CN106859633A - Mobile ecg telemonitoring early warning system - Google Patents

Mobile ecg telemonitoring early warning system Download PDF

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Publication number
CN106859633A
CN106859633A CN201710008846.3A CN201710008846A CN106859633A CN 106859633 A CN106859633 A CN 106859633A CN 201710008846 A CN201710008846 A CN 201710008846A CN 106859633 A CN106859633 A CN 106859633A
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early warning
electrocardiosignal
module
signal
cardiac monitoring
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Inventor
万相奎
徐俊
刘翰林
武明虎
李风从
丰励
童静
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Hubei University of Technology
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Hubei University of Technology
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006ECG or EEG signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235Details of waveform analysis
    • A61B5/725Details of waveform analysis using specific filters therefor, e.g. Kalman or adaptive filters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7405Details of notification to user or communication with user or patient ; user input means using sound
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/742Details of notification to user or communication with user or patient ; user input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7455Details of notification to user or communication with user or patient ; user input means characterised by tactile indication, e.g. vibration or electrical stimulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Pathology (AREA)
  • Physics & Mathematics (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Signal Processing (AREA)
  • Artificial Intelligence (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Psychiatry (AREA)
  • Cardiology (AREA)
  • Computer Networks & Wireless Communication (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

A kind of mobile ecg telemonitoring early warning system includes:Cardiac monitoring end, Apache Server, mobile terminal, pc clients;Cardiac monitoring end is used to gather electrocardiosignal, and is pre-processed, and is then uploaded to Apache Server;Apache Server receives pretreated electrocardiosignal, and pretreated electrocardiosignal is matched with the signal library for prestoring, if matching abnormal electrocardiogram signal, early warning information is sent into mobile terminal;Pc clients obtain specific pretreated electrocardiosignal from Apache Server;And the treatment advice information of user input is received, and treatment advice information is sent to corresponding mobile terminal according to the ID at cardiac monitoring end;Mobile terminal, associates with least one cardiac monitoring end, for receiving and shows early warning information, and receives and display processing advisory information.With real-time monitoring physiological parameter, and medical system can be in time uploaded to, when physiological parameter is abnormal, early warning signal and corresponding emergency processing mode can be obtained in the very first time.

Description

Mobile ecg telemonitoring early warning system
Technical field
The present invention relates to portable medical technical field, more particularly to mobile ecg telemonitoring early warning system.
Background technology
With the development of science and technology, smart mobile phone and mobile Internet have penetrated into the every field of people's life, move Dynamic terminal plays more tired more important role in medical field.
In recent years, number of the China with angiocardiopathy is continuously increased, but due to time, economic condition, hospital's ring The many restrictions factor such as border, hospital cannot carry out effective monitoring to the physiological parameter of all patients.Monitoring on the market at present Instrument is broadly divided into two major classes, and a class is the patient monitor with computer as core, and volume is big, and not readily portable, patient can only arrive hospital Receive monitoring;Another kind of is the patient monitor with single-chip microcomputer as core, is easy to carry, but lacks early warning monitoring and network service work( Can, it is impossible to the physiological parameter of monitoring is uploaded to medical system in time, so as to follow-up treatment.For problems above, need Propose corresponding solution.
The content of the invention
Based on this, the purpose of the embodiment of the present invention is to provide a kind of mobile ecg telemonitoring early warning system, can be supervised in real time Physiological parameter is surveyed, and is uploaded to medical system in time, when physiological parameter is abnormal, early warning signal can be obtained in the very first time And corresponding emergency processing mode.
To reach above-mentioned purpose, the embodiment of the present invention uses following technical scheme:
A kind of mobile ecg telemonitoring early warning system, including:Cardiac monitoring end, Apache Server, mobile terminal, pc client End;Wherein, the cardiac monitoring end is used to gather electrocardiosignal, and electrocardiosignal to gathering is pre-processed, and will be pre- Electrocardiosignal after treatment is uploaded to the Apache Server;Pretreated electrocardiosignal includes the ID at cardiac monitoring end; The Apache Server is for receiving the pretreated electrocardiosignal and the pretreated electrocardiosignal is defeated Enter bandpass filter, remove low-frequency noise, then by differentiator, and to being carried out square and defeated by the signal after differentiator Enter sliding filter, the signal that sliding filter is exported is carried out feature extraction to determine R ripples position using dynamic thresholding method;Root Matched with the signal library for prestoring according to R ripples position, if matching abnormal electrocardiogram signal, early warning information is sent to the shifting Dynamic terminal;
The pc clients, for obtaining specific pretreated electrocardiosignal from the Apache Server;And connect Receive the treatment advice information of user input, and the treatment advice information is sent to corresponding according to the ID at cardiac monitoring end Mobile terminal;The mobile terminal, associates with cardiac monitoring end described at least one, for receiving and shows early warning letter Breath, and receive and show the treatment advice information.
Preferably, the cardiac monitoring end includes that electrocardiogram acquisition module, wire detection module, main processing block, signal are sentenced Disconnected module and wireless communication module;
Wherein, the electrocardiogram acquisition module is used to gather electrocardiosignal;The wire detection module is for detecting whether have Electrocardiosignal, if so, then notifying the main processing block be amplified to the electrocardiosignal, filtered, A/D signals are changed;
The signal judge module is used to judge whether the electrocardiosignal after the main processing block treatment is normal signal; When abnormal, the wireless communication module is by the electrocardiosignal of cardiac monitoring end ID, abnormal electrocardiosignal and its preceding 20s It is transferred to the Apache Server.
Preferably, the Apache Server includes the first transport module, matching module and display module;Wherein, institute State matching module and receive the signal that the cardiac monitoring end uploads, and the electrocardiosignal of reception and the signal library for prestoring are carried out Match somebody with somebody;First transport module will match abnormal electrocardiosignal, corresponding according to being sent to by way of early warning signal Mobile terminal;The display module shows matching process and matching result.
Preferably, the mobile terminal includes the first data reception module, data analysis module and data disaply moudle;Its In, the data reception module receives early warning signal from the Apache Server;The data analysis module is to reception After early warning signal is processed, the early warning signal is shown by the data disaply moudle.
Preferably, the pc clients include acquisition module, the second data reception module and the second transport module;Its In, the acquisition module obtains specific pretreated electrocardiosignal from the Apache Server;Second data reception Block receives the treatment advice information of user input;Second transport module by the treatment advice information according to cardiac monitoring end ID Send to corresponding mobile terminal.
Preferably, the cardiac monitoring end is communicated by 3G/4G or WiFi with the Apache Server.
Preferably, on the basis of any of the above-described embodiment, the Apache Server is by the early warning information with short The mode of letter or early warning the tinkle of bells is sent to mobile terminal.
Preferably, the mobile terminal is received and judges the rank of early warning information, matches the early warning information of different stage Advice method;Early warning information is notified to user in time according to corresponding advice method.
Preferably, the advice method includes one of in the following manner:Jingle bell, vibrations, lamp dodge.
Using the present invention program, by the ecg signal acquiring at cardiac monitoring end and pre-process, preliminary examination is problematic Electrocardiosignal, and the electrocardiosignal of preliminary examination is transferred to Apache Server, carried out in Apache Server detailed Signal Matching treatment, if matching abnormal electrocardiosignal, notifies corresponding mobile terminal, and can be by pc client End receive user input abnormal electrocardiogram signal treatment advice information, therefore can with real-time monitoring physiological parameter, and in time on Medical system is reached, when physiological parameter is abnormal, early warning signal and corresponding emergency processing can be obtained in the very first time Mode.
Brief description of the drawings
Accompanying drawing is, for providing a further understanding of the present invention, and to constitute the part of specification, specific with following Implementation method is used to explain the present invention together, but should not be construed as limiting the invention.In the accompanying drawings,
Fig. 1 is the structural representation of mobile ecg telemonitoring early warning system proposed by the present invention;
Fig. 2 is the structural representation at cardiac monitoring end proposed by the present invention;
Fig. 3 is the workflow diagram at cardiac monitoring end proposed by the present invention;
Fig. 4 is the structural representation of Apache Server proposed by the present invention;
Fig. 5 is the workflow diagram of Apache Server proposed by the present invention;
Fig. 6 is the structural representation of mobile terminal proposed by the present invention;
Fig. 7 is the workflow diagram of mobile terminal proposed by the present invention;
Fig. 8 is the structural representation of pc clients proposed by the present invention.
Specific embodiment
To make the objects, technical solutions and advantages of the present invention become more apparent, below in conjunction with drawings and Examples, to this Invention is described in further detail.It should be appreciated that specific embodiment described herein is only used to explain the present invention, Do not limit protection scope of the present invention.
Fig. 1 shows a kind of structural representation of mobile ecg telemonitoring early warning system, including:Cardiac monitoring end, Apache (Apache is that the world uses the web server software for ranking the first) server, mobile terminal, pc clients;Wherein, the heart Electricity monitoring end is used to gather electrocardiosignal, and electrocardiosignal to gathering is pre-processed, and by pretreated electrocardio letter Number it is uploaded to the Apache Server;Pretreated electrocardiosignal includes the ID at cardiac monitoring end;The Apache services Device, for receiving the pretreated electrocardiosignal, and by the pretreated electrocardiosignal input bandpass filter, goes Except low-frequency noise, then by differentiator, and to being carried out square by the signal after differentiator and sliding filter is input into, profit The signal that sliding filter is exported is carried out feature extraction to determine R ripples (electrocardiogram term, QRS complex with dynamic thresholding method:Allusion quotation The QRS complex of type includes three closely coupled ripples, and first downward ripple is referred to as Q ripples, after the upright of the point high of after Q ripples Ripple is referred to as R ripples, and the ripple under R ripples are backward is referred to as S ripples.) position;Matched with the signal library for prestoring according to R ripples position, wherein, The corresponding electrocardiosignal threshold value reference value of the various early warning information that are stored with the signal library for prestoring, if pretreated electrocardio is believed Number not in the interval of the threshold reference value, then electrocardiosignal exception is illustrated.If abnormal electrocardiogram signal is matched, by early warning Information is sent to the mobile terminal;The pc clients, after obtaining specific pretreatment from the Apache Server Electrocardiosignal;And the treatment advice information of user input is received, and by the treatment advice information according to cardiac monitoring end ID send to corresponding mobile terminal;The mobile terminal, associates with cardiac monitoring end described at least one, for receiving simultaneously The early warning information is shown, and is received and is shown the treatment advice information.
Preferably, wherein in one embodiment, the cardiac monitoring end includes electrocardiogram acquisition module, wire detection mould Block, main processing block, signal judge module and wireless communication module;Its structural representation is as shown in Figure 2;The electrocardiogram acquisition Module is used to gather electrocardiosignal;The wire detection module for detecting whether there is electrocardiosignal, if so, then notifying the master Processing module is amplified to the electrocardiosignal, filters, the conversion of A/D signals;The signal judge module is used to judge described Whether the electrocardiosignal after main processing block treatment is normal signal;When abnormal, the wireless communication module supervises electrocardio The electrocardiosignal of shield end ID, abnormal electrocardiosignal and its preceding 20s is transferred to the Apache Server.
Fig. 3 is the workflow diagram at cardiac monitoring end proposed by the present invention;The specific works step at cardiac monitoring end is:
1st, cardiac monitoring end is connected by wire with human body;
2nd, judge whether wire connects according to specification, if jump procedure 1 without if, otherwise jump procedure 3;
3rd, electrocardiosignal is obtained, and digital electrocardiosignal is converted to by filtering, amplification and A/D;
4th, judge whether electrocardiosignal is normal signal, if then preserving 20s, if not then by the data of 20s before this with And data hereafter are transferred to server by wireless communication;
3G or WiFi transmission that above-mentioned job step is used.
Preferably, wherein in one embodiment, the Apache Server include the first transport module, matching module with And display module;Its structural representation is as shown in Figure 4;The matching module receives the signal that the cardiac monitoring end uploads, and The electrocardiosignal of reception is matched with the signal library for prestoring;First transport module will match abnormal electrocardio letter Number, foundation sends corresponding mobile terminal to by way of early warning signal;The display module shows matching process and matching Result or other information that need to be shown.
Fig. 5 is the workflow diagram of Apache Server proposed by the present invention;The specific works step of Apache Server For:
1st, receive and record the data for transmitting;
2nd, the electrocardiosignal of reception is matched with the signal library for prestoring;
3rd, abnormal signal is determined whether, if it is not, then by electrocardiosignal storage to relevant position, if so, then being walked Rapid 4;
4th, the result that will be matched generates corresponding early warning information, and is sent to the mobile terminal of user and its family members;
The early warning information that above-mentioned server sends is sent to the movement of user for the mode of mode or the app push of short message In terminal.
Preferably, wherein in one embodiment, the mobile terminal includes the first data reception module, data analysis mould Block and data disaply moudle;Fig. 6 is the structural representation of mobile terminal proposed by the present invention;The data reception module is from described Early warning signal is received on Apache Server;After the data analysis module is processed the early warning signal for receiving, by described Data disaply moudle shows the early warning signal.
Fig. 7 is the workflow diagram of mobile terminal proposed by the present invention;The specific works step of mobile terminal is:
1st, the early warning information that Apache Server sends is received;
2nd, judge the rank of early warning information, match the advice method of the early warning information of different stage;
3rd, early warning information is notified to user in time according to for corresponding advice method.Wherein, advice method include but It is not limited to:Jingle bell, vibrations, lamp dodge.
Preferably, wherein in one embodiment, the pc clients include acquisition module, the second data reception module with And second transport module;Fig. 8 is the structural representation of pc clients proposed by the present invention, and the acquisition module is from the Apache Server obtains specific pretreated electrocardiosignal;Second data reception module receives the treatment advice letter of user input Breath;Second transport module sends to corresponding mobile terminal the treatment advice information according to the ID at cardiac monitoring end.
Preferably, the cardiac monitoring end is communicated by 3G/4G or WiFi with the Apache Server.
Preferably, on the basis of any of the above-described embodiment, the Apache Server is by the early warning information with short The mode of letter or early warning the tinkle of bells is sent to mobile terminal.
Using the present invention program, by the ecg signal acquiring at cardiac monitoring end and pre-process, preliminary examination is problematic Electrocardiosignal, and the electrocardiosignal of preliminary examination is transferred to Apache Server, carried out in Apache Server detailed Signal Matching treatment, if matching abnormal electrocardiosignal, notifies corresponding mobile terminal, and can be by pc client End receive user input abnormal electrocardiogram signal treatment advice information, therefore can with real-time monitoring physiological parameter, and in time on Medical system is reached, when physiological parameter is abnormal, early warning signal and corresponding emergency processing can be obtained in the very first time Mode.
Without departing from the thought of the invention, various different embodiments of the invention are combined, all should When being considered as present disclosure;In range of the technology design of the invention, various simple modifications are carried out to technical scheme And any combination of the thought without prejudice to the invention that different embodiments are carried out, all should protection scope of the present invention it It is interior.

Claims (9)

1. a kind of mobile ecg telemonitoring early warning system, it is characterised in that including:Cardiac monitoring end, Apache Server, movement are eventually End, pc clients;
Wherein, the cardiac monitoring end is used to gather electrocardiosignal, and electrocardiosignal to gathering is pre-processed, and will be pre- Electrocardiosignal after treatment is uploaded to the Apache Server;Pretreated electrocardiosignal includes the ID at cardiac monitoring end;
The Apache Server, for receiving the pretreated electrocardiosignal, and the pretreated electrocardio is believed Number input bandpass filter, removes low-frequency noise, then by differentiator, and to being carried out square by the signal after differentiator And sliding filter is input into, the signal that sliding filter is exported is carried out feature extraction to determine R ripples position using dynamic thresholding method Put;Matched with the signal library for prestoring according to R ripples position, if matching abnormal electrocardiogram signal, early warning information is sent to The mobile terminal;
The pc clients, for obtaining specific pretreated electrocardiosignal from the Apache Server;And receive use The treatment advice information of family input, and the treatment advice information is sent to corresponding movement according to the ID at cardiac monitoring end Terminal;
The mobile terminal, associates with cardiac monitoring end described at least one, for receiving and shows the early warning information, and Receive and show the treatment advice information.
2. mobile ecg telemonitoring early warning system as claimed in claim 1, it is characterised in that the cardiac monitoring end includes electrocardio Acquisition module, wire detection module, main processing block, signal judge module and wireless communication module;
Wherein, the electrocardiogram acquisition module is used to gather electrocardiosignal;
The wire detection module for detecting whether there is electrocardiosignal, if so, then notifying the main processing block to the heart Electric signal is amplified, filters, the conversion of A/D signals;
The signal judge module is used to judge whether the electrocardiosignal after the main processing block treatment is normal signal;When not When normal, the wireless communication module transmits the electrocardiosignal of cardiac monitoring end ID, abnormal electrocardiosignal and its preceding 20s To the Apache Server.
3. mobile ecg telemonitoring early warning system as claimed in claim 2, it is characterised in that the Apache Server includes the One transport module, matching module and display module;
Wherein, the matching module receives the signal that the cardiac monitoring end uploads, and by the electrocardiosignal of reception with prestore Signal library is matched;First transport module will match abnormal electrocardiosignal, according to by way of early warning signal Send corresponding mobile terminal to;The display module shows matching process and matching result.
4. mobile ecg telemonitoring early warning system as claimed in claim 3, it is characterised in that the mobile terminal includes the first number According to receiver module, data analysis module and data disaply moudle;
Wherein, the data reception module receives early warning signal from the Apache Server;The data analysis module pair After the early warning signal of reception is processed, the early warning signal is shown by the data disaply moudle.
5. mobile ecg telemonitoring early warning system as claimed in claim 4, it is characterised in that the pc clients include obtaining mould Block, the second data reception module and the second transport module;
Wherein, the acquisition module obtains specific pretreated electrocardiosignal from the Apache Server;Second data Receiver module receives the treatment advice information of user input;Second transport module is by the treatment advice information according to cardiac monitoring The ID at end is sent to corresponding mobile terminal.
6. mobile ecg telemonitoring early warning system as claimed in claim 1, it is characterised in that the cardiac monitoring end passes through 3G/ 4G or WiFi is communicated with the Apache Server.
7. mobile ecg telemonitoring early warning system as claimed in claim 1, it is characterised in that the mobile terminal is received and judged The rank of early warning information, matches the advice method of the early warning information of different stage;By early warning information according to corresponding advice method Notify user in time.
8. mobile ecg telemonitoring early warning system as claimed in claim 8, it is characterised in that the advice method is included with lower section One of formula:Jingle bell, vibrations, lamp dodge.
9. the mobile ecg telemonitoring early warning system as described in any one of claim 1 to 8, it is characterised in that the Apache clothes The early warning information is sent to mobile terminal by business device in the way of short message or early warning the tinkle of bells.
CN201710008846.3A 2017-01-06 2017-01-06 Mobile ecg telemonitoring early warning system Pending CN106859633A (en)

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Application publication date: 20170620