Department of Endocrine, Affiliated Hospital of Beihua University, Jilin 132012, China.
Department of Anesthesiology, Affiliated Hospital of Beihua University, Jilin 132012, China.
J Healthc Eng. 2021 Mar 1;2021:6693810. doi: 10.1155/2021/6693810. eCollection 2021.
As the pace of people's lives accelerates, there are more and more diabetic patients. This research mainly explores the treatment effect of type 2 diabetic patients based on blockchain electronic mobile medical app. Considering that it is more realistic to adopt an off-chain storage solution, the blockchain-based medical data sharing platform in this study adopts an off-chain storage solution. Only key information is stored in the blockchain network, and all medical data will be in the cloud space. For storage, cloud storage uses Aliyun's OSS storage service, which can be expanded infinitely. The cloud operation module is responsible for all operations that interact with cloud storage. The chain code can call the cloud operation module to upload the user's encrypted medical data and user ID to Alibaba Cloud's OSS. The chain code will return the storage address of the medical data and the authorized access address is sent to the blockchain network for consensus on the chain. The message processing module provides information processing functions such as chat information processing, APP use reminders, and health tips. The indicator recording module includes indicator recording functions including 6 indicators of blood sugar, medication, diet, weight, exercise, and sleep. The main function of the indicator analysis module is to display the curve trends of the 6 indicators recorded by the patient in three days, one week, and one month. Comparing the change range of the mean value of glycosylated hemoglobin at the beginning and end of the two groups of patients, it can be found that the change range of glycosylated hemoglobin in the intervention group is -6.04%, while the change range of the control group is only -3.26%. The impact of the mobile medical app designed in this study will indeed be reflected in the patient's blood sugar control and help patients to better control blood sugar.
随着人们生活节奏的加快,糖尿病患者越来越多。本研究主要探讨基于区块链电子移动医疗 APP 的 2 型糖尿病患者的治疗效果。考虑到采用链下存储解决方案更为现实,本研究中的基于区块链的医疗数据共享平台采用了链下存储解决方案。仅将关键信息存储在区块链网络中,所有医疗数据都将存储在云空间中。云存储使用阿里云的 OSS 存储服务,可无限扩展。云操作模块负责与云存储交互的所有操作。链码可以调用云操作模块将用户的加密医疗数据和用户 ID 上传到阿里云的 OSS。链码将返回医疗数据的存储地址,并将授权访问地址发送到区块链网络进行链上共识。消息处理模块提供聊天信息处理、APP 使用提醒和健康提示等信息处理功能。指标记录模块包括血糖、用药、饮食、体重、运动和睡眠等 6 项指标的记录功能。指标分析模块的主要功能是显示患者在三天、一周和一个月内记录的 6 项指标的曲线趋势。比较两组患者糖化血红蛋白初值和末值的均值变化范围,可以发现干预组糖化血红蛋白的变化范围为-6.04%,而对照组的变化范围仅为-3.26%。本研究设计的移动医疗 APP 的影响确实会反映在患者的血糖控制上,帮助患者更好地控制血糖。