CN113349751A - Inflation and deflation control method and device and medical equipment - Google Patents

Inflation and deflation control method and device and medical equipment Download PDF

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CN113349751A
CN113349751A CN202010147493.7A CN202010147493A CN113349751A CN 113349751 A CN113349751 A CN 113349751A CN 202010147493 A CN202010147493 A CN 202010147493A CN 113349751 A CN113349751 A CN 113349751A
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pulse wave
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pressure
wave signals
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朱增友
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Edan Instruments Inc
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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
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0225Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
    • 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
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/02108Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • 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
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/02108Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • A61B5/02116Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics of pulse wave amplitude
    • 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
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/02108Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics
    • A61B5/02125Measuring pressure in heart or blood vessels from analysis of pulse wave characteristics of pulse wave propagation time

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  • Life Sciences & Earth Sciences (AREA)
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  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

The invention discloses an inflation and deflation control method, an inflation and deflation control device and medical equipment, and relates to the technical field of medical signal processing, wherein the inflation and deflation control method comprises the following steps: performing inflation operation until the pre-inflation pressure is reached, and acquiring pulse wave signals corresponding to a plurality of target pressures in the inflation process; according to the pulse wave signal corresponding to each target pressure, carrying out quality evaluation on the corresponding pulse wave signal; and executing corresponding additional pressurization operation according to the evaluation result obtained by the quality evaluation. The quality of the pulse wave signals obtained in the measuring process is evaluated, and the extra pressurizing process is controlled by combining the evaluation result, so that the reliability of extra pressurizing operation and the accuracy of air charging and discharging control are improved, and the blood pressure measuring time is saved.

Description

Inflation and deflation control method and device and medical equipment
Technical Field
The invention relates to the technical field of medical signal processing, in particular to an inflation and deflation control method and device and medical equipment.
Background
Blood pressure measurement is a basic method used clinically for diagnosing cardiovascular diseases. The blood pressure measuring method mainly adopts the steps that a cuff is bound on an arm of a measured person, the cuff is pressurized and depressurized, and the blood pressure of the measured person is indirectly obtained by detecting characteristic parameters of pulse wave signals under different cuff pressures, which is also called as an oscillometric method. When the oscillometric method is used for measuring blood pressure, the pre-inflation pressure may be lower than the systolic pressure of a tested person due to the unknown systolic pressure of the tested person, blood flow cannot be completely blocked, the systolic pressure of the tested person cannot be accurately calculated, and extra pressurization operation is usually needed.
In the related technology, the envelope trend formed by the pulse wave signal characteristic parameters corresponding to the acquired step pressure is analyzed, after an extra pressurization condition is met, extra pressurization operation is performed on the blood pressure measurement process, but the blood pressure measurement process is often interfered by the external environment, the reliability of the obtained pulse wave signal is poor, the extra pressurization operation on the blood pressure measurement process can be mistakenly caused, the cuff pressure of a tested person is larger than the pressure required by actual blood pressure measurement, discomfort of the tested person is caused, the blood pressure measurement time is prolonged, and the accuracy of the measurement result is reduced.
Disclosure of Invention
Therefore, the technical problem to be solved by the present invention is to overcome the defects of poor reliability, long time consumption and low measurement accuracy of the additional pressurization method for blood pressure measurement in the related art, so as to provide an inflation and deflation control method, device and medical equipment.
According to a first aspect, an embodiment of the present invention discloses a charge and discharge control method, including: performing inflation operation until the pre-inflation pressure is reached, and acquiring pulse wave signals corresponding to a plurality of target pressures in the inflation process; according to the pulse wave signal corresponding to each target pressure, carrying out quality evaluation on the corresponding pulse wave signal; and executing corresponding additional pressurization operation according to the evaluation result obtained by the quality evaluation.
Optionally, after obtaining pulse wave signals corresponding to a plurality of target pressures, before performing quality evaluation on the corresponding pulse wave signals, the method further includes: determining whether additional pressurization is needed after the pre-charging pressure is reached according to the pulse wave signal corresponding to each target pressure; if additional pressurization is needed, the quality evaluation is carried out on the corresponding pulse wave signals.
Optionally, if additional pressurization is required, before performing quality evaluation on the corresponding pulse wave signal, the method further comprises: carrying out diastolic pressure detection operation on the current blood pressure test process; determining whether diastolic pressure is detected; when diastolic pressure is not detected, deflate to the next target pressure until diastolic pressure is detected.
Optionally, if additional pressurization is required, performing quality evaluation on the corresponding pulse wave signal, including: acquiring target characteristic parameters of the pulse wave signals; and evaluating the corresponding pulse wave signals according to the target characteristic parameters.
Optionally, the target characteristic parameters of the pulse wave signal include: the interval time of the pulse wave signals, the amplitude of the pulse wave signals, the width of the pulse wave signals and the number of included sub-pulse wave signals.
Optionally, said performing, according to the evaluation result, a respective additional pressurization operation comprises: obtaining a comprehensive evaluation result according to the evaluation result of the corresponding pulse wave signal; and executing corresponding additional pressurization operation according to the comprehensive evaluation result.
Optionally, the obtaining a comprehensive evaluation result according to the evaluation result of the corresponding pulse wave signal includes: constructing a pulse wave signal sequence according to each target pressure and the corresponding pulse wave signal; acquiring the number of adjacent pulse wave signals meeting abnormal conditions in the pulse wave signal sequence; acquiring the number of pulse wave signals which meet the bulge condition in the pulse wave signal sequence; acquiring the number of pulse wave signals meeting the interval time consistency condition according to the interval time of the pulse wave signals corresponding to each target pressure; acquiring the number of pulse wave signals of which the evaluation results are target evaluation results, wherein the target evaluation results represent that the pulse wave signals meet stability conditions; and obtaining a comprehensive evaluation result according to the relationship between the number of adjacent pulse wave signals meeting the abnormal condition, the number of pulse wave signals meeting the bulge condition, the number of pulse wave signals meeting the interval time consistency condition and the number of the target pressure.
Optionally, obtaining a comprehensive evaluation result according to the relationship between the quantity and the quantity of the target pressure includes: when the relation between the quantity and the quantity of the target pressure meets a first condition, obtaining a first evaluation result; when the relation between the quantity and the quantity of the target pressure meets a second condition, obtaining a second evaluation result; and when the relation between the quantity and the quantity of the target pressure meets a third condition, obtaining a third evaluation result, wherein the pulse wave signal quality represented by the first evaluation result is better than the pulse wave signal quality represented by the third evaluation result, and the pulse wave signal quality represented by the third evaluation result is better than the pulse wave signal quality represented by the second evaluation result.
Optionally, said performing respective additional pressurization operations according to said comprehensive evaluation result comprises: when the comprehensive evaluation result is a first evaluation result, performing additional pressurization operation of a first target pressurization value, wherein the first target pressurization value is determined according to a preset additional pressurization value; and when the comprehensive evaluation result is a second evaluation result or a third evaluation result, performing additional pressurization operation of a second target pressurization value, wherein the second target pressurization value is smaller than the first target pressurization value.
According to a second aspect, an embodiment of the present invention discloses an air charge and discharge control device, including: the first execution module is used for executing inflation operation until the pre-inflation pressure is reached, and acquiring pulse wave signals corresponding to a plurality of target pressures in the inflation process; the evaluation module is used for evaluating the quality of the corresponding pulse wave signals according to the pulse wave signals corresponding to each target pressure; and the second execution module is used for executing corresponding additional pressurization operation according to the evaluation result obtained by the quality evaluation.
According to a third aspect, embodiments of the present invention disclose a medical apparatus, comprising: the present invention provides a method for controlling air charge and discharge, which includes a processor, a memory, and a computer program stored in the memory and operable on the processor, wherein the processor implements the steps of the air charge and discharge control method according to any one of the first aspect and the first aspect when executing the program.
According to a fourth aspect, an embodiment of the present invention discloses a readable computer storage medium, on which computer instructions are stored, and the computer instructions, when executed by a processor, implement the steps of the charge and discharge control method described in any one of the first aspect and the first aspect.
The technical scheme provided by the embodiment of the invention has the following advantages:
according to the inflation and deflation control method provided by the embodiment of the invention, the inflation operation is executed until the pre-inflation pressure is reached, the pulse wave signals corresponding to a plurality of target pressures are obtained, whether the current inflation and deflation control process needs additional pressurization is determined according to the pulse wave signals corresponding to the target pressures, if the current inflation and deflation control process needs additional pressurization, the quality evaluation is carried out on the corresponding pulse wave signals, the additional pressurization process is controlled according to the evaluation result, the reliability of the additional pressurization operation and the accuracy of the inflation and deflation control are improved, and the blood pressure measurement time is saved.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
Fig. 1 is a flowchart of an air charge and discharge control method according to an embodiment of the present invention;
fig. 2 is a flowchart of an air charge and discharge control method according to an embodiment of the present invention;
fig. 3 is a flowchart of an air charge and discharge control method according to an embodiment of the present invention;
fig. 4 is a flowchart of an air charge and discharge control method according to an embodiment of the present invention;
fig. 5 is a schematic structural diagram of an air charge and discharge control device according to an embodiment of the present invention;
fig. 6 is a schematic structural diagram of a medical apparatus according to an embodiment of the present invention.
Detailed Description
The technical solutions of the present invention will be described clearly and completely with reference to the accompanying drawings, and it should be understood that the described embodiments are some, but not all embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, it should be noted that, unless otherwise explicitly specified or limited, the terms "mounted," "connected," and "connected" are to be construed broadly, e.g., as meaning either a fixed connection, a removable connection, or an integral connection; can be mechanically or electrically connected; the two elements may be directly connected or indirectly connected through an intermediate medium, or may be communicated with each other inside the two elements, or may be wirelessly connected or wired connected. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.
In addition, the technical features involved in the different embodiments of the present invention described below may be combined with each other as long as they do not conflict with each other.
The embodiment of the application provides a charging and discharging control method, which can be applied to electronic equipment such as a terminal or a server. As shown in fig. 1, the method includes:
step 101, performing an inflation operation until a pre-inflation pressure is reached, and acquiring pulse wave signals corresponding to a plurality of target pressures in an inflation process.
In the process of controlling inflation and deflation by adopting the oscillography, the oscillography detection mode firstly carries out inflation pressurization operation until the inflation pressure reaches the pre-inflation pressure. When the blood pressure is measured through the inflation and deflation control for the first time, the pre-inflation pressure can be 160mmHg, when the blood pressure is not measured for the first time, the pre-inflation pressure can be determined according to the systolic pressure obtained by the previous blood pressure measurement and the target increment, the target increment can be 40mmHg, and if the systolic pressure obtained by the previous time is 160mmHg, the pre-inflation pressure corresponding to the current inflation and deflation control is 200 mmHg. The magnitude of the pre-charging pressure is not limited in the embodiment of the present application, and can be determined by those skilled in the art according to actual needs.
In the inflation process, the acquisition modes of the multiple target pressures can be determined according to target time points in the process of pressurizing the pre-charging pressure, for example, if the pre-charging pressure time is 10s, the pressures corresponding to the 3 rd second, the 5 th second and the 7 th second can be selected as the target pressures; or selecting the corresponding step pressure in the air charging and discharging control process as the target pressure. The type of the target pressure is not limited in the embodiments of the present application, and can be determined by those skilled in the art according to actual needs. In order to facilitate description of the technical solutions described in the embodiments of the present application, the embodiments of the present application use a step pressure as a target pressure.
The number of the corresponding step pressures in the inflation and deflation control process can be set to 6, the number of the step pressures is not limited in the embodiment of the application, and the step pressures can be determined by a person skilled in the art according to actual use requirements. When the number of the set step pressures is 6, the number of the obtained step pressures may be 6, 5, or 3, and the number of the obtained step pressures is not limited in the embodiment of the present application. The pulse wave signals corresponding to 6 step pressures are obtained to improve the accuracy of subsequent judgment results. And after obtaining a plurality of target pressures, obtaining pulse wave signals corresponding to the target pressures.
And 102, evaluating the quality of the corresponding pulse wave signals according to the pulse wave signals corresponding to each target pressure.
Optionally, in an embodiment, as shown in fig. 2, before performing the quality evaluation on the pulse wave signal, a step 104 of determining whether additional pressurization is required after reaching the pre-inflation pressure according to the pulse wave signal corresponding to the target pressure is further included.
Specifically, after determining that the pre-charge pressure is reached, whether additional pressurization is required may be: and detecting the pulse wave signal characteristics corresponding to the corresponding step pressure in the measurement process to obtain characteristic parameters such as the amplitude, the width, the interval time of adjacent pulse waves and the like of the pulse wave signal, and storing the characteristic parameters in association with the corresponding step pressure. When a plurality of sub-pulse wave signals are detected on one step pressure, taking the average value of the amplitudes of two similar sub-pulse wave signals as the amplitude of the pulse wave signal corresponding to the current step pressure; the similar sub-pulse wave signals can be determined by taking two pulse wave signals with the amplitude and width errors within 20 percent as the similar pulse wave signals;
arranging the step pressures and the pulse wave signal characteristic parameters corresponding to the step pressures in sequence to obtain a pulse wave signal sequence, and judging whether the pre-charging pressure is enough or not according to the formed envelope trend; if not, additional pressurization is required.
In the embodiment of the present application, the determination method for determining whether additional pressurization is needed in the current air charge and discharge control process according to the pulse wave signal corresponding to the target pressure may be: when the target pressure is the maximum step pressure, the pulse wave signal amplitude corresponding to the maximum step pressure is higher than the pulse wave signal amplitude corresponding to the expected systolic pressure, and the fact that extra pressurization is needed in the current inflation and deflation control process is represented; or when the step pressure is reduced, the pulse wave signal amplitude corresponding to the step pressure shows a descending trend, and the characteristic that the current inflation and deflation control process needs additional pressurization is shown.
The embodiment of the present application is not limited to the manner of determining the additional pressurization, and those skilled in the art can determine the additional pressurization according to actual needs. The pulse wave signal amplitude corresponding to the expected systolic pressure can be determined according to the maximum pulse wave signal amplitude multiplied by a target coefficient, and the maximum pulse wave signal amplitude can be obtained by directly traversing and inquiring from a stored pulse wave signal sequence or by an interpolation processing method. The target coefficient may be 0.5, and the target coefficient is not limited in the embodiments of the present application, and can be determined by those skilled in the art according to actual use needs.
For example, when the target pressure is the maximum step pressure, and when the amplitude of the pulse wave signal corresponding to the maximum step pressure is greater than the preset amplitude of the pulse wave signal, indicating that additional pressurization is required in the current inflation and deflation control process, the pulse wave signal corresponding to the maximum step pressure is subjected to additional pressurization operation. When the current inflation and deflation control process does not need to be additionally pressurized according to the pulse wave signal corresponding to the maximum step pressure, the current inflation and deflation control process is subjected to pressure release operation, and when the next step pressure is released, the corresponding pulse wave signal can be the pulse wave signal corresponding to the next step pressure or the pulse wave signal corresponding to the next step pressure and the maximum step pressure.
The quality evaluation of the corresponding pulse wave signals can be performed by pre-establishing and storing an association table of the pulse wave signals with different characteristic parameters and the quality evaluation result, and when the pulse wave signals corresponding to the target pressure in the current inflation and deflation control process are obtained, the corresponding quality evaluation result is obtained by traversing the association table according to the characteristic parameters of the pulse wave signals; or determining a corresponding quality evaluation result according to a comparison result of the obtained characteristic parameter of the pulse wave signal and the target parameter value, for example, when the amplitude of the pulse wave signal is larger than the target amplitude value, which indicates that the pulse wave signal may be interfered by the outside, the corresponding quality evaluation result is poor. The quality evaluation method of the pulse wave signal is not limited in the embodiment of the application, and can be determined by a person skilled in the art according to actual use needs.
And 103, executing corresponding additional pressurization operation according to the evaluation result obtained by the quality evaluation.
According to the evaluation result obtained by the quality evaluation, the corresponding additional pressurization operation can be executed in a mode of executing two operations of additional pressurization and no additional pressurization according to different evaluation results, and the additional pressurization value can be preset; it is also possible to perform the pressurizing operation at different additional pressurizing values according to different evaluation results. Taking the evaluation results as "good" and "normal" as examples, when the evaluation result is "good", the pressurization value may be selected to be 30mmHg, and when the evaluation result is "normal", the pressurization value may be selected to be 15mmHg, or the pressurization value may be selected to be 0. The additional pressurization operation mode is not limited in the embodiments of the present application, and can be determined by those skilled in the art according to actual needs.
As an alternative embodiment of the present application, when it is determined that additional pressurization is required, as shown in fig. 2, the method further comprises:
105, carrying out diastolic pressure detection operation on the current blood pressure test process;
step 106, determining whether diastolic pressure is detected, and executing step 107 when diastolic pressure is not detected; when diastolic pressure is detected, step 108 is performed.
Step 107, deflate to the next target pressure until diastolic pressure is detected.
And step 108, finishing the air charge and discharge control.
For example, the diastolic pressure detection operation may be performed by sequentially determining whether additional pressurization is required in the current inflation and deflation control process for the pulse wave signals corresponding to each step pressure, performing diastolic pressure detection when additional pressurization is not required, performing deflation operation until the next step pressure is reached when no diastolic pressure is detected, performing additional pressurization determination and evaluation operation for the pulse wave signals corresponding to the next step pressure, performing diastolic pressure detection again when it is determined that additional pressurization is not required, stopping deflation operation until the diastolic pressure is detected, and ending the inflation and deflation control.
As an optional embodiment of the present application, if additional pressurization is required, the quality evaluation of the corresponding pulse wave signal is performed, as shown in fig. 3, and specifically includes:
1031, obtaining the target characteristic parameters of the pulse wave signals.
Illustratively, the target characteristic parameters of the pulse wave signal in the embodiment of the present application may include: the interval time of the pulse wave signals, the amplitude of the pulse wave signals, the width of the pulse wave signals and the number of included sub-pulse wave signals. The category of the target characteristic parameter of the pulse wave signal is not limited in the embodiment of the present application, and can be determined by those skilled in the art according to the actual use requirement.
1032, evaluating the corresponding pulse wave signals according to the target characteristic parameters.
For example, according to the target characteristic parameters, the corresponding pulse wave signals may be evaluated in a manner that an association relationship table between different target characteristic parameters and evaluation results is established in advance, and when the target characteristic parameters of the corresponding pulse signals are detected, the evaluation results of the corresponding pulse wave signals may be obtained according to the association relationship table.
When the corresponding pulse wave signal is a pulse wave signal corresponding to a single step pressure, the corresponding pulse wave signal may be evaluated according to the target characteristic parameter, or according to a set evaluation criterion, so as to obtain a corresponding evaluation result. In the present embodiment, the evaluation methods in the present embodiment are described by taking the evaluation results "BAD", "COMMON", and "GOOD" as examples:
for example, if at least two similar sub-pulse wave signals are not detected within the set time T, the evaluation result of the pulse wave signal corresponding to the step pressure is "BAD", and the set time T may take any time of [6,10] s. The setting time is not limited in the embodiment of the application, and can be determined by a person skilled in the art according to actual use needs;
if at least two similar sub-pulse wave signals are detected within the set time T, the pulse wave signals can be evaluated according to the following formula;
R=(RA+RW+RT+RN)/4
wherein RA is the ratio of the minimum pulse wave signal amplitude to the maximum pulse wave signal amplitude; RW is the ratio of the maximum pulse wave signal width to the minimum pulse wave signal width; RT is the ratio of the minimum time interval to the maximum time interval of adjacent pulse wave signals, and if there are only two pulse waves, RT is 1; RN is a constant, and for the current step pressure, the total number of pulse wave signals detected from the beginning to the detection of at least two similar pulse wave signals is assumed to be N0, if N0 is greater than 6, the constant RN is 0.4, otherwise, the constant RN is 0.8.
If R is smaller than the target value S1, the evaluation result of the pulse wave signal corresponding to the step pressure is BAD; if R is greater than or equal to the target value S2, the evaluation result of the pulse wave signal corresponding to the step pressure is "GOOD"; otherwise, the evaluation result of the pulse wave signal corresponding to the step pressure is "COMMON". Where S1< S2, the target value S1 may be 0.5, and the target value S2 may be 0.75. The target value is not limited in the embodiments of the present application, and can be determined by those skilled in the art according to actual use requirements.
As an alternative embodiment of the present application, as shown in fig. 4, step 103 includes;
and 1041, obtaining a comprehensive evaluation result according to the evaluation result of the corresponding pulse wave signal.
For example, the comprehensive evaluation result may be obtained by extracting the corresponding evaluation result from a database storing the evaluation result of the pulse wave signal corresponding to each step pressure for which quality evaluation has been performed and the target characteristic parameter of the pulse wave signal, counting the evaluation result corresponding to each step pressure, and using the number of "GOODs" as the evaluation index of the comprehensive evaluation result. For example, taking the number of step pressures as 6 as an example, the overall evaluation result of pulse wave signals including more than 3 "GOODs" may be determined as "GOOD", and the overall evaluation result of pulse wave signals including 3 or less "GOODs" may be determined as "normal";
as an alternative embodiment of the present application, step 1041 includes:
firstly, constructing a pulse wave signal sequence according to the target pressure and the corresponding pulse wave signal; and acquiring the number of adjacent pulse wave signals meeting abnormal conditions in the pulse wave signal sequence.
Exemplarily, taking the target pressure as the step pressure in the process of controlling the air charge and discharge, the abnormal condition is not limited in the embodiment of the present application, and can be determined by a person skilled in the art according to actual needs, where the abnormal condition is that if the pressure difference between two adjacent step pressures is within 15mmHg and the ratio of the pulse wave signal amplitudes is greater than 5 or less than 0.25; or the pressure difference between two adjacent step pressures is within 15mmHg, the width difference of the corresponding pulse wave signals is more than 15 or less than-15, and the number N1 of the pulse wave signals meeting the abnormal condition is obtained.
Secondly, the number of pulse wave signals satisfying the bulge condition in the pulse wave signal sequence is obtained.
For example, the number of the bumps in the pulse wave signal sequence can be corresponding to the magnitude of the step pressureThe pulse wave signal amplitudes are sequentially arranged to obtain the number of the bulges N2. The determination method of the bulges in the sequence can be that the amplitudes of the pulse wave signals corresponding to the adjacent three step pressures are respectively set as Ai、Ai+1、Ai+2If A isi+1>AiAnd A isi+1>Ai+2Then A isi+1The corresponding position is the bulge.
And thirdly, acquiring the number of the pulse wave signals meeting the interval time consistency condition according to the interval time of the pulse wave signals corresponding to the target pressure.
For example, let the pulse wave signal interval times corresponding to the N step pressures be T1 and T2 … TN, respectively, and count the number of pulse wave signals in the range of [ f1 × T1 and f2 × T1] in T1 and T2 … TN for T1 as M1; similarly, for T2, the number of T1 and T2 … TN within the range of [ f1 × T2, f2 × T2] is counted as M2, and so on, and M1 and M1 … MN are obtained. Obtain the maximum number of M1, M1 … MN, count as N3. Wherein f1<1.0< f2, in the embodiment of the present application, f1 may be 0.8, and f2 may be 1.2, and f1 and f2 are not limited in the embodiment of the present application, and can be determined by those skilled in the art according to actual needs.
And thirdly, acquiring the number of the pulse wave signals of which the evaluation results are target evaluation results, wherein the target evaluation results represent that the pulse wave signals meet stability conditions.
Illustratively, also in the embodiment of the present application, taking the evaluation results of the individual step pressures as "BAD", "COMMON", and "GOOD" as examples, the target evaluation result representing that the pulse wave signal satisfies the stability condition may be the number of the individual step pressures corresponding to the evaluation result of "GOOD", which is counted as N4;
thirdly, obtaining a comprehensive evaluation result according to the relationship between the number of adjacent pulse wave signals meeting the abnormal condition, the number of pulse wave signals meeting the convex condition, the number of pulse wave signals meeting the interval time consistency condition and the number of the target pressure.
For example, according to the obtained number of each category and the obtained number of the target pressures, a plurality of association relations may be preset, different association relations correspond to different evaluation results, and when the obtained number of each category and the obtained number of the target pressures satisfy any one association relation, the evaluation result corresponding to the association relation is used as the comprehensive evaluation result.
As an optional embodiment of the present application, the obtaining a comprehensive evaluation result according to the relationship between the number and the number of the target pressures includes: when the relation between the quantity and the quantity of the target pressure meets a first condition, obtaining a first evaluation result; when the relation between the quantity and the quantity of the target pressure meets a second condition, obtaining a second evaluation result; and when the relation between the quantity and the quantity of the target pressure meets a third condition, obtaining a third evaluation result, wherein the pulse wave signal quality represented by the first evaluation result is better than the pulse wave signal quality represented by the third evaluation result, and the pulse wave signal quality represented by the third evaluation result is better than the pulse wave signal quality represented by the second evaluation result.
For example, the first condition, the second condition and the third condition are not limited in the embodiments of the present application, and those skilled in the art can determine according to actual needs, and the first condition in the embodiments of the present application may be ((N3>0.7N) and (N4>0.8N) and (N1<0.3N) and (N2<0.2N)), and the second condition may be ((N4<0.5N) and ((N1>0.4N) or (N2>0.3N) or (N3<0.5N))) or N4<0.3N, and the conditions other than the first condition and the second condition are used as the third condition. In the embodiment of the present application, the comprehensive evaluation result is also illustrated by taking "GOOD", "COMMON", and "BAD" as examples, and a person skilled in the art can determine the characterization manner of the comprehensive evaluation result according to actual needs.
If N1, N2, N3, and N4 satisfy the relationship ((N3>0.7N) and (N4>0.8N) and (N1<0.3N) and (N2<0.2N)), the obtained comprehensive evaluation result can be defined as "GOOD"; if ((N4<0.5N) and ((N1>0.4N) or (N2>0.3N) or (N3<0.5N))) or N4<0.3N, the overall evaluation result can be defined as "BAD"; otherwise, the overall evaluation result is defined as "COMMON". The proportional coefficient is not limited in the embodiment of the application, and a person skilled in the art can determine the proportional coefficient according to actual use needs to obtain a corresponding comprehensive evaluation result.
And 1042, executing corresponding additional pressurization operation according to the comprehensive evaluation result.
For example, according to the comprehensive evaluation result, the corresponding additional pressurization operation may be performed by previously establishing a correspondence relationship between different comprehensive evaluation results and the additional pressurization operation, and then performing the corresponding additional pressurization operation after obtaining the comprehensive evaluation result according to the correspondence relationship.
As an alternative embodiment of the present application, according to the comprehensive evaluation result, a corresponding additional pressurization operation is performed, including: when the comprehensive evaluation result is a first evaluation result, performing additional pressurization operation of a first target pressurization value, wherein the first target pressurization value is determined according to a preset additional pressurization value; and when the comprehensive evaluation result is a second evaluation result or a third evaluation result, performing additional pressurization operation of a second target pressurization value, wherein the second target pressurization value is smaller than the first target pressurization value.
Illustratively, according to the comprehensive evaluation result, the additional pressurization operation can be performed by performing the additional pressurization directly according to the set pressurization value according to the analysis result to complete the inflation and deflation control when the comprehensive evaluation result is the first evaluation result "GOOD" representing that the reliability of the analysis result of the additional pressurization obtained according to the envelope trend of the pulse wave signal is high; when the comprehensive evaluation result is the third evaluation result "COMMON" or the second evaluation result "BAD", which indicates that the pulse wave signal corresponding to the current measurement process may be subjected to external disturbance, the accuracy and reliability of the determination result of the additional pressurization determined according to the pulse wave signal are low, and the pressurization operation with the pressurization value of 0 or the additional pressurization operation with a predetermined amount, which is less than the set maximum pressurization value, may be performed according to the analysis result.
As an alternative embodiment of the present application, the performing the corresponding additional pressing operation according to the comprehensive evaluation result includes:
firstly, a reference blood pressure value and a pre-charging pressure in the current air charging and discharging control process are obtained.
For example, after the pre-inflation pressure is pressurized for a certain time and before the inflation and deflation control is finished, if the signal quality evaluation result is "GOOD", it is characterized that the current inflation and deflation control process has no obvious interference, the reliability of the inflation and deflation control result is high, and the measured systolic pressure value can be used as a reference blood pressure value ReferSys for reference of an additional pressurization value in the subsequent inflation and deflation control.
And secondly, executing corresponding additional pressurization operation according to the reference pressure value, the pre-charging pressure in the current air charging and discharging control process and the comprehensive evaluation result.
For example, according to the reference pressure value, the pre-charge pressure and the comprehensive evaluation result, the additional pressurization operation may be performed according to the comprehensive evaluation result and the target range in which the reference pressure value and the pre-charge pressure are located. For example, when the comprehensive evaluation result is "GOOD" and the reference pressure value and the pre-charging pressure value are in a first target range, the reliability of the analysis result of the envelope trend of the pulse wave signal is high, additional pressurization can be directly performed according to the analysis result and the set pressurization value, and the inflation and deflation control is completed; when the comprehensive evaluation result is "COMMON" or "BAD" and the reference pressure value and the pre-charge pressure value are in the second target range, indicating that the current measurement process may be subjected to external disturbance, the pressurization operation with a pressurization value of 0 may be performed according to the analysis result. The first target range and the second target range are not limited in the embodiments of the present application, and can be determined by those skilled in the art according to actual needs.
As an optional embodiment of the present application, the executing, according to the reference pressure value, the pre-charge pressure in the current air charge and discharge control process, and the comprehensive evaluation result, a corresponding additional pressurization operation includes: determining the validity of the reference voltage value; determining the relation between the pre-charging pressure and a preset pressure; and executing corresponding additional pressurization operation according to the validity of the reference voltage value, the relation between the pre-charging pressure and the preset pressure and the comprehensive evaluation result.
For example, the determination manner of the validity of the reference pressure value may be determined according to an scope of the reference blood pressure value ReferSys, where the scope may be within a target number of times after the current inflation and deflation control, and the target number of times may be one or more times, and the target number of times is not limited in the embodiment of the present application, and may be determined by a person skilled in the art according to actual needs; the scope of the reference blood pressure value ReferSys may also be within the target time length after the current inflation and deflation control, and the target time length may be 20 minutes. When the reference blood pressure value ReferSys exceeds the scope of action, setting the reference blood pressure value ReferSys to be invalid; when the reference blood pressure value ReferSys is in the action domain, if the comprehensive evaluation result obtained by measurement is a 'GOOD' pulse wave signal, the reference blood pressure value ReferSys is updated by the systolic pressure value corresponding to the current pulse wave signal, and the action domain corresponding to the updated reference blood pressure value ReferSys is also initialized again.
For the dynamic blood pressure meter, the testee is usually the same person, and the fluctuation range of the blood pressure value is limited in the target time length, so the reference blood pressure value RefERSy can be used; for a non-ambulatory blood pressure monitor, where the subject includes multiple persons, the reference blood pressure value ReferSys should be set to invalid. In the actual use process, the determination mode of the dynamic blood pressure monitor and the non-dynamic blood pressure monitor can be determined according to the type parameters manually input into the blood pressure monitor, or according to the change condition of the multiple air charge and discharge control results, for example, if the blood pressure value measured by the blood pressure monitor changes within the target fluctuation range within the target duration, the dynamic blood pressure monitor can be determined. When the reference pressure value is in the invalid state, the reference pressure value may be set to "null" or set to "0" to characterize the invalid state.
As an embodiment of the present application, if the overall evaluation result is "GOOD", the normal additional pressurization operation may be performed, and the corresponding pressurization value DeltaP1 may be 30 mmHg. The amount of pressurization is not limited in the examples of the present application, and can be determined by those skilled in the art according to actual needs.
If the comprehensive evaluation result is BAD or COMMON and the reference pressure value ReferSys is valid, judging the relation between the pre-charging pressure and the reference pressure value in the current charging and discharging control process: if the pre-charge pressure is lower than the target pressure value, the target pressure value can be determined according to the sum of the reference pressure value RefERSy and the target pressure increasing value DeltaP4, and the pre-charge pressure can be additionally pressurized to RefERSy + DeltaP4, otherwise, the extra-charge operation is not carried out and the air is discharged to the next step pressure. Wherein, the target pressure increase value DeltaP4 can take any value of [20, 40], and the DeltaP4 in the embodiment of the application takes 30 mmHg; the next step pressure is equal to the current step pressure — pressure change amount DeltaP3, DeltaP3 generally takes any value of [5,15] mmHg.
If the comprehensive evaluation result is BAD or COMMON and the reference pressure value ReferSys is invalid, firstly judging the magnitude of the current step pressure: if the current step pressure is larger than the target value PLim1, continuing to deflate to the next step pressure for measurement; if the current step pressure is less than the target value PLim2, the following method is adopted to determine that PLim1> -PLim 2, PLim1 can be 120mmHg, and PLim2 can be 70mmHg in the embodiment of the application:
(1) determining whether a preset amount of additional pressurization operation is executed in the current charging and discharging control process, if not, executing the preset amount of additional pressurization operation, namely the pressurization value is less than the set additional pressurization value, for example, the preset amount DeltaP1 can take any value in [10,15] mmHg; otherwise, the set additional pressurization value operation is performed.
(2) Judging whether the current pre-charging pressure is higher than a target value PLim3, if so, continuing to deflate to the next step without performing additional pressurization operation at the time; otherwise, additional pressurization is applied to the target value PLim 3. Wherein, in the adult mode, the target value PLim3 may be 180 mmHg; in neonatal mode, the target value PLim3 may take 120 mmHg.
The embodiment of the present application further provides an air charge and discharge control device, as shown in fig. 5, including:
a first executing module 401, configured to execute an inflation operation until a pre-inflation pressure is reached, and acquire pulse wave signals corresponding to a plurality of target pressures in an inflation process;
an evaluation module 402, configured to perform quality evaluation on the corresponding pulse wave signal according to the pulse wave signal corresponding to each target pressure;
and a second executing module 403, configured to execute a corresponding additional pressing operation according to the evaluation result obtained by the quality evaluation.
As an optional embodiment of the present application, the apparatus further comprises: the determining module is used for determining whether additional pressurization is needed after the pre-charging pressure is reached according to the pulse wave signal corresponding to each target pressure; if additional pressurization is needed, the quality evaluation is carried out on the corresponding pulse wave signals.
As an optional embodiment of the present application, the evaluation module 402 is further configured to perform a diastolic blood pressure detection operation on the current blood pressure test process; determining whether diastolic pressure is detected; when diastolic pressure is not detected, deflate to the next target pressure until diastolic pressure is detected.
As an optional embodiment of the present application, the evaluation module 402 is configured to obtain a target characteristic parameter of the pulse wave signal; and evaluating the corresponding pulse wave signals according to the target characteristic parameters.
As an optional embodiment of the present application, the target characteristic parameters of the pulse wave signal include: the interval time of the pulse wave signals, the amplitude of the pulse wave signals, the width of the pulse wave signals and the number of included sub-pulse wave signals.
As an optional implementation manner of the present application, the second executing module 403 is configured to obtain a comprehensive evaluation result according to the evaluation result of the corresponding pulse wave signal; and executing corresponding additional pressurization operation according to the comprehensive evaluation result.
As an optional embodiment of the present application, the second executing module 403 is configured to construct a pulse wave signal sequence according to each target pressure and the corresponding pulse wave signal; acquiring the number of adjacent pulse wave signals meeting abnormal conditions in the pulse wave signal sequence; acquiring the number of pulse wave signals which meet the bulge condition in the pulse wave signal sequence; acquiring the number of pulse wave signals meeting the interval time consistency condition according to the interval time of the pulse wave signals corresponding to each target pressure; acquiring the number of pulse wave signals of which the evaluation results are target evaluation results, wherein the target evaluation results represent that the pulse wave signals meet stability conditions; and obtaining a comprehensive evaluation result according to the relationship between the number of adjacent pulse wave signals meeting the abnormal condition, the number of pulse wave signals meeting the bulge condition, the number of pulse wave signals meeting the interval time consistency condition and the number of the target pressure.
As an optional embodiment of the present application, the second executing module 403 is configured to obtain a first evaluation result when a relationship between the amount and the amount of the target pressure satisfies a first condition; when the relation between the quantity and the quantity of the target pressure meets a second condition, obtaining a second evaluation result; and when the relation between the quantity and the quantity of the target pressure meets a third condition, obtaining a third evaluation result, wherein the pulse wave signal quality represented by the first evaluation result is better than the pulse wave signal quality represented by the third evaluation result, and the pulse wave signal quality represented by the third evaluation result is better than the pulse wave signal quality represented by the second evaluation result.
As an optional embodiment of the present application, the second executing module 403 is configured to, when the comprehensive evaluation result is a first evaluation result, execute an additional pressurization operation of a first target pressurization value, where the first target pressurization value is determined according to a preset additional pressurization value; and when the comprehensive evaluation result is a second evaluation result or a third evaluation result, performing additional pressurization operation of a second target pressurization value, wherein the second target pressurization value is smaller than the first target pressurization value.
As an optional embodiment of the present application, the second executing module 403 is configured to obtain a reference blood pressure value and a pre-inflation pressure during a current inflation and deflation control process; and executing corresponding additional pressurization operation according to the reference pressure value, the pre-charging pressure in the current air charging and discharging control process and the comprehensive evaluation result.
As an optional implementation manner of the present application, the second execution module 403 is configured to determine validity of the reference voltage value; determining the relation between the pre-charging pressure and a preset pressure; and executing corresponding additional pressurization operation according to the validity of the reference voltage value, the relation between the pre-charging pressure and the preset pressure and the comprehensive evaluation result.
The embodiment of the present application further provides a medical device, as shown in fig. 6, including a processor 501 and a memory 502, where the processor 501 and the memory 502 may be connected by a bus or by other means, and fig. 6 illustrates an example of a connection by a bus.
Processor 501 may be a Central Processing Unit (CPU). The Processor 501 may also be other general purpose processors, Digital Signal Processors (DSPs), Application Specific Integrated Circuits (ASICs), Field Programmable Gate Arrays (FPGAs) or other Programmable logic devices, discrete Gate or transistor logic devices, discrete hardware components, or combinations thereof.
The memory 502, which is a non-transitory computer-readable storage medium, may be used to store non-transitory software programs, non-transitory computer-executable programs, and modules, such as program instructions/modules corresponding to the charge/discharge control method in the embodiments of the present invention. The processor 501 executes various functional applications and data processing of the processor by executing non-transitory software programs, instructions and modules stored in the memory 502, namely, implements the method in the above-described method embodiments.
The memory 502 may include a storage program area and a storage data area, wherein the storage program area may store an operating system, an application program required for at least one function; the storage data area may store data created by the processor 501, and the like. Further, the memory 502 may include high speed random access memory, and may also include non-transitory memory, such as at least one magnetic disk storage device, flash memory device, or other non-transitory solid state storage device. In some embodiments, memory 502 optionally includes memory located remotely from processor 501, which may be connected to processor 501 via a network. Examples of such networks include, but are not limited to, the internet, intranets, local area networks, mobile communication networks, and combinations thereof.
The one or more modules are stored in the memory 502 and when executed by the processor 501 perform the method of the embodiment shown in fig. 1.
The details of the medical device can be understood with reference to the corresponding related description and effects in the embodiment shown in fig. 1, and are not repeated herein.
The embodiment of the application also provides a computer storage medium, wherein the computer storage medium stores computer executable instructions, and the computer executable instructions can execute the air charge and discharge control method in any method embodiment. The storage medium may be a magnetic Disk, an optical Disk, a Read-Only Memory (ROM), a Random Access Memory (RAM), a Flash Memory (Flash Memory), a Hard Disk (Hard Disk Drive, abbreviated as HDD), a Solid State Drive (SSD), or the like; the storage medium may also comprise a combination of memories of the kind described above.
It should be understood that the above examples are only for clarity of illustration and are not intended to limit the embodiments. Other variations and modifications will be apparent to persons skilled in the art in light of the above description. And are neither required nor exhaustive of all embodiments. And obvious variations or modifications therefrom are within the scope of the invention.

Claims (12)

1. An air charge and discharge control method is characterized by comprising the following steps:
performing inflation operation until the pre-inflation pressure is reached, and acquiring pulse wave signals corresponding to a plurality of target pressures in the inflation process;
according to the pulse wave signal corresponding to each target pressure, carrying out quality evaluation on the corresponding pulse wave signal;
and executing corresponding additional pressurization operation according to the evaluation result obtained by the quality evaluation.
2. The air charge and discharge control method according to claim 1, wherein after obtaining the pulse wave signals corresponding to the plurality of target pressures, before performing quality evaluation on the corresponding pulse wave signals, the method further comprises:
determining whether additional pressurization is needed after the pre-charging pressure is reached according to the pulse wave signal corresponding to each target pressure;
if additional pressurization is needed, the quality evaluation is carried out on the corresponding pulse wave signals.
3. The method according to claim 2, wherein if additional pressurization is required, before performing the quality evaluation of the corresponding pulse wave signal, the method further comprises:
carrying out diastolic pressure detection operation on the current blood pressure test process;
determining whether diastolic pressure is detected;
when diastolic pressure is not detected, deflate to the next target pressure until diastolic pressure is detected.
4. The method according to claim 2, wherein the quality evaluation of the corresponding pulse wave signals if additional pressurization is required comprises:
acquiring target characteristic parameters of the pulse wave signals;
and evaluating the corresponding pulse wave signals according to the target characteristic parameters.
5. The method according to claim 4, wherein the target characteristic parameters of the pulse wave signal include: the interval time of the pulse wave signals, the amplitude of the pulse wave signals, the width of the pulse wave signals and the number of included sub-pulse wave signals.
6. The method according to claim 5, wherein said performing respective additional pressurization operations according to the evaluation result obtained by said quality evaluation comprises:
obtaining a comprehensive evaluation result according to the evaluation result of the corresponding pulse wave signal;
and executing corresponding additional pressurization operation according to the comprehensive evaluation result.
7. The method according to claim 6, wherein obtaining a comprehensive evaluation result according to the evaluation result of the corresponding pulse wave signal comprises:
constructing a pulse wave signal sequence according to each target pressure and the corresponding pulse wave signal;
acquiring the number of adjacent pulse wave signals meeting abnormal conditions in the pulse wave signal sequence;
acquiring the number of pulse wave signals which meet the bulge condition in the pulse wave signal sequence;
acquiring the number of pulse wave signals meeting the interval time consistency condition according to the interval time of the pulse wave signals corresponding to each target pressure;
acquiring the number of pulse wave signals of which the evaluation results are target evaluation results, wherein the target evaluation results represent that the pulse wave signals meet stability conditions;
and obtaining a comprehensive evaluation result according to the relationship between the number of adjacent pulse wave signals meeting the abnormal condition, the number of pulse wave signals meeting the bulge condition, the number of pulse wave signals meeting the interval time consistency condition and the number of the target pressure.
8. The method of claim 7, wherein obtaining a composite evaluation result from the relationship between the quantity and the quantity of the target pressure comprises:
when the relation between the quantity and the quantity of the target pressure meets a first condition, obtaining a first evaluation result;
when the relation between the quantity and the quantity of the target pressure meets a second condition, obtaining a second evaluation result;
and when the relation between the quantity and the quantity of the target pressure meets a third condition, obtaining a third evaluation result, wherein the pulse wave signal quality represented by the first evaluation result is better than the pulse wave signal quality represented by the third evaluation result, and the pulse wave signal quality represented by the third evaluation result is better than the pulse wave signal quality represented by the second evaluation result.
9. The method according to claim 8, wherein said performing respective additional pressurization operations according to said comprehensive evaluation result comprises:
when the comprehensive evaluation result is a first evaluation result, performing additional pressurization operation of a first target pressurization value, wherein the first target pressurization value is determined according to a preset additional pressurization value;
and when the comprehensive evaluation result is a second evaluation result or a third evaluation result, performing additional pressurization operation of a second target pressurization value, wherein the second target pressurization value is smaller than the first target pressurization value.
10. An air charge and discharge control device, characterized by comprising:
the first execution module is used for executing inflation operation until the pre-inflation pressure is reached, and acquiring pulse wave signals corresponding to a plurality of target pressures in the inflation process;
the evaluation module is used for evaluating the quality of the corresponding pulse wave signals according to the pulse wave signals corresponding to each target pressure;
and the second execution module is used for executing corresponding additional pressurization operation according to the evaluation result obtained by the quality evaluation.
11. A medical device, comprising:
a processor, a memory and a computer program stored on the memory and executable on the processor, the processor implementing the steps of the charge and discharge control method according to any one of claims 1 to 9 when executing the program.
12. A readable computer storage medium having stored thereon computer instructions, characterized in that the instructions, when executed by a processor, implement the steps of the charge and discharge control method according to any of claims 1-9.
CN202010147493.7A 2020-03-05 2020-03-05 Inflation and deflation control method and device and medical equipment Pending CN113349751A (en)

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