CN104783771A - Monitoring device for lower extremity artery pulsation intensity after femoral artery puncture operation - Google Patents
Monitoring device for lower extremity artery pulsation intensity after femoral artery puncture operation Download PDFInfo
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- CN104783771A CN104783771A CN201510230542.2A CN201510230542A CN104783771A CN 104783771 A CN104783771 A CN 104783771A CN 201510230542 A CN201510230542 A CN 201510230542A CN 104783771 A CN104783771 A CN 104783771A
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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
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/021—Measuring pressure in heart or blood vessels
- A61B5/022—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
- A61B5/0225—Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
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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
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6829—Foot or ankle
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Abstract
A monitoring device for lower extremity artery pulsation intensity after a femoral artery puncture operation comprises two ankle covers which are connected with each other through connecting pipes and a control device, the control device measures the blood pressure of lower extremity arteries through the ankle covers, judges whether the blood pressure is in a normal range or not and judges whether the puncture side lower extremity systolic pressure is lower than 70% of the normal side systolic pressure or not, and if lower than 70%, the control device conducts alarm; a blood pressure numerical value and information of alarm types and the like are displayed through a display, and the control device is further connected with a printer which is used for printing a detection result. By means of the monitoring device for the lower extremity artery pulsation intensity after the femoral artery puncture operation, the defects that the subjectivity of an existing lower extremity artery pulsation monitoring method is too strong, and objective data can not be preserved can be overcome, and the circumstance of the lower extremity artery pulsation intensity can be reflected visually and objectively. The lower extremity artery pulsation circumstance can be reflected objectively in real time through changes of the lower extremity blood pressure numerical value, and the situation of lower extremity ischemic injury caused by arterial occlusion can be effectively avoided.
Description
Technical field
The invention belongs to a kind of medical monitoring equipment, be specifically related to the postoperative artery of lower extremity of a kind of femoral artery puncture and beat strong and weak monitoring device.
Background technology
The patient that interventional therapy femoral artery puncture is postoperative, due to the long hemostasis by compression bandage of needs (being generally 24 hours), so there is the danger that femoral artery partly or entirely presses off, long arterial occlusion causes histiocyte hypoxic-ischemic, easily causes the serious consequence of limb injury.Before releasing pressure dressing, all need to carry out artery of lower extremity and to beat strong and weak monitoring, early to find early process, the serious consequence such as avoid tissue ischemia downright bad.
At present, medical personnel is mainly relied on to judge by the power of beating of hands palpation sensation dorsal artery of foot or posterior tibial artery clinically.Palpation is felt to vary with each individual, and causes this monitoring mode subjective differences too large, and cannot retain objective data, be difficult to the situation of Timeliness coverage arterial occlusions in lower limbs.
Summary of the invention
The object of this invention is to provide the postoperative artery of lower extremity of a kind of femoral artery puncture to beat strong and weak monitoring device, to beat the not objective not defect intuitively of monitoring to solve existing artery of lower extremity, make up the deficiencies in the prior art.
Monitoring principle of the present invention: the two lower limb ankle blood pressure values of monitoring simultaneously, utilizes both sides blood pressure values and difference size variation to judge whether to occur the situation of arterial occlusions in lower limbs.
Based on above-mentioned principle the technical solution used in the present invention:
The postoperative artery of lower extremity of a kind of femoral artery puncture is beaten strong and weak monitoring device, it is characterized in that comprising power supply, two for being nested with the ankle cover at ankle position, this ankle puts and is provided with pressurised airbag, described pressurised airbag is connected with control device by connection tube, described control device measures the blood pressure of artery of lower extremity by ankle cover, and this control device comprises signal gathering unit, signal processing unit, display, alarm, memorizer;
Described signal gathering unit is used for the pressure signal gathering two ankle covers at one time, and export this signal to signal processing unit by analog digital conversion, first described signal processing unit judges whether the blood pressure of both sides artery of lower extremity is in following scope: systolic pressure is not less than 90mmHg, and diastolic pressure is not less than 60mmHg; If there is side not to be in above-mentioned scope, then send signal by alarm; Otherwise the systolic pressure that signal processing unit carries out judging puncture side artery of lower extremity whether lower than normal side artery of lower extremity systolic pressure 70% (namely with normal side lower limb systolic pressure for reference, judge that whether puncture side lower limb systolic pressure is lower than 70% of normal side lower limb systolic pressure, if lower than 70%, then send signal by alarm;
Described display is for the percentage ratio of the blood pressure values and puncture side blood pressure compared with normal side that show both sides artery of lower extremity, when device sends signal, (one or both sides blood pressure is in above-mentioned scope for display shows signal type, and puncture side blood pressure is lower than 70% of normal side blood pressure), and this measurement data is stored by memorizer.
Above-mentioned control device includes clock circuit; the temporal information that signal processing unit provides according to clock circuit carries out monitoring in 24 hours to patient; monitoring frequency is arranged by the button of control device; the monitoring frequency of system default is once per hour; usual patient is the high-risk period that arterial occlusions in lower limbs occurs in first 24 hours after surgery, need continue to monitor.
Also be provided with inflator pump in above-mentioned control device, described pressurised airbag is inflated by inflator pump.
Above-mentioned alarm is acousto-optic integrated alarm.
Above-mentioned power supply can be internal cell or external power supply.
Above-mentioned control device also connects printer, for testing result being printed.
Advantage of the present invention: too large for present artery of lower extremity strong and weak monitoring method subjectivity of beating, cannot retain the defect of objective data, and this technology intuitively, objectively can reflect artery of lower extremity and to beat strong and weak situation.By the change of blood pressure of lower extremities numerical value, objectively reflect that artery of lower extremity is beaten strong and weak situation in time, the lower limb tissue ischemia effectively avoiding arterial occlusion to cause damages.
Accompanying drawing explanation
Schematic diagram when Fig. 1 is apparatus of the present invention use.
Fig. 2 is the structural representation of Fig. 1 middle controller.
Wherein, 1 ankle band, 2 connection tubes, 3 controller 4 power supplys, 5 signal gathering unit, 6 signal processing units, 7 display, 8 alarms, 9 memorizeies, 10 printers, 11 clock circuits.
Detailed description of the invention
As shown in accompanying drawing 1,2, the postoperative artery of lower extremity of a kind of femoral artery puncture is beaten strong and weak monitoring device, it is characterized in that power supply 4, comprising two for being nested with the ankle cover 1 at ankle position, this ankle cover 1 is provided with pressurised airbag, described pressurised airbag is connected with control device 3 by connection tube 2, described control device 3 measures the blood pressure of artery of lower extremity by ankle cover 1, and this control device comprises signal gathering unit 5, signal processing unit 6, display 7, alarm 8, memorizer 9;
Described signal gathering unit 5 is for gathering the pressure signal of two ankle covers 1 at one time, and export this signal to signal processing unit 6 by analog digital conversion, first described signal processing unit 6 judges whether the blood pressure of both sides artery of lower extremity is in following scope: systolic pressure is not less than 90mmHg, and diastolic pressure is not less than 60mmHg; If there is side not to be in above-mentioned scope, then send signal by alarm; Otherwise the systolic pressure that signal processing unit 6 carries out judging puncture side artery of lower extremity whether lower than normal side artery of lower extremity systolic pressure 70% (namely with normal side lower limb systolic pressure for reference, judge that whether puncture side lower limb systolic pressure is lower than 70% of normal side lower limb systolic pressure, if lower than 70%, then send signal by alarm 8;
Described display 7 is for the percentage ratio of the blood pressure values and puncture side blood pressure compared with normal side that show both sides artery of lower extremity, when device sends signal, display 7 shows signal type is (in the above-mentioned scope of one or both sides blood pressure, and puncture side blood pressure is lower than 70% of normal side blood pressure), and this measurement data is stored by memorizer 9; Control device 3 also connects printer 10, for testing result being printed.
Above-mentioned control device 3 includes clock circuit 11; signal processing unit 6 carries out monitoring in 24 hours according to the information of clock circuit 11 to patient; monitoring frequency is arranged by the button of control device 3; the monitoring frequency of system default is once per hour; usual patient is the high-risk period that arterial occlusions in lower limbs occurs in first 24 hours after surgery, need continue to monitor.
Also be provided with inflator pump in above-mentioned control device 3, described pressurised airbag is inflated by inflator pump.
Above-mentioned alarm is acousto-optic integrated alarm.
Above-mentioned power supply 4 can be internal cell or external power supply.
Embodiment
Ankle band: similar in the cuff of common sphygomanometer, long 50cm, wide 15cm.
Warning function: can arrange alarming value scope, once the numerical value of monitoring reaches this scope, can send audible alarm.
During use, patient's horizontal position, is first individually fixed in the dorsal artery of foot of the bilateral ankle of sufferer or posterior tibial artery and beats place by the bipod wrist strap of device; Start inflation and measure by initiating key simultaneously, gather bilateral ankle dorsal artery of foot or posterior tibial artery simultaneously and to beat power; Adopt alternating current, being equipped with internal battery simultaneously, can charging by connecting power line when not using;
The arteriopalmus strong and weak signals collected is analyzed by device, if bilateral arterial is beaten, within normal range, (systolic pressure is not less than 90mmHg to strong and weak numerical value, and diastolic pressure is not less than 60mmHg; And puncture side lower limb systolic pressure is not less than 70% of normal side lower limb systolic pressure; If systolic pressure is lower than 90mmHg usually, lower than 60mmHg, diastolic pressure then means that patient probably suffers a shock, therefore strong and weak for arteriopalmus numerical value is set to above-mentioned parameter and can be adapted to most situation), if alarm does not start within normal range, otherwise then start alarm, because puncture side systolic pressure is lower than 70% of normal side systolic pressure, then that arterial occlusive probability occurs is large for puncture side lower limb;
Bilateral arterial strong and weak numerical value of beating shows on the display of monitor, then reads respectively and records the numerical value on display screen; To beat strong and weak numerical value as bilateral arterial need be printed, start printer and print, the numerical value of monitoring can be printed immediately.
Monitoring case
Wang, man, 69 years old now, for many years ill and carried out Femoral artery puncture in January, 2015, monitored by this device in 1 hour after surgery.
Patient is flat to crouch in sick bed, and first bipod wrist strap is individually fixed in the dorsal artery of foot place of Wang's bilateral ankle; By initiating key to the inflation of ankle band, gather bilateral ankle dorsal artery of foot or posterior tibial artery simultaneously and to beat power; Adopt alternating current, power supply is the socket of the sick bed head of a bed, and intend monitoring 24 hours, arranging monitoring frequency is 1 hour 1 time.
Control device 3 gathers arteriopalmus strong and weak signals automatically, it is systolic pressure 140mmHg, diastolic pressure 90mmHg that first collection period records normal side arteriopalmus numerical value, puncture side is systolic pressure 132mmHg, diastolic pressure 90mmHg, all to be in normal range as seen, and puncture side lower limb systolic pressure is not less than 70% of normal side lower limb systolic pressure;
Second collection period, recording normal side arteriopalmus numerical value is systolic pressure 136mmHg, diastolic pressure 90mmHg, and puncture side is systolic pressure 130mmHg, diastolic pressure 90mmHg, situation without exception;
3rd collection period, recording normal side arteriopalmus numerical value is systolic pressure 130mmHg, diastolic pressure 88mmHg, and puncture side is systolic pressure 130mmHg, diastolic pressure 86mmHg, situation without exception;
4th collection period, recording normal side arteriopalmus numerical value is systolic pressure 130mmHg, diastolic pressure 86mmHg, puncture side is systolic pressure 90mmHg, diastolic pressure 70mmHg, puncture side lower limb systolic pressure is lower than 70% of normal side lower limb systolic pressure, occurring abnormal, very likely there is arterial occlusion in puncture side lower limb; Control device 3 starts acousto-optic integrated alarm, sends sound and to go forward side by side line flicker, is reported to the police by network Xiang doctor's night shift room simultaneously.
Now, numerical value normal side arteriopalmus numerical value display showing the 4th collection period is systolic pressure 130mmHg, diastolic pressure 86mmHg, puncture side is systolic pressure 90mmHg, diastolic pressure 70mmHg, puncture side lower limb systolic pressure is 69% of normal side lower limb systolic pressure, and type of alarm is that puncture side lower limb systolic pressure is abnormal; Start printer the numerical value of above-mentioned monitoring is printed immediately, attendant physician is arrived in by bed immediately, check that femoral artery puncture place oppresses whether tension, whether there are the abnormal conditions such as hemorrhage and hematoma formation, finally be confirmed to be the blood pressure drops that binder compressing tension causes, after timely adjustment compression bandage, blood pressure is normal, avoids accident and occurs.
Claims (6)
1. the postoperative artery of lower extremity of femoral artery puncture is beaten strong and weak monitoring device, it is characterized in that comprising power supply (4), two for being nested with the ankle cover (1) at ankle position, this ankle cover (1) is provided with pressurised airbag, described pressurised airbag is connected with control device (3) by connection tube (2), described control device (3) measures the blood pressure of artery of lower extremity by ankle cover (1), this control device comprises signal gathering unit (5), signal processing unit (6), display (7), alarm (8), memorizer (9),
Described signal gathering unit (5) is for gathering the pressure signal of two ankle covers (1) at one time, and export this signal to signal processing unit (6) by analog digital conversion, described signal processing unit (6) first judges whether the blood pressure of both sides artery of lower extremity is in following scope: systolic pressure is not less than 90mmHg, and diastolic pressure is not less than 60mmHg; If there is side not to be in above-mentioned scope, then send signal by alarm; Otherwise signal processing unit 6) carry out judging puncture side artery of lower extremity systolic pressure whether lower than normal side artery of lower extremity systolic pressure 70% (namely with normal side lower limb systolic pressure for reference, judge that whether puncture side lower limb systolic pressure is lower than 70% of normal side lower limb systolic pressure, if lower than 70%, then send signal by alarm (8);
Described display (7) is for the percentage ratio of the blood pressure values and puncture side blood pressure compared with normal side that show both sides artery of lower extremity, when device sends signal, display (7) shows signal type, and this measurement data is stored by memorizer (9).
2. the postoperative artery of lower extremity of femoral artery puncture as claimed in claim 1 is beaten strong and weak monitoring device, it is characterized in that above-mentioned control device (3) includes clock circuit (11), the temporal information that signal processing unit (6) provides according to clock circuit (11) carries out monitoring in 24 hours to patient, monitoring frequency is arranged by the button of control device (3), and the monitoring frequency of system default is once per hour.
3. the postoperative artery of lower extremity of femoral artery puncture as claimed in claim 1 is beaten strong and weak monitoring device, and it is characterized in that also being provided with inflator pump in above-mentioned control device (3), described pressurised airbag is inflated by inflator pump.
4. the postoperative artery of lower extremity of femoral artery puncture as claimed in claim 1 is beaten strong and weak monitoring device, it is characterized in that above-mentioned alarm is acousto-optic integrated alarm.
5. the postoperative artery of lower extremity of femoral artery puncture as claimed in claim 1 is beaten strong and weak monitoring device, it is characterized in that above-mentioned power supply (4) can be internal cell or external power supply.
6. the postoperative artery of lower extremity of femoral artery puncture as claimed in claim 1 is beaten strong and weak monitoring device, it is characterized in that above-mentioned control device (3) also connects printer (10), for testing result being printed.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510230542.2A CN104783771B (en) | 2015-05-08 | 2015-05-08 | The postoperative strong and weak monitoring device of artery of lower extremity beating of femoral artery puncture |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510230542.2A CN104783771B (en) | 2015-05-08 | 2015-05-08 | The postoperative strong and weak monitoring device of artery of lower extremity beating of femoral artery puncture |
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| Publication Number | Publication Date |
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| CN104783771A true CN104783771A (en) | 2015-07-22 |
| CN104783771B CN104783771B (en) | 2017-10-27 |
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Citations (6)
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| US20030109788A1 (en) * | 2001-12-12 | 2003-06-12 | Colin Corporation | Arteriosclerosis diagnosing apparatus |
| CN1456126A (en) * | 2002-05-07 | 2003-11-19 | 客林公司 | Device for diagnosing arteriostenosis and device for measuring ankle blood pressure |
| CN101176661A (en) * | 2007-12-06 | 2008-05-14 | 山东大学 | Method and device for measuring blood pressure of human body lower limbs anterior tibial artery and leg rear arterial |
| US20080269619A1 (en) * | 2004-11-04 | 2008-10-30 | Lars-Goran Lindberg | Method and Means for Measuring Systolic Blood Pressure in the Ankle |
| CN201759550U (en) * | 2010-08-26 | 2011-03-16 | 天津美德太平洋科技有限公司 | Multifunctional arteriosclerosis detecting system |
| CN102293644A (en) * | 2011-06-08 | 2011-12-28 | 何宗彦 | Blood flowing condition detection device and method |
-
2015
- 2015-05-08 CN CN201510230542.2A patent/CN104783771B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20030109788A1 (en) * | 2001-12-12 | 2003-06-12 | Colin Corporation | Arteriosclerosis diagnosing apparatus |
| CN1456126A (en) * | 2002-05-07 | 2003-11-19 | 客林公司 | Device for diagnosing arteriostenosis and device for measuring ankle blood pressure |
| US20080269619A1 (en) * | 2004-11-04 | 2008-10-30 | Lars-Goran Lindberg | Method and Means for Measuring Systolic Blood Pressure in the Ankle |
| CN101176661A (en) * | 2007-12-06 | 2008-05-14 | 山东大学 | Method and device for measuring blood pressure of human body lower limbs anterior tibial artery and leg rear arterial |
| CN201759550U (en) * | 2010-08-26 | 2011-03-16 | 天津美德太平洋科技有限公司 | Multifunctional arteriosclerosis detecting system |
| CN102293644A (en) * | 2011-06-08 | 2011-12-28 | 何宗彦 | Blood flowing condition detection device and method |
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