WO2020258333A1 - Monitoring and processing method and device, and storage medium - Google Patents
Monitoring and processing method and device, and storage medium Download PDFInfo
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- WO2020258333A1 WO2020258333A1 PCT/CN2019/093919 CN2019093919W WO2020258333A1 WO 2020258333 A1 WO2020258333 A1 WO 2020258333A1 CN 2019093919 W CN2019093919 W CN 2019093919W WO 2020258333 A1 WO2020258333 A1 WO 2020258333A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient; User input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/361—Detecting fibrillation
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/363—Detecting tachycardia or bradycardia
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
- A61B5/346—Analysis of electrocardiograms
- A61B5/349—Detecting specific parameters of the electrocardiograph cycle
- A61B5/366—Detecting abnormal QRS complex, e.g. widening
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
Definitions
- the embodiment of the present invention relates to the technical field of medical equipment, in particular to a monitoring processing method and device, and a storage medium.
- monitoring equipment such as bedside monitors generally integrate the function of monitoring the ECG to realize real-time continuous monitoring of the target object's ECG, focusing on real-time heart conditions such as heart rate and arrhythmia.
- the monitoring of the ECG is based on the ECG signal obtained in real time for monitoring analysis and alarming.
- the condition of the target subject is complex and changeable.
- the same alarm method may not be suitable for every target object, that is, the intelligence of real-time monitoring and alarm is low.
- the embodiments of the present invention expect to provide a monitoring processing method, device, and storage medium, which utilize auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust it in combination with the real-time analysis result Monitoring alarm level to meet the actual monitoring needs of the target object, thereby improving the intelligence of real-time monitoring.
- the embodiment of the present invention provides a monitoring processing device, the device including:
- the ECG monitoring module is used to obtain the ECG monitoring analysis result corresponding to the target object
- the ECG diagnosis module is used to obtain the ECG diagnosis analysis result corresponding to the target object
- a fusion analysis module connected to the ECG monitoring module and the ECG diagnosis module, and used to fuse the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain fusion result information;
- the alarm processing module is connected to the fusion analysis module and is used to adjust the ECG monitoring alarm strategy according to the fusion result information.
- the embodiment of the present invention provides a monitoring processing device, the device including:
- the first acquisition module is configured to acquire real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time status of the target object;
- the second acquisition module is used to acquire auxiliary analysis information corresponding to the target object
- a real-time analysis module connected to the first acquisition module, and configured to determine a real-time analysis result according to the real-time monitoring information
- the processing module is connected to the first acquisition module and the real-time analysis module, and is configured to perform monitoring adjustment processing according to the real-time analysis result and the auxiliary analysis information according to a preset monitoring adjustment mode.
- the embodiment of the present invention provides a monitoring processing method, the method includes:
- monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information analysis result.
- the embodiment of the present invention provides a monitoring processing method, the method includes:
- the embodiment of the present invention provides a monitoring system, including:
- the parameter measurement circuit uses the sensor attachment connected with the target object to obtain real-time monitoring information corresponding to the target object;
- the processor performs the following steps:
- the monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information.
- the embodiment of the present invention provides a computer-readable storage medium that stores a first monitoring processing program, and the monitoring processing program can be executed by a processor to implement a monitoring processing method.
- the embodiment of the present invention provides a computer-readable storage medium, the computer-readable storage medium stores a second monitoring processing program, and the monitoring processing program can be executed by a processor to implement a monitoring processing method.
- the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for acquiring Auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results based on real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to follow the preset
- the monitoring adjustment method is to perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information.
- the technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
- Figure 1 is a system framework diagram of a multi-parameter monitor or monitoring processing device provided by an embodiment of the present invention
- Figure 2 is a monitor networking system for hospital use provided by an embodiment of the present invention
- FIG. 3 is a first structural diagram of a monitoring processing device provided by an embodiment of the present invention.
- FIG. 4 is a second structural diagram of a monitoring processing device provided by an embodiment of the present invention.
- FIG. 5 is a schematic structural diagram of an ECG monitoring module provided by an embodiment of the present invention.
- FIG. 6 is a schematic structural diagram of an ECG diagnostic module provided by an embodiment of the present invention.
- FIG. 7 is a schematic structural diagram of a fusion analysis module provided by an embodiment of the present invention.
- FIG. 8 is a first schematic flowchart of a monitoring processing method according to an embodiment of the present invention.
- FIG. 9 is a second schematic flowchart of a monitoring processing method according to an embodiment of the present invention.
- Fig. 10 is a schematic structural diagram of a monitoring system provided by an embodiment of the present invention.
- the multi-parameter monitor or monitoring processing device includes at least a parameter measurement circuit 112.
- the parameter measurement circuit 112 includes at least one parameter measurement circuit corresponding to a physiological parameter.
- the parameter measurement circuit 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 noninvasive blood pressure parameter measurement circuit, and a At least one parameter measurement circuit in the blood pressure parameter measurement circuit, etc., each parameter measurement circuit is respectively connected to the externally inserted sensor accessory 111 through a corresponding sensor interface.
- the sensor accessories 111 include detection accessories corresponding to the detection of physiological parameters such as ECG respiration, blood oxygen, blood pressure, and body temperature.
- the parameter measurement circuit is mainly used to connect the sensor attachment 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 is not limited to, a physiological parameter measurement circuit (module).
- Physiological parameter measurement circuit (module) or sensor collects human physiological parameters, etc.
- the parameter measurement circuit obtains the external physiological parameter sensor attachment through the extended interface to obtain the physiological sampling signal of the target object, and obtains the physiological data after processing for alarm and display.
- the extended interface can also be used to output the control signal on how to collect the 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 physiological parameters of the target object.
- the multi-parameter monitor or monitoring processing device may also include a main control circuit 113.
- the main control circuit 113 needs to include at least one processor and at least one memory.
- the main control circuit 113 may also include a power management module, a power IP module, and an interface. At least one of the conversion circuit, etc.
- the power management module is used to control the power on and 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 associating the schematic diagram of the power circuit unit that is frequently called repeatedly with the PCB layout, and solidifying it into a separate power module, that is, converting an input voltage into an output voltage through a predetermined circuit, where the input voltage and The output voltage is different.
- the voltage of 15V is converted to 1.8V, 3.3V or 3.8V.
- the power IP module can be single-channel or multi-channel. When the power IP module is a single channel, the power IP module can convert an input voltage into an output voltage. When the power IP module is multi-channel, the power IP module can convert one input voltage into multiple output voltages, and the voltage values of the multiple output voltages can be the same or different, so as to meet the differences of multiple electronic components at the same time Voltage demand, and the module has few external interfaces, it works in the system as a black box decoupling from the external hardware system, which improves the reliability of the entire power supply 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 an input standard signal required by the actual external device, for example, to support an external VGA display
- the function is to convert the RGB digital signal output by the main control CPU into a VGA analog signal, support the external network function, and convert the RMII signal into a standard network differential signal.
- the multi-parameter monitor or monitoring processing device may also include one or more of a local display 114, an alarm circuit 116, an input interface circuit 117, and an external communication and power interface 115.
- the main control circuit 113 is used to coordinate and control the boards, circuits and devices in the multi-parameter monitor or monitoring processing device.
- the main control circuit 113 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 transmit the physiological data to the display 114 for display, or it can receive data from the touch screen.
- user control instructions input by physical input interface circuits such as keyboards and keys can 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 113 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 the external communication and power interface 115, and the external communication and power interface 115 can be one or a combination of Ethernet, Token Ring, Token Bus, and a local area network interface composed of the backbone fiber distribution data interface (FDDI) of these three networks It can also be one or a combination of wireless interfaces such as infrared, bluetooth, wifi, WMTS communication, or one or a combination of wired data connection interfaces such as RS232 and USB.
- FDDI backbone fiber distribution data interface
- the external communication and power interface 115 may also be one or a combination of a wireless data transmission interface and a wired data transmission interface.
- the host can be any computer equipment such as the host of the monitor, an electrocardiograph, an ultrasonic diagnostic apparatus, a computer, etc., and a monitoring device can be formed by installing matching software.
- the host can also be a communication device, such as a mobile phone, a multi-parameter monitor or a monitoring processing device that sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface to realize remote data transmission.
- the multi-parameter monitoring and processing device can be set outside the housing of the monitor as an independent external plug-in parameter module. It can be inserted into the host (including the main control board) of the monitor to form a plug-in monitor as a part of the monitor, or also It can be connected to the monitor's host (including the main control board) through a cable, and the external parameter module is used as an external accessory of the monitor.
- the parameter processing can also be built in the shell, integrated with the main control module, or physically separated and set in the shell to form an integrated monitor.
- a monitor network system used in the hospital is provided.
- the system can store the monitor data as a whole, centrally manage the target object information and the nursing information, and the two are stored in association, which is convenient for historical data. Save and associate alarms.
- a bedside monitor 212 can be provided for each hospital bed, and the bedside monitor 212 can be the aforementioned multi-parameter monitor or a plug-in monitor.
- each bedside monitor 212 can also be paired and transmitted with a portable monitoring device 213.
- the portable monitoring device 213 provides a simple and portable multi-parameter monitor or monitoring processing device that can be worn on the body of the target object to correspond to the target object
- the physiological data generated by the mobile monitoring can be transmitted to the bedside monitor 212 for display through the portable monitoring device 213 and the bedside monitor 212 after wired or wireless communication, or transmitted through the bedside monitor 212 Go to the central station 211 for doctors or nurses to view, or transmit to the data server 215 through the bedside monitor 212 for storage.
- the portable monitoring device 213 can also directly transmit the physiological data generated by mobile monitoring to the central station 211 for storage and display through the wireless network node 214 set in the hospital, or transfer the mobile monitoring device through the wireless network node 214 set in the hospital.
- the generated physiological data is transmitted to the data server 215 for storage. It can be seen that the data corresponding to the physiological parameters displayed on the bedside monitor 212 may be derived from a sensor accessory directly connected to the monitor, or from the portable monitoring device 213, or from a data server.
- FIG. 3 is a first structural diagram of a monitoring processing device provided by an embodiment of the present invention. As shown in Figure 3, the monitoring and processing device includes:
- the first acquisition module 301 is configured to acquire real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time state of the target object;
- the second obtaining module 302 is configured to obtain auxiliary analysis information corresponding to the target object
- the real-time analysis module 303 connected to the first acquisition module 301, is used to determine the real-time analysis result according to the real-time monitoring information;
- the processing module 304 is connected to the first acquisition module 301 and the real-time analysis module 303, and is configured to perform monitoring adjustment processing according to the real-time analysis result and auxiliary analysis information according to the preset monitoring adjustment mode.
- the target object is the patient who needs to be monitored.
- the real-time monitoring information may be any information that characterizes the real-time status of the target object, for example, real-time ECG signals.
- the specific real-time monitoring information is not limited in the embodiment of the present invention.
- the real-time monitoring information may be real-time ECG signals.
- the real-time analysis module 303 is specifically used to perform ECG monitoring and analysis on the real-time ECG signals to obtain ECG monitoring analysis results; Determine the result of real-time analysis.
- the first acquisition module 301 may specifically collect the patient’s real-time ECG signal in real time through the ECG sensor and specific hardware circuits, so as to transmit the real-time ECG signal to the first
- the real-time analysis module 303 connected to the acquisition module 301, the real-time analysis module 303 can perform ECG monitoring analysis on the real-time ECG signal, thereby obtaining the ECG monitoring analysis result.
- the real-time analysis module 303 may first perform software and/or hardware preprocessing for real-time ECG signals, including but not limited to filtering, notching, amplification, baseline correction, and noise suppression, And pacing suppression, etc. After that, the real-time analysis module 303 can analyze the pre-processed real-time ECG signal, including but not limited to heart rate analysis, arrhythmia analysis, ST analysis, and QT analysis.
- the specific analysis method is not limited in the embodiment of the present invention.
- the ECG monitoring analysis results obtained by the real-time analysis module 303 include, but are not limited to, heart rate results, arrhythmia analysis results, ST analysis results, and QT analysis results.
- the specific ECG monitoring analysis result is not limited in the embodiment of the present invention.
- the auxiliary analysis information may include the ECG diagnosis analysis result.
- the second obtaining module 302 is specifically used to obtain the offline ECG signal corresponding to the target object; perform ECG diagnosis and analysis on the offline ECG signal to obtain ECG diagnosis and analysis results.
- the second acquisition module 302 may specifically collect the patient's offline ECG signal through an ECG sensor and a specific hardware circuit.
- the ECG sensor and the specific hardware circuit may be the same as the ECG sensor and hardware circuit of the first acquisition module 301.
- the second acquiring module 302 can specifically acquire the ECG signal of the most recent period of time at the current moment, for example, the ECG signal 10 seconds before the current moment is an offline ECG signal. Understandably, the second obtaining module 302 may also obtain historical data closest to the current moment from the memory for analysis.
- the second acquisition module 302 may first perform software and hardware preprocessing for offline ECG signals, including but not limited to filtering, notching, amplification, baseline correction, and noise suppression. And pacing suppression, etc. After that, the second acquisition module 302 can analyze the preprocessed offline ECG signal, including but not limited to heart rate analysis, arrhythmia analysis, P-QRS-ST-T amplitude and period analysis, and ECG morphology analysis. The specific analysis method is not limited in the embodiment of the present invention.
- the ECG diagnosis analysis result obtained by the second obtaining module 302 includes, but is not limited to, the heart rate result, arrhythmia analysis result, morphological analysis result, and diagnosis information result.
- the specific ECG diagnosis analysis result is not limited in the embodiment of the present invention.
- the auxiliary analysis information may also include target object characteristic information, and the second acquisition module 302 is specifically configured to receive input target object characteristic information.
- the target object characteristic information includes target object basic information, case diagnosis information, image inspection information, and target object inspection information. Specific target object characteristic information is in the embodiment of the present invention.
- the medical staff can input the characteristic information of the target object, for example, the basic information of the target object, into the second acquisition module 302, and the second acquisition module 302 can directly receive the input target.
- Object characteristic information for example, the basic information of the target object
- the auxiliary analysis information acquired by the second acquisition module 302 may include the above-mentioned electrocardiographic diagnosis analysis result and target object characteristic information, and of course, may also include other signs and conditions that can characterize the patient. Information.
- the specific auxiliary analysis information is not limited in the embodiment of the present invention.
- the preset monitoring adjustment method includes adjusting the real-time monitoring alarm strategy, and the processing module 304 is specifically used to merge the real-time analysis result and auxiliary analysis information to obtain the fusion result information; adjust the real-time monitoring according to the fusion result information Alarm strategy.
- the processing module 304 may be a hardware processor, or may be a computer-usable storage medium, which is stored in a monitor, a central station, or other devices.
- the processing module 304 includes a fusion analysis module and an alarm adjustment module; the fusion analysis module is used to input the fusion result information into a preset fusion comparison library for comparison, and determine whether the preset fusion comparison library exists Fusion result information; if there is fusion result information in the preset fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; the alarm adjustment module is used to automatically adjust the real-time monitoring alarm strategy according to the alarm strategy information.
- the processing module 304 fuses the real-time analysis result and the auxiliary analysis information, which is actually implemented by the fusion analysis module.
- the processing module 304 fuses the real-time analysis result and the auxiliary analysis information through the fusion analysis module.
- the fusion can be carried out through certain combination rules, or from the real-time analysis result and auxiliary analysis. Part of the information is selected for fusion, and other methods can also be used for fusion.
- the specific fusion manner is not limited in the embodiment of the present invention.
- a preset fusion comparison library is stored in the monitoring processing device, which is used to compare the fusion result information.
- the specific fusion comparison library can be set independently according to actual monitoring requirements, which is not limited in the embodiment of the present invention.
- the results of electrocardiographic monitoring analysis (RECG) and the results of electrocardiographic diagnostic analysis (MECG) can be directly combined according to type or quantity, such as the combination of the RECG pre-excitation syndrome diagnosis result and the MECG atrial fibrillation analysis result
- type or quantity such as the combination of the RECG pre-excitation syndrome diagnosis result and the MECG atrial fibrillation analysis result
- the abnormal J wave diagnosis result of RECG is combined with the result of bradycardia analysis of MECG.
- the processing module 304 inputs the fusion result information into the preset fusion comparison library through the fusion analysis module for comparison, and determines whether the fusion result information exists in the preset fusion comparison library, if If it exists, it indicates that the alarm strategy needs to be adjusted, and then the corresponding alarm strategy information is further obtained and output to the alarm adjustment module.
- the information in the preset fusion comparison library can exist in text form or in coded form. When it exists in coded form, the fusion result information is converted into a code according to the preset coding method, and then combined with the fusion comparison library To compare the information.
- the preset fusion comparison library stores clinical high-risk ECG judgment criteria and experience
- the fusion result information is pre-excitation syndrome with rapid ventricular rate atrial fibrillation
- the processing module 304 fusion analysis module will The fusion result information is input into the preset fusion comparison library for comparison, and if such a fusion result is judged to exist, the corresponding alarm strategy information for raising the priority of AF detection is obtained and output to the alarm adjustment module.
- the reason for increasing the priority of atrial fibrillation detection is that atrial fibrillation in the pre-excitation condition can easily deteriorate into ventricular fibrillation, which is life-threatening.
- the alarm adjustment module of the processing module 304 can receive the alarm strategy information output by the fusion analysis module, and can adjust the real-time monitoring alarm strategy according to the alarm strategy information.
- the alarm adjustment module of the processing module 304 is also used to output adjustment prompt information based on the alarm strategy information; upon receiving a change instruction determined based on the adjustment prompt information, adjust the real-time monitoring alarm strategy according to the change instruction,
- the alarm policy information can be changed only after the user's confirmation.
- the alarm adjustment module of the processing module 304 can also output corresponding adjustment prompt information for the medical staff to confirm whether to proceed according to the alarm strategy information.
- Real-time monitoring and alarm strategy adjustment and when receiving a change instruction, adjust the real-time monitoring and alarm strategy according to the instruction of the change instruction.
- the medical staff judges that there is no need to adjust the real-time monitoring and alarm strategy at present, and the alarm adjustment module does not receive the change instruction, the current real-time monitoring and alarm strategy is maintained.
- the alarm adjustment module of the processing module 304 is specifically configured to adjust at least one of the alarm level, alarm content, and alarm condition in the real-time monitoring alarm strategy according to the alarm strategy information; the alarm content is at least Including one of the alarm event type and the presentation mode of the alarm event.
- the alarm presentation mode may specifically include the alarm volume, and the alarm font color.
- the fusion result information is pre-excitation syndrome with rapid ventricular rate atrial fibrillation
- the corresponding alarm strategy information is to raise the atrial fibrillation alarm level from intermediate to advanced. Therefore, the alarm adjustment module is based on The instructions of the alarm strategy information adjust the real-time monitoring alarm strategy, that is, the alarm level of atrial fibrillation is changed from intermediate to advanced.
- the fusion result information is abnormal J wave with bradycardia
- the corresponding alarm strategy information is to increase the priority of bradycardia. Therefore, the alarm adjustment module adjusts according to the instructions of the alarm strategy information.
- Real-time monitoring and alarm strategy that is, raising the priority of bradycardia. Understandably, while raising the priority of bradycardia, the alarm conditions for bradycardia can also be appropriately reduced, making the alarm for bradycardia more sensitive.
- the monitoring processing device may further include an alarm output module for outputting an alarm at least one of the real-time analysis result, auxiliary analysis information, and fusion result information according to the adjusted real-time alarm monitoring strategy.
- the alarm output module may be a display on which at least one of the real-time analysis result, auxiliary analysis information, and fusion result information is displayed.
- the real-time analysis result is bradycardia
- the auxiliary analysis information is abnormal J wave
- the fusion result information is abnormal J wave with bradycardia.
- the heartbeat The alarm level corresponding to the slowness is raised from intermediate to advanced, and the display module can alarm output for real-time analysis results according to the advanced alarm mode.
- the preset monitoring adjustment method includes adjusting the real-time analysis result
- the processing module 304 is specifically configured to adjust the real-time analysis result according to the auxiliary analysis information to obtain the adjusted real-time analysis result.
- the processing module 304 can directly adjust the real-time analysis result according to the auxiliary analysis information, including adding relevant information of the auxiliary analysis information to the real-time analysis result, for example, the real-time analysis result is tachycardia If the auxiliary analysis information is atrial fibrillation, the atrial fibrillation information can be added to the real-time analysis result, and the adjusted real-time analysis result is atrial fibrillation with tachycardia.
- the processing module 304 can also make some other types of adjustments to the real-time analysis results based on the auxiliary analysis information, for example, deleting or modifying part of the real-time analysis results, etc., so that the adjusted real-time analysis results obtained are more accurate.
- the specific adjustment method is not limited in the embodiment of the present invention.
- the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for acquiring Auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results based on real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to follow the preset
- the monitoring adjustment method is to perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information.
- the technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
- FIG. 4 is a second structural diagram of a monitoring processing device provided by an embodiment of the present invention. As shown in Figure 4, the monitoring and processing device includes:
- the ECG monitoring module 401 is used to obtain the ECG monitoring analysis result corresponding to the target object;
- the ECG diagnosis module 402 is used to obtain the ECG diagnosis analysis result corresponding to the target object;
- the fusion analysis module 403 is connected to the ECG monitoring module 401 and the ECG diagnosis module 402, and is used to fuse the ECG monitoring analysis results and the ECG diagnosis analysis results to obtain fusion result information;
- the alarm processing module 404 is connected to the fusion analysis module 403 and is used to adjust the ECG monitoring alarm strategy according to the fusion result information.
- Fig. 5 is a schematic structural diagram of an ECG monitoring module provided by an embodiment of the present invention. As shown in FIG. 5, the ECG monitoring module 401 includes:
- the real-time ECG acquisition module 4011 is used to acquire the real-time ECG signal corresponding to the target object;
- the first signal preprocessing module 4012 is connected to the real-time ECG acquisition module 4011, and is used to preprocess the real-time ECG signal to obtain the pre-processed real-time ECG signal;
- the monitoring ECG analysis module 4013 is connected to the first signal preprocessing module 4012, and is used to perform ECG monitoring analysis on the preprocessed real-time ECG signal to obtain the ECG monitoring analysis result.
- the real-time ECG acquisition module 4011 may specifically collect the patient's real-time ECG signal in real time through an ECG sensor and a hardware circuit.
- the first signal preprocessing module 4012 preprocesses real-time ECG signals, including but not limited to filtering, notching, amplification, baseline correction, noise suppression, and pacing Suppress and other processing.
- the monitoring ECG analysis module 4013 performs ECG monitoring analysis on the preprocessed real-time ECG signal, including but not limited to heart rate analysis, arrhythmia analysis, ST analysis, and QT Analysis, correspondingly, ECG monitoring analysis results include, but are not limited to, heart rate results, arrhythmia analysis results, ST analysis results, and QT analysis results.
- Fig. 6 is a schematic structural diagram of an ECG diagnostic module provided by an embodiment of the present invention. As shown in FIG. 6, the ECG diagnostic module 402 includes:
- the offline ECG signal acquisition module 4021 is used to acquire the offline ECG signal corresponding to the target object
- the second signal preprocessing module 4022 is connected to the offline ECG signal acquisition module 4021, and is used to preprocess the offline ECG signal to obtain the preprocessed offline ECG signal;
- the resting electrocardiogram analysis module 4023 is connected to the second signal preprocessing module 4022, and is used to perform electrocardiographic diagnosis and analysis on the preprocessed offline electrocardiogram signal to obtain the electrocardiographic diagnosis analysis result.
- the offline ECG signal acquisition module 4021 may specifically collect the patient's offline ECG signal for a period of time offline through the ECG sensor and hardware circuit.
- the second signal preprocessing module 4022 preprocesses the offline ECG signal
- the first signal preprocessing module 4021 preprocesses the real-time ECG signal. Similar, not repeat them here.
- the resting ECG analysis module 4023 analyzes the preprocessed offline ECG signals, including but not limited to heart rate analysis, arrhythmia analysis, P-QRS-ST-T Amplitude and period analysis, as well as ECG morphology analysis.
- ECG diagnosis analysis results include but are not limited to heart rate results, arrhythmia analysis results, morphological analysis results, and diagnosis information results.
- the specific ECG diagnosis analysis result is not limited in the embodiment of the present invention.
- FIG. 7 is a schematic structural diagram of a fusion analysis module provided by an embodiment of the present invention.
- the fusion analysis module 403 includes a result fusion module 4031, and the result fusion module 4031 is used to combine the ECG monitoring analysis result and the ECG diagnosis analysis result according to a preset combination method to obtain at least one analysis result Combination; each analysis result combination in at least one analysis result combination is determined as fusion result information.
- the fusion analysis module 403 also includes a fusion comparison module 4032, a fusion comparison module 4032, used to input the fusion result information into a preset fusion comparison library for comparison, and determine whether there is a fusion result in the preset fusion comparison library Information; if there is fusion result information in the fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information.
- the result fusion module 3041 combines the ECG monitoring analysis result and the ECG diagnosis analysis result according to type and quantity. Specifically, the result fusion module 3041 can combine the atrial fibrillation analysis result in the ECG monitoring analysis result and the pre-excitation syndrome diagnosis result in the ECG diagnosis analysis result, and combine the rapid heart rate and ECG diagnosis in the ECG monitoring analysis result Combine the results of atrial fibrillation in the analysis results, combine the ST analysis and arrhythmia analysis results in the ECG monitoring analysis results, and the acute myocardial infarction analysis results in the ECG diagnosis analysis results, and combine the arrhythmia analysis results in the ECG monitoring analysis results The result is combined with the QT interval syndrome diagnosis result in the ECG diagnosis analysis result, and the bradycardia analysis result in the ECG diagnosis analysis result is combined with the abnormal J wave diagnosis result in the ECG diagnosis analysis result.
- the preset fusion comparison library stores clinical high-risk ECG judgment criteria and experience
- the fusion result information is abnormal J wave with bradycardia
- the fusion comparison module 4032 inputs the fusion result information into the prediction Set up a fusion comparison database to determine the existence of the fusion result information, so as to obtain the corresponding alarm strategy information.
- the specific alarm strategy information is to increase the priority of bradycardia.
- the alarm processing module 404 is specifically configured to adjust the ECG monitoring alarm strategy according to the alarm strategy information.
- the alarm processing module 404 is specifically configured to automatically adjust the ECG monitoring alarm strategy according to the alarm strategy information.
- the alarm processing module 404 may also be specifically used to: output adjustment prompt information based on the alarm strategy information; when receiving a change instruction determined based on the adjustment prompt information, adjust the ECG monitoring alarm strategy according to the change instruction.
- the alarm processing module 404 is specifically configured to adjust the alarm level and/or alarm content in the ECG monitoring alarm strategy according to the alarm strategy information; the alarm content includes at least the alarm event One of the types and presentation methods of alarm events.
- the alarm processing module 404 adjusts the ECG monitoring alarm strategy according to the alarm strategy information, which is consistent with the way of adjusting the alarm strategy in the previous embodiment, and will not be repeated here.
- the alarm processing module 404 is also used to output the alarm output of the ECG monitoring analysis result, the ECG diagnosis analysis result and the fusion result information according to the adjusted ECG monitoring alarm strategy. .
- the specific alarm output mode is consistent with the alarm output mode in the previous embodiment, and will not be repeated here.
- the monitoring processing device includes: an electrocardiographic monitoring module for obtaining an electrocardiographic monitoring analysis result corresponding to the target object; an electrocardiographic diagnosis module for obtaining an electrocardiographic diagnosis analysis result corresponding to the target object;
- the fusion analysis module is connected to the ECG monitoring module and the ECG diagnosis module to fuse the ECG monitoring analysis results and the ECG diagnosis analysis results to obtain the fusion result information;
- the alarm processing module is connected to the fusion analysis module for Adjust the ECG monitoring alarm strategy according to the fusion result information.
- the technical solution provided by the embodiment of the present invention uses the ECG diagnosis analysis result and the ECG analysis monitoring result of the target object to adjust the monitoring alarm level to meet the actual monitoring needs of the target object, thereby improving the intelligence of real-time monitoring.
- FIG. 8 is a first schematic flowchart of a monitoring processing method according to an embodiment of the present invention. As shown in Figure 8, it mainly includes the following steps:
- the monitoring processing device can obtain real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time state of the target object.
- the monitoring processing device can directly obtain the real-time monitoring information corresponding to the target object through the first acquisition module 301, and the specific real-time monitoring signal can be
- the real-time ECG signal can also be other information that can characterize the real-time state of the target object, which is not limited in the embodiment of the present invention.
- the monitoring processing device can obtain auxiliary analysis information corresponding to the target object.
- the auxiliary analysis information includes the analysis result of the electrocardiogram diagnosis
- the monitoring processing device obtains the auxiliary analysis information corresponding to the target object, including: obtaining the offline ECG signal corresponding to the target object; Perform electrocardiographic diagnosis and analysis, and obtain the results of electrocardiographic diagnosis and analysis.
- the auxiliary analysis information includes target object characteristic information
- the monitoring and processing device acquiring auxiliary analysis information corresponding to the target object includes: receiving input target object characteristic information
- the target object characteristic information is at least one of the target object basic information, case diagnosis information, image inspection information, and target object inspection information.
- the monitoring processing device may obtain auxiliary analysis information through the second obtaining module 302.
- the specific auxiliary analysis information may include electrocardiographic diagnosis analysis results and target object characteristic information, and may also be other types of information, which is not limited in the embodiment of the present invention.
- S803 Determine the real-time analysis result according to the real-time monitoring information.
- the monitoring processing device can determine the real-time analysis result according to the real-time monitoring information.
- the real-time monitoring information is a real-time ECG signal
- the monitoring processing device determines the real-time analysis result according to the real-time monitoring information, including: performing ECG monitoring analysis on the real-time ECG signal to obtain the ECG Monitoring analysis results; Determine the ECG monitoring analysis results as real-time analysis results.
- the monitoring processing device after the monitoring processing device obtains the real-time analysis result and auxiliary analysis information, it can perform monitoring adjustment processing according to the real-time analysis result and auxiliary analysis information analysis result according to the preset monitoring adjustment mode.
- the preset monitoring adjustment method includes adjusting a real-time monitoring alarm strategy, and the monitoring processing device performs monitoring adjustment processing according to the preset monitoring adjustment method according to the real-time analysis result and auxiliary analysis information, including: The analysis result and auxiliary analysis information are fused to obtain the fusion result information; the real-time monitoring and alarm strategy is adjusted according to the fusion result information.
- the preset monitoring adjustment method includes adjusting the real-time analysis result
- the monitoring processing device performs the monitoring adjustment processing according to the preset monitoring adjustment method according to the real-time analysis result and auxiliary analysis information, including: according to the auxiliary analysis Information adjustment real-time analysis results, real-time analysis results after adjustment are obtained.
- the monitoring processing device adjusts the real-time monitoring alarm strategy according to the fusion result information, including: inputting the fusion result information into a preset fusion comparison library for comparison, and judging whether the preset fusion comparison library exists Fusion result information; if there is fusion result information in the preset fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; automatically adjust the real-time monitoring alarm strategy according to the alarm strategy information.
- the monitoring processing device after the monitoring processing device obtains the alarm strategy information corresponding to the fusion result information, it further includes: outputting adjustment prompt information based on the alarm strategy information; after receiving the change instruction determined based on the adjustment prompt information When, according to the change instructions, adjust the real-time monitoring and alarm strategy.
- the monitoring processing device automatically adjusts the real-time monitoring alarm strategy according to the alarm strategy information, including: adjusting the alarm level and/or alarm content in the real-time monitoring alarm strategy according to the alarm strategy information;
- the content includes at least one of the alarm event type and the presentation mode of the alarm event.
- the monitoring processing device adjusts the real-time monitoring alarm strategy according to the fusion result information, it also includes: according to the adjusted real-time alarm monitoring strategy, the real-time analysis result, auxiliary analysis information, and fusion result are analyzed Information is output to alarm.
- FIG. 9 is a second schematic flowchart of a monitoring processing method according to an embodiment of the present invention. As shown in Figure 9, it mainly includes the following steps:
- the monitoring processing device may first obtain the ECG monitoring analysis result.
- the monitoring and processing device obtaining the ECG monitoring analysis result corresponding to the target object includes: obtaining the real-time ECG signal corresponding to the target object; preprocessing the real-time ECG signal to obtain the preprocessed ECG signal Real-time ECG signal; Perform ECG monitoring analysis on the pre-processed real-time ECG signal to obtain ECG monitoring analysis results.
- the monitoring processing device can not only obtain the ECG monitoring analysis result corresponding to the target object, but also the ECG diagnosis analysis result corresponding to the target object.
- the monitoring and processing device acquiring the ECG diagnostic analysis result corresponding to the target object includes: acquiring the offline ECG signal corresponding to the target object; preprocessing the offline ECG signal to obtain the preprocessed ECG signal Offline ECG signal; Perform ECG diagnostic analysis on the preprocessed offline ECG signal to obtain the ECG diagnostic analysis result.
- the monitoring processing device can fuse the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain the fusion result information.
- the monitoring processing device merges the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain the fusion result information, including: combining the ECG monitoring analysis result with the cardiac Different results in the electrical diagnosis analysis results are combined to obtain at least one analysis result combination; each analysis result combination in the at least one analysis result combination is determined as the fusion result information.
- the interface adjusts the ECG monitoring alarm strategy according to the fusion result information.
- the monitoring processing device adjusts the ECG monitoring alarm strategy according to the fusion result information, including: inputting the fusion result information into a preset fusion comparison library for comparison, and determining whether the preset fusion comparison library is There is fusion result information; if there is fusion result information in the fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; adjust the ECG monitoring alarm strategy according to the alarm strategy information.
- the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, including: automatically adjusting the ECG monitoring alarm strategy according to the alarm strategy information.
- the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, and further includes: outputting adjustment prompt information based on the alarm strategy information; upon receiving a change instruction determined based on the adjustment prompt information, According to the change order, adjust the ECG monitoring alarm strategy.
- the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, including: performing the alarm level and/or alarm content in the ECG monitoring alarm strategy according to the alarm strategy information Adjustment:
- the alarm content includes at least one of the type of alarm event and the presentation mode of the alarm event.
- the monitoring processing device adjusts the ECG monitoring alarm strategy according to the fusion result information, it also includes: according to the adjusted ECG monitoring alarm strategy, analyzing the results of the ECG monitoring analysis and the ECG monitoring alarm strategy.
- the diagnosis analysis result and the fusion result information are outputted to the alarm.
- Fig. 10 is a schematic structural diagram of a monitoring system provided by an embodiment of the present invention. As shown in Figure 10, the monitoring system includes:
- the parameter measurement circuit 1001 uses the sensor accessory 1002 connected to the target object to obtain real-time monitoring information corresponding to the target object;
- the processor 1003 performs the following steps:
- the monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information.
- the real-time monitoring information is a real-time ECG signal
- the processor is specifically configured to execute the following steps:
- the ECG monitoring analysis result is determined as the real-time analysis result.
- the auxiliary analysis information includes an electrocardiographic diagnosis analysis result
- the processor is specifically configured to execute the following steps:
- the auxiliary analysis information includes target object characteristic information
- the monitoring system further includes an input interface circuit 1004
- the processor 1003 is specifically configured to execute the following steps:
- the target object characteristic information is at least one of target object basic information, case diagnosis information, image inspection information, and target object inspection information.
- the preset monitoring adjustment mode includes adjusting a real-time monitoring alarm strategy
- the processor 1003 is specifically configured to perform the following steps:
- the preset monitoring adjustment method includes adjusting the real-time analysis result
- the processor 1003 is specifically configured to execute the following steps:
- the monitoring system further includes an alarm circuit 1005;
- the alarm circuit 1005 performs alarm output on the real-time analysis result, the auxiliary analysis information, and the fusion result information according to the adjusted ECG alarm monitoring strategy.
- processor 1003 is specifically configured to execute the following steps:
- the real-time monitoring alarm strategy is automatically adjusted according to the alarm strategy information.
- processor 1003 is further configured to execute the following steps:
- the real-time monitoring alarm strategy is adjusted according to the modification instruction.
- processor 1003 is specifically configured to execute the following steps:
- the alarm level and/or alarm content in the ECG monitoring alarm strategy are adjusted; the alarm content includes at least one of the alarm event type and the alarm event presentation mode.
- the embodiments of the present invention may be provided as methods, systems, or computer program products. Therefore, the present invention may adopt the form of a hardware embodiment, a software embodiment, or an embodiment combining software and hardware. Moreover, the present invention may adopt the form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage, optical storage, etc.) containing computer-usable program codes.
- a computer-usable storage media including but not limited to disk storage, optical storage, etc.
- These computer program instructions can also be stored in a computer-readable memory that can guide a computer or other programmable signal processing equipment to work in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture including the instruction device.
- the device implements the functions specified in one process or multiple processes in the flowchart and/or one block or multiple blocks in the block diagram.
- These computer program instructions can also be loaded on a computer or other programmable signal processing equipment, so that a series of operation steps are executed on the computer or other programmable equipment to produce computer-implemented processing, so as to execute on the computer or other programmable equipment.
- the instructions provide steps for implementing functions specified in a flow or multiple flows in the flowchart and/or a block or multiple blocks in the block diagram.
- the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for Acquire auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results according to real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to Set up a monitoring adjustment method, and perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information.
- the technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
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Abstract
Description
本发明实施例涉及医疗设备技术领域,尤其涉及一种监护处理方法及装置、存储介质。The embodiment of the present invention relates to the technical field of medical equipment, in particular to a monitoring processing method and device, and a storage medium.
目前,床边监护仪等监护设备普遍集成监护心电图的功能,以实现对目标对象的心电实时持续监护,重点关注心率、心律失常等心脏实时状况。At present, monitoring equipment such as bedside monitors generally integrate the function of monitoring the ECG to realize real-time continuous monitoring of the target object's ECG, focusing on real-time heart conditions such as heart rate and arrhythmia.
在现有技术中,监护心电图即基于实时获取的心电信号进行监护分析和报警,然而,在实际监护过程中,目标对象的病情复杂多变,依据实时心电信号进行监护分析,以按照固定相同的报警方式进行报警,可能并不适合每一个目标对象,即实时监护报警的智能性较低。In the prior art, the monitoring of the ECG is based on the ECG signal obtained in real time for monitoring analysis and alarming. However, in the actual monitoring process, the condition of the target subject is complex and changeable. The same alarm method may not be suitable for every target object, that is, the intelligence of real-time monitoring and alarm is low.
发明内容Summary of the invention
为解决上述技术问题,本发明实施例期望提供一种监护处理方法及装置、存储介质,利用目标对象其它维度的辅助分析信息,调整基于实时监护信息确定的实时分析结果,或结合实时分析结果调整监护报警级别,以满足目标对象实际的监护需求,从而提高实时监护的智能性。In order to solve the above technical problems, the embodiments of the present invention expect to provide a monitoring processing method, device, and storage medium, which utilize auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust it in combination with the real-time analysis result Monitoring alarm level to meet the actual monitoring needs of the target object, thereby improving the intelligence of real-time monitoring.
本发明实施例的技术方案可以如下实现:The technical solutions of the embodiments of the present invention can be implemented as follows:
本发明实施例提供了一种监护处理装置,所述装置包括:The embodiment of the present invention provides a monitoring processing device, the device including:
心电监护模块,用于获取目标对象对应的心电监护分析结果;The ECG monitoring module is used to obtain the ECG monitoring analysis result corresponding to the target object;
心电诊断模块,用于获取所述目标对象对应的心电诊断分析结果;The ECG diagnosis module is used to obtain the ECG diagnosis analysis result corresponding to the target object;
融合分析模块,与所述心电监护模块和所述心电诊断模块连接,用于将所述心电监护分析结果和所述心电诊断分析结果进行融合,获得融合结果信息;A fusion analysis module, connected to the ECG monitoring module and the ECG diagnosis module, and used to fuse the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain fusion result information;
报警处理模块,与所述融合分析模块连接,用于根据所述融合结果信息调整心电监护报警策略。The alarm processing module is connected to the fusion analysis module and is used to adjust the ECG monitoring alarm strategy according to the fusion result information.
本发明实施例提供了一种监护处理装置,所述装置包括:The embodiment of the present invention provides a monitoring processing device, the device including:
第一获取模块,用于获取目标对象对应的实时监护信息,所述实时监护信息用于表征所述目标对象的实时状态;The first acquisition module is configured to acquire real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time status of the target object;
第二获取模块,用于获取所述目标对象对应的辅助分析信息;The second acquisition module is used to acquire auxiliary analysis information corresponding to the target object;
实时分析模块,与所述第一获取模块连接,用于根据所述实时监护信息,确定实时分析结果;A real-time analysis module, connected to the first acquisition module, and configured to determine a real-time analysis result according to the real-time monitoring information;
处理模块,与所述第一获取模块和所述实时分析模块连接,用于按照预设监护调整方式,根据所述实时分析结果和所述辅助分析信息进行监护调整处理。The processing module is connected to the first acquisition module and the real-time analysis module, and is configured to perform monitoring adjustment processing according to the real-time analysis result and the auxiliary analysis information according to a preset monitoring adjustment mode.
本发明实施例提供了一种监护处理方法,所述方法包括:The embodiment of the present invention provides a monitoring processing method, the method includes:
获取目标对象对应的实时监护信息,所述实时监护信息用于表征所述目标对象的实时状态;Acquiring real-time monitoring information corresponding to the target object, where the real-time monitoring information is used to characterize the real-time state of the target object;
获取所述目标对象对应的辅助分析信息;Acquiring auxiliary analysis information corresponding to the target object;
根据所述实时监护信息,确定实时分析结果;Determine the real-time analysis result according to the real-time monitoring information;
按照预设监护调整方式,根据所述实时分析结果和所述辅助分析信息分析结果进行监护调整处理。According to the preset monitoring adjustment mode, monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information analysis result.
本发明实施例提供了一种监护处理方法,所述方法包括:The embodiment of the present invention provides a monitoring processing method, the method includes:
获取目标对象对应的心电监护分析结果;Obtain the ECG monitoring analysis result corresponding to the target object;
获取所述目标对象对应的心电诊断分析结果;Obtaining an electrocardiographic diagnosis analysis result corresponding to the target object;
将所述心电监护分析结果和所述心电诊断分析结果进行融合,获得融合结果信息;Fusing the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain fusion result information;
根据所述融合结果信息调整心电监护报警策略。Adjust the ECG monitoring alarm strategy according to the fusion result information.
本发明实施例提供了一种监护系统,包括:The embodiment of the present invention provides a monitoring system, including:
参数测量电路,利用与目标对象连接的传感器附件获取所述目标对 象对应的实时监护信息;The parameter measurement circuit uses the sensor attachment connected with the target object to obtain real-time monitoring information corresponding to the target object;
处理器,执行以下步骤:The processor performs the following steps:
获取所述目标对象对应的辅助分析信息;Acquiring auxiliary analysis information corresponding to the target object;
根据所述实时监护信息,确定实时分析结果;Determine the real-time analysis result according to the real-time monitoring information;
按照预设监护调整方式,根据所述实时分析结果和所述辅助分析信息进行监护调整处理。According to the preset monitoring adjustment mode, the monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information.
本发明实施例提供了一种计算机可读存储介质,所述计算机可读存储介质存储有第一监护处理程序,所述监护处理程序可以被处理器执行,以实现监护处理方法。The embodiment of the present invention provides a computer-readable storage medium that stores a first monitoring processing program, and the monitoring processing program can be executed by a processor to implement a monitoring processing method.
本发明实施例提供了一种计算机可读存储介质,所述计算机可读存储介质存储有第二监护处理程序,所述监护处理程序可以被处理器执行,以实现监护处理方法。The embodiment of the present invention provides a computer-readable storage medium, the computer-readable storage medium stores a second monitoring processing program, and the monitoring processing program can be executed by a processor to implement a monitoring processing method.
在本发明实施的技术方案中,监护处理装置包括:第一获取模块,用于获取目标对象对应的实时监护信息,实时监护信息用于表征目标对象的实时状态;第二获取模块,用于获取目标对象对应的辅助分析信息;实时分析模块,与第一获取模块连接,用于根据实时监护信息,确定实时分析结果;处理模块,与第一获取模块和实时分析模块连接,用于按照预设监护调整方式,根据实时分析结果和辅助分析信息进行监护调整处理。本发明实施例提供的技术方案,利用目标对象其它维度的辅助分析信息,调整基于实时监护信息确定的实时分析结果,或结合实时分析结果调整监护报警级别,以满足目标对象实际的监护需求,从而提高实时监护的智能性。In the technical solution implemented in the present invention, the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for acquiring Auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results based on real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to follow the preset The monitoring adjustment method is to perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information. The technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
图1为本发明实施例提供的一种多参数监护仪或监护处理装置的系统框架图;Figure 1 is a system framework diagram of a multi-parameter monitor or monitoring processing device provided by an embodiment of the present invention;
图2为本发明实施例提供的一种院内使用的监护仪联网系统;Figure 2 is a monitor networking system for hospital use provided by an embodiment of the present invention;
图3为本发明实施例提供的一种监护处理装置的结构示意图一;FIG. 3 is a first structural diagram of a monitoring processing device provided by an embodiment of the present invention;
图4为本发明实施例提供的一种监护处理装置的结构示意图二;FIG. 4 is a second structural diagram of a monitoring processing device provided by an embodiment of the present invention;
图5为本发明实施例提供的一种心电监护模块的结构示意图;Figure 5 is a schematic structural diagram of an ECG monitoring module provided by an embodiment of the present invention;
图6为本发明实施例提供的一种心电诊断模块的结构示意图;6 is a schematic structural diagram of an ECG diagnostic module provided by an embodiment of the present invention;
图7为本发明实施例提供的一种融合分析模块的结构示意图;FIG. 7 is a schematic structural diagram of a fusion analysis module provided by an embodiment of the present invention;
图8为本发明实施例提供的一种监护处理方法的流程示意图一;FIG. 8 is a first schematic flowchart of a monitoring processing method according to an embodiment of the present invention;
图9为本发明实施例提供的一种监护处理方法的流程示意图二;FIG. 9 is a second schematic flowchart of a monitoring processing method according to an embodiment of the present invention;
图10本发明实施例提供的一种监护系统的结构示意图。Fig. 10 is a schematic structural diagram of a monitoring system provided by an embodiment of the present invention.
为了能够更加详尽地了解本发明实施例的特点与技术内容,下面结合附图对本发明实施例的实现进行详细阐述,所附附图仅供参考说明之用,并非用来限定本发明实施例。In order to understand the features and technical content of the embodiments of the present invention in more detail, the implementation of the embodiments of the present invention will be described in detail below with reference to the accompanying drawings. The accompanying drawings are for reference and description purposes only, and are not used to limit the embodiments of the present invention.
如图1所示,提供了一种多参数监护仪或监护处理装置的系统框架图。多参数监护仪或监护处理装置至少包括参数测量电路112。参数测量电路112至少包括一个生理参数对应的参数测量电路,参数测量电路至少包含心电信号参数测量电路、呼吸参数测量电路、体温参数测量电路、血氧参数测量电路、无创血压参数测量电路、有创血压参数测量电路等等中的至少一个参数测量电路,每个参数测量电路分别通过相应的传感器接口与外部插入的传感器附件111连接。传感器附件111包括用于心电呼吸、血氧、血压、体温等生理参数检测所对应的检测附件。参数测量电路主要是用来连接传感器附件111获得采集的生理参数信号的,可以包括至少两种以上生理参数的测量电路,参数测量电路112可以是但不局限于生理参数测量电路(模块),人体生理参数测量电路(模块)或传感器采集人体生理参数等。具体的,参数测量电路通过扩展接口获得外部生理参数传感器附件获得有关 目标对象的生理采样信号,并经过处理后得到生理数据,用以报警和显示。扩展接口还可用于将主控电路输出的关于如何采集生理参数的控制信号通过相应接口输出至外部生理参数监测附件,实现对目标对象生理参数的监测控制。As shown in Figure 1, a system framework diagram of a multi-parameter monitor or monitoring processing device is provided. The multi-parameter monitor or monitoring processing device includes at least a
多参数监护仪或监护处理装置还可以包括主控电路113,主控电路113需要包括至少一个处理器和至少一个存储器,当然,主控电路113还可以包括电源管理管理模块、电源IP模块和接口转换电路等中的至少之一。电源管理模块用于控制整机开关机、板卡内部各电源域上电时序和电池充放电等。电源IP模块是指把经常重复调用的电源电路单元的原理图和PCB版图相关联,固化成单独的电源模块,即,将一输入电压通过预定的电路转换为一输出电压,其中,输入电压和输出电压不同。例如,将15V的电压转换为1.8V、3.3V或3.8V等。可以理解的是,电源IP模块可以是单路的,还可以是多路的。当电源IP模块为单路时,电源IP模块可以将一个输入电压转换为一个输出电压。当电源IP模块为多路时,电源IP模块可以将一个输入电压转换为多个输出电压,且多个输出电压的电压值可以相同,也可以不相同,从而能够同时满足多个电子元件的不同电压需求,并且模块对外接口少,在系统中工作呈黑盒与外界硬件系统解耦,提高了整个电源系统的可靠性。接口转换电路用于将主控最小系统模块(即主控电路中的至少一个处理器和至少一个存储器)输出的信号,转换为实际外部设备所要求接收的输入标准信号,例如,支持外接VGA显示功能,是将主控CPU输出的RGB数字信号转换为VGA模拟信号,支持对外网络功能,是将RMII信号转换为标准的网络差分信号。The multi-parameter monitor or monitoring processing device may also include a
此外,多参数监护仪或监护处理装置还可以包括本地显示器114、报警电路116、输入接口电路117、对外通讯和电源接口115中的一个或多个。主控电路113用于协调、控制多参数监护仪或监护处理装置中的各板卡、各电路和设备。在本实施例中,主控电路113用于控制参数测量电路112 和通讯接口电路之间的数据交互、以及控制信号的传输,并将生理数据输送到显示器114上进行显示,也可以接收来自触摸屏或者键盘、按键等物理输入接口电路输入的用户控制指令,当然还可以输出的关于如何采集生理参数的控制信号。报警电路116可以是声光报警电路。主控电路113完成生理参数的计算,并通过对外通讯和电源接口115可将参数的计算结果和波形发送到主机(如带显示器的主机、PC机、中央站等等),对外通讯和电源接口115可以是以太网(Ethernet)、令牌环(Token Ring)、令牌总线(Token Bus)以及作为这三种网的骨干网光纤分布数据接口(FDDI)构成的局域网接口中的一个或其组合,还可以是红外、蓝牙、wifi、WMTS通讯等无线接口中的一个或其组合,或者还可以是RS232、USB等有线数据连接接口中的一个或其组合。对外通讯和电源接口115也可以是无线数据传输接口和有线数据传输接口中的一种或两种的组合。主机可以是监护仪的主机、心电图机,超声诊断仪,计算机等任何一个计算机设备,安装配合的软件,就能够组成一个监护设备。主机还可以是通讯设备,例如手机,多参数监护仪或监护处理装置通过蓝牙接口将数据发送到支持蓝牙通讯的手机上,实现数据的远程传输。In addition, the multi-parameter monitor or monitoring processing device may also include one or more of a
多参数监护处理装置可以设置在监护仪外壳之外,作为独立的外插参数模块,可以通过插入到监护仪的主机(包含主控板)形成插件式监护仪,作为监护仪的一部分,或者也可以通过电缆与监护仪的主机(包含主控板)连接,外插参数模块作为监护仪外置的一个配件。当然,参数处理还可以内置于外壳之内,与主控模块集成,或物理分离设置在外壳之内,形成集成监护仪。The multi-parameter monitoring and processing device can be set outside the housing of the monitor as an independent external plug-in parameter module. It can be inserted into the host (including the main control board) of the monitor to form a plug-in monitor as a part of the monitor, or also It can be connected to the monitor's host (including the main control board) through a cable, and the external parameter module is used as an external accessory of the monitor. Of course, the parameter processing can also be built in the shell, integrated with the main control module, or physically separated and set in the shell to form an integrated monitor.
如图2所示,提供一种院内使用的监护仪联网系统,利用该系统可以将监护仪的数据进行整体保存,集中管理目标对象信息和看护信息,两者进行关联存储,便于进行历史数据的保存和关联报警。在图3所示的系统中,针对病床均可以提供一个床边监护仪212,该床边监护仪212可以是前 述多参数监护仪或者插件式监护仪。另外,每个床边监护仪212还可以与一个便携式监护设备213进行配对传输,便携式监护设备213提供简便、可携带的多参数监护仪或监护处理装置,可穿戴在目标对象身体上对应目标对象进行移动式监护,通过便携式监护设备213与床边监护仪212进行有线或无线通讯后可以将移动式监护产生的生理数据传输到床边监护仪212上进行显示,或通过床边监护仪212传输到中央站211供医生或护士查看,或通过床边监护仪212传输到数据服务器215进行存储。另外,便携式监护设备213还可以直接通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到中央站211进行存储和显示,或者通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到数据服务器215进行存储。可见,床边监护仪212上显示的生理参数对应的数据可以是源自直接连接到监护以上的传感器附件,或者源自便携式监护设备213,或者源自数据服务器。As shown in Figure 2, a monitor network system used in the hospital is provided. The system can store the monitor data as a whole, centrally manage the target object information and the nursing information, and the two are stored in association, which is convenient for historical data. Save and associate alarms. In the system shown in FIG. 3, a
本发明实施例提供了一种监护处理装置。图3为本发明实施例提供的一种监护处理装置的结构示意图一。如图3所示,监护处理装置包括:The embodiment of the present invention provides a monitoring processing device. FIG. 3 is a first structural diagram of a monitoring processing device provided by an embodiment of the present invention. As shown in Figure 3, the monitoring and processing device includes:
第一获取模块301,用于获取目标对象对应的实时监护信息,实时监护信息用于表征目标对象的实时状态;The
第二获取模块302,用于获取目标对象对应的辅助分析信息;The second obtaining
实时分析模块303,与第一获取模块301连接,用于根据实时监护信息,确定实时分析结果;The real-
处理模块304,与第一获取模块301和实时分析模块303连接,用于按照预设监护调整方式,根据实时分析结果和辅助分析信息进行监护调整处理。The
需要说明的是,在本发明的实施例中,目标对象即为需要进行监护的患者。It should be noted that, in the embodiment of the present invention, the target object is the patient who needs to be monitored.
可以理解的是,在本发明的实施例中,实时监护信息可以为表征目标 对象的实时状态的任意信息,例如,实时心电信号。具体的实时监护信息本发明实施例不作限定。It can be understood that, in the embodiment of the present invention, the real-time monitoring information may be any information that characterizes the real-time status of the target object, for example, real-time ECG signals. The specific real-time monitoring information is not limited in the embodiment of the present invention.
在本发明的实施例中,实时监护信息可以为实时心电信号,实时分析模块303,具体用于对实时心电信号进行心电监护分析,获得心电监护分析结果;将心电监护分析结果确定为实时分析结果。In the embodiment of the present invention, the real-time monitoring information may be real-time ECG signals. The real-
需要说明的是,在本发明的实施例中,第一获取模块301具体可以通过心电传感器及特定的硬件电路,实时采集患者的实时心电信号,从而将实时心电信号传输至与第一获取模块301连接的实时分析模块303,实时分析模块303即可对实时心电信号进行心电监护分析,从而获得心电监护分析结果。It should be noted that, in the embodiment of the present invention, the
具体的,在本发明的实施例中,实时分析模块303针对实时心电信号,可以先进行软件和/或硬件的预处理,包括但不限于滤波、陷波、放大、基线校正、噪声抑制,以及起博抑制等。之后,实时分析模块303可以对预处理后的实时心电信号进行分析,包括但不限于心率分析、心率失常分析、ST分析,以及QT分析。具体的分析方式本发明实施例不作限定。Specifically, in the embodiment of the present invention, the real-
需要说明的是,在本发明的实施例中,实时分析模块303获得的心电监护分析结果,包括但不限于心率结果、心率失常分析结果、ST分析结果,以及QT分析结果。具体的心电监护分析结果本发明实施例不作限定。It should be noted that, in the embodiment of the present invention, the ECG monitoring analysis results obtained by the real-
在本发明的实施例中,辅助分析信息可以包括心电诊断分析结果,第二获取模块302,具体用于获取目标对象对应的离线心电信号;对离线心电信号进行心电诊断分析,获得心电诊断分析结果。In the embodiment of the present invention, the auxiliary analysis information may include the ECG diagnosis analysis result. The second obtaining
需要说明的是,在本发明的实施例中,第二获取模块302具体可以通过心电传感器及特定的硬件电路,采集患者的离线心电信号。该心电传感器及特定硬件电路可以与第一获取模块301的心电传感器及硬件电路相同。第二获取模块302具体可以获取当前时刻最近一段时间的心电信号,例如,当前时刻之前10秒的心电信号,即为离线心电信号。可以理解地,第二获 取模块302还可以从存储器中获取与当前时刻最接近的历史数据进行分析。It should be noted that, in the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,第二获取模块302针对离线心电信号可以先进行软件及硬件的预处理,包括但不限于滤波、陷波、放大、基线校正、噪声抑制,以及起博抑制等。之后,第二获取模块302可以对预处理后的离线心电信号进行分析,包括但不限于心率分析、心率失常分析、P-QRS-ST-T幅度及期间分析,以及心电波形态学分析。具体的分析方式本发明实施例不作限定。It should be noted that, in the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,第二获取模块302获得的心电诊断分析结果,包括但不限于心率结果、心率失常分析结果、形态学分析结果,以及诊断信息结果。具体的心电诊断分析结果本发明实施例不作限定。It should be noted that, in the embodiment of the present invention, the ECG diagnosis analysis result obtained by the second obtaining
在本发明的实施例中,辅助分析信息还可以包括目标对象特征信息,第二获取模块302,具体用于接收输入的目标对象特征信息。In the embodiment of the present invention, the auxiliary analysis information may also include target object characteristic information, and the
需要说明的是,在本发明的实施例中,目标对象特征信息包括目标对象基本信息、病例诊断信息、图像检查信息和目标对象检验信息。具体的目标对象特征信息本发明实施例中。It should be noted that, in the embodiment of the present invention, the target object characteristic information includes target object basic information, case diagnosis information, image inspection information, and target object inspection information. Specific target object characteristic information is in the embodiment of the present invention.
可以理解的是,在本发明的实施例中,医护人员可以将目标对象特征信息,例如,目标对象基本信息,输入至第二获取模块302,第二获取模块302即可直接接收到输入的目标对象特征信息。It is understandable that, in the embodiment of the present invention, the medical staff can input the characteristic information of the target object, for example, the basic information of the target object, into the
需要说明的是,在本发明的实施例中,第二获取模块302获取的辅助分析信息可以包括上述心电诊断分析结果和目标对象特征信息,当然,还可以包括其它能够表征患者某些体征状况的信息。具体的辅助分析信息本发明实施例不作限定。It should be noted that, in the embodiment of the present invention, the auxiliary analysis information acquired by the
在本发明的实施例中,预设监护调整方式包括调整实时监护报警策略,处理模块304,具体用于将实时分析结果和辅助分析信息进行融合,获得融合结果信息;根据融合结果信息调整实时监护报警策略。可以理 解地,处理模块304可以为硬件的处理器,也可以为为计算机可用存储介质,存储在监护仪、中央站或其他设备中。In the embodiment of the present invention, the preset monitoring adjustment method includes adjusting the real-time monitoring alarm strategy, and the
在本发明的实施例中,处理模块304包括融合分析模块和报警调整模块;融合分析模块,用于将融合结果信息输入预设融合对比库中进行比对,判断预设融合对比库中是否存在融合结果信息;如果预设融合对比库中存在融合结果信息,获取融合结果信息对应的报警策略信息;报警调整模块,用于按照报警策略信息自动调整实时监护报警策略。In the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,处理模块304将实时分析结果和辅助分析信息进行融合,实际上也是通过融合分析模块实现的。It should be noted that, in the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,处理模块304通过融合分析模块将实时分析结果和辅助分析信息进行融合,具体可以通过一定的组合规则进行融合,也可以从实时分析结果和辅助分析信息中选取部分信息进行融合,还可以采用其它方式进行融合。具体的融合方式本发明实施例不作限定。It should be noted that, in the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,监护处理装置中存储有预设融合对比库,用于对融合结果信息进行比对。具体的融合对比库可以根据实际监护需求自主设置,本发明实施例不作限定。具体实施例中,可直接将心电监护分析(RECG)结果与心电诊断分析结果(MECG)结果按照类型或数量进行组合,如RECG的预激综合症诊断结果与MECG的房颤分析结果组合、RECG的房颤结果与MECG的快速心率组合、RECG的急性心肌梗塞分析结果与MECG的ST分析及心律失常分析结果组合、RECG的Q-T间期综合症诊断结果与MECG的心律失常分析结果组合,RECG的异常J波诊断结果与MECG的心动过缓分析结果组合。It should be noted that, in the embodiment of the present invention, a preset fusion comparison library is stored in the monitoring processing device, which is used to compare the fusion result information. The specific fusion comparison library can be set independently according to actual monitoring requirements, which is not limited in the embodiment of the present invention. In a specific embodiment, the results of electrocardiographic monitoring analysis (RECG) and the results of electrocardiographic diagnostic analysis (MECG) can be directly combined according to type or quantity, such as the combination of the RECG pre-excitation syndrome diagnosis result and the MECG atrial fibrillation analysis result The combination of the results of atrial fibrillation of RECG and the rapid heart rate of MECG, the combination of the results of the acute myocardial infarction analysis of RECG and the results of ST analysis and arrhythmia analysis of MECG, the combination of the diagnosis results of QT syndrome of RECG and the arrhythmia analysis results of MECG, The abnormal J wave diagnosis result of RECG is combined with the result of bradycardia analysis of MECG.
可以理解的是,在本发明的实施例中,处理模块304通过融合分析模块将融合结果信息输入预设融合对比库中进行比对,判断预设融合对比库中是否存在该融合结果信息,如果存在,表征需要进行报警策略的 调整,则进一步获取相应的报警策略信息,并输出至报警调整模块。预设融合比对库中的信息可以以文字形式存在,也可以以编码形式存在,当以编码形式存在时,融合结果信息按照预设的编码方式转换成编码后,再与融合比对库中的信息进行比对。It is understandable that, in the embodiment of the present invention, the
示例性的,在本发明的实施例中,预设融合对比库中存储有临床高危心电图判断准则及经验,融合结果信息为预激综合症伴快速心室率房颤,处理模块304融合分析模块将融合结果信息输入预设融合对比库中进行比对,判断出存在这种融合结果,则获取对应的提升房颤检测优先级的报警策略信息,并输出至报警调整模块。提升房颤检测优先级的原因在于,预激情况下的房颤易恶化为心室颤动,危及生命。Exemplarily, in the embodiment of the present invention, the preset fusion comparison library stores clinical high-risk ECG judgment criteria and experience, the fusion result information is pre-excitation syndrome with rapid ventricular rate atrial fibrillation, and the
需要说明的是,在本发明的实施例中,处理模块304的报警调整模块可以接收到融合分析模块输出的报警策略信息,即可根据报警策略信息对实时监护报警策略进行调整。It should be noted that, in the embodiment of the present invention, the alarm adjustment module of the
在本发明的实施例中,处理模块304的报警调整模块,还用于基于报警策略信息输出调整提示信息;在接收到基于调整提示信息确定的更改指令时,根据更改指令调整实时监护报警策略,使得报警策略信息在得到用户的确定后才进行更改。In the embodiment of the present invention, the alarm adjustment module of the
可以理解的是,在本发明的实施例中,处理模块304的报警调整模块在接收到报警策略信息之后,还可以先输出相应的调整提示信息,以供医护人员确认是否进行按照报警策略信息进实时监护报警策略的调整,并在接收到更改指令时,根据更改指令的指示调整实时监护报警策略。当然,如果医护人员判断当前不需要进行实时监护报警策略的调整,报警调整模块未接收到更改指令,则维持当前的实时监护报警策略。It is understandable that, in the embodiment of the present invention, after the alarm adjustment module of the
在本发明的实施例中,处理模块304的报警调整模块,具体用于按照报警策略信息,对实时监护报警策略中的报警级别、报警内容和报警条件中的至少之一进行调整;报警内容至少包括报警事件类型和报警事 件呈现方式中的一种。In the embodiment of the present invention, the alarm adjustment module of the
需要说明的是,在本发明的实施例中,报警呈现方式具体可以包括报警音量,以及报警字体颜色等方式。It should be noted that, in the embodiment of the present invention, the alarm presentation mode may specifically include the alarm volume, and the alarm font color.
示例性的,在本发明的实施例中,融合结果信息为预激综合症伴快速心室率房颤,对应的报警策略信息为将房颤报警级别由中级提升至高级,因此,报警调整模块根据报警策略信息的指示调整实时监护报警策略,即将房颤的报警级别由中级改为高级。Exemplarily, in the embodiment of the present invention, the fusion result information is pre-excitation syndrome with rapid ventricular rate atrial fibrillation, and the corresponding alarm strategy information is to raise the atrial fibrillation alarm level from intermediate to advanced. Therefore, the alarm adjustment module is based on The instructions of the alarm strategy information adjust the real-time monitoring alarm strategy, that is, the alarm level of atrial fibrillation is changed from intermediate to advanced.
示例性的,在本发明的实施例中,融合结果信息为异常J波伴心动过缓,对应的报警策略信息为提升心动过缓的优先级,因此,报警调整模块根据报警策略信息的指示调整实时监护报警策略,即提升心动过缓的优先级。可以理解地,在提升心动过缓的优先级的同时,还可以适当降低心动过缓的报警条件,使心动过缓的报警更加灵敏。Exemplarily, in the embodiment of the present invention, the fusion result information is abnormal J wave with bradycardia, and the corresponding alarm strategy information is to increase the priority of bradycardia. Therefore, the alarm adjustment module adjusts according to the instructions of the alarm strategy information. Real-time monitoring and alarm strategy, that is, raising the priority of bradycardia. Understandably, while raising the priority of bradycardia, the alarm conditions for bradycardia can also be appropriately reduced, making the alarm for bradycardia more sensitive.
在本发明的实施例中,监护处理装置还可以包括报警输出模块,用于按照调整后的实时报警监护策略,至少对实时分析结果、辅助分析信息和融合结果信息中的之一进行报警输出。示例性地,该报警输出模块可以为显示器,在显示器上实时分析结果、辅助分析信息和融合结果信息中的至少之一。In the embodiment of the present invention, the monitoring processing device may further include an alarm output module for outputting an alarm at least one of the real-time analysis result, auxiliary analysis information, and fusion result information according to the adjusted real-time alarm monitoring strategy. Exemplarily, the alarm output module may be a display on which at least one of the real-time analysis result, auxiliary analysis information, and fusion result information is displayed.
示例性的,在本发明的实施例中,实时分析结果为心动过缓,辅助分析信息为J波异常,融合结果信息为异常J波伴心动过缓,按照调整后的实时报警监护策略,心动过缓对应的报警级别由中级提升至高级,则显示模块即可按照高级报警方式对实时分析结果进行报警输出。Exemplarily, in the embodiment of the present invention, the real-time analysis result is bradycardia, the auxiliary analysis information is abnormal J wave, and the fusion result information is abnormal J wave with bradycardia. According to the adjusted real-time alarm monitoring strategy, the heartbeat The alarm level corresponding to the slowness is raised from intermediate to advanced, and the display module can alarm output for real-time analysis results according to the advanced alarm mode.
在本发明的实施例中,预设监护调整方式包括调整实时分析结果,处理模块304,具体用于根据辅助分析信息调整实时分析结果,获得调整后的实时分析结果。In the embodiment of the present invention, the preset monitoring adjustment method includes adjusting the real-time analysis result, and the
需要说明的是,在本发明的实施例中,处理模块304可以直接根据辅助分析信息调整实时分析结果,包括在实时分析结果上增添辅助分析 信息的相关信息,例如,实时分析结果为心动过速,辅助分析信息为房颤,则可将房颤信息添加至实时分析结果中,得到调整后的实时分析结果为房颤伴心动过速。当然,处理模块304还可以根据辅助分析信息对实时分析结果进行一些其它类型的调整,例如,删除或修改实时分析结果的部分内容等,获得的调整后的实时分析结果更加准确。具体的调整方式本发明实施例不作限定。It should be noted that in the embodiment of the present invention, the
在本发明实施的技术方案中,监护处理装置包括:第一获取模块,用于获取目标对象对应的实时监护信息,实时监护信息用于表征目标对象的实时状态;第二获取模块,用于获取目标对象对应的辅助分析信息;实时分析模块,与第一获取模块连接,用于根据实时监护信息,确定实时分析结果;处理模块,与第一获取模块和实时分析模块连接,用于按照预设监护调整方式,根据实时分析结果和辅助分析信息进行监护调整处理。本发明实施例提供的技术方案,利用目标对象其它维度的辅助分析信息,调整基于实时监护信息确定的实时分析结果,或结合实时分析结果调整监护报警级别,以满足目标对象实际的监护需求,从而提高实时监护的智能性。In the technical solution implemented in the present invention, the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for acquiring Auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results based on real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to follow the preset The monitoring adjustment method is to perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information. The technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
本发明另一实施例提供了一种监护处理装置。图4为本发明实施例提供的一种监护处理装置的结构示意图二。如图4所示,监护处理装置包括:Another embodiment of the present invention provides a monitoring processing device. Fig. 4 is a second structural diagram of a monitoring processing device provided by an embodiment of the present invention. As shown in Figure 4, the monitoring and processing device includes:
心电监护模块401,用于获取目标对象对应的心电监护分析结果;The
心电诊断模块402,用于获取目标对象对应的心电诊断分析结果;The
融合分析模块403,与心电监护模块401和心电诊断模块402连接,用于将心电监护分析结果和心电诊断分析结果进行融合,获得融合结果信息;The
报警处理模块404,与融合分析模块403连接,用于根据融合结果信息调整心电监护报警策略。The
图5为本发明实施例提供的一种心电监护模块的结构示意图。如图5所示,心电监护模块401包括:Fig. 5 is a schematic structural diagram of an ECG monitoring module provided by an embodiment of the present invention. As shown in FIG. 5, the
实时心电获取模块4011,用于获取目标对象对应的实时心电信号;The real-time
第一信号预处理模块4012,与实时心电获取模块4011连接,用于对实时心电信号进行预处理,获得预处理后的实时心电信号;The first
监护心电分析模块4013,与第一信号预处理模块4012连接,用于对预处理后的实时心电信号进行心电监护分析,获得心电监护分析结果。The monitoring
需要说明的是,在本发明的实施例中,实时心电获取模块4011具体可以通过心电传感器及硬件电路实时采集患者的实时心电信号。It should be noted that, in the embodiment of the present invention, the real-time
需要说明的是,在本发明的实施例中,第一信号预处理模块4012,对实时心电信号进行预处理,包括但不限于滤波、陷波、放大、基线校正、噪声抑制,以及起博抑制等处理。It should be noted that in the embodiment of the present invention, the first
需要说明的是,在本发明的实施例中,监护心电分析模块4013对预处理后的实时心电信号进行心电监护分析,包括但不限于心率分析、心率失常分析、ST分析,以及QT分析,相应的,心电监护分析结果包括但不限于心率结果、心率失常分析结果、ST分析结果,以及QT分析结果。It should be noted that in the embodiment of the present invention, the monitoring
图6为本发明实施例提供的一种心电诊断模块的结构示意图。如图6所示,心电诊断模块402包括:Fig. 6 is a schematic structural diagram of an ECG diagnostic module provided by an embodiment of the present invention. As shown in FIG. 6, the ECG
离线心电信号获取模块4021,用于获取目标对象对应的离线心电信号;The offline ECG
第二信号预处理模块4022,与离线心电信号获取模块4021连接,用于对离线心电信号进行预处理,获得预处理后的离线心电信号;The second
静息心电分析模块4023,与第二信号预处理模块4022连接,用于对预处理后的离线心电信号进行心电诊断分析,获得心电诊断分析结果。The resting
需要说明的是,在本发明的实施例中,离线心电信号获取模块4021 具体可以通过心电传感器及硬件电路离线采集患者一段时间的离线心电信号。It should be noted that, in the embodiment of the present invention, the offline ECG
需要说明的是,在本发明的实施例中,第二信号预处理模块4022对离线心电信号进行预处理的方式,与上述第一信号预处理模块4021对实时心电信号进行预处理的方式类似,在此不再赘述。It should be noted that, in the embodiment of the present invention, the second
需要说明的是,在本发明的实施例中,静息心电分析模块4023对预处理后的离线心电信号进行分析,包括但不限于心率分析、心率失常分析、P-QRS-ST-T幅度及期间分析,以及心电波形态学分析,相应的,心电诊断分析结果包括但不限于心率结果、心率失常分析结果、形态学分析结果,以及诊断信息结果。具体的心电诊断分析结果本发明实施例不作限定。It should be noted that in the embodiment of the present invention, the resting
图7为本发明实施例提供的一种融合分析模块的结构示意图。在本发明的实施例中,融合分析模块403包括结果融合模块4031,结果融合模块4031用于按照预设组合方式,将心电监护分析结果和心电诊断分析结果进行组合,获得至少一个分析结果组合;将至少一个分析结果组合中的每一个分析结果组合确定为融合结果信息。FIG. 7 is a schematic structural diagram of a fusion analysis module provided by an embodiment of the present invention. In the embodiment of the present invention, the
如图7所示,融合分析模块403还包括融合对比模块4032,融合对比模块4032,用于将融合结果信息输入预设融合对比库中进行比对,确定预设融合对比库中是否存在融合结果信息;如果融合对比库中存在融合结果信息,获取融合结果信息对应的报警策略信息。As shown in Figure 7, the
示例性的,在本发明的实施例中,结果融合模块3041将心电监护分析结果和心电诊断分析结果按照类型和数量进行组合。具体的,结果融合模块3041可以将心电监护分析结果中的房颤分析结果和心电诊断分析结果中的预激综合征诊断结果组合,将心电监护分析结果中的快速心率和心电诊断分析结果中的房颤结果组合,将心电监护分析结果中的ST分析及心率失常分析结果和心电诊断分析结果中的急性心肌梗塞分析结果 组合,将心电监护分析结果中的心率失常分析结果和心电诊断分析结果中的Q-T间期综合症诊断结果组合,将心电分析结果中的心动过缓分析结果和心电诊断分析结果中的异常J波诊断结果组合。Exemplarily, in the embodiment of the present invention, the result fusion module 3041 combines the ECG monitoring analysis result and the ECG diagnosis analysis result according to type and quantity. Specifically, the result fusion module 3041 can combine the atrial fibrillation analysis result in the ECG monitoring analysis result and the pre-excitation syndrome diagnosis result in the ECG diagnosis analysis result, and combine the rapid heart rate and ECG diagnosis in the ECG monitoring analysis result Combine the results of atrial fibrillation in the analysis results, combine the ST analysis and arrhythmia analysis results in the ECG monitoring analysis results, and the acute myocardial infarction analysis results in the ECG diagnosis analysis results, and combine the arrhythmia analysis results in the ECG monitoring analysis results The result is combined with the QT interval syndrome diagnosis result in the ECG diagnosis analysis result, and the bradycardia analysis result in the ECG diagnosis analysis result is combined with the abnormal J wave diagnosis result in the ECG diagnosis analysis result.
示例性的,在本发明的实施例中,预设融合对比库中存储有临床高危心电图判断准则及经验,融合结果信息为异常J波伴心动过缓,融合对比模块4032将融合结果信息输入预设融合对比库,判断存在该融合结果信息,从而获取对应的报警策略信息,具体的报警策略信息为提升心动过缓的优先级。Exemplarily, in the embodiment of the present invention, the preset fusion comparison library stores clinical high-risk ECG judgment criteria and experience, the fusion result information is abnormal J wave with bradycardia, and the
在本发明的实施例中,报警处理模块404,具体用于根据报警策略信息调整心电监护报警策略。In the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,报警处理模块404,具体用于按照报警策略信息自动调整心电监护报警策略。报警处理模块404,还可以具体用于:基于报警策略信息输出调整提示信息;在接收到基于调整提示信息确定的更改指令时,根据更改指令,调整心电监护报警策略。It should be noted that, in the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,报警处理模块404,具体用于按照报警策略信息,对心电监护报警策略中的报警级别和/或报警内容进行调整;报警内容至少包括报警事件类型和报警事件呈现方式中的一种。It should be noted that, in the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,报警处理模块404根据报警策略信息调整心电监护报警策略,与上一实施例中调整报警策略的方式一致,在此不再赘述。It should be noted that, in the embodiment of the present invention, the
需要说明的是,在本发明的实施例中,报警处理模块404,还用于按照调整后的心电监护报警策略,对心电监护分析结果、心电诊断分析结果和融合结果信息进行报警输出。具体的报警输出方式与上一实施例中的报警输出方式一致,在此不再赘述。It should be noted that, in the embodiment of the present invention, the
在本发明实施的技术方案中,监护处理装置包括:心电监护模块,用于获取目标对象对应的心电监护分析结果;心电诊断模块,用于获取 目标对象对应的心电诊断分析结果;融合分析模块,与心电监护模块和心电诊断模块连接,用于将心电监护分析结果和心电诊断分析结果进行融合,获得融合结果信息;报警处理模块,与融合分析模块连接,用于根据融合结果信息调整心电监护报警策略。本发明实施例提供的技术方案,利用目标对象的心电诊断分析结果和心电分析监护结果调整监护报警级别,以满足目标对象实际的监护需求,从而提高实时监护的智能性。In the technical solution implemented by the present invention, the monitoring processing device includes: an electrocardiographic monitoring module for obtaining an electrocardiographic monitoring analysis result corresponding to the target object; an electrocardiographic diagnosis module for obtaining an electrocardiographic diagnosis analysis result corresponding to the target object; The fusion analysis module is connected to the ECG monitoring module and the ECG diagnosis module to fuse the ECG monitoring analysis results and the ECG diagnosis analysis results to obtain the fusion result information; the alarm processing module is connected to the fusion analysis module for Adjust the ECG monitoring alarm strategy according to the fusion result information. The technical solution provided by the embodiment of the present invention uses the ECG diagnosis analysis result and the ECG analysis monitoring result of the target object to adjust the monitoring alarm level to meet the actual monitoring needs of the target object, thereby improving the intelligence of real-time monitoring.
本发明又一实施例提供了一种监护处理方法。图8为本发明实施例提供的一种监护处理方法的流程示意图一。如图8所示,主要包括以下步骤:Another embodiment of the present invention provides a monitoring processing method. FIG. 8 is a first schematic flowchart of a monitoring processing method according to an embodiment of the present invention. As shown in Figure 8, it mainly includes the following steps:
S801、获取目标对象对应的实时监护信息,实时监护信息用于表征目标对象的实时状态。S801. Acquire real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time state of the target object.
在本发明的实施例中,监护处理装置可以获取目标对象对应的实时监护信息,实时监护信息用于表征目标对象的实时状态。In the embodiment of the present invention, the monitoring processing device can obtain real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time state of the target object.
需要说明的是,在本发明的实施例中,如图3所示的监护处理装置,监护处理装置可以直接通过第一获取模块301获取目标对象对应的实时监护信息,具体的实时监护信号可以为实时心电信号,当然,也可以其它可以表征目标对象的实时状态的信息,本发明实施例不作限定。It should be noted that, in the embodiment of the present invention, as shown in FIG. 3, the monitoring processing device can directly obtain the real-time monitoring information corresponding to the target object through the
S802、获取目标对象对应的辅助分析信息。S802. Acquire auxiliary analysis information corresponding to the target object.
在本发明的实施例中,监护处理装置可以获取目标对象对应的辅助分析信息。In the embodiment of the present invention, the monitoring processing device can obtain auxiliary analysis information corresponding to the target object.
具体的,在本发明的实施例中,辅助分析信息包括心电诊断分析结果,监护处理装置获取目标对象对应的辅助分析信息,包括:获取目标对象对应的离线心电信号;对离线心电信号进行心电诊断分析,获得心电诊断分析结果。Specifically, in the embodiment of the present invention, the auxiliary analysis information includes the analysis result of the electrocardiogram diagnosis, and the monitoring processing device obtains the auxiliary analysis information corresponding to the target object, including: obtaining the offline ECG signal corresponding to the target object; Perform electrocardiographic diagnosis and analysis, and obtain the results of electrocardiographic diagnosis and analysis.
具体的,在本发明的实施例中,辅助分析信息包括目标对象特征信息,监护处理装置获取目标对象对应的辅助分析信息,包括:接收输入 的目标对象特征信息。Specifically, in the embodiment of the present invention, the auxiliary analysis information includes target object characteristic information, and the monitoring and processing device acquiring auxiliary analysis information corresponding to the target object includes: receiving input target object characteristic information.
需要说明的是,在本发明的实施例中,目标对象特征信息至少为目标对象基本信息、病例诊断信息、图像检查信息和目标对象检验信息中的一种。It should be noted that, in the embodiment of the present invention, the target object characteristic information is at least one of the target object basic information, case diagnosis information, image inspection information, and target object inspection information.
需要说明的是,在本发明的实施例中,如图3所示的监护处理装置,监护处理装置可以通过第二获取模块302获取辅助分析信息。具体的辅助分析信息可以包括心电诊断分析结果和目标对象特征信息,也可以为其它类型的信息,本发明实施例不作限定。It should be noted that, in the embodiment of the present invention, as shown in FIG. 3, the monitoring processing device may obtain auxiliary analysis information through the second obtaining
S803、根据实时监护信息,确定实时分析结果。S803: Determine the real-time analysis result according to the real-time monitoring information.
在本发明的实施例中,监护处理装置在获得实时监护信息之后,即可根据实时监护信息,确定实时分析结果。In the embodiment of the present invention, after obtaining the real-time monitoring information, the monitoring processing device can determine the real-time analysis result according to the real-time monitoring information.
具体的,在本发明的实施例中,实时监护信息为实时心电信号,监护处理装置根据实时监护信息,确定实时分析结果,包括:对所实时心电信号进行心电监护分析,获得心电监护分析结果;将心电监护分析结果确定为实时分析结果。Specifically, in the embodiment of the present invention, the real-time monitoring information is a real-time ECG signal, and the monitoring processing device determines the real-time analysis result according to the real-time monitoring information, including: performing ECG monitoring analysis on the real-time ECG signal to obtain the ECG Monitoring analysis results; Determine the ECG monitoring analysis results as real-time analysis results.
S804、按照预设监护调整方式,根据实时分析结果和辅助分析信息分析结果进行监护调整处理。S804. Perform monitoring adjustment processing according to the preset monitoring adjustment method according to the real-time analysis result and the auxiliary analysis information analysis result.
在本发明的实施例中,监护处理装置在获得实时分析结果和辅助分析信息之后,即可按照预设监护调整方式,根据实时分析结果和辅助分析信息分析结果进行监护调整处理。In the embodiment of the present invention, after the monitoring processing device obtains the real-time analysis result and auxiliary analysis information, it can perform monitoring adjustment processing according to the real-time analysis result and auxiliary analysis information analysis result according to the preset monitoring adjustment mode.
具体的,在本发明的实施例中,预设监护调整方式包括调整实时监护报警策略,监护处理装置按照预设监护调整方式,根据实时分析结果和辅助分析信息进行监护调整处理,包括:将实时分析结果和辅助分析信息进行融合,获得融合结果信息;根据融合结果信息调整实时监护报警策略。Specifically, in the embodiment of the present invention, the preset monitoring adjustment method includes adjusting a real-time monitoring alarm strategy, and the monitoring processing device performs monitoring adjustment processing according to the preset monitoring adjustment method according to the real-time analysis result and auxiliary analysis information, including: The analysis result and auxiliary analysis information are fused to obtain the fusion result information; the real-time monitoring and alarm strategy is adjusted according to the fusion result information.
具体的,在本发明的实施例中,预设监护调整方式包括调整实时分 析结果,监护处理装置按照预设监护调整方式,根据实时分析结果和辅助分析信息进行监护调整处理,包括:根据辅助分析信息调整实时分析结果,获得调整后的实时分析结果。Specifically, in the embodiment of the present invention, the preset monitoring adjustment method includes adjusting the real-time analysis result, and the monitoring processing device performs the monitoring adjustment processing according to the preset monitoring adjustment method according to the real-time analysis result and auxiliary analysis information, including: according to the auxiliary analysis Information adjustment real-time analysis results, real-time analysis results after adjustment are obtained.
具体的,在本发明的实施例中,监护处理装置根据融合结果信息调整实时监护报警策略,包括:将融合结果信息输入预设融合对比库中进行比对,判断预设融合对比库中是否存在融合结果信息;如果预设融合对比库中存在融合结果信息,获取融合结果信息对应的报警策略信息;按照报警策略信息自动调整实时监护报警策略。Specifically, in the embodiment of the present invention, the monitoring processing device adjusts the real-time monitoring alarm strategy according to the fusion result information, including: inputting the fusion result information into a preset fusion comparison library for comparison, and judging whether the preset fusion comparison library exists Fusion result information; if there is fusion result information in the preset fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; automatically adjust the real-time monitoring alarm strategy according to the alarm strategy information.
需要说明的是,在本发明的实施例中,监护处理装置获取融合结果信息对应的报警策略信息之后,还包括:基于报警策略信息输出调整提示信息;在接收到基于调整提示信息确定的更改指令时,根据更改指令,调整实时监护报警策略。It should be noted that, in the embodiment of the present invention, after the monitoring processing device obtains the alarm strategy information corresponding to the fusion result information, it further includes: outputting adjustment prompt information based on the alarm strategy information; after receiving the change instruction determined based on the adjustment prompt information When, according to the change instructions, adjust the real-time monitoring and alarm strategy.
具体的,在本发明的实施例中,监护处理装置按照报警策略信息自动调整实时监护报警策略,包括:按照报警策略信息,对实时监护报警策略中的报警级别和/或报警内容进行调整;报警内容至少包括报警事件类型和报警事件呈现方式中的一种。Specifically, in the embodiment of the present invention, the monitoring processing device automatically adjusts the real-time monitoring alarm strategy according to the alarm strategy information, including: adjusting the alarm level and/or alarm content in the real-time monitoring alarm strategy according to the alarm strategy information; The content includes at least one of the alarm event type and the presentation mode of the alarm event.
需要说明的是,在本发明的实施例中,监护处理装置根据融合结果信息调整实时监护报警策略之后,还包括:按照调整后的实时报警监护策略,对实时分析结果、辅助分析信息和融合结果信息进行报警输出。It should be noted that, in the embodiment of the present invention, after the monitoring processing device adjusts the real-time monitoring alarm strategy according to the fusion result information, it also includes: according to the adjusted real-time alarm monitoring strategy, the real-time analysis result, auxiliary analysis information, and fusion result are analyzed Information is output to alarm.
本发明又一实施例提供了一种监护处理方法。图9为本发明实施例提供的一种监护处理方法的流程示意图二。如图9所示,主要包括以下步骤:Another embodiment of the present invention provides a monitoring processing method. FIG. 9 is a second schematic flowchart of a monitoring processing method according to an embodiment of the present invention. As shown in Figure 9, it mainly includes the following steps:
S901、获取目标对象对应的心电监护分析结果。S901. Obtain an ECG monitoring analysis result corresponding to the target object.
在本发明的实施例中,监护处理装置可以先获取心电监护分析结果。In the embodiment of the present invention, the monitoring processing device may first obtain the ECG monitoring analysis result.
具体的,在本发明的实施例中,监护处理装置获取目标对象对应的心电监护分析结果,包括:获取目标对象对应的实时心电信号;对实时 心电信号进行预处理,获得预处理后的实时心电信号;对预处理后的实时心电信号进行心电监护分析,获得心电监护分析结果。Specifically, in the embodiment of the present invention, the monitoring and processing device obtaining the ECG monitoring analysis result corresponding to the target object includes: obtaining the real-time ECG signal corresponding to the target object; preprocessing the real-time ECG signal to obtain the preprocessed ECG signal Real-time ECG signal; Perform ECG monitoring analysis on the pre-processed real-time ECG signal to obtain ECG monitoring analysis results.
S902、获取心电诊断分析结果。S902. Obtain an analysis result of the electrocardiogram diagnosis.
在本发明的实施例中,监护处理装置不仅可以获取目标对象对应的心电监护分析结果,还可以获取目标对象对应的心电诊断分析结果。In the embodiment of the present invention, the monitoring processing device can not only obtain the ECG monitoring analysis result corresponding to the target object, but also the ECG diagnosis analysis result corresponding to the target object.
具体的,在本发明的实施例中,监护处理装置获取目标对象对应的心电诊断分析结果,包括:获取目标对象对应的离线心电信号;对离线心电信号进行预处理,获得预处理后的离线心电信号;对预处理后的离线心电信号进行心电诊断分析,获得心电诊断分析结果。Specifically, in the embodiment of the present invention, the monitoring and processing device acquiring the ECG diagnostic analysis result corresponding to the target object includes: acquiring the offline ECG signal corresponding to the target object; preprocessing the offline ECG signal to obtain the preprocessed ECG signal Offline ECG signal; Perform ECG diagnostic analysis on the preprocessed offline ECG signal to obtain the ECG diagnostic analysis result.
S903、将心电监护分析结果和心电诊断分析结果进行融合,获得融合结果信息。S903. Fuse the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain fusion result information.
在本发明的实施例中,监护处理装置在获得心电监护分析结果和心电诊断分析结果之后,即可将心电监护分析结果和心电诊断分析结果进行融合,获得融合结果信息。In the embodiment of the present invention, after obtaining the ECG monitoring analysis result and the ECG diagnosis analysis result, the monitoring processing device can fuse the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain the fusion result information.
具体的,在本发明的实施例中,监护处理装置将心电监护分析结果和心电诊断分析结果进行融合,获得融合结果信息,包括:按照预设组合方式,将心电监护分析结果和心电诊断分析结果中的不同结果进行组合,获得至少一个分析结果组合;将至少一个分析结果组合中的每一个分析结果组合确定为融合结果信息。Specifically, in the embodiment of the present invention, the monitoring processing device merges the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain the fusion result information, including: combining the ECG monitoring analysis result with the cardiac Different results in the electrical diagnosis analysis results are combined to obtain at least one analysis result combination; each analysis result combination in the at least one analysis result combination is determined as the fusion result information.
S904、根据融合结果信息调整心电监护报警策略。S904: Adjust the ECG monitoring alarm strategy according to the fusion result information.
在本发明的实施例中,监护处理装置在获得融合结果信息之后,接口根据融合结果信息调整心电监护报警策略。In the embodiment of the present invention, after the monitoring processing device obtains the fusion result information, the interface adjusts the ECG monitoring alarm strategy according to the fusion result information.
具体的,在本发明的实施例中,监护处理装置根据融合结果信息调整心电监护报警策略,包括:将融合结果信息输入预设融合对比库中进行比对,确定预设融合对比库中是否存在融合结果信息;如果融合对比库中存在融合结果信息,获取融合结果信息对应的报警策略信息;根据 报警策略信息调整心电监护报警策略。Specifically, in the embodiment of the present invention, the monitoring processing device adjusts the ECG monitoring alarm strategy according to the fusion result information, including: inputting the fusion result information into a preset fusion comparison library for comparison, and determining whether the preset fusion comparison library is There is fusion result information; if there is fusion result information in the fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; adjust the ECG monitoring alarm strategy according to the alarm strategy information.
具体的,在本发明的实施例中,监护处理装置根据报警策略信息调整心电监护报警策略,包括:按照报警策略信息自动调整心电监护报警策略。Specifically, in the embodiment of the present invention, the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, including: automatically adjusting the ECG monitoring alarm strategy according to the alarm strategy information.
具体的,在本发明的实施例中,监护处理装置根据报警策略信息调整心电监护报警策略,还包括:基于报警策略信息输出调整提示信息;在接收到基于调整提示信息确定的更改指令时,根据更改指令,调整心电监护报警策略。Specifically, in the embodiment of the present invention, the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, and further includes: outputting adjustment prompt information based on the alarm strategy information; upon receiving a change instruction determined based on the adjustment prompt information, According to the change order, adjust the ECG monitoring alarm strategy.
需要说明的是,在本发明的实施例中,监护处理装置根据报警策略信息调整心电监护报警策略,包括:按照报警策略信息,对心电监护报警策略中的报警级别和/或报警内容进行调整;报警内容至少包括报警事件类型和报警事件呈现方式中的一种。It should be noted that, in the embodiment of the present invention, the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, including: performing the alarm level and/or alarm content in the ECG monitoring alarm strategy according to the alarm strategy information Adjustment: The alarm content includes at least one of the type of alarm event and the presentation mode of the alarm event.
需要说明的是,在本发明的实施例中,监护处理装置根据融合结果信息调整心电监护报警策略之后,还包括:按照调整后的心电监护报警策略,对心电监护分析结果、心电诊断分析结果和融合结果信息进行报警输出。It should be noted that, in the embodiment of the present invention, after the monitoring processing device adjusts the ECG monitoring alarm strategy according to the fusion result information, it also includes: according to the adjusted ECG monitoring alarm strategy, analyzing the results of the ECG monitoring analysis and the ECG monitoring alarm strategy. The diagnosis analysis result and the fusion result information are outputted to the alarm.
本发明实施例还提供了一种监护系统。图10为本发明实施例提供的一种监护系统的结构示意图。如图10所示,监护系统包括:The embodiment of the present invention also provides a monitoring system. Fig. 10 is a schematic structural diagram of a monitoring system provided by an embodiment of the present invention. As shown in Figure 10, the monitoring system includes:
参数测量电路1001,利用与目标对象连接的传感器附件1002获取所述目标对象对应的实时监护信息;The
处理器1003,执行以下步骤:The
获取所述目标对象对应的辅助分析信息;Acquiring auxiliary analysis information corresponding to the target object;
根据所述实时监护信息,确定实时分析结果;Determine the real-time analysis result according to the real-time monitoring information;
按照预设监护调整方式,根据所述实时分析结果和所述辅助分析信息进行监护调整处理。According to the preset monitoring adjustment mode, the monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information.
可选的,所述实时监护信息为实时心电信号,所述处理器具体用于 执行以下步骤:Optionally, the real-time monitoring information is a real-time ECG signal, and the processor is specifically configured to execute the following steps:
对所述实时心电信号进行心电监护分析,获得心电监护分析结果;Performing an electrocardiographic monitoring analysis on the real-time electrocardiographic signal to obtain an electrocardiographic monitoring analysis result;
将所述心电监护分析结果确定为所述实时分析结果。The ECG monitoring analysis result is determined as the real-time analysis result.
可选的,所述辅助分析信息包括心电诊断分析结果,Optionally, the auxiliary analysis information includes an electrocardiographic diagnosis analysis result,
所述处理器具体用于执行以下步骤:The processor is specifically configured to execute the following steps:
通过所述参数测量电路1001获取所述目标对象对应的离线心电信号;Acquiring the offline ECG signal corresponding to the target object through the
对所述离线心电信号进行心电诊断分析,获得所述心电诊断分析结果。Perform electrocardiographic diagnosis and analysis on the offline electrocardiogram signal to obtain the electrocardiographic diagnosis and analysis result.
可选的,所述辅助分析信息包括目标对象特征信息,所述监护系统还包括输入接口电路1004,Optionally, the auxiliary analysis information includes target object characteristic information, and the monitoring system further includes an
所述处理器1003具体用于执行以下步骤:The
通过所述输入接口电路接收所述目标对象特征信息。Receiving the target object characteristic information through the input interface circuit.
可选的,所述目标对象特征信息至少为目标对象基本信息、病例诊断信息、图像检查信息和目标对象检验信息中的一种。Optionally, the target object characteristic information is at least one of target object basic information, case diagnosis information, image inspection information, and target object inspection information.
可选的,所述预设监护调整方式包括调整实时监护报警策略,所述处理器1003具体用于执行以下步骤:Optionally, the preset monitoring adjustment mode includes adjusting a real-time monitoring alarm strategy, and the
将所述实时分析结果和所述辅助分析信息进行融合,获得融合结果信息;Fusing the real-time analysis result and the auxiliary analysis information to obtain fusion result information;
根据所述融合结果信息调整所述实时监护报警策略。Adjust the real-time monitoring alarm strategy according to the fusion result information.
可选的,所述预设监护调整方式包括调整所述实时分析结果,所述处理器1003具体用于执行以下步骤:Optionally, the preset monitoring adjustment method includes adjusting the real-time analysis result, and the
根据所述辅助分析信息调整所述实时分析结果,获得调整后的实时分析结果。Adjust the real-time analysis result according to the auxiliary analysis information to obtain the adjusted real-time analysis result.
可选的,所述监护系统还包括报警电路1005;Optionally, the monitoring system further includes an
所述报警电路1005,按照调整后的心电报警监护策略,对所述实时分析结果、所述辅助分析信息和所述融合结果信息进行报警输出。The
可选的,所述处理器1003具体用于执行以下步骤:Optionally, the
将所述融合结果信息输入预设融合对比库中进行比对,判断所述预设融合对比库中是否存在所述融合结果信息;Input the fusion result information into a preset fusion comparison library for comparison, and determine whether the fusion result information exists in the preset fusion comparison library;
如果所述预设融合对比库中存在所述融合结果信息,获取所述融合结果信息对应的报警策略信息;If the fusion result information exists in the preset fusion comparison database, obtain the alarm policy information corresponding to the fusion result information;
按照所述报警策略信息自动调整所述实时监护报警策略。The real-time monitoring alarm strategy is automatically adjusted according to the alarm strategy information.
可选的,所述处理器1003还用于执行以下步骤:Optionally, the
基于所述报警策略信息输出调整提示信息;Output adjustment prompt information based on the alarm strategy information;
在接收到基于所述调整提示信息确定的更改指令时,根据所述更改指令,调整所述实时监护报警策略。When a modification instruction determined based on the adjustment prompt information is received, the real-time monitoring alarm strategy is adjusted according to the modification instruction.
可选的,所述处理器1003具体用于执行以下步骤:Optionally, the
按照所述报警策略信息,对所述心电监护报警策略中的报警级别和/或报警内容进行调整;所述报警内容至少包括报警事件类型和报警事件呈现方式中的一种。According to the alarm strategy information, the alarm level and/or alarm content in the ECG monitoring alarm strategy are adjusted; the alarm content includes at least one of the alarm event type and the alarm event presentation mode.
本领域内的技术人员应明白,本发明的实施例可提供为方法、系统、或计算机程序产品。因此,本发明可采用硬件实施例、软件实施例、或结合软件和硬件方面的实施例的形式。而且,本发明可采用在一个或多个其中包含有计算机可用程序代码的计算机可用存储介质(包括但不限于磁盘存储器和光学存储器等)上实施的计算机程序产品的形式。Those skilled in the art should understand that the embodiments of the present invention may be provided as methods, systems, or computer program products. Therefore, the present invention may adopt the form of a hardware embodiment, a software embodiment, or an embodiment combining software and hardware. Moreover, the present invention may adopt the form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage, optical storage, etc.) containing computer-usable program codes.
本发明是参照根据本发明实施例的方法、设备(系统)、和计算机程序产品的流程图和/或方框图来描述的。应理解可由计算机程序指令实现流程图和/或方框图中的每一流程和/或方框、以及流程图和/或方框图中的流程和/或方框的结合。可提供这些计算机程序指令到通用计算机、专用计算机、嵌入式处理机或其他可编程信号处理设备的处理器以产生一个机器,使得通过计算机或其他可编程信号处理设备的处理器执行的指令产生用于实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功 能的装置。The present invention is described with reference to flowcharts and/or block diagrams of methods, devices (systems), and computer program products according to embodiments of the present invention. It should be understood that each process and/or block in the flowchart and/or block diagram, and the combination of processes and/or blocks in the flowchart and/or block diagram can be implemented by computer program instructions. These computer program instructions can be provided to the processor of a general-purpose computer, a special-purpose computer, an embedded processor, or other programmable signal processing equipment to generate a machine, so that the instructions executed by the processor of the computer or other programmable signal processing equipment are generated It is a device that realizes the functions specified in one process or multiple processes in the flowchart and/or one block or multiple blocks in the block diagram.
这些计算机程序指令也可存储在能引导计算机或其他可编程信号处理设备以特定方式工作的计算机可读存储器中,使得存储在该计算机可读存储器中的指令产生包括指令装置的制造品,该指令装置实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能。These computer program instructions can also be stored in a computer-readable memory that can guide a computer or other programmable signal processing equipment to work in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture including the instruction device. The device implements the functions specified in one process or multiple processes in the flowchart and/or one block or multiple blocks in the block diagram.
这些计算机程序指令也可装载到计算机或其他可编程信号处理设备上,使得在计算机或其他可编程设备上执行一系列操作步骤以产生计算机实现的处理,从而在计算机或其他可编程设备上执行的指令提供用于实现在流程图一个流程或多个流程和/或方框图一个方框或多个方框中指定的功能的步骤。These computer program instructions can also be loaded on a computer or other programmable signal processing equipment, so that a series of operation steps are executed on the computer or other programmable equipment to produce computer-implemented processing, so as to execute on the computer or other programmable equipment. The instructions provide steps for implementing functions specified in a flow or multiple flows in the flowchart and/or a block or multiple blocks in the block diagram.
以上所述,仅为本发明的较佳实施例而已,并非用于限定本发明的保护范围。The above are only the preferred embodiments of the present invention, and are not used to limit the protection scope of the present invention.
在本发明实施例的技术方案中,监护处理装置包括:第一获取模块,用于获取目标对象对应的实时监护信息,实时监护信息用于表征目标对象的实时状态;第二获取模块,用于获取目标对象对应的辅助分析信息;实时分析模块,与第一获取模块连接,用于根据实时监护信息,确定实时分析结果;处理模块,与第一获取模块和实时分析模块连接,用于按照预设监护调整方式,根据实时分析结果和辅助分析信息进行监护调整处理。本发明实施例提供的技术方案,利用目标对象其它维度的辅助分析信息,调整基于实时监护信息确定的实时分析结果,或结合实时分析结果调整监护报警级别,以满足目标对象实际的监护需求,从而提高实时监护的智能性。In the technical solution of the embodiment of the present invention, the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for Acquire auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results according to real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to Set up a monitoring adjustment method, and perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information. The technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
Claims (53)
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| PCT/CN2019/093919 WO2020258333A1 (en) | 2019-06-28 | 2019-06-28 | Monitoring and processing method and device, and storage medium |
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| US9161705B2 (en) * | 2010-12-07 | 2015-10-20 | The Board Of Regents Of The University Of Texas System | Method and device for early detection of heart attack |
| CN103476328A (en) * | 2011-04-14 | 2013-12-25 | 皇家飞利浦有限公司 | Stepped alarm method for patient monitors |
| CN104042208A (en) * | 2014-06-26 | 2014-09-17 | 北京化工大学 | Electrocardiograph monitoring system |
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