CN105709302B - A kind of medical system with monitoring infusion - Google Patents
A kind of medical system with monitoring infusion Download PDFInfo
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- CN105709302B CN105709302B CN201610258758.4A CN201610258758A CN105709302B CN 105709302 B CN105709302 B CN 105709302B CN 201610258758 A CN201610258758 A CN 201610258758A CN 105709302 B CN105709302 B CN 105709302B
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- 238000012544 monitoring process Methods 0.000 title claims abstract description 51
- 238000001802 infusion Methods 0.000 title claims abstract description 28
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- 238000012806 monitoring device Methods 0.000 claims abstract description 9
- 230000001225 therapeutic effect Effects 0.000 claims description 35
- 239000007788 liquid Substances 0.000 claims description 34
- 238000013528 artificial neural network Methods 0.000 claims description 29
- 238000003745 diagnosis Methods 0.000 claims description 25
- 238000001514 detection method Methods 0.000 claims description 24
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- 201000010099 disease Diseases 0.000 claims description 16
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 16
- 239000010410 layer Substances 0.000 claims description 12
- 239000008280 blood Substances 0.000 claims description 11
- 210000004369 blood Anatomy 0.000 claims description 11
- 230000036772 blood pressure Effects 0.000 claims description 11
- 230000036387 respiratory rate Effects 0.000 claims description 8
- 238000011156 evaluation Methods 0.000 claims description 6
- 239000011159 matrix material Substances 0.000 claims description 6
- 210000002569 neuron Anatomy 0.000 claims description 6
- 208000024891 symptom Diseases 0.000 claims description 6
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- 230000002612 cardiopulmonary effect Effects 0.000 claims description 4
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/1684—Monitoring, detecting, signalling or eliminating infusion flow anomalies by detecting the amount of infusate remaining, e.g. signalling end of infusion
-
- 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
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
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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
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
- A61B5/0816—Measuring devices for examining respiratory frequency
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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
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4842—Monitoring progression or stage of a disease
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B6/00—Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16886—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body for measuring fluid flow rate, i.e. flowmeters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/18—General characteristics of the apparatus with alarm
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- Physics & Mathematics (AREA)
- Engineering & Computer Science (AREA)
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- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Emergency Medicine (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
- Measuring And Recording Apparatus For Diagnosis (AREA)
Abstract
A kind of medical system with monitoring infusion, it is characterised in that：Including hospital system, home system and remote monitoring center, hospital system includes medical investigative apparatus, patient condition diversity module, intelligent diagnostics module, data consolidation server and transfusion monitoring device, and home system includes Portable Monitoring Set.
Description
Technical field
The invention belongs to smart machine field, more particularly to a kind of medical system with monitoring infusion.
Background technology
Intelligent medical system analyzed using computer, retrieved, science is calculated, is reasonable, comprehensive diagnostic result, pathology
Inspection etc. is learned, the required correlative factor of the disease is made a definite diagnosis to each disease offer of diagnostic result.But current intelligent medical system
System rests in the collection of patient's essential information and case history mostly, and diagnose and treat scheme is all to have doctor to make, working doctor
Amount is not mitigated, lacks the monitoring in family's care monitoring and infusion process.
Invention content
The technical problem to be solved by the present invention is to how by algorithm realize to the assessment of condition-inference and therapeutic scheme with
And formulate and infusion process monitoring, to this present invention provide it is a kind of medical treatment carry monitoring infusion medical system comprising
Hospital system, home system and remote monitoring center,
Hospital system includes medical investigative apparatus, patient condition diversity module, intelligent diagnostics module, data consolidation server
And transfusion monitoring device,
Home system includes Portable Monitoring Set,
Attending physician realizes the formulation to the medical examination of patient, diagnosis and therapeutic scheme by hospital system, cures mainly
Doctor is in the real time data to nurse the sick by the acquisition of the Portable Monitoring Set of home system, Portable Monitoring Set also with
Remote monitoring center is wirelessly connected, to which reply can be taken in time when emergency occurs in patient, and emergency is same
Shi Tongzhi attending physicians and upload data consolidation server,
When patient is in hospital system, medical investigative apparatus detects the multinomial medical examination data of patient, and inputs disease
People's state diversity module, patient condition diversity module assess the state of an illness of patient using assessment algorithm, and attending physician then passes through
It crosses authentication and enters patient condition diversity module and the assessment result of division is verified, if what attending physician thought to divide
Assessment result is correct, then files the relevant information of patient and medical examination data according to assessment result, and input intelligence
Diagnostic module is determined the assessment result of patient by attending physician if attending physician thinks that the assessment result divided is incorrect,
The relevant information of patient and medical examination data are filed according to assessment result again, and input intelligent diagnostics module；Intelligence
Diagnostic module automatically generates corresponding therapeutic scheme according to the relevant information, medical examination data and assessment result of patient, main
It controls doctor and enters intelligent diagnostics module by authentication and therapeutic scheme is verified, if attending physician thinks therapeutic scheme
Correctly, then the relevant information of patient, medical examination data, therapeutic scheme and assessment result are uploaded to Data Integration service
Device reformulates therapeutic scheme if attending physician thinks that therapeutic scheme is incorrect by attending physician, then by the correlation of patient
Information, medical examination data, therapeutic scheme and assessment result are uploaded to data consolidation server；
Transfusion monitoring device includes microcontroller, dropping speed detection circuit, liquid storage monitoring circuit, remaining time calculating mould
Block, motor, circuit for controlling motor, wireless communication module, interface circuit, sound and light alarm module, display module and input module.
Beneficial effects of the present invention：
(1) evaluation to patient's state of an illness is realized by assessment algorithm, to be Case treatment scheme and Case treatment ring
The selection in border provides foundation；
(2) there is home system, to ensure that the round-the-clock monitoring of patient's residential care；
(3) intelligent diagnostics mode is introduced, therapeutic scheme is automatically generated, to greatly reduce the labor intensity of doctor；
(4) transfusion monitoring device is set, so as to the situation during real-time display patient infusion, and is supplied in real time
Attending physician, it is ensured that infusion safety.
Description of the drawings
Fig. 1 is the system block diagram of the present invention；
Fig. 2 is the intelligent diagnostics module composition frame chart of the present invention；
Fig. 3 is the transfusion monitoring device composition frame chart of the present invention；
Specific implementation mode
The present invention is further illustrated with embodiment below in conjunction with the accompanying drawings.
The embodiment of the present invention shows with reference to figure 1-2.
A kind of medical system with monitoring infusion comprising hospital system, home system and remote monitoring center,
Hospital system includes medical investigative apparatus, patient condition diversity module, intelligent diagnostics module, data consolidation server
And transfusion monitoring device,
Home system includes Portable Monitoring Set,
Attending physician realizes the formulation to the medical examination of patient, diagnosis and therapeutic scheme by hospital system, cures mainly
Doctor is in the real time data to nurse the sick by the acquisition of the Portable Monitoring Set of home system, Portable Monitoring Set also with
Remote monitoring center is wirelessly connected, to which reply can be taken in time when emergency occurs in patient, and emergency is same
Shi Tongzhi attending physicians and upload data consolidation server,
When patient is in hospital system, medical investigative apparatus detects the multinomial medical examination data of patient, and inputs disease
People's state diversity module, patient condition diversity module assess the state of an illness of patient using assessment algorithm, and attending physician then passes through
It crosses authentication and enters patient condition diversity module and the assessment result of division is verified, if what attending physician thought to divide
Assessment result is correct, then files the relevant information of patient and medical examination data according to assessment result, and input intelligence
Diagnostic module is determined the assessment result of patient by attending physician if attending physician thinks that the assessment result divided is incorrect,
The relevant information of patient and medical examination data are filed according to assessment result again, and input intelligent diagnostics module；Intelligence
Diagnostic module automatically generates corresponding therapeutic scheme according to the relevant information, medical examination data and assessment result of patient, main
It controls doctor and enters intelligent diagnostics module by authentication and therapeutic scheme is verified, if attending physician thinks therapeutic scheme
Correctly, then the relevant information of patient, medical examination data, therapeutic scheme and assessment result are uploaded to Data Integration service
Device reformulates therapeutic scheme if attending physician thinks that therapeutic scheme is incorrect by attending physician, then by the correlation of patient
Information, medical examination data, therapeutic scheme and assessment result are uploaded to data consolidation server；
The assessment algorithm of patient condition diversity module is specially：
Grade classification is carried out to each single item medical examination data, then
Whole detection measured value is：
Wherein, OPM is whole detection measured value, TiFor the grade point of i-th medical examination data, i=1,2 ..., N, Ti
=1,2 ..., M, M be greatest level value, M >=2, N be medical examination data total item；
Maximum whole detection measured value is：
OPM_MAX is maximum whole detection measured value
Then the assessed value as patient's state of an illness of assessment result is：
Above-mentioned assessment calculates the state of an illness that can effectively assess patient, to carry out Put on file.
Further, M=5, N=6
Medical investigative apparatus includes glucometer, ECG detecting device, respiratory rate detector, cholesterol levels detection
Device, blood pressure instrument, X-ray production apparatus,
Medical examination data include blood sugar concentration, ECG data evaluation, respiratory rate, cholesterol levels, blood pressure conditions,
Radioscopy is evaluated,
Further,
Wherein, the opinion rating of blood sugar concentration divides as shown in the table；
| Grade | 1 | 2 | 3 | 4 | 5 |
| Blood sugar concentration (mg/DL) | <98 | 98-154 | 155-183 | 184-254 | >254 |
The opinion rating of respiratory rate divides as shown in the table；
| Grade | 1 | 2 | 3 | 4 | 5 |
| Respiratory rate (beat/min) | 12-18 | 9-11,19-21 | 6-8,22-24 | 3-5,25-27 | <3,>27 |
The opinion rating of cholesterol levels divides as shown in the table；
| Grade | 1 | 2 | 3 | 4 | 5 |
| Cholesterol levels (mmolg/l) | <5.2 | 5.2-5.5 | 5.6-5.8 | 5.9-6.0 | >6.0 |
The opinion rating of blood pressure conditions divides as shown in the table；
ECG data evaluation refers to that doctor evaluates according only to the grade that electrocardiogram is made；
Radioscopy evaluation refers to that doctor evaluates according only to the grade that X-ray is made；
Intelligent diagnostics module includes dynamic comprehensive database, neural network learning module, inference machine, explanation module, sample
Knowledge base, neural network structure knowledge base, clinical symptoms Description of Knowledge library, disease knowledge library, therapeutic scheme knowledge base, history note
Knowledge base, knowledge data database management module are recorded,
Expert can be adjusted management to each knowledge base by knowledge base management module, safeguard update；
Explanation module is the bridge linked up between medical system and attending physician with monitoring infusion, is responsible for that doctor will be cured mainly
The diagnosis of teacher is converted into the information that the medical system with monitoring infusion can identify, and by the medical system with monitoring infusion
Last output result be converted into attending physician it will be appreciated that information；
Inference machine is pushed away using oneself knowledge through having of system in conjunction with the specifying information for including in dynamic comprehensive database
Reason, obtains corresponding therapeutic scheme.Inference machine includes ANN Reasoning module and rule-based reasoning module two parts.
Reasoning between " clinical symptoms to disease " uses neural network module, using rule-based between " disease to therapeutic scheme "
Reasoning；
Neural network learning module proposes the neural network knot including the network number of plies, input, output, hidden node number
Structure organizes learning sample to be trained and Learning Algorithm, is learnt by the extraction of sample knowledge library, is weighed
Distribution value completes knowledge acquisition.
Further, neural network structure is realized by the method that fuzzy logic and neural network combine, neural network
Learning algorithm is BP algorithm.
Sample knowledge library, neural network structure knowledge base, clinical symptoms Description of Knowledge library, disease knowledge library, scheme of curing the disease
Knowledge base, historical record knowledge base store corresponding knowledge data respectively.
Knowledge data database management module has the function of that complete database manipulation, expert pass through knowledge data database management module
Each knowledge base is inquired, added and is deleted and changed,
Dynamic comprehensive database receives and stores the relevant information of patient, medical examination data and assessment result；
The course of work of inference machine is as follows：
(1) by the relevant information of patient, medical examination data and assessment result progress Fuzzy processing, and in this, as
The input pattern of each sub-neural network；
(2) weight matrix of each sub-neural network is read in from neural network structure knowledge base；
(3) weight matrix between each sub-neural network input layer, hidden layer is combined, each sub-neural network input layer nerve is calculated
The output of member, and will be output as the input of hidden neuron；
(4) weight matrix for combining each sub-neural network hidden layer, exporting interlayer calculates the output valve of output layer neuron；
(5) it according to the output valve of output layer neuron, is pushed away into line discipline in conjunction with the relevant information in dynamic comprehensive database
The reasoning for managing module, assigns a cause for an illness, provides confidence level；
(6) according to finally determining reason, the therapeutic scheme corresponding to the specific cause of disease is provided in conjunction with relevant information；
Intelligent diagnostics are truly realized by intelligent diagnostics module, full and accurate therapeutic scheme can be provided for doctor, in turn
Reduce its working strength.
Determine whether patient can be in nursing according to the opinion of assessed value C and attending physician, if assessed value for C >=
0.4, then patient need be hospitalized；If assessed value is 0 < C < 0.1, patient has fully recovered, and is monitored without further diagnosis
Service；If assessed value is 0.1≤C < 0.4 and attending physician agrees to, patient can carry out residential care；
When patient is in home system, according to assessed value judge the required basic diagnosis service of home care patients,
High level diagnostics service, diagnosis report form, attending physician's type, monitoring period and monitoring period；
As 0.1≤C < 0.2, patient is slight patient,
Basic diagnosis service is patient's essential information, case history, electrocardiogram, blood pressure detecting；
Without high level diagnostics service；
Diagnosis report form is web page notification and mail；
Attending physician's type is the attending physician of 10 years or less experiences；
Monitoring period is 1 day；
It is 1 hour primary to monitor the period；
As 0.2≤C < 0.3, patient is moderate patient,
Basic diagnosis service is patient's essential information, case history, electrocardiogram, blood pressure detecting, blood sugar test, cardiopulmonary detection, courage
Sterol levels detect；
Without high level diagnostics service；
Diagnosis report form is web page notification and mail；
Attending physician's type is the attending physician of 10 years or less experiences；
Monitoring period is 7 days；
It is 1 hour primary to monitor the period；
As 0.3≤C < 0.4, patient is severe patient,
Basic diagnosis service is patient's essential information, case history, electrocardiogram, blood pressure detecting, blood sugar test, cardiopulmonary detection, courage
Sterol levels detect, assessment aroused in interest, heart radiography；
High level diagnostics service is virtual heart, expert consultation；
Diagnosis report form is mobile phone, web page notification and mail；
Attending physician's type is the attending physician of 10 years or more experiences；
Monitoring period is 30 days；
It is 1 minute primary to monitor the period；
It can be directed to the state of an illness of different patients by above-mentioned classification, different treatments and nursing care mode are taken, to close
Reason configuration medical resource, reduces medical treatment cost.
Furtherly, wherein basic diagnosis service, high level diagnostics service are realized by Portable Monitoring Set.
Transfusion monitoring device includes microcontroller, dropping speed detection circuit, liquid storage monitoring circuit, remaining time calculating mould
Block, motor, circuit for controlling motor, wireless communication module, interface circuit, sound and light alarm module, display module and input module.
Liquid storage observation circuit is used for detecting the remaining liquid volume in remaining infusion bottle, and dropping speed detection circuit is for examining
The liquid drop speed in drop bottle is surveyed, remaining time computing module calculates dripping off for remaining liquid according to remaining liquid volume and liquid drop speed
It time, remaining liquid volume, liquid drop speed and drips off the time and exports to microcontroller, microcontroller is dripped according to remaining liquid volume, liquid
It speed and drips off the time and motor is controlled by circuit for controlling motor changes drop speed, microcontroller passes through electricity according to the input of input module
Machine control circuit controls motor and changes drop speed, and when remaining liquid volume is reached or fallen below threshold value, microcontroller controls acousto-optic
Alarm module generates sound and light signal and is alarmed simultaneously, and microcontroller controls display module real-time display residue liquid volume, liquid drop speed
And the time is dripped off, microcontroller is also connect by interface circuit with radio communication circuit, by remaining liquid volume, liquid drop speed, drop
Complete time and alarm signal are sent to attending physician；
Motor is stepper motor, and rotational displacement is linear with input pulse；
Dropping speed detection circuit uses infrared detection technology, and infrared transmitter and phototriode is arranged in dropping funnel both sides
After infrared transmitter sends out infrared light, light is irradiated to phototriode after penetrating dropping funnel, and phototriode is emitted onto thereon
The light in face becomes current signal and is exported, and then obtains the frequency of dropping liquid；
Embodiment described above only expresses one embodiment of the present invention, but can not therefore be interpreted as to this
The limitation of invention scope.It should be pointed out that for those of ordinary skill in the art, in the premise for not departing from present inventive concept
Under, various modifications and improvements can be made, these are all within the scope of protection of the present invention.
Claims (10)
1. a kind of medical system with monitoring infusion, it is characterised in that：It includes hospital system, home system and long-range prison
Control center,
Hospital system include medical investigative apparatus, patient condition diversity module, intelligent diagnostics module, data consolidation server and
Transfusion monitoring device,
Home system includes Portable Monitoring Set,
Attending physician realizes the formulation to the medical examination of patient, diagnosis and therapeutic scheme, attending physician by hospital system
Be in the real time data to nurse the sick by the acquisition of the Portable Monitoring Set of home system, Portable Monitoring Set also with remotely
Monitoring center is wirelessly connected, and to take reply in time when emergency occurs in patient, and emergency is led to simultaneously
Know attending physician and upload data consolidation server,
When patient is in hospital system, medical investigative apparatus detects the multinomial medical examination data of patient, and inputs patient's shape
State diversity module, patient condition diversity module assess the state of an illness of patient using assessment algorithm, and attending physician then passes through body
Part certification enters patient condition diversity module and verifies the assessment result of division, if attending physician thinks the assessment divided
As a result correct, then the relevant information of patient and medical examination data are filed according to assessment result, and input intelligent diagnostics
Module is determined the assessment result of patient by attending physician, then will if attending physician thinks that the assessment result divided is incorrect
The relevant information and medical examination data of patient is filed according to assessment result, and inputs intelligent diagnostics module；Intelligent diagnostics
Module automatically generates corresponding therapeutic scheme according to the relevant information, medical examination data and assessment result of patient, cures mainly doctor
Life enters intelligent diagnostics module by authentication and verifies therapeutic scheme, if attending physician thinks therapeutic scheme just
Really, then the relevant information of patient, medical examination data, therapeutic scheme and assessment result are uploaded to data consolidation server,
If attending physician thinks that therapeutic scheme is incorrect, therapeutic scheme is reformulated by attending physician, then the correlation of patient is believed
Breath, medical examination data, therapeutic scheme and assessment result are uploaded to data consolidation server；
Transfusion monitoring device includes microcontroller, dropping speed detection circuit, liquid storage monitoring circuit, remaining time computing module, electricity
Mechanical, electrical machine control circuit, wireless communication module, interface circuit, sound and light alarm module, display module and input module.
2. a kind of medical system with monitoring infusion according to claim 1, it is characterised in that：Patient condition is classified mould
The assessment algorithm of block is specially：
Grade classification is carried out to each single item medical examination data, then
Whole detection measured value is：
Wherein, OPM is whole detection measured value, TiFor the grade point of i-th medical examination data, i=1,2 ..., N, Ti=1,
2 ..., M, M are greatest level value, and M >=2, N are the total item of medical examination data；
Maximum whole detection measured value is：
OPM_MAX is maximum whole detection measured value
Then the assessed value as patient's state of an illness of assessment result is：
3. a kind of medical system with monitoring infusion according to claim 2, it is characterised in that：M=5, N=6,
Medical investigative apparatus includes glucometer, ECG detecting device, respiratory rate detector, cholesterol levels detector, blood
Instrument, X-ray production apparatus are pressed,
Medical examination data include that blood sugar concentration, ECG data evaluation, respiratory rate, cholesterol levels, blood pressure conditions, X are penetrated
Line perspective evaluation.
4. a kind of medical system with monitoring infusion according to claim 3, it is characterised in that：
The grade classification of blood sugar concentration is as shown in the table,
The grade classification of respiratory rate is as shown in the table,
The grade classification of cholesterol levels is as shown in the table,
The grade classification of blood pressure conditions is as shown in the table,
ECG data evaluation refers to the evaluation that doctor makes according only to electrocardiogram；
Radioscopy evaluation refers to the evaluation that doctor makes according only to X-ray.
5. a kind of medical system with monitoring infusion according to claim 1, it is characterised in that：Intelligent diagnostics module packet
Include dynamic comprehensive database, neural network learning module, inference machine, explanation module, sample knowledge library, neural network structure knowledge
Library, clinical symptoms Description of Knowledge library, disease knowledge library, therapeutic scheme knowledge base, historical record knowledge base, knowledge data library management
Module,
Expert can be adjusted management to each knowledge base by knowledge base management module, safeguard update；
Explanation module is the bridge linked up between medical system and attending physician with monitoring infusion, is responsible for attending physician's
Diagnosis is converted into the information that the medical system with monitoring infusion can identify, and the medical system with monitoring infusion is last
Output result be converted into attending physician it will be appreciated that information；
Inference machine is made inferences using oneself knowledge through having of system in conjunction with the specifying information for including in dynamic comprehensive database,
Show that corresponding therapeutic scheme, inference machine include ANN Reasoning module and rule-based reasoning module two parts, " clinic
Symptom is to disease " between reasoning use neural network module, rule-based reasoning is used between " disease to therapeutic scheme "；
Neural network learning module propose neural network structure including the network number of plies, input, output, hidden node number,
Learning sample to be trained and Learning Algorithm are organized, is learnt by the extraction of sample knowledge library, obtains weights
Knowledge acquisition is completed in distribution.
6. a kind of medical system with monitoring infusion according to claim 5, it is characterised in that：Neural network structure is logical
It crosses the method that fuzzy logic and neural network combine and realizes that Learning Algorithm is BP algorithm,
Sample knowledge library, neural network structure knowledge base, clinical symptoms Description of Knowledge library, disease knowledge library, scheme of curing the disease knowledge
Library, historical record knowledge base store corresponding knowledge data respectively,
Knowledge data database management module has the function of complete database manipulation, and expert is by knowledge data database management module to each
A knowledge base is inquired, added and is deleted and changed,
Dynamic comprehensive database receives and stores the relevant information of patient, medical examination data and assessment result.
7. a kind of medical system with monitoring infusion according to claim 6, it is characterised in that：Inference machine it is worked
Journey is as follows：
(1) relevant information of patient, medical examination data and assessment result are subjected to Fuzzy processing, and in this, as each son
The input pattern of neural network；
(2) weight matrix of each sub-neural network is read in from neural network structure knowledge base；
(3) weight matrix between each sub-neural network input layer, hidden layer is combined, each sub-neural network input layer is calculated
Output, and will be output as the input of hidden neuron；
(4) weight matrix for combining each sub-neural network hidden layer, exporting interlayer calculates the output valve of output layer neuron；
(5) according to the output valve of output layer neuron, rule-based reasoning mould is carried out in conjunction with the relevant information in dynamic comprehensive database
The reasoning of block, assigns a cause for an illness, and provides confidence level；
(6) according to finally determining reason, the therapeutic scheme corresponding to the specific cause of disease is provided in conjunction with relevant information.
8. a kind of medical system with monitoring infusion according to claim 2, it is characterised in that：According to assessed value C with
And the opinion of attending physician determines whether patient can be in nursing, if assessed value is C >=0.4, patient's needs are hospitalized；Such as
Fruit assessed value is 0 < C < 0.1, then patient has fully recovered, without further diagnosis monitoring service；If assessed value be 0.1≤
C < 0.4 and attending physician's agreement, then patient can carry out residential care.
9. a kind of medical system with monitoring infusion according to claim 8, it is characterised in that：Patient is in system of family
When in system, the required basic diagnosis service of home care patients, high level diagnostics service, diagnosis report shape are judged according to assessed value
Formula, attending physician's type, monitoring period and monitoring period；
As 0.1≤C < 0.2, patient is slight patient,
Basic diagnosis service be patient's essential information, case history, electrocardiogram, blood pressure detecting,
Without high level diagnostics service,
Diagnosis report form be web page notification and mail,
Attending physician's type is the attending physician of 10 years or less experiences,
Monitoring period is 1 day,
It is 1 hour primary to monitor the period；
As 0.2≤C < 0.3, patient is moderate patient,
Basic diagnosis service is patient's essential information, case history, electrocardiogram, blood pressure detecting, blood sugar test, cardiopulmonary detection, cholesterol
Level detection,
Without high level diagnostics service,
Diagnosis report form be web page notification and mail,
Attending physician's type is the attending physician of 10 years or less experiences,
Monitoring period is 7 days,
It is 1 hour primary to monitor the period；
As 0.3≤C < 0.4, patient is severe patient,
Basic diagnosis service is patient's essential information, case history, electrocardiogram, blood pressure detecting, blood sugar test, cardiopulmonary detection, cholesterol
Level detection, assessment aroused in interest, heart radiography,
High level diagnostics service be virtual heart, expert consultation,
Diagnosis report form be mobile phone, web page notification and mail,
Attending physician's type is the attending physician of 10 years or more experiences,
Monitoring period is 30 days,
It is 1 minute primary to monitor the period.
10. a kind of medical system with monitoring infusion according to claim 1, it is characterised in that：Liquid storage observation circuit
For detecting the remaining liquid volume in remaining infusion bottle, dropping speed detection circuit is used to detect the liquid drop speed in drop bottle,
Remaining time computing module drips off time, remaining liquid volume, medicine according to what remaining liquid volume and liquid drop speed calculated remaining liquid
It drop speed and drips off the time and exports to microcontroller, microcontroller is according to remaining liquid volume, liquid drop speed and drips off the time and passes through
Circuit for controlling motor controls motor and changes drop speed, and microcontroller controls motor according to the input of input module by circuit for controlling motor
Change drop speed, and when remaining liquid volume is reached or fallen below threshold value, microcontroller controls sound and light alarm module and generates acousto-optic letter
It number is alarmed simultaneously, microcontroller control display module real-time display residue liquid volume, liquid drop speed and drips off time, microcontroller
Also connect with radio communication circuit by interface circuit, by remaining liquid volume, liquid drop speed, drip off time and alarm signal to
Attending physician sends；
Motor is stepper motor, and rotational displacement is linear with input pulse；
Dropping speed detection circuit uses infrared detection technology, and infrared transmitter is arranged in dropping funnel both sides and phototriode is infrared
After transmitter sends out infrared light, light is irradiated to phototriode after penetrating dropping funnel, and phototriode is emitted onto above it
Light becomes current signal and is exported, and then obtains the frequency of dropping liquid.
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| CN111905192B (en) * | 2020-09-18 | 2023-01-31 | 上海市金山区亭林医院(中国福利会国际和平妇幼保健院金山分院) | Sickbed, nurse station and alarm method of sickbed nurses |
| CN114864094A (en) * | 2022-07-06 | 2022-08-05 | 湖南尚医康医疗科技有限公司 | Intensive care unit intelligent control method, equipment and medium |
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