A kind of chronic stable DHF athletic rehabilitation monitor treatment system
Technical field
The present invention relates to technology of Internet of things, specifically, is a kind of chronic stable DHF athletic rehabilitation monitor treatment system, realizes the athletic rehabilitation treatment of chronic stable heart failure patient by wireless relay network.
Background technology
(the Chronic heart failure of chronic heart failure in the world, CHF) athletic rehabilitation starts from 19 century 70 ends, have a certain amount of evidence-based medical, prove its safety and effectiveness, sure effectiveness is: athletic rehabilitation can reduce CHF mortality, reduces repeated hospitalization number of times, improves patient moving endurance, improve patients ' life quality, rationally control medical treatment cost.So far, CHF athletic rehabilitation has obtained the recommendation of professional association in the world, the sick association's cardiac rehabilitation of heart of Europe in 2005 and physiology of exercise working group and the rehabilitation of the subordinate of American Heart Association athletic heart and the suggestion of prevention branch, athletic rehabilitation is the effective secondary prevention measure of CHF patient, and motion exercise should be applied to stable heart failure patient as a part for cardiac rehabilitation.ACC/AHA(ACC/American Heart Association in 2009) adult diagnosis of chronic congestive heart failure and treatment guide the recommendation evidence of chronic stable heart failure patient athletic rehabilitation is classified as to IB grade.According to China to 35~74 years old urban and rural residents totally 15518 people's random sampling show, heart failure prevalence is 0.9%, patients with heart failure is about 4,000,000, wherein male is 0.7%, women is 1.0%, along with the age increases, be year by year at present increase situation, in CHF patient, there are 5 annual survival rates and the malignant tumor of clinical symptoms similar.
But, China CHF patient moving rehabilitation is at present also in developmental stage, only carry out in minority area, do not obtain the attention of most of areas and hospital, thereby CHF patient can not get the athletic rehabilitation guidance of specification, thereby morbidity, repeated hospitalization, increase medical burden repeatedly, even imappropriate motion causes the adverse events such as sudden death.Its main cause is for the monitoring system of athletic rehabilitation treatment perfect not enough, and doctor cannot grasp patient's athletic rehabilitation situation in real time.
Summary of the invention
In order to overcome above-mentioned defect, the invention provides a kind of chronic stable DHF athletic rehabilitation monitor treatment system, this system is based on wireless relay network, assessment apparatus, physiological parameter checkout equipment and sports equipment and remote server are merged, realize patient moving rehabilitation monitor treatment, reduce patient's sickness rate repeatedly and admission rate, thereby promote therapeutic effect.
In order to achieve the above object, concrete technical scheme of the present invention is as follows:
A kind of chronic stable DHF athletic rehabilitation monitor treatment system, its key is: comprise assessment apparatus, physiological parameter checkout equipment and at least one sports equipment, controller for gathering kinematic parameter is installed on described sports equipment, described assessment apparatus is used for carrying out cardiopulmonary exercise test, the parameter of this assessment apparatus output comprises peak value oxygen uptake, anaerobic threshold, maximum heart rate, blood pressure, pulmonary ventilation index and respiratory exchange rate, described physiological parameter checkout equipment is for detection of electrocardiosignal, blood oxygen signal, blood pressure signal and breath signal, described sports equipment is used for realizing exercise rehabilitation training, wherein, assessment apparatus, physiological parameter checkout equipment and sports equipment all upload to detected parameters separately on remote server by wireless relay network, on described wireless relay network, be also connected with evaluator and Web server, described remote server carries out rehabilitation information management and identification by evaluator, described Web server is used for realizing doctor's remote diagnosis, operation and monitoring.
Based on said system, design can be found, patient being implemented before athletic rehabilitation treatment, first utilize assessment apparatus to carry out cardiopulmonary exercise test (Cardiopulmonary exercise test, CPET), its integrated application breathing gas monitoring technology, computer technology and treadmill/treadmill technology, by detecting under different load condition, the dynamic change of patient's body oxygen consumption and carbon dioxide output, objective quantitative patient's Reserved cardiac function and exercise tolerance.For chronic stable heart failure patient, CPET can be used for judging the order of severity and the therapeutic effect of heart failure, and whether assessment needs heart transplantation, carries out exercise tolerance test etc.
Assessment apparatus uploads to the parameters such as the peak value oxygen uptake evaluating, anaerobic threshold, maximum heart rate, blood pressure, pulmonary ventilation index and respiratory exchange rate in remote server, the assessment result that doctor is logged in remote server and can be checked each patient by Web server, formulate exercise prescription according to corresponding evaluate parameter, the exercise prescription here comprises type of exercise, exercise intensity, movement time and frequency, wherein exercise intensity is the important content of formulating exercise prescription, is directly connected to safety and the effect of rehabilitation.
In remote server, be also provided with scheduler module, logic processing module and data base, data base is mainly used in managing user information, comprise patient information management and debarkation authentication, scheduler module is for realizing scheduling and the management of sports equipment, and logical process is for just monitoring index of real-time judge patient.
When needs of patients treatment, first carry out identification by evaluator, conventionally, described evaluator is RFID radio-frequency (RF) tag evaluator.On every sports equipment, dispose physiological parameter checkout equipment and kinematic parameter checkout equipment, when patient moving treatment, various physiological parameters and kinematic parameter can be transferred in remote server, are convenient to real-time monitoring.
As further describing, in described physiological parameter checkout equipment, be provided with ECG signal sampling module, blood oxygen signal detection module, blood pressure signal detection module and breath signal detection module, described ECG signal sampling module, blood oxygen signal detection module and blood pressure signal detection module are sent to the data of detection in microprocessor by AD modular converter respectively, this microprocessor also obtains by circuits for triggering the breath signal that described breath signal detection module is uploaded, this microprocessor accesses described wireless relay network by wireless communication module, on this microprocessor, be also provided with human-computer interaction module.
Further describe again, described sports equipment comprises treadmill, exercycle, rowing machine, on every sports equipment, microcontroller is installed, on described microcontroller, be connected with wireless communication module, clock module, human-computer interaction module and sensor assembly, wherein the sensor assembly on treadmill is speed probe and angular transducer, exercycle upper sensor module is speed probe, and the sensor assembly on rowing machine is displacement transducer and pressure switch.
Speed probe on treadmill and angular transducer can gather patient's the speed of running and intensity, speed probe on exercycle can gather rotating speed, the displacement transducer of rowing machine and pressure switch can be obtained displacement and pressure, by above-mentioned various parameters, can effectively judge whether patient reaches treatment required quantity of motion and exercise intensity, thereby ensure therapeutic effect.
Remarkable result of the present invention is: system synthesis has been utilized wireless relay network, by assessment apparatus, physiological parameter checkout equipment and sports equipment are organic to combine together, by assessment apparatus, patient body situation is assessed, doctor can provide treatment suggestion according to assessment result, provide exercise prescription, patient can carry out athletic rehabilitation treatment according to doctor's exercise prescription, the parameter detecting circuit carrying by physiological parameter checkout equipment and sports equipment can be grasped treatment situation in real time, realize patient moving rehabilitation monitor treatment, reduce patient's sickness rate repeatedly and admission rate.
Brief description of the drawings
Fig. 1 is system principle diagram of the present invention;
Fig. 2 is the schematic block circuit diagram of physiological parameter checkout equipment;
Fig. 3 is the schematic block circuit diagram of treadmill parameter testing circuit;
Fig. 4 is the schematic block circuit diagram of exercycle parameter testing circuit;
Fig. 5 is the schematic block circuit diagram of rowing machine parameter testing circuit.
Detailed description of the invention
Below in conjunction with accompanying drawing, the specific embodiment of the present invention and operation principle are described in further detail.
As shown in Figure 1, a kind of chronic stable DHF athletic rehabilitation monitor treatment system, comprise assessment apparatus, physiological parameter checkout equipment and at least one sports equipment, the sports equipment here comprises treadmill, exercycle, rowing machine etc., controller for gathering kinematic parameter is installed on described sports equipment, described assessment apparatus is used for carrying out cardiopulmonary exercise test, the parameter of this assessment apparatus output comprises peak value oxygen uptake, anaerobic threshold, maximum heart rate, blood pressure, pulmonary ventilation index and respiratory exchange rate, described physiological parameter checkout equipment is for detection of electrocardiosignal, blood oxygen signal, blood pressure signal and breath signal, described sports equipment is used for realizing exercise rehabilitation training, wherein, assessment apparatus, physiological parameter checkout equipment and sports equipment all upload to detected parameters separately on remote server by wireless relay network, on described wireless relay network, be also connected with evaluator and Web server, the evaluator is here generally RFID radio-frequency (RF) tag evaluator, remote server carries out rehabilitation information management and identification by evaluator, described Web server is used for realizing doctor's remote diagnosis, operation and monitoring.
As shown in Figure 2, in described physiological parameter checkout equipment, be provided with ECG signal sampling module, blood oxygen signal detection module, blood pressure signal detection module and breath signal detection module, described ECG signal sampling module, blood oxygen signal detection module and blood pressure signal detection module are sent to the data of detection in microprocessor by AD modular converter respectively, this microprocessor also obtains by circuits for triggering the breath signal that described breath signal detection module is uploaded, this microprocessor accesses described wireless relay network by wireless communication module, on this microprocessor, be also provided with human-computer interaction module.
Athletic rehabilitation personnel pass to individual identity information in microprocessor by man-machine Switching Module, ECG signal sampling module adopts three modes of leading to gather electrocardiosignal, blood oxygen signal detection module adopts digital photoelectric mode to gather blood oxygen signal, blood pressure signal detection module adopts oscillographic method to measure patient's blood pressure signal, breath signal detection module adopts impedance method to measure breath signal, in patient moving rehabilitation process, can grasp in real time patient's rehabilitation situation by physiological parameter checkout equipment, avoid because the improper initiation sudden death of motion event.
As shown in Figure 3-Figure 5, described sports equipment comprises treadmill, exercycle, rowing machine, on every sports equipment, microcontroller is installed, on described microcontroller, be connected with wireless communication module, clock module, human-computer interaction module and sensor assembly, wherein the sensor assembly on treadmill is speed probe and angular transducer, exercycle upper sensor module is speed probe, and the sensor assembly on rowing machine is displacement transducer and pressure switch.
As can be seen from Figure 3, utilize speed probe and angular transducer can detect the kinematic parameter of treadmill, wherein speed probe adopts Hall element, add Magnet by decile on the rotary body of treadmill, speed probe is just fixed Magnet, in the time that patient runs on treadmill, rotary body rotates, when Hall element and Magnet overlap, induction output pulse signal, rotating speed is faster, is also that frequency output is higher, and microcontroller can be measured rotating speed by the pulse signal frequency that reads speed probe.Angular transducer is the angle of inclination for recording treadmill rotor, the exercise intensity that different angles can be corresponding different.
As can be seen from Figure 4, exercycle utilizes speed probe to record vehicle rotating speed, and its operation principle is identical with treadmill.
As can be seen from Figure 5, rowing machine is measured kinematic parameter by pressure switch and displacement transducer, pressure switch operation principle is when system internal pressure is during higher or lower than specified safe pressure, in switch, video disc is instantaneous is moved, be switched on or switched off by connecting guide rod pull switch joint, when Pressure Drop to or while rising specified recovery value, video disc wink resets, switch automatically resets, and controls by the object of measuring pressure thereby reach.
And displacement transducer operation principle is: produce an initial pulse by electronic circuit in electronics storehouse when work, when this initial pulse transmits in waveguide filament, produced simultaneously one along waveguide filament side progressive rotating excitation field, in the time that the permanent-magnetic field in this magnetic field and magnet ring or ball float meets, produce magnetostrictive effect, waveguide filament is twisted, this twisting is installed in the Shi Neng mechanism institute's perception in electronics storehouse and converts corresponding current impulse to, calculate two time differences between pulse by electronic circuit, can accurately measure displacement.
The control circuit of various sports equipments uploads to remote service center by the parameter of detection by communication module, is convenient to that system management and doctor are long-range to be checked, grasps in real time patient's rehabilitation situation.
By configuring this system, chronic stable heart failure patient, in the time carrying out athletic rehabilitation treatment, can obtain effective monitoring, reduces patient's sickness rate repeatedly and admission rate, has promoted athletic rehabilitation therapeutic effect.