中医药保髋诊疗数据库的建立与应用研究

发布时间：2018-05-18 18:27

本文选题：中医药保髋诊疗数据库 + 建立　；参考：《贵阳中医学院》2016年硕士论文

【摘要】：目的:本研究基于Php开发平台,通过整理并结构化中医药保髋疗法随访信息表,构建适合现代化随访的中医药保髋诊疗数据库,以我科随访超过13年的SARS后股骨头坏死患者为典型病历,探讨中医药保髋数据库在股骨头坏死随访中的作用,为建立起基于互联网平台的中医药保髋随访体系,提供一定的理论依据与实践基础。方法:选取2003年6月至2016年3月期间门诊与住院就诊于我院骨关节三科的随访满13年SARS后股骨头坏死并接受中医药保髋治疗的15例患者为示范性研究对象。将股骨头坏死患者的随访诊疗数据设计为住院病历与随访病历两大部分;根据本科室前期相关课题,并结合相关文献报告,结构化整理我科原有的纸质病例报告表,将保髋诊疗数据库设置为基本信息、一般情况、专科情况、实验室检查、中医证候、保髋疗法几大板块,在Nginx+Apache运行环境下,通过Php开发平台,建立中医药保髋诊疗数据库。采用面对面调查及电话随访方式,由研究者对入组患者的随访信息分别采用纸质随访表与诊疗数据库进行录入。纸质随访表录入常用传统方法,即在纸质上录入登记后,再依据随访内容,制成Excel表格。诊疗数据库信息录入步骤包括客户端登陆、新建病历、录入随访信息、结果导出等。统计出入组患者的随访资料概况,比较两种数据录入方式在录入与查找资料时间、资料保存率、信息补录、随访管理等方面的存在的差异。结果:(1)中医药保髋诊疗数据库导出结果与纸质随访录入结果一致,15例SARS后股骨头坏死患者13年间共随访72次;93.33%患者双髋均发病,IIc期68.96%;髋关节Harris评分良好率为89.65%;证型分布以经脉闭阻型为主;(2)中医药保髋诊疗数据库查找随访资料时间仅为(0.39±0.23)min,远远低于纸质版随访所需的(6.29±2.57)min,差异显著(P0.05);中医药保髋诊疗数据库资料保存率显著优于纸质随访资料保存率(100.00%VS72.22%,P0.05),且具有补录随访资料功能;中医药保髋诊疗数据库的信息录入时间仅为(23.93±4.38)min,远远低于纸质版随访所需的(48.48±9.22)min,差异具有统计学意义(P0.05);同时中医药保髋诊疗数据库具有随访资料录入数量统计及患者随访提醒等功能。结论:中医药保髋诊疗数据库的建立与运行,不但能优化保髋疗法随访管理,开展现代化随访,而且有利于便捷随访,相较于传统随访方式具有一定的优势。
[Abstract]:Objective: this study was based on the Php development platform, through collating and structuring the follow-up information table of traditional Chinese medicine (TCM) hip preservation therapy, the database of traditional Chinese medicine (TCM) hip preservation diagnosis and treatment suitable for modern follow-up was constructed. Taking the patients with femoral head necrosis following up for more than 13 years in our department as typical medical records, this paper discusses the role of Chinese medicine hip preservation database in the follow-up of femoral head necrosis, in order to establish the Chinese medicine hip preservation follow-up system based on Internet platform. To provide a certain theoretical basis and practical basis. Methods: from June 2003 to March 2016, 15 patients with femoral head necrosis who had been followed up for 13 years in three departments of bone and joint in our hospital were selected as model subjects. The data of follow-up diagnosis and treatment of patients with femoral head necrosis are designed as two parts: inpatient medical records and follow-up medical records. According to the related subjects in this department and related literature reports, the original paper case report form of our department is structured. The database of hip preserving diagnosis and treatment was set up as basic information, general situation, specialty, laboratory examination, TCM syndromes and hip preservation therapy. Under the Nginx Apache operating environment, the database of traditional Chinese medicine diagnosis and treatment of hip preservation was established through the development platform of Php. Face to face investigation and telephone follow-up were used to record the information of the patients. The paper follow-up table is usually used in the traditional method, that is, after the paper is entered in the registration, and then according to the follow-up content, the Excel form is made. The information input steps of diagnosis and treatment database include client login, new medical record, follow-up information, result derivation and so on. To compare the difference between the two data input methods in the time of input and search data, the data retention rate, the information rerecord, the follow-up management and so on. Results (1) the results obtained from the database of diagnosis and treatment of hip preservation in traditional Chinese medicine were consistent with the results of paper follow-up in 15 patients with osteonecrosis of femoral head after SARS for 13 years. A total of 72,93.33% of the patients were followed up for a total of 72.33% of the two hips in stage IIC, and the good rate of Harris score of hip joint was 89.65. Type 2) the time of searching follow-up data in TCM database is only 0.39 卤0.23 min, which is much lower than that in paper version (6.29 卤2.57 min), the difference is significant (P0.05), and the data preservation rate of TCM database is significantly better than that of traditional Chinese Medicine (TCM). The retention rate of paper follow-up data was 100.00V S 72.22 and P0.05, and had the function of supplementary recording of follow-up data. The information input time of TCM hip preservation database is only 23.93 卤4.38 min, which is far lower than that of paper version, which is 48.48 卤9.22 min, the difference is statistically significant (P 0.05). Follow up and remind function. Conclusion: the establishment and operation of the database of traditional Chinese medicine for hip preservation can not only optimize the follow-up management of hip preservation therapy and carry out modern follow-up, but also facilitate the convenient follow-up, which has some advantages compared with the traditional follow-up method.
【学位授予单位】：贵阳中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R274;TP311.13

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