首页|阻塞性睡眠呼吸暂停疾病管理平台的构建与应用

阻塞性睡眠呼吸暂停疾病管理平台的构建与应用

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目的 针对阻塞性睡眠呼吸暂停(Obstructive Sleep Apnea,OSA)慢性疾病构建集筛查、诊断、治疗及随访于一体的OSA专病管理平台,以实现对OSA患者的全流程管理.方法 依据临床需求分析,基于B/S架构进行平台设计,使用SpringBoot框架实现系统搭建,并采用MySQL作为存储所有系统信息和数据的数据库.以某三甲综合医院的呼吸与危重症医学科、精神卫生科的患者信息为数据来源,实现各科室OSA专病患者数据的整合、集成、分析等.结果 建立了包含1238例患者诊疗信息的OSA专病平台,实现了患者信息管理、高危人群筛查、随访管理等主要功能.通过平台进行治疗随访,患者的呼吸暂停低通气指数显著降低,睡眠效率显著提高,坚持使用呼吸机、按时参加随访、按时回院复查人数显著增加,且差异均具有统计学意义(P<0.05).结论 通过开发集筛查、诊断、随访于一体OSA患者全流程管理平台,有助于医务人员早期筛查更多高危人群、对患者实施个性化的精准健康管理,提升医生诊疗效率,提高医院健康保障和服务能力.
Construction and Application of Obstructive Sleep Apnea Disease Management Platform
Objective To build a specialized disease management platform for obstructive sleep apnea(OSA),which integrates screening,diagnosis,treatment and follow-up for the chronic disease of OSA,so as to realize the whole process management of OSA patients.Methods Based on the clinical requirement analysis,the platform was designed based on B/S architecture,the SpringBoot framework was used to build the system,and MySQL was used to store all information and data of the system.Taking the patient information from Respiratory and Critical Care Medicine Department and Mental Health Department of a grade Ⅲ-A hospital as the data source,this platform was used to realize the integration,consolidation,analysis and other management of patient data of OSA specialties in each department.Results An OSA specialized disease platform containing diagnosis and treatment information of 1238 patients was established,and the main functions of patient information management,screening and follow-up management of high-risk groups were realized.After treatment and follow-up through the platform,the sleep apnea-hypopnea index of patients was significantly reduced,the sleep efficiency was significantly improved,and the number of patients who insisted on using ventilators,participated in follow-up visits on time,and returned to hospital for re-examination on time was significantly increased,and the differences were statistically significant(P<0.05).Conclusion By developing a whole process management platform for OSA patients integrating screening,diagnosis and follow-up,it helps medical staff to screen more high-risk groups early,implement personalized and precise health management for patients,improve the efficiency of doctors'treatment,and enhance the health protection and service capacity of hospitals.

obstructive sleep apneaapnea-hypopnea indexdisease managementspecialized disease platformB/S architecture

吕咏家、屠国金、朱胜霞、朱新建、沈玉强、周庆利

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浙江大学医学院附属第四医院 信息中心,浙江 义乌 322000

浙江大学医学院附属第四医院 呼吸与危重症医学科,浙江 义乌 322000

阻塞性睡眠呼吸暂停 呼吸暂停低通气指数 疾病管理 专病平台 B/S架构

金华市科学技术研究计划(重大项目)

2020-3-001

2024

中国医疗设备
中国整形美容协会

中国医疗设备

CSTPCD
影响因子:0.825
ISSN:1674-1633
年,卷(期):2024.39(3)
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