CN105167763B - A kind of health detector - Google Patents
A kind of health detector Download PDFInfo
- Publication number
- CN105167763B CN105167763B CN201510484842.3A CN201510484842A CN105167763B CN 105167763 B CN105167763 B CN 105167763B CN 201510484842 A CN201510484842 A CN 201510484842A CN 105167763 B CN105167763 B CN 105167763B
- Authority
- CN
- China
- Prior art keywords
- cuff
- blood pressure
- information
- self
- airbag
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired - Fee Related
Links
Landscapes
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
The present invention relates to a kind of health detector.The equipment is used for analyzing user health situation, including cuff connects sensor and configured on arm, and cuff can accurately measure pulse pressure figure according to the arm of patient；The sensor of configuration can obtain the information of arm blood flow；Cuff pressurizer is connected to cuff, and adjusts comprehensive pressure of the cuff to limbs；Processor, which connects sensor and cuff pressurizer, makes cuff inflation to obtain blood flow information；Cloud data collector is commonly connected to cellular network with processor or radio area network comes store historical data and current blood flow information, and server can control hypertension by life style training program.A kind of health detector disclosed by the invention, compared with prior art, perfect detection function, the cufves of more sizes can be made to ensure the use of different crowd, the measurement of the blood pressure number of degrees is more accurate, patient can the self-service measurement self-service scheme that achieves a solution, and being contrasted according to the data before oneself simultaneously.
Description
Technical field
The present invention relates to a kind of medical treatment detection device, and in particular to a kind of health detector.
Background technology
In general health care detector is the health status for diagnosing and tracking patient.Most of portable monitors
Device contributes to medical monitoring.It is widely used, a detector as is well known is exactly blood pressure (BP) detector.
But existing detector structure is excessively simple, function is not perfect enough, and cuff model is inconsistent to cause measurement result
Inaccurately, the blood pressure number of degrees are not accurate enough, and patient self-service can not measure the self-service scheme that achieves a solution simultaneously, lack correction data support
And measurement data can not store.
The content of the invention
The purpose of the present invention is to be directed to deficiency of the prior art, there is provided a kind of accurate measurement blood pressure, can provide control height
The multifunctional health detector of blood pressure solution.
To achieve the above object, the invention discloses following technical scheme：
A kind of health detector, including self-service terminal machine and health information server, health information server and self-service end
Terminal is connected by wireless or cable network, and the self-service terminal machine includes
Test interface, test interface connection cuff；
Cuff, cuff is connected to sensor and configured and is connected on the limbs of people, and the cuff can be according to the limb of people
Body situation is adjusted to accurate measurement pulse corrugating and Ke's formula sound K1-K5 waveforms；
Vibrating sensor, it is connected with cuff, for detecting the CBF in people's tube chamber, includes K1 and K5 blood pressure waveform；
Cuff pressurizer, is connected on cuff, for adjusting the comprehensive pressure that cuff is acted on limbs；
Processor, vibrating sensor and cuff pressurizer are connected, after depressor to be added makes cuff inflation pressurize, processor connection
Sensor can obtain K1-K5 shape informations；
Cloud data collection server, is connected with processor, for store historical data and current Ke's formula sound K1-K5 waveforms；
Display, for showing measurement parameter.
Further, the health detector also includes
One photoelectron scanning machine, for perceiving some position of human body；
Computer controls making apparatus, and customization cuff is formed by the scanning machine of connection.
Further, also include on the self-service terminal machine
High-definition video equipment, communicated for visual telephone；
Printer, for including but is not limited to printing test result, information material, advertisement, reward voucher；
Sliding seat, sliding seat are removable frame, so that seat can reach at test interface and display, are easy to residual
Disease people voluntarily uses.
Further, the sliding seat is provided with scale, and the accuracy of scale is one pound.
Further, the self-service terminal machine also includes
Pulse blood oxygen instrument, various non-invasive blood analysis are carried out for gathered data；
Camera, for observing skin lesion or any skin appearance；
Otoscope, the otoscope that a visual field is two times of standard otoscope is set, so as to which duct and eardrum is more easily seen.
Further, the test interface is 2, carries out the test of left and right arm respectively.
Further, the cuff is
Cloth pad adds the cuff of plug-in type emulsion air pocket, Huo Zhewei
Cloth pad and airbag by nylon nylon or plastic material be integrated into unit without airbag cuff.
Further, the cuff is provided with the first Room and second Room, and airbag is indoor loaded on first, the protection pad as protection pad
Loaded on second Room, airbag width is less than the width of cuff, and protection pad is located in the second Room under airbag, and protection pad and airbag are in the vertical
Center alignment, in the horizontal, an edge of protection pad are alignd with an edge of airbag, and an opening is set on airbag to insert
Enter into escape pipe,
Further, the length of the protection pad is the 60%-80% of cushion length, and protection pad width is cushion beam
47%-67%.
Further, the surface of the protection pad is provided with pocket or other are adapted to house the fixed cell that component is formed,
To be fixed on the sensor component of cuff adapted or sensing device.
A kind of health detector disclosed by the invention, compared with prior art, perfect detection function, more sizes can be made
Cuff to ensure the use of different crowd, the measurement of the blood pressure number of degrees is more accurate, and patient can self-service measurement be simultaneously self-service is solved
Certainly scheme, and can be contrasted according to the data before oneself.
Brief description of the drawings
Figure 1A：Show that analog subscriber uses replaceable and adjustable cuff.
Figure 1B：Show a variety of cuff fixing means (1) for daily blood pressure measurement.
Fig. 1 C：Show a variety of cuff fixing means (2) for daily blood pressure measurement
Fig. 2：Show the schematic diagram of self-service terminal machine.
Fig. 3：Show the cloud system that example is handled blood pressure data.
Fig. 4：Show the hypertension assessment system of smart mobile phone.
Fig. 5：Show the assessment cloud data of hypertension.
Fig. 6：Show the report to the assessment in Fig. 4, data trend and system.
Fig. 7：Show the overall process (1) assessed.
Fig. 8：Show the overall process (2) assessed
Fig. 9：Show the contrast (1) of arm blood pressure measurement and evaluation process.
Figure 10：Show the contrast (2) of arm blood pressure measurement and evaluation process.
Figure 11：Show the contrast (3) of arm blood pressure measurement and evaluation process.
Figure 12：Show the preprocessor that an example JNC 7/JNC 8 is assessed.
Figure 13：One is shown to handling arrhythmia cordis, irregular heartbeat, arm activity, and the simulation journey of other workpiece
Sequence.
Figure 14：Show a simulation program assessed data trend and data statistics.
Figure 15：Show that a monitoring morning blood pressure rises the assessment with interval on daytime.
Figure 16：Show that the heartbeat of example tranquillization is assessed.
Figure 17：Show the process that an example body-mass index is assessed.
Figure 18：Show that an example assesses cardiac arrhythmia, irregular heartbeat, arm activity and other workpiece.
Figure 19：Show that example forms the program of tendency chart and report.
Figure 20：Show the electronic control system of example blood pressure device.
Figure 21：Show the training module of hypertensive patient.
Figure 22：Show the program of example measurement record K1-K5 pulse pressure waveform.
Figure 23 A：Show that example blood pressure waveform is shown on mobile device/cell phone apparatus.
Figure 23 B：Show control or operation of the example cell phone apparatus user to interface.
Figure 23 C：Show example trend analysis figure.
Figure 23 D：Show exemplary evaluation and instruct user to carry out operation interface.
Embodiment
With reference to embodiment and referring to the drawings the invention will be further described.
Refer to Figure 1A, Figure 1B, Fig. 1 C, Fig. 2 and Fig. 3.A kind of health detector, including self-service terminal machine 110 and health
Information server 104, health information server 104 are connected with self-service terminal machine 110 by wireless or cable network, it is described from
Terminating machine 110 is helped to include
Test interface 222, test interface connection cuff 11；
Cuff 11, cuff 11 is connected to sensor and configured and is connected on the limbs of people, and the cuff can be according to people
Limbs situation adjust to accurate measurement pulse corrugating and Ke's formula sound K1-K5 waveforms；
Vibrating sensor, it is connected with cuff 11, for detecting the CBF in people's tube chamber, includes K1 and K5 blood pressure ripple
Shape；
Cuff pressurizer, it is connected on cuff 11, for adjusting the comprehensive pressure that cuff 11 is acted on limbs；
Processor, vibrating sensor and cuff pressurizer are connected, after depressor to be added makes cuff inflation pressurize, processor connection
Sensor can obtain K1-K5 shape informations；
Cloud data collection server, is connected with processor, for store historical data and current Ke's formula sound K1-K5 waveforms；
Display 216, for showing measurement parameter.
In the present invention, health detector also includes
One photoelectron scanning machine, for perceiving some position of human body；
Computer controls making apparatus, and customization cuff is formed by the scanning machine of connection.
In the present invention, also include on self-service terminal machine
High-definition video equipment 220, communicated for visual telephone；
Printer 218, for including but is not limited to printing test result, information material, advertisement, reward voucher；
Sliding seat 224, sliding seat 224 is removable frame, so that seat can reach test interface 222 and display
At 216, it is easy to disabled person voluntarily to use.
In the present invention, sliding seat 224 is provided with scale, and the accuracy of scale is one pound.
In the present invention, self-service terminal machine also includes：
Pulse blood oxygen instrument, various non-invasive blood analysis are carried out for gathered data；
Camera, for observing skin lesion or any skin appearance；
Otoscope, the otoscope that a visual field is two times of standard otoscope is set, so as to which duct and eardrum is more easily seen.
In the present invention, test interface is 2, carries out the test of left and right arm respectively.
In the present invention, cuff 11 is the cuff that cloth pad adds plug-in type emulsion air pocket, or passes through nylon with airbag for cloth pad
Nylon or plastic material be integrated into unit without airbag cuff.
In the present invention, cuff is provided with the first Room and second Room, and airbag 12 is indoor loaded on first, the protection pad 13 as protection pad
Loaded on second Room, the width of airbag 12 is less than the width of cuff 11, and protection pad 13 is located in the second Room under airbag 12, protection pad 13 and gas
The center alignment in the vertical of bag 12, in the horizontal, an edge of protection pad 13 aligns with an edge of airbag 12, on airbag 13
One opening is set to insert into escape pipe 14, the length of protection pad 13 is the 60%-80% of the length of air cushion 12, the width of protection pad 13
For the 47%-67% of the width of air cushion 12.
In view of being actually needed, the surface of protection pad 13 is provided with pocket or other are adapted to house the fixed list that component is formed
Member 15, to be fixed on the sensor component of cuff adapted or sensing device.
Refer to the attached drawing, accompanying drawing are merely to illustrate the non-limiting case study on implementation of the present invention, are not used in and are limited, and one
Aspect is to patient with instructional and training, there is provided a kind of auxiliary in the following manner may suffer from cardiovascular patient by counting
The method that calculation machine performs：Collect patient's body measurement K1 and K5 blood pressure pulse waveform, and patient behavior information, clinical information or
One or more information in personal information；According to the information research of collection cause one or more cardiovascular events one kind or
Various modes, and practise using one or more angiocardiopathy mode discriminators；It is a kind of or more according to the pattern-recognition of acquistion
Kind is intervened, to prevent or promote event；Made a plan according to the intervention of the information of collection and identification；Provide a user plan
Or executive plan.
The implementation of above-mentioned aspect may include following one or more.This method includes receiving the feedback relevant with plan and root
According to feedback modification plan.Feedback is one or more behaviors that patient occurs afterwards in plan；Amended plan includes basis
Feed back the additional intervention of one or more of selection.The patient turns in one or more behaviors that plan occurs afterwards including behavior
Become.This method includes determining that the one or more related to one or more interventions of identification is personal.This method is included according to receipts
The information of collection is changed automatically and storage probability, wherein amended probability is used to determine to plan.This method is included according to engineering
One or more information in clinical information, behavioural information or personal information are commonly used, make one or more deductions automatically.The party
Method includes providing the Real-time Feedback of patient blood glucose or blood pressure level.This method includes the therapeutic scheme of display patient.The party
Method includes recommending hypertension therapeutic method.This method includes sending computer generation to the health care provider for intervening patient
Containing the daily record for recommending treatment plan.This method provides is determined based on mobile with the self-management patient training system of network and supplier
Plan is supported.This method includes being automatically generated according to personal analysis of blood pressure blood pressure, blood glucose value, diabetic and life style behavior
Real-time educational and behavioural information.Patient passes through mobile phone receive information, there is provided person, which receives, collects patients' blood's control, blood pressure medication
The quarterly report of management, life style behavior and Evidence-based medicine selection.
According to another in terms of self-service terminal machine, there is provided a kind of monitoring system, including self-service terminal machine；It is located at self-service
Display in terminating machine；The processor being connected with display；The blood pressure instrument (BPU) being connected with processor；Wherein BPU handles K1
With K5 blood pressure waveforms.
Implementation in terms of self-service terminal machine may include following one or more.Self-service terminal machine be placed on pharmacy, home for destitute or
In hospital.The system is provided with HD video conference system.The system is provided with skin video camera, dial, temperature sensor and inspection
Otoscope.The system is provided with the customization cuff that size determines according to patient's arm size.Each user fetches the cuff of oneself, makes
Oversleeve is tied up on BPU with preceding.The system has the computer code that report is generated for pharmacist, doctor or medical practitioner.
The system has the computer code for being used for aiding in cardiovascular health risks patient.The system, which has, to be used to collect in patient's tube chamber
One or more meters in CBF (including K1 and K5 blood pressure waveforms) and patient behavior information, clinical information or personal information
Calculation machine code.The system has the one or more for being used for causing one or more cardiovascular events according to the information learning of collection
The computer code of pattern and the one or more angiocardiopathy mode discriminators of training.The system, which has, to be used for according to acquistion
The one or more computer codes intervened, prevent or promote event to occur of pattern-recognition.The system, which has, to be used for according to collection
Information and identification the computer code made a plan of intervention.The system, which has, to be used to receive and plan relevant feedback, and
According to the computer code of feedback modification plan.The system, which has, to be used to receive the one or more that patient occurs afterwards in plan
The computer code of behavior；Amended plan includes intervening according to the one or more for feeding back selection are additional.The patient exists
The one or more behaviors for planning to occur afterwards include behaviorism theory.The system, which has, to be used to determine one kind or more with being identified
Kind intervenes the personal computer codes of related one or more.The system, which can have, to be used to be revised automatically according to the information of collection
With storage probability, plan wherein revised probability is used for determination.
The system has according to another in terms of machine measurement arm with the suitable cuff of sewing, there is provided a kind of accurately to survey
The system taken blood pressure, including for detecting the scanner of the region of anatomy；Be connected with scanner by make customization cuff in terms of
The maker of calculation machine control.
The implementation of above-mentioned aspect includes following one or more.Scanner can be 3D scanners.Scanner includes camera.Sweep
It can be mobile phone camera to retouch device.User's region of anatomy includes：Upper arm, underarm and wrist.User's region of anatomy include thigh, thigh and
Shank.Maker sews the cuff of multiple color.Maker makes cuff according to the customized style and color of selection.Maker connects
Receive the raw material of shape or size for masculinity and femininity optimization.Maker is with the cuff of the predetermined quantity matched with user's region of anatomy
Size receives raw material.Size includes arm or thigh size.Size is generated by body mass index, height and body weight.Maker includes
Sewing machine.Maker includes robot or computer numerical control (CNC) machine.
According to one in terms of continuous blood pressure measuring, there is provided a kind of system, including sensor, for detecting people's tube chamber
In CBF (including K1 and K5 blood pressure waveforms)；Cuff, tie up on upper body clothes with people's extremity and and vibrating sensor
Connection；Cuff booster, it is connected with cuff and is used to cuff compression stress on tube chamber be adjusted；Processor, with sensor and
The connection of cuff booster is with timing to cuff inflation and time of measuring and blood pressure；And cloud data collection server, lead to processor
Interrogate to store history and current K1 and K5 blood pressure waveforms.
The accuracy of blood pressure measurement is improved according to left cuff and right cuff on the other hand, can be used.
According on the other hand, there is provided a kind of diabetes instruct system, including collect the intraluminal CBF of patient (including K1
With K5 blood pressure waveforms), one or more information in blood glucose information, and patient behavior information, clinical information or personal information；According to
The information learning of collection causes one or more patterns of one or more cardiovascular events, and practises using one or more hearts
Vascular diseases mode discriminator；Intervene according to the pattern-recognition of acquistion is one or more, prevent or promote event；According to receipts
The information of collection and the intervention of identification are made a plan；Provide a user plan or executive plan.
Implementation includes following one or more.This method includes receiving the feedback relevant with plan and according to feedback modification meter
Draw.Feedback is one or more behaviors that patient occurs afterwards in plan；Amended plan is included according to feeding back the one of selection
Kind or a variety of additional interventions.The patient includes behaviorism theory in one or more behaviors that plan occurs afterwards.The system bag
Include and determine that the one or more related to the one or more interventions identified is personal.The system include according to the information of collection from
Dynamic modification and storage probability, wherein amended probability is used to determine to plan.The system includes with clinical being believed according to machine learning
One or more information in breath, behavioural information or personal information, make one or more deductions automatically.The system includes providing
The horizontal Real-time Feedback of patient blood glucose (BG).The system includes the therapeutic scheme of display patient.It is low that the system includes recommendation
Blood glucose and In Treatment of Hyperglycemia method.The system, which includes sending to the health care provider for intervening patient, builds containing for computer generation
Discuss the daily record for the treatment of plan.The system provides self-management patient training system and supplier's decision-making branch based on mobile and network
Hold.The system includes automatically generating real-time education according to personal analysis of blood pressure, blood glucose value, diabetic and life style behavior
Property and behavioural information.Patient passes through mobile phone receive information, there is provided person receive collect patient blood glucose's control, diabetic management,
Life style behavior and the quarterly report of Evidence-based medicine selection.
According on the other hand, this method including the use of smart mobile phone, tablet personal computer or removable computer, the smart mobile phone,
Tablet personal computer or removable computer have to be led to CBF (including K1 and K5 blood pressure waveforms) in detection people's tube chamber with sensor device
The code of news；Cuff, connected with vibrating sensor and be used to contact with the region of anatomy, wherein cuff customizes according to the arm of people
And optimize accurately to detect CBF；Cuff booster, it is connected with cuff and is used to cuff compression stress on tube chamber be adjusted；
Processor, it is connected with sensor and cuff booster in the form of to cuff inflation and acquisition pulse pressure, K1 and K5 blood pressures；Start
Pump and acquisition blood pressure information code；Handle pulse pressure waveform, the code of K1 and K5 blood pressures.
According on the other hand, there is provided one kind application, including use sensor with CBF (blood pressure waveform) in detection people's tube chamber
The code of device talk；Cuff, connected with vibrating sensor and be used to contact with the region of anatomy, wherein cuff is according to the hand of people
Arm is customized and optimized accurately to detect CBF；Cuff booster, it is connected with cuff and is used to enter cuff compression stress on tube chamber
Row regulation；Processor, it is connected with sensor and cuff booster with to cuff inflation and acquisition blood pressure waveform；Detect K1, K4 and
K5 blood pressure waveform codes.
According on the other hand, there is provided a kind of to obtain K1, K4 and K5 blood pressure to be stored in cloud setting for subsequent health analysis
It is standby.The equipment includes sensor, reflects the related blood stream of K1, K4 and K5 blood pressure in blood pressure pulse waveform and people's tube chamber for detecting
Amount；Cuff, be connected and be used for and body contact with vibrating sensor, wherein cuff customized and optimized according to the arm of people with
Accurate detection pulse wave and related K sounds CBF K1, K4 and K5 point；Cuff booster, is connected with cuff and is used for tube chamber
Upper cuff compression stress is adjusted；Processor, it is connected with sensor and cuff booster with to cuff inflation and acquisition blood pressure ripple
Shape；And cloud data collection server, communicated with processor and be used for trend and historical analysis to store blood pressure waveform.
According on the other hand, there is provided a kind of hypertension cloud assessment system, including retrieval contraction/relaxation pressure value, heartbeat speed
Rate value and blood pressure waveform；Evaluate artifact, body movement or the waveform of irregular heartbeat (arrhythmia cordis)；It is predetermined with one or more
Hypertension Guideline assess；Hypertension classification is shown with treatment table and is contacted with guide.
The implementation of hypertension cloud assessment system includes following one or more.This method includes obtaining K1 and K5 data.Should
Method includes accessing body weight, height, birthday, sex and gender information.This method includes retrieval left arm and blood pressure,right arm measurement knot
Fruit.Wherein guide includes JNC 7 or the guides of JNC 8.This method includes detection arrhythmia cordis or irregular heartbeat.Measure omits the heart
The percentage of jump and the medical instruction for carrying out ECG evaluations of display.This method includes determining that body quality refers to according to body weight or height
Number (BMI) result of calculation, is assessed for hypertension and cardiovascular disease (CVD).Work as BMI>When=25, overweight and height are shown
Blood pressure and the warning of CVD danger.This method includes carrying out age evaluation to carry out hypertension therapeutic.This method include for 60 years old with
On patient show recommend treatment method guide.This method includes HR Heart Rate of the evaluation patient under quiescent condition, with
Just blood pressure measurement accuracy evaluation is carried out.This method is included when Blood Pressure Classification is prehypertensive or hypertension, and measure is white big
Clothing hypertension or essential hypertension.This method includes statistical analysis.This method includes left arm and blood pressure,right arm measurement trend point
Analysis.When shrinking poor (K1), short time or long-time average value are 15mmHg or more, and the system recommendations carry out CVD evaluations.Should
Method includes carrying out blood pressure trend analysis to the value of morning, afternoon and evening, so as to which hypertension and CVD are compared and commented
Estimate.When blood pressure measurement is in hypertension one kind, this method includes recommending the treatment method according to JNC 7 or the guides of JNC 8.When
The contraction difference average value in (morning-afternoon, morning-evening or afternoon-evening) is 15mmHg or more between any two groups, the party
Method suggestion carries out CVD evaluations.
According on the other hand, there is provided a kind of use of exercise in the following manner may be with cardiovascular patient by counting
The method that calculation machine performs：Collect blood pressure, and patient behavior information, clinical information or personal information；Receive one or more
Diagnosis research, and application expert system infers that hypertension is dangerous；Intervene according to the pattern-recognition of acquistion is one or more, prevent or
Promotion event occurs；Made a plan according to the intervention of the information of collection and identification；Provide a user plan or executive plan.
The implementation of cloud training system includes following one or more.This method includes receiving the feedback relevant with plan and basis
Feedback modification plan.Feedback is one or more behaviors that patient occurs afterwards in plan；Amended plan is included according to anti-
Present the additional intervention of one or more of selection.This method includes one or more assessing to following：Hemoglobin/red blood cell
Specific volume, blood urea nitrogen (BUN)/creatinine test of kidney perfusion/function, catecholamine levels, serum potassium, serum calcium, blood
Fat inspection (total lipid, HDL (HDL), low-density lipoprotein (LDL), cholesterol, triglyceride, phosphatide), first
The research of shape gland, serum/urine aldosterone level, urinalysis, CrCl, vanilmandelic acid (VMA) (catecholamine metabolism
Product), uric acid, feritin, urine steroids, intravenous pyelography (IVP), kidney and the scanning of the kidney kernel of graph, excretory urography,
Chest X-rays, computed tomography (CT) scanning and electrocardiogram (ECG).This method includes whether measure blood pressure exceedes threshold value and broadcasting
Easily music, picture or video are to reduce blood pressure.Training, which includes identification, can change hazards, including obesity；Sodium in diet,
Saturated fat and cholesterol level are high；Sitting life style；Smoking；Often intake alcohol；Life stress weight.Training includes identification
The lifestyle change that can change hazards can be reduced.Training includes formulating smoking cessation plan.Training, which includes informing, to be adhered to treating
Method and in accordance with the importance subsequently arranged.Training includes generation simply and easily medicine time table.Training includes providing prescription
Medicine information and general principle, dosage, Expected Results and side effect and specific reaction.Training includes limiting Ethanol intake.Training
Intake including increasing rich potassium food or liquid.Training include check whether there is need notify health care provider sign and
Symptom.Sign includes：Headache, blood pressure raise suddenly and persistently；Pectoralgia, shortness of breath；Pulse frequency is irregular or accelerates；Increased weight,
Body surface and belly swelling；Vision disorder；Often uncontrollably nose is bleeding；Depressed or emotional instability；Have a dizzy spell or faint；
Muscle weakness or spasm；Nausea/vomiting；Polydipsia.Training includes the dietetic treatment in accordance with low sodium, saturated fat and cholesterol.Instruction
Practicing includes identifying sodium Intake of the source.Training includes formulating personal workout scheme.Training include provide community resource in terms of information with
The support to be changed lifestyles to patient.Whether this method includes measure blood pressure less than threshold value and broadcasting music, picture or video
To raise blood pressure.
There is the equipment customization cuff to improve the degree of accuracy.Two kinds of cufves：Cloth pad adds the cuff of plug-in type airbag (latex)
It is integrated into being examined without airbag cuff, both cufves for unit with nylon or plastic material with mat and airbag (airbag)
It is generally used for monitoring of blood pressure in institute/hospital or as disposable sleeve band (for may be to the patient of latex allergy, using without latex
Cuff).Refer to the attached drawing, Figure 1A are the cuff (generally termed as 11) with the first Room and second Room, and the first Room is used to fill airbag
Or airbag 12, second Room are used to fill the protection pad 13 as mat, the mat is made up of materials such as cloth, rubber.As illustrated, gas
Whole width of the bag 12 almost across cloth cuff 11.On the other hand, protection pad 13 is located at the interior of 12 times their own of airbag, so as to
The center alignment in the vertical of airbag 12.But in the direction of the width, protection pad 13 is arranged to an edge at an edge and airbag 12
Basic alignment.One suitable opening is set on airbag 12 to insert into escape pipe 14.When be rolled in patient's arm, thigh or its
When on his limbs, the edge that airbag 12 is aligned with the edge of protection pad 13 is the terminal edge of cuff 11.In good embodiment, shield
The length of pad 13 can be between the 60%-80% of the length of airbag 12, and about between the 47%-67% of airbag width.If necessary,
Pocket, Velcro component or other suitable fixed cells 15 for housing component and forming can be set on the surface of protection pad 13, to solid
Fixed and the adapted of cuff 11 sensor component or sensing device (such as the piezo-electric crystal of microphone, applications of ultrasound, piezoelectric strain gauge
Component etc.), sensor signal is obtained by it, so as to obtain blood pressure or CBF data.During operation, cuff 11 is wrapped in hand
On the limbs such as arm, wrist, thigh, so that protection pad 13 is fixed on end.Cuff 11 can also be connected to remote sensing apparatus by tracheae
Upper (such as self-service terminal machine), cuff 11 is pressurized and received pressure and data on flows.Then, gas pressure is by suitable manual
Or automatic source of the gas is applied on airbag 12 by tracheae 14, after airbag 12 is full of, is consolidated the cuff 11 on limbs by protection pad 13
It is fixed, so as to by the fix in position of cuff 11.Gas continues to flow to airbag 12, until reaching required pressure, now terminates filling.Cuff
The balance that reaches is set with airbag protection pad in 11, remains in thigh pressure distribution substantially permanent along the length direction of cuff 11
It is fixed, to keep the artery of relatively uniform pressure compressed format compression arm or leg, while sensor and arm used in holding
Or leg surface firmly engages.
Measurement blood pressure includes establishing cuff inventory list with preliminary dimension with the process of customization cuff；Receive user's anatomy portion
The size of position；Best fit cuff is selected for user；Best fit cuff is connected on blood pressure (BP) instrument and tucked inside the sleeve with best fit
Band measurement blood pressure.The cuff size for accurate measurement blood pressure that personalized cuff can be recommended according to American Society of Family Physicians,
Selected from four options of adult and three options of children.
According to another embodiment, there is provided a kind of cooperation cuff system that accurate measurement blood pressure is provided, including solved for detecting
Cut open the scanner at position；With the maker of computer control, it is connected to and is used for the cuff for making customization on scanner.After scanning,
Maker can sew cuff and tracheae according to the definite bodily form and size of user.
Figure 1B -1C are that repeatedly the exemplary cuff of measurement blood pressure is set daily.Cuff is placed on arm by these embodiments
One or both sides are timed measurement.In Figure 1B embodiment, cuff 90 is lifted using belt or suspender 91.Fig. 1 C's
In embodiment, shirt provides a support chamber at each sleeve of insertion arm for cuff 92A-92B, with to cuff 92A-
92B carries out remote control and measures blood pressure with automatic inflating and on schedule or by order.
With reference to figure 2, pictorial diagram is to be connected the healthcare information self-service terminal machine used with health care information system 100 (Fig. 2)
110.Healthcare information self-service terminal machine 110 can be used in the public.For example, pharmacy or pharmacy are for healthcare information self-service terminal machine 110
The good place in space is provided.Other good places include retail shop and health care provider and (such as doctor's office, examined
Institute, hospital etc.).
Healthcare information self-service terminal machine 110 includes two test interfaces 222 and a display 216.Display 216 can match somebody with somebody
Touch screen user inputting interface is set to, is such as used as the keyboard with touch screen of input equipment.The example of healthcare information self-service terminal machine 110
Including other measure interfaces, such as doctor's type scale.Test interface 222 and display 216 are connected to the number that patient interface 222 obtains
According on the processor or controller (not shown) for performing diagnostic test operation.In one example, patient interface 222 is to obtain a left side
The blood pressure cuff of arm and blood pressure,right arm measurement result.In other embodiments, an interface 222 is set, therefore patient per surveys
Measure an arm.Sensor (such as MEM sensors or microphone) can be connected on blood pressure cuff, to measure sound or audio letter
Number.It is used as the touch-screen display 216 of user interface or keyboard in the configuration, for obtaining patient data and other at user
Information.Processor includes communication interface, display 216 and the remote terminal communicated with test interface 222, so as to healthcare information certainly
Terminating machine 110 is helped to be connected in communication network (not shown).In certain embodiments, health care information system 100 is used including user
It is from 100 secret receive information of health care information system or for four times of high-definition video equipments 220 in telephonic communication.Some health cares
The selection of information self-service terminating machine 110 includes being used for the printer 218 of printing test result, information material, advertisement, reward voucher etc..
Illustrative test interface 222 is for obtaining one or more pressure sensors of blood pressure waveform at user (not
Display) blood pressure cuff.Pressure sensor is connected on processor by communication interface, so that pressure waveform data is supplied to processing
Device.Computing device monitoring of blood pressure calculates machine algorithm to produce in terms of contraction and diastolic blood pressure and mean blood pressure pin-point accuracy
Calculate.Processor also analyzes blood pressure waveform, to detect heart rate information.
According to one embodiment, there is provided a kind of report in accordance with JNC 8, emphasize as follows：
Blood pressure target value
Recommend 1：In the population of >=60 years old, blood pressure target value is ＜ 150/90mm Hg.If the crowd reaches after treatment
To relatively low systolic pressure (SBP) (i.e.<140mm Hg) and therapeutic effect it is preferable, then treatment need not adjust.
The suggestion that the systolic pressure (SBP) of more than 60 years old patient is increased to 150mm Hg is disputed on.JNC 8 by this compared with
High SBP desired values are established on the basis of existing research, but are recognized inside the JNC8 committees, for 150mm Hg with
140mm Hg SBP desired value opinions are also inconsistent.It is worth noting that, American Society of Hypertension and European Society of Hypertension/
The age qualification that SBP desired values are loosened to 150mm Hg by European Society of Cardiology's guide is 80 years old, rather than 60 years old.
Recommend 2 and 3：<In the population of 60 years old, blood pressure is reduced to<140/90mm Hg.
Recommend 4：In the CKD of >=18 years old (CKD) crowd, blood pressure is reduced to<140/90mm Hg.
Recommend 5：In the diabetic population of >=18 years old, blood pressure is reduced to<140/90mm Hg.
Summary sheet：
The system can measure with recording blood pressure reading, with by the combined network communication module such as hospital and cloud computing service platform with
Physician shares, so as to form a kind of new management mode that hypertension is assessed by JNC 7 and the guides of JNC 8, to reduce height
Blood pressure medication cost and realize whole health-care management system.
Exemplary measure interface 222 is formed into the body weight that sliding seat 224 is connected on healthcare information self-service terminal machine 110
Scale.The accuracy of the scale of seat 224 is one pound.In some systems, the seat 224 of healthcare information self-service terminal machine 110 can be with
It is mobile, so that wheelchair can reach test interface 222 and display 216, so that disabled person easily voluntarily uses.
The mechanism in space is provided for healthcare information self-service terminal machine 110, by arranging to provide with self-service terminal machine provider
Information, service and product.Healthcare information self-service terminal machine 110 performs the various functions such as Fitness Testing and health assessment.At some
In system, healthcare information self-service terminal machine 110 supports Fitness Testing and measurement, health and evaluation of physical fitness and health and various healthcare informations
Source etc. operates.Various detections are supported to check.Common health inspection includes blood pressure test and HR Heart Rate test.For example, some are
System is supported to carry out various non-invasive blood analysis using pulse blood oxygen instrument collection receipt.Measurement includes simple or complicated measurement.
One common measurement is measured body weight, and measured body weight passes through the seat in the seat 224 of healthcare information self-service terminal machine 110
Chair claims to carry out.Healthcare information self-service terminal machine 110 claims and an observation skin lesion or any skin appearance including an individual weight
Camera.It is the higher otoscope of two times of standard otoscope, multiplication factor to set a visual field, so as to be more easily seen auditory canal and
Eardrum.Visualization can more provide almost complete eardrum view, clear more preferably boundary mark, be favorably improved information learning, decision-making
And patient outcomes, it is that different ear canal lengths and farsightedness are focused, the top of folder is fixed and ejected to the safety for being attached to oto speculum,
Cold light caused by optical fiber does not reflect and unobstructed.If necessary, to be provided with the high-resolution of medical practitioner meeting/consultation of doctors
Four times of high definition cameras.Care information sources include medicine encyclopaedia, vitamin and tonic encyclopaedia, electronic health library, medical treatment clothes
Business supplier's catalogue.
Healthcare information self-service terminal machine 110 connects the servers such as pharmacy's computer system or service is widely managed in region
Entreat server.For example, healthcare information self-service terminal machine 110 joinably prescription room or pharmacy's computer.Healthcare information self-service end
Terminal 110 or can Connection Service large area (such as a country in the world) health information server 104.Protect
Strong information self-service terminating machine 110, which combines healthcare information server 104 and generally includes a height, comprehensively covers prescription medicine and non-
Prescription medicine Drug Storage.
Traditional blood pressure measurement (Ke's formula sound method K1/K5 contraction/relaxations reading) is one and is widely accepted in clinical practice
Golden standard, the formulation of JNC guides and recommend be used for assess hypertension.It is " good for evaluating that the system preserves the waveform obtained
Blood pressure data and irregular heartbeat well ", because needing good blood pressure readings by JNC guide accurate evaluation hypertension.
According to another embodiment, the hemodynamic parameters that central blood pressure value is derived can be used for diagnosing CVD.Using accurate
Blood pressure data hypertension and related CVD are assessed or to CVD, apoplexy, heart attack, heart failure, diabetes and
Kidney trouble etc. carries out high level diagnostics.The system can be (invasive with ECG, echocardiography, cathterization, hemodynamics
And Noninvasive) analysis, blood count etc. be used in combination.24 h ABPs and arterial stiffness and cardiac function can be used in the system
Monitoring carries out CVD assessment of risks.
According to one embodiment, provide reception for hypertension nursing and preserve by Mobile solution by the (figure of smart machine 111
3) blood pressure data, contraction, diastole and the HR Heart Rate waveform sent.Data are evaluated by cloud computing and analysis, with inspection
Any irregular heartbeat is measured, it is whether correct so as to evaluate blood pressure measurement, if without arrhythmia cordis.Shrink (K1) and diastole (K5)
Compared with the hypertension classification guides of JNC 7.The system provides JNC using JNC 8 and recommends treatment (including changing lifestyles), right
The assessment of hypertension is supplied to user by App.The system is also by JNC 8 according to body weight/height information, the year of 60 years old or more
The information evaluation such as age, sex BMI.Trend analysis or statistics by blood pressure in a period of time, system help medical practitioner
Hypertension is further evaluated.
In one embodiment, individual health care information self-service terminating machine 110 generally includes selected leave unused of display and shows (have
Have the attracting screen of still frame or motion graphics) or the selected side of publicity is played (as patronage pharmacy or medical services provide
Person) screen editing display software.
Software program in individual health care information self-service terminating machine 110 is by downloading (such as passing through linking Internet) or matchmaker
Body transmission (such as exchangeable disk loading) renewal.
Healthcare information server 104 generally supports website access to access healthcare information, storage individual so as to user
Historical information and purchase are in the local product that can not be bought of healthcare information self-service terminal machine 110.
With reference to figure 3, schematic block diagram illustrates that one is believed one or more healthcare information self-service terminal machines 110 and health care
The network 102 that breath server 104 is interconnected.Generally, individual health care information self-service terminating machine 110 includes processor 106
Or memory 108 (or internal memory) of the controller with preserving local user's news file, the memory 108 (or internal memory) storage compared with
Few new test result, measurement result and other information.Processor 106 performs and is used as software, firmware, control logic or the field
The logic (not showing, usually computer program) for other executable form storages that those of ordinary skill knows.Show at one
In example sexual health information system 100, healthcare information self-service terminal machine 110 is used by setting up digital signal processor (DSP) 112
Additional calculations ability, the digital signal processor 112 are combined operation with processor 106, perform various Fitness Testing operations etc.
Computationally intensive operation.In one embodiment, health care information system 100 collects health parameters from patient, then is delivered to
On patient's smart mobile phone, smart mobile phone is returned to be handled with the communication of healthcare information server 104.In another embodiment
In, the information that health care information system 100 obtains is transmitted by smart machine 111 (such as smart mobile phone), the smart machine 111
Communicated by cellular network, WiFi or other wireless channels and healthcare information server 104.
Local archive tracking includes the healthy reading such as blood pressure, HR Heart Rate and body weight.Personal user is in healthcare information service
There is personal health website on device 104.Healthcare information server 104 be generally used for storing user test result, measurement result and from
The information long term archival that individual health care information self-service terminating machine 110 receives.In one example, local healthcare information self-aided terminal
Machine 110 stores the information of many users, and all information generated on healthcare information self-service terminal machine 110, such as daily, automatically
It is loaded into central healthcare information server 104.These results be sent in healthcare information server 104 carry out long-term storage and
Achieve.Personal information is stored on the personal health website for being assigned to unique individual user, so that all personal users can make
With existing accurate information.
Referring back to self-service terminal machine embodiment, the healthcare information self-service terminal machine 110 obtains medical treatment for user
Service uses.This medical services are generally long-range medical service, wherein remotely located one or more medical treatment provides
Person provides medical services to using one or more users of self-supporting medical terminating machine.It is understood that not remote medicine clothes
Business can also be supplied to the user using self-supporting medical terminating machine.
Fig. 4 is exemplary mobile hypertension assessment system.Within the system, blood pressure monitor 400 with mobile phone, flat board electricity
The mobile applications 402 run on brain or mobile device 404 communicate.Blood pressure monitor 400 can be with wrist-watch or desktop computer etc.
External equipment 410 communicates.External equipment 410 can communicate with server cloud website application program 412.Mobile solution 402 or outside
Equipment 410 or server/cloud/website application program 412 can assess cloud by agreement (such as http protocol 416) and hypertension
(HAC) 418 communication.The hypertension is assessed cloud and assessed etc. according to measurement result and the guides of JNC 7/JNC 8.The HAC
418 carry out trend analysis according to historical data.The HAC 418 stores pulse dynamic waveform.The patent USPN 4 of the present inventor,
880,013 (Chio'013 patents) illustrate the method for obtaining arterial pulse waveform, and its content is by reference to including herein
In.HAC 418 can also store historical information (body weight and height).Other analyses include center and K sounds contraction/relaxation and MAP is read
Number, cardiac function (cardiac output, rich output, left indoor pressure maximum rate of change, contractility etc.), system vascular compliance and
Resistance (SVC and SVR) and arteria brachialis compliance, elasticity and resistance.In addition, HAC 418 may have access to blood sugar level, gait, heartbeat
The user data stored in the third party systems such as speed, diet, exercise, sleep, such as Samsung Health or apple Healthkit,
This type of information can be used for strengthening hypertension analysis.
One embodiment of blood pressure monitor 400 is to be measured and recorded K sounds (K1/K5) blood pressure by JNC guides.Compared to it
Under, whether traditional blood pressure monitor is to measuring K1/K5 or K1/K4 contraction/relaxations value and indefinite.Artifact, arm activity and not
Regular heartbeat can cause blood pressure readings mistake or inaccuracy.Blood pressure monitor 400 records original waveform data and is able to verify that blood pressure
Measurement result.Arrhythmia cordis is very common in crowd, there are about 10%.Fluctuation energy of the blood pressure readings of these people between each heartbeat
More than 30mmHg.When detecting arrhythmia cordis, potential cardiac problems should have been further checked whether by ECG.Left arm and the right side
The blood pressure readings of arm are different, but when the difference of two-arm is 15mmHg or higher, American Heart Association recommends to carry out further CVD inspections
Look into, especially check whether there is potential blood flow obstruction.In fact, either sufferers themselves or nurse or doctor or pharmacy
The all no easy-to-use record of self-service terminal system or comparative feature or means, monitoring and the blood pressure for assessing two-arm.Should
Blood pressure embodiment will be assessed according to blood pressure measurement in waveform recording to cloud, and track and analysis left/right arm blood pressure with
Determine whether CVD danger.According to dynamic monitoring in 24 hours, pressure value changed frequently.Blood pressure (such as daytime and night
Or morning to afternoon etc.) display one people angiocarpy (CV) recurrent state and health status.Record and analyze these information pair
It is most important to assess CVD danger.The system can record or otherwise access the related information of third party cloud CV health, such as body
Weight, height, age, sex, life style, family history, cholesterol, drug therapy etc., while blood pressure measurement is made it possible to collecting
Big data carry out following analysis, to assess personal or longitudinal CV health and hypertension pathogeny etc..If collect geographical position, kind
The information such as race and and can be used for blood pressure measurement, moreover it is possible to obtain horizontal or public organization CV health letters from the analysis to big data
Breath.The system can generate hemodynamic parameters according to the waveform of record, enable the clinician to more fully understand hypertension Producing reason,
And select correct treatment method for patient.
The system obtains hemodynamic parameters in doctor's needs or regulation.The system is derived using arterial pulse waveform
Hemodynamic parameters, such as diastole flow velocity, peripheral resistance, artery (distal end) and sustainer (near-end) compliance and elastic constant.Separately
Outside, the system derives myocardium (left ventricle) convergent force using Chio waveforms.Herein described method can also push away with Chio methods
Other waveforms led are used together.For example, when the waveform applied to other invasive or Noninvasive sensing device measurements, this
The analysis method of invention may be very useful.Proximally and distally arterial compliance each depends on the cross-sectional area of artery.But diastole
Flow velocity is unrelated with the size of artery.Hypertension is directly related with the peripheral resistance of cardiovascular system, and VPV (VO) is with being somebody's turn to do
Correlation described in equation be present in resistance.
VO=(pressure enter-pressure go out)+peripheral resistance
Therefore, two relative peripheral resistance parameters, PR1 and PR2, can be defined as follows：
and
PR1=(systolic pressure-diastolic pressure)/V0
PR2=(mean arterial pressure-diastolic pressure)/V0
Wherein (systolic pressure-diastolic pressure)=pulse pressure (PP)；V0Equal to VPV.
Compared with using compliance measurement result, the measurement result of diastole flow velocity (such as the definition in this explanation), definition
The a certain combination of opposite outer circumference resistance (PR1 and PR2) or flow velocity and peripheral resistance can be used as good hypertension diagnosis index or
Mark.It is generally acknowledged that these values are it is determined that essential hypertension and be particularly useful in the normal case of patient's cardiac output.I.e.
When system using compliance and elasticity beyond other specification assisted diagnosis hypertension be the most useful, especially nearest grinds
Study carefully and show that compliance and elasticity may not reduce in hyperpietic, it represents the qualitative leap in the field.The present invention will also
Opposite outer circumference resistance is (as defined above) as office hypertension and to determine that hypertension therapeutic method provides the mark of guide
Or index.United States Patent (USP) US 06540687 is described in detail, and the patent content is by reference to including herein.
Fig. 5 is that exemplary hypertension assesses cloud 430.The cloud 430 receives pulse wave 422, user profile 424, account
The external datas such as information 426 420.360 ° make system, the monitoring user mental health conditions related to hypertension close to user.Example
Such as, system to monitoring talk times and call mode whether with normal condition deviate.For example, user would generally phone one
Specific friend, then a period of time no longer phones this friend suddenly, and system can monitor this change.If system is supervised
Measure body movement and exchange activity substantially reduces, this type of information can be uploaded to the processing of hypertension monitor by system.External number
It is supplied to the hypertension with processor cloud CPU 432 to assess cloud 430 according to 420.The reading of the hypertension assessment progress blood pressure of cloud 430,
Waveform appraisal, blood pressure and age assessment etc. are with production leadtime data and report.Processor cloud CPU 432 will include original pulse wave
Data storage including shape files is in cloud storage 434.Original pulse wave is stored so that in the future can be to the data
Manage to detect trend and be associated in crowd.Processor cloud CPU 432 also includes K1, K5, the heart using the storage of database 436
Information including hop rate rate, birthday, height, body weight, arm size, account management information.User profile may include social networks
The log-on message of the application programs such as app, communication app, Email app, healthy app and other app.
Fig. 6 is exemplary evaluation, data trend analysis and the report of system in Fig. 4.The system can carry out blood pressure, blood pressure with
The data trend analysis report of arm, HR Heart Rate, waveform, irregular heartbeat and arrhythmia cordis, BMI, body weight and height.This is
System can also carry out assessment 502.The assessment, it may for example comprise by the Assessment of blood pressure of JNC 7, the blood pressure recommended and year are treated by JNC 8
Age assessment, the waveform artifact compared by American Heart Association's recommendation by left arm and blood pressure,right arm, arm activity and arrhythmia cordis,
Pulse pressure is assessed with HR Heart Rate, hypertension, CVD, and body-mass index is assessed.Report 504 can be generated.
* blood pressure
- day/night
- measurement arm
- etc.
* irregular heartbeat and arrhythmia cordis
- frequency
Fig. 7-8 is exemplary evaluation process.Fig. 7 is that JNC 7/JNC 8 are assessed.The first step, retrieve age of user and blood pressure
Data 600.The process examines whether the user is 60 years old or more (602).If so, then the system checks that systolic pressure (K1) is
No is 160 or more or whether inspection diastolic pressure (K5) is 100 or more (604).If so, training user changes lifestyles
And start 2 phase hypertension treatment 606, otherwise the process check K1 whether be 140 or more or check K5 whether be 90 or
Above (608).If so, training user changes lifestyles and starts the treatment 610 of 1 phase hypertension, otherwise the process checks K1
Whether be 120 or more or check K5 whether be 80 or more (612).If so, prompting user changes lifestyles 614, it is no
Then show the blood pressure normal 616 of user.From the age (602) for checking user, if user is less than 60 years old, systems inspection K1 is
No to be more than or equal to 140 or check whether K5 is more than or equal to 90 (620), then the process shows hypertension and prompts user
Change lifestyles and start treatment 622.From 620, the process checks whether K1 is more than or equal to 120 or checks whether K5 is big
In equal to 80 (624).If so, showing Prehypertensive situation and prompting user to change its life style 626, user is otherwise shown
Blood pressure be in the level 628 of normal health.
One embodiment provides the code that user carries out following activity：
Lose weight and keep normal type
Diet wants more water fruits and vegetables and low fat dairy products
Sodium is reduced in diet
Carry out regular aerobic body movement
Control is drunk
Turning now to Fig. 8, JNC 7 evaluation process, retrieval user blood pressure data 700 is described in detail in Fig. 8.The system is examined
Check and accept whether contractive pressure (K1) is 160 or more or checks whether diastolic pressure (K5) is 100 or more (702).If so, training is used
Family changes lifestyles and starts the treatment 704 of 2 phase hypertension, and otherwise the process checks whether K1 is 140 or more or examines
Look into whether K5 is 90 or more (706).If so, training user changes lifestyles and starts the treatment 708 of 1 phase hypertension, it is no
Then the process checks whether K1 is 120 or more or checks whether K5 is 80 or more (710).If so, prompting user changes
Life style 712, otherwise show the blood pressure normal 716 of user.
Fig. 9-11 is exemplary blood pressure comparative evaluation process.Figure 12 is the exemplary pretreated of the assessments of JNC 7/JNC 8
Journey.Figure 13 is the example process of processing arrhythmia cordis, irregular heartbeat, arm activity and other artifacts.Figure 14 is trend point
The example process that analysis and statistics are assessed.Figure 15 is to detect blood pressure rise in morning and the exemplary mistake assessed by interval of day
Journey.Figure 16 assesses for exemplary quiescent condition HR Heart Rate.Figure 17 is the example process that body-mass index (BMI) is assessed.
Figure 18 is the example process of arrhythmia cordis, irregular heartbeat, arm activity and other Artifact Assessments.Figure 19 is generation tendency chart
With the example process of report.Figure 20 is the exemplary electronic control system of blood pressure device.Figure 21 is exemplary hyperpietic
Training module.
Figure 22 is the example process according to the pulse pressure waveform processing K1-K5 of record.Analyze five kinds of waveform W-1 to W-5.W-
1 is the first pulse of negative pressure when its waveform shows diastole minimum point or started (at the end of diastole).This shows there is a small amount of blood
Flow through the arteria brachialis area of cuff constraint, i.e. bernoulli principle effect.This point (W-1) at cuff pressure is determined as pulse dynamic
Systolic pressure or DynaPulse systolic blood pressures.With University of California Santiago branch school medical centre cathterization (146 ± 4
To 14S ± S mmHg, n 36, r 0.94) central aortic systolic pressure values that measure are compared and verify to it, compare and verify
As a result issue elsewhere.At W-1 points, it is seldom to flow through the blood volume of arteria brachialis under cuff, causes pulse amplitude smaller, therefore without enough
The phase sound (K1) of power generation Ke formula the 1st.When cuff pressure further reduces, constraint of the cuff to arteria brachialis diminishes, and has a large amount of blood
Flow through, pulse amplitude increase so that apply enough power on arteria brachialis, can be examined so as to be placed on the stethoscope in arteria brachialis downstream under cuff
Measure K1.As described in American National Standards Institute (ANSI)/Used In The Regulation of Medical Device In Usa promotion association (ANSI/AAMI) guide in 1987,
K1 is described as " occur suddenly during beginning faint clearly rap or thump, then intensity gradually increases ".In W3 areas, oscillography
" V " word shape of pulse peak value display amplitude and following pulse and pulse wave bottom (being referred to as diastole) display balance.Should
Cuff pressure is used to determine mean arterial pressure (MAP) at point.MAP is carried out with intrusive mood conduit insertion pressure at middle cardiac aorta
Compare and verify, result is 00 ± 3 couple of 100 ± 3mmHg of I, r 0.9S.In general clinical practice, MAP can be according to Ke's formula K1
Shrink and K4 diastole reading MAP I/3*K 1-SBP+2/3*K4-DBP estimate.As the phase of Ke's formula the 2nd or the 3rd phase sound (such as ANSI/
Described in the AAMI guides of 1987) it is detectable when, the pulse around W-3 areas is most possible.The second phase：When sound is changed into " whiz
During whiz " noise, the first phase terminates, and the second phase starts.The third phase：When sound is loud clear knock, the third phase starts.
Next the 1st phase W-4 that these sound are not analyzed sound is strong.Although cuff pressure continues to decline, pulse wave, definitely
Say that significant change occur in diastole or lower shape in ground.This may be with the Ke Shi described in the ANSI/AAMI guides of 1987
4 phases (K4) diastole sound " tone " change or " being depressed " have substantial connection " as the swish of heart murmur ".The fifth phase：
When sound is depressed suddenly and sounds like heart murmur or when " swish ", the fifth phase starts.Finally see W-5 waveforms.
Under the cuff pressure, oscillography pulse wave has diastole or bottom, reaches stable state and several pulses are kept below
It is constant.The beginning of the phase is in DynaPulse systolic pressures really at fixed point.According to the research, its most possible represents detects
Ke's formula S phase sounds, its difference is less than 1mmHg.
Preferably, use pattern identification technology measures and handled sound bag Lip river line and includes pattern-recognition, is shunk with identifying
Pressure and diastolic pressure.In addition to three kinds of technologies for quantifying analyzed region, also using pressure sensor signal.Other technologies bag
Include ascultatory technologies.Acoustic filter is used in combination, is started by measuring the measurement sound detection Ke's formula sound of the microphone in cuff
With the end time.Another technology is common oscillographic technique in many inexpensive blood pressure measurement devices.Measured with pressure cuff
Pressure oscillation and contraction and diastolic pressures ratio, so as to identify contraction and diastolic blood pressure.Pressure oscillation is detected and supervised with average pressure
Control.
Figure 23 A are the exemplary display of blood pressure waveform on mobile device.Figure 23 B are the example user control of the mobile device
Interface processed.Figure 23 C are exemplary trend analysis figure.Figure 23 D are exemplary evaluation and instruct user to carry out operation interface.
One device analysis blood pressure, including：
Cuff is connected to sensor and configured and is connected on the limbs of people, and the cuff is the limbs situation according to people
It can adjust to accurate measurement pulse corrugating and including Korotkoff's Sound K1-K5 waveform blood flow informations.
Sensor configuration is used for monitoring blood in human body in stream waveform i.e. K1-K5 waveforms.
Cuff pressurizer is connected on cuff, for adjusting the comprehensive pressure that cuff is acted on limbs.
Processor connects sensor and cuff pressurizer, after depressor to be added makes cuff inflation pressurize, the biography of processor connection
Sensor can obtains K1-K5 shape informations；
It is K1-K5 that cloud data collection server, which connects processor can store historical data and current Korotkoff's Sound waveform,
Waveform.
The equipment also includes to be encoded to control hypertension by historical data and current K1-K5 waveforms.
The equipment can also be encoded by following information：
Pass through the information for the pulse pressure waveform for measuring K1 and K5 pulse pressure waveform collection patient's bodies, one or more rows of patient
For information, clinical information or personal information.
By the one or more cardiovascular cases of the information research of collection, and make one or more angiocardiopathies
Model Identification device；
One or more interference plans are specified, prevent case from occurring either to promote case to send out in the pattern studied
Exhibition；Show user and perform according to schedule.
The equipment also includes：
One photoelectron scanning machine, for perceiving some position of human body；
Computer controls making apparatus, and customization cuff is formed by the scanning machine of connection.
The coding composition of the equipment is to handle the blood pressure data of patient from left to right, judges the blood pressure number of left and right arm
According to difference in 15 millimetress of mercury or more.
To assess, the blood pressure for following the trail of and analyzing left and right arm becomes the cloud data of the code storage of the equipment wave recording
Change, analyze CVD risk and monitor blood pressure, such as daytime and contrast at night, or the morning is at night.
The equipment includes the guiding software of at least one computer software,
Identifying adjustable risk factors includes that fat, diet sodium content is high, saturated fat, cholesterol, and sitting is motionless
Life style；Smoking；Regular alcohol consumption；Nervous life style.
Which life style identification, which adjusts, can lower the risk factors of the above；
Form the plan of smoking cessation；
Understand the importance for adhering to treatment, and keep later rule of life；
Make the timetable of a medication；
Prescription drug information and general principle, dosage are provided, it is contemplated that adverse side effect and allergic reaction；
Limitation is drunk；
Increase the intake of high potassium food or liquid food；
Sign and various symptoms are verified to health care personnel；
Specify personal exercise plan；
Information about community resource is provided, helps patient to formulate good life style；
If pressure value is higher than standard value, music and picture can be played, or play video and reduce blood pressure value；
The code that the equipment includes comes from：
The adjustable risk factors of identification, including obesity；Diet sodium content is high, and saturated fat is high, and cholesterol is high；Sitting is motionless
Life
Mode living；Smoking；Regular alcohol consumption；Nervous life style.
Guidance includes checking that S＆S needs notify health care provider, including：It is one or more：Headache,
Suddenly
And lasting blood pressure rise；Pectoralgia, shortness of breath；The increase of irregular or pulsation rate；Body weight；Periphery and belly swelling；
Depending on
Feel obstacle；Frequently, uncontrollable nose is bleeding；It is in a very depressed state or unstable, dizzy or syncope；Muscle weakness or convulsion
Contraction；
Nausea/vomiting；Excessive thirst.
The coding of the equipment comes from：
Lose weight to maintain normal type
More drinking water fruits and vegetables and low fat dairy products
Reduce sodium intake
Participate in regular aerobic exercise
Responsible drinking
Described above is only the preferred embodiment of the present invention, it is noted that for one of ordinary skill in the art,
Without departing from the invention herein, some improvement that can also be made to the present invention and supplement, these are improved and supplement, should also regard
For protection scope of the present invention.
Claims (1)
1. a kind of health detector, it is characterised in that including self-service terminal machine and health information server, health information server
It is connected with self-service terminal machine by wireless or cable network, the self-service terminal machine includes
Test interface, test interface connection cuff；
Cuff, cuff is connected to sensor and configured and is connected on the limbs of people, and the cuff can be according to the limbs feelings of people
Condition is adjusted to accurate measurement pulse corrugating and Ke's formula sound K1-K5 waveforms；
Vibrating sensor, it is connected with cuff, for detecting the CBF in people's tube chamber, includes K1 and K5 blood pressure waveform；
Cuff pressurizer, is connected on cuff, for adjusting the comprehensive pressure that cuff is acted on limbs；
Processor, vibrating sensor and cuff pressurizer are connected, after depressor to be added makes cuff inflation pressurize, the biography of processor connection
Sensor can obtains K1-K5 shape informations；
Cloud data collection server, is connected with processor, for store historical data and current Ke's formula sound K1-K5 waveforms；
Display, for showing measurement parameter；
The health detector also includes
One photoelectron scanning machine, for perceiving some position of human body；
Computer controls making apparatus, and customization cuff is formed by the scanning machine of connection；
Also include on the self-service terminal machine
High-definition video equipment, communicated for visual telephone；
Printer, for including but is not limited to printing test result, information material, advertisement, reward voucher；
Sliding seat, sliding seat are removable frame, so that seat can reach at test interface and display, are easy to disabled person
Voluntarily use；
The sliding seat is provided with scale, and the accuracy of scale is one pound；
The self-service terminal machine also includes
Pulse blood oxygen instrument, various non-invasive blood analysis are carried out for gathered data；
Camera, for observing skin lesion or any skin appearance；
Otoscope, the otoscope that a visual field is two times of standard otoscope is set, so as to which duct and eardrum is more easily seen；
The test interface is 2, carries out the test of left and right arm respectively；
The cuff is
Cloth pad adds the cuff of plug-in type emulsion air pocket, Huo Zhewei
Cloth pad and airbag by nylon nylon or plastic material be integrated into unit without airbag cuff；
The cuff is provided with the first Room and second Room, and airbag is indoor loaded on first, and the protection pad as protection pad is loaded on second Room, gas
Bag width is less than the width of cuff, and protection pad is located in the second Room under airbag, protection pad and airbag center alignment in the vertical, in horizontal stroke
Upwards, an edge of protection pad is alignd with an edge of airbag, and an opening is set on airbag to insert into escape pipe；
The length of the protection pad is the 60%-80% of cushion length, and protection pad width is the 47%-67% of cushion beam；
The surface of the protection pad is provided with pocket or other are adapted to house the fixed cell that component is formed, to be fixed on cuff
The sensor component or sensing device of adapted.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510484842.3A CN105167763B (en) | 2015-08-07 | 2015-08-07 | A kind of health detector |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510484842.3A CN105167763B (en) | 2015-08-07 | 2015-08-07 | A kind of health detector |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105167763A CN105167763A (en) | 2015-12-23 |
| CN105167763B true CN105167763B (en) | 2018-03-09 |
Family
ID=54890572
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510484842.3A Expired - Fee Related CN105167763B (en) | 2015-08-07 | 2015-08-07 | A kind of health detector |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105167763B (en) |
Families Citing this family (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108882850B (en) * | 2016-04-02 | 2023-04-07 | 史蒂芬·R·皮博迪 | Medical diagnostic apparatus, system and method of use |
| CN106419881A (en) * | 2016-11-12 | 2017-02-22 | 深圳市易特科信息技术有限公司 | Combined type health monitoring integrated machine equipment |
| CN107582038B (en) * | 2017-09-30 | 2021-04-27 | 北京哇哇购信息技术有限公司 | Blood pressure monitoring artificial intelligence reminding system and method |
| CN107610769A (en) * | 2017-10-16 | 2018-01-19 | 四川键天使医疗科技有限公司 | A kind of medical resource based on mobile Internet shares solution |
| AU2019291640B2 (en) * | 2018-06-22 | 2023-11-16 | Western Clinical Engineering Ltd. | Tourniquet with user-selectable safety protocols |
| CN109256188A (en) * | 2018-08-30 | 2019-01-22 | 缤刻普达（北京）科技有限责任公司 | Blood pressure monitoring method, system, sphygmomanometer and mobile terminal |
| CN109464136B (en) * | 2018-11-29 | 2020-11-13 | 东莞市康助医疗科技有限公司 | Method, system and device for displaying hardness of artery |
| CN109770882A (en) * | 2019-01-29 | 2019-05-21 | 晟光科技股份有限公司 | A kind of blood pressure and blood sugar instrument and its detection system |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3978848A (en) * | 1975-01-09 | 1976-09-07 | Filac Corporation | Monitoring apparatus and method for blood pressure and heart rate |
| US4312359A (en) * | 1980-02-19 | 1982-01-26 | Life Care Systems, Inc. | Noninvasive blood pressure measuring system |
| CN101011241A (en) * | 2007-02-09 | 2007-08-08 | 上海大学 | Multi-physiological-parameter long-term wireless non-invasive observation system based on short message service |
| CN101099664A (en) * | 2007-06-04 | 2008-01-09 | 陈海 | Medical early warning system |
| CN201337449Y (en) * | 2009-01-22 | 2009-11-04 | 青岛市市立医院 | Conjoined sphygmomanometer cuff |
| CN102415878A (en) * | 2010-09-27 | 2012-04-18 | 浙江亿科智能科技有限公司 | Life physical sign monitoring device |
-
2015
- 2015-08-07 CN CN201510484842.3A patent/CN105167763B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US3978848A (en) * | 1975-01-09 | 1976-09-07 | Filac Corporation | Monitoring apparatus and method for blood pressure and heart rate |
| US4312359A (en) * | 1980-02-19 | 1982-01-26 | Life Care Systems, Inc. | Noninvasive blood pressure measuring system |
| CN101011241A (en) * | 2007-02-09 | 2007-08-08 | 上海大学 | Multi-physiological-parameter long-term wireless non-invasive observation system based on short message service |
| CN101099664A (en) * | 2007-06-04 | 2008-01-09 | 陈海 | Medical early warning system |
| CN201337449Y (en) * | 2009-01-22 | 2009-11-04 | 青岛市市立医院 | Conjoined sphygmomanometer cuff |
| CN102415878A (en) * | 2010-09-27 | 2012-04-18 | 浙江亿科智能科技有限公司 | Life physical sign monitoring device |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105167763A (en) | 2015-12-23 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN105167763B (en) | A kind of health detector | |
| Mohammed et al. | Systems and WBANs for controlling obesity | |
| US11357426B2 (en) | Glucose management | |
| CN107847158B (en) | System and method for physiological parameter monitoring | |
| WO2017166074A1 (en) | Data processing method and device | |
| James et al. | Measuring arterial blood pressure in humans: Auscultatory and automatic measurement techniques for human biological field studies | |
| Topouchian et al. | Validation of four devices: Omron M6 Comfort, Omron HEM-7420, Withings BP-800, and Polygreen KP-7670 for home blood pressure measurement according to the European Society of Hypertension International Protocol | |
| US9026202B2 (en) | Cardiac performance monitoring system for use with mobile communications devices | |
| US9131843B2 (en) | System and apparatus for providing diagnosis and personalized abnormalities alerts and for providing adaptive responses in clinical trials | |
| American College of Sports Medicine | ACSM's health-related physical fitness assessment manual | |
| US11742062B1 (en) | Mobile algorithm-based vascular health evaluation processes | |
| US20090216132A1 (en) | System for Continuous Blood Pressure Monitoring | |
| CN109640803A (en) | System and method for monitoring haemodynamic condition | |
| US20230082362A1 (en) | Processes and methods to predict blood pressure | |
| Cornelissen et al. | Chronobiologically interpreted ambulatory blood pressure monitoring: past, present, and future | |
| KR102379956B1 (en) | Self Management Support Service Providing System For Metabolic Syndrome, Method For The Same, Server Using The Same | |
| Hsiao et al. | Design and implementation of auscultation blood pressure measurement using vascular transit time and physiological parameters | |
| JP2022011919A (en) | Biological information providing device, biological information providing method, and biological information providing program | |
| Anchan | Estimating pulse wave velocity using mobile phone sensors | |
| JP2022547784A (en) | Non-invasive, real-time, beat-to-beat ambulatory blood pressure monitoring | |
| US20230255498A1 (en) | Monitoring users with a mobile device while the users engage in activities | |
| US20230293019A1 (en) | Automatically generating protocols or reports based on sensor data from a mobile device | |
| US20230293020A1 (en) | Mobile algorithm-based vascular health evaluation processes | |
| Buntoro et al. | Experimentation of Gamification for Health and Fitness Mobile Application | |
| Hsiao et al. | Effects of pulse transit time and physiological differences on wearable device based blood pressure estimation |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20180309 Termination date: 20180807 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |