口腔种植专科病例数据库的建立和应用  

Establishment and application of a specialized oral implantology electronic case database

作　　者：李晨玉 张照欣 陈骥 黄石头 葛泽阳 刘毅[1] 李德华 LI Chen-yu;ZHANG Zhao-xin;CHEN Ji;HUANG Shi-tou;GE Ze-yang;LIUYi;LI De-hua(The Fourth Military Medical University,Xi'an 710032,China;Henan Province Hospital of TCM,Zhengzhou 450006,China)

机构地区：[1]第四军医大学口腔医院种植科,西安710032 [2]第四军医大学口腔医院综合科,西安71003 [3]河南省中医院,郑州450006

出　　处：《口腔颌面修复学杂志》2024年第5期321-327,共7页Chinese Journal of Prosthodontics

基　　金：国家口腔疾病临床研究中心专项课题(项目编号:LCC202202)。

摘　　要：目的:建立口腔种植专科电子病例数据库并实现系统化的管理与分析。方法:设计数据库结构包含患者信息、治疗信息、随访信息和附件等四个模块,数据库功能设计包含数据检索、储存、保密和统计功能。将空军军医大学口腔医院种植科自2001年1月1日至2021年12月31日由李德华教授手术患者的纸质病历信息由经培训的专职医生录入数据库并上传影像学资料等附件。结果:4349名患者,6131例病例,8764颗种植体。实现了(1)病历信息录入状态与患者治疗进程可视化(;2)患者基本信息与治疗关键字的多重检索模式(;3)数据永久存储(;4)不同身份权限访问修复患者基本信息和治疗资料(;5)患者、病例和种植体三个层级的数据统计和多种格式的数据导出等功能。结论:通过开发以口腔种植修复治疗为核心的电子病例数据管理与分析系统,高效管理与利用现有患者的病历资料,辅助开展多种临床研究,并为建立单病种数据库建立基础。Objective:To establish a specialized electronic case database of oral implantology for patient management and data analysis.Methods:The database was designed to include four modules:patient information,treatment details,follow-up records,and attachments.The database was designed to possess functions of data retrieval,data storage,confidentiality of patient information and statistical analysis.Paper-based medical records of patients treated by a single surgeon from January 1,2001 to December 31,2021,were input into the database by five trained dentists.Results:The treatment records of 4,349 patients,including 6,131 cases and 8,764 dental implants have been stored in our specialized oral implantology electronic case database.This database achieved(1)visualization of the status of medical record entry and patient treatment progress;(2)multiple retrieval modes for basic patient information and treatment details;(3)permanent data storage;(4)controlled access authority of the database based on different user roles and(5)statistical analysis at patient,case,and implant levels,and diverse data export formats.Conclusion:A specialized electronic case database of oral implantology restoration was established to facilitate the management of dental implant medical records,assist kinds of clinical research and to be served as a foundation of a single disease database.

关 键 词：口腔种植 电子病例数据库 结构化电子病历 单病种数据库 

分 类 号：R783.4[医药卫生—口腔医学]