摘要
面对口腔专科由设备异构性导致的数据孤岛问题,本项研究基于医工结合理念构建一套智能物联网牙椅平台(简称智能平台)。该智能平台采用椅域互联的三层架构:底层为牙椅底层终端,实现诊疗数据自动采集并与医院信息系统对接;中层为中层服务器;顶层为顶层数据管理系统,用于资源调度与数据管理。南京医科大学附属口腔医院的临床验证显示,与2023年同期未启用智能平台的对照组相比,试行组日均接诊量增加38.0%[(80.6±6.8)人次比(58.4±5.2)人次,t=15.16,P<0.001],诊疗时长缩短24.6%[(36.1±6.3)min比(47.9±8.5)min,t=7.72,P<0.001],患者候诊时长减少39.2%[23.3(16.5,30.1)min比38.3(28.3,48.3)min,U=32.00,P<0.001],椅位闲置率降低30.4%[8.7%(5.1%,12.3%)比12.5%(7.4%,17.6%),U=251.00,P=0.003],患者满意率由88.2%(1519/1723)提高至94.3%(2186/2318)(t=7.26,P<0.001)。调查问卷显示,医师和患者最满意的功能分别为“牙椅参数更新、诊疗数据汇集”[74.7%(80/107)]与“椅旁呈现检查图像”[76.8%(119/155)]。未来,该智能平台可进一步结合人工智能辅助诊断与5G多中心协作,拓展临床应用场景,推动口腔医疗数字化转型进程。
To address the problem of data silos in dental specialties caused by equipment heterogeneity,this study developed an Intelligent Internet of Things(IoT)-enabled dental chair platform(hereinafter referred to as the intelligent platform)based on the concept of medical-engineering integration.The platform adopts a three-tier chair-domain interconnection architecture:the bottom tier integrates multi-source sensors and standardized interfaces for automated data acquisition and linkage with hospital information systems;the middle tier provides clinic-level management and remote teaching collaboration;and the top tier employs a blockchain-based secure cloud database for resource allocation and data management.Clinical validation at The Affiliated Stomatological Hospital of Nanjing Medical University demonstrated that,compared with a control group from the same period in 2023,the trial group achieved a 38.0%increase in average daily patient visits(80.6±6.8 vs.58.4±5.2,t=15.16,P<0.001),a 24.6%reduction in average treatment time[(36.1±6.3)min vs.(47.9±8.5)min,t=7.72,P<0.001],a 39.2%reduction in waiting time[23.3(16.5,30.1)min vs.38.3(28.3,48.3)min,U=32.00,P<0.001],a 30.4%reduction in equipment idle rate[8.7%(5.1%,12.3%)vs.12.5%(7.4%,17.6%),U=251.00,P=0.003],and an increase in patient satisfaction from 88.2%(1519/1723)to 94.3%(2186/2318)(t=7.26,P<0.001).User research confirmed that the functions most favored by clinicians and patients were"dental chair parameter updating and clinical data integration"[74.7%(80/107)]and"chairside display of diagnostic images"[76.8%(119/155)],respectively.Looking forward,the intelligent platform has the potential to integrate artificial intelligence-assisted diagnosis and 5G-enabled multicenter collaboration to further expand its clinical applications and accelerate the digital transformation of dental healthcare.
作者
钱心瑶
刘璐玮
宋昀蔚
王予锡
张柯佳
戴宁
李成刚
吴斌
谢理哲
孙志达
王林
严斌
Qian Xinyao;Liu Luwei;Song Yunwei;Wang Yuxi;Zhang Kejia;Dai Ning;Li Chenggang;Wu Bin;Xie Lizhe;Sun Zhida;Wang Lin;Yan Bin(Department of Orthodontics,The Affiliated Stomatological Hospital of Nanjing Medical University&State Key Laboratory Cultivation Base of Research,Prevention and Treatment for Oral Diseases(Nanjing Medical University)&Jiangsu Province Engineering Research Center of Stomatological Translational Medicine,Nanjing 210029,China;College of Mechanical and Electrical Engineering,Nanjing University of Aeronautics and Astronautics,Nanjing 210016,China;College of Mechanical and Electronic Engineering,Nanjing Forestry University,Nanjing 210037,China;Department of Endodontics,The Affiliated Stomatological Hospital of Nanjing Medical University&State Key Laboratory Cultivation Base of Research,Prevention and Treatment for Oral Diseases(Nanjing Medical University)&Jiangsu Province Engineering Research Center of Stomatological Translational Medicine,Nanjing 210029,China)
出处
《中华口腔医学杂志》
北大核心
2025年第11期1274-1280,共7页
Chinese Journal of Stomatology
基金
江苏省重点研发计划(BE2022795)
江苏省工业和信息产业转型升级专项资金(2022)。
关键词
牙科设备
牙科综合治疗台
数字化口腔医学
智慧医疗
设备互联
数据整合
医工结合
Dental Equipment
Dental unit
Digital dentistry
Smart healthcare
Device interconnection
Data integration
Medical-engineering integration
