智能皮肤创面图像处理技术在城乡结合部社区远程老年慢性创面诊疗中的应用

Application of Intelligent Skin Wound Image Processing Technology in remote diagnosis andtreatment of chronic wounds in the elderly in the urban and rural fringe community

目的探讨在远程伤口治疗模式下智能皮肤创面图像处理技术(ISIPT)在城乡结合部社区老年慢性创面治疗中的作用。方法采用非同期分组对照试验方法收集该区中心综合医院辐射范围内社区卫生服务中心就诊的老年慢性创面患者数据,将2021年1-8月收治的38例老年慢性创面患者作为对照组,按常规手机拍照结合伤口测量尺直接取样法进行远程伤口评估及诊疗;2021年9月至2022年4月收治的42例老年慢性创面患者作为试验组,使用智能皮肤创面图像处理技术扫描取样法进行远程伤口评估及诊疗。对比分析2组患者测量耗时、治疗时间、换药次数、治疗费用、创面面积、治愈率、治疗有效率、愈合质量。结果2组患者性别、年龄、病程、创面类型、初诊创面面积比较,差异均无统计学意义(P>0.05)。试验组患者测量耗时、治疗时间较对照组短,换药次数、治疗费用均较对照组少,差异均有统计学意义(P<0.05)。末次随访,2组患者创面大小、治愈率、治疗有效率比较,差异均无统计学意义(P>0.05),但试验组患者愈合质量评分显著高于对照组,差异有统计学意义(P<0.05)。结论基于智能皮肤创面图像处理技术的远程伤口治疗可缩短治疗时间,降低治疗费用,有助于提高城乡结合部社区老年慢性创面患者的伤口愈合质量。

Objective To explore the role of Intelligent Skin Image Processing Technology(ISIPT)in the treatment of elderly chronic wounds in the community of the urban-rural fringe under the remote wound treatment mode.Methods The data of 80 elderly patients with chronic wounds were collected from the community health service center within the radiation range of the central general hospital of our district by the non-synchronous grouping control test method.Among them,38 elderly patients with chronic wounds admitted from January 2021 to August 2021 were taken as the control group,and the remote wound assessment and diagnosis and treatment were carried out according to the conventional manual photography combined with the direct sampling method of the wound measuring ruler;From September 2021 to April 2022,42 elderly patients with chronic wounds were treated as the experimental group,and remote wound assessment and diagnosis and treatment were performed using the intelligent skin wound image processing technology scanning sampling method.The measurement time,treatment time,dressing change times,treatment cost,wound area,cure rate,treatment efficiency and healing quality were compared between the two groups.Results There was no significant difference between the two groups in gender,age,course of disease,type of wound and area of newly diagnosed wound(P>0.05).The measurement time and treatment time of the experimental group were shorter than those of the control group,and the number of dressing changes and treatment costs were less than those of the control group,with a statistically significant difference(P<0.05).At the last follow-up,there was no statistical difference between the two groups in wound size,healing rate and treatment effectiveness(P>0.05),but the healing quality score of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion Remote wound treatment based on intelligent skin wound image processing technology can shorten the treatment time,reduce the treatment cost,and help improve the wound healing quality of elderly patients with chronic wounds in the urban and rural fringe communities.