CN102902881B - A kind of parenteral nutrition examination computing system - Google Patents
A kind of parenteral nutrition examination computing system Download PDFInfo
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- CN102902881B CN102902881B CN201210319367.0A CN201210319367A CN102902881B CN 102902881 B CN102902881 B CN 102902881B CN 201210319367 A CN201210319367 A CN 201210319367A CN 102902881 B CN102902881 B CN 102902881B
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Abstract
The present invention relates to a kind of parenteral nutrition examination computing system, comprise: nutrition Screening tool subsystem, for the screening instruments that system user is different according to the different choice of individual instances, the organization factors correlation attribute value that input is individual, calculate individual nutrition condition score, and export corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality; Nutritional requirement computing subsystem, for the organization factors correlation attribute value according to individuality, calculate individual nutritional requirement, different nutritional preparations is selected according to the nutritional requirement of individuality, the nutritional programs that output system user formulates, system user only need input or select individual corresponding parameter, and system will calculate corresponding result automatically, thus stop the generation of miscount, decrease the workload of system user simultaneously.
Description
Technical field
The present invention relates to medical detection field, be specifically related to a kind of parenteral nutrition examination computing system.
Background technology
At present, at international medical community, the Nutritional Risk method of assess patient and determine that patient's parenteral nutrition demand all has relatively clear and definite guide.In concrete operations, clinician must know the various computing formula of all kinds of complexity, and to each parameter, the concrete composition of each nutritional preparation and the content of Middle nutrition composition thereof all need to keep firmly in mind.But in clinical practice, because partial clinical doctor has certain limitation to the attention of nutrition treatment and degree of understanding, in addition assess patient Nutritional Risk method and determine that the computing formula of patient's parenteral nutrition demand is really complicated various, clinician is difficult to learn all formula under normal circumstances by heart, cause when assessing to patient and calculating parenteral nutrition demand, clinician often will lookup tool book or teaching material data etc. again, find corresponding formula, then calculate.Be not difficult to find out, utilize the method for pure hand computation parenteral nutrition demand comparatively complicated, workload is large, and doctor is at assess patient Nutritional Risk and select to lack a kind of easy method during parenteral nutrition preparation to complete this work; And because of being the selection of Medical Nutritional preparation, often kind of nutritional preparation all has its distinctive specification and attribute, when various nutritional preparation collocation uses, certain allocation ratio is had between various nutritional preparation, the nutritional need that different allocation ratios is corresponding different, be easy to cause result of calculation mistake with pure hand computation, and then the Nutrition Evaluation that does to patient of impact or the calculating of parenteral nutrition demand and the selection of nutritional preparation produce irremediable mistake, finally bring this avoidable trouble to patient.
In sum, in the prior art, a kind of good instrument or system do not avoid above-mentioned tedious work amount and the error of result of calculation.
Summary of the invention
In view of this, be necessary to provide a kind of instrument or system, make clinician can reduce workload at the Nutritional Risk of assessment or examination patient with when calculating the work of patient's parenteral nutrition demand, and can increase work efficiency further and work quality.
The invention provides following technical scheme for this reason:
A kind of parenteral nutrition examination computing system, comprising:
Nutrition Screening tool subsystem, for the screening instruments that system user is different according to the different choice of individual instances, the organization factors correlation attribute value that input is individual, calculates individual nutrition condition score, and exports corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality;
Nutritional requirement computing subsystem, for the organization factors correlation attribute value according to individuality, calculates individual nutritional requirement, selects different nutritional preparations according to the nutritional requirement of individuality, the nutritional programs that output system user formulates.
Further, the parenteral nutrition examination computing system that this invention relates to also comprises:
Nutrition instrument illustrates subsystem, for carrying out explanatory note to nutrition Screening tool subsystem, nutritional requirement computing subsystem.
Further, described nutrition Screening tool subsystem comprises:
2002 Nutritional risk screening assemblies, for directly showing that the individuality of individual organization factors correlation attribute value carries out nutrition Screening, calculate and export the nutrition condition score of individuality and corresponding assessment of nutritional status and suggestion.
Further, described 2002 Nutritional risk screening tool assemblies comprise:
NRS2002 obtains property value module, for obtaining individual organization factors correlation attribute value;
NRS2002 examination module, organization factors correlation attribute value for obtaining the individuality that property value module obtains according to NRS2002 carries out nutrition Screening to individuality, calculate individual nutrition condition score, and generate corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality;
NRS2002 output module, for the result that output display NRS2002 examination module obtains.
Further, described NRS2002 examination module comprises:
NRS2002 pre-sifted verification certificate unit, for carrying out the pre-examination of nutrition to individuality, and the evaluation calculated individual nutrition situation and suggestion;
The formal examination unit of NRS2002, under not exporting the condition of assessment of nutritional status and suggestion in NRS2002 pre-sifted verification certificate unit, the formal examination of nutrition NRS2002 is carried out to individuality, and calculate individual nutrition condition score, and generate corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality.
Further, described nutrition Screening tool subsystem also comprises:
Malnutritive general examination tool assembly, for carrying out nutrition Screening fast to individuality, calculating and exporting individual nutrition condition score and the nutrition disposal method of correspondence.
Further, the general examination tool assembly of described malnutrition comprises:
MUST obtains property value module, for obtaining individual organization factors correlation attribute value;
MUST examination module, carries out corresponding nutrition Screening for the organization factors correlation attribute value obtaining the individuality that property value module obtains according to MUST to individuality, calculates individual nutrition condition to reserved portion;
MUST statistical module, the nutrition condition of the individuality calculated for statistical study MUST examination module to reserved portion, and calculates final individual nutrition condition score and generates corresponding nutrition disposal method;
MUST output module, for output display MUST examination module and obtained the separately result of MUST statistical module.
Further, described nutrition Screening tool subsystem also comprises:
Subjective synthesis Evaluation Method assembly, for being subject to the professional of professional training to carry out nutrition Screening to individuality, calculating individual nutrition condition score, and carrying out synthetic determination to the nutrition condition of individuality.
Further, described subjective synthesis Evaluation Method assembly comprises:
SGA obtains property value module, for obtaining individual organization factors correlation attribute value;
SGA examination module, carries out nutrition Screening for the various organization factors correlation attribute value obtaining the individuality that property value module obtains according to SGA to individuality, and calculates the nutrition condition phase reserved portion corresponding to individual various organization factors correlation attribute value;
SGA output module, for the result that output display SGA examination module obtains;
SGA determination module, the result exported according to SGA output module for system user carries out synthetic determination to the nutrition condition of individuality.
Further, described nutrition Screening tool subsystem also comprises:
Miniature nutrition criterion assembly, for older individuals nutrition Screening, calculates and exports individual nutrition condition score and corresponding assessment of nutritional status and suggestion.
Further, described mini nutritional assessment method assembly comprises:
MNA obtains property value module, for obtaining individual organization factors correlation attribute value;
MNA examination module, carries out nutrition Screening for the various organization factors correlation attribute value obtaining the individuality that property value module obtains according to MNA to individuality, calculates and exports the nutrition condition score of individuality and corresponding assessment of nutritional status and suggestion;
MNA output module, for the result that output display MNA screening and assessing module obtains.
Further, described MNA examination module comprises:
MNA screens unit, for carrying out nutrition Screening to individuality, and calculates individual nutrition condition screening point;
MNA assessment unit, under nutrition condition screening point for screening the individuality that unit obtains at MNA is not more than the condition of assessment threshold value, MNA assessment is carried out to individuality, and the Evaluation of Nutrition Status calculating individuality divides, add that assessment gets individual nutrition condition score by screening point, and export corresponding assessment of nutritional status and suggestion.
Further, described nutritional requirement computing subsystem comprises:
The routine clinical computing method assembly of thumb principle, for the organization factors correlation attribute value according to individuality, calculates individual nutritional requirement, selects different nutritional preparations according to the nutritional requirement of individuality, the nutritional programs that output system user formulates.
Further, the routine clinical computing method assembly of described thumb principle comprises:
Get parms module, for obtaining individual organization factors correlation attribute value;
Computing module, for calculating individual nutritional requirement according to the organization factors correlation attribute value obtaining the individuality that property value module obtains;
Select module, for the nutritional requirement of individuality calculated according to computing module, select corresponding nutritional preparation;
Export lighting module, for showing the nutritional requirement that computing module calculates and the corresponding table of comparisons selecting the nutritional preparation selected by module.
Further, the routine clinical computing method assembly of described thumb principle also comprises:
Intelligent reminding module, provides for giving system user and uses help and suggestion.
Further, the routine clinical computing method assembly of described thumb principle also comprises:
Mutual derivation module, for deriving output the result that lighting module exports in parenteral nutrition examination computing system.
Further, the module that gets parms described in comprises:
Property value input block, manually inputs individual organization factors respective attributes value for system user;
Factor determination unit, selects different nutrition coefficients for system user according to the organization factors respective attributes value of Different Individual.
Further, described selection module comprises:
Conventional application choice unit, for selecting the nutritional preparation of clinical conventional classification.
Further, described selection module also comprises:
Multiclass application choice unit, for selecting multi-class nutritional preparation.
Further, the organization factors correlation attribute value of described individuality includes but not limited to individual height, body weight, life habit.
A kind of parenteral nutrition examination computing system of the present invention, by the screening and assessing of nutrition and the calculating of nutritional requirement are incorporated in same system, realize especially by nutrition Screening tool subsystem and nutritional requirement computing subsystem, the system user of enabling carries out the screening and assessing of nutrition and the calculating of nutritional requirement intuitively; And allly relate to calculative work, a kind of parenteral nutrition examination computing system provided by the present invention by computing formula in need, relevant preset parameter or all kinds of parameter area be all written with in the middle of the software program that native system carries, system user only need input or select the corresponding parameter (property value) of individuality (patient), system will calculate corresponding result automatically, thus stop the generation of miscount, decrease the workload of system user (clinician) simultaneously; And in nutrition Screening tool subsystem, include again multiple nutrients examination assembly, different nutrition Screening assemblies can be selected to different individualities, pointed strong, feature that responsiveness is high.
Accompanying drawing explanation
In order to be illustrated more clearly in the embodiment of the present invention or technical scheme of the prior art, be briefly described to the accompanying drawing used required in embodiment or description of the prior art below, apparently, accompanying drawing in the following describes is only some embodiments of the present invention, for those of ordinary skill in the art, under the prerequisite not paying creative work, other accompanying drawing can also be obtained according to these accompanying drawings.
Fig. 1 is the systematic functional structrue figure of the embodiment of parenteral nutrition examination computing system provided by the present invention.
Fig. 2 is the functional structure chart of the nutrition Screening tool subsystem of the embodiment of parenteral nutrition examination computing system provided by the present invention.
Fig. 3 is the functional structure chart of the nutritional requirement computing subsystem of the embodiment of parenteral nutrition examination computing system provided by the present invention.
Fig. 4 be the embodiment of parenteral nutrition examination computing system provided by the present invention nutrition Screening tool subsystem in the workflow diagram of 2002 Nutritional risk screening assemblies.
Fig. 5 be the embodiment of parenteral nutrition examination computing system provided by the present invention nutrition Screening tool subsystem in the workflow diagram of malnutritive general examination tool assembly.
Fig. 6 be the embodiment of parenteral nutrition examination computing system provided by the present invention nutrition Screening tool subsystem in the workflow diagram of subjective synthesis Evaluation Method assembly.
Fig. 7 be the embodiment of parenteral nutrition examination computing system provided by the present invention nutrition Screening tool subsystem in the workflow diagram of mini nutritional assessment method assembly.
Fig. 8 be the embodiment of parenteral nutrition examination computing system provided by the present invention nutritional requirement computing subsystem in the workflow diagram Part I of the routine clinical computing method assembly of thumb principle.
Fig. 9 be the embodiment of parenteral nutrition examination computing system provided by the present invention nutritional requirement computing subsystem in the workflow diagram Part II of the routine clinical computing method assembly of thumb principle.
Figure 10 be the embodiment of parenteral nutrition examination computing system provided by the present invention nutritional requirement computing subsystem in the workflow diagram Part III of the routine clinical computing method assembly of thumb principle.
Embodiment
For making the object of the embodiment of the present invention, technical scheme and advantage clearly, below in conjunction with the embodiment of the present invention and accompanying drawing, the technical scheme in the embodiment of the present invention is clearly and completely described.It should be noted that, described embodiment is only the present invention's part embodiment, instead of whole embodiments.Based on the embodiment in the present invention, those of ordinary skill in the art, not paying the every other embodiment obtained under creative work prerequisite, belong to the scope of protection of the invention.
Below in conjunction with accompanying drawing, the specific embodiment of the present invention is described.
As shown in Figure 1, one of them embodiment of a kind of parenteral nutrition examination computing system provided by the invention comprises:
One, nutrition Screening tool subsystem, for the screening instruments that system user is different according to the different choice of individual instances, the organization factors correlation attribute value of input individuality (it should be noted that, the organization factors correlation attribute value of described individuality, include but not limited to individual height, body weight, health, passing medical history, habits and customs etc., when relating to input herein or select organization factors correlation attribute value, concrete needs input or select which property value, depending on actual conditions, actual needs which just input or select which, illustrate effective in full) herein, calculate individual nutrition condition score, and export corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality, nutrition Screening tool subsystem comprises further: 2002 Nutritional risk screening assembly (NRS2002, Nutritionalriskscreening2002), malnutritive general examination tool assembly (MUST, MalnutritionUniversalScreeningTool), subjective synthesis Evaluation Method assembly (SGA, SubjectiveGlobalAssessment), mini nutritional assessment method assembly (MNA, MiniNutritionalAssessment).
Two, nutritional requirement computing subsystem, for the organization factors correlation attribute value according to individuality, calculates individual nutritional requirement, selects different nutritional preparations according to the nutritional requirement of individuality, the nutritional programs that output system user formulates; Nutritional requirement computing subsystem comprises the routine clinical computing method assembly of thumb principle further.
As preferably, the present embodiment also includes nutrition instrument and subsystem is described, for carrying out explanatory note to nutrition Screening tool subsystem, nutritional requirement computing subsystem; Nutrition instrument illustrates that subsystem comprises further: four kinds of nutrition Screening instrument illustrated components, nutritional requirement calculation specifications assembly, parenteral nutrition preparation illustrated components, parenteral nutrient solution Injection fashion and configuration instruction assemblies.
Below in conjunction with Fig. 2 and Fig. 3 in accompanying drawing, each subsystem is further elaborated:
As shown in Figure 2, as everyone knows, the self-condition of each individuality and demand are not quite similar, for adapting to the nutrition Screening demand of Different Individual, nutrition Screening tool subsystem provides NRS2002, MUST, SGA, MNA tetra-assemblies, to facilitate the nutrition Screening demand of Different Individual, wherein:
2002 Nutritional risk screening assemblies (NRS2002 assembly), for directly showing that the individuality of individual organization factors correlation attribute value carries out nutrition Screening, calculate and export individual nutrition condition score and corresponding assessment of nutritional status and suggestion, comprising: NRS2002 obtains property value module, for obtaining individual organization factors correlation attribute value, such as individual height, body weight etc., NRS2002 examination module, organization factors correlation attribute value for obtaining the individuality that property value module obtains according to NRS2002 carries out nutrition Screening to individuality, calculate individual nutrition condition score (to it should be noted that, the calculating related to herein is all rely on the coding of software program to realize, all computing formula all pick up from Medical guidelines, not individual conjestures, illustrate effective in full) herein, and generate corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality, for making screening results more accurate, NRS2002 examination module comprises further: NRS2002 pre-sifted verification certificate unit, for carrying out the pre-examination of nutrition to individuality, and the evaluation calculated individual nutrition situation and suggestion, the formal examination unit of NRS2002, under not exporting the condition of assessment of nutritional status and suggestion in NRS2002 pre-sifted verification certificate unit, the formal examination of NRS2002 is carried out to individuality, and calculate individual nutrition condition score, and generate corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality, NRS2002 output module, for the result that output display NRS2002 examination module obtains.
Malnutritive general examination tool assembly (MUST assembly), for carrying out nutrition Screening fast to individuality, calculate and export individual nutrition condition score and the nutrition disposal method of correspondence, comprising: MUST obtains property value module, for obtaining individual organization factors correlation attribute value; MUST examination module, carries out corresponding nutrition Screening for the organization factors correlation attribute value obtaining the individuality that property value module obtains according to MUST to individuality, calculates individual nutrition condition to reserved portion; MUST statistical module, the nutrition condition of the individuality calculated for statistical study MUST examination module to reserved portion, and calculates final individual nutrition condition score and generates corresponding nutrition disposal method; MUST output module, for output display MUST examination module and obtained the separately result of MUST statistical module.
Subjective synthesis Evaluation Method assembly (SGA assembly), for being subject to the professional of professional training, nutrition Screening was carried out to individuality, calculate individual nutrition condition score, and synthetic determination is carried out to the nutrition condition of individuality, comprising: SGA obtains property value module, for obtaining individual organization factors correlation attribute value; SGA examination module, carries out nutrition Screening for the various organization factors correlation attribute value obtaining the individuality that property value module obtains according to SGA to individuality, and calculates the nutrition condition phase reserved portion corresponding to individual various organization factors correlation attribute value; SGA output module, for the result that output display SGA examination module obtains; SGA determination module, the result exported according to SGA output module for system user carries out synthetic determination to the nutrition condition of individuality.
Miniature nutrition criterion assembly (MNA assembly), for to older individuals nutrition Screening, calculate and export individual nutrition condition score and corresponding assessment of nutritional status and suggestion, comprising: MNA obtains property value module, for obtaining individual organization factors correlation attribute value, MNA examination module, various organization factors correlation attribute value for obtaining the individuality that property value module obtains according to MNA carry out nutrition Screening to individuality, calculate and export individual nutrition condition score and corresponding assessment of nutritional status and suggestion, for making screening results more accurate, MNA examination module comprises further: MNA screens unit, for carrying out nutrition Screening to individuality, and calculate individual nutrition condition screening point, MNA assessment unit, under nutrition condition screening point for screening the individuality that unit obtains at MNA is not more than the condition of assessment threshold value, MNA assessment is carried out to individuality, and the Evaluation of Nutrition Status calculating individuality divides, add that assessment gets individual nutrition condition score by screening point, and export corresponding assessment of nutritional status and suggestion, MNA output module, for the result that output display MNA screening and assessing module obtains.
By above-mentioned four kinds of assemblies, system user can detect individual nutrition condition for Different Individual easily and fast, the naturally nutritious situation bad with nutrition condition in order of the result detected, if the result after detecting is malnutritive, the first individual reaction nature is: need supplementary how much nutrition to be just more suitable for oneself.As everyone knows, nutrition non-supplemental must be more just more useful to health, on the contrary, supplement excessive nutrition, individual health can not well absorb, and causes nutrition to waste, sometimes even affects healthy.For this reason, the present embodiment is further provided with nutritional requirement computing subsystem, and individual need supplements how much nutrition to facilitate system user accurately to tell.
As shown in Figure 3, nutritional requirement computing subsystem comprises thumb principle routine clinical computing method assembly, and (these computing method are simple thumb rule of normal employing clinically, energy requirement amount is multiplied by every kilogram of institute's energy requirement with whose body weight, individual design factor is selected by clinical judgment, calculate the primary demand of nutrient, and using calculated value as with reference to selecting the nutritional preparation that matches), for the organization factors correlation attribute value according to individuality, calculate individual nutritional requirement; Different nutritional preparations is selected, the nutritional programs that output system user formulates according to the nutritional requirement of individuality, comprising:
Get parms module, for obtaining individual organization factors correlation attribute value, for making the parameter of acquisition closer to the actual self-condition of individuality, the module that gets parms is provided with further: property value input block, manually inputs individual organization factors respective attributes value for system user; Factor determination unit, selects different nutrition coefficients for system user according to the organization factors respective attributes value of Different Individual.Computing module, for calculating individual nutritional requirement according to the organization factors correlation attribute value obtaining the individuality that property value module obtains.Select module, for the nutritional requirement of individuality calculated according to computing module, select corresponding nutritional preparation, for adapting to different individual demands, module is selected to be provided with further: conventional application choice unit, for selecting the nutritional preparation of clinical conventional classification; Multiclass application choice unit, for selecting multi-class nutritional preparation, the kind that the kind of this element Middle nutrition preparation compares in conventional application choice unit is more, and in clinical practice, specific aim is stronger.Export lighting module, for showing the nutritional requirement that computing module calculates and the corresponding table of comparisons selecting the nutritional preparation selected by module.
As preferably, nutritional requirement computing subsystem is further provided with intelligent reminding module, provides to use to help and suggestion for giving system user.Such as: system user, when operating the system that the present embodiment provides, because forget that for the moment nutrition coefficient corresponding to certain individual health is how many times, now may click intelligent reminding module and will obtain the corresponding table of comparisons sometimes; Or be that system user is when inputting the consumption of nutritional preparation, careless input error, what cause nutritional agents selects when not meeting medical prescription, and intelligent reminding module then can eject corresponding dialog box, and system for prompting user notices that a certain nutritional preparation consumption does not meet medical prescription.
As preferably, nutritional requirement computing subsystem is further provided with derives module alternately, for output being derived from parenteral nutrition examination computing system the Output rusults in lighting module.Mutual derivation module has two introductions result mode: one is to export the particular location Output rusults in lighting module being exported to this locality or system user oneself definition with the file of certain format, and the present embodiment preferably adopts the form of form to derive described Output rusults; Two is that output is directly transferred to printer to the Output rusults in lighting module, is directly printed by described Output rusults by printer.
In addition, the present embodiment also provides nutrition instrument and subsystem is described, this subsystem comprises: four kinds of nutrition Screening instrument illustrated components, nutritional requirement calculation specifications assembly, parenteral nutrition preparation illustrated components, parenteral nutrient solution Injection fashion and configuration instruction assemblies.The present embodiment provides nutrition instrument to illustrate, and what the fundamental purpose of subsystem be the concrete function understanding each assembly in system further for convenience of system user is, and what the source of this system is, when system user selects each assembly in this subsystem respectively, the concrete function of each assembly and the source of system can be presented to system user by system in a text form.
The specific works flow process of the present embodiment is described in detail below in conjunction with Fig. 4 to Figure 10.
As shown in Figure 4, system user is when using NRS2002 assembly in the nutrition Screening tool subsystem in the present embodiment, obtain individual organization factors correlation attribute value (being height and the body weight of typing individuality) herein, system calculates individual BMI(BodyMassIndex according to the height of typing and body weight, constitutional index), draw the numerical value of BMI, if the numerical value of BMI be less than 20.5(herein threshold value 20.5 arranged according to regulation medically, other all kinds of threshold values related to are arranged according to regulation medically herein, this illustrates effective in full), system directly shows pre-screening results, and provide suggestion, namely advise that individuality carries out weekly once pre-examination afterwards, to ensure that individuality is all be in the state be in a good state of nutrition, if the numerical value of BMI is greater than 20.5, then carry out pre-examination, in pre-examination, there are three to organize the problem of condition attribute to select (respectively: whether individuality lost weight in nearest 3 months for individuality, whether individual had dietary int ake to reduce in nearest 1 week, whether individual discomfort is serious), the concrete condition that system user is individual according to inquiry, corresponding individuality is selected to organize condition attribute, if all whether above 3 problem answers of individuality, then system directly shows pre-screening results, individual being in a good state of nutrition of display, and advise that individuality carries out weekly once pre-examination afterwards, if above 3 problems of individuality are not entirely no, then system enters formal examination, the content of formal examination comprises: individual nutrition condition is selected, individual disease condition is selected, whether the individual age is more than or equal to 70 years old, system user can adopt inquiry individual and obtain the answer of individual correspondence problem, and then make a choice, the selection that system is made according to system user, after being calculated by examination, show individual every score and last total score respectively, this total score is exactly individual last nutrition condition score, if total score is less than 3 points, show individual being in a good state of nutrition, then total score is shown in green, export the suggestion for this individuality: individuality carries out weekly once pre-examination afterwards simultaneously, if total score is more than or equal to 3 points, show individual nutritious risk, total score is shown in red simultaneously.So far, system completes and screens the nutrition condition of individuality.
As shown in Figure 5, in the nutrition Screening tool subsystem of system user in use the present embodiment during MUST assembly, the first step, the height of system user typing individuality and body weight, system-computed goes out individual BMI, calculates this scoring simultaneously; Second step, individual 3-6 month body weight of system user typing, the weight loss amount of system-computed individuality and number percent, calculate this scoring simultaneously; 3rd step, system user, by inquiring or checking individuality, judges whether individuality is in acute disease state, and after making corresponding selection, and system-computed goes out this scoring; 4th step, system show first three step in result and each item rating, and calculate total score, the final nutrition condition score that this total score is namely individual, if total score is 0 point, then shows that individual nutrition condition belongs to low risk, if total score is 1 point, then show that individual nutrition condition belongs to moderate risk, if total score is more than or equal to 2 points, then the nutrition condition that surface is individual belongs to high risk; 5th step, system provides according to the Different Results in the 4th step and disposes guide accordingly, and the total score as individuality is 0 point, then advise that individuality is nursed, if the total score of individuality is 1 point, then advise that individuality carries out clinical observation, if the total score of individuality is 2 points, then advise that individuality carries out clinical treatment.So far, system completes and screens the nutrition condition of individuality.
As shown in Figure 6, system user when using SGA assembly in the nutrition Screening tool subsystem in the present embodiment, first, the body weight of system user typing before individual 6 months and current body weight, system-computed goes out the individual amount of losing weight and ratio, then, system user is by inquiry individuality or check individuality, input or the individual corresponding autologous tissue's condition attribute value of selection, autologous tissue's situation herein comprises: the situation of change of individual 2 weeks body weight in the past, individual dietary intake situation, individual intestines and stomach symptom, individual body function, individual metabolic demand, individual subcutaneous fat reduces situation, individual muscular atrophy situation, individual ankle oedema situation, individual sacrum portion oedema situation, individual ascites situation, system user is when inputting or select more than individuality every organization factors attribute, system all can export respective items object score, different according to the degree of the organization factors attribute of individuality, system is divided into A, B, C tri-ranks, finally, the quantity of system output display A, B, C goals for, system user, according to the number of A, B, C goals for, finally judges the nutrition condition of individuality.So far, system completes and screens the nutrition condition of individuality.
As shown in Figure 7, system user is when using MNA assembly in the nutrition Screening tool subsystem in the present embodiment, first, system can carry out primary screening to the nutrition condition of individuality, system user is by inquiry individuality or check individuality, select the individual situation and the whose body weight decline situation that reduce appetite, the result of simultaneity factor selected by system user calculates this score; Select individual mobility situation and individual mind wound or acute illness situation, the result of simultaneity factor selected by system user calculates this score; Select height and the body weight of individual psychiatric problem typing simultaneously individuality, system-computed goes out BMI, and the result of simultaneity factor selected by system user calculates this score.Then, the every score of individuality in system output display above-mentioned steps, calculate screening mark (every score addition), if screening mark is that 0-7 divides, system then points out its nutrition condition individual to be in undesirable condition, and the selection result and suggestion highlight with redness, wish that individuality can be paid attention to; If screening mark is that 8-11 divides, system then points out its nutrition condition individual to have underfed risk, and the selection result and suggestion are with orange display, remind individuality; If screening mark is that 12-24 divides, system then points out its nutrition condition individual normal, and the selection result and suggestion show with green, and all are normal to show individual nutrition condition.
If the screening mark of individuality is more than or equal to 12 points, then system works terminates; If screening mark is less than or equal to 11 points, then system is further assessed to the nutrition condition of individuality.
System user is by inquiry individuality or check individuality, obtain individual respective organization condition attribute value, organization factors attribute individual herein comprises: individually whether to live on one's own life, individual whether every day take more than three kinds medicines, individual whether have bedsore or skin ulcer, individual every day dinner cup number, individual fruit and vegetable meal situation, individual upper arm mid point upper-arm circumference, the individual calf circumference of drinking number of times, individual protein intake, individual eating pattern, individual every day liquid (comprise who, beverage etc.); System, calculates and every score of output display individuality for the organization factors attribute input of individuality or the situation selecting corresponding property value according to system user, shows assessment mark (above-mentioned every score is added) simultaneously; Enter next step, the screening mark of system output display individuality, assessment mark, overall evaluation mark (screening mark add assessment mark and), if overall evaluation mark is less than 17 points, system then points out its nutrition condition individual to be in undesirable condition, and the selection result and suggestion highlight with redness, wish that individuality can be paid attention to; Divide if overall evaluation mark is 17-23.5, system then points out its nutrition condition individual to have underfed risk, and the selection result and suggestion are with orange display, remind individuality; Divide if overall evaluation mark is 24-30, system then points out its nutrition condition individual normal, and the selection result and suggestion show with green, and all are normal to show individual nutrition condition.So far, system completes and screens the nutrition condition of individuality.
As shown in Fig. 8 to Figure 10, because in nutritional requirement computing subsystem, the workflow of thumb principle routine clinical computing method assembly is more, 3 accompanying drawings are adopted to be described its workflow herein, Fig. 8 is the Part I of its workflow diagram, Fig. 9 is the Part II of its workflow diagram, Figure 10 is the Part III of its workflow diagram, and 3 accompanying drawings are coherent one.
As shown in Figure 8, the first body weight of typing individuality, selects calorie coefficient, and system then calculates and output display non-protein calorie amount; Select protein requirement coefficient of discharge, system then calculates and output display amount of amino acid and hot nitrogen ratio; Select fatty calorie scope, system then calculates the fat ratio of also output display individuality, sugared ratio, Fat Emulsion weight range, glucose amount scope; Select amount of liquid coefficient, system then calculates and output display amount of liquid scope.Enter next step, the coefficient of system selected by previous step and each result calculated, further calculating output display: non-protein calorie demand and coefficient, amino acid requirement amount and coefficient, Fat Emulsion amount demand, calorie, fat are than scope, and glucose demand, calorie, sugar are than scope, hot nitrogen ratio, amount of liquid.So far, the nutritional requirement of individual each side calculates, next, and the supply that system user will select corresponding nutritional preparation to realize nutritional requirement.
First, system user is by selective gist mode, the present embodiment provides two kinds of application choice modes, one is conventional application choice, two is multiclass application choice, both differences are: the nutritional preparation kind in the conventional application choice of the nutritional preparation kind analogy in multiclass application choice is more, and other content and function is consistent.No matter select which kind of application choice mode, ensuing systemic-function and operation steps are on all four.At this, select conventional application choice mode, system output display amino acid/nitrogen demand, system user can according to the actual autologous tissue situation coupling system of individuality calculate and the amino acid/nitrogen demand of output display, select amino acid preparation classification and amino acid preparation concentration, and (present embodiments provide two kinds of selection modes, one is that system calculates automatically, and system calculates automatically and output display amino acid preparation recommends volume to select amino acid preparation specification and unit quantity; Two is that system user selects by hand, and system user oneself selects amino acid preparation specification and unit quantity according to the judgement of oneself), after above-mentioned steps completes, system calculates and the cumulative volume of amino acid preparation total amount and amino acid preparation selected by output display automatically.Next step, turn Fig. 9.
As shown in Figure 9, the flow process of map interlinking 8 continues down, and the final step in Fig. 8 determines the selection of amino acid preparation demand, next will determine fat emulsion formulation demand.System output display Fat Emulsion amount demand scope, system user can according to the actual autologous tissue situation coupling system of individuality calculate and the fat emulsion formulation demand of output display, select fat emulsion formulation classification and fat emulsion formulation concentration, and select fat emulsion formulation specification and unit quantity (to present embodiments provide two kinds of selection modes, one is that system calculates automatically, and system calculates automatically and output display fat emulsion formulation recommends volume; Two is that system user selects by hand, and system user oneself selects fat emulsion formulation specification and unit quantity according to the judgement of oneself), after above-mentioned steps completes, system calculates and the cumulative volume of fat emulsion formulation total amount and fat emulsion formulation selected by output display automatically.After having determined fat emulsion formulation demand, next the demand of glucose preparation will be determined, system output display glucose demand scope, recommend glucose preparation volume range, total liquid measure range of needs, system user is according to the above-mentioned information of system institute output display and in conjunction with oneself to self the understanding of organization factors individual, select specification and the unit quantity of glucose preparation, system calculates selected glucose preparation total amount and cumulative volume automatically, then three large nutritional preparation cumulative volumes selected by output display, i.e. selected amino acid preparation cumulative volume, fat emulsion formulation cumulative volume, selected glucose preparation cumulative volume.Select three large nutritional preparations, next select other nutritional preparations.
The selection of other nutritional preparations comprises: the selection of the selection of vitamin preparation, the selection of Rare Elements Preparations, electrolyte preparations and insulin preparation.Wherein:
The selection of vitamin preparation, the present embodiment provides two kinds of selection modes, and one is for normal situation, and system directly provides vitamin preparation to select for system user; Two is for special individual instances, and system can prompt system user need specifically be treated for individual instances.The selection of Rare Elements Preparations, the present embodiment provides two kinds of selection modes, and one is for normal situation, and system directly provides Rare Elements Preparations to select for system user; Two is for special individual instances, and system can prompt system user need specifically be treated for individual instances.The selection of electrolyte preparations, the present embodiment provides two kinds of selection modes, and one is for normal situation, and system directly provides electrolyte preparations select for system user and determine electrolytical consumption; Two is for special individual instances, and system can prompt system user need specifically be treated for individual instances.The selection of insulin preparation, the present embodiment provides two kinds of selection modes, and one is for normal situation, and system directly provides insulin preparation select for system user and determine the consumption of insulin; Two is for special individual instances, and system can prompt system user need specifically be treated for individual instances.
As shown in Figure 10, the flow process of map interlinking 9 continues down, by the description of Fig. 8 and Fig. 9, in nutritional requirement computing subsystem the routine clinical computing method assembly of thumb principle workflow in relate to input selection and calculating part terminate, be rear two steps of this assembly in workflow described in Figure 10, namely involved in system output display Fig. 8 and Fig. 9 all Output rusults.First output display: individual body weight, selected three large nutritional preparation lists, other nutritional preparation lists selected.Then show: non-thermal albumen calorie demand and coefficient, amino acid requirement amount and coefficient, Fat Emulsion demand scope, calorie scope, fat compare scope, glucose demand scope, calorie scope, sugar compare scope, the hot nitrogen ratio of demand, demand amount of liquid scope, non-protein calorie selected amount and coefficient, amino acid selected amount and coefficient, Fat Emulsion selected amount, calorie, fat ratio, glucose selected amount, calorie, sugar ratio, selected hot nitrogen ratio, selected total amount of liquid, selected sugared final concentration, selected potassium chloride final concentration, selected osmotic pressure.
In addition, in nutritional requirement computing subsystem thumb principle routine clinical computing method assembly workflow in all relate to calculate and select in, system all provides intelligent reminding function, system user is when operating the system that the present embodiment provides, sometimes may because forget that for the moment nutrition coefficient corresponding to certain individual health is how many times, now clicking intelligent reminding function will be illustrated accordingly; Or be that system user is when inputting the consumption of nutritional preparation, careless input error, what cause nutritional agents selects when not meeting medical prescription, and intelligent reminding function then can eject corresponding dialog box, and system for prompting user notices that a certain nutritional preparation amount of being used for does not meet medical prescription.
A kind of parenteral nutrition examination computing system of the present invention, by the screening and assessing of nutrition and the calculating of nutritional requirement are incorporated in same system, realize especially by nutrition Screening tool subsystem and nutritional requirement computing subsystem, the system user of enabling carries out the screening and assessing of nutrition and the calculating of nutritional requirement intuitively; And allly relate to calculative work, a kind of parenteral nutrition examination computing system provided by the present invention by computing formula in need, relevant preset parameter or all kinds of parameter area be all written with in the middle of the software program that native system carries, system user only need input or select the corresponding parameter (property value) of individuality (patient), system will calculate corresponding result automatically, thus stop the generation of miscount, decrease the workload of system user (clinician) simultaneously; And in nutrition Screening tool subsystem, include again multiple nutrients examination assembly, different nutrition Screening assemblies can be selected to different individualities, pointed strong, feature that responsiveness is high.
The above embodiment only have expressed several embodiment of the present invention, and it describes comparatively concrete and detailed, but therefore can not be interpreted as the restriction to the scope of the claims of the present invention.It should be pointed out that for the person of ordinary skill of the art, without departing from the inventive concept of the premise, can also make some distortion and improvement, these all belong to protection scope of the present invention.Therefore, the protection domain of patent of the present invention should be as the criterion with claims.
Claims (14)
1. a parenteral nutrition examination computing system, is characterized in that, comprising:
Nutrition Screening tool subsystem, for the screening instruments that system user is different according to the different choice of individual instances, the organization factors correlation attribute value that input is individual, calculates individual nutrition condition score, and exports corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality;
Nutritional requirement computing subsystem, for the organization factors correlation attribute value according to individuality, calculate individual nutritional requirement, select different nutritional preparations according to the nutritional requirement of individuality and the feature of nutritional preparation, the nutritional programs that output system user formulates;
Described nutritional requirement computing subsystem comprises:
The routine clinical computing method assembly of thumb principle, for the organization factors correlation attribute value according to individuality, calculates individual nutritional requirement, selects different nutritional preparations according to the nutritional requirement of individuality, the nutritional programs that output system user formulates;
The routine clinical computing method assembly of described thumb principle also comprises:
Intelligent reminding module, provides for giving system user and uses help and suggestion;
When forgetting nutrition coefficient corresponding to certain individual health, clicking described intelligent reminding module and then obtaining the corresponding table of comparisons;
When input error nutritional preparation consumption, cause nutritional agents select do not meet medical prescription time, described intelligent reminding module then ejects corresponding dialog box, and described in system for prompting user, nutritional preparation consumption does not meet medical prescription;
Described nutrition Screening tool subsystem comprises:
2002 Nutritional risk screening assemblies, for directly showing that the individuality of individual organization factors correlation attribute value carries out nutrition Screening, calculate and export the nutrition condition score of individuality and corresponding assessment of nutritional status and suggestion;
Malnutritive general examination tool assembly, for carrying out nutrition Screening fast to individuality, calculating and exporting the nutrition condition score of individuality and the nutrition disposal scheme proposals of correspondence;
Subjective synthesis Evaluation Method assembly, for being subject to the professional of professional training to carry out nutrition Screening to individuality, calculating individual nutrition condition score, and carrying out synthetic determination to the nutrition condition of individuality;
Miniature nutrition criterion assembly, for older individuals nutrition Screening, calculates and exports individual nutrition condition score and corresponding assessment of nutritional status and suggestion.
2. parenteral nutrition examination computing system according to claim 1, is characterized in that, also comprise:
Nutrition instrument illustrates subsystem, for carrying out explanatory note to nutrition Screening tool subsystem, nutritional requirement computing subsystem.
3. parenteral nutrition examination computing system according to claim 1, is characterized in that, described 2002 Nutritional risk screening tool assemblies comprise:
NRS2002 obtains property value module, for obtaining individual organization factors correlation attribute value;
NRS2002 examination module, organization factors correlation attribute value for obtaining the individuality that property value module obtains according to NRS2002 carries out nutrition Screening to individuality, calculate individual nutrition condition score, and generate corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality;
NRS2002 output module, for the result that output display NRS2002 examination module obtains.
4. parenteral nutrition examination computing system according to claim 3, is characterized in that, described NRS2002 examination module comprises:
NRS2002 pre-sifted verification certificate unit, for carrying out the pre-examination of nutrition to individuality, and the evaluation calculated individual nutrition situation and suggestion;
The formal examination unit of NRS2002, for when NRS2002 pre-sifted verification certificate unit is not by examination, the formal examination of nutrition NRS2002 is carried out to individuality, and calculates individual nutrition condition score, and generate corresponding assessment of nutritional status and suggestion according to the nutrition condition score of individuality.
5. parenteral nutrition examination computing system according to claim 1, is characterized in that, the general examination tool assembly of described malnutrition comprises:
MUST obtains property value module, for obtaining individual organization factors correlation attribute value;
MUST examination module, carries out corresponding nutrition Screening for the organization factors correlation attribute value obtaining the individuality that property value module obtains according to MUST to individuality, calculates individual nutrition condition to reserved portion;
MUST statistical module, the nutrition condition of the individuality calculated for statistical study MUST examination module to reserved portion, and calculates final individual nutrition condition score and generates corresponding nutrition disposal method;
MUST output module, for output display MUST examination module and obtained the separately result of MUST statistical module.
6. parenteral nutrition examination computing system according to claim 1, is characterized in that, described subjective synthesis Evaluation Method assembly comprises:
SGA obtains property value module, for obtaining individual organization factors correlation attribute value;
SGA examination module, carries out nutrition Screening for the various organization factors correlation attribute value obtaining the individuality that property value module obtains according to SGA to individuality, and calculates the nutrition condition phase reserved portion corresponding to individual various organization factors correlation attribute value;
SGA output module, for the result that output display SGA examination module obtains;
SGA determination module, the result exported according to SGA output module for system user carries out synthetic determination to the nutrition condition of individuality.
7. parenteral nutrition examination computing system according to claim 1, is characterized in that, described mini nutritional assessment method assembly comprises:
MNA obtains property value module, for obtaining individual organization factors correlation attribute value;
MNA examination module, carries out nutrition Screening for the various organization factors correlation attribute value obtaining the individuality that property value module obtains according to MNA to individuality, calculates and exports the nutrition condition score of individuality and corresponding assessment of nutritional status and suggestion;
MNA output module, for the result that output display MNA screening and assessing module obtains.
8. parenteral nutrition examination computing system according to claim 7, is characterized in that, described MNA examination module comprises:
MNA screens unit, for carrying out nutrition Screening to individuality, and calculates individual nutrition condition screening point;
MNA assessment unit, under nutrition condition screening point for screening the individuality that unit obtains at MNA is not more than the condition of assessment threshold value, MNA assessment is carried out to individuality, and the Evaluation of Nutrition Status calculating individuality divides, add that assessment gets individual nutrition condition score by screening point, and export corresponding assessment of nutritional status and suggestion.
9. parenteral nutrition examination computing system according to claim 1, is characterized in that, the routine clinical computing method assembly of described thumb principle comprises:
Get parms module, for obtaining individual organization factors correlation attribute value;
Computing module, for calculating individual nutritional requirement according to the organization factors correlation attribute value obtaining the individuality that property value module obtains;
Select module, for the nutritional requirement of individuality calculated according to computing module, select corresponding nutritional preparation;
Export lighting module, for showing the nutritional requirement that computing module calculates and the corresponding table of comparisons selecting the nutritional preparation selected by module.
10. parenteral nutrition examination computing system according to claim 9, is characterized in that, the routine clinical computing method assembly of described thumb principle also comprises:
Mutual derivation module, for deriving output the result that lighting module exports in parenteral nutrition examination computing system.
11. parenteral nutrition examination computing systems according to claim 9, is characterized in that, described in the module that gets parms comprise:
Property value input block, manually inputs individual organization factors respective attributes value for system user;
Factor determination unit, selects different nutrition coefficients for system user according to the organization factors respective attributes value of Different Individual.
12. parenteral nutrition examination computing systems according to claim 9, it is characterized in that, described selection module comprises:
Conventional application choice unit, for selecting the nutritional preparation of clinical conventional classification.
13. parenteral nutrition examination computing systems according to claim 9, it is characterized in that, described selection module also comprises:
Multiclass application choice unit, for selecting multi-class nutritional preparation.
14. parenteral nutrition examination computing systems according to claim 1, is characterized in that, the organization factors correlation attribute value of described individuality comprises individual height, body weight, life habit.
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