CN109903848A - Fracture around joint clinic intelligent decision support system - Google Patents

Fracture around joint clinic intelligent decision support system Download PDF

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Publication number
CN109903848A
CN109903848A CN201910161190.8A CN201910161190A CN109903848A CN 109903848 A CN109903848 A CN 109903848A CN 201910161190 A CN201910161190 A CN 201910161190A CN 109903848 A CN109903848 A CN 109903848A
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China
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module
preoperative
patient
fracture
result
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CN201910161190.8A
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Chinese (zh)
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姜保国
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Peking University People's Hospital (second Clinical Medical College Of Peking University)
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Peking University People's Hospital (second Clinical Medical College Of Peking University)
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Priority to CN201910161190.8A priority Critical patent/CN109903848A/en
Publication of CN109903848A publication Critical patent/CN109903848A/en
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Abstract

The invention discloses a kind of fracture around joint clinic intelligent decision support systems, are related to medical decision making systems technology field, including data input module, diagnostic module, decision-making module, case database;Data input module is used for the essential information and medical record information of typing patient, creates the data information of patient;Diagnostic module provides clinical treatment for making clinical diagnosis to the data in the data input module;The clinical diagnosis that decision-making module is provided based on diagnostic module makes diagnosis and treatment scheme in conjunction with the state of an illness and/or complication of patient;Case database is used to that case file to and be continued to increase case information, provides system in data input module and/or tentative diagnosis module for patient and voluntarily retrieves and analyze auxiliary foundation is voluntarily assessed for the result provided in data input module and/or tentative diagnosis module and is voluntarily made decisions to assessment result;This programme realizes that patient and family numbers of patients can grasp and track in real time the state of an illness and diagnosis and treatment scheme of patient.

Description

Fracture around joint clinic intelligent decision support system
Technical field
The present invention relates to medical decision making systems technology fields, and in particular to fracture around joint clinic intelligence decision support system system System.
Background technique
So far, clinic concern is more limb fracture to orthopaedic trauma, and with social senilization, epiphysis bone The ratio of folding increases year by year.Fracture around joint includes the fracture of fracture and joint metaphysis through articular surface.Since it is related to The fixation in joint, there are particularity in terms for the treatment of, while fixed and soft tissue is protected in the consideration reduction of the fracture, reinforcement, The recovery of involved function of joint is also considered to the maximum extent.When treating long bone fracture, attention can more be placed on bone On folding could heal as scheduled;But when treatment is through articular fracture, the factor of consideration be will be different.Due to being the bone of metaphysis Folding, the probability of disunion can be significantly reduced than backbone, and but then, the requirement to the reduction of the fracture can be stringenter;Entire In therapeutic process, joint could early ambulant will become therapeutic effect one of focus.
Since periarticular anatomical structure is complicated, the reduction of the fracture is much more difficult, some even impossible anatomical reductions. Therefore, therapeutic effect is greatly affected, and causing a part of patient will appear, residual pain, joint motion are limited, joint is stiff The complication such as hard and advanced stage traumatic arthritis.In addition, the complexity in the treatment of intra-articular fracture, in addition to consider fracture And reset highly difficult outer, it is considered however that some gerontal patients with osteoporosis in complicated fracture.Due to patient age compared with It, may if interior fixation is more difficult and the severity of fracture has resulted in function of joint forfeiture mostly with osteoporosis when big Consider the reconstruction of function of joint, the prosthetic replacement including privileged sites.The curative effect of intra-articular fracture and the hair of complication Raw probability is dependent on the smooth and fixed firmness of articular surface reset.Operation should consider the anatomical reduction of articular surface, So as to early function practice, the generation of traumatic arthritis is prevented, the functional reduction of joint metaphysis, functional reduction are also met Accomplish securely to guarantee fastness fixed when early functional exercise.For part comminuted fracture patient, bone is especially suffered from The loose patient of matter, it is possible that bone defect needs to carry out bone grafting at this time in order to restore the smooth of articular surface.Pass through opening Anatomical reduction, restore optimal articular surface and axis contraposition, can reduce in this way and mitigate traumatic arthritis incidence and its Degree, to promote the recovery of function of joint.
It is clinical more for the Therapeutic selection of fracture around joint in view of the particularity and complexity of fracture around joint Kind multiplicity, how to give inspection, diagnosis, parting and treatment that the fracture around joint situation of patient is standardized is to be related to The important factor of fracture around joint therapeutic effect.And treatment aspect still more stops of the whole world for fracture around joint at present Clinical experience, therefore inevitably there are various mistakes and insufficient over the course for the treatment of, eventually lead to treatment not It is suitable for even failure.Establish it is a set of based on clinic diagnosis guide, expert advice, clinical experience and integrate fracture around joint disease The Intelligent decision support system of number of cases evidence has the fracture around joint treatment for instructing clinical orthopaedics doctor to be standardized Good clinical value and prospect.China is populous nation simultaneously, and fracture around joint patient medical record is various, these case histories For carrying out fracture around joint case research, innovation fracture around joint treatment technology, the research and development periarticular bone of large sample Folding treatment new product etc. has high reference value, establishes the articular fracture data of specification and how these to be made full use of to face It is also an important content of the invention that bed fracture around joint big data, which carries out correlative study,.
In conclusion how to efficiently solve above-mentioned technical problem, being that current those skilled in the art are urgently to be solved is asked Topic.
Summary of the invention
The present invention provides a kind of fracture around joint clinic intelligent decision support system, including data input module, examine Disconnected module, decision-making module, case database.
Further, the data input module is used for the essential information and medical record information of typing patient, creates patient's Data information;
The diagnostic module provides clinical treatment side for making clinical diagnosis to the data in the data input module Case;
The clinical diagnosis that the decision-making module is provided based on the diagnostic module, in conjunction with the state of an illness and/or complication of patient Make preoperative planning, premedicate, preoperative evaluation and the diagnosis and treatment scheme of preoperative correction;
The case database is used to file case and continue to increase case information, is patient in the data input mould In block and/or the tentative diagnosis module provide system voluntarily retrieve and analyze auxiliary foundation, be directed to the data input mould The result provided in block and/or the tentative diagnosis module is voluntarily assessed and is voluntarily made decisions to the assessment result.
Further, the medical record information includes main suit, present illness history, auxiliary examination;
Inspection item in the auxiliary examination module is medical image project, including x-ray project and CT project or other Medical image project.
It further, further include fracture parting module in the diagnostic module, the fracture parting module is according to described auxiliary The inspection result checked in module is helped, parting is carried out to each articular fracture in combination with the fracture parting standard in clinical each joint;
The clinical treatment includes conservative therapy or operative treatment.
Further, operation risk comprehensive score item is additionally provided in the decision-making module;
The operation risk comprehensive score item carries out synthesis to operation risk according to the result of the Presurgical evaluation and comments Point.
Further, the decision-making module include preoperative planning module, it is preoperative drug moiety, preoperative evaluation module, preoperative Correct module.
Further, the preoperative planning module is used to examine to including blood testing, heart detection and other human organs The testing result of survey carries out physical signs early warning;
The preoperative drug moiety is used for the premedicant made according to the physical signs early warning in the preoperative planning module Property management reason;
The preoperative evaluation module is used for according to the physical signs early warning in the preoperative planning module as a result, to patient Each physiological system carry out Presurgical evaluation and generate whether meet the result of surgical condition;
The preoperative correction module is used for the result for whether meeting surgical condition generated in the preoperative evaluation module Judge whether that intervention is needed to handle, when the result for whether meeting surgical condition generated in the preoperative evaluation module needs to intervene Processing, then prompt doctor and patient to carry out intervention processing;When whether what is generated in the preoperative evaluation module meets surgical condition Result do not need intervention processing, then prompt doctor and patient to carry out operative treatment.
Further, when the preoperative evaluation module generate result be unsatisfactory for surgical condition when, then prompt doctor and Patient carries out conservative therapy;When the result that the preoperative evaluation module generates is to meet surgical condition, then doctor and trouble are prompted Person carries out operative treatment or enters in preoperative correction module.
Further, when the result generated in the preoperative evaluation module needs intervention to handle, then doctor and patient are prompted Carry out intervention processing;When the result generated in the preoperative evaluation module do not need intervention processing, then prompt doctor and patient into Row operative treatment.
Further, fracture around joint operation safety assessment table is also generated in the preoperative evaluation module;
The case database can be added in the fracture around joint operation safety assessment table;
The case database can carry out assessment verifying, the joint to the fracture around joint operation safety assessment table Surrounding fracture operation safety, which assesses table, to carry out aid decision to the fracture case database;
The fracture around joint operation safety assessment table can be modified clinical conditions perfect.
Beneficial effect
1, the fracture around joint treatment for instructing clinical orthopaedics doctor to be standardized;
2, case database is for carrying out the fracture around joint case research of large sample, innovating fracture around joint treatment Technology, research and development fracture around joint treatment new product etc. have high reference value;
3, patient and family numbers of patients can grasp and track in real time the state of an illness and diagnosis and treatment scheme of patient.
Detailed description of the invention
Fig. 1 is the simplified schematic diagram of one of the present embodiment fracture around joint clinic intelligent decision support system;
Fig. 2 is the simplified schematic diagram of the data input module in the present embodiment;
Fig. 3 is the simplified schematic diagram of another fracture around joint clinic intelligent decision support system in the present embodiment;
Fig. 4 is the simplified schematic diagram of the decision-making module in the present embodiment.
Specific embodiment
The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention..Unless otherwise specified, embodiment Used in the conventional means that are well known to those skilled in the art of technological means.
As shown in Figure 1, a kind of fracture around joint clinic intelligent decision support system, including data input module, diagnosis Module, decision-making module, case database.
As Figure 2-3, the data input module is used for the essential information and medical record information of typing patient, creates patient Data information.The essential information includes the information such as name, gender, the age of patient, wherein the name can only show trouble The surname of person, name be Mr. or Ms, such as: Mr. Zhang or Zhao Nvshi;Further, it can also be wrapped in the essential information Containing more specific essential information, such as: native place, address, occupation, eating habit etc., for auxiliary exclude regional frequently-occurring disease or The diseases such as occupational disease.
The medical record information includes main suit, present illness history, auxiliary examination.
Inspection item in the auxiliary examination module is medical image project, including x-ray project and CT project or other Medical image project, such as: magnetic resonance imaging project etc..
The diagnostic module provides clinical treatment side for making clinical diagnosis to the data in the data input module Case.The clinical treatment includes conservative therapy or operative treatment.Operation names are included at least in operative treatment scheme.
The clinical diagnosis that the decision-making module is provided based on the diagnostic module, in conjunction with the state of an illness and/or complication of patient Make preoperative planning, premedicate, preoperative evaluation and the diagnosis and treatment scheme of preoperative correction.
The case database is used to file case and continue to increase case information, is patient in the data input mould In block and/or the tentative diagnosis module provide system voluntarily retrieve and analyze auxiliary foundation, be directed to the data input mould The result provided in block and/or the tentative diagnosis module is voluntarily assessed and is voluntarily made decisions to the assessment result.
It further include fracture parting module in the diagnostic module, the fracture parting module is according to the auxiliary examination module In inspection result, parting is carried out to each articular fracture in combination with the fracture parting standard in clinical each joint.Each articular fracture Including shoulder joint surrounding fracture, wrist joint surrounding fracture, elbow joint surrounding fracture, peri-knee fractures, ankle-joint surrounding bone Folding, hip joint surrounding fracture etc. are any one or more of.
Operation risk comprehensive score item is additionally provided in the decision-making module.The operation risk comprehensive score item is according to institute The result for stating Presurgical evaluation carries out comprehensive score to operation risk.
As shown in figure 4, the decision-making module include preoperative planning module, it is preoperative drug moiety, preoperative evaluation module, preoperative Correct module.
The preoperative planning module is used for the detection knot for including blood testing, heart detection and the detection of other human organs Fruit carries out physical signs early warning.The detection project of the preoperative planning module include hemoglobin, concentration of serum sodium, concentration of blood kalium, The physical signs such as ventricular rate, blood oxygen saturation are any one or more of.
The preoperative drug moiety is used for the premedicant made according to the physical signs early warning in the preoperative planning module Property management reason.The preoperative drug of the preoperative drug moiety includes that warfarin, aspirin, dabigatran, Eliquis, benefit cut down sand It is any one or more of in the drugs such as class.
The preoperative evaluation module is used for according to the physical signs early warning in the preoperative planning module as a result, to patient Each physiological system carry out Presurgical evaluation and generate whether meet the result of surgical condition.The art of the preoperative evaluation module Preceding evaluation item includes parting suggestion, heart function and heart disease assessment, lung function and the respiratory disease of each articular fracture Assessment, hepatic and renal function and liver and kidney disease assessment, brain function and the nervous system disease assessment, coagulation function assessment, gastrointestinal function And gastrointestinal system disorder assessment, endocrine function and endocrine system disease assessment, immune function and histogenic immunity disease assessment It is any one or more of.
The preoperative correction module is used for the result for whether meeting surgical condition generated in the preoperative evaluation module Judge whether that intervention is needed to handle, when the result for whether meeting surgical condition generated in the preoperative evaluation module needs to intervene Processing, then prompt doctor and patient to carry out intervention processing;When whether what is generated in the preoperative evaluation module meets surgical condition Result do not need intervention processing, then prompt doctor and patient to carry out operative treatment.
When the result that the preoperative evaluation module generates is to be unsatisfactory for surgical condition, then doctor and patient is prompted to protect Keep treatment;When the result that the preoperative evaluation module generates is to meet surgical condition, then doctor and patient is prompted to perform the operation Treatment enters in preoperative correction module.
When the result generated in the preoperative evaluation module needs intervention to handle, then doctor and patient is prompted to carry out at intervention Reason;It is handled when the result generated in the preoperative evaluation module does not need intervention, then doctor and patient is prompted to carry out operative treatment.
The preoperative evaluation module can also be according to the result of preoperative medication management of the patient in the preoperative drug moiety After medication, after re-starting preoperative planning, according in the preoperative planning module physical signs early warning and the preoperative drug Preoperative medication management in module as a result, re-starting the knot whether preoperative evaluation and generating meets surgical condition to patient Fruit.
Fracture around joint operation safety assessment table, the fracture around joint hand are also generated in the preoperative evaluation module The case database can be added in art security evaluation table.
The case database can carry out assessment verifying, the joint to the fracture around joint operation safety assessment table Surrounding fracture operation safety assesses table can carry out aid decision, the fracture around joint operation to the fracture case database Security evaluation table can be modified clinical conditions perfect.
Although above the present invention is described in detail with a general description of the specific embodiments, On the basis of the present invention, it can be made some modifications or improvements, this will be apparent to those skilled in the art.Cause This, these modifications or improvements, fall within the scope of the claimed invention without departing from theon the basis of the spirit of the present invention.

Claims (10)

1. a kind of fracture around joint clinic intelligent decision support system, which is characterized in that including data input module, diagnosis mould Block, decision-making module, case database.
2. fracture around joint clinic intelligent decision support system as described in claim 1, which is characterized in that
The data input module is used for the essential information and medical record information of typing patient, creates the data information of patient;
The diagnostic module provides clinical treatment for making clinical diagnosis to the data in the data input module;
The clinical diagnosis that the decision-making module is provided based on the diagnostic module is made in conjunction with the state of an illness and/or complication of patient Preoperative planning, premedicate, preoperative evaluation and the diagnosis and treatment scheme of preoperative correction;
The case database is used to file case and continue to increase case information, is patient in the data input module And/or in the tentative diagnosis module provide system voluntarily retrieve and analyze auxiliary foundation, be directed to the data input module And/or the result provided in the tentative diagnosis module is voluntarily assessed and is voluntarily made decisions to the assessment result.
3. fracture around joint clinic intelligent decision support system as claimed in claim 2, which is characterized in that
The medical record information includes main suit, present illness history, auxiliary examination;
Inspection item in the auxiliary examination module is medical image project, including x-ray project and CT project.
4. fracture around joint clinic intelligent decision support system as claimed in claim 2, which is characterized in that
It further include fracture parting module in the diagnostic module, the fracture parting module is according in the auxiliary examination module Inspection result carries out parting to each articular fracture in combination with the fracture parting standard in clinical each joint;
The clinical treatment includes conservative therapy or operative treatment.
5. fracture around joint clinic intelligent decision support system as claimed in claim 2, which is characterized in that
Operation risk comprehensive score item is additionally provided in the decision-making module;
The operation risk comprehensive score item carries out comprehensive score to operation risk according to the result of the Presurgical evaluation.
6. fracture around joint clinic intelligent decision support system as claimed in claim 2, which is characterized in that the decision model Block includes preoperative planning module, preoperative drug moiety, preoperative evaluation module, preoperative correction module.
7. fracture around joint clinic intelligent decision support system as claimed in claim 6, which is characterized in that
The preoperative planning module be used for include blood testing, heart detection and other human organs detection testing result into Row physical signs early warning;
The preoperative drug moiety is used for the preoperative medication tube made according to the physical signs early warning in the preoperative planning module Reason;
The preoperative evaluation module is used for according to the physical signs early warning in the preoperative planning module as a result, to each of patient Physiological system carries out Presurgical evaluation and the result for whether meeting surgical condition is generated;
The preoperative module of correcting is used to judge the result for whether meeting surgical condition generated in the preoperative evaluation module Whether need to intervene processing, when the result for whether meeting surgical condition generated in the preoperative evaluation module needs at intervention Reason, then prompt doctor and patient to carry out intervention processing;When whether what is generated in the preoperative evaluation module meets surgical condition As a result intervention processing is not needed, then doctor and patient is prompted to carry out operative treatment.
8. fracture around joint clinic intelligent decision support system as claimed in claim 7, which is characterized in that when described preoperative The result that evaluation module generates is then to prompt doctor and patient to carry out conservative therapy when being unsatisfactory for surgical condition;When described preoperative The result that evaluation module generates is then to prompt doctor and patient to carry out operative treatment when meeting surgical condition or enter preoperative correction In module.
9. fracture around joint clinic intelligent decision support system as claimed in claim 7, which is characterized in that when described preoperative The result generated in evaluation module needs intervention to handle, then doctor and patient is prompted to carry out intervention processing;When the preoperative evaluation The result generated in module does not need intervention processing, then doctor and patient is prompted to carry out operative treatment.
10. fracture around joint clinic intelligent decision support system as claimed in claim 6, which is characterized in that
Fracture around joint operation safety assessment table is also generated in the preoperative evaluation module;
The case database can be added in the fracture around joint operation safety assessment table;
The case database can carry out assessment verifying, the periarticular to the fracture around joint operation safety assessment table Fracture operation security evaluation table can carry out aid decision to the fracture case database;
The fracture around joint operation safety assessment table can be modified clinical conditions perfect.
CN201910161190.8A 2019-03-04 2019-03-04 Fracture around joint clinic intelligent decision support system Pending CN109903848A (en)

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CN111755117A (en) * 2020-06-24 2020-10-09 首都医科大学附属北京天坛医院 Preoperative evaluation method, device, equipment and storage medium for deep brain electrostimulation
CN111986799A (en) * 2020-07-06 2020-11-24 北京欧应信息技术有限公司 Orthopedics knowledge graph construction system taking joint movement function as core
CN112133424A (en) * 2020-09-11 2020-12-25 北京欧应信息技术有限公司 Learning diagnosis and treatment system for orthopedics department
CN113096795A (en) * 2019-12-23 2021-07-09 四川医枢科技股份有限公司 Multi-source data-aided clinical decision support system and method
CN113243887A (en) * 2021-07-16 2021-08-13 中山大学中山眼科中心 Intelligent diagnosis and treatment instrument for macular degeneration of old people
CN113838574A (en) * 2021-09-29 2021-12-24 杭州海心智医信息科技有限公司 Database application system of tumor disease medical record

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CN112133424A (en) * 2020-09-11 2020-12-25 北京欧应信息技术有限公司 Learning diagnosis and treatment system for orthopedics department
CN113243887A (en) * 2021-07-16 2021-08-13 中山大学中山眼科中心 Intelligent diagnosis and treatment instrument for macular degeneration of old people
CN113838574A (en) * 2021-09-29 2021-12-24 杭州海心智医信息科技有限公司 Database application system of tumor disease medical record

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