本文選題：中醫(yī)藥保髖診療數(shù)據(jù)庫 + 建立　； 參考：《貴陽中醫(yī)學(xué)院》2016年碩士論文

【摘要】：目的:本研究基于Php開發(fā)平臺,通過整理并結(jié)構(gòu)化中醫(yī)藥保髖療法隨訪信息表,構(gòu)建適合現(xiàn)代化隨訪的中醫(yī)藥保髖診療數(shù)據(jù)庫,以我科隨訪超過13年的SARS后股骨頭壞死患者為典型病歷,探討中醫(yī)藥保髖數(shù)據(jù)庫在股骨頭壞死隨訪中的作用,為建立起基于互聯(lián)網(wǎng)平臺的中醫(yī)藥保髖隨訪體系,提供一定的理論依據(jù)與實踐基礎(chǔ)。方法:選取2003年6月至2016年3月期間門診與住院就診于我院骨關(guān)節(jié)三科的隨訪滿13年SARS后股骨頭壞死并接受中醫(yī)藥保髖治療的15例患者為示范性研究對象。將股骨頭壞死患者的隨訪診療數(shù)據(jù)設(shè)計為住院病歷與隨訪病歷兩大部分;根據(jù)本科室前期相關(guān)課題,并結(jié)合相關(guān)文獻(xiàn)報告,結(jié)構(gòu)化整理我科原有的紙質(zhì)病例報告表,將保髖診療數(shù)據(jù)庫設(shè)置為基本信息、一般情況、�？魄闆r、實驗室檢查、中醫(yī)證候、保髖療法幾大板塊,在Nginx+Apache運(yùn)行環(huán)境下,通過Php開發(fā)平臺,建立中醫(yī)藥保髖診療數(shù)據(jù)庫。采用面對面調(diào)查及電話隨訪方式,由研究者對入組患者的隨訪信息分別采用紙質(zhì)隨訪表與診療數(shù)據(jù)庫進(jìn)行錄入。紙質(zhì)隨訪表錄入常用傳統(tǒng)方法,即在紙質(zhì)上錄入登記后,再依據(jù)隨訪內(nèi)容,制成Excel表格。診療數(shù)據(jù)庫信息錄入步驟包括客戶端登陸、新建病歷、錄入隨訪信息、結(jié)果導(dǎo)出等。統(tǒng)計出入組患者的隨訪資料概況,比較兩種數(shù)據(jù)錄入方式在錄入與查找資料時間、資料保存率、信息補(bǔ)錄、隨訪管理等方面的存在的差異。結(jié)果:(1)中醫(yī)藥保髖診療數(shù)據(jù)庫導(dǎo)出結(jié)果與紙質(zhì)隨訪錄入結(jié)果一致,15例SARS后股骨頭壞死患者13年間共隨訪72次;93.33%患者雙髖均發(fā)病,IIc期68.96%;髖關(guān)節(jié)Harris評分良好率為89.65%;證型分布以經(jīng)脈閉阻型為主;(2)中醫(yī)藥保髖診療數(shù)據(jù)庫查找隨訪資料時間僅為(0.39±0.23)min,遠(yuǎn)遠(yuǎn)低于紙質(zhì)版隨訪所需的(6.29±2.57)min,差異顯著(P0.05);中醫(yī)藥保髖診療數(shù)據(jù)庫資料保存率顯著優(yōu)于紙質(zhì)隨訪資料保存率(100.00%VS72.22%,P0.05),且具有補(bǔ)錄隨訪資料功能;中醫(yī)藥保髖診療數(shù)據(jù)庫的信息錄入時間僅為(23.93±4.38)min,遠(yuǎn)遠(yuǎn)低于紙質(zhì)版隨訪所需的(48.48±9.22)min,差異具有統(tǒng)計學(xué)意義(P0.05);同時中醫(yī)藥保髖診療數(shù)據(jù)庫具有隨訪資料錄入數(shù)量統(tǒng)計及患者隨訪提醒等功能。結(jié)論:中醫(yī)藥保髖診療數(shù)據(jù)庫的建立與運(yùn)行,不但能優(yōu)化保髖療法隨訪管理,開展現(xiàn)代化隨訪,而且有利于便捷隨訪,相較于傳統(tǒng)隨訪方式具有一定的優(yōu)勢。
[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 鹵0.23 min, which is much lower than that in paper version (6.29 鹵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 鹵4.38 min, which is far lower than that of paper version, which is 48.48 鹵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.
【學(xué)位授予單位】：貴陽中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R274;TP311.13

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