CN101548876A - Serious preeclampsia/eclampsia illness state evaluation system - Google Patents
Serious preeclampsia/eclampsia illness state evaluation system Download PDFInfo
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- CN101548876A CN101548876A CNA2008100271807A CN200810027180A CN101548876A CN 101548876 A CN101548876 A CN 101548876A CN A2008100271807 A CNA2008100271807 A CN A2008100271807A CN 200810027180 A CN200810027180 A CN 200810027180A CN 101548876 A CN101548876 A CN 101548876A
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Abstract
The invention discloses a serious preeclampsia/eclampsia illness state evaluation system which comprises an input end, an output end and a data processing module. Firstly, the measured heart rate, the blood pressure, the body temperature, the breathing rate, the pH, the oxygen partial pressure, the oxygenation, the sodium ion concentration, the hematokrit, the white cell count, the platelet count, the fibrinogen, the blood liver enzyme, the albumin, the bilirubin, the creatinine, the blood uric acid and an age scoring and nervous system scoring data input end of a patient are input to the serious preeclampsia/eclampsia illness state evaluation system; then the data processing module works out death risk factor; and finally, the output end directly reflects results of the patient and expert suggestions. The invention can quantificationally evaluate the illness state critical degree of a serious preeclampsia/eclampsia patient, dynamically evaluate the serious preeclampsia/eclampsia of the patient, predict death risks and provide clinical processing reference proposals and is beneficial to enhance the consistency and the comparability of a selected contrast and a clinical case, thereby lowering the mortality rate of newborn babies and pregnant women.
Description
Technical field
The invention belongs to medical science and information intelligent field, be specifically related to a kind ofly reflect patient's physiological status result automatically, and patient provided the method for related advisory by computer.
Background technology
Critical illness state of an illness evaluating system is the pith in the serious symptom medical science, be weighting or assignment such as some cardinal symptoms, sign and physiological parameter according to the patient, thereby the order of severity of quantitatively evaluating critical illness is made accurate judgement and a kind of objective, the easy and practical methods of marking that produces to patient's prognosis.The exploration that the critical patient degree that is in a bad way is assessed began from the seventies, existing clinically at present more than 30 kind of critical illness be in a bad way degree and prognosis evaluation method, (acute physiology and chronic health evaluation, APACHE) marking system is the most widely used general most important a kind of marking system of intensive care unit(ICU) to the chronic health status of wherein acute physiology.
The ICU marking system that the most generally adopts in the world is the APACHE system at present.APACHE、1981APACHE?II、1985APACHE?III、1991APACHEIV、2002-developed?by?ICU?research?unit，George?WashingtonUniversity?Medical?center
The APACHE marking system is used a small amount of report both at home and abroad in obstetrics and is shown that APACHE II marking system judgement obstetrics' critical patient state of an illness severe degree and mortality risk have certain value, but because of pregnant and lying-in women's trimester of pregnancy special physiological changes, the distinctive pathological change of serious preeclampsia/eclamposia--the arteriolar spasm of whole body, unusual and the systematic disorder of other whole bodies of the heart, liver, kidney, brain function, even multiple organ dysfunction/depletion, make it that certain limitation be arranged when this disease of assessment.
Serious preeclampsia/eclamposia is a peculiar disease of trimester of pregnancy, sickness rate is about 5-10%, it is the one of the main reasons that pregnant and lying-in women and perinatal mortality rate increase, termination of pregnancy is the unique channel of treatment, the state of an illness assessment of serious preeclampsia/eclamptic patients is of crucial importance for Clinical Processing, is decision termination of pregnancy or the standard that continues the expectation treatment.And mainly rely on clinically patient's symptom, sign and scattered lab index are carried out analytical judgment, effect depends on that different hospitals are through controlling clinical obstetrist's qualifications and record of service, handling the experience of associated patient and the judgement of agility thereof, and there is obvious individual variation in these abilities in clinical obstetrician, so the be in a bad way judgement of degree easily exists subjectivity, face, locality partially to serious preeclampsia/eclamptic patients, cause the error of clinical processing or incorrect thus easily.Therefore, be necessary to set up the distinctive state of an illness evaluating system of serious preeclampsia/eclamptic patients.
Summary of the invention
At above deficiency, the present invention proposes a kind of serious preeclampsia/eclampsia illness state evaluation system, by quantizing the state of an illness severe degree of assess patient, make that the be in a bad way judgement of degree has more objectivity, comprehensive, systematicness and preciseness to serious preeclampsia/eclamptic patients, thereby help the accurate instruction Clinical Processing, obtain good female youngster's final result.It comprises an input, an outfan and a data processing module.At first the data of physiological index that patient is recorded is imported this system by input, wherein the physical signs variable of input input comprises heart rate, blood pressure, body temperature, respiratory frequency, PH, partial pressure of oxygen, oxygenate, Na ion concentration, potassium concentration, packed cell volume, numeration of leukocyte, platelet count, Fibrinogen, blood liver enzyme, albumin, bilirubin, creatinine, blood uric acid, age scoring and nervous system scoring, and wherein systolic pressure and diastolic pressure are chosen higher one of score value in the blood pressure; Be responsible for handling the physiologic variables of input again by data processing module, obtain mortality risk coefficient Y; The result that last outfan is handled data processing module is presented in face of the user.
Wherein, the data that obtain by the coherent detection instrument detecting in hospital for patient of the data of input input.
The step of data processing module deal with data comprises: 1) physiologic variables with input is converted to unified data type, i.e. integer type; 2) score value of all physiologic variables is added up obtain overall score X; 3) utilize formula log eY/ (1-Y)=-6.664+0.313*X obtains the value of mortality risk coefficient Y; 4) value according to Y accesses corresponding advisory information from the expert advice data base, and the result is passed to outfan.
Beneficial effect of the present invention is: but this system's quantitative evaluation serious preeclampsia/eclamptic patients state of an illness severe degree; Serious preeclampsia/eclamptic patients according to this system quantifies gives the Clinical Processing reference proposition; The dynamic state of an illness severe degree of assess patient and predict mortality risk; Application by this system can reduce incorrect to the assessment of state of an illness severe degree that causes because of the clinical experience deficiency; Application by this system can reduce because the incorrect Clinical Processing that causes of serious preeclampsia/eclamptic patients state of an illness severe degree assessment is incured loss through delay; Choose the concordance and the comparability of contrast and case when helping improving clinical research; Reduce and enclose newborn baby and maternal mortality rate.
Description of drawings
Fig. 1 is the serious preeclampsia/eclampsia illness state evaluation system sketch map.
The specific embodiment
Below in conjunction with accompanying drawing the present invention is further set forth.
As shown in Figure 1, serious preeclampsia/eclampsia illness state evaluation system comprises an input, an outfan and a data processing module.Wherein input can adopt any one realizations such as keyboard, voice read in, touch screen; Outfan can adopt display screen, printer or two modes that combine to realize; And data processing module it at first must finish physiologic variables definition database and expert advice data base's foundation.Finish processing by calling these two data bases again to data.
The process of setting up of serious preeclampsia/eclampsia illness state evaluation system comprises:
1) selection of physiologic variables
Newly-established serious preeclampsia/eclamposia marking system is based on the APACHE marking system, according to trimester of pregnancy physiological change and the clinical characters of serious preeclampsia disease selected 21 physiologic variables to assess the degree that is in a bad way of such disease, 20 physiologic variables check that the index composition comprises: heart rate, blood pressure, body temperature, respiratory frequency, PH, partial pressure of oxygen, oxygenate, Na ion concentration, potassium concentration, packed cell volume, numeration of leukocyte, platelet count, Fibrinogen, blood liver enzyme, albumin, bilirubin, creatinine, blood uric acid, age scoring and nervous system scoring, wherein systolic pressure and diastolic pressure are chosen higher one of score value in the blood pressure, according to the variation of above index, give different score value (total points 81 minutes).
2) variable assignments (physiologic variables definition database)
Newly-established marking system is based on the APACHE marking system, according to trimester of pregnancy physiological change and the clinical characters choice variable of serious preeclampsia disease, carries out the parameter assignment with reference to international pregnancy period physiological parameter range of normal value.Serious preeclampsia-eclamposia marking system (pre-e marking system) sees Table 1.
3) the antenatal patient's of serious preeclampsia-eclamposia assessment preliminary judgement (expert advice data base)
(1) serious preeclampsia-eclamptic patients 3 timesharing should consider to change the place of examination tertiary hospitals treatment of marking;
(2) serious preeclampsia-5 fens organ dysfunction incidence rates of eclamptic patients scoring obviously increase, should consider with mother's reason termination of pregnancy row organ Supporting Therapy;
(3) 11 fens multiple organ dysfunctions of serious preeclampsia-eclamptic patients scoring even depleted incidence rate will obviously increase, and should consider to change the capable life of center ICU Supporting Therapy.
This part can be looked concrete condition, and to carry out refinement more perfect, is not limited thereto.
The workflow of serious preeclampsia/eclampsia illness state evaluation system is:
1) user (patient) will import this system at the detected record data of hospital by input;
2) data processing module of system at first is converted to unified score value type data by calling the physiologic variables definition database with patient's record data;
3) obtain the overall score of all input physiologic variables, utilize formula log eY/ (1-Y)=-6.664+0.313*X, obtain the value of mortality risk coefficient Y;
4) value according to risk factor Y accesses corresponding expert advice from the expert advice data base, and relevant information is passed to outfan;
5) by outfan reality final result.
Claims (4)
1, serious preeclampsia/eclampsia illness state evaluation system, it comprises an input, an outfan and a data processing module, it is characterized in that, the physical signs variable of described input input comprises heart rate, blood pressure, body temperature, respiratory frequency, PH, partial pressure of oxygen, oxygenate, Na ion concentration, potassium concentration, packed cell volume, numeration of leukocyte, platelet count, Fibrinogen, blood liver enzyme, albumin, bilirubin, creatinine, blood uric acid, age scoring and nervous system scoring, described data processing module is responsible for handling the physiologic variables of input, obtain mortality risk coefficient Y, the result that described outfan is handled data processing module is presented in face of the user.
2, serious preeclampsia/eclampsia illness state evaluation system according to claim 1 is characterized in that, systolic pressure and diastolic pressure are chosen higher one of score value in the blood pressure of described input.
3, serious preeclampsia/eclampsia illness state evaluation system according to claim 1, it is characterized in that, the data of described input input are the general data type that each corresponding detecting instrument detects, and are converted into uniform integer type by the data processing module unification.
4, serious preeclampsia/eclampsia illness state evaluation system according to claim 1 is characterized in that, the step of described data processing module deal with data comprises: 1) physiologic variables with input is converted to unified data type; 2) score value of all physiologic variables is added up obtain overall score X; 3) utilize formula log eY/ (1-Y)=-6.664+0.313*X obtains the value of mortality risk coefficient Y; 4) value according to Y accesses corresponding advisory information from the expert advice data base, and the result is passed to outfan.
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105231994A (en) * | 2015-09-29 | 2016-01-13 | 付乃宽 | Device for evaluating contrast-induced acute kidney injury after coronary interventional therapy |
| CN105574337A (en) * | 2015-12-16 | 2016-05-11 | 上海亿保健康管理有限公司 | Health evaluation device |
| CN106108857A (en) * | 2016-08-23 | 2016-11-16 | 王伏声 | Diabetic foot classification of severity evaluates system |
| CN107292472A (en) * | 2016-04-11 | 2017-10-24 | 江苏奥迈生物科技有限公司 | Mycotoxins in feed solution assessment system |
| CN109524124A (en) * | 2018-10-22 | 2019-03-26 | 深医信息技术(深圳)有限公司 | Severe points-scoring system |
| CN112669965A (en) * | 2019-10-16 | 2021-04-16 | 四川大学华西医院 | Sepsis prognosis evaluating system |
| CN113100716A (en) * | 2021-04-16 | 2021-07-13 | 东南大学附属中大医院 | A patient centralized monitoring method, device, electronic device and storage medium |
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2008
- 2008-04-02 CN CNA2008100271807A patent/CN101548876A/en active Pending
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105231994A (en) * | 2015-09-29 | 2016-01-13 | 付乃宽 | Device for evaluating contrast-induced acute kidney injury after coronary interventional therapy |
| CN105574337A (en) * | 2015-12-16 | 2016-05-11 | 上海亿保健康管理有限公司 | Health evaluation device |
| CN107292472A (en) * | 2016-04-11 | 2017-10-24 | 江苏奥迈生物科技有限公司 | Mycotoxins in feed solution assessment system |
| CN106108857A (en) * | 2016-08-23 | 2016-11-16 | 王伏声 | Diabetic foot classification of severity evaluates system |
| CN109524124A (en) * | 2018-10-22 | 2019-03-26 | 深医信息技术(深圳)有限公司 | Severe points-scoring system |
| CN112669965A (en) * | 2019-10-16 | 2021-04-16 | 四川大学华西医院 | Sepsis prognosis evaluating system |
| CN113100716A (en) * | 2021-04-16 | 2021-07-13 | 东南大学附属中大医院 | A patient centralized monitoring method, device, electronic device and storage medium |
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Application publication date: 20091007 |