Gynecological postoperative intelligent rehabilitation management method and system
By integrating preoperative, intraoperative and postoperative information, determining physiological characteristic labels and matching rehabilitation paths, the problem of lack of personalized and information fusion in traditional gynecological postoperative rehabilitation management is solved, and more efficient and accurate rehabilitation management is achieved.
Patent Information
- Application Number
- CN202411923227.3
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-12-25
- Publication Date
- 2025-04-18
AI Technical Summary
Traditional gynecological postoperative rehabilitation management methods lack personalization and cannot effectively integrate multi-source information, resulting in slow recovery progress or poor recovery results, and there are problems such as waste of medical resources and poor diagnosis accuracy.
By obtaining the patient's preoperative, intraoperative and postoperative information, the basic recovery scores and rehabilitation adjustment coefficients are determined, physiological characteristic labels are divided, and historical rehabilitation data are matched to determine rehabilitation paths and management strategies based on the label and surgical type.
The targeted and adaptive nature of the rehabilitation plan is improved, ensuring that medium and high-risk patients receive personalized intervention, avoiding waste of medical resources, and improving the accuracy of rehabilitation diagnosis and the safety of the process.
Smart Images

Figure CN119851871A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the technical field of temperature control, and in particular to a method and system for intelligent rehabilitation management after gynecological surgery. Background Art
[0002] Postoperative rehabilitation management for gynecological surgery is an important part of ensuring the quality of postoperative recovery, reducing the incidence of complications, and improving the quality of life of patients. Traditional postoperative rehabilitation management methods usually rely on the experience of doctors and provide rehabilitation plans through routine follow-up and guidance. Although this method meets the basic needs of ordinary patients to a certain extent, it has the following shortcomings: 1) Lack of personalization. Traditional rehabilitation plans are guided by the "average level" and do not take into account individual differences (such as the patient's health status, type of surgery, intraoperative performance, etc.), resulting in slow rehabilitation progress or poor recovery effects for some patients; 2) Most existing rehabilitation management methods process postoperative data independently and fail to effectively integrate multi-source information to comprehensively evaluate the patient's recovery.
[0003] In addition, there are rehabilitation management methods based on data analysis in related technologies, but they have the problem of being unable to effectively utilize data and unable to stratify patients' rehabilitation needs, which can easily lead to waste of medical resources or poor accuracy of rehabilitation diagnosis.
[0004] Therefore, there is a need to provide a method and system for intelligent rehabilitation management after gynecological surgery to improve the pertinence and adaptability of rehabilitation programs. Summary of the invention
[0005] The present invention provides a gynecological postoperative intelligent rehabilitation management method, comprising: acquiring patient information, the patient information including surgery type, preoperative information, intraoperative information and postoperative information; determining the patient's basic recovery score based on the preoperative information; determining the rehabilitation adjustment coefficient based on the intraoperative information; determining the patient's physiological characteristic label based on the basic recovery score and the rehabilitation management adjustment coefficient, wherein the physiological characteristic label includes a low-risk label, a medium-risk label and a high-risk label; determining a rehabilitation path based on the physiological characteristic label and the surgery type according to historical rehabilitation data; in response to the physiological characteristic label being a low-risk label, determining a rehabilitation management strategy based on the rehabilitation path and the postoperative information; in response to the physiological characteristic label being a medium-risk label, determining a rehabilitation management strategy based on the rehabilitation path and the postoperative information and the intraoperative information; in response to the physiological characteristic label being a high-risk label, determining a rehabilitation management strategy based on the rehabilitation path and the postoperative information, the intraoperative information and the preoperative information.
[0006] Furthermore, the preoperative information includes basic patient information, physiological indicator information and physiological function information; the patient information includes at least age information and BMI information, the physiological indicator information includes at least routine blood test information and coagulation function information, and the physiological function information includes at least pulmonary function information and cardiac function information; determining the basic recovery score of the patient based on the preoperative information includes: mapping a basic information score from a preset basic grading standard based on the patient's basic information; mapping a physiological indicator score from a preset indicator grading standard based on the physiological indicator information; mapping a physiological function score from a preset function grading standard based on the physiological function information; determining the basic recovery score based on the basic information score, the physiological indicator score and the physiological function score.
[0007] Furthermore, determining the basic recovery score based on the basic information score, the physiological indicator score and the physiological function score includes: determining a first target score based on the basic information score, the physiological indicator score and the physiological function score; taking a smaller value based on the first target score and a first limit value to obtain a second target score; taking a larger value based on the second target score and a second limit value to obtain the basic recovery score; wherein the first limit value is greater than the second limit value.
[0008] Furthermore, the intraoperative information includes operation duration, anesthesia type and intraoperative status, wherein the intraoperative status includes at least bleeding volume and intraoperative complications; determining the rehabilitation adjustment coefficient based on the intraoperative information includes: determining an adjustment coefficient judgment interval according to anesthesia type, wherein the adjustment coefficient judgment interval includes at least a first adjustment coefficient judgment interval, a second adjustment coefficient judgment interval and a third adjustment coefficient judgment interval; determining an intermediate adjustment coefficient based on the operation duration according to the adjustment coefficient judgment interval; determining the rehabilitation adjustment coefficient based on the intraoperative status and the intermediate adjustment coefficient.
[0009] Furthermore, determining the patient's physiological characteristic label based on the basic recovery score and the rehabilitation management adjustment coefficient includes: determining the physiological characteristic score based on the product of the basic recovery score and the rehabilitation management adjustment coefficient; if the physiological characteristic score is less than or equal to a first threshold, determining the physiological characteristic label as a high-risk label; if the physiological characteristic score is greater than the first threshold and less than or equal to a second threshold, determining the physiological characteristic label as a medium-risk label; if the physiological characteristic score is greater than or equal to the second threshold, determining the physiological characteristic label as a low-risk label.
[0010] Furthermore, the determining of the rehabilitation path based on the physiological characteristic label and the surgical type according to historical rehabilitation data includes: performing structured processing based on the historical rehabilitation data according to a historical rehabilitation database to obtain multiple independent records, wherein each independent record includes a historical rehabilitation path, a historical surgical type and a historical physiological characteristic label; matching the corresponding multiple rehabilitation paths from multiple independent records based on the surgical type, the physiological characteristic label and preset matching conditions; wherein the preset matching conditions are that the surgical type is consistent with the historical surgical type and the physiological characteristic label is consistent with the historical physiological characteristic label.
[0011] Furthermore, the postoperative information includes early recovery data, mid-term recovery data and long-term recovery data, the early recovery data includes vital signs data and postoperative symptom data, the mid-term recovery data includes body function recovery data, psychological state data and subjective feeling data, and the long-term follow-up data includes recurrence assessment data; the rehabilitation path includes associated early nodes and early rehabilitation measures, associated mid-term nodes and mid-term rehabilitation measures, associated long-term nodes and long-term rehabilitation measures; the rehabilitation management strategy is determined according to the rehabilitation path and based on the postoperative information, including: matching the early nodes corresponding to the vital signs data and the postoperative symptom data, and taking the early rehabilitation measures corresponding to the early nodes as the first rehabilitation measures; matching the mid-term nodes corresponding to the body function recovery data, psychological state data and subjective feeling data, and taking the mid-term rehabilitation measures corresponding to the mid-term nodes as the second rehabilitation measures; matching the long-term nodes corresponding to the recurrence assessment data, and taking the long-term rehabilitation measures corresponding to the long-term nodes as the third rehabilitation measures; the first rehabilitation measures, the second rehabilitation measures and the third rehabilitation measures are arranged in chronological order to constitute the rehabilitation management strategy.
[0012] Furthermore, the rehabilitation management strategy is determined according to the rehabilitation pathway and based on the postoperative information and the intraoperative information, including: matching the vital signs data, postoperative symptom data and the intraoperative information with corresponding early nodes, and using the early rehabilitation measures corresponding to the early nodes as the first rehabilitation measures.
[0013] Furthermore, the rehabilitation management strategy is determined according to the rehabilitation pathway and based on the postoperative information, intraoperative information and the preoperative information, including: matching the early nodes corresponding to the vital signs data, postoperative symptom data, the intraoperative information and the preoperative information, and using the early rehabilitation measures corresponding to the early nodes as the first rehabilitation measures.
[0014] The present invention provides a gynecological postoperative intelligent rehabilitation management system, comprising: an acquisition module, used to acquire patient information, wherein the patient information includes surgery type, preoperative information, intraoperative information and postoperative information; a label determination module, used to determine the patient's basic recovery score based on the preoperative information; and also used to determine the rehabilitation adjustment coefficient based on the intraoperative information; and also used to determine the patient's physiological characteristic label based on the basic recovery score and the rehabilitation management adjustment coefficient, wherein the physiological characteristic label includes a low-risk label, a medium-risk label and a high-risk label; a rehabilitation management module, used to determine a rehabilitation path based on the physiological characteristic label and the surgery type according to historical rehabilitation data; and also used to determine a rehabilitation management strategy based on the rehabilitation path and the postoperative information in response to the physiological characteristic label being a low-risk label; determine a rehabilitation management strategy based on the rehabilitation path and the postoperative information and the intraoperative information in response to the physiological characteristic label being a medium-risk label; and determine a rehabilitation management strategy based on the rehabilitation path and the postoperative information, the intraoperative information and the preoperative information in response to the physiological characteristic label being a high-risk label.
[0015] Compared with the prior art, the intelligent rehabilitation management method and system for gynecological surgery provided in this specification has at least the following beneficial effects:
[0016] 1. This intelligent rehabilitation management method for gynecological surgery uses quantitative indicators (basic recovery score, rehabilitation adjustment coefficient, etc.) to stratify patients into low-risk, medium-risk and high-risk groups by integrating preoperative information, intraoperative information and postoperative information, avoiding the "one-size-fits-all" situation in traditional rehabilitation management, thereby improving the pertinence and adaptability of rehabilitation programs; at the same time, by matching the corresponding rehabilitation paths and rehabilitation strategies according to the patient's physiological characteristic labels, medium- and high-risk patients can obtain more personalized and refined intervention measures, which can avoid wasting medical resources while ensuring that patients receive timely and effective rehabilitation management;
[0017] 2. The intelligent rehabilitation management method for gynecological surgery can adjust the rehabilitation management strategy in real time according to the dynamic changes of postoperative information, forming a closed-loop management process to ensure that the rehabilitation strategy always matches the patient's actual condition, thereby improving the accuracy of rehabilitation diagnosis and reducing potential risks in the rehabilitation process;
[0018] 3. This intelligent postoperative rehabilitation management method for gynecological patients can introduce historical rehabilitation data, combine the current patient's surgical type and physiological characteristic labels, extract rehabilitation paths from similar cases, and then use data analysis to quantify rehabilitation management strategies, thereby improving the efficiency and effectiveness of rehabilitation management. BRIEF DESCRIPTION OF THE DRAWINGS
[0019] This specification will be further described in the form of exemplary embodiments, which will be described in detail by the accompanying drawings. These embodiments are not restrictive, and in these embodiments, the same number represents the same structure, wherein:
[0020] Figure 1 It is a flow chart of a gynecological postoperative intelligent rehabilitation management method shown in one embodiment of the present application;
[0021] Figure 2 It is a module diagram of a gynecological postoperative intelligent rehabilitation management system shown in one embodiment of the present application. DETAILED DESCRIPTION
[0022] In order to more clearly illustrate the technical solutions of the embodiments of this specification, the following briefly introduces the drawings required for describing the embodiments.
[0023] Figure 1 is a flow chart of a gynecological postoperative intelligent rehabilitation management system according to some embodiments of this specification, such as Figure 1 As shown, a gynecological postoperative intelligent rehabilitation management method may include the following steps. Each step is described in detail below.
[0024] Step S100, obtaining patient information, the aforementioned patient information includes surgery type, preoperative information, intraoperative information and postoperative information; among which, gynecological surgery types may include uterus-related surgery, ovary and fallopian tube-related surgery, vagina and perineum-related surgery, tumor-related surgery and reproductive assistance-related surgery, etc.
[0025] It should be understood that the preoperative information in this embodiment may include basic patient information, physiological index information and physiological function information; the aforementioned patient information includes at least age information and BMI information, the aforementioned physiological index information includes at least blood routine information and coagulation function information, and the aforementioned physiological function information includes at least lung function information and heart function information. Among them, BMI information refers to body mass index, which is usually determined by the patient's height and weight.
[0026] It should also be understood that the aforementioned intraoperative information includes the duration of the operation, the type of anesthesia and the intraoperative status, wherein the aforementioned intraoperative status at least includes the amount of bleeding and intraoperative complications, and the type of anesthesia may include general anesthesia, regional anesthesia and local anesthesia.
[0027] Step S200, determining the patient's basic recovery score based on the aforementioned preoperative information.
[0028] Specifically, step S200 may include:
[0029] Step S210, based on the aforementioned patient basic information, a basic information score is mapped from the preset basic grading standard. It is understandable that the preset basic grading standard can be a manually specified standard. Among them, the older the patient is, and the BMI is too large or too small, the lower the basic information score is, at this time, indicating that the patient's basic metabolic rehabilitation ability is weak. On the contrary, the younger the patient is, the closer the BMI is to the middle score (for example, the interval score of 18.5-24.9), the higher the basic information score is, at this time, indicating that the patient's basic metabolic rehabilitation ability is strong. For example, Patient A is 49 years old and has a BMI information value of 15.3. According to the preset basic grading standard, the basic information score can be determined to be 3 points.
[0030] Specifically, the preset basic grading standards may include the following table 1:
[0031]
[0032] Step S220, based on the aforementioned physiological indicator information, a physiological indicator score is mapped from a preset indicator grading standard. It is understandable that the preset indicator grading standard can be a manually specified standard. Among them, the more normal the blood routine information and coagulation function information are, the higher the corresponding physiological indicator score is.
[0033] Specifically, the preset index grading standard can refer to the following Table 2, and the physiological index score can be determined by the average value of the scores of WBC, RBC, HGB, PLT and PT.
[0034]
[0035]
[0036] Step S230, based on the aforementioned physiological function information, a physiological function score is mapped from a preset functional grading standard. It is understandable that the preset functional grading standard can be a manually specified standard. Among them, the more normal the lung function information and the cardiac function information are, the higher the corresponding physiological function score is. Conversely, the more abnormal the lung function information and the cardiac function information are, the lower the corresponding physiological function score is. It should be understood that the lung function information can also be evaluated based on X-rays. Specifically, the preset functional grading standard can refer to the following table 3, and the physiological function score can be determined by the average value of the score of FEV1, FVC, EF and BNP.
[0037]
[0038] Step S240, determining the basic recovery score based on the basic information score, the physiological index score and the physiological function score.
[0039] In step S240, the following steps may be included:
[0040] Step S241, determining a first target score based on the basic information score, the physiological index score and the physiological function score.
[0041] Specifically, the first target score can be calculated using the following formula:
[0042]
[0043] Among them, 1 is the first target score, a is the basic information score, b is the physiological index score, c is the physiological function score, k1, k2, k3 are their corresponding weight values, amax is the maximum value of the basic information score, b max is the maximum value of the physiological index score, c max is the maximum value of the physiological function score. Specifically, k1, k2, and k3 can be 0.2, 0.3, and 0.5, respectively. Depending on the specific implementation environment, k1, k2, and k3 can also be 0.4, 0.4, and 0.2, respectively, which represents the weight ratio of the basic information score, the physiological index score, and the physiological function score.
[0044] Step S242, according to the first target score and the first threshold value, take the smaller value to obtain the second target score;
[0045] Step S243, taking the larger value according to the second target score and the second limit value to obtain the basic recovery score; wherein the first limit value is greater than the second limit value.
[0046] It is worth noting that by limiting the values of the first limit value and the second limit value, it can be ensured that the basic recovery score will not be too high or too low, which is conducive to preventing over-estimation of the recovery situation. At the same time, it can also improve the robustness of the rehabilitation management method in the data processing model. By setting upper and lower limits, outliers can be effectively handled to avoid overall evaluation distortion caused by individual extreme values. Specifically, the first limit value can be 80, and the second limit value can be 50, so that the determined basic recovery score ranges from 50 to 80, thereby ensuring that the basic recovery score will not be too high or too low. Depending on the specific implementation environment, the first limit value can also be 90, the second limit value can also be 30, and so on.
[0047] It is also worth mentioning that by integrating the patient's basic information (age, BMI), physiological index information (such as blood routine, coagulation function) and physiological function information (such as lung function, heart function), a multi-dimensional evaluation system can be constructed. The impact of each dimension on postoperative recovery can be quantified through score mapping, and a comprehensive basic recovery capacity assessment can be achieved, thereby avoiding the limitations of traditional methods that rely on a single indicator. To improve the accuracy and personalization of the assessment, compared with the empirical judgment method, the grading standard is more quantitative and objective, ensuring that the assessment results are highly matched with the patient's actual recovery ability, thereby providing a reliable basis for subsequent personalized rehabilitation strategies.
[0048] Step S300: determining a rehabilitation adjustment coefficient based on the aforementioned intraoperative information.
[0049] Specifically, step S300 may include steps S310 to S330.
[0050] Step S310, according to the type of anesthesia, determine the adjustment coefficient judgment interval, wherein the aforementioned adjustment coefficient judgment interval includes at least the first adjustment coefficient judgment interval, the second adjustment coefficient judgment interval and the third adjustment coefficient judgment interval. It is understandable that the judgment interval of the adjustment coefficient will change according to the different types of anesthesia, so that the intraoperative condition can be better judged by the operation time, which is conducive to determining a more accurate rehabilitation adjustment coefficient.
[0051] Step S320, according to the aforementioned adjustment coefficient judgment interval and based on the aforementioned operation duration, determine the intermediate adjustment coefficient. For example, when the anesthesia type is general anesthesia, the adjustment coefficient judgment interval at this time is the first adjustment coefficient judgment interval. At this time, if the operation duration is less than or equal to 60 minutes, the intermediate adjustment coefficient can be judged to be 1, if the operation duration is greater than 60 minutes and less than or equal to 120 minutes, the intermediate adjustment coefficient can be judged to be 0.8, and if the operation duration is greater than 120 minutes, the intermediate adjustment coefficient can be judged to be 0.6. For another example, when the anesthesia type is regional anesthesia, if the operation duration is less than or equal to 45 minutes, the intermediate adjustment coefficient can be judged to be 1, if the operation duration is greater than 45 minutes and less than or equal to 90 minutes, the intermediate adjustment coefficient can be judged to be 0.8, and if the operation duration is greater than 90 minutes, the intermediate adjustment coefficient can be judged to be 0.6. For another example, when the anesthesia type is local anesthesia, if the operation time is less than or equal to 30 minutes, the intermediate adjustment coefficient can be judged to be 1, if the operation time is greater than 30 minutes and less than or equal to 60 minutes, the intermediate adjustment coefficient can be judged to be 0.8, and if the operation time is greater than 60 minutes, the intermediate adjustment coefficient can be judged to be 0.6. Specifically, the intermediate adjustment coefficient is a coefficient used to characterize the complexity and risk of the operation. When the value of the intermediate adjustment coefficient is higher, the risk of the operation is lower, and at this time, the expected rehabilitation effect for the patient is better.
[0052] Step S330, determining the rehabilitation adjustment coefficient based on the intraoperative status and the intermediate adjustment coefficient.
[0053] Specifically, the intraoperative status may include at least the amount of bleeding and intraoperative complications. Step S330 may include: determining the compensation weight n1 according to the amount of bleeding (excessive bleeding is abnormal) and the occurrence of intraoperative complications (occurrence of intraoperative complications is abnormal). For example, if both are abnormal, n1=0.81 can be determined. If only one abnormal situation occurs, n1=0.9 can be determined. If there is no abnormal situation, n1=1 can be determined. The compensation weight represents the risk of the quantified intraoperative status (such as the amount of bleeding and intraoperative complications) to the overall operation and the expected rehabilitation effect of the patient. When the compensation weight is smaller, it means that an abnormal situation has occurred at this time, so a smaller rehabilitation adjustment coefficient can be obtained to further quantify the physiological characteristic score.
[0054] Based on the aforementioned intraoperative status and the aforementioned intermediate adjustment coefficient, the aforementioned rehabilitation adjustment coefficient can be determined using the following formula:
[0055] y=n1×m
[0056] Among them, y is the rehabilitation adjustment coefficient, n1 is the compensation weight, and m is the intermediate adjustment coefficient.
[0057] Step S400, based on the aforementioned basic recovery score and the aforementioned rehabilitation management adjustment coefficient, determine the patient's physiological characteristic label, wherein the aforementioned physiological characteristic label includes a low-risk label, a medium-risk label, and a high-risk label.
[0058] Specifically, the physiological characteristic score can be determined based on the product of the aforementioned basic recovery score and the aforementioned rehabilitation management adjustment coefficient. For example, the following formula:
[0059] s=x·y
[0060] Among them, s is the physiological characteristic score, x is the basic recovery score, and y is the rehabilitation adjustment coefficient.
[0061] If the aforementioned physiological characteristic score is less than or equal to the first threshold, the physiological characteristic label is determined to be a high-risk label;
[0062] If the aforementioned physiological characteristic score is greater than the first threshold and less than or equal to the second threshold, the physiological characteristic label is determined to be a medium-risk label;
[0063] If the physiological characteristic score is greater than or equal to the second threshold, the physiological characteristic tag is determined to be a low-risk tag. For example, the first threshold may be 20, and the second threshold may be 50.
[0064] Step S500, based on the aforementioned physiological feature tags and the aforementioned surgery type, and according to historical rehabilitation data, a rehabilitation path is determined.
[0065] Specifically, step S500 may include:
[0066] According to the historical rehabilitation database, based on the aforementioned historical rehabilitation data, structured processing is performed to obtain multiple independent records, wherein each independent record includes a historical rehabilitation path, a historical surgery type, and a historical physiological characteristic label;
[0067] Based on the aforementioned surgery type, the aforementioned physiological feature tag and the preset matching condition, matching the aforementioned multiple corresponding rehabilitation pathways from the multiple independent records;
[0068] Among them, the preset matching conditions are that the aforementioned surgery type is consistent with the aforementioned historical surgery type and the aforementioned physiological characteristic label is consistent with the aforementioned historical physiological characteristic label.
[0069] In this embodiment, the aforementioned postoperative information may include early recovery data, mid-term recovery data and long-term recovery data, the aforementioned early recovery data includes vital signs data and postoperative symptom data, the aforementioned mid-term recovery data includes body function recovery data, psychological state data and subjective feeling data, the aforementioned long-term follow-up data includes recurrence assessment data; the aforementioned rehabilitation path includes associated early nodes and early rehabilitation measures, associated mid-term nodes and mid-term rehabilitation measures, associated long-term nodes and long-term rehabilitation measures.
[0070] Step S610, in response to the physiological characteristic tag being a low-risk tag, determining a rehabilitation management strategy according to the rehabilitation path and based on the postoperative information.
[0071] Specifically, this step may include: matching the early nodes corresponding to the vital signs data and the postoperative symptom data, and using the early rehabilitation measures corresponding to the aforementioned early nodes as the first rehabilitation measures; matching the mid-term nodes corresponding to the physical function recovery data, the psychological state data and the subjective feeling data, and using the mid-term rehabilitation measures corresponding to the aforementioned mid-term nodes as the second rehabilitation measures; matching the long-term nodes corresponding to the recurrence assessment data, and using the long-term rehabilitation measures corresponding to the aforementioned long-term nodes as the third rehabilitation measures; the aforementioned first rehabilitation measures, the second rehabilitation measures and the aforementioned third rehabilitation measures are arranged in chronological order to constitute the aforementioned rehabilitation management strategy. For example, the rehabilitation strategy for a patient after hysterectomy is as follows: The first rehabilitation measure may include: 1) pain management, using analgesics to control postoperative pain, such as non-steroidal anti-inflammatory drugs or stronger analgesics as prescribed by the doctor; 2) wound care, such as changing dressings regularly; 3) early activities, such as monitoring the patient's transition from short-term standing to short-distance walking to promote blood circulation and reduce the risk of thrombosis; 4) food supervision, such as recording the time period for the patient to gradually return to normal diet from liquid or semi-liquid food; The second rehabilitation strategy may include: 1) physical therapy, such as pelvic floor muscle exercises, to help strengthen the pelvic floor muscles and prevent urinary incontinence and other problems; 2) psychological counseling and support, providing psychological counseling services, and helping patients deal with negative emotions and improve their mental health through cognitive behavioral therapy (CBT). The third rehabilitation measure may include: continuous monitoring and follow-up: such as regular review to check the effect of the surgery and whether there are complications, such as infection, bleeding or other problems. For patients with a history of hormone-sensitive diseases, hormone levels also need to be monitored.
[0072] Step S620, in response to the physiological characteristic tag being a medium-risk tag, determining a rehabilitation management strategy according to the rehabilitation path and based on the postoperative information and the intraoperative information;
[0073] Specifically, compared with step S610, in this step, the early nodes corresponding to the vital signs data, postoperative symptom data and the aforementioned intraoperative information can be matched, and the early rehabilitation measures corresponding to the aforementioned early nodes can be used as the first rehabilitation measures.
[0074] Step S630, in response to the physiological characteristic tag being a high-risk tag, determining a rehabilitation management strategy according to the rehabilitation path and based on the postoperative information, intraoperative information, and preoperative information
[0075] Specifically, compared with step S610, in this step, the corresponding early nodes can be matched according to the vital signs data, postoperative symptom data, the aforementioned intraoperative information and the aforementioned preoperative information, and the early rehabilitation measures corresponding to the aforementioned early nodes can be used as the first rehabilitation measures.
[0076] It is worth noting that this method can intelligently match the rehabilitation strategy suitable for the patient's postoperative recovery based on the patient's physiological characteristic labels (low risk, medium risk, high risk).
[0077] For example only,
[0078] 1. Low risk
[0079] Physiological characteristics: The patient recovered well after the operation, with stable vital signs and no serious complications or signs of infection.
[0080] Rehabilitation management strategies:
[0081] Basic rehabilitation: Follow a standardized recovery path, including appropriate rest, dietary modification, and light activity.
[0082] Regular monitoring: Monitor the patient's physiological indicators (such as body temperature, heart rate, blood pressure, etc.) and rehabilitation progress through remote monitoring equipment or regular follow-up visits.
[0083] Psychological support: Provide necessary psychological counseling services to help patients relieve postoperative anxiety and stress.
[0084] Health Education: Provide educational materials regarding postoperative self-care and family support.
[0085] 2. Medium risk
[0086] Physiological characteristics: The patient experienced some minor complications or signs of infection after the operation, but the overall condition was still under control.
[0087] Rehabilitation management strategies:
[0088] Strengthen monitoring: Increase the monitoring frequency, pay close attention to changes in the patient's physiological indicators, and promptly detect and handle abnormal situations.
[0089] Personalized rehabilitation plan: Develop a personalized rehabilitation plan based on the patient's specific situation, including drug therapy, physical therapy, and rehabilitation training.
[0090] Professional Nursing: Provide professional nursing services, including wound care, pain management, etc.
[0091] Nutritional support: Provide personalized nutritional support plans based on the patient's dietary needs and nutritional status.
[0092] 3. High risk
[0093] Physiological characteristics: The patient has severe complications or infection after surgery, and his vital signs are unstable, requiring emergency treatment.
[0094] Rehabilitation management strategies:
[0095] Emergency treatment: Take necessary medical measures immediately, such as drug treatment, surgical treatment, etc., to stabilize the patient's vital signs.
[0096] Critical Care: The patient is transferred to the intensive care unit for close vital sign monitoring and nursing care.
[0097] Multidisciplinary collaboration: Organize a multidisciplinary team of experts to jointly develop treatment plans and rehabilitation plans.
[0098] Psychological intervention: Provide emergency psychological intervention to help patients and their families cope with the psychological stress caused by emergency situations.
[0099] Long-term rehabilitation plan: After the patient's condition stabilizes, a long-term rehabilitation plan is formulated, including rehabilitation training, nutritional support, psychological support, etc., to promote the patient's comprehensive recovery.
[0100] For low-risk patients, early rehabilitation measures are matched directly based on postoperative vital signs and symptom data; for medium-risk and high-risk patients, more detailed adjustments are made by adding intraoperative and preoperative information to ensure that each patient receives the most appropriate intervention during the rehabilitation process, thereby accurately responding to the recovery needs of different patients.
[0101] In addition, by dividing the rehabilitation nodes into early, mid-term and long-term, the rehabilitation measures are arranged in a time sequence according to the different stages of the patient's recovery process. The rehabilitation measures at each stage are tailored to the specific conditions of the patient, which helps to ensure that the rehabilitation measures are more targeted and timely, and promote a smoother recovery process.
[0102] Figure 2 is a structural block diagram of a gynecological postoperative intelligent rehabilitation management system according to some embodiments of this specification, such as Figure 2As shown, a gynecological postoperative intelligent rehabilitation management system may include: an acquisition module, used to acquire patient information, the aforementioned patient information includes surgery type, preoperative information, intraoperative information and postoperative information; a label determination module, used to determine the patient's basic recovery score based on the aforementioned preoperative information; also used to determine the rehabilitation adjustment coefficient based on the aforementioned intraoperative information; also used to determine the patient's physiological characteristic label based on the aforementioned basic recovery score and the aforementioned rehabilitation management adjustment coefficient, wherein the aforementioned physiological characteristic label includes a low-risk label, a medium-risk label and a high-risk label; a rehabilitation management module, used to determine the rehabilitation path based on the aforementioned physiological characteristic label and the aforementioned surgery type according to historical rehabilitation data; also used to determine the rehabilitation management strategy based on the aforementioned rehabilitation path and the aforementioned postoperative information in response to the aforementioned physiological characteristic label being a low-risk label; determine the rehabilitation management strategy based on the aforementioned rehabilitation path and the aforementioned postoperative information and the aforementioned intraoperative information in response to the aforementioned physiological characteristic label being a medium-risk label; determine the rehabilitation management strategy based on the aforementioned rehabilitation path and the aforementioned postoperative information and the aforementioned intraoperative information in response to the aforementioned physiological characteristic label being a high-risk label.
[0103] A gynecological postoperative intelligent rehabilitation management system can apply a gynecological postoperative intelligent rehabilitation management method. For more descriptions of a gynecological postoperative intelligent rehabilitation management system, please refer to the relevant description of a gynecological postoperative intelligent rehabilitation management method, which will not be repeated here.
[0104] Finally, it should be understood that the embodiments described in this specification are only used to illustrate the principles of the embodiments of this specification. Other variations may also fall within the scope of this specification. Therefore, as an example and not a limitation, alternative configurations of the embodiments of this specification may be considered consistent with the teachings of this specification. Accordingly, the embodiments of this specification are not limited to the embodiments explicitly introduced and described in this specification.
Claims
1. A gynecological postoperative intelligent rehabilitation management method, characterized in that: include: Acquiring patient information, wherein the patient information includes surgery type, preoperative information, intraoperative information, and postoperative information; Based on the preoperative information, determining a basic recovery score of the patient; determining a rehabilitation adjustment factor based on the intraoperative information; Determining the patient's physiological characteristic label based on the basic recovery score and the rehabilitation management adjustment coefficient, wherein the physiological characteristic label includes a low-risk label, a medium-risk label, and a high-risk label; Determining a rehabilitation path based on the physiological feature tag and the type of surgery and according to historical rehabilitation data; In response to the physiological characteristic tag being a low-risk tag, determining a rehabilitation management strategy according to the rehabilitation pathway and based on the postoperative information; In response to the physiological characteristic label being a medium-risk label, determining a rehabilitation management strategy according to the rehabilitation pathway and based on the postoperative information and the intraoperative information; In response to the physiological characteristic tag being a high-risk tag, a rehabilitation management strategy is determined according to the rehabilitation path and based on the postoperative information, the intraoperative information and the preoperative information.
2. The intelligent rehabilitation management method after gynecological surgery according to claim 1, characterized in that: The preoperative information includes basic patient information, physiological index information and physiological function information; the patient information includes at least age information and BMI information, the physiological index information includes at least blood routine information and coagulation function information, and the physiological function information includes at least lung function information and heart function information; Determining the patient's basic recovery score based on the preoperative information includes: According to the patient basic information, a basic information score is mapped from a preset basic grading standard; According to the physiological indicator information, mapping is performed to obtain physiological indicator scores from a preset indicator grading standard; According to the physiological function information, mapping is performed to obtain a physiological function score from a preset function grading standard; The basic recovery score is determined based on the basic information score, the physiological index score and the physiological function score.
3. The intelligent rehabilitation management method after gynecological surgery according to claim 2, characterized in that: The determining the basic recovery score based on the basic information score, the physiological index score and the physiological function score comprises: Determining a first target score based on the basic information score, the physiological index score, and the physiological function score; According to the first target score and the first threshold value, a smaller value is taken to obtain a second target score; According to the second target score and the second threshold value, a larger value is taken to obtain the basic recovery score; Wherein, the first limit value is greater than the second limit value.
4. The intelligent rehabilitation management method after gynecological surgery according to claim 1, characterized in that: The intraoperative information includes the duration of the operation, the type of anesthesia and the intraoperative status, wherein the intraoperative status at least includes the amount of bleeding and intraoperative complications; Determining the rehabilitation adjustment coefficient based on the intraoperative information includes: Determine an adjustment coefficient judgment interval according to the anesthesia type, wherein the adjustment coefficient judgment interval includes at least a first adjustment coefficient judgment interval, a second adjustment coefficient judgment interval, and a third adjustment coefficient judgment interval; According to the adjustment coefficient evaluation interval, based on the operation duration, an intermediate adjustment coefficient is determined; The rehabilitation adjustment coefficient is determined based on the intraoperative status and the intermediate adjustment coefficient.
5. The intelligent rehabilitation management method after gynecological surgery according to claim 1, characterized in that: The step of determining the patient's physiological characteristic label based on the basic recovery score and the rehabilitation management adjustment coefficient includes: Determining a physiological characteristic score based on the product of the basic recovery score and the rehabilitation management adjustment coefficient; If the physiological characteristic score is less than or equal to the first threshold, determining the physiological characteristic tag as a high-risk tag; If the physiological characteristic score is greater than the first threshold and less than or equal to the second threshold, the physiological characteristic label is determined to be a medium-risk label; If the physiological characteristic score is greater than or equal to the second threshold, the physiological characteristic tag is determined to be a low-risk tag.
6. The intelligent rehabilitation management method after gynecological surgery according to claim 1, characterized in that: The determining of the rehabilitation path based on the physiological feature tag and the surgery type and according to historical rehabilitation data includes: According to the historical rehabilitation database, based on the historical rehabilitation data, structured processing is performed to obtain a plurality of independent records, wherein each independent record includes a historical rehabilitation path, a historical surgery type, and a historical physiological characteristic label; Based on the surgery type, the physiological feature tag and the preset matching condition, matching the corresponding multiple rehabilitation pathways from multiple independent records; Among them, the preset matching conditions are that the operation type is consistent with the historical operation type and the physiological characteristic label is consistent with the historical physiological characteristic label.
7. The intelligent rehabilitation management method after gynecological surgery according to claim 1, characterized in that: The postoperative information includes early recovery data, mid-term recovery data and long-term recovery data, wherein the early recovery data includes vital sign data and postoperative symptom data, the mid-term recovery data includes body function recovery data, psychological state data and subjective feeling data, and the long-term follow-up data includes recurrence assessment data; the rehabilitation path includes associated early nodes and early rehabilitation measures, associated mid-term nodes and mid-term rehabilitation measures, associated long-term nodes and long-term rehabilitation measures; The step of determining a rehabilitation management strategy according to the rehabilitation pathway and based on the postoperative information includes: Matching the vital sign data with the postoperative symptom data to the corresponding early nodes, and using the early rehabilitation measures corresponding to the early nodes as the first rehabilitation measures; Matching the corresponding mid-term nodes according to the physical function recovery data, the psychological state data and the subjective feeling data, and taking the mid-term rehabilitation measures corresponding to the mid-term nodes as the second rehabilitation measures; Matching the corresponding long-term nodes according to the relapse assessment data, and using the long-term rehabilitation measures corresponding to the long-term nodes as the third rehabilitation measures; The first rehabilitation measure, the second rehabilitation measure and the third rehabilitation measure are arranged in time sequence to form the rehabilitation management strategy.
8. The intelligent rehabilitation management method after gynecological surgery according to claim 7, characterized in that: The determining of a rehabilitation management strategy according to the rehabilitation pathway and based on the postoperative information and the intraoperative information includes: According to the vital sign data and postoperative symptom data, the intraoperative information is matched with the corresponding early nodes, and the early rehabilitation measures corresponding to the early nodes are used as the first rehabilitation measures.
9. The intelligent rehabilitation management method after gynecological surgery according to claim 7, characterized in that: The determining of a rehabilitation management strategy according to the rehabilitation pathway and based on the postoperative information, the intraoperative information and the preoperative information includes: According to the vital sign data, the postoperative symptom data, the intraoperative information and the preoperative information, the early nodes corresponding thereto are matched, and the early rehabilitation measures corresponding to the early nodes are used as the first rehabilitation measures.
10. A gynecological postoperative intelligent rehabilitation management system, characterized in that: include: An acquisition module is used to acquire patient information, wherein the patient information includes surgery type, preoperative information, intraoperative information and postoperative information; A label determination module, used to determine the patient's basic recovery score based on the preoperative information; and also used to determine the rehabilitation adjustment coefficient based on the intraoperative information; It is also used to determine the patient's physiological characteristic label based on the basic recovery score and the rehabilitation management adjustment coefficient, wherein the physiological characteristic label includes a low-risk label, a medium-risk label and a high-risk label; A rehabilitation management module is used to determine a rehabilitation path based on the physiological characteristic label and the type of surgery and according to historical rehabilitation data; and is also used to determine a rehabilitation management strategy based on the rehabilitation path and the postoperative information in response to the physiological characteristic label being a low-risk label; to determine a rehabilitation management strategy based on the rehabilitation path and the postoperative information and the intraoperative information in response to the physiological characteristic label being a medium-risk label; and to determine a rehabilitation management strategy based on the rehabilitation path and the postoperative information, the intraoperative information and the preoperative information in response to the physiological characteristic label being a high-risk label.
Citation Information
Cited By
Medical art post-repair effect evaluation method based on big data
CN121658872A
A medical beauty postoperative repair effect evaluation method based on big data
CN121658872B
Personalized planning and management system and method for gynecological postoperative rehabilitation path
CN121789876A