RU23111U1 - INFORMATION SYSTEM FOR DETERMINING THE SCHEME OF TREATMENT OF ATOPIC DERMATITIS - Google Patents

Abstract

An information system for determining the treatment regimen for atopic dermatitis, containing a database unit on the etiology and pathogenesis of the disease, means and methods of their treatment, a diagnostic unit, an analysis and development unit for an individual treatment plan, a treatment outcome control unit, while the diagnostic unit contains life history information carriers and the patient’s medical history, the first of which contains information on the patient’s age, information on past illnesses, and the medical history information carrier includes information on patient complaints, data of an objective examination, examination, condition of the lesion, information about the immune status of the duration of an existing disease, while the output of the database block on the characteristics of the disease, means and methods of its treatment is connected with feedback with the input of the diagnostic unit, and the output of the diagnostic unit connected to the input of the analysis and development of an individual treatment plan, which gives specific recommendations on the type of drug, a single and daily dose of it, duration of administration the drug, the number of treatment courses, the output of the treatment unit is connected with the possibility of feedback with the output of the control unit for the results of treatment and the input of the database block on the pathogenesis of atopic dermatitis, means and methods of its treatment.

Description

Information system for determining the treatment regimen for atopic dermatitis

The utility model relates to medicine, more specifically to devices for determining a treatment regimen for atonic dermatitis. Known technical solutions aimed at determining the circuit. Agonic dermatitis are, as a rule, methods characterized by the methods of medical diagnosis by examining, conducting diagnostic tests, establishing a diagnosis, the degree and activity of the process and the purpose of the treatment, depending on this.

Despite the rather significant differences in the local clinical picture (foci of lichenization, papular, urticarial and nr. Elements), these patients have a number of common disorders. This is most likely the presence of changes in the skin, accompanied by a more or less pronounced violation of neurovegetative regulation, the state of cellular and humoral immunity, autonomic and psychological status, which cause an active accumulation of histamine in the tissues and a sensation of itching.

The set of tools and methods used by modern medicine for the elimination of pruritus and treatment of atonic dermatitis over the past decades is not different in variety and originality. Most often, antihistamines are prescribed as therapeutic agents, which block the effect of histamine (responsible for the occurrence of pruritus) and increased vascular permeability, but do not eliminate the main causes of pathology (Yu.K. Skripkin et al. “Guide to Pediatric Dermatovenereology Moscow., Medicine 1983, p. 37).

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It should be emphasized that such treatment is not indifferent to the body, since most drugs of this group have various side effects (from sleeping pills to addiction) .The second group of drugs that have found widespread use in the treatment of pruritic diseases in recent years due to their pronounced antipruritic and anti-inflammatory effects, make up corticosteroid hormones. Many sick children have already grown up, not imagining sushi; estovapia without constant lubrication of itchy skin with these hormonal ointments in pure oids. Scientists and foreign pharmaceutical industry every year release on the market all new analogues of these drugs. But all this not only did not reduce the number of pruritic diseases, but also caused irreparable harm to several generations of patients, since treatment with these hormones is very harmful to the human body due to its side effects (Yu.K. Skripkin et al. “Guide to Pediatric Dermatoperperology , Moscow, Medicine, 1983, p. 51).

An antihistamine is also known - Suprastip (a Vepger company Egis), which is recommended as an antipruritic for any diseases, one of the manifestations of which is skin itching. The drug is prescribed orally during meals at 0.025 g (1 tbsp. Once daily for 10-14 days. If necessary, increase the daily dose to 6 tablets (Vidal Handbook "Medicines in Russia. M. Astrofarmservis, 1995, p. 844). )

We found that in the treatment of atonic dermatitis, Wobenzym is extremely effective, which should be used according to a certain scheme, which is based on determining the patient's age, duration and activity of the disease, and the clinical picture of the pathology.

reduces the duration of the examination of the patient and the duration of his treatment. In addition, the use of this system avoids relapses in the future. All of the above is the technical result of the claimed system for the treatment of atonic dermatitis.

The stated technical problem is solved by the fact that a system for diagnosing and treating atopic dermatitis is proposed, which contains a database unit on the etiology and pathogenesis of the disease, means and methods for their treatment, a diagnostic unit, a unit for analyzing and developing an individual treatment plan, a unit for monitoring treatment results, for example Diagnostics contains information carriers of the history of life and the history of the patient’s disease, the first of which contains information about the patient’s age, information about past diseases, and the information carrier and the history of the disease, includes information about the patient’s complaints, data from an objective examination, examination, the state of the focus of infection, information about the immune status of the duration of the existing disease, while the output of the database block on the characteristics of the disease, means and methods of its treatment is connected with the possibility of feedback with the input diagnostic unit, and the output of the diagnostic unit is connected to the input of the analysis and development unit of an individual treatment plan that gives specific recommendations on the type of drug, a single and its daily dose, the duration of the medication, the number of treatment courses, the output of the treatment unit is connected with the possibility of feedback with the output of the control unit of the treatment results and the output of the database block about the patot; atopic dermatitis, means and methods of its treatment.

An analysis of the sections of the proposed diagnostic algorithm is shown in

Example of a paper information medium in the form of a patient’s card “History

disease, which contains the following sections.

"Date - Date of initial patient visit

the patient.

“Address - the address of the patient’s place of residence.

The medical history information carrier contains the following sections.

“Concomitant diseases - reflects the presence of concomitant diseases in the patient, which must be taken into account when drawing up an individual training program.

To assess the effectiveness of the proposed system, which is based on the method we developed for treating atotttt, dermatitis in children, we examined and analyzed the dynamics (before and after treatment) of the severity of the inflammatory process in the lesions (erythema, lichenization, weeping, pigmentation) , a harker of the course of the disease and its relapses, the state of neuronsychological status and other clinical indicators.

“Data from diagnostic studies - this column describes data from imaging methods performed by the patient. This is necessary to determine the localization of the pathological process and the degree of damage to those

or other structures.

“Duration of the disease - shows the duration of the disease or syndrome the patient has treated with. This gives an idea of the duration of the process, and, accordingly, indirectly - of the stage of the process and the depth of the lesion, acute subacute chronic" Treatment earlier - shows the nature of the treatment received before treatment patient, or lack of treatment. Co: ° G indicates the depth of the process

“The treatment received is the treatment received for the disease that the patient has treated, this must be known in order to evaluate the effectiveness of previous methods of treatment, or to state their inefficiency, as well as to determine the tactics of further treatment according to the proposed methodology.

“Complaints - characterizes the presence of basic complaints at the time of treatment and examination, which is necessary to draw up an individual treatment program.

As mentioned above, the output of the diagnostic unit is connected to the input of the analysis and prescription unit of individual treatment, which gives specific recommendations for the treatment of a particular patient, taking into account his condition. These recommendations can be in the form of an individual treatment program on paper or issued on a computer display. The following is a description of an individual treatment program.

INDIVIDUAL TREATMENT PROGRAM.

According to the proposed system, it is issued by the individual treatment unit of the disease in the form of specific recommendations on paper. The scheme of an individual treatment program, for example, on paper is as follows. At the top of the chart (card) are the basic data about the patient: last name, first name, middle name, age, city residence, occupation, No. of individual card in a medical institution, diagnosis, concomitant diseases, mode of visit. Next is a table where the first column describes the regimen for taking the drug

The proposed system is illustrated by the following scheme

their treatment, 2- unit of diagnosis, 3- unit of individual treatment of the disease, 4- unit for monitoring the results of treatment. In this case, the output of block 1 is connected with feedback with the input of block 2, the output of block 2 is connected with the input of block 3, the output of block 3 is connected with the possibility of feedback with the output of block 4 and the input of block 1.

The system operates as follows.

The results of the examination of the patient are entered in the diagnostic unit / 2 /, and

more specifically, to a storage medium of a medical history of a patient and a medical history of a patient (for example, to a computer equipped with special software). The first of the carriers contains information about the age of the patient. The information carrier of the medical history includes the examination data, the duration of the existing disease, data from an objective examination, examination, the condition of the lesion, information about the immune status of the duration of the existing disease. The specified information is sent to the output of the database block on the characteristics of the disease, means and methods of its treatment / 1 /, where they are processed, i.e. in accordance with a specially developed program, they are compared with typical symptoms and returned to the diagnostic unit / 2 /, which issues either on paper

the carrier or the computer’s monitor is diagnosed, and information from the diagnostic unit is fed to the input of the analysis and development of an individual treatment plan / 3 /, which gives specific recommendations on the type of drug, its single and daily dose, duration of drug administration, and the number of treatment courses. During treatment

the patient is examined and the treatment results are sent to the treatment results control unit / 4 /, from where the information goes to the treatment unit / 3 / and the database unit on the pathogenesis of atopic dermatitis, means and methods of its treatment / 1 /, after which they receive recommendations on treatment correction. The following indicators of cellular and humoral immunity were evaluated as objective criteria for the positive effect of the drug in the dynamics (before and after treatment): the number of T and B lymphocytes in the blood, the content of serum immunoglobulins, circulating immune complexes / CICU, chemiluminescent .1. / Hg /. In addition, several other indicators of blood and urine were evaluated.

Claims (1)

An information system for determining the treatment regimen for atopic dermatitis, containing a database unit on the etiology and pathogenesis of the disease, means and methods of their treatment, a diagnostic unit, an analysis and development unit for an individual treatment plan, a treatment outcome control unit, while the diagnostic unit contains life history information carriers and the patient’s medical history, the first of which contains information on the patient’s age, information on past illnesses, and the medical history information carrier includes information on patient complaints, data of an objective examination, examination, condition of the lesion, information on the immune status of the duration of an existing disease, while the output of the database unit on the characteristics of the disease, means and methods of its treatment is connected with feedback with the input of the diagnostic unit, and the output of the diagnostic unit connected to the input of the analysis and development of an individual treatment plan, which gives specific recommendations on the type of drug, a single and daily dose of it, duration of administration the drug, the number of treatment courses, the output of the treatment unit is connected with the possibility of feedback with the output of the control unit for the results of treatment and the input of the database block on the pathogenesis of atopic dermatitis, means and methods of its treatment.