Clinical risk screening method for old people in traditional Chinese medicine and western medicine

Abstract

The invention discloses a traditional Chinese and western medicine old people clinical risk screening method, and relates to the clinical technical field, and the method comprises the steps: building a user digital twinborn model based on the attribute dimension information and time-space dimension information of a to-be-tested old people user; detecting various biological indexes of the to-be-detected elderly user to obtain Western medicine biological index information, obtaining historical disease related information of the to-be-detected elderly user, and performing classification by combining the Western medicine biological index information, the historical disease related information and the bedridden condition to obtain a user risk state classification result; performing traditional Chinese medicine examination on the to-be-tested elderly user to obtain traditional Chinese medicine diagnosis information, evaluating the cognition and emotion of the to-be-tested elderly user to obtain traditional Chinese medicine emotion syndrome screening information, and judging the physique of the to-be-tested elderly user to obtain traditional Chinese medicine physique diagnosis information; and based on a user risk state classification result, performing classification planning to obtain user management and control scheme information, and performing risk regulation and control on the to-be-tested elderly user to obtain main risk regulation and control information. The method has the effect of improving the clinical risk screening accuracy of old people in traditional Chinese and western medicine.

Description

TECHNICAL FIELD

[0001] The present application relates to the clinical field, in particular to a risk screening method for elderly people in traditional Chinese and Western medicine. BACKGROUND

[0002] At present, the clinic refers to the place or process where doctors directly face patients and carry out medical activities such as diagnosis, treatment and nursing, emphasizing the direct contact between doctors and patients and the actual medical operation, which is the key link of the application of medical theory in practice. Nutritional risk screening is a clinical evaluation method implemented by medical staff, aiming to identify the nutritional risk of patients and judge whether nutritional support is needed. For the elderly, combined with traditional Chinese and Western medicine, the risk screening of the clinic can comprehensively screen the health risks of the elderly, so the risk screening of the clinic for the elderly in traditional Chinese and Western medicine is very important.

[0003] The existing risk screening method for the clinic of the elderly in traditional Chinese and Western medicine refers to evaluating the nutritional status and disease severity of patients through traditional Chinese and Western medicine, providing a basis for developing individualized health intervention programs, so as to improve the clinical outcome of the elderly and reduce the risk of complications. However, the existing risk screening method for the clinic of the elderly in traditional Chinese and Western medicine does not consider the risk of sudden falls of the to-be-tested elderly user, the risk of sudden falls, the accuracy of the risk screening of the clinic for the elderly in traditional Chinese and Western medicine is low, and there is room for improvement. SUMMARY

[0004] In order to improve the accuracy of the risk screening of the clinic for the elderly in traditional Chinese and Western medicine, the present application provides a risk screening method for the clinic of the elderly in traditional Chinese and Western medicine.

[0005] The risk screening method for the clinic of the elderly in traditional Chinese and Western medicine provided by the present application adopts the following technical scheme: A risk screening method for the clinic of the elderly in traditional Chinese and Western medicine, comprising the following steps: Step S1, obtaining attribute dimension information and space-time dimension information of a to-be-tested elderly user, and creating a user digital twin model; Step S2, detecting each biological index of the to-be-tested elderly user to obtain Western medicine biological index information, obtaining historical disease related information of the to-be-tested elderly user, and classifying to obtain a user risk state classification result in combination with Western medicine biological index information, historical disease related information and bedridden condition; Step S3, performing traditional Chinese medicine examination on the to-be-tested elderly user to obtain traditional Chinese medicine diagnosis information, evaluating the cognition and emotion to obtain traditional Chinese medicine emotional syndrome screening information, and judging the constitution of the to-be-tested elderly user to obtain traditional Chinese medicine constitution diagnosis information; Step S4: Based on the user risk status classification results, classify and plan the conditioning plan for the elderly users to be tested to obtain user management plan information. Based on the Western medicine biological indicator information, traditional Chinese medicine constitution diagnosis information and user management plan information, perform risk regulation to obtain the main risk regulation information. Step S5: Based on the TCM constitution diagnosis information of the elderly users to be tested, adjust the lifestyle habits of the elderly users to be tested to obtain auxiliary risk control information; Step S6: Obtain the sudden fall risk coefficient based on Western medicine biometric information and traditional Chinese medicine diagnostic information; obtain the sudden fall coping ability coefficient based on Western medicine biometric information; and obtain the fall risk assessment information and issue a sudden fall risk report. Step S7: Draw a time-series change graph of user indicator status, and send the user digital twin model, the time-series change graph of user indicator status, and the sudden fall risk report to the background monitoring system and user terminal.

[0006] Preferably, the attribute dimension information of the elderly user to be tested is obtained, including age information, weight information, gender information and body circumference information; The spatiotemporal information of the elderly user to be tested is obtained. The spatiotemporal information includes time dimension information and spatial dimension information. The time dimension information includes the changes of the elderly user to be tested at different time points, and the spatial dimension information includes the spatial location of the elderly user to be tested. Based on age, weight, gender, body circumference, time, and spatial dimensions, a digital twin model of the elderly user to be tested is created, and the digital twin model of the user is spatiotemporally aligned with the elderly user to be tested.

[0007] Preferably, the biometrics of the elderly user to be tested are detected based on Western medical technology and equipment to obtain Western medical biometric information, which includes basic physiological parameter information, body fluid index information and organ imaging information; Obtain a database of Western medical biological indicators standards, which includes standard basic physiological parameters, standard body fluid indicators, and standard organ imaging information. The Western medicine biological indicator information is compared with the Western medicine biological indicator standard database to determine whether there are any abnormalities in the current indicators of the elderly user to be tested. If there are abnormalities, they are marked and the abnormal physiological indicator information is output. The abnormal physiological indicator information is displayed and marked on the user's digital twin model. If there are no abnormalities, the current state is determined to be risk-free. Based on abnormal physiological indicators, it is determined whether the elderly user being tested currently has a disease. If a disease exists, it is determined that the Western medicine identifies the current disease information and outputs the current disease determination result. The Western medicine identifies the current disease information, including the current disease type and the current disease severity of each disease type. Based on the current disease type, it is determined whether the user under test has an acute abnormality. If an acute abnormality exists, the current state is determined to be high risk; if no acute abnormality exists, the current state is determined to be low risk.

[0008] Preferably, the relevant information on the historical diseases of the elderly user to be tested is obtained, including past medical history, past medication history, and family history of hereditary diseases. Based on the medical history information of the elderly users to be tested, it is determined whether the elderly users to be tested have chronic diseases. If chronic diseases exist, the number of chronic diseases is recorded. If no chronic diseases exist, a no-risk signal for historical diseases is output. Based on the historical medication information of the elderly users to be tested, the degree of prevalence of each chronic disease of the elderly users to be tested is determined to obtain the historical prevalence of chronic diseases. Based on the number of chronic diseases and the severity of chronic diseases in history, it is determined whether there is a high risk in the past medical history and medication history of the elderly user to be tested. When the number of chronic diseases is greater than or equal to the preset threshold for the number of chronic diseases, it is determined that the elderly user to be tested has a high risk in the past disease situation, and the first high risk signal of the past disease is output. When the number of chronic disease items is less than the preset threshold for the number of chronic disease items, the severity of chronic disease is compared with the historical threshold for chronic disease. If the severity of chronic disease is greater than the historical threshold for chronic disease, it is determined that the elderly user under test has a high risk of historical disease and a second high-risk signal for historical disease is output. Upon receiving the first or second historical high-risk disease signal, a historical high-risk disease signal is output. If the prevalence of chronic diseases is less than or equal to the historical prevalence threshold for chronic diseases, the elderly user being tested is deemed to have a low risk of historical disease status, and a low-risk historical disease signal is output.

[0009] Preferably, the bed rest time of the elderly user to be tested is counted. If the bed rest time of the elderly user to be tested is greater than or equal to the preset bed rest time threshold, the elderly user to be tested is determined to be in a long-term bed rest state and a long-term bed rest signal is output; otherwise, a non-long-term bed rest signal is output. When a high-risk signal for a historical disease is received and a long-term bedridden signal is received, the elderly user to be tested is determined to be in a high-risk state. When a no-risk signal for a historical disease is received and a long-term bedridden signal is received, the elderly user to be tested is determined to be in a no-risk state. In other cases, the elderly user to be tested is determined to be in a low-risk state. When the elderly user to be tested is in a high-risk state, a high-risk screening signal is output; when the elderly user to be tested is in a no-risk state and a predicted no-risk state, a no-risk screening signal is output; and for other states, a low-risk screening signal is output. The combination of the high-risk screening signal, the low-risk screening signal, and the no-risk screening signal forms the user's risk status classification result.

[0010] Preferably, TCM diagnostic information is obtained by examining elderly users under test using TCM techniques, including information from inspection, auscultation and olfaction, inquiry, and palpation. A Traditional Chinese Medicine (TCM) Emotional Scale was obtained, and risk screening of the emotional state of the elderly users to be tested was conducted based on the TCM Emotional Scale to obtain TCM emotional syndrome screening information. Based on TCM emotional syndrome screening information, it is determined whether the elderly users to be tested have psychological risks. If psychological risks are present, the elderly users to be tested are determined to be at high risk of psychological state. By combining TCM diagnostic information and TCM emotional syndrome screening information, the constitution of the elderly users to be tested is determined, and TCM constitution diagnosis information is obtained. The TCM constitution diagnosis information is displayed and marked on the user's digital twin model.

[0011] Preferably, based on the risk status classification results of the user to be tested, when a high-risk screening signal is received, a first type of control plan is planned, which uses Western medicine techniques for regulation; when a low-risk screening signal is received, a second type of control plan is planned, which uses traditional Chinese medicine techniques for regulation. The first type of control scheme and the second type of control scheme are combined to form user control scheme information; When the elderly user to be tested belongs to the first type of control plan, based on the current disease type and the current severity of each disease type, the elderly user to be tested will be prescribed Western medicine for diagnosis and treatment or undergo surgical treatment, and the main Western medicine control information will be output. When the elderly user to be tested belongs to the second type of control plan, the elderly user to be tested will be prescribed Chinese medicine or treated with Chinese medicine methods, based on the TCM diagnostic information and TCM emotional syndrome screening information, and the main TCM regulation information will be output. The main Western medicine regulatory information and the main traditional Chinese medicine regulatory information are combined to form the main risk regulation information.

[0012] Preferably, the elderly users to be tested are queried for information on their lifestyle habits, including dietary habits, daily routines, and exercise habits. Based on the TCM constitution diagnosis information and dietary habit information of the elderly users to be tested, it is determined whether the dietary habits of the elderly users to be tested are suitable for their constitution. If they are not suitable, the dietary habits of the elderly users to be tested are adjusted to obtain dietary habit risk control information. Based on the TCM constitution diagnosis information and daily routine information of the elderly users to be tested, it is determined whether the daily routine of the elderly users to be tested is suitable for their constitution. If it is not suitable, the daily routine of the elderly users to be tested is adjusted to obtain daily routine risk control information. Based on the TCM constitution diagnosis information and exercise habit information of the elderly users to be tested, it is determined whether the exercise habits of the elderly users to be tested are suitable for their constitution. If they are not suitable, the exercise habits of the elderly users to be tested are adjusted to obtain exercise habit risk control information. The risk control information on dietary habits, the risk control information on daily routines, and the risk control information on exercise habits are combined to form auxiliary risk control information.

[0013] Preferably, based on Western medicine biological indicators and traditional Chinese medicine diagnostic information, the limb flexibility and reaction speed of the elderly user to be tested are judged, and then the sudden fall risk coefficient of the elderly user to be tested is obtained. Based on Western medical biometrics, we obtained the joint flexibility, fat thickness, bone mass percentage and bone density of the elderly users to be tested. Based on the joint flexibility of the elderly users to be tested, the influence of the joint flexibility of the elderly users to be tested on their ability to cope with sudden falls is determined, and the joint flexibility coping ability coefficient is obtained. Based on the fat thickness of the elderly users to be tested, the influence of the fat thickness on the elderly users' ability to cope with sudden falls was determined, and the fat layer coping ability coefficient was obtained. Based on the bone mass percentage and bone density of the elderly users to be tested, the influence of bone strength on the elderly users' ability to cope with sudden falls is determined, and the bone coping ability coefficient is obtained. The average value of the joint flexibility response coefficient, fat layer response coefficient and bone response coefficient is calculated to obtain the sudden fall response coefficient of the elderly user to be tested. Based on the risk coefficient of sudden fall and the coping ability coefficient of sudden fall of the elderly users to be tested, the risk of sudden fall of the elderly users to be tested is assessed, the fall risk assessment information is obtained, and a sudden fall risk report is issued.

[0014] Preferably, the inspection interval duration is preset based on the user's risk status classification; Based on the examination interval information, the elderly users to be tested are regularly subjected to simultaneous bilateral testing of traditional Chinese and Western medicine. The information on Western medicine biological indicators and traditional Chinese medicine constitution diagnosis is updated, displayed and marked on the user's digital twin model, and a time-series change graph of the user's indicator status is drawn. The user digital twin model, the user indicator status time-series change graph, and the sudden fall risk report are sent to the background monitoring system and the user terminal based on the wireless communication module.

[0015] In summary, the present invention has at least one of the following beneficial technical effects: By creating digital twin models of elderly users based on their attribute and spatiotemporal information, multiple biometrics were tested to obtain Western medicine biometric information. This information, combined with the elderly users' historical disease information and bedridden status, was used to assess and classify their risk status from multiple dimensions, improving the accuracy of risk screening and classification based on both Western and Traditional Chinese Medicine (TCM) clinical practice. TCM diagnosis was then performed on the elderly users, and their cognition and emotions were assessed. A comprehensive assessment of their constitution was obtained, leading to TCM constitution diagnosis information. Based on the Western medicine biometric information, TCM constitution diagnosis information, and the risk status classification results, primary risk control information was obtained. Based on the TCM constitution diagnosis information, adjustments were made to the elderly users' lifestyles to obtain auxiliary risk control information. This combined primary and secondary approach to manage the health risks of elderly users from multiple perspectives improved the accuracy of risk screening in TCM-Western medicine clinical practice for the elderly. Finally, based on Western medicine biometric information and TCM diagnostic information, the risk of sudden falls in the elderly users was assessed, resulting in fall risk assessment information, further enhancing the accuracy of risk screening in TCM-Western medicine clinical practice for the elderly. Attached Figure Description

[0016] Figure 1 This embodiment is a flowchart illustrating the risk screening method for elderly patients using both traditional Chinese and Western medicine. Detailed Implementation

[0017] The present invention will be further described in detail below with reference to the accompanying drawings.

[0018] This invention discloses a risk screening method for elderly patients using both traditional Chinese and Western medicine.

[0019] A risk screening method for elderly patients using both traditional Chinese and Western medicine includes the following steps: Reference Figure 1 Step S1 involves obtaining the attribute dimension information and spatiotemporal dimension information of the elderly user to be tested, and creating a digital twin model of the user. Step S1 specifically includes the following sub-steps: Step S11: Obtain the attribute dimension information of the elderly user to be tested. The attribute dimension information of the elderly user to be tested includes age information, weight information, gender information and body circumference information.

[0020] Step S12: Obtain the spatiotemporal dimension information of the elderly user to be tested. The spatiotemporal dimension information includes time dimension information and spatial dimension information. The time dimension information includes the changes of the elderly user to be tested at different time points, and the spatial dimension information includes the spatial location of the elderly user to be tested.

[0021] Step S13: Based on age information, weight information, gender information, body circumference information, time dimension information, and spatial dimension information, create a digital twin model of the elderly user to be tested, obtain the user digital twin model, and perform spatiotemporal alignment operation between the user digital twin model and the elderly user to be tested.

[0022] Reference Figure 1 Step S2 involves detecting various biometric indicators of the elderly user to be tested to obtain Western medicine biometric information, acquiring relevant information on the user's historical diseases, and combining the Western medicine biometric information, historical disease information, and bedridden status to classify the user's risk status. Step S2 specifically includes the following sub-steps: Step A1 involves using Western medical technology and equipment to detect the biometrics of the elderly user to be tested, obtaining Western medical biometric information, which includes basic physiological parameters, body fluid parameters, and organ imaging information.

[0023] Step A2: Obtain the Western medicine biological indicator standard database, which includes standard basic physiological parameters, standard body fluid indicator information, and standard organ imaging information.

[0024] Step A3: Compare the Western medicine biological indicator information with the Western medicine biological indicator standard database to determine whether there are any abnormalities in the current indicators of the elderly user to be tested. If there are abnormalities, mark them and output the abnormal physiological indicator information. Display the abnormal physiological indicator information on the user's digital twin model. If there are no abnormalities, determine that the current state is risk-free.

[0025] Specifically, the basic physiological parameters are compared with the standard basic physiological parameters, the body fluid indicators are compared with the standard body fluid indicators, and the organ imaging information is compared with the standard organ imaging information to determine whether the various physiological indicators of the elderly user under test are normal. If abnormal, the physiological indicator differences and the degree of physiological indicator differences are recorded and output. The physiological indicator differences and the degree of physiological indicator differences are combined to form abnormal physiological indicator information.

[0026] Step A4: Based on abnormal physiological indicators, determine whether the elderly user being tested currently has a disease. If a disease exists, the Western medicine identifies the current disease information and outputs the current disease determination result. The Western medicine identifies the current disease information, including the current disease type and the current severity of each disease type.

[0027] Specifically, a database of physiological indicators for diseases is obtained, which includes ranges of physiological indicators for different types and degrees of diseases.

[0028] Abnormal physiological indicators are compared with a disease physiological database to determine the current disease type and severity of the user being tested.

[0029] Step A5: Based on the current disease type, determine whether the user to be tested has an acute abnormality. If an acute abnormality exists, the current state is determined to be high-risk; if no acute abnormality exists, the current state is determined to be low-risk.

[0030] Step S2 further includes the following sub-steps: Step B1: Obtain relevant information on the historical diseases of the elderly user to be tested. This information includes past medical history, medication history, and family history of genetic diseases.

[0031] Step B2: Based on the medical history information of the elderly user to be tested, determine whether the elderly user has chronic diseases. If chronic diseases exist, record the number of chronic diseases. If no chronic diseases exist, output a historical disease risk-free signal. Based on the elderly user's historical medication information, determine the degree of chronic disease prevalence of the elderly user to be tested for each chronic disease to obtain the historical prevalence of chronic diseases.

[0032] Step B3: Based on the number of chronic disease items and the historical severity of chronic diseases, determine whether there is a high risk in the past medical history and medication history of the elderly user to be tested. When the number of chronic disease items is greater than or equal to the preset threshold for the number of chronic disease items, it is determined that the elderly user to be tested has a high risk in the past disease situation, and the first historical disease high risk signal is output.

[0033] Step B4: When the number of chronic disease items is less than the preset threshold for the number of chronic disease items, the severity of chronic disease is compared with the historical threshold for chronic disease. If the severity of chronic disease is greater than the historical threshold for chronic disease, it is determined that the elderly user under test has a high risk of historical disease and a second high-risk signal for historical disease is output.

[0034] Step B5: Upon receiving the first or second historical high-risk disease signal, output the historical high-risk disease signal.

[0035] Step B6: If the prevalence of chronic disease is less than or equal to the historical prevalence threshold of chronic disease, then the historical prevalence of the elderly user under test is determined to be low-risk, and a low-risk historical prevalence signal is output.

[0036] Step S2 further includes the following sub-steps: Step C1: Calculate the bed rest time of the elderly user to be tested. If the bed rest time of the elderly user to be tested is greater than or equal to the preset bed rest time threshold, the elderly user to be tested is determined to be in a long-term bed rest state and a long-term bed rest signal is output. Otherwise, a non-long-term bed rest signal is output.

[0037] Step C2: When a historical high-risk disease signal and a long-term bedridden signal are received, the elderly user to be tested is determined to be in a high-risk predicted state. When a historical no-risk disease signal and a no long-term bedridden signal are received, the elderly user to be tested is determined to be in a no-risk predicted state. In other cases, the elderly user to be tested is determined to be in a low-risk predicted state.

[0038] Step C3: When the elderly user to be tested is in a high-risk state, output a high-risk screening signal; when the elderly user to be tested is in a no-risk state and a predicted no-risk state, output a no-risk screening signal; otherwise, output a low-risk screening signal.

[0039] Step C4 involves screening high-risk signals, low-risk signals, and no-risk signals to form a user risk status classification result.

[0040] Reference Figure 1 Step S3 involves conducting a Traditional Chinese Medicine (TCM) examination on the elderly user to obtain TCM diagnostic information, assessing their cognition and emotions to obtain TCM emotional syndrome screening information, and determining the elderly user's constitution to obtain TCM constitution diagnosis information. Step S3 specifically includes the following sub-steps: Step S31: Based on Traditional Chinese Medicine (TCM) techniques, examine the elderly user to be tested to obtain TCM diagnostic information, which includes observation, auscultation and olfaction, inquiry, and palpation. Observation includes facial complexion, body shape (obese / normal / thin), and tongue appearance (tongue color, size, petechiae, tongue coating color, thickness). Auscultation includes listening to speech, breathing, and cough sounds, and smelling odors. Inquiry includes asking about energy levels, fatigue, dizziness, tinnitus, palpitations, and limb numbness. Palpation includes pulse diagnosis (pulse location, frequency, rhythm, strength, and smoothness) and physical examination (presence of tenderness and edema).

[0041] Step S32: Obtain the Traditional Chinese Medicine (TCM) Emotional Scale. Based on the TCM Emotional Scale, conduct risk screening of the emotional state of the elderly users to be tested, and obtain TCM emotional syndrome screening information. Specifically, combine the TCM Emotional Scale to determine the emotional symptoms of the elderly users to be tested, and then conduct syndrome differentiation. For example, if the user is depressed and anxious, the TCM emotional syndrome screening information is determined to be liver qi stagnation syndrome.

[0042] Step S33: Based on the information from the TCM emotional syndrome screening, determine whether the elderly user being tested has psychological risks. If psychological risks are present, the elderly user being tested is classified as having a high-risk psychological state. In practical application, cognitive and emotional assessments are conducted on the elderly user being tested to screen for dementia and delirium risks. If the elderly have cognitive impairments, it affects treatment cooperation and communication, and also increases the risk of accidental drug ingestion and falls.

[0043] Step S34: Combining TCM diagnostic information and TCM emotional syndrome screening information, the constitution of the elderly user to be tested is determined, and TCM constitution diagnosis information is obtained. This TCM constitution diagnosis information includes balanced constitution, qi deficiency constitution, yang deficiency constitution, yin deficiency constitution, phlegm-dampness constitution, damp-heat constitution, blood stasis constitution, qi stagnation constitution, and special constitution.

[0044] Step S35: Display and mark the TCM constitution diagnosis information on the user's digital twin model.

[0045] Reference Figure 1 Step S4 involves classifying and planning a care plan for the elderly user to be tested, obtaining user management plan information, and then performing risk control based on Western medicine biological indicators, traditional Chinese medicine constitution diagnosis information, and user management plan information to obtain key risk control information. Step S4 specifically includes the following sub-steps: Step S41: Based on the risk status classification results of the user to be tested, when a high-risk screening signal is received, a first-class control plan is planned, which uses Western medicine techniques for regulation. When a low-risk screening signal is received, a second-class control plan is planned, which uses traditional Chinese medicine techniques for regulation.

[0046] Step S42: The first type of control scheme and the second type of control scheme are combined to form user control scheme information.

[0047] Step S43: When the elderly user to be tested belongs to the first type of control plan, based on the current disease type and the current severity of each disease type, prescribe Western medicine for diagnosis and treatment or perform surgical treatment for the elderly user to be tested, and output the main Western medicine control information.

[0048] Step S44: When the elderly user to be tested belongs to the second type of control plan, combine the TCM diagnostic information and TCM emotional syndrome screening information to prescribe Chinese medicine for diagnosis and treatment or conduct TCM treatment (such as acupuncture, moxibustion) for diagnosis and treatment, and output the main TCM regulation information.

[0049] Step S45: The main Western medicine regulatory information and the main traditional Chinese medicine regulatory information are combined to form the main risk regulation information.

[0050] Reference Figure 1 Step S5 involves adjusting the lifestyle habits of elderly users based on their TCM constitution assessment information to obtain auxiliary risk control information. Step S5 specifically includes the following sub-steps: Step S51: Collect and inquire about the lifestyle habits of the elderly users to be tested. The lifestyle habits include dietary habits, daily routines, and exercise habits.

[0051] Step S52: Based on the TCM constitution diagnosis information and dietary habit information of the elderly user to be tested, determine whether the dietary habits of the elderly user to be tested are suitable for the constitution of the elderly user to be tested. If they are not suitable, adjust the dietary habits of the elderly user to be tested to obtain dietary habit risk control information.

[0052] Taking a person with a Qi deficiency constitution as an example (based on Traditional Chinese Medicine constitution diagnosis): People with a Qi deficiency constitution should eat foods that are neutral to slightly warm in nature and strengthen the spleen and replenish Qi, such as millet, yam, red dates, lotus seeds, chicken, beef, and longan. They should eat less raw, cold, bitter, and Qi-depleting foods, such as ice cream and white radish. If the elderly user being tested frequently eats white radish, the dietary risk control information would be to reduce the frequency of white radish consumption and increase the frequency of consuming neutral, warm, spleen-strengthening, and Qi-replenishing foods.

[0053] Step S53: Based on the TCM constitution diagnosis information and daily routine information of the elderly user to be tested, determine whether the daily routine of the elderly user to be tested is suitable for the elderly user's constitution. If it is not suitable, adjust the daily routine of the elderly user to be tested to obtain daily routine risk control information.

[0054] Taking the TCM constitution diagnosis information of Qi deficiency as an example: People with Qi deficiency should have regular work and rest, avoid staying up late and overworking, take a nap at noon, but not lie down for a long time. If the daily work and rest habits of the elderly user being tested are irregular and often stay up late, then the work and rest habit risk control information is to have regular work and rest and reduce the frequency of staying up late.

[0055] Step S54: Based on the TCM constitution diagnosis information and exercise habit information of the elderly user to be tested, determine whether the exercise habit of the elderly user to be tested is suitable for the elderly user's constitution. If it is not suitable, adjust the exercise habit of the elderly user to be tested to obtain exercise habit risk control information.

[0056] Taking Qi deficiency constitution as an example from TCM constitution diagnosis: People with Qi deficiency constitution should choose gentle and easy-to-maintain exercises, such as Tai Chi, Baduanjin, and walking. Avoid strenuous exercise that causes excessive sweating; aim for "light sweating." If the exercise habit of the elderly user being tested is no exercise, then the risk control information for exercise habits is to increase the frequency of Tai Chi, Baduanjin, walking, and other similar exercises.

[0057] Step S55: Dietary habit risk control information, daily routine risk control information, and exercise habit risk control information are combined to form auxiliary risk control information.

[0058] Reference Figure 1 Step S6 involves obtaining a sudden fall risk coefficient based on Western medical biometrics and traditional Chinese medicine diagnostic information, and a sudden fall coping ability coefficient based on Western medical biometrics. These are combined to obtain a fall risk assessment and generate a sudden fall risk report. Step S6 specifically includes the following sub-steps: Step S61: Based on Western medicine biological indicators and traditional Chinese medicine diagnostic information, assess the limb flexibility and reaction speed of the elderly user to be tested, and thus obtain the sudden fall risk coefficient of the elderly user to be tested. Among them, the higher the limb flexibility, the lower the sudden fall risk coefficient; the faster the reaction speed, the lower the sudden fall risk coefficient.

[0059] Step S62: Based on Western medicine biometric information, obtain the joint flexibility, fat thickness, bone mass percentage and bone density of the elderly user to be tested.

[0060] Step S63: Based on the joint flexibility of the elderly user being tested, determine the impact of the joint flexibility on the user's ability to cope with a sudden fall, and obtain the joint flexibility coping ability coefficient. The higher the joint flexibility, the greater the joint flexibility coping ability coefficient.

[0061] Step S64: Based on the fat thickness of the elderly user being tested, determine the impact of fat thickness on the user's ability to cope with a sudden fall, and obtain the fat layer coping ability coefficient. The thicker the fat layer, the greater the fat layer coping ability coefficient.

[0062] Step S65: Based on the bone mass percentage and bone density of the elderly users to be tested, determine the impact of bone strength on the elderly users' ability to cope with sudden falls, and obtain the bone coping ability coefficient. The higher the bone mass percentage and the higher the bone density, the greater the bone coping ability coefficient.

[0063] Step S66: Calculate the mean of the joint flexibility response coefficient, fat layer response coefficient, and bone response coefficient to obtain the sudden fall response coefficient of the elderly user to be tested.

[0064] Step S67: Based on the sudden fall risk coefficient and the sudden fall coping ability coefficient of the elderly user to be tested, assess the risk of a sudden fall, obtain fall risk assessment information, and issue a sudden fall risk report. Specifically, the higher the sudden fall risk coefficient of the elderly user to be tested, the greater the risk of a sudden fall; conversely, the lower the sudden fall coping ability coefficient, the greater the risk of a sudden fall.

[0065] Reference Figure 1 Step S7 involves plotting a time-series change graph of user indicator status, and sending the user digital twin model, the time-series change graph of user indicator status, and the sudden fall risk report to the backend monitoring system and the user terminal. Step S7 specifically includes the following sub-steps: Step S71: Based on the user's risk status classification, the inspection interval duration information is preset. Specifically, when a high-risk screening signal is received, a first inspection interval duration is obtained; when a low-risk screening signal is received, a second inspection interval duration is obtained. The first inspection interval duration is shorter than the second inspection interval duration. The first inspection interval duration and the second inspection interval duration are combined to form the detection interval duration information.

[0066] Step S72: Based on the examination interval information, conduct simultaneous bilateral testing of traditional Chinese and Western medicine on the elderly users to be tested on a regular basis, update the biological indicators of Western medicine and the constitution diagnosis information of traditional Chinese medicine, display and mark them on the user's digital twin model, and draw a time-series change graph of the user's indicator status.

[0067] Step S73: Based on the wireless communication module, the user's digital twin model, the time-series change graph of user indicator status, and the sudden fall risk report are sent to the background monitoring system and the user terminal. It should be noted that the wireless communication module in this embodiment refers to a wireless communication module based on Bluetooth technology.

[0068] Those skilled in the art will understand that embodiments of the present invention can be provided as methods or systems. Therefore, the present invention can take the form of a completely hardware embodiment, a completely software embodiment, or an embodiment combining software and hardware aspects. Furthermore, the present invention can take the form of a computer program product embodied on one or more computer-usable storage media (including, but not limited to, disk storage, CD-ROM, optical storage, etc.) containing computer-usable program code.

[0069] This invention is described with reference to flowchart illustrations and structural diagrams of methods and systems according to embodiments of the invention. It should be understood that the combination of each process and module in the flowchart and structural diagram can be implemented by computer program instructions. These computer program instructions can be provided to a processor of a general-purpose computer, special-purpose computer, embedded processor, or other programmable data processing device to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing device, generate instructions for implementing the process. Figure 1 One or more processes and structures Figure 1 A device for a function specified in one or more modules.

[0070] These computer program instructions may also be stored in a computer-readable storage medium that can direct a computer or other programmable data processing device to function in a particular manner, such that the instructions stored in the computer-readable storage medium produce an article of manufacture including instruction means, which are implemented in a process Figure 1 One or more processes and structures Figure 1 The function specified in one or more modules.

[0071] These computer program instructions may also be loaded onto a computer or other programmable data processing equipment to cause a series of operational steps to be performed on the computer or other programmable equipment to produce a computer-implemented process, thereby providing instructions that execute on the computer or other programmable equipment for implementing the process. Figure 1 One or more processes and structures Figure 1 The steps of a specified function in one or more modules.

[0072] Although preferred embodiments of the invention have been described, those skilled in the art, upon learning the basic inventive concept, can make other changes and modifications to these embodiments. Therefore, the appended claims are intended to be interpreted as including both the preferred embodiments and all changes and modifications falling within the scope of the invention.

[0073] Obviously, those skilled in the art can make various modifications and variations to this invention without departing from its spirit and scope. Therefore, if these modifications and variations fall within the scope of the claims of this invention and their equivalents, this invention also intends to include these modifications and variations.

Claims

1. A clinical risk screening method for elderly patients using both traditional Chinese and Western medicine, characterized in that, Includes the following steps: Step S1: Obtain the attribute dimension information and spatiotemporal dimension information of the elderly user to be tested, and create a digital twin model of the user; Step S2: Detect various biological indicators of the elderly user to be tested to obtain Western medicine biological indicator information, obtain relevant information on the elderly user's historical diseases, and classify the user's risk status by combining the Western medicine biological indicator information, relevant information on historical diseases and bedridden status. Step S3: Conduct a TCM examination on the elderly user to be tested to obtain TCM diagnostic information, assess their cognition and emotions to obtain TCM emotional syndrome screening information, and determine the constitution of the elderly user to be tested to obtain TCM constitution diagnosis information. Step S4: Based on the user risk status classification results, classify and plan the conditioning plan for the elderly users to be tested to obtain user management plan information. Based on the Western medicine biological indicator information, traditional Chinese medicine constitution diagnosis information and user management plan information, perform risk regulation to obtain the main risk regulation information. Step S5: Based on the TCM constitution diagnosis information of the elderly users to be tested, adjust the lifestyle habits of the elderly users to be tested to obtain auxiliary risk control information; Step S6: Obtain the sudden fall risk coefficient based on Western medicine biometric information and traditional Chinese medicine diagnostic information; obtain the sudden fall coping ability coefficient based on Western medicine biometric information; and obtain the fall risk assessment information and issue a sudden fall risk report. Step S7: Draw a time-series change graph of user indicator status, and send the user digital twin model, the time-series change graph of user indicator status, and the sudden fall risk report to the background monitoring system and user terminal.

2. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 1, characterized in that, Step S1 specifically includes: Obtain the attribute dimension information of the elderly user to be tested, which includes age information, weight information, gender information and body circumference information; The spatiotemporal information of the elderly user to be tested is obtained. The spatiotemporal information includes time dimension information and spatial dimension information. The time dimension information includes the changes of the elderly user to be tested at different time points, and the spatial dimension information includes the spatial location of the elderly user to be tested. Based on age, weight, gender, body circumference, time, and spatial dimensions, a digital twin model of the elderly user to be tested is created, and the digital twin model of the user is spatiotemporally aligned with the elderly user to be tested.

3. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 2, characterized in that, Step S2 specifically includes: Based on Western medical technology and equipment, the biometrics of the elderly users to be tested are detected to obtain Western medical biometric information, which includes basic physiological parameters, body fluid parameters, and organ imaging information. Obtain a database of Western medical biological indicators standards, which includes standard basic physiological parameters, standard body fluid indicators, and standard organ imaging information. The Western medicine biological indicator information is compared with the Western medicine biological indicator standard database to determine whether there are any abnormalities in the current indicators of the elderly user to be tested. If there are abnormalities, they are marked and the abnormal physiological indicator information is output. The abnormal physiological indicator information is displayed and marked on the user's digital twin model. If there are no abnormalities, the current state is determined to be risk-free. Based on abnormal physiological indicators, it is determined whether the elderly user being tested currently has a disease. If a disease exists, it is determined that the Western medicine identifies the current disease information and outputs the current disease determination result. The Western medicine identifies the current disease information, including the current disease type and the current disease severity of each disease type. Based on the current disease type, it is determined whether the user under test has an acute abnormality. If an acute abnormality exists, the current state is determined to be high risk; if no acute abnormality exists, the current state is determined to be low risk.

4. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 3, characterized in that, Step S2 specifically also includes: Obtain relevant information on the historical diseases of the elderly users to be tested, including past medical history, medication history, and family history of hereditary diseases; Based on the medical history information of the elderly users to be tested, it is determined whether the elderly users to be tested have chronic diseases. If chronic diseases exist, the number of chronic diseases is recorded. If no chronic diseases exist, a no-risk signal for historical diseases is output. Based on the historical medication information of the elderly users to be tested, the degree of prevalence of each chronic disease of the elderly users to be tested is determined to obtain the historical prevalence of chronic diseases. Based on the number of chronic diseases and the severity of chronic diseases in history, it is determined whether there is a high risk in the past medical history and medication history of the elderly user to be tested. When the number of chronic diseases is greater than or equal to the preset threshold for the number of chronic diseases, it is determined that the elderly user to be tested has a high risk in the past disease situation, and the first high risk signal of the past disease is output. When the number of chronic disease items is less than the preset threshold for the number of chronic disease items, the severity of chronic disease is compared with the historical threshold for chronic disease. If the severity of chronic disease is greater than the historical threshold for chronic disease, it is determined that the elderly user under test has a high risk of historical disease and a second high-risk signal for historical disease is output. Upon receiving the first or second historical high-risk disease signal, a historical high-risk disease signal is output. If the prevalence of chronic diseases is less than or equal to the historical prevalence threshold for chronic diseases, the elderly user being tested is deemed to have a low risk of historical disease status, and a low-risk historical disease signal is output.

5. The clinical risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 4, characterized in that, Step S2 specifically also includes: The test program counts the bed rest time of elderly users. If the bed rest time of elderly users is greater than or equal to the preset bed rest time threshold, the test program determines that the elderly user is in a long-term bed rest state and outputs a long-term bed rest signal; otherwise, it outputs a non-long-term bed rest signal. When a high-risk signal for a historical disease is received and a long-term bedridden signal is received, the elderly user to be tested is determined to be in a high-risk state. When a no-risk signal for a historical disease is received and a long-term bedridden signal is received, the elderly user to be tested is determined to be in a no-risk state. In other cases, the elderly user to be tested is determined to be in a low-risk state. When the elderly user to be tested is in a high-risk state, a high-risk screening signal is output; when the elderly user to be tested is in a no-risk state and a predicted no-risk state, a no-risk screening signal is output; and for other states, a low-risk screening signal is output. The combination of the high-risk screening signal, the low-risk screening signal, and the no-risk screening signal forms the user's risk status classification result.

6. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 5, characterized in that, Step S3 specifically includes: Based on TCM techniques, TCM diagnostic information is obtained by examining elderly users under test. The TCM diagnostic information includes observation, auscultation and olfaction, inquiry, and palpation. A Traditional Chinese Medicine (TCM) Emotional Scale was obtained, and risk screening of the emotional state of the elderly users to be tested was conducted based on the TCM Emotional Scale to obtain TCM emotional syndrome screening information. Based on TCM emotional syndrome screening information, it is determined whether the elderly users to be tested have psychological risks. If psychological risks are present, the elderly users to be tested are determined to be at high risk of psychological state. By combining TCM diagnostic information and TCM emotional syndrome screening information, the constitution of the elderly users to be tested is determined, and TCM constitution diagnosis information is obtained. The TCM constitution diagnosis information is displayed and marked on the user's digital twin model.

7. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 6, characterized in that, Step S4 specifically includes: Based on the risk status classification results of the users to be tested, when a high-risk screening signal is received, a first-type control plan is planned, which uses Western medicine techniques for regulation; when a low-risk screening signal is received, a second-type control plan is planned, which uses traditional Chinese medicine techniques for regulation. The first type of control scheme and the second type of control scheme are combined to form user control scheme information; When the elderly user to be tested belongs to the first type of control plan, based on the current disease type and the current severity of each disease type, the elderly user to be tested will be prescribed Western medicine for diagnosis and treatment or undergo surgical treatment, and the main Western medicine control information will be output. When the elderly user to be tested belongs to the second type of control plan, the elderly user to be tested will be prescribed Chinese medicine or treated with Chinese medicine methods, based on the TCM diagnostic information and TCM emotional syndrome screening information, and the main TCM regulation information will be output. The main Western medicine regulatory information and the main traditional Chinese medicine regulatory information are combined to form the main risk regulation information.

8. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 7, characterized in that, Step S5 specifically includes: The survey collected information on the lifestyle habits of the elderly users being tested, including dietary habits, daily routines, and exercise habits. Based on the TCM constitution diagnosis information and dietary habit information of the elderly users to be tested, it is determined whether the dietary habits of the elderly users to be tested are suitable for their constitution. If they are not suitable, the dietary habits of the elderly users to be tested are adjusted to obtain dietary habit risk control information. Based on the TCM constitution diagnosis information and daily routine information of the elderly users to be tested, it is determined whether the daily routine of the elderly users to be tested is suitable for their constitution. If it is not suitable, the daily routine of the elderly users to be tested is adjusted to obtain daily routine risk control information. Based on the TCM constitution diagnosis information and exercise habit information of the elderly users to be tested, it is determined whether the exercise habits of the elderly users to be tested are suitable for their constitution. If they are not suitable, the exercise habits of the elderly users to be tested are adjusted to obtain exercise habit risk control information. The risk control information on dietary habits, the risk control information on daily routines, and the risk control information on exercise habits are combined to form auxiliary risk control information.

9. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 8, characterized in that, Step S6 specifically includes: Based on Western medicine biological indicators and traditional Chinese medicine diagnostic information, the limb flexibility and reaction speed of the elderly users to be tested are judged, and then the sudden fall risk coefficient of the elderly users to be tested is obtained. Based on Western medical biometrics, we obtained the joint flexibility, fat thickness, bone mass percentage and bone density of the elderly users to be tested. Based on the joint flexibility of the elderly users to be tested, the impact of the joint flexibility of the elderly users to be tested on their ability to cope with sudden falls is determined, and the joint flexibility coping ability coefficient is obtained. Based on the fat thickness of the elderly users to be tested, the influence of the fat thickness on the elderly users' ability to cope with sudden falls was determined, and the fat layer coping ability coefficient was obtained. Based on the bone mass percentage and bone density of the elderly users to be tested, the influence of bone strength on the elderly users' ability to cope with sudden falls is determined, and the bone coping ability coefficient is obtained. The average value of the joint flexibility response coefficient, fat layer response coefficient and bone response coefficient is calculated to obtain the sudden fall response coefficient of the elderly user to be tested. Based on the risk coefficient of sudden fall and the ability coefficient of sudden fall response of the elderly users to be tested, the risk of sudden fall of the elderly users to be tested is assessed, the fall risk assessment information is obtained, and a sudden fall risk report is issued.

10. The risk screening method for elderly patients using both traditional Chinese and Western medicine according to claim 9, characterized in that, Step S7 specifically includes: Based on the user's risk status classification, the inspection interval duration information is preset; Based on the examination interval information, the elderly users to be tested are regularly subjected to simultaneous bilateral testing of traditional Chinese and Western medicine. The information on Western medicine biological indicators and traditional Chinese medicine constitution diagnosis is updated, displayed and marked on the user's digital twin model, and a time-series change graph of the user's indicator status is drawn. The user digital twin model, the user indicator status time-series change graph, and the sudden fall risk report are sent to the background monitoring system and the user terminal based on the wireless communication module.

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