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CN111374650A - A remote medical monitoring and rescue platform system and its realization method - Google Patents

A remote medical monitoring and rescue platform system and its realization method Download PDF

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CN111374650A
CN111374650A CN202010069159.4A CN202010069159A CN111374650A CN 111374650 A CN111374650 A CN 111374650A CN 202010069159 A CN202010069159 A CN 202010069159A CN 111374650 A CN111374650 A CN 111374650A
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姚祥俊
姚雨君
张宇
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Yunhong Innovation Information Technology Wuhan Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording for evaluating the cardiovascular system, e.g. pulse, heart rate, blood pressure or blood flow
    • A61B5/02028Determining haemodynamic parameters not otherwise provided for, e.g. cardiac contractility or left ventricular ejection fraction
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
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    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/681Wristwatch-type devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient; User input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms

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Abstract

本发明公开了一种远程医疗监测救助平台系统,其包括:用户服务端,用于监测用户心血管功能并反馈监测数据至远程监控中心;医生服务端,用于接收远程监控中心传输的数据并通过远程监控中心反馈建议至用户端;远程监控中心,用于连接用户服务端和医生服务端,实现二者的信息交互。本发明以远程监控中心为基础,实现用户服务端和医生服务端之间的联络,同时,对用户的相关数据档案进行记录备案,一方面,通过用户服务端实现对用户的24小时不间断监测,保证监测数据的完整性和监测效果,另一方面,用户数据均反馈至远程监控中心,医生服务端对数据进行查阅后给出指导建议。

Figure 202010069159

The invention discloses a remote medical monitoring and rescue platform system, which comprises: a user server, used for monitoring the cardiovascular function of the user and feeding back monitoring data to a remote monitoring center; a doctor server, used for receiving data transmitted by the remote monitoring center and Feedback suggestions to the user end through the remote monitoring center; the remote monitoring center is used to connect the user server and the doctor server to realize the information exchange between the two. Based on the remote monitoring center, the present invention realizes the communication between the user server and the doctor server, and at the same time, records the relevant data files of the user. , to ensure the integrity of the monitoring data and the monitoring effect. On the other hand, the user data is fed back to the remote monitoring center, and the doctor server will provide guidance and suggestions after reviewing the data.

Figure 202010069159

Description

一种远程医疗监测救助平台系统及其实现方法A remote medical monitoring and rescue platform system and its realization method

技术领域technical field

本发明属于医学检测技术领域,具体的说,是指一种远程医疗监测救助平台系统及其实现方法。The invention belongs to the technical field of medical detection, and specifically relates to a remote medical monitoring and rescue platform system and an implementation method thereof.

背景技术Background technique

心脏和血管组成人体有机的循环体系,心脏随心肌电的不断激发,做有秩序的收缩和舒张的交替活动。心电图(Electrocardiogram,ECG)就是一种传输到人体皮肤表面的心肌电信号变化过程的纪录,在心脏有序的收缩、舒张交替活动中,血液源源不断地从心脏射入动脉,再由静脉返回心脏。心脏每收缩一次,动脉内的压力就发生一次周期性波动,继而引起动脉(颈动脉、肱动脉、桡动脉、踝动脉等)血管发生波动,称为动脉脉搏波;心电信号和脉搏信号中蕴涵着丰富的人体生理病理信息,无论是中医脉诊还是西医心血管疾病检查,都要从脉搏波的压力与波形变化中提取各种生理、病理信息。The heart and blood vessels form the organic circulatory system of the human body. The heart is continuously stimulated by the electrocardiogram to perform an orderly alternating activity of contraction and relaxation. Electrocardiogram (ECG) is a record of the changes of myocardial electrical signals transmitted to the surface of human skin. During the orderly contraction and relaxation of the heart, blood is continuously ejected from the heart into the arteries, and then returned to the heart by the veins. . Every time the heart contracts, the pressure in the arteries fluctuates periodically, which in turn causes arterial (carotid, brachial, radial, ankle, etc.) blood vessels to fluctuate, which is called arterial pulse wave. It contains a wealth of human physiological and pathological information. Whether it is TCM pulse diagnosis or Western medicine cardiovascular disease examination, various physiological and pathological information must be extracted from the pressure and waveform changes of the pulse wave.

据统计我国心血管病现患人数至少2.3亿,每10个成人中就有2个是心血管病患者;我国每年心血管疾病死亡300万人;随着我国人口结构日趋老年化,越来越多的老年人受到高血压、冠心病、心血管疾病等慢性疾病的困扰。而且心血管发病年龄呈年轻化趋势,尤其35~54岁青壮年死亡人数增加最为迅猛。心血管疾病已经成为危害人类健康的第一大病症,世界卫生组织将其列为21世纪严重危害人类健康的杀手。According to statistics, the number of people suffering from cardiovascular disease in my country is at least 230 million, and 2 out of every 10 adults are patients with cardiovascular disease; 3 million people die from cardiovascular disease every year in my country; as my country's population structure is getting older, more and more Many elderly people suffer from chronic diseases such as hypertension, coronary heart disease, and cardiovascular disease. Moreover, the age of cardiovascular onset tends to be younger, especially among young adults aged 35 to 54, the number of deaths increases most rapidly. Cardiovascular disease has become the first major disease endangering human health, and the World Health Organization has listed it as a killer that seriously endangers human health in the 21st century.

我国每年用于心血管病的直接医疗费用已达1300亿元,心血管疾病的高发病率、高致残率、高病死率,给家庭造成很大的不幸,同时带来不堪重负的经济负担和精神负担。The direct medical expenses for cardiovascular diseases in my country have reached 130 billion yuan each year. The high incidence, high disability rate, and high mortality rate of cardiovascular diseases have caused great misfortune to families and brought an overwhelming economic burden. and mental burden.

目前市场上已经有的心血管检测、诊疗仪器设备多种多样,技术比较成熟。但是,医院设备体积大、操作复杂、费用较贵,一般只适用医疗诊断,无法应用于个人进行长期的、实时动态监护。At present, there are various cardiovascular detection and diagnosis and treatment instruments and equipment on the market, and the technology is relatively mature. However, hospital equipment is bulky, complicated to operate, and expensive, and is generally only suitable for medical diagnosis, and cannot be used for long-term, real-time dynamic monitoring of individuals.

另一方面,目前现有的远程心电监护设备只能进行心电信息的单一检测,无法结合心脏血流动力学参数进行综合分析。因此,市场急需一种微型化、多参数能够对脉搏与心电进行有效的、24小时同步动态监测装置,并通过远程无线通讯及因特网与功能强大的后台支持系统对接,实现远程控制中心、医师专家团队与用户之间的实时联系与互动的完善服务系统。On the other hand, the current remote ECG monitoring equipment can only perform single detection of ECG information, and cannot perform comprehensive analysis in combination with cardiac hemodynamic parameters. Therefore, the market is in urgent need of a miniaturized, multi-parameter capable 24-hour synchronous dynamic monitoring device for pulse and ECG, which can be connected with a powerful back-end support system through remote wireless communication and the Internet to realize remote control centers, physicians A complete service system for real-time contact and interaction between expert teams and users.

发明内容SUMMARY OF THE INVENTION

本发明的目的在于克服上述问题,提供一种基于腕表的微型多参数同步动态监测、并通过远程无线通讯及因特网与功能强大的后台支持系统对接,实现远程控制中心、医师专家团队与用户之间的实时联系与互动的远程医疗监测救助平台系统。The purpose of the present invention is to overcome the above-mentioned problems, provide a miniature multi-parameter synchronous dynamic monitoring based on a wristwatch, and connect with a powerful background support system through long-distance wireless communication and the Internet, so as to realize the communication between the remote control center, the team of doctors and experts and the user. Real-time contact and interaction between remote medical monitoring and rescue platform system.

本发明的目的通过下述技术方案实现:The object of the present invention is achieved through the following technical solutions:

一种远程医疗监测救助平台系统,包括:A remote medical monitoring and rescue platform system, comprising:

用户服务端,用于监测用户心血管功能并反馈监测数据至远程监控中心;所述;The user server is used to monitor the cardiovascular function of the user and feed back the monitoring data to the remote monitoring center; said;

医生服务端,用于接收远程监控中心传输的数据并通过远程监控中心反馈建议至用户端;The doctor server is used to receive the data transmitted by the remote monitoring center and feed back suggestions to the user through the remote monitoring center;

远程监控中心,用于连接用户服务端和医生服务端,实现二者的信息交互;The remote monitoring center is used to connect the user server and the doctor server to realize the information exchange between the two;

进一步的,所述用户服务端为腕表式微型监测装置,其包括:腕表主体和表带,集成于所述腕表主体上的中央处理器、数据存储管理模块、人机交互模块、定位模块、本地报警模块、数据传输模块、脉搏信号处理电路、心电信号监测模块和电源管理模块;所述腕表主体上还设置有若干用于连接外联检测设备的外联接口,其内设置有用于信号处理的信号处理电路;所述表带上设置有与所述脉搏信号处理电路连接的脉搏波传感器。Further, the user server is a wristwatch-type micro-monitoring device, which includes: a wristwatch body and a watchband, a central processing unit integrated on the wristwatch body, a data storage management module, a human-computer interaction module, and a positioning module. module, a local alarm module, a data transmission module, a pulse signal processing circuit, an ECG signal monitoring module and a power management module; the watch body is also provided with a number of external connection interfaces for connecting to the external connection detection equipment, which are provided with There is a signal processing circuit for signal processing; a pulse wave sensor connected to the pulse signal processing circuit is arranged on the watch band.

进一步的,所述远程监控中心包括:Further, the remote monitoring center includes:

数据库服务器,用于提供数据存储和调用服务;Database server for providing data storage and calling services;

查询管理服务器,用于提供医生服务和用户远程数据查询服务;Query management server, used to provide doctor services and user remote data query services;

数据解析呼叫服务器,用于咨询服务,通知协助用户解决突发事件;Data analysis call server, used for consulting services, notifying and assisting users to solve emergencies;

数据通讯服务器,用于用户服务端和医生服务端与数据库服务器实现数据通讯;The data communication server is used for data communication between the user server and the doctor server and the database server;

数据处理服务器,用于处理接收的用户服务端的人体体征数据。The data processing server is used to process the received human body sign data from the user server.

进一步的,所述心电信号监测模块包括心电信号采集器接口引线和与之相连用于处理采集信号的心电信号处理电路,所述心电信号处理电路的输出连接中央处理器。Further, the ECG signal monitoring module includes an ECG signal collector interface lead and an ECG signal processing circuit connected to it for processing the collected signal, and the output of the ECG signal processing circuit is connected to a central processing unit.

进一步的,所述脉搏波传感器包括具备电极引线的压电材料换能片、外壳和硅胶填充层;所述外壳位于所述压电材料换能片下侧面并与所述压电材料换能片组合构成密封谐振空腔,所述硅胶填充层位于所述压电材料换能片上侧面。Further, the pulse wave sensor includes a piezoelectric material transducer sheet with electrode leads, a casing and a silica gel filling layer; the casing is located on the lower side of the piezoelectric material transducer sheet and is connected with the piezoelectric material transducer sheet. The combination constitutes a sealed resonant cavity, and the silica gel filling layer is located on the upper side of the piezoelectric material transducer sheet.

进一步的,所述所述人机交互模块包括电容屏输入模块和显示模块。Further, the human-computer interaction module includes a capacitive screen input module and a display module.

进一步的,所述定位模块采用AGPS定位系统。Further, the positioning module adopts an AGPS positioning system.

进一步的,所述本地报警模块为声光报警装置。Further, the local alarm module is a sound and light alarm device.

进一步的,所述外联接口包括血氧饱和度探头接口、血糖试纸接口、温度传感器接口、姿态传感器接口中的一种或多种。Further, the external connection interface includes one or more of a blood oxygen saturation probe interface, a blood glucose test strip interface, a temperature sensor interface, and an attitude sensor interface.

本发明还提供了远程医疗监测救助平台系统的实现方法,包括:The present invention also provides an implementation method of the remote medical monitoring and rescue platform system, including:

(1)在远程监控中心建立用户档案;医生服务端匹配对应的用户档案;(1) Create a user file in the remote monitoring center; the doctor server matches the corresponding user file;

(2)通过用户服务端采集用户身体的监测数据,通过数据传输模块上传数据至远程监控中心;(2) Collect the monitoring data of the user's body through the user server, and upload the data to the remote monitoring center through the data transmission module;

(3)远程监控中心对接收的数据进行处理后,对数据进行存储,以供医生和用户服务端查询;(3) After the remote monitoring center processes the received data, it stores the data for inquiries by doctors and user servers;

(4)医生服务端通过远程监控中心调取用户数据并给出指导建议反馈至远程监控中心;(4) The doctor server retrieves user data through the remote monitoring center and gives guidance and suggestions to the remote monitoring center;

(5)远程监控中心将医生的指导建议传输至用户服务端,或者,远程监控中心将医生的指导建议予以存储,以供用户服务端查阅。(5) The remote monitoring center transmits the doctor's guidance and suggestions to the user server, or the remote monitoring center stores the doctor's guidance and suggestions for the user server to consult.

进一步的,所述远程监控中心接收所述上传数据后,将上传数据与用户档案数据进行比对或者与人体常态数据进行比对,当数据异常时,作如下处理:Further, after the remote monitoring center receives the uploaded data, it compares the uploaded data with the user profile data or with the normal human body data, and when the data is abnormal, the following processing is performed:

(a)远程监控中心主动反馈异常数据至医生服务端;(b)医生服务端建立与用户服务端的实时通讯;(c)用户服务端进行本地的声光报警。(a) The remote monitoring center actively feeds back abnormal data to the doctor server; (b) The doctor server establishes real-time communication with the user server; (c) The user server performs local sound and light alarms.

本发明与现有技术相比,还具有以下优点及有益效果:Compared with the prior art, the present invention also has the following advantages and beneficial effects:

(1)本发明中远程监控中心、用户服务端和客户服务端实现远程通讯,用户端的监测数据实时传输至远程监控中心,医生服务端可随时查阅并给出医疗建议反馈至用户服务端,由此实现医师专家团队与用户之间的实时联系与互动。(1) In the present invention, the remote monitoring center, the user server and the client server realize remote communication, the monitoring data of the client is transmitted to the remote monitoring center in real time, and the doctor server can consult at any time and give medical advice and feedback to the user server. This enables real-time contact and interaction between physician expert teams and users.

(2)本发明中用户服务端采用腕表式微型监测装置对用户进行24小时连续监测脉搏与心血管健康状况,像戴手表一样,完全可以在不影响用户工作、生活的前提下,常年24小时监测脉搏与心电。其中,脉搏监测可以根据用户的健康状况需要,灵活设定采集频率,即使用户在睡眠中,腕表亦可自动采集、发送数据。(2) In the present invention, the user server adopts a watch-type micro-monitoring device to continuously monitor the pulse and cardiovascular health status of the user for 24 hours. Like wearing a watch, it can be used for 24 hours all year round without affecting the work and life of the user. Pulse and ECG are monitored hourly. Among them, the pulse monitoring can flexibly set the collection frequency according to the needs of the user's health status. Even if the user is sleeping, the watch can automatically collect and send data.

(3)本发明实现脉搏信号和心电信号采集并同步显示,有效地克服了现有的远程心电监护设备只能进行心电信息的单一检测,无法结合心脏血流动力学参数进行综合分析。(3) The present invention realizes the acquisition and synchronous display of pulse signal and ECG signal, which effectively overcomes that the existing remote ECG monitoring equipment can only perform single detection of ECG information, and cannot perform comprehensive analysis in combination with cardiac hemodynamic parameters .

(4)通过本发明长期有效的人体体征的数据采集,构成人体健康数据的大数据,对人体健康数据做综合的分析、运算,可起到良好的疾病预防效果,造福社会。(4) The long-term effective data collection of human body signs of the present invention constitutes big data of human health data, and comprehensive analysis and calculation of human health data can play a good disease prevention effect and benefit the society.

(5)本发明装置获取用户身体异常信号时,可以声光报警提醒用户本人或其亲友自救,同时可将报警信号通过后台发送到远程控制中心,由远程医师专家团队及时提供专业的救助,可以为病人的抢救赢得宝贵的“黄金救助时间”。(5) When the device of the present invention obtains the abnormal signal of the user's body, it can alert the user himself or his relatives and friends by sound and light, and at the same time, the alarm signal can be sent to the remote control center through the background, and the expert team of remote doctors can provide professional assistance in time, which can Win precious "golden rescue time" for the rescue of patients.

附图说明Description of drawings

图1为本发明中腕表式微型监测装置的原理框图。FIG. 1 is a schematic block diagram of a wristwatch-type micro-monitoring device in the present invention.

图2为本发明中远程监控中的原理框图。FIG. 2 is a principle block diagram of the remote monitoring in the present invention.

图3为本发明中数据信息的采集、处理及传输示意图。FIG. 3 is a schematic diagram of the collection, processing and transmission of data information in the present invention.

图4为本发明中脉搏波传感器的侧视图。FIG. 4 is a side view of the pulse wave sensor of the present invention.

图5为本发明中脉搏波传感器的俯视图。FIG. 5 is a top view of the pulse wave sensor of the present invention.

其中,附图标记所对应的名称如下:1-血氧饱和度探头接口、2-血糖试纸接口、3-温度传感器接口、4-姿态传感器接口、5-脉搏波传感器、6-三导联心电背心、7-运算放大器、8-滤波器、9-中央处理器、10-显示模块、11-数据存储管理模块、12-远程监控中心、51-密封谐振空腔、52-压电材料换能片、53-外壳、54-硅胶填充层、55-电极引线。Among them, the names corresponding to the reference signs are as follows: 1- blood oxygen saturation probe interface, 2- blood glucose test paper interface, 3- temperature sensor interface, 4- attitude sensor interface, 5- pulse wave sensor, 6- three-lead heart Electric vest, 7-operational amplifier, 8-filter, 9-central processing unit, 10-display module, 11-data storage management module, 12-remote monitoring center, 51-sealed resonant cavity, 52-piezoelectric material changer Energy sheet, 53-shell, 54-silicone filling layer, 55-electrode lead.

具体实施方式Detailed ways

实施例1Example 1

如图1~5所示,本实施例提供了一种远程医疗监测救助平台系统,该系统以远程监控中心为基础,实现用户服务端和医生服务端之间的联络,同时,对用户的相关数据档案进行记录备案,一方面,通过用户服务端实现对用户的24小时不间断监测,保证监测数据的完整性和监测效果,另一方面,用户数据均反馈至远程监控中心,医生服务端对数据进行查阅后给出指导建议,此外,用户在远程监控中心进行建档,用户在监测过程中的所有身体健康数据均存储在远程监控中心,构成人体健康数据的大数据,对人体健康数据做综合的分析、运算,可起到良好的疾病预防效果。As shown in Figures 1 to 5, this embodiment provides a remote medical monitoring and rescue platform system. The system is based on a remote monitoring center to realize the communication between the user server and the doctor server. Data files are recorded and filed. On the one hand, 24-hour uninterrupted monitoring of users is realized through the user server to ensure the integrity and monitoring effect of monitoring data. On the other hand, user data is fed back to the remote monitoring center, and the doctor server After reviewing the data, it will give guidance and suggestions. In addition, the user files in the remote monitoring center, and all the physical health data of the user during the monitoring process are stored in the remote monitoring center, which constitutes the big data of human health data. Comprehensive analysis and calculation can play a good role in disease prevention.

用户服务端,主要用于监测用户心血管功能并反馈监测数据至远程监控中心。在本实施例中,采用腕表式微型监测装置作为用户服务端,用于监测人体健康数据,其结构组成如下:腕表主体和表带,集成于所述腕表主体上的中央处理器、数据存储管理模块、人机交互模块、定位模块、本地报警模块、数据传输模块、脉搏信号处理电路、心电信号监测模块和电源管理模块;所述腕表主体上还设置有若干用于连接外联检测设备的外联接口,其内设置有用于信号处理的信号处理电路;所述表带上设置有与所述脉搏信号处理电路连接的脉搏波传感器。通过上述设置,实现人体监测装置的微型化、多参数化监测,装置如腕表可佩带在人体的手腕上,不影响用户的正常生活,相较于传统的医疗监测装置体积大、操作复杂等缺陷,取得了显著的有益效果。The user server is mainly used to monitor the cardiovascular function of the user and feed back the monitoring data to the remote monitoring center. In this embodiment, a wristwatch-type micro-monitoring device is used as a user server to monitor human health data, and its structure is as follows: a wristwatch body and a watchband, a central processing unit integrated on the wristwatch body, Data storage management module, human-computer interaction module, positioning module, local alarm module, data transmission module, pulse signal processing circuit, ECG signal monitoring module and power management module; The external connection interface of the connected detection device is provided with a signal processing circuit for signal processing; the watchband is provided with a pulse wave sensor connected with the pulse signal processing circuit. Through the above settings, the miniaturization and multi-parameter monitoring of the human body monitoring device can be realized. The device such as a wrist watch can be worn on the wrist of the human body without affecting the normal life of the user. Compared with the traditional medical monitoring device, the volume is large and the operation is complicated. defects, and achieved significant beneficial effects.

本实施例中,腕表主体采用规则的几何立体形状,例如:正方体、长方体、圆柱体等,用户可以根据自己的喜好进行选择。表带与腕表主体匹配,其可以是伸缩式表带、卡扣式表带等现有的常规表带结构,在此不作特别限定。腕表主体上集成有若干功能模块,用于实现腕表的动态监测功能,针对传统的监测装置单一监测的缺陷,本实施例在腕表主体上集成有脉搏监测功能和心电信号监测功能,二者分别通过脉搏信号处理电路和心电信号监测模块实现,其中,脉搏信号处理电路与脉搏波传感器相匹配使用,心电信号监测模块主要由心电信号采集器接口引线和与之相连用于处理采集信号的心电信号处理电路组成,其中,心电信号处理电路的输出连接中央处理器,心电信号监测模块通过心电信号采集器接口引线连接三导联心电背心,本实施例采用上述结构实现脉搏波信息和心电信号的采集,其优势如下:In this embodiment, the main body of the watch adopts a regular geometric three-dimensional shape, such as a cube, a rectangular parallelepiped, a cylinder, etc., and the user can choose according to their own preferences. The watch strap is matched with the watch body, and it can be an existing conventional watch strap structure such as a retractable watch strap, a snap-on watch strap, etc., which is not particularly limited here. Several functional modules are integrated on the watch body to realize the dynamic monitoring function of the watch. In view of the defects of single monitoring by the traditional monitoring device, this embodiment integrates the pulse monitoring function and the ECG signal monitoring function on the watch body. The two are realized by the pulse signal processing circuit and the ECG signal monitoring module respectively. The pulse signal processing circuit is matched with the pulse wave sensor, and the ECG signal monitoring module is mainly composed of the interface lead of the ECG signal collector and connected to it for use. It is composed of an ECG signal processing circuit that processes the collected signals, wherein the output of the ECG signal processing circuit is connected to the central processing unit, and the ECG signal monitoring module is connected to the three-lead ECG vest through the interface lead of the ECG signal collector. The above structure realizes the collection of pulse wave information and ECG signal, and its advantages are as follows:

1、采用脉搏波传感器进行信号采集,脉搏波信号处理电路主要包括有运算放大器、滤波器,信号首先经过放大处理后进行滤波处理,然后输出至中央处理器。本实施例中,脉搏波传感器包括具备电极引线的压电材料换能片、外壳和硅胶填充层;外壳位于所述压电材料换能片下侧面并与压电材料换能片组合构成密封谐振空腔,硅胶填充层位于所述压电材料换能片上侧面,其中,外壳的材质不作特别限定,一般采用塑料制成。佩带时,脉搏波传感器位于手腕的桡动脉处,当电材料换能片受到波动的桡动脉搏动压力时,在压电材料换能片表面相应产生的变化的压力(对单点而言,其实质就是系统在某点做往复的弹性震动,量化的指标就是指该系统的加速度。)根据Q=kF,F=ma原理推出简单的Q=kma(其中k是压电常数,m是该系统起振整体质量,a就是弹性震动在该电量化的指标就是指该系统的加速度。)从而产生了与作用力大小精确相对应的电荷,然后,通过电荷放很大器进行放大,滤波,从而精确反应出脉搏信号。本实施例中脉搏波传感器的独特设计,充分发挥压电材料的优点,有效地滤除杂波,得到了灵敏度高、干扰小、稳定可靠的脉搏信号,从而有效地克服了现有脉搏传感器的体积比较大、灵敏度比较低、抗干扰能力差等缺点。本传感器可以不经放大就可以清晰采集到上百毫伏的干净的不失真脉搏波。1. The pulse wave sensor is used for signal acquisition. The pulse wave signal processing circuit mainly includes an operational amplifier and a filter. The signal is first amplified and then filtered, and then output to the central processing unit. In this embodiment, the pulse wave sensor includes a piezoelectric material transducer sheet with electrode leads, a casing and a silica gel filling layer; the casing is located on the lower side of the piezoelectric material transducer sheet and combined with the piezoelectric material transducer sheet to form a sealed resonance In the cavity, the silica gel filling layer is located on the upper side of the piezoelectric material transducer, wherein the material of the shell is not particularly limited, and is generally made of plastic. When worn, the pulse wave sensor is located at the radial artery of the wrist. When the electric material transducer is subjected to the fluctuating radial artery pulsation pressure, the corresponding changing pressure on the surface of the piezoelectric transducer (for a single point, its The essence is that the system reciprocates elastic vibration at a certain point, and the quantitative index refers to the acceleration of the system.) According to the principle of Q=kF, F=ma, a simple Q=kma (where k is the piezoelectric constant, m is the system The overall mass of the vibration, a is the elastic vibration index in the electrification, which refers to the acceleration of the system.) Thus, a charge corresponding to the magnitude of the applied force is generated, and then the charge amplifier is used to amplify and filter, thereby Accurately reflect the pulse signal. The unique design of the pulse wave sensor in this embodiment gives full play to the advantages of piezoelectric materials, effectively filters out clutter, and obtains a pulse signal with high sensitivity, little interference, and stability and reliability, thus effectively overcoming the limitations of the existing pulse sensor. It has the disadvantages of relatively large volume, relatively low sensitivity, and poor anti-interference ability. The sensor can clearly collect hundreds of millivolts of clean and undistorted pulse waves without amplification.

2、采用三导联心电背心与心电信号监测模块配合采集心电信号。人体细胞有电活动,因此可以根据电活动查心脏的正常跳动,间接测量心脏跳动影响因素。心电图指的是心脏在每个心动周期中,由起搏点、心房、心室相继兴奋,伴随着心电图生物电的变化,通过心电描记器从体表引出多种形式的电位变化的图形(简称ECG)。心电图是心脏兴奋的发生、传播及恢复过程的客观指标。心脏周围的组织和体液都能导电,因此可将人体看成为一个具有长、宽、厚三度空间的容积导体。心脏好比电源,无数心肌细胞动作电位变化的总和可以传导并反映到体表,在体表很多点之间存在着电位差。动物机体组织和体液都能导电,将心电描记器的记录电极放在体表的任何两个非等电部位,都可记录出心电变化的图象,这种测量方法叫做双极导联,所测的电位变化是体表被测两点的电位变化的代数和,分析波形较为复杂。如果设法使两个测量电极之一,通常是和描记器负端相连的极,其电位始终保持零电位,就成为所谓的“无关电极”,而另一个测量电极则放在体表某一测量点,作为“探查电极”,这种测量方法叫做单极导联。由于无关电极经常保持零电位不变,故所测得的电位变化就只表示探查电极所在部位的电位变化,因而对波形的解释较为单纯。目前在临床检查心电图时,单极和双极导联都在使用,但其测量精度欠佳且操作较困难,本实施例中采用采用3-12导联同步采集数据,三导联心电背心的电极连接方法是:第一导联(简称Ⅰ),右臂(-),左臂(+);第二导联(简称Ⅱ),右臂(-),左足(+);第三导联(简称Ⅲ),左臂(-),左足(+)。心电图的肢体导联具有心脏节律性疾病的诊断意义。本发明采用上述设置在获取心电信号参数,在简化心电采集操作步骤的同时达到了有效减少杂波的实际效果,得到灵敏度高、干扰小、具有诊断意义的心电图波形。心电信号处理电路包括有运算放大器、滤波器,信号首先经过放大处理后进行滤波处理,然后输出至中央处理器。2. The three-lead ECG vest and the ECG signal monitoring module are used to collect ECG signals. Human cells have electrical activity, so the normal beating of the heart can be checked according to the electrical activity, and the factors affecting the beating of the heart can be indirectly measured. The electrocardiogram refers to the successive excitation of the pacemaker, atrium, and ventricle of the heart in each cardiac cycle. Along with the changes in the bioelectricity of the electrocardiogram, various forms of potential changes are drawn from the body surface through the electrocardiograph (abbreviated as ECG). ECG). ECG is an objective indicator of the occurrence, propagation and recovery of cardiac excitation. The tissues and body fluids around the heart can conduct electricity, so the human body can be regarded as a volume conductor with three dimensions of length, width and thickness. The heart is like a power source. The sum of the action potential changes of countless cardiomyocytes can be conducted and reflected on the body surface. There are potential differences between many points on the body surface. Animal body tissues and body fluids can conduct electricity. Placing the recording electrodes of the electrocardiograph on any two non-isoelectric parts of the body surface can record the images of ECG changes. This measurement method is called bipolar lead. , the measured potential change is the algebraic sum of the potential changes of the two measured points on the body surface, and the analysis waveform is more complicated. If you try to make one of the two measurement electrodes, usually the electrode connected to the negative end of the tracer, the potential of which is always kept at zero potential, it becomes the so-called "irrelevant electrode", and the other measurement electrode is placed on the body surface for a measurement Points, as "probing electrodes", this measurement method is called unipolar lead. Since the irrelevant electrodes often keep the zero potential unchanged, the measured potential changes only represent the potential changes at the location where the probe electrode is located, so the interpretation of the waveform is relatively simple. At present, both unipolar and bipolar leads are used in clinical examination of ECG, but their measurement accuracy is poor and the operation is difficult. In this embodiment, 3-12 leads are used to collect data synchronously. The electrode connection method is: the first lead (abbreviated as I), the right arm (-), the left arm (+); the second lead (abbreviated as II), the right arm (-), the left foot (+); the third lead Joint (referred to as III), left arm (-), left foot (+). The limb leads of the ECG have diagnostic significance for cardiac rhythm disorders. The present invention adopts the above arrangement to obtain ECG signal parameters, and achieves the practical effect of effectively reducing clutter while simplifying the operation steps of ECG acquisition, and obtains an ECG waveform with high sensitivity, little interference and diagnostic significance. The ECG signal processing circuit includes an operational amplifier and a filter. The signal is first amplified and then filtered, and then output to the central processing unit.

腕表主体上集成有人机交互模块,其主要包括电容屏输入模块和显示模块,优选的,高清TFT显示模块。脉搏波信号和心电信号经过采集处理后传输至中央处理器,然后经过数字滤波等处理,一方面数据后的数据存储在数据存储管理模块(数据存储选择FLASH存储器及SD卡存储器),二者在显示模块上同步进行波形显示和指标参数显示,其优点在于:心脏从收缩到血流沿动脉血管向肢体末端流动,有一个传导滞后的时间差,采用本发明将心脏工作的过程与血流运动的过程在一个坐标系里同步显示,其精度足以供医生诊断判读,有助于尽早发现心血管异常。A man-machine interaction module is integrated on the watch body, which mainly includes a capacitive screen input module and a display module, preferably a high-definition TFT display module. The pulse wave signal and ECG signal are collected and processed and then transmitted to the central processing unit, and then processed by digital filtering. The waveform display and index parameter display are performed synchronously on the display module, which has the advantage of: there is a conduction lag time difference from the contraction of the heart to the flow of blood along the arterial blood vessels to the end of the limb. The process is displayed synchronously in a coordinate system, which is accurate enough for doctors to diagnose and interpret, and helps to detect cardiovascular abnormalities as early as possible.

本实施例中,中央处理器采用ARM32位单片机,型号为:STM32ZET6,其主要负责波形、算法、数据文件存储管理、数据传输控制、人机界面对话管理等。数据传输模块,其基于3G/4G模块TCP/IP协议等实现与远程监控中心的数据通讯,将用户服务端采集的数据信息传输至远程监控中心。电源管理模块,主要用于为设备供电,其选用现有常规电源,在此不作特别限定。In this embodiment, the central processing unit adopts an ARM32-bit single-chip microcomputer, and the model is: STM32ZET6, which is mainly responsible for waveform, algorithm, data file storage management, data transmission control, man-machine interface dialogue management, and the like. The data transmission module realizes data communication with the remote monitoring center based on the 3G/4G module TCP/IP protocol, etc., and transmits the data information collected by the user server to the remote monitoring center. The power management module is mainly used to supply power to the device, and the existing conventional power supply is selected, which is not particularly limited here.

本实施例中,用户服务端还具备以下功能:诊疗方案报告/下载、实时监控数据报告,含心电图、脉搏波图、其他指标/下载、患者症状自我陈述记录/上传。用户服务端除上述腕表式微型监测装置,还可结合常规的智能终端予以匹配使用,如:手机、电脑等,其下载客户端软件在远程监控中进行注册登记后,实现相应的功能。In this embodiment, the user server also has the following functions: diagnosis and treatment plan report/download, real-time monitoring data report, including electrocardiogram, pulse wave, other indicators/download, patient symptom self-statement record/upload. In addition to the above watch-type micro-monitoring device, the user server can also be used in combination with conventional smart terminals, such as mobile phones, computers, etc. After downloading the client software and registering in the remote monitoring, the corresponding functions can be realized.

本实施例中,远程监控中心包括:数据库服务器,用于提供数据存储和调用服务;查询管理服务器,用于提供医生服务和用户远程数据查询服务;数据解析呼叫服务器,用于咨询服务,通知协助用户解决突发事件;数据通讯服务器,用于用户服务端和医生服务端与数据库服务器实现数据通讯;数据处理服务器,用于处理接收的用户服务端的人体体征数据。远程监控中还具备以下功能:管理病人档案、存储病人病案数据、安全认证、团体机构管理、医生注册管理、服务注册管理、上传下载web服务(患者服务)。In this embodiment, the remote monitoring center includes: a database server for providing data storage and calling services; a query management server for providing doctor services and user remote data query services; a data analysis call server for consulting services and notification assistance The user solves emergencies; the data communication server is used for data communication between the user server and the doctor server and the database server; the data processing server is used to process the received human body sign data from the user server. The remote monitoring also has the following functions: management of patient files, storage of patient medical record data, security authentication, group organization management, doctor registration management, service registration management, uploading and downloading web services (patient services).

医生服务端,其可以选用手机、电脑、平板电脑等现有的智能终端。其在智能终端上下载相应的软件后进行登记注册。其可实现功能如下:患者身份查询、档案查询、监测数据与图形查询、分析几周几月/约定时间患者采集数据,得到用户一些突发疾病的早期症状、对症给出的健康干预指导建议、电话指导服务记录、干预手段效果记录、诊疗方案报告等。The doctor server can use existing smart terminals such as mobile phones, computers, and tablet computers. It performs registration after downloading the corresponding software on the intelligent terminal. It can realize the following functions: query of patient identity, file query, monitoring data and graph query, analysis of data collected by patients for several weeks, months/appointed time, obtaining early symptoms of some sudden diseases from users, health intervention guidance and suggestions given to the symptoms, Telephone guidance service records, intervention effect records, diagnosis and treatment plan reports, etc.

本实施例中,远程医疗监测救助平台系统的实现方法,包括:In this embodiment, the implementation method of the remote medical monitoring and rescue platform system includes:

(1)在远程监控中心建立用户档案;医生服务端匹配对应的用户档案;(1) Create a user file in the remote monitoring center; the doctor server matches the corresponding user file;

(2)通过用户服务端采集用户身体的监测数据,通过数据传输模块上传数据至远程监控中心;(2) Collect the monitoring data of the user's body through the user server, and upload the data to the remote monitoring center through the data transmission module;

(3)远程监控中心对接收的数据进行处理后,对数据进行存储,以供医生和用户服务端查询;(3) After the remote monitoring center processes the received data, it stores the data for inquiries by doctors and user servers;

(4)医生服务端通过远程监控中心调取用户数据并给出指导建议反馈至远程监控中心;(4) The doctor server retrieves user data through the remote monitoring center and gives guidance and suggestions to the remote monitoring center;

(5)远程监控中心将医生的指导建议传输至用户服务端,或者,远程监控中心将医生的指导建议予以存储,以供用户服务端查阅。(5) The remote monitoring center transmits the doctor's guidance and suggestions to the user server, or the remote monitoring center stores the doctor's guidance and suggestions for the user server to consult.

实施例2Example 2

在实施例1的基础上,本实施例提供的远程医疗监测救助平台系统还包括有定位装置,具体的说,腕表式微型监测装置中腕表主体上集成有定位模块,优选的,定位模块采用AGPS定位系统,其利用GPS和通信运营商的AGPS(辅助定位),基站位置信息,运用多点交叉原理,实现用户室内定位。通过定位模块能确定用户平面地理位置,有利于用户身体异常、丧失自救能力后的及时抢救。定位模块的工作可以是实时工作,及用户定位位置实时传输至远程监控中心,该种方式的耗电量较大,本领域技术人员也可以选用唤醒式的定位方式,即常态下,定位模块处于休眠状态,低功耗运行,在用户监测数据为表现异常时(数据异常判断通过设置参数指标参考值进行判断实现),中央处理器唤醒定位模块,定位模块开始工作实现用户位置定位,然后传输至远程监控中心。On the basis of Embodiment 1, the remote medical monitoring and rescue platform system provided in this embodiment also includes a positioning device. Specifically, a positioning module is integrated on the wristwatch body in the wristwatch-type micro-monitoring device. Preferably, the positioning module The AGPS positioning system is adopted, which utilizes GPS and the AGPS (Assisted Positioning) of the communication operator, the location information of the base station, and uses the principle of multi-point intersection to realize the indoor positioning of the user. The user's plane geographic location can be determined through the positioning module, which is conducive to timely rescue after the user's body is abnormal and loses self-rescue ability. The work of the positioning module can be real-time work, and the user's positioning position is transmitted to the remote monitoring center in real time. This method consumes a lot of power. Those skilled in the art can also choose the wake-up positioning method, that is, under normal conditions, the positioning module is in Sleep state, low-power operation, when the user monitoring data is abnormal (the data abnormality judgment is realized by setting the parameter index reference value), the central processing unit wakes up the positioning module, the positioning module starts to work to realize the user's position positioning, and then transmits it to Remote monitoring center.

实施例3Example 3

在实施例1或实施例2的基础上,本实施例提供的远程医疗监测救助平台系统还包括有本地报警模块,具体的说,腕表式微型监测装置中腕表主体上集成有本地报警模块,优选采用声光报警装置,当获取用户身体异常信号时,可以声光报警提醒用户本人或其亲友自救,同时,中央处理器将报警信号发送到远程控制中心,由远程医师专家团队及时提供专业的救助,可以为病人的抢救赢得宝贵的“黄金救助时间”。On the basis of Embodiment 1 or Embodiment 2, the remote medical monitoring and rescue platform system provided in this embodiment further includes a local alarm module. Specifically, the wristwatch body in the wristwatch-type micro-monitoring device is integrated with a local alarm module. , It is preferable to use an audible and visual alarm device. When obtaining the abnormal signal of the user's body, the audible and visual alarm can remind the user or his relatives and friends to save himself. At the same time, the central processor sends the alarm signal to the remote control center, and the remote physician expert team provides timely professional services The rescue of patients can win precious "golden rescue time" for the rescue of patients.

实施例4Example 4

在实施例1的基础上,本实施例提供了远程医疗监测救助平台系统更进一步的实现方法:远程监控中心接收所述上传数据后,将上传数据与用户档案数据进行比对或者与人体常态数据进行比对,当数据异常时,作如下处理:(a)远程监控中心主动反馈异常数据至医生服务端;(b)医生服务端建立与用户服务端的实时通讯;(c)用户服务端进行本地的声光报警。其中,用户档案数据来源于以往的数据采集,人体常态数据来源于用户所处年龄段、性别、身高、体重等基本情况所对应的医学意义上的健康参考指标。On the basis of Embodiment 1, this embodiment provides a further implementation method of the remote medical monitoring and rescue platform system: after receiving the uploaded data, the remote monitoring center compares the uploaded data with user profile data or with normal human body data For comparison, when the data is abnormal, the following processing is performed: (a) the remote monitoring center actively feeds back the abnormal data to the doctor server; (b) the doctor server establishes real-time communication with the user server; (c) the user server performs local sound and light alarm. Among them, the user profile data comes from the previous data collection, and the normal human body data comes from the medical reference indicators corresponding to the user's age, gender, height, weight and other basic conditions.

实施例5Example 5

在实施例1的基础上,本实施例提供的远程医疗监测救助平台系统还包括若干用于连接外联检测设备的外联接口,其内设置有用于信号处理的信号处理电路,其中,信号处理电路主要用于信号的放大和滤波。优选的,外联接口包括血氧饱和度探头接口、血糖试纸接口、温度传感器接口、姿态传感器接口中的一种或多种。各接口对应的外联设备如下:血氧饱和度探头接口连接血氧饱和度探头,其用于监测人体血氧饱和度数据信息;血糖试纸接口连接血糖试纸,其用于监测人体血糖数据信息;温度传感器接口连接温度传感器,其用于监测人体体温数据信息;姿态传感器接口连接姿态传感器,其用于监测人体身体的姿态信息数据。On the basis of Embodiment 1, the remote medical monitoring and rescue platform system provided in this embodiment further includes a number of external interfaces for connecting external detection equipment, and a signal processing circuit for signal processing is arranged therein, wherein the signal processing The circuit is mainly used for signal amplification and filtering. Preferably, the external connection interface includes one or more of a blood oxygen saturation probe interface, a blood glucose test strip interface, a temperature sensor interface, and an attitude sensor interface. The external equipment corresponding to each interface is as follows: the blood oxygen saturation probe interface is connected to the blood oxygen saturation probe, which is used to monitor the data information of human blood oxygen saturation; the blood glucose test strip interface is connected to the blood glucose test strip, which is used to monitor the human blood glucose data information; The temperature sensor interface is connected to a temperature sensor, which is used for monitoring human body temperature data; the attitude sensor interface is connected to an attitude sensor, which is used to monitor the attitude information data of the human body.

实施例6Example 6

在实施例1的基础上,本实施例提供的远程医疗监测救助平台系统还包括有若干用于向外传输数据的接口,即腕表式微型监测装置的腕表主体上设置有上述接口,例如:RS232接口、USB接口等,其作用在于,将数据传输到个人电脑和数据服务器传输系统。On the basis of Embodiment 1, the remote medical monitoring and rescue platform system provided in this embodiment also includes a number of interfaces for externally transmitting data, that is, the wristwatch body of the wristwatch-type micro-monitoring device is provided with the above-mentioned interfaces, such as : RS232 interface, USB interface, etc., its function is to transmit data to personal computer and data server transmission system.

如上所述,便可很好的实现本发明。以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。As described above, the present invention can be well implemented. The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention shall be included in the scope of the present invention. within the scope of protection.

Claims (10)

1. A telemedicine monitoring rescue platform system, comprising:
the user server is used for monitoring the cardiovascular function of the user and feeding back monitoring data to the remote monitoring center; the method comprises the following steps of;
the doctor server is used for receiving the data transmitted by the remote monitoring center and feeding back suggestions to the user side through the remote monitoring center;
the remote monitoring center is used for connecting the user server and the doctor server to realize information interaction between the user server and the doctor server;
the user service end is a wristwatch type miniature monitoring device, which comprises: the wristwatch comprises a wristwatch body, a watchband, a central processing unit, a data storage management module, a man-machine interaction module, a positioning module, a local alarm module, a data transmission module, a pulse signal processing circuit, an electrocardiosignal monitoring module and a power management module, wherein the wristwatch body and the watchband are integrated on the wristwatch body; the wristwatch main body is also provided with a plurality of external connection ports for connecting external connection detection equipment, and a signal processing circuit for signal processing is arranged in the wristwatch main body; and the watchband is provided with a pulse wave sensor connected with the pulse signal processing circuit.
2. The telemedicine monitoring and rescue platform system of claim 1, wherein the remote monitoring center comprises:
the database server is used for providing data storage and calling service;
the query management server is used for providing doctor service and user remote data query service;
the data analysis calling server is used for consulting services and informing the assistant users to solve emergencies;
the data communication server is used for realizing data communication between the user server and the doctor server and the database server;
and the data processing server is used for processing the received human body sign data of the user server.
3. The telemedicine monitoring and rescue platform system according to claim 2, wherein the electrocardiosignal monitoring module comprises an electrocardiosignal collector interface lead and an electrocardiosignal processing circuit connected with the electrocardiosignal collector interface lead and used for processing collected signals, and the output of the electrocardiosignal processing circuit is connected with the central processing unit.
4. The telemedicine monitoring and rescue platform system of claim 3, wherein the pulse wave sensor comprises a piezoelectric material transducer piece with electrode leads, a shell and a silica gel filling layer; the shell is located piezoelectric material transduction piece downside and with piezoelectric material transduction piece combination constitutes sealed resonant cavity, the silica gel filling layer is located piezoelectric material transduction piece upside.
5. The telemedicine monitoring and rescue platform system of claim 4, wherein the human-computer interaction module comprises a capacitive screen input module and a display module.
6. The telemedicine monitoring and rescue platform system of claim 5, wherein the positioning module employs an AGPS positioning system.
7. The telemedicine monitoring and rescue platform system of claim 6, wherein the local alarm module is an audible and visual alarm.
8. The telemedicine monitoring rescue platform system of claim 7, wherein the external interface comprises one or more of a blood oxygen saturation probe interface, a blood glucose test strip interface, a temperature sensor interface, an attitude sensor interface.
9. The method of any one of claims 1 to 8, wherein the method comprises:
(1) establishing a user profile in a remote monitoring center; matching the corresponding user file by the doctor server;
(2) monitoring data of a user body are collected through a user server, and the data are uploaded to a remote monitoring center through a data transmission module;
(3) the remote monitoring center processes the received data and stores the data for the inquiry of doctors and user service terminals;
(4) the doctor server calls user data through the remote monitoring center and gives guidance suggestions to be fed back to the remote monitoring center;
(5) the remote monitoring center transmits the guidance suggestions of the doctor to the user server, or stores the guidance suggestions of the doctor for the user server to look up.
10. The method of claim 9, wherein the remote monitoring center compares the uploaded data with user profile data or with human body normal data after receiving the uploaded data, and when the data is abnormal, the method comprises the following steps:
(a) the remote monitoring center actively feeds back abnormal data to the doctor server; (b) the doctor server establishes real-time communication with the user server; (c) and the user server performs local sound-light alarm.
CN202010069159.4A 2020-01-21 2020-01-21 A remote medical monitoring and rescue platform system and its realization method Pending CN111374650A (en)

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