CN-121999990-A - Traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases

CN121999990ACN 121999990 ACN121999990 ACN 121999990ACN-121999990-A

Abstract

The invention relates to a traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases, which comprises the following steps of determining relevant core information of a patient syndrome by utilizing a traditional Chinese medicine dialectical evaluation module and adopting a multi-aspect information fusion method; the invention combines a traditional Chinese medicine constitution scale, a symptom score scale and a lifestyle survey questionnaire to acquire multiple aspects of scores required by dialectical of a patient, realizes comprehensive record and standardized management from patient individual case information, past diagnosis and treatment history and auxiliary examination data to daily rehabilitation execution details through a patient information registration and management module, provides data support for the formulation and dynamic adjustment of a personalized rehabilitation scheme, and completes the matching of comprehensive dialectical scores and the dialectical of the patient by combining multi-angle information such as constitution scores, symptom scores, lifestyle scores, medical history examination scores and the like and combining a preset dialectical rule base and algorithm, thereby effectively solving the problem of misjudgment of the dialectical of individuals due to strong subjectivity and limited basic doctor resources in traditional Chinese medicine rehabilitation.

Inventors

CHEN DANPING
YAN JIANFENG
LIU LIPING

Assignees

宁波市北仑区中医院

Dates

Publication Date: 20260508
Application Date: 20260116

Claims (9)

1. The traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases is characterized by comprising the following steps: S1, collecting and evaluating dialectical information of a traditional Chinese medicine, namely determining relevant core information of a patient by adopting a dialectical evaluation module of the traditional Chinese medicine and adopting a multi-aspect information fusion method, acquiring multi-aspect scores required by dialectical of the patient by combining a traditional Chinese medicine quality scale, a symptom score scale and a lifestyle questionnaire, and acquiring the multi-aspect scores through the following steps: s1.1, filling in a traditional Chinese medicine constitution scale by a patient, and obtaining constitution type scores, wherein the constitution type scores comprise corresponding scores of nine constitution types including mild constitution, qi deficiency constitution, yang deficiency constitution, yin deficiency constitution, phlegm dampness constitution and the like; S1.2, filling a symptom score scale for the core symptoms of the chronic gastric diseases, and recording the performance degree, frequency and duration scores of each symptom to obtain symptom scores; S1.3, filling in a lifestyle questionnaire by a patient, obtaining related scores such as diet structure, feeding rule, rest condition, exercise habit, emotion state and the like, and obtaining a lifestyle score; S1.4, uploading past medical history information and auxiliary examination data by a patient, and giving corresponding weight scores by a system to obtain medical history and examination scores; s1.5, obtaining comprehensive dialectical scores of patients, wherein the comprehensive dialectical scores are constitution type scores, symptom scores, lifestyle scores, medical history and examination scores; s2, determining a dominant pattern, namely executing a pattern matching algorithm according to the following steps of: S2.1, extracting dialectic standard parameters of common symptoms of chronic gastric diseases in a dialectic rule base of the traditional Chinese medicine; s2.2, performing similarity matching on the comprehensive dialectical score of the patient and dialectical standard parameters of each syndrome type, and calculating the matching degree score of each syndrome type; s2.3, sequencing the scores of the pattern matching degrees from high to low to form a pattern matching sequence; s2.4, taking the syndrome with the highest matching degree score and no lower than a preset threshold value as a dominant syndrome; S3, generating a personalized rehabilitation scheme, namely, based on the dominant syndrome and individual patient information, retrieving a corresponding syndrome type standardized template from a rehabilitation scheme database, wherein a scheme adjustment logic of a traditional Chinese medicine dosage adjustment coefficient of the old, forbidden acupoints or a traditional Chinese medicine list of a pregnant woman and a basic patient is combined, executing priority labeling, taking traditional Chinese medicine taking as a core and acupoint health care as assistance, and forgetting whether the medicine taking can be supplemented or not by missing the executed remedy scheme, and adjusting to generate the comprehensive rehabilitation scheme. S4, rehabilitation process monitoring and data recording, wherein a patient records rehabilitation scheme execution conditions and symptom change data daily through a user side, and the system automatically counts the execution rate and forms a symptom change sequence; S5, judging rehabilitation efficacy, namely constructing an efficacy evaluation model taking a symptom change sequence and a scheme execution rate as core parameters.
2. The traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases is used for implementing the method of claim 1 and is characterized by comprising a patient information registration and management module (1), a traditional Chinese medicine dialectical evaluation module (2), a personalized rehabilitation scheme generation module (3), a rehabilitation process monitoring module (4), a curative effect evaluation module (5), a doctor intervention module (6), a traditional Chinese medicine rehabilitation knowledge pushing module (7) and a tabu screening module (8); The patient information registration and management module (1) is used for registering and managing all-aspect information of a patient, and comprises: A case recording unit (1-1) for recording the medical history, diagnosis type, duration of course, previous treatment scheme and recurrence frequency of the patient; The patient information database (1-2) is used for storing the information recorded by the individual case recording unit and the age, sex and contact way of the patient, wherein the privacy of the patient information database is protected by adopting a data encryption way and an access authority grading way; The rehabilitation execution recording unit (1-3) is used for recording execution details of a daily rehabilitation scheme of a patient, including traditional Chinese medicine taking time and dosage, diet therapy recipe completion condition, acupoint health care times and exercise duration; the examination data storage unit (1-4) is used for storing auxiliary examination data such as a gastroscope report uploaded by a patient, a helicobacter pylori detection result and the like and subsequent review data; the traditional Chinese medicine dialectical evaluation module (2) is used for completing multi-aspect information acquisition and leading syndrome judgment of a patient; the personalized rehabilitation scheme generation module (3) is used for generating a targeted comprehensive rehabilitation scheme based on dialectical results; The rehabilitation process monitoring module (4) is used for monitoring the execution process and symptom change condition of a rehabilitation scheme of a patient in real time, and comprises the following components: the execution record acquisition unit (4-1) is used for receiving the execution details of the daily rehabilitation scheme submitted by the patient through the user side, wherein the execution details comprise the administration time and dosage of the traditional Chinese medicine, the dietary therapy recipe completion condition, the acupoint health care times and time, the exercise time and the like; the symptom data acquisition unit (4-2) is used for receiving the core symptom score change data recorded by the patient every day to form a symptom change sequence; The execution rate statistics unit (4-3) is used for automatically counting the execution rate of the rehabilitation scheme in daily and treatment periods according to the data acquired by the execution record acquisition unit; the data synchronization unit (4-4) is used for synchronizing the collected execution records, symptom change data and statistical execution rate to the patient information database (1-2) to provide data support for the curative effect evaluation module (5); the curative effect evaluation module (5) is used for evaluating the implementation effect of the traditional Chinese medicine rehabilitation scheme; The efficacy evaluation module (5) comprises: a efficacy evaluation algorithm unit (5-1) for calculating efficacy levels according to the symptom score change sequence and the plan execution rate; a curative effect data storage unit (5-2) for storing curative effect evaluation results of each treatment period, corresponding symptoms and execution data; an improvement rate calculation unit (5-3) for calculating an improvement rate of the core symptom score before and after the treatment; a significant efficiency calculation unit (5-4) for evaluating whether the treatment meets clinical symptom relief criteria; And a curative effect deviation analysis unit (5-5) for evaluating the deviation degree between the improvement rate and the effective rate.
3. The traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases according to claim 2 is characterized in that the traditional Chinese medicine dialectical evaluation module (2) comprises a dialectical rule base unit (2-1) and an early warning unit (2-2), wherein the dialectical rule base unit (2-1) stores standardized dialectical standard parameters and a weighting algorithm of common symptoms of the chronic gastric diseases, and the early warning unit (2-2) gives early warning when the symptom score of a patient is abnormally increased.
4. The rehabilitation support system for chronic gastric diseases according to claim 3, wherein the early warning unit (2-2) performs recording in combination with a patient synchronous rehabilitation scheme based on symptom abnormality elevation early warning, and analyzes possible factors causing symptom abnormality.
5. The rehabilitation support system for chronic gastric diseases according to claim 4, wherein the pre-warning unit (2-2) sends out the pre-warning by the following steps: Recording the daily core symptom score and the contemporaneous rehabilitation scheme execution record of each patient to form a symptom and execution mapping data set; And (3) calculating the mean value and standard deviation of the symptom scores of each group under the same execution state, and constructing a normal distribution model of the symptom scores under the execution state.
6. The system according to claim 5, wherein the physician intervention module (6) is configured to implement a real-time docking of a physician to a patient and a dynamic adjustment of a rehabilitation regimen, the physician intervention module (6) comprising: The doctor-patient interaction unit (6-1) supports the patient to feed back questions to the resident doctor in the form of characters, pictures and voices, and the doctor provides solutions after checking relevant data of the patient through the doctor end, wherein the resident doctor needs to provide a record of the Chinese medical practice evidence; The scheme adjusting unit (6-2) is used for adjusting the rehabilitation scheme by a doctor according to the symptom change, the execution condition and the feedback information of the patient, and synchronizing the adjusted scheme to the patient end in real time, wherein the deviation rate of the curative effect is more than 20% after 2 weeks continuously, and the doctor intervention is automatically triggered. And the doctor guiding and recording unit (6-3) is used for storing guiding contents of a doctor on a patient, scheme adjustment basis and adjustment record to form a doctor intervention file.
7. The rehabilitation support system according to claim 6, characterized in that the personalized rehabilitation regimen generation module (3) comprises: the scheme template library unit (3-1) is used for storing standardized rehabilitation scheme templates of different types of chronic gastric diseases and comprises modules such as traditional Chinese medicine conditioning, diet therapy guidance, acupoint health care, lifestyle intervention and the like; the adjusting unit (3-2) is used for carrying out parameter adjustment on the standardized template by combining individual information of the patient and determining the dosage of the traditional Chinese medicine, diet therapy recipe, acupoint combination and exercise intensity; The proposal pushing unit (3-3) is used for pushing the generated personalized rehabilitation proposal to the patient end in the form of combining pictures, texts and videos, and marking the execution points and notice matters of each module.
8. The system according to claim 7, wherein the traditional Chinese medicine rehabilitation knowledge pushing module (7) is configured to push traditional Chinese medicine rehabilitation related knowledge to a patient, and the traditional Chinese medicine rehabilitation knowledge pushing module (7) includes: The knowledge database unit (7-1) is used for storing knowledge contents such as pathogenesis, syndrome type characteristics, diet therapy tabu, acupoint positioning and massaging methods, common rehabilitation error areas and the like of the traditional Chinese medicine for treating chronic gastric diseases; And the personalized pushing unit (7-2) is used for directionally pushing the related knowledge content according to the leading evidence of the patient and the common questions in the rehabilitation process, wherein the rehabilitation 1 st week pushing scheme is used for executing the key points, and the 4 th week pushing is used for nursing in the consolidation period. The multimedia display unit (7-3) is used for displaying the knowledge content in the form of image-text interpretation and video demonstration, so that the patient can intuitively understand and master the related knowledge.
9. The rehabilitation support system for chronic gastric diseases according to claim 8, wherein the tabu screening module (8) is used for checking whether patients have a history of allergy to traditional Chinese medicines and diet therapy food material tabu, such as adjusting diet therapy sugar for diabetics.

Description

Traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases Technical Field The invention relates to the field of chronic gastric diseases treatment, in particular to a traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases. Background Chronic gastric diseases are common chronic diseases of the digestive system, and comprise various types of chronic gastritis, peptic ulcer, functional dyspepsia and the like, the course of the chronic gastric diseases is prolonged and easy to repeatedly attack, and the clinical manifestations are epigastric pain, abdominal distension, eructation, acid regurgitation, inappetence and the like, so that the life quality of patients is seriously affected. At present, the clinical treatment of chronic gastropathy mainly adopts western medicine symptomatic treatment, and can quickly relieve symptoms, but the chronic gastropathy is easy to generate drug resistance, gastrointestinal tract dysbacteriosis and other side effects after long-term use, and the chronic gastropathy is difficult to fundamentally regulate spleen and stomach functions, improve physique and cause repeated illness. The traditional Chinese medicine considers that the core pathogenesis of the chronic gastric disease is weakness of spleen and stomach, imbalance of qi, damp turbidity and internal growth, blood stasis blockage and the like, emphasizes dialectical treatment and treats both principal and secondary aspect of disease, and radically improves spleen and stomach transportation and transformation functions, enhances organism vital qi and achieves the aim of long-term rehabilitation through comprehensive means such as traditional Chinese medicine conditioning, diet therapy guidance, acupoint health care and the like. However, the traditional Chinese medicine rehabilitation mode has the defects that firstly, the dialectical accuracy is insufficient, the dialectical typing of the chronic gastric disease is complex, the common patient is difficult to judge the dialectical disease by himself, the doctor resources of the traditional Chinese medicine in the basic medical institution are limited, dialectical deviation is easy to occur, the pertinence of the rehabilitation scheme is not strong, secondly, the traditional Chinese medicine rehabilitation is mostly general proposal, and the individual differences of the age, constitution, disease course, life habit and the like of the patient are not fully combined, so that the scheme execution effect is not good. Therefore, we propose a traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases, which can solve the problems. Disclosure of Invention The invention aims to overcome the defects of the prior art, adapt to the actual needs, provide a traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases, integrate the dialectical theory of traditional Chinese medicine and formulate a personalized rehabilitation scheme. In order to achieve the aim of the invention, the technical scheme adopted by the invention is to design a traditional Chinese medicine rehabilitation support system suitable for chronic gastric diseases, which comprises the following steps: S1, collecting and evaluating dialectical information of a traditional Chinese medicine, namely determining relevant core information of a patient by adopting a dialectical evaluation module of the traditional Chinese medicine and adopting a multi-aspect information fusion method, acquiring multi-aspect scores required by dialectical of the patient by combining a traditional Chinese medicine quality scale, a symptom score scale and a lifestyle questionnaire, and acquiring the multi-aspect scores through the following steps: s1.1, filling in a traditional Chinese medicine constitution scale by a patient, and obtaining constitution type scores, wherein the constitution type scores comprise corresponding scores of nine constitution types including mild constitution, qi deficiency constitution, yang deficiency constitution, yin deficiency constitution, phlegm dampness constitution and the like; S1.2, filling a symptom score scale for the core symptoms of the chronic gastric diseases, and recording the performance degree, frequency and duration scores of each symptom to obtain symptom scores; S1.3, filling in a lifestyle questionnaire by a patient, obtaining related scores such as diet structure, feeding rule, rest condition, exercise habit, emotion state and the like, and obtaining a lifestyle score; S1.4, uploading past medical history information and auxiliary examination data by a patient, and giving corresponding weight scores by a system to obtain medical history and examination scores; s1.5, obtaining comprehensive dialectical scores of patients, wherein the comprehensive dialectical scores are constitution type scores, symptom scores, lifestyle scores, medical hist