CN101013534A - Simulator system for teaching Chinese medicine - Google Patents

Simulator system for teaching Chinese medicine Download PDF

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Publication number
CN101013534A
CN101013534A CN 200710056835 CN200710056835A CN101013534A CN 101013534 A CN101013534 A CN 101013534A CN 200710056835 CN200710056835 CN 200710056835 CN 200710056835 A CN200710056835 A CN 200710056835A CN 101013534 A CN101013534 A CN 101013534A
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unit
treatment
computer
patient
acupuncture point
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CN101013534B (en
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王学民
陆小左
刘雪松
王槿
景沼锡
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Tianjin University
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Tianjin University
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Abstract

The invention discloses a people simulation system for Chinese medical teaching. The system includes simulation showing unit, clinic units, medical integrated units, diagnosis and treatment simulation and the treatment of feedback unit. The people simulation for Chinese medical teaching is different form the general training model, which can give real reaction to clinical treatment and drug treatment automatically. Thus students get a safe, risk-free real clinical environment to use and understand the clinic knowledge better. Compared with the existing technology, such a people simulated system for Chinese medical teaching is easy to operate, risk-free, reusable, and teaching results can be recorded; it can give real reaction to clinical treatment and drug treatment automatically. Thus students get a safe, risk-free real clinical environment to use and understand the clinic knowledge better.

Description

The tcm teaching simulator system
Technical field
The present invention relates to a kind of medical use digital virtual robot system, particularly relate to a kind of simulator system that is used for tcm teaching.
Background technology
Be that the development of Medical Biology of research object is closely related with the high-tech in each period all the time at present with human body and biological phenomena, particularly computational science and computing technique make the raising of the visual technical research level of organization of human body and function become possibility, many high-tech researches be unable to do without the support of high-performance computer, for example existing digital people (the digital human) plan in the prior art, target be realize human body from the molecule to the cell, tissue, organ, system and whole accurate simulation.Utilize infotech to realize structure and the digitizing of function, visual of human body from the microcosmic to the macroscopic view, finally reach the whole accurately simulation of human body, will produce influence difficult to the appraisal to Medical Biology and with the development of human body related discipline.
The digitized simulation people has important scientific meaning for enhancement to mankind itself's understanding, the development of promotion medical science, it is with organization of human body and function information digitizing and visual, set up and can be the mathematical model of Computer Processing, make by means of the quantitative test of computing machine calculate and accurately simulation become possibility.Performance Computers from Digitized Virtual Human phantom type is with a wide range of applications: can be medical research, teaching and clinically provide image and real model; For the exploitation of medical diagnosis on disease, new drug and new medical procedure provides reference; Promote to form medical new high-tech industry of new generation, quicken China's medical education and clinical modernization greatly.
But, present anthropomorphic dummy, seldom be intended to be used for traditional Chinese medical science research, promptly pass through to display system interrogation system, case history integrated system, traditional Chinese medical science sign diagnoses and treatment system and treatment Research on feedback system, development has the tcm teaching anthropomorphic dummy of man-machine conversation and self-learning function, be used for training of students tcm knowledge that utilization is learned and carry out clinical diagnosis, and make its diagnosis algorithm standardization, standardization, for the inheritance and innovation of the traditional Chinese medical science are made contributions.
Summary of the invention
The present invention proposes a kind of tcm teaching simulator system, the electric signal treatment technology that utilizes computing machine and possessed, by display unit, interrogation unit, case history integrated unit, traditional Chinese medical science sign diagnoses and treatment unit and treatment feedback unit, constitute tcm teaching anthropomorphic dummy with man-machine conversation and self-learning function, be used for training of students tcm knowledge that utilization is learned and carry out clinical diagnosis, and make its diagnosis algorithm standardization, standardization.
The technical scheme that the present invention proposes is:
1. tcm teaching simulator system, this system comprises anthropomorphic dummy's display unit, interrogation unit, case history integrated unit, traditional Chinese medical science sign diagnoses and treatment analogue unit and treatment feedback unit,
Anthropomorphic dummy's display unit is used for showing the data of this system, comprises patient's readme video, tongue picture picture, pulse condition simulation, auscultation and olfaction simulation and acupuncture point tenderness simulated data;
The interrogation unit by inquiry patient's the problem of prompting, obtains patient's main information;
The case history integrated unit adopts database, and with patient's essential information and four methods of diagnosis information, and other illness situation is with the form of standard record one by one, and generates the standard case history;
Traditional Chinese medical science sign diagnoses and treatment unit and treatment feedback analogue unit after the standard case history that obtains patient, will in traditional Chinese medical science sign diagnoses and treatment system situation to patient be had one clearly judge, and treat by the trainer by the trainer.
Described anthropomorphic dummy's display system further comprises it being patient's readme video unit, tongue picture picture, pulse condition analogue unit, auscultation and olfaction analogue unit and acupuncture point tenderness analogue unit.
Described pulse condition analogue unit utilizes computer to realize the simulation of pulse signal, and this unit comprises:
Computer is used to handle control, transmission and the processing of the input/output signal of simulator system of the present invention;
Pressure transducer and location regulating circuit with gathering the size of being exerted pressure by the trainer, pass to computer, and computer sends different signals according to different pressure, drives the pulse condition that solenoid valve is exported corresponding different pressures;
Machinery Control System, the electric signal of exporting from computer enters this Machinery Control System, is used for the rule control oil channel according to this electric signal;
Oil circuit is used to simulate the venous system of human body.
Described acupuncture point tenderness analogue unit, this unit comprises:
Push switch is installed in respectively on the simulation acupuncture point, and in the acupuncture;
The pci signal control card is input to the switching signal of the push switch that receives in the computer;
Computer by the response of computer, detects the state of two switches;
Display unit shows whether push switch pushes result accurately.
Whether described push switch is pushed accurately, and the result further comprises: if the acupuncture point switch is pressed separately, expression is pushed the acupuncture point by the trainer with hand, can occur pushing correct prompting on the computer; If acupuncture point switch and acupuncture switch are pressed simultaneously, expression is to use the acupuncture stimulating acupuncture point, occurs stimulating correct prompting on the computer.
This system also comprises treatment scoring unit.
Compared with prior art, the present invention possesses following effect: the tcm teaching anthropomorphic dummy will bring revolutionary progress for the tcm teaching scientific research: one, authenticity.Be different from general mission mode training pattern, under the support of powerful " physiology driving " technology, the tcm teaching anthropomorphic dummy can make real reaction to clinical treatment and drug therapy automatically, thereby, be convenient to the student and use the diagnosis and treatment knowledge that they grasped better for the true clinical setting that the student has reproduced a safety, devoid of risk.
Two, dialectical thinking training." organic conception " and " diagnosis and treatment " of traditional Chinese medical science uniqueness run through whole diagnosis and treatment process.Three, time convenience and modulability.Traditional Chinese medical science anthropomorphic dummy can arrange the training time according to teacher's thinking for the student fully, and the training in various difficulty and stage can be carried out on simulation system.Four, calm dangerous.Use the tcm teaching anthropomorphic dummy, the student can regard it as real patient fully in diagnosis and treatment, but what be different from actual patient is that even if the student makes mistakes, patient can not be subjected to any injury yet.Five, repeatability.The student can carry out exercise repeatedly on simulation system, till grasping.Six, record property.Training process can be noted by variety of way, discusses and estimates, and this helps the shortcoming and defect in the discovery teaching.Seven, the study of common or rare case.Usually a lot of case incidences of disease are lower, and low age and service seniority doctor is difficult to see especially, but utilization can simulate the very serious incident of this uncommon possibility character.
Description of drawings
Fig. 1 is the system architecture synoptic diagram that tcm teaching proposed by the invention is used simulator system;
Fig. 2 is the pulse condition analogue unit structural representation that tcm teaching proposed by the invention is used simulator system;
Fig. 3 is the acupuncture point analogue unit structural representation that tcm teaching proposed by the invention is used simulator system.
Embodiment
Tcm teaching simulator system of the present invention mainly comprises anthropomorphic dummy's display unit 10, interrogation unit 20, case history integrated unit 30 and traditional Chinese medical science sign diagnoses and treatment analogue unit (symptom is quantitatively distinguished disease) 40-a, traditional Chinese medical science sign diagnoses and treatment analogue unit 40-b and treatment feedback unit 50.
1. anthropomorphic dummy's display unit
Anthropomorphic dummy's display system 10 is used for showing the data of simulator system provided by the present invention, for example: data such as patient's readme video, tongue picture picture, pulse condition simulation, auscultation and olfaction simulation and acupuncture point tenderness simulation.Wherein, the specific descriptions of data are as follows in each:
(1) patient's readme video
At the illness that will train in the teaching, for strengthening the clinical sense of reality, the deviser can use Digital Video to take the video of the readme illness of clinical patient.This video data is stored in the computing machine of simulator system, in order to playing when diagnosis begins.
(2) tongue picture picture
Should be data from the tongue picture picture that adopts digital camera to take.Clap the objectivity and the authenticity of tongue picture in order to check, further analyzing and processing for image information provides requisite foundation simultaneously, this project is collected 1000 example clinical common tongue picture, 300 routine patient's observation data, is organized 3-5 name clinician double-blind study that captured image is carried out interpretation, and please Traditional Chinese Medicine experts discuss disease, distribute, strip off with feature such as schistoglossia etc. and give a mark with regard to tongue color, coating colour, tongue thickness, tongue what, tongue, set up the tongue picture database.And, adopt the high definition LCD display to reproduce observation.
(3) pulse condition simulation
These data are that engineering science methods such as traditional Chinese medicine and bionics, mechanics, sensing technology and computer technology are combined, and have made up a fluid model that meets the motion of structoure of the human body, and it has simulated 26 kinds of pulse conditions of human body.Its idiographic flow as shown in Figure 2, this unit has further and comprises: computer 201 is used to handle control, transmission and the processing of the input/output signal of simulator system of the present invention; Pressure transducer and location regulating circuit 202 with gathering the size of being exerted pressure by the trainer, pass to computer, and computer 201 sends different signals according to different pressure, drives the pulse condition that solenoid valve is exported corresponding different pressures; Machinery Control System 203, the electric signal of exporting from computer 201 enters this Machinery Control System, is used for the rule control oil channel 204 according to this electric signal; Oil circuit 204 is used to produce simulated person's vena systemica signal.
(4) auscultation and olfaction simulation
Clinical collection comprises cough, breathing, language, vomiting, contrary, heating installation, heaves a deep sigh, sneeze, moan, pant, cry, the sound of sound such as borborygmus examines each 10 example of data.Set up sound and examined (auscultation and olfaction) document data base, sonagraph is analyzed above-mentioned data.Adopt the artificial larynx model in conjunction with artificial nasal cavity simulation cough, breathing, language, vomiting, contrary, heating installation, heave a deep sigh, sneeze, the sound of moaning, pant, crying; Adopt heimholtz resonator simulation gurgling sound.Adopt sonagraph analysis mode sound result, front and back are relatively revised.
(5) acupuncture point tenderness simulation
This part partly is made up of anthropomorphic dummy, computing machine etc.Model part is pressed human figure, forms with the medical grade silicon rubber injection molding, in appearance, cover last layer emulation " pork skin ".Should " pork skin " also adopt the medical grade silicon rubber material, color is made into pink, as far as possible near the human body skin color.In order to save material and weight reduction, adopt cavity structure.According to the acupuncture point distribution plan of human body, the point detection electrode is laid at corresponding position in model, so that when inserting needle is operated, surveys the accuracy and the depth of needle of acupuncture, and the result of operation is given voice suggestion.Because the acupuncture point is many, the line of electrode is just many, for easy for installation and overall appearance, earlier each line is connected on the socket head by numbering, and socket is welded on the control panel, and control panel is installed in the cavity, and logical with being connected of extraneous computer, pci interface is adopted in communication.In order to increase the sense of reality, when hand touched on appearance " pork skin ", the touch feeling of various electrodes and other position had no difference.So both increased the difficulty of seeking the acupuncture point, the actual clinical effect had also more been arranged.Computer partly is to realize friendly interface according to the detection of electrode and given data, the demonstration of picture and written historical materials and searching and task such as explanation.
As shown in Figure 3, this unit comprises push switch 301, wherein, on the simulation acupuncture point, a push switch is installed, another push switch is installed in acupuncture, the switching signal of push switch is input in the computer 201 of the present invention by pci signal control card 302, response by computer 201, can detect the state of two switches, and by display unit 304, show whether push switch pushes display result accurately: if the acupuncture point switch is pressed separately, expression is pushed the acupuncture point by the trainer with hand, can occur pushing correct prompting on the computer.If acupuncture point switch and acupuncture switch are pressed simultaneously, expression is to use the acupuncture stimulating acupuncture point, occurs stimulating correct prompting on the computer.
2. the interrogation unit 20
This interrogation system be with " interrogation " be based computer traditional Chinese medical science sign dialectical, the treatment unit.
Cure the understanding characteristic of interrogation under study for action, seek its rule and meet on the basis of clinical custom, with the traditional Chinese medical science described symptom of patient's subjective sensation in clinical treatment, in standardization and standardized sign interrogation pattern and tcm clinical practice sign database, draw the corresponding judgment result after machine language and the Automatic Program analyzing and processing as calculated, make it more rational and objective, again through hoping, hear, suit ginseng, for final diagnosis provides relevant foundation.
Set up the standard of tcm clinical practice sign, at first the accuracy of standard disease of tcm, practicality, science and standardization.Extensively collect documents and materials, the summary original text of tentatively summarizing the illness specification documents; Set up disease of tcm epidemiology, illness is based upon on the clinical basis,, listen to expert opinion repeatedly, make the disease of tcm standard of checking for further by taking a broad survey and statistical study; Organize the clinical disease of testing, revision is discussed repeatedly, and is organized expert appraisal.
Set up standard, standard, complete, and meet the world, domestic industry standard is to set up the key issue of database.Comprise the foundation of standardization traditional Chinese medical science terminology bank, the foundation in the different term contrast of traditional Chinese medical science storehouse, the foundation of traditional Chinese medical science sign knowledge base, the foundation of disease of tcm knowledge base, the foundation of Chinese medical discrimination knowledge base.
Like this, when patient is inquired, just can be according to the step of standard, standard ground is to patient's incidence, pathogenic process, diagnosis and treatment process, symptom at present, and individual past medical history, the history of life and family history are done omnibearing understanding, patient's illness is done in depth understood.
3. the case history integrated unit 30
This unit adopts database, and with patient's essential information and four methods of diagnosis information, and other illness situation is with the form of standard record one by one, and generating the standard case history, the benefit of doing like this is clear, understands, simply, can do overall understanding to patient's situation by the standard case history.Certainly for such system, must accomplish safety, stable, operation easily.
4. analogue unit 40 is fed back in traditional Chinese medical science sign diagnoses and treatment unit and treatment
By the trainer after obtaining patient's standard case history, to in traditional Chinese medical science sign diagnoses and treatment system, the situation to patient there be one to judge clearly by the trainer, and treat, comprise giving patient corresponding prescription, suitable acupuncture point is treated by acupuncture and moxibustion and massages or the like.
After corresponding treatment, the treatment feedback system can be at being provided the corresponding treatment result by trainer's therapeutic scheme, as the variation of patient's readme, and variation of four methods of diagnosis feature or the like, and according to standards of grading to being marked by the overall diagnosis and treatment of trainer performance, reach the purpose of training.
For the function that makes system more powerful and complete, traditional Chinese medical science simulator system of the present invention by anthropomorphic dummy's display unit, interrogation unit, case history integrated unit, traditional Chinese medical science sign diagnoses and treatment unit and the treatment feedback unit etc., can also comprise that treatment judge paper unit forms except mainly.Be mainly used in training of students tcm knowledge that utilization is learned and carry out clinical diagnosis, and make its diagnosis algorithm standardization, standardization.
Practical application example of the present invention is: anthropomorphic dummy's display system can be play patient's readme video, comprises patient's essential information and facial characteristics.At this moment, anthropomorphic dummy's display system can provide patient's tongue picture, pulse condition, and sends various sound, if hand is pressed corresponding acupoints, the anthropomorphic dummy has prompting.Can be made a preliminary judgement by the information of above several aspects by the trainer to patient's illness.
Then by the interrogation system, can be carried out human-computer interaction by simple computation and computer by the trainer, standard criterion ground is to patient's incidence, pathogenic process, the diagnosis and treatment process, symptom, and individual past medical history at present, the history of life and family history are done omnibearing understanding, patient's illness is done in depth understood.
In the case history integrated system, patient's essential information, four methods of diagnosis situation and laboratory examination result etc. can be combined into the standard case history.Case history standardization is helped doctor's diagnosis, be convenient to hold patient's course of disease situation.
After the standard case history that obtains patient, will in traditional Chinese medical science sign diagnoses and treatment system, the situation to patient there be one to judge, and treat clearly by the trainer, comprise giving patient corresponding prescription, suitable acupuncture point is treated by acupuncture and moxibustion and massages or the like.
After corresponding treatment, the treatment feedback system can be at being provided the corresponding treatment result by trainer's therapeutic scheme, as the variation of patient's readme, and variation of four methods of diagnosis feature or the like, and according to standards of grading to being marked by the overall diagnosis and treatment of trainer performance, reach the purpose of training.

Claims (6)

1. tcm teaching simulator system, this system comprises anthropomorphic dummy's display unit, interrogation unit, case history integrated unit, traditional Chinese medical science sign diagnoses and treatment analogue unit and treatment feedback unit,
Anthropomorphic dummy's display unit is used for showing the data of this system, comprises patient's readme video, tongue picture picture, pulse condition simulation, auscultation and olfaction simulation and acupuncture point tenderness simulated data;
The interrogation unit by inquiry patient's the problem of prompting, obtains patient's main information;
The case history integrated unit adopts database, and with patient's essential information and four methods of diagnosis information, and other illness situation is with the form of standard record one by one, and generates the standard case history;
Traditional Chinese medical science sign diagnoses and treatment unit and treatment feedback analogue unit after the standard case history that obtains patient, will in traditional Chinese medical science sign diagnoses and treatment system situation to patient be had one clearly judge, and treat by the trainer by the trainer.
2. tcm teaching simulator system as claimed in claim 1 is characterized in that, described anthropomorphic dummy's display system further comprises it being patient's readme video unit, tongue picture picture, pulse condition analogue unit, auscultation and olfaction analogue unit and acupuncture point tenderness analogue unit.
3. tcm teaching simulator system as claimed in claim 1 is characterized in that, described pulse condition analogue unit utilizes computer to realize the simulation of pulse signal, and this unit comprises:
Computer is used to handle control, transmission and the processing of the input/output signal of simulator system of the present invention;
Pressure transducer and location regulating circuit with gathering the size of being exerted pressure by the trainer, pass to computer, and computer sends different signals according to different pressure, drives the pulse condition that solenoid valve is exported corresponding different pressures;
Machinery Control System, the electric signal of exporting from computer enters this Machinery Control System, is used for the rule control oil channel according to this electric signal;
Oil circuit is used to simulate the venous system of human body.
4. tcm teaching simulator system as claimed in claim 1 is characterized in that, described acupuncture point tenderness analogue unit, and this unit comprises:
Push switch is installed in respectively on the simulation acupuncture point, and in the acupuncture;
The pci signal control card is input to the switching signal of the push switch that receives in the computer;
Computer by the response of computer, detects the state of two switches;
Display unit shows whether push switch pushes result accurately.
5. tcm teaching simulator system as claimed in claim 4, it is characterized in that, whether described push switch is pushed accurately, and the result further comprises: if the acupuncture point switch is pressed separately, expression is pushed the acupuncture point by the trainer with hand, can occur pushing correct prompting on the computer; If acupuncture point switch and acupuncture switch are pressed simultaneously, expression is to use the acupuncture stimulating acupuncture point, occurs stimulating correct prompting on the computer.
6. tcm teaching simulator system as claimed in claim 1 is characterized in that, this system also comprises treatment scoring unit.
CN200710056835A 2007-02-16 2007-02-16 Simulator system for teaching Chinese medicine Expired - Fee Related CN101013534B (en)

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CN103839471A (en) * 2014-01-08 2014-06-04 牛欣 Pulse-taking property quantified feedback training device and method
CN108154934A (en) * 2017-12-20 2018-06-12 华子昂 Database Systems based on intelligent traditional Chinese medical science robot
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