CN105137097A - Intelligent prothrombin time monitoring system and monitoring method - Google Patents

Intelligent prothrombin time monitoring system and monitoring method Download PDF

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Publication number
CN105137097A
CN105137097A CN201510446812.3A CN201510446812A CN105137097A CN 105137097 A CN105137097 A CN 105137097A CN 201510446812 A CN201510446812 A CN 201510446812A CN 105137097 A CN105137097 A CN 105137097A
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terminal
prothrombin time
information
dose
external processing
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CN201510446812.3A
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王天星
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王天星
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    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/86Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing involving blood coagulating time or factors, or their receptors

Abstract

The invention relates to an intelligent prothrombin time monitoring system and monitoring method. The monitoring system comprises a prothrombin time detection terminal, an external processing terminal, a cloud server and a doctor monitoring terminal, wherein the prothrombin time detection terminal is in wired connection with the external processing terminal, the external processing terminal and the doctor monitoring terminal are connected with the cloud server. The monitoring method comprises the following steps that: the prothrombin time detection terminal acquires information on a prothrombin time test strip and transmits the information to the external processing terminal; the external processing terminal determines whether acquired prothrombin time information is within a safety range; and if great deviation occurs, warning information is sent and acquisition and determination results are sent to the doctor monitoring terminal through the cloud server. With a mobile internet system constructed in the invention, a patient can detect coagulation functions at home, a professional doctor can timely learn about the medication state and physical conditions of the patient at anytime and anywhere, labor and time are saved, and occurrence of risks and accidents is prevented.

Description

智能凝血酶原时间监控系统及其监控方法 Smart prothrombin time monitoring system and monitoring method

技术领域 FIELD

[0001] 本发明涉及一种凝血酶原时间监测设备,尤其涉及一种智能凝血酶原时间监控系统及其监控方法。 [0001] The present invention relates to a prothrombin time monitoring device, and particularly to an intelligent prothrombin time monitoring system and monitoring method.

背景技术 Background technique

[0002] 凝血酶原时间,简称PT,是指在缺乏血小板的血浆中加入过量的组织因子和适量的钙离子后,凝血酶原转化为凝血酶,导致血浆凝固所需的时间。 [0002] Prothrombin time, referred to as PT, refers to the platelet poor plasma was added an excess amount of tissue factor and calcium ions, the prothrombin is converted to thrombin, resulting in the time required for plasma coagulation. 凝血酶原时间和血浆的凝血酶原、纤维蛋白原以及凝血因子V、νπ、X的水平相关。 Prothrombin and plasma prothrombin time, fibrinogen level and coagulation factor V, νπ, X related.

[0003] 凝血酶原时间是外源凝血系统较为敏感和最为常用的筛选试验,主要反映外源性凝血是否正常,其原理是在抗凝血中,加入足够量的组织凝血活酶和适量的钙离子,满足外源性凝血条件,从加入钙离子到血浆凝固所需的时间即为PT。 [0003] exogenous prothrombin time coagulation system is more sensitive and most commonly used screening test, mainly reflecting the outer extrinsic coagulation is normal, the principle is the anticoagulant added a sufficient amount of tissue thromboplastin and the amount of calcium, extrinsic coagulation conditions are satisfied, the addition of calcium ions from the time required for plasma coagulation is the PT.

[0004] PT受组织凝血活酶来源不同、仪器和操作技术等多种因素的影响,使结果在实验室内部与实验室之外存在很大的差异,因此WHO于80年代早期开始用INR将PT标准化。 [0004] PT is affected by many different factors, tissue thromboplastin sources, equipment and operating techniques, so that there is a big difference in the results outside the house laboratory and lab, so WHO in the early 1980s began to INR PT standardization.

[0005] INR国际标准化比值是从凝血酶原时间和测定试剂的国际敏感指数(ISI,internat1nal sensitivity index)推算出来的,采用INR使不同实验室和不同试剂测定的PT具有可比性,便于统一用药标准。 [0005] INR International Normalized Ratio is extrapolated from the international sensitivity index and prothrombin time assay reagent (ISI, internat1nal sensitivity index), and from different laboratories using different INR determination of PT reagent comparable facilitate unified administration standard.

[0006]目前通过口服抗凝药进行治疗的情况非常普遍,例如实施机械心脏瓣膜置换术的病人,瓣膜置换之后需要长期或终身进行抗凝治疗,治疗目的是防止人工瓣膜附近形成血栓,保证瓣膜的正常运行。 [0006] the current situation be treated by oral anticoagulation is very common, such as patient a mechanical heart valve replacement surgery, require long-term or lifelong anticoagulation after valve replacement, the treatment aims to prevent the formation of blood clots near the artificial valve to ensure valve the normal operation. 但是如果患者服用口服抗凝药不当则会导致治疗无效,甚至导致出血或血栓栓塞等并发症的产生,严重危及患者生命,因此进行日常凝血功能的检测是口服抗凝治疗患者达到目的和保证安全的必要手段。 But if the patient taking oral anticoagulant drugs improperly can lead to ineffective treatment, and even lead to complications such as bleeding or thromboembolism, seriously endanger the lives of patients, and therefore the detection routine coagulation of oral anticoagulant therapy patients achieve and guarantee security the necessary means.

[0007]目前国内凝血功能检测的仪器主要是实验室设备,设备体积较大,需要专业人员维护及操作,运行成本较高。 [0007] At present, the main function of blood coagulation instruments laboratory equipment, bulky equipment, need professional maintenance and operation, higher operating costs. 而且患者需要经常到医院进行抽血检测,又不能及时知晓测试结果,费时费力,非常不方便,造成调整药物剂量不够及时,存在安全隐患。 And patients often need to the hospital for blood testing, the test results can not be known in time, time-consuming, very inconvenient, resulting in dose reduction is not enough time, there are security risks.

发明内容 SUMMARY

[0008] 本发明主要解决目前凝血功能异常的患者需要经常到医院进行抽血检测,又不能及时知晓测试结果,费时费力,非常不方便,造成调整药物剂量不够及时,存在安全隐患的技术问题;提供一种智能凝血酶原时间监控系统及其监控方法,通过移动互联系统的构建,病人在家就能检测凝血功能,自动分析用药情况,自动给出服药剂量调整建议,同时将检测结果、用药情况及建议和报警信息远程传输给医生监控终端,以便专业医生能及时了解病人状况,及时给出建议或警告,省时省力,避免风险或事故的发生。 [0008] The present invention to solve the current patients with abnormal coagulation often need to the hospital for blood testing, the test results can not be known in time, time-consuming, very inconvenient, not enough time to adjust the dose causing technical problems of security risks; provides an intelligent prothrombin time monitoring system and monitoring method, by building a mobile Internet system, the patient at home will be able to detect coagulation, automated analysis of drug use, automatically give medication dose adjustment is recommended, while the test results, medication and advice and warning information is transmitted to the remote monitoring terminal physicians, medical professionals so that patients can keep abreast of the situation, give advice or warnings in a timely manner, saving time and effort, or to avoid the risk of accidents.

[0009] 本发明的上述技术问题主要是通过下述技术方案得以解决的:本发明的智能凝血酶原时间监控系统,包括凝血酶原时间检测终端、外部处理终端和医生监控终端; [0009] The technical problem of the present invention is mainly solved by the following technical solutions: The intelligent invention prothrombin time monitoring system, including prothrombin time detecting terminal, the terminal and the external processing physician monitoring terminal;

凝血酶原时间检测终端:用于检测凝血酶原时间,并将检测结果以有线或无线通讯方式发送给所述的外部处理终端; 外部处理终端:以有线或无线通讯方式接收凝血酶原时间检测终端发送的凝血酶原时间检测结果,并进行分析和处理,作出是否在安全范围内的判断,显示安全信息或发出警告信息,给出量效曲线及回归方程,并将上述信息以有线或无线通讯方式发送给位于远端的所述的医生监控终端,给医生提供直观动态图及数据参考; Prothrombin time detecting terminal: means for detecting prothrombin time, sends the detection result in a wired or wireless communication to the external processing terminal; external processing terminal: a wired or wireless communication receiver detecting prothrombin time prothrombin time detection results sent by the terminal, and the analysis and processing, determination is made whether within the safe range, display a warning message or the security information, and the dose-response curve gives the regression equation, and the above-mentioned information in a wired or wireless communication transmitted to the doctor at the distal end of said monitoring terminal, and FIG intuitive dynamic reference data to the doctor;

医生监控终端:和所述的外部处理终端进行有线或无线通讯,用于接收外部处理终端发送的信息,也能编辑并传送指令给所述的外部处理终端。 Doctor monitoring terminal: the terminal and the external processing wired or wireless communication, for receiving information transmitted from the external processing terminal, can be edited and transmitted to the external processing terminal according to the instruction. 由凝血酶原时间检测终端采集凝血酶原时间测试条上的反应信息,输送给外部处理终端,外部处理终端经过分析和处理,作出是否在安全范围内的判断,显示安全信息或发出警告信息,给出量效曲线及回归方程,并以有线或无线通讯方式将上述信息发送给远端的医生监控终端,给医生提供直观动态图及数据参考,以便专业医生能及时了解病人状况,及时给出建议或警告,避免了病人需要常常往返于医院和家的麻烦,省时省力,避免风险或事故的发生。 Prothrombin time by the detecting terminal acquisition response information on the original thrombin time test strip, supplied to the external processing terminal, the external processing terminal through the analysis and processing, determination is made whether within the safe range, display a warning message or the security information, gives the dose-response curve and the regression equation, and a wired or wireless communication transmits the information to the remote monitoring terminal physician, intuitive and dynamic data reference to FIG doctors, medical professionals in order to understand the patient's condition in time, given promptly advice or warning, often avoiding the need for patients to and from hospitals and family troubles, saving time and effort, or to avoid the risk of accidents.

[0010] 作为优选,所述的智能凝血酶原时间监控系统包括云端服务器:用于既和所述的外部处理终端进行有线或无线通讯,又和所述的医生监控终端进行有线或无线通讯,保证外部处理终端和医生监控终端的数据同步,云端服务器本身还能自动地向外部处理终端及医生监控终端推送相关数据。 [0010] Advantageously, the smart prothrombin time monitoring system comprises first server: for performing wired or wireless communication both with the external processing terminal and said monitoring terminal, and the doctor performs wired or wireless communication, ensure the external processing terminal and doctors monitoring terminal data synchronization, the cloud server itself can automatically push relevant data to an external processing terminal and doctors monitor terminal. 考虑到实际使用过程中数据储存量比较大,可以增设云端服务器,外部处理终端和云端服务器进行通讯,云端服务器和医生监控终端进行通讯,这样可以允许外部处理终端和医生监控终端的数据同步,云端服务器本身也可以自动地向外部处理终端、医生监控终端推送相关数据。 Considering the large data storage during actual use ratio may be additional cloud server and a cloud server external processing terminal to communicate, and physicians to monitor cloud server communications terminal, which allows an external data processing terminals and doctors synchronization monitoring terminal, the cloud server itself may automatically processing terminal to the outside, the doctor pushes the relevant data monitoring terminal. 医生监控终端可以采用便携式移动设备,比如手机、平板电脑等,也可以采用普通计算机,医生监控终端上安装有相应的检测管理软件,包括数据接收、编辑、传送以及云端服务器的登陆等。 Doctors monitor terminal may use portable mobile devices such as mobile phones, tablet, etc., may be used an ordinary computer, mounted on respective detection management software physician monitoring terminal comprising a data receiving, editing, delivery, and the like cloud server login.

[0011] 作为优选,所述的凝血酶原时间检测终端包括中央处理单元及分别与中央处理单元相连的凝血酶原时间检测单元、温度传感器、扫码终端接口和通讯接口; [0011] Advantageously, the prothrombin time detecting terminal comprising a central processing unit and prothrombin time detecting means are connected to the central processing unit, a temperature sensor, and the scan code communication interface terminal interface;

中央处理单元:用于对凝血酶原时间检测单元送来的凝血酶原时间检测信号进行处理,并根据温度传感器送来的实际环境温度对凝血酶原时间检测信号进行温度补偿,然后通过测试条参数信息计算出凝血酶原时间检测结果,通过扫码终端接口获取病人信息及测试条信息,连接通讯接口以和所述的外部处理终端进行数据通讯; A central processing unit: a prothrombin time to prothrombin time detection signal detecting unit sent for processing, and temperature compensation prothrombin time detection signal sent from the temperature sensor according to the actual ambient temperature, and then through the test strip parameter information is calculated prothrombin time detection result, obtaining patient information and test pieces of information, the communication interface is connected to an external processing terminal and the data communication through the terminal interface scan code;

凝血酶原时间检测单元:用于采集凝血酶原时间测试条上的反应信息,获得凝血酶原时间检测信号并输送给所述的中央处理单元; Prothrombin time detecting unit: Thrombin reaction for collecting information on the test strip prothrombin time, prothrombin time detection signal is obtained and fed to said central processing unit;

温度传感器:实时采集环境温度并输送给所述的中央处理单元,便于中央处理单元对凝血酶原时间检测结果进行温度补偿; Temperature sensor: real-time acquisition ambient temperature and conveyed to the central processing unit, the central processing unit facilitates prothrombin time detection result of the temperature compensation;

扫码终端接口:用于连接扫码仪,通过扫码获取病人编号和姓名输送给所述的中央处理单元,通过扫码自动获取测试条批号并从云端获取该批号的参数信息输送给所述的中央处理单元,实现自动调码; Scan code of the terminal interface: Connection scan code scanner, the central processing unit obtaining the patient ID and name supplied to the scan code by obtaining a test strip lot by automatic scan code and the parameter information of the lot is delivered to the Drive a central processing unit, automatic transfer code;

通讯接口:用于实现中央处理单元和所述的外部处理终端的数据通讯; Communication interface: for implementing the external data communication processing terminal and said central processing unit;

所述的外部处理终端包括ARM控制器及分别与ARM控制器相连的显示模块、按键模块、通讯模块和报警模块; Said external terminal comprises a processing module and a display controller ARM ARM respectively connected to the controller, the key module, communication module and alarm module;

ARM控制器:和所述的凝血酶原时间检测终端进行通讯,对接收到的凝血酶原时间检测结果进行分析和处理,作出是否在安全范围内的判断,显示安全信息或发出警告信息,给出量效曲线及回归方程,并将上述信息通过通讯模块发送出去,给医生提供直观动态图及数据参考; ARM controller: prothrombin time and detecting said communication terminal, the received detection result prothrombin time analysis and processing, determination is made whether within the safe range, display a warning message or the security information, to the dose-response curve and the regression equation, and said information is sent through the communication module, to provide an intuitive and dynamic data with reference to FIG physician;

显示模块:用于接收ARM控制器输送来的数据,显示凝血酶原时间检测结果,显示安全信息或警告信息,显示下次用药剂量建议,显示病人信息、医生信息和用药信息; The display module: ARM controller for receiving data conveyed, prothrombin time detection result display, or display a security warning message is displayed next dose recommendation display patient information, medication information, and information of the doctor;

按键模块:用于编辑病人姓名、编号、用药信息、监测信息、测试条批号信息及主管医生姓名、账号,并输送给ARM控制器; Key modules: for editing the patient's name, number, medication information, monitoring information, test strip lot of information and a competent physician name, account number, and transported to the ARM controller;

通讯模块:和ARM控制器相连,实现ARM控制器和所述的医生监控终端或云端服务器的数据通讯; Communication module: ARM and connected to the controller, and the controller to achieve ARM physician monitoring data communication terminal or a cloud server;

报警模块:当ARM控制器判断出接收到的凝血酶原时间检测结果超过安全范围时,启动报警模块,发出警告信息。 Alarm module: ARM when the controller determines that the received detection result prothrombin time exceeds the safe range, activates the alarm module, a warning message.

[0012] 根据需要也可以设置和单片机模块相连的数据存储模块,更便于数据的存储和管理。 [0012] The data storage module may also be provided and connected to the module as needed microcontroller, easier to store and manage data. 温度传感器实时采集环境温度,便于对检测结果进行温度补偿,确保凝血酶原时间的检测更加准确。 The temperature sensor real-time acquisition ambient temperature, to facilitate the detection results of the temperature compensated prothrombin time ensuring more accurate. 扫码终端接口可连接扫码仪,通过扫码获取病人编号和姓名。 Terminal interface scan code scan code scanner may be connected, via access to patient name and number scan code. 还可通过扫码自动获取测试条批号,并通过云端服务器获取该批测试条的工作码和参数,从而实现自动调码的功能,避免因使用错误工作码及参数带来的结果风险,提高使用的方便性、减少风险。 Also available through automatic code scan test strip lot number, and get the job code and parameters of the batch of test strips by the cloud server, enabling automatic adjustment function code to avoid risks arising from the use of the results of error codes and parameters to bring the work to improve the use of convenience and reduce risk. 通过扫码还可自动获取质控液批号,从而通过云端服务器获取质控范围信息,从而实现自动判断质控结果是否合格,避免用户错误判断、使用问题系统带来的影响,也大大提高了使用的方便性。 Automatic scan code may be obtained by batch control solution, so as to obtain a range of quality control information through the cloud server to automatically determines control results is qualified to prevent users from erroneous determination, the influence caused by the use of the system, but also to greatly increase the convenience. 通讯模块可以是一个无线模块,和凝血酶原时间检测终端、医生监控终端通讯时共用;也可以是一个近距离的无线模块和一个远距离的无线模块,近距离的无线模块和凝血酶原时间检测终端通讯,远距离的无线模块和医生监控终端通讯;也可以是一个有线模块和一个无线模块,有线模块和凝血酶原时间检测终端通讯,无线模块和医生监控终端通讯。 A wireless communication module may be a module, and a detecting terminal prothrombin time, when common terminal communication monitoring physician; may be a short-range wireless module and a wireless remote module, the short-range wireless module and prothrombin time detecting terminal communications, long-distance wireless communication module and a physician monitoring terminal; module may also be a wired and a wireless module, a wired module, and prothrombin time detection terminal communications, wireless communications module and a monitoring terminal physician. 如串口、USB 口、RS232接口为有线模块,NFC模块、蓝牙模块、Wifi模块为近距离无线模块,2G\3G\4G模块为远距离无线模块。 The serial port, USB port, RS232 interface cable module, the NFC module, a Bluetooth module, Wifi module is a short-range wireless module, 2G \ 3G \ 4G wireless module is a remote module. 通过按键模块可以编辑病人姓名、编号、用药信息、监测信息、测试条批号信息及主管医生姓名、账号等,用药信息包括药品名称、口服剂量和用药时间等。 You can edit the patient name, ID, medication information, monitoring information, test strip lot of information and a competent physician name, account number, etc. through the key module, medication information, including drug name, dosage and oral administration time.

[0013] 作为优选,所述的凝血酶原时间检测终端和外部处理终端属于同一设备的两个模块或者是两个单独设备。 [0013] Advantageously, the prothrombin time detection processing terminal and an external terminal devices belonging to the two modules of the same or two separate devices. 凝血酶原时间检测终端和外部处理终端属于同一设备时,数据连线更加方便,但整个设备体积略大。 Prothrombin time detecting terminal and the external terminal belonging to the same processing apparatus, a data connection is more convenient, but slightly larger volume of the entire apparatus. 当凝血酶原时间检测终端和外部处理终端为两个单独的设备时,外部处理终端可以借用目前流行的移动设备,如智能手机、平板电脑等,其上安装有相应的凝血酶原时间监控APP软件。 When the prothrombin time detection processing terminal and an external terminal as two separate devices, the external processing terminal may use the existing popular mobile devices, such as smart phones, tablet computers, on which is mounted a respective prothrombin time monitoring APP software. 实现方便,操作和使用也很方便。 Easy to implement, operate and very easy to use.

[0014] 本发明的智能凝血酶原时间监控系统的监控方法为:所述的凝血酶原时间检测终端采集凝血酶原时间测试条上的信息,并以有线或无线通讯方式输送给所述的外部处理终端,外部处理终端根据预先设定的凝血酶原时间目标值,经过分析和处理,自动判断实际采集到的凝血酶原时间值是否在安全范围内,如果偏差较大,则发出警告信息,同时外部处理终端以有线或无线通讯方式将采集结果和判断结果发送给所述的医生监控终端。 [0014] intelligent monitoring method of the present invention thrombin prothrombin time monitoring system to: detect the prothrombin time information on the terminal thrombin collecting prothrombin time test strip, and a wired or wireless communication to the transport external processing terminal, the external processing terminal according to the prothrombin time preset target value, through analysis and processing, to automatically determine the actually collected prothrombin time value is within the safe range, if the deviation is large, then a warning message , while the external processing terminal in a wired or wireless communication and the collected results of the monitoring physician judgment result is transmitted to the terminal. 凝血酶原时间目标值由专业医生建议给出,警告信息可采用闪屏或鸣叫等方式。 Prothrombin time the target value recommended by professional doctors to give a warning message or tweet can be used such as the splash screen mode. 本技术方案便于专业医生能及时了解病人状况,及时给出调整建议和处理意见,避免了病人需要常常往返于医院和家的麻烦,省时省力,避免医疗危险的发生。 This technical solution to facilitate medical professionals to keep abreast of the patient's condition, suggesting adjustments and timely treatment advice, the patient needs to avoid often and from the hospital and the home of trouble, saving time and effort and avoid dangerous medical occurrence.

[0015] 作为优选,所述的凝血酶原时间检测终端设有扫码终端接口;所述的监控方法包括:通过在所述的扫码终端接口连接扫码设备对测试条批号进行扫码,通过扫码自动获取测试条批号,再通过所述的外部处理终端和所述的云端服务器通讯获取该批测试条的工作码和参数,实现自动调码功能。 [0015] Advantageously, the prothrombin time detecting terminal provided with a terminal interface scan code; monitoring method comprising: connecting the device to the scan code of the test strip lot number scan code by the scan code of the terminal interface, obtaining a test strip lot by automatic scan code, and then processing said external terminal and said server communication cloud job code acquisition parameters and test strip batch, the code function through automatic adjustment. 避免因使用错误工作码及参数带来的结果风险,提高使用的方便性、减少风险。 To avoid the risk of using the wrong result code and parameters work brings improved ease of use and reduce risk. 考虑到实际使用过程中数据储存量比较大,也可以增设云端服务器,夕卜部处理终端和云端服务器进行无线通讯,云端服务器和医生监控终端进行无线通讯,这样可以允许外部处理终端和医生监控终端的数据同步,云端服务器本身也可以自动地向外部处理终端、医生监控终端推送相关数据。 Considering the practical use of the process data storage greater amount, you can increase the cloud server, Xi Bu unit processing terminal and a cloud server communicate wirelessly, cloud server and doctors monitor terminal for wireless communications, which may allow an external processing terminal and the doctor monitoring terminal data synchronization, the cloud server itself automatically to the external processing terminal, the doctor terminal monitoring push relevant data.

[0016] 作为优选,所述的监控方法包括测试试剂质控检测方法,步骤如下: [0016] Advantageously, the method comprises monitoring quality control test agent detection method, the following steps:

1)所述的扫码设备扫描测试试剂条码,获取测试试剂批号信息并输送给所述的外部处理终端(2); Device scan code scan test reagent bar-code 1), obtaining a test reagent lot information processing terminal and an external conveyor (2) according to;

2)外部处理终端(2)和所述的云端服务器(4)进行通讯,获取或同步该批号测试试剂的质控范围; 2) the external processing terminal (2) and the cloud server (4) for communication, synchronization, or acquisition range of the quality control lot number of the test agent;

3)外部处理终端(2)存储测试试剂批号信息和获取的质控范围; 3) processing external terminal (2) stores and controls the test reagent lot information acquired range;

4)所述的凝血酶原时间检测终端(I)对测试试剂进行质控检测,并把检测结果传送到外部处理终端(2); 4) detection of the terminal prothrombin time (I) The Quality Control test reagent, and the detection result is transmitted to the external processing terminal (2);

5)外部处理终端(2)将检测结果和之前得到的质控范围进行比对,给出质控合格或质控结果超范围警示。 5) External processing terminal (2) and the control range of the detection result previously obtained for comparison, or a given qualified quality control of range alarm control results.

[0017] 本技术方案通过扫码设备、云端服务器和移动互联技术,自动获取该批测试试剂的质控范围,自动判断质控结果是否合格,给出可以继续使用和警告的标志,使操作更为智能简便,使非专业人员也可以方便地正确使用,避免因误操作和误判断而造成使用问题,避免测量结果出现问题导致潜在的身体伤害风险。 [0017] The technical solution of the present scan code device, cloud server and mobile Internet technology, automatic quality control range of the batch acquisition test agent automatically determines control results is qualified, can continue to use and gives warning sign, makes the operation more smart simple, non-professionals can easily correct use to avoid misuse and erroneous judgment caused by the use, to avoid measurement problems lead to a potential risk of physical injury.

[0018] 作为优选,所述的外部处理终端对病人每天用药的剂量进行监控,外部处理终端根据用户输入的服药剂量进行比对,如果和前一天的服药剂量相比变化比较大,则发出警告信息,提醒病人所服剂量是否正确,是否经专业医生确认;如果所服剂量示经医生确认,属于用药错误,则外部处理终端以有线或无线通讯方式将病人用药错误信息发送给所述的医生监控终端。 [0018] Advantageously, the external processing terminal daily dose administration to the patient monitor, the external processing terminal according to the dose of medication than the user input, and if the dose of medication as compared to the day before the change is relatively large, a warning is issued information, remind the patient is correct dosage of, if confirmed by medical professionals; if the dosage of medically confirmed shown, belonging to medication errors, the external processing terminal in a wired or wireless communication to send the patient to the doctor medication error monitoring terminal. 用药更安全,病人和医生的沟通更通畅,避免出错,可以及时作出调整,避免风险或事故的发生。 Safer medication, patients and doctors to communicate more smoothly, to avoid making mistakes, you can make adjustments in a timely manner, or to avoid the risk of accidents.

[0019] 作为优选,所述的外部处理终端将病人实际用药剂量和测得的凝血酶原时间值以量效曲线呈现,用药剂量和凝血酶原时间值的量效曲线有两种模式选项:第一种模式是,以测得的凝血酶原时间值为y值,该凝血酶原时间值的检测时间前面的最近一次用药剂量为X值,进行作图回归分析;第二种模式是,以测得的凝血酶原时间值为I值,该凝血酶原时间值的检测时间前的一天、两天、三天、四天和五天的5次用药剂量分别为X值,分别作图进行五组线性回归分析,自动选出相关性最好的一组曲线呈现,通过在外部处理终端的按键上进行操作也可以人为选择查看任意一组曲线;所述的量效曲线的回归方程为INR =kXD+b,INR为实际测得的凝血酶原时间值,D为实际用药剂量,k和b都是通过病人个体实际的量效曲线回归分析得出的参数,会随着每天积累的数据增加 [0019] Advantageously, the external processing terminal actual patient dose and measured prothrombin time values ​​in dose-response curve presented, dose response curves and prothrombin time value options has two modes: the first mode is, in prothrombin time measured value is y, the last dose of the thrombin time in front of the detection time value is the original value X, plotted regression analysis; the second mode, to the measured value I prothrombin time values, the thrombin one, two, three, four and five times the dose for five days before the X values ​​of the original time detection time values ​​were plotted five-group linear regression analysis, automatically selects the best set of correlation curves presented by operating the keys on the external processing terminal may also choose to view any set of artificial curves; the regression equation for the dose-response curve INR = kXD + b, INR prothrombin time actual measured value, D is the actual dose, k and b are real individual patients by dose response curves derived from regression analysis parameters, as will be accumulated per day increased data 发生一些变化,由此可以推算出病人的后一次用药剂量建议,即:D' = (INR' -b)/k,D'为建议的后一次用药剂量,INR'为目标凝血酶原时间值,建议的后一次用药剂量显示在所述的外部处理终端上。 After some changes once, whereby the patient can calculate the recommended dose, i.e.: D '= (INR' -b) / k, D 'after a recommended dose, INR' prothrombin time value for the target after the first dose is recommended is displayed on said external processing terminal. 线性回归方程基于最小二乘法原理进行实现,它通过最小化误差的平方和寻找数据的最佳函数匹配。 Linear regression equations based on the least square method to achieve it by matching the data and finding the square error minimization function best. 数据量不一样,回归的曲线就会有变化。 The amount of data is not the same, there will be a regression curve changes. 某些口服抗凝药的抗凝效果不是马上显现,如华法林类药物,抗凝效果会出现在3天以后,则可选用第二种模式。 Certain oral anticoagulant anticoagulant effect is not immediately apparent, drugs such as warfarin, the anticoagulant effect occurs after 3 days, you can choose the second mode. 针对服药效果较快呈现的药物,则可选用第一种模式。 Drug taking effect for faster rendering, you can choose the first model. 根据测得的凝血酶原时间值和目标凝血酶原时间值,自动给出后一次用药剂量建议,可根据病人实际情况及时调整用药剂量,控制病人的实际凝血酶原时间值更接近医生给出的目标值,避免风险或事故的发生。 The prothrombin time measured value and the target value of prothrombin time, automatically after a given dose is recommended, it may adjust the dose according to the actual situation of the patient, the patient's thrombin to control the actual time value closer to the original doctor gives target, or to avoid the risk of accidents.

[0020] 量效曲线的回归方程以及回归分析的相关系数R可以在查阅时显示,帮助医生进行用药剂量的分析和判断。 [0020] The regression equation and correlation coefficient R of the dose-response curve regression analysis may be displayed at the time of inspection, help doctors dosage determination and analysis. 相关系数R是用以反映变量之间相关关系密切程度的统计指标,本技术方案中相关系数R反映了基于数据回归的方程两组变量(用药剂量、凝血酶原时间指标)的相关程度,相关系数R是评价凝血酶原时间和药物剂量量效曲线相关性的一个重要指标,R在O〜I之间,越接近I,相关性越好。 The correlation coefficient R is related closely to reflect the degree of statistical indicators between variables, this technical solution based on the correlation coefficient R reflects two sets of variables (dose, prothrombin time index) data regression equation of the degree of correlation, correlation evaluation coefficient R is prothrombin time and a significant amount of the dose effect curve correlation indicator, R between O~I, the closer I, the better correlation. 相关系数R随着每天积累的数据增加而发生一些变化,通常,数据量越大,量效曲线回归方程和R值更加可靠。 The correlation coefficient R increases as the accumulated data some changes per day, generally, the greater the amount of data, and a dose-response curve regression equation R value more reliable.

[0021] 根据选择的量效曲线回归方程进行后续趋势分析,分析仅限于已经服药的阶段。 [0021] The subsequent dose response curves trend analysis regression equation selected medication has been limited to analysis stage. 如选择凝血酶原时间对应三天前的曲线,只能给出最后一次服药三天后的预测。 The selection prothrombin time curve corresponding to three days, and only the last prediction is given three days after dosing.

[0022] 作为优选,如果建议的后一次用药剂量和前一次用药剂量相比变化比较大,则夕卜部处理终端发出警告信息,并将建议的后一次用药剂量、前一次用药剂量及警告信息以有线或无线通讯方式发送给所述的医生监控终端,由专业医生进行确认或提出调整建议。 [0022] Advantageously, if a recommended dosage and compared to the previous dose change is relatively large, the terminal processing unit BU Xi warning message, and after the first recommended dose, dosage and the previous alert information wired or wireless transmission terminal to monitor the communication mode according to the doctor, the doctor or professional to confirm adjustment proposed. 进一步提高用药安全性。 Further improve medication safety.

[0023] 作为优选,在进行所述的量效曲线作图回归分析时,只有在用药剂量和凝血酶原时间值达到十组以上数据时才能进行这项分析。 [0023] Advantageously, during the dose-response curve plotting the regression analysis, only the values ​​in the dosage and prothrombin time until the analysis of more than ten sets of data. 确保量效曲线能真实地反映病人的情况,提高分析和判断的准确性,从而给出准确的用药建议。 Ensure that the dose-response curve can truly reflect the situation of patients and improve the accuracy of analysis and judgment, to give an accurate medication recommendations.

[0024] 本发明的有益效果是:通过构建而成的移动互联系统,凝血酶原时间检测终端和医生监控终端能够进行远程通讯,病人在家就能检测凝血功能,自动分析用药情况,自动给出服药剂量调整建议,同时将检测结果、用药情况及建议和报警信息等远程传输给医生监控终端,以便专业医生能随时随地及时了解所负责的病人的用药状况和身体状况,及时给出评价、建议或警告,避免了病人需要常常往返于医院和家的麻烦,省时省力,避免风险及事故的发生。 [0024] Advantageous effects of the present invention is: formed by constructing a mobile Internet system, terminals and detecting prothrombin time monitored by doctors enabling remote communication terminal, the patient at home can be detected coagulation, the automatic analyzer medication, automatically give medication dose adjustment is recommended, while the test results, medication and advice and alarm information is transmitted to the remote monitoring terminal physicians, medical professionals anytime, anywhere to keep abreast of the drug situation and is responsible for the patient's physical condition, given timely evaluation, the proposed or warning, often avoiding the need for patients to and from hospitals and trouble at home, saving time and effort, and to avoid the risk of accidents.

附图说明 BRIEF DESCRIPTION

[0025]图1是本发明智能凝血酶原时间监控系统的一种系统连接结构框图。 [0025] FIG. 1 is a block diagram showing a configuration of the present invention is a system for connecting a smart prothrombin time monitoring system thrombin.

[0026] 图中1.凝血酶原时间检测终端,2.外部处理终端,3.医生监控终端,4.云端服务器,11.中央处理单元,12.温度传感器,13.扫码终端接口,14.凝血酶原时间检测单元,15.通讯接口,21.ARM控制器,22.显示模块,23.按键模块,24.通讯模块,25.报警模块。 [0026] FIG 1. prothrombin time detection terminal 2. The external processing terminal 3 Doctors monitor terminal, 4. Cloud server 11. The central processing unit, 12 temperature sensor, 13 scan code of the terminal interface 14 prothrombin time detecting unit, 15 communication Interface, 21.ARM controller 22. The display module 23. key module 24. communication module 25. alarm module.

具体实施方式 Detailed ways

[0027] 下面通过实施例,并结合附图,对本发明的技术方案作进一步具体的说明。 [0027] The following Examples, in conjunction with the accompanying drawings, technical solutions of the present invention will be further specifically described.

[0028] 实施例:本实施例的智能凝血酶原时间监控系统,如图1所示,包括凝血酶原时间检测终端1、外部处理终端2、医生监控终端3和云端服务器4,外部处理终端2、医生监控终端3均以无线通讯方式和云端服务器相连,凝血酶原时间检测终端I和外部处理终端2是两个单独设备,凝血酶原时间检测终端I和外部处理终端2以有线通讯方式相连。 [0028] Example: Example of the original Smart thrombin time monitoring system of the present embodiment, as shown in FIG. 1, including prothrombin time detecting terminal 1, the external processing terminal 2, terminal 3 and the doctor to monitor the cloud server 4, the external processing terminal 2, 3 are monitored by doctors wireless communications terminal and the server is connected to the cloud, prothrombin time detection processing terminal and an external terminal I 2 are two separate devices, prothrombin time detection terminal I 2 and the external terminal in a wired process communication connected. 凝血酶原时间检测终端I包括中央处理单元11及分别与中央处理单元11相连的凝血酶原时间检测单元14、温度传感器12、扫码终端接口13和通讯接口15。 Prothrombin time detection terminal I includes a central processing unit 11 and the central processing unit 11, respectively prothrombin time detecting unit 14 connected to the temperature sensor 12, the scan code of the terminal interface 13 and communication interface 15. 凝血酶原时间检测单元14用于采集凝血酶原时间测试条上的反应信息,获得凝血酶原时间检测信号,温度传感器12实时采集环境温度,便于对检测结果进行温度补偿,扫码终端接口13可连接扫码仪,通过扫码获取病人编号、姓名及药剂测试条批号、质控液批号等信息。 Prothrombin time reaction detecting unit 14 for collecting information on the test strip prothrombin time, prothrombin time detection signal is obtained, the temperature sensor 12 in real time acquisition environment temperature, to facilitate the detection result of temperature compensation, the terminal interface 13 scan code scan code scanner may be connected, via access to patient scan code number, the name of the agent and test strip lot number, lot number and other information control solution. 外部处理终端2包括ARM控制器21及分别与ARM控制器21相连的显示模块22、按键模块23、通讯模块24和报警模块25,通讯模块24包括和凝血酶原时间检测终端I进行有线通讯的有线通讯模块及和医生监控终端3进行无线通讯的无线通讯模块。 ARM external processing terminal 2 comprises a controller 21 and a display module are respectively connected to the ARM controller 2122, a key module 23, communication module 24 and alarm module 25, communication module 24 includes a detector and a prothrombin time wired communications terminal I and a wired communication module and a monitoring terminal 3 doctors wireless communication module for wireless communication. 显示模块22用于接收ARM控制器输送来的数据,显示凝血酶原时间检测结果,显示安全信息或警告信息,显示下次用药剂量建议,显示病人信息、医生信息和用药信息;按键模块23用于编辑病人姓名、编号、用药信息、监测信息、测试条批号信息及主管医生姓名、账号,并输送给ARM控制器。 The display module 22 is configured to receive data conveyed ARM controller, prothrombin time detection result display, or display a security warning message is displayed next dose recommendation display patient information, medication information, and information of a doctor; key module 23 with to edit the patient name, ID, medication information, monitoring information, test strip lot of information and a competent physician name, account number, and transported to the ARM controller. 外部处理终端2可以借用目前流行的便携移动设备,如智能手机或平板电脑,并辅以相应的凝血酶原时间监控APP软件来实现。 External processing terminal 2 can use the existing portable popular mobile devices, such as smart phone or tablet PC, and supplemented by the corresponding APP prothrombin time monitoring software. 当外部处理终端2采用具有摄像功能的智能手机或平板电脑时,无需另配扫码终端。 When the external processing terminal 2 smart phone or tablet computer having an imaging function, without reprovision scan code of the terminal.

[0029] 本实施例中,凝血酶原时间检测终端还可配制质控液,质控液用于判断凝血酶原时间检测终端与测试条工作是否正常。 [0029] In this embodiment, prothrombin time can also be formulated detecting terminal control solution, control solution for determining whether the detection terminal and the prothrombin time test strip is working properly. 每批测试条的质控范围因其生产原料、过程等原因会有差别,每批测试条有其特定的质控范围。 Quality control of each batch of test strips range of reasons for its raw materials, processes, etc. there will be differences, each batch of test strips has its specific quality control range. 质控范围可通过扫码终端对测试条进行扫码获取,在进行质控检测时,凝血酶原时间检测终端能自动判断结果是否在质控范围内。 Range can be obtained by quality control of test strips scan code scan code of the terminal, during quality control testing, prothrombin time detecting terminal can automatically determine whether the result of quality control within the range. 若不在范围内,则给出警告信息。 If not in range, a warning message is given. 另外,可设置定期质控提醒,如一个月;新使用试剂批号质控提醒。 Additionally, quality control may be provided periodically reminders, such as a month; new alert quality control reagent lot.

[0030] 上述智能凝血酶原时间监控系统的监控方法为: [0030] A method of monitoring the smart prothrombin time monitoring system to:

通过扫码设备对测试条批号进行扫码,通过扫码自动获取测试条批号,再通过外部处理终端2和云端服务器4获取该批测试条的工作码和参数,实现自动调码功能。 Scan code to the device by a test strip batch scan code, obtaining a test strip by automatic batch scan code, and then obtain a working test strip batch code and parameters by the external processing terminal 2 and the cloud server 4, the automatic adjustment function code.

[0031] 测试试剂质控检测方法,步骤如下: [0031] Quality Control testing reagent method, the following steps:

O扫码设备扫描测试试剂条码,获取测试试剂批号信息并输送给外部处理终端2 ; O devices scan code bar code scan test agent, the test reagent lot information is acquired and fed to an external processing terminal 2;

2)外部处理终端2和云端服务器4进行通讯,获取或同步该批号测试试剂的质控范围; 2) the external processing terminal 2 and the communication cloud server 4, or obtain synchronization range of the quality control lot number of the test agent;

3)外部处理终端2存储测试试剂批号信息和获取的质控范围; 3) the external processing terminal 2 stores a test reagent lot information and the acquired quality control range;

4)凝血酶原时间检测终端I对测试试剂进行质控检测,并把检测结果传送到外部处理终端2 ; 4) detecting the terminal I prothrombin time test reagent quality control testing, and the detection result is transmitted to the external processing terminal 2;

5)外部处理终端2将检测结果和之前得到的质控范围进行比对,给出质控合格或质控结果超范围警示。 5) the detection result of the external processing 2 and the control range of the terminal previously obtained for comparison, or a given qualified quality control of range alarm control results.

[0032] 凝血酶原时间检测终端I通过测试条反应信号处理电路采集凝血酶原时间测试条上的信息,经内部中央处理单元的处理,以有线通讯方式输送给外部处理终端2,外部处理终端2根据预先设定的凝血酶原时间目标值,经过分析和处理,自动判断实际采集到的凝血酶原时间值是否在安全范围内,如果偏差较大,则发出警告信息,同时外部处理终端2以无线通讯方式将采集结果和判断结果发送给云端服务器4,再由云端服务器4发送给医生监控终端3,便于医生及时调整病人用药剂量和给出处理意见。 [0032] Prothrombin time detecting terminal I signal processing circuit information acquisition test strip prothrombin time test strip by the reaction of the treated inner central processing unit, a wired communication terminal 2 is supplied to an external process, the external processing terminal prothrombin time according to a preset target value, through analysis and processing, to automatically determine the actually collected prothrombin time value is within the safe range, if the deviation is large, then a warning message, while the external processing terminal 2 the wireless communication determination result and the acquired result to the cloud server 4, and then sent to the terminal 3 by the physician to monitor cloud server 4, to facilitate timely adjustment of the doctor and patient dose treatment comments.

[0033] 外部处理终端2对病人每天用药的剂量进行监控,外部处理终端2根据用户输入的服药剂量进行比对,如果和前一天的服药剂量相比变化比较大,则发出警告信息,提醒病人所服剂量是否正确,是否经专业医生确认;如果所服剂量未经医生确认,属于用药错误,则外部处理终端2以无线通讯方式将病人用药错误信息发送给医生监控终端3,便于医生及时调整病人用药剂量和给出处理意见。 [0033] 2 processing terminal outside the patient monitored daily dose of medication, the external processing terminal 2 are aligned according to a user input of a dose of medication, dose of medication, and if the day before the change is relatively large in comparison, the warning message to alert the patient the correct dosage of, if confirmed by medical professionals; if the doctor confirms dosage of not belonging to medication errors, the external processing terminal 2 to transmit wireless communications to doctors patient medication error monitoring terminal 3, to facilitate timely adjustment of the doctor patients are given medication dosage and treatment suggestions.

[0034] 病人实际用药剂量由病人通过外部处理终端2上的按键录入,外部处理终端2将病人实际用药剂量和测得的凝血酶原时间值以量效曲线呈现,量效曲线作图回归分析时,只有在用药剂量和凝血酶原时间值达到十组数据时才进行这项分析。 [0034] Patient Actual dose by the patient on the key input 2, the external processing terminal 2 Patient dose and the actual measured value of prothrombin time by a dose-response curve exhibits the external processing terminal, dose-response curves plotted regression analysis when, this analysis only reach ten sets of data values ​​only in the dosage and prothrombin time. 用药剂量和凝血酶原时间值的量效曲线有两种模式选项,如果针对效果较快呈现的药物,则选用第一种模式,反之选用第二种模式。 Dose response curves and prothrombin time value options has two modes, if the effect of the drug for fast rendering, the selection of the first mode, the second mode is selected and vice versa. 第一种模式是,以测得的凝血酶原时间值为y值,该凝血酶原时间值的检测时间前面的最近一次用药剂量为X值,进行作图回归分析,并在外部处理终端2的液晶显示屏上显示量效曲线。 The first mode is, in the measured prothrombin time is the value of y, the last dose of the previously detected time the thrombin time value as the original value X, plotted regression analysis, and external processing terminal 2 dose-response curves displayed on the LCD. 第二种模式是,以测得的凝血酶原时间值为y值,该凝血酶原时间值的检测时间前的一天、两天、三天、四天和五天的5次用药剂量分别为X值,分别作图进行五组线性回归分析,自动选出相关性最好的一组曲线呈现,显示在外部处理终端2的液晶显示屏上,当然在按键上操作也可以人为选择查看任意一组曲线。 The second mode is, in the measured prothrombin time is the value of y, one day, two days, five dose three, four and five days prior to the detection time of the prothrombin time values ​​were X values ​​are plotted for the five groups of linear regression analysis, automatically selects the best set of correlation curves presented, displayed on the external LCD display processing terminal 2, of course, on the key operation may choose to view any of a human of curves. 量效曲线的回归方程为INR = kXD+b,INR为实际测得的凝血酶原时间值,D为用药剂量,k和b都是通过病人个体实际的量效曲线回归分析得出的参数,会随着每天积累的数据增加而发生一些变化,由此可以推算出病人的后一次用药剂量建议,即:D'= (INR' _b)/k,D'为建议的后一次用药剂量,INR'为目标凝血酶原时间值,建议的后一次用药剂量显示在外部处理终端2的液晶显示屏上。 The regression equation for the dose-response curve INR = kXD + b, INR prothrombin time values ​​actually measured, D is the dose, k and b are regression parameters obtained by analyzing the actual individual patient dose-response curves, increases as the accumulated data some changes per day, which can calculate a patient after the dosage recommendations, namely: D '= (INR' _b) / k, D 'after a recommended dose, INR after the 'target prothrombin time values, a recommended dose shown on the external processing terminal 2 in the LCD. 如果建议的后一次用药剂量和前一次用药剂量相比变化比较大,则外部处理终端2发出警告信息,并将建议的后一次用药剂量、前一次用药剂量及警告信息以无线通讯方式通过云端服务器发送给医生监控终端3,由专业医生进行确认或提出修改建议。 If after the first dose and the recommended dose compared to the previous relatively large changes in the external processing terminal 2 warning information and suggestions after the last dose, the previous dosage and warning information to the cloud server via wireless communication send to a doctor monitoring terminal 3, to confirm or modify the recommendations put forward by a professional doctor.

[0035] 对于INR指标控制良好的病人,外部处理终端2自动给出用药安全的反馈意见;对于INR指标控制较差的病人,外部处理终端2直接发送数据给主管医生,并反馈用药不安全的警示信息给病人,提醒病人尽快就医。 [0035] For patients with good INR control indicators, the external processing terminal 2 automatically given drug safety feedback; INR index for patients with poorly controlled, 2 send data directly to the external processing terminal doctor in charge, and the feedback medication unsafe warning messages to patients to remind patients seek medical attention.

[0036] 智能凝血酶原时间监控系统的工作流程: [0036] Smart prothrombin time monitoring system workflow:

1、启动凝血酶原时间检测终端和外部处理终端。 1 start prothrombin time detection processing terminal and an external terminal.

[0037] 2、在外部处理终端上设置正确的时间或同步时间,进行工作状态、参数设置等。 [0037] 2, or set the correct time synchronization processing time on the external terminal, work status, parameter settings and the like.

[0038] 3、由扫码终端获取病人信息或在按键上操作手工输入病人信息。 [0038] 3, the scan code of the terminal access to patient information manually input patient information or the operation on the key.

[0039] 4、打开外部处理终端上的数据管理软件,输入用药信息。 [0039] 4, to open the management software on the external data processing terminal, enter medication information.

[0040] 5、在外部处理终端上插入芯片或通过扫码终端获取测试条批号、工作方程等信息。 [0040] 5, insertion of the chip or on the external processing terminal acquires a test strip batch, the work by the equation scan code and other information terminals.

[0041 ] 6、在凝血酶原时间检测终端上插入测试条。 [0041] 6, the test strip is inserted in the terminal prothrombin time detection.

[0042] 7、采集毛细血管血或静脉血进行加样测试,获取测试结果。 [0042] 7, capillary blood or venous blood collected loading test, obtaining test results.

[0043] 8、打开外部处理终端上的数据管理软件,查看用药信息与测试信息是否正确,进行分析、处理和判断,把相关结果远程传送给云端服务器,再由云端服务器发送给主管医师的医生监控终端,主管医生也可以通过云端服务器远程发送建议信息到外部处理终端。 [0043] 8, open the data management software on the external processing terminal See medication information with the test information is correct, analysis, processing and determination, the correlation result of the remote transmitted to the cloud server and then sent by the first server to the doctor in charge of the physician monitoring terminal, the doctor in charge can also send suggestions to the external information processing terminal by remote cloud server.

[0044] 9、通过外部处理终端上的数据管理软件可以随时查阅检测情况,并有动态曲线等分析功能。 [0044] 9, the case can be found by detecting the management software on the external data processing terminal at any time, and has a dynamic curve analysis.

[0045]另外,本发明的外部处理终端软件系统包含质控提醒,提醒用户当系统有潜在风险时,需要进行质控,确保监控系统的准确性。 [0045] Further, the external processing terminal software quality control system of the present invention comprises a reminder system to alert the user when the risk potential, the need for quality control to ensure the accuracy of the monitoring system. 质控提醒逻辑包括: 一、新系统刚使用时 QC reminded logic includes: a new system just use

外部处理终端获取凝血酶原时间检测终端识别号信息,当无存储信息时,认为是新系统使用,给出质控提醒。 External processing terminal acquires prothrombin time detecting terminal identification number information, when no information is stored, the new system is that, given alert quality control.

[0046] 二、系统周期质控 [0046] Second, the system quality control cycle

外部处理终端软件默认一月提醒一次,用户也可进行设置。 External processing terminal software, the default reminder time in January, users can also be set.

[0047] 三、使用新批次的测试试剂时 [0047] Third, when a new batch of test agent

外部处理终端会存储上一次测试结果的批号信息,当使用新批号时,扫码设备会获取批号信息,当和上一次测试结果的批号不一致时,给出使用新批次的测试试剂的质控提醒。 External processing terminal stores a lot of information about the test results, when using the new lot, lot number scan code acquires the device information, when the first batch of test results are inconsistent and, the use of control is given a new batch of test agents remind.

[0048] 四、当监控系统一段时间没有使用时 [0048] Fourth, when the monitoring system is not used for some time

外部处理终端会存储上一次测试结果的测试时间,当下一次准备测试,凝血酶原时间检测终端插入测试试剂时,凝血酶原时间检测终端发送信息到外部处理终端,外部处理终端会核对时间,如与上一次测试结果的时间差距超出预设范围(如I个月),则给出长期未使用需质控提醒。 A test time of the test results on the external processing terminal is stored, ready to test the next time, prothrombin time detecting terminal is inserted into the test reagent prothrombin time detection terminal transmits information to the external processing terminal, the external processing terminal will check time, such as and the last time the test results of the gap exceeds a preset range (such as I months), given the long-term use need not remind quality control.

Claims (10)

1.一种智能凝血酶原时间监控系统,其特征在于包括凝血酶原时间检测终端(I)、外部处理终端(2)和医生监控终端(3); 凝血酶原时间检测终端(I):用于检测凝血酶原时间,并将检测结果以有线或无线通讯方式发送给所述的外部处理终端(2); 外部处理终端(2):以有线或无线通讯方式接收凝血酶原时间检测终端(I)发送的凝血酶原时间检测结果,并进行分析和处理,作出是否在安全范围内的判断,显示安全信息或发出警告信息,给出量效曲线及回归方程,并将上述信息以有线或无线通讯方式发送给位于远端的所述的医生监控终端(3),给医生提供直观动态图及数据参考; 医生监控终端(3):和所述的外部处理终端(2)进行有线或无线通讯,用于接收外部处理终端(2 )发送的信息,也能编辑并传送指令给所述的外部处理终端(2 )。 An intelligent prothrombin time monitoring system, characterized by comprising a detecting terminal prothrombin time (the I), the external processing terminal (2) and physicians monitor terminal (3); prothrombin time detection terminal (I): for detecting prothrombin time, sends the detection result in a wired or wireless communication method according to an external processing terminal (2); the external processing terminal (2): a wired or wireless communication terminal receives the detection prothrombin time (I) prothrombin time detection result transmitted, and analysis and processing, determination is made whether within the safe range, display a warning message or the security information, and the dose-response curve gives the regression equation, the above information in a wired and or transmit wireless communications to the remotely located physician monitoring terminal (3), to provide physicians and FIG dynamic visual reference data; doctors monitor terminal (3): and said external processing terminal (2) or wired wireless communication terminal for receiving an external process (2) information transmitted, can edit and transmit processing instructions to said external terminal (2).
2.根据权利要求1所述的智能凝血酶原时间监控系统,其特征在于包括云端服务器(4):用于既和所述的外部处理终端(2)进行有线或无线通讯,又和所述的医生监控终端(3)进行有线或无线通讯,保证外部处理终端(2)和医生监控终端(3)的数据同步,云端服务器(4)本身还能自动地向外部处理终端(2)及医生监控终端(3)推送相关数据。 The smart prothrombin time monitoring system according to claim 1, characterized by comprising a first server (4): an external processing terminal (2), and both the wired or wireless communications, and further the doctors monitor data terminal (3) for wired or wireless communication to ensure that the external processing terminal (2) and physicians monitor terminal (3) of the synchronization, the cloud server (4) can itself automatically to the external processing terminal (2) and doctors monitoring terminal (3) to push data.
3.根据权利要求1或2所述的智能凝血酶原时间监控系统,其特征在于所述的凝血酶原时间检测终端(I)包括中央处理单元(11)及分别与中央处理单元(11)相连的凝血酶原时间检测单元(14)、温度传感器(12)、扫码终端接口(13)和通讯接口(15); 中央处理单元(11):用于对凝血酶原时间检测单元(14)送来的凝血酶原时间检测信号进行处理,并根据温度传感器(12)送来的实际环境温度对凝血酶原时间检测信号进行温度补偿,然后通过测试条参数信息计算出凝血酶原时间检测结果,通过扫码终端接口( 13)获取病人信息及测试条信息,连接通讯接口(15)以和所述的外部处理终端(2)进行数据通讯; 凝血酶原时间检测单元(14):用于采集凝血酶原时间测试条上的反应信息,获得凝血酶原时间检测信号并输送给所述的中央处理单元(11); 温度传感器(12):实时采集环境温度并输送给所述的中 The smart prothrombin time monitoring system of claim 1 or claim 2, wherein said detecting terminal prothrombin time (I) comprising a central processing unit (11), respectively, and a central processing unit (11) prothrombin time detection unit (14), a temperature sensor (12) is connected, scan code terminal interface (13) and a communication interface (15); a central processing unit (11): for prothrombin time detection unit (14 ) sent prothrombin time detection signals are processed and sent to the actual ambient temperature prothrombin time detection signal for temperature compensation of the temperature sensor (12), then calculates a prothrombin time test strip is detected by the parameter information As a result, (13) acquires patient information and scan information test strip code of the terminal interface to connect communication interface (15) and said external processing terminal (2) for data communication; prothrombin time detection unit (14): with thrombin reaction to collect information on the test strip prothrombin time, prothrombin time detection signal is obtained and fed a central processing unit (11) according to; a temperature sensor (12): real-time acquisition of the ambient temperature and fed to the 处理单元(11 ),便于中央处理单元(11)对凝血酶原时间检测结果进行温度补偿; 扫码终端接口(13):用于连接扫码仪,通过扫码获取病人编号和姓名输送给所述的中央处理单元(11),通过扫码自动获取测试条批号并从云端获取该批号的参数信息输送给所述的中央处理单元(11),实现自动调码; 通讯接口(15):用于实现中央处理单元(11)和所述的外部处理终端(2)的数据通讯;所述的外部处理终端(2)包括ARM控制器(21)及分别与ARM控制器(21)相连的显示模块(22 )、按键模块(23 )、通讯模块(24 )和报警模块(25 ); ARM控制器(21):和所述的凝血酶原时间检测终端(I)进行通讯,对接收到的凝血酶原时间检测结果进行分析和处理,作出是否在安全范围内的判断,显示安全信息或发出警告信息,给出量效曲线及回归方程,并将上述信息通过通讯模块(24)发送出去,给医生提供直观动态 The processing unit (11), to facilitate a central processing unit (11) on the prothrombin time detection result of temperature compensation; scan code of the terminal interface (13): scan code scanner for connection, by obtaining the patient ID and name of the scan code is supplied to the a central processing unit (11) described below, obtained through scan code and automatic test strip batch acquisition central processing unit (11) the parameter information is supplied to the batch from Drive, automatic transfer code; communication interface (15): with for implementing the central processing unit (11) and said external processing terminal (2) data communication; the external processing terminal (2) includes a display controller coupled to the ARM (21) and the ARM controller, respectively (21) module (22), button module (23), communication module (24) and alarm module (25); ARM controller (21): the prothrombin time, and the detected terminal (I) for communication, the received prothrombin time analysis and processing detection results, determination is made whether within the safe range, display a warning message or the security information, and the dose-response curve gives the regression equation, and the above-described information sent through the communication module (24), the doctor provides an intuitive dynamic 及数据参考; 显示模块(22):用于接收ARM控制器(21)输送来的数据,显示凝血酶原时间检测结果,显示安全信息或警告信息,显示下次用药剂量建议,显示病人ί目息、医生彳目息和用药彳目息; 按键模块(23):用于编辑病人姓名、编号、用药信息、监测信息、测试条批号信息及主管医生姓名、账号,并输送给ARM控制器(21); 通讯模块(24):和ARM控制器(21)相连,实现ARM控制器(21)和所述的医生监控终端(3)或云端服务器(4)的数据通讯; 报警模块(25):当ARM控制器(21)判断出接收到的凝血酶原时间检测结果超过安全范围时,启动报警模块(25),发出警告信息。 And the reference data; display module (22): receiving data for delivery to the ARM controller (21), prothrombin time detection result display, or display a security warning message is displayed next dose recommendation display mesh patient ί information, mesh information doctors left foot and left foot mesh drug information; button module (23): to edit patient name, number, medication information, monitoring information, and information about the test strip lot doctor in charge name, account number, and fed to the ARM controller ( 21); the communication module (24): and ARM controller (21) is connected, the ARM controller (21) according to doctor monitoring terminal (3) or in the cloud server (4) data communication; alarm module (25) : when the ARM controller (21) determines that the received detection result prothrombin time exceeds the safe range, start the alarm module (25), a warning message.
4.根据权利要求1或2所述的智能凝血酶原时间监控系统,其特征在于所述的凝血酶原时间检测终端(I)和外部处理终端(2)属于同一设备的两个模块或者是两个单独设备。 The smart prothrombin time monitoring system as claimed in claim 1 or claim 2, wherein two of said primary modules thrombin time detection terminal (I) and the external processing terminal (2) belong to the same device or two separate devices.
5.一种如权利要求1所述的智能凝血酶原时间监控系统的监控方法,其特征在于所述的凝血酶原时间检测终端(I)采集凝血酶原时间测试条上的信息,并以有线或无线通讯方式输送给所述的外部处理终端(2),外部处理终端(2)根据预先设定的凝血酶原时间目标值,经过分析和处理,自动判断实际采集到的凝血酶原时间值是否在安全范围内,如果偏差较大,则发出警告信息,同时外部处理终端(2)以有线或无线通讯方式将采集结果和判断结果发送给所述的医生监控终端(3 )。 5. A smart according to claim 1 the thrombin time method for monitoring the original monitoring system, wherein the information on the prothrombin time detection terminal (I) collected prothrombin time test strip, and to processing terminal external wired or wireless communication to the delivery (2), the external processing terminal (2) in accordance with the prothrombin time preset target value, through analysis and processing, to automatically determine the actually collected prothrombin time value is within the safe range, if the deviation is large, a warning message is issued while an external processing terminal (2) in a wired or wireless communication and the collected results of the monitoring physician judgment result transmitting terminal (3) according to.
6.根据权利要求5所述的监控方法,其特征在于所述的凝血酶原时间检测终端(I)设有扫码终端接口(13);所述的监控方法包括:通过在所述的扫码终端接口(13)连接扫码设备对测试条批号进行扫码,通过扫码自动获取测试条批号,再通过所述的外部处理终端和所述的云端服务器(4)的通讯获取该批测试条的工作码和参数,实现自动调码功能。 6. The monitoring method according to claim 5, wherein said detecting terminal prothrombin time (I) has a scan code of the terminal interface (13); said monitoring method comprising: sweeping the code terminal interface (13) connected to the scan code devices scan code test strip lot number, batch number, obtaining a test strip by automatic scan code, and then (4) correspond obtain test batch processing by said external terminal and the server cloud bar code and operating parameters, automatic adjustment function code.
7.根据权利要求6所述的监控方法,其特征在于包括测试试剂质控检测方法,步骤如下: 所述的扫码设备扫描测试试剂条码,获取测试试剂批号信息并输送给所述的外部处理终端(2); 外部处理终端(2)和所述的云端服务器(4)进行通讯,获取或同步该批号测试试剂的质控范围; 外部处理终端(2)存储测试试剂批号信息和获取的质控范围; 所述的凝血酶原时间检测终端(I)对测试试剂进行质控检测,并把检测结果传送到外部处理终端(2); 外部处理终端(2)将检测结果和之前得到的质控范围进行比对,给出质控合格或质控结果超范围警示。 7. The monitoring method according to claim 6, characterized in that the method comprises detecting quality control test agent, the steps of: scanning said scan test reagent bar-code code devices, obtaining a test reagent lot information processing and delivery to said external external quality processing terminal (2) storing the test reagent lot information and the acquired; terminal (2); the external processing terminal (2) and the cloud server (4) for communication, synchronization, or acquisition range of the quality control lot number of the test agent the control range; prothrombin time detection of the terminal (I) the quality control test reagent, and the detection result is transmitted to the external processing terminal (2); the external processing terminal (2) and the detection result obtained before the mass control range for comparison, gives qualified quality control or quality control results are out of range warning.
8.根据权利要求5所述的监控方法,其特征在于所述的外部处理终端(2)对病人每天用药的剂量进行监控,外部处理终端(2)根据用户输入的服药剂量进行比对,如果和前一天的服药剂量相比变化比较大,则发出警告信息,提醒病人所服剂量是否正确,是否经专业医生确认;如果所服剂量未经医生确认,属于用药错误,则外部处理终端(2)以有线或无线通讯方式将病人用药错误信息发送给所述的医生监控终端(3)。 8. The monitoring method according to claim 5, wherein said external processing terminal (2) to monitor the patient's daily dose of medication, the external processing terminal (2) are aligned according to a user input dose of medication, and if and medication dose compared to the day before the change is relatively large, the warning message to remind the patient suits dose is correct, if confirmed by medical professionals; if the clothes dose without medical confirmation, belongs to medication errors, the external processing terminal (2 ) in a wired or wireless communications patient medication error information transmitted to the doctor to monitor the terminal (3).
9.根据权利要求5或6或7或8所述的监控方法,其特征在于所述的外部处理终端(2)将病人实际用药剂量和测得的凝血酶原时间值以量效曲线呈现,用药剂量和凝血酶原时间值的量效曲线有两种模式选项:第一种模式是,以测得的凝血酶原时间值为I值,该凝血酶原时间值的检测时间前面的最近一次用药剂量为X值,进行作图回归分析;第二种模式是,以测得的凝血酶原时间值为y值,该凝血酶原时间值的检测时间前的一天、两天、三天、四天和五天的5次用药剂量分别为X值,分别作图进行五组线性回归分析,自动选出相关性最好的一组曲线呈现,通过在外部处理终端(2)的按键上进行操作也可以人为选择查看任意一组曲线;所述的量效曲线的回归方程为INR = kXD+b,INR为实际测得的凝血酶原时间值,D为实际用药剂量,k和b都是通过病人个体实际的量效曲线回归分 9. The monitoring method 5 or 6 or 7 or claim 8, wherein (2) the actual dose and the patient prothrombin time values ​​measured in the external processing terminal presents dose-response curves, dose response curves and prothrombin time value options has two modes: a first mode, to the measured value I prothrombin time values, the detection of the thrombin time in front of the last time value of the original dose of X values, plotted regression analysis; the second mode to the measured prothrombin time is the value of y, the detection time of the day before the thrombin time values ​​of the original, two, three, 5 four days and five days, respectively dosage values ​​X, plotted for the five groups are linear regression analysis, automatically selects the best set of correlation curves presented by the keys in the external processing terminal (2) operation may be any of a group of people choose to view a graph; the regression equation for the dose-response curve INR = kXD + b, INR actual prothrombin time measured value, D is the actual dose, k and b are individual patients by dose-response curve of the actual regression 得出的参数,会随着每天积累的数据增加而发生一些变化,由此可以推算出病人的后一次用药剂量建议,即:D' = (INR' -b)/k,D'为建议的后一次用药剂量,INR'为目标凝血酶原时间值,建议的后一次用药剂量显示在所述的外部处理终端(2)上。 Parameter derived, increases as the accumulated data some changes per day, which can calculate a patient after the dosage recommendations, namely: D '= (INR' -b) / k, D 'of the proposed after a dose, INR 'target prothrombin time values, a suggested dosage is displayed in said external processing terminal (2).
10.根据权利要求9所述的监控方法,其特征在于如果建议的后一次用药剂量和前一次用药剂量相比变化比较大,则外部处理终端(2)发出警告信息,并将建议的后一次用药剂量、前一次用药剂量及警告信息以有线或无线通讯方式发送给所述的医生监控终端(3),由专业医生进行确认或提出调整建议;在进行所述的量效曲线作图回归分析时,只有在用药剂量和凝血酶原时间值达到十组以上数据时才能进行这项分析。 10. A method of monitoring according to claim 9, characterized in that after the first dose if the recommended dosage and compared to the previous variation is relatively large, the external processing terminal (2) issue a warning message and a recommended dosage, dosage and the previous alert information is transmitted in a wired or wireless terminal monitor the communication mode the doctor (3), wherein the confirmation or adjustment proposed by professional doctors; performing the dose-response curve is plotted regression analysis in order to carry out this analysis, only the value reached more than ten sets of data in dose and prothrombin time.
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