CN105069729A - Epileptic seizure recording and management patient equipment, server, medical equipment, and system - Google Patents
Epileptic seizure recording and management patient equipment, server, medical equipment, and system Download PDFInfo
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- CN105069729A CN105069729A CN201510511467.7A CN201510511467A CN105069729A CN 105069729 A CN105069729 A CN 105069729A CN 201510511467 A CN201510511467 A CN 201510511467A CN 105069729 A CN105069729 A CN 105069729A
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Abstract
The invention discloses epileptic seizure recording and management patient equipment, a server, medical equipment, and a system. The patient equipment comprises a patient input module which is used for receiving seizure condition information and pharmacy condition information of an epileptic; a first information transmitting module which is used for enabling the seizure condition information and pharmacy condition information to be transmitted; a first information receiving module which is used for receiving treatment suggestion information generated according to the seizure condition information and pharmacy condition information; and an information display module which is used for displaying the treatment suggestion information. According to the invention, a patient can increase the understanding of the change of the state of an illness, thereby prompting the patient to timely go to an epilepsy department to see a doctor. Meanwhile, the equipment can help a clinic doctor know the evolution process of the illness of the patient quickly during clinical reception, thereby facilitating the reduction of clinical inquiry time and improving the treatment efficiency. In addition, the epileptic seizure data recorded by the system can be used for scientific research. Accordingly, the above technical scheme is of great significance to the patient, clinicists and scientific research personnel.
Description
Technical field
The present invention relates to field of medical technology, particularly, relate to a kind of epileptic attack record and managing patient equipment, server, doctor's equipment and system.
Background technology
Epilepsy is the nervous system chronic disease of a kind of serious threat human health of recurrent exerbation.The World Health Organization (WHO) (WHO) statistics shows, epilepsy morbidity rate, between 5 ‰-11.2 ‰, about has 5,000 ten thousand epileptics in the world, just has 9,000,000 epileptics in China, comprise activity epilepsy 6,000,000, and annual new cases about 400,000.
Epilepsy can be classified as follows according to mode of onset:
The treatment of epilepsy is roughly divided into drug therapy and operative treatment two kinds of methods, drug therapy can control or reduce the outbreak of most of epileptic, antiepileptic conventional clinically at present comprises carbamazepine, dilantin sodium, sodium vedproate, phenobarbital, ethymal, Topiramate, Lamotrigine, Levetiracetam etc. substantially, need select according to patient episode's feature, type, age and health.But also there is the patient of about 20%-30% (1,200,000-180 ten thousand) poor to drug response, be called medically intractable epilepsy, need to carry out excision or use the methods such as nerve electric stimulation to intervene.Epileptic need carry out rule, a regular line Antiepileptic Drugs more than 2 years in principle, if still can not control epileptic attack, can consider the other treatment methods such as operation or nerve electric stimulation.Operation and nerve electric stimulation treatment also comprise number of different types, as the operation of excision property (epileptogenic focus damage, epileptogenic focus excision, cerebral lobe excision, the excision of many cerebral lobes Combination resection, hemisphere), palliative operation (corpus callosum is from fiber under disconnected, mantle from disconnected), electronic stimulation (lesions located in deep brain, vagus nerve electro photoluminescence, other electro photoluminescence).No matter drug therapy, operative treatment and electronic stimulation, all need doctor clearly understand disease history, seizure types and determine after carrying out comprehensive descision to drug response situation.
But there is very large problem to the judgement of the state of an illness in doctor clinically at present.First, clinician almost comes to the understanding of patient episode's situation the information that patient provides completely.Patient and family members often cannot accurate description Episodes, the duration, seizure frequency, the vital information such as outbreak time of occurrence and tendency, cause clinician often to there is error even mistake to the judgement of patient episode's type, seizure frequency.Experienced doctor has to by repeatedly, in detail, multi-angle inquiry medical history reduces this error, but unavoidable waste a lot of time.According to statistics, the interrogation duration of epilepsy and the level of detail are apparently higher than other the nervous system diseases.Secondly, often there is mistake in the description of patient to the state of an illness, and increase as some patient shows effect in the recent period laying particular stress on of the state of an illness will being described, some patient episode's frequency, the order of severity, type are not fixed, and will be described according to recent outbreak situation to the state of an illness.This also reflects that patient does not understand self state of an illness.Therefore, need badly find a kind of can solution to the problems described above.
Summary of the invention
Embodiments provide a kind of epileptic attack record and managing patient equipment, in order to accurately, in detail, outbreak situation information and the medicining condition information of real time record epileptic, receive the treatment advisory information generated according to described outbreak situation information and medicining condition information, this equipment comprises:
Patient input module, for receiving outbreak situation information and the medicining condition information of epileptic;
First information sending module, for by described outbreak situation information and medicining condition delivering;
First information receiver module, for receiving the treatment advisory information generated according to described outbreak situation information and medicining condition information;
Information display module, for showing described treatment advisory information.
In one embodiment, patient input module comprises: seizure types option load module, for providing seizure types option, selects for user; Seizure types option processing module, for the option selected according to user, generates the seizure types that option is corresponding, or the option that user selects is issued first information sending module; First information sending module also for option that seizure types corresponding for option or user are selected as outbreak situation delivering;
Or patient input module comprises: seizure types questionnaire load module, for providing the questionnaire of epileptic attack feature, select for user; Seizure types questionary handle module, for the questionnaire answer selected according to user, generates the seizure types that questionnaire answer is corresponding, or first information sending module is issued in the questionnaire answer that user selects; First information sending module also for questionnaire answer that seizure types corresponding for questionnaire answer or user are selected as outbreak situation delivering;
Or patient input module comprises: seizure types image load module, for providing the image that different seizure types is corresponding, select for user; Seizure types image processing module, for the image selected according to user, generates the seizure types that image is corresponding, or the image that user selects is issued first information sending module; First information sending module also for image that seizure types corresponding for image or user are selected as outbreak situation delivering;
Or patient input module comprises: seizure types video or photo load module, the video when epileptic provided for receiving user shows effect or photo; Video when first information sending module is also for showing effect epileptic or photo are as outbreak situation delivering.
In one embodiment, first information receiver module also for receive generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Information display module is also for showing early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
In one embodiment, patient input module is also for receiving the medical of patient and purchasing medicine requesting query information;
First information sending module is also for sending the medical of patient and purchasing medicine requesting query information;
First information receiver module also for receive according to the medical of patient and purchase the tertiary hospitals with epilepsy training that medicine requesting query information generates, this epilepsy section of hospital doctor time of paying a home visit, near sell pharmacy address and one of them or the combination in any of mode by bus of antiepileptic;
Information display module also for show there is epilepsy training tertiary hospitals, this epilepsy section of hospital doctor time of paying a home visit, near sell pharmacy address and by bus one of them or the combination in any of mode of antiepileptic.
The embodiment of the present invention additionally provides a kind of epileptic attack record and management server, in order to accurately, in detail, outbreak situation information and the medicining condition information of real time record epileptic, generate treatment advisory information according to outbreak situation information and medicining condition information, this server comprises:
Second information receiving module, for receiving outbreak situation information and medicining condition information;
Processing module, for generating treatment advisory information according to outbreak situation information and medicining condition information;
Second information sending module, for sending treatment advisory information.
In one embodiment, processing module comprises:
Epileptic seizure prediction module, for according to outbreak situation information and medicining condition information, predicts the probability that epileptic shows effect in the recent period again, according to this probability, generates early warning information;
Epileptic attack risk assessment module, for according to outbreak situation information or medicining condition information, generates the risk assessment result of epileptic attack;
Result for the treatment of evaluation module, for according to outbreak situation information or medicining condition information, generates the result for the treatment of assessment result of epileptic;
Outbreak and medicining condition chart generating module, for according to outbreak situation information or medicining condition information, generate outbreak and medicining condition chart;
Second information sending module is also for sending early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
In one embodiment, the second information receiving module is also for receiving the medical of patient and purchasing medicine requesting query information;
Epileptic attack record and management server also comprise: locating medical module, and locating medical module comprises: acquisition module, for receiving the positional information sending the patient going to a doctor and purchase medicine requesting query information; Enquiry module, for the positional information according to patient, the tertiary hospitals with epilepsy training near the positional information of inquiry patient, the time of paying a home visit of this epilepsy section of hospital doctor, near sell pharmacy address and by bus one of them or the combination in any of mode of antiepileptic;
Second information sending module also for by have the tertiary hospitals of epilepsy training, this epilepsy section of hospital doctor time of paying a home visit, near sell antiepileptic pharmacy address and by bus one of them or combination in any of mode send.
The embodiment of the present invention additionally provides a kind of epileptic attack record and management doctor equipment, in order to receive outbreak situation information and the medicining condition information of epileptic, the treatment advisory information that doctor inputs according to outbreak situation information and medicining condition information, this doctor's equipment comprises:
Patient information reception's module, for receiving outbreak situation information and the medicining condition information of epileptic;
Patient information display module, for showing outbreak situation information and medicining condition information;
Doctor's load module, for receiving the treatment advisory information that doctor inputs according to outbreak situation information and medicining condition information;
Information transmission modular, for sending treatment advisory information.
In one embodiment, the situation information of showing effect comprises: the video when image that seizure types corresponding to the option that the seizure types that option is corresponding, user select, questionnaire answer, questionnaire answer that user selects, seizure types that image is corresponding, user select or epileptic show effect or photo;
Patient information reception's module also for receive generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Patient information display module also for show generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Doctor's load module is also for receiving the treatment advisory information generated according to early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Information transmission modular is also for sending receiving the treatment advisory information generated according to early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
The embodiment of the present invention additionally provides a kind of epileptic attack record and management system, in order to accurately, in detail, outbreak situation information and the medicining condition information of real time record epileptic, automatically generate treatment advisory information, receive the treatment advisory information that doctor inputs according to outbreak situation information and medicining condition information, there is provided treatment advisory information to patient, this system comprises:
Epileptic attack record as above and managing patient equipment; Epileptic attack record as above and management server; Epileptic attack record as above and management doctor equipment.
By the application of technical solution of the present invention, patient can increase the understanding to self change of illness state, supervises patient to go to epilepsy training to go to a doctor in time; Meanwhile, clinician can being helped to understand conditions of patients evolution process fast when seeing and treating patients patient, contributing to reducing the interrogation time, improving diagnosis and treatment efficiency; In addition, the epileptic attack data that native system is recorded to can be used for scientific research, have certain values to the rule of onset and outbreak pattern exploring epilepsy syndromes.Therefore, this technical scheme is all significant to patient, clinician and scientific research personnel.Technical scheme provided by the invention can be accurate, in detail, the outbreak situation information of real time record epileptic and medicining condition information, can according to the Automatic generation of information treatment advisory information of record, like this, not only doctor more accurately can understand the epilepsy state of an illness in detail, the seizure frequency of such as epileptic, seizure types, duration of seizure, duration, the vital information such as outbreak tendency and outbreak result, shorten the interrogation time, be convenient to position epileptogenic focus more accurately, reduce inspection charge, patient also more can understand the state of an illness of self, and will seek treatment more on one's own initiative.This technical scheme is all significant to patient and doctor etc.
Accompanying drawing explanation
Accompanying drawing described herein is used to provide a further understanding of the present invention, forms a application's part, does not form limitation of the invention.In the accompanying drawings:
Fig. 1 is the structural representation of epileptic attack record and managing patient equipment in the embodiment of the present invention;
Fig. 2 is the structural representation of patient input module in one embodiment of the invention;
Fig. 3 is the workflow schematic diagram of epileptic attack record and managing patient equipment in one embodiment of the invention;
Fig. 4 is the workflow schematic diagram of epileptic attack record and managing patient equipment in another embodiment of the present invention;
Fig. 5 is the workflow schematic diagram of epileptic attack record and managing patient equipment in another embodiment of the present invention;
Fig. 6 to Fig. 8 is the outbreak and medication information chart schematic diagram that in the embodiment of the present invention, epileptic attack record and managing patient, server, doctor and system generate;
Fig. 9 is the structural representation of epileptic attack record and management server in the embodiment of the present invention;
Figure 10 is the structural representation of processing module in server in the embodiment of the present invention;
Figure 11 is epileptic attack record and management doctor device structure schematic diagram in the embodiment of the present invention;
Figure 12 is epileptic attack record and management doctor equipment workflow schematic diagram in the embodiment of the present invention;
Figure 13 is the structural representation of epileptic attack record and management system in the embodiment of the present invention;
Figure 14 is the schematic diagram of the record of epileptic attack record and management system in embodiment of the present invention when specifically implementing;
Figure 15 is the schematic diagram of following up a case by regular visits to when specifically implementing of epileptic attack record and management system in the embodiment of the present invention;
Figure 16 is the schematic diagram of the locating medical of epileptic attack record and management system in embodiment of the present invention when specifically implementing.
Embodiment
For making the object, technical solutions and advantages of the present invention clearly understand, below in conjunction with embodiment and accompanying drawing, the present invention is described in further details.At this, exemplary embodiment of the present invention and illustrating for explaining the present invention, but not as a limitation of the invention.
Fig. 1 is the structural representation of epileptic attack record and managing patient equipment in the embodiment of the present invention, and as shown in Figure 1, this equipment can comprise:
Patient input module 10, for receiving outbreak situation information and the medicining condition information of epileptic;
First information sending module 12, for by described outbreak situation information and medicining condition delivering;
First information receiver module 14, for receiving the treatment advisory information generated according to described outbreak situation information and medicining condition information;
Information display module 16, for showing described treatment advisory information.
Epileptic attack record provided by the invention and managing patient equipment, can accurately, in detail, the outbreak situation information of real time record epileptic and medicining condition information.During work, when epileptic falls ill, the family members of epileptic or nurse personnel can use this equipment or log in this equipment, by patient input module 10, carry out the outbreak situation information of record patient, such as: seizure frequency, seizure types, duration of seizure, duration, outbreak tendency and vital information such as outbreak result etc., and sent by first information sending module 12.Like this, follow-up server or other equipment of can utilizing generates treatment advisory information, or the treatment advisory information that doctor provides, send to patient, received by first information receiver module 14, the treatment advisory information that such patient is shown by information display module 16, more can understand the state of an illness of self, and will seek treatment more on one's own initiative; Or follow-up when going to a doctor, doctor more accurately can understand the epilepsy state of an illness in detail, shortens the interrogation time, is convenient to position epileptogenic focus more accurately, and reduce inspection charge, this technical scheme is all significant to patient and doctor etc.
During concrete enforcement, this epileptic attack record and managing patient equipment can be the combination of the software and/or hardware that realize predetermined function.The APP that such as this patient device can be the terminal devices such as mobile phone and/or be contained on the terminal devices such as patient's mobile phone; Also can be the terminal devices such as mobile phone and/or the micro-letter public platform utilizing these terminal device logs, also can be the terminal device of special customization.
During concrete enforcement, outbreak situation information comprises: seizure frequency, seizure types, duration of seizure, duration, outbreak tendency and outbreak result one of them or combination in any; Treatment advisory information comprises: adopt which kind of operative treatment, should eat the medicine of what kind, when participate in further consultation etc.
During concrete enforcement, two kinds of situations are comprised: one is according to the treatment advisory information that described outbreak situation information and medicining condition information generate, the treatment advisory information that doctor inputs according to outbreak situation information and medicining condition information, two are, the treatment advisory information corresponding with outbreak situation information and medicining condition information that server internal stores.
In one embodiment, as shown in Figure 2, patient input module 10 can comprise: seizure types option load module 101, for providing seizure types option, selects for user; Seizure types option processing module 102, for the option selected according to user, generates the seizure types that option is corresponding, or the option that user selects is issued first information sending module 12; The option that first information sending module 12 can also be used for seizure types corresponding for option or user to select is as outbreak situation delivering;
Or patient input module 10 can comprise: seizure types questionnaire load module 103, for providing the questionnaire of epileptic attack feature, select for user; Seizure types questionary handle module 104, for the questionnaire answer selected according to user, generates the seizure types that questionnaire answer is corresponding, or first information sending module 12 is issued in the questionnaire answer that user selects; The questionnaire answer that first information sending module 12 can also be used for seizure types corresponding for questionnaire answer or user to select is as outbreak situation delivering;
Or patient input module 10 can comprise: seizure types image load module 105, for providing the image that different seizure types is corresponding, select for user; Seizure types image processing module 106, for the image selected according to user, generates the seizure types that image is corresponding, or the image that user selects is issued first information sending module 12; The image that first information sending module 12 can also be used for seizure types corresponding for image or user to select is as outbreak situation delivering;
Or patient input module 10 can comprise: seizure types video or photo load module 107, the video when epileptic provided for receiving user shows effect or photo; First information sending module 12 can also be used for video when epileptic being shown effect or photo as outbreak situation delivering.
During concrete enforcement, patient input module 10 can comprise one of them or the combination in any of following four kinds: the first: seizure types option load module 101, seizure types option processing module 102; The second: seizure types questionnaire load module 103, seizure types questionary handle module 104; The third: seizure types image load module 105, seizure types image processing module 106; 4th kind: seizure types video or photo load module 107.
Below with above-mentioned the first be described the present invention and how implement, as shown in Figure 3, as morbidity, family numbers of patients or this patient device of nurse librarian use carry out record, first, user is according to the outbreak situation of patient at that time, a seizure types option is selected inside multiple seizure types option, so, this equipment can generate a seizure types according to the option of user's input, the seizure types of generation is sent to server by this equipment, server is according to the seizure types generated, generate and treat advisory information accordingly, and send to patient device, patient device shows this treatment advisory information, patient can go to a doctor according to this treatment advisory information.Treatment advisory information can be passed to patient device by server in real time, also according to the long record of patient, can come regular (such as one month) and send treatment advisory information to patient device.
In of the present invention another is implemented, as shown in Figure 4, as morbidity, family numbers of patients or this patient device of nurse librarian use carry out record, first, user is according to the outbreak situation of patient at that time, a seizure types option is selected inside multiple seizure types option, the option that user selects is sent to server by this equipment, server can according to the option of user's input, in the seizure types prestored, mate a seizure types corresponding with this option, and according to this seizure types, in the treatment advisory information prestored, mate a treatment advisory information corresponding to this seizure types, and send to patient device, patient device shows this treatment advisory information, patient can go to a doctor according to this treatment advisory information.
Above-mentioned only for the example for option mode record seizure types, questionnaire pattern, image mode, the frequently enforcement of video or photo isotype with reference to the enforcement of option pattern, can not repeat them here.
During concrete enforcement, during the physical record of above-mentioned seizure types option load module 101, it is professional term selecting type, and during record, patient and family members judge seizure types voluntarily, need give training user, and on option, mark simply clear and definite information.
During concrete enforcement, during above-mentioned seizure types questionnaire load module 103 physical record, it is questionnaire type, selects answer during record according to problem, computing machine according to user-selected answer, its seizure types of automatic decision.
Below for a questionnaire example during record:
Does is 1, what the relation of you and patient?
A
B lineal relative or spouse
C friends and family
2, I will record _ _ _ secondary outbreak.
A once shows effect
B bis-outbreaks
3, outbreak time be _ _ year _ _ moon _ _ day _ _ time _ _ point.
Please 4, state before patient episode be describe?
5, whether you know the seizure types of patient:
Complex partial seizures absence seizure simple partial seizure
The comprehensive tonic clonic seizure of myoclonic seizures falls down outbreak
6, the option selecting the main feature of the most applicable description patient episode from following option is woulded you please:
A tic of limbs, spit out white foams, eyes turn over, lisp, go into a coma, continue at least one minute.Corresponding seizure types: comprehensive tonic clonic seizure.
B has a convulsion or the difference such as numb pain sensation or only have certain illusion from side hand or pin, or thorax abdomen sense of discomfort, omnidistance without stupor, twitches without whole body.Corresponding seizure types: simple partial seizure.
C stands in amazement, and does not answer other people question, and action stops, last for several seconds, can not remember episode process without after stupor outbreak.Corresponding seizure types: absence seizure.
D stands in amazement, and calls oneself to know and shown effect after outbreak, hand may be had to grope, actions such as " setting fastenings ", the action that may have makes clicks chews, swallows in outbreak, and whole process lasts ten seconds is to 1-2 minute.Corresponding seizure types: complex partial seizures.
E falls down suddenly, can recover consciousness, whole process lasts several seconds immediately.Corresponding seizure types: fall down outbreak.
The unexpected whole body of F is twitched or " trembling ", the whole process lasts several seconds.Corresponding seizure types: myoclonic seizures.
G other obviously and the outbreak distinguished of foregoing description.Corresponding seizure types: other.
7, this time whether outbreak causes injured:
A is not injured;
B is slightly injured;
C major injuries;
D is disabled.
According to above-mentioned questionnaire, not only can record the seizure types of epileptic, some other information of patient can also be recognized, together record, for follow-up doctor sees a doctor for patient, judge that the state of an illness provides foundation.
During concrete enforcement, during above-mentioned seizure types image load module 105 physical record, it is image selecting type, during record, selects the video recording being similar to its mode of onset, judged the seizure types of its correspondence by computing machine by patient.
During concrete enforcement, when above-mentioned seizure types video or photo load module 107 physical record, it is videograph formula, to be recorded a video or takes pictures after uploading, undertaken judging and classifying by professional by family numbers of patients to patient episode.
In one embodiment, first information receiver module 14 can also be used for receiving generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Information display module 16 can also be used for showing early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
During concrete enforcement, also for option pattern outbreak information, as shown in Figure 5, first, user is according to the outbreak situation of patient at that time, a seizure types option is selected inside multiple seizure types option, the option that user selects by this equipment sends to server as outbreak situation information, server can according to the option of user's input, in the early warning information of pre-stored, mate an early warning information corresponding to the option that this user inputs, and this early warning information is sent to patient device, patient device shows this early warning information, patient can according to this early warning information, carry out preventive measure.In addition, above-mentioned early warning information also can be sent to doctor's equipment by server, and doctor's equipment can according to this early warning information, generate and treat advisory information accordingly, be supplied to patient device by server, whether patient, according to this treatment advisory information, selects will to seek medical advice etc.
Particularly, epileptic attack is not evenly distributed, but has certain characteristic of gathering together, and may there is outbreak dense days and outbreak sparse phase.In dense days, outbreak is many, the possibility again can shown effect in the recent period according to outbreak curve (chart according to outbreak situation information and medicining condition information generate) prediction, and automatically pushes suggestion.An example of criterion is: show effect less person: judge according to or without outbreak in the recent period; Within nearly 3 months, without outbreak, within nearly 1 month, without outbreak, within nearly one month, there is outbreak, within nearly 2 weeks, have outbreak, within nearly 1 week, have outbreak, within nearly 1 week, repeatedly show effect, repeatedly show effect in nearly 3 days; Show effect many persons: judge according to the curve that shows effect in the recent period (outbreak situation information chart) slope variation.
Fig. 5 illustrate only the implementing procedure of early warning information, and the concrete enforcement of risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart can with reference to the implementing procedure of above-mentioned early warning information and accompanying drawing 5.
During concrete enforcement, when carrying out risk assessment, considering that epileptic attack may occur the situation of causing injury, causing injury when previously having disability history person again may occur outbreak, there is disturbance of consciousness person's possibility of causing injury during outbreak more high, concrete opinion rating can be:
I devoid of risk: without epileptic attack;
II low-risk: only have simple partial seizure to show effect;
III medium to low-risk: the seizure types (complex partial seizures, comprehensive tonic clonic seizure, falls down outbreak, myoclonic seizures, absence seizure) that there is impact consciousness, but more than 90% is night-time attack;
IV risk: the seizure types (complex partial seizures, comprehensive tonic clonic seizure, falls down outbreak, myoclonic seizures, absence seizure) that there is impact consciousness, outbreak on less daytime, and the moon frequency≤3 time;
V high risk: the seizure types that there is impact consciousness, moon frequency > 3 times;
VI excessive risk: history of causing injury, disturbance of consciousness type outbreak moon frequency > 3 times;
The high risk of VII: history of causing injury, at advanced age, disturbance of consciousness type outbreak moon frequency is more than or equal to 2 times.
Active and the MELD of outbreak is to provide the key foundation for the treatment of suggestion, should formulate this scoring according to indexs such as seizure frequency, seizure types, outbreak impacts, and then allows patient, doctor have a judgement directly perceived, to quantize to patient's epileptic attack impact.Concrete scoring can also be carried out according to the disturbance of consciousness, such as: the several seconds, and 1 point; 1-2 minute, 2 points; Several minutes, 3 points.Duration of seizure, night 1 point, daytime 2 points.Outbreak impact (result), without affecting 1 point, fall down 2 points, scald, tumble injury, fracture etc. have a strong impact on 3 points.
By epileptic attack risk assessment, according to different outbreak risk factors, patient view, medicine dosage can be advised, go to a doctor.Doctor can judge the state of an illness fast according to outbreak scoring, and proposes therapeutic scheme, as performed the operation, adjusting medicine, changing medicine etc.
During concrete enforcement, when carrying out result for the treatment of assessment, the concrete evaluation criterion of result for the treatment of assessment can be:
I level is for curing: completely without outbreak;
II level is basic healing: IIa, a small amount of simple partial seizure; IIb, take place frequently simple partial seizure;
III level is effective: annual non-simple partial seizure number of times <4 time;
IV level is for taking a turn for the better: annual non-simple partial seizure number of times >4 time, but total attack times reduces more than 50%;
V level is invalid: EP (epilepsy) attack times reduces less than 50%.
VI level is for worsening: outbreak increases.
Doctor can judge the state of an illness fast according to result for the treatment of scoring, and proposes therapeutic scheme, as adjusted medicine, changing medicine etc.Patient also by scoring, can understand the treatment situation of oneself health in real time.
During concrete enforcement, above-mentioned outbreak and medicining condition chart for the chart schematic diagram as shown in Fig. 6 to Fig. 8, but can be not limited to the signal chart of Fig. 6 to Fig. 8, can also be columnar-type chart etc.In addition, in Fig. 6, dot distribution represents the distribution of epileptic's outbreak situation of nearly 30 days.
In one embodiment, patient input module can also be used for receiving the medical of patient and purchasing medicine requesting query information;
First information sending module can also be used for sending the medical of patient and purchasing medicine requesting query information;
First information receiver module can also be used for receiving according to the medical of patient and purchase the tertiary hospitals with epilepsy training that medicine requesting query information generates, this epilepsy section of hospital doctor time of paying a home visit, near sell pharmacy address and one of them or the combination in any of mode by bus of antiepileptic;
Information display module can also be used for showing there is epilepsy training tertiary hospitals, this epilepsy section of hospital doctor time of paying a home visit, near sell pharmacy address and one of them or the combination in any of mode by bus of antiepileptic.
Based on same inventive concept, the embodiment of the present invention additionally provides a kind of epileptic attack record and management server, and as shown in Figure 9, this server can comprise:
Second information receiving module 20, for receiving outbreak situation information and medicining condition information;
Processing module 22, for generating treatment advisory information according to outbreak situation information and medicining condition information;
Second information sending module 24, for sending treatment advisory information.
In one embodiment, as shown in Figure 10, processing module 22 can comprise:
Epileptic seizure prediction module 221, for according to outbreak situation information and medicining condition information, join probability distribution mathematical model (as Poisson distribution and approximation probability regression model), the probability that prediction epileptic shows effect in the recent period again, according to this probability, generate early warning information;
Epileptic attack risk assessment module 222, for according to outbreak situation information or medicining condition information, and risk stratification scale, generate the risk assessment result of epileptic attack;
Result for the treatment of evaluation module 223, for according to outbreak situation information or medicining condition information, generates the result for the treatment of assessment result of epileptic;
Outbreak and medicining condition chart generating module 224, for according to outbreak situation information or medicining condition information, generate outbreak and medicining condition chart;
Second information sending module 24 is also for sending early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
In one embodiment, the second information receiving module 20 can also be used for receiving the medical of patient and purchasing medicine requesting query information;
Epileptic attack record and management server can also comprise: locating medical module 225, and locating medical module can comprise: acquisition module, for receiving the positional information sending the patient going to a doctor and purchase medicine requesting query information; Enquiry module, for the positional information according to patient, the tertiary hospitals with epilepsy training near the positional information of inquiry patient, the time of paying a home visit of this epilepsy section of hospital doctor, near sell pharmacy address and by bus one of them or the combination in any of mode of antiepileptic;
Second information sending module 24 can also be used for by the time of paying a home visit of the tertiary hospitals with epilepsy training, this epilepsy section of hospital doctor, near sell antiepileptic pharmacy address and by bus one of them or combination in any of mode send.
The specific implementation process of server refers to the enforcement of above-mentioned patient device.In addition, when networking, this server can be Cloud Server, and when not having network, this server also can be the processor of interior of mobile phone.
Based on same inventive concept, the embodiment of the present invention additionally provides a kind of epileptic attack record and management doctor equipment, and as shown in figure 11, this doctor's equipment comprises:
Patient information reception's module 30, for receiving outbreak situation information and the medicining condition information of epileptic;
Patient information display module 32, for showing outbreak situation information and medicining condition information;
Doctor's load module 34, for receiving the treatment advisory information that doctor inputs according to outbreak situation information and medicining condition information;
Information transmission modular 36, for sending treatment advisory information.
In one embodiment, the situation information of showing effect comprises: the video when image that seizure types corresponding to the option that the seizure types that option is corresponding, user select, questionnaire answer, questionnaire answer that user selects, seizure types that image is corresponding, user select or epileptic show effect or photo;
Patient information reception's module 30 also for receive generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Patient information display module 32 also for show generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Doctor's load module 34 is also for receiving the treatment advisory information generated according to early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Information transmission modular 36 is also for sending receiving the treatment advisory information generated according to early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
In one embodiment, be illustrated for seizure types option pattern with situation information of showing effect, as shown in figure 12, when epileptic falls ill, family numbers of patients or nurse personnel, according to patient's outbreak situation at that time, select seizure types option, and the option of seizure types is sent to doctor's equipment by server, the user option that doctor is shown by this equipment, judge the seizure types of patient, and provide and treat advisory information accordingly, this treatment advisory information is issued patient device by server by doctor's equipment, patient device shows this treatment advisory information.
During concrete enforcement, this epileptic attack record and management doctor equipment can be the combination of the software and/or hardware that realize predetermined function.The APP that such as this doctor's equipment can be the terminal devices such as mobile phone and/or be contained on the terminal devices such as patient's mobile phone; Also can be the terminal devices such as mobile phone and/or the micro-letter public platform utilizing these terminal device logs, also can be the terminal device of special customization.The specific implementation process of doctor's equipment refers to the enforcement of above-mentioned patient device and server.
In an embodiment of the present invention, the effect of doctor's equipment is mainly: (1) can check the outbreak data of arbitrary patient at any time, namely outbreak situation information, comprises attack times, frequency, time, inducement, kind etc., is convenient to the state of an illness that doctor understands a certain patient; (2) the epileptic attack data of all patients can be checked at any time, be convenient to doctor and scientific research personnel carries out scientific research to the feature of all patients epileptic attack; (3) can select the patient list of seizure trequency more than 20/ day by receiving system Automatic sieve, the PATIENT POPULATION being convenient to doctor very high to these seizure trequency intervenes in time.
The embodiment of the present invention additionally provides a kind of epileptic attack record and management system, and as shown in figure 13, this system comprises:
Epileptic attack record as above and managing patient equipment 1; Epileptic attack record as above and management server 2; Epileptic attack record as above and management doctor equipment 3.The concrete enforcement of this system refers to the above-mentioned enforcement to patient device, server and doctor's equipment, does not repeat them here.
During concrete enforcement, the epileptic attack record that the embodiment of the present invention provides and management system can depend on micro-letter, microblogging and some other application etc.The epileptic attack record that the embodiment of the present invention provides and management system can based on the software platforms of micro-letter public number or app, object be accurately, in detail, the outbreak information of real time record epileptic and information of taking medicine, more accurately understand the epilepsy state of an illness in detail with assisting patients and doctor.A lot of people has received New Times life styles such as using mobile phone carries out information inquiry, film makes a reservation for, restaurant's reservation, payment of fees gradually.Therefore, for the epileptic in these crowds, use mobile phone record disease information also by being the disease recording method that they are ready to accept, from the angle of their subjective desire, they are also ready to use mobile phone to manage self disease condition.Therefore, based on epileptic attack record and the management system of App or micro-letter platform development, be subject to the welcome of patient, doctor and scientific research personnel.Certainly, this system also can be depend on specially designed terminal.
About the selection of micro-letter and app, micro-letter popularization degree is higher, and software agent is positioned at high in the clouds, therefore is more easily accepted by patient.Because micro-letter must rely on the network operation, during as not having a network signal, user can download App and carry out record, and application App carries out record and can using without during network signal, and the processor of mobile phone can be utilized to carry out the functions such as chart generation.Therefore, the epileptic attack record that provides of the embodiment of the present invention and management system uses flexibly, convenient.
During concrete enforcement, this system can also according to the condition information of epileptic detected, for epileptic sends advisory information automatically.Particularly, patient's epileptic attack is often relevant from different conditions, therefore according to health statistic data before the outbreak be recorded to, can push suggestion from trend patient.When any one condition ratio is more than 50%, push the suggestion avoiding this state from trend patient, such as: systems axiol-ogy obviously raises to your outbreak possibility under fatigue state, therefore advises that you take a good rest, avoids overworked.During concrete enforcement, Real-Time Monitoring can be carried out by some for the condition information of monitoring equipment to epileptic of monitoring the condition information of epileptic.
During concrete enforcement, this system according to the real-time treatment situation of epileptic, regularly can also send further consultation information or the medicine information corresponding with real-time treatment situation to epileptic.
During concrete enforcement, this system can also record the medication title of epileptic, diagnosis records and operating time information one of them or combination in any, and all situations of seeking medical advice of such patient, can be recorded, convenient.
In the embodiment of the present invention, epileptic attack record and management system comprise and mention except module except above-mentioned, can also comprise: epilepsy specialists is registered reservation, continuous medicine, evaluates doctor, and AED usage is inquired about, price queries, paying personal customization is served, and specialist, hospital push, and new treatment pushes, lecture, patient can push, EP information (all previous medical suggestion, the typing of auxiliary examination result) etc. correlation module.
Below again in conjunction with several concrete example, illustrate how the present invention implements:
Figure 14 is the schematic diagram of the record of epileptic attack record and management system in embodiment of the present invention when specifically implementing; As shown in figure 14, when epileptic falls ill, the system that its family members or nurse personnel can be provided by micro-letter platform login embodiment of the present invention carries out record, according to the outbreak curve (chart) generated, native system can predict the probability that recent epileptic shows effect again, send early warning and advisory information to epileptic, such as, point out the suggestions such as patient seeks medical advice as early as possible.So epileptic receives this suggestion, just can go to a doctor in time, avoids delay medical.When epileptic locates medical to doctor, doctor just need not carry out a large amount of interrogations, just saves time, intuitive and accurate by this outbreak curve (chart) is patient's diagnosis and treatment, patient also can save the expense going in a large number to check, also can save time simultaneously, be treated accurately as early as possible.As shown in Figure 14, scientific research personnel also according to this system, can make Information Statistics more accurately, simply, and obtains a lot of data being in the past difficult to record, be conducive to the research of epilepsy.As can be seen here, this epileptic attack record and management system to patient, doctor and scientific research personnel etc. all tool be of great significance.
Figure 15 is the schematic diagram of following up a case by regular visits to when specifically implementing of epileptic attack record and management system in the embodiment of the present invention; As shown in figure 15, after patient carries out performing the operation or carry out certain treatment, user logs in the incidence of this system at regular intervals record epileptic, the situation of the chart display that system can generate according to record, except regularly sending further consultation information to epileptic, can also to the new medicine of corresponding severity extent after patient's recommended therapy or new therapeutic modality, meanwhile, doctor also can recognize the real-time treatment situation of patient at any time.
Figure 16 is the schematic diagram of the locating medical of epileptic attack record and management system in embodiment of the present invention when specifically implementing; As shown in figure 16, the epileptic attack record that the embodiment of the present invention provides and management system, can position patient, when epileptic breaks out, log in this system, this system by location, can inform the epilepsy hospital that patient is nearest and the mode of riding etc. in time.Meanwhile, native system can also pass through position patient position, for patient provides the AED of near patients to sell address, by bus mode etc. information.
Known by Figure 14 to Figure 16, server 2 can be Cloud Server.
Advantageous Effects of the present invention is:
In the embodiment of the present invention, epileptic attack record and management system can record seizure frequency, seizure types, the important information such as outbreak result and medicining condition of epileptic at any time, are all of great significance by tool patient, doctor and scientific research personnel.Patient more can understand the state of an illness of self, and will seek treatment more on one's own initiative.Doctor can shorten the interrogation time and select more appropriate therapeutic modality, also contributes to following up a case by regular visits to patient treatment situation outside doctor institute and the patients fixing oneself simultaneously; In addition, the error message in the past obtained by interrogation will obviously be reduced, and be convenient to position epileptogenic focus more accurately, and this likely will reduce some unnecessary inspection charges to a great extent.Scientific research personnel also can make Information Statistics more accurately, simply, and obtains a lot of data being in the past difficult to record.
Obviously, those skilled in the art should be understood that, each module of the above-mentioned embodiment of the present invention, equipment or each step can realize with general calculation element, they can concentrate on single calculation element, or be distributed on network that multiple calculation element forms, alternatively, they can realize with the executable program code of calculation element, thus, they can be stored and be performed by calculation element in the storage device, and in some cases, step shown or described by can performing with the order be different from herein, or they are made into each integrated circuit modules respectively, or the multiple module in them or step are made into single integrated circuit module to realize.Like this, the embodiment of the present invention is not restricted to any specific hardware and software combination.
Above-described specific embodiment; object of the present invention, technical scheme and beneficial effect are further described; be understood that; the foregoing is only specific embodiments of the invention; the protection domain be not intended to limit the present invention; within the spirit and principles in the present invention all, any amendment made, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.
Claims (10)
1. epileptic attack record and a managing patient equipment, is characterized in that, comprising:
Patient input module, for receiving outbreak situation information and the medicining condition information of epileptic;
First information sending module, for by described outbreak situation information and medicining condition delivering;
First information receiver module, for receiving the treatment advisory information generated according to described outbreak situation information and medicining condition information;
Information display module, for showing described treatment advisory information.
2. epileptic attack record as claimed in claim 1 and managing patient equipment, is characterized in that,
Described patient input module comprises: seizure types option load module, for providing seizure types option, selects for user; Seizure types option processing module, for the option selected according to user, generates the seizure types that option is corresponding, or the option that user selects is issued described first information sending module; Described first information sending module also for option that seizure types corresponding for option or user are selected as described outbreak situation delivering;
Or described patient input module comprises: seizure types questionnaire load module, for providing the questionnaire of epileptic attack feature, select for user; Seizure types questionary handle module, for the questionnaire answer selected according to user, generates the seizure types that questionnaire answer is corresponding, or described first information sending module is issued in the questionnaire answer that user selects; Described first information sending module also for questionnaire answer that seizure types corresponding for questionnaire answer or user are selected as described outbreak situation delivering;
Or described patient input module comprises: seizure types image load module, for providing the image that different seizure types is corresponding, select for user; Seizure types image processing module, for the image selected according to user, generates the seizure types that image is corresponding, or the image that user selects is issued described first information sending module; Described first information sending module also for image that seizure types corresponding for image or user are selected as described outbreak situation delivering;
Or described patient input module comprises: seizure types video or photo load module, the video when epileptic provided for receiving user shows effect or photo; Video when described first information sending module is also for showing effect epileptic or photo are as described outbreak situation delivering.
3. epileptic attack record as claimed in claim 1 and managing patient equipment, it is characterized in that, described first information receiver module also for receive generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Described information display module is also for showing described early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
4. epileptic attack record as claimed in claim 1 and managing patient equipment, is characterized in that,
Described patient input module is also for receiving the medical of patient and purchasing medicine requesting query information;
Described first information sending module is also for sending the medical of described patient and purchasing medicine requesting query information;
Described first information receiver module also for receive according to the medical of described patient and purchase the tertiary hospitals with epilepsy training that medicine requesting query information generates, this epilepsy section of hospital doctor time of paying a home visit, near sell pharmacy address and one of them or the combination in any of mode by bus of antiepileptic;
Described information display module also for show there is epilepsy training tertiary hospitals, this epilepsy section of hospital doctor time of paying a home visit, near sell pharmacy address and by bus one of them or the combination in any of mode of antiepileptic.
5. epileptic attack record and a management server, is characterized in that, comprising:
Second information receiving module, for receiving described outbreak situation information and medicining condition information;
Processing module, for generating treatment advisory information according to described outbreak situation information and medicining condition information;
Second information sending module, for sending described treatment advisory information.
6. epileptic attack record as claimed in claim 5 and management server, it is characterized in that, described processing module comprises:
Epileptic seizure prediction module, for according to outbreak situation information and medicining condition information, predicts the probability that epileptic shows effect in the recent period again, according to this probability, generates early warning information;
Epileptic attack risk assessment module, for according to outbreak situation information or medicining condition information, generates the risk assessment result of epileptic attack;
Result for the treatment of evaluation module, for according to outbreak situation information or medicining condition information, generates the result for the treatment of assessment result of epileptic;
Outbreak and medicining condition chart generating module, for according to outbreak situation information or medicining condition information, generate outbreak and medicining condition chart;
Described second information sending module is also for sending described early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
7. epileptic attack record as claimed in claim 5 and management server, is characterized in that,
Described second information receiving module is also for receiving the medical of patient and purchasing medicine requesting query information;
Described epileptic attack record and management server also comprise: locating medical module, and described locating medical module comprises: acquisition module, for receiving the positional information sending the patient going to a doctor and purchase medicine requesting query information; Enquiry module, for the positional information according to patient, the tertiary hospitals with epilepsy training near the positional information of inquiry patient, the time of paying a home visit of this epilepsy section of hospital doctor, near sell pharmacy address and by bus one of them or the combination in any of mode of antiepileptic;
Described second information sending module also for there is epilepsy training by described tertiary hospitals, this epilepsy section of hospital doctor time of paying a home visit, near sell antiepileptic pharmacy address and by bus one of them or combination in any of mode send.
8. epileptic attack record and a management doctor equipment, is characterized in that, comprising:
Patient information reception's module, for receiving outbreak situation information and the medicining condition information of epileptic;
Patient information display module, for showing described outbreak situation information and medicining condition information;
Doctor's load module, for receiving the treatment advisory information that doctor inputs according to described outbreak situation information and medicining condition information;
Information transmission modular, for sending described treatment advisory information.
9. epileptic attack record as claimed in claim 8 and management doctor equipment, is characterized in that,
Described outbreak situation information comprises: the video when image that seizure types corresponding to option, questionnaire answer that the seizure types that option is corresponding, user select, questionnaire answer that user selects, seizure types that image is corresponding, user select or epileptic show effect or photo;
Described patient information reception's module also for receive generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Described patient information display module also for show generate according to outbreak situation information and medicining condition information early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Described doctor's load module is also for receiving the treatment advisory information generated according to early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any;
Described information transmission modular is also for sending receiving the treatment advisory information generated according to early warning information, risk assessment result, result for the treatment of assessment result, outbreak and medicining condition chart one of them or combination in any.
10. epileptic attack record and a management system, is characterized in that, comprising:
Epileptic attack record as described in as arbitrary in Claims 1-4 and managing patient equipment;
Epileptic attack record as described in as arbitrary in claim 5 to 7 and management server;
Epileptic attack record as described in as arbitrary in claim 8 to 9 and management doctor equipment.
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| CN106570327A (en) * | 2016-11-04 | 2017-04-19 | 奚红娟 | Condition management system for babies with eczema |
| CN108198624A (en) * | 2017-12-22 | 2018-06-22 | 北京鑫丰南格科技股份有限公司 | Atrial fibrillation management method and system |
| CN108231159A (en) * | 2017-12-22 | 2018-06-29 | 北京鑫丰南格科技股份有限公司 | patient education method and system |
| CN108814981A (en) * | 2017-04-20 | 2018-11-16 | 苏州智合健医疗科技有限公司 | Medication and medical based reminding method and device and the terminal with medication Yu medical prompting function |
| CN110555062A (en) * | 2019-09-12 | 2019-12-10 | 深圳市第二人民医院 | Statistical system for access amount |
| CN111462887A (en) * | 2020-03-31 | 2020-07-28 | 首都医科大学宣武医院 | Wearable epileptic digital assistant system |
| CN111599450A (en) * | 2020-04-23 | 2020-08-28 | 浙江大学医学院附属儿童医院 | Children epilepsy fine management platform system and method |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN106570327A (en) * | 2016-11-04 | 2017-04-19 | 奚红娟 | Condition management system for babies with eczema |
| CN108814981A (en) * | 2017-04-20 | 2018-11-16 | 苏州智合健医疗科技有限公司 | Medication and medical based reminding method and device and the terminal with medication Yu medical prompting function |
| CN108198624A (en) * | 2017-12-22 | 2018-06-22 | 北京鑫丰南格科技股份有限公司 | Atrial fibrillation management method and system |
| CN108231159A (en) * | 2017-12-22 | 2018-06-29 | 北京鑫丰南格科技股份有限公司 | patient education method and system |
| CN110555062A (en) * | 2019-09-12 | 2019-12-10 | 深圳市第二人民医院 | Statistical system for access amount |
| CN111462887A (en) * | 2020-03-31 | 2020-07-28 | 首都医科大学宣武医院 | Wearable epileptic digital assistant system |
| CN111462887B (en) * | 2020-03-31 | 2023-08-29 | 首都医科大学宣武医院 | Wearable epileptic digital assistant system |
| CN111599450A (en) * | 2020-04-23 | 2020-08-28 | 浙江大学医学院附属儿童医院 | Children epilepsy fine management platform system and method |
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Application publication date: 20151118 |