CN113470824A - Diagnostic scoring system and method for rapid floating escape decompression sickness - Google Patents
Diagnostic scoring system and method for rapid floating escape decompression sickness Download PDFInfo
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Abstract
The invention relates to a diagnosis scoring system and method for rapidly floating up and escaping from risk decompression sickness, which are used for obtaining each symptom of the decompression sickness of a patient and inquiring a corresponding symptom grade scoring value P based on each symptomi(ii) a Obtaining the light, medium and heavy degree of the ith symptom and inquiring the corresponding symptom degree score value P based on the light, medium and heavy degreeib(ii) a Obtaining the correlation degree of the onset of the ith symptom and the decompression, the self-relieving degree before the compression treatment and the number of the accompanying symptoms, and respectively inquiring the specific score values P of the onset of the decompression sicknessic1Corresponding pre-compression treatment clinical outcome Pic2And corresponding accompanying symptom score value Pic3Calculating a symptom conversion score value Pic＝(Pic1+Pic2+Pic3) A/3; obtaining the symptom progression status of the ith symptom and inquiring the corresponding symptom progression score value P based on the symptom progression statusid(ii) a Calculating the decompression sickness of the patientDiagnostic score value of condition
Description
Technical Field
The invention relates to the technical field of decompression sickness assessment, in particular to a diagnostic scoring system and a diagnostic scoring method for rapid ascent escape decompression sickness.
Background
The rapid upward floating escape is taken as a mature submarine crew self-rescue escape technology, has the advantages of large escape depth, short high-pressure exposure time, high upward floating speed and the like, and is adopted by submarine forces of various countries. If operation errors occur, such as too long retention time for pressurization, too slow depressurization, etc., the depressurization will occur. The greater the escape depth, the longer the body's high pressure exposure time, the higher the risk of developing decompression sickness. The decompression sickness is a disease caused by that after a human body stays for a period of time under high air pressure, the human body does not return to the normal pressure according to a set decompression program, the inert gas dissolved in the human body is not discharged out of the human body along with respiration, and bubbles are formed inside and outside blood.
Establishing a scoring system for decompression sickness is difficult because the clinical manifestations of the disease present diversity. The existing scoring system developed for the decompression sickness only aims at the decompression sickness of the nervous system and is not suitable for all the decompression sickness; moreover, the traditional criteria for evaluating treatment regression (such as no effect, incomplete recovery, complete recovery, etc.) are too simple and are prone to misleading the selection of clinical treatment protocols.
Disclosure of Invention
Aiming at the problems and the defects in the prior art, the invention provides a novel rapid upward floating risk-escaping decompression sickness diagnosis and scoring system and a method.
The invention solves the technical problems through the following technical scheme:
the invention provides a diagnostic scoring system for rapidly floating up, escaping from danger and relieving decompression sickness, which is characterized by comprising a dividing module, a symptom grade scoring module, a symptom degree scoring module, a symptom conversion scoring module, a symptom progress scoring module and a diagnostic scoring module.
The dividing module is used for dividing symptoms of the decompression sickness into grades according to severity degrees and endowing each grade with a corresponding symptom grade scoring value, dividing each symptom into a mild degree, a moderate degree and a severe degree and endowing each symptom with a corresponding symptom grade scoring value, dividing specificity of the onset of the decompression sickness of each symptom according to the relevance degree of the onset and the decompression and endowing each symptom with a corresponding scoring value, dividing clinical outcome of each symptom before compression treatment according to self-remission degree and endowing each symptom with a corresponding scoring value, dividing accompanying symptoms of each symptom according to the number of the accompanying symptoms and endowing each symptom progress according to symptom progress conditions and endowing each symptom progress with a corresponding symptom progress scoring value.
The symptom grade scoring module is used for obtaining each symptom of the decompression sickness of the patient and inquiring corresponding symptom grade scoring values based on each symptom, and the values are marked as Pi，PiAnd the symptom grade score value of the ith symptom is represented, i is more than or equal to 1 and less than or equal to N, and N is a positive integer.
The symptom degree scoring module is used for obtaining the light, medium and heavy degree of the ith symptom of the decompression sickness of the patient and inquiring the corresponding symptom degree scoring value which is marked as P based on the light, medium and heavy degreeib，PibThe symptom degree score value of the ith symptom is shown.
The symptom conversion scoring module is used for obtaining the correlation degree of the onset of the ith symptom of the decompression sickness of the patient and the decompression, the self-relieving degree before the compression treatment and the number of the accompanying symptoms, and inquiring the corresponding specific scoring value P of the onset of the decompression sickness according to the correlation degree of the onset and the decompressionic1Inquiring corresponding clinical classification score value P before compression treatment based on self-remission degree before compression treatmentic2And inquiring corresponding accompanying symptom score value P based on the number of accompanying symptomsic3Calculating a symptom conversion score value Pic＝(Pic1+Pic2+Pic3)/3，PicThe symptom conversion score value representing the ith symptom.
The symptom progression scoring module is used for obtaining the symptom progression status of the ith symptom of the decompression sickness of the patient and inquiring the corresponding symptom progression scoring value which is marked as P based on the symptom progression statusid，PidThe symptom progression score value of the ith symptom is represented.
The diagnostic scoring module is for calculating a diagnostic scoring value P for a condition of the patient's decompression sickness,
preferably, the diagnostic scoring system further comprises a recovery scoring module for calculating the decompression sickness recovery score value Δ P for the patient-the pre-treatment diagnostic score value P1-the post-treatment diagnostic score value P2.
Preferably, the classification module is used for classifying the symptoms of the decompression sickness according to severity degrees, wherein the symptoms are classified into no symptom, pain/rash/pruritus, pain numbness/mania/paresthesia, tinnitus/fatigue/abnormal deep and shallow reflex, muscle strength reduction/abnormal sensation/tachypnea/nausea and vomiting/hearing reduction/character change, visual abnormality/abnormal speech/paralysis/incontinence, light coma/convulsion, and corresponding symptom grade scores of 0, 1, 2, 3, 4, 5 and 6 are respectively given.
Preferably, the dividing module is used for dividing each symptom into non-symptom, mild symptom, moderate symptom and severe symptom according to the degree of severity, and assigning corresponding symptom degree scores of 0, 1, 2 and 3 respectively.
Preferably, the classification module is used for classifying the specificity of the onset of the decompression sickness of each symptom according to the degree of correlation between the onset and the decompression, wherein the classification is independent of the decompression, possibly related to the decompression, and affirmatively related to the decompression, and the classification is respectively endowed with corresponding score values of 0, 1 and 2.
The division module is used for dividing clinical outcome before compression treatment of each symptom according to self-alleviation degree, and respectively divides the clinical outcome into values which can be completely self-alleviated, possibly not self-alleviated and certainly not self-alleviated, and respectively endows the values with corresponding scores of 0, 2, 4, 6 and 8.
The dividing module is used for dividing the accompanying symptoms of each symptom according to the number of the accompanying symptoms, dividing the accompanying symptoms into no accompanying symptoms, 1 accompanying symptom, 2 accompanying symptoms, 3 accompanying symptoms and more than 3 accompanying symptoms, and endowing corresponding score values of 0, 2, 4 and 6 respectively.
Preferably, the dividing module is used for dividing the symptom progression of each symptom according to symptom progression status, dividing the symptom progression into symptom reduction, symptom stabilization, symptom aggravation and symptom recurrence, and respectively assigning corresponding symptom progression scores of 0.75, 1.0, 1.25 and 1.5.
The invention also provides a diagnostic scoring method for the rapid ascent risk-escaping decompression sickness, which is characterized by comprising the following steps:
s1, classifying the symptoms of the decompression sickness according to severity degree and assigning corresponding symptom grade scoring value to each grade, classifying each symptom according to mild-moderate-heavy degree and assigning corresponding symptom grade scoring value, classifying the specificity of the onset of the decompression sickness of each symptom according to the relevance degree of the onset and the decompression and assigning corresponding scoring value, classifying the clinical outcome of each symptom before compression treatment according to self-remission degree and assigning corresponding scoring value, classifying the accompanying symptoms of each symptom according to the number of the accompanying symptoms and assigning corresponding scoring value, and classifying the symptom progression of each symptom according to the symptom progression state and assigning corresponding symptom progression scoring value.
S2, obtaining each symptom of the decompression sickness of the patient, inquiring corresponding symptom grade scoring value based on each symptom, and recording the value as Pi，PiAnd the symptom grade score value of the ith symptom is represented, i is more than or equal to 1 and less than or equal to N, and N is a positive integer.
S3, obtaining the light, medium and heavy degree of the ith symptom of the decompression sickness of the patient, inquiring the corresponding symptom degree score value based on the light, medium and heavy degree, and recording the score value as Pib，PibSymptom severity score representing the ith symptomThe value is obtained.
S4, obtaining the correlation degree of the onset of the ith symptom of the decompression sickness of the patient and the decompression, the self-relieving degree before the compression treatment and the number of the accompanying symptoms, and inquiring the specific score value P of the onset of the corresponding decompression sickness based on the correlation degree of the onset and the decompressionic1Inquiring corresponding clinical classification score value P before compression treatment based on self-remission degree before compression treatmentic2And inquiring corresponding accompanying symptom score value P based on the number of accompanying symptomsic3Calculating a symptom conversion score value Pic＝(Pic1+Pic2+Pic3)/3，PicThe symptom conversion score value representing the ith symptom.
S5, obtaining the symptom progress status of the ith symptom of the decompression sickness of the patient, inquiring a corresponding symptom progress score value which is marked as P based on the symptom progress statusid，PidThe symptom progression score value of the ith symptom is represented.
S6, calculating the diagnosis score value P of the decompression sickness condition of the patient,
preferably, step S6 is followed by: the patient's decompression sickness recovery score Δ P is calculated as the pre-treatment diagnostic score P1-post-treatment diagnostic score P2.
Preferably, in step S1, the symptoms of decompression sickness are graded according to severity degree, and classified into no, pain/rash/pruritus, pain numbness/restlessness/paresthesia, tinnitus/fatigue/abnormal deep and shallow reflex, muscle strength reduction/abnormal sensation/tachypnea/nausea vomiting/hearing loss/change of character, visual abnormality/abnormal speech/paralysis/incontinence, light coma/convulsion, and the corresponding symptom grade scores of 0, 1, 2, 3, 4, 5, 6 are respectively assigned.
Each symptom is divided into asymptomatic symptoms, mild symptoms, moderate symptoms and severe symptoms according to the degree of severity, and corresponding symptom degree scores of 0, 1, 2 and 3 are respectively given.
Preferably, in step S1, the specificity of onset of decompression sickness for each symptom is classified according to the degree of correlation between onset and decompression, into a classification independent of decompression, possibly related to decompression, positive and related to decompression, and assigned with respective score values of 0, 1, 2.
The clinical outcome before compression treatment of each symptom is classified according to the degree of self-remission, and the clinical outcome is classified into complete self-remission, likely non-self-remission and certainly non-self-remission, and corresponding scores of 0, 2, 4, 6 and 8 are given respectively.
The accompanying symptoms of each symptom are divided into no accompanying symptom, 1 accompanying symptom, 2 accompanying symptoms, 3 and more than 3 accompanying symptoms according to the number of the accompanying symptoms, and corresponding scoring values of 0, 2, 4 and 6 are respectively given.
The symptom progression of each symptom is divided according to the symptom progression status, and divided into symptom reduction, symptom stabilization, symptom aggravation and symptom recurrence, and corresponding symptom progression scores of 0.75, 1.0, 1.25 and 1.5 are given.
On the basis of the common knowledge in the field, the above preferred conditions can be combined randomly to obtain the preferred embodiments of the invention.
The positive progress effects of the invention are as follows:
the invention establishes a brand-new weight scoring system aiming at all symptoms of the decompression sickness, the scoring system can aim at all symptomatic decompression sickness, not only is neural, but also can quantitatively track the progress of the disease of a patient during the treatment period, and the recovery degree of the disease can be quantitatively evaluated after the treatment is finished.
Drawings
Fig. 1 is a block diagram of a diagnostic scoring system for rapid ascent escape decompression sickness according to a preferred embodiment of the invention.
FIG. 2 is a flow chart of the method for the diagnostic scoring of fast ascent risk-escaping decompression sickness according to the preferred embodiment of the invention.
Detailed Description
Reference will now be made in detail to embodiments of the present invention, examples of which are illustrated in the accompanying drawings, wherein like or similar reference numerals refer to the same or similar elements or elements having the same or similar function throughout. The embodiments described below with reference to the accompanying drawings are illustrative only for the purpose of explaining the present invention, and are not to be construed as limiting the present invention. On the contrary, the embodiments of the invention include all changes, modifications and equivalents coming within the spirit and terms of the claims appended hereto.
As shown in fig. 1, the present embodiment provides a diagnostic scoring system for rapid ascent risk-escaping decompression sickness, which includes a dividing module 1, a symptom grade scoring module 2, a symptom degree scoring module 3, a symptom transformation scoring module 4, a symptom progression scoring module 5, a diagnostic scoring module 6, and a recovery scoring module 7.
The dividing module 1 is used for dividing symptoms of the decompression sickness into grades according to severity degrees and endowing each grade with a corresponding symptom grade score value, dividing each symptom into mild-moderate-severity degrees and endowing each symptom with a corresponding symptom grade score value, dividing specificity of onset of the decompression sickness of each symptom into grades according to relevance degree of the onset and the decompression and endowing each grade with a corresponding score value, dividing clinical transfer of each symptom before compression treatment into self-relieving degrees and endowing each symptom with a corresponding score value, dividing accompanying symptoms of each symptom into accompanying symptom numbers and endowing each symptom progress into grades according to symptom progress conditions and endowing each symptom progress into a corresponding symptom progress score value.
Specifically, the classification module 1 is used for classifying the symptoms of the decompression sickness according to severity degrees, classifying the symptoms into absent, pain/rash/pruritus, pain numbness/mania/paresthesia, tinnitus/fatigue/abnormal deep and shallow reflex, muscle strength reduction/abnormal sensation/tachypnea/nausea vomiting/hearing reduction/character change, visual abnormality/abnormal speech/paralysis/incontinence, light coma/convulsion, and respectively assigning corresponding symptom grade scores of 0, 1, 2, 3, 4, 5 and 6 to the symptoms of the decompression sickness, which is shown in table 1.
TABLE 1
The dividing module 1 is used for dividing each symptom into asymptomatic symptoms, mild symptoms, moderate symptoms and severe symptoms according to the degree of severity, and endowing corresponding symptom degree scores of 0, 1, 2 and 3 respectively, as shown in table 2.
TABLE 2
| Symptom score value | 0 | 1 | 2 | 3 |
| Light, medium and heavy degree | No symptoms | Mild symptoms | Moderate symptoms | Severe symptoms |
The classification module 1 is used for classifying the specificity of the onset of the decompression sickness of each symptom according to the degree of correlation between the onset and the decompression, wherein the specificity is respectively classified into the specificity which is not related to the decompression, the probability which is related to the decompression and the certainty which is related to the decompression, and the corresponding score values of 0, 1 and 2 are respectively assigned, see table 3.
TABLE 3
| Value of credit | 0 | 1 | 2 |
| Degree of correlation between onset of disease and reduced pressure | Independent of reduced pressure | May be associated with reduced pressure | Affirmatively relating to reduced pressure |
The division module 1 is used for dividing clinical outcome before compression treatment of each symptom according to self-remission degree, and respectively divides clinical outcome into values of 0, 2, 4, 6 and 8 with corresponding scores, wherein the values of the values are completely self-remission, possibly not self-remission and certainly not self-remission, and the values are given in table 4.
TABLE 4
The dividing module 1 is used for dividing the accompanying symptoms of each symptom according to the number of the accompanying symptoms, dividing the accompanying symptoms into no accompanying symptoms, 1 accompanying symptom, 2 accompanying symptoms, 3 accompanying symptoms and more than 3 accompanying symptoms, and respectively assigning corresponding score values of 0, 2, 4 and 6, see table 5.
TABLE 5
The classification module 1 is used for classifying the symptom progression of each symptom according to symptom progression status, and respectively classifying the symptom progression into symptom reduction, symptom stabilization, symptom aggravation and symptom recurrence, and respectively assigning corresponding symptom progression scores of 0.75, 1.0, 1.25 and 1.5, as shown in table 6.
TABLE 6
| Symptom progression score value | 0.75 | 1.0 | 1.25 | 1.5 |
| State of progression of symptoms | Symptom relief | Stabilization of symptoms | Exacerbation of symptoms | Recurrence of symptoms |
The symptom grade scoring module 2 is used for obtaining each symptom of the decompression sickness of the patient and inquiring corresponding symptom grade scoring value which is marked as P based on each symptomi，PiAnd the symptom grade score value of the ith symptom is represented, i is more than or equal to 1 and less than or equal to N, and N is a positive integer.
The symptom degree scoring module 3 is used for obtaining the mild, moderate and severe degree of the ith symptom of the decompression sickness of the patient and inquiring the pair of the symptoms based on the mild, moderate and severe degreeThe score of the degree of symptoms is Pib，PibThe symptom degree score value of the ith symptom is shown.
The symptom conversion scoring module 4 is used for obtaining the correlation degree of the onset of the ith symptom of the decompression sickness of the patient and the decompression, the self-relieving degree before the compression treatment and the number of the accompanying symptoms, and inquiring the corresponding specific scoring value P of the onset of the decompression sickness based on the correlation degree of the onset and the decompressionic1Inquiring corresponding clinical classification score value P before compression treatment based on self-remission degree before compression treatmentic2And inquiring corresponding accompanying symptom score value P based on the number of accompanying symptomsic3Calculating a symptom conversion score value Pic＝(Pic1+Pic2+Pic3)/3，PicThe symptom conversion score value representing the ith symptom.
The symptom progression scoring module 5 is used for obtaining the symptom progression status of the ith symptom of the decompression sickness of the patient and inquiring the corresponding symptom progression scoring value which is marked as P based on the symptom progression statusid，PidThe symptom progression score value of the ith symptom is represented.
The diagnostic scoring module 6 is configured to calculate a diagnostic score value P for the patient's condition of the decompression sickness,
the recovery scoring module 7 is used for calculating the decompression sickness recovery score value delta P of the patient as the diagnosis score value P1 before treatment-the diagnosis score value P2 after treatment, and can be used for evaluating the effectiveness of the decompression sickness treatment medicines or treatment methods.
As shown in fig. 2, the present embodiment further provides a diagnostic scoring method for rapid ascent risk-escaping decompression sickness, which includes the following steps:
101, classifying the symptoms of the decompression sickness according to severity degrees and assigning a corresponding symptom grade score value to each grade, classifying each symptom according to mild-moderate-severity degrees and assigning a corresponding symptom grade score value, classifying the specificity of the onset of the decompression sickness of each symptom according to the correlation degree of the onset and the decompression and assigning a corresponding score value, classifying the clinical outcome of each symptom before compression treatment according to self-remission degrees and assigning a corresponding score value, classifying the accompanying symptoms of each symptom according to the number of the accompanying symptoms and assigning a corresponding score value, and classifying the symptom progression of each symptom according to the symptom progression status and assigning a corresponding symptom progression score value.
In step 101, the symptoms of decompression sickness are graded according to severity degrees, and are classified into no, pain/rash/itch, pain numbness/restlessness/paresthesia, tinnitus/fatigue/abnormal deep and shallow reflex, muscle strength reduction/paresthesia/tachypnea/nausea vomiting/hearing reduction/character change, visual abnormality/speech abnormality/paralysis/incontinence, light coma/convulsion, and corresponding symptom grade scores of 0, 1, 2, 3, 4, 5, 6 are assigned respectively.
Each symptom is divided into asymptomatic symptoms, mild symptoms, moderate symptoms and severe symptoms according to the degree of severity, and corresponding symptom degree scores of 0, 1, 2 and 3 are respectively given.
The specificity of onset of decompression sickness for each symptom was classified according to the degree of correlation between onset and decompression, into a classification independent of decompression, possibly related to decompression, positive and related to decompression, and assigned respective scores of 0, 1 and 2.
The clinical outcome before compression treatment of each symptom is classified according to the degree of self-remission, and the clinical outcome is classified into complete self-remission, likely non-self-remission and certainly non-self-remission, and corresponding scores of 0, 2, 4, 6 and 8 are given respectively.
The accompanying symptoms of each symptom are divided into no accompanying symptom, 1 accompanying symptom, 2 accompanying symptoms, 3 and more than 3 accompanying symptoms according to the number of the accompanying symptoms, and corresponding scoring values of 0, 2, 4 and 6 are respectively given.
The symptom progression of each symptom is divided according to the symptom progression status, and divided into symptom reduction, symptom stabilization, symptom aggravation and symptom recurrence, and corresponding symptom progression scores of 0.75, 1.0, 1.25 and 1.5 are given.
102, obtaining each symptom of the decompression sickness of the patient, inquiring corresponding symptom grade scoring value based on each symptom, and recording the value as Pi，PiAnd the symptom grade score value of the ith symptom is represented, i is more than or equal to 1 and less than or equal to N, and N is a positive integer.
103, obtaining the light, medium and heavy degree of the ith symptom of the decompression sickness of the patient, and inquiring a corresponding symptom degree score value which is marked as P based on the light, medium and heavy degreeib，PibThe symptom degree score value of the ith symptom is shown.
104, obtaining the correlation degree of the onset of the ith symptom of the decompression sickness of the patient and the decompression, the self-relieving degree before the compression treatment and the number of the accompanying symptoms, and inquiring the specific score value P of the onset of the corresponding decompression sickness based on the correlation degree of the onset and the decompressionic1Inquiring corresponding clinical classification score value P before compression treatment based on self-remission degree before compression treatmentic2And inquiring corresponding accompanying symptom score value P based on the number of accompanying symptomsic3Calculating a symptom conversion score value Pic＝(Pic1+Pic2+Pic3)/3，PicThe symptom conversion score value representing the ith symptom.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. A diagnostic scoring system for rapid floating up risk-escaping decompression sickness is characterized by comprising a dividing module, a symptom grade scoring module, a symptom degree scoring module, a symptom conversion scoring module, a symptom progression scoring module and a diagnostic scoring module;
the dividing module is used for dividing symptoms of the decompression sickness into grades according to severity degrees and endowing each grade with a corresponding symptom grade score value, dividing each symptom into a mild degree, a moderate degree and a severe degree and endowing each symptom with a corresponding symptom grade score value, dividing specificity of the onset of the decompression sickness of each symptom according to the correlation degree of the onset and the decompression and endowing each symptom with a corresponding score value, dividing clinical classification before compression treatment of each symptom according to self-remission degree and endowing each symptom with a corresponding score value, dividing accompanying symptoms of each symptom according to the number of the accompanying symptoms and endowing each symptom progress according to symptom progress conditions and endowing each symptom progress with a corresponding symptom progress score value;
the symptom grade scoring module is used for obtaining each symptom of the decompression sickness of the patient and inquiring corresponding symptom grade scoring values based on each symptom, and the values are marked as Pi，PiThe symptom grade score value of the ith symptom is represented, i is more than or equal to 1 and less than or equal to N, and N is a positive integer;
the symptom degree scoring module is used for obtaining the light, medium and heavy degree of the ith symptom of the decompression sickness of the patient and inquiring the corresponding symptom degree scoring value which is marked as P based on the light, medium and heavy degreeib，PibA symptom degree score value representing the ith symptom;
the symptom conversion scoring module is used for obtaining the correlation degree of the onset of the ith symptom of the decompression sickness of the patient and the decompression, the self-relieving degree before the compression treatment and the accompanying symptomsNumber of symptoms, and a score P of the specificity of the onset of the corresponding decompression sickness based on the degree of correlation between the onset and the decompression sicknessic1Inquiring corresponding clinical classification score value P before compression treatment based on self-remission degree before compression treatmentic2And inquiring corresponding accompanying symptom score value P based on the number of accompanying symptomsic3Calculating a symptom conversion score value Pic＝(Pic1+Pic2+Pic3)/3，PicA symptom conversion score value representing the ith symptom;
the symptom progression scoring module is used for obtaining the symptom progression status of the ith symptom of the decompression sickness of the patient and inquiring the corresponding symptom progression scoring value which is marked as P based on the symptom progression statusid，PidA symptom progression score value representing the ith symptom;
the diagnostic scoring module is for calculating a diagnostic scoring value P for a condition of the patient's decompression sickness,
2. the diagnostic scoring system for rapid ascent escaping decompression sickness of claim 1, further comprising a recovery scoring module for calculating a decompression sickness recovery score value Δ P for a patient from a pre-treatment diagnostic score value P1 to a post-treatment diagnostic score value P2.
3. The diagnostic scoring system for rapid ascent escape decompression sickness according to claim 1, wherein the classification module is used for classifying the symptoms of decompression sickness according to severity degrees, wherein the symptoms are classified into no, pain/rash/pruritus, pain numbness/restlessness/paresthesia, tinnitus/fatigue/abnormal deep and shallow reflex, muscle strength/abnormal sensation/tachypnea/nausea/vomiting/hearing loss/character change, visual abnormality/abnormal speech/paralysis/incontinence, shallow coma/convulsion, and the corresponding symptom grade scores are respectively given as 0, 1, 2, 3, 4, 5 and 6.
4. The diagnostic scoring system for rapid ascent escape from distress and decompression sickness according to claim 1, wherein the dividing module is used for dividing each symptom into a mild degree, a moderate degree and a severe degree according to the degree of severity, and respectively assigning corresponding symptom degree scores of 0, 1, 2 and 3.
5. The diagnostic scoring system for rapid ascent escape decompression sickness according to claim 1, wherein the classification module is configured to classify the specificity of the onset of decompression sickness for each symptom according to the degree of correlation between the onset and the decompression, to classify the onset independently of the decompression, possibly related to the decompression, positively related to the decompression, and assign corresponding score values of 0, 1, and 2;
the division module is used for dividing clinical outcome before compression treatment of each symptom according to self-alleviation degree, and respectively divides the clinical outcome into values which can be completely self-alleviated, possibly not self-alleviated and certainly not self-alleviated, and respectively endows the values with corresponding scores of 0, 2, 4, 6 and 8.
The dividing module is used for dividing the accompanying symptoms of each symptom according to the number of the accompanying symptoms, dividing the accompanying symptoms into no accompanying symptoms, 1 accompanying symptom, 2 accompanying symptoms, 3 accompanying symptoms and more than 3 accompanying symptoms, and endowing corresponding score values of 0, 2, 4 and 6 respectively.
6. The diagnostic scoring system for rapid ascent risk-escaping decompression sickness according to claim 1, wherein the dividing module is used for dividing the symptom progression of each symptom according to the symptom progression status, dividing the symptom progression into symptom alleviation, symptom stabilization, symptom aggravation and symptom recurrence, and assigning corresponding symptom progression scores of 0.75, 1.0, 1.25 and 1.5 respectively.
7. A diagnostic scoring method for rapid floating escape decompression sickness is characterized by comprising the following steps:
s1, classifying the symptoms of the decompression sickness according to severity degrees and assigning corresponding symptom grade scores to each grade, classifying each symptom according to mild-moderate-severe degrees and assigning corresponding symptom grade scores to each symptom, classifying the specificity of the onset of the decompression sickness of each symptom according to the relevance degree of the onset and the decompression and assigning corresponding scores to each symptom, classifying the clinical outcome of each symptom before compression treatment according to self-remission degree and assigning corresponding scores to each symptom, classifying the accompanying symptoms of each symptom according to the number of the accompanying symptoms and assigning corresponding scores to each symptom, and classifying the symptom progression of each symptom according to symptom progression conditions and assigning corresponding symptom progression scores to each symptom;
s2, obtaining each symptom of the decompression sickness of the patient, inquiring corresponding symptom grade scoring value based on each symptom, and recording the value as Pi，PiThe symptom grade score value of the ith symptom is represented, i is more than or equal to 1 and less than or equal to N, and N is a positive integer;
s3, obtaining the light, medium and heavy degree of the ith symptom of the decompression sickness of the patient, inquiring the corresponding symptom degree score value based on the light, medium and heavy degree, and recording the score value as Pib，PibA symptom degree score value representing the ith symptom;
s4, obtaining the correlation degree of the onset of the ith symptom of the decompression sickness of the patient and the decompression, the self-relieving degree before the compression treatment and the number of the accompanying symptoms, and inquiring the specific score value P of the onset of the corresponding decompression sickness based on the correlation degree of the onset and the decompressionic1Inquiring corresponding clinical classification score value P before compression treatment based on self-remission degree before compression treatmentic2And inquiring corresponding accompanying symptom score value P based on the number of accompanying symptomsic3Calculating a symptom conversion score value Pic＝(Pic1+Pic2+Pic3)/3，PicA symptom conversion score value representing the ith symptom;
s5, obtaining the symptom progress status of the ith symptom of the decompression sickness of the patient, inquiring a corresponding symptom progress score value which is marked as P based on the symptom progress statusid，PidA symptom progression score value representing the ith symptom;
s6, calculating the diagnosis score value P of the decompression sickness condition of the patient,
8. the method for diagnostic scoring for rapid ascent escaping decompression sickness according to claim 7, wherein step S6 is followed by the steps of: the patient's decompression sickness recovery score Δ P is calculated as the pre-treatment diagnostic score P1-post-treatment diagnostic score P2.
9. The diagnostic scoring method for rapid ascent escape decompression sickness according to claim 7, wherein in step S1, the symptoms of decompression sickness are graded according to severity degrees, such as no, pain/rash/pruritus, pain numbness/restlessness/paresthesia, tinnitus/fatigue/abnormal deep and shallow reflex, muscle strength reduction/abnormal sensation/tachypnea/nausea vomiting/hearing loss/character change, visual abnormality/abnormal speech/paralysis/incontinence, and light coma/convulsion, and the corresponding symptom grade scores are respectively given as 0, 1, 2, 3, 4, 5, 6;
each symptom is divided into asymptomatic symptoms, mild symptoms, moderate symptoms and severe symptoms according to the degree of severity, and corresponding symptom degree scores of 0, 1, 2 and 3 are respectively given.
10. The diagnostic scoring method for rapid ascent escape decompression sickness according to claim 7, wherein in step S1, the specificity of onset of decompression sickness for each symptom is classified according to the degree of correlation between onset and decompression, into values that are independent of decompression, possibly related to decompression, positive and related to decompression, and are assigned corresponding score values of 0, 1, 2;
dividing clinical outcome before compression treatment of each symptom into self-remission degrees, wherein the clinical outcome is divided into complete self-remission, possible non-self-remission and certainly non-self-remission, and corresponding scores of 0, 2, 4, 6 and 8 are respectively given;
the accompanying symptoms of each symptom are divided into no accompanying symptom, 1 accompanying symptom, 2 accompanying symptoms, 3 and more than 3 accompanying symptoms according to the number of the accompanying symptoms, and corresponding scoring values of 0, 2, 4 and 6 are respectively given.
The symptom progression of each symptom is divided according to the symptom progression status, and divided into symptom reduction, symptom stabilization, symptom aggravation and symptom recurrence, and corresponding symptom progression scores of 0.75, 1.0, 1.25 and 1.5 are given.
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| CN108717871A (en) * | 2018-06-12 | 2018-10-30 | 中南大学湘雅二医院 | A kind of adult's emergency treatment severity Scaling system and stage division |
| CN109065139A (en) * | 2018-09-10 | 2018-12-21 | 平安科技（深圳）有限公司 | Medical follow up method, apparatus, computer equipment and storage medium |
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| CN108717871A (en) * | 2018-06-12 | 2018-10-30 | 中南大学湘雅二医院 | A kind of adult's emergency treatment severity Scaling system and stage division |
| CN109065139A (en) * | 2018-09-10 | 2018-12-21 | 平安科技（深圳）有限公司 | Medical follow up method, apparatus, computer equipment and storage medium |
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