CN115843382A - Analgesia monitoring method and device, electronic equipment and storage medium - Google Patents
Analgesia monitoring method and device, electronic equipment and storage medium Download PDFInfo
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Abstract
The application provides an analgesia monitoring method and device, electronic equipment and a storage medium. The method comprises the following steps: acquiring one or more of vital signs, physiological response information, analgesia score and analgesia pump control information of a patient; evaluating the analgesia state of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient; displaying the analgesic status of the patient. The method can solve the problem of how to improve the accuracy and scientificity of diagnosing the analgesia state of the patient and further improve the effect of controlling pain.
Description
Technical Field
The present application relates to medical monitoring technologies, and in particular, to an analgesia monitoring method and apparatus, an electronic device, and a storage medium.
Background
Pain is the fifth vital sign of human beings, and is one of the most common and most intolerable symptoms caused by clinical treatment, and a series of symptoms such as vital sign change, weakness, anxiety and depression can be caused when the pain is serious. Effective pain control can improve the quality of life of a patient, and the premise of effective pain control is to diagnose the analgesic condition (such as pain intensity) of the patient.
At present, most methods for diagnosing the analgesia state of a patient judge the analgesia state through facial expressions of the patient by medical staff, depend on the working experience of the medical staff, lack scientific basis and are inaccurate.
How to improve the accuracy and scientificity of diagnosing the analgesia state of the patient and further improve the pain control effect still needs to be considered.
Disclosure of Invention
The application provides an analgesia monitoring method and device, electronic equipment and a storage medium, which are used for solving the problem of how to improve the accuracy and the scientificity of the analgesia state of a patient to be diagnosed and further improve the pain control effect.
In one aspect, the present application provides a method of analgesia monitoring comprising:
acquiring one or more of vital signs, physiological response information, analgesia score and analgesia pump control information of a patient;
evaluating the analgesia condition of the patient according to one or more of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient;
displaying the analgesic status of the patient.
In one embodiment, the analgesia condition of the patient comprises the analgesia degree of the patient and the pain level of the patient, and the evaluating the analgesia condition of the patient according to one or more of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient comprises:
evaluating the analgesia degree of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient;
assessing the pain rating of the patient according to the analgesia score.
In one embodiment, the evaluating the degree of analgesia of the patient according to the one or more of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient comprises:
when the analgesia pump control information indicates that the ineffective compression frequency of the analgesia pump is greater than a preset frequency or the ineffective compression frequency is greater than a preset frequency and/or the analgesia score is greater than a preset score, evaluating the analgesia degree of the patient as insufficient analgesia;
when the vital signs of the patient include that the blood oxygen content of the patient is less than a preset content, and/or the respiratory frequency is less than or equal to a preset frequency, and/or the blood pressure is greater than a preset blood pressure, and/or when the physiological response information includes that the times of the preset response of the patient are greater than the preset times, the analgesia degree of the patient is evaluated to be overdose analgesia.
In one embodiment, the displaying the analgesic status of the patient comprises:
displaying the acquired state information of the patient on a state monitoring interface, wherein the state information of the patient comprises any one or more of the following: the obtained real-time vital signs, vital sign reference information, analgesic dosage information, analgesic pump control information and analgesic score information of the patient in a period of time;
the status monitoring interface also displays indicia of an analgesic condition of at least one patient.
In one embodiment, different pain relief levels and different pain levels correspond to different pain relief status markers.
In one embodiment, said assessing a pain level of a patient according to said analgesia score comprises:
determining the patient's pain rating as moderate pain when the analgesia score falls within a first score range;
determining the pain rating of the patient as severe pain when the analgesia score falls within a second score range, wherein the maximum score value in the first score range is less than the minimum score value in the second score range.
In one embodiment, the method further comprises:
adjusting an analgesic input parameter of an analgesic pump according to an analgesic condition of a patient, the analgesic input parameter including at least an input volume and/or a flow rate of an analgesic;
sending the analgesic input parameters to an analgesic pump.
In one embodiment, the displaying the analgesic status of the patient comprises:
displaying an analgesia monitoring interface;
and displaying the identity information and analgesic condition of each patient on the analgesic monitoring interface.
In one embodiment, the method further comprises:
and displaying the analgesia score, the analgesia pump control information, the input amount and the residual amount of the analgesic agent of each patient on the analgesia monitoring interface.
In another aspect, the present application provides an analgesia monitoring device comprising:
the analgesic pump control system comprises an acquisition module, a data processing module and a data processing module, wherein the acquisition module is used for acquiring one or more of vital signs, physiological response information, analgesic scores and analgesic pump control information of a patient;
the processing module is used for evaluating the analgesia condition of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient;
and the display module is used for displaying the analgesia condition of the patient.
In another aspect, the present application provides an electronic device comprising: a processor, and a memory communicatively coupled to the processor;
the memory stores computer-executable instructions;
the processor executes computer-executable instructions stored by the memory to implement the analgesia monitoring method according to the first aspect.
In another aspect, the present application provides a computer-readable storage medium having stored therein computer-executable instructions that, when executed, cause a computer to perform the analgesia monitoring method according to the first aspect.
In another aspect, the present application provides a computer program product comprising a computer program which, when executed by a processor, implements the analgesia monitoring method according to the first aspect.
In another aspect, the present application provides an information display system, including at least one of the following display modules:
the first display module is used for displaying the change information of the vital signs of the patient within a period of time and the vital sign reference information of the patient;
a second display module for displaying the usage status of the analgesic agent of the patient over a period of time;
the third display module is used for displaying the control information of the analgesia pump of the patient within a period of time;
and the fourth display module is used for displaying the variation information of the analgesia score of the patient in a period of time.
In one embodiment, the method further comprises the following steps:
and the fifth display module is used for displaying the change information of the satisfaction degree of the patient.
In summary, the analgesia monitoring method provided in the embodiments of the present application includes: acquiring one or more of vital signs, physiological response information, analgesia score and analgesia pump control information of a patient; evaluating the analgesia condition of the patient according to one or more of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient; displaying the analgesic status of the patient.
That is, the analgesia status of the patient is assessed according to one or more of the patient's vital signs, physiological response information, analgesia score, and analgesia pump control information. Compared with the currently used method for judging the analgesia state of the patient through a facial expression pain scoring scale (such as a visual analogy scale and a digital evaluation scale), the method provided by the embodiment determines the analgesia state of the patient based on objective and scientific measurement data and the analgesia evaluation of the patient, is more scientific, improves the accuracy of the analgesia state evaluation of the patient, and further improves the pain control effect.
In addition, the embodiment can also display the analgesia state of the patient and other information (such as vital signs, physiological response information, analgesia score, analgesia pump control information, satisfaction score and the like) of the patient, so that medical staff can be helped to know the real-time state and the variation trend of the patient in time and make adjustments in time, and the optimization of the medical process of the patient is helped.
Drawings
Fig. 1 is a schematic view of an application scenario of the analgesia monitoring method provided in the present application;
FIG. 2 is a schematic flow chart of a method of analgesia monitoring provided in one embodiment of the present application;
FIG. 3 is a schematic view of a condition monitoring interface provided in one embodiment of the present application;
FIG. 4 is a schematic view of an analgesia monitoring interface provided in one embodiment of the present application;
FIG. 5 is a schematic view of an information display system provided by an embodiment of the present application;
FIG. 6 is a schematic view of an analgesia monitoring device provided in one embodiment of the present application;
fig. 7 is a schematic diagram of an electronic device provided in an embodiment of the present application.
Detailed Description
Reference will now be made in detail to the exemplary embodiments, examples of which are illustrated in the accompanying drawings. The following description refers to the accompanying drawings in which the same numbers in different drawings represent the same or similar elements unless otherwise indicated. The implementations described in the exemplary embodiments below are not intended to represent all implementations consistent with the present disclosure. Rather, they are merely examples of apparatus and methods consistent with certain aspects of the present disclosure, as detailed in the appended claims.
In the description of the present application, it is to be understood that the terms "first", "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance or implying any number of technical features indicated. Thus, a feature defined as "first" or "second" may explicitly or implicitly include one or more of that feature. In the description of the present application, "a plurality" means two or more unless specifically limited otherwise.
Pain is the fifth vital sign of human beings, and is one of the most common and most intolerable symptoms caused by clinical treatment, and a series of symptoms such as vital sign change, fatigue, anxiety and depression can be caused when the pain is serious. Effective pain control can improve the quality of life of a patient, and the premise of effective pain control is to diagnose the analgesic condition (such as pain intensity) of the patient.
Most of the existing methods for diagnosing the analgesia state of a patient are that medical staff judge the analgesia state through facial expressions of the patient, namely, judge the analgesia state of the patient through a facial expression pain scoring scale (such as a visual analog scale and a digital evaluation scale). The method depends on the working experience of medical staff, is lack of scientific basis and is inaccurate.
How to improve the accuracy and scientificity of diagnosing the analgesia state of the patient and further improve the effect of controlling the pain still needs to be considered. Based on this, the present application provides an analgesia monitoring method, device, electronic device and storage medium, wherein the analgesia monitoring method comprises: one or more of a vital sign, physiological response information, an analgesia score, and analgesia pump control information of the patient are obtained. And evaluating the analgesia condition of the patient according to one or more of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient. Displaying the analgesic status of the patient.
That is, the analgesic status of a patient is evaluated by the patient's true physical state in pain treatment. The real physical state is reflected by one or more of the patient's vital signs, physiological response information, analgesia score, and analgesia pump control information. The analgesia state of the patient estimated based on the real physical state has real reference basis and is accurate. Therefore, the method provided by the application can improve the accuracy and scientificity of diagnosing the analgesia condition of the patient, and further improve the effect of controlling pain.
The analgesia monitoring method provided by the application is applied to electronic equipment, such as a computer, a server, a mobile phone, a tablet personal computer and the like, for example, a computer of an analgesia central station, or a mobile phone and a tablet personal computer which are provided with an analgesia central station end. Fig. 1 is an application schematic diagram of the analgesia monitoring method provided in the present application, in which the electronic device acquires one or more of vital signs, physiological response information, analgesia score, and analgesia pump control information of a patient. And then the analgesia condition of the patient is evaluated according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient. Finally, the analgesic status of the patient is displayed.
Referring to fig. 2, one embodiment of the present application provides a method for monitoring analgesia, comprising:
and S210, acquiring one or more of vital signs, physiological response information, analgesic score and analgesic pump control information of the patient.
Patient vital signs, for example, include one or more of blood oxygen, respiratory rate, pulse rate, end-tidal carbon dioxide, electrocardiogram, heart rate, blood pressure, etc., may be obtained from a patient's test instrumentation. The patient's vital signs are associated with an analgesic condition, which may cause a patient's respiratory rate to slow, heart rate to slow, etc., if overdesisted, and may cause a patient's respiratory rate to speed, heart rate to speed, etc., if underloaded. The electronic device may send instructions to the test instrument instructing the test instrument to send the measured vital signs of the patient to the electronic device, or the test instrument may be configured to periodically send the vital signs of the patient to the electronic device.
The patient's physiological response information includes, for example, the number of vomits, or other responses. Excessive analgesia may cause increased vomiting in patients. The physiological response information of the patient can be input into the analgesia pump of the patient after being counted by medical staff or after being counted by the patient. The electronic device sends an instruction to the analgesia pump to instruct the analgesia pump to send the measured physiological response information of the patient to the electronic device, or the analgesia pump is set to send the physiological response information of the patient to the electronic device at regular time.
And the analgesia score of the patient is input to the analgesia pump after the patient scores according to the real-time pain of the patient. When the analgesia is insufficient, the patient can input a higher analgesia score at the analgesia pump according to the real-time pain of the patient, and the higher the analgesia score is, the more serious the pain degree of the patient is. The electronic device sends an instruction to the analgesia pump instructing the analgesia pump to send the analgesia score of the patient to the electronic device, or the analgesia pump is set to send the analgesia score of the patient to the electronic device at regular time.
The analgesia pump control information of the patient includes, for example, the number of effective compressions, the compression frequency, the number of ineffective compressions, etc. of the patient on the analgesia pump. Effective compression refers to successful administration of the drug after compression in the process of analgesic infusion, and ineffective compression refers to unsuccessful administration of the drug after compression in the process of analgesic infusion. The analgesia pump control information of the patient is collected by the analgesia pump and sent to the electronic equipment. For example, the electronic device sends an instruction to the analgesia pump instructing the analgesia pump to send the analgesia pump control information of the patient to the electronic device, or the analgesia pump is configured to send the analgesia pump control information of the patient to the electronic device at regular times.
The electronic equipment can acquire one or more of vital signs, physiological response information, analgesia score and analgesia pump control information of a patient, and preferably, the electronic equipment acquires the vital signs, the physiological response information, the analgesia score and the analgesia pump control information of the patient, so that the analgesia condition of the patient can be more comprehensively and accurately evaluated.
And S220, evaluating the analgesia condition of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient.
In an alternative embodiment, the analgesic condition of the patient includes the level of analgesia of the patient and the level of pain of the patient. The level of analgesia in a patient includes, for example, under-analgesia and over-analgesia, and the level of pain in a patient includes, for example, severe pain and moderate pain.
When the pain easing degree of the patient is insufficient analgesia, the insufficient analgesia liquid usage or the abnormal analgesia process is indicated, and the patient needs to be warned of the insufficient analgesia in time so as to inform medical staff to adjust the analgesia process of the patient in time. When the pain easing degree of the patient is excessive pain easing, it is indicated that the dosage of the pain easing liquid is excessive or the pain easing frequency is too high, and the pain easing process is abnormal, and the excessive pain easing amount needs to be alarmed in time so as to inform medical staff to adjust the pain easing process of the patient in time.
Similarly, when the pain level of the patient is moderate pain or severe pain, the corresponding analgesic status and the corresponding alarm content are different, but the alarm is used for informing the medical staff to adjust the analgesic progress of the patient in time.
In an alternative embodiment, the level of analgesia in the patient is assessed based on one or more of the vital signs, physiological response information, analgesia score, and analgesia pump control information obtained for the patient.
Optionally, when the analgesia pump control information indicates that the number of ineffective compressions of the analgesia pump is greater than a preset number or the ineffective compression frequency is greater than a preset frequency, and/or the analgesia score is greater than a preset score, the analgesia degree of the patient is evaluated as insufficient analgesia. The patient is assessed for analgesia as under-analgesia, for example, when a number of ineffective compressions greater than or equal to 3 were detected within the last lockout period (e.g., 30 minutes) and the last analgesia score is greater than 3 minutes. For example, when a number of ineffective compressions greater than or equal to 3 are detected within the last lockout period (e.g., 30 minutes) and the frequency of ineffective compressions is greater than 60%, the patient is assessed for an inadequate level of analgesia. For example, when the analgesia score is greater than 6 points (full score 10 points), the patient is assessed for an insufficient level of analgesia.
Optionally, when the vital signs of the patient include that the blood oxygen content of the patient is less than a preset content, and/or the respiratory rate is less than or equal to a preset rate, and/or the blood pressure is greater than a preset blood pressure, and/or when the physiological response information includes that the number of times of the preset response of the patient is greater than a preset number of times, the analgesia degree of the patient is evaluated to be overdesivation. For example, when the blood oxygen content of the patient is less than 90% and the respiratory rate is less than or equal to 8rpm, the degree of analgesia in the patient is assessed as being overdesived. For example, when the number of vomits of the patient is more than 2 times in the last lockout period, the degree of analgesia of the patient is evaluated as overdesivation. For example, when the blood oxygen content of the patient is less than 90%, the respiratory rate is less than or equal to 8rpm, and the number of vomits of the patient is greater than 2 times in the last lock-in time, the degree of analgesia of the patient is evaluated as being overdesistant.
In an alternative embodiment, the pain level of the patient is assessed according to the analgesia score. Determining the pain rating of the patient as moderate pain when the analgesia score belongs to a first score range, and determining the pain rating of the patient as severe pain when the analgesia score belongs to a second score range, wherein the maximum score value in the first score range is smaller than the minimum score value in the second score range. For example, a patient is determined to have a pain rating of moderate pain when the analgesia score is between 4 and 6 points (greater than or equal to 4 points, and less than or equal to 6 points). The patient's pain rating is determined to be severe pain when the analgesia score is between 7 and 10 points (greater than or equal to 7 points, and less than or equal to 10 points).
The above examples are only some methods for evaluating the pain-relieving degree of the patient, and other methods may also be used to evaluate the pain-relieving degree of the patient, which may be specifically selected according to actual needs, and this embodiment is not limited.
And S230, displaying the analgesic condition of the patient.
There are various forms of presentation of the patient's analgesic condition, two of which are described below.
The first form of displaying the analgesic status of a patient displays a status monitoring interface as shown in figure 3. The status information of the patient is displayed on a status monitoring interface. The patient status information includes any one or more of: the obtained real-time vital signs, vital sign reference information, analgesic dosage information, analgesic pump control information and analgesic score information of the patient in a period of time.
The real-time vital signs (shown in the area a in fig. 3) include, for example, pulse rate (Prbpm, PR for short), blood oxygen (SPO 2 for short), respiratory rate (RR for short), and End-Tidal Carbon Dioxide (EtCO 2) of the patient. The trend shown in fig. 3 includes the real-time vital signs of the patient, as well as the real-time vital signs data. The displayed trend of the real-time vital signs including the patient and the displayed real-time vital signs data may be displayed side-by-side as shown in fig. 3, or the displayed real-time vital signs data overlays the displayed trend of the real-time vital signs including the patient. When the displayed real-time vital sign data covers the displayed trend of change of the real-time vital sign including the patient, the displayed real-time vital sign data is displayed with a certain transparency when displayed, and the overlapped area of the displayed trend of change of the real-time vital sign including the patient and the displayed real-time vital sign data is not completely covered.
The real-time vital sign data may be displayed when the display time is reached (for example, when the display time is reached every 1 minute), or when the analgesia condition of the patient is evaluated as insufficient analgesia or excessive analgesia. The real-time vital sign data may not be displayed when the display time is not reached or when insufficient or excessive analgesia is not assessed. After the real-time vital sign data is displayed, the display may be automatically turned off after a certain time (for example, ten seconds) is displayed, or the display may be turned off after a click operation of a blank area in the interface shown in fig. 3 is detected, which is not limited in this embodiment. Alternatively, special events such as split cuts may be displayed, as well as parameter modifications such as original 10 milliliters per hour (ml/h) background flow rate, currently 15ml/h.
The vital sign baseline information (shown in the B area in fig. 3) includes PR baseline information, SPO2 baseline information, RR baseline information, etCO2 baseline information of the patient, for example, and these baseline information may be a range value or a specific value. The setting of the vital sign reference information supports automatic setting and manual setting, wherein the corresponding vital sign reference information is called according to the basic information (height, weight, age and the like) of the patient through automatic setting, and the vital sign reference information of the patient is set through manual setting by medical staff according to diagnosis experience. The content displayed in the B area may be continuously displayed or may be displayed after the blank area of the status monitoring interface is detected to be clicked.
The state monitoring interface displays the vital sign reference information and the real-time vital signs of the patient on the same screen, and can display the real-time vital sign conditions of the patient more intuitively, so that medical personnel can be helped to find the abnormality of the body of the patient in time.
The analgesic dosage information (shown as the content in the area C in fig. 3) includes analgesic dosage information and/or analgesic dosage information in real time. The curve chart can be used for displaying the variation trend information of the analgesic agent accumulated amount, wherein the variation trend information of the analgesic agent accumulated amount refers to the variation trend information of the liquid medicine accumulated amount of the analgesic infusion of the patient counted at the current time and before, and reflects the liquid medicine amount and the medicine taking variation condition of the patient. The bar graph shown in figure 3 represents the trend information for real-time analgesic loading. It should be noted that the content shown in the area C in fig. 3 is actually the usage status of the analgesic, and the usage status of the analgesic may be directly showing the usage amount and the remaining amount of the analgesic, or showing the usage amount and the remaining amount of the analgesic in percentage or other forms, for example, showing the usage amount ratio and the remaining amount ratio, which is not limited in this embodiment. And a real-time injection statistical chart of the liquid medicine in the statistical time length (which can be set according to actual needs) can be displayed, and the real-time injection statistical chart is a bar-shaped partial chart displayed in a C area in fig. 3.
The analgesia pump control information (shown in the area D in fig. 3) refers to a histogram of the number of self-controlled compressions of the patient over a statistical time period, which is divided into valid compressions and invalid compressions. The effective compression refers to the number of self-control compressions for successful administration of the drug by the patient during the analgesic infusion process, and the ineffective compression refers to the number of self-control compressions for unsuccessful administration of the drug by the patient during the analgesic infusion process.
The information on the variation trend of the analgesia score (as shown in the E region in fig. 3) refers to the information on the variation trend of the analgesia score (rest score and exercise score) input at the analgesia pump side and the analgesia score (rest score) input at the system side. The rest score can be understood as the score when analgesia is not performed or the duration of the analgesic input is unchanged, and the exercise score can be understood as the score when analgesia is performed or the analgesic input is dynamically changed. Note that the analgesia score may be entered by the patient, a caregiver, or other person who is allowed to operate.
As shown in the area F of fig. 3, the condition monitoring interface may also display a trend of statistical change in the evaluation score for patient satisfaction to help the medical staff improve the treatment process and thus the patient satisfaction.
The condition monitoring interface also displays at least one patient's indicia of analgesic condition when the assessment results in the current analgesic condition for the arbitrary one of the patients. As shown in the content of the area G in fig. 3, the analgesia status flag indicates insufficient analgesia or excessive analgesia in the analgesia evaluation process. Optionally, the different pain levels and pain levels correspond to different pain management indicia. By selecting the analgesia status mark, vital sign detailed information corresponding to the selected analgesia status mark can be displayed, the vital sign detailed information is information displayed on the right side of the area A in fig. 3, and the selected analgesia status mark is amplified, highlighted or flicked, or an arrow is displayed to indicate the selected analgesia status mark and the like. Optionally, the information displayed on the right side also includes the title "overdose analgesia" or the title "insufficient analgesia". Special events and parameter modifications may also be flagged.
In fig. 3, the same time axis (horizontal axis with time/t) is used for the display graphs in the a, C, D, E, and F regions.
With parameter modification is meant that the analgesic input parameters of the analgesic pump, including at least the input amount and/or flow rate of the analgesic, are adjusted according to the analgesic condition of the patient. For example, the input amount of the analgesic is decreased and the flow rate of the analgesic is decreased when the pain is excessive, and the input amount of the analgesic is increased and the flow rate of the analgesic is increased when the pain is insufficient. And after adjustment, modifying the display parameters on the state monitoring interface. After adjustment, the analgesic input parameters are also sent to the analgesic pump, so that the analgesic pump adjusts the input parameters of the analgesic.
The condition monitoring interface shown in fig. 3 can also display an analgesia billboard button, an infusion review button, an alarm review button, and an assessment review button (shown in fig. 3 as region H). After the analgesia billboard button is selected, a state monitoring interface as shown in fig. 3 is displayed, after the infusion review button is selected, an infusion review interface is displayed, after the alarm review button is selected, an alarm review interface is displayed, and after the evaluation review button is selected, an evaluation review interface is displayed. The interface for review of infusion may include a statistical map and statistics of the specific analgesic cumulative volume, analgesic pump control information, infusion time, infusion duration, etc. The interface for the alarm review includes the alarm event that occurred, the time of occurrence of the alarm event, etc. The interface of the review of the assessment includes historical information of the analgesia score of the patient.
The arrangement mode of each display area on the interface and the occupation ratio of the state monitoring interface can be set according to actual needs, so that the information display is more visual and more attractive. The specific form of the information displayed in each display area can also be set according to actual needs, for example, the histogram display is preferentially used when the information can be displayed more intuitively by using the histogram. Alternatively, each display area may be provided with a switching button for switching the display format of data, for example, a bar graph to a waveform graph display, when the switching button is selected.
Other display areas and other controls can be further arranged in the state monitoring interface, the display content of the display areas can be set according to actual needs, the functions of the controls can also be set according to actual needs, and the embodiment is not limited. For example, a control to display information updates is added to provide functionality to update the information displayed in the status monitoring interface.
The second form of displaying the analgesic status of the patient is described below.
The second form of displaying the analgesic status of the patient is the analgesic monitoring interface shown in figure 4. After the analgesia monitoring interface is displayed, identity information and analgesia status of each patient are displayed on the analgesia monitoring interface. The identity information of the patient includes, for example, the name of the patient, the ward where the patient is located, the bed number of the patient, the hospitalization number of the patient, the sex and age of the patient, and the like. Optionally, the analgesia monitoring interface can also display the analgesia pump control information, the input amount and the residual amount (or the usage percentage of the analgesic) of each patient, the analgesia score and the like, and can also display the time in real time.
The analgesia monitoring interface can also display the analgesia status of the evaluated patient in real time, as shown in fig. 4, an icon is displayed behind the name of the patient, and characters such as insufficient characters, excessive characters and the like are displayed on the icon to display the analgesia status of the evaluated patient. The style for displaying the "insufficient" and "excessive" icons may be the same or different except for displayed characters, and may be specifically set according to actual needs, which is not limited in this embodiment.
The icon may be displayed in real time, for example, if insufficient analgesia is detected after the analgesia status of the patient is evaluated, the icon is immediately displayed on the analgesia monitoring interface, the icon is not displayed until the analgesia status of the patient is evaluated to be normal again, if the analgesia status of the patient is evaluated to be insufficient analgesia again, the icon changes the style, and the icon is displayed in an excess manner.
The analgesia monitoring interface may also display expressions such as those shown in fig. 4 according to analgesia scores to more intuitively display analgesia scores. Or may also display different colored indicia to differentiate analgesia scores of different sizes.
In an alternative embodiment, the health care provider can switch to the status monitoring interface (shown in fig. 3) of any one of the patients by selecting a column of the analgesia monitoring interface where any one of the patients is located (or selecting the name, hospital number, etc. of any one of the patients), so as to observe the status of any one of the patients in more detail. Correspondingly, the state monitoring interface can also be provided with a button for returning to the analgesia monitoring interface, and the analgesia monitoring interface is returned to be displayed when the button is selected.
In summary, the method provided in this embodiment includes: acquiring one or more of vital signs, physiological response information, analgesia score and analgesia pump control information of a patient; evaluating the analgesia state of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient; displaying the analgesic status of the patient.
That is, the analgesia status of the patient is assessed according to one or more of the patient's vital signs, physiological response information, analgesia score, and analgesia pump control information. Compared with the currently used method for judging the analgesia state of the patient through a facial expression pain scoring scale (such as a visual analogy scale and a digital evaluation scale), the method provided by the embodiment determines the analgesia state of the patient based on objective and scientific measurement data and the analgesia evaluation of the patient, is more scientific, improves the accuracy of the analgesia state evaluation of the patient, and further improves the pain control effect.
In addition, the embodiment can also display the analgesia state of the patient and other information (such as vital signs, physiological response information, analgesia score, analgesia pump control information, satisfaction score and the like) of the patient, so that medical staff can be helped to know the real-time state and the variation trend of the patient in time and make adjustments in time, and the optimization of the medical process of the patient is helped.
Referring to fig. 5, an embodiment of the present application further provides an information display system 10, where the information display system 10 includes at least one of the following display modules: a first display module 11, a second display module 12, a third display module 13, and a fourth display module 14.
The first display module 11 is configured to display the vital sign change information of the patient over a period of time and the vital sign baseline information of the patient, where the displayed content is as shown in area a and area B in fig. 3.
The second display module 12 is used for displaying the usage status of analgesic agent of the patient in a period of time, and the displayed content is as the content displayed in the area C in fig. 3. The usage status of the analgesic agent may be directly displayed as the usage amount and the remaining amount of the analgesic agent, or may be displayed as a percentage or in other forms, for example, the usage amount ratio and the remaining amount ratio are displayed, and the present embodiment is not limited thereto.
The third display module 13 is used for displaying the analgesia pump control information of the patient in a period of time, and the displayed content is as the content displayed in the D area in fig. 3. The fourth display module 14 is used for displaying the variation information of the analgesia score of the patient in a period of time, and the displayed content is as the content displayed in the area E in fig. 3.
Optionally, the information display system 10 further includes a fifth display module 15, and the fifth display module 15 is configured to display information about the change of the satisfaction degree of the patient, where the displayed content is as shown in the area F in fig. 3.
The information display system 10 may also include other display modules, and the displayed content may be set as desired or as described above with respect to the condition monitoring interface, and may also include an analgesia billboard button, an infusion review button, an alarm review button, and an assessment review button (shown in the area H in fig. 3).
The information display system 10 provided by this embodiment can display the analgesia status of the patient and other information (such as vital signs, physiological response information, analgesia score, analgesia pump control information, satisfaction score, etc.) of the patient, thereby helping medical staff to know the real-time state and the variation trend of the patient in time, and making adjustments in time, helping to optimize the medical process of the patient.
Referring to fig. 6, an embodiment of the present application further provides an analgesia monitoring device 20, comprising:
the obtaining module 21 is configured to obtain one or more of vital signs, physiological response information, analgesia score, and analgesia pump control information of the patient.
And the processing module 22 is used for evaluating the analgesia condition of the patient according to one or more of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient.
And the display module 23 is used for displaying the analgesia condition of the patient.
The analgesia status of the patient comprises the analgesia degree of the patient and the pain level of the patient, and the processing module 22 is specifically used for evaluating the analgesia degree of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient; the pain rating of the patient is assessed according to the analgesia score.
The processing module 22 is specifically configured to evaluate the analgesia degree of the patient as insufficient analgesia when the analgesia pump control information indicates that the number of ineffective compressions of the analgesia pump is greater than a preset number or the frequency of ineffective compressions is greater than a preset frequency, and/or the analgesia score is greater than a preset score; when the vital signs of the patient comprise that the blood oxygen content of the patient is less than a preset content, and/or the respiratory frequency is less than or equal to a preset frequency, and/or the blood pressure is greater than a preset blood pressure, and/or when the physiological response information comprises that the times of the preset response of the patient are greater than a preset time, the analgesia degree of the patient is evaluated to be excessive analgesia.
The display module 23 is specifically configured to display the acquired status information of the patient on a status monitoring interface, where the status information of the patient includes any one or more of the following: the obtained real-time vital signs, vital sign reference information, variation trend information of analgesic agent accumulation amount, analgesic pump control information and variation trend information of analgesic score of the patient in a period of time; the condition monitoring interface also displays indicia of an analgesic condition of at least one patient.
The processing module 22 is specifically configured to determine that the pain level of the patient is moderate pain when the analgesia score falls within a first score range; determining the pain rating of the patient as severe pain when the analgesia score falls within a second score range, wherein the maximum score value in the first score range is less than the minimum score value in the second score range.
The processing module 22 is further configured to adjust an analgesic input parameter of the analgesic pump according to an analgesic condition of the patient, the analgesic input parameter at least including an input amount and/or a flow rate of the analgesic; the analgesic input parameters are sent to an analgesic pump.
The display module 23 is also used for displaying an analgesia monitoring interface; when the identity information of each patient in a plurality of patients is acquired and the analgesic condition of each patient is evaluated, the identity information and the analgesic condition of each patient are displayed on the analgesic monitoring interface.
The display module 23 is further configured to display the analgesia score, the analgesia pump control information, the input amount of the analgesic agent, and the remaining amount of each of the plurality of patients on the analgesia monitoring interface.
Referring to fig. 7, the present application further provides an electronic device 30, where the electronic device 30 includes a processor 31 and a memory 32 communicatively connected to the processor 31. The memory 32 stores computer-executable instructions, and the processor 31 executes the computer-executable instructions stored by the memory 32 to implement the analgesia monitoring method provided in any one of the above embodiments.
The present application also provides a computer-readable storage medium having stored therein computer-executable instructions that, when executed, cause a computer to execute the instructions for implementing the analgesia monitoring method provided in any one of the above embodiments.
The present application also provides a computer program product comprising a computer program which, when executed by a processor, implements the analgesia monitoring method as provided in any one of the embodiments above.
The computer-readable storage medium may be a Read Only Memory (ROM), a Programmable Read Only Memory (PROM), an Erasable Programmable Read Only Memory (EPROM), an Electrically Erasable Programmable Read Only Memory (EEPROM), a magnetic Random Access Memory (FRAM), a Flash Memory (Flash Memory), a magnetic surface Memory, an optical Disc, or a Compact Disc Read-Only Memory (CD-ROM). And may be various electronic devices such as mobile phones, computers, tablet devices, personal digital assistants, etc., including one or any combination of the above memories.
It should be noted that, in this document, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrases "comprising a component of' 8230; \8230;" does not exclude the presence of another like element in a process, method, article, or apparatus that comprises the element.
The above-mentioned serial numbers of the embodiments of the present application are merely for description, and do not represent the advantages and disadvantages of the embodiments.
Through the above description of the embodiments, those skilled in the art will clearly understand that the method of the above embodiments can be implemented by software plus a necessary general hardware platform, and certainly can also be implemented by hardware, but in many cases, the former is a better implementation manner. Based on such understanding, the technical solutions of the present application may be embodied in the form of a software product, which is stored in a storage medium (such as ROM/RAM, magnetic disk, optical disk) and includes instructions for enabling a terminal device (such as a mobile phone, a computer, a server, an air conditioner, or a network device) to execute the method described in the embodiments of the present application.
The present application is described with reference to flowchart illustrations and/or block diagrams of methods, apparatus (systems), and computer program products according to embodiments of the application. It will be understood that each flow and/or block of the flow diagrams and/or block diagrams, and combinations of flows and/or blocks in the flow diagrams and/or block diagrams, can be implemented by computer program instructions. These computer program instructions may be provided to a processor of a general purpose computer, special purpose computer, embedded processor, or other programmable data processing apparatus to produce a machine, such that the instructions, which execute via the processor of the computer or other programmable data processing apparatus, create means for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be stored in a computer-readable memory that can direct a computer or other programmable data processing apparatus to function in a particular manner, such that the instructions stored in the computer-readable memory produce an article of manufacture including instruction means which implement the function specified in the flowchart flow or flows and/or block diagram block or blocks.
These computer program instructions may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks.
The above description is only a preferred embodiment of the present application, and not intended to limit the scope of the present application, and all modifications of equivalent structures and equivalent processes, which are made by the contents of the specification and the drawings of the present application, or which are directly or indirectly applied to other related technical fields, are included in the scope of the present application.
Claims (12)
1. A method of analgesia monitoring, comprising:
acquiring one or more of vital signs, physiological response information, analgesia score and analgesia pump control information of a patient;
evaluating the analgesia condition of the patient according to one or more of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient;
displaying the analgesic status of the patient.
2. The method of claim 1, wherein the analgesic condition of the patient comprises an analgesic level of the patient and a pain rating of the patient, and wherein assessing the analgesic condition of the patient based on one or more of the obtained vital signs, physiological response information, analgesic score, and analgesic pump manipulation information of the patient comprises:
evaluating the analgesia degree of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient;
assessing the patient's pain rating according to the analgesia score.
3. The method of claim 2, wherein assessing the level of analgesia in the patient based on one or more of the obtained vital signs, physiological response information, analgesia score, and analgesia pump control information of the patient comprises:
when the analgesia pump control information indicates that the ineffective compression frequency of the analgesia pump is greater than a preset frequency or the ineffective compression frequency is greater than a preset frequency and/or the analgesia score is greater than a preset score, evaluating the analgesia degree of the patient as insufficient analgesia;
when the vital signs of the patient include that the blood oxygen content of the patient is less than a preset content, and/or the respiratory frequency is less than or equal to a preset frequency, and/or the blood pressure is greater than a preset blood pressure, and/or when the physiological response information includes that the times of the preset response of the patient are greater than the preset times, the analgesia degree of the patient is evaluated to be overdose analgesia.
4. The method of claim 3, wherein the displaying the analgesic condition of the patient comprises:
displaying the acquired state information of the patient on a state monitoring interface, wherein the state information of the patient comprises any one or more of the following: the obtained real-time vital signs, vital sign reference information, analgesic dosage information, analgesic pump control information and analgesic score information of the patient in a period of time;
the status monitoring interface also displays indicia of an analgesic condition of at least one patient.
5. The method of claim 4, wherein different levels of analgesia and different pain levels correspond to different indicia of analgesia.
6. The method of any one of claims 2-5, wherein said assessing a patient's pain level according to said analgesia score comprises:
determining the patient's pain rating as moderate pain when the analgesia score falls within a first score range;
determining the pain rating of the patient as severe pain when the analgesia score falls within a second score range, wherein the maximum score value in the first score range is less than the minimum score value in the second score range.
7. The method of claim 1, further comprising:
adjusting an analgesic input parameter of an analgesic pump according to an analgesic condition of a patient, the analgesic input parameter including at least an input volume and/or a flow rate of an analgesic;
sending the analgesic input parameters to an analgesic pump.
8. The method of claim 1, wherein the displaying the analgesic condition of the patient comprises:
displaying an analgesia monitoring interface;
and displaying the identity information and analgesic condition of each patient on the analgesic monitoring interface.
9. The method of claim 8, further comprising:
and displaying the analgesia score, the analgesia pump control information, the input amount and the residual amount of the analgesic agent of each patient on the analgesia monitoring interface.
10. An analgesia monitoring device, comprising:
the analgesic pump control system comprises an acquisition module, a data processing module and a data processing module, wherein the acquisition module is used for acquiring one or more of vital signs, physiological response information, analgesic scores and analgesic pump control information of a patient;
the processing module is used for evaluating the analgesia condition of the patient according to one or more items of the acquired vital signs, physiological response information, analgesia score and analgesia pump control information of the patient;
and the display module is used for displaying the analgesia condition of the patient.
11. An electronic device, comprising: a processor, and a memory communicatively coupled to the processor;
the memory stores computer-executable instructions;
the processor executes computer-executable instructions stored by the memory to implement the analgesia monitoring method of any one of claims 1-9.
12. A computer-readable storage medium having computer-executable instructions stored therein that, when executed, cause a computer to perform the analgesia monitoring method of any one of claims 1-9.
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
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| PCT/CN2022/122870 WO2024065500A1 (en) | 2022-09-29 | 2022-09-29 | Analgesia monitoring method and apparatus, electronic device, and storage medium |
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| CN115843382A true CN115843382A (en) | 2023-03-24 |
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| CN202280004927.5A Pending CN115843382A (en) | 2022-09-29 | 2022-09-29 | Analgesia monitoring method and device, electronic equipment and storage medium |
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Family Cites Families (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6231560B1 (en) * | 1999-02-10 | 2001-05-15 | Baxter International Inc | Method and apparatus for automatically controlling the level of medication |
| US20110082440A1 (en) * | 2009-10-06 | 2011-04-07 | General Electric Company | Method and system for delivering analgesic drugs |
| CN201701199U (en) * | 2010-06-07 | 2011-01-12 | 中国科学院深圳先进技术研究院 | Pain monitor |
| CN103170033A (en) * | 2013-03-15 | 2013-06-26 | 南通爱普医疗器械有限公司 | Analgesia patient controlled analgesia (PCA) pump and method based on fuzzy mathematics judgment for pain degree of analgesia |
| US9579457B2 (en) * | 2013-03-15 | 2017-02-28 | Flint Hills Scientific, L.L.C. | Method, apparatus and system for automatic treatment of pain |
| CN104548272A (en) * | 2015-01-01 | 2015-04-29 | 江苏人先医疗科技有限公司 | Insufficient analgesia monitoring method and relevant analgesia pump |
| WO2018063637A1 (en) * | 2016-09-27 | 2018-04-05 | Boston Scientific Neuromodulation Corporation | System for pain management using objective pain measure |
| CN107583136A (en) * | 2017-09-18 | 2018-01-16 | 马挺 | A kind of method and system with adverse reaction prompting and the individuation intelligent pain-relieving pump for automatically processing function |
| CN111249567A (en) * | 2020-01-20 | 2020-06-09 | 苏州麦德迅医疗科技有限公司 | Wireless analgesia pump system |
| CN111803756B (en) * | 2020-06-12 | 2022-05-10 | 江苏爱朋医疗科技股份有限公司 | Intelligent self-control analgesia system |
| CN114588395A (en) * | 2022-03-23 | 2022-06-07 | 中国人民解放军总医院第二医学中心 | Analgesia system, analgesia terminal and analgesia method |
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- 2022-09-29 WO PCT/CN2022/122870 patent/WO2024065500A1/en unknown
- 2022-09-29 CN CN202280004927.5A patent/CN115843382A/en active Pending
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