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WO2020133347A1 - Procédé et appareil de surveillance d'un patient - Google Patents

Procédé et appareil de surveillance d'un patient Download PDF

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Publication number
WO2020133347A1
WO2020133347A1 PCT/CN2018/125339 CN2018125339W WO2020133347A1 WO 2020133347 A1 WO2020133347 A1 WO 2020133347A1 CN 2018125339 W CN2018125339 W CN 2018125339W WO 2020133347 A1 WO2020133347 A1 WO 2020133347A1
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WIPO (PCT)
Prior art keywords
monitoring
updated data
parameter
physiological
monitoring mode
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PCT/CN2018/125339
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English (en)
Chinese (zh)
Inventor
张健慧
秦杰
蒋霞
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Shenzhen Mindray Bio Medical Electronics Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
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Application filed by Shenzhen Mindray Bio Medical Electronics Co Ltd filed Critical Shenzhen Mindray Bio Medical Electronics Co Ltd
Priority to CN201880099062.9A priority Critical patent/CN112912965A/zh
Priority to PCT/CN2018/125339 priority patent/WO2020133347A1/fr
Publication of WO2020133347A1 publication Critical patent/WO2020133347A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms

Definitions

  • the present application relates to the technical field of medical devices, and in particular, to a patient monitoring method, monitoring equipment, computer device, and computer-readable storage medium.
  • the monitoring equipment is a device or system for acquiring and displaying the physiological parameter data of the patient, and can alarm according to the physiological parameter data, generally including one or more sensors, such as one or more sensors for acquiring the physiological data of the patient Multiple ECG electrodes, blood pressure sensors, pulse sensors, thermometers, breathing sensors, etc.; generally also includes a computer device for acquiring physiological data from the sensors according to a preset program and generating monitoring interfaces and alarm information according to the physiological data to be monitored; generally It also includes a display device for displaying the monitoring interface processed by the computer device; generally, it also includes a speaker device or a light-emitting device, which is used to issue an alarm when the computer device determines that the physiological data exceeds the standard, and promptly prompt the medical staff to perform emergency for the patient Dispose.
  • sensors such as one or more sensors for acquiring the physiological data of the patient Multiple ECG electrodes, blood pressure sensors, pulse sensors, thermometers, breathing sensors, etc.
  • a computer device for acquiring physiological data from the sensors according to a prese
  • the monitoring mode of the existing monitoring device is only fixed, so the monitoring interface of the monitoring device and the alarm rules during the monitoring process are Only fixed, for example, only a few types of physiological data can be displayed in the physiological data display area of the monitoring interface, such as ECG data, blood oxygen saturation data, respiratory data, heart rate data and blood pressure data.
  • physiological data display area of the monitoring interface such as ECG data, blood oxygen saturation data, respiratory data, heart rate data and blood pressure data.
  • ECG data ECG data, blood oxygen saturation data, respiratory data, heart rate data and blood pressure data.
  • medical personnel pay more attention to physiological parameter data that is not displayed on the monitoring interface.
  • medical personnel need to operate the corresponding function button icon in the function information display area of the monitoring interface to view the corresponding physiological parameter data .
  • the monitoring device continues to display the obtained physiological parameter data according to the preset monitoring mode.
  • the embodiments of the present application provide a method for monitoring a patient, a monitoring device, a computer device, and a computer-readable storage medium, which are used to solve the problem that the fixed monitoring mode provided by the existing monitoring device is not conducive to the medical staff to timely understand the patient's condition.
  • the first aspect of the present application provides a method for monitoring a patient, which may include:
  • the monitoring device selects a target monitoring mode from at least two monitoring modes, the at least two monitoring modes include a first monitoring mode and a second monitoring mode;
  • the monitoring equipment uses sensor accessories connected to the human body to acquire the collected signals of physiological parameters;
  • the monitoring device obtains updated data of the physiological parameter according to the collected signal of the physiological parameter
  • the monitoring device displays the updated data of the physiological parameter, and/or, alarms according to the updated data of the physiological parameter;
  • the monitoring device When the target monitoring mode is the second monitoring mode, the monitoring device displays updated data of statistical parameters, and/or alarms according to the updated data of the statistical parameters, the statistical parameters are used to represent the physiological parameters Statistical results.
  • the second aspect of this application provides a monitoring device, which may include:
  • a parameter measurement circuit is electrically connected to a sensor accessory provided on the patient's body to obtain data of at least one vital sign;
  • the memory is used to store the computer program, and when the processor is used to execute the computer program stored in the memory, the following steps may be implemented:
  • a target monitoring mode from at least two monitoring modes, the at least two monitoring modes including a first monitoring mode and a second monitoring mode;
  • the target monitoring mode is the first monitoring mode, displaying the updated data of the physiological parameter, and/or alarming according to the updated data of the physiological parameter;
  • update data of statistical parameters is displayed, and/or an alarm is generated according to the updated data of the statistical parameters, and the statistical parameters are used to represent the statistical results of the physiological parameters.
  • a third aspect of the present application provides a computer device.
  • the computer device includes a processor.
  • the processor is used to execute a computer program stored in a memory, the following steps are implemented:
  • a target monitoring mode from at least two monitoring modes, the at least two monitoring modes including a first monitoring mode and a second monitoring mode;
  • the target monitoring mode is the first monitoring mode, displaying the updated data of the physiological parameter, and/or alarming according to the updated data of the physiological parameter;
  • update data of statistical parameters is displayed, and/or an alarm is generated according to the updated data of the statistical parameters, and the statistical parameters are used to represent the statistical results of the physiological parameters.
  • a fourth aspect of the present application provides a computer-readable storage medium on which a computer program is stored.
  • the computer program is executed by a processor, the following steps are implemented:
  • a target monitoring mode from at least two monitoring modes, the at least two monitoring modes including a first monitoring mode and a second monitoring mode;
  • the target monitoring mode is the first monitoring mode, displaying the updated data of the physiological parameter, and/or alarming according to the updated data of the physiological parameter;
  • update data of statistical parameters is displayed, and/or an alarm is generated according to the updated data of the statistical parameters, and the statistical parameters are used to represent the statistical results of the physiological parameters.
  • the monitoring device selects a target monitoring mode from at least two monitoring modes.
  • the at least two monitoring modes include a first monitoring mode and a second monitoring mode, which are obtained by using a sensor accessory connected to the human body.
  • Physiological parameter acquisition signal the physiological parameter update data is obtained according to the physiological parameter acquisition signal
  • the target monitoring mode is the first monitoring mode
  • the monitoring device displays the physiological parameter update data, and/or based on the physiological parameter update data Alarm
  • the target monitoring mode is the second monitoring mode
  • the monitoring device displays the updated data of the statistical parameters, and/or alarms according to the updated data of the statistical parameters, and the statistical parameters are used to represent the statistical results of the physiological parameters.
  • the monitoring equipment of this application is helpful to provide a monitoring interface suitable for the patient's condition by providing at least two monitoring modes, which is convenient for medical care. Staff understand the patient's condition in time and reduce the operation of medical staff.
  • Figure 1 is a system framework diagram of a multi-parameter monitor
  • FIG. 2 is a schematic diagram of a possible embodiment of a method for monitoring a patient of this application
  • FIG. 3 is a schematic diagram of a possible implementation method for monitoring a patient according to a second monitoring mode in this application;
  • FIG. 4 is a possible schematic diagram of a monitoring interface corresponding to the first monitoring mode of the application
  • FIG. 5 is a possible schematic diagram of a monitoring interface corresponding to the second monitoring mode of the application.
  • FIG. 6 is a possible schematic diagram of the monitoring interface corresponding to the third monitoring mode of the application.
  • step 7 is a schematic diagram of a possible refinement step of step 201 of this application.
  • FIG. 8 is a schematic diagram of another possible refinement step of step 201 of the present application.
  • the embodiments of the present application provide a patient monitoring method, monitoring equipment, computer device, and computer-readable storage medium, which can provide at least two monitoring modes, which is beneficial to provide a monitoring interface suitable for the patient's condition, and facilitate the medical staff to understand the patient in time Medical conditions, reducing the operation of medical staff.
  • the monitoring equipment is generally connected to the patient.
  • the monitoring device can automatically obtain the collected data of the patient's physiological parameters, and obtain the patient's After the physiological parameter data, the acquired physiological parameter data can be displayed according to the preset monitoring mode, and an alarm signal about the physiological parameter data can be generated according to the alarm limit of the physiological parameter set in the preset monitoring mode.
  • the monitoring device can obtain data of various physiological parameters, and can display the obtained data of physiological parameters in various forms, so that medical personnel can analyze the patient's condition.
  • the display interface of the monitor of the monitoring device is limited, the monitoring interface of the monitoring device can only select a partial form to display the obtained data of some physiological parameters.
  • the monitoring mode stipulates the physiological parameter data and the display form displayed by the monitoring device in the monitoring interface.
  • Existing monitoring devices usually store a monitoring mode in the memory, that is, the monitoring interface of the monitoring device and the monitoring process The alarm rules are only fixed. However, for patients with certain medical conditions, medical personnel pay more attention to physiological parameter data not displayed on the monitoring interface, or tend to view physiological parameter data displayed in other forms.
  • this application provides a monitoring method for patients, which is suitable for monitor devices.
  • Figure 1 provides a system framework diagram of a multi-parameter monitor or module assembly.
  • the multi-parameter monitor or module assembly includes at least a parameter measurement circuit 112.
  • the parameter measurement circuit 112 includes at least one parameter measurement circuit corresponding to physiological parameters.
  • the parameter measurement circuit 112 includes at least an ECG signal parameter measurement circuit, a respiratory parameter measurement circuit, a body temperature parameter measurement circuit, a blood oxygen parameter measurement circuit, a non-invasive blood pressure parameter measurement circuit, There is at least one parameter measurement circuit among invasive blood pressure parameter measurement circuits and the like, and each parameter measurement circuit 112 is connected to an externally inserted sensor accessory 111 through a corresponding sensor interface, respectively.
  • the sensor accessory 111 includes a detection accessory corresponding to the detection of physiological parameters such as electrocardiographic respiration, blood oxygen, blood pressure, and body temperature.
  • the parameter measurement circuit 112 is mainly used to connect the sensor accessory 111 to obtain the collected physiological parameter signal, and may include at least two or more physiological parameter measurement circuits.
  • the parameter measurement circuit 112 may be, but not limited to, a physiological parameter measurement circuit (module), Human physiological parameter measurement circuit (module) or sensor collects human physiological parameters and so on.
  • the parameter measurement circuit 112 obtains an external physiological parameter sensor accessory through an extended interface to obtain physiological sampling signals about the patient, and obtains physiological data after processing for alarming and displaying.
  • the extended interface can also be used to output the control signal about how to collect physiological parameters output by the main control circuit to the external physiological parameter monitoring accessory through the corresponding interface to realize the monitoring and control of the patient's physiological parameters.
  • the multi-parameter monitor or module component may further include a main control circuit 113, which needs to include at least one processor and at least one memory.
  • the main control circuit 113 may also include a power management management module, a power IP module, and an interface conversion At least one of circuits and the like.
  • the power management module is used to control the power on/off of the whole machine, the power-on sequence of each power domain inside the board, and battery charging and discharging.
  • the power IP module refers to correlating the schematic diagram of the power circuit unit that is frequently called repeatedly and the PCB layout, and curing into a separate power module, that is, converting an input voltage into an output voltage through a predetermined circuit, wherein the input voltage and The output voltage is different.
  • the power IP module may be single-channel or multi-channel.
  • the power IP module can convert an input voltage to an output voltage.
  • the power IP module can convert one input voltage to multiple output voltages, and the voltage values of the multiple output voltages can be the same or different, so as to meet the needs of multiple electronic components at the same time. Voltage demand, and the module has few external interfaces, working in the system is a black box decoupled from the external hardware system, improving the reliability of the entire power system.
  • the interface conversion circuit is used to convert the signal output by the main control minimum system module (that is, at least one processor and at least one memory in the main control circuit) into the input standard signal required by the actual external device, for example, supporting external VGA display
  • the function is to convert the RGB digital signal output from the main control CPU to a VGA analog signal, support external network functions, and convert the RMII signal to a standard network differential signal.
  • the multi-parameter monitor or module assembly may also include one or more of a local display 114, an alarm circuit 116, an input interface circuit 117, an external communication, and a power interface 115.
  • the main control circuit is used to coordinate and control each board, circuit and equipment in the multi-parameter monitor or module assembly.
  • the main control circuit is used to control the data interaction between the parameter measurement circuit 112 and the communication interface circuit, as well as the transmission of control signals, and send the physiological data to the display 114 for display, or it can be received from the touch screen or User control commands input by physical input interface circuits such as keyboards and keys can of course also output control signals on how to collect physiological parameters.
  • the alarm circuit 116 may be an audible and visual alarm circuit.
  • the main control circuit completes the calculation of physiological parameters, and can send the calculation results and waveforms of the parameters to the host (such as the host with a display, PC, central station, etc.) through external communication and power interface 115, external communication and power interface 115
  • the host such as the host with a display, PC, central station, etc.
  • external communication and power interface 115 It can be one or a combination of LAN interfaces composed of Ethernet (Token), Token Ring (Token Ring), Token Bus (Token Bus), and the Backbone Network Fiber Distributed Data Interface (FDDI) as the three networks.
  • FDDI Backbone Network Fiber Distributed Data Interface
  • It can also be one or a combination of wireless interfaces such as infrared, Bluetooth, wifi, and WMTS communication, or one or a combination of wired data connection interfaces such as RS232 and USB.
  • the external communication and power interface 115 may also be one or a combination of two of a wireless data transmission interface and a wired data transmission interface.
  • the host computer can be any computer equipment such as the host computer of the monitor, the electrocardiograph, the ultrasound diagnostic apparatus, and the computer. By installing the matched software, a monitor device can be formed.
  • the host can also be a communication device, such as a mobile phone, a multi-parameter monitor, or a module component, which sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface, so as to realize remote transmission of data.
  • the multi-parameter monitoring module component can be set outside the monitor casing.
  • an independent external parameter module it can be inserted into the monitor host (including the main control board) to form a plug-in monitor as part of the monitor, or It can be connected to the host of the monitor (including the main control board) through a cable, and the external parameter module is used as an external accessory of the monitor.
  • parameter processing can also be built into the housing, integrated with the main control module, or physically separated within the housing to form an integrated monitor.
  • a possible embodiment of the method for monitoring a patient in this application includes:
  • At least two monitoring modes may be pre-stored in the memory of the monitoring device, and the monitoring device may select one monitoring mode from at least two monitoring modes.
  • the selected monitoring mode is called a target monitoring mode.
  • the at least two monitoring modes stored in advance may include a first monitoring mode and a second monitoring mode, and in addition, may also include other monitoring modes.
  • At least two monitoring modes in different monitoring modes have different monitoring interfaces, or different alarm rules, or different monitoring interfaces and alarm rules.
  • the monitoring device may use a sensor accessory connected to the human body to acquire physiological parameter acquisition signals every first time period according to a preset sampling period.
  • the monitoring device may obtain the updated data of the physiological parameters according to the acquired signal of the physiological parameters every second time interval according to the preset first calculation period, and the updated data is the data of the physiological parameters obtained most recently, and the physiological parameters are obtained again When updating the data, the previously obtained updated data of the physiological parameters are recorded in the memory of the monitoring device as historical data of the physiological parameters.
  • the sampling period is generally less than the first calculation period, and the second duration is usually several times the first duration. Therefore, the monitoring device usually follows the first calculation period and based on multiple acquisition signals of the physiological parameters acquired within the second duration Obtain updated data of physiological parameters.
  • Common physiological parameters include: electrocardiogram (ECG), respiration (RESP), blood oxygen saturation (SPO2) and non-invasive blood pressure (NIBP).
  • the target monitoring mode is the first monitoring mode, display the updated data of the physiological parameters, and/or, alarm according to the updated data of the physiological parameters;
  • the monitoring device may display the updated data of the physiological parameters. Assuming that the monitoring device obtains acquisition signals of more than two physiological parameters, the monitoring device can simultaneously display the updated data of more than two physiological parameters on the monitoring interface, and the updated data of each physiological parameter is in a separate area in the monitoring interface For display.
  • the monitoring device may alarm according to the updated data of the physiological parameters. Assuming that the monitoring device acquires more than two physiological parameter acquisition signals, the monitoring device can obtain updated data of more than two physiological parameters based on the acquisition signals of more than two physiological parameters. All physiological parameters are used as alarm reference parameters. When the updated data of any alarm reference parameter exceeds the alarm threshold, the monitoring device can generate an alarm signal. Each time the monitoring device obtains an update data of the physiological parameter, it compares it with the alarm threshold to determine whether an alarm signal needs to be generated, or the monitoring device can generate based on the updated data of the physiological parameter according to the alarm period specified in the first monitoring mode Alarm.
  • the target monitoring mode is the second monitoring mode
  • obtain statistical parameters about the physiological parameters based on the acquired signals of the physiological parameters obtained above display the updated data of the statistical parameters, and/or alarm according to the updated data of the statistical parameters.
  • the monitoring device may display the updated data of the statistical parameters, and/or alarm according to the updated data of the statistical parameters, the statistical parameters are used to indicate the statistical results of the physiological parameters, for example, the statistical parameters may The statistical results of the updated data of multiple physiological parameters are indicated, or the statistical results of the updated data and historical data of a single physiological parameter may be indicated.
  • the difference between the first monitoring mode and the second monitoring mode can be reflected in different monitoring interfaces.
  • the monitoring device displays the updated data of the physiological parameters and does not display the update of the statistical parameters Data
  • the target monitoring mode is the second monitoring mode
  • the monitoring device displays the updated data of the statistical parameters; or, the difference between the first monitoring mode and the second monitoring mode can be reflected in the different alarm rules.
  • the monitoring device when When the target monitoring mode is the first monitoring mode, the monitoring device alarms according to the updated data of the physiological parameters, and does not alarm based on the updated data of the statistical parameters.
  • the monitoring device updates the data according to the statistical parameters Alarming; or, the difference between the first monitoring mode and the second monitoring mode can be reflected in the difference between the monitoring interface and the alarm rule at the same time.
  • the difference between the monitoring interface and the alarm rule please refer to the above description, which will not be repeated here.
  • the monitoring The device can select the first monitoring mode, so that medical staff can find abnormal physiological parameters in time and perform emergency treatment on the patient; when the patient's condition improves, the fluctuation of the patient's physiological parameter data is small.
  • the monitoring device can select the first monitoring mode.
  • Second monitoring mode to facilitate medical staff to grasp the patient's recovery and reduce false alarms caused by patient activities. It can be seen that by providing at least two monitoring modes, the monitoring equipment of the present application can facilitate the medical staff to timely understand the patient's condition and reduce the operation of the medical staff.
  • a possible specific implementation method of the monitoring device monitoring the patient according to the second monitoring mode may include:
  • steps 301 and 302 reference may be made to the relevant descriptions of steps 202 and 203, which will not be repeated here.
  • the monitoring device After the monitoring device obtains the updated data of the physiological parameters, it can calculate the updated data of the statistical parameters according to the updated data of the physiological parameters at every third time interval, or according to the updated data of the physiological parameters and the historical data according to the preset second calculation period , Statistical parameters are used to indicate the statistical results of physiological parameters.
  • the updated data of the statistical parameter is the data of the statistical parameter calculated last time.
  • the updated data of the statistical parameter is obtained again, the updated data of the statistical parameter obtained in the past is recorded in the memory of the monitoring device as the historical data of the statistical parameter.
  • the first calculation period is generally less than the second calculation period.
  • the third duration may be several times the second duration. In this case, the monitoring device calculates the updated data of the physiological parameter multiple times before The updated data of the statistical parameters will be calculated once.
  • the monitoring device may adjust the second calculation cycle according to the updated data of the calculated statistical parameters.
  • the monitoring device may shorten the second Calculation period.
  • the monitoring device may extend the second calculation period, reduce the calculation frequency of the statistical parameter, and reduce the operation cost of the monitoring device.
  • the statistical parameter may include at least one of a first statistical parameter and a second statistical parameter, where the first statistical parameter is used to indicate a statistical result of updated data of multiple physiological parameters, The second statistical parameter is used to indicate the statistical results of the updated data and historical data of a single physiological parameter.
  • the monitoring device calculating the updated data of the first statistical parameter according to the updated data of the physiological parameter may specifically include:
  • the monitoring device calculates the updated data of the first statistical parameter according to the updated data of more than two physiological parameters.
  • the monitoring device can obtain updated data of more than two physiological parameters based on the collected signals of more than two physiological parameters, and then can calculate based on the updated data of more than two physiological parameters Update data of the first statistical parameter.
  • the first statistical parameter may be a health score, which is used to indicate the severity of the patient's condition.
  • the health score may include at least one of acute physiological and chronic health score APACHE, early warning score EWS, and modified early warning score NEWS.
  • the monitoring equipment can be based on physiological parameters such as respiration rate RR, blood oxygen saturation SpO2, body temperature Temp, systolic blood pressure BP-S, heart rate HR, state of consciousness LOC (AVPU), oxygen supply Supp.O2, etc.
  • the data is updated to score the corresponding physiological parameters, and then, the monitoring device may sum the scores of various physiological parameters to obtain updated data of the patient's EWS.
  • the updated data of EWS is the data of the latest EWS calculated. When the updated data of EWS is obtained again, the updated data of EWS obtained in the past is recorded as the historical data of EWS in the memory of the monitoring device.
  • the monitoring device calculating the updated data of the second statistical parameter according to the updated data of the physiological parameter may specifically include:
  • the monitoring device calculates the updated data of the second statistical parameter according to the updated data of the single physiological parameter and the historical data.
  • the monitoring device may calculate the updated data of the second statistical parameter corresponding to the physiological parameter according to the updated data of the single physiological parameter and the historical data.
  • the second statistical parameter may be the stability of a single physiological parameter.
  • the monitoring device may calculate the stability of the heart rate according to the updated data of the heart rate and the historical data within a certain period of time as the second statistical parameter. Assuming that the monitoring device obtains updated data of two or more physiological parameters, then the monitoring device may calculate the updated data of the second statistical parameter of some or all of the two or more physiological parameters. That is, the second statistical parameter may include the stability of heart rate, the stability of body temperature, and the stability of blood oxygen saturation.
  • the monitoring device After the monitoring device calculates the updated data of the statistical parameters, it can display the updated data of the statistical parameters and generate an alarm signal based on the calculated updated data of the statistical parameters. Specifically, each time the monitoring device obtains an updated data of the statistical parameter, it compares it with the alarm threshold to determine whether an alarm signal needs to be generated, or the monitoring device may base on the statistical parameter based on the alarm period specified in the second monitoring mode The updated data generates an alarm signal.
  • the alarm period specified in the first monitoring mode may be less than The alarm period specified in the second monitoring mode, that is to say, the period that the monitoring device performs the alarm based on the updated data of the physiological parameter is less than the period that the monitoring device performs the alarm based on the updated data of the statistical parameter.
  • the monitoring device may also display historical data of physiological parameters on the monitoring interface.
  • 4 is a possible schematic diagram of a monitoring interface corresponding to a first monitoring mode.
  • the monitoring interface corresponding to the first monitoring mode may include an updated data display zone Z1 of physiological parameters and a history Data display area Z2, physiological parameter update data display area Z1 is used to display the updated data of physiological parameters in the form of text values and waveforms, and the historical data display area of physiological parameters displays physiological parameters in the form of a list in the most recent paragraph Text value of historical data within the duration.
  • Figure 4 takes the four physiological parameters ECG, respiration frequency RESP, blood oxygen saturation SPO2 and noninvasive blood pressure NIBP as examples. In actual use, other physiological parameters may also be included.
  • the monitoring device may also display historical data of statistical parameters on the monitoring interface.
  • the monitoring interface corresponding to the second monitoring mode may also display updated data and historical data of physiological parameters.
  • 5 is a possible schematic diagram of the monitoring interface corresponding to the second monitoring mode.
  • the monitoring interface corresponding to the second monitoring mode may include a statistical parameter update data display area Z3, statistics The historical data display area Z4 of parameters, the updated data display area Z1 of physiological parameters and the historical data display area Z2 of physiological parameters, the statistical parameter is EWS as an example in FIG.
  • the physiological parameters are electrocardiogram ECG, respiratory frequency RESP, blood oxygen Saturation SPO2 and non-invasive blood pressure NIBP as examples.
  • the monitoring interface corresponding to the second monitoring mode may also display scores of various physiological parameters on which the statistical parameters are calculated, as shown in area Z5 in FIG. 5.
  • the monitoring interface corresponding to the second monitoring mode can display the health score and/or the scores of various physiological parameters in different background colors, so that the medical staff can determine the score based on the background color High and low, and then quickly determine the severity of the patient's condition.
  • the monitoring device may search for the action recommendation information corresponding to the updated data of the health score, and display the action recommendation information on the monitoring interface, as shown in FIG. 5
  • the area Z6 shown is used to prompt the medical staff to take measures against the patient according to the health score.
  • the monitoring device may also pre-store the third monitoring mode.
  • the target monitoring mode is the third monitoring mode
  • the monitoring device When the target monitoring mode is the third monitoring mode, the monitoring device generates and displays the physiological parameters changing with time based on the historical data of the physiological parameters The trend diagram, and/or the alarm period of the monitoring device is between the first monitoring mode and the second monitoring mode.
  • 6 is a possible schematic diagram of a monitoring interface corresponding to a third monitoring mode.
  • the monitoring interface corresponding to the third monitoring mode may include an updated data display zone Z1 for physiological parameters, physiological The historical data display area Z2 of the parameter and the trend schematic display area Z7 of the physiological parameter change with time.
  • Figure 6 takes the four physiological parameters ECG, respiration frequency RESP, blood oxygen saturation SPO2 and noninvasive blood pressure NIBP as examples. In actual use, other physiological parameters may also be included.
  • the following provides a possible implementation method for the monitoring device to select the target monitoring mode from at least two monitoring modes:
  • the monitoring device may select the target monitoring mode from at least two monitoring modes according to the user's selection instruction for the target monitoring mode.
  • the medical staff can select the target monitoring mode from at least two monitoring modes pre-stored in the monitoring device according to the critical condition of the patient's condition. For example, if the patient's condition is more critical, the medical staff can select the first monitoring mode, and if the patient's condition is mild, the medical staff can select the second monitoring mode.
  • the way for the medical staff to give the monitoring device a selection instruction for the target monitoring mode may include: sliding the operation on the screen by operating the mouse, or sliding the operation on the touch screen by using contacts (finger, touch pen, etc.), To issue an instruction to switch the current monitoring mode to the target monitoring mode; or, select from the menu listing options for each monitoring mode to issue a selection command for the target monitoring mode.
  • the monitoring device may select the target monitoring mode according to the severity of the patient's condition.
  • a possible refinement step of step 201 may include:
  • steps 701 and 702 reference may be made to the relevant descriptions of steps 202 and 203, and details are not described here.
  • the monitoring device can determine the criticality of the patient's condition based on the updated data of a certain physiological parameter, or can also determine the criticality of the patient's condition based on the updated data of multiple physiological parameters, for example, by updating the statistical parameters
  • the data represent the severity of the patient's condition.
  • the monitoring device may preset the corresponding relationship between each monitoring mode and the severity of the patient's condition in at least two monitoring modes. After determining the severity of the patient's condition, it may be selected and determined from at least two monitoring modes according to the preset correspondence.
  • the patient’s critical condition corresponds to the target monitoring mode.
  • the degree of criticality of the patient corresponding to the first monitoring mode is higher than the degree of criticality of the patient corresponding to the second monitoring mode.
  • the monitoring device can select the first monitoring mode; when the critical condition of the patient determined by the monitoring device indicates that the patient's condition is relatively mild, the monitoring device can Select the second monitoring mode.
  • the monitoring device may perform steps 701 to 704 every time the human body starts to be connected, or the monitoring device may periodically perform steps 701 to 704, such as once every hour.
  • the monitoring device can select the target monitoring mode according to the medical site.
  • another possible refinement step of step 201 may include:
  • the monitoring device may detect the identification information of the current medical place every time the human body starts to be connected, or may periodically detect the identification information of the current medical place. Because patients with different medical conditions, such as critically ill patients and ordinary patients, usually require large differences in medical equipment, therefore, medical institutions usually provide different medical places for patients according to the patient's condition, such as medical places for critical patients It generally includes an intensive care unit, an operating room, an emergency room, etc., providing ordinary patients with general wards, and different medical places are equipped with medical equipment suitable for the condition. By monitoring the identification information of the current medical place, the monitoring equipment can determine the applicable medical condition of the current medical place (such as the severity of the condition), and then determine the medical condition of the monitored patient (such as the severity of the condition).
  • the applicable medical condition of the current medical place such as the severity of the condition
  • the identification information of the current medical site may refer to the identification of the network to which the monitoring device is connected.
  • the monitoring equipment can be connected to the network for software maintenance and remote monitoring of the patient's condition by medical staff.
  • the identification information of the network corresponding to different medical sites is generally different.
  • the identification information of the network can include the physical address, IP address, and network interface information of the network Wait.
  • the monitoring device may pre-store the correspondence between the identification information of each network and the illness (such as the severity of the illness), and the illness (such as the severity of the illness) of the patient being monitored can be determined by detecting the identification information of the connected network.
  • the monitoring device may pre-store the correspondence between the identification information of the medical site and the monitoring mode, and after detecting the identification information of the current medical site, the monitoring device may select the identification information of the current medical site from at least two monitoring modes according to the corresponding relationship Match the target monitoring mode.
  • the correspondence between the identification information of the medical place and the monitoring mode can be set according to the medical condition corresponding to the identification information of the medical place (such as the severity of the condition), for example, when the corresponding medical condition is more critical, the identification of the medical place The information corresponds to the first monitoring mode, and when the corresponding medical condition is relatively minor, the identification information of the medical place corresponds to the second monitoring mode.
  • this application provides a monitoring device, including:
  • a parameter measuring circuit 112 the parameter measuring circuit 112 is electrically connected to the sensor accessory 111 provided on the patient's body to obtain data of at least one vital sign;
  • the memory is used to store the computer program, and when the processor is used to execute the computer program stored in the memory, the following steps may be implemented:
  • a target monitoring mode from at least two monitoring modes, at least two monitoring modes including a first monitoring mode and a second monitoring mode;
  • the target monitoring mode is the first monitoring mode
  • the updated data of the physiological parameters are displayed, and/or, an alarm is generated according to the updated data of the physiological parameters
  • the target monitoring mode is the second monitoring mode
  • the updated data of the statistical parameters is displayed, and/or an alarm is generated according to the updated data of the statistical parameters, and the statistical parameters are used to represent the statistical results of the physiological parameters.
  • the processor when the target monitoring mode is the second monitoring mode, the processor is further configured to:
  • the updated data of the statistical parameters is calculated according to the updated data of the physiological parameters.
  • the statistical parameter includes at least one of the first statistical parameter and the second statistical parameter
  • the processor is specifically configured to:
  • Calculating the updated data of the second statistical parameter according to the updated data of the physiological parameter includes:
  • the updated data of the second statistical parameter is calculated based on the updated data of the single physiological parameter and the historical data.
  • the first statistical parameter is a health score
  • the health score is used to indicate the severity of the patient's condition.
  • the health score includes at least one of acute physiological and chronic health score APACHE, early warning score EWS, and modified early warning score NEWS.
  • the second statistical parameter is the stability of a single physiological parameter.
  • the period that the processor performs the alarm based on the updated data of the physiological parameter is less than the period that the processor performs the alarm based on the updated data of the statistical parameter.
  • At least two monitoring modes further include a third monitoring mode; when the target monitoring mode is the third monitoring mode, the processor generates and displays physiological parameters changing with time according to historical data of physiological parameters The trend diagram of, and/or, the alarm period of the processor is between the first monitoring mode and the second monitoring mode.
  • the processor is specifically used to:
  • the target monitoring mode is selected from at least two monitoring modes according to the user's selection instruction.
  • the processor is specifically used to:
  • the target monitoring mode corresponding to the determined criticality of the patient's condition is selected from at least two monitoring modes.
  • the processor is specifically used to:
  • the monitoring device provided by the present application is used to implement the method provided by the foregoing method embodiments, and produces the same beneficial effects. For more details, reference may be made to the description in the foregoing method embodiments, and details are not described here.
  • the present application also provides a computer device.
  • the computer device includes a processor.
  • the processor is used to execute a computer program stored in a memory, the following steps are implemented:
  • a target monitoring mode from at least two monitoring modes, the at least two monitoring modes including a first monitoring mode and a second monitoring mode;
  • the target monitoring mode is the first monitoring mode, displaying the updated data of the physiological parameter, and/or alarming according to the updated data of the physiological parameter;
  • update data of statistical parameters is displayed, and/or an alarm is generated according to the updated data of the statistical parameters, and the statistical parameters are used to represent the statistical results of the physiological parameters.
  • the updated data of the statistical parameter is calculated according to the updated data of the physiological parameter.
  • the statistical parameters include at least one of the first statistical parameters and the second statistical parameters.
  • Calculating the updated data of the first statistical parameter according to the updated data of the physiological parameter includes:
  • Calculating the updated data of the second statistical parameter according to the updated data of the physiological parameter includes:
  • the updated data of the second statistical parameter is calculated based on the updated data of the single physiological parameter and the historical data.
  • the first statistical parameter is a health score, which is used to indicate the severity of the patient's condition.
  • the health score includes at least one of acute physiological and chronic health score APACHE, early warning score EWS, and modified early warning score NEWS.
  • the second statistical parameter is the stability of a single physiological parameter.
  • the period that the monitoring device performs the alarm based on the updated data of the physiological parameter is less than the period that the monitoring device performs the alarm based on the updated data of the statistical parameter.
  • the at least two monitoring modes further include a third monitoring mode.
  • the processor is used to execute the computer program stored in the memory, the following steps may also be implemented:
  • the target monitoring mode is the third monitoring mode
  • a trend diagram of physiological parameters changes over time is generated and displayed based on the historical data of the physiological parameters, and/or the alarm period of the monitoring device is between the first monitoring mode and the second monitoring mode between.
  • the target monitoring mode is selected from at least two monitoring modes according to the user's selection instruction.
  • the target monitoring mode corresponding to the determined criticality of the patient's condition is selected from at least two monitoring modes.
  • the present application also provides a computer-readable storage medium.
  • the computer-readable storage medium stores a computer program.
  • the computer program When executed by a processor, the following steps may be implemented:
  • a target monitoring mode from at least two monitoring modes, at least two monitoring modes including a first monitoring mode and a second monitoring mode;
  • the target monitoring mode is the first monitoring mode
  • the updated data of the physiological parameters are displayed, and/or, an alarm is generated according to the updated data of the physiological parameters
  • the target monitoring mode is the second monitoring mode
  • the updated data of the statistical parameters is displayed, and/or an alarm is generated according to the updated data of the statistical parameters, and the statistical parameters are used to represent the statistical results of the physiological parameters.
  • the updated data of the statistical parameter is calculated according to the updated data of the physiological parameter.
  • the statistical parameters include at least one of the first statistical parameters and the second statistical parameters.
  • Calculating the updated data of the first statistical parameter according to the updated data of the physiological parameter includes:
  • Calculating the updated data of the second statistical parameter according to the updated data of the physiological parameter includes:
  • the updated data of the second statistical parameter is calculated based on the updated data of the single physiological parameter and the historical data.
  • the first statistical parameter is a health score, which is used to indicate the severity of the patient's condition.
  • the health score includes at least one of acute physiological and chronic health score APACHE, early warning score EWS, and modified early warning score NEWS.
  • the second statistical parameter is the stability of a single physiological parameter.
  • the period that the monitoring device performs the alarm based on the updated data of the physiological parameter is less than the period that the monitoring device performs the alarm based on the updated data of the statistical parameter.
  • the at least two monitoring modes further include a third monitoring mode.
  • the following steps may also be implemented:
  • the target monitoring mode is the third monitoring mode
  • a schematic diagram of the trend of the physiological parameters over time is generated and displayed based on the historical data of the physiological parameters, and/or the alarm period of the monitoring device is between the first monitoring mode and the second monitoring mode between.
  • the target monitoring mode is selected from at least two monitoring modes according to the user's selection instruction.
  • the target monitoring mode corresponding to the determined criticality of the patient's condition is selected from at least two monitoring modes.
  • the integrated unit may be stored in a corresponding computer-readable storage medium.
  • the present application can implement all or part of the processes in the above corresponding embodiment methods, or it can be completed by a computer program instructing relevant hardware.
  • the computer program can be stored in a computer-readable storage medium.
  • the steps of the foregoing method embodiments may be implemented.
  • the computer program includes computer program code, and the computer program code may be in a source code form, an object code form, an executable file, or some intermediate form, etc.
  • the computer-readable medium may include: any entity or device capable of carrying the computer program code, a recording medium, a USB flash drive, a mobile hard disk, a magnetic disk, an optical disc, a computer memory, and a read-only memory (ROM, Read-Only Memory) , Random Access Memory (RAM, Random Access Memory), electrical carrier signals, telecommunications signals and software distribution media, etc.
  • ROM Read-Only Memory
  • RAM Random Access Memory
  • electrical carrier signals telecommunications signals and software distribution media, etc.
  • the content contained in the computer-readable medium can be appropriately increased or decreased according to the requirements of legislation and patent practice in jurisdictions. For example, in some jurisdictions, according to legislation and patent practice, computer-readable media Does not include electrical carrier signals and telecommunications signals.
  • the disclosed system, device, and method may be implemented in other ways.
  • the device embodiments described above are only schematic.
  • the division of the units is only a logical function division, and there may be other divisions in actual implementation, for example, multiple units or components may be combined or Can be integrated into another system, or some features can be ignored, or not implemented.
  • the displayed or discussed mutual coupling or direct coupling or communication connection may be indirect coupling or communication connection through some interfaces, devices or units, and may be in electrical, mechanical, or other forms.
  • the units described as separate components may or may not be physically separated, and the components displayed as units may or may not be physical units, that is, they may be located in one place, or may be distributed on multiple network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of this embodiment.
  • each functional unit in each embodiment of the present application may be integrated into one processing unit, or each unit may exist alone physically, or two or more units may be integrated into one unit.

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  • General Business, Economics & Management (AREA)
  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • Public Health (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

L'invention concerne un procédé de surveillance et un dispositif de surveillance pour un patient, un appareil informatique et un support de stockage lisible par ordinateur, le procédé de surveillance comprenant : la sélection d'un mode de surveillance cible parmi au moins deux modes de surveillance (201) ; l'acquisition d'un signal de collecte d'un paramètre physiologique à l'aide d'un accessoire de capteur (111) relié à un corps humain (202) ; l'obtention des données mises à jour du paramètre physiologique en fonction du signal de collecte du paramètre physiologique (203) ; lorsque le mode de surveillance cible est un premier mode de surveillance, l'affichage des données mises à jour du paramètre physiologique, et/ou l'émission d'une alarme en fonction des données mises à jour du paramètre physiologique (204) ; et lorsque le mode de surveillance cible est un second mode de surveillance, l'obtention d'un paramètre statistique concernant le paramètre physiologique sur la base du signal de collecte du paramètre physiologique obtenu, l'affichage des données mises à jour du paramètre statistique, et/ou l'émission d'une alarme en fonction des données mises à jour du paramètre statistique (205), ce qui aide le personnel médical à comprendre rapidement l'état d'un patient et réduit la fréquence de fonctionnement du personnel médical.
PCT/CN2018/125339 2018-12-29 2018-12-29 Procédé et appareil de surveillance d'un patient Ceased WO2020133347A1 (fr)

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