CN111110209A - Liver transplantation patient remote monitoring and nursing system and method thereof - Google Patents
Liver transplantation patient remote monitoring and nursing system and method thereof Download PDFInfo
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- CN111110209A CN111110209A CN202010012346.9A CN202010012346A CN111110209A CN 111110209 A CN111110209 A CN 111110209A CN 202010012346 A CN202010012346 A CN 202010012346A CN 111110209 A CN111110209 A CN 111110209A
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- 238000012544 monitoring process Methods 0.000 title claims abstract description 48
- 210000004185 liver Anatomy 0.000 title claims abstract description 28
- 238000002054 transplantation Methods 0.000 title claims abstract description 26
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- 238000000034 method Methods 0.000 title claims abstract description 11
- 230000005540 biological transmission Effects 0.000 claims description 23
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- 238000012545 processing Methods 0.000 claims description 18
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- 239000008280 blood Substances 0.000 claims description 7
- 210000004369 blood Anatomy 0.000 claims description 7
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- 238000002496 oximetry Methods 0.000 claims description 4
- 230000008676 import Effects 0.000 claims description 2
- 208000028659 discharge Diseases 0.000 abstract description 5
- 238000005259 measurement Methods 0.000 description 13
- 238000009530 blood pressure measurement Methods 0.000 description 11
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
- A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
- A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
- A61B5/0024—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system for multiple sensor units attached to the patient, e.g. using a body or personal area network
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/01—Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
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- A—HUMAN NECESSITIES
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/14542—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4842—Monitoring progression or stage of a disease
Abstract
The invention relates to a remote monitoring and nursing system for a liver transplantation patient and a method thereof. The invention can provide remote monitoring and nursing consultation service for early discharge of patients after liver transplantation.
Description
Technical Field
The invention relates to the field of medical treatment, in particular to a system and a method for remotely monitoring and nursing a liver transplantation patient.
Background
With the improvement of the surgical monitoring measures and the development of the rapid rehabilitation technology, the hospitalization time of the liver transplantation patients in the intensive care unit after the operation is reduced from 6 days to 2 days on average, and the total hospitalization time is reduced from 26 days to 20 days on average, but the fear of the patients to discharge from hospital is ubiquitous. The hospital readmission rate of a liver transplantation patient 30 days after discharge reaches 42%, the complication incidence rate reaches 68.51%, the mutual adaptation between the transplanted liver and a receptor, the observation of various disease condition change details and the adjustment of a drug treatment scheme all need detailed observation and recording, but the existing follow-up management mode is difficult to meet the continuous nursing requirement of the patient, and the patient still needs to frequently visit a hospital at any time to consult the doctor for guidance at the early postoperative stage.
Nowadays, mobile intelligent terminal equipment and internet technology have gradually popularized, medical follow-up visit mode also gradually tends to diversify, and research and application of providing telemedicine service by using internet + mobile terminal equipment are more and more. Mobile medical treatment is that mobile terminal equipment such as smart mobile phone or panel computer provides a novel medical service including functions such as monitoring, diagnosis, health promotion and data acquisition, can connect medical care team and the patient of leaving a hospital, provides remote management service for the postoperative patient, has the effect that reduces the time of being in hospital, reduces medical cost.
A remote monitoring and care system for liver transplantation patients has not yet been found.
Disclosure of Invention
The invention aims to provide a remote monitoring and nursing system for liver transplantation patients, which aims at the current situation that the liver transplantation patients lack in self-monitoring and nursing skills in the early discharge stage and provides remote monitoring and nursing consultation services for the patient in the early discharge stage after liver transplantation by virtue of the advantages of mobile medical technology.
The technical solution of the invention is as follows: the invention relates to a remote monitoring and nursing system for a liver transplantation patient, which is characterized in that: the system comprises a user server, a remote management end and data acquisition equipment, wherein the data acquisition equipment comprises a body temperature measuring device, a blood pressure measuring device and an electrocardiogram measuring device, the body temperature measuring device, the blood pressure measuring device and the electrocardiogram measuring device are respectively connected to the user server, and the user server is connected with the remote management end.
Preferably, the user service end comprises a data acquisition unit, a first central processing unit, a first camera and a first wireless data transmission unit, the body temperature measuring device, the blood pressure measuring device and the electrocardiogram measuring device are respectively connected with the data acquisition unit, the first camera and the data acquisition unit are respectively connected with the first central processing unit, the first central processing unit is connected with the first wireless data transmission unit, the remote management end comprises a second central processing unit, a second camera and a second wireless data transmission unit, the first wireless data transmission unit is connected with the second wireless data transmission unit, and the second camera and the second wireless data transmission unit are respectively connected with the second central processing unit.
Preferably, the data acquisition device further comprises an oximetry unit, and the oximetry unit is connected to the data acquisition unit.
Preferably, the body temperature measuring device is an electronic thermometer, the blood pressure measuring device is an arm type sphygmomanometer, the electrocardiogram measuring device is a 12-lead electrocardiogram monitor, and the blood oxygen measuring device is an oximeter.
Preferably, the user service end is an intelligent robot, and the remote management end is a tablet, a mobile phone or a computer.
A monitoring and nursing method for realizing the remote monitoring and nursing system for the liver transplantation patient is characterized in that: the method comprises the following steps:
1) loading a patient side module at a user service side, wherein the patient side module comprises a data acquisition module, a questionnaire survey module, a video inquiry module, a medicine management module and a system setting module; wherein:
the data acquisition module is responsible for acquiring, displaying, storing and uploading the physical sign data of the data acquisition module;
the questionnaire survey module is responsible for finishing the checking, filling and submitting of the questionnaire of the doctor;
the medicine management module is responsible for the functions of receiving, reminding and checking medicines;
the video inquiry module is responsible for interactive communication with a doctor through videos;
the system setting module is responsible for checking, receiving, displaying, storing and uploading the examination report of the hospital;
2) a doctor end module is loaded at a remote management end, and comprises a doctor-patient management module, a questionnaire module, a video module, a medicine information management module, a real-time monitoring module, a data analysis module, a system and a permission management module; wherein
The real-time monitoring module is responsible for monitoring the physical sign data of the patient in real time;
the doctor-patient management module is responsible for receiving and viewing hospital examination reports;
the data analysis module is responsible for inquiring and analyzing the patient sign data;
the questionnaire module is responsible for compiling questionnaires, issuing the questionnaires to the patients and checking the feedback of the patients;
the video module is in interactive communication with the patient through videos;
the drug information management module edits and imports the drug administration information of the patient;
the system and the authority management module are responsible for the authority management of the system.
The invention has the following advantages:
1. remote monitoring: the patient postoperative opens the master switch of robot at home, connects wireless network after, can realize body temperature, pulse, breathing, blood pressure, electrocardio real-time supervision automatically, and the monitoring result can demonstrate automatically and hold the medical team for patient and hospital to, but the doctor remote control patient blood pressure measurement realizes the remote observation of doctor to the patient's state of an illness of discharging hospital.
2. Video guidance: a liver transplantation doctor remotely controls the robot to open a video interface according to the real-time monitoring condition of the patient, and provides personalized guidance for the liver transplantation patient in an online video communication mode; meanwhile, the patient reports the disease condition to the doctor through the video, and one-to-one and face-to-face disease condition communication is realized.
3. Intelligent question answering: the robot can automatically ask and answer the questions and answers in an online or offline mode. According to the consultation content of the liver transplantation patients after the operation, which is automatically collected by the robot, a special knowledge consultation question-answer library in the liver transplantation perioperative period is established by the team, the patients communicate with the robot in a voice mode, and the robot provides voice answers for the patients in a keyword recognition mode and special nursing guidance.
Drawings
FIG. 1 is a schematic structural diagram of the present invention.
The reference numbers are as follows:
1. a user server; 2. a first camera; 3. a first wireless data transmission unit; 4. a first central processing; 5. a data acquisition unit; 6. a second wireless data transmission unit; 7. a second central processing unit; 8. the remote management terminal 9, the second camera 10, the body temperature measuring device 11, the blood pressure measuring device 12, the electrocardiogram measuring device 13, the blood oxygen measuring device 14 and the data acquisition equipment.
Detailed Description
Referring to fig. 1, the structure of the embodiment of the present invention includes a user service end 1, a remote management end 8 and a data acquisition device 14, the user service end 1 is connected to the remote management end 8, the data acquisition device 14 includes a body temperature measurement device 10, a blood pressure measurement device 11, an electrocardiogram measurement device 12 and an oximeter 13, the body temperature measurement device 10, the blood pressure measurement device 11, the electrocardiogram measurement device 12 and the oximeter 13 are respectively connected to the user service end 1, wherein the body temperature measurement device 10 is an electronic thermometer, the blood pressure measurement device 11 is an arm-type sphygmomanometer, the electrocardiogram measurement device 12 is a 12-lead electrocardiograph monitor, and the oximeter 11 is an oximeter. The postoperative blood pressure, the blood oxygen saturation, the electrocardiogram and the body temperature information of the patient are recorded respectively, all measurement steps (except the blood pressure) can be automatically measured and displayed on a screen end of a user server end 1, and the blood pressure measurement can be realized by clicking a screen blood pressure measurement icon to realize one-key blood pressure measurement. The user service end 1 comprises a data acquisition unit 5, a first central processing unit 4, a first camera 2 and a first wireless data transmission unit 3, a body temperature measuring device 10, a blood pressure measuring device 11, an electrocardiogram measuring device 12 and an oximeter 13 which are respectively connected to the data acquisition unit 5, the first camera 2 and the data acquisition unit 5 are respectively connected to the first central processing unit 4, the first central processing unit 4 is connected with the first wireless data transmission unit 3, a remote management end 8 comprises a second central processing unit 7, a second camera 9 and a second wireless data transmission unit 6, the first wireless data transmission unit 3 is connected with the second wireless data transmission unit 6, and the second camera 9 and the second wireless data transmission unit 6 are respectively connected with the second central processing unit 7. The first wireless data transmission unit 3 and the second wireless data transmission unit 6 can adopt various existing wireless transmission modes, such as wireless WIFI and the like, the data acquisition unit 5 adopts an existing data acquisition unit, data acquired by the data acquisition device 14 are subjected to digital-to-analog conversion by a single chip microcomputer to obtain corresponding digital signals, and the digital signals are transmitted to the first central processing unit 4, wherein the user service end 1 is an intelligent robot, and the remote management end 8 is a tablet, a mobile phone or a computer.
The user server can be an intelligent robot: but the application remote control removes with video intelligent robot, realizes that doctor remote control intelligent robot removes, adjusts first camera angle. Meanwhile, an automatic voice response system of the intelligent robot is utilized to establish a special consultation content library after the liver transplantation, special health education and question and answer consultation services are provided, and the intellectualization of post-operation propaganda and education is improved.
Liver transplantation follow-up software: as a key part of the remote monitoring nursing robot, the follow-up software is connected with a postoperative patient and medical care personnel through the mobile internet, and provides remote monitoring service for a liver transplantation patient. The patient can visually check the personal measurement condition, the measurement data is automatically transmitted to the remote management terminal 8, the doctor remotely monitors the patient condition, the face-to-face video guidance is carried out according to the real-time measurement condition, and the software has the functions of abnormal value alarm and prompt, trend prediction, medicine taking management, psychological consultation and the like.
The intelligent robot obtains physiological signals of blood pressure, blood oxygen, body temperature and electrocardio monitoring of a patient through the data acquisition equipment 14, obtains corresponding digital signals through digital-to-analog conversion of the single chip microcomputer, and transmits the digital signals to the intelligent robot through the Bluetooth technology. The intelligent robot is loaded with Android remote monitoring APP software, monitoring data are read, displayed, recorded and analyzed at a screen end by using a Bluetooth interface in an Android system, and continuous monitoring and trend prediction of vital signs are achieved. Meanwhile, the follow-up worker opens the monitoring software of the remote management terminal 8 (hospital terminal), remotely controls the intelligent robot through the mobile internet to open a remote video interface, and provides face-to-face personalized guidance for the patient according to the real-time monitoring result of the intelligent robot.
The remote monitoring robot data acquisition and monitoring system designed based on the liver transplantation patient remote monitoring and nursing method is a multi-user information processing system running on the Internet, and is divided into a patient end module (patient end software) and a doctor end module (doctor end software), wherein the patient end module and the doctor end module are respectively used for acquiring patient sign data, health information, patient body characteristic data and data collected by doctor monitoring and analyzing, and meanwhile, remote video communication between a doctor and a patient is provided. The system is characterized in that the patient side software is an APP (application) of an android system, runs in a tablet personal computer fixed on the intelligent robot, and is connected into the system in a wireless WIFI (wireless fidelity) mode. The doctor end software is a WEB application program, runs in a microcomputer (computer) of a doctor office and is connected into the system in a wireless WIFI or wired mode.
A first part: patient side module (patient side software)
The patient-side module functional requirements include five aspects:
1. the method comprises the steps of collecting, displaying, storing and uploading physical sign data.
2. The examination report of the hospital is checked, received, displayed, stored and uploaded.
3. And carrying out interactive communication with a doctor through videos.
4. The review, filling out, and submission of the doctor questionnaire are completed.
5. And the medicine receiving reminding and checking functions.
In addition, the requirement that the doctor-patient communication robot is used alternately among different patients is also met.
Based on the above, the patient-side software is designed into five modules, namely a data acquisition module, a questionnaire survey module, a video inquiry module, a drug management module and a system setting module.
A second part: doctor end module (doctor end software)
The functional requirements of the doctor end module include six aspects:
1. patient sign data is monitored in real time.
2. Receiving and viewing hospital examination reports.
3. And performing query analysis on the patient sign data.
4. Compile a questionnaire and issue a patient with a view to the patient feedback.
5. And carrying out interactive communication with the patient through videos.
6. And editing and importing the medication information of the patient.
In addition, the system also meets the requirement that a plurality of doctors are respectively responsible for managing different patients.
Based on the requirements, the doctor-side software is designed into six modules, namely a doctor-patient management module, a questionnaire module, a video module, a real-time monitoring module, a data analysis module, a medicine management module, a system and a permission management module. And forming a doctor-patient communication robot data acquisition and monitoring system APP.
When the intelligent robot control system works, the intelligent robot master switch is turned on, the network and the remote management end 8 are connected, and monitoring equipment interfaces of blood oxygen (blue), blood pressure (black), body temperature (yellow), electrocardiogram (green) and the like are sequentially connected to the data acquisition unit 5 of the intelligent robot and the interface end.
When the remote connection is successful and the patient is in the monitoring interface, the blood oxygen probe, the blood pressure cuff, the body temperature probe and the electrocardiogram are connected with the patient, at the moment, the real-time measurement result can be displayed on the main interface of the robot, and a doctor can remotely check the measurement result in a hospital. If abnormal measurement results exist, the doctor can provide online guidance for the patient through videos.
1. Body temperature measurement (electronic thermometer)
The first step is as follows: opening the electronic thermometer and establishing Bluetooth connection: the patient holds electronic body thermo gun, and the forefinger presses electronic body thermo gun switch, hears "ding" a sound, shows that electronic body thermo gun has opened promptly, and simultaneously, intelligent robot guardianship interface bluetooth button background becomes dark blue, and the bluetooth is connected successfully.
The second step is that: measuring body temperature: the patient holds the electronic thermometer by hand, places the electronic thermometer at a position 5-15 cm away from the center of the forehead, presses the electronic thermometer switch with the forefinger, hears the 'ding' sound, and completes the body temperature measurement. At this time, the electronic thermometer, the intelligent robot monitoring interface and the remote management terminal 8 (the doctor terminal) synchronously display the body temperature value of the patient.
2. The blood pressure is measured, the patient can realize that oneself is controlled at intelligent robot end, and 8 doctors in remote management end also can the remote control measure the blood pressure for the patient simultaneously. After the patient ties up the blood pressure cuff, click the 'measure blood pressure' button on the intelligent robot monitoring interface, and the intelligent robot starts to automatically measure the blood pressure for the patient. If the patient feels uncomfortable and needs to pause the blood pressure measurement, the blood pressure measurement process can be stopped by clicking the blood pressure measurement button again. After the blood pressure measurement is finished, the measurement result can be synchronously presented with the remote management terminal 8 (doctor terminal) on the intelligent robot monitoring interface.
3. Electrocardiogram measurement
White leads of lead wires of the ECG monitor are sequentially placed at the intersection point between the right clavicle midline and the 2 nd rib of the patient, black leads are placed at the intersection point (symmetrical to the white) between the left clavicle midline and the 2 nd rib, and red leads are placed at the left lower abdomen for electrocardiogram measurement.
The above embodiments are only specific embodiments disclosed in the present invention, but the scope of the present invention is not limited thereto, and the scope of the present invention disclosed in the present invention should be subject to the scope of the claims.
Claims (6)
1. The utility model provides a liver transplantation patient remote monitoring care system which characterized in that: the system comprises a user server, a remote management end and data acquisition equipment, wherein the data acquisition equipment comprises a body temperature measuring device, a blood pressure measuring device and an electrocardiogram measuring device, the body temperature measuring device, the blood pressure measuring device and the electrocardiogram measuring device are respectively connected to the user server, and the user server is connected with the remote management end.
2. The liver transplantation patient remote monitoring care system of claim 1, wherein: the user service end comprises a data acquisition unit, a first central processing unit, a first camera and a first wireless data transmission unit, the body temperature measuring device, the blood pressure measuring device and the electrocardiogram measuring device are respectively connected with the data acquisition unit, the first camera and the data acquisition unit are respectively connected with the first central processing unit, the first central processing unit is connected with the first wireless data transmission unit, the remote management end comprises a second central processing unit, a second camera and a second wireless data transmission unit, the first wireless data transmission unit is connected with the second wireless data transmission unit, and the second camera and the second wireless data transmission unit are respectively connected with the second central processing unit.
3. The liver transplantation patient remote monitoring care system of claim 2, wherein: the data acquisition equipment also comprises an oximetry device, and the oximetry device is connected with the data acquisition unit.
4. The liver transplantation patient remote monitoring care system of claim 3, wherein: the body temperature measuring device is an electronic thermometer, the blood pressure measuring device is an arm type sphygmomanometer, the electrocardiogram measuring device is a 12-lead electrocardiogram monitor, and the blood oxygen measuring device is an oximeter.
5. The system for remote monitoring and care of a liver transplant patient according to any one of claims 1 to 4, wherein: the user server side is an intelligent robot, and the remote management side is a tablet, a mobile phone or a computer.
6. A monitoring nursing method for realizing the remote monitoring nursing system for liver transplantation patients according to claim 1, which is characterized in that: the method comprises the following steps:
1) loading a patient side module at a user service side, wherein the patient side module comprises a data acquisition module, a questionnaire survey module, a video inquiry module, a medicine management module and a system setting module; wherein:
the data acquisition module is responsible for acquiring, displaying, storing and uploading the physical sign data of the data acquisition module;
the questionnaire survey module is responsible for finishing the checking, filling and submitting of the questionnaire of the doctor;
the drug management module is responsible for receiving, reminding and checking the drugs;
the video inquiry module is responsible for interactive communication with a doctor through videos;
the system setting module is responsible for checking, receiving, displaying, storing and uploading examination reports of a hospital;
2) a doctor end module is loaded at a remote management end, and comprises a doctor-patient management module, a questionnaire module, a video module, a medicine information management module, a real-time monitoring module, a data analysis module, a system and a permission management module; wherein
The real-time monitoring module is responsible for monitoring the physical sign data of the patient in real time;
the doctor-patient management module is responsible for receiving and viewing hospital examination reports;
the data analysis module is responsible for inquiring and analyzing the patient sign data;
the questionnaire module is responsible for compiling questionnaires, issuing patients and checking feedback of the patients;
the video module is in interactive communication with the patient through videos;
the drug information management module edits and imports the drug information of the patient;
the system and the authority management module are responsible for authority management of the system.
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN111833979A (en) * | 2020-08-03 | 2020-10-27 | 深圳作为科技有限公司 | Old nursing robot management system with data integration analysis function |
Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN106625714A (en) * | 2017-01-17 | 2017-05-10 | 五邑大学 | Monitoring robot for the old physical health condition detection |
CN211432875U (en) * | 2020-01-07 | 2020-09-08 | 西安交通大学医学院第一附属医院 | Liver transplantation patient remote monitoring nursing system |
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Patent Citations (2)
Publication number | Priority date | Publication date | Assignee | Title |
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CN106625714A (en) * | 2017-01-17 | 2017-05-10 | 五邑大学 | Monitoring robot for the old physical health condition detection |
CN211432875U (en) * | 2020-01-07 | 2020-09-08 | 西安交通大学医学院第一附属医院 | Liver transplantation patient remote monitoring nursing system |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN111833979A (en) * | 2020-08-03 | 2020-10-27 | 深圳作为科技有限公司 | Old nursing robot management system with data integration analysis function |
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