CN101791214A - Community health-oriented portable monitoring system - Google Patents
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Abstract
The invention discloses a community health-oriented portable monitoring system. A physiological parameter monitor arranged on a home monitored target transmits data to a user computer through a serial port; the physiological parameter monitor transmits alarm information and individual physiological monitoring information of a patient to a community monitoring server and a preset individual mobile communication terminal through a wireless transmission GPRS/CDMA network; the user computer analyzes each obtained physiological parameter value of the monitored target, stores the physiological parameters in a database and displays all the physiological parameters in real time; and the community monitoring server is connected with a plurality of physiological parameter monitors through the network so as to remotely monitor a plurality of home monitored targets and perform correspondingly processing. The portable monitoring system of the invention can simultaneously monitor seven parameters of the patient in real time, is worn by the patient just as the patient wears a watch, uninterruptedly monitors the change of each parameter within 24 hours, communicates with the community monitoring server through the wireless network and completely feeds back the condition of the patient, and is light and comfortable.
Description
Technical field
The present invention relates to a kind of monitor system.Particularly relate to a kind of towards community medicine, have the multiple key physiological parameters commonly used of comprehensive analysis processing the Physiology and biochemistry signal ability and realize the portable monitoring system towards community medicine of the long-range transmission of these signals.
Background technology
Modern communication and development of computer have been brought new opportunity for the tele-medicine service, and tele-medicine can realize between individual and hospital, the remote transmission of the medical information between hospital and hospital is with monitoring, remote medical consultation with specialists, medical first aid, tele-medicine education and exchange or the like.Wherein, tele-medicine health supervision towards community is under the condition that is equipped with the advanced armarium that suits, community family and medical institutions are connected, realize that medical treatment enters family, in patients home, implement a kind of new tele-medicine pattern of monitoring, diagnosis, treatment, rehabilitation and health care many integration.
Raising along with people's living standard, the home health care that development can be taken care of oneself becomes and presses for, this will be very easy to vast patient, especially some special crowds, as handicapped disabled patient and the chronic old man of trouble, anemia of pregnant woman that need make regular check on and child need check the chronic of the state of an illness (as diabetes to hospital for a long time, the cardiac), away from ungetable patient of hospital or the like; Also can reduce the workload of hospital outpatient on the other hand effectively, make hospital outpatient can concentrate on severe crisis and difficult miscellaneous diseases, dispose and use limited medical resource effectively, also provide a family healthcare anywhere or anytime for the urgent urban human of rhythm of life tension time.Remote health monitoring medical treatment towards family is a kind of computer, electronic monitoring equipment and the Internet of utilizing, and user and hospital are closely linked, and realizes the Comprehensive Treatment mode of prevention and health care, monitoring, diagnosis, rehabilitation.It is to get in touch the most a kind of mode with the crowd during tele-medicine is used, and believes that it will become a kind of new must tending to of modern medical service mode.
What carry out the physiological parameter study on monitoring the earliest is that Nasa uses the long distance monitoring technology that too aerial spaceman is carried out the physiological parameter monitoring the seventies in 20th century.Present US military is being studied a kind of personal status monitor who uses for wartime, and (PSM PersonnelStatusMonitor), is used to guard wearer's breathing, body temperature, heart rate and other physiological parameter.But both of these case only is confined to the application of high hard-core technology and special circumstances, costs an arm and a leg, and can't satisfy popular demand.At present, for the physiological parameter Study of Monitoring certain achievement is arranged both at home and abroad, but also have certain limitation.As " protecting the mind " phone transmission heart monitoring system of the phone transmission ecg monitoring system of the SHAHAL medical services company of Israel, the systems such as Aerotel phone transmission electrocardiogram of TIE company, the neutral electronics corporation in domestic Zhuhai, the multiparameter telephone wire transmission monitor system of Xiamen University's development.For long real-time monitoring, its communication fee still can not satisfy popular needs well.The Caliber of the HeartFAX of the U.S., HeartMirror, HeartView series cardiac monitoring product, Sweden, Trigger, the Monitor system, the brain electricity remote measurement and the remote monitoring system of the electrocardio blood pressure monitoring net system of family of China Tsing-Hua University development, Fudan University's development, the parameter of monitoring is comparatively single, be confined to Electrocardiographic monitoring more, and can not monitor other (as blood oxygen saturation, body temperature, heart rate etc.) parameter commonly used simultaneously.
Summary of the invention
Technical problem to be solved by this invention is, a kind of real-time monitoring that can realize 7 kinds of physiological parameters simultaneously to patient is provided, allow patient's carry-on wearing as wearing a wrist watch, in 24 hours, uninterrupted variation of measuring each parameter of patient, and, react patient's situation by wireless network and community server communication comprehensively, and light comfortable, the portable monitoring system towards community medicine of Wristwatch type multiparameter.
The technical solution adopted in the present invention is: a kind of portable monitoring system towards community medicine includes: the physiological parameter monitor, and subscriber computer, community's monitoring server and personal mobile communication terminal, wherein,
The physiological parameter monitor is arranged on the multiple physiological parameter that the domestic monitoring object is used to detect guardianship on one's body, by serial ports transfer of data is arrived subscriber computer; When physical signs occurs when unusual, the physiological parameter monitor sends warning message and patient's individual physiological monitoring information on community's monitoring server and the personal mobile communication terminal that sets in advance by wireless transmission GPRS/CDMA network formats;
Subscriber computer obtains each physiologic parameter value of guardianship from the physiological parameter monitor, and carries out real-time analysis and data base's file and all demonstrations of physiological parameters, and the waveform that includes electrocardio, breathing, EEG signals shows;
Community's monitoring server is connected with a plurality of physiological parameter monitors by network, receive the warning message of physiological parameter monitor and the individual physiological monitoring information of guardianship, thereby realize long distance monitoring, and do corresponding processing a plurality of domestic monitoring objects;
Described physiological parameter monitor includes seven kinds of physical signs test sections and the informix processing section that links to each other with seven kinds of physical signs test sections.
Described seven kinds of physical signs test sections include first single-chip microcomputer, the temperature monitoring circuit that links to each other with first single-chip microcomputer, electrocardiogram Acquisition Circuit, electroencephalogram Acquisition Circuit, respiratory wave Acquisition Circuit, blood pressure air pump and vent valve control circuit, cuff pressure signal acquisition circuit, LED control circuit and blood oxygen saturation optical signal are controlled and testing circuit respectively, described first single-chip microcomputer links to each other with described informix processing section, and all physiological signals that collect are transferred to the informix processing section by the SPI interface.
Described informix processing section includes the second singlechip that receives the physiological signal that first single-chip microcomputer gathers, the monitoring control circuit that links to each other with second singlechip respectively, liquid crystal display, Flash memory element, external clock, be used for the RS-232 interface and the wireless communication module of communicating by letter with personal mobile communication terminal, described wireless communication module connects personal mobile communication terminal.
Content displayed includes on the described liquid crystal display: real-time body temperature, blood oxygen saturation, respiratory frequency, heart rate, diastolic pressure, systolic pressure, mean blood pressure and the current time of guardianship.
Content displayed includes on the described liquid crystal display: the every physiological parameter that shows name, sex, age, address, concise and to the point case history explanation, guardian or family members' telephone number and current and the historical monitoring of each guardianship in real time.
Portable monitoring system towards community medicine of the present invention, can monitor seven kinds of key physiological parameters indexs commonly used such as temperature pulse respiration, blood pressure, electrocardio, brain electricity, blood oxygen saturation, have the ability of these Physiology and biochemistry signals of comprehensive analysis processing and realize the long-range transmission of these signals.And the present invention can realize the real-time monitoring of above-mentioned 7 parameters simultaneously to patient, allows patient's carry-on wearing as wearing a wrist watch, in 24 hours, uninterruptedly measure the variation of each parameter, and by wireless network and community server communication, react patient's situation comprehensively, and light comfortable.
Description of drawings
Fig. 1 is an entire block diagram of the present invention;
Fig. 2 is seven physical signs test section composition frame charts of portable monitoring instrument of the present invention;
Fig. 3 is a portable monitoring instrument informix of the present invention processing section composition frame chart;
Fig. 4 is a monitor monitoring of the present invention interface sketch map;
Fig. 5 is a physiology of respiration index testing circuit schematic diagram;
Fig. 6 is a cardiac electrophysiology index testing circuit schematic diagram;
Fig. 7 is an Electroencephalo index testing circuit schematic diagram;
Fig. 8 is a blood oxygen physical signs testing circuit schematic diagram;
Fig. 9 is a blood pressure physical signs testing circuit schematic diagram.
Wherein
1: physiological parameter monitor 2: community's monitoring server
3: the doctor 4: guardianship
5: personal mobile communication terminal 6: subscriber computer
7: 8: the first single-chip microcomputers of patient relatives or guardian
9: temperature monitoring circuit 10: the electrocardiogram Acquisition Circuit
11: electroencephalogram Acquisition Circuit 12: the respiratory wave Acquisition Circuit
13: blood pressure air pump and vent valve control circuit 14: cuff pressure signal acquisition circuit
15:LED control circuit 16: control of blood oxygen saturation optical signal and testing circuit
17: second singlechip 18: the monitoring control circuit
19: liquid crystal display 20:Flash memory element
The specific embodiment
Below in conjunction with embodiment and accompanying drawing the portable monitoring system towards community medicine of the present invention is made a detailed description.
As shown in Figure 1, the portable monitoring system towards community medicine of the present invention includes: physiological parameter monitor 1, and subscriber computer 6, community's monitoring server 2 and personal mobile communication terminal 5, wherein,
Computer terminal software is to utilize the MSComm control (Mi-crosoftCommunicationsControl) of windows operating system bottom to take event driven mode to carry out and handle serial communication for obtaining of physiological parameter.When receiving, serial ports character is arranged (when promptly having measurement event to take place) in the buffer area, then these communication events will be caught and handle to the monitor event of MSComm control, and according to the agreement of monitor regulation, from the data that obtain, isolate the data bit of each parameter correspondence, thereby obtain each parameter value, and in computer, carry out real-time analysis and data base's file, realize on the spot demonstration and information interaction.
Community's monitoring server 2 is connected with a plurality of physiological parameter monitors 1 by network, receive the warning message of physiological parameter monitor 1 and the individual physiological monitoring information of guardianship 4, thereby realize long distance monitoring, and do corresponding processing a plurality of domestic monitoring objects 4;
The computer of community monitoring server 2 is in listening state at any time as server end, the connection request that real-time response user sends with read request, connect with it and do corresponding processing.Community's monitoring server end is connected with a plurality of domestic monitoring objects 4 by network, thereby realizes the long distance monitoring of a plurality of domestic monitoring objects 4.By agreement based on monitor regulation, ceaselessly send and read parameter request to physiological parameter monitor 1 (user side), read data according to the agreement that reads of each parameter correspondence.Operation monitoring software can exchange by interactive interface between the two on community's monitoring server 2 ends and the subscriber computer 6, thereby realizes interactive diagnosis.So just realized purpose to the monitoring of guardianship 4 end multiparameter real time remotes.
Described physiological parameter monitor 1 adopts the double mcu structure.Include seven kinds of physical signs test sections and the informix processing section that links to each other with seven kinds of physical signs test sections.
As shown in Figure 2, described seven kinds of physical signs test sections include first single-chip microcomputer 8, the model that adopts is MSP430FG439, the main data collection and analysis of realizing various physiological signals, physiological signal comprises temperature pulse respiration, blood pressure, electrocardio, brain electricity, seven kinds of physiological parameters of blood oxygen saturation.Embed simple physiological signal parser in the single-chip microcomputer 2, can calculate various common physiology monitored parameters.Seven kinds of physical signs test sections also include temperature monitoring circuit 9, electrocardiogram Acquisition Circuit 10, electroencephalogram Acquisition Circuit 11, respiratory wave Acquisition Circuit 12, blood pressure air pump and vent valve control circuit 13, cuff pressure signal acquisition circuit 14, LED control circuit 15 and the control of blood oxygen saturation optical signal and testing circuit 16 that links to each other with first single-chip microcomputer 8 respectively, described first single-chip microcomputer 8 links to each other with described informix processing section, and all physiological signals that collect are transferred to the informix processing section by the SPI interface.
As shown in Figure 3, described informix processing section includes the second singlechip 17 that receives the physiological signal that first single-chip microcomputer 8 gathered, the model MSP430F149 that is adopted, the main storage of monitoring data, the demonstration of physiological parameter, the derivation on the spot of data and the wireless data transmission at monitoring terminal and other intelligent cells or monitoring center of realizing.The informix processing section also includes the monitoring control circuit 18, liquid crystal display 19, Flash memory element 20, the external clock 21 that link to each other with second singlechip 17 respectively, be used for the RS-232 interface and the wireless communication module 23 of communicating by letter with personal mobile communication terminal 5, and described wireless communication module 23 connects personal mobile communication terminals 5.Second singlechip 17 is presented at liquid crystal display by the SPI interface with the monitoring information that receives, and can transfer of data be arrived subscriber computer by the RS232 serial ports.Simultaneously can also physiologic information be transferred to community medical service device and personal telecommunication terminal by wireless communication module.
As shown in Figure 4, described liquid crystal display 19 is mainly used in real-time body temperature, blood oxygen saturation, respiratory frequency, heart rate, diastolic pressure, systolic pressure, mean blood pressure and the current time that shows guardianship.Can also every physiological parameter of the name that shows each guardianship 4 in real time, sex, age, address, concise and to the point case history explanation, guardian or family members' telephone number and current and historical monitoring on the described liquid crystal display 19.
The upper and lower limit threshold value of every monitored parameters of all ages and classes, different guardianships can also be set on the described second singlechip 17.According to the age of guardianship, when monitoring parameter surmounts the scope of lower threshold value, whether the user can select to send the concrete early warning content of above-mentioned parameter simultaneously to community medicine center transmission information and whether to family members or guardian's early warning.
Be the respiratory wave Acquisition Circuit 12 that detects the physiology of respiration index as shown in Figure 5.Respiratory wave Acquisition Circuit 12 be root a tree name human body under exhaling, inhaling two states, the variation of the impedance in abdominal cavity design.The impedance signal that changes at first is loaded on the square wave of the 60KHz that vibration chip CD4047 produces, amplifying chip AD623 through high input impedance then amplifies signal, make it convert the bigger signal of telecommunication to, the detecting circuit of being made up of Schottky diode RB721 comes out the demodulation of respiratory wave signal again.The respiratory wave signal of this moment is fainter, and signal amplifies via common amplifier TL27L2, and on the stack reference voltage 1.25V, signal can detection signal for the MSP430 single-chip microcomputer.
Be the electrocardiogram Acquisition Circuit 10 that detects the cardiac electrophysiology index as shown in Figure 6.The amplitude range of electrocardiosignal is 50 μ V～50mV, and frequency range is 0.05Hz～100Hz.For faint electrocardiosignal, must carry out signal condition via amplifying circuit, accurately to carry out the AD conversion.Electrocardiogram Acquisition Circuit 10 is made up of three-stage amplifier.The first order adopts the amplification chip AD8221 of high input impedance, electrocardiosignal is amplified 100 times, the 50Hz trap circuit that constitutes via common operational amplifier TL27L2 then, avoid the interference of power frequency component, realize 2～3 times signal amplification simultaneously, enter back level amplifying circuit at last, amplification is adjustable at 10～50 times, electrocardiosignal via three grades of amplifications after, the voltage reference of 1.25V again superposes, to unipolar conversion, 12 analog-digital converters that can directly utilize the single-chip microcomputer MSP430 inside in the physiological parameter monitor 1 to carry carry out analog digital conversion to the realization electrocardiosignal from bipolarity.
Be the electroencephalogram Acquisition Circuit 11 that detects the Electroencephalo index as shown in Figure 7.The state of illness monitoring that the big circuit of brain tele-release of monitoring terminal is primarily aimed at epileptic patient designs, the amplitude of the EEG signals of different epileptics kind outbreaks has different characteristics with frequency, generally speaking, the EEG signals scope of epileptic patient is 100uV-100mV, and frequency range is 0.5～40Hz.The EEG signals conditioning is made up of three-stage amplifier.The first order adopts the amplification chip AD8221 of high input impedance, EEG signals is amplified 100 times, enter the double-T shaped 50Hz power frequency trap circuit that constitutes by TL27L2 then, realize 2 times voltage gain simultaneously, enter back level amplifying circuit at last, amplification is adjustable at 10～50 times.
Be blood pressure air pump and the vent valve control circuit 13 that detects blood oxygen physical signs as shown in Figure 8.Blood oxygen adopts the finger probe to detect, and the photoelectric detector of probe is a photocell, can produce to be proportional to the HONGGUANG that is transmitted to above it and the electric current of infrared light intensity, but it can not distinguish this two kinds of light.For this reason, control the luminous order of two LED (HONGGUANG and infrared light) with a timing circuit.Photo-signal is converted into voltage signal, and after amplification, filtering, signal base line level translation and going signal condition processes such as DC component, be added to one and have the voltage that automatic gain is adjusted function, then by integrating circuit to the signal code integration, its output converts digital signal to through A/D.Single-chip microcomputer carries out complicated processing to digital quantity, and for example digital filtering calculates the amplitude of two kinds of photosignals etc., and obtains SpO2, can also calculate pulse frequency from fluctuating signal.
Among Fig. 8, the J3 interface is connected with blood oxygen detecting sensor.The DAC pin mainly provides default voltage via the D/A converter module in the MSP430FG439 chip, thereby sets the light intensity of two LED (HONGGUANG and infrared light).P2.2, P2.3 are respectively the switch of two LED of control (HONGGUANG and infrared light), can start and stop LED.P6.0, P6.1, P6.2, P6.3, P6.4, P6.6 are the pin of the integrated operational amplifier in the MSP430FG439 chip, are used to realize the signal condition and the data acquisition of light intensity.
Figure 9 shows that the blood pressure air pump and vent valve control circuit 13 and the cuff pressure signal acquisition circuit 14 that are used to measure blood pressure, adopt blood pressure measurement oscillographic method commonly used in the medical monitoring.Mainly comprise and add piezoelectric pump, vent valve, wrist strap, pressure transducer, pressure signal conditioning, pressure signal collection and analysis.Adding piezoelectric pump, vent valve, wrist strap, pressure transducer all connects by the many siphunculus of rubber.Single-chip microcomputer pressurizes to wrist strap by pulse width modulation mode, after making the wrist strap internal pressure reach certain high pressure, begin evenly to exit by vent valve, reduce the wrist strap internal pressure, in this process, by signal condition and data acquisition, the change curve of the whole wrist strap internal pressure of complete documentation, and via this curve calculation diastolic pressure, systolic pressure and mean pressure.LM324 is the integrated chip that includes 4 operational amplifiers.Discern each amplifier according to relevant label, first operational amplifier is formed constant-current source and pressure transducer provides constant current, the 3rd operational amplifier is formed integrating circuit, the square wave dress that the single-chip microcomputer pin is sent changes sawtooth waveforms into, four-operational amplifier is formed voltage amplifier, the pressure signal that pick off is sent amplifies, second operational amplifier is arranged to comparator, the sawtooth waveforms that is produced by the 3rd operational amplifier compares the different square wave of output duty cycle with the pressure signal that four-operational amplifier amplifies, and essence is with sawtooth waveforms pressure signal to be sampled.Single-chip microcomputer promptly obtains wrist strap internal pressure value via the width of input capture pin measurement input pulse.
Claims (6)
1. the portable monitoring system towards community medicine is characterized in that, includes: physiological parameter monitor (1), and subscriber computer (6), community's monitoring server (2) and personal mobile communication terminal (5), wherein,
Physiological parameter monitor (1) is arranged on the multiple physiological parameter that domestic monitoring object (4) is used to detect guardianship (4) on one's body, by serial ports transfer of data is arrived subscriber computer (6); When physical signs occurs when unusual, physiological parameter monitor (1) is guarded server (2) and the personal mobile communication terminal (5) that sets in advance is gone up the individual physiological monitoring information that sends warning message and patient by wireless transmission GPRS/CDMA network formats to community;
Subscriber computer (6) obtains each physiologic parameter value of guardianship (4) from physiological parameter monitor (1), and carries out real-time analysis and data base's file and all demonstrations of physiological parameters, and the waveform that includes electrocardio, breathing, EEG signals shows;
Community's monitoring server (2) is connected with a plurality of physiological parameter monitors (1) by network, receive the warning message of physiological parameter monitor (1) and the individual physiological monitoring information of guardianship (4), thereby realize long distance monitoring, and do corresponding processing a plurality of domestic monitoring objects (4);
2. the portable monitoring system towards community medicine according to claim 1 is characterized in that, described physiological parameter monitor (1) includes seven kinds of physical signs test sections and the informix processing section that links to each other with seven kinds of physical signs test sections.
3. the portable monitoring system towards community medicine according to claim 2, it is characterized in that, described seven kinds of physical signs test sections include first single-chip microcomputer (8), the temperature monitoring circuit (9) that links to each other with first single-chip microcomputer (8) respectively, electrocardiogram Acquisition Circuit (10), electroencephalogram Acquisition Circuit (11), respiratory wave Acquisition Circuit (12), blood pressure air pump and vent valve control circuit (13), cuff pressure signal acquisition circuit (14), LED control circuit (15) and control of blood oxygen saturation optical signal and testing circuit (16), described first single-chip microcomputer (8) links to each other with described informix processing section, and all physiological signals that collect are transferred to the informix processing section by the SPI interface.
4. the portable monitoring system towards community medicine according to claim 3, it is characterized in that, described informix processing section includes the second singlechip (17) that receives the physiological signal that first single-chip microcomputer (8) gathered, the monitoring control circuit (18) that links to each other with second singlechip (17) respectively, liquid crystal display (19), Flash memory element (20), external clock (21), be used for the RS-232 interface and the wireless communication module (23) of communicating by letter with personal mobile communication terminal (5), described wireless communication module (23) connects personal mobile communication terminal (5).
5. the portable monitoring system towards community medicine according to claim 4, it is characterized in that, described liquid crystal display (19) is gone up content displayed and is included: the real-time body temperature of guardianship, blood oxygen saturation, respiratory frequency, heart rate, diastolic pressure, systolic pressure, mean blood pressure and current time.
6. the portable monitoring system towards community medicine according to claim 4, it is characterized in that described liquid crystal display (19) is gone up content displayed and included: the every physiological parameter that shows name, sex, age, address, concise and to the point case history explanation, guardian or family members' telephone number and current and the historical monitoring of each guardianship (4) in real time.
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