阅读说明：本技术 基于外科康复理念的糖尿病围手术期患者血糖管理信息系统 (Blood sugar management information system for diabetes perioperative patients based on surgical rehabilitation concept ) 是由 韩辉武 黄伟红 吴辽芳 胡建中 高红梅 李靖 于 2020-12-23 设计创作，主要内容包括：本发明提供的一种基于外科康复理念的糖尿病围手术期患者血糖管理信息系统,包括术前血糖管理模块、术中血糖管理模块、术后血糖管理模块、血糖预警模块、出院后血糖管理模块以及糖尿病教育模块；本发明提供的一种基于外科康复理念的糖尿病围手术期患者血糖管理信息系统,实现对糖尿病及糖尿病高危人群围手术期患者血糖的一体化和连续动态化管理；该系统实现了对糖尿病及糖尿病高危人群围手术期患者术前、术中、术后及出院的全面血糖管理；通过智能信息化技术指引和帮助医护人员做好糖尿病及糖尿病高危人群围手术期患者的血糖管理,降低与血糖管理相关的不良事件。(The invention provides a blood sugar management information system for a diabetes perioperative patient based on a surgical rehabilitation idea, which comprises a preoperative blood sugar management module, an intraoperative blood sugar management module, a postoperative blood sugar management module, a blood sugar early warning module, a post-discharge blood sugar management module and a diabetes education module; the invention provides a blood sugar management information system for perioperative patients with diabetes based on a surgical rehabilitation concept, which realizes integrated and continuous dynamic management of blood sugar of perioperative patients with diabetes and high risk groups of diabetes; the system realizes comprehensive blood sugar management before, during, after and out of hospital for the patients in the perioperative period of the diabetes and the high risk group of the diabetes; through the guidance of an intelligent informatization technology, the medical care personnel can be helped to perform the blood sugar management of the patients with diabetes and diabetes high risk group in the perioperative period, and adverse events related to the blood sugar management are reduced.)

1. The diabetes perioperative period patient blood sugar management information system based on the surgical rehabilitation idea is characterized by comprising a preoperative blood sugar management module, an intraoperative blood sugar management module, a postoperative blood sugar management module, a blood sugar early warning module, a post-hospital blood sugar management module and a diabetes education module.

2. The diabetes perioperative patient blood glucose management information system based on surgical rehabilitation concept according to claim 1, wherein the preoperative management module is used for providing preoperative risk assessment, preoperative blood glucose management scheme selection, insulin use dosage recommendation and preoperative current day blood glucose lowering drug taking method selection for the patient.

3. The diabetic perioperative patient blood glucose management information system based on surgical rehabilitation philosophy as claimed in claim 1, wherein said intraoperative blood glucose management module is configured to provide intraoperative blood glucose control protocol selection, blood glucose monitoring frequency recommendations and intraoperative risk prediction for the patient.

4. The peripheral diabetic blood glucose management information system based on surgical rehabilitation concept according to claim 1, wherein the post-operative blood glucose management module is used for providing post-operative blood glucose control scheme selection, blood glucose monitoring frequency recommendation, hyperglycemia standard processing flow and recommendation, hypoglycemia early warning and processing flow recommendation for the patient.

5. The diabetic perioperative patient blood glucose management information system based on surgical rehabilitation philosophy as claimed in claim 1, wherein said post-discharge blood glucose management module is configured to provide a discharge assessment and discharge plan for the patient.

6. The peripheral diabetic blood sugar management information system based on surgical rehabilitation concept according to claim 1, wherein the blood sugar early warning module sets a high threshold value, a low threshold value and a blood sugar fluctuation range of blood sugar according to different situations, and provides an alarm prompt when the blood sugar value of any patient in the system is higher than or lower than the threshold value or exceeds the fluctuation range.

7. The diabetes perioperative patient blood glucose management information system based on surgical rehabilitation concept according to claim 6, wherein the blood glucose pre-warning service provided by the blood glucose pre-warning module extends throughout the whole hospitalization period of the patient.

8. The diabetes perioperative patient blood glucose management information system based on surgical rehabilitation philosophy as claimed in claim 1, wherein said diabetes education module is used for providing health education content and scheme suggestions for medical staff perioperative period.

9. The diabetes perioperative patient blood glucose management information system based on surgical rehabilitation philosophy as claimed in claim 8, wherein the health education content and protocol advice includes full-flow health education content before, after and out of hospital and is synthesized into individual health guidance advice.

10. The diabetic perioperative patient blood glucose management information system based on surgical rehabilitation concept according to claim 1, comprising a risk assessment system, a real-time decision support system and an early warning automatic reminding system.

Technical Field

The invention relates to the technical field of health monitoring, in particular to a blood sugar management information system for a patient in a diabetic perioperative period based on a surgical rehabilitation idea.

Background

Blood sugar is one of important indexes for measuring the health condition of a human body, so that the timely blood sugar detection has important significance in the aspects of disease prevention and treatment, body health maintenance and the like, and a plurality of blood sugar detection products for personal use are available at present, so that the blood sugar detection of a user can be favorably carried out anytime and anywhere.

At present, the current situation of perioperative blood sugar management in China is poor, medical staff lack relevant knowledge of perioperative blood sugar management, and the management standards recommended by various guidelines at home and abroad are different. The main problems are as follows:

1. the current blood glucose management systems on the market are only directed to monitoring and managing blood glucose values.

2. Does not embody the comprehensive management of the blood sugar in the special period of the diabetes perioperative period.

3. The main object for the system function is the patient or family members, and the system has no function of specially aiming at guiding and helping the medical staff how to perform the blood sugar management.

Disclosure of Invention

Aiming at the problems in the prior art, the blood sugar management information system for the diabetes perioperative patients based on the surgical rehabilitation concept integrates the functions of blood sugar risk assessment, blood sugar abnormal value early warning, insulin dosage and blood sugar monitoring frequency optimal selection real-time decision support, whole-course health guidance and the like, mainly aims at comprehensive blood sugar management before, during and after operation and discharge of the diabetes and diabetes high risk group perioperative patients, and mainly guides and helps medical care personnel to perform blood sugar management on the diabetes and diabetes high risk group perioperative patients.

In order to achieve the purpose, the invention adopts the following technical scheme:

the blood sugar management information system for the diabetes perioperative patients based on the surgical rehabilitation concept comprises a preoperative blood sugar management module, an intraoperative blood sugar management module, a postoperative blood sugar management module, a blood sugar early warning module, a post-hospital blood sugar management module and a diabetes education module.

In one embodiment, the pre-operative management module is configured to provide the patient with pre-operative risk assessment, pre-operative blood glucose management protocol selection, insulin use dosage recommendation, and pre-operative current day glucose lowering drug administration method selection.

In one embodiment, the intraoperative blood glucose management module is configured to provide intraoperative blood glucose control protocol selections, blood glucose monitoring frequency recommendations, and intraoperative risk predictions for the patient.

In one embodiment, the post-operative blood glucose management module is configured to provide post-operative blood glucose control protocol selection, blood glucose monitoring frequency recommendations, hyperglycemic criteria process flow and recommendations, hypoglycemic warning and process flow recommendations for the patient.

In one embodiment, the post-discharge blood glucose management module is configured to provide a discharge assessment and discharge plan for the patient.

In one embodiment, the blood sugar early warning module sets a high threshold value, a low threshold value standard and a blood sugar fluctuation range of blood sugar according to different conditions, and provides an alarm prompt when the blood sugar value of any patient in the system is higher than or lower than the threshold value or exceeds the fluctuation range.

In one embodiment, the blood glucose pre-warning service provided by the blood glucose pre-warning module extends throughout the patient's stay.

In one embodiment, the diabetes education module is used for providing health education content and scheme suggestions for medical staff in a perioperative period.

In one embodiment, the health education content and the plan suggestion comprise the full-flow health education content before operation, after operation and discharged from hospital, and are synthesized into the individual health guidance suggestion.

In one embodiment, the system comprises a risk assessment system, a real-time decision support system and an early warning automatic reminding system.

Compared with the prior art, the blood sugar management information system for the diabetes perioperative patients based on the surgical rehabilitation concept provided by the invention realizes the integrated and continuous dynamic management of the blood sugar of the diabetes and the diabetes high risk group perioperative patients; the system realizes comprehensive blood sugar management before, during, after and out of hospital for the patients in the perioperative period of the diabetes and the high risk group of the diabetes; through the guidance of an intelligent informatization technology, the medical care personnel can be helped to perform the blood sugar management of the patients with diabetes and diabetes high risk group in the perioperative period, and adverse events related to the blood sugar management are reduced.

Drawings

FIG. 1 is a schematic flow chart of the present invention.

Detailed Description

As shown in fig. 1;

the invention provides a blood sugar management information system for perioperative patients with diabetes based on a surgical rehabilitation concept, which comprises a preoperative blood sugar management module, an intraoperative blood sugar management module, a postoperative blood sugar management module, a blood sugar early warning module, a post-hospital blood sugar management module and a diabetes education module.

In this embodiment, the preoperative blood sugar management module (including the current day of operation) includes functions of preoperative risk assessment, preoperative blood sugar management scheme selection, insulin dosage suggestion, preoperative current day blood sugar reducing drug taking method selection, and the like, and the intraoperative blood sugar management module includes functions of intraoperative blood sugar control scheme selection, blood sugar monitoring frequency suggestion, intraoperative risk prediction, and the like; the post-operation blood sugar management module comprises functions of post-operation blood sugar control scheme selection, blood sugar monitoring frequency suggestion, hyperglycemia standard processing flow and suggestion, hypoglycemia early warning and processing flow suggestion and the like; the post-discharge blood glucose management module comprises functions of providing discharge assessment, discharge plan and the like; the operation service of the blood sugar early warning module runs through the whole preoperative, intraoperative and postoperative, until a patient is discharged, the high threshold value, the low threshold value standard and the fluctuation range of blood sugar are set according to different conditions, when any patient in the system is higher than or lower than the threshold value or exceeds the fluctuation range, an alarm is given, the platform comprises a loudspeaker and a warning lamp, and the patient and medical personnel are reminded through sound and the flickering of the warning lamps with different colors; the diabetes education module is mainly used for suggesting the perioperative health education content and scheme of medical workers, particularly for the medical workers in non-endocrinology departments, the content comprises the full-flow health education content before operation, after operation and discharged hospital, and the full-flow health education content is synthesized into an individual health guidance suggestion.

In one embodiment, the system comprises a risk assessment system, a real-time decision support system and an early warning automatic reminding system.

Specifically, the risk assessment system: the blood sugar management information system of the diabetes perioperative patients based on the surgical rehabilitation idea provided by the invention is incorporated according to the contents in a Chinese diabetes risk scoring table, all patients who are subjected to surgical treatment (including interventional treatment and minimally invasive surgery) are screened through on-line flow evaluation, clinicians are guided to identify type 2 diabetes patients in the early stage of diabetes and who are not diagnosed and to carry out diagnosis detection on the type 2 diabetes patients, and the patients who are evaluated to be high-risk diabetes and are determined to be diabetes enter a real-time decision support system and an early warning automatic reminding system to carry out further blood sugar management;

the risk assessment system also comprises hypoglycemia risk assessment, and the hypoglycemia risk assessment is realized by being incorporated into the system after revision, expert inquiry and credibility monitoring according to a related scale of hypoglycemia risk scores in the early stage.

Real-time decision support system: the method comprises three parts of decision suggestion of blood sugar management scheme selection, insulin dosage selection and blood sugar monitoring frequency. Referring to the relevant information technology of a blood glucose assessment system before perioperative period of a diabetic patient in the university of California, named 'san Francisco' (UCSF), the indexes calculate the ideal insulin level according to whether the patient eats things, the blood glucose level, the body mass index or other factors, and provide suggestions of correct insulin dosage and blood glucose monitoring frequency for the real-time assessment decision of medical personnel in non-endocrinology departments;

the real-time decision support system comprises a blood glucose reduction scheme, blood glucose monitoring frequency, insulin dosage and other prompts, adopts a blood glucose management online evaluation system, a flow and indexes in the perioperative period of diabetes of the university of san francisco (UCSF) diabetes center of the university of California, and applies innovative virtual blood glucose management service (vGMS) of inpatient diabetics, which is developed by Robert doctor of the university of san francisco of the university of California.

Early warning automatic reminding system: the method comprises the steps of establishing a perioperative blood sugar early warning system for a diabetic patient in a hospital by referring to relevant technologies of a self-adaptive blood sugar prediction model developed by wannian, and the like and combining a special perioperative period, predicting blood sugar abnormality (hypoglycemia, hyperglycemia and excessive blood sugar fluctuation) of the diabetic perioperative patient in real time and in the whole course in advance, and reminding medical personnel through an alarm (sound and color flicker);

the early warning automatic reminding system sets high threshold, low threshold standard and fluctuation range of blood sugar for different individual conditions of patients according to diabetes management guidelines, refers to relevant technologies of self-adaptive blood sugar prediction models developed by Wangchennian and the like, and gives out alarm reminding (sound + color flicker) when any patient in the system is higher or lower than the threshold and the fluctuation range.

The diabetes perioperative blood sugar management information system based on the surgical rehabilitation concept provided by the invention follows the specific measures of diabetes perioperative blood sugar management in the Chinese type-2 diabetes prevention and treatment guide (2017 edition) and the consensus of perioperative blood sugar management experts (shortcut edition).

The specific implementation process of the invention is as follows: 1. when a patient is admitted, the hypoglycemia risk assessment is carried out on the patient through the hypoglycemia risk assessment in the blood sugar management information system of the patient in the diabetes perioperative period based on the surgical rehabilitation idea, meanwhile, diabetes risk scores are used for identifying diabetes high-risk groups, and the blood sugar monitoring frequency, the blood sugar lowering scheme and other choices are determined according to assessment results.

2. Before an operation, according to indexes such as body indexes, blood sugar levels, fasting duration, operation types and time of a patient, a blood sugar reduction scheme (whether a blood sugar reducing medicine is taken or not, the amount of insulin is taken and the like) and blood sugar monitoring frequency in the morning of the operation are determined through blood sugar management evaluation of the blood sugar management information system of the patient in the diabetic perioperative period based on the surgical rehabilitation concept.

3. During and after operation, the blood sugar level of the patient in the perioperative period of the diabetes is input into the blood sugar management information system of the patient based on the surgical rehabilitation concept, and the system dynamically prompts and adjusts the insulin dosage and the blood sugar monitoring frequency.

4. The blood sugar management information system for the diabetes perioperative patients based on the surgical rehabilitation concept provided by the invention can be used for early warning and reminding risks such as hypoglycemia, hyperglycemia, blood sugar fluctuation and the like in the whole hospitalization process of the patients, and can be used for prompting medical care personnel in real time through sound and color flicker.

5. The blood sugar management information system for the diabetes perioperative patients based on the surgical rehabilitation concept provides health propaganda and education data in the whole hospitalization process of the patients, and can send the health propaganda and education data to the patients and family members by scanning two-dimensional codes through a mobile phone and adding WeChat contacts or public numbers.

The blood sugar management information system for the perioperative patients with diabetes based on the surgical rehabilitation concept realizes comprehensive blood sugar management before, during, after and out of hospital for the perioperative patients with diabetes and high risk groups of diabetes through an intelligent informatization management mode; based on a quick rehabilitation concept, a hospital blood sugar management information platform integrating functions of blood sugar risk assessment, blood sugar abnormal value early warning, insulin dosage and blood sugar monitoring frequency optimal selection real-time decision support, whole-course health guidance and the like is established; the blood sugar management system is used for guiding and assisting medical workers to perform blood sugar management on patients with diabetes and patients with diabetes high risk in the perioperative period, and provides functions of real-time reminding, early warning, credit worthiness and the like to help the medical workers to improve the working efficiency and guarantee the safety of the patients.

The blood sugar management information system for the diabetes perioperative patients based on the surgical rehabilitation idea is based on the rapid rehabilitation surgical idea, namely a perioperative blood sugar evaluation management information sharing platform of the internet is established by following evidence-based medical evidence and combining specific illness states of the surgical patients, and the information platform mainly comprises a risk evaluation system, a real-time decision support system and an early warning automatic reminding system; through the relevant linking operation of the hospital HIS system, the suggestions such as risk assessment, blood sugar abnormity early warning, optimal insulin dosage selection, blood sugar frequency monitoring and the like can be provided for each diabetes and diabetes high-risk group in the perioperative period. The main functions of the method comprise preoperative diabetes risk assessment, individualized blood sugar management and insulin and hypoglycemic drug use suggestions, the daily blood sugar individualized assessment and management in operation, reminding and suggestion of intraoperative blood sugar monitoring frequency and insulin infusion dosage, processes and measures for preventing and treating hyperglycemia, hypoglycemia and blood sugar fluctuation after operation, blood sugar risk early warning and health education throughout the whole perioperative period of a patient and the like.

In the description herein, references to the description of the term "one embodiment," "another embodiment," or "first through xth embodiments," etc., mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, method steps, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.

It should be noted that, in this document, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or system that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or system. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other like elements in a process, method, article, or system that comprises the element.

The above description is only a preferred embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications of equivalent structures and equivalent processes, which are made by using the contents of the present specification and the accompanying drawings, or directly or indirectly applied to other related technical fields, are included in the scope of the present invention.