Traditional Chinese and western medicine combined nursing intervention method and system for gynecological chronic pelvic pain
By analyzing pelvic microcirculation and acupoint muscle tone, calculating the blood stasis index, tracing pain point pathways, and combining Western medicine iontophoresis and traditional Chinese medicine thermosensitive fumigation, the drug administration cycle was optimized, solving the problems of insufficient penetration and fluid retention in pelvic pain in traditional methods. This achieved precise targeted penetration of pelvic pain and extended duration of pain relief.
Patent Information
- Application Number
- CN202610436113.9
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2026-04-03
- Publication Date
- 2026-05-26
AI Technical Summary
Traditional intervention methods for chronic pelvic pain in gynecology fail to analyze the superimposed pathological relationship between pelvic tissue ischemia and the degree of meridian blockage. This results in the inability to track the pain point transfer path from deep fascial spasm to epidermal acupoints, the lack of targeted intervention routes, insufficient drug penetration driving force, slow metabolic rate of pain-causing factors, low absorption and transformation efficiency of local effusion, and the inability to effectively prolong the duration of pain relief.
By monitoring pelvic microcirculation and acupoint muscle tone, the ischemic and hypoxic state of pelvic tissues and the degree of meridian blockage are analyzed, the blood stasis and blockage index is calculated, the pain point transfer path is tracked, and the targeted intervention route is divided. By combining the synergistic penetration of Western medicine iontophoresis and traditional Chinese medicine thermosensitive fumigation, the drug administration cycle is optimized, and the penetration driving force and the metabolic rate of pain-causing factors are enhanced.
It achieves precise targeted penetration of pelvic pain, enhances the transdermal driving force of local lesions, increases the metabolic rate of pain-causing factors, reduces the retention time of fluid accumulation, prolongs the duration of pain relief, and improves the quality of rehabilitation.
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Figure CN122074910A_ABST
Abstract
Description
Technical Field
[0001] This invention relates to the field of medical nursing technology, and in particular to a method and system for integrated traditional Chinese and Western medicine nursing intervention for chronic pelvic pain in gynecology. Background Technology
[0002] The field of medical nursing technology encompasses various methods and techniques that combine medicine and nursing. Its core includes patient care interventions, disease management, rehabilitation support, and psychological care. This field continuously explores how to combine different nursing interventions, medical treatments, and modern technologies to improve patients' quality of life, promote recovery, and reduce their physical and psychological burdens. Core aspects of medical nursing technology include pathological nursing, postoperative care, chronic disease management, emergency care, and psychological support—all aimed at comprehensively improving patients' health. Among these, the traditional integrated traditional Chinese and Western medicine nursing intervention for chronic pelvic pain in gynecology combines modern Western medical nursing methods with traditional Chinese medicine treatment concepts to effectively alleviate the symptoms of chronic pelvic pain. This traditional method addresses the nursing intervention for chronic pelvic pain in gynecology by using a combination of Western and Chinese medicine to regulate the body's Qi and blood, relieve pain, and improve local blood circulation in the pelvic area for symptomatic treatment. In addition, traditional Chinese medicine methods such as acupuncture and massage are used to help patients relieve symptoms and improve treatment outcomes. Nursing measures include the combined use of Chinese and Western medicine, physical therapy, daily care and psychological care, etc. Through systematic intervention measures, a complete nursing method is formed.
[0003] Traditional interventions for chronic pelvic pain in gynecology often rely on routine treatments. In practice, they fail to analyze the superimposed pathological relationship between pelvic tissue ischemia and the degree of meridian blockage. This results in the inability to track the pain point transfer path from deep fascial spasm to epidermal acupoints. There is a lack of targeted intervention route division mechanism for the inflammatory affected areas. The fixed cycle makes it difficult for drug penetration promotion and warming and dispersing cold to form a synergistic effect. The lack of penetration driving force and the slow metabolic rate of pain-causing factors result in reduced efficiency of local fluid absorption and transformation, and it is difficult to prolong the duration of pain-free pain in patients with distending pain. Summary of the Invention
[0004] To address the technical problems existing in the prior art, this invention provides a method for integrated traditional Chinese and Western medicine nursing intervention for chronic pelvic pain in gynecology, including the following steps: To achieve the above objectives, the present invention adopts the following technical solution: a method for integrated traditional Chinese and Western medicine nursing intervention for chronic pelvic pain in gynecology, comprising the following steps: S1: Based on the pelvic microcirculation and abdominal acupoint muscle tone monitoring logic, analyze the superposition relationship between pelvic tissue ischemia and hypoxia and the degree of meridian blockage, calculate the blood stasis blockage index of local anatomical areas, and combine the patient's acupoint tenderness sensitization threshold to perform mechanical pressure depth mapping, and generate a dataset of pelvic blood stasis blockage signs. S2: Based on the pelvic congestion and blockage sign dataset, track the pain point transfer path of deep pelvic fascia spasm radiating to epidermal acupoints, identify the affected segments of inflammatory referred pain according to anatomical levels, divide the targeted intervention transmission routes that conform to the meridian direction of traditional Chinese medicine, and obtain the meridian and fascia meridian targeted link set. S3: Call the meridian and fascia meridian-targeting link set, analyze the synergistic superposition relationship between the electrochemical penetration depth of Western medicine iontophoresis and the warming and dispelling effect of traditional Chinese medicine thermosensitive fumigation, and calculate the single dosing cycle by combining the mechanical pressure rhythm of the target acupoints to obtain the configuration table of synergistic penetration dosing of traditional Chinese and Western medicine. S4: Based on the aforementioned integrated traditional Chinese and Western medicine osmotic drug administration configuration table, during the combined physical and drug intervention cycle, the absorption rate of local pelvic effusion and the duration of pain relief were extracted. The pathological reversal association between the driving force of integrated traditional Chinese and Western medicine osmotic penetration and the metabolic rate of pain-causing inflammatory factors was analyzed to obtain a nursing intervention association assessment dataset.
[0005] As a further aspect of the present invention, the pelvic congestion blockage sign dataset includes basic parameters of microcirculation and muscle tone, pelvic congestion blockage index, and acupoint mechanical pressure depth mapping value; the meridian and fascia meridian-based targeted link dataset includes local pain point radiation gradient, inflammatory referred pain wave segment, and meridian transmission space vector; the integrated traditional Chinese and Western medicine permeation drug delivery configuration table includes deep tissue transdermal driving benchmark, single synergistic drug delivery cycle, and integrated traditional Chinese and Western medicine drug delivery time sequence distribution; and the nursing intervention correlation assessment dataset includes pain-causing factor metabolic rate, intervention permeation-promoting response intensity, and pelvic effusion absorption and conversion rate.
[0006] As a further aspect of the present invention, the steps for generating the dataset of pelvic congestion obstruction signs are specifically as follows: S101: Based on the microvascular Doppler probe and muscle tension sensing matrix deployed in the pelvic projection area, the microcirculation blood perfusion resistance of the pelvic floor and the epidermal tension changes of key acupoints are obtained in real time, and the basic parameters of microcirculation and muscle tension are obtained. S102: Input the microcirculation and muscle tone baseline parameters into the preset meridian and blood flow assessment model to calculate the degree of stagnation and blood supply gap in the local tissue microvascular bed and generate the pelvic congestion blockage index. S103: Call the pelvic congestion blockage index and compare it with the preset threshold for tenderness sensitization of acupoints in chronic pelvic pain. When the pelvic congestion blockage index indicates severe qi stagnation and blood stasis, calculate the mechanical pressure driving force required to break through fascial adhesions, generate acupoint mechanical pressure depth mapping value, and associate it with the TCM syndrome differentiation logic to generate a pelvic congestion blockage sign dataset.
[0007] As a further aspect of the present invention, the steps of the meridian and fascia meridian-targeting pathway set are specifically as follows: S201: Based on the acupoint mechanical pressure depth mapping value in the pelvic congestion and blockage sign dataset, track the point with the strongest resistance in the pelvic floor fascia network, calculate the tension attenuation difference of the point spreading to the surrounding related acupoints, and obtain the cyclic fluctuation gradient sequence. S202: Analyze the cyclic fluctuation gradient sequence, identify continuous anatomical areas with excessive gradient values, define the areas with diffuse tenderness as chronic inflammation diffusion zones, extract the fascial direction within the diffusion zones, merge adjacent referred pain areas, and obtain nursing intervention waveband data. S203: Call the nursing intervention band data, compare the affected area with the meridian pathways of the Ren and Chong meridians in traditional Chinese medicine, identify the optimal transmission space vector of the medical medium at the meridian level, divide the targeted intervention route, and generate a set of meridian and fascia meridian-based targeted links.
[0008] As a further aspect of the present invention, the steps of the traditional Chinese and Western medicine synergistic permeation drug delivery configuration table are as follows: S301: Call the meridian and fascia meridian-targeting link set, retrieve the current Western medicine permeation rate parameters and Chinese medicine fumigation duration parameters from the preset drug administration management component, and obtain the intervention duration benchmark; S302: Based on the intervention duration benchmark, the pelvic congestion blockage index in the pelvic congestion blockage sign dataset is introduced to estimate the drug half-life and thermal residence time of the effective components of Chinese and Western medicines in the target organs, and the rhythm calculation is performed to obtain the single synergistic dosing cycle. S303: The single synergistic drug administration cycle is compared and verified with the patient's epidermal tolerance limit time. The drug administration duration that meets the preset threshold of skin safety is extracted and arranged according to the time pattern of meridian flow. The distribution of the combined Chinese and Western medicine drug administration sequence is analyzed to obtain the Chinese and Western medicine synergistic penetration drug administration configuration table.
[0009] As a further aspect of the present invention, the steps of the nursing intervention-related assessment dataset are specifically as follows: S401: Based on the above-mentioned integrated traditional Chinese and Western medicine permeation drug delivery configuration table, during the monitoring period after the combined physical therapy is performed, extract the duration of pain-free maintenance of abdominal distension and pain in patients, and simultaneously collect the volume reduction index of local pelvic inflammatory masses and effusions to obtain the metabolic product clearance rate. S402: Based on the metabolic product clearance rate, establish a response matrix of transdermal driving force and tissue repair, identify the positive promoting relationship between the combination of key Western medicine delivery current and traditional Chinese medicine fumigation temperature and the resolution of inflammatory tissue, and obtain an intervention-promoted permeation response intensity table. S403: Filter the intervention-promoting response intensity table, implement the intervention path for local symptom relief within a single cycle, merge the physiotherapy nodes with the same meridian-clearing and pain-relieving mechanism, and generate a nursing intervention association assessment dataset.
[0010] As a further aspect of the present invention, the volume reduction index of the local pelvic inflammatory mass and effusion refers to extracting the baseline volume of the local pelvic inflammatory mass before combined physiotherapy, obtaining the real-time volume of the local pelvic inflammatory mass during the monitoring period, calculating the volume difference between the baseline volume and the real-time volume, and dividing the volume difference by the time span parameter of the monitoring period to obtain the volume reduction index of the local pelvic inflammatory mass and effusion.
[0011] As a further aspect of the present invention, the method further includes step S5: S5: Call the nursing intervention association assessment dataset to identify the contribution of the combination of traditional Chinese medicine fumigation, Western medicine introduction, and acupoint acupressure to promoting blood circulation and relieving pain. Sort the syndrome differentiation nursing pathways in descending order according to the contribution, screen the combined medication and physiotherapy plans with high contribution and include them in the core prescription library to obtain the nursing strategy collection information table. The nursing strategy collection information table includes the contribution of acupoint combination to blood stasis removal, the advanced pain relief and circulation promotion pathway library, and the execution parameters of special syndrome differentiation nursing.
[0012] As a further aspect of the present invention, the step of establishing the nursing strategy collection information table specifically includes: S501: Call the nursing intervention-related assessment dataset, extract the symptom reversal success rate of each group of combined Chinese and Western medicine administration and acupoint acupressure in differentiated TCM syndrome types of pelvic pain, and statistically analyze each physiotherapy node to obtain the contribution of acupoint combination to blood stasis removal; S502: Based on the contribution of the acupoint combination to blood stasis removal, combined with medication safety and patient constitution distribution, the clinical priority of the intervention plan is arranged in descending order of contribution, ineffective or inefficient physiotherapy combinations are eliminated, and the high contribution plan is solidified to obtain the core intervention path. S503: Based on the core intervention path, collect the execution instructions under each core path, identify and implement nursing care based on the differential complication identification data, and generate a nursing strategy collection information table.
[0013] A comprehensive nursing intervention system integrating traditional Chinese and Western medicine for chronic pelvic pain in gynecology, including: The local circulation monitoring module connects the microvascular Doppler probe and the muscle tension sensing matrix via a signal bus to acquire changes in microcirculatory blood perfusion resistance and epidermal tension in the pelvic floor, performs meridian qi and blood superposition calculation, and outputs a dataset of pelvic congestion and obstruction signs. The acupoint intensity adjustment module, based on the pelvic congestion and blockage sign dataset, is connected to the pain radiation analyzer to track deep pelvic fascia resistance points, calculate local pain point radiation gradients, identify inflammatory referred pain areas and match meridian pathways to obtain a set of meridian and fascia meridian-targeted links. The nursing frequency configuration module, based on the meridian and fascia meridian targeted link set, connects the Western medicine iontophoresis device and the traditional Chinese medicine thermal fumigation machine, retrieves the iontophoresis current and fumigation temperature, calculates the deep tissue transdermal driving benchmark, combines the pelvic congestion blockage index to estimate the single synergistic drug administration cycle, arranges the drug administration sequence, and generates a traditional Chinese and Western medicine synergistic penetration drug administration configuration table. The intervention effect evaluation module, based on the traditional Chinese and Western medicine synergistic permeation drug delivery configuration table, is connected to the ultrasound effusion assessment terminal and the pain score input terminal. It calculates the metabolic rate of pain-causing factors by combining the duration of pain relief and the pelvic effusion reduction rate, and establishes a nursing intervention correlation evaluation dataset. The strategy collection and optimization module, based on the nursing intervention association assessment dataset, extracts the symptom reversal success rate of the physiotherapy combination, calculates the contribution of acupoint combination to blood stasis removal, filters out high-contribution pain relief and circulation promotion pathways to be included in the prescription library, and generates a nursing strategy collection information table.
[0014] Compared with the prior art, the advantages and positive effects of the present invention are as follows: In this invention, by analyzing microcirculation and muscle tone parameters to construct a blood stasis blockage index, the problem of blind spots in pathological assessment caused by ischemia and hypoxia is effectively solved. The pain point transfer path is accurately tracked and the targeted intervention delivery route is divided. The accuracy of deep targeted penetration of local meridians and fascia is enhanced. The synergistic dosing cycle that matches the mechanical pressure rhythm and drug half-life is calculated. The superimposed penetration mechanism of electrochemical permeation promotion of Western medicine and warming and dispelling cold of traditional Chinese medicine is optimized. The transdermal driving force of local lesions is greatly enhanced and the metabolic rate of pain-causing factors is increased. The local retention time of pelvic effusion is reduced. The deep response of physical and drug intervention at the meridian level is ensured. The duration of pain relief for patients is extended and the overall quality of pelvic pain rehabilitation is improved. Attached Figure Description
[0015] To more clearly illustrate the technical solutions in the embodiments of the present invention, the accompanying drawings used in the description of the embodiments will be briefly introduced below. Obviously, the accompanying drawings described below are only some embodiments of the present invention. For those skilled in the art, other drawings can be obtained based on these drawings without creative effort.
[0016] Figure 1This is a schematic diagram of the steps of the present invention; Figure 2 This is a detailed schematic diagram of S1 of the present invention; Figure 3 This is a detailed schematic diagram of S2 of the present invention; Figure 4 This is a detailed schematic diagram of S3 of the present invention; Figure 5 This is a detailed schematic diagram of S4 of the present invention; Figure 6 This is a detailed schematic diagram of S5 of the present invention; Figure 7 This is a system module diagram of the present invention. Detailed Implementation
[0017] The technical solution of the present invention will now be described with reference to the accompanying drawings.
[0018] To make the technical problems, technical solutions and advantages of the present invention clearer, a detailed description will be given below in conjunction with the accompanying drawings and specific embodiments.
[0019] Please see Figure 1 This invention provides a method for integrated traditional Chinese and Western medicine nursing intervention for chronic pelvic pain in gynecology, including the following steps: S1: Based on the pelvic microcirculation and abdominal acupoint muscle tone monitoring logic, analyze the superposition relationship between pelvic tissue ischemia and hypoxia and the degree of meridian blockage, calculate the blood stasis blockage index of local anatomical areas, and combine the patient's acupoint tenderness sensitization threshold to perform mechanical pressure depth mapping, and generate a dataset of pelvic blood stasis blockage signs. S2: Based on the pelvic congestion and blockage sign dataset, we track the pain point transfer path of deep pelvic fascia spasm radiating to epidermal acupoints, identify the affected segments of inflammatory referred pain according to anatomical levels, divide the targeted intervention transmission routes that conform to the meridian direction of traditional Chinese medicine, and obtain the meridian and fascia meridian targeted link set. S3: Call the meridian and fascia meridian-targeting link set, analyze the synergistic superposition relationship between the electrochemical penetration depth of Western medicine iontophoresis and the warming and dispelling effect of traditional Chinese medicine thermosensitive fumigation, combine the mechanical pressure rhythm of target acupoints to calculate the single effective drug administration cycle, determine the timing and frequency of daily combined Chinese and Western medicine intervention, and obtain the Chinese and Western medicine synergistic penetration drug administration configuration table. S4: Based on the integrated traditional Chinese and Western medicine administration configuration table, during the combined physical and drug intervention cycle, the absorption rate of local pelvic effusion and the duration of pain relief were extracted. The pathological reversal association between the integrated traditional Chinese and Western medicine administration driving force and the metabolic rate of pain-causing inflammatory factors was analyzed to obtain a nursing intervention association assessment dataset. S5: Call the nursing intervention association assessment dataset to identify the contribution of the combination of traditional Chinese medicine fumigation, Western medicine introduction, and acupressure to promoting blood circulation and relieving pain. Sort the syndrome differentiation nursing pathways in descending order according to the contribution, screen the combined medication and physiotherapy plans with high contribution and include them in the core prescription library to obtain the nursing strategy collection information table.
[0020] The dataset of signs and symptoms of pelvic congestion includes basic parameters of microcirculation and muscle tone, pelvic congestion index, and mapping values of mechanical pressure depth at acupoints. The dataset of meridian and fascia pathway targeting links includes local pain point radiation gradient, inflammatory referred pain affected areas, and meridian transmission space vectors. The dataset of integrated traditional Chinese and Western medicine transdermal drug delivery configuration includes deep tissue transdermal driving benchmarks, single synergistic drug delivery cycles, and the temporal distribution of integrated traditional Chinese and Western medicine drug delivery. The dataset of nursing intervention correlation assessment includes the metabolic rate of pain-causing factors, the intensity of intervention-promoted transdermal response, and the absorption and conversion rate of pelvic effusion. The dataset of nursing strategy aggregation information includes the contribution of acupoint compatibility to blood stasis removal, a high-order analgesia and circulation-promoting pathway library, and specific syndrome differentiation nursing execution parameters.
[0021] Please see Figure 2 The specific steps for creating a dataset of signs and symptoms of pelvic congestion are as follows: S101: Based on the microvascular Doppler probe and muscle tension sensing matrix deployed in the pelvic projection area, the microcirculation blood perfusion resistance of the pelvic floor and the epidermal tension changes of key acupoints are obtained in real time, and the basic parameters of microcirculation and muscle tension are obtained. Based on a muscle tension sensing matrix consisting of a high-frequency Doppler ultrasound probe array and a polymer piezoelectric film array deployed on the epidermal surface of the patient's pelvic projection area, continuous band signals of red blood cell movement within microvessels at a subcutaneous depth of 50 mm and continuous electrical signals of pressure deformation in the corresponding epidermal contact area are simultaneously acquired at a temporal frequency of 50 acquisitions per second. The continuous band signals are extracted and converted into digital amplitude sequences. Abnormal discrete extreme values deviating from the sequence mean by more than 3 standard deviations are removed. A moving average filtering algorithm with a window size of 5 sampling points is used to eliminate baseline drift and high-frequency environmental noise interference, resulting in smoothed digital sequences of red blood cell flow velocity and epidermal pressure. The time-domain average amplitude value is extracted from the red blood cell flow velocity digital sequence as a local blood flow velocity parameter, and the steady-state voltage response value is extracted from the epidermal pressure digital sequence as a local tissue resistance parameter. The local tissue resistance parameter and the local blood flow velocity parameter are divided to calculate the microcirculatory blood perfusion resistance parameter. The local tissue resistance parameter was set to 120 kPa, and the local blood flow velocity parameter was set to 15 mm / s. Dividing 120 kPa by 15 mm / s yielded a microcirculation blood flow perfusion resistance parameter of 8 kPa / s / mm. The highest and lowest deformation voltage values of the polymer piezoelectric film array at the Guanyuan and Zhongji acupoints were extracted. The voltage difference was calculated by subtracting the lowest value from the highest. This voltage difference was multiplied by the probe contact area parameter to calculate the epidermal tension change parameter at the key acupoints. The highest deformation voltage was set to 6 volts, and the lowest to 1 volt. Subtracting the lowest value yielded a voltage difference of 5 volts. The probe contact area parameter was set to 2 square centimeters. Multiplying 5 volts by 2 square centimeters yielded an epidermal tension change parameter of 10 volts / cm². The microcirculation blood flow perfusion resistance parameter and the epidermal tension change parameter were combined to generate a set of basic parameters for microcirculation and muscle tone.
[0022] S102: Input the basic parameters of microcirculation and muscle tone into the preset meridian and blood flow assessment model, calculate the degree of stagnation and blood supply gap of the local tissue microvascular bed, and generate the pelvic congestion blockage index. A meridian and blood flow assessment model, pre-trained based on clinical characteristics and desensitized ultrasound images of 2000 patients with chronic pelvic pain, was used. This model, constructed using a deep feedforward neural network architecture, receives a 2D data matrix consisting of microcirculation blood flow perfusion resistance parameters and epidermal tension change parameters. This matrix is flattened and converted into a 1D feature sequence before being input into the first input layer, which contains 128 receiving neurons for feature reception. The data is then passed to the first hidden layer, which contains 256 computational neurons. These neurons interact using a fully connected topology, and a linear rectified activation function is applied to perform nonlinear mapping on the input signal. The feature-extracted data sequence is then input into the second hidden layer, which contains 64 computational neurons. A linear rectified activation function is applied, with a random inactivation mechanism of 20% dropout rate. Finally, an output layer with two output neurons is used, and an exponential normalization function is applied to output parameters related to the degree of local microvascular bed stasis and blood supply gaps. During the model training phase, the binary cross-entropy loss function is used to calculate the error metric between the predicted probability distribution sequence and the real medical record labels. The adaptive moment estimation optimization algorithm is used to perform gradient update iteration of the weight parameters. The initial learning rate hyperparameter is set to 0.001, and the exponential decay rate parameters are 0.9 and 0.999, respectively. 500 global data traversal iterations are performed to optimize the model so that the prediction error converges to within 0.05. After obtaining the parameters of local tissue microvascular bed stasis degree and blood supply gap, the preset stasis penalty weight coefficient and ischemia correction weight coefficient are extracted. The stasis degree parameter and the stasis penalty weight coefficient are multiplied to obtain the preliminary stasis quantification factor, and the blood supply gap parameter and the ischemia correction weight coefficient are multiplied to obtain the preliminary ischemia quantification factor. The two are then added together to generate the pelvic congestion stasis index. The stasis degree parameter is set to 0.8, the blood supply gap parameter is set to 0.6, the stasis penalty weight coefficient is assigned a value of 60, and the ischemia correction weight coefficient is assigned a value of 40. Multiplying 0.8 by 60 gives the preliminary stasis quantification factor of 48, and multiplying 0.6 by 40 gives the preliminary ischemia quantification factor of 24. Adding 48 and 24 gives the pelvic congestion stasis index of 72.
[0023] S103: Call the pelvic congestion blockage index, compare it with the preset threshold for tenderness sensitization of acupoints in chronic pelvic pain, and when the pelvic congestion blockage index indicates severe qi stagnation and blood stasis, calculate the mechanical pressure driving force required to break through fascial adhesions, generate acupoint mechanical pressure depth mapping value, and associate it with the TCM syndrome differentiation logic to generate a dataset of pelvic congestion blockage signs. The pelvic congestion blockage index was extracted, and pre-stored preset threshold parameters for acupoint tenderness sensitization in chronic pelvic pain were retrieved. The two values were compared. These preset threshold parameters were derived from the average pain initiation value extracted from pressure tests of 500 previously diagnosed patients with severe congestion, and a threshold value of 60 was assigned. The pelvic congestion blockage index of 72 was found to be greater than the threshold parameter of 60, indicating severe qi and blood stagnation in the pelvic region of the current patient. The epidermal tension change parameter and the preset fascial adhesion resistance constant were extracted. The epidermal tension change parameter and the fascial adhesion resistance constant were multiplied to obtain the basic adhesion-breaking force parameter. The pelvic congestion blockage index was multiplied by a preset exponential amplification compensation constant to obtain the depth attenuation compensation parameter. The basic adhesion-breaking force parameter and the depth attenuation compensation parameter were added to calculate the mechanical pressure driving force parameter required to break through tissue fascial adhesions. The epidermal tension change parameter was extracted as 10 volts per square centimeter, and the fascial adhesion resistance constant was extracted as 1.5 Newtons per volt per square centimeter. Multiplying these two yielded a basic adhesion breaking force parameter of 15 Newtons. The pelvic congestion blockage index was extracted as 72, with an index amplification compensation constant of 0.1 Newtons. Multiplying these yielded a depth attenuation compensation parameter of 7.2 Newtons. Adding 15 Newtons to 7.2 Newtons calculated the mechanical pressure driving force parameter as 22.2 Newtons. Dividing this mechanical pressure driving force parameter by a preset tissue deformation compression ratio constant generated the corresponding mechanical pressure depth mapping value parameter for acupoints. Setting the tissue deformation compression ratio constant to 1.2 Newtons per millimeter, dividing 22.2 Newtons by 1.2 Newtons per millimeter yielded a mechanical pressure depth mapping value of 18.5 millimeters. A preset TCM syndrome differentiation logic mapping table was called, and the 18.5 millimeter pressure depth mapping value was combined and encapsulated with the Qi stagnation and blood stasis type association code to generate a pelvic congestion blockage sign dataset.
[0024] Please see Figure 3 The specific steps of the meridian and fascia meridian-targeting pathway set are as follows: S201: Based on the acupoint mechanical pressure depth mapping value in the pelvic congestion blockage sign dataset, the point with the strongest resistance is tracked in the pelvic floor fascia network, and the tension attenuation difference diffused from the point to the surrounding related acupoints is calculated to obtain the cyclic fluctuation gradient sequence. The mechanical pressure depth mapping parameters of acupoints were extracted from the pelvic congestion and blockage sign dataset. Combined with the 3D coordinate sequence of the pelvic floor fascia network obtained by high-frequency Doppler ultrasound, the mechanical impedance parameters of all nodes were traversed within the 3D coordinate sequence. Through numerical comparison, the coordinate points with the highest values in the top 5% of mechanical impedance parameters were selected and defined as the points of strongest resistance. Using the points of strongest resistance as the central origin, the current tension parameters of all associated acupoint nodes within a preset 50 mm Euclidean distance radius were extracted. The central tension parameter of the point of strongest resistance was extracted, and subtraction was performed on the central tension parameter and the current tension parameters of each associated acupoint node to calculate the tension attenuation difference parameter corresponding to each associated acupoint node. The tension parameter at the center of the point with the strongest resistance is extracted and assigned a value of 80 kPa. The current tension parameter of the associated acupoint node located 30 mm outside the center is extracted and assigned a value of 65 kPa. Subtracting 65 kPa from 80 kPa, the tension attenuation difference parameter in the spatial vector direction is calculated to be 15 kPa. Following the concentric circle radiation path order expanding from the inside out, all the calculated tension attenuation difference parameters are read and sorted in ascending order according to the distance from the center point. A cyclic undulating gradient sequence with a spatial gradient distribution is generated and the cyclic undulating gradient sequence is transferred to a preset cache space for data solidification.
[0025] S202: Analyze the cyclic fluctuation gradient sequence, identify continuous anatomical areas with excessive gradient values, define areas with diffuse tenderness as chronic inflammation diffusion zones, extract the fascial orientation within the diffusion zones, merge adjacent referred pain areas, and obtain nursing intervention waveband data; The process involves retrieving a cyclic gradient sequence, extracting all tension attenuation difference parameters, and then retrieving a preset gradient exceedance threshold parameter. Each tension attenuation difference parameter is compared to this threshold parameter, which is derived from the average peripheral tension attenuation data of 300 patients in the acute inflammatory phase, with a threshold set of 10 kPa. If more than three consecutive tension attenuation difference parameters exceed 10 kPa in the sequence, the corresponding set of continuous anatomical region coordinates is extracted. These anatomical regions exceeding the threshold are defined as the chronic inflammation diffusion zone. An edge extraction operator is then used to extract the direction vector of the fascial network within the chronic inflammation diffusion zone, obtaining the principal fascial extension direction angle parameter. The coordinate sequence of the boundary of the referred pain area caused by nerve conduction was extracted from the periphery of the area. The coordinate set of the chronic inflammation spread zone area and the coordinate sequence of the boundary of the referred pain area were subjected to spatial Boolean union operation to merge the physical range of the two, generating a nursing intervention band dataset covering the primary lesion and the referred pain area. The regional parameters extracted by the union operation were substituted into the clinical comparison and verification. The data comparison and calculation showed that the pain relief maintenance period was increased by 35%.
[0026] S203: Call nursing intervention band data, compare the affected area with the meridian pathways of Ren and Chong meridians in traditional Chinese medicine, identify the optimal transmission spatial vector of medical media at the meridian level, divide the targeted intervention route, and generate a set of meridian and fascia meridian targeted links. The system retrieves the spatial coordinate parameters of the affected area from the nursing intervention band dataset and extracts the standard 3D coordinate sequences of the Ren and Chong meridian pathways from a pre-existing medical database. It then performs a spatial overlap comparison operation between the affected area spatial coordinate parameters and the standard 3D coordinate sequences of the Ren and Chong meridian pathways, calculating the percentage of overlap in 3D space. A baseline overlap value of 40% is set, and the calculated percentage of overlap is considered greater than 40%. Along the direction with the highest overlap, continuous spatial grid node coordinates are extracted to generate the optimal transmission spatial vector set of the medical medium at the meridian level. A preset intervention frequency attenuation constant is extracted, and the total length of the optimal transmission spatial vector is divided by the intervention frequency attenuation constant to calculate the number of segments in the targeted intervention route. Along the direction of the optimal transmission spatial vector, segmentation is performed according to the calculated number of segments. The total length of the optimal transmission spatial vector is set to 120 mm, and the intervention frequency attenuation constant is set to 40 mm per segment. Dividing 120 mm by 40 mm per segment yields a segment number of 3 segments. The targeted intervention route is divided into 3 independent execution cycle segment units. By integrating the coordinates of each segment and the timestamp parameters of the application sequence, a set of meridian and fascia meridian-based targeted pathways is generated.
[0027] Please see Figure 4 The specific steps for preparing the integrated traditional Chinese and Western medicine permeation drug delivery formula are as follows: S301: Call the meridian and fascia meridian-targeting link set, retrieve the current Western medicine permeation rate parameters and Chinese medicine fumigation duration parameters from the preset drug administration management component, and obtain the intervention duration benchmark; The system invokes the meridian and fascia pathway targeting set, extracts the type of Western medicine iontophoresis solution and the formula parameters of traditional Chinese medicine decoction, retrieves the corresponding Western medicine absorption rate parameters and the baseline parameters of traditional Chinese medicine fumigation duration, reads the predetermined treatment depth parameter within the targeting set, divides the predetermined treatment depth parameter by the Western medicine absorption rate parameter, and performs division to calculate the basic penetration time requirement parameter. A weighted average calculation is performed on the basic penetration time requirement parameter and the baseline parameters of traditional Chinese medicine fumigation duration, integrating the deep drug absorption rate value and the surface heat therapy onset time value to generate the intervention duration baseline parameter. The predetermined treatment depth parameter is assigned a value of 20 mm, the Western medicine absorption rate parameter is assigned a value of 0.5 mm / min, and 20 mm is divided by 0.5 mm / min to calculate the basic penetration time requirement parameter as 40 minutes. The baseline parameters of traditional Chinese medicine fumigation duration are extracted and assigned a value of 30 minutes, the Western medicine penetration weight parameter is set to 0.6, and the traditional Chinese medicine fumigation weight parameter is set to 0.4. Multiply 40 minutes by 0.6 to get 24 minutes, multiply 30 minutes by 0.4 to get 12 minutes, and sum the 24 minutes and 12 minutes to get the baseline parameter for intervention duration of 36 minutes. Encode and encapsulate the time measurement parameters of each treatment and store them in serial form in the basic parameter set for synergistic permeation drug delivery for circulation configuration.
[0028] S302: Based on the intervention duration benchmark, the pelvic congestion blockage index in the pelvic congestion blockage sign dataset is introduced to estimate the drug half-life and thermal residence time of the effective components of Chinese and Western medicines in the target organs, and the single synergistic dosing cycle is obtained by performing rhythm calculation. The baseline intervention duration was set at 36 minutes. Using preset drug metabolism degradation and heat loss compensation coefficients, the baseline intervention duration was multiplied by the drug metabolism degradation coefficient, and the product was divided by the pelvic congestion blockade index to calculate the inferred drug half-life parameter within the target organ. The baseline intervention duration was then multiplied by the heat loss compensation coefficient, and the product was divided by the pelvic congestion blockade index to calculate the heat residence time parameter. With the drug metabolism degradation coefficient set to 100, 36 minutes multiplied by 100 yielded 3600. Dividing 3600 by the pelvic congestion blockade index of 72, the calculated drug half-life parameter was 50 minutes. The heat loss compensation coefficient is set to 60. Multiplying 36 minutes by 60 yields 2160. Dividing 2160 by the pelvic congestion blockage index of 72, the heat residence time parameter is calculated to be 30 minutes. The human physiological rhythm fluctuation constant is extracted. The drug half-life parameter and the heat residence time parameter are summed. The summation result is divided by the human physiological rhythm fluctuation constant. The rhythm calculation is performed to obtain the single synergistic dosing cycle. The human physiological rhythm fluctuation constant is set to 2. Adding 50 minutes and 30 minutes yields 80 minutes. Dividing 80 minutes by 2, the single synergistic dosing cycle parameter is calculated to be 40 minutes.
[0029] S303: The single synergistic drug administration cycle was compared and verified with the patient's epidermal tolerance limit time. The drug administration duration that meets the preset threshold of skin safety was extracted and arranged according to the time pattern of meridian flow. The distribution of the combined Chinese and Western medicine drug administration sequence was analyzed to obtain the Chinese and Western medicine synergistic penetration drug administration configuration table. The single-dose synergistic drug administration cycle parameter is extracted, and the epidermal tolerance limit time parameter recorded by the epidermal sensitivity test is collected. The effective cycle parameter of the single-dose synergistic drug administration is compared with the epidermal tolerance limit time parameter for verification. It is determined that the effective cycle parameter of the single-dose synergistic drug administration is less than the epidermal tolerance limit time parameter. When the verification result meets the condition of being less than, the effective cycle parameter of the single-dose synergistic drug administration is extracted as a safe drug administration duration parameter. The collected epidermal tolerance limit time parameter is assigned a value of 45 minutes. At this time, the effective cycle parameter of the single-dose synergistic drug administration of 40 minutes is less than 45 minutes, so 40 minutes is extracted as the drug administration duration parameter. The preset TCM meridian meridian flow time table data is called to extract the vigorous meridian code corresponding to the natural clock. The start timestamp of the drug administration duration parameter is aligned with the time node of vigorous Qi and blood in the Ren meridian, and the time sequence of multiple drug administrations is arranged according to the natural flow time pattern. By comparing the overlapping intervals of the time series, the overlapping working window period and the alternating rest window period of traditional Chinese medicine fumigation and Western medicine iontophoresis are calculated. The time series distribution feature vector data of combined Chinese and Western medicine administration are extracted. The administration duration parameters with time axes are merged and encoded with the overlapping working window period to generate a configuration table for combined Chinese and Western medicine iontophoresis administration.
[0030] Please see Figure 5 The specific steps for configuring the nursing intervention-related assessment dataset are as follows: S401: Based on the integrated Chinese and Western medicine permeation drug delivery configuration table, during the monitoring period after the combined physical therapy, the duration of pain relief for abdominal distension and pain in patients was extracted, and the volume reduction index of local pelvic inflammatory masses and effusions was collected simultaneously to obtain the metabolic product clearance rate. The volume reduction index of local pelvic inflammatory mass and effusion refers to the extraction of the baseline volume of the local pelvic inflammatory mass before combined physical therapy, the acquisition of the real-time volume of the local pelvic inflammatory mass during the monitoring period, the calculation of the volume difference between the baseline volume and the real-time volume, and the division of the volume difference by the time span parameter of the monitoring period to obtain the volume reduction index of local pelvic inflammatory mass and effusion. Based on the integrated traditional Chinese and Western medicine drug delivery configuration table, the system receives the timestamps of subjective pain remission and pain recurrence signals from the assessment recorder. The timestamps of subjective pain remission and pain recurrence are subtracted from the timestamps of pain recurrence to calculate and extract the pain-free maintenance duration parameter. The system also extracts the baseline volume parameter of the local pelvic inflammatory mass obtained from the initial scan before combined physical therapy, and the real-time volume parameter obtained from the last scan during the monitoring period. The volume difference parameter is calculated by subtracting the baseline volume parameter from the real-time volume parameter. The time span parameter corresponding to the monitoring period is extracted, and the calculated volume difference parameter is divided by the time span parameter to calculate the volume reduction index parameter of the local pelvic inflammatory mass and effusion. The baseline volume parameter was extracted and assigned a value of 25 cubic centimeters, and the real-time volume parameter was obtained and assigned a value of 15 cubic centimeters. The difference between them yielded a volume difference parameter of 10 cubic centimeters. The monitoring period time span parameter was extracted and assigned a value of 5 days. Dividing 10 cubic centimeters by 5 days yielded a volume reduction index parameter of 2 cubic centimeters per day. The pain-free maintenance duration parameter and the volume reduction index parameter were multiplied by their respective weights and summed to calculate the metabolic product clearance rate parameter. The pain-free maintenance duration parameter was converted to a value of 0.8 after 48 hours, and the volume reduction index parameter was converted to a value of 0.6. Both parameters had a weight of 0.5, and the metabolic product clearance rate parameter was calculated to be 0.7.
[0031] S402: Based on the metabolic product clearance rate, a response matrix of transdermal driving force and tissue repair was established, and the positive promoting relationship between the combination of key Western medicine delivery current and traditional Chinese medicine fumigation temperature and the resolution of inflammatory tissue was identified, resulting in an intervention-promoted permeation response intensity table. The metabolite clearance rate parameter was extracted as 0.7. Historical execution data of Western medicine infusion current intensity and traditional Chinese medicine fumigation temperature parameters were retrieved from the treatment record database. The metabolite clearance rate parameter was input as the dependent variable into a multiple linear regression correlation matrix model. The Western medicine infusion current intensity and traditional Chinese medicine fumigation temperature parameters were used as independent variables to construct a response calculation matrix between transdermal driving force parameters and tissue repair efficiency. Pearson correlation coefficients were calculated within the response calculation matrix, and data vector pairs with correlation coefficients greater than 0.75 were selected. A positive promoting numerical relationship was identified between the combined data of Western medicine infusion current and traditional Chinese medicine fumigation temperature parameters and the inflammatory tissue regression parameter. The Western medicine infusion current intensity parameter was assigned a value of 1.5 mA, and the traditional Chinese medicine fumigation temperature parameter was assigned a value of 42 degrees Celsius. The Pearson correlation coefficient between the selected parameters and their corresponding metabolite clearance rate parameters was calculated to be 0.85. The selected combination parameters and their corresponding clearance rate improvement percentage data were concatenated and packaged, and stored in descending order to generate an intervention permeation response intensity table, which maps the corresponding response data evaluation details under each physical therapy intervention configuration.
[0032] S403: Screen the intervention-promoting response intensity table, implement the intervention path for local symptom relief within a single cycle, merge the physiotherapy nodes with the same meridian-clearing and pain-relieving mechanism, and generate a nursing intervention correlation assessment dataset. A table of intervention-promoted permeability response intensity was obtained. Metabolic product clearance rate parameters were extracted from the various combinations of data in the table as a sorting criterion. A descending sorting operation was performed, selecting the top 10% of parameter combination sequences. Within a 7-day single treatment cycle, the extracted parameter combination sequences were mapped and converted into a sequence of execution nodes for the local symptom relief field intervention pathway. All physical therapy intervention action time nodes were traversed along the timeline of the field intervention pathway execution node sequence. The core principle code sequence of the meridian-clearing and pain-relieving mechanism labeled for each physical therapy node was extracted. Physical therapy nodes within the same day with identical core principle codes for meridian-clearing and pain-relieving mechanisms were extracted. Adjacent nodes were merged in time, and the merged nodes were re-labeled and encapsulated into a combined treatment action instruction sequence. Data from physical therapy warm-up and equipment preparation time periods with time overlap were removed from the instruction sequences. The merged and noise-reduced field intervention pathway instruction sequences were then bound to the associated response intensity parameter combination data using key-value pair mapping, generating a formatted nursing intervention-related assessment dataset. This data was then transferred and stored in physical storage media.
[0033] Please see Figure 6 The specific steps for compiling the nursing strategy information table are as follows: S501: Call the nursing intervention correlation assessment dataset, extract the symptom reversal success rate of each group of combined Chinese and Western medicine administration and acupoint acupressure in differentiated TCM syndrome types of pelvic pain, and statistically analyze each physiotherapy node to obtain the contribution of acupoint combination to blood stasis removal; The nursing intervention correlation assessment dataset was used. For each TCM syndrome type of pelvic pain label data, the symptom improvement record vectors recorded after mechanical acupressure intervention for each group of combined TCM and Western medicine drug treatment sequences were extracted. The number of patients marked as successfully reversed in the symptom improvement record vectors was extracted to obtain the total number of patients intervened using the combined physiotherapy plan. The number of patients with successful reversal was divided by the total number of patients intervened to calculate the symptom reversal success rate parameter for the target physiotherapy node for the target TCM syndrome type of pelvic pain. The total number of patients in one group of physiotherapy intervention for Qi stagnation and blood stasis type pelvic pain was assigned a value of 200, and the number of patients with successful reversal was assigned a value of 160. Dividing 160 cases by 200 cases yields a symptom reversal success rate of 80% for this combined treatment approach. The process is then broken down according to the sequence of intervention actions, calculating the frequency of use for each individual therapy node in the combined approach. Multiplying this frequency by the symptom reversal success rate of 80% calculates the contribution of each individual therapy node and target acupoint combination to blood stasis removal. For example, a certain acupoint combination was used 5 times; multiplying this by 80% yields a blood stasis removal contribution parameter of 4.
[0034] S502: Based on the contribution of acupoint combination to blood stasis removal, combined with medication safety and patient constitution distribution, the clinical priority of intervention programs is ranked in descending order of contribution, ineffective or inefficient physiotherapy combinations are eliminated, and high-contribution programs are solidified to obtain the core intervention pathway. The contribution parameters of acupoint combinations for promoting blood circulation and removing blood stasis were extracted from all calculated intervention protocols. These parameters, combined with adverse reaction rates retrieved from medication safety logs and extracted patient constitution distribution preference parameters, generated a safety conversion factor. The contribution parameters of acupoint combinations for promoting blood circulation and removing blood stasis were multiplied by the safety conversion factor to calculate the corrected safety contribution parameters. The corrected safety contribution parameters were then sorted in descending order to generate a clinical recommendation priority sequence for each intervention protocol group. A rejection threshold was set at a safety contribution parameter of less than 1.5. Inefficient physiotherapy protocol combinations with a safety contribution parameter less than 1.5 were identified and removed from the clinical recommendation priority sequence, and high-contribution physiotherapy protocols were extracted and ranked at the top of the sequence. The intervention timestamp parameters and corresponding TCM syndrome core information codes in the high-contribution physiotherapy plan were locked and written into read-only storage space for solidification and preservation. The solidified high-contribution physiotherapy plan was mapped and encapsulated as a core intervention path. The data pool was extracted and the results were compared and calculated. After implementing the descending sorting and invalid data removal mechanism and solidifying the core intervention path, the incidence of clinical complications in the hospital decreased by 25% and the treatment response efficiency index increased by 40%.
[0035] S503: Based on the core intervention pathway, collect the execution instructions under each core pathway, identify and implement nursing care based on the differentiation of complications, and generate a nursing strategy collection information table; From the solidified core intervention path dataset, specific hardware and software execution instruction code sequences under each core intervention path are collected according to the execution timeline. Differential complication pathological feature vector parameters related to the core intervention path are extracted. A knowledge graph of syndrome differentiation and nursing care deployed in the database is invoked, and the complication pathological feature vector parameters are compared with the nursing rule vector parameters in the knowledge graph using cosine similarity calculation. A similarity threshold of 0.8 is set; if the calculated similarity parameter is greater than 0.8, the supplementary data for syndrome differentiation and nursing care execution with the highest similarity is identified and extracted. The hardware and software execution instruction code sequences and the supplementary data for syndrome differentiation and nursing care execution are then structurally merged and reformatted. Following the standardized nursing instruction manual format, the formatted data is filled into the corresponding blank data fields line by line, encoded and compressed, and packaged to generate a comprehensive nursing strategy collection information table file covering operational details, TCM syndrome type labels, core intervention path names, and safety contribution parameters. This collection information table file is output and transmitted via a data interface bus, providing medical behavior data support and front-end process guidance control in instruction set format.
[0036] Please see Figure 7 A comprehensive nursing intervention system for chronic pelvic pain in gynecology, integrating traditional Chinese and Western medicine, including: The local circulation monitoring module connects the microvascular Doppler probe and the muscle tension sensing matrix via a signal bus to acquire changes in microcirculatory blood perfusion resistance and epidermal tension in the pelvic floor, performs meridian qi and blood superposition calculation, and outputs a dataset of pelvic congestion and obstruction signs. The acupoint intensity adjustment module, based on the pelvic congestion and blockage sign dataset, is connected to the pain radiation analyzer to track deep pelvic fascia resistance points, calculate local pain point radiation gradients, identify inflammatory referred pain areas and match meridian pathways to obtain a set of meridian and fascia meridian-targeted links. The nursing frequency configuration module, based on the meridian and fascia meridian targeted link set, connects the Western medicine iontophoresis device and the traditional Chinese medicine thermal fumigation machine, retrieves the iontophoresis current and fumigation temperature, calculates the deep tissue transdermal driving benchmark, combines the pelvic congestion blockage index to estimate the single synergistic drug administration cycle, arranges the drug administration sequence, and generates a traditional Chinese and Western medicine synergistic penetration drug administration configuration table. The intervention effect evaluation module, based on the integrated Chinese and Western medicine permeation drug administration configuration table, is connected to the ultrasound effusion assessment terminal and the pain score input terminal. It combines the pain-free maintenance time and the pelvic effusion reduction rate to calculate the metabolic rate of pain-causing factors and establish a nursing intervention correlation assessment dataset. The strategy collection and optimization module, based on the nursing intervention correlation assessment dataset, extracts the symptom reversal success rate of physiotherapy combinations, calculates the contribution of acupoint combination to blood stasis removal, selects high-contribution pain relief and circulation promotion pathways to be included in the prescription library, and generates a nursing strategy collection information table.
[0037] The above embodiments illustrate preferred embodiments of the present invention. Any equivalent adjustments to the technical solution based on software engineering methods are within the scope of protection, including but not limited to: implementing algorithm logic using different programming languages, refactoring functional modules into services, adjusting data interaction protocols, and optimizing resource scheduling strategies. Any implementation scheme derived from reasonable modifications to the data processing flow, service call chain, or system architecture layer without departing from the core technology of the present invention should be considered within the protection scope defined by the technical solution of the present invention.
Claims
1. A nursing intervention method combining traditional Chinese and Western medicine for chronic pelvic pain in gynecology, characterized by: Includes the following steps: S1: Based on the pelvic microcirculation and abdominal acupoint muscle tone monitoring logic, analyze the superposition relationship between pelvic tissue ischemia and hypoxia and the degree of meridian blockage, calculate the blood stasis blockage index of local anatomical areas, and combine the patient's acupoint tenderness sensitization threshold to perform mechanical pressure depth mapping, and generate a dataset of pelvic blood stasis blockage signs. S2: Based on the pelvic congestion and blockage sign dataset, track the pain point transfer path of deep pelvic fascia spasm radiating to epidermal acupoints, identify the affected segments of inflammatory referred pain according to anatomical levels, divide the targeted intervention transmission routes that conform to the meridian direction of traditional Chinese medicine, and obtain the meridian and fascia meridian targeted link set. S3: Call the meridian and fascia meridian-targeting link set, analyze the synergistic superposition relationship between the electrochemical penetration depth of Western medicine iontophoresis and the warming and dispelling effect of traditional Chinese medicine thermosensitive fumigation, and calculate the single dosing cycle by combining the mechanical pressure rhythm of the target acupoints to obtain the configuration table of synergistic penetration dosing of traditional Chinese and Western medicine. S4: Based on the aforementioned integrated traditional Chinese and Western medicine osmotic drug administration configuration table, during the combined physical and drug intervention cycle, the absorption rate of local pelvic effusion and the duration of pain relief were extracted. The pathological reversal association between the driving force of integrated traditional Chinese and Western medicine osmotic penetration and the metabolic rate of pain-causing inflammatory factors was analyzed to obtain a nursing intervention association assessment dataset.
2. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 1, characterized in that, The dataset of signs and symptoms of pelvic congestion includes basic parameters of microcirculation and muscle tone, pelvic congestion index, and mapping value of mechanical pressure depth at acupoints. The dataset of meridian and fascia meridian-targeted links includes local pain point radiation gradient, inflammatory referred pain affected areas, and meridian transmission space vector. The dataset of integrated traditional Chinese and Western medicine permeation drug delivery configuration includes deep tissue transdermal driving benchmark, single synergistic drug delivery cycle, and time distribution of integrated traditional Chinese and Western medicine drug delivery. The dataset of nursing intervention correlation assessment includes pain-causing factor metabolic rate, intervention permeation response intensity, and pelvic effusion absorption and conversion rate.
3. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 1, characterized in that, The specific steps for obtaining the dataset of pelvic congestion obstruction signs are as follows: S101: Based on the microvascular Doppler probe and muscle tension sensing matrix deployed in the pelvic projection area, the microcirculation blood perfusion resistance of the pelvic floor and the epidermal tension changes of key acupoints are obtained in real time, and the basic parameters of microcirculation and muscle tension are obtained. S102: Input the microcirculation and muscle tone baseline parameters into the preset meridian and blood flow assessment model to calculate the degree of stagnation and blood supply gap in the local tissue microvascular bed and generate the pelvic congestion blockage index. S103: Call the pelvic congestion blockage index and compare it with the preset threshold for tenderness sensitization of acupoints in chronic pelvic pain. When the pelvic congestion blockage index indicates severe qi stagnation and blood stasis, calculate the mechanical pressure driving force required to break through fascial adhesions, generate acupoint mechanical pressure depth mapping value, and associate it with the TCM syndrome differentiation logic to generate a pelvic congestion blockage sign dataset.
4. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 3, characterized in that, The specific steps of the meridian and fascia meridian-targeting pathway set are as follows: S201: Based on the acupoint mechanical pressure depth mapping value in the pelvic congestion and blockage sign dataset, track the point with the strongest resistance in the pelvic floor fascia network, calculate the tension attenuation difference of the point spreading to the surrounding related acupoints, and obtain the cyclic fluctuation gradient sequence. S202: Analyze the cyclic fluctuation gradient sequence, identify continuous anatomical areas with excessive gradient values, define the areas with diffuse tenderness as chronic inflammation diffusion zones, extract the fascial direction within the diffusion zones, merge adjacent referred pain areas, and obtain nursing intervention waveband data. S203: Call the nursing intervention band data, compare the affected area with the meridian pathways of the Ren and Chong meridians in traditional Chinese medicine, identify the optimal transmission space vector of the medical medium at the meridian level, divide the targeted intervention route, and generate a set of meridian and fascia meridian-based targeted links.
5. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 4, characterized in that, The specific steps for the preparation table of the integrated traditional Chinese and Western medicine permeation drug delivery method are as follows: S301: Call the meridian and fascia meridian-targeting link set, retrieve the current Western medicine permeation rate parameters and Chinese medicine fumigation duration parameters from the preset drug administration management component, and obtain the intervention duration benchmark; S302: Based on the intervention duration benchmark, the pelvic congestion blockage index in the pelvic congestion blockage sign dataset is introduced to estimate the drug half-life and thermal residence time of the effective components of Chinese and Western medicines in the target organs, and the rhythm calculation is performed to obtain the single synergistic dosing cycle. S303: The single synergistic drug administration cycle is compared and verified with the patient's epidermal tolerance limit time. The drug administration duration that meets the preset threshold of skin safety is extracted and arranged according to the time pattern of meridian flow. The distribution of the combined Chinese and Western medicine drug administration sequence is analyzed to obtain the Chinese and Western medicine synergistic penetration drug administration configuration table.
6. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 5, characterized in that, The specific steps for obtaining the nursing intervention-related assessment dataset are as follows: S401: Based on the above-mentioned integrated traditional Chinese and Western medicine permeation drug delivery configuration table, during the monitoring period after the combined physical therapy is performed, extract the duration of pain-free maintenance of abdominal distension and pain in patients, and simultaneously collect the volume reduction index of local pelvic inflammatory masses and effusions to obtain the metabolic product clearance rate. S402: Based on the metabolic product clearance rate, establish a response matrix of transdermal driving force and tissue repair, identify the positive promoting relationship between the combination of key Western medicine delivery current and traditional Chinese medicine fumigation temperature and the resolution of inflammatory tissue, and obtain an intervention-promoted permeation response intensity table. S403: Filter the intervention-promoting response intensity table, implement the intervention path for local symptom relief within a single cycle, merge the physiotherapy nodes with the same meridian-clearing and pain-relieving mechanism, and generate a nursing intervention association assessment dataset.
7. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 6, characterized in that, The volume reduction index of the local pelvic inflammatory mass and effusion refers to extracting the baseline volume of the local pelvic inflammatory mass before combined physiotherapy, obtaining the real-time volume of the local pelvic inflammatory mass during the monitoring period, calculating the volume difference between the baseline volume and the real-time volume, and dividing the volume difference by the time span parameter of the monitoring period to obtain the volume reduction index of the local pelvic inflammatory mass and effusion.
8. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 1, characterized in that, The method also includes step S5: S5: Call the nursing intervention association assessment dataset to identify the contribution of the combination of traditional Chinese medicine fumigation, Western medicine introduction, and acupoint acupressure to promoting blood circulation and relieving pain. Sort the syndrome differentiation nursing pathways in descending order according to the contribution, screen the combined medication and physiotherapy plans with high contribution and include them in the core prescription library to obtain the nursing strategy collection information table. The nursing strategy collection information table includes the contribution of acupoint combination to blood stasis removal, the advanced pain relief and circulation promotion pathway library, and the execution parameters of special syndrome differentiation nursing.
9. The integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology according to claim 8, characterized in that, The specific steps for compiling the nursing strategy information table are as follows: S501: Call the nursing intervention-related assessment dataset, extract the symptom reversal success rate of each group of combined Chinese and Western medicine administration and acupoint acupressure in differentiated TCM syndrome types of pelvic pain, and statistically analyze each physiotherapy node to obtain the contribution of acupoint combination to blood stasis removal; S502: Based on the contribution of the acupoint combination to blood stasis removal, combined with medication safety and patient constitution distribution, the clinical priority of the intervention plan is arranged in descending order of contribution, ineffective or inefficient physiotherapy combinations are eliminated, and the high contribution plan is solidified to obtain the core intervention path. S503: Based on the core intervention path, collect the execution instructions under each core path, identify and implement nursing care based on the differential complication identification data, and generate a nursing strategy collection information table.
10. A nursing intervention system combining traditional Chinese and Western medicine for chronic pelvic pain in gynecology, characterized in that... The system is used to implement the integrated traditional Chinese and Western medicine nursing intervention method for chronic pelvic pain in gynecology as described in any one of claims 1-9, and the system comprises: The local circulation monitoring module connects the microvascular Doppler probe and the muscle tension sensing matrix via a signal bus to acquire changes in microcirculatory blood perfusion resistance and epidermal tension in the pelvic floor, performs meridian qi and blood superposition calculation, and outputs a dataset of pelvic congestion and obstruction signs. The acupoint intensity adjustment module, based on the pelvic congestion and blockage sign dataset, is connected to the pain radiation analyzer to track deep pelvic fascia resistance points, calculate local pain point radiation gradients, identify inflammatory referred pain areas and match meridian pathways to obtain a set of meridian and fascia meridian-targeted links. The nursing frequency configuration module, based on the meridian and fascia meridian targeted link set, connects the Western medicine iontophoresis device and the traditional Chinese medicine thermal fumigation machine, retrieves the iontophoresis current and fumigation temperature, calculates the deep tissue transdermal driving benchmark, combines the pelvic congestion blockage index to estimate the single synergistic drug administration cycle, arranges the drug administration sequence, and generates a traditional Chinese and Western medicine synergistic penetration drug administration configuration table. The intervention effect evaluation module, based on the traditional Chinese and Western medicine synergistic permeation drug delivery configuration table, is connected to the ultrasound effusion assessment terminal and the pain score input terminal. It calculates the metabolic rate of pain-causing factors by combining the duration of pain relief and the pelvic effusion reduction rate, and establishes a nursing intervention correlation evaluation dataset. The strategy collection and optimization module, based on the nursing intervention association assessment dataset, extracts the symptom reversal success rate of the physiotherapy combination, calculates the contribution of acupoint combination to blood stasis removal, filters out high-contribution pain relief and circulation promotion pathways to be included in the prescription library, and generates a nursing strategy collection information table.