CN104361252A - Clinical nutrition diagnosis and treatment simulation system - Google Patents
Clinical nutrition diagnosis and treatment simulation system Download PDFInfo
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- CN104361252A CN104361252A CN201410695361.2A CN201410695361A CN104361252A CN 104361252 A CN104361252 A CN 104361252A CN 201410695361 A CN201410695361 A CN 201410695361A CN 104361252 A CN104361252 A CN 104361252A
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Abstract
The invention discloses a clinical nutrition diagnosis and treatment simulation system. The clinical nutrition diagnosis and treatment simulation system comprises an evaluation module, a diagnosis module, an intervention module, a monitoring module and an effect evaluation analysis module; the clinical nutrition diagnosis and treatment simulation system further comprises intelligent databases including an evaluation database, a diagnosis database, an intervention database and a monitoring database. A user using the system can make a diagnosis according to a diagnosis prompt; the intelligent databases also include the intervention database which comprises a nutrition analysis model, and the nutrition analysis model is used for classifying and refining a nutrition problem into a three-level nutrition problem and generating intervention information according to the intervention model. The clinical nutrition diagnosis and treatment simulation system disclosed by the invention can be used for systematizing the implementation of clinical nutrition intervention and can be used as a training tool for behavior formation of nutrition diagnosis and treatment personnel in hospitals; the nutrition problem can be accurately defined; the nutrition problem analysis model can be upgraded so as to be kept synchronous with the latest research result in the industry.
Description
Technical field
The present invention relates to a kind of clinical nutrition diagnosis and treatment simulation system, belong to clinical nutrition and intervene management domain.
Background technology
Along with the arriving of medical services new model, people are more and more higher to the requirement that clinical nutrition is served.But clinical nutriology section of China lags behind the development of Other subjects for a long time, there is technician and lack, the problems such as nutritional intervention techno-absence.How by informationization technology, realize the intervention effect that the cultivation of nutrition subject frontal and nutrition play in clinic diagnosis process better, become people and be day by day concerned about and urgent problem.
Summary of the invention
The present invention seeks to be to provide a kind of clinical nutrition diagnosis and treatment simulation system, nutrition is made to play better intervention effect in clinic diagnosis process, computer realizes clinical nutrition diagnosis and treatment intelligent reminding, clinical nutrition diagnosis and treatment doctor is helped to provide more reasonably nutritional intervention plan, as the simulated training of clinical nutrition worker to nutrition diagnosis and treatment, can realize especially by following technical scheme simultaneously:
A kind of clinical nutrition diagnosis and treatment simulation system, comprise assessment module, diagnostic module, intervention module, monitoring modular and Assessment of results module, described clinical nutrition diagnosis and treatment simulation system also comprises intelligent database, and intelligent database comprises database of ratings, diagnostic data base, intervention database, monitor database, described database of ratings is provided with input client, input client or be mouse for keyboard or be touch-screen equipment, input in order to disease information, after disease information input, database of ratings is mated disease information, assessment module comprises nutrition intake investigation apparatus, biochemical medicine checkout facility, anthropological measuring equipment, training check-up equipment, in order to produce the parameter of above four aspects, after assessment of data produces, diagnostic data base provides diagnosis prompting, system user can diagnose according to diagnosis prompting, database is also provided with intervention database, described intervention database comprises a nutrition problem analytical model, nutrition problem classification is refined into three grades of nutrition problems by nutrition problem analytical model, intervention information is generated according to intervention database, intervention comprises and setting objectives, generate strategy, formulate prescription, intervene after performing, enter monitoring modular, system database is provided with monitor database, monitor database provides predetermined monitoring plan, after monitoring plan typing, monitoring is implemented, monitoring enters effect analysis and evaluation module after implementing, effect analysis and evaluation module analyze the analysis whether nutrition problem cures, cure patient discharge, generate electronic health record, the process record of whole healing is preserved into database, healing is not had to reenter assessment module, start the clinical nutrition diagnosis and treatment flow process of a new round.
Further, described intervention database comprises a nutrition problem analytical model, and nutrition problem is subdivided into three grades of nutrition problems by analytical model, and nutrition problem reclassify is as follows:
A, nutrient, food and nutriment take in the relevant issues of human body, are called for short " absorption problem ", comprise:
A1. per os takes in problem
A1-1. heat/energy class Nutrition intake is too much
A1-2. heat/energy class Nutrition intake is not enough
A1-3. protein/amino acids/a certain specific nutrition element is taken in too much
A1-4. protein/amino acids/a certain specific nutrition element insufficiency of intake
A1-5. lipid nutrition element/a certain specific nutrition element is taken in too much
A1-6. lipid nutrition element/a certain specific nutrition element insufficiency of intake
A1-7. carbohydrate nutrition element/a certain specific nutrition element is taken in too much
A1-8. carbohydrate nutrition element/a certain specific nutrition element insufficiency of intake
A1-9. water and mineral matter class nutrient/a certain specific nutrition element are taken in too much
A1-10. water and mineral matter class nutrient/a certain specific nutrition element insufficiency of intake
A1-11. electrolytes and minerals class nutrient/a certain specific nutrition element is taken in too much
A1-12. electrolytes and minerals class nutrient/a certain specific nutrition element insufficiency of intake
A1-13. all kinds of Nutrition intake structure non-optimal
A1-14. alcoholic drink and other biological chemicals are taken in too much
A2. tube feed approach takes in problem
A2-1. inbutation feeding amount is too much
A2-2. inbutation feeding quantity not sufficient
A2-3. non-optimal inbutation feeding material composition is selected
A2-4. non-optimal inbutation feeding element structure choice
A2-5. non-optimal tube feed feeds process and mode
A3. the outer approach of intestines takes in problem
A3-1. parenteral nutrition amount is too much
A3-2. parenteral nutrition quantity not sufficient
A3-3. non-optimal parenteral nutrition material composition is selected
A3-4. non-optimal parenteral nutrition element structure choice
A3-5. non-optimal parenteral nutrition process and mode
A4. mix approach and take in problem
A4-1. insufficiency of intake is mixed
A4-2. excess intake is mixed
A4-2. nutrient and nutriment insufficiency of intake in enteric cavity
A4-3. the nutrition intake strategy and suggestion of non-optimal
B, human body, through gastral food and Nutrition intake function and excretory function problem, are called for short " digestive tract function problem ", comprise:
B1. problem is chewed
B1-1. masticatory function goes down or loses
B1-2. restriction is chewed
B1-3. oral digestion glandular secretion is abnormal
B2. problem is swallowed
B2-1. function of deglutition slightly declines or goes down
B2-2. function of deglutition moderate declines or goes down
B2-3. function of deglutition severe declines or loses
B3. gastrointestinal physiology dysfunction problem
B3-1. digestive function
B3-2. absorption function
B3-3. wriggling function
B3-4. excretory function
B4. micro ecology of gastrointestinal tract environmental problem
B4-1. Flora Disturbance
B4-2. Colon and rectum acid or alkali environment is abnormal
B4-3 intestinal mucosa Tiny ecosystem barrier damages
B5. gastrointestinal tract mucous barrier function abnormal problem
B5-1. gastrointestinal tract mucous barrier function and constituent element are damaged and risk, are called for short " mucosal barrier function infringement " problem
B5-2. gastrointestinal tract mucous permeability increases
B5-3. bacterial translocation from intestine
C, nutrient and nutritional substrate internal metabolism problem, be called for short " Nutrition and Metabolism problem ", comprise,
C1. the metabolic problems of protein, amino acids nutrient
C1-1. protein, amino acids nutrient metabolic transform and utilize function problem
C1-2. the transhipment of protein, amino acids nutrient metabolic substrate and excretory function abnormal problem
C1-3. protein, amino acids nutriment composition and decomposition metabolic disorder problem
C1-4. protein, amino acids body nutriment increase in demand or reduce problem
C2. the metabolic problems of lipid nutrition element
C2-1. lipid nutrition element metabolic conversion and utilize function problem
C2-2. the lipid nutrition element transhipment of metabolism substrate and excretory function abnormal problem
C2-3. lipids composition and decomposition metabolic disorder problem
C2-4. lipids increase in demand or reduce problem
C3. the metabolic problems of carbohydrate nutrient
C3-1. carbohydrate nutrient metabolic transforms and utilizes function problem
C3-2. the transhipment of carbohydrate nutrient metabolic substrate and excretory function abnormal problem
C3-3. carbohydrate nutriment composition and decomposition metabolic disorder problem
C3-4. carbohydrate body nutriment increase in demand or reduce problem
C4. the metabolic problems of water and mineral matter class nutrient
C4-1. water and mineral matter class nutrient metabolic transform and utilize function problem
C4-2. the transhipment of water and mineral matter class nutrient metabolic substrate and excretory function abnormal problem
C4-3. water and mineral matter class nutriment composition and decomposition metabolic disorder problem
C4-4. water and mineral matter class nutriment increase in demand or reduce problem
C5. the metabolic problems of vitamins nutrient
C5-1. vitamins nutrient metabolic transforms and utilizes function problem
C5-2. the transhipment of vitamins nutrient metabolic substrate and excretory function abnormal problem
C5-3. vitamins nutriment composition and decomposition metabolic disorder problem
C5-4. vitamins body nutriment increase in demand or reduce problem
C6. the metabolic problems of microelement kind nutrient
C6-1. microelement kind nutrient metabolic transforms and utilizes function problem
C6-2. the transhipment of microelement kind nutrient metabolic substrate and excretory function abnormal problem
C6-3. microelement kind nutriment composition and decomposition metabolic disorder problem
C6-4. microelement kind nutriment increase in demand or reduce problem
C7. the metabolic problems of other biological active substance
C7-1. other biological active substance metabolic conversion and utilize function problem
C7-2. the transhipment of other biological active substance metabolism substrate and excretory function abnormal problem
C7-3. other biological active substance composition and decomposition metabolic disorder problem
C7-4. other biological active substance increase in demand or reduce problem
D, body nutrition condition exception and relevant function affect problem, are called for short " nutrition condition problem ", comprise:
D1. nutrition condition Exception Type problem
D1-1. energy shortage or excess type malnutrition
D1-2. proteinaceous nutrient deficiency is malnutritive
D1-3. heat protein type is malnutritive
D1-4. mineral matter and micronutrient type malnutrition
D1-5. vitamin type is malnutritive
D2. body weight and human body form abnormal problem
D2-1. under-weight
D2-2. Simple obesity and overweight
D2-3. body weight change is too fast
D2-4. lean body mass is abnormal
D2-5. oedema and liquid water content are extremely
D2-6. organization of human body composition is abnormal
D3. the body parasthenia problem that nutrition condition is relevant
D3-1. the dyspraxia problem that nutrition condition is relevant
D3-2. the body inflammatory that nutrition condition is relevant and infection risk increase problem
D3-3. the mens obstacle that nutrition condition is relevant or risk problem
D3-4. the breathing function that nutrition condition is relevant goes down and risk problem
D3-5. the human body immune function obstacle that nutrition condition is relevant and risk problem
D3-6. the body wound healing that nutrition condition is relevant and physiologic rehabilitation delay problem
D3-7. nutrition condition is relevant body growth, maldevelopment and risk problem
D3-8. the hepatic renal dysfunction that nutrition condition is relevant and risk problem
Further, nutrition problem is subdivided into three grades of nutrition problems by described analytical model, and described nutrition problem analytical model is provided with input client, and input client can by the update content typing nutrition problem analytical model of segmented nutrition problem.
The invention provides a kind of clinical nutrition diagnosis and treatment simulation system, by the implementation system that clinical nutrition is intervened; The database of ratings that intelligent database comprises, diagnostic data base, intervention database, monitor database intelligence can provide the reference information of information, the information of reference of diagnosis, the reference information of nutritional intervention and the monitoring plan that needs are evaluated, realize intelligent data processing, the training tool simultaneously can formed as hospital's nutrition diagnosis and treatment human behavior; Intervene the nutrition problem analytical model of wrapping in database and nutrition problem is subdivided into three grades of nutrition problems, accurately limit nutrition problem, with better nutritional intervention; ; Nutrition problem reclassify model is that renewable guarantee nutrition problem model keeps with newest research results is synchronous in the industry.
Accompanying drawing explanation
The present invention is described in detail below in conjunction with the drawings and specific embodiments;
Fig. 1 is logical relation structural representation of the present invention;
Fig. 2 is assessment module structural representation of the present invention;
Fig. 3 is intervention modular structure of the present invention intention;
embodiment
The technological means realized for making the present invention, creation characteristic, reaching object and effect is easy to understand, below in conjunction with embodiment, setting forth the present invention further.
With reference to Fig. 1,2,3 one kind of clinical nutrition diagnosis and treatment simulation system, comprise assessment module (1), diagnostic module (2), intervene module (3), monitoring modular (4) and Assessment of results module (5), described clinical nutrition diagnosis and treatment simulation system also comprises intelligent database (6), and intelligent database comprises database of ratings (61), diagnostic data base (62), intervenes database (63), monitor database (64), described database of ratings is provided with input client (611), input client or be mouse for keyboard or be touch-screen equipment, input in order to disease information, after disease information input, database of ratings (61) is evaluated pathological information, assessment module comprises nutrition intake investigation apparatus (11), biochemical medicine checkout facility (12), anthropological measuring equipment (13), training check-up equipment (14), in order to produce the parameter of above four aspects, typing diagnostic data base (62) after assessment of data produces, diagnostic data base (62) provides diagnosis prompting, system user can diagnose according to diagnosis prompting, intelligent database 6 is also provided with intervenes database (63), described intervention database (63) comprises a nutrition problem analytical model, nutrition problem classification is refined into three grades of nutrition problems by analytical model, intervention information is generated according to nutrition problem analytical model, described intervention module (3) comprises set objectives (31), generate strategy (32), formulate prescription (33), after intervention performs, enter monitoring modular (4), intelligent database (6) is provided with monitor database (64), monitor database (64) provides predetermined monitoring plan, after monitoring plan typing, monitoring is implemented, monitoring enters effect analysis and evaluation module (5) after implementing, it is the analysis of the no healing of nutrition problem that effect analysis and evaluation module (5) comprise, cure patient discharge, generate electronic health record, the process record of whole healing is preserved into database, healing is not had to reenter assessment module, start the clinical nutrition diagnosis and treatment flow process of a new round.
Further, described intervention database (63) comprises a nutrition problem analytical model, and nutrition problem is subdivided into three grades of nutrition problems by analytical model, and nutrition problem reclassify is as follows:
A, nutrient, food and nutriment take in the relevant issues of human body, are called for short " absorption problem ", comprise:
A1. per os takes in problem
A1-1. heat/energy class Nutrition intake is too much
A1-2. heat/energy class Nutrition intake is not enough
A1-3. protein/amino acids/a certain specific nutrition element is taken in too much
A1-4. protein/amino acids/a certain specific nutrition element insufficiency of intake
A1-5. lipid nutrition element/a certain specific nutrition element is taken in too much
A1-6. lipid nutrition element/a certain specific nutrition element insufficiency of intake
A1-7. carbohydrate nutrition element/a certain specific nutrition element is taken in too much
A1-8. carbohydrate nutrition element/a certain specific nutrition element insufficiency of intake
A1-9. water and mineral matter class nutrient/a certain specific nutrition element are taken in too much
A1-10. water and mineral matter class nutrient/a certain specific nutrition element insufficiency of intake
A1-11. electrolytes and minerals class nutrient/a certain specific nutrition element is taken in too much
A1-12. electrolytes and minerals class nutrient/a certain specific nutrition element insufficiency of intake
A1-13. all kinds of Nutrition intake structure non-optimal
A1-14. alcoholic drink and other biological chemicals are taken in too much
A2. tube feed approach takes in problem
A2-1. inbutation feeding amount is too much
A2-2. inbutation feeding quantity not sufficient
A2-3. non-optimal inbutation feeding material composition is selected
A2-4. non-optimal inbutation feeding element structure choice
A2-5. non-optimal tube feed feeds process and mode
A3. the outer approach of intestines takes in problem
A3-1. parenteral nutrition amount is too much
A3-2. parenteral nutrition quantity not sufficient
A3-3. non-optimal parenteral nutrition material composition is selected
A3-4. non-optimal parenteral nutrition element structure choice
A3-5. non-optimal parenteral nutrition process and mode
A4. mix approach and take in problem
A4-1. insufficiency of intake is mixed
A4-2. excess intake is mixed
A4-2. nutrient and nutriment insufficiency of intake in enteric cavity
A4-3. the nutrition intake strategy and suggestion of non-optimal
B, human body, through gastral food and Nutrition intake function and excretory function problem, are called for short " digestive tract function problem ", comprise:
B1. problem is chewed
B1-1. masticatory function goes down or loses
B1-2. restriction is chewed
B1-3. oral digestion glandular secretion is abnormal
B2. problem is swallowed
B2-1. function of deglutition slightly declines or goes down
B2-2. function of deglutition moderate declines or goes down
B2-3. function of deglutition severe declines or loses
B3. gastrointestinal physiology dysfunction problem
B3-1. digestive function
B3-2. absorption function
B3-3. wriggling function
B3-4. excretory function
B4. micro ecology of gastrointestinal tract environmental problem
B4-1. Flora Disturbance
B4-2. Colon and rectum acid or alkali environment is abnormal
B4-3 intestinal mucosa Tiny ecosystem barrier damages
B5. gastrointestinal tract mucous barrier function abnormal problem
B5-1. gastrointestinal tract mucous barrier function and constituent element are damaged and risk, are called for short " mucosal barrier function infringement " problem
B5-2. gastrointestinal tract mucous permeability increases
B5-3. bacterial translocation from intestine
C, nutrient and nutritional substrate internal metabolism problem, be called for short " Nutrition and Metabolism problem ", comprise,
C1. the metabolic problems of protein, amino acids nutrient
C1-1. protein, amino acids nutrient metabolic transform and utilize function problem
C1-2. the transhipment of protein, amino acids nutrient metabolic substrate and excretory function abnormal problem
C1-3. protein, amino acids nutriment composition and decomposition metabolic disorder problem
C1-4. protein, amino acids body nutriment increase in demand or reduce problem
C2. the metabolic problems of lipid nutrition element
C2-1. lipid nutrition element metabolic conversion and utilize function problem
C2-2. the lipid nutrition element transhipment of metabolism substrate and excretory function abnormal problem
C2-3. lipids composition and decomposition metabolic disorder problem
C2-4. lipids increase in demand or reduce problem
C3. the metabolic problems of carbohydrate nutrient
C3-1. carbohydrate nutrient metabolic transforms and utilizes function problem
C3-2. the transhipment of carbohydrate nutrient metabolic substrate and excretory function abnormal problem
C3-3. carbohydrate nutriment composition and decomposition metabolic disorder problem
C3-4. carbohydrate body nutriment increase in demand or reduce problem
C4. the metabolic problems of water and mineral matter class nutrient
C4-1. water and mineral matter class nutrient metabolic transform and utilize function problem
C4-2. the transhipment of water and mineral matter class nutrient metabolic substrate and excretory function abnormal problem
C4-3. water and mineral matter class nutriment composition and decomposition metabolic disorder problem
C4-4. water and mineral matter class nutriment increase in demand or reduce problem
C5. the metabolic problems of vitamins nutrient
C5-1. vitamins nutrient metabolic transforms and utilizes function problem
C5-2. the transhipment of vitamins nutrient metabolic substrate and excretory function abnormal problem
C5-3. vitamins nutriment composition and decomposition metabolic disorder problem
C5-4. vitamins body nutriment increase in demand or reduce problem
C6. the metabolic problems of microelement kind nutrient
C6-1. microelement kind nutrient metabolic transforms and utilizes function problem
C6-2. the transhipment of microelement kind nutrient metabolic substrate and excretory function abnormal problem
C6-3. microelement kind nutriment composition and decomposition metabolic disorder problem
C6-4. microelement kind nutriment increase in demand or reduce problem
C7. the metabolic problems of other biological active substance
C7-1. other biological active substance metabolic conversion and utilize function problem
C7-2. the transhipment of other biological active substance metabolism substrate and excretory function abnormal problem
C7-3. other biological active substance composition and decomposition metabolic disorder problem
C7-4. other biological active substance increase in demand or reduce problem
D, body nutrition condition exception and relevant function affect problem, are called for short " nutrition condition problem ", comprise:
D1. nutrition condition Exception Type problem
D1-1. energy shortage or excess type malnutrition
D1-2. proteinaceous nutrient deficiency is malnutritive
D1-3. heat protein type is malnutritive
D1-4. mineral matter and micronutrient type malnutrition
D1-5. vitamin type is malnutritive
D2. body weight and human body form abnormal problem
D2-1. under-weight
D2-2. Simple obesity and overweight
D2-3. body weight change is too fast
D2-4. lean body mass is abnormal
D2-5. oedema and liquid water content are extremely
D2-6. organization of human body composition is abnormal
D3. the body parasthenia problem that nutrition condition is relevant
D3-1. the dyspraxia problem that nutrition condition is relevant
D3-2. the body inflammatory that nutrition condition is relevant and infection risk increase problem
D3-3. the mens obstacle that nutrition condition is relevant or risk problem
D3-4. the breathing function that nutrition condition is relevant goes down and risk problem
D3-5. the human body immune function obstacle that nutrition condition is relevant and risk problem
D3-6. the body wound healing that nutrition condition is relevant and physiologic rehabilitation delay problem
D3-7. nutrition condition is relevant body growth, maldevelopment and risk problem
D3-8. the hepatic renal dysfunction that nutrition condition is relevant and risk problem
Nutrition problem is subdivided into three grades of nutrition problems by analytical model, and described nutrition problem analytical model is provided with input client, and input client can by the update content typing nutrition problem analytical model of segmented nutrition problem.Ensure that the analysis to nutrition problem of nutrition problem model keeps with newest research results is synchronous in the industry.
The invention provides a kind of clinical nutrition diagnosis and treatment simulation system, by the implementation system that clinical nutrition is intervened; The database of ratings that intelligent database comprises, diagnostic data base, intervention database, monitor database intelligence can provide the reference information of information, the information of reference of diagnosis, the reference information of nutritional intervention and the monitoring plan that needs are evaluated, realize intelligent data processing, the training tool simultaneously can formed as hospital's nutrition diagnosis and treatment human behavior; Intervene the analytical model of wrapping in database and nutrition problem is subdivided into three grades of nutrition problems, accurately limit nutrition problem, with better nutritional intervention; Nutrition problem reclassify model is that renewable guarantee nutrition problem model keeps with newest research results is synchronous in the industry the analysis of nutrition problem.
More than show and describe ultimate principle of the present invention and principal character and advantage of the present invention.The technician of the industry should understand; the present invention is not restricted to the described embodiments; what describe in above-described embodiment and instructions just illustrates principle of the present invention; without departing from the spirit and scope of the present invention; the present invention also has various changes and modifications, and these changes and improvements all fall in the claimed scope of the invention.Application claims protection domain is defined by appending claims and equivalent thereof.
Claims (3)
1. a clinical nutrition diagnosis and treatment simulation system, it is characterized in that, comprise assessment module, diagnostic module, intervention module, monitoring modular and Assessment of results module, described clinical nutrition diagnosis and treatment simulation system also comprises intelligent database, and intelligent database comprises database of ratings, diagnostic data base, intervention database, monitor database, described database of ratings is provided with input client, input client or be mouse for keyboard or be touch-screen equipment, input in order to disease information, after disease information input, database of ratings is mated disease information, assessment module comprises nutrition intake investigation apparatus, biochemical medicine checkout facility, anthropological measuring equipment, training check-up equipment, in order to produce the parameter of above four aspects, after assessment of data produces, diagnostic data base provides diagnosis prompting, system user can diagnose according to diagnosis prompting, database is also provided with intervention database, described intervention database comprises a nutrition problem analytical model, nutrition problem classification is refined into three grades of nutrition problems by nutrition problem analytical model, intervention information is generated according to intervention database, intervention comprises and setting objectives, generate strategy, formulate prescription, intervene after performing, enter monitoring modular, system database is provided with monitor database, monitor database provides predetermined monitoring plan, after monitoring plan typing, monitoring is implemented, monitoring enters effect analysis and evaluation module after implementing, effect analysis and evaluation module analyze the analysis whether nutrition problem cures, cure patient discharge, generate electronic health record, the process record of whole healing is preserved into database, healing is not had to reenter assessment module, start the clinical nutrition diagnosis and treatment flow process of a new round.
2. clinical nutrition diagnosis and treatment simulation system according to claim 1, is characterized in that, described intervention database comprises a nutrition problem analytical model, and nutrition problem is subdivided into three grades of nutrition problems by analytical model, and nutrition problem reclassify is as follows:
A, nutrient, food and nutriment take in the relevant issues of human body, are called for short " absorption problem ", comprise:
A1. per os takes in problem
A1-1. heat/energy class Nutrition intake is too much
A1-2. heat/energy class Nutrition intake is not enough
A1-3. protein/amino acids/a certain specific nutrition element is taken in too much
A1-4. protein/amino acids/a certain specific nutrition element insufficiency of intake
A1-5. lipid nutrition element/a certain specific nutrition element is taken in too much
A1-6. lipid nutrition element/a certain specific nutrition element insufficiency of intake
A1-7. carbohydrate nutrition element/a certain specific nutrition element is taken in too much
A1-8. carbohydrate nutrition element/a certain specific nutrition element insufficiency of intake
A1-9. water and mineral matter class nutrient/a certain specific nutrition element are taken in too much
A1-10. water and mineral matter class nutrient/a certain specific nutrition element insufficiency of intake
A1-11. electrolytes and minerals class nutrient/a certain specific nutrition element is taken in too much
A1-12. electrolytes and minerals class nutrient/a certain specific nutrition element insufficiency of intake
A1-13. all kinds of Nutrition intake structure non-optimal
A1-14. alcoholic drink and other biological chemicals are taken in too much
A2. tube feed approach takes in problem
A2-1. inbutation feeding amount is too much
A2-2. inbutation feeding quantity not sufficient
A2-3. non-optimal inbutation feeding material composition is selected
A2-4. non-optimal inbutation feeding element structure choice
A2-5. non-optimal tube feed feeds process and mode
A3. the outer approach of intestines takes in problem
A3-1. parenteral nutrition amount is too much
A3-2. parenteral nutrition quantity not sufficient
A3-3. non-optimal parenteral nutrition material composition is selected
A3-4. non-optimal parenteral nutrition element structure choice
A3-5. non-optimal parenteral nutrition process and mode
A4. mix approach and take in problem
A4-1. insufficiency of intake is mixed
A4-2. excess intake is mixed
A4-2. nutrient and nutriment insufficiency of intake in enteric cavity
A4-3. the nutrition intake strategy and suggestion of non-optimal
B, human body, through gastral food and Nutrition intake function and excretory function problem, are called for short " digestive tract function problem ", comprise:
B1. problem is chewed
B1-1. masticatory function goes down or loses
B1-2. restriction is chewed
B1-3. oral digestion glandular secretion is abnormal
B2. problem is swallowed
B2-1. function of deglutition slightly declines or goes down
B2-2. function of deglutition moderate declines or goes down
B2-3. function of deglutition severe declines or loses
B3. gastrointestinal physiology dysfunction problem
B3-1. digestive function
B3-2. absorption function
B3-3. wriggling function
B3-4. excretory function
B4. micro ecology of gastrointestinal tract environmental problem
B4-1. Flora Disturbance
B4-2. Colon and rectum acid or alkali environment is abnormal
B4-3 intestinal mucosa Tiny ecosystem barrier damages
B5. gastrointestinal tract mucous barrier function abnormal problem
B5-1. gastrointestinal tract mucous barrier function and constituent element are damaged and risk, are called for short " mucosal barrier function infringement " problem
B5-2. gastrointestinal tract mucous permeability increases
B5-3. bacterial translocation from intestine
C, nutrient and nutritional substrate internal metabolism problem, be called for short " Nutrition and Metabolism problem ", comprise,
C1. the metabolic problems of protein, amino acids nutrient
C1-1. protein, amino acids nutrient metabolic transform and utilize function problem
C1-2. the transhipment of protein, amino acids nutrient metabolic substrate and excretory function abnormal problem
C1-3. protein, amino acids nutriment composition and decomposition metabolic disorder problem
C1-4. protein, amino acids body nutriment increase in demand or reduce problem
C2. the metabolic problems of lipid nutrition element
C2-1. lipid nutrition element metabolic conversion and utilize function problem
C2-2. the lipid nutrition element transhipment of metabolism substrate and excretory function abnormal problem
C2-3. lipids composition and decomposition metabolic disorder problem
C2-4. lipids increase in demand or reduce problem
C3. the metabolic problems of carbohydrate nutrient
C3-1. carbohydrate nutrient metabolic transforms and utilizes function problem
C3-2. the transhipment of carbohydrate nutrient metabolic substrate and excretory function abnormal problem
C3-3. carbohydrate nutriment composition and decomposition metabolic disorder problem
C3-4. carbohydrate body nutriment increase in demand or reduce problem
C4. the metabolic problems of water and mineral matter class nutrient
C4-1. water and mineral matter class nutrient metabolic transform and utilize function problem
C4-2. the transhipment of water and mineral matter class nutrient metabolic substrate and excretory function abnormal problem
C4-3. water and mineral matter class nutriment composition and decomposition metabolic disorder problem
C4-4. water and mineral matter class nutriment increase in demand or reduce problem
C5. the metabolic problems of vitamins nutrient
C5-1. vitamins nutrient metabolic transforms and utilizes function problem
C5-2. the transhipment of vitamins nutrient metabolic substrate and excretory function abnormal problem
C5-3. vitamins nutriment composition and decomposition metabolic disorder problem
C5-4. vitamins body nutriment increase in demand or reduce problem
C6. the metabolic problems of microelement kind nutrient
C6-1. microelement kind nutrient metabolic transforms and utilizes function problem
C6-2. the transhipment of microelement kind nutrient metabolic substrate and excretory function abnormal problem
C6-3. microelement kind nutriment composition and decomposition metabolic disorder problem
C6-4. microelement kind nutriment increase in demand or reduce problem
C7. the metabolic problems of other biological active substance
C7-1. other biological active substance metabolic conversion and utilize function problem
C7-2. the transhipment of other biological active substance metabolism substrate and excretory function abnormal problem
C7-3. other biological active substance composition and decomposition metabolic disorder problem
C7-4. other biological active substance increase in demand or reduce problem
D, body nutrition condition exception and relevant function affect problem, are called for short " nutrition condition problem ", comprise:
D1. nutrition condition Exception Type problem
D1-1. energy shortage or excess type malnutrition
D1-2. proteinaceous nutrient deficiency is malnutritive
D1-3. heat protein type is malnutritive
D1-4. mineral matter and micronutrient type malnutrition
D1-5. vitamin type is malnutritive
D2. body weight and human body form abnormal problem
D2-1. under-weight
D2-2. Simple obesity and overweight
D2-3. body weight change is too fast
D2-4. lean body mass is abnormal
D2-5. oedema and liquid water content are extremely
D2-6. organization of human body composition is abnormal
D3. the body parasthenia problem that nutrition condition is relevant
D3-1. the dyspraxia problem that nutrition condition is relevant
D3-2. the body inflammatory that nutrition condition is relevant and infection risk increase problem
D3-3. the mens obstacle that nutrition condition is relevant or risk problem
D3-4. the breathing function that nutrition condition is relevant goes down and risk problem
D3-5. the human body immune function obstacle that nutrition condition is relevant and risk problem
D3-6. the body wound healing that nutrition condition is relevant and physiologic rehabilitation delay problem
D3-7. nutrition condition is relevant body growth, maldevelopment and risk problem
D3-8. the hepatic renal dysfunction that nutrition condition is relevant and risk problem.
3. clinical nutrition diagnosis and treatment simulation system according to claim 2, it is characterized in that, nutrition problem is subdivided into three grades of nutrition problems by described nutrition problem analytical model, described nutrition problem analytical model is provided with input client, and input client can by the update content typing nutrition problem analytical model of segmented nutrition problem.
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| CN109801698A (en) * | 2018-12-03 | 2019-05-24 | 广州源高网络科技有限公司 | A kind of clinical nutrition integrally uses system and its application method, storage medium |
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