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CN115154739B - Matching reminder method and system for infusion drugs and infusion tools - Google Patents

Matching reminder method and system for infusion drugs and infusion tools Download PDF

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CN115154739B
CN115154739B CN202210900304.8A CN202210900304A CN115154739B CN 115154739 B CN115154739 B CN 115154739B CN 202210900304 A CN202210900304 A CN 202210900304A CN 115154739 B CN115154739 B CN 115154739B
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CN115154739A (en
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盛孝敏
犹秋香
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Second Affiliated Hospital of Chongqing Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/17ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered via infusion or injection

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  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

本发明涉及医疗输液技术领域,公开了输液药品与输液工具的匹配提醒系统,包括:药品属性模块、处方识别模块、工具匹配模块和信息推送模块,所述药品属性模块用于存储药品属性信息,所述处方识别模块用于根据存储的药品属性信息识别治疗处方的药品属性,所述工具匹配模块用于根据药品属性匹配相应的输液工具,所述信息推送模块用于将药品属性和输液工具信息推送至医护人员。本发明通过识别处方中的药品属性,并根据药品属性匹配合适的输液工具,并将匹配结果推送至医护人员,起到提醒和参考的作用,能够为不同药品匹配合适的输液工具,减小输液并发症的引发,提高病人的输液舒适度。

The invention relates to the technical field of medical infusion and discloses a matching reminder system for infusion drugs and infusion tools, which includes: a drug attribute module, a prescription identification module, a tool matching module and an information push module. The drug attribute module is used to store drug attribute information. The prescription identification module is used to identify the drug attributes of the treatment prescription according to the stored drug attribute information. The tool matching module is used to match the corresponding infusion tools according to the drug attributes. The information push module is used to combine the drug attributes and the infusion tool information. Push to medical staff. By identifying the drug attributes in the prescription, matching appropriate infusion tools according to the drug attributes, and pushing the matching results to medical staff, the present invention serves as a reminder and reference, can match appropriate infusion tools for different drugs, and reduces the need for infusion. complications, and improve the patient's infusion comfort.

Description

输液药品与输液工具的匹配提醒方法及系统Matching reminder method and system for infusion drugs and infusion tools

技术领域Technical field

本发明涉及医疗输液技术领域,具体涉及输液药品与输液工具的匹配提醒方法及系统。The invention relates to the technical field of medical infusion, and in particular to a matching reminder method and system for infusion drugs and infusion tools.

背景技术Background technique

在临床治疗过程中,为了提高药物发挥药效的效率,通常采用静脉注射向患者体内注入药物。由于临床使用的药品众多,在医生开具治疗处方时,处方上通常不会有药品属性(药品类型、药品PH值和药品液体渗透压等)的提醒。而且输液的实际操作者是护士,护士一般通过经验来进行操作,有时候难以准确的选择和使用合适的工具(钢针、留置针、中长导管等)。如果选择了不合适的工具进行输液后,会对病人的血管造成影响,包括刺激血管、血管炎、血管损伤等不可逆转的并发症。During clinical treatment, in order to improve the efficiency of drug effects, intravenous injection is usually used to inject drugs into the patient's body. Due to the large number of drugs used clinically, when a doctor prescribes a treatment, there is usually no reminder about the drug attributes (drug type, drug pH value, drug liquid osmotic pressure, etc.) on the prescription. Moreover, the actual operator of the infusion is a nurse. The nurse generally performs the operation through experience. Sometimes it is difficult to accurately select and use the appropriate tools (steel needles, indwelling needles, medium-long catheters, etc.). If inappropriate tools are selected for infusion, it will have an impact on the patient's blood vessels, including irreversible complications such as vascular irritation, vasculitis, and vascular damage.

发明内容Contents of the invention

本发明意在提供输液药品与输液工具的匹配提醒系统,通过识别处方中的药品属性,并根据药品属性匹配合适的输液工具,并将匹配结果推送至医护人员,起到提醒和参考的作用,能够为不同药品匹配合适的输液工具,减小输液并发症的引发,提高病人的输液舒适度。The present invention is intended to provide a matching reminder system for infusion drugs and infusion tools. By identifying the drug attributes in the prescription, matching appropriate infusion tools according to the drug attributes, and pushing the matching results to medical staff, it serves as a reminder and reference. It can match appropriate infusion tools for different drugs, reduce the occurrence of infusion complications, and improve patients' infusion comfort.

本发明提供的技术方案为:输液药品与输液工具的匹配提醒系统,包括:药品属性模块、处方识别模块、工具匹配模块和信息推送模块,所述药品属性模块用于存储药品属性信息,所述处方识别模块用于根据存储的药品属性信息识别治疗处方的药品属性,所述工具匹配模块用于根据药品属性匹配相应的输液工具,所述信息推送模块用于将药品属性和输液工具信息推送至医护人员。The technical solution provided by the invention is: a matching reminder system for infusion drugs and infusion tools, including: a drug attribute module, a prescription identification module, a tool matching module and an information push module. The drug attribute module is used to store drug attribute information. The prescription identification module is used to identify the drug attributes of the treatment prescription according to the stored drug attribute information. The tool matching module is used to match the corresponding infusion tools according to the drug attributes. The information push module is used to push the drug attributes and infusion tool information to Medical staff.

本发明的工作原理及优点在于:药品属性模块预先存储有各类药品属性信息。处方识别模块根据存储的药品属性信息识别当前治疗处方的药品属性。工具匹配模块根据识别的药品属性匹配相应的输液工具,以获得最佳的输液效果。信息推送模块将药品属性和输液工具信息推送至医护人员,起提醒和参考作用。本发明系统通过识别处方中的药品属性,并根据药品属性匹配合适的输液工具,并将匹配结果推送至医护人员以供参考,能够为不同药品匹配合适的输液工具,减小输液并发症的引发,提高病人的输液舒适度。The working principle and advantage of the present invention are that: the drug attribute module pre-stores various types of drug attribute information. The prescription identification module identifies the drug attributes of the current treatment prescription based on the stored drug attribute information. The tool matching module matches the corresponding infusion tools according to the identified drug attributes to obtain the best infusion effect. The information push module pushes drug attributes and infusion tool information to medical staff, serving as a reminder and reference. By identifying the attributes of the drugs in the prescription, matching appropriate infusion tools according to the drug attributes, and pushing the matching results to medical staff for reference, the system of the present invention can match appropriate infusion tools for different drugs and reduce the occurrence of infusion complications. , improve the patient's infusion comfort.

进一步,所述药品属性信息包括药品类型、药品PH值和药品液体渗透压。Further, the drug attribute information includes drug type, drug pH value and drug liquid osmotic pressure.

通过药品类型分类,以匹配合适的输液方式,通过药品PH值和药品液体渗透压匹配相应规格的输液工具。Classify the drug type to match the appropriate infusion method, and match the infusion tool with corresponding specifications through the drug PH value and drug liquid osmotic pressure.

进一步,所述药品类型包括烷化剂、抗代谢类、抗生素类、植物碱类和铂类,所述药品PH值划分为≤3、3-5、5-7、7-9、≥9五个等级,所述药品液体渗透压划分为≤280、280-310、310-600、>600、>900五个等级。Further, the types of medicines include alkylating agents, antimetabolites, antibiotics, plant alkaloids and platinums, and the pH values of the medicines are divided into ≤3, 3-5, 5-7, 7-9, and ≥9. levels, and the liquid osmotic pressure of the drug is divided into five levels: ≤280, 280-310, 310-600, >600, and >900.

本发明系统主要应用场景包括化疗药物的输液工具匹配,因此根据化疗药物的作用机制不同,大致可以将化疗药物分为烷化剂、抗代谢类、抗生素类、植物碱类和铂类等,根据不同的药品类型选取合适的输液工具。同时要考虑到药品的PH值和液体渗透压,在输液工具中选取合适的规格型号,防止出现药品渗漏等情况。The main application scenarios of the system of the present invention include the matching of infusion tools for chemotherapy drugs. Therefore, according to the different action mechanisms of chemotherapy drugs, chemotherapy drugs can be roughly divided into alkylating agents, antimetabolites, antibiotics, plant alkaloids, platinum, etc. According to Choose appropriate infusion tools for different drug types. At the same time, the pH value and liquid osmotic pressure of the drug should be taken into consideration, and appropriate specifications and models should be selected in the infusion tool to prevent drug leakage.

进一步,所述处方识别模块包括处方获取单元、药品识别单元和药品检索单元,所述处方获取单元用于获取处方信息,所述药品识别单元用于识别处方的药品,所述药品检索单元用于根据处方药品检索药品属性。Further, the prescription identification module includes a prescription acquisition unit, a drug identification unit and a drug retrieval unit. The prescription acquisition unit is used to obtain prescription information, the drug identification unit is used to identify prescribed drugs, and the drug retrieval unit is used to Retrieve drug attributes based on prescription drugs.

处方获取单元直接获取医生开具的治疗处方的文字信息。药品识别单元根据治疗处方的文字信息,通过关键词识别,提取处方信息上的药品。药品检索单元根据识别的药品,在药品属性模块内检索处方信息上各个药品的详细属性信息。通过上述过程,能够快速准确地进行药品属性识别。The prescription acquisition unit directly acquires the text information of the treatment prescription issued by the doctor. The drug identification unit extracts the drugs on the prescription information through keyword recognition based on the text information of the treatment prescription. The drug retrieval unit searches the detailed attribute information of each drug on the prescription information in the drug attribute module based on the identified drug. Through the above process, drug attributes can be identified quickly and accurately.

进一步,所述处方识别模块还包括综合属性单元,所述综合属性单元用于根据处方的若干药品属性生成综合药品属性。Further, the prescription identification module also includes a comprehensive attribute unit, which is used to generate comprehensive drug attributes based on several drug attributes of the prescription.

考虑到很多处方中需要多种药物混合后进行输液,不能以单个药品进行后续的匹配工作。因此需要通过各个药品的属性和配比,计算混合后药品的综合药品属性,匹配合适的输液工具,以保证输液工具的普适性。Considering that many prescriptions require multiple drugs to be mixed and infused, subsequent matching work cannot be performed with a single drug. Therefore, it is necessary to calculate the comprehensive drug attributes of the mixed drugs through the attributes and proportions of each drug, and match the appropriate infusion tools to ensure the universal applicability of the infusion tools.

进一步,所述处方识别模块还包括冲突检测单元,所述冲突检测单元用于检测处方的若干药品属性是否冲突。Further, the prescription identification module also includes a conflict detection unit, which is used to detect whether several drug attributes of the prescription conflict.

冲突检测单元根据各个药品的详细属性,判断各个药品在输液前混合的过程中是否存在配伍禁忌,若药品之间存在冲突,则将冲突信息直接发送至医护人员终端,提醒医护人员针对药品属性冲突信息进行调整,避免输液后引起病人不适。Based on the detailed attributes of each drug, the conflict detection unit determines whether there are incompatible incompatible drugs during the mixing process before infusion. If there is a conflict between the drugs, the conflict information will be sent directly to the medical staff terminal to remind the medical staff of the drug attribute conflict. The information is adjusted to avoid causing patient discomfort after infusion.

进一步,所述工具匹配模块包括输液方式单元和输液工具单元,所述输液方式单元用于根据药品属性匹配相应的输液方式,所述输液工具单元用于根据输液方式匹配输液工具。Further, the tool matching module includes an infusion mode unit and an infusion tool unit. The infusion mode unit is used to match the corresponding infusion mode according to the drug attributes, and the infusion tool unit is used to match the infusion tool according to the infusion mode.

采用静脉注射向患者体内注入药品的过程中,不同类型的药品适用不同的静脉通路类型,因此需要输液方式单元根据药品类型选择合适的输液方式。输液工具单元根据匹配的输液方式,进行匹配该输液方式所需要的输液工具,在确定输液方式的基础上,根据药品属性的PH值、渗透压等信息选择合适规格的输液针、导管等输液工具,最终形成一套工具组合。In the process of injecting drugs into the patient's body through intravenous injection, different types of drugs are suitable for different venous access types, so the infusion mode unit needs to select an appropriate infusion method according to the type of drug. The infusion tool unit matches the infusion method according to the matching infusion method. On the basis of determining the infusion method, it selects appropriate specifications of infusion needles, catheters and other infusion tools based on the PH value, osmotic pressure and other information of the drug properties. , and finally form a set of tool combinations.

进一步,所述输液方式包括PVC、MIDLINE、CVC、PICC和PORT。Furthermore, the infusion methods include PVC, MIDLINE, CVC, PICC and PORT.

根据药品的类型匹配合适的输液方式,包括PVC、MIDLINE、CVC、PICC和PORT的输液方式,根据药品属性和输液方式的特点,例如,PVC(外周静脉导管)宜用于短期静脉输液治疗,不宜用于腐蚀性药品等持续性静脉输注;MIDLINE(中线导管)经前臂肘窝置管到达近侧的贵要静脉、头静脉或腋静脉,导管尖端不超过腋静脉,但不到达中心静脉,因导管尖端不在中心静脉内,无需进行胸片检查;CVC(中心静脉导管)可用于任何性质药物输注、血流动力学监测,不应用于注射造影剂(耐高压导管除外);PICC(经外周静脉置入中心静脉导管)宜中长期静脉输液治疗,可用于任何性质药物输注,不应用于注射泵注射造影剂和血流动力学监测(耐高压导管除外);PORT(输液港)可用于任性质药物输注,但不可做高压注射。最后根据药品类型选取合适的输液方式。Match the appropriate infusion method according to the type of drug, including PVC, MIDLINE, CVC, PICC and PORT infusion methods. According to the properties of the drug and the characteristics of the infusion method, for example, PVC (peripheral intravenous catheter) is suitable for short-term intravenous infusion treatment, but not Used for continuous intravenous infusion of corrosive drugs; MIDLINE (midline catheter) is inserted through the cubital fossa of the forearm to reach the proximal basilic vein, cephalic vein or axillary vein. The tip of the catheter does not exceed the axillary vein but does not reach the central vein. Because the tip of the catheter is not in the central vein, chest X-ray examination is not required; CVC (central venous catheter) can be used for drug infusion of any nature and hemodynamic monitoring, but should not be used for injection of contrast media (except for high-pressure resistant catheters); PICC (central venous catheter) Peripherally inserted central venous catheter) is suitable for medium and long-term intravenous infusion treatment, can be used for drug infusion of any nature, and should not be used for contrast agent injection and hemodynamic monitoring with syringe pumps (except for high-pressure resistant catheters); PORT (infusion port) is available Infusion of drugs of any nature, but high-pressure injection is not allowed. Finally, choose the appropriate infusion method according to the type of medicine.

进一步,还包括反馈记录模块,所述反馈记录模块包括匹配记录单元、反馈接收单元和反馈归类单元,所述匹配记录单元用于记录处方的药品属性信息和匹配的输液工具信息,所述反馈接收模块用于接收病人采用匹配的输液工具后的反馈信息,所述反馈归类单元用于将反馈信息归类至相应的匹配记录。Further, a feedback recording module is included. The feedback recording module includes a matching recording unit, a feedback receiving unit and a feedback classification unit. The matching recording unit is used to record the drug attribute information of the prescription and the matching infusion tool information. The feedback The receiving module is used to receive feedback information from the patient after using the matching infusion tool, and the feedback classification unit is used to classify the feedback information into corresponding matching records.

在每次匹配完成后,系统都会记录处方的药品属性和匹配的输液工具的详细信息,并接收各个病人对于本次输液后的反馈信息,根据病人号码将接收的反馈信息归类至相应的药品属性和输液工具的匹配记录,为后续匹配系统的总结和优化提供数据基础。After each matching is completed, the system will record the drug attributes of the prescription and the detailed information of the matching infusion tool, receive feedback from each patient after the infusion, and classify the received feedback into the corresponding drug based on the patient number. The matching records of attributes and infusion tools provide a data basis for subsequent summary and optimization of the matching system.

本发明还提供输液药品与输液工具的匹配提醒方法,该方法采用了上述输液药品与输液工具的匹配提醒系统。The present invention also provides a matching reminder method for infusion drugs and infusion tools, which method adopts the matching reminder system for infusion drugs and infusion tools.

附图说明Description of drawings

图1为本发明实施例的输液药品与输液工具的匹配提醒系统的模块框图。Figure 1 is a module block diagram of a matching reminder system for infusion drugs and infusion tools according to an embodiment of the present invention.

具体实施方式Detailed ways

下面将结合附图对本发明技术方案的实施例进行详细的描述。以下实施例仅用于更加清楚地说明本发明的技术方案,因此只作为示例,而不能以此来限制本发明的保护范围。The embodiments of the technical solution of the present invention will be described in detail below with reference to the accompanying drawings. The following examples are only used to illustrate the technical solutions of the present invention more clearly, and are therefore only examples and cannot be used to limit the scope of the present invention.

需要注意的是,除非另有说明,本申请使用的技术术语或者科学术语应当为本发明所属领域技术人员所理解的通常意义。It should be noted that, unless otherwise stated, the technical terms or scientific terms used in this application should have the usual meanings understood by those skilled in the art to which this invention belongs.

实施例:Example:

如图1所示,本实施例公开了输液药品与输液工具的匹配提醒系统,包括药品属性模块、处方识别模块、工具匹配模块、信息推送模块和反馈记录模块。As shown in Figure 1, this embodiment discloses a matching reminder system for infusion drugs and infusion tools, including a drug attribute module, a prescription identification module, a tool matching module, an information push module and a feedback recording module.

药品属性模块用于存储药品属性信息。提前将药品属性信息录入药品属性模块,药品属性模块还会根据医药大数据定期对存储的药品属性信息进行更新。本实施例中的药品属性信息包括药品类型、药品PH值和药品液体渗透压,药品类型包括烷化剂、抗代谢类、抗生素类、植物碱类和铂类,药品PH值划分为≤3、3-5、5-7、7-9、≥9五个等级,药品液体渗透压划分为≤280、280-310、310-600、>600、>900五个等级。The drug attribute module is used to store drug attribute information. Enter the drug attribute information into the drug attribute module in advance, and the drug attribute module will also regularly update the stored drug attribute information based on medical big data. The drug attribute information in this embodiment includes drug type, drug pH value and drug liquid osmotic pressure. Drug types include alkylating agents, anti-metabolites, antibiotics, plant alkaloids and platinum. Drug pH values are divided into ≤3, There are five levels of 3-5, 5-7, 7-9, and ≥9. The liquid osmotic pressure of pharmaceuticals is divided into five levels: ≤280, 280-310, 310-600, >600, and >900.

处方识别模块包括处方获取单元、药品识别单元、药品检索单元、冲突检测单元和综合属性单元。The prescription identification module includes a prescription acquisition unit, a drug identification unit, a drug retrieval unit, a conflict detection unit and a comprehensive attribute unit.

处方获取单元用于获取处方信息。直接获取医生开具的治疗处方的文字信息。The prescription acquisition unit is used to obtain prescription information. Direct access to textual information about treatment prescriptions written by doctors.

药品识别单元用于识别处方的药品。药品识别单元根据治疗处方的文字信息,通过关键词识别,提取处方信息上的药品。The drug identification unit is used to identify prescribed drugs. The drug identification unit extracts the drugs on the prescription information through keyword recognition based on the text information of the treatment prescription.

药品检索单元用于根据处方药品检索药品属性。药品检索单元根据识别的药品,在药品属性模块内检索处方信息上各个药品的详细属性信息。The drug retrieval unit is used to retrieve drug attributes based on prescription drugs. The drug retrieval unit searches the detailed attribute information of each drug on the prescription information in the drug attribute module based on the identified drug.

冲突检测单元用于检测处方的若干药品属性是否冲突。冲突检测单元根据各个药品的详细属性信息,判断各个药品在输液前混合的过程中是否存在配伍禁忌,若药品之间存在冲突,则将冲突信息发送至信息推送模块。The conflict detection unit is used to detect whether several drug attributes of the prescription conflict. The conflict detection unit determines whether there are incompatible drugs during the mixing process before infusion based on the detailed attribute information of each drug. If there is a conflict between the drugs, the conflict information is sent to the information push module.

综合属性单元用于根据处方的若干药品属性生成综合药品属性。若药品之间不存在冲突,综合属性单元根据处方上需要混合后进行输液的各个药品,通过各个药品的属性和配比,计算混合后药品的综合药品属性,包括PH值范围和液体渗透压范围。The comprehensive attribute unit is used to generate comprehensive drug attributes based on several drug attributes of the prescription. If there is no conflict between drugs, the comprehensive attribute unit calculates the comprehensive drug attributes of the mixed drugs according to the attributes and proportions of each drug that need to be mixed and infused in the prescription, including the pH value range and the liquid osmotic pressure range. .

工具匹配模块包括输液方式单元和输液工具单元。The tool matching module includes an infusion mode unit and an infusion tool unit.

输液方式单元用于根据药品属性匹配相应的输液方式。采用静脉注射向患者体内注入药品的过程中,不同类型的药品适用不同的静脉通路类型,因此需要输液方式单元根据药品类型选择合适的输液方式。本实施例中的输液方式包括PVC、MIDLINE、CVC、PICC和PORT。PVC(外周静脉导管)包括一次性静脉输液钢针穿刺和外周静脉留置针穿刺,PVC宜用于短期静脉输液治疗,不宜用于腐蚀性药品等持续性静脉输注。MIDLINE(中线导管)又叫中等长度导管,长度20-30cm,经前臂肘窝置管到达近侧的贵要静脉、头静脉或腋静脉,导管尖端不超过腋静脉,但不到达中心静脉,因导管尖端不在中心静脉内,无需进行胸片检查。CVC(中心静脉导管)是指经锁骨下静脉、颈内静脉、股静脉穿刺置管,尖端置于上腔静脉或下腔静脉的导管,可用于任何性质的药品输注、血液动力学的监测,不应用于高压注射泵注射造影剂(耐高压导管除外)。PICC(经外周静脉置入中心静脉导管)经上肢贵要静脉、肘正中静脉、头静脉、肱静脉,颈外静脉(新生儿还可通过下肢大隐静脉、头部颞静脉、耳后静脉等)穿刺置管,导管尖端位于上腔静脉或下腔静脉的导管,PICC宜用于中长期静脉治疗,可用于任何性质的药品输注,不应用于高压注射泵注射造影剂和血液动力学监测(耐高压导管除外)。PORT(输液港)是指完全植入人体内的闭合输液装置,包括尖端位于上腔静脉的导管部分及埋植于皮下的注射座,可用于任何性质的药品输注,不应使用高压注射泵注射造影剂(耐高压导管除外)。The infusion mode unit is used to match the corresponding infusion mode according to the drug attributes. In the process of injecting drugs into the patient's body through intravenous injection, different types of drugs are suitable for different venous access types, so the infusion mode unit needs to select an appropriate infusion method according to the type of drug. The infusion methods in this embodiment include PVC, MIDLINE, CVC, PICC and PORT. PVC (peripheral venous catheter) includes disposable intravenous infusion steel needle puncture and peripheral intravenous indwelling needle puncture. PVC is suitable for short-term intravenous infusion treatment and is not suitable for continuous intravenous infusion of corrosive drugs and other drugs. MIDLINE (midline catheter) is also called a medium-length catheter, with a length of 20-30cm. It is placed through the cubital fossa of the forearm to reach the proximal basilic vein, cephalic vein or axillary vein. The tip of the catheter does not exceed the axillary vein but does not reach the central vein. The catheter tip is not in a central vein and does not require a chest radiograph. CVC (Central Venous Catheter) refers to a catheter inserted through the subclavian vein, internal jugular vein, or femoral vein, with the tip placed in the superior vena cava or inferior vena cava. It can be used for drug infusion and hemodynamic monitoring of any nature. , should not be used for high-pressure syringe pumps to inject contrast media (except for high-pressure resistant catheters). PICC (Peripherally Inserted Central Catheter) is passed through the basilic vein of the upper limbs, median cubital vein, cephalic vein, brachial vein, external jugular vein (newborn infants can also pass through the great saphenous vein of the lower limbs, temporal vein of the head, postauricular vein, etc. ) puncture catheterization, the tip of the catheter is located in the superior vena cava or inferior vena cava, PICC is suitable for medium and long-term intravenous treatment, can be used for drug infusion of any nature, and should not be used for high-pressure syringe pump injection of contrast media and hemodynamic monitoring (Except for high-pressure resistant conduits). PORT (Infusion Port) refers to a closed infusion device that is completely implanted in the human body, including the catheter part with the tip located in the superior vena cava and the injection seat embedded under the skin. It can be used for drug infusion of any nature. High-pressure syringe pumps should not be used. Injection of contrast medium (except for high-pressure resistant catheters).

输液工具单元用于根据输液方式匹配输液工具。输液工具单元根据匹配的输液方式,进行匹配该输液方式所需要的输液工具,在确定输液方式的基础上,根据药品属性的PH值、渗透压等信息选择合适规格的输液针、导管等输液工具,最终形成一套工具组合。信息推送模块用于将药品属性和输液工具信息推送至医护人员。若冲突检测单元识别药品之间存在冲突,则将冲突信息发送至信息推送模块,信息推送模块直接将药品属性的冲突信息推送至医护人员,提醒医护人员针对药品属性冲突信息进行调整,避免输液后引起病人不适。若药品之间不存在冲突,信息推送模块将处方的药品属性信息和匹配的输液工具信息推送至医护人员,为输液工作提供参考。The infusion tool unit is used to match the infusion tool according to the infusion method. The infusion tool unit matches the infusion method according to the matching infusion method. On the basis of determining the infusion method, it selects appropriate specifications of infusion needles, catheters and other infusion tools based on the PH value, osmotic pressure and other information of the drug properties. , and finally form a set of tool combinations. The information push module is used to push drug attributes and infusion tool information to medical staff. If the conflict detection unit identifies a conflict between drugs, it sends the conflict information to the information push module. The information push module directly pushes the conflict information of the drug attributes to the medical staff, reminding the medical staff to adjust the drug attribute conflict information to avoid infusion. Cause patient discomfort. If there is no conflict between the drugs, the information push module will push the drug attribute information of the prescription and the matching infusion tool information to the medical staff to provide reference for the infusion work.

反馈记录模块包括匹配记录单元、反馈接收单元和反馈归类单元。The feedback recording module includes a matching recording unit, a feedback receiving unit and a feedback classification unit.

匹配记录单元用于记录处方的药品属性信息和匹配的输液工具信息。在每次匹配完成后,匹配记录单元都会记录处方的药品属性和匹配的输液工具的详细信息,便于后续随时查看。The matching recording unit is used to record the drug attribute information of the prescription and the matching infusion tool information. After each matching is completed, the matching recording unit will record the drug attributes of the prescription and the details of the matching infusion tool for easy subsequent viewing at any time.

反馈接收模块用于接收病人采用匹配的输液工具后的反馈信息。反馈接收单元接收各个病人对于本次输液后的反馈信息,包括是否存在并发症和舒适度等信息。The feedback receiving module is used to receive feedback information from the patient after using the matching infusion tool. The feedback receiving unit receives feedback information from each patient after this infusion, including information about the presence of complications and comfort level.

反馈归类单元用于将反馈信息归类至相应的匹配记录。反馈归类单元对各个病人的输液反馈进行归类,根据病人号码将接收的反馈信息归类至相应的药品属性和输液工具的匹配记录,为后续匹配系统的总结和优化提供数据基础。The feedback classification unit is used to classify feedback information into corresponding matching records. The feedback classification unit classifies the infusion feedback of each patient, and classifies the received feedback information into corresponding matching records of drug attributes and infusion tools according to the patient number, providing a data basis for the subsequent summary and optimization of the matching system.

本实施例的实施过程如下:The implementation process of this embodiment is as follows:

在本系统进行匹配和提醒的过程之前,需要提前将药品属性信息录入药品属性模块,可采用人工录入药品属性模块或药品属性模块自动获取医药大数据的方式,为后续的药品属性检索过程提供基础,其中药品属性信息主要包括药品类型、药品PH值和药品液体渗透压。首先获取医生开具的治疗处方,根据关键词识别获取处方上的各个药品信息,然后基于药品属性模块对各个药品进行检索,获取药品的详细属性信息。Before the system performs the matching and reminder process, the drug attribute information needs to be entered into the drug attribute module in advance. You can manually enter the drug attribute module or the drug attribute module automatically obtains medical big data to provide a basis for the subsequent drug attribute retrieval process. , the drug attribute information mainly includes drug type, drug PH value and drug liquid osmotic pressure. First, obtain the treatment prescription issued by the doctor, obtain each drug information on the prescription based on keyword identification, and then retrieve each drug based on the drug attribute module to obtain detailed attribute information of the drug.

根据各个药品的详细属性,判断各个药品在输液前混合的过程中是否存在配伍禁忌,若药品之间存在冲突,则将冲突信息直接发送至医护人员终端,提醒医护人员针对药品属性冲突信息进行调整,避免输液后引起病人不适。若药品之间混合不存在冲突,则计算混合后药品的综合药品属性,包括PH值范围和液体渗透压范围。Based on the detailed attributes of each drug, it is judged whether there are any incompatibility between the drugs during the mixing process before infusion. If there is a conflict between the drugs, the conflict information will be sent directly to the medical staff terminal to remind the medical staff to adjust the drug attribute conflict information. , to avoid causing patient discomfort after infusion. If there is no conflict between the mixing of drugs, the comprehensive drug attributes of the mixed drugs are calculated, including the pH value range and the liquid osmotic pressure range.

确定混合药品的属性后,根据混合药品的类型匹配合适的输液方式,包括PVC、MIDLINE、CVC、PICC和PORT的输液方式,根据药品属性和输液方式的特点,例如,PVC(外周静脉导管)宜用于短期静脉输液治疗,不宜用于腐蚀性药品等持续性静脉输注;MIDLINE(中线导管)经前臂肘窝置管到达近侧的贵要静脉、头静脉或腋静脉,导管尖端不超过腋静脉,但不到达中心静脉,因导管尖端不在中心静脉内,无需进行胸片检查;CVC(中心静脉导管)可用于任何性质药物输注、血流动力学监测,不应用于注射造影剂(耐高压导管除外);PICC(经外周静脉置入中心静脉导管)宜中长期静脉输液治疗,可用于任何性质药物输注,不应用于注射泵注射造影剂和血流动力学监测(耐高压导管除外);PORT(输液港)可用于任性质药物输注,但不可做高压注射。最后根据混合药品类型选取合适的输液方式。After determining the attributes of the mixed drug, match the appropriate infusion method according to the type of the mixed drug, including the infusion methods of PVC, MIDLINE, CVC, PICC and PORT. According to the characteristics of the drug attributes and infusion method, for example, PVC (peripheral intravenous catheter) should be used It is used for short-term intravenous infusion treatment and is not suitable for continuous intravenous infusion of corrosive drugs. MIDLINE (midline catheter) is inserted through the antecubital fossa of the forearm to reach the proximal basilic vein, cephalic vein or axillary vein. The tip of the catheter does not exceed the axillary vein. vein, but does not reach the central vein, because the tip of the catheter is not in the central vein, there is no need for chest X-ray examination; CVC (central venous catheter) can be used for drug infusion of any nature and hemodynamic monitoring, and should not be used for injection of contrast media (resistant Except for high-pressure catheters); PICC (peripherally inserted central venous catheter) is suitable for medium and long-term intravenous infusion treatment and can be used for drug infusion of any nature. It should not be used for contrast agent injection with syringe pumps and hemodynamic monitoring (except for high-pressure resistant catheters). ); PORT (infusion port) can be used for infusion of drugs of any nature, but cannot be used for high-pressure injection. Finally, select the appropriate infusion method according to the type of mixed drugs.

确定输液方式后,在输液方式的基础上,根据药品属性的PH值、渗透压等信息选择合适规格的输液针、导管等输液工具,最终形成一套工具组合。例如,穿刺部位皮肤和静脉,选择使用满足静脉输液治疗需要最小型号的导管,其型号应≤2/3血管内径。一次性静脉输液钢针的选取:宜用于短期或单次给药,腐蚀性药物不可应使用;外周静脉留置针的选取:宜短期静脉输液治疗,不宜用于腐蚀性药物等持续性静脉输注。输注渗透压>900mmol/L药物不可使用外周静脉短导管。根据以上判断依据,匹配出适合本次输液的工具组合。After determining the infusion method, on the basis of the infusion method, select appropriate specifications of infusion needles, catheters and other infusion tools based on the PH value, osmotic pressure and other information of the drug properties, and finally form a set of tool combinations. For example, to puncture the skin and veins at the puncture site, choose the smallest size catheter that meets the needs of intravenous infusion treatment, and its size should be ≤2/3 of the inner diameter of the blood vessel. Selection of disposable intravenous infusion needles: suitable for short-term or single administration, corrosive drugs should not be used; selection of peripheral intravenous indwelling needles: suitable for short-term intravenous infusion treatment, not suitable for continuous intravenous infusion of corrosive drugs, etc. Note. Short peripheral intravenous catheters should not be used to infuse drugs with osmotic pressure >900mmol/L. Based on the above judgment, the tool combination suitable for this infusion is matched.

将处方的药品属性信息和匹配的输液工具信息推送至医护人员,为输液工作提供参考。并且,在每次匹配完成后,系统都会记录处方的药品属性和匹配的输液工具的详细信息,并接收各个病人对于本次输液后的反馈信息,根据病人号码将接收的反馈信息归类至相应的药品属性和输液工具的匹配记录,为后续匹配系统的总结和优化提供数据基础。Push the prescription drug attribute information and matching infusion tool information to medical staff to provide reference for infusion work. Moreover, after each matching is completed, the system will record the drug attributes of the prescription and the detailed information of the matching infusion tool, and receive feedback information from each patient after this infusion, and classify the received feedback information into corresponding categories based on the patient number. The matching records of drug attributes and infusion tools provide a data basis for the subsequent summary and optimization of the matching system.

本实施例还公开了输液药品与输液工具的匹配提醒方法,该系统采用了上述输液药品与输液工具的匹配提醒系统。This embodiment also discloses a matching reminder method for infusion drugs and infusion tools. The system adopts the above matching reminder system for infusion drugs and infusion tools.

以上的仅是本发明的实施例,方案中公知的具体结构及特性等常识在此未作过多描述,所属领域普通技术人员知晓申请日或者优先权日之前发明所属技术领域所有的普通技术知识,能够获知该领域中所有的现有技术,并且具有应用该日期之前常规实验手段的能力,所属领域普通技术人员可以在本申请得出的启示下,结合自身能力完善并实施本方案,一些典型的公知结构或者公知方法不应当成为所属领域普通技术人员实施本申请的障碍。应当指出,对于本领域的技术人员来说,在不脱离本发明结构的前提下,还可以作出若干变形和改进,这些也应该视为本发明的保护范围,这些都不会影响本发明实施的效果和专利的实用性。本申请要求的保护范围应当以其权利要求的内容为准,说明书中的具体实施方式等记载可以用于解释权利要求的内容。The above are only embodiments of the present invention. Common knowledge such as the specific structures and characteristics that are known in the scheme are not described in detail here. Those of ordinary skill in the art know all the common technical knowledge in the technical field to which the invention belongs before the filing date or priority date. , be able to know all the existing technologies in this field, and have the ability to apply conventional experimental methods before this date. Persons of ordinary skill in the field can, under the inspiration obtained from this application, improve and implement this solution based on their own abilities. Some typical The well-known structures or well-known methods should not become an obstacle for those of ordinary skill in the art to implement the present application. It should be pointed out that for those skilled in the art, several modifications and improvements can be made without departing from the structure of the present invention. These should also be regarded as the protection scope of the present invention and will not affect the implementation of the present invention. effectiveness and patented practicality. The scope of protection claimed in this application shall be based on the content of the claims, and the specific implementation modes and other records in the description may be used to interpret the content of the claims.

Claims (9)

1. Infusion medicine and infusion instrument's matching warning system, its characterized in that includes: the medical treatment system comprises a medicine attribute module, a prescription identification module, a tool matching module and an information pushing module, wherein the medicine attribute module is used for storing medicine attribute information, the prescription identification module is used for identifying medicine attributes of a treatment prescription according to the stored medicine attribute information, the tool matching module is used for matching corresponding transfusion tools according to the medicine attributes, and the information pushing module is used for pushing the medicine attributes and transfusion tool information to medical staff; the prescription identification module further comprises a comprehensive attribute unit, wherein the comprehensive attribute unit is used for generating comprehensive medicine attributes according to a plurality of medicine attributes of the prescription; the comprehensive attribute unit calculates the comprehensive medicine attribute of the mixed medicines according to the medicines which are required to be mixed in the prescription and then are infused, and the comprehensive medicine attribute of the mixed medicines is matched with a proper infusion tool.
2. The matching alert system for an infusate to an infusate tool of claim 1 wherein: the drug property information includes drug type, drug PH, and drug fluid osmotic pressure.
3. The matching alert system for an infusate to an infusate tool of claim 2 wherein: the medicine types comprise alkylating agents, antimetabolites, antibiotics, plant alkaloids and platinum, the PH value of the medicine is divided into five grades which are less than or equal to 3, 3-5, 5-7, 7-9 and more than or equal to 9, and the osmotic pressure of the medicine liquid is divided into five grades which are less than or equal to 280, 280-310, 310-600, more than 600 and more than 900.
4. The matching alert system for an infusate to an infusate tool of claim 1 wherein: the prescription identification module comprises a prescription acquisition unit, a medicine identification unit and a medicine retrieval unit, wherein the prescription acquisition unit is used for acquiring prescription information, the medicine identification unit is used for identifying prescribed medicines, and the medicine retrieval unit is used for retrieving medicine attributes according to the prescribed medicines.
5. The matching alert system for an infusate to an infusate tool of claim 1 wherein: the prescription identification module further includes a conflict detection unit for detecting whether several drug attributes of the prescription conflict.
6. The matching alert system for an infusate to an infusate tool of claim 1 wherein: the tool matching module comprises an infusion mode unit and an infusion tool unit, wherein the infusion mode unit is used for matching corresponding infusion modes according to the drug attributes, and the infusion tool unit is used for matching infusion tools according to the infusion modes.
7. The matching alert system for an infusate to an infusate tool of claim 6 wherein: the transfusion modes comprise PVC, MIDLINE, CVC, PICC and PORT.
8. The matching alert system for an infusate to an infusate tool of claim 1 wherein: the medical infusion device comprises a prescription, and is characterized by further comprising a feedback recording module, wherein the feedback recording module comprises a matching recording unit, a feedback receiving unit and a feedback classifying unit, the matching recording unit is used for recording medicine attribute information of the prescription and matched infusion tool information, the feedback receiving module is used for receiving feedback information of a patient after the matched infusion tool is adopted, and the feedback classifying unit is used for classifying the feedback information to corresponding matching records.
9. The matching reminding method for the infusion medicine and the infusion tool is characterized by comprising the following steps of: the method adopts the matching reminding system of the infusion medicine and the infusion tool according to any one of claims 1 to 8.
CN202210900304.8A 2022-07-28 2022-07-28 Matching reminder method and system for infusion drugs and infusion tools Active CN115154739B (en)

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