Intelligent calculation engine system and calculation method for nutrition formula of severe patient
阅读说明：本技术 重症患者的营养配方智能计算引擎系统及计算方法 (Intelligent calculation engine system and calculation method for nutrition formula of severe patient ) 是由 胡芳俣 李兰 张玉战 于 2021-08-24 设计创作，主要内容包括：本发明揭示了一种重症患者的营养配方智能计算引擎系统及计算方法,所述重症患者的营养配方智能计算引擎系统包括：患者数据库、目标热卡模块、营养风险评估模块、营养成分模块、医嘱营养匹配模块、营养摄入总值模块及营养对比模块。本发明提出的重症患者的营养配方智能计算引擎系统及计算方法,通过智能计算目标热卡、实际总热卡,解决营养配方计算的复杂性问题,且以可视化图表直观对比实际与目标差距,提高危重症患者的营养支持治疗质量。(The invention discloses an intelligent calculation engine system and a calculation method for a nutritional formula of a critically ill patient, wherein the intelligent calculation engine system for the nutritional formula of the critically ill patient comprises the following components: the system comprises a patient database, a target hot card module, a nutrition risk evaluation module, a nutritional ingredient module, a medical advice nutrition matching module, a total nutrient intake value module and a nutrition comparison module. According to the intelligent calculation engine system and the calculation method for the nutritional formula of the critically ill patients, the problem of complexity of calculation of the nutritional formula is solved by intelligently calculating the target heat card and the actual total heat card, the actual difference and the target difference are visually compared by using the visual chart, and the nutritional support treatment quality of the critically ill patients is improved.)
1. An intelligent calculation engine system for a nutritional formula of a critically ill patient, the intelligent calculation engine system comprising:
the patient database is used for storing basic information of the patient, including the data of the sex, the age, the height and the weight of the patient;
the target thermal card module is connected with the patient database and used for measuring and estimating the heat consumption required by the critically ill patient by applying a related calculation formula according to the basic information of the patient acquired from the patient database; the method comprises the steps of intelligently calculating BMI, IBW and ABW data by using a weighing machine algorithm, calculating energy consumption during rest by using a Harris-Benedic formula, and calculating a target heat card of a patient by using a target heat card formula;
the nutrition risk assessment module is used for assessing nutrition risks of the critically ill patients, so that individualized nutrition support treatment is implemented, and the nutrition state and prognosis of the critically ill patients are improved; the Nutric nutrition score is supported, which patients can benefit from nutrition treatment to the maximum extent is analyzed for a user, and the treatment quality is improved, so that objective judgment on prognosis and outcome of the patients is realized;
the nutrition component module is connected with the nutrition risk assessment module and used for formulating an individualized nutrition support scheme according to the assessment result obtained by the nutrition risk assessment module; the nutrient component module comprises formulas of various nutrient preparations and is used for automatically splitting the proportion of sugar, nitrogen, fat and amino acid in the formulas and intelligently calculating protein heat cards and non-protein heat cards required by patients;
the medical advice nutrition matching module is connected with the nutrition risk assessment module and used for formulating an individualized nutrition support scheme according to the assessment result obtained by the nutrition risk assessment module; the medical advice nutrition matching module intelligently summarizes the total value of the nutrition intake index converted from the medical advice execution amount in the single day according to the total amount of the medical advice information and the total value of the actual execution amount related to the nutrition items in the statistical team;
the nutrition intake total value module is connected with the nutrition component module and the medical advice nutrition matching module and used for acquiring a total calorie extracted by the nutrition component module and a nutrition intake total value extracted by the medical advice nutrition matching module and calculating the actual nutrition intake total value of the current patient;
and the nutrition comparison module is used for comparing the target heat card of the patient acquired by the target heat card module with the actual total nutrient intake value of the patient of the total nutrient intake value module, and visually displaying the actual and target differences by using a chart.
2. The critical patient nutritional formula intelligent calculation engine system according to claim 1, wherein:
the patient database is further configured to maintain a nutritional composition dictionary, a nutritional reference value dictionary, and an order nutritional matching dictionary.
3. The critical patient nutritional formula intelligent calculation engine system according to claim 1, wherein:
the target hot card module acquires parameter values required by calculation from a patient database and automatically generates related values; the user maintains and adjusts the parameter value by clicking, and the system automatically calculates the target thermal card of the patient according to a Harris-Benedict formula;
the harris-benedict formula is:
female: BEE ═ 655+9.6W + 1.8H-4.7A;
male: BEE ═ 66+13.7W + 5.0H-6.8A.
Wherein W is body weight (kg); h is height (cm); a is age (year of age).
4. The critical patient nutritional formula intelligent calculation engine system according to claim 1, wherein:
the nutritional risk assessment module is further configured to maintain a simple gastrointestinal function score, a nutritional risk score NRS-2002, an APACHE II score, and a SOFA score.
5. The critical patient nutritional formula intelligent calculation engine system according to claim 1, wherein:
the nutrient module is also used to maintain nutrient energy supply ratios required for enteral and parenteral nutrition.
6. The critical patient nutritional formula intelligent calculation engine system according to claim 1, wherein:
the medical advice nutrition matching module is further used for maintaining medical advice contents and nutritional ingredients required by medical advice nutrition;
the user summarizes the medical advice actually executed yesterday to the formula, or/and selects part of the medical advice to be summarized to the formula, so that repeated operation of the user is reduced.
7. The critical patient nutritional formula intelligent calculation engine system according to claim 1, wherein:
the total nutrient intake value module is used for combining the medical advice formula summarized by the medical advice nutrient matching module with the enteral nutrition or parenteral nutrition obtained by the nutrient component module to generate a nutrient formula;
when the user selects the required enteral nutrition or parenteral nutrition according to the state of illness of the patient, the system can split the protein calorie, the non-protein calorie, the nitrogen, the sugar, the fat and the amino acid according to the name, and automatically generate the total calorie corresponding to the enteral nutrition or the parenteral nutrition.
8. The critical patient nutritional formula intelligent calculation engine system according to claim 1, wherein:
the nutrition comparison module compares the total calorie obtained by the nutrition intake total value module with the target calorie calculated by the target calorie module, visually compares the target calorie with the actual calorie by using a column diagram mode, and also comprises a comparison diagram of a protein calorie, a non-protein calorie, a sugar calorie and a fat calorie;
the user compares and adjusts the target heat card required by the critically ill patient with the actual heat card, and the adjustment method is to make the actual heat card equal to the target heat card by adjusting the total heat card generated by medical advice, enteral nutrition and parenteral nutrition, so as to finally obtain the nutritional formula required by the critically ill patient.
9. An intelligent calculation method for a nutritional formula of a critically ill patient, which is characterized by comprising the following steps:
a patient database step, loading basic information of the patient, including data of sex, age, height and weight of the patient;
and in the target hot card step, a user can maintain and adjust parameter values in a click mode, and the system is based on a Harris-Benedict formula. Female: BEE ═ 655+9.6W + 1.8H-4.7A; male: BEE ═ 66+13.7W + 5.0H-6.8A. Automatically calculating a target thermal card of the patient;
a nutrition risk evaluation step, which supports a classification table such as Nutric nutrition score and the like to analyze for a user which patients can benefit from nutrition treatment to the maximum extent, and improves the treatment quality, thereby realizing objective judgment on prognosis and outcome of the patients;
a nutrient component step, wherein a user can maintain formulas and formula components of various nutrient preparations and can select required enteral nutrition and parenteral nutrition according to a target caloric required by a patient;
the medical advice nutrition matching step is that a user summarizes the medical advice actually executed yesterday to the formula, or/and selects part of the medical advice to be summarized to the formula, so that repeated operation is reduced;
a total nutrient intake value step, in which the user combines the medical advice formula summarized by the medical advice nutrient matching module with the enteral nutrition or parenteral nutrition obtained by the nutrient component module to generate a nutrient formula; when the user selects the required enteral nutrition or parenteral nutrition according to the state of illness of the patient, the system can split the protein calorie, the non-protein calorie, the nitrogen, the sugar, the fat and the amino acid according to the name, and automatically generate the total calorie corresponding to the enteral nutrition or the parenteral nutrition;
and a nutrition comparison step, wherein the user compares and adjusts the actual thermal card according to the target thermal card required by the critically ill patient, so that the actual thermal card is equal to the target thermal card, and finally, a nutrition formula meeting the requirements of the critically ill patient is obtained.
Technical Field
The invention belongs to the field of computer computing, relates to an intelligent calculation engine system for a nutritional formula, and particularly relates to an intelligent calculation engine system for a nutritional formula of a severe patient; meanwhile, the invention also relates to an intelligent calculation method for the nutritional formula of the critically ill patient.
Background
Critical patients in the ICU are at a widespread risk of malnutrition. The results of the survey showed that the incidence of malnutrition in Intensive Care Units (ICU) was 38% to 78%. However, at present, no sign or serology index is used as a 'gold index' for judging malnutrition. However, proper nutritional formula configuration may avoid problems with critical patient malnutrition leading to morbidity or mortality. Therefore, an individualized nutrition prescription calculation engine facing critically ill patients should be provided in the market to reduce the workload of medical staff and reduce the morbidity and mortality of critically ill patients.
Currently, most nutrition systems on the market mainly solve the following three problems:
one is to calculate the nutritional prescription for a single disease species, such as gestational diabetes, hypertension. By collecting the disease information of the user, the nutrition personalized guidance is provided according to the evaluation of the nutrition condition of the current user. Because the etiology of a patient is complicated and complicated, the treatment limitation of a single disease species is large, the prior art cannot flexibly configure a nutrition prescription aiming at different disease species, and has limitation;
and secondly, nutrition support is carried out aiming at a single path. And calculating to generate an individual nutritional diet corresponding to individual dietary preference according to the edible calorie value and the required various nutrient values in the nutritional diet. In the prior art, a nutrition intake channel is mainly obtained through food, but not all patients can obtain nutrition through food, and for severe patients who have malnutrition and cannot provide nutrition through a gastrointestinal tract, if effective nutrition treatment is not given, the death risk of the patients is possibly increased, and sufficient heat and reasonable composition ratio are the guarantee of effective nutrition;
and thirdly, calculating the nutrition prescription aiming at the single function. In the prior art, the data processing and analyzing function of a Microsoft excel table is utilized, and a nutrition calculator is made to output an analysis result by combining nutrition knowledge, so that the workload of doctors is simplified to a certain extent, but a nutrition scheme is not invariable and needs to be gradually adjusted and improved according to various aspects such as tolerance of patients. Assessment and monitoring in therapy is therefore also an important part of nutritional therapy.
In view of the above, there is an urgent need to design a new calculation method for a nutritional formula of critically ill patients, so as to overcome the above-mentioned defects of the existing calculation method for the nutritional formula.
Disclosure of Invention
The invention provides an intelligent calculation engine system and a calculation method for a nutritional formula of a severe patient, which can visually display actual and target differences by using a chart.
In order to solve the technical problem, according to one aspect of the present invention, the following technical solutions are adopted:
a nutritional formula intelligent calculation engine system for critically ill patients, the nutritional formula intelligent calculation engine system comprising:
the patient database is used for storing basic information of the patient, including the data of the sex, the age, the height and the weight of the patient;
the target thermal card module is connected with the patient database and used for measuring and estimating the heat consumption required by the critically ill patient by applying a related calculation formula according to the basic information of the patient acquired from the patient database; the method comprises the steps of intelligently calculating BMI, IBW and ABW data by using a weighing machine algorithm, calculating energy consumption during rest by using a Harris-Benedic formula, and calculating a target heat card of a patient by using a target heat card formula;
the nutrition risk assessment module is used for assessing nutrition risks of the critically ill patients, so that individualized nutrition support treatment is implemented, and the nutrition state and prognosis of the critically ill patients are improved; the Nutric nutrition score is supported, which patients can benefit from nutrition treatment to the maximum extent is analyzed for a user, and the treatment quality is improved, so that objective judgment on prognosis and outcome of the patients is realized;
the nutrition component module is connected with the nutrition risk assessment module and used for formulating an individualized nutrition support scheme according to the assessment result obtained by the nutrition risk assessment module; the nutrient component module comprises formulas of various nutrient preparations and is used for automatically splitting the proportion of sugar, nitrogen, fat and amino acid in the formulas and intelligently calculating protein heat cards and non-protein heat cards required by patients;
the medical advice nutrition matching module is connected with the nutrition risk assessment module and used for formulating an individualized nutrition support scheme according to the assessment result obtained by the nutrition risk assessment module; the medical advice nutrition matching module intelligently summarizes the total value of the nutrition intake index converted from the medical advice execution amount in the single day according to the total amount of the medical advice information and the total value of the actual execution amount related to the nutrition items in the statistical team;
the nutrition intake total value module is connected with the nutrition component module and the medical advice nutrition matching module and used for acquiring a total calorie extracted by the nutrition component module and a nutrition intake total value extracted by the medical advice nutrition matching module and calculating the actual nutrition intake total value of the current patient;
and the nutrition comparison module is used for comparing the target heat card of the patient acquired by the target heat card module with the actual total nutrient intake value of the patient of the total nutrient intake value module, and visually displaying the actual and target differences by using a chart.
As an embodiment of the invention, the patient database is further used for maintaining a nutritional component dictionary, a nutrition reference value dictionary and a doctor's order nutrition matching dictionary.
As an embodiment of the present invention, the target thermal card module obtains parameter values required for calculation from a patient database, and automatically generates related values; the user maintains and adjusts the parameter value by clicking, and the system automatically calculates the target thermal card of the patient according to a Harris-Benedict formula;
the harris-benedict formula is:
female: BEE ═ 655+9.6W + 1.8H-4.7A;
male: BEE ═ 66+13.7W + 5.0H-6.8A.
Wherein W is body weight (kg); h is height (cm); a is age (year of age).
As an embodiment of the invention, the nutrition risk assessment module is also used for maintaining a simple gastrointestinal function score, a nutrition risk score NRS-2002, an APACHE II score and a SOFA score.
As an embodiment of the invention, the nutrient composition module is connected to the nutrient risk assessment module and is further configured to maintain the nutrient energy supply ratio required for enteral and parenteral nutrition.
As an embodiment of the invention, the medical order nutrition matching module is connected with the nutrition risk assessment module and is further used for maintaining medical order contents and nutritional ingredients required by medical order nutrition;
the user summarizes the medical advice actually executed yesterday to the formula, or/and selects part of the medical advice to be summarized to the formula, so that repeated operation of the user is reduced.
As an embodiment of the present invention, the total nutrient intake value module is configured to combine the medical prescription formula summarized by the medical prescription nutrient matching module with the enteral nutrition or parenteral nutrition obtained by the nutrient composition module to generate a nutrient formula;
when the user selects the required enteral nutrition or parenteral nutrition according to the state of illness of the patient, the system can split the protein calorie, the non-protein calorie, the nitrogen, the sugar, the fat and the amino acid according to the name, and automatically generate the total calorie corresponding to the enteral nutrition or the parenteral nutrition.
As an embodiment of the present invention, the nutrition comparison module compares the total calorie obtained by the nutrition intake total value module with the target calorie calculated by the target calorie module, and visually compares the target calorie with the actual calorie by using a bar chart, and further includes a comparison chart of a protein calorie, a non-protein calorie, a sugar calorie, and a fat calorie;
the user compares and adjusts the target heat card required by the critically ill patient with the actual heat card, and the adjustment method is to make the actual heat card equal to the target heat card by adjusting the total heat card generated by medical advice, enteral nutrition and parenteral nutrition, so as to finally obtain the nutritional formula required by the critically ill patient.
According to another aspect of the invention, the following technical scheme is adopted: an intelligent calculation method for a nutritional formula of a critically ill patient, comprising the following steps:
a patient database step, loading basic information of the patient, including data of sex, age, height and weight of the patient;
and in the target hot card step, a user can maintain and adjust parameter values in a click mode, and the system is based on a Harris-Benedict formula. Female: BEE ═ 655+9.6W + 1.8H-4.7A; male: BEE ═ 66+13.7W + 5.0H-6.8A. Automatically calculating a target thermal card of the patient;
a nutrition risk evaluation step, which supports a classification table such as Nutric nutrition score and the like to analyze for a user which patients can benefit from nutrition treatment to the maximum extent, and improves the treatment quality, thereby realizing objective judgment on prognosis and outcome of the patients;
a nutrient component step, wherein a user can maintain formulas and formula components of various nutrient preparations and can select required enteral nutrition and parenteral nutrition according to a target caloric required by a patient;
the medical advice nutrition matching step is that a user summarizes the medical advice actually executed yesterday to the formula, or/and selects part of the medical advice to be summarized to the formula, so that repeated operation is reduced;
a total nutrient intake value step, in which the user combines the medical advice formula summarized by the medical advice nutrient matching module with the enteral nutrition or parenteral nutrition obtained by the nutrient component module to generate a nutrient formula; when the user selects the required enteral nutrition or parenteral nutrition according to the state of illness of the patient, the system can split the protein calorie, the non-protein calorie, the nitrogen, the sugar, the fat and the amino acid according to the name, and automatically generate the total calorie corresponding to the enteral nutrition or the parenteral nutrition;
and a nutrition comparison step, wherein the user compares and adjusts the actual thermal card according to the target thermal card required by the critically ill patient, so that the actual thermal card is equal to the target thermal card, and finally, a nutrition formula meeting the requirements of the critically ill patient is obtained.
The invention has the beneficial effects that: the intelligent calculation engine system and the calculation method for the nutrition formula of the critically ill patient, provided by the invention, can comprehensively optimize the working process of medical staff, improve the working efficiency of the medical staff, better deal with individualized nutrition prescription establishment of the critically ill patient, release the medical staff from a large amount of original non-technical work and serve more energy for the patient.
The invention has the following advantages:
(1) is suitable for multidisciplinary prescription calculation. The ICU diagnosis and treatment data are deeply mined and scientifically analyzed, various medical information such as basic information, inspection indexes and nutrition assessment of the patient are fused in multiple angles, diagnosis and treatment prescription basis of the patient is provided, the patient is better served, and doctors are assisted to adopt individualized nutrition prescription calculation according to the illness states of different patients;
(2) is suitable for multi-path prescription calculation. The invention solves the problem that when part of patients can not obtain or take insufficient diet, the nutrients necessary for human bodies can be maintained only by means of enteral and parenteral supplement. Providing simple gastrointestinal function scores, Nutric nutrition scores and APECHE-II scores, and realizing the disease judgment of the ICU patient, thereby objectively judging the prognosis and the outcome of the patient;
(3) is suitable for multifunctional prescription calculation. According to the method, the actual energy consumption REE is automatically calculated and generated by deeply mining the diagnosis and treatment data of the ICU patient; providing an advice assisting function and helping a clinician to input individualized nutrient proportion according to multi-angle reference such as inspection indexes, nutrition assessment and the like; the real energy consumption REE is compared with the set individualized nutrition prescription, the difference value between the real energy consumption REE and the set individualized nutrition prescription is judged and displayed in a graphical mode, and a doctor is assisted to flexibly configure the nutrition prescription, so that the single-function nutrition prescription is not only used for solving the single clinical problem.
Drawings
FIG. 1 is a schematic diagram of the intelligent calculation engine system for nutritional formula according to an embodiment of the present invention.
Fig. 2 is a flowchart of an intelligent calculation method for nutritional formulas according to an embodiment of the present invention.
Detailed Description
Preferred embodiments of the present invention will be described in detail below with reference to the accompanying drawings.
For a further understanding of the invention, reference will now be made to the preferred embodiments of the invention by way of example, and it is to be understood that the description is intended to further illustrate features and advantages of the invention, and not to limit the scope of the claims.
The description in this section is for several exemplary embodiments only, and the present invention is not limited only to the scope of the embodiments described. It is within the scope of the present disclosure and protection that the same or similar prior art means and some features of the embodiments may be interchanged.
The steps in the embodiments in the specification are only expressed for convenience of description, and the implementation manner of the present application is not limited by the order of implementation of the steps. The term "connected" in the specification includes both direct connection and indirect connection.
The invention discloses an intelligent calculation engine system for a nutritional formula of a critically ill patient, and fig. 1 is a schematic composition diagram of the intelligent calculation engine system for the nutritional formula in an embodiment of the invention; referring to fig. 1, the nutritional formula intelligent computing engine system includes: a patient database 10, a target thermal card module 20, a nutritional risk assessment module 30, a nutritional composition module 40, an order nutrition matching module 50, a total nutrient intake value module 60, and a nutrition comparison module 70.
The patient database 10 is used to store basic information of patients, including patient sex, age, height, weight data, etc. In an embodiment of the present invention, the patient database 10 is further configured to maintain a nutritional component dictionary, a nutritional reference value dictionary, and a medical order nutrition matching dictionary.
The target thermal card module 20 is connected with the patient database 10 and used for measuring and estimating the heat consumption required by the critically ill patient by applying a relevant calculation formula according to the basic information of the patient acquired from the patient database 10; the method comprises the steps of intelligently calculating BMI, IBW and ABW data by using a weighing machine algorithm, calculating energy consumption during rest by using a Harris-Benedic formula, and calculating a target heat card of a patient by using a target heat card formula.
In an embodiment of the present invention, the target thermal card module 20 obtains parameter values required for calculation from a patient database, and automatically generates related values; the user maintains and adjusts the parameter value by clicking, and the system automatically calculates the target thermal card of the patient according to a Harris-Benedict formula; the harris-benedict formula is: female: BEE ═ 655+9.6W + 1.8H-4.7A; male: BEE ═ 66+13.7W + 5.0H-6.8A. Wherein W is body weight (kg); h is height (cm); a is age (year of age).
The nutrition risk assessment module 30 is used for assessing nutrition risks of critically ill patients, so as to implement individualized nutrition support treatment and improve the nutrition state and prognosis of critically ill patients; the Nutric nutrition score is supported, which patients can benefit from nutrition treatment to the maximum degree by analyzing the user, and the treatment quality is improved, so that objective judgment on prognosis and outcome of the patients is realized.
In one embodiment of the present invention, the nutritional risk assessment module 30 is further configured to maintain a simplified gastrointestinal function score, a nutritional risk score NRS-2002, an APACHE II score, and a SOFA score.
The nutritional component module 40 is connected with the nutritional risk assessment module 30 and used for formulating an individualized nutritional support scheme according to the assessment result obtained in the nutritional risk assessment module 30; the nutrient component module 40 comprises formulas of various nutrient preparations for automatically splitting the proportion of sugar, nitrogen, fat and amino acid in the formulas and intelligently calculating protein heat cards and non-protein heat cards required by patients.
In one embodiment of the present invention, the nutrient module 40 is also used to maintain the nutrient energy supply ratio required for enteral and parenteral nutrition.
The medical order nutrition matching module 50 is connected with the nutrition risk assessment module 30 and used for formulating an individualized nutrition support scheme according to the assessment result obtained in the nutrition risk assessment module 30; and the medical advice nutrition matching module intelligently summarizes the total value of the nutrition intake index converted from the medical advice execution amount in the single day according to the total amount of the medical advice information and the total value of the actual execution amount related to the nutrition items in the statistical team.
In an embodiment of the present invention, the order nutrition matching module 50 is further configured to maintain order contents and nutrition components required for order nutrition; the user summarizes the medical advice actually executed yesterday to the formula, or/and selects part of the medical advice to be summarized to the formula, so that repeated operation of the user is reduced.
The total nutrient intake value module 60 is connected with the nutrient component module 40 and the medical order nutrient matching module 50, and is used for acquiring the total caloric index extracted by the nutrient component module and the total nutrient intake value extracted by the medical order nutrient matching module, and calculating the actual total nutrient intake value of the current patient.
In one embodiment of the present invention, the total nutrient intake value module 60 is configured to combine the ordered formula summarized by the ordered nutrient matching module with the enteral nutrition or parenteral nutrition obtained by the nutrient composition module to generate a nutritional formula. When the user selects the required enteral nutrition or parenteral nutrition according to the state of illness of the patient, the system can split the protein calorie, the non-protein calorie, the nitrogen, the sugar, the fat and the amino acid according to the name, and automatically generate the total calorie corresponding to the enteral nutrition or the parenteral nutrition.
The nutrition comparison module 70 is used for comparing the target heat card of the patient obtained by the target heat card module 20 with the total actual nutrition intake value of the patient of the total nutrition intake value module 60, and visually displaying the difference between the actual value and the target value by using a chart.
In an embodiment of the present invention, the nutrition comparison module 70 compares the total calorie obtained by the nutrition intake total value module 60 with the target calorie calculated by the target calorie module 20, and uses a bar chart to visually compare the target calorie with the actual calorie, and further includes a comparison chart of a protein calorie, a non-protein calorie, a sugar calorie, and a fat calorie. The user compares and adjusts the target heat card required by the critically ill patient with the actual heat card, and the adjustment method is to make the actual heat card equal to the target heat card by adjusting the total heat card generated by medical advice, enteral nutrition and parenteral nutrition, so as to finally obtain the nutritional formula required by the critically ill patient.
The invention also discloses an intelligent calculation method of the nutritional formula of the critically ill patient, and fig. 2 is a flow chart of the intelligent calculation method of the nutritional formula in one embodiment of the invention; referring to fig. 2, the intelligent calculation method for nutritional formula includes:
step S1, loading basic information of the patient, including the data of the sex, age, height and weight of the patient;
step S2, the target hot card step, the user can maintain and adjust the parameter value by clicking, and the system is based on harris-benedict formula. Female: BEE ═ 655+9.6W + 1.8H-4.7A; male: BEE ═ 66+13.7W + 5.0H-6.8A.
Automatically calculating a target thermal card of the patient;
step S3, a nutrition risk assessment step is carried out, a grading table such as Nutric nutrition grading and the like is supported to analyze for a user which patients can benefit from nutrition treatment to the maximum extent, and the treatment quality is improved, so that objective judgment on prognosis and outcome of the patients is realized;
step S4, the user can maintain the formulas and the formula components of various nutrient preparations, and can select the required enteral nutrition and parenteral nutrition according to the target caloric requirement of the patient;
step S5, an order nutrition matching step, wherein the user summarizes the orders actually executed yesterday to the formula or/and selects part of the orders to the formula, and repeated operation is reduced;
step S6, combining the medical order formula summarized by the medical order nutrition matching module with the enteral nutrition or parenteral nutrition obtained by the nutrition component module by the user to generate a nutrition formula; when the user selects the required enteral nutrition or parenteral nutrition according to the state of illness of the patient, the system can split the protein calorie, the non-protein calorie, the nitrogen, the sugar, the fat and the amino acid according to the name, and automatically generate the total calorie corresponding to the enteral nutrition or the parenteral nutrition;
step S7, comparing and adjusting the actual thermal card according to the target thermal card required by the critically ill patient, so that the actual thermal card is equal to the target thermal card, and finally obtaining the nutritional formula required by the critically ill patient.
In conclusion, the intelligent calculation engine system and the calculation method for the nutrition formula of the critically ill patient provided by the invention can comprehensively optimize the work flow of medical staff, improve the work efficiency of the medical staff, better deal with individualized nutrition prescription establishment of the critically ill patient, release the medical staff from a large amount of original non-technical work and serve more energy for the patient.
It should be noted that the present application may be implemented in software and/or a combination of software and hardware; for example, it may be implemented using Application Specific Integrated Circuits (ASICs), general purpose computers, or any other similar hardware devices. In some embodiments, the software programs of the present application may be executed by a processor to implement the above steps or functions. As such, the software programs (including associated data structures) of the present application can be stored in a computer-readable recording medium; such as RAM memory, magnetic or optical drives or diskettes, and the like. In addition, some steps or functions of the present application may be implemented using hardware; for example, as circuitry that cooperates with the processor to perform various steps or functions.
The technical features of the embodiments described above may be arbitrarily combined, and for the sake of brevity, all possible combinations of the technical features in the embodiments described above are not described, but should be considered as being within the scope of the present specification as long as there is no contradiction between the combinations of the technical features.
The description and applications of the invention herein are illustrative and are not intended to limit the scope of the invention to the embodiments described above. Effects or advantages referred to in the embodiments may not be reflected in the embodiments due to interference of various factors, and the description of the effects or advantages is not intended to limit the embodiments. Variations and modifications of the embodiments disclosed herein are possible, and alternative and equivalent various components of the embodiments will be apparent to those skilled in the art. It will be clear to those skilled in the art that the present invention may be embodied in other forms, structures, arrangements, proportions, and with other components, materials, and parts, without departing from the spirit or essential characteristics thereof. Other variations and modifications of the embodiments disclosed herein may be made without departing from the scope and spirit of the invention.