CN103751874A - System for improving metering accuracy of newborn intravenous nutrition injection - Google Patents
System for improving metering accuracy of newborn intravenous nutrition injection Download PDFInfo
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Abstract
The invention discloses a system for improving the metering accuracy of newborn intravenous nutrition injection. The system comprises an operation system body which is used for receiving data of an input device and connected with an internal storage. The internal storage is connected with a display device and a WIFI communication device. The operation system body and the internal storage are further connected with an ARM processor. The WIFI communication device is communicated with a server database and a wireless printer. The operation system body comprises a self-definition module, a computing module, a recording module and a comparison module. A medicine database, a therapeutic scheme database, a sick child case database and a therapeutic scheme data fusion module are arranged in the internal storage. Standard intravenous nutrition parameters are provided, a standard therapeutic scheme is given, the possibility that a fault judgment result is output is lowered, and various defects caused by insufficient experience and work strain are overcome.
Description
Technical field
The present invention relates to a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate.
Background technology
Neonate critical illness in period and gastroenteropathy all need intravenous nutrition as digestive tract disease such as necrotizing enterocolitis and intestinal perforation, especially the premature infant that pregnant week is less than 32 weeks, survival ability extreme difference, gastrointestinal function developmental immaturity, wish improves the Level of first-aid treatment of these type of disadvantaged group, and the treatment of intravenous nutrition is absolutely necessary.The enforcement of this therapeutic scheme needs individuation, mobilism, treatment, to guarantee energy calorie and the needs of liquid every day, thereby makes disease be recovered or recover as early as possible, guarantees the needs of organism metabolism, promotes reparation of tissue etc.Thus, the calculating of doctor's advice medium-sized vein nutrition is very crucial, and the concentration requirement of its various compositions is different because of neonate individual variation, needs individualized treatment every day.Therefore in order to meet the demand, clinicist need to take a long time the intravenous nutrition scheme of calculation of complex, has greatly affected work efficiency.
Along with the development of electronic information technology, computer assisted therapy software is being brought into play more and more important effect clinical.It is simple and clear that computer software has interface, calculates rapidly, is easy to expansion, and compatible good feature, is particularly suitable for complex data computation, mass data library inquiry.Therefore, utilize computer software to calculate not only and can greatly reduce doctor's working strength neonate intravenous nutrition liquid, improved greatly the accuracy that nutritional solution calculates simultaneously, avoid unnecessary malpractice.Utilize the powerful database function of computer simultaneously, can set up the case database for different patients, be convenient to " because of people's dispenser ".Due to portable handheld computer device, smart mobile phone for example, the development of panel computer, its anywhere or anytime mobility for medical personnel have better created convenience for patient provides service, also greatly reduce medical personnel's labor intensity simultaneously.
Summary of the invention
Object of the present invention is exactly in order to address the above problem, a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate is provided, it has the probability reduction of output error judged result, can effectively solve the balance of neonate intravenous nutrition element, and the advantage of supplementary which nutrition to the healthy favourable problem of neonate, it is convenient to record infant underlying diseases, standardization treatment is provided, evaluates anthropometic curve, shortens ICU treatment time.
To achieve these goals, the present invention adopts following technical scheme:
A kind of system that improves neonate intravenous nutrition injection measurement accuracy rate, comprise: operating system, described operating system receives the data of input equipment, described operating system is connected with internal storage, described internal storage is connected with WIFI communication equipment with display device, described operating system is also connected with arm processor with internal storage, and described WIFI communication equipment is communicated by letter with wireless printer with server database;
Described operating system comprises custom block, machine calculation module, logging modle and comparison module;
Described internal storage inside is provided with drug data base, therapeutic scheme data base, infant case database and therapeutic scheme data fusion module;
Described drug data base is received from the call instruction of definition module, for the symptom of infant, by doctor's manual operation, selects relevant medicine and form therapeutic scheme from drug data base, and this therapeutic scheme offers therapeutic scheme data fusion module;
Described therapeutic scheme data base receiver is calculated the call instruction of module, and therapeutic scheme related data is offered to therapeutic scheme data fusion module; Also receive and store the self-defining therapeutic scheme that drug data base sends over simultaneously;
The call instruction of described infant case database receiving record module and comparison module, and infant case related data is offered to therapeutic scheme data fusion module, also receive and store relevant case data simultaneously.
Described input equipment comprises dummy keyboard and card reader, and for receiving neonate essential information, described neonate essential information comprises the calorie that admission number, body weight, age, the same day are wanted to give.
Information and the infant essential information being provided by modules is provided described therapeutic scheme data fusion module, forms therapeutic scheme or case, and then offers therapeutic scheme data base and infant case database.
Described data fusion module is connected with display device, and finally shows or printing therapeutic scheme.
Described drug data base, for storing the various parameters that contain for infant physiological feature medicine used: comprise medicine name, main component, usage and dosage and points for attention, indication, contraindication, points for attention.
Described therapeutic scheme data base, for storing the various intravenous nutrition therapeutic schemes that contain for infant physiological feature, specifically comprises disease system classification, neonatal period feature, liquid requirement, caloric requirement;
Described disease system classification comprises: respiratory system, digestive system, blood circulation, surgery gastrointestinal are postoperative;
Described neonatal period feature comprises: newborn respiration state, heart state, digestive system state, developmental condition;
Described liquid requirement, according to disease system classification, relates to various medicine required dosages, points for attention;
Described card caloric requirement, according to therapeutic effect, is determined required dosage.
Described infant case database, essential information and physiologic information for stored record infant, comprise infant name, infant card number, infant age, infant consultation time, infant symptom, infant sign, infant diagnostic result, infant treatment medical history, therapeutic evaluation.
Described custom block is set special nutritional need for doctor according to the clinical experience of oneself or premature infant's specific (special) requirements, and the medicine that utilizes drug data base to provide is selected and is applicable to the required medicine of infant symptom, and forms therapeutic scheme; This therapeutic scheme need to be observed the requirement of intravenous nutrition; The advantage of described custom block is to form outstanding therapeutic scheme by veteran doctor, and final storage of this therapeutic scheme enters therapeutic scheme data base, for other young doctors provide outstanding therapeutic scheme; In custom block, provide high amount of drug option, the motility of doctor prescribed prescription is larger, is applicable to the treatment for special infant simultaneously.
Described machine is calculated module for after the various compositions of afferent veins nutrition, is naturally calculated the concentration of various compositions for observing the requirement that whether meets intravenous nutrition by system, whether is applicable to body requirement; Final machine is calculated module and is selected suitable therapeutic scheme by calling therapeutic scheme data base, has improved the efficiency of medical personnel's diagnosis; Owing to storing the formed therapeutic scheme of other experienced doctors in therapeutic scheme data base, with crossing, call the outstanding therapeutic scheme of this class, improved the junior doctor quality of seeing and treating patients, improved service level.
Described logging modle comes intravenous nutrition therapeutic scheme to gather for many days for same infant, and for finding optimal intravenous nutrition collocation, body weight growth tendency is best, without edema and high flow rate state; Described logging modle includes the various information of a plurality of infants, conveniently calls in time, and long record medical history, be convenient to make a definite diagnosis.
Described comparison module is for the optimal combination of same infant different times or different each intravenous nutrition therapeutic schemes of infant contemporaneity, and after setting-up time, doctor accumulates the clinical experience of oneself, compares each infant body weight and growth promoter situation simultaneously.
Beneficial effect of the present invention:
1 the invention provides standardized intravenous nutrition parameter, has provided the therapeutic scheme of standard, and the probability of output error judged result is reduced, and has avoided because of the various defects of lacking experience and work strain causes;
2 the present invention utilize computer software to calculate not only and can greatly reduce doctor's working strength neonate intravenous nutrition liquid, have improved greatly the accuracy that nutritional solution calculates simultaneously, avoid unnecessary malpractice.
Whether described in 3, logging modle is even more important for premature infant, because body weight can directly embody power and the state of an illness of survival ability, recovering gradually, and body weight is also the important indicator that can assessment premature infant go out intensive care unit and leave hospital simultaneously.Above-mentioned information exchange overwriting pattern is kept in infant case database.
Accompanying drawing explanation
Fig. 1 is overall architecture schematic diagram of the present invention.
The specific embodiment
Below in conjunction with accompanying drawing and embodiment, the invention will be further described.
As shown in Figure 1, a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate, comprise: operating system, described operating system receives the data of input equipment, described operating system is connected with internal storage, described internal storage is connected with WIFI communication equipment with display device, and described operating system is also connected with arm processor with internal storage, and described WIFI communication equipment is communicated by letter with wireless printer with server database;
Described operating system comprises custom block, machine calculation module, logging modle and comparison module;
Described internal storage inside is provided with drug data base, therapeutic scheme data base, infant case database and therapeutic scheme data fusion module;
Described drug data base is received from the call instruction of definition module, for the symptom of infant, by doctor's manual operation, selects relevant medicine and form therapeutic scheme from drug data base, and this therapeutic scheme offers therapeutic scheme data fusion module;
Described therapeutic scheme data base receiver is calculated the call instruction of module, and therapeutic scheme related data is offered to therapeutic scheme data fusion module; Also receive and store the self-defining therapeutic scheme that drug data base sends over simultaneously;
The call instruction of described infant case database receiving record module and comparison module, and infant case related data is offered to therapeutic scheme data fusion module, also receive and store relevant case data simultaneously.
Described input equipment comprises dummy keyboard and card reader, and for receiving neonate essential information, described neonate essential information comprises the calorie that admission number, body weight, age, the same day are wanted to give.
Information and the infant essential information being provided by modules is provided described therapeutic scheme data fusion module, forms therapeutic scheme or case, and then offers therapeutic scheme data base and infant case database.
Described data fusion module is connected with display device, and finally shows or printing therapeutic scheme.
Described drug data base, for storing the various parameters that contain for infant physiological feature medicine used: comprise medicine name, main component, usage and dosage and points for attention, indication, contraindication, points for attention.
Described therapeutic scheme data base, for storing the various intravenous nutrition therapeutic schemes that contain for infant physiological feature, specifically comprises disease system classification, neonatal period feature, liquid requirement, caloric requirement.
Described disease system classification comprises: respiratory system, digestive system, blood circulation, surgery gastrointestinal are postoperative.
Described neonatal period feature comprises: newborn respiration state, heart state, digestive system state, developmental condition.
Described liquid requirement, according to disease system classification, relates to various medicine required dosages, points for attention.
Described card caloric requirement, according to therapeutic effect, is determined required dosage.
Described infant case database, essential information and physiologic information for stored record infant, comprise infant name, infant card number, infant age, infant consultation time, infant symptom, infant sign, infant diagnostic result, infant treatment medical history, therapeutic evaluation
Described custom block is set special nutritional need for doctor according to the clinical experience of oneself or premature infant's specific (special) requirements, and the medicine that utilizes drug data base to provide is selected and is applicable to the required medicine of infant symptom, and forms therapeutic scheme; This therapeutic scheme need to be observed the requirement of intravenous nutrition; The advantage of described custom block is to form outstanding therapeutic scheme by veteran doctor, and final storage of this therapeutic scheme enters therapeutic scheme data base, for other young doctors provide outstanding therapeutic scheme; In custom block, provide high amount of drug option, the motility of doctor prescribed prescription is larger, is applicable to the treatment for special infant simultaneously.
Described machine is calculated module for after the various compositions of afferent veins nutrition, is naturally calculated the concentration of various compositions for observing the requirement that whether meets intravenous nutrition by system, whether is applicable to body requirement.Final machine is calculated module and is selected suitable therapeutic scheme by calling therapeutic scheme data base, has improved greatly the efficiency of medical personnel's diagnosis; Owing to storing the formed therapeutic scheme of other experienced doctors in therapeutic scheme data base, with crossing, call the outstanding therapeutic scheme of this class, improved the junior doctor quality of seeing and treating patients, improved service level.
Described logging modle comes intravenous nutrition therapeutic scheme to gather for many days for same infant, and for finding optimal intravenous nutrition collocation, body weight growth tendency is best, without edema and high flow rate state.
Described comparison module is for the optimal combination of same infant different times or different each intravenous nutrition therapeutic schemes of infant contemporaneity, and after certain hour, doctor can accumulate the clinical experience of oneself.Can compare each infant body weight and growth promoter situation simultaneously.
Conventionally, different doctors can provide different therapeutic schemes, the doctor who that is to say be relatively inclined to select 10% glucose dosage more greatly, some doctors like 50% glucose dosage larger, or the consumption of fat milk also varies, how different therapeutic schemes is compared, the calorie providing is unlikely to be too much also unlikely to very little, just in time meet body growth and grow needs, be unlikely to again to cause hypermetabolism state, this is important for premature infant, suitable calorie is supplied with the good growth that can guarantee body weight, and vital signs stable, body weight gain reaches 2.0kg, it is one of infant standard of leaving hospital, also be the index that infants ' parents is concerned about the most, signifying the enhancing of premature infant's vitality.For reaching this object, can be in optimized selection by this module.Above-mentioned implementation procedure can be called infant case database by comparison pattern and compare.Therefore,, when calling this comparison pattern, facilitate doctor according to former medical situation, to make the selection of therapeutic regimen.
Illustrate:
Such as: for comparing premature infant in specific time period body weight gain situation, find out each component ratio that the most applicable this whose body weight increases, can setup times as from November 2 to November 9, call its body weight and calorie parameter, arrange again from November 10 to November 17, thereby relatively the body weight gain in which week is the most desirable in these two weeks, is beneficial to the infant state of an illness most and recovers.
In addition, can also be set identical pregnant week, as being equally 28 weeks premature infants, different whose body weight growth patterns is different, selects most suitable therapeutic scheme, so that infant obtains best treatment.That thereby clinicist can accumulate is more objective, true, the data of science, for following research work is established solid foundation.
Equally, according to identical disease kind and age in days, doctor can recover the fastest infant calorie and liquid measure parameter in calling data storehouse, for the patient who is newly admitted to hospital arranges optimized intravenous nutrition, for doctor saves the more time, increases work efficiency.
The various compositions of intravenous nutrition:
Water-soluble liquid: 5% glucose, 10% glucose, 50% glucose, 0.9% normal saline, 10% potassium chloride, 6.74% aminoacid, water soluble vitamins.
Fat-soluble liquid: 20% fat milk, fatsoluble vitamin;
1, drug data base: contain in this data base for infant physiological feature parameter, various medication dose parameter.By this data base, calculate the required drug dose of different infants and nutrient solution concentration.And the outfit of various concentration is according to certain demand.
For example, we can be equipped with water-soluble liquid with the following methods: 5% glucose, 10% glucose, 50% glucose, 0.9% normal saline, 10% potassium chloride, 6.74% aminoacid, water soluble vitamins.In this type of medicine, the glucose of various concentration and Freamine Ⅲ can provide calorie for body, and every gram of glucose and aminoacid can produce 4Kcal heat respectively, and all the other liquid cannot produce calorie, only, for infant provides body required liquid, maintain the required liquid measure of physiological metabolism.During calculating, need reasonable computation amount of liquid: after premature infant is raw, in the 1st week, amount of liquid is unsuitable too much, too much can produce a series of complication, as: 1. patent ductus arteriosus; 2. congestive heart failure; 3. broncho-pulmonary dysplasia; 4. necrotizing enterocolitis; 5. intraventricular hemorrhage.Therefore, within 1 week, interior premature infant's amount of liquid should increase gradually, and relevant with birth weight.If amount of liquid is very few, can cause infant dehydration, can not guarantee organism metabolism needs equally, severe patient threat to life; In addition, need reasonable computation heat: after premature infant is raw, in 1 week, heat need increase gradually, is generally the 1st day 40-50Kcal/kgd, increases progressively 10-20kcal/kgd by sky later, within 5 days, reach 110-120Kcal/kgd, its Power supply mainly contains saccharide, aminoacid and fat later.If term infant is sucked the breast better, the calorie that milk amount provides can meet body requirement, without giving intravenous nutrition, in order to avoid increase the weight of head of a family's financial burden.
The supplementary principle of potassium chloride: (1) concentration can not be too high: strict demand is controlled at and is less than 0.3%, can not surpass 3g potassium chloride in the total liquid of 1000ml.(2) speed can not be too fast: drip velocity per minute is less than 60.(3) see urine kalium replenishment: urine amount must be greater than 30ml/h.
Amino acid whose application of principle: Chinese neonates nutritional support clinical practice guide is recommended: the initial time of premature infant's aminoacid venoclysis make a living after 12-24 hour, predose is 1.0g/kgd, by 0.5g/kgd, increases progressively, and finally reaches 3.5g/kgd.Early stage application aminoacid, not only will select appropriate dose, also will note compound concentration, and general peripheral vein is no more than 2%, and central vein is no more than 3%, and neonate is the essential special-purpose aminoacid of department of pediatrics of selecting of premature infant especially.
Normal saline application of principle in water-soluble liquid: can maintain the osmotic pressure of intracellular fluid and extracellular fluid, water soluble vitamins mainly comprises B family and C vitamin, can meet body growth and grow and metabolism needs.
Fat-soluble liquid using priciple: comprise 20% fat milk, fatsoluble vitamin.Fat milk most importantly wherein.Every gram of fat milk produces 9kcal heat, and it waits and oozes, and can input from PeV, necessary unsaturated fatty acid can also be provided, and is the important component part in intravenous nutrition liquid, enters in body and by body, is utilized very soon, its concentration has 10%, 20% and 30%, and what neonate was conventional is 20%.From low dose of 0.5g/kgd, be increased to gradually 3.0g/kgd, evenly input in 24h.
Fatsoluble vitamin using priciple: comprise vitamin A. D. E, K.Vitamin A can keep normal vision, keep the complete and sound of epithelial cell tissue, enhancing human body immunity power, removing free radical, enhancing development; Vitamin D promotes the absorption of calcium, phosphorus, maintains normal calcium level and phosphate level; Promote the growth promoter of skeleton and tooth; Promote the metabolism of skin.Vitamin E can antioxidation, remove free radical, promote that muscle growth is grown, stabilizing cell membrane treatment anemia.Vitamin K is K especially
1can promote blood coagulation, be the conventional medicine of prevention and treatment neonate nature hemorrhage.
2, therapeutic scheme data base: contain the various intravenous nutrition therapeutic schemes for infant physiological feature in this data base, facilitate doctor's auxiliary treatment.The computational methods of concrete therapeutic scheme need to be specialized according to Function implementations such as infant gestational age, age in days, the state of an illness, the heart, lung, kidneys, the therapeutic scheme of individuation, but calculating principle is common: 1, first calculate neonatal total liquid demand: term infant: after raw, first day needs 50ml/kg, to raw latter the 7th day, reach 120ml/kg, be to increase 10ml/kg every day, comprise milk amount.Premature infant: after raw, first day needs 60ml/kg, to raw latter the 7th day, reaches 150ml/kg.The method increasing is according to infant tolerance situation and different.In a word, the amount of liquid of intravenous nutrition amount=total liquid demand-milk amount-long-term and temporary orders.Calculate the required liquid measure of intravenous nutrition and according to mentioned component, carry out again the proportioning of various compositions, finally calculate glucose, aminoacid and the fat milk concentration in this liquid, can not surpass the maximum concentration of defined later.In addition, the enforcement of doctor's advice need to be followed first water distribution insoluble liquid, and after glucose, aminoacid, normal saline, potassium chloride etc. all add, then to add fat-soluble liquid be fatsoluble vitamin, fat milk.
Illustrate:
Example 1:109 bed, infant man, 5 hours, 28
+ 3week premature labor, the body weight of being admitted to hospital 1.25kg, second day intravenous nutrition amount of liquid plan 60ml/kg, calorie 26kcal/kg, preterm formula breast 1ml, q3h, long-term doctor's advice liquid 10ml, intravenous nutrition is as follows:
10% glucose 12ml
50% glucose 6ml
0.9% sodium chloride 10ml
10% potassium chloride 1ml
6.74% amino acid/11 2ml
20% fat milk 6ml
Speed peripheral vein according to 2ml/h pumps into, and maintains 24 hours.
The concentration of this liquid glucose is 8.9%, amino acid whose concentration is 1.7%, the concentration of potassium chloride is 0.212%, pregnant week of this infant is little, the synthetic multivitamin ability of liver function is low, needs long period intravenous nutrition, therefore the later stage can be added multivitamin to guarantee organism metabolism needs, simultaneously can be through peripheral vein central vein catheter, glucose and amino acid concentration can not be subject to peripheral vein concentration limit like this.
Example 2:59 bed, infant man, 1 hour, gestational age 41
+ 2in week, main cause groan, saliva are admitted to hospital for 1 hour.The body weight of being admitted to hospital 3.78kg, second day treatment plan amount of liquid is 60ml/kg, calorie 30kcal/kg, long-term doctor's advice liquid 36ml, opens milk 10ml, q3h, intravenous nutrition is as follows:
10% glucose 40ml
50% glucose 12ml
0.9% sodium chloride 11ml
10% potassium chloride 2ml
6.74% aminoacid 26ml
20% fat milk 10ml
Speed peripheral vein according to 4.2ml/h pumps into, and maintains 24 hours.
The concentration of this liquid glucose is 9.9%, and amino acid whose concentration is 1.66%, and the concentration of potassium chloride is 0.198%, and above concentration all can reach requirement.Each composition can be according to state of an illness adjustment, and multivitamin not necessarily each infant needs to add, and this infant body weight is larger, and pregnant week is term infant, can.
3, infant case database: the essential information and the physiologic information that record infant.For example record the sex of infant, at the age, body weight, has or not allergy, the information such as medical history, and the situation of paying dues.
Three, the human-computer interaction interface of software.Selection Floater at interactive interface comprises self-defined pattern and machine calculation pattern (the automatic generate pattern of computer).Meanwhile, this interactive interface can be set up logging mode and comparison pattern.
1, manual self-defined pattern: when calling this pattern, there will be a dialog box, can require to fill in infant essential information in dialog box as follows:
A, infant admission number
B,, body weight
C, age in days
Wherein infant information can be carried out hand filling, also can be brushed medical card and directly be shown by card reader.Required various medicine name is as follows:
A, the calorie of wanting to give today,
B, the dosage of various different glucoses,
C, aminoacid, normal saline,
D, water soluble vitamins,
E, the dosage of fat milk and fatsoluble vitamin,
After all information of input, this pattern can, by calling drug data base, show below dialog box by calculating automatically:
A, the concentration of various compositions
B, the needed time of infused liquid
In this way, guarantee that each constituent concentration meets body requirement, implement the individuation of therapeutic scheme.
2, machine is calculated pattern: in this pattern, can eject following dialog box, dialog box shows the essential information of infant, comprising:
A, admission number,
B, body weight,
C, age in days,
D, the calorie of wanting to give today.
Wherein first three items can read by card reader that medical card obtains or staff manually inputs, and can manually input for the 4th.After input letter, this modular system can, by calling therapeutic scheme data base, be chosen multiple intravenous nutrition therapeutic scheme, and show in new dialog box with following form automatically
A, scheme one.If infant body weight 2.2Kg, the liquid measure needing today is 300ml, after deducting conventional liq and being milk amount, still needs 103ml.
10% glucose 30ml
50% glucose 10ml
0.9% sodium chloride 5ml
10% potassium chloride 2ml
6.74% aminoacid 30ml
Water soluble vitamins 3ml
20% fat milk 20ml
Fatsoluble vitamin 3ml
Speed peripheral vein according to 4.3ml/h pumps into, and maintains 24 hours.
The concentration of this liquid glucose is 7.76%, and amino acid whose concentration is 1.9%, and the concentration of potassium chloride is 0.19%, and above concentration all can reach requirement.The calorie that today, intravenous nutrition provided is 34.5Kcal/kg.This group liquid feature is that concentration of glucose is on the low side, is applicable to the higher infant of blood glucose, avoids the iatrogenic more glucosan that enters; Calorie is relatively on the low side, is applicable to infant body weight gain good, does not need too high calorie, thereby avoids high-energy, hypermetabolism state.
Inputting several schemes selects to implement
B, scheme two, same infant, intravenous nutrition composition can furnishing:
10% glucose 15ml
50% glucose 20ml
0.9% sodium chloride 10ml
10% potassium chloride 2ml
6.74% aminoacid 25ml
Water soluble vitamins 3ml
20% fat milk 25ml
Fatsoluble vitamin 3ml
Speed peripheral vein according to 4.3ml/h pumps into, and maintains 24 hours.
In aforesaid liquid, the concentration of glucose is 11.16%, and amino acid whose concentration is 1.6%, and the concentration of potassium chloride is 0.19%, and above concentration all can reach requirement.The calorie that today, intravenous nutrition provided is 44Kcal/kg.This group liquid feature concentration of glucose is higher, is applicable to merge hypoglycemic infant simultaneously, and calorie is higher, is applicable to body weight gain not good enough, thereby needs higher heat to guarantee the good individuality increasing of infant body weight.
C, scheme three
10% glucose 25ml
50% glucose 15ml
0.9% sodium chloride 4ml
10% potassium chloride 3ml
6.74% aminoacid 20ml
Water soluble vitamins 3ml
20% fat milk 30ml
The fat-soluble 3ml that supports one's family
Speed peripheral vein according to 4.3ml/h pumps into, and maintains 24 hours.
In aforesaid liquid, the concentration of glucose is 9.7%, and amino acid whose concentration is 1.3%, and the concentration of potassium chloride is 0.29%, and the calorie providing is 45Kcal/kg.
For each therapeutic scheme, will show the concentration of various compositions, doctor can be selected according to the concrete state of an illness of infant, can check whether concentration meets treatment needs simultaneously.
3, logging mode: this logging mode includes the various information of a plurality of infants, conveniently calls in time, and long record medical history, is convenient to make a definite diagnosis.When this module of concrete click, there will be following dialog box:
A, infant body weight,
B, gestational age,
C, the intravenous nutrition natural law that may need,
D, underlying diseases and venoclysis approach etc.
E, this infant since many days (can select according to admission number) calorie is supplied with situation,
F, doctor's therapeutic scheme
G, body weight gain situation, and provided body weight gain curve, and contrast with normal growth curve, finally calculate which level of percentile.
Whether wherein G function is even more important for premature infant, because body weight can directly embody power and the state of an illness of survival ability, recovering gradually, and body weight is also the important indicator that can assessment premature infant go out intensive care unit and leave hospital simultaneously.Above-mentioned information exchange overwriting pattern is kept in infant case database.
4, comparison pattern: recorded the diagnosis and treatment scheme that several doctors are different to infant in this module, and these schemes are compared.Click this module and there will be following dialog box, require the information of input infant:
A, infant body weight,
B, gestational age,
C, age in days
D, different physicians or different period provide intravenous nutrition therapeutic scheme,
Conventionally, different doctors can provide different therapeutic schemes, the doctor who that is to say be relatively inclined to select 10% glucose dosage more greatly, some doctors like 50% glucose dosage larger, or the consumption of fat milk also varies, how different therapeutic schemes is compared, the calorie providing is unlikely to be too much also unlikely to very little, just in time meet body growth and grow needs, be unlikely to again to cause hypermetabolism state, this is important for premature infant, suitable calorie is supplied with the good growth that can guarantee body weight, and vital signs stable, body weight gain reaches 2.0kg, it is one of infant standard of leaving hospital, also be the index that infants ' parents is concerned about the most, signifying the enhancing of premature infant's vitality.For reaching this object, can be in optimized selection by this module.Above-mentioned implementation procedure can be called infant case database by comparison pattern and compare.Therefore,, when calling this comparison pattern, facilitate doctor according to former medical situation, to make the selection of therapeutic regimen.Illustrate:
Such as: for comparing premature infant in specific time period body weight gain situation, find out each component ratio that the most applicable this whose body weight increases, can setup times as from November 2 to November 9, call its body weight and calorie parameter, arrange again from November 10 to November 17, thereby relatively the body weight gain in which week is the most desirable in these two weeks, is beneficial to the infant state of an illness most and recovers.
In addition, can also be set identical pregnant week, as being equally 28 weeks premature infants, different whose body weight growth patterns is different, selects most suitable therapeutic scheme, so that infant obtains best treatment.That thereby clinicist can accumulate is more objective, true, the data of science, for following research work is established solid foundation.
Equally, according to identical disease kind and age in days, doctor can recover the fastest infant calorie and liquid measure parameter in calling data storehouse, for the patient who is newly admitted to hospital arranges optimized intravenous nutrition, for doctor saves the more time, increases work efficiency.
Table 1: the stored contents of drug data base and pattern
Table 2: treatment data base's stored contents and pattern
Table 3 infant case database stored contents and pattern
Although above-mentioned, by reference to the accompanying drawings the specific embodiment of the present invention is described; but be not limiting the scope of the invention; one of ordinary skill in the art should be understood that; on the basis of technical scheme of the present invention, those skilled in the art do not need to pay various modifications that creative work can make or distortion still in protection scope of the present invention.
Claims (10)
1. a system that improves neonate intravenous nutrition injection measurement accuracy rate, it is characterized in that, comprise: operating system, described operating system receives the data of input equipment, described operating system is connected with internal storage, described internal storage is connected with WIFI communication equipment with display device, and described operating system is also connected with arm processor with internal storage, and described WIFI communication equipment is communicated by letter with wireless printer with server database;
Described operating system comprises custom block, machine calculation module, logging modle and comparison module;
Described internal storage inside is provided with drug data base, therapeutic scheme data base, infant case database and therapeutic scheme data fusion module;
Described drug data base is received from the call instruction of definition module, for the symptom of infant, by doctor's manual operation, selects relevant medicine and form therapeutic scheme from drug data base, and this therapeutic scheme offers therapeutic scheme data fusion module;
Described therapeutic scheme data base receiver is calculated the call instruction of module, and therapeutic scheme related data is offered to therapeutic scheme data fusion module; Also receive and store the self-defining therapeutic scheme that drug data base sends over simultaneously;
The call instruction of described infant case database receiving record module and comparison module, and infant case related data is offered to therapeutic scheme data fusion module, also receive and store relevant case data simultaneously.
2. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described input equipment comprises dummy keyboard and card reader, and for receiving neonate essential information, described neonate essential information comprises the calorie that admission number, body weight, age, the same day are wanted to give.
3. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Information and the infant essential information being provided by modules is provided described therapeutic scheme data fusion module, forms therapeutic scheme or case, and then offers therapeutic scheme data base and infant case database.
4. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described data fusion module is connected with display device, and finally shows or printing therapeutic scheme.
5. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described drug data base, for storing the various parameters that contain for infant physiological feature medicine used: comprise medicine name, main component, usage and dosage and points for attention, indication, contraindication, points for attention.
6. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described therapeutic scheme data base, for storing the various intravenous nutrition therapeutic schemes that contain for infant physiological feature, specifically comprises disease system classification, neonatal period feature, liquid requirement, caloric requirement;
Described disease system classification comprises: respiratory system, digestive system, blood circulation, surgery gastrointestinal are postoperative;
Described neonatal period feature comprises: newborn respiration state, heart state, digestive system state, developmental condition;
Described liquid requirement, according to disease system classification, relates to various medicine required dosages, points for attention;
Described card caloric requirement, according to therapeutic effect, is determined required dosage.
7. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described infant case database, essential information and physiologic information for stored record infant, comprise infant name, infant card number, infant age, infant consultation time, infant symptom, infant sign, infant diagnostic result, infant treatment medical history, therapeutic evaluation.
8. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described custom block is set special nutritional need for doctor according to the clinical experience of oneself or premature infant's specific (special) requirements, and the medicine that utilizes drug data base to provide is selected and is applicable to the required medicine of infant symptom, and forms therapeutic scheme; This therapeutic scheme need to be observed the requirement of intravenous nutrition.
9. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described machine is calculated module for after the various compositions of afferent veins nutrition, is naturally calculated the concentration of various compositions for observing the requirement that whether meets intravenous nutrition by system, whether is applicable to body requirement; Final machine is calculated module and is selected suitable therapeutic scheme by calling therapeutic scheme data base.
10. a kind of system that improves neonate intravenous nutrition injection measurement accuracy rate as claimed in claim 1, is characterized in that,
Described logging modle comes intravenous nutrition therapeutic scheme to gather for many days for same infant, and for finding optimal intravenous nutrition collocation, body weight growth tendency is best, without edema and high flow rate state; Described logging modle includes the various information of a plurality of infants, conveniently calls in time, and long record medical history, be convenient to make a definite diagnosis;
Described comparison module is for the optimal combination of same infant different times or different each intravenous nutrition therapeutic schemes of infant contemporaneity, and after setting-up time, doctor accumulates the clinical experience of oneself, compares each infant body weight and growth promoter situation simultaneously.
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