CN105844084A - Tubal pregnancy diagnosis and treatment software system based on tubal pregnancy differential diagnosis equation - Google Patents
Tubal pregnancy diagnosis and treatment software system based on tubal pregnancy differential diagnosis equation Download PDFInfo
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Abstract
The invention discloses a tubal pregnancy diagnosis and treatment software system based on a tubal pregnancy differential diagnosis equation, and belongs to the field of tubal pregnancy diagnosis and treatment. The system includes a tubal pregnancy differential diagnosis equation application software module which is used for automatically identifying that the state of the patient belongs to the early stage of threatened abortion or early stage of tubal pregnancy, a tubal pregnancy state influencing factor scoring module which is used for scoring according to the influencing factor influencing the state of the tubal pregnancy and a tubal pregnancy diagnosis and treatment module which comprises a case history checking sub-module, a patient information adding sub-module, a pregnancy judgment sub-module, a diagnosis and treatment scheme sub-scheme, and an information storage sub-system and providing a treatment scheme for the patient case. The system is easy to use, can effectively and rapidly judge the ectopic pregnancy and provide a reasonable treatment scheme, enables the diagnosis and treatment of the tubal pregnancy to become electronic, systematic and normal.
Description
Technical field
The present invention relates to a kind of tubal pregnancy diagnosis and therapy system, particularly relate to a kind of based on defeated ovum
The tubal pregnancy diagnosis and treatment software system of pipe gestation Differential Diagnosis equation, belongs to tubal pregnancy and examines
Treat technical field.
Background technology
In recent years, along with artificial abortion, the increasing of gynecological infections disease, ectopic pregnancy
Sickness rate is on the rise.According to statistics, it is total that the onset of ectopic pregnancy rate accounts for all known pregnancies
About the 1% of number, wherein the overwhelming majority is tubal pregnancy.Along with diagnostic techniques improvement and
Gynecologist's raising to ectopic pregnancy vigilance, the early diagnostic rate of ectopic pregnancy carries the most significantly
Height, but still have the existence of the most not clear position gestation, account for 12.4%-43.5%, extremely puzzlement
Clinical worker.Clinically, position gestation is failed to understand for this kind of early stage, is especially suffering from
In the case of person has fertility to require, it is impossible to carry out as examined the inspection further such as erasion or peritoneoscope
Time, for the selection of therapeutic scheme, medical worker often feels at a loss what to do.And patient and family members
The eager desire understood for the state of an illness also may often be such that formation doctors and patients with the uncertainty of clinical diagnosis
The main cause of dispute.Therefore, patient clinical data when being admitted to hospital effectively is utilized, fast and effectively
Differentiate that ectopic pregnancy has important clinical meaning.
The Therapeutic Method of tubal pregnancy is roughly divided into operative treatment and Drug therapy two class at present.
Many scholars advocate to use non-operative treatment Ectopic pregnancy as far as possible, and this not only can make
Patient avoids the misery born because of operation, has stopped post-operative complication, the most to greatest extent
Save the reproductive function of patient from damage, reduce medical expense.Many based on fertility, safety etc.
The consideration of the factor of kind, when treating ectopic pregnancy patient, should reach to eliminate patient symptom and alleviate
The immediate objective that patient is painful, also to make patient keep fertility as far as possible, reduce ectopic pregnancy multiple
The long-term goal of the rate of sending out.But owing to fallopian tube Differential Diagnosis Equation for Calculating is cumbersome, fallopian tube is pregnant
The combination of Chinese and Western medicine diagnosis and treatment plan content being pregnent is more, and medical worker is inconvenient in clinical practice.
Ectopic pregnancy (ectopic pregnancy, EP) refers to that germ cell is beyond uterine cavity
Position plantation, growth.Ectopic pregnancy is the modal acute abdomen of department of obstetrics and gynecology and anemia of pregnant woman's main vital
One of reason, owing to ectopic pregnancy lacks the sensitivity index of early diagnosis, is always treated as height
The early pregnancy complication that degree is dangerous.And with tubal pregnancy (tubal in ectopic pregnancy
Pregnancy) most commonly seen, account for more than 98%.Ectopic pregnancy is at world wide in recent years
The most all it is increased significantly trend, substantially falls ill about 10/1000 example gestation.
It is stagnant that the pathogenesis of ectopic pregnancy and few abdomen host the stasis of blood, and punching is appointed not smooth, or congenital kidney qi is not
Foot, the deficiency of vital energy are transported unable, and it is relevant that cytula can not transport to uterus in time.Use medical conservative therapy the earliest
Treatment ectopic pregnancy is Chinese medicine.Chinese medicine is according to differential diagnosis in terms of eight principles, and primary disease belongs to the few abdomen of blood stasis,
The excess syndrome of stagnation of QI and blood may bring about pain, controls with blood circulation promoting and blood stasis dispelling, the principle of the hemostasis that disappears.Western medicine research shows,
The occurrence cause of ectopic pregnancy has pelvic inflammatory disease, salpingitis tubal, operation on fallopian tube, fallopian tube to send out
Educate bad or dysfunction, intrauterine device contraceptive failure and other etc. factor.At present, dystopy
The diagnosis of gestation is mainly by clinical symptoms, sign, ultrasonic, lab testing, and diagnostic
Dilatation and curettage of uterine etc..Wherein ultrasonic examination have non-invasive direct observation uterus, in utero, adnexa and pelvic cavity
Advantage, no pain, convenient and easy, to the cause of disease of gynecologic acute abdomen, sick position, the examining of the state of an illness
Disconnected have important hints meaning.Especially transvaginal sonography has resolution by force, and image is clear,
The feature checked at any time, eliminate the gas of abdomen examination, obesity, filling of bladder is not enough etc. because of
The impact of element, its effect is irreplaceable.
In sum, although the ectopic pregnancy modal acute abdomen that is department of obstetrics and gynecology and anemia of pregnant woman are the most dead
Dying one of reason, the subject matter of current clinic diagnosis is that, for not showing substantially in early days
The ectopic pregnancy of symptom, remains diagnosis even with B ultrasonic, lab testing etc. blind
District, and dynamic monitoring needs a period of time.Especially for the most not clear position gestation
(pregnancy of unknown location, PUL), especially has fertility to want patient
In the case of asking, it is impossible to carry out scraping or peritoneoscope etc. checks further as examined, give clinical mirror
Zhen Duan not bring puzzlement greatly, usually make medical worker feel at a loss what to do.And when diagnosis
After ectopic pregnancy, determine the therapeutic scheme of specification, when Drug therapy, when operative treatment
Also it is the problem needing clinical worker to need to ponder deeply.
Summary of the invention
The main object of the present invention exists to solve current tubal pregnancy diagnosis and therapy system
The problems referred to above, it is provided that a kind of easy to use, easy to spread, can effectively utilize the clinic of patient
Data, fast and effectively differentiate ectopic pregnancy and provide rational therapeutic scheme, meet clinical right
In tubal pregnancy diagnosis and treatment needs, facilitate numerous medical workers, make the diagnosis of tubal pregnancy
Treatment electronization, systematization, standardization, and be applicable to clinical practice based on tubal pregnancy
The tubal pregnancy combination of Chinese and Western medicine diagnosis and therapy system of Differential Diagnosis equation.
The purpose of the present invention can reach by adopting the following technical scheme that:
A kind of tubal pregnancy diagnosis and treatment software system based on tubal pregnancy Differential Diagnosis equation,
Including tubal pregnancy Differential Diagnosis equation application software module, tubal pregnancy conditions affect because of
Sub-grading module and tubal pregnancy diagnosis and treatment module；
Described tubal pregnancy Differential Diagnosis equation application software module is for collecting facing of patient
Bed data, and clinical data is inputted described tubal pregnancy Differential Diagnosis equation application software mould
Block, described tubal pregnancy Differential Diagnosis equation application software module automatic discrimination diagnosis patient's
The state of an illness belongs in early days threatened abortion or early freezing, and follows the tracks of the last diagnostic of patient,
Whether record Distinguishing diagnosis is consistent with last diagnostic；
Described tubal pregnancy conditions affect factor scores module is for pregnant according to affecting fallopian tube
The factor of influence of the state of an illness of being pregnent is marked, described factor of influence include Gestational period, stomachache degree,
β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter；
Described tubal pregnancy diagnosis and treatment module is based on described tubal pregnancy Differential Diagnosis equation
Application software module and described tubal pregnancy conditions affect factor scores module are to patient not
Different therapeutic schemes is provided with the state of an illness；
Described tubal pregnancy Differential Diagnosis equation application software module includes threatened abortion in early days
Equation application software module and early freezing equation application software module, described early stage is first
Megastream produces equation application software module and described early freezing equation application software module
For differentiating early stage threatened abortion and the early freezing of patient.
Further, described tubal pregnancy diagnosis and treatment module includes that case history checks submodule, patient
Information adds submodule, gestation differentiates that submodule, diagnosis and treatment scheme submodule and information store submodule
Block；
Described case history checks that submodule is for checking patient history；
Described patient information adds submodule and is used for adding patient information, and patient information includes case history
Number, name and age, and carry out selecting scoring to the factor of influence of the tubal pregnancy state of an illness；
Described gestation differentiates that submodule is used for adding patient's state of an illness information, and judges patient's state of an illness,
Whether patient's state of an illness information includes menopause, up-to-date P value, up-to-date HCG value, has irregularly
Vaginal hemorrhage, menstruation whether rule, whether there is history of spontaneous abortion, whether had ectopic pregnancy
History, whether there is pelvic inflammatory disease, whether have intrauterine contraceptive device in utero, stomachache situation, whether have under B ultrasonic
The other enclosed mass in palace and whether have pelvic hydrops under B ultrasonic；
Described diagnosis and treatment scheme submodule is for differentiating, according to described gestation, the patient that submodule judges
The state of an illness, and described patient information interpolation submodule affect the factor of influence of the tubal pregnancy state of an illness
Appraisal result, it is provided that last diagnostic scheme；
Described information sub module stored is used for storing patient history, patient information, patient's state of an illness letter
Breath and last diagnostic scheme.
Further, the equation of described early stage threatened abortion equation application software module is:
Y1=-51.8050+2.4640X1+2.5804X2+9.0985X3+2.0742X4+1.3489X5+3.
5299X6+2.9579X7+0.0836X8+2.1086X9-0.000056X10+1.0492X11-2.6068X12,
The equation of described early freezing equation application software module is:
Y2=-65.2017+2.8745X1+4.6113X2+7.3590X3+0.3337X4+3.4951X5+3.
5299X6+1.1739X7+0.0398X8+3.1716X9-0.000209X10+7.0776X11-1.2064X12,
Wherein, X1=menopause (actual value), X2(0=is without, 1=for=irregular vagina bleeding
Have), X3=menstruation the most regular (1=rule, 2=are irregular), X4=history of spontaneous abortion (0=without,
1=has), X5=ectopic pregnancy history (0=without, 1=have), X6=pelvic inflammatory disease history (0=without, 1=have),
X7=intrauterine contraceptive device in utero (0=without, 1=have), X8=P value (nmol/L) (actual value), X first9=
Stomachache situation (0=without, 1=dull pain, 2=severe pain), X10=first HCG value (IU/L) (actual
Value), X11The other enclosed mass in palace under=B ultrasonic (0=without, 1=have), X12Pelvic hydrops under=B ultrasonic (0=without,
1=has).
Further, described last diagnostic include the damaged phase feotus vitality resistance network type tubal pregnancy,
It is pregnant that the tire stasis of blood accumulation type tubal pregnancy of damaged phase, the QI and blood of breakage phase lose off-type fallopian tube
Be pregnent, the weakened body resistance blood stasis type tubal pregnancy of damaged phase and the defeated ovum of stasis molding of damaged phase
Pipe gestation.
Further, described tubal pregnancy conditions affect factor scores module according to Gestational period,
Stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass are maximum
The mark that footpath is chosen includes 1 point, 2 points and 3 points.
Further, described 1 point of corresponding factor of influence includes that Gestational period is less than 6 weeks, nothing
Stomachache, β-HCG value less than 1000IU/L, pelvic cavity internal hemorrhage amount maximum diameter less than 3cm and defeated
Oviduct gestation enclosed mass maximum diameter is less than 3cm；Described 2 points of corresponding factors of influence include gestation week
Number is 6～8 weeks, stomachache degree is dull pain, β-HCG value is 1000～3000IU/L, pelvic cavity
Internal hemorrhage amount maximum diameter is 3～6cm and tubal pregnancy enclosed mass maximum diameter is 3～5cm；Described
3 points of corresponding factors of influence include Gestational period be more than 8 weeks, stomachache degree be severe pain, β-HCG
Value is more than 6cm and tubal pregnancy enclosed mass more than 3000IU/L, pelvic cavity internal hemorrhage amount maximum diameter
Maximum diameter is more than 5cm.
Further, described last diagnostic is the feotus vitality resistance network type tubal pregnancy of not damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sum is less than 8 points, and when β-HCG value is less than 1000IU/L, described tubal pregnancy is examined
Treat module and provide Regimen with Traditional Chinese Medicine.
Further, described last diagnostic is the feotus vitality resistance network type tubal pregnancy of not damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sum is less than 8 points, and β-HCG value is more than or equal to 1000IU/L, or tubal pregnancy
When enclosed mass maximum diameter is more than or equal to 5cm, described tubal pregnancy diagnosis and treatment module provides Chinese medicine and western medicine
Combined treatment scheme.
Further, described last diagnostic is the feotus vitality resistance network type tubal pregnancy of not damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sum is 9～10 points, and described tubal pregnancy diagnosis and treatment module provides collaborative treatment of Chinese and western medicines side
Case.
Further, described last diagnostic is the feotus vitality resistance network type tubal pregnancy of not damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sums more than 11 points, described tubal pregnancy diagnosis and treatment module be given operative treatment, postoperative in
The therapeutic scheme of Western medicine combined treatment.
Further, described last diagnostic is the tire stasis of blood accumulation type tubal pregnancy of damaged phase,
Described tubal pregnancy diagnosis and treatment module provides collaborative treatment of Chinese and western medicines scheme.
Further, described last diagnostic is that the QI and blood of damaged phase loses off-type tubal pregnancy,
Described tubal pregnancy diagnosis and treatment module provides timely operative treatment, postoperative collaborative treatment of Chinese and western medicines
Therapeutic scheme.
Further, described last diagnostic is the weakened body resistance blood stasis type tubal pregnancy of damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sum is less than or equal to 9 points, and β-HCG value is less than 1000IU/L, and described fallopian tube is pregnant
Diagnosis and treatment module of being pregnent provides Chinese medicine combined treatment scheme.
Further, described last diagnostic is the weakened body resistance blood stasis type tubal pregnancy of damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sum is less than or equal to 9 points, and β-HCG value is more than or equal to 1000IU/L, described defeated
Oviduct gestation diagnosis and treatment module provides Chinese medicine combined treatment scheme.
Further, described last diagnostic is the stasis molding tubal pregnancy of damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sum is less than or equal to 10 points, and described tubal pregnancy diagnosis and treatment module provides Chinese medicine
Scheme.
Further, described last diagnostic is the stasis molding tubal pregnancy of damaged phase,
When described tubal pregnancy conditions affect factor scores module according to Gestational period, stomachache degree,
What β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter were chosen divides
Number sums are more than 10 points, and described tubal pregnancy diagnosis and treatment module provides operative treatment, postoperative in
The therapeutic scheme of Western medicine combined treatment.
Further, described last diagnostic is the feotus vitality resistance network type tubal pregnancy of not damaged phase,
Described last diagnostic is the tire stasis of blood accumulation type tubal pregnancy of damaged phase, and described last diagnostic is
The weakened body resistance blood stasis type tubal pregnancy of damaged phase, is shown in when primitive heart tube is beaten, described fallopian tube
Gestation diagnosis and treatment module provides operative treatment, the therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines.
The Advantageous Effects of the present invention:
1, a kind of based on tubal pregnancy Differential Diagnosis equation the fallopian tube of present invention design is pregnant
It is pregnent diagnosis and treatment software system, the early stage threatened abortion equation application software module of employing and in early days defeated ovum
Pipe gestation equation application software module has higher recall rate for early freezing, right
Differential Diagnosis in early freezing with in early days threatened abortion have higher accuracy and
Preferably predictive value, the equation is one relatively preferably Noninvasive, quickly and simultaneously has
There are the method for discrimination of preferable verity, reliability and predictive value, clinic popularization and application.
2, a kind of based on tubal pregnancy Differential Diagnosis equation the fallopian tube of present invention design is pregnant
It is pregnent diagnosis and treatment software system, meets the clinical needs for tubal pregnancy diagnosis and treatment, facilitate vast
Medical worker, makes the diagnoses and treatment electronization of tubal pregnancy, systematization, standardization, at present
This type of diagnosis and treatment software is there is no, therefore, no matter in clinical practice or meeting market on market
In demand, this project all has stronger characteristic and novelty.
3, a kind of based on tubal pregnancy Differential Diagnosis equation the fallopian tube of present invention design is pregnant
It is pregnent diagnosis and treatment software system, solves owing to existing fallopian tube Differential Diagnosis Equation for Calculating is cumbersome,
The combination of Chinese and Western medicine diagnosis and treatment plan content of tubal pregnancy is more, and medical worker is in clinical practice
The problem being inconvenient for, not only can make patient avoid the misery born because of operation, stop
Post-operative complication, has saved the reproductive function of patient simultaneously to greatest extent from damage, has reduced medical expense.
Consideration based on the many factors such as fertility, safety, when treating ectopic pregnancy patient, both
Reach to eliminate patient symptom and alleviate the immediate objective that patient is painful, also to make patient keep as far as possible
Fertility, reduces the long-term goal of ectopic pregnancy relapse rate.
4, a kind of based on tubal pregnancy Differential Diagnosis equation the fallopian tube of present invention design is pregnant
It is pregnent diagnosis and treatment software system, by tubal pregnancy Differential Diagnosis equation application software module, defeated ovum
Pipe gestation state of an illness factor of influence grading module and the design of tubal pregnancy diagnosis and treatment module, Huan Zheke
Directly draw diagnostic result by tubal pregnancy Differential Diagnosis equation application software module, pass through
Tubal pregnancy conditions affect factor scores module is according to Gestational period, stomachache degree, β-HCG
The mark that value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter are chosen includes 1
Point, 2 points and 3 points, tubal pregnancy diagnosis and treatment module is direct according to diagnostic result and appraisal result
Providing the therapeutic scheme of patient, it is the most convenient to bring for numerous medical personnels and patient.
5, a kind of based on tubal pregnancy Differential Diagnosis equation the fallopian tube of present invention design is pregnant
Be pregnent diagnosis and treatment software system, by described tubal pregnancy diagnosis and treatment module include case history check submodule,
Patient information adds submodule, gestation differentiates that submodule, diagnosis and treatment scheme submodule and information store
The design of submodule, makes system operation interface simpler clear, operates very convenient,
It is the most convenient to bring for numerous medical personnels and patient.
Accompanying drawing explanation
Fig. 1 is present invention tubal pregnancy diagnosis and treatment based on tubal pregnancy Differential Diagnosis equation
Software system overall schematic；
Fig. 2 is present invention tubal pregnancy diagnosis and treatment based on tubal pregnancy Differential Diagnosis equation
Software system adds the overall schematic of diagnostic equation；
Fig. 3 is present invention tubal pregnancy diagnosis and treatment based on tubal pregnancy Differential Diagnosis equation
Software system adds the overall schematic of the tubal pregnancy each submodule of diagnosis and treatment module.
In figure: 1-tubal pregnancy Differential Diagnosis equation application software module, 2-tubal pregnancy
Conditions affect factor scores module, 3-tubal pregnancy diagnosis and treatment module, 11-fallopian tube in early days is pregnant
It is pregnent equation application software module, 12-threatened abortion equation application software module, 31-case history in early days
Checking submodule, 32-patient information adds submodule, and 33-gestation differentiates submodule, and 34-examines
Treatment scheme submodule, 35-information sub module stored.
Detailed description of the invention
For making those skilled in the art more clear and clear and definite technical scheme, knot below
The present invention is described in further detail for conjunction embodiment and accompanying drawing, but embodiments of the present invention
It is not limited to this.
As depicted in figs. 1 and 2, a kind of fallopian tube based on tubal pregnancy Differential Diagnosis equation
Gestation diagnosis and treatment software system, including tubal pregnancy Differential Diagnosis equation application software module 1,
Tubal pregnancy conditions affect factor scores module 2 and tubal pregnancy diagnosis and treatment module 3.
Described tubal pregnancy Differential Diagnosis equation application software module 1 is for collecting patient's
Clinical data, and clinical data is inputted described tubal pregnancy Differential Diagnosis equation application software
Module 1, described tubal pregnancy Differential Diagnosis equation application software module 1 automatic discrimination diagnoses
The state of an illness of patient belongs to threatened abortion or early freezing in early days, and follows the tracks of the final of patient
Diagnosis, whether record Distinguishing diagnosis is consistent with last diagnostic.
Described tubal pregnancy conditions affect factor scores module 2 is for according to affecting fallopian tube
The factor of influence of the gestation state of an illness is marked, and described factor of influence includes Gestational period, stomachache journey
Degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter.
Described tubal pregnancy diagnosis and treatment module 3 is based on described tubal pregnancy Differential Diagnosis side
Journey application software module 1 and described tubal pregnancy conditions affect factor scores module 2 are to patient
The different state of an illness different therapeutic scheme is provided.
Described tubal pregnancy Differential Diagnosis equation application software module 1 includes the most first megastream
Produce equation application software module 12 and early freezing equation application software module 11, institute
State threatened abortion equation application software module 12 and described early freezing equation in early days to answer
By software module 11 for differentiating early stage threatened abortion and the early freezing of patient.
As it is shown on figure 3, as the preferred version of the embodiment of the present invention, described tubal pregnancy is examined
Treat module 3 and include that case history checks that submodule 31, patient information add submodule 32, gestation is sentenced
Small pin for the case module 33, diagnosis and treatment scheme submodule 34 and information sub module stored 35；Described case history is looked into
See that submodule 31 is for checking patient history；Described patient information adds submodule 32 and is used for adding
Adding patient information, patient information includes medical record number, name and age, and sick to tubal pregnancy
The factor of influence of feelings carries out selecting scoring.
As it is shown on figure 3, as the preferred version of the embodiment of the present invention, described gestation differentiates submodule
Block 33 is used for adding patient's state of an illness information, and judges patient's state of an illness, and patient's state of an illness information includes
Menopause, up-to-date P value, up-to-date HCG value, irregular vagina bleeding, the menstruation whether is had to be
No rule, whether there is history of spontaneous abortion, whether had ectopic pregnancy history, whether had pelvic cavity
Scorching, whether have intrauterine contraceptive device in utero, stomachache situation, whether have the other enclosed mass in palace under B ultrasonic and whether have
Pelvic hydrops under B ultrasonic；Described diagnosis and treatment scheme submodule 34 is for differentiating son according to described gestation
Patient's state of an illness that module 33 judges, and described patient information interpolation submodule 32 affect defeated ovum
The appraisal result of the factor of influence of the pipe gestation state of an illness, it is provided that last diagnostic scheme；Described information is deposited
Storage submodule 35 is used for storing patient history, patient information, patient's state of an illness information and finally examining
Disconnected scheme.
As the preferred version of the embodiment of the present invention, described early stage threatened abortion equation application software
The equation of module 12 is:
Y1=-51.8050+2.4640X1+2.5804X2+9.0985X3+2.0742X4+1.3489X5+3.
5299X6+2.9579X7+0.0836X8+2.1086X9-0.000056X10+1.0492X11-2.6068X12,
The equation of described early freezing equation application software module 11 is:
Y2=-65.2017+2.8745X1+4.6113X2+7.3590X3+0.3337X4+3.4951X5+3.
5299X6+1.1739X7+0.0398X8+3.1716X9-0.000209X10+7.0776X11-1.2064X12,
Wherein, X1=menopause (actual value), X2(0=is without, 1=for=irregular vagina bleeding
Have), X3=menstruation the most regular (1=rule, 2=are irregular), X4=history of spontaneous abortion (0=without,
1=has), X5=ectopic pregnancy history (0=without, 1=have), X6=pelvic inflammatory disease history (0=without, 1=have),
X7=intrauterine contraceptive device in utero (0=without, 1=have), X8=P value (nmol/L) (actual value), X first9=
Stomachache situation (0=without, 1=dull pain, 2=severe pain), X10=first HCG value (IU/L) (actual
Value), X11The other enclosed mass in palace under=B ultrasonic (0=without, 1=have), X12Pelvic hydrops under=B ultrasonic (0=without,
1=has).
Equation based on described early stage threatened abortion equation application software module 12 and described early stage
Tubal pregnancy equation application software module 11, collects effective case 327 example altogether, totally puts down
All menopauses are 40.73 ± 5.86 days.
1, foundation discriminant equation Distinguishing diagnosis is early freezing patient 229 example, in early days
Threatened abortion patient 98 example；And finally clarify a diagnosis as early freezing patient 217 example,
Threatened abortion patient 110 example in early days.Wherein accurately differentiate that fallopian tube patient is (true the most defeated in early days
Oviduct gestational patients) 215 examples, mistake differentiates (false early freezing patient) 14 examples；
Accurately differentiating threatened abortion patient (true threatened abortion patient in early days) 96 examples in early days, mistake is sentenced
Not (false threatened abortion patient in early days) 2 examples；
2, clarify a diagnosis average with the progesterone of in early days threatened abortion group into early freezing group
Value there was no significant difference through T inspection display；
3, discriminant equation verity is investigated result to show: sensitivity=99.08%, specificity
=87.27%, false negative rate=0.92%, false positive rate=12.73%, positive likelihood ratio=7.78,
Negative likelihood=0.01, correct diagnostic index=0.8635.Reliability is investigated result and is shown: symbol
Conjunction rate 95.11%, Kappa value=0.8874.Predictive value is investigated result and is shown: positive predictive value
=93.89%, negative predictive value=97.96%.
As the preferred version of the embodiment of the present invention, described last diagnostic includes the tire of not damaged phase
Unit's resistance network type tubal pregnancy, the tire stasis of blood accumulation type tubal pregnancy of damaged phase, damaged phase
QI and blood lose off-type tubal pregnancy, the weakened body resistance blood stasis type tubal pregnancy of damaged phase and the most broken
The stasis molding tubal pregnancy of damage phase.
As the preferred version of the embodiment of the present invention, the described tubal pregnancy conditions affect factor is commented
Sub-module 2 is according to Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum
The mark that footpath and tubal pregnancy enclosed mass maximum diameter are chosen includes 1 point, 2 points and 3 points.
As the preferred version of the embodiment of the present invention, described 1 point of corresponding factor of influence includes pregnant
Week number of being pregnent is less than 6 weeks, is less than 1000IU/L, pelvic cavity internal hemorrhage amount without stomachache, β-HCG value
Maximum diameter is less than 3cm less than 3cm and tubal pregnancy enclosed mass maximum diameter.
Described 2 points of corresponding factors of influence include Gestational period be 6～8 weeks, stomachache degree be
Dull pain, β-HCG value are 1000～3000IU/L, pelvic cavity internal hemorrhage amount maximum diameter is 3～6cm
It is 3～5cm with tubal pregnancy enclosed mass maximum diameter.
Described 3 points of corresponding factors of influence include Gestational period be more than 8 weeks, stomachache degree for play
Bitterly, β-HCG value is more than 6cm and defeated ovum more than 3000IU/L, pelvic cavity internal hemorrhage amount maximum diameter
Pipe gestation enclosed mass maximum diameter is more than 5cm.
As the preferred version of the embodiment of the present invention, described last diagnostic is the feotus vitality of not damaged phase
Resistance network type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen is less than 8 points, and β-HCG value is less than 1000IU/L
Time, described tubal pregnancy diagnosis and treatment module 3 provides Regimen with Traditional Chinese Medicine；Described Chinese medicine is controlled
Treatment scheme includes:
1, select Radix Salviae Miltiorrhizae 15g, Radix Paeoniae Rubra 15g, Semen Persicae 15g, choosing add cephalopodium Scolopendra 3,
Radix Arnebiae (Radix Lithospermi) 15g, Radix Trichosanthis 20g, Radix Notoginseng 10g etc., can take the circumstances into consideration plus-minus according to individual instances, often
Day 1 dose, then decoct, day takes twice；
2, eliminating stagnation analgesia capsule, 4, oral, three times on the one；
3, Shuang Bai San includes that Cacumen Platycladi, Cortex Phellodendri, Radix Et Rhizoma Rhei, Herba Menthae, Herba Lycopi amount to 100g, water
External application lower abdomen sore spot after honey tune, once-a-day；
4, Radix Salviae Miltiorrhizae Injection, 10～20ml, add in 5% Glucose Liquid 250～500ml quiet
Arteries and veins instils, once-a-day；
5, XUEFU ZHUYU KOUFUYE 10ml or granule, or pill, oral, three times on the one.
As the preferred version of the embodiment of the present invention, described last diagnostic is the feotus vitality of not damaged phase
Resistance network type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen is less than 8 points, and β-HCG value is more than or equal to
1000IU/L, or when tubal pregnancy enclosed mass maximum diameter is more than or equal to 5cm, described fallopian tube
Gestation diagnosis and treatment module 3 provides collaborative treatment of Chinese and western medicines scheme；Described collaborative treatment of Chinese and western medicines scheme
Including treatment by Chinese herbs and western medicine:
Treatment by Chinese herbs:
1, select Radix Salviae Miltiorrhizae 15g, Radix Paeoniae Rubra 15g, Semen Persicae 15g, choosing add cephalopodium Scolopendra 3,
Radix Arnebiae (Radix Lithospermi) 15g, Radix Trichosanthis 20g, Radix Notoginseng 10g etc., can take the circumstances into consideration plus-minus according to individual instances；Often
Day 1 dose, then decoct, day takes twice；
2, eliminating stagnation analgesia capsule, 4, oral, three times on the one；
3, Shuang Bai San includes that Cacumen Platycladi, Cortex Phellodendri, Radix Et Rhizoma Rhei, Herba Menthae, Herba Lycopi amount to 100g, water
External application lower abdomen sore spot after honey tune, once-a-day；
4, Radix Salviae Miltiorrhizae Injection, 10～20ml, add in 5% Glucose Liquid 250～500ml quiet
Arteries and veins instils, once-a-day；
5, XUEFU ZHUYU KOUFUYE 10ml or granule, or pill, oral, three times on the one；
Western medicine:
1, methotrexate (MTX) 50mg/m2, an intramuscular injection；
2, mifepristone (RU486) 150mg is administered orally, and once a day, serve on 5 days；
If β-HCG declines inconspicuous after drug withdrawal one week, add with methotrexate (MTX) 50mg,
Intramuscular injection.
As the preferred version of the embodiment of the present invention, described last diagnostic is the feotus vitality of not damaged phase
Resistance network type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen is 9～10 points, described tubal pregnancy diagnosis and treatment module
3 provide collaborative treatment of Chinese and western medicines scheme；Described collaborative treatment of Chinese and western medicines scheme includes treatment by Chinese herbs
And western medicine:
Treatment by Chinese herbs:
1, select Radix Salviae Miltiorrhizae 15g, Radix Paeoniae Rubra 15g, Semen Persicae 15g, choosing add cephalopodium Scolopendra 3,
Radix Arnebiae (Radix Lithospermi) 15g, Radix Trichosanthis 20g, Radix Notoginseng 10g etc., can take the circumstances into consideration plus-minus according to individual instances；Often
Day 1 dose, then decoct, day takes twice；
2, eliminating stagnation analgesia capsule, 4, oral, three times on the one；
3, Shuang Bai San includes that Cacumen Platycladi, Cortex Phellodendri, Radix Et Rhizoma Rhei, Herba Menthae, Herba Lycopi amount to 100g, water
External application lower abdomen sore spot after honey tune, once-a-day；
4, Radix Salviae Miltiorrhizae Injection, 10～20ml, add in 5% Glucose Liquid 250～500ml quiet
Arteries and veins instils, once-a-day；
5, XUEFU ZHUYU KOUFUYE 10ml or granule, or pill, oral, three times on the one；
Western medicine:
1, methotrexate (MTX) 50mg/m2, an intramuscular injection；
2, mifepristone (RU486) 150mg is administered orally, and once a day, serve on 5 days；
If β-HCG declines inconspicuous after drug withdrawal one week, add with methotrexate (MTX) 50mg,
Intramuscular injection.
As the preferred version of the embodiment of the present invention, described last diagnostic is the feotus vitality of not damaged phase
Resistance network type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen is more than 11 points, described tubal pregnancy diagnosis and treatment module
3 provide operative treatment, the therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines includes:
1, row peritoneoscope or abdominal, according to surgical exploration situation, implements Ipsilateral defeated respectively
Oviduct excision, or conservative operation dealing；
2, postoperative therapy of combining Chinese and Western medicine
(1) conventional Supporting Therapy；
(2) Conventional antibiotic prevention or treatment are infected；
(3) naturopathy: can be selected for midnight-noon and ebb-flow doctrine low-frequency therapy apparatus, microwave therapy apparatus, light
The naturopathy such as quantum treating instrument；
(4) Chinese traditional treatment；
1. Chinese medicine decoction: with vigorate qi and replenish the blood, blood-activating analgetic as method for the treatment of, dialectical prescriptions, one
Day is once；
2. QI invigorating patent medicine can dialectical be selected:
Radix Astragali injection, 20ml, add 5% Glucose Liquid 250～500ml iv drip,
Once-a-day；
Or: SHENMAI ZHUSHEYE, 20ml, add 5% Glucose Liquid 250～500ml medium-sized vein and drip
Note, once-a-day；
3. patent medicine of enriching blood can dialectical be selected:
FUFANG EJIAO JIANG, 10ml, twice on the one, oral；
4. blood-activating analgetic patent medicine is selected:
'Xuebijing ' injection, 50ml, addition normal saline 100ml iv drip, one day one
Secondary；
The auxiliary treatment such as the most dialectical selection ear acupoint, acupuncture, Chinese medicine package, footbath with traditional Chinese medicines；
As the preferred version of the embodiment of the present invention, described last diagnostic is the tire stasis of blood of damaged phase
Accumulation type tubal pregnancy, described tubal pregnancy diagnosis and treatment module 3 provides collaborative treatment of Chinese and western medicines
Scheme；Described collaborative treatment of Chinese and western medicines scheme includes:
1, Radix Salviae Miltiorrhizae 15g, Radix Paeoniae Rubra 15g, Semen Persicae 15g, Rhizoma Sparganii 15g, Rhizoma Curcumae 15g are selected,
Choosing adds Radix Notoginseng 10g, Hirudo 10g, Aspongopus 10g, every day 1 dose, then decocts, and day takes twice；
2, eliminating stagnation analgesia capsule, 4, oral, three times on the one；
3, Shuang Bai San includes that Cacumen Platycladi, Cortex Phellodendri, Radix Et Rhizoma Rhei, Herba Menthae, Herba Lycopi amount to 100g, water
External application lower abdomen sore spot after honey tune, once-a-day；
4, Radix Salviae Miltiorrhizae Injection, 10～20ml, add in 5% Glucose Liquid 250～500ml quiet
Arteries and veins instils, once-a-day；
5, XUEFU ZHUYU KOUFUYE 10ml, or granule, or pill, oral, three times on the one；
6, compound Ilex pubescens enema includes that Radix Ilicis Pubescentis, Radix Et Rhizoma Rhei, Herba Patriniae, Caulis Lonicerae amount to
150ml, retention enema, once-a-day.
As the preferred version of the embodiment of the present invention, described last diagnostic is the QI and blood of damaged phase
Losing off-type tubal pregnancy, described tubal pregnancy diagnosis and treatment module 3 provides timely operative treatment,
The therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines；Described operative treatment, postoperative Integrated TCM is controlled
The therapeutic scheme treated includes:
1, row peritoneoscope or abdominal, according to surgical exploration situation, implements Ipsilateral defeated respectively
Oviduct excision, or conservative operation dealing；
2, postoperative therapy of combining Chinese and Western medicine
(1) conventional Supporting Therapy；
(2) Conventional antibiotic prevention or treatment are infected；
(3) naturopathy: can be selected for midnight-noon and ebb-flow doctrine low-frequency therapy apparatus, microwave therapy apparatus, light
The naturopathy such as quantum treating instrument；
(4) Chinese traditional treatment:
1. Chinese medicine decoction: with vigorate qi and replenish the blood, blood-activating analgetic as method for the treatment of, dialectical prescriptions, one
Day is once；
2. QI invigorating patent medicine can dialectical be selected:
Radix Astragali injection, 20ml, add 5% Glucose Liquid 250～500ml iv drip,
Once-a-day；
Or: SHENMAI ZHUSHEYE, 20ml, add 5% Glucose Liquid 250～500ml medium-sized vein and drip
Note, once-a-day；
3. patent medicine of enriching blood can dialectical be selected:
FUFANG EJIAO JIANG, 10ml, twice on the one, oral；
4. blood-activating analgetic patent medicine is selected:
'Xuebijing ' injection, 50ml, addition normal saline 100ml iv drip, one day
Once；
The auxiliary treatment such as the most dialectical selection ear acupoint, acupuncture, Chinese medicine package, footbath with traditional Chinese medicines.
As the preferred version of the embodiment of the present invention, described last diagnostic is the weakened body resistance of damaged phase
Blood stasis type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen is less than or equal to 9 points, and β-HCG value is less than
1000IU/L, described tubal pregnancy diagnosis and treatment module 3 provides Chinese medicine combined treatment scheme；Institute
State Chinese medicine combined treatment scheme to include:
1, select Radix Salviae Miltiorrhizae 15g, Radix Paeoniae Rubra 15g, Semen Persicae 15g, choosing add Radix Codonopsis 15g, Radix Astragali 20g,
Radix Notoginseng 10g, remove cephalopodium Scolopendra 3, Radix Arnebiae (Radix Lithospermi) 15g, Radix Trichosanthis 20g, according to individual instances
Taking the circumstances into consideration plus-minus, every day 1 dose, then decoct, day takes twice；
2, eliminating stagnation analgesia capsule, 4, oral, three times on the one；
3, Shuang Bai San includes that Cacumen Platycladi, Cortex Phellodendri, Radix Et Rhizoma Rhei, Herba Menthae, Herba Lycopi amount to 100g, water
External application lower abdomen sore spot after honey tune, once-a-day；
4, Radix Salviae Miltiorrhizae Injection, 10～20ml, add in 5% Glucose Liquid 250～500ml quiet
Arteries and veins instils, once-a-day；
5, XUEFU ZHUYU KOUFUYE 10ml, or granule, or pill, oral, three times on the one.
As the preferred version of the embodiment of the present invention, described last diagnostic is the weakened body resistance of damaged phase
Blood stasis type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen be less than or equal to 9 points, and β-HCG value more than or
Equal to 1000IU/L, described tubal pregnancy diagnosis and treatment module 3 provides Chinese medicine combined treatment side
Case；Described Chinese medicine combined treatment scheme includes:
Treatment by Chinese herbs
1, select Radix Salviae Miltiorrhizae 15g, Radix Paeoniae Rubra 15g, Semen Persicae 15g, choosing add Radix Codonopsis 15g, Radix Astragali 20g,
Radix Notoginseng 10g, remove cephalopodium Scolopendra 3, Radix Arnebiae (Radix Lithospermi) 15g, Radix Trichosanthis 20g, according to individual instances
Taking the circumstances into consideration plus-minus, every day 1 dose, then decoct, day takes twice；
2, eliminating stagnation analgesia capsule, 4, oral, three times on the one；
3, Shuang Bai San includes that Cacumen Platycladi, Cortex Phellodendri, Radix Et Rhizoma Rhei, Herba Menthae, Herba Lycopi amount to 100g, water
External application lower abdomen sore spot after honey tune, once-a-day；
4, Radix Salviae Miltiorrhizae Injection, 10～20ml, add in 5% Glucose Liquid 250～500ml quiet
Arteries and veins instils, once-a-day；
5, XUEFU ZHUYU KOUFUYE 10ml, or granule, or pill, oral, three times on the one；
Western medicine
1, methotrexate (MTX) 50mg/m2, an intramuscular injection；
2, mifepristone (RU486) 150mg is administered orally, and once a day, serve on 5 days；
If β-HCG declines inconspicuous (< 30%) after drug withdrawal one week, add with methotrexate (MTX)
50mg, an intramuscular injection.
As the preferred version of the embodiment of the present invention, described last diagnostic is the stasis of damaged phase
Molding tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen is less than or equal to 10 points, and described tubal pregnancy is examined
Treat module 3 and provide Regimen with Traditional Chinese Medicine；Described Regimen with Traditional Chinese Medicine includes:
1, Radix Salviae Miltiorrhizae 15g, Radix Paeoniae Rubra 15g, Semen Persicae 15g, Rhizoma Sparganii 15g, Rhizoma Curcumae 15g are selected,
Choosing adds Radix Notoginseng 10g, Hirudo 10g, Aspongopus 10g, every day 1 dose, then decocts, and day takes twice；
2, eliminating stagnation analgesia capsule, 4, oral, three times on the one；
3, Shuang Bai San includes that Cacumen Platycladi, Cortex Phellodendri, Radix Et Rhizoma Rhei, Herba Menthae, Herba Lycopi amount to 100g, water
External application lower abdomen sore spot after honey tune, once-a-day；
4, Radix Salviae Miltiorrhizae Injection, 10～20ml, add in 5% Glucose Liquid 250～500ml quiet
Arteries and veins instils, once-a-day；
5, XUEFU ZHUYU KOUFUYE 10ml, or granule, or pill, oral, three times on the one；
6, compound Ilex pubescens enema includes that Radix Ilicis Pubescentis, Radix Et Rhizoma Rhei, Herba Patriniae, Caulis Lonicerae amount to
150ml, retention enema, once-a-day.
As the preferred version of the embodiment of the present invention, described last diagnostic is the stasis of damaged phase
Molding tubal pregnancy, when described tubal pregnancy conditions affect factor scores module 2 basis
Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and fallopian tube are pregnant
The mark sum that enclosed mass maximum diameter of being pregnent is chosen is more than 10 points, described tubal pregnancy diagnosis and treatment module
3 provide operative treatment, the therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines；Described Integrated TCM
The therapeutic scheme for the treatment of includes:
1, row peritoneoscope or abdominal, according to surgical exploration situation, implements Ipsilateral defeated respectively
Oviduct excision, or conservative operation dealing；
2, postoperative therapy of combining Chinese and Western medicine
(1) conventional Supporting Therapy；
(2) Conventional antibiotic prevention or treatment are infected；
(3) naturopathy: can be selected for midnight-noon and ebb-flow doctrine low-frequency therapy apparatus, microwave therapy apparatus, light
The naturopathy such as quantum treating instrument；
(4) Chinese traditional treatment
1. Chinese medicine decoction: with vigorate qi and replenish the blood, blood-activating analgetic as method for the treatment of, dialectical prescriptions, one
Day is once；
2. QI invigorating patent medicine can dialectical be selected:
Radix Astragali injection, 20ml, add 5% Glucose Liquid 250～500ml iv drip,
Once-a-day；
Or: SHENMAI ZHUSHEYE, 20ml, add 5% Glucose Liquid 250～500ml medium-sized vein and drip
Note, once-a-day；
3. patent medicine of enriching blood can dialectical be selected:
FUFANG EJIAO JIANG, 10ml, twice on the one, oral；
4. blood-activating analgetic patent medicine is selected:
'Xuebijing ' injection, 50ml, addition normal saline 100ml iv drip, one day
Once；
The auxiliary treatment such as the most dialectical selection ear acupoint, acupuncture, Chinese medicine package, footbath with traditional Chinese medicines.
Further, described last diagnostic is the feotus vitality resistance network type tubal pregnancy of not damaged phase,
Described last diagnostic is the tire stasis of blood accumulation type tubal pregnancy of damaged phase, and described last diagnostic is
The weakened body resistance blood stasis type tubal pregnancy of damaged phase, is shown in when primitive heart tube is beaten, described fallopian tube
Gestation diagnosis and treatment module 3 provides operative treatment, the therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines；Institute
State operative treatment, the therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines includes:
1, row peritoneoscope or abdominal, according to surgical exploration situation, implements Ipsilateral defeated respectively
Oviduct excision, or conservative operation dealing；
2, postoperative therapy of combining Chinese and Western medicine
(1) conventional Supporting Therapy；
(2) Conventional antibiotic prevention or treatment are infected；
(3) naturopathy: can be selected for midnight-noon and ebb-flow doctrine low-frequency therapy apparatus, microwave therapy apparatus, light
The naturopathy such as quantum treating instrument；
(4) Chinese traditional treatment
1. Chinese medicine decoction: with vigorate qi and replenish the blood, blood-activating analgetic as method for the treatment of, dialectical prescriptions, one
Day is once；
2. QI invigorating patent medicine can dialectical be selected:
Radix Astragali injection, 20ml, add 5% Glucose Liquid 250～500ml iv drip,
Once-a-day；
Or SHENMAI ZHUSHEYE, 20ml, add 5% Glucose Liquid 250～500ml iv drip,
Once-a-day；
3. patent medicine of enriching blood can dialectical be selected:
FUFANG EJIAO JIANG, 10ml, twice on the one, oral；
4. blood-activating analgetic patent medicine is selected:
'Xuebijing ' injection, 50ml, addition normal saline 100ml iv drip, one day
Once；
The auxiliary treatment such as the most dialectical selection ear acupoint, acupuncture, Chinese medicine package, footbath with traditional Chinese medicines.
In sum, present invention design is a kind of based on tubal pregnancy Differential Diagnosis equation defeated
Oviduct gestation diagnosis and treatment software system, the early stage threatened abortion equation application software module of employing and morning
Phase tubal pregnancy equation application software module has higher inspection for early freezing
Going out rate, the Differential Diagnosis for early freezing with threatened abortion in early days has higher standard
Exactness and preferably predictive value, the equation be one relatively preferably Noninvasive, quickly and
Having the method for discrimination of preferable verity, reliability and predictive value, clinic is promoted simultaneously
Application.
A kind of based on tubal pregnancy Differential Diagnosis equation the tubal pregnancy of present invention design
Diagnosis and treatment software system, meets the clinical needs for tubal pregnancy diagnosis and treatment, facilitates numerous doctors
Business personnel, make the diagnoses and treatment electronization of tubal pregnancy, systematization, standardization, current city
This type of diagnosis and treatment software is there is no, therefore, no matter in clinical practice or meeting market need on Chang
Asking, this project all has stronger characteristic and novelty.
A kind of based on tubal pregnancy Differential Diagnosis equation the tubal pregnancy of present invention design
Diagnosis and treatment software system, solves owing to existing fallopian tube Differential Diagnosis Equation for Calculating is cumbersome,
The combination of Chinese and Western medicine diagnosis and treatment plan content of tubal pregnancy is more, and medical worker is in clinical practice
The problem being inconvenient for, not only can make patient avoid the misery born because of operation, stop
Post-operative complication, has saved the reproductive function of patient simultaneously to greatest extent from damage, has reduced medical expense.
Consideration based on the many factors such as fertility, safety, when treating ectopic pregnancy patient, both
Reach to eliminate patient symptom and alleviate the immediate objective that patient is painful, also to make patient keep as far as possible
Fertility, reduces the long-term goal of ectopic pregnancy relapse rate.
A kind of based on tubal pregnancy Differential Diagnosis equation the tubal pregnancy of present invention design
Diagnosis and treatment software system, by tubal pregnancy Differential Diagnosis equation application software module, fallopian tube
Gestation state of an illness factor of influence grading module and the design of tubal pregnancy diagnosis and treatment module, patient can be straight
Connect tubal pregnancy Differential Diagnosis equation application software module and draw diagnostic result, by defeated
Oviduct gestation state of an illness factor of influence grading module is according to Gestational period, stomachache degree, β-HCG
The mark that value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter are chosen includes 1
Point, 2 points and 3 points, tubal pregnancy diagnosis and treatment module is direct according to diagnostic result and appraisal result
Providing the therapeutic scheme of patient, it is the most convenient to bring for numerous medical personnels and patient.
A kind of based on tubal pregnancy Differential Diagnosis equation the tubal pregnancy of present invention design
Diagnosis and treatment software system, by described tubal pregnancy diagnosis and treatment module include case history check submodule,
Patient information adds submodule, gestation differentiates that submodule, diagnosis and treatment scheme submodule and information store
The design of submodule, makes system operation interface simpler clear, operates very convenient,
It is the most convenient to bring for numerous medical personnels and patient.
The above, the only preferred embodiment of the invention, but protection scope of the present invention is not
Be confined to this, any those familiar with the art in scope disclosed in this invention,
According to technical scheme and conceive equivalent or change in addition, broadly fall into the present invention
Protection domain.
Claims (11)
1. tubal pregnancy of based on tubal pregnancy Differential Diagnosis equation a diagnosis and treatment software system
System, it is characterised in that: include tubal pregnancy Differential Diagnosis equation application software module (1),
Tubal pregnancy conditions affect factor scores module (2) and tubal pregnancy diagnosis and treatment module (3)；
Described tubal pregnancy Differential Diagnosis equation application software module (1) is used for collecting patient
Clinical data, and clinical data is inputted described tubal pregnancy Differential Diagnosis equation application soft
Part module (1), described tubal pregnancy Differential Diagnosis equation application software module (1) is automatic
The state of an illness of Distinguishing diagnosis patient belongs to threatened abortion or early freezing in early days, and follows the tracks of trouble
The last diagnostic of person, whether record Distinguishing diagnosis is consistent with last diagnostic；
Described tubal pregnancy conditions affect factor scores module (2) is for according to affecting defeated ovum
The factor of influence of the pipe gestation state of an illness is marked, and described factor of influence includes Gestational period, stomachache
Degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass maximum diameter；
Described tubal pregnancy diagnosis and treatment module (3) is based on described tubal pregnancy Differential Diagnosis
Equation application software module (1) and described tubal pregnancy conditions affect factor scores module (2)
The therapeutic scheme different to the different state of an illness offer of patient；
Described tubal pregnancy Differential Diagnosis equation application software module (1) includes tendency in early days
Miscarriage equation application software module (12) and early freezing equation application software module
(11), described early stage threatened abortion equation application software module (12) and defeated ovum of described early stage
Pipe gestation equation application software module (11) is for differentiating early stage threatened abortion and the early stage of patient
Tubal pregnancy.
The most according to claim 1 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described tubal pregnancy diagnosis and treatment module (3)
Check that submodule (31), patient information add submodule (32), gestation differentiates son including case history
Module (33), diagnosis and treatment scheme submodule (34) and information sub module stored (35)；
Described case history checks that submodule (31) is used for checking patient history；
Described patient information adds submodule (32) and is used for adding patient information, patient information bag
Include medical record number, name and age, and the factor of influence of the tubal pregnancy state of an illness is carried out selection comment
Point；
Described gestation differentiates that submodule (33) is used for adding patient's state of an illness information, and judges patient
The state of an illness, whether patient's state of an illness information includes menopause, up-to-date P value, up-to-date HCG value, has
Irregular vagina bleeding, menstruation whether rule, whether had history of spontaneous abortion, whether had different
Position gestation history, whether there is pelvic inflammatory disease, whether have intrauterine contraceptive device in utero, stomachache situation, whether have
The other enclosed mass in palace and whether have pelvic hydrops under B ultrasonic under B ultrasonic；
Described diagnosis and treatment scheme submodule (34) are for differentiating submodule (33) according to described gestation
The patient's state of an illness judged, and described patient information interpolation submodule (32) affect fallopian tube pregnant
The appraisal result of the factor of influence of the state of an illness of being pregnent, it is provided that last diagnostic scheme；
Described information sub module stored (35) is used for storing patient history, patient information, patient
State of an illness information and last diagnostic scheme.
The most according to claim 2 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that:
The equation of described early stage threatened abortion equation application software module (12) is:
Y1=-51.8050+2.4640X1+2.5804X2+9.0985X3+2.0742X4+1.3489X5+3.
5299X6+2.9579X7+0.0836X8+2.1086X9-0.000056X10+1.0492X11-2.6068X12,
The equation of described early freezing equation application software module (11) is:
Y2=-65.2017+2.8745X1+4.6113X2+7.3590X3+0.3337X4+3.4951X5+3.
5299X6+1.1739X7+0.0398X8+3.1716X9-0.000209X10+7.0776X11-1.2064X12,
Wherein, X1=menopause (actual value), X2(0=is without, 1=for=irregular vagina bleeding
Have), X3=menstruation the most regular (1=rule, 2=are irregular), X4=history of spontaneous abortion (0=without,
1=has), X5=ectopic pregnancy history (0=without, 1=have), X6=pelvic inflammatory disease history (0=without, 1=have),
X7=intrauterine contraceptive device in utero (0=without, 1=have), X8=P value (nmol/L) (actual value), X first9=
Stomachache situation (0=without, 1=dull pain, 2=severe pain), X10=first HCG value (IU/L) (actual
Value), X11The other enclosed mass in palace under=B ultrasonic (0=without, 1=have), X12Pelvic hydrops under=B ultrasonic (0=without,
1=has).
The most according to claim 2 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described last diagnostic includes the not damaged phase
Feotus vitality resistance network type tubal pregnancy, the tire stasis of blood accumulation type tubal pregnancy of damaged phase, the most broken
The QI and blood of damage phase lose off-type tubal pregnancy, the weakened body resistance blood stasis type tubal pregnancy of damaged phase and
The stasis molding tubal pregnancy of damaged phase.
The most according to claim 4 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described tubal pregnancy conditions affect because of
Sub-grading module (2) is according to Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage
The mark that amount maximum diameter and tubal pregnancy enclosed mass maximum diameter are chosen includes 1 point, 2 points and 3 points.
The most according to claim 5 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described 1 point of corresponding factor of influence bag
Include Gestational period to be less than 6 weeks, go out less than in 1000IU/L, pelvic cavity without stomachache, β-HCG value
Blood volume maximum diameter is less than 3cm less than 3cm and tubal pregnancy enclosed mass maximum diameter；Described 2 points right
The factor of influence answered include Gestational period be 6～8 weeks, stomachache degree be dull pain, β-HCG value
Be 1000～3000IU/L, pelvic cavity internal hemorrhage amount maximum diameter be 3～6cm and tubal pregnancy bag
Block maximum diameter is 3～5cm；Described 3 points of corresponding factors of influence include that Gestational period is more than 8
Week, stomachache degree are that severe pain, β-HCG value are more than 3000IU/L, pelvic cavity internal hemorrhage amount maximum
Footpath is more than 5cm more than 6cm and tubal pregnancy enclosed mass maximum diameter.
The most according to claim 6 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described last diagnostic is the not damaged phase
Feotus vitality resistance network type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module (2)
According to Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and defeated ovum
The mark sum that pipe gestation enclosed mass maximum diameter is chosen is less than 8 points, and β-HCG value is less than
During 1000IU/L, described tubal pregnancy diagnosis and treatment module (3) provides Regimen with Traditional Chinese Medicine；
The mark sum chosen when described tubal pregnancy conditions affect factor scores module (2) is less than
8 points, β-HCG value is more than or equal to 1000IU/L, or tubal pregnancy enclosed mass maximum diameter is big
In or equal to 5cm time, described tubal pregnancy diagnosis and treatment module (3) provides Integrated TCM and controls
Treatment scheme；When described tubal pregnancy conditions affect factor scores module (2) is according to gestation week
Number, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and tubal pregnancy enclosed mass
The mark sum that maximum diameter is chosen is 9～10 points, described tubal pregnancy diagnosis and treatment module (3)
Provide collaborative treatment of Chinese and western medicines scheme, when described tubal pregnancy conditions affect factor scores module
(2) the mark sum chosen is more than 11 points, and described tubal pregnancy diagnosis and treatment module (3) is given
Go out operative treatment, the therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines.
The most according to claim 6 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described last diagnostic is the damaged phase
Tire stasis of blood accumulation type tubal pregnancy, described tubal pregnancy diagnosis and treatment module (3) provides Chinese medicine and western medicine
Combined treatment scheme；Described last diagnostic is that the QI and blood of damaged phase loses off-type tubal pregnancy,
Described tubal pregnancy diagnosis and treatment module (3) provides timely operative treatment, postoperative Integrated TCM
The therapeutic scheme for the treatment of.
The most according to claim 6 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described last diagnostic is the damaged phase
Weakened body resistance blood stasis type tubal pregnancy, when described tubal pregnancy conditions affect factor scores module (2)
According to Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and defeated ovum
The mark sum that pipe gestation enclosed mass maximum diameter is chosen is less than or equal to 9 points, and β-HCG value is little
In 1000IU/L, described tubal pregnancy diagnosis and treatment module (3) provides Chinese medicine combined treatment side
Case；When the mark sum that described tubal pregnancy conditions affect factor scores module (2) is chosen
Less than or equal to 9 points, and β-HCG value is more than or equal to 1000IU/L, and described fallopian tube is pregnant
Diagnosis and treatment module of being pregnent (3) provides Chinese medicine combined treatment scheme.
The most according to claim 6 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described last diagnostic is the damaged phase
Stasis molding tubal pregnancy, when described tubal pregnancy conditions affect factor scores module (2)
According to Gestational period, stomachache degree, β-HCG value, pelvic cavity internal hemorrhage amount maximum diameter and defeated ovum
The mark sum that pipe gestation enclosed mass maximum diameter is chosen is less than or equal to 10 points, and described fallopian tube is pregnant
Diagnosis and treatment module of being pregnent (3) provides Regimen with Traditional Chinese Medicine；When described tubal pregnancy conditions affect
The mark sum that factor scores module (2) is chosen is more than 10 points, described tubal pregnancy diagnosis and treatment
Module (3) provides operative treatment, the therapeutic scheme of postoperative collaborative treatment of Chinese and western medicines.
11. is according to claim 6 a kind of based on tubal pregnancy Differential Diagnosis equation
Tubal pregnancy diagnosis and treatment software system, it is characterised in that: described last diagnostic is the not damaged phase
Feotus vitality resistance network type tubal pregnancy, described last diagnostic is the tire defeated ovum of stasis of blood accumulation type of damaged phase
Pipe gestation, described last diagnostic is the weakened body resistance blood stasis type tubal pregnancy of damaged phase, sees original
When heart pipe is beaten, described tubal pregnancy diagnosis and treatment module (3) be given operative treatment, postoperative in
The therapeutic scheme of Western medicine combined treatment.
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Cited By (1)
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| WO2020191838A1 (en) * | 2019-03-27 | 2020-10-01 | 北京大学第三医院（北京大学第三临床医学院） | System and method for detecting ectopic pregnancy |
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2016
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| US20020095066A1 (en) * | 2001-01-12 | 2002-07-18 | Kamrava Michael M. | Uterine devices and method of use |
| CN201987661U (en) * | 2011-01-22 | 2011-09-28 | 朱立乾 | Laser device for treating pathological changes of oviducts |
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| WO2020191838A1 (en) * | 2019-03-27 | 2020-10-01 | 北京大学第三医院（北京大学第三临床医学院） | System and method for detecting ectopic pregnancy |
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Application publication date: 20160810 |