, described expert's weight
Comprise that the dialysis patient of having been accepted for medical treatment by expert's academic title TV, length of service YV and place medical institutions is counted priori expert's weight of PV decision and by the posteriority expert weight definite of expert opinion in the group decision process with community opinion consistent degree S.
10. the intelligent evaluation device of peritoneal dialysis sufficiency as claimed in claim 9 is characterized in that, the index weights omega of above-mentioned memory storage comprises the subjective index weight SW that calculates according to above-mentioned group decision and the entropy weight eW of index.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN104225699A (en) * | 2014-04-04 | 2014-12-24 | 博彦网鼎信息技术有限公司 | Peritoneal dialysis management system and method |
| CN107106040A (en) * | 2015-01-14 | 2017-08-29 | 弗雷森纽斯医疗护理德国有限责任公司 | The system and method for medical fluid treatment machine and correlation |
| CN107887028A (en) * | 2017-11-07 | 2018-04-06 | 陈乐晨 | The typing of hemodialysis patient body weight and control system |
| CN108988382A (en) * | 2018-07-09 | 2018-12-11 | 内蒙古电力(集团)有限责任公司内蒙古电力科学研究院分公司 | The grid-connected monitoring and evaluation method and system of photo-voltaic power generation station |
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| CN112992333A (en) * | 2019-12-18 | 2021-06-18 | 森睿软件系统(上海)有限公司 | Diagnostic device and method for diagnosing adequacy of hemodialysis |
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| CN104225699A (en) * | 2014-04-04 | 2014-12-24 | 博彦网鼎信息技术有限公司 | Peritoneal dialysis management system and method |
| CN107106040A (en) * | 2015-01-14 | 2017-08-29 | 弗雷森纽斯医疗护理德国有限责任公司 | The system and method for medical fluid treatment machine and correlation |
| US10842926B2 (en) | 2015-01-14 | 2020-11-24 | Fresenius Medical Care Deutschland Gmbh | Medical fluid treatment machines and related systems and methods |
| CN107887028A (en) * | 2017-11-07 | 2018-04-06 | 陈乐晨 | The typing of hemodialysis patient body weight and control system |
| CN108988382A (en) * | 2018-07-09 | 2018-12-11 | 内蒙古电力(集团)有限责任公司内蒙古电力科学研究院分公司 | The grid-connected monitoring and evaluation method and system of photo-voltaic power generation station |
| CN109637642A (en) * | 2018-12-04 | 2019-04-16 | 平安医疗健康管理股份有限公司 | Medical institutions' dialysis horizontal wire examination method, device, equipment and storage medium |
| CN109637642B (en) * | 2018-12-04 | 2022-08-19 | 深圳平安医疗健康科技服务有限公司 | Assessment method, device, equipment and storage medium for dialysis level of medical institution |
| CN112992333A (en) * | 2019-12-18 | 2021-06-18 | 森睿软件系统(上海)有限公司 | Diagnostic device and method for diagnosing adequacy of hemodialysis |
| CN113470794A (en) * | 2021-07-03 | 2021-10-01 | 深圳市裕辰医疗科技有限公司 | Calculation system and calculation method for hemodialysis quality control process |
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