基于网站建立慢性阻塞性肺疾病网络辅助诊疗平台的意义分析

Significance of establishing network aided diagnosis and treatment platform for COPD based on website

目的探讨基于网站建立慢性阻塞性肺疾病(COPD)网络辅助诊疗平台的意义。方法选取2018年1月至2019年12月本院呼吸疾病研究所门诊收治的80例自称为COPD稳定期患者为研究对象,通过慢性阻塞性肺疾病网进行信息注册,并通过慢阻肺网络辅助诊疗平台自行填写病史、相关筛查问卷等信息;经门诊回访对患者是否患有COPD进行确诊。确诊者则通过网站线上与医生进行沟通,在线医生通过患者填写的资料、问诊等分析患者病情,为患者提供诊疗意见。患者将诊疗结果告知社区医生,咨询其合理性,并由社区医生最终确定诊疗方案,同时上传至网站,比较两者的诊疗结果。结果80例研究对象中,经网上辅助平台初步确诊为COPD者57例,占比71.25%;经门诊回访最终确诊者26例,占比32.50%,两者比较差异均有统计学意义(P<0.05);患者在线提问问题解决率为77.98%。结论慢阻肺网络辅助诊疗平台的应用可为COPD患者的筛查及远程管理提供便利,但其诊断符合率仍有待提高,需进一步进行系统优化。

Objective To explore the significance of establishing network aided diagnosis and treatment platform for chronic obstructive pulmonary disease(COPD)based on the website.Methods From January 2018 to December 2019,80 patients with COPD in stable stage were selected as the research subjects,they were registered through COPD network,and filled in the history and related screening questionnaire through COPD network assisted diagnosis and treatment platform by themselves;whether the patients had COPD was confirmed by outpatient return visit.The diagnosed patients communicate with the doctors through the website,and the online doctors analyze the patients’condition through the information filled in by the patients and consultation,so as to provide the patients with diagnosis and treatment advice.Patients will inform the community doctors of the diagnosis and treatment results,consult their rationality,and the community doctors will finally determine the diagnosis and treatment plan,and upload it to the website to compare the diagnosis and treatment results.Results In 80 cases research subjects,57 patients(71.25%)were initially diagnosed as COPD by online assistant platform,26 patients(32.50%)were finally diagnosed by outpatient follow-up,the difference was statistically significant(P<0.05),and the problem-solving rate was 77.98%.Conclusion The application of network assisted diagnosis and treatment platform for COPD can provide convenience for screening and remote management of COPD patients,but the diagnostic accuracy rate still needs to be improved and further system optimization is needed.