大肠息肉病例资料数据库系统的建立与应用

目的 研究数据库技术在大肠息肉临床病例资料管理和科研中的应用。方法 应用Microsoft Access2000软件建立大肠息肉病例资料数据库及其管理系统，录入南方医院近1990-2000年间2627份（4850例次）大肠息肉的病例资料，并对有关临床数据信息进行标准化和要素化处理与分析。结果 完成了大肠息肉人群，年龄，部位分布与临床症状特点，临床病理对照，治疗效果评价，历年息肉检出情况统计分析。息肉癌变的检出情况及相关因数分析等多项研究，选出重点病例进行随访，结论 应用现代信息科学和计算机技术进行病例管理和临床科研是临床医学信息化，现代化的必然发展趋势，对复杂的临床信息进行标准化，要素化是研制和开发病例管理系统的一种简单实用的信息处理方法。

Construction and application of colorectal polyp database]

OBJECTIVE: To study the construction and application of computerized database of colorectal polyp in the clinical management and research of this disease. METHOD: A colorectal polyp database and its management system was constructed on the basis of Microsoft Access 2000. Clinical, endoscopic and pathological data, which went through standardized and elemental processing, of 2 627 cases (4 850 records) of colorectal polyp collected from 1990 to 2000 in Nanfang Hospital was entered into this database. RESULTS: Using this new database, the information on the population and age distribution, location and clinical features of colorectal polyps were obtained. Comparative study of the clinical and pathological findings in the cases, evaluation of the therapeutic effects, statistical review of the identification of the polyp and its canceration in the previous years as well as the analysis of other relevant factors were successfully accomplished, which greatly facilitated the follow-up study of some chosen cases that may be of clinical significance. CONCLUSIONS: Applications of modern informatics and computer technology greatly facilitates case management and clinical research of colorectal polyps, and standardized and elemental processing of the clinical data offers a new possibility for easy case information management.