A kind of self-service atrial fibrillation detection method based on health monitoring bracelet
Technical field
The present invention relates to field of bioelectricity signal detection, be specifically related to a kind of self-service atrial fibrillation detection method based on health monitoring bracelet.
Background technology
Atrial fibrillation is called for short atrial fibrillation, is one of modal arrhythmia.It almost sees all organic heart diseasies, also can occur at noncontractual customer relationship.Once generation atrial fibrillation, serious threat health.Common harm has: 1. thrombosis and thromboembolism: during atrial fibrillation, the systolic and diastolic function of normal rule is lost in atrium, blood is easily retarded by silt and forms thrombosis in atrium, thrombus breaks loose can along with blood to whole body everywhere, cause cerebral embolism (apoplexy, hemiplegia), limb artery embolization (severe patient even needs amputation) etc.The atrial fibrillation patient being less than 60 years old without Other diseases, age, the Annual occurence rate of apoplexy is about 1%, and the patient more than 60-75 year, the Annual occurence rate of apoplexy is 2%.If with other thromboembolism high risk factor, then the Annual occurence rate of apoplexy can reach 4%.The high risk factor of patients with atrial fibrillation apoplexy comprises had thromboembolism medical history, hypertension, diabetes, coronary heart disease, heart failure, Left atrium enlargement, age more than 65 years old in the past.2. the fast and irregular patient of making of the rhythm and pace of moving things of heart rate feels cardiopalmus.3. Atrial systolic function forfeiture and long-term increased heart rate can cause heart failure.4. mortality rate (being 2 times of normal person) is increased.With age, the incidence rate of atrial fibrillation constantly increases, and by 70 years old, nearly the people of 10% atrial fibrillation can occur, and brought up to 20% by 80 years old.Patients with atrial fibrillation death risk is comparatively high 1.5 ~ 1.9 times without atrial fibrillation person.Serious atrial fibrillation needs timely diagnosis and treatment when occurring, otherwise may threat to life.
At present, owing to can not find the Validity Test method of state change and the therapeutic effect following the tracks of atrial fibrillation, the improvement of atrial fibrillation is all based on clinical trial-and-error method substantially, causes the decline of therapeutic efficiency.Current electrocardio (electrocardiogram, ECG) signal is all collected by body surface, and the signal that this collects is the composite signal of ventricular electrical signal, the atrium signal of telecommunication and other signals of telecommunication.Although have now the method adopting atrial signal to be separated with ventricular cardiac signal to detect atrial fibrillation, because noise signal may flood faint atrial fibrillation characteristic wave-f ripple, so can cause flase drop, accuracy is not high.And reading electrocardiogram and judging according to the change of waveform is a very complicated process, usually Electrocardiographic interpretation mistake can be there is due to the deficiency of doctor's qualification and experience.
Chinese patent mandate publication number: CN101785669A, authorizes publication date on July 28th, 2010, discloses a kind of electrocardiograph signal detection method, comprise the steps: signal extraction step, extract electrocardiosignal and the acoustical signal of measured simultaneously; ECG signal sampling step, process described electrocardiosignal, to obtain electrocardiosignal characteristic parameter, and establishing criteria limit value judges described electrocardiosignal characteristic parameter whether within the scope of standard limited value, if within the scope of described standard limited value, then terminate described ECG signal sampling, if not within the scope of described standard limited value, then enter acoustical signal detecting step; And acoustical signal detecting step, process described acoustical signal, and judge that whether described acoustical signal is abnormal, if normal, then determine that described electrocardiosignal characteristic parameter is not within the scope of standard limited value, if abnormal, then the result of described electrocardiosignal characteristic parameter not within the scope of described standard limited value is undetermined.Weak point is, this invention function singleness, can not be used for extracting atrial fibrillation feature.
Chinese patent application publication No.: CN102805620A, at 2012 Shen Qing Publication day December 5 days, disclose a kind of atrial fibrillation detection method and device, comprise the steps: the RR interval series obtaining electrocardiosignal in a period of time; Pretreatment is carried out to described RR interval series; Pretreated RR interval series is normalized; Calculate the variance of the RR interval series after normalized; Gained variance is compared with threshold value, if gained variance is greater than described threshold value, judges, in described a period of time, atrial fibrillation occurs.This atrial fibrillation detection method, by the variance ratio after pretreatment and normalization comparatively, judges whether atrial fibrillation occurs.Weak point is, this invention is harsh to hardware requirement, and need special design, cost is high, complicated operation, does not have a versatility.
China Patent Publication No.: CN101596107A, publication date December in 2009 9 days, disclose a kind of utilize mobile terminal to realize heart rate detection method and mobile terminal, method comprises the steps: to gather pulse signal, the microphone of mobile terminal is placed on detection site, utilize microphone to respond to human pulse beat and send analog electrical signal according to this beat pulse, whether the collection detecting pulse signal is normal and send index signal; Pulse signal is processed and obtains pulse rate data, pulse rate data is processed.Weak point is, the described mobile terminal of this invention carries inconvenience, cannot accomplish real-time detection, and only can gather pulse signal, does not gather blood pressure and blood oxygen saturation, and the data obtained accuracy rate is low.
Chinese patent application publication No.: CN101953682A, January 26 2011 Shen Qing Publication day, disclose a kind of heart rate detection method based on cuff apparatus, comprise the following steps: gather human body move time electrocardiosignal and non-physiological signal, described non-physiological signal comprises geographic location signal residing for acceleration signal, attitude signal and human body, wherein, the electrocardioelectrode with multiple passage is utilized to gather electrocardiosignal; Extract the heart beat template of human body when moving; The R ripple utilizing the electrocardiosignal that collects and non-physiological signal and described heart beat template to carry out each passage extracts, and obtains R wave train; Phase-detection is carried out to the electrocardiosignal of each passage, obtains the time dependent phase contrast of each passage because of electrode position, obtain RR interval series according to phase information, thus obtain pulse rate signal.Weak point is, the described cuff apparatus of this invention wears acquired signal on human arm, and external interference signals suffered by this method is large, and error information detection is large, and degree of accuracy is not high.
Summary of the invention
The present invention is difficult to catch to overcome atrial fibrillation feature in prior art, and testing process is complicated, and diagnostic accuracy is low, carries the defect such as inconvenience and Real-Time Monitoring difference, provides a kind of self-service atrial fibrillation detection method based on health monitoring bracelet.
To achieve these goals, the present invention is by the following technical solutions:
A kind of self-service atrial fibrillation detection method based on health monitoring bracelet, health monitoring bracelet measures user's sign data, and transfer data to smartphone software end, smartphone software end carries out the analysis of data and displaying and returns to health monitoring bracelet control system, and self-service atrial fibrillation detection method specifically comprises the steps:
S1: the timing of health monitoring bracelet is measured user's pulse frequency (PR);
S2: the threshold value W1 of PR measured value and systemic presupposition, W2, W3, W4 compare by cell phone software end, as PR measured value=W1, health monitoring bracelet enters check step S3;
As PR measured value=W2, health monitoring bracelet enters check step S4;
As PR measured value=W3, health monitoring bracelet enters check step S5;
As PR measured value=W4, health monitoring bracelet enters the state of emergency, and cell phone software end prompting user dials Familiarity Number and/or 120, and health monitoring bracelet continues continuous measurement pulse frequency and blood oxygen 5 minutes, once per minute;
Wherein: W1 is 100bmp≤PR < 120bmp or the basic PR of 0 < △ PR≤20%;
W2 is 120bmp≤PR < 150bmp or the basic PR of 20% basic PR < △ PR < 30%;
W3 is PR >=150bmp or the basic PR of △ PR >=30%;
W4 is PR≤60bmp;
Basis PR is the meansigma methods of healthy pulse frequency;
△ PR is the changing value of PR relative to basic PR.
Described check step S3 comprises the steps:
S31: health monitoring bracelet starts continuous repetition measurement 5 minutes PR, once per minute;
S32: as repetition measurement PR measured value=W1, health monitoring bracelet enters step S31, carries out the measurement of a blood pressure, enters blood pressure and checks step S6; Or the discomforts such as whether cell phone software end inquiry user feel cardiopalmus, uncomfortable in chest, left side chest pain, feel suffocated, as no, health monitoring bracelet enters step S31; In this way, health monitoring bracelet enters the state of emergency, and cell phone software end prompting user dials Familiarity Number and/or 120 and control health monitoring bracelet test constantly PR; When repetition measurement PR measured value is normal, health monitoring bracelet enters step S31, still normal after 5 minutes, health monitoring bracelet recovers normal monitoring state, if again raise after 5 minutes, health monitoring bracelet enters step S31, carry out the measurement of a blood pressure, enter blood pressure and check step S6.
Described check step S4 comprises the steps:
S41: health monitoring bracelet starts continuous repetition measurement 5 minutes PR, once per minute;
S42: when repetition measurement PR measured value is normal, health monitoring bracelet enters step S41, still normal after 5 minutes, health monitoring bracelet recovers normal monitoring state, if again raise after 5 minutes, health monitoring bracelet enters step S41, and cell phone software end prompting user carries out the measurement of a blood pressure, enters blood pressure and checks step S6; As repetition measurement PR measured value=W2, health monitoring bracelet enters step S41, and cell phone software end prompting user carries out the measurement of a blood pressure, enters blood pressure and checks step S6.
Described check step S5 comprises the steps: that health monitoring bracelet starts continuous repetition measurement 5 minutes PR, once per minute, and cell phone software end prompting user carries out the measurement of a blood pressure, enters blood pressure and checks step S6.
Described blood pressure checks that step S6 is: if blood pressure is normal or basic blood pressure fluctuates within 15%, health monitoring bracelet enters step S31, still normal after 5 minutes, health monitoring bracelet recovers normal monitoring state, if again raise after 5 minutes, health monitoring bracelet enters step S31, carries out the measurement of a blood pressure, repeats above-mentioned steps;
If blood pressure raises or basic blood pressure raises more than 15% or blood pressure reduces or basic blood pressure declines within 15%, then health monitoring bracelet starts continuous measurement pulse frequency and blood oxygen 5 minutes, once per minute, if pulse frequency and blood oxygen are all abnormal, enter the state of emergency, cell phone software end prompting user dials Familiarity Number and/or 120 also test constantly PR and blood oxygen, if pulse frequency is abnormal, blood oxygen normal then cell phone software end prompting user take at ordinary times for the state of an illness medicine and enter step S31, if pulse frequency is normal, the abnormal then health monitoring bracelet repetition measurement pulse frequency of blood oxygen and blood oxygen 5 minutes, once per minute,
If blood pressure reduces or basic blood pressure declines more than 15%, then health monitoring bracelet enters the state of emergency, and cell phone software end prompting user dials Familiarity Number and/or 120 and control health monitoring bracelet test constantly PR and blood oxygen; If pulse frequency, blood oxygen all recover normal, then health monitoring bracelet repetition measurement PR and blood oxygen, as result is normal, health monitoring bracelet then recovers normal monitoring state.
As repetition measurement PR measured value=W3, health monitoring bracelet enters the state of emergency, and cell phone software end prompting user dials Familiarity Number and/or 120 also test constantly PR and blood oxygen.
The fixed time interval of described step S1 is 30 minutes.
Compared with prior art, the invention has the beneficial effects as follows: timing can repeatedly gather the important health index parameters such as pulse frequency, blood oxygen, blood pressure, the condition of comprehensive descision user is carried out by analyzing these health indicator parameters, for different testing results for user provides prompting, correct treatment advice and self-rescue method timely, owing to taking treatment measures and countermeasure accurately in time, improve the discovery probability of atrial fibrillation, reduce patients with atrial fibrillation death risk; Meanwhile, this detection method is applied to health monitoring bracelet, can gather multiple health parameters convenient, fast, exactly, for user monitoring atrial fibrillation provides strong technical support.
Accompanying drawing explanation
Fig. 1 is the atrial fibrillation detection method flow chart of the specific embodiment of the invention.
Specific embodiments
For making object of the present invention, content and advantage clearly, below in conjunction with accompanying drawing, embodiment of the present invention is described further in detail.
Design principle of the present invention is: only have frequency to be exceedingly fast during atrial attack and irregular electrical activity, atrium loses normal mechanical function, and pulse frequency speeds, and cardiac output reduces.When pulse frequency significantly rises, cardiac output obviously reduces, and makes blood pressure drops, brings out or increases the weight of heart failure, then occurs that blood oxygen declines.For existing health monitoring bracelet and mobile client APP application software, health monitoring bracelet is used for measuring user's sign data, and transferring data to smartphone software end, smartphone software end carries out the analysis of data and displaying and returns to health monitoring bracelet control system.
As shown in Figure 1 based on a self-service atrial fibrillation detection method for health monitoring bracelet, specifically comprise the steps:
S1: health monitoring bracelet timing user's pulse frequency (PR) is measured, monitoring frequency be every 30 minutes once;
S2: the threshold value W1 of PR measured value and systemic presupposition, W2, W3, W4 compare, as PR measured value=W1 (100bmp≤PR < 120bmp or the basic PR of 0 < △ PR≤20% by cell phone software end; Basis PR is the threshold limit value of healthy pulse frequency; △ PR is the changing value of PR relative to basic PR, lower same) time, health monitoring bracelet enters check step S3;
As PR measured value=W2 (120bmp≤PR < 150bmp or the basic PR of 20% basic PR < △ PR < 30%), health monitoring bracelet enters check step S4;
As PR measured value=W3 (PR >=150bmp or the basic PR of △ PR >=30%), health monitoring bracelet enters check step S5;
As PR measured value=W4 (PR≤60bmp), health monitoring bracelet enters the state of emergency, cell phone software end prompting user dials Familiarity Number and/or 120 or other emergency calls and continues continuous measurement pulse frequency and transcutaneous oxygen saturation (hereinafter referred to as blood oxygen) 5 minutes, once per minute;
Described check step S3 comprises the steps:
S31: health monitoring bracelet starts continuous repetition measurement 5 minutes PR, once per minute;
S32: as repetition measurement PR measured value=W1, health monitoring bracelet enters step S31 (namely starting continuous repetition measurement 5 minutes PR, once per minute), carries out the measurement of a blood pressure, enters blood pressure and checks step S6; Or, cell phone software end inquiry user " discomfort such as you feel cardiopalmus, uncomfortable in chest, left side chest pain, feel suffocated? " if select no, then health monitoring bracelet enters step S31 (namely starting continuous repetition measurement 5 minutes PR, once per minute); If selection is, then health monitoring bracelet enters the state of emergency, and cell phone software end prompting user dials Familiarity Number and/or 120, and points out user " to deeply breathe; keep tranquil mood can alleviate your sense of discomfort ", and controls bracelet test constantly user pulse frequency; When repetition measurement PR measured value is normal, health monitoring bracelet enters step S31 and (namely starts continuous repetition measurement 5 minutes PR, once per minute), still normal after 5 minutes, health monitoring bracelet recovers normal monitoring state, if again raise after 5 minutes, health monitoring bracelet enters step S31 and (namely starts continuous repetition measurement 5 minutes PR, once per minute), cell phone software end prompting user carries out the measurement of a blood pressure, enters blood pressure and checks step S6.
Described check step S4 comprises the steps:
S41: health monitoring bracelet starts continuous repetition measurement 5 minutes PR, once per minute;
S42: when repetition measurement PR measured value is normal, health monitoring bracelet enters step S41 and (namely starts continuous repetition measurement 5 minutes PR, once per minute), still normal after 5 minutes, health monitoring bracelet recovers normal monitoring state, if again raise after 5 minutes, health monitoring bracelet enters step S41 and (namely starts continuous repetition measurement 5 minutes PR, once per minute), cell phone software end prompting user carries out the measurement of a blood pressure, enters blood pressure and checks step S6; As repetition measurement PR measured value=W2, health monitoring bracelet enters step S41 (namely starting continuous repetition measurement 5 minutes PR, once per minute), and cell phone software end prompting user carries out the measurement of a blood pressure, enters blood pressure and checks step S6.As repetition measurement PR measured value=W3, health monitoring bracelet enters the state of emergency, and cell phone software end prompting user dials Familiarity Number and/or 120 also test constantly PR and blood oxygen saturation.
Described check step S5 comprises the steps: that health monitoring bracelet starts continuous repetition measurement 5 minutes PR, once per minute, and cell phone software end prompting user carries out the measurement of a blood pressure, enters blood pressure and checks step S6.
Described blood pressure checks that step S6 is: if blood pressure is normal or basic blood pressure fluctuates within 15%, health monitoring bracelet enters step S31 and (namely starts continuous repetition measurement 5 minutes PR, once per minute), still normal after 5 minutes, health monitoring bracelet recovers normal monitoring state, if again raise after 5 minutes, health monitoring bracelet enters step S31 and (namely starts continuous repetition measurement 5 minutes PR, once per minute), cell phone software end prompting user carries out the measurement of a blood pressure, repeats above-mentioned steps;
If blood pressure raises or basic blood pressure raises more than 15% or blood pressure reduces or basic blood pressure declines within 15%, then health monitoring bracelet starts continuous measurement pulse frequency and blood oxygen 5 minutes, once per minute, if pulse frequency and blood oxygen are all abnormal, enter the state of emergency, cell phone software end prompting user dials Familiarity Number and/or 120 also test constantly PR and blood oxygen, if pulse frequency is abnormal, blood oxygen normal then cell phone software end prompting user take at ordinary times for the state of an illness medicine and enter step S31 and (namely start continuous repetition measurement 5 minutes PR, once per minute), if pulse frequency is normal, the abnormal then health monitoring bracelet repetition measurement pulse frequency of blood oxygen and blood oxygen 5 minutes, once per minute,
If blood pressure reduces or basic blood pressure declines more than 15%, then health monitoring bracelet enters the state of emergency, and cell phone software end prompting user dials Familiarity Number and/or 120 also test constantly PR and blood oxygen; If pulse frequency, blood oxygen all recover normal, then repetition measurement PR and blood oxygen, as result is normal, health monitoring bracelet then recovers normal monitoring state.
Health monitoring bracelet of the present invention, comprise main body and wrist strap, can the multinomial health indicator relevant parameter of monitoring human, its main body comprises again housing and is arranged on display screen, power supply, clock unit and the master control system in housing, its construction features is: master control system comprises main printed board and is arranged on microprocessor, memorizer and the analog signal processing chip in main printed board, and main printed board is also provided with infrared temperature sensor, wrist strap is provided with and flexibly connects cable, measure printed board and be arranged on the skin temperature sensors measured in printed board, light sensor and light source, main body is positioned at the top of bracelet, measure the bottom that printed board is positioned at bracelet, the electronic devices and components measured in printed board are electrically connected with main body by the cable that flexibly connects on wrist strap, the reflected light signal received is converted to the signal of telecommunication by the light sensor measured in printed board, signal amplification is carried out through analog signal processing chip, microprocessor is transferred to after signal filtering and signal mode transformation of variables process, microprocessor is set in the master control system of health monitoring bracelet and carries out each related operation and conversion, the health indicator value that people can read and identify is converted to accurately with the signal of telecommunication recorded by electronic devices and components, memorizer is set and preserves each measured value, so that user inquires about, contrast and review.Analog signal processing chip is set in master control system signal amplification, signal filtering and signal mode transformation of variables are carried out to the signal of telecommunication that sensor is passed back, identify and amplifying signal in effective information, remove the impurity in signal and invalid information, again the effective information after purification filtering is sent to microprocessor, to improve the accuracy of information and then to promote the accuracy of measured value; Bluetooth transmission means is set in master control system and can realizes master control system and the hand-held mobile terminal such as mobile phone or panel computer carries out bidirectional data transfers, master control system and hand-held mobile terminal are mated identical host-host protocol, hand-held mobile terminal by bluetooth transmission means to master control system sending controling instruction, master control system also sends data message by bluetooth transmission means to hand-held mobile terminal, and is presented on the interface of hand-held mobile terminal by the APP system (cell phone software end) of hand-held mobile terminal.
For the parameter that the present invention is correlated with, bracelet is provided with light source and light sensor, utilize the principle of luminous reflectance to measure pulse frequency and blood oxygen, light source adopts the dual-colored LED light source of red-emitting and infrared light, it launches red general visible and infrared black light to the skin below wrist, the visible ray that light sensor reception skin reflex is returned and invisible signal, and change this optical signal into the signal of telecommunication, microprocessor is sent to again after the contaminant filter in the signal of telecommunication falls by analog signal processing chip, microprocessor can obtain the occurrence of pulse frequency and blood oxygen according to the algorithm that the prior art set firmly in memorizer is known after calculating, and the measurement of blood pressure needs special sphygomanometer (portable or medical sphygmomanometer) cooperation to carry out.
User can carry out individual cultivation to cell phone software end in advance before use health monitoring bracelet, as user can arrange emergency contacts in advance, when being in an emergency, facilitates a key to call; User can customize system alert mode, optional " only PUSH message ", " PUSH message+vibrations/sound ", " PUSH message+call " etc.; User can configure health guidance content voluntarily, such as whether opens cardiac function exercise guide and reminds (if opened, self-timing reminding user is carried out associated exercises by system).
Above atrial fibrillation detection method provided by the invention and the health monitoring bracelet that uses are described in detail, apply specific case herein to set forth the principle of invention and embodiment, the explanation of above embodiment just understands core concept of the present invention for helping; Meanwhile, for one of ordinary skill in the art, according to thought of the present invention, all will change in specific embodiments and applications, in sum, this description should not be construed as limitation of the present invention.