CN111292858A - System and method for analyzing synergistic effect of traditional Chinese medicine nursing technology in standard treatment of postoperative lymphedema patients of breast cancer - Google Patents
System and method for analyzing synergistic effect of traditional Chinese medicine nursing technology in standard treatment of postoperative lymphedema patients of breast cancer Download PDFInfo
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Abstract
The invention relates to the technical field of analysis systems, in particular to a synergistic effect analysis system of a traditional Chinese medicine nursing technology in standard treatment of a breast cancer postoperative lymphedema patient, which is characterized by comprising the following steps: the effect monitoring module is used for tracking and monitoring the treatment effect of the analyzed object; the local storage module is used for temporarily storing the treatment effect acquired by the effect monitoring module; a network transmission module; a cloud storage database; the analysis and comparison module is used for comparing and analyzing the stored data to determine the treatment effect; and the abnormity analysis module is used for judging whether the uploaded data is abnormal or not. The invention also discloses a synergistic effect analysis method of the traditional Chinese medicine nursing technology in standard treatment of the post-operation lymphedema patients of breast cancer. The invention can scientifically evaluate the synergistic effect of the traditional Chinese medicine theory technology in the standard treatment of the postoperative lymphedema of the breast cancer.
Description
Technical Field
The invention relates to the field of analysis systems, in particular to a synergistic effect analysis system and method in standard treatment of a lymphedema patient after a breast cancer operation by a traditional Chinese medicine nursing technology.
Background
Breast cancer is one of the most common malignant tumors in women, and breast cancer-associated lymphedema (BCRL) is a chronic, disfiguring and possibly disabling disorder, and is receiving increasing attention and attention as a common complication of the long-term quality of life of postoperative patients. The acupuncture point pressing and moxibustion method in the traditional Chinese medicine nursing technology has the effects of promoting qi and blood circulation, harmonizing yin and yang, dredging channels and collaterals and the like, and at present, no scientific evaluation method exists for the curative effect of the traditional Chinese medicine nursing technology, but the curative effect mainly depends on the experience of a patient, is too subjective and has no convincing power.
Disclosure of Invention
The invention aims to solve the defect that the curative effect cannot be scientifically evaluated in the prior art, and provides a system and a method for analyzing the synergistic effect of a traditional Chinese medicine nursing technology in standard treatment of a postoperative lymphedema patient with breast cancer.
In order to achieve the above purposes, the technical scheme adopted by the invention is as follows: a synergistic effect analysis system of traditional Chinese medicine nursing technology in standard treatment of post-breast cancer lymphedema patients comprises:
the effect monitoring module is used for tracking and monitoring the treatment effect of the analyzed object;
the local storage module is used for temporarily storing the treatment effect acquired by the effect monitoring module;
the network transmission module uploads the data related to the treatment effect temporarily stored by the local storage module;
the cloud storage database is used for intensively storing the related data uploaded by the network transmission module;
the analysis and comparison module is used for comparing and analyzing the stored data to determine the treatment effect;
and the abnormity analysis module is used for judging whether the uploaded data is abnormal or not, if so, the uploaded data is marked as abnormal in the cloud storage database, and if not, the uploaded data is recorded and put on record through the cloud storage database.
Preferably, the system further comprises:
the data management host is in signal connection with the cloud storage database, manages data recorded in the cloud storage database, and is in signal connection with the analysis and comparison module;
and the remote management module is in signal connection with the data management host and is used for a manager to remotely control the system.
Preferably, the system further comprises:
and the result display module is in signal connection with the data management host and displays the data related to the treatment effect obtained by analysis and comparison, and the result display module comprises three forms of website release, mail release and short message release.
Preferably, the system further comprises:
the backup recovery module is in signal connection with the cloud storage database, and is used for periodically backing up data stored in the cloud storage data and recovering the content recorded in the cloud storage database in time when the content is lost so as to avoid data loss caused by data loss in the cloud storage database.
Preferably, the system further comprises:
and the synchronous storage modules synchronously update the data stored in the local storage module through the network transmission module, and the authenticity of the data can be ensured by adopting a decentralized storage mode.
Preferably, the system further comprises:
and the data encryption module is in signal connection with the network transmission module and is used for safely encrypting the data transmitted by the network transmission module so as to ensure that the privacy of the analyzed object is not violated.
The invention also discloses a synergistic effect analysis method of the traditional Chinese medicine nursing technology in standard treatment of the post-operation lymphedema patients of breast cancer, which comprises the following steps:
s1, determining an analysis object, classifying the analysis object according to the basic condition of the object to be analyzed, and then randomly dividing the object to be analyzed into a treatment group and a control group;
s2, performing scraping plate acupoint pressing, meridian warming and moxibustion and CDT standard treatment on the treatment group, and performing CDT standard treatment only on the control group;
s3, tracking and monitoring the treatment effect, and recording the monitoring result;
s4, analyzing the content recorded in the cloud storage database, comparing the symptom transformation of the patient before and after treatment, and evaluating symptom perplexing index according to the perplexing degree scale in the experience related parameter (BCLE-SEI) of the breast cancer lymphedema symptom;
s5, judging whether an abnormality exists, if not, turning to S6, and if so, turning to S7;
s6, uploading the database as historical data to be saved, and turning to S9;
s7, performing alarm prompt and waiting for the administrator to process;
s8, uploading the abnormal data to a record, and marking the abnormal data as abnormal;
and S9, ending.
Preferably, the analysis object selected in S1 is a female patient with lymphedema after breast cancer operation, breast cancer improvement radical treatment and axillary lymph node cleaning are performed, conventional radiotherapy and chemotherapy are performed after the operation, the edema occurrence time is 2 years after the end of radiotherapy, the patients of 30-45 years old are selected as the analysis class according to the classification of the age of the analysis object, and then the patients are randomly grouped to form a treatment group and a control group.
Preferably, the recording of the monitoring result in S3 includes recording the symptom assessment before treatment and the symptom assessment after treatment, storing the results in a local storage module, and uploading the results to a cloud storage database through a network transmission module.
Preferably, the step S5 of determining the abnormality includes comparing deviations between the actual recorded vertical values and historical values stored in the database, and determining that the deviation value is normal within 10%, and determining that the deviation value is abnormal if the deviation value exceeds 10%.
Compared with the prior art, the invention has the following beneficial effects:
1. the invention analyzes and records the treatment effect of the medical treatment by establishing a scientific analysis system, and has objective fairness;
2. the data storage is realized through a network transmission and cloud storage mode, so that a large amount of data can be conveniently integrated and analyzed, statistics is facilitated, and a conclusion can be conveniently obtained;
3. the invention also discloses an analysis method, which can visually judge the treatment effect of the traditional Chinese medicine nursing by comparing the groups of the objects to be analyzed;
4. the analysis method also comprises an abnormal judgment and processing method, and can deal with the emergency situation.
Drawings
FIG. 1 is a system diagram of a synergistic effect analysis system in the standard treatment of lymphedema patients after breast cancer operation according to the nursing technology of traditional Chinese medicine disclosed by the invention;
FIG. 2 is a flow chart of the method for analyzing the synergistic effect of the traditional Chinese medicine nursing technology in the standard treatment of the post-operation lymphedema of breast cancer patients.
Detailed Description
The following description is presented to disclose the invention so as to enable any person skilled in the art to practice the invention. The preferred embodiments in the following description are given by way of example only, and other obvious variations will occur to those skilled in the art.
A system for analyzing the synergistic effect of the nursing technology of traditional Chinese medicine in the standard treatment of the lymphedema patients after the breast cancer operation as shown in fig. 1-2, comprising:
the effect monitoring module is used for tracking and monitoring the treatment effect of the analyzed object;
the local storage module is used for temporarily storing the treatment effect acquired by the effect monitoring module;
the network transmission module uploads the data related to the treatment effect temporarily stored by the local storage module;
the cloud storage database is used for intensively storing the related data uploaded by the network transmission module;
the analysis and comparison module is used for comparing and analyzing the stored data to determine the treatment effect;
and the abnormity analysis module is used for judging whether the uploaded data is abnormal or not, if so, the uploaded data is marked as abnormal in the cloud storage database, and if not, the uploaded data is recorded and put on record through the cloud storage database.
The system further comprises: the data management host is in signal connection with the cloud storage database, manages data recorded in the cloud storage database, and is in signal connection with the analysis and comparison module;
and the remote management module is in signal connection with the data management host and is used for a manager to remotely control the system.
The system further comprises: and the result display module is in signal connection with the data management host and displays the data related to the treatment effect obtained by analysis and comparison, and the result display module comprises three forms of website release, mail release and short message release.
The system further comprises: the backup recovery module is in signal connection with the cloud storage database, and is used for periodically backing up data stored in the cloud storage data and recovering the content recorded in the cloud storage database in time when the content is lost so as to avoid data loss caused by data loss in the cloud storage database.
The system further comprises: and the synchronous storage modules synchronously update the data stored in the local storage module through the network transmission module, and the authenticity of the data can be ensured by adopting a decentralized storage mode.
The system further comprises: and the data encryption module is in signal connection with the network transmission module and is used for safely encrypting the data transmitted by the network transmission module so as to ensure that the privacy of the analyzed object is not violated.
The medical treatment effect is analyzed and recorded by establishing a scientific analysis system, and the method has objective fairness; the data storage is realized through a network transmission and cloud storage mode, so that a large amount of data can be conveniently integrated and analyzed, statistics and conclusion drawing are facilitated.
The invention also discloses a synergistic effect analysis method of the traditional Chinese medicine nursing technology in standard treatment of the post-operation lymphedema patients of breast cancer, which comprises the following steps:
s1, determining an analysis object, classifying the analysis object according to the basic condition of the object to be analyzed, and then randomly dividing the object to be analyzed into a treatment group and a control group;
s2, performing scraping plate acupoint pressing, meridian warming and moxibustion and CDT standard treatment on the treatment group, and performing CDT standard treatment only on the control group;
s3, tracking and monitoring the treatment effect, and recording the monitoring result;
s4, analyzing the content recorded in the cloud storage database, comparing the symptom transformation of the patient before and after treatment, and evaluating symptom perplexing index according to the perplexing degree scale in the experience related parameter (BCLE-SEI) of the breast cancer lymphedema symptom;
s5, judging whether an abnormality exists, if not, turning to S6, and if so, turning to S7;
s6, uploading the database as historical data to be saved, and turning to S9;
s7, performing alarm prompt and waiting for the administrator to process;
s8, uploading the abnormal data to a record, and marking the abnormal data as abnormal;
and S9, ending.
The objects to be analyzed are grouped and compared, so that the treatment effect of traditional Chinese medicine nursing can be intuitively judged; the analysis method also comprises an abnormal judgment and processing method, and can deal with the emergency situation.
The analysis objects selected in S1 are female patients with lymphedema after breast cancer operation, breast cancer improvement radical treatment and axillary lymph node cleaning are carried out, conventional radiotherapy and chemotherapy are carried out after the operation, the occurrence time of edema is 2 years after the end of radiotherapy, the classes are divided according to the ages of the analysis objects, patients of 30-45 years old are selected as the analysis classes, and then random grouping is carried out to form a treatment group and a control group.
Recording the monitoring result in S3 includes recording symptom assessment before treatment and symptom assessment after treatment, storing the results in a local storage module, and uploading the results to a cloud storage database through a network transmission module.
The step of judging the abnormality in S5 includes comparing deviations between the actually recorded vertical values and the historical values stored in the database, and if the deviation value is within 10%, it is normal, and if the deviation value exceeds 10%, it is judged to be abnormal.
The following is illustrated with reference to examples:
collecting female patients who have received treatment from hospital in 2018 and 4-2019 and have lymphedema after breast cancer operation, performing improved radical treatment of breast cancer and axillary lymph node cleaning operation on all patients who enter the group, and performing conventional chemoradiotherapy after the operation, wherein the edema occurrence time is about 2 years after the radiotherapy period to the end. The upper limb circumference measuring method has circumference difference of 4-11cm, and can be used for eliminating artery and vein thrombosis by blood vessel B-ultrasonic examination, and eliminating contraindications such as severe renal insufficiency, hypertension, bronchitis, acute cellulitis of affected limb, and skin injury by analyzing body composition and comparing water content ratio of upper limbs. The treatment group and the control group are divided by a random method. The treatment group is subjected to point pressing, meridian-following mild moxibustion and CDT standard treatment, and the control group is only subjected to CDT standard treatment.
Scraping plate acupuncture point pressing: the patient takes the horizontal position, fully exposes the upper limb of the affected side, after cleaning the skin, the operator uses the scraping board tip pair to perform rotary pressing on Neiguan, Hegu, Quchi, Zusanli, Jianyu and Jianliao in sequence, and the force is suitable for the patient to feel acid and swollen and local skin to generate heat. Each acupoint was compressed 1 time per day for 1 minute.
And (3) dialectical mild moxibustion: the patient takes the supine position and fully exposes the arm of the affected side limb of the patient. Selecting three yang meridians of hands for excess syndrome, selecting three yin meridians of hands for deficiency syndrome, selecting three warming moxibustion in hand after selecting meridians, performing moxibustion along the meridians, adopting a mild moxibustion method, matching with a reinforcing and reducing method, and emphasizing moxibustion on warming and smoothing acupoints to the extent that a patient feels local warm without burning pain and local skin is in a red halo state. The preparation is administered 1 time per day for 10-15 min.
Manual lymph drainage: the patient takes the supine position and first activates lymph node groups (supraclavicular, lateral axillary, bilateral groin). Then, the abdomen is pressed circularly to drain to the chylomicron, and then the affected side is drained towards the healthy side in sequence to drain the chest, the back and the bilateral hypochondriac parts; finally, performing centripetal manipulation to drain the affected limb, the elbow and the fossa to the acromion, the wrist to the elbow, the palm, the back of the hand and the fingers in sequence.
And (3) pressurization treatment: after the lymph drainage, the affected limb is pressurized and treated, i.e. the affected limb is wrapped by an elastic bandage in a splayed ring shape from the far end to the near end. The pressure bandaging is carried out for more than 20 hours every day by the elastic bandage to ensure the reflux of lymph fluid, and the exercise is carried out by matching the limb function under the pressure state.
The above treatment is continued for 10 days, 1 time per day. Taking the affected upper limb tiger's mouth, the wrist transverse striation, 10 cm above the wrist transverse striation, and 10 cm above the elbow joint, measuring the circumference, comparing with the healthy side, and performing measurement evaluation and recording before every day operation. The change in circumference of the upper limb is calculated by subtracting the difference from the healthy side from the affected side. And evaluating the symptom disturbance index according to the disturbance degree scale in the experience related parameter (BCLE-SEI) of the breast cancer lymphedema symptom. Data was processed using SPSS 20.0 software. The qualitative counting data adopts chi-square analysis and rank sum test, and the quantitative data adopts t test and variance analysis.
The patients who were admitted to our hospital from 2018 to 2019 and 4 were collected as post-operative lymphoedema patients with breast cancer, 15 cases of the treatment group, 16 cases of the control group, and 31 cases of the total, all of whom were women, and the age was 45-62(53.1 ± 7.8) years. The age distribution, the upper limb circumference before treatment and the experience index baseline of the lymphedema symptoms of the breast cancer of the two groups of patients are the same (p is more than 0.05). And the detection result is uploaded to a database, and is contrasted and analyzed through an analysis contrast module.
Variation of arm circumference of upper limbs
The arm circumference of the upper limbs of the patients in the treatment group and the control group is reduced (P is less than 0.05) after treatment compared with that before treatment, but the arm circumference of the patients in the treatment group is obviously reduced (P is less than 0.05) compared with that in the control group, and the difference is obvious. (see Table 1)
TABLE 1 comparison of mean and difference before and after upper limb circumference treatment
(where P is < 0.05 before and after treatment, △ is P < 0.05 between treatment and control group)
3.3 BCLE-SEI score comparison
The BCLE-SEI score of the patients in the treatment group and the control group is reduced after treatment (P is less than 0.05) compared with that before treatment, but the BCLE-SEI score of the patients in the treatment group is reduced obviously (P is less than 0.05) compared with that in the control group, and the difference is obvious. (see Table 1)
TABLE 2 BCLE-SEI score comparison
(where P is < 0.05 before and after treatment, △ is P < 0.05 between treatment and control group)
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are merely illustrative of the principles of the invention, but that various changes and modifications may be made without departing from the spirit and scope of the invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.
Claims (10)
1. A synergistic effect analysis system of traditional Chinese medicine nursing technology in standard treatment of post-breast cancer lymphedema patients is characterized by comprising:
the effect monitoring module is used for tracking and monitoring the treatment effect of the analyzed object;
the local storage module is used for temporarily storing the treatment effect acquired by the effect monitoring module;
the network transmission module uploads the data related to the treatment effect temporarily stored by the local storage module;
the cloud storage database is used for intensively storing the related data uploaded by the network transmission module;
the analysis and comparison module is used for comparing and analyzing the stored data to determine the treatment effect;
and the abnormity analysis module is used for judging whether the uploaded data is abnormal or not, if so, the uploaded data is marked as abnormal in the cloud storage database, and if not, the uploaded data is recorded and put on record through the cloud storage database.
2. The system of claim 1, wherein the system further comprises:
the data management host is in signal connection with the cloud storage database, manages data recorded in the cloud storage database, and is in signal connection with the analysis and comparison module;
and the remote management module is in signal connection with the data management host and is used for a manager to remotely control the system.
3. The system of claim 2, wherein the system further comprises:
and the result display module is in signal connection with the data management host and displays the data related to the treatment effect obtained by analysis and comparison, and the result display module comprises three forms of website release, mail release and short message release.
4. The system of claim 1, wherein the system further comprises:
the backup recovery module is in signal connection with the cloud storage database, and is used for periodically backing up data stored in the cloud storage data and recovering the content recorded in the cloud storage database in time when the content is lost so as to avoid data loss caused by data loss in the cloud storage database.
5. The system of claim 1, wherein the system further comprises:
and the synchronous storage modules synchronously update the data stored in the local storage module through the network transmission module, and the authenticity of the data can be ensured by adopting a decentralized storage mode.
6. The system of claim 1, wherein the system further comprises:
and the data encryption module is in signal connection with the network transmission module and is used for safely encrypting the data transmitted by the network transmission module so as to ensure that the privacy of the analyzed object is not violated.
7. The method for analyzing the synergistic effect of the traditional Chinese medicine nursing technology applied to the standard treatment of the lymphedema patients after the breast cancer operation in the claims 1-6 is characterized by comprising the following steps:
s1, determining an analysis object, classifying the analysis object according to the basic condition of the object to be analyzed, and then randomly dividing the object to be analyzed into a treatment group and a control group;
s2, performing scraping plate acupoint pressing, meridian warming and moxibustion and CDT standard treatment on the treatment group, and performing CDT standard treatment only on the control group;
s3, tracking and monitoring the treatment effect, and recording the monitoring result;
s4, analyzing the content recorded in the cloud storage database, comparing the symptom transformation of the patient before and after treatment, and evaluating symptom perplexing index according to the perplexing degree scale in the experience related parameter (BCLE-SEI) of the breast cancer lymphedema symptom;
s5, judging whether an abnormality exists, if not, turning to S6, and if so, turning to S7;
s6, uploading the database as historical data to be saved, and turning to S9;
s7, performing alarm prompt and waiting for the administrator to process;
s8, uploading the abnormal data to a record, and marking the abnormal data as abnormal;
and S9, ending.
8. The method for analyzing the synergistic effect of the traditional Chinese medicine nursing technology in the standard treatment of the post-operation lymphedema patients of the breast cancer as claimed in claim 7, wherein the analysis object selected in S1 is a female patient with the post-operation lymphedema of the breast cancer, breast cancer improvement radical treatment and axillary lymph node sweeping are carried out, conventional radiotherapy and chemotherapy are carried out after the operation, the occurrence time of edema is 2 years after the completion of the radiotherapy, the patients of 30-45 years old are selected as the analysis class according to the age classification of the analysis object, and then the patients are randomly grouped to form a treatment group and a control group.
9. The method of claim 7, wherein the step of recording the monitoring result in S3 comprises recording the symptom assessment before treatment and the symptom assessment after treatment, storing the results in a local storage module, and uploading the results to a cloud storage database through a network transmission module.
10. The method of claim 7, wherein the step of S5 for analyzing the effect of the traditional Chinese medicine nursing technique on the standard treatment of the lymphedema patients after the breast cancer operation comprises comparing the deviation between the actually recorded vertical value and the historical value stored in the database, and the deviation value is within 10% and is normal, and the deviation value is more than 10% and is abnormal.
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