CN104188663A - Human physiological parameter acquisition effective value self-starting method and system - Google Patents

Human physiological parameter acquisition effective value self-starting method and system Download PDF

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CN104188663A
CN104188663A CN201410464294.3A CN201410464294A CN104188663A CN 104188663 A CN104188663 A CN 104188663A CN 201410464294 A CN201410464294 A CN 201410464294A CN 104188663 A CN104188663 A CN 104188663A
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value
threshold value
ripple
blood oxygen
pulse
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CN104188663B (en
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许云龙
韩旭
樊勇
刘晨亮
李冰
蔡康
宋晓锋
赵志方
张帆
徐超
孙丽花
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Kangtai Medical System (qinhuangdao) Ltd By Share Ltd
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Kangtai Medical System (qinhuangdao) Ltd By Share Ltd
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Abstract

The invention discloses a human physiological parameter acquisition effective value self-starting method and system. The method includes: connecting blood pressure, electrocardiogram and blood oxygen testers to a human body correctly, and starting to acquire human physiological parameter data in real time one by one; comparing the data to thresholds, if the data reach starting thresholds, transmitting acquired blood oxygen saturation values, blood pressure pulse waves, heart rate values, pulse rate values, electrocardiograms and blood pressure values reaching the thresholds and serving as effective values into an analysis system to be analyzed and outputting results. The system comprises a device which is connected with the blood pressure, electrocardiogram and blood oxygen testers connected to the human body and used for acquiring the human physiological parameters. By the method and the system, automatic turning-on is realized without intervention of specialist physicians, intelligent self-starting is realized, burden is reduced for medical staff, convenience is brought to patients, detection efficiency is improved, and diagnosis effect is improved as well.

Description

A kind of human body physiological parameter gathers virtual value self-start method and system thereof
Technical field
The present invention relates to field of medical, particularly a kind of human body physiological parameter gathers virtual value self-start method and system thereof, is that a kind of blood pressure, electrocardio and blood oxygen human body physiological parameter of relating to gathers virtual value self-start method and system thereof.
Background technology
The test of conventional use physical-examination machine, if at hospital, infirmary or MEC, doctor need to gather the Best Times of opening according to the different physiological feature situation judgement of each tester, and the mode of opening is manually opened with doctor's experience, be very the energy that expends medical worker, because of error in judgement, affect sometimes the efficiency of test.If test at home also needs specialist to start, cost is very high, if amateur doctor blindly starts, can cause image data inaccurate, and then affect diagnosis effect.
Summary of the invention
The object of the invention is to provide a kind of human body physiological parameter to gather virtual value self-start method and system thereof, by gathering the feature samples parameters such as blood oxygen, electrocardio, compares intelligent opening harvester with the predefined characteristic threshold value pattern of system; The mode of automatically opening does not only need specialist to interfere, and for medical worker reduces the heavy burdens, for patient facilitates, has improved the efficiency detecting, and has promoted the effect of diagnosis simultaneously yet.
To achieve these goals, the solution of the present invention is:
A kind of human body physiological parameter gathers virtual value self-start method, that a kind of blood pressure, electrocardio and blood oxygen human body physiological parameter of relating to gathers virtual value self-start method, comprise: blood pressure, electrocardio and blood oxygen testing equipment are correctly accessed to human body, start Real-time Collection human body physiological parameter data one by one; Data base has stored initial start threshold value and electrocardio ripple and the pulse wave time domain concordance threshold value of heart rate value and pulse frequency value, and described human body physiological parameter comprises oximetry value, blood oxygen pulse ripple, heart rate value, pulse frequency value, electrocardio ripple and pressure value; Wherein, the concrete steps of described method are:
The first step: whether heart rate value and pulse frequency value that judgement gathers have one to reach startup threshold value, if reach startup threshold value, continues to carry out second step, if do not reach startup threshold value, waits for;
Second step: using and reach startup threshold value time point as initial time initial point, the heart rate value of collection and pulse frequency value are stored as virtual value;
The 3rd step: adopt self study to determine electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value;
The 4th step: whether the baseline that the electrocardio ripple that judgement receives calculates reaches electrocardio ripple baseline threshold, and judge whether the blood oxygen pulse crest value receiving reaches blood oxygen pulse ripple degree of stability threshold value, if so, continue to carry out the 5th step, if not waiting for;
The 5th step: whether the electrocardio ripple that judgement receives simultaneously and the time domain of pulse wave reach concordance threshold value, if reached, start blood pressure data collection, continues to carry out the 6th step, if do not reached, waits for;
The 6th step: the oximetry value gathering after reaching threshold value, blood oxygen pulse ripple, heart rate value, pulse frequency value, electrocardio ripple and pressure value are sent into analytical system as virtual value and analyzed Output rusults.
Scheme is further: described blood oxygen pulse ripple degree of stability threshold value is that continuous acquisition at least 3 to 10% scope of the meansigma methods of 5 blood oxygen pulse crest values is defined as to blood oxygen pulse ripple degree of stability threshold value; Described electrocardio ripple baseline threshold is that 10% scope of baseline average that continuous acquisition at least 3 to 5 EGC waveform data are obtained by calculating is defined as electrocardio ripple baseline threshold.
Scheme is further: in gathered data center's value of rate and pulse frequency value, at one, reach and start after threshold value, judge whether another also reaches startup threshold value, if reach startup threshold value, continue to carry out second step, if do not reach startup threshold value, wait for.
Scheme is further: described method further comprises, is provided with a waiting time ultimate value in described data base, when described wait reaches the waiting time during ultimate value, enters the step of revising threshold value, comprising:
Export a warning mark, illustrate collected people's physiological parameter not within normal range; Signal does not reach the classification of threshold value;
If heart rate value and pulse frequency value do not reach threshold value: gathered heart rate value and pulse frequency value are averaged in a period of time, described meansigma methods is replaced to initial decision threshold, then return to the first step;
If electrocardio ripple baseline, blood oxygen pulse ripple degree of stability do not reach threshold value, and the time domain concordance of electrocardio ripple and pulse wave do not reach threshold value: proceed to artificial threshold value input, return to the 4th step.
Scheme is further: when restarting a people's physiological parameter while gathering, described startup threshold value is recovered initial value.
A kind of system that realizes the self-starting of human body physiological parameter collection virtual value, include one and be connected, gather the equipment of human body physiological parameter with blood pressure tester, electrocardiogram test instrument and the blood oxygen tester of access human body, the buffer that has storage Real-time Collection human body physiological parameter data in equipment, and the heart rate value and the pulse frequency value initial start threshold value memory that are useful on storage, an and memorizer of storing electrocardio ripple and pulse wave time domain concordance threshold value, it is characterized in that, described equipment further contains:
By gathered heart rate value and pulse frequency value and the startup threshold value comparator that starts threshold value and compare;
By starting threshold value comparator, trigger the memorizer starting heart rate value and pulse frequency value as virtual value storage;
The threshold value memory of storage electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value;
The threshold value comparator that the electrocardio ripple baseline that gathered electrocardio ripple is obtained as calculated and blood oxygen pulse crest value and electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value compare;
By threshold value comparator device, trigger startup and the electrocardio ripple of reception and pulse wave are carried out to the time domain comparison of coherence device of time domain comparison of coherence;
By time domain comparison of coherence device, trigger to start the memorizer using the electrocardio ripple receiving and blood oxygen pulse as virtual value storage;
By time domain comparison of coherence device, triggered the gauge tap of the blood pressure data collection starting;
The memorizer of storage blood pressure virtual value data;
An and conveyer that effective heart rate value, pulse frequency value, electrocardio ripple, blood oxygen pulse, blood pressure data in memorizer is sent to analytical system output analysis Output rusults.
The invention has the beneficial effects as follows:
1, the automatic open method of the present invention, does not only need professional doctor to interfere, and intelligent self-starting, for medical worker has alleviated burden, for patient provides convenience, has improved the efficiency detecting, and has also promoted the effect of diagnosis simultaneously;
2, the present invention adopts intelligent self-learning system, judge heart rate or pulse frequency whether effectively/when judgement electrocardio baseline or pulse wave degree of stability, the state that continues to exceed characteristic threshold value scope is set to a kind of pattern of system, sophisticated systems setting by self-studying mode;
3, system acquisition sample value, comparison data, open to gather and the most at last data store, print, be uploaded to Cloud Server, the design of accomplishing without any letup, has avoided artificial interference, intelligence also automatically to complete, and makes system more can be applicable to different occasions and crowd.
Below in conjunction with drawings and Examples, the present invention is described in detail.
Accompanying drawing explanation
Fig. 1 system structure schematic diagram of the present invention;
Fig. 2 present device internal logic is related to schematic diagram.
The specific embodiment
Embodiment 1:
A kind of human body physiological parameter gathers virtual value self-start method, that a kind of blood pressure, electrocardio and blood oxygen human body physiological parameter of relating to gathers virtual value self-start method, as shown in Figure 1, comprise: blood pressure, electrocardio and blood oxygen testing equipment are correctly accessed to human body, start Real-time Collection human body physiological parameter data one by one; First whether judgement access is correct:
1, judge whether the access of electrocardio testing equipment is correct: by the electrocardio ripple judgement gathering, led and whether come off, have while coming off, dropping-alarming leads, if without coming off, carry out Filtering Processing: the waveform gathering is carried out to power frequency filtering, myoelectricity filtering and baseline filtering; Calculate heart rate value, analyze ecg wave form; According to the electrocardio ripple gathering, search QRS wave group, whether lead in judgment part wears mistake, and according to waveform decision rule storehouse, whether lead in judgment part wears instead, if worn instead, leads to wear and misrepresents deliberately police.
2, judge whether effectively access of blood oxygen probe: according to blood oxygen volume ripple, judge that blood oxygen refers to whether folder comes off.
In a word, guarantee to be correctly to access human body by blood pressure, electrocardio and blood oxygen testing equipment.Data base has stored initial start threshold value and electrocardio ripple and the pulse wave time domain concordance threshold value of heart rate value and pulse frequency value, and described human body physiological parameter comprises oximetry value, blood oxygen pulse ripple, heart rate value, pulse frequency value, electrocardio ripple and pressure value; Wherein, the concrete steps of described method are:
The first step: whether heart rate value and pulse frequency value that judgement gathers have one to reach startup threshold value, if reach startup threshold value, continues to carry out second step, if do not reach startup threshold value, waits for;
Second step: using and reach startup threshold value time point as initial time initial point, the heart rate value of collection and pulse frequency value are stored as virtual value;
The 3rd step: adopt self study to determine electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value;
The 4th step: whether the baseline that the electrocardio ripple that judgement receives calculates reaches electrocardio ripple baseline threshold, and judge whether the blood oxygen pulse crest value receiving reaches blood oxygen pulse ripple degree of stability threshold value, if so, continue to carry out the 5th step, if not waiting for;
The 5th step: whether the electrocardio ripple that judgement receives simultaneously and the time domain of pulse wave reach concordance threshold value, if reached, start blood pressure data collection, continues to carry out the 6th step, if do not reached, waits for;
The 6th step: the oximetry value gathering after reaching threshold value, blood oxygen pulse ripple, heart rate value, pulse frequency value, electrocardio ripple and pressure value are sent into analytical system as virtual value and analyzed Output rusults.
Heart rate value described in embodiment and pulse frequency value initial threshold are value ranges, are the values arranging according to normal pulse rate, conventionally 60 to 100 times/per minute.
Electrocardio ripple described in embodiment and pulse wave time domain concordance threshold value, refer to the degree value of summit and the pulse wave summit time difference in time domain of electrocardio ripple QRS ripple, because individual variation and blood vessel state are different, the poor formula of variance of how much normally passing through of the pulse wave of finger tip and QRS vertex position obtain,
Wherein ;
In formula:
: variance;
N: the total quantity of obtaining waveform;
: the time difference at the bottom of first heart between the summit of ripple QRS ripple and the summit of the first blood oxygen pulse ripple;
: the meansigma methods of all time differences.
The process of calculating is: obtain first respectively the summit of N electrocardio ripple QRS ripple and the summit of blood oxygen pulse ripple; Calculate respectively summit and the pulse wave summit time difference in time domain of adjacent electrocardio ripple QRS ripple ; Then by formula, calculate variance .
Wherein value has represented electrocardio ripple and the conforming degree of pulse wave time domain, as its value of normal condition, is normally less than 100(ms*ms), therefore can be by threshold setting 0 to 99.
Above-described embodiment has illustrated as first threshold: heart rate, the judgement of pulse frequency effectiveness; As the second threshold, be: the judgement of electrocardio ripple baseline, blood oxygen pulse ripple stability; As the 3rd threshold, be: electrocardio ripple and the judgement of blood oxygen pulse ripple time domain concordance.
Determine that electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value are a kind of processes of self study, therefore, described blood oxygen pulse ripple degree of stability threshold value is that continuous acquisition at least 3 to 10% scope of the meansigma methods of 5 blood oxygen pulse crest values is defined as to blood oxygen pulse ripple degree of stability threshold value; Described electrocardio ripple baseline threshold is that 10% scope of baseline average that continuous acquisition at least 3 to 5 EGC waveform data are obtained by calculating is defined as electrocardio ripple baseline threshold.Certainly the process gathering also includes the process of filtering.
In embodiment, judge pulse wave whether stable (analyzing blood oxygen volume ripple), can also be: intercept two sections of pulse waves, carry out autocorrelation calculation, according to the threshold value of correlation and setting, compare, if meet threshold range, blood oxygen pulse ripple tends towards stability, and " autocorrelation calculation " is wherein mathematical tool conventional in signal processing, time series analysis, has reflected that same sequence is in the degree of correlation between value in the same time not.
In embodiment: described method further comprises, reaches and starts after threshold value at one in gathered data center's value of rate and pulse frequency value, judges whether another also reaches startup threshold value, if reach startup threshold value, continue to carry out second step, if do not reach startup threshold value, wait for.
In embodiment: described method further comprises, is provided with a waiting time ultimate value in described data base, when described wait reaches the waiting time during ultimate value, enter the step of revising threshold value, comprising:
Export a warning mark, illustrate collected people's physiological parameter not within normal range; Signal does not reach the classification of threshold value;
If heart rate value and pulse frequency value do not reach threshold value: gathered heart rate value and pulse frequency value are averaged in a period of time, described meansigma methods is replaced to initial decision threshold, then return to the first step;
If electrocardio ripple baseline, blood oxygen pulse ripple degree of stability do not reach threshold value, and the time domain concordance of electrocardio ripple and pulse wave do not reach threshold value: proceed to artificial threshold value input, return to the 4th step.
In embodiment: when restarting a people's physiological parameter collection, described startup threshold value is recovered initial value.
Embodiment 2:
Realize the system that human body physiological parameter described in embodiment 1 gathers virtual value self-start method for one, as depicted in figs. 1 and 2, include one with access human body 1 blood pressure tester 2, electrocardiogram test instrument 3 and blood oxygen tester 4 connect, gather the equipment 5 of human body physiological parameter, a human body comprehensive parameter check-up equipment for example, the buffer 5-1 that has storage Real-time Collection human body physiological parameter data in equipment, and the heart rate value and pulse frequency value initial start threshold value memory 5-2 and the 5-3 that are useful on storage, an and memorizer 5-4 who stores electrocardio ripple and pulse wave time domain concordance threshold value, wherein, described equipment further contains:
By gathered heart rate value and pulse frequency value and the startup threshold value comparator 5-5 and the 5-6 that start threshold value and compare;
By starting threshold value comparator, trigger memorizer 5-7 and the 5-8 starting heart rate value and pulse frequency value as virtual value storage;
Threshold value memory 5-9 and the 5-10 of storage electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value;
Threshold value comparator 5-11 and 5-12 that the electrocardio ripple baseline that gathered electrocardio ripple is obtained as calculated and blood oxygen pulse crest value and electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value compare;
By threshold value comparator device, trigger startup and the electrocardio ripple of reception and pulse wave are carried out to the time domain comparison of coherence device 5-13 of time domain comparison of coherence;
By time domain comparison of coherence device, trigger to start the memorizer 5-14 using the electrocardio ripple receiving and blood oxygen pulse as virtual value storage;
A gauge tap 5-15 that the blood pressure data that is triggered to start by time domain comparison of coherence device gathers, for example start to start the trigger switch of test blood pressure, because the test of blood pressure needs a process: open baroswitch pressurization, after reaching pressure, close the valve of supplying gas, open venting valve venting etc.
The memorizer 5-16 of storage blood pressure virtual value data;
An and conveyer 5-17 who effective heart rate value, pulse frequency value, electrocardio ripple, blood oxygen pulse, blood pressure data in memorizer is sent to analytical system output analysis Output rusults.
Equipment in embodiment is actually the server or the computer that are connected with blood pressure tester 2, electrocardiogram test instrument 3 and blood oxygen tester 4.Wherein be provided with control module, described comparator, memorizer and gauge tap are separately positioned on electrocardio, blood oxygen acquisition module, analyze among judge module, wherein:
Electrocardio, blood oxygen acquisition module: be respectively used to gather oximetry value, blood oxygen pulse ripple, heart rate value, electrocardio ripple, and by heart rate value, electrocardio ripple, oximetry value, blood oxygen pulse ripple, as eigenvalue, carry out subsequent analysis.
Analyze judge module: comprising:
1, control module: for the control of whole system.
2, heart rate, pulse frequency effectiveness judge module: whether effective for judging heart rate, pulse frequency sample value;
3, stability of waveform analysis module: whether stable for analyzing electrocardio ripple, blood oxygen pulse ripple;
4, comparing module: for comparing the eigenvalue of harvester collection and the characteristic threshold value of systemic presupposition.
5, intelligent self-learning module: judge heart rate or pulse frequency whether effectively/when judgement electrocardio baseline or pulse wave degree of stability, the state that continues to exceed characteristic threshold value scope is set to a kind of pattern of system, sophisticated systems setting by self-studying mode;
6, systematic sample combination arranges module: the different options of the different samples of design system, is combined to form the characteristic threshold value pattern presetting needing;
7, intelligent opening, closing module: for the needed harvester of opening and closing system;
8, autostore, printing and upper transmission module: for by the data backup memory of collection, printed report or be uploaded to cloud service end.
The present embodiment automatic opening system, does not only need professional doctor to interfere, and intelligent self-starting, for medical worker has alleviated burden, for patient provides convenience, has improved the efficiency detecting, and has also promoted the effect of diagnosis simultaneously; System acquisition sample value, comparison data, open to gather and the most at last data store, print, be uploaded to Cloud Server, the design of accomplishing without any letup, has avoided artificial interference, intelligence also automatically to complete, and makes system more can be applicable to different occasions and crowd.

Claims (6)

1. a human body physiological parameter gathers virtual value self-start method, that a kind of blood pressure, electrocardio and blood oxygen human body physiological parameter gather virtual value self-start method, comprise: blood pressure, electrocardio and blood oxygen testing equipment are correctly accessed to human body, start Real-time Collection human body physiological parameter data one by one; Data base has stored initial start threshold value and electrocardio ripple and the pulse wave time domain concordance threshold value of heart rate value and pulse frequency value, and described human body physiological parameter comprises oximetry value, blood oxygen pulse ripple, heart rate value, pulse frequency value, electrocardio ripple and pressure value; It is characterized in that, the concrete steps of described method are:
The first step: whether heart rate value and pulse frequency value that judgement gathers have one to reach startup threshold value, if reach startup threshold value, continues to carry out second step, if do not reach startup threshold value, waits for;
Second step: using and reach startup threshold value time point as initial time initial point, the heart rate value of collection and pulse frequency value are stored as virtual value;
The 3rd step: adopt self study to determine electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value;
The 4th step: whether the baseline that the electrocardio ripple that judgement receives calculates reaches electrocardio ripple baseline threshold, and judge whether the blood oxygen pulse crest value receiving reaches blood oxygen pulse ripple degree of stability threshold value, if so, continue to carry out the 5th step, if not waiting for;
The 5th step: whether the electrocardio ripple that judgement receives simultaneously and the time domain of pulse wave reach concordance threshold value, if reached, start blood pressure data collection, continues to carry out the 6th step, if do not reached, waits for;
The 6th step: the oximetry value gathering after reaching threshold value, blood oxygen pulse ripple, heart rate value, pulse frequency value, electrocardio ripple and pressure value are sent into analytical system as virtual value and analyzed Output rusults.
2. method according to claim 1, is characterized in that, described blood oxygen pulse ripple degree of stability threshold value be by continuous acquisition at least 3 to the meansigma methods of 5 blood oxygen pulse crest values ± 10% scope is defined as blood oxygen pulse ripple degree of stability threshold value; Described electrocardio ripple baseline threshold is that baseline average that continuous acquisition at least 3 to 5 EGC waveform data are obtained by calculating ± 10% scope is defined as electrocardio ripple baseline threshold.
3. method according to claim 1, is characterized in that, in gathered data center's value of rate and pulse frequency value, at one, reaches and starts after threshold value, judge whether another also reaches startup threshold value, if reach startup threshold value, continue to carry out second step, if do not reach startup threshold value, wait for.
4. according to the method described in claim 1 or 2 or 3, it is characterized in that, described method further comprises, is provided with a waiting time ultimate value in described data base, when described wait reaches the waiting time during ultimate value, enters the step of revising threshold value, comprising:
Export a warning mark, illustrate collected people's physiological parameter not within normal range; Signal does not reach the classification of threshold value;
If heart rate value and pulse frequency value do not reach threshold value: gathered heart rate value and pulse frequency value are averaged in a period of time, described meansigma methods is replaced to initial decision threshold, then return to the first step;
If electrocardio ripple baseline, blood oxygen pulse ripple degree of stability do not reach threshold value, and the time domain concordance of electrocardio ripple and pulse wave do not reach threshold value: proceed to artificial threshold value input, return to the 4th step.
5. method according to claim 1, is characterized in that, described method further comprises: when restarting a people's physiological parameter collection, described startup threshold value is recovered initial value.
6. realize the system that human body physiological parameter gathers virtual value self-starting for one kind, include one and be connected, gather the equipment of human body physiological parameter with blood pressure tester, electrocardiogram test instrument and the blood oxygen tester of access human body, the buffer that has storage Real-time Collection human body physiological parameter data in equipment, and the heart rate value and the pulse frequency value initial start threshold value memory that are useful on storage, an and memorizer of storing electrocardio ripple and pulse wave time domain concordance threshold value, it is characterized in that, described equipment further contains:
By gathered heart rate value and pulse frequency value and the startup threshold value comparator that starts threshold value and compare;
By starting threshold value comparator, trigger the memorizer starting heart rate value and pulse frequency value as virtual value storage;
The threshold value memory of storage electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value;
The threshold value comparator that the electrocardio ripple baseline that gathered electrocardio ripple is obtained as calculated and blood oxygen pulse crest value and electrocardio ripple baseline threshold, blood oxygen pulse ripple degree of stability threshold value compare;
By threshold value comparator device, trigger startup and the electrocardio ripple of reception and pulse wave are carried out to the time domain comparison of coherence device of time domain comparison of coherence;
By time domain comparison of coherence device, trigger to start the memorizer using the electrocardio ripple receiving and blood oxygen pulse as virtual value storage;
By time domain comparison of coherence device, triggered the gauge tap of the blood pressure data collection starting;
The memorizer of storage blood pressure virtual value data;
An and conveyer that effective heart rate value, pulse frequency value, electrocardio ripple, blood oxygen pulse, blood pressure data in memorizer is sent to analytical system output analysis Output rusults.
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