CN115547455A - Nutrition supervision and consultation management system based on dynamic display and tracking - Google Patents
Nutrition supervision and consultation management system based on dynamic display and tracking Download PDFInfo
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Abstract
The invention discloses a nutrition supervision and consultation management system based on dynamic display tracking, which is characterized in that after nutrition risk degree levels of patients are determined, indexes are collected to formulate primary recommended nutrition intake information, primary absorption curves of the primary recommended nutrition intake information are simulated through a progressive simulation module, secondary recommended nutrition intake information is obtained after intermittent monitoring, secondary absorption curves are synchronously simulated, linear intake information is adjusted after comparison and analysis, adjusted programming is displayed on a display module, meanwhile, an education training module provides information introduction, a user can know nutrition treatment step by step, and the problems that in the analysis and programming process of an existing personalized nutrition guidance mode, information depended on the fact that the user fills in the information to a great extent, errors exist between objective results, and in the process of programming, dynamic linear analysis and real-time adjustment are not involved are solved.
Description
Technical Field
The invention relates to the technical field of medical monitoring, in particular to a nutrition supervision and consultation management system based on dynamic display tracking.
Background
At present, nutrition-related diseases in the medical industry are rapidly increased, the professional knowledge of patients on nutrition is generally lacked, and clinical nutrition personnel are deficient, so that the large nutritional service work of patients is overwhelmed. Therefore, the research and development of an autonomous intelligent supervision and consultation management system is of great significance to patients with nutritional diseases.
The current intelligent nutrition consultation mode can only carry out the normalized analysis according to the basic characteristics of human bodies such as height, weight, age and the like, thereby researching the ingested recipes, and if the patent number is: 201510206150.2 — methods and apparatus for generating nutritional recipes do not implement personalized accurate guidance, and based on this, there are also techniques related to personalized customization guidance in the prior art, such as patent nos.: 202010309381.7-an intelligent nutrition teacher accurate analysis and comparison system, but this technique relies more on information filled in an analysis module by a user, and then a management module corrects the information according to answering information, on one hand, the filled information has some subjective factors and has the possibility of error with objective results, and on the other hand, dynamic linear analysis and real-time adjustment are not involved in the process in planning, which is not beneficial to realizing real-time personalized accurate guidance.
Disclosure of Invention
This section is for the purpose of summarizing some aspects of embodiments of the invention and to briefly introduce some preferred embodiments. In this section, as well as in the abstract and title of the application, simplifications or omissions may be made to avoid obscuring the purpose of the section, the abstract and the title, and such simplifications or omissions are not intended to limit the scope of the invention.
The invention is provided in view of the problems of the existing intelligent nutrition consultation mode.
Therefore, the technical problem solved by the invention is as follows: the problem that in the analysis and planning process of the existing personalized nutrition guidance mode, on one hand, information which depends on the personalized nutrition guidance mode is greatly filled by a user, and the possibility of error exists between the information and an objective result is solved, and on the other hand, dynamic linear analysis and real-time adjustment are not involved in the process of planning is solved.
In order to solve the technical problems, the invention provides the following technical scheme: a nutrition supervision and consultation management system based on dynamic display tracking comprises a nutrition risk screening and evaluating module, a nutrition risk degree grade acquiring module and a nutrition risk degree grade acquiring module, wherein the nutrition risk screening and evaluating module is used for acquiring nutrition risk degree grades of patients; the index information acquisition and analysis module is used for acquiring nutrition risk index information of each patient, including height, weight, BMI, exercise condition, blood sugar, blood pressure and physical strength consumption degree, and formulating initial recommended nutrition intake information according to the acquired information; the progressive simulation module is in data connection with the nutrition risk screening and evaluating module and the index information acquisition and analysis module, acquires an intake absorption function according to the nutrition risk degree level corresponding to each patient, and simulates each primary absorption curve of the primary recommended nutrition intake information according to the intake absorption function; the monitoring module is in data connection with the index information acquisition and analysis module and the progressive simulation module, tracks and detects the nutrition information of the patient at preset time, formulates secondary recommended nutrition intake information according to the newly acquired information, and simulates each secondary absorption curve of the secondary recommended nutrition intake information according to the intake absorption function; the comparison analysis module is in data connection with the progressive simulation module and the monitoring module, compares the obtained primary absorption curves with the obtained secondary absorption curves, and obtains the variation range P of each nutrition gap curve; the analysis adjusting module is in data connection with the comparison analyzing module, and adjusts the corresponding secondary recommended nutrition intake information when the variation range P of the nutrition gap curve reaches a threshold value; and the display module is in data connection with the analysis and adjustment module and is used for displaying the recommended nutrition intake information adjustment and analysis plan of the patient.
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display tracking, the invention comprises the following steps: the nutrition risk screening and evaluating module specifically comprises a preliminary nutrition analysis screening unit, a judgment unit and a judgment unit, wherein the preliminary nutrition screening unit is used for acquiring a preliminary nutrition score of a patient through a preset analysis score table, comparing a set score threshold value and determining whether to perform subsequent screening or not; the comprehensive analysis scoring unit is in data connection with the preliminary nutrition analysis screening unit, and is switched to the comprehensive analysis scoring unit when the patient determines that subsequent screening is required, a comprehensive nutrition risk score value is obtained according to SGA (serving general health assessment) scores, and the nutrition risk degree grade of each patient is further judged according to the comprehensive nutrition risk score value; and the nutritional risk level specifically comprises mild malnutrition, moderate malnutrition and severe malnutrition in severe order from low to high.
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display and tracking, the system comprises: setting the score threshold value to be 3 points, and determining to perform subsequent screening when the preliminary nutrition score is not lower than the score threshold value.
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display and tracking, the system comprises: the first recommended nutritional intake information specifically includes an energy recommended intake, a protein recommended intake, a fat recommended intake, and a carbohydrate recommended intake.
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display and tracking, the system comprises: the intake absorption function is obtained according to the nutritional risk level corresponding to each patient,
mild malnutrition corresponds to an intake absorption function of y = x;
moderate malnutrition corresponds to the intake absorption function of y =0.5x;
severe malnutrition corresponds to an uptake absorption function of y 2 ＝0.5x；
Wherein y is the nutrient absorption value (g) and x is the time (h).
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display tracking, the invention comprises the following steps: the threshold value of the variation range P of the nutrition gap curve is 1.
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display and tracking, the system comprises: when the variation range P of the nutrition gap curve reaches a threshold value, the specific way of adjusting the corresponding secondary recommended nutrition intake information is that,
p is more than or equal to 1 and less than 2 → the recommended information (mg) is reduced to 80 to 85 percent;
p is more than or equal to 2 and less than 2.5 → recommended information (mg) is reduced to 70-80%;
p is more than or equal to 2.5 and less than 2.8 → recommended information (mg) is reduced to 65-70%;
p is more than or equal to 2.8 → recommended information (mg) is reduced to 60-65%;
p ≧ 4 → secondary information recommendation is carried out again.
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display and tracking, the system comprises: the display module is specifically a networked WeChat platform.
As a preferred scheme of the nutrition supervision and consultation management system based on dynamic display tracking, the invention comprises the following steps: still include education training module, education training module inlays and establishes in the display module for provide nutrition diet and explain picture and text and video.
The invention has the beneficial effects that: the invention provides a nutrition supervision and consultation management system based on dynamic display tracking, which is characterized in that after nutrition risk degree levels of patients are determined, indexes are collected to formulate primary recommended nutrition intake information, primary absorption curves of the primary recommended nutrition intake information are simulated through a progressive simulation module, secondary recommended nutrition intake information is obtained after intermittent monitoring, secondary absorption curves are synchronously simulated, linear intake information is adjusted after comparison and analysis, adjusted programming is displayed on a display module, meanwhile, an education training module provides information introduction, a user can know nutrition treatment gradually, and the problems that in the analysis and programming process of an existing personalized nutrition guidance mode, information depended on by the user to a great extent depends on filling of the user, errors exist between objective results, and in the other hand, dynamic linear analysis and real-time adjustment are not involved in the programming process are solved.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings based on these drawings without inventive exercise. Wherein:
fig. 1 is a schematic diagram of a module provided in the present invention.
FIG. 2 is a block diagram of a nutritional risk screening and assessment module provided by the present invention.
Fig. 3 is a circuit diagram showing the operation of the MCU central memory in the intelligent recognition apparatus according to the present invention.
Detailed Description
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, specific embodiments accompanied with figures are described in detail below, and it is apparent that the described embodiments are a part of the embodiments of the present invention, not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without making creative efforts based on the embodiments of the present invention, shall fall within the protection scope of the present invention.
In the prior art, more information filled in an analysis module by a user is relied on, and then a management module corrects the information according to answering information, so that on one hand, the filled information has partial subjective factors and the possibility of errors between objective results exists, on the other hand, dynamic linear analysis and real-time adjustment are not involved in the process of planning, and real-time personalized accurate guidance is not facilitated.
Therefore, referring to fig. 1 and 2, the present invention provides a nutrition supervision and consultation management system based on dynamic display and tracking, comprising:
the nutrition risk screening and evaluating module 100 acquires the nutrition risk degree grade of each patient, wherein common patients needing nutrition treatment comprise diabetes patients, hyperlipidaemia patients, hypertension patients, hyperuricemia patients, tumor patients, weight management patients (obesity and emaciation), sarcopenia patients, pregnant women and children and teenagers;
the index information acquisition and analysis module 200 is used for acquiring nutrition risk index information of each patient, including height, weight, BMI, exercise condition, blood sugar, blood pressure and physical strength consumption degree, and formulating initial recommended nutrition intake information according to the acquired information;
the progressive simulation module 300 is in data connection with the nutrition risk screening and evaluating module 100 and the index information acquisition and analysis module 200, acquires an intake absorption function according to the nutrition risk degree level corresponding to each patient, and simulates each primary absorption curve of the primarily recommended nutrition intake information according to the intake absorption function;
the monitoring module 400 is in data connection with the index information acquisition and analysis module 200 and the progressive simulation module 300, tracks and detects the nutrition information of the patient at preset time, formulates secondary recommended nutrition intake information according to various pieces of information acquired again, and simulates various secondary absorption curves of the secondary recommended nutrition intake information according to an intake absorption function;
the comparison analysis module 500 is in data connection with the progressive simulation module 300 and the monitoring module 400, and compares each obtained primary absorption curve with each obtained secondary absorption curve to obtain each nutrition gap curve variation range P;
the analysis adjusting module 600 is in data connection with the comparison analyzing module 500, and adjusts corresponding secondary recommended nutrient intake information when the variation range P of the nutrient gap curve reaches a threshold value;
and the display module 700 is in data connection with the analysis and adjustment module 600 and displays the recommended nutrition intake information of the patient to adjust the analysis plan.
Further, the nutritional risk screening and assessment module 100 specifically includes:
the preliminary nutrition analysis screening unit is used for acquiring a preliminary nutrition score of a patient through a preset analysis score table, comparing a set score threshold value and determining whether to perform subsequent screening, wherein the preset analysis score table is shown in the following table 1;
the comprehensive analysis scoring unit is in data connection with the preliminary nutrition analysis screening unit, and is switched to the comprehensive analysis scoring unit when the patient determines that subsequent screening is needed, comprehensive nutrition risk scoring values are obtained according to SGA scores, and the nutrition risk degree grade of each patient is further judged according to the comprehensive nutrition risk scoring values, wherein the SGA scores are shown in the following table 2;
and the nutritional risk level specifically comprises mild malnutrition, moderate malnutrition and severe malnutrition from low to high according to the severe level.
Wherein the set score threshold is 3 points, and when the primary nutrition score is not lower than the score threshold, the follow-up screening is determined.
Specifically, the first recommended nutritional intake information specifically includes an energy recommended intake (kcal), a protein recommended intake (g), a fat recommended intake (g), and a carbohydrate recommended intake (g).
Furthermore, the obtaining of the intake absorption function according to the nutritional risk level corresponding to each patient is specifically as follows:
mild malnutrition corresponds to the intake absorption function being y = x;
moderate malnutrition corresponds to the intake absorption function of y =0.5x;
severe malnutrition corresponds to an uptake absorption function of y 2 ＝0.5x；
Wherein y is the nutrient absorption value (g) and x is the time (h).
Preferably, the threshold value of the variation range P of the nutritional gap curve is 1.
Further, when the variation range P of the nutrition gap curve reaches the threshold, the specific manner of adjusting the corresponding secondary recommended nutrition intake information is as follows:
p is more than or equal to 1 and less than 2 → recommended information (mg) is reduced to 80-85%;
p is more than or equal to 2 and less than 2.5 → recommended information (mg) is reduced to 70-80%;
p is more than or equal to 2.5 and less than 2.8 → recommended information (mg) is reduced to 65-70%;
p is more than or equal to 2.8 → recommended information (mg) is reduced to 60-65%;
p is larger than or equal to 4 → secondary information recommendation is carried out again.
What should additionally be noted is:
(1) when nutrition intake information (recommended energy intake (kcal), recommended protein intake (g), recommended fat intake (g) and recommended carbohydrate intake (g)) is recommended, the intelligent recognition device is adopted to record the type and the quantity of each meal every day;
wherein, intelligent recognition device specifically includes:
the identification display is used for intelligently identifying the articles placed on the weighing platform;
a weighing device for weighing the weight of the article placed on the weighing platform;
the MCU central storage is connected to the recognition display and the weighing device, records the types of the articles and the weights thereof one by one, and generates a corresponding nutrition grouping table according to the nutrition information of the types of the articles, as shown in the circuit diagram of fig. 3.
Specifically, the identification display includes:
a scanning component, which scans the object on the weighing platform through the configured camera;
the transmission component is connected with the scanning component and transmits the scanned article information to the database;
the comparison searching component is used for comparing the article information transmitted to the database with the stored information in the database;
and the identification component is connected with the comparison searching component and identifies the articles placed on the weighing platform according to the comparison result.
(2) Collecting nutrition risk index information of each patient, automatically recommending meals to the patient according to diagnosis and treatment conditions of the patient and meal medical advice prescribed by a dietician when the first recommended nutrition intake information is formulated according to the collected information, forming the first recommended nutrient intake of each patient, and formulating the recipe into a recipe list and nutrient intake analysis. The recipe list is divided into breakfast, breakfast dessert, lunch dessert, dinner and dinner dessert, and has the name of dish, name of food and dosage (g). The nutrient intake analysis includes energy, protein, fat and carbohydrate, and is divided into intake, recommended amount, proportion analysis, etc.
Wherein, when the nutritional risk index information of each patient is collected to make a diet, alanine aminotransferase, asparagus dark aminotransferase, total protein, albumin, blood retinol binding protein, prealbumin, urea, uric acid, total cholesterol, triglyceride, high density lipoprotein cholesterol, low density lipoprotein cholesterol, apolipoprotein A-1, apolipoprotein B/A and fasting blood glucose blood routine are adopted: hemoglobin and the biochemical indexes are used as detection indexes, the direction and the degree of nutritional gaps of a patient are determined, and initial recommended nutritional intake information is obtained, so that a corresponding recipe is formulated, for example: if the blood sugar is high, the recipe nutrition information with less sugar is recommended to control the sugar; high uric acid content, low purine diet is recommended.
In particular, the display module 700 is embodied as a networked wechat platform. The convenience and the accuracy of the adjustment of the nutrition scheme are improved, a continuous and dynamic nutrition assessment mechanism is provided for the patient, the recovery rate of nutrition treatment of the patient is improved, and the good social benefit is achieved.
In addition, the teaching and training device further comprises an educational training module 800, wherein the educational training module 800 is embedded into the display module 700 and is used for providing nutritional diet teaching pictures and videos, and the first documentary file, the second documentary file, the third documentary file and the fourth documentary file are examples of the teaching content provided by the educational training module 800.
The educational training module 800 mainly includes a training classroom, an educational survey, and a nutrition consultation. The original boring education propaganda material is simple, convenient and visual by providing the dietary health education pictures and texts, videos and the like through WeChat, and has good interestingness. The user is not restricted by time space, can read repeatedly, can effectively promote educational efficiency. The education training module can utilize vivid image-text video resources and cooperate with step-type course setting, so that a user can gradually know nutrition treatment.
Meanwhile, the educational training module 800 supports an automatic response function of the patient's question.
Table 1: analysis scoring sheet
Table 2: SGA scoring sheet
Wherein, in table 2:
fat change a = no reduction in most or all sites
B = light-moderate reduction in most or all sites, or moderate-severe reduction in some sites
C = major or all sites moderate-severe reduction
Muscle wasting a = little or no change in most muscles
B = mild-moderate changes in most muscles, moderate-severe changes in some muscles
C = major muscle severe changes
Edema A = normal or mild
B = light-moderate
C = severe
Ascites A = normal or mild
B = light-moderate
C = severe
SGA rating scale
A = nutritionally good (mostly a, or significantly improved)
B = mild-moderate malnutrition
C = severe malnutrition (mostly C, overt physical symptoms)
A first document: nutrition science popularization propaganda and education sheet for diabetes
1. General principles of nutrition therapy: total energy control (Total energy), texture adjustment (dietary texture)
Total energy (one)
All foods produce different energies during digestion, absorption, metabolism and utilization in the body, and the total energy is controlled, namely the total daily food intake is controlled, and the method comprises two aspects: (1) which foods cannot be eaten; and (2) the proper amount of the edible food can be eaten.
(II) Structure adjustment
The adjustment of the dietary structure is beneficial to the control of the weight and the blood sugar:
1. emphasizing adequate intake of vegetables;
2. calculating and controlling the staple food according to individual conditions;
3. ensuring the limited intake of animal food.
2. Uneaten food
1. Cakes, glutinous rice products, western cakes, and the like;
2. porridge, rice soup;
3. fat meat, lard, animal viscera, fish roe, crab spawn, chicken skin, duck skin, etc.;
4. partial seafood: squid, cuttlefish, shellfish;
5. salted, fried and fried food;
6. tobacco, wine, and beverage.
3. Eating mode
1. The sequence is as follows: eating vegetables, meat and staple food at first;
2. time: fine chewing and slow throat: 20 to 30 minutes for breakfast and about 30 minutes for middle and evening meal.
4. How much more important is eating
The individual nutrition prescription is given after nutrition consultation by professional dieticians, and the patient is advised to visit a nutrition clinic four times a year and adjust diet in time according to the condition of the patient (every week, two, three and four am in the fifth clinic of the second floor and the fifth clinic of the clinic).
5. Scientific eating of fruits
Three things are noted:
1. variety: the excessive sugar content of sugarcane, banana, lychee, longan, grape, durian and the like is avoided, and the patients with good blood sugar control can eat some fruits with low sugar content and low sugar index, such as apple, pear, strawberry and the like;
2. quantity: not too much, about 200 g per day;
3. time: the meal is recommended to be eaten between two meals, so that the meal is prevented from being eaten before meal.
6. Cooking method
1. Steaming, boiling, stewing and frying are suitable, and frying is forbidden;
2. the monosodium glutamate, the chicken essence, the oil, the salt and the soy sauce are not required to be added;
3. it is better not to drink greasy soup.
7. Exercise properly
1. Moderate physical activity: the recommended speed is 30 to 60 minutes after meal every day, and the frequency of walking 1000 to 1200 steps every 10 minutes is suitable;
2. muscle exercising: plate supports, sit-ups, dumbbells, etc., recommended 2-3 times per week.
The second document: hyperlipemia nutrition science popularization propaganda and education sheet
1. General principles of nutrition therapy: limiting energy and total dietary fat intake
Total energy
Limiting total energy intake, energy to maintain ideal body weight; reducing saturated fatty acids and cholesterol, increasing intake of polyunsaturated fatty acids; dietary intervention, improving lifestyle is the fundamental treatment of hyperlipidemia.
(II) Structure adjustment
The food is scientifically eaten by reasonably matching according to Chinese resident dietary guidelines and balanced diet pagodas. If the body weight is overweight or obese, the energy should be reduced to achieve the goal of weight loss.
2. Uneaten food
Strict control of high fat, high cholesterol foods: avoiding fat meat, lard, animal viscera, animal brain, roe, chicken and duck skin, crab spawn, cream, squid, cuttlefish, seafood with shell, various fried foods, etc. At the same time, it should be noted that the intake of nuts (peanuts, walnuts, melon seeds, etc.) is not too much. Vegetable oil is selected as cooking oil, and the dosage is properly controlled, and is about 20-25 g (about 2 spoons relative to a common porcelain spoon) per day.
3. Advice supplementation
1. Appropriate supplementation with protein: selecting animal food with low fat content and high protein content in fish, fowl and lean meat, and selecting soybean and its product such as bean curd, dried bean curd, etc.;
2. the staple food should properly control the refined carbohydrate food (refined rice flour): grains are used as main materials, the coarse grains and the potatoes are matched, and at least one third of fine and white rice flour is replaced by coarse grains and potatoes;
3. increasing the intake of vegetables, fruits and milk products, especially dark vegetables (such as green, purple, red, etc.), various fruits, low-fat dairy products, etc.
4. Matters of attention
1. Limitation of refined sugar and sugar-containing confections: since sucrose, fructose, etc. are more easily converted into triglycerides than starch, care should be taken to limit intake, such as candies, sugar-containing beverages, juices, desserts, chocolate, honey, etc.;
2. smoking cessation and wine restriction;
3. keep the life rule and avoid over-tension.
5. Cooking method
1. Steaming, boiling, stewing and frying are suitable, and frying is forbidden;
2. the monosodium glutamate, chicken essence, oil, salt and soy sauce are not required to be put in;
3. it is better not to drink greasy soup.
6. Exercise properly
Increase of physical activity: exercise is performed continuously to promote the decomposition of body fat and reduce blood fat. Such as fast walking, jogging, swimming, etc. each day for 40-60 minutes, 5-7 days per week.
Third documentation: hypertension nutrition science popularization propaganda and education sheet
1. General principles of nutrition therapy: properly limiting total energy and maintaining healthy body weight
Total energy (one)
Limiting energy balance diet, maintaining healthy weight, properly reducing energy intake is beneficial to reducing systolic and diastolic blood pressure; overweight and obese people, properly reduce the intake of various foods.
(II) Structure adjustment
The diet follows the Chinese resident diet guideline and the balanced diet pagoda, the diet is reasonably matched with scientific meals, and the intake of salt and fat (especially the content of saturated fat is more) is controlled.
2. Inedible food
1. Salt is strictly controlled: recommended daily salt dosage control: 3-5 grams per day (salt spoon limit recommended), with or without edible salt pickles: such as pickled vegetables, salted vegetables, dried salted vegetables, fermented bean curd, pickled cucumber, hot pickled mustard tuber salted duck egg, salted fish, salted meat, ham, seasoned duck, dried fish, salted dried salted duck, etc.
2. Strict control of high fat, high cholesterol foods: such as fat meat, lard, animal viscera, animal brain, fish roe, chicken skin, duck skin, crab roe, etc., vegetable oil is recommended, and the dosage is properly controlled, and is about 20-25 g per day (about 2 spoons relative to a common porcelain spoon).
3. Advice supplementation
The intake of potassium, calcium and magnesium is properly increased, and the intake of the potassium, calcium and magnesium from natural food is recommended: such as milk, soy products, fresh vegetables and fruits, etc.
4. Attention points
1. For stopping smoking, pungent beverages such as concentrated tea and coffee are forbidden, boiled water, light green tea or chrysanthemum tea are suitable, and the hypotensive medicine is forbidden to be taken together with tea.
2. Pungent flavoring agent such as curry powder, mustard, and chili powder is contraindicated.
3. Eating food in fixed amount at regular time is avoided, and overeating are avoided.
5. Cooking method
1. Steaming, boiling, stewing and frying are suitable, and frying is forbidden;
2. the monosodium glutamate, the chicken essence, the oil, the salt and the soy sauce are not required to be added;
3. it is better not to drink greasy soup.
6. Exercise appropriately
Increase physical activity: the patient selects aerobic exercises suitable for the self condition, such as fast walking, tai Chi, jogging and the like, and the time is more than 30 minutes per day and 5-7 days per week.
Fourth documentation: hyperuricemia nutrition science popularization propaganda and education sheet
1. General principles of nutrition therapy: controlling the intake of exogenous purine and promoting the excretion of uric acid from body
Total energy
Total energy limiting, weight reduction: gout is closely related to obesity, diabetes, hypertension, hyperlipidemia and the like. Reducing body weight, limiting energy supply, and reducing daily total energy by 10-15% compared with normal. Fast cutting and recording should be done gradually, and the excessive weight loss can promote lipolysis and induce acute gout attack.
(II) Structure adjustment
By diet control and drug treatment, acute attack of gout is controlled, exacerbation and development of gout are prevented, and complications are prevented.
2. Inedible food
1. Limiting purine uptake: the purine intake of gout patients needs to be controlled for a long time, and purine is controlled below 150 mg every day in an acute stage, so foods with extremely high purine content, such as various seafood, animal viscera, fish roe, crab spawn, thick fish soup, thick broth and the like, are completely forbidden. Meat, fish and poultry have high purine content, and the dosage is limited. The whole wheat, mixed beans, fungus algae, hyacinth bean, pea, asparagus, cauliflower, spinach and the like in the vegetable food contain a small amount of purine, and the quantity of the purine is limited.
2. Fat-restricted, low-fat diet: the fat can reduce uric acid excretion, and is limited in proper amount to avoid eating fat meat, lard, beef and mutton fat, fat poultry and other food.
3. Advice supplementation
1. The reasonable selection of protein: it is not suitable for eating too much meat poultry and miscellaneous beans, and the total amount of protein in daily diet is not too high. The protein can be replaced by egg and milk. If meat, fish, poultry, etc. are needed, the soup can be boiled and discarded before eating a little.
2. Increase the intake of B vitamins and vitamin C; the feed is supplied with more foods such as vegetables (about 1 kg per day), fruits (about 500 g per day) and the like, and is beneficial to dissolving and discharging uric acid.
3. The drinking water is more, the water drinking amount is kept between 2000 and 3000 milliliters (more than 1 kettle) per day so as to promote the excretion of uric acid. Meanwhile, fruits and foods rich in water can be selected.
4. Cooking method
1. Steaming, boiling, stewing and frying are suitable, and frying is forbidden;
2. it is better not to drink greasy soup.
5. Attention points
1. The sodium salt is restricted from being taken in 3 to 5 grams per day, and salted products such as salted vegetables, salted meat, salted fish and the like are avoided;
2. strong spices and spicy seasonings such as curry, hot pepper, and fennel are forbidden;
3. the gout attack can be induced by drinking without drinking, and the purine synthesis can be stimulated to increase by chronic drinking with a small amount.
The invention provides a nutrition supervision consultation management system based on dynamic display tracking, which is characterized in that after nutrition risk degree levels of patients are determined, indexes are collected to formulate primary recommended nutrition intake information, each primary absorption curve of the primary recommended nutrition intake information is simulated through a progressive simulation module, secondary recommended nutrition intake information is obtained after intermittent monitoring, each secondary absorption curve is synchronously simulated, linear intake information is adjusted after comparison and analysis, adjusted planning is displayed on a display module, meanwhile, an education training module provides information announcement, and users can know nutrition treatment step by step, so that the problem that in the analysis planning process of an existing personalized nutrition guidance mode, on one hand, information which depends on filling of the users to a great extent and errors exist between objective results, on the other hand, the problem that dynamic linear analysis and real-time adjustment are not involved in the process of planning is solved, information pipelines among medical institutions, the patients and supervision institutions are opened, information circulation is strengthened through the internet technology, supervision tracking is conducted more accurately, and one of requirements for further improving supervision management work at present.
It should be noted that the above-mentioned embodiments are only for illustrating the technical solutions of the present invention and not for limiting, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that modifications or equivalent substitutions may be made on the technical solutions of the present invention without departing from the spirit and scope of the technical solutions of the present invention, which should be covered by the claims of the present invention.
Claims (9)
1. A nutrition supervision and consultation management system based on dynamic display tracking is characterized in that: comprises the steps of (a) preparing a mixture of a plurality of raw materials,
a nutritional risk screening and evaluating module (100) for obtaining a nutritional risk level of each patient;
the index information acquisition and analysis module (200) is used for acquiring nutrition risk index information of each patient, including height, weight, BMI, exercise condition, blood sugar, blood pressure and physical strength consumption degree, and formulating initial recommended nutrition intake information according to the acquired information;
the progressive simulation module (300) is in data connection with the nutrition risk screening and evaluating module (100) and the index information acquisition and analysis module (200), acquires an intake absorption function according to the nutrition risk degree level corresponding to each patient, and simulates each primary absorption curve of the primary recommended nutrition intake information according to the intake absorption function;
the monitoring module (400) is in data connection with the index information acquisition and analysis module (200) and the progressive simulation module (300), tracks and detects the nutrition information of the patient within preset time, formulates secondary recommended nutrition intake information according to various pieces of information acquired again, and simulates various secondary absorption curves of the secondary recommended nutrition intake information according to the intake absorption function;
the comparison analysis module (500) is in data connection with the progressive simulation module (300) and the monitoring module (400), compares each obtained primary absorption curve with each obtained secondary absorption curve, and obtains each nutrition gap curve variation range;
the analysis adjusting module (600) is in data connection with the comparison analyzing module (500), and adjusts the corresponding secondary recommended nutrient intake information when the variation range of the nutrient gap curve reaches a threshold value;
and the display module (700) is in data connection with the analysis adjusting module (600) and displays the recommended nutrition intake information adjustment analysis plan of the patient.
2. The system for supervising and consulting nutrition based on dynamic display and tracking as claimed in claim 1, wherein: the nutritional risk screening and assessment module (100) specifically comprises,
the preliminary nutrition analysis screening unit acquires a preliminary nutrition score of the patient through a preset analysis score table, compares the preliminary nutrition score with a set score threshold value and determines whether to perform subsequent screening;
the comprehensive analysis scoring unit is in data connection with the preliminary nutrition analysis screening unit, and when the patients determine that follow-up screening is required, the patients are transferred to the comprehensive analysis scoring unit, comprehensive nutrition risk scoring values are obtained according to SGA scores, and the nutrition risk degree grades of the patients are further judged according to the comprehensive nutrition risk scoring values;
and the nutritional risk level specifically includes mild malnutrition, moderate malnutrition, and severe malnutrition in severe order from low to high.
3. The system for supervising and consulting nutrition based on dynamic display and tracking as claimed in claim 2, wherein: setting the score threshold value to be 3 points, and determining to perform subsequent screening when the preliminary nutrition score is not lower than the score threshold value.
4. The system for supervising and consulting nutrition based on dynamic display and tracking as claimed in claim 3, wherein: the first recommended nutritional intake information specifically includes an energy recommended intake, a protein recommended intake, a fat recommended intake, and a carbohydrate recommended intake.
5. The system for supervising and consulting nutrition based on dynamic display and tracking as claimed in claim 4, wherein: the intake absorption function is obtained according to the nutritional risk level corresponding to each patient specifically,
mild malnutrition corresponds to an intake absorption function of y = x;
moderate malnutrition corresponds to an intake absorption function of y =0.5x;
severe malnutrition corresponds to said intake absorption function being y 2 ＝0.5x；
Wherein y is the nutrient absorption value (g) and x is the time (h).
6. The system for supervising and consulting nutrition based on dynamic display and tracking as claimed in claim 5, wherein: the threshold value of the variation range of the nutrition gap curve is 1.
7. The system for supervising and consulting nutrition based on dynamic display and tracking as claimed in claim 6, wherein: when the variation range P of the nutrition gap curve reaches a threshold value, the specific way of adjusting the corresponding secondary recommended nutrition intake information is that,
p is more than or equal to 1 and less than 2 → the recommended information (mg) is reduced to 80 to 85 percent;
p is more than or equal to 2 and less than 2.5 → recommended information (mg) is reduced to 70-80%;
p is more than or equal to 2.5 and less than 2.8 → recommended information (mg) is reduced to 65-70%;
p is more than or equal to 2.8 → recommended information (mg) is reduced to 60-65%;
p ≧ 4 → secondary information recommendation is carried out again.
8. The system for supervising and consulting nutrition based on dynamic display and tracking as claimed in claim 7, wherein: the display module (700) is embodied as a networked wechat platform.
9. The system for supervising and consulting nutrition based on dynamic display and tracking of claim 8, wherein: the intelligent food nutrition and diet announcement system further comprises an education training module (800), wherein the education training module (800) is embedded into the display module (700) and used for providing nutrition and diet announcement pictures and texts and videos.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210932158.7A CN115547455A (en) | 2022-08-04 | 2022-08-04 | Nutrition supervision and consultation management system based on dynamic display and tracking |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202210932158.7A CN115547455A (en) | 2022-08-04 | 2022-08-04 | Nutrition supervision and consultation management system based on dynamic display and tracking |
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| CN115547455A true CN115547455A (en) | 2022-12-30 |
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| CN202210932158.7A Withdrawn CN115547455A (en) | 2022-08-04 | 2022-08-04 | Nutrition supervision and consultation management system based on dynamic display and tracking |
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- 2022-08-04 CN CN202210932158.7A patent/CN115547455A/en not_active Withdrawn
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Application publication date: 20221230 |