Multi-dimensional pain assessment and dynamic management method and system based on combination of traditional Chinese medicine and western medicine

Abstract

The invention discloses a multi-dimensional pain assessment and dynamic management method and system based on combination of traditional Chinese medicine and western medicine, which takes a multi-dimensional pain assessment and dynamic management platform as a center and comprises a memory, a server, a patient information acquisition end and a patient condition query end, the method is used for supporting the operation implementation of a multi-dimensional pain assessment method and a multi-dimensional pain dynamic management method, a related scale is fused with the feature dimensions of traditional Chinese medicine syndrome classification and function limited weight, and the method has significant difference and technical barriers. According to the invention, a modern pain management method and system are developed from single scoring to multi-dimensional estimation of subjective analysis, objective data support and traditional Chinese medicine feature fusion, and dynamic monitoring and accurate intervention are realized by means of a digital tool, so that the interoperability of traditional Chinese and western medicine evaluation standards is further optimized; through the deep fusion and dynamic optimization mechanism of traditional Chinese and western medicine data, the industrial problems of high subjectivity of pain assessment and static intervention scheme are solved, and the method has clinical value and commercial potential.

Description

Technical Field

[0001] The present invention relates to the field of medical health technology, and specifically to a multidimensional pain assessment and dynamic management method and system based on the integration of traditional Chinese and Western medicine, which is particularly suitable for the accurate classification and intervention plan generation of chronic pain. Background Art

[0002] The TCM BianJia Pain Grading Scale is a standardized tool for TCM diagnosis and treatment. It aims to grade and quantitatively assess the pain level before and after BianJia treatment (BianJia: as one of the external treatment methods in TCM, it is based on the theory of meridians and acupoints and uses physical stimulation, including scraping, pushing, pressing and other techniques to dredge qi and blood and regulate the functions of internal organs. Its core application scenario is the diagnosis and treatment of pain-related diseases, such as the treatment of neck, shoulder, waist and leg pain, rheumatism, etc.), providing an objective basis for clinical operations. It belongs to the field of pain management combining traditional Chinese and Western medicine. However, traditional BianJia relies on the doctor's experience and the patient's subjective description to judge the degree of pain, lacking a unified and quantitative evaluation standard, which affects the comparison of efficacy and standardized promotion.

[0003] Therefore, modern TCM clinical practice needs to integrate Western medicine pain assessment systems (such as the visual analog scale) with the unique therapeutic responses of Bian therapy (such as the degree of sha and meridian sensitivity) to establish a pain grading tool that conforms to TCM theory. To this end, it is necessary to propose a multidimensional pain assessment and dynamic management method and system based on the integration of traditional Chinese and Western medicine to overcome existing treatment problems. Summary of the invention

[0004] In response to the above-mentioned deficiencies in the existing technology, the purpose of the present invention is to provide a multi-dimensional pain assessment and dynamic management method and system based on the integration of traditional Chinese and Western medicine, specifically a clinical rehabilitation method of Bianshu technique of external treatment in traditional Chinese medicine, to help therapists provide clients with accurate pain analysis, and provide clients with professional Bianshu conditioning and compatibility plans and dynamic scoring algorithms to solve the problem that existing common pain scales (such as VAS and NRS) only assess a single pain intensity, have significant differences and technical barriers.

[0005] The technical solution adopted by the present invention to achieve the above-mentioned purpose is: a multi-dimensional pain assessment and dynamic management method based on the integration of traditional Chinese and Western medicine, characterized by comprising the following method steps:

[0006] (1) Multidimensional pain assessment methods:

[0007] Step S1: Establish a multi-dimensional pain assessment system, use the language grading method to grade pain, and then create the Traditional Chinese Medicine Bianshu Pain Grading Scale V2.1.

[0008] Step S12: Using a visual analogue scale, pain intensity is marked on a straight line from 0 to 100 mm to provide a continuous score.

[0009] Step S13: Introduce a facial expression scale and numerical scoring method to assess pain through at least six expression images, which is used for children, language disorders or cognitively impaired people.

[0010] Step S14: The degree of sha and changes in meridian sensitivity after TCM Bian therapy are used as TCM characteristics to assess pain dimensions.

[0011] Step S15: Record the patient's pain onset time, causes and relief measures, and whether the pain affects daily activities (such as sleep and exercise), to form a pain diary to assist in determining the severity of the pain and to dynamically track the course of the disease.

[0012] (2) Dynamic management of multidimensional pain:

[0013] Step S21: Use electronic VAS / NRS tools for regular monitoring and adjust treatment strategies based on information from the four diagnostic methods of Traditional Chinese Medicine (tongue and pulse). Multi-dimensional data integration: Correlation analysis is performed between subjective scores, physiological indicators (such as local temperature changes), and Traditional Chinese Medicine syndrome types to establish an individualized efficacy prediction model.

[0014] Step S22: Dynamically adjust the Bian therapy technique (e.g., Bian therapy scraping is preferred for mild pain, and combined with medication for severe pain), adjust the Bian tool (e.g., Bian stone acupuncture for strong stimulation) and operation frequency according to the degree of pain relief, and achieve the therapeutic intervention of "replacing acupuncture with Bian therapy".

[0015] Step S23: Collect diagnostic data in real time through electronic VAS / NRS on a tablet or mobile phone, and automatically generate trend charts to assist clinical decision-making.

[0016] Step S24: For patients with chronic pain, dynamic home management is achieved by combining pain diaries and online follow-up.

[0017] Step S25: Remind the patient of the pain mechanism and non-drug therapies (such as hot ironing with acupuncture to relieve pain caused by cold and dampness) to improve patient compliance, and guide the patient to perform relevant self-treatment (acupoint pressing, such as: Jianjing acupoint, breathing training methods, etc.) or seek medical treatment to reduce the frequency of acute pain attacks.

[0018] In order to further improve the ease of use of the multidimensional pain assessment and dynamic management method based on the integration of traditional Chinese and Western medicine, the present invention adopts the following scheme: the pain classification of the language grading method is divided into four levels, namely painless, mild pain (tolerable, does not affect sleep), moderate pain (intermittently affects activities), and severe pain (continuous pain, limited life).

[0019] To further improve the usability of the multi-dimensional pain assessment and dynamic management method based on the combination of traditional Chinese and Western medicine, the solution adopted in the present invention is as follows: The Visual Analogue Scale (VAS) uses a mobile VAS application to support real-time data upload and combines AI analysis to predict the risk of symptom deterioration.

[0020] To further improve the usability of the multi-dimensional pain assessment and dynamic management method based on the combination of traditional Chinese and Western medicine, the solution adopted in the present invention is as follows: The Faces Pain Scale - Revised (FPS - R) uses categorical variables (such as integers from 0 to 10) instead of continuous scoring, and combines the patient's subjective selection with the medical staff's observation to achieve two-way verification.

[0021] The present invention provides a multi-dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine, centered around a multi-dimensional pain assessment and dynamic management platform, including a storage device, a server, a patient information collection terminal, and a patient condition query terminal; the storage device is used to save the patient's pain-related information and medical treatment information, and the pain-related information includes: evaluation indicators for evaluating pain, vital data, medication information, and physical conditions, etc.; the server is used to execute whether the patient needs to consult a doctor or output guidance for the patient to perform relevant self-treatment; the patient information collection terminal is used to collect the patient's pain-related information and medical treatment information, generate pain management information, and input the generated pain management information into the multi-dimensional pain assessment and dynamic management platform; the patient condition query terminal is used to query the patient's diagnosis and provide symptomatic treatment.

[0022] To further improve the usability of the multi-dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine, the solution adopted in the present invention is as follows: The pain information update algorithm for the patient in the storage device is as follows:

[0023]

[0024]

[0025] To further improve the usability of the multi-dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine, the solution adopted in the present invention is as follows: The algorithm for estimating the necessity of consultation by the server:

[0026] if symptomin["fever", "confusion", "severe swelling", "immobility"]:

[0027] red_flags += symptom_weights[symptom]

[0028] / / 3. Past medical history bonus

[0029] history_factor = 1.0

[0030] if patient_data.medical_history in ["Cardiovascular disease", "Diabetes", "Immunosuppression"]:

[0031] history_factor = 1.5

[0032] / / 4. Comprehensive assessment calculation

[0033] urgency_score = sigmoid((0.6 * pain_score + 1.8 * red_flags) * history_factor - 3) return urgency_score

[0034] To further improve the usability of the multi - dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine, the solution adopted by the present invention is: the self - treatment suitability estimation algorithm in the server:

[0035] function evaluateSelfCareSuitability(patient_data):

[0036] / / Input: Patient data

[0037] / / Output: Self - treatment suitability score (0 - 1) and recommended plan

[0038] / / 1. Symptom severity assessment

[0039] mildness = 1 - patient_data.pain_intensity / 10

[0040] / / 2. Historical effect of self - treatment

[0041] past_success = 0

[0042] if patient_data.treatment_history:

[0043] past_self_treatments = filter(patient_data.treatment_history,

[0044] lambda x: x.treatment_type == "self_care")

[0045] if past_self_treatments:

[0046] past_success = average(t.effectivenessfortinpast_self_treatments)

[0047]

[0048] In order to further improve the usability of the multi - dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine, the solution adopted in the present invention is as follows: The information collection of the patient information collection terminal includes, but is not limited to, physiological data such as heart rate, body temperature, blood pressure, blood oxygen, electromyogram, movement, and posture during the onset of the patient's pain, which helps to identify abnormal physiological data.

[0049] In order to further improve the usability of the multi - dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine, the solution adopted in the present invention is as follows: The patient condition query terminal can provide multi - dimensional physiological data information, enabling the patient to timely understand the impact of pain on various physical indicators of the patient, so as to select a targeted treatment plan.

[0050] Advantages of the present invention: The present invention develops modern pain management methods and systems from single - score to multi - dimensional estimation of "subjective analysis + objective data support + integration of traditional Chinese medicine characteristics". At the same time, with the help of digital tools, it realizes dynamic monitoring and precise intervention, further optimizing the interoperability of the evaluation criteria of traditional Chinese and Western medicine. Through the deep integration and dynamic optimization mechanism of traditional Chinese and Western medicine data, it overcomes the industry problems of strong subjectivity in pain assessment and static intervention plans, and has both clinical value and commercial potential. BRIEF DESCRIPTION OF THE DRAWINGS

[0051] Figure 1 is the system framework diagram of the present invention;

[0052] Figure 2 is the workflow diagram of the multi - dimensional pain assessment method of the present invention;

[0053] Figure 3 is the workflow diagram of the multi - dimensional pain dynamic management method of the present invention;

[0054] [[ID=**29]] Figure 4 is the schematic diagram of the evaluation dimensions and weights of the embodiment of the present invention;

[0055] Figure 5 is the schematic diagram of pain grading and intervention plan of the embodiment of the present invention. DETAILED DESCRIPTION OF THE INVENTION

[0056] The following will clearly and completely describe the technical solutions in the embodiments of the present invention in conjunction with the accompanying drawings. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without making creative efforts are within the scope of protection of the present invention.

[0057] See also Figure 1 The present invention provides a multidimensional pain assessment and dynamic management system based on the integration of traditional Chinese and Western medicine, with a multidimensional pain assessment and dynamic management platform as the center, including a storage device, a server, a patient information collection terminal, and a patient condition query terminal; the storage device is used to store the patient's pain-related information and diagnosis and treatment information, and the pain-related information includes: evaluation indicators for evaluating pain, vital data, medication information, and physical condition; the server is used to determine whether the patient needs to be consulted or output guidance for the patient to perform relevant self-treatment; the patient information collection terminal is used to collect the patient's pain-related information and diagnosis and treatment information, and generate pain management information, and input the generated pain management information into the multidimensional pain assessment and dynamic management platform, wherein the information collected by the patient information collection terminal includes but is not limited to the patient's heart rate, body temperature, blood pressure, blood oxygen, electromyography, movement and posture physiological data at the time of the onset of pain, which helps to identify abnormal physiological data; the patient condition query terminal is used to query the patient's diagnosis and provide symptomatic treatment. The patient condition query terminal can provide multidimensional physiological data information, so that the patient can timely understand the impact of pain on various indicators of the patient's body, so as to select a targeted treatment plan.

[0058] See also Figure 2 , multidimensional pain assessment method: establish a multidimensional pain assessment system, use the language grading method to grade the pain, and then make the TCM Bianshu Pain Grading Scale V2.1; use the visual analog scale to mark the pain intensity with a straight line from 0 to 100 mm to provide a continuous score; introduce the facial expression scale and digital scoring method, the facial expression scale assesses pain through at least six facial expression images, and is used for children, people with language disorders or cognitive impairment; based on the degree of sha and changes in meridian sensitivity after TCM Bianshu treatment, they are used as TCM characteristics to assess pain dimensions; record the patient's pain onset time, causes and relief measures, and whether it affects daily activities (such as sleep and exercise), and form a pain diary to assist in judging the severity of pain and to dynamically track the course of the disease.

[0059] See also Figure 3, Dynamic management method for multi-dimensional pain: Regularly monitor using electronic VAS / NRS tools, and adjust treatment strategies in combination with the four diagnostic information of traditional Chinese medicine (tongue image, pulse condition); Multi-dimensional data integration: Conduct correlation analysis on subjective scores, physiological indicators (such as local temperature changes), and traditional Chinese medicine syndrome types, and establish an individualized efficacy prediction model; Dynamically adjust through bian stone techniques (for example, use bian stone scraping for mild pain first, and combine with drugs for severe pain), adjust bian tools (such as using a bian stone cone for strong point pressing) and operation frequencies according to the degree of pain relief, and achieve the treatment intervention of "replacing acupuncture with bian stone"; Real-time collect diagnostic data through electronic VAS / NRS on tablets or mobile phones, and automatically generate trend charts to assist clinical decision-making; For chronic pain patients, achieve home dynamic management in combination with pain diaries and online follow-up; Remind the pain mechanism and non-drug therapies (such as using bian stone heat ironing to relieve cold-damp pain), improve patient compliance, and guide patients to perform relevant self-treatments (acupoint pressing, such as: Jianjing acupoint, breathing training methods, etc.) or seek medical treatment, and reduce the frequency of acute pain attacks.

[0060] In specific embodiments: The subjective pain intensity (self-evaluation by patients) aa is graded using the numerical rating scale (NRS) in combination with the visual analogue scale (VAS), and the grading is as shown in Table 1 below:

[0061] Table 1: Pain grading standard table

[0062] Pain grading standard 0 points: No pain 1 - 3 points: Mild pain (tolerable, does not affect sleep) 4 - 6 points: Moderate pain (intermittently affects activities) 7 - 10 points: Severe pain (continuous pain, restricted life)

[0063] Note: Analgesics were not used 30 minutes before the assessment.

[0064] Degree of functional limitation (evaluated by therapists), and the evaluation is as shown in Table 2 below:

[0065] Table 2: Degree of functional limitation estimation table

[0066]

[0067] Physical signs (objective examination):

[0068] (1) Tenderness test (0 - 3 points): No tenderness (0 points); Slight pressure pain (frowning / muscle contraction, 1 point); Moderate tenderness (evasive reaction, 2 points); Severe tenderness (refusing to be touched, 3 points)

[0069] (2) Muscle tension (0 - 2 points): Flaccid (0 points); Local tension (1 point); Generalized stiffness (2 points).

[0070] (3) Range of joint motion (0 - 2 points): Normal (0 points); Range of motion reduction ≤ 30% (1 point); Range of motion reduction > 30% (2 points)

[0071] (4) TCM syndrome classification (0-2 points for syndrome matching): Syndrome type does not match the Bian therapy treatment plan (0 points); Partial match (1 point); Complete match (2 points)

[0072] Total score calculation formula and pain grading

[0073] 1. Calculation formula

[0074] Total score = (subjective pain × 0.4) + (functional limitation × 0.6) + (physical sign reaction × 0.4) + (TCM syndrome × 0.5); total score range: 0-10 points (directly corresponds to the pain level, no secondary conversion is required)

[0075] In summary, common pain scales (such as VAS and NRS) only assess a single pain intensity, while the TCM Bianshu pain grading scale mentioned in the present invention integrates characteristic dimensions such as TCM syndrome classification and functional limitation weight, effectively overcoming significant differences and technical barriers.

[0076] This invention develops modern pain management methods and systems from a single scoring system to a multi-dimensional estimation system of "subjective analysis + objective data support + integration of traditional Chinese medicine characteristics". At the same time, it uses digital tools to achieve dynamic monitoring and precise intervention, further optimizing the interoperability of traditional Chinese and Western medicine evaluation standards. Through the deep integration of traditional Chinese and Western medicine data and the dynamic optimization mechanism, it overcomes the industry problems of high subjectivity in pain assessment and static intervention plans, and has both clinical value and commercial potential.

[0077] The above embodiments are only used to illustrate the technical solutions of the present invention, rather than to limit the same. Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that the technical solutions described in the aforementioned embodiments can still be modified, or some of the technical features thereof can be replaced by equivalents. However, these modifications or replacements will not cause the essence of the corresponding technical solutions to deviate from the spirit and scope of the technical solutions of the various embodiments of the present invention, and will not be described in detail here. The contents not described in detail in this specification belong to the existing technology known to professional and technical personnel in this field.

[0078] In addition, it should be understood that although the present specification is described according to implementation modes, not every implementation mode contains only one independent technical solution. This description of the specification is only for the sake of clarity. Those skilled in the art should regard the specification as a whole. The technical solutions in each embodiment may also be appropriately combined to form other implementation modes that can be understood by those skilled in the art.

Claims

1. A multi-dimensional pain assessment and dynamic management method based on the combination of traditional Chinese and Western medicine, characterized in that The method comprises the following steps: (1) Multidimensional pain assessment methods: Step S1: Establish a multi-dimensional pain assessment system, use the language grading method to grade pain, and then create the Traditional Chinese Medicine Bianshu Pain Grading Scale V2.1; Step S12: using a visual analogue scale to provide a continuous score for pain intensity by marking it on a straight line from 0 to 100 mm; Step S13: introducing a facial expression scale and a numerical rating method, wherein the facial expression scale assesses pain through at least six expression images and is used for children, people with language disorders or cognitive impairment; Step S14: using the degree of sha and changes in meridian sensitivity after TCM Bian therapy as TCM characteristics to assess pain dimensions; Step S15: Record the patient's pain onset time, causes and relief measures, and whether it affects daily activities (such as sleep and exercise), forming a pain diary to assist in determining the severity of pain and to dynamically track the course of the disease; (2) Dynamic management of multidimensional pain: Step S21: Regular monitoring using electronic VAS / NRS tools, and adjusting treatment strategies based on information from the four diagnostic methods of Traditional Chinese Medicine; Multi-dimensional data integration: Correlation analysis of subjective scores, physiological indicators, and Traditional Chinese Medicine syndrome types to establish an individualized efficacy prediction model; Step S22: Dynamically adjust the Bianstone technique, adjust the Bianstone tool and operating frequency according to the degree of pain relief, and achieve the therapeutic intervention of "replacing acupuncture with Bianstone"; Step S23: Collect diagnostic data in real time via electronic VAS / NRS on a tablet or mobile phone, and automatically generate trend charts to assist clinical decision-making; Step S24: For patients with chronic pain, dynamic home management is achieved by combining pain diaries and online follow-up; Step S25: Remind patients of pain mechanisms and non-drug therapies to improve patient compliance, and guide patients to conduct relevant self-treatment or seek medical treatment to reduce the frequency of acute pain attacks.

2. The multi-dimensional pain assessment and dynamic management method based on the combination of traditional Chinese and Western medicine according to claim 1, wherein: The pain level of the language grading method is divided into four levels, namely no pain, mild pain, moderate pain and severe pain.

3. The multi-dimensional pain assessment and dynamic management method based on the combination of traditional Chinese and Western medicine according to claim 1, characterized in that: The visual analogue scale (VAS) uses a mobile VAS application to support real-time data upload and combines AI analysis to predict the risk of symptom worsening.

4. The multi-dimensional pain assessment and dynamic management method based on the integration of traditional Chinese and Western medicine according to claim 1, characterized in that: The Facial Expression Scale (FPS-R) uses categorical variables rather than continuous scores, and combines patients' subjective choices with medical staff's observations to achieve two-way validation.

5. A multi-dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine, characterized in that: Centered on a multi-dimensional pain assessment and dynamic management platform, it includes storage, servers, patient information collection terminals, and patient condition query terminals; The memory is used to store the patient's pain-related information and diagnosis and treatment information; The server is used to determine whether the patient needs to be consulted or output guidance for the patient to perform relevant self-treatment; The patient information collection terminal is used to collect patient pain-related information and diagnosis and treatment information, and generate pain management information, and input the generated pain management information into the multi-dimensional pain assessment and dynamic management platform; The patient condition query terminal is used to query the patient's diagnosis and provide symptomatic treatment.

6. The multi-dimensional pain assessment and dynamic management system based on the integration of traditional Chinese and Western medicine according to claim 5, wherein: The algorithm for updating the patient's pain information in the memory is as follows:

7. The multi-dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine according to claim 5, characterized in that: The server's consultation necessity estimation algorithm:

8. The multi-dimensional pain assessment and dynamic management system based on the integration of traditional Chinese and Western medicine according to claim 5, wherein: Self-treatment fitness estimation algorithm in the server:

9. The multi-dimensional pain assessment and dynamic management system based on the integration of traditional Chinese and Western medicine according to claim 5, characterized in that: The information collection of the patient information collection terminal includes, but is not limited to, physiological data such as heart rate, body temperature, blood pressure, blood oxygen, electromyogram, movement, and posture when the patient's pain occurs, which helps to identify abnormal physiological data.

10. The multi-dimensional pain assessment and dynamic management system based on the combination of traditional Chinese and Western medicine according to claim 5, characterized in that: The patient condition query terminal can provide multi-dimensional physiological data information, enabling the patient to timely understand the impact of pain on various physical indicators of the patient, so as to select a targeted treatment plan.

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