CN108378831A - It is a kind of that there are raising blood oxygen, the method and system of heart rate monitoring and alarm feedback accuracy - Google Patents

It is a kind of that there are raising blood oxygen, the method and system of heart rate monitoring and alarm feedback accuracy Download PDF

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CN108378831A
CN108378831A CN201810202559.0A CN201810202559A CN108378831A CN 108378831 A CN108378831 A CN 108378831A CN 201810202559 A CN201810202559 A CN 201810202559A CN 108378831 A CN108378831 A CN 108378831A
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monitoring
alarm
signal
blood oxygen
heart rate
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马挺
祝胜美
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, 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
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, 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
    • A61B5/024Detecting, measuring or recording pulse rate or heart rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14542Measuring 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 blood gases
    • 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
    • A61B5/7271Specific aspects of physiological measurement analysis
    • 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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Abstract

The present invention relates to one kind having raising blood oxygen, heart rate is guarded and the method and system of alarm accuracy, utilize multiple vital sign sensors while Simultaneous Monitoring two or more different monitoring points, screening goes out the spurious alarm of more asynchronous changes of monitoring point life index numerical value, improve monitoring accuracy, monitor supervision platform judging unit respectively compares every vital signs values of each monitoring point two-by-two whether there is synchronous change situation or asynchronous change situation, and judge every vital signs values of each monitoring point whether in preset threshold range, and respectively sent instructions to monitor supervision platform according to judging result, monitor supervision platform feedback unit starts alarm and be based on this feedback processing according to judging result to be instructed, or send automatic prompt signal, there may be monitoring sensor shift monitoring numerical value is inaccurate for prompt.

Description

It is a kind of have improve blood oxygen, heart rate monitoring and alarm feedback accuracy method and System
Technical field:
There are raising blood oxygen, the method and system of heart rate monitoring and alarm accuracy the present invention relates to a kind of, be related to medical treatment Apparatus field can be widely applied to a variety of place blood oxygens, heart rate monitor apparatus and the equipment for being based on this alarm feedback.
Background technology:
Currently, for various blood oxygens used at present, the equipment of the monitoring device of heart rate and alarm feedback, often due to The measured value caused by contact position displacement or monitoring interference caused by a variety of causes is inaccurate and caused spurious alarm, Accidentally feedback problem.
Invention content:
For above deficiency, the present invention provides a kind of method and system solving problem above.
To achieve the goals above, the present invention adopts the following technical scheme that:
It is special the present invention relates to a kind of method for having and improving various Basic Life sign monitoring and alarm feedback accuracy Sign is:Using multiple vital sign sensors, Simultaneous Monitoring two or more different monitoring points, screening go out more monitoring points simultaneously The spurious alarm of the asynchronous change of life index numerical value improves monitoring accuracy, it is comprised the steps of:
S1:Monitoring system is by each two or more of wired or wireless human body vital sign sensor, and each sensor is not With monitoring point while each value for vital signs of synchronous acquisition human body.
S2:Respectively collected signal is converted, is sent to monitor supervision platform by the sensor of each monitoring point.
S3:Monitor supervision platform judging unit:Every vital signs values of each monitoring point are compared two-by-two with the presence or absence of same respectively Whether step changes situation or asynchronous change situation, and judge every vital signs values of each monitoring point in predetermined threshold value model In enclosing, and respectively sent instructions to monitor supervision platform according to judging result.
S4:Monitor supervision platform feedback unit:Start alarm according to judging result and is based on this feedback processing instruction, or Person sends automatic prompt signal, prompts inaccurate there may be sensor shift monitoring numerical value is monitored.
The specific deterministic process of judging unit is:When this vital sign of a certain value for vital signs in all monitoring points Numerical value is entirely below or all higher than its threshold range when sends this vital sign alarm signal and is based on this feedback Signal.
And distinguish every value for vital signs of more each monitoring point two-by-two, when certain vital sign of each monitoring point When the asynchronous change in the same direction of numerical value, send standby signal, prompt at present some monitoring point may be abnormal displacement and cause to measure It is inaccurate, it need to reappose.
And every value for vital signs of more each monitoring point two-by-two respectively, it is a certain when two monitoring points made comparisons Value for vital signs synchronizes changes this value for vital signs for leading to this two monitoring point transmission alarm not in threshold value in the same direction Signal and the feedback signal for being based on this.
And distinguish every value for vital signs of more each monitoring point two-by-two, when a certain value for vital signs is in part This value for vital signs of monitoring point is not sent out when its threshold range and asynchronous change standby signal in the same direction exist simultaneously Give this vital sign alarm signal, but the feedback signal without being based on this.
Alternatively, every value for vital signs of more each monitoring point two-by-two is distinguished, when a certain value for vital signs is in part This value for vital signs of monitoring point not when its threshold range and asynchronous change standby signal in the same direction exist simultaneously not It sends this vital sign alarm signal and is based on this feedback signal.
The synchronous change situation is every value for vital signs of setting time interval more each monitoring point two-by-two, number It is worth than less than normal monitoring error range, being considered as synchronization, the value for vital signs of each monitoring point increases compared with previous time point It is synchronous rising to add, and reduction is synchronous decline, and being considered as substantially in normal fluctuation range remains unchanged;Its numeric ratio is big It is considered as asynchronous change in normally monitoring error range, was relatively divided into according to a upper time point:It is asynchronous to decline, is asynchronous Rise, asynchronous reversed change.
A kind of to have raising blood oxygen, the system of heart rate monitoring and alarm accuracy, which includes various life entities The multiple monitoring modulars and the same monitor supervision platform of sign.
Monitor supervision platform include acquisition module, judgment module, main control module, alarm feedback module and energy module and Communication module.
Wherein, acquisition module, signal input part are connected with each monitoring modular, and signal output end is connected with main control module, The blood oxygen and hrv parameter of the current each monitoring point of signal acquisition for receiving to come transmitted by each monitoring modular, and be transmitted in Main control module;Main control module, signal input part are connected with acquisition module and judgment module, signal output end and judgment module, Alarm feedback module and communication module are connected, and the signal transmission for receiving to come transmitted by the acquisition module is in judgement Module judged, and according to judging whether feedback result needs to signal to alarm feedback module and communication module, Send out distinct feed-back standby signal;Judgment module, signal input part is connected with main control module with signal output end, described to sentence Disconnected module is for judging that the current blood oxygen saturation of each monitoring point and HR values are judged, if sends alarm and prompt letter Number it is sent to main control module;Alarm feedback module, signal input part are connected with main control module, and main control module receives alarm And the module is controlled after standby signal and carries out local alarm;Communication module, signal input part are connected with main control module, main The module is controlled after control module receiving alarm and standby signal alarm is carried out to be sent to remote monitoring platform.
The monitoring system further includes showing the current blood oxygen and heart rate in each monitoring point for monitor supervision platform display surface Numerical value;Alternatively, by communication module the blood oxygen and HR values real-time display of each monitoring point in remote monitoring platform.
The multiple monitoring modular is connected by wired or wireless signal transmission with the monitor supervision platform of supervision subjects, institute It states each monitoring modular and carries energy module, support its vital sign acquisition function.
Each monitoring modular carries energy module, supports its vital sign acquisition function, using accumulator or Directly it is connected with supervision subjects charging by port.
Description of the drawings:
Fig. 1 is the method flow schematic diagram in patent of the present invention.
Fig. 2 is the system structure diagram in patent of the present invention.
Specific embodiment:
Below in conjunction with the drawings and the specific embodiments, patent is further illustrated the present invention:
Example one, such as using two finger arteries and veins monitors is respectively placed on left hand refers to and refer to the right hand, continuously monitors two points Whether hematopneic index and heart rate instruct infusion of drug safe by pulse frequency monitor heart rate, calculate within every 1 minute primary 2 points of prisons Survey the difference of blood oxygen saturation numerical value, blood oxygen saturation difference be more than nominal error 3%, heart rate difference be more than nominal error 5 times/ Point be considered as asynchronous change, it is more than threshold value not detect numerical value to be considered as asynchronous change, blood oxygen saturation secure threshold be 90% and More than, heart rate secure threshold be 60-100 beats/min, heart rate or blood oxygen are then alarmed beyond threshold value, blood oxygen saturation be less than threshold value or Heart rate stops infusion less than threshold value automatic feedback.
Two monitoring point blood oxygens and rhythm of the heart numerical value are as follows:First minute blood oxygen (99%, 98%), heart rate (65 beats/min, 66 beats/min), second minute blood oxygen (99%, 99%), heart rate (68 beats/min, 70 beats/min), third minute blood oxygen (99%, 99%), heart rate (67 beats/min, 68 beats/min), four minutes blood oxygen (99%, 98%), heart rate (65 beats/min, 66 beats/min), the Five minutes blood oxygens (99%, 98%), heart rate (70 beats/min, 69 beats/min), the 6th minute blood oxygen (99%, 85%), heart rate (67 Beat/min, 72 beats/min).
The blood oxygen numerical value of one of monitoring point is less than secure threshold suddenly at this time, is asynchronous change, sends prompt letter Number, because of the consistency that each position blood oxygen of life entity changes, body will not the spontaneous asynchronous change of appearance, monitor certain monitoring The asynchronous change of blood oxygen numerical value appearance of point, which then prompts the monitoring point that may be displaced, leads to measure inaccurate, non-reaction life entity In hypoxia.
7th minute blood oxygen (99%, 98%), heart rate (65 beats/min, 66 beats/min) after medical care reapposes, the 8th minute Blood oxygen (98%, 98%), the 60th minute blood oxygen (99%, 98%) of heart rate (68 beats/min, 69 beats/min) ..., heart rate (65 times/ Divide, 66 beats/min), the 61st minute blood oxygen (99%, 92%), heart rate (66 beats/min, 75 beats/min), the 62nd minute blood Oxygen (99%, 99%), heart rate (67 beats/min, 66 beats/min).
The blood oxygen numerical difference of the 61st minute two monitoring points is more than normal measurement error 3%, HR values difference is more than 5 beats/min of normal measurement error, but be still located in secure threshold, there is asynchronous change, sends standby signal, prompt the prison Activity, which may occur, for the finger of measuring point causes measurement inaccurate, and non-reaction life entity is in hypoxia, restores again just after 1 minute It often measures, then standby signal is automatically stopped.
Then, if the 63rd minute blood oxygen (99%, 99%), heart rate (66 beats/min, 64 beats/min) ... the 90th One minute blood oxygen (98%, 99%), heart rate (63 beats/min, 63 beats/min), the 92nd minute blood oxygen (98%, 99%), heart rate (61 beats/min, 60 beats/min), the 93rd minute blood oxygen (98%, 99%), heart rate (53 beats/min, 52 beats/min).
The HR values of whole monitoring points are below secure threshold at this time, and are synchronous change, send alarm signal, alarm The life entity is currently in the state of slow heart rate, and medical care intervention, system is needed to be automatically stopped infusion according to default feedback regulation and keep away Exempt from situation exacerbation.
Then, if the 63rd minute blood oxygen (99%, 99%), heart rate (66 beats/min, 64 beats/min) ... the 90th One minute blood oxygen (97%, 96%), heart rate (63 beats/min, 63 beats/min), the 92nd minute blood oxygen (93%, 93%), heart rate (63 beats/min, 64 beats/min), the 93rd minute blood oxygen (86%, 88), heart rate (65 beats/min, 66 beats/min).
The blood oxygen numerical value of whole monitoring points is below secure threshold at this time, and is synchronous change, sends alarm signal, alarm The life entity is currently in the state of hypoxemia, and medical care intervention, system is needed to be automatically stopped infusion according to default feedback regulation and avoid Anaerobic condition aggravates.
Example two, for example use three pulse monitors, is respectively placed in left hand and refers to and refer on upper and ear-lobe with right crus of diaphragm, continuously Three hematopneic indexes and heart rate are monitored, instructs infusion of drug whether safe, calculates primary 2 monitoring numerical values within every 1 minute Difference, blood oxygen difference are considered as asynchronous change more than 5 beats/min of nominal error more than nominal error 3%, heart rate difference, do not detect Numerical value is considered as 0, and blood oxygen secure threshold is 90% or more, and heart rate secure threshold is 60-100 beats/min, and heart rate or blood oxygen are endangered Value alarm automatic feedback stops infusion and anaerobic condition is avoided to aggravate.
Three monitoring point blood oxygens, rhythm of the heart numerical value difference are as follows:First minute blood oxygen (99%, 99%, 98%), heart rate (85 beats/min, 86 beats/min, 85 beats/min), second minute blood oxygen (100%, 99%, 98%), heart rate (85 beats/min, 88 beats/min, 86 beats/min), third minute blood oxygen (100%, 99%, 99%), heart rate (84 beats/min, 86 beats/min, 85 beats/min), four minutes Blood oxygen (100%, 82%, 98%), heart rate (85 beats/min, do not detect, 84 beats/min), the 5th minute blood oxygen (99%, 78%, 98%), heart rate (85 beats/min,It does not detect, 86 beats/min), the 6th minute blood oxygen (99%, 83%, 99%), heart rate (84 beats/min, It does not detect, 85 beats/min).
The blood oxygen numerical value that four minutes start the second monitoring point is less than secure threshold suddenly, heart rate does not detect, and is asynchronous Change, send standby signal, prompt the monitoring point may be displaced cause to measure it is inaccurate, non-reaction life entity be in hypoxemia, Improper Heart Rate States.
Medical staff reappose after the 7th minute blood oxygen (99%, 100%, 99%), heart rate (84 beats/min, 86 beats/min, 85 beats/min), the 8th minute blood oxygen (100%, 99%, 99%), heart rate (84 beats/min, 85 beats/min, 85 beats/min) ... the 6th Ten minutes blood oxygens (100%, 99%, 99%), heart rate (87 beats/min, 86 beats/min, 87 beats/min), the 61st minute blood oxygen (96%, 98%, 98%), heart rate (78 beats/min, 98 beats/min, 97 beats/min), the 62nd minute blood oxygen (82%, 98%, 98%), heart rate (68 beats/min, 105 beats/min, 103 beats/min).
The oxygen of the 62nd minute first monitoring point is closed less than normal, and the oxygen with other two monitoring points closes aobvious asynchronous change Become, heart rate is in normal range (NR), and the heart rate with other two monitoring points shows asynchronous change, and system sends standby signal, and prompting should Monitoring point, which may be displaced to cause to measure, is not allowed, and needs to reappose;Second and third monitoring point heart rate synchronous change it is super 100 beats/min of normality threshold is crossed, then alarm life entity is really in fast Heart Rate States, and system alarm automatic feedback stops defeated Note avoids situation from aggravating.
After medical care is handled, the 63rd minute (98%, 98%, 99%), heart rate (97 beats/min, 98 beats/min, 97 times/ Point) ... the 91st minute (99%, 99%, 99%), heart rate (85 beats/min, 85 beats/min, 86 beats/min), the 92nd point Clock (97%, 96%, 97%), heart rate (87 beats/min, 86 beats/min, 87 beats/min), the 93rd minute (93%, 94%, 93%), heart rate (92 beats/min, 93 beats/min, 92 beats/min), the 90th four minutes (87%, 86%, 84%), heart rate (95 times/ Divide, 95 beats/min, 94 beats/min).
The blood oxygen numerical value of 90th four minutes whole monitoring point is below secure threshold, and is synchronous change, sends alarm Signal, the life entity of alarming are currently in the state of hypoxemia, and medical care intervention, system is needed to be stopped according to preset condition automatic feedback Infusion avoids anaerobic condition from aggravating.
For those skilled in the art, it is each to make other for technical solution that can be as described above and design Kind changes accordingly and deformation, such as is used to improve the standard fed back of alarming of the other parameters such as blood pressure, breathing using the method True property, and all these change and deformation should all belong within the protection domain of the claims in the present invention.

Claims (10)

1. there is raising blood oxygen, the method for heart rate monitoring and alarm accuracy the present invention relates to a kind of, it is characterised in that:Using more A vital sign sensors simultaneously Simultaneous Monitoring two or more different monitoring points, that screening goes out more monitoring point life index numerical value is non- The spurious alarm of synchronous change improves monitoring accuracy, it is comprised the steps of:
S1:Monitoring system is by each two or more of wired or wireless human body vital sign sensor, and each sensor is in different prisons Measuring point while each value for vital signs of synchronous acquisition human body;
S2:Respectively collected signal is converted, is sent to monitor supervision platform by the sensor of each monitoring point;
S3:Monitor supervision platform judging unit:Respectively every vital signs values of each monitoring point are compared to whether there is to synchronize two-by-two and be changed Become situation or asynchronous change situation, and judges every vital signs values of each monitoring point whether in preset threshold range It is interior, and respectively sent instructions to monitor supervision platform according to judging result;
S4:Monitor supervision platform feedback unit:Start alarm according to judging result and is based on this feedback processing instruction, Huo Zhefa Automatic prompt signal is sent, is prompted inaccurate there may be sensor shift monitoring numerical value is monitored.
2. according to claim 1 a kind of with the method for improving blood oxygen, heart rate monitoring and alarm accuracy, feature It is:When this value for vital signs of a certain value for vital signs in all monitoring points is entirely below or all higher than its threshold value model This vital sign alarm signal is sent when enclosing and is based on this feedback signal.
3. according to claim 1 a kind of with the method for improving blood oxygen, heart rate monitoring and alarm accuracy, feature It is:The every value for vital signs for distinguishing more each monitoring point two-by-two, when certain value for vital signs of each monitoring point is asynchronous When change in the same direction, standby signal is sent, prompting some current monitoring point that may be abnormal displacement causes measurement to be not allowed, and needs again It places.
4. a kind of method with raising blood oxygen, heart rate monitoring and alarm accuracy according to claim 1 or 2 or 3, It is characterized in:The every value for vital signs for distinguishing more each monitoring point two-by-two, when a certain value for vital signs is in part monitoring point This value for vital signs do not send this when its threshold range and asynchronous change standby signal in the same direction exist simultaneously Vital sign alarm signal, but the feedback signal without being based on this.
5. a kind of method with raising blood oxygen, heart rate monitoring and alarm accuracy according to claim 1 or 2 or 3, It is characterized in:The every value for vital signs for distinguishing more each monitoring point two-by-two, when a certain value for vital signs is in part monitoring point This value for vital signs do not send this when its threshold range and asynchronous change standby signal in the same direction exist simultaneously Vital sign alarm signal and it is based on this feedback signal.
6. a kind of method with raising blood oxygen, heart rate monitoring and alarm accuracy according to claim 1 or 2 or 3, It is characterized in:The every value for vital signs for distinguishing more each monitoring point two-by-two, when a certain life entity for two monitoring points made comparisons Sign numerical value synchronize change in the same direction cause this value for vital signs of this two monitoring point sent not in threshold value alarm signal with And it is based on this feedback signal.
7. a kind of with raising blood oxygen, heart rate monitoring and accuracy of alarming according to claim 1 or 3 or 4 or 5 or 6 Method, it is characterized in that:The synchronous change situation is every vital sign number of setting time interval more each monitoring point two-by-two Value, numeric ratio are less than normal monitoring error range, are considered as synchronization, the value for vital signs and previous time point of each monitoring point More increased to rise to be synchronous, reduction is synchronous decline, and being considered as substantially in normal fluctuation range remains unchanged;It is counted Value was relatively divided into than being considered as asynchronous change more than normal monitoring error range according to a upper time point:Asynchronous decline, Asynchronous rising, asynchronous reversed change.
8. a kind of having raising blood oxygen, the system of heart rate monitoring and alarm accuracy, it is characterized in that:The monitoring system includes various The multiple monitoring modulars and the same monitor supervision platform of vital sign.
9. according to claim 8 a kind of with the system for improving blood oxygen, heart rate monitoring and alarm accuracy, feature It is:Monitor supervision platform includes acquisition module, judgment module, main control module, alarm feedback module and energy module and communication Module;
Wherein, acquisition module, signal input part are connected with each monitoring modular, and signal output end is connected with main control module, is used for Receive the blood oxygen and hrv parameter of the current each monitoring point of signal acquisition come transmitted by each monitoring modular, and is transmitted in master control Module;
Main control module, signal input part are connected with acquisition module and judgment module, and signal output end is carried with judgment module, alarm Show that feedback module and communication module are connected, the signal transmission for receiving to come transmitted by the acquisition module in judgment module into Row judges, and according to judging whether feedback result needs to signal to alarm feedback module and communication module, sends out remote Journey feedback prompts signal;
Judgment module, signal input part are connected with main control module with signal output end, and the judgment module is each for judging The current blood oxygen saturation and HR values of monitoring point are judged, if send alarm and standby signal is sent to master control mould Block;
Alarm feedback module, signal input part are connected with main control module, after main control module receives alarm and standby signal It controls the module and carries out local alarm;
Communication module, signal input part are connected with main control module, and main control module controls the mould after receiving alarm and standby signal Block carries out alarm to be sent to remote monitoring platform.
10. a kind of system with raising blood oxygen, heart rate monitoring and alarm accuracy according to claim 8 or claim 9, special Sign is:The monitoring system further includes showing the current blood oxygen in each monitoring point and heart rate number for monitoring platform display surface Value;
Alternatively, by communication module the blood oxygen and HR values real-time display of each monitoring point in remote monitoring platform.
CN201810202559.0A 2018-03-08 2018-03-08 It is a kind of that there are raising blood oxygen, the method and system of heart rate monitoring and alarm feedback accuracy Withdrawn CN108378831A (en)

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