CN105708426A - Dynamic evaluation method for cardiac reserve function of healthy pregnant women in moderate-intensity exercises - Google Patents

Dynamic evaluation method for cardiac reserve function of healthy pregnant women in moderate-intensity exercises Download PDF

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CN105708426A
CN105708426A CN201610236534.3A CN201610236534A CN105708426A CN 105708426 A CN105708426 A CN 105708426A CN 201610236534 A CN201610236534 A CN 201610236534A CN 105708426 A CN105708426 A CN 105708426A
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heart rate
anemia
pregnant woman
exercise
healthy
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张松
芦杨
杨琳
郝冬梅
杨益民
李旭雯
王莹
高沛
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Beijing University of Technology
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    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
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    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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Abstract

The invention discloses a dynamic evaluation method for the cardiac reserve function of healthy pregnant women in moderate-intensity exercises, belonging to the technical field of pregnancy healthcare of pregnant women and particularly exercise healthcare of pregnant women. The method is characterized by being realized in a cardiac reserve function computer evaluation system when the pregnant women take moderate-intensity exercises and comprising the following steps: determining the healthy pregnant women from the personal medical information of the pregnant women sequentially according to the health hierarchical screening rule and pregnant-women risk grouping rule; screening out low-risk pregnant women of which the D/S value is less than 1.0 during exercises by a classifying rule based on the ratio D/S of the diastole time limit to systole time limit according to the pulse wave data measured in exercises; detecting the cardiac reserve function and target heart rate range of the pregnant women by using pulse waves for other healthy pregnant women, and calculating the target heart rate intensity range according to the two modules; and evaluating the exercise time by a pregnant-women exercise time evaluation module according to the international exercise standard for the pregnant women so as to obtain an exercise prescription composed of the target heart rate intensity range and exercise cardiac reserve function value to guarantee effective and safe exercises of the pregnant women.

Description

The dynamic assessment method of healthy pregnant women moderate exercise Reserved cardiac function
Technical field
The present invention relates to sports medical science, trimester of pregnancy health care and biomedicine signals analysis field, the specifically dynamic assessment method of a kind of healthy pregnant women moderate exercise Reserved cardiac function.
Background technology:
Motion suitable in During Pregnancy can be the benefit that mother and fetus bring the suitable energy of health/body.Motion can also reduce the risk that pregnancy complications occurs, such as gestational hypertension, gestational diabetes.So health should be encouraged, the anemia of pregnant woman of not motion contraindication participates in suitable motion in whole During Pregnancy.But during China lacks the monitoring means of motion and the Sport Administration of individuation and corresponding specification and guide, particularly gestation.And research level that America & Canada moved for the pregnancy period is more deep, and provide the based guidelines approved in the world.ACSM (ACSM) and department of obstetrics and gynecology association of the U.S. (ACOG) combine and point out in the guide of issue that the intensity that trimester of pregnancy moves is moderate strength, suitable exercise intensity scope is 50-90%, and exercise duration is at least 150 minutes weekly.But the moderate strength scope provided in guide is too wide in range, indefinite, and do not account for anemia of pregnant woman's individual variation situation, it is therefore desirable to set up the motion target heart rate acquisition methods of individuation on this basis.
Although the impact of heart is in physiological range by the gestation of most pregnant women, but the impact due to various factors, the effect that minority anemia of pregnant woman bears Progressive symmetric erythrokeratodermia increase in pregnant or pregnant motor process cardiac causes sub-health state occur, or cause that pathologic changes, so needing the heart reservation Non-invasive detection before carrying out pregnancy period motion and cardiac safety assessment, the angle of state is employed from heart reservation, the individual heart burden state before anemia of pregnant woman's motion of probing into is if appropriate for motion, or it is suitable for the motion of which kind of grade strength this moment, foundation is provided for drafting anemia of pregnant woman's Cardioprotective and individuation Sport Administration.Equally, a kind of heart reservation non-invasive detection methods suitable in anemia of pregnant woman and device are lacked.
Pulse wave contains abundant hemodynamics information.Always as the foundation of clinical diagnosis and treatment, substantial amounts of clinical measured result confirms, the feature of pulse wave and cardiovascular physiology state have close relationship.The integrated information of the aspects such as form (shape of ripple), intensity (amplitude of ripple), speed (speed of ripple) and the rhythm and pace of moving things (cycle of ripple) that pulse wave shows reflects many physiology and the pathological characters of cardiovascular system of human body to a great extent.The actual parameter in pulse wave can be extracted, be used for assessing the heart reservation ability of anemia of pregnant woman, and as foundation, formulate trimester of pregnancy individuation movement technique.
Summary of the invention:
Existing technical scheme mainly utilizes points out in the guide that the U.S. issues that the intensity that trimester of pregnancy moves is moderate strength, and exercise duration is at least 5 days weekly, at least 30 minutes every days.But the moderate strength scope provided in guide is too wide in range, indefinite, and do not account for anemia of pregnant woman's individual variation situation.Lack the detailed exercise guidance scheme meeting individual pregnancy period situation and motion result evaluation criterion simultaneously.
For solving the problems referred to above, the present invention proposes the dynamic assessment method of a kind of healthy pregnant women moderate exercise Reserved cardiac function, pulse wave signal can reflect many physiology and the pathological characters of cardiovascular system of human body, extract anemia of pregnant woman's heart reservation information, there is clearer and more definite physiological significance, in conjunction with sports medical science and enclose product learn correlation theory, set up trimester of pregnancy individuation exercise prescription, can solve prior art instructs wide scope, the indefinite problem with the exercise guidance lacked and dynamic evaluation standard, give Reserved cardiac function computer evaluation system during healthy pregnant women moderate exercise simultaneously.
It is a feature of the present invention that, the dynamic assessment method of described healthy pregnant women moderate exercise Reserved cardiac function, it is characterized in that, described moderate exercise Shi You world anemia of pregnant woman's motion criteria proposes: exercise heart rate strength range is between 50%~90% target heart rate intensity η, this be one by the target heart rate intensity η % effectively scope of safety doing moderate exercise represented, exercise heart rate in described deposit heart rate strength range is called target heart rate, described target heart rate intensity η % refers to: the ratio of described target heart rate and the maximum heart rate depending on pregnant woman age, the described moderate strength persistent period is 150 minutes/week, motion effective time is at least 30 minutes, described dynamic assessment method is the Reserved cardiac function computer dynamic assessment system when a healthy pregnant women moderate exercise, hereinafter referred to as what system realized successively according to the following steps:
Step (1), system constructs, and is provided with in a computer with lower module:
Health before motion is layered examination and risk classification module, is called for short healthy pregnant women screening module,
Reserved cardiac function classification and alarm module, be called for short D/S value classification and alarm module, and D is the diastole time limit, and S is the paradoxical expansion time limit, and D/S value represents heartbeat capacity reserve function, is equivalent to Reserved cardiac function,
Anemia of pregnant woman's exercise prescription module, is called for short prescriptions module,
Anemia of pregnant woman's movement time evaluation module,
Anemia of pregnant woman's exercise prescription case memory module, is called for short prescription memory module,
Wherein:
Healthy pregnant women screening module, including: healthy layering examination criterion sub module stored, is called for short health layering criterion submodule;Risk classification criterion sub module stored, is called for short risk classification criterion submodule;Healthy layering examination message sub-module, is called for short layering examination submodule;Risk classification identification submodule, is called for short healthy pregnant women and assert submodule, wherein:
Healthy layering criterion submodule,
First level criterion of identification A is: whether there is known cardiovascular, lungs or metabolic disease A1, or whether there is the absolute contraindication A2 of trimester of pregnancy aerobatic exercise, wherein:
Described known cardiovascular, lungs or metabolic disease A1, contain: with 7 disease informations of A11~A17 mark, order is followed successively by: heart disease, peripheral blood vessel, cerebrovascular disease, chronic obstructive pulmonary disease COPD, asthma, interstitial lung disease, cystic fibrosis
The described absolute contraindication A2 of trimester of pregnancy aerobatic exercise, contain: with 7 disease informations of A21~A27 mark, order is followed successively by: cervical incompetence, the once above hemorrhage history of premature labor history, at least one times Medium and late pregnancy, placenta previa, threatened premature labor, premature rupture of fetal membrane, preeclampsia/pregnancy induced hypertension syndrome after 26 weeks
Second level criterion of identification B is: whether there is the symptom/sign B1 of cardiovascular, lungs or metabolic disease or the relative contraindication B2 of trimester of pregnancy aerobatic exercise, wherein symbol "/" represent " or " meaning:
Symptom/sign the B1 of described cardiovascular, lungs or metabolic disease; contain: with 7 disease informations of B11~B17 mark; order is followed successively by: breathe hard during gentle activity, dizziness, orthopnea or paroxysmal dyspnea, ankle edema, intermittent claudication, cardiac murmur and normal activity occur abnormal weak or breathe hard
The described relative contraindication B2 of trimester of pregnancy aerobatic exercise, contain: with 7 disease informations of B21~B27 mark, order is followed successively by: severe anemia, extremely morbid oberity, extremely low weight, extremely static life style, this Pregnant Fetus Intrauterine growth restriction, severe epilepsy and severe smoking
Third level criterion of identification C is: whether there is the risk factor of cardiovascular disease, contains: 5 disease informations of C1~C5 mark, order is followed successively by: age, family history, smoking history, hypertension and disorders of lipid metabolism prediabetes;
Layering examination submodule, input anemia of pregnant woman individual's name, age and Historical medical's information and described healthy layering examination criterion, it is output as the anemia of pregnant woman's disease information obtained through level sequence number successively examination, represent with each corresponding disease information mark number, if there being this disease, assignment is " 1 ", it is " 0 " without then assignment
Risk classification criterion submodule, is divided into highly dangerous group, poor risk group and healthy group, wherein:
Highly dangerous group, refers to that anemia of pregnant woman is contained in following three medical information any, needs carry out comprehensive medical inspection and secure permission before the motion participating in any intensity:
The cardiovascular of 1 or more than 1, lungs, metabolic disease symptom/sign, or
There is trimester of pregnancy aerobatic exercise and definitely avoid symptom, or
The disease being diagnosed to be;
Poor risk group, refers to that anemia of pregnant woman is contained in following two kinds of medical informations any, is necessary that hospital carries out medical inspection and exercise test, if be engaged in moderate exercise and need to accept the suggestion of doctor before participating in medium or the motion of high intensity:
There is no cardiovascular, lungs, the symptom/sign of metabolic disease or there is no disease after diagnosing, but there is the risk factor of 2 or more than 2 cardiovascular disease, or
There is trimester of pregnancy aerobatic exercise and relatively avoid symptom,
Healthy group, accounts for the major part of anemia of pregnant woman, is healthy pregnant women, it is allowed to launch pregnancy period Sport Administration according to individuation guidance method;
Risk classification identification submodule, inputs as described anemia of pregnant woman's disease information and risk classification criterion, is output as highly dangerous group anemia of pregnant woman, poor risk group anemia of pregnant woman and healthy group anemia of pregnant woman, compares successively with three groups by pregnant woman health the selection result and obtains,
D/S value classification and alarm module, including: D/S value grading criterion sub module stored and D/S value warning submodule, wherein:
D/S value grading criterion sub module stored is provided with: level Four D/S sports safety value grading criterion includes:
Detecting meansigma methods >=1.4 of the D/S value of all pulse waves in cycle time at one, corresponding to I level target heart rate intensity 80%~90%, represent that Reserved cardiac function is in good shape, can easily control moderate exercise, anemia of pregnant woman mostly is sports fan or athlete,
The meansigma methods of the D/S value of all pulse waves is detected in cycle time between 1.2~1.4 at one, corresponding to II level target heart rate intensity 65%~80%, represent that Reserved cardiac function is in good condition, it is allowed to carry out moderate exercise, most anemia of pregnant woman's first half period of gestation can reach this rank
Detecting in cycle time at one that the meansigma methods of the D/S value of all pulse waves is between 1.0~1.2, corresponding to III level target heart rate intensity 50%~65%, expression Reserved cardiac function state is general, it is allowed to carry out the moderate exercise within the scope of relatively low target heart rate,
Detecting the meansigma methods 1.0 of the D/S value of all pulse waves in cycle time at one, corresponding to IV level target heart rate intensity 40%~50%, discomfort is fit to do moderate exercise,
D/S value warning submodule, reports to the police when the average D/S value 1.0 of per minute interior pulse wave of the anemia of pregnant woman doing moderate exercise being detected immediately, points out stop motion,
Prescriptions module includes: pulse wave method detection heart reservation submodule and anemia of pregnant woman's target heart rate strength range calculating sub module, wherein:
Pulse wave method detection heart reservation submodule, preset pulse wave method heart dynamic parameter inspection software, perform following steps successively:
1. step, according to the level Four D/S value grading criterion inputted, gathers healthy pregnant women when doing moderate exercise from the real-time pulse wave data of wristband type universal serial Photoelectric sphygmograph sensor input and pregnant woman age;
2. step, sets detection cycle T as 30 minutes, the average D/S value of pulse wave per minute in detection cycle T, if there being an average D/S value 1.0, then described D/S value warning submodule sends alarm signal, otherwise 3. healthy pregnant women is performed step,
3. step, is calculated as follows maximum heart rate HRmax:
HRmax=206.9-0.67 × age,
Step 4., anemia of pregnant woman's target heart rate strength range calculating sub module,
Detect in cycle T at one, when anemia of pregnant woman does moderate exercise effectively and the actual measurement largest motion target heart rate of safety is THRmax(T), actual measurement minimum movement target heart rate be THRmin(T), it is believed that in cycle T anemia of pregnant woman do moderate exercise effectively and the motion target heart rate range of safety is THRmin(T)~THRmax(T), output display,
Step 5., anemia of pregnant woman's movement time evaluation module, calculate the maximum target heart rate intensity η in cycle Tmax(T)% and minimum target heart rate intensity ηmin(T)%, it is determined that go out target heart rate average strength ηav(T)% and average target heart rate value, computing formula:
η m a x ( T ) = THR m a x ( T ) HR m a x ,
η m i n ( T ) = THR m i n ( T ) HR m a x ,
Average target heart rate intensity level in one cycle T is
Calculating average target heart rate is THRav=[(HRmax HRrest) × ηav(T)%]+HRrest,
HRrest is resting heart rate value, pulse wave detect and obtain;
Set anemia of pregnant woman's movement time score value as:
Output display,
Set tyAverage target heart rate THR is reached for exercise heart rate in cycle TavThe number of heart rate, reach average target heart rate THR equal to moderate exercise process centric rate in numberavTime ty,
Step 6., anemia of pregnant woman's exercise prescription case memory module, respectively input:
The name of healthy pregnant women, age, pulse wave testDate and described anemia of pregnant woman's disease information, be referred to as healthy pregnant women personal medical information,
Target heart rate THR is inputted from anemia of pregnant woman's target heart rate strength range calculating sub modulemax(T)、THRmin(T)、THRav, then input anemia of pregnant woman movement time score value Y (t from described anemia of pregnant woman's movement time evaluation moduley), both is collectively forming exercise prescription,
Output: the mapping table corresponding by anemia of pregnant woman's personal medical information and dynamic motion prescription;
Step (2), the computer dynamic evaluation healthy pregnant women Reserved cardiac function state when doing moderate exercise according to the following steps successively:
Step (2.1), computer initialization;
Step (2.1.1), to described hierarchical screening submodule input health layering examination criterion,
Step (2.1.2), inputs risk classification criterion to described risk classification criterion submodule,
Step (2.1.3), inputs level Four sports safety D/S value grading criterion to described D/S value grading criterion sub module stored,
Step (3), is input to described layering examination submodule anemia of pregnant woman's name, age and Historical medical's information, exports anemia of pregnant woman's disease information,
Step (4), is input to healthy pregnant women described anemia of pregnant woman's disease information and assert submodule, the output age of healthy pregnant women, name and personal illness information, be referred to as healthy pregnant women medical information,
Step (5), detects the date described healthy pregnant women medical information and its pulse wave detected when doing moderate exercise and pulse wave data is input to described pulse wave detection heart reservation submodule,
Step (6), described pulse wave method detection heart reservation submodule, resting heart rate before detection anemia of pregnant woman's D/S value when the moderate exercise that the time cycle is T, exercise heart rate and motion, in one minute on average the healthy pregnant women of D/S value 1.0 send the alarm signal of stop motion
Step (7), described anemia of pregnant woman's target heart rate strength range calculating sub module, according to the resting heart rate value of healthy pregnant women of input, maximum heart rate and actual motion heart rate, calculates the maximum target heart rate intensity η in cycle Tmax(T)% and minimum target heart rate intensity ηmin(T)%, it is determined that go out target heart rate average strength ηav(T)%, stores and shows,
Step (8), described anemia of pregnant woman's movement time evaluation module, reaches the time t of target heart rate according to the motion effective time specified by international anemia of pregnant woman's motion criteria inputted and the healthy pregnant women heart rate in this moderate exercise carries out obtained by pulse wave method inspection softwarey, calculate and obtain anemia of pregnant woman movement time score value Y (ty),
Step (9), described prescription memory module forms mapping table output THR according to healthy pregnant women personal medical information and the exercise prescription of inputmax(T)、THRmin(T)、THRav、ty、Y(ty) and store.
Reserved cardiac function computer evaluation system during healthy pregnant women moderate exercise in the present invention, it is possible to dangerous higher crowd when going out moderate exercise according to the personal medical information examination of anemia of pregnant woman, it is simple to early intervention and management;Filter out healthy pregnant women simultaneously, the exercise prescription of science safety is formulated for them, the Reserved cardiac function state of anemia of pregnant woman can be monitored in real time in motor process, calculate moderate exercise target heart rate scope, and record the effective exercise time, as occurred can sending warning in time when Reserved cardiac function is not in good state.Helping to instruct anemia of pregnant woman's motion in the whole pregnancy period can be oneself bring the benefit of healthy pregnant women with fetus, can guarantee that again the safe and effective property of motion.Manage risk when reducing pregnancy period motion by examination and suitable exercise, ensure baby's health, improve the quality of China's trimester of pregnancy health care service.
Accompanying drawing explanation
Fig. 1 is present procedure FB(flow block).
Fig. 2 is invention software function structure chart.
Fig. 3 is trimester of pregnancy human health screening and risk classification flow chart.
Fig. 4 is trimester of pregnancy moderate exercise prescription flow chart.
Fig. 5 makes moderate exercise heart rate range schematic diagram for anemia of pregnant woman.
Fig. 6 systematic schematic diagram.
Detailed description of the invention
Below in conjunction with accompanying drawing, the exemplary embodiment of the present invention is described in detail.
A kind of typical case's application scenarios of the present invention is in that when anemia of pregnant woman does moderate exercise, gather pulse wave signal, analysis of cardiac deposit parameter determines the exercise prescription of applicable anemia of pregnant woman's current state, pursuit movement heart rate in motor process, analyze anemia of pregnant woman's movement time, dynamic assessment healthy pregnant women moderate exercise Reserved cardiac function state.
With an one full year of life at age 29, pregnant week is the measured of 9 weeks is example.
(1) first, arrange the personal medical information of anemia of pregnant woman, carry out human health screening and risk classification.Screen module by healthy pregnant women and carry out examination disease and pregnant state information, include whether to exist known cardiovascular, lungs or metabolic disease A1 or A2 is definitely avoided in trimester of pregnancy aerobatic exercise;B2 is avoided in the Sx B1 or the trimester of pregnancy aerobatic exercise that whether there is cardiovascular cardiovascular, lungs or metabolic disease relatively;Whether there is the risk factor C of cardiovascular disease.After examination, this measured belongs to healthy population, it is possible to carried out oneself's Sport Administration and dynamic evaluation by following prescriptions module and anemia of pregnant woman's movement time evaluation module.
(2) the resting heart rate value gathering anemia of pregnant woman is HRrest=75, afterwards, anemia of pregnant woman does moderate exercise, set detection cycle T as 30 minutes, the average D/S value of pulse wave per minute in detection cycle T, if there being an average D/S value 1.0, then described D/S value warning submodule sends alarm signal, does not occur the situation of average D/S value 1.0 in this detection cycle.Calculating maximum heart rate value according to formula is HRmax=187.Detect in cycle T at one, when anemia of pregnant woman does moderate exercise effectively and the actual measurement largest motion target heart rate of safety be THRmax (T)=157, actual measurement minimum movement target heart rate is THRmin (T)=95, think in cycle T anemia of pregnant woman do moderate exercise effectively and the motion target heart rate range of safety is 95~157, output display result.Further according to anemia of pregnant woman's movement time evaluation module, calculate the maximum target heart rate intensity η in cycle Tmax(T)% is 84% and minimum target heart rate intensity ηmin(T)% is 50%, it is determined that go out target heart rate average strength ηav(T)% is 67% and average target heart rate value THRav=[(HRmax HRrest) × ηav(T)%]+HRrest=149.The moderate exercise process centric rate of this cycle T reaches the time t of average target heart rate THRavyBe 11 minutes, then anemia of pregnant woman's movement time Y (ty) it is 37 points.

Claims (1)

1. the dynamic assessment method of healthy pregnant women moderate exercise Reserved cardiac function, it is characterized in that, described moderate exercise Shi You world anemia of pregnant woman's motion criteria proposes: exercise heart rate strength range is between 50%~90% target heart rate intensity η, this be one by the target heart rate intensity η % effectively scope of safety doing moderate exercise represented, exercise heart rate in described deposit heart rate strength range is called target heart rate, described target heart rate intensity η % refers to: the ratio of described target heart rate and the maximum heart rate depending on pregnant woman age, the described moderate strength persistent period is 150 minutes/week, motion effective time is at least 30 minutes, described dynamic assessment method is the Reserved cardiac function computer dynamic assessment system when a healthy pregnant women moderate exercise, hereinafter referred to as what system realized successively according to the following steps:
Step (1), system constructs, and is provided with in a computer with lower module:
Health before motion is layered examination and risk classification module, is called for short healthy pregnant women screening module,
Reserved cardiac function classification and alarm module, be called for short D/S value classification and alarm module, and D is the diastole time limit, and S is the paradoxical expansion time limit, and D/S value represents heartbeat capacity reserve function, is equivalent to Reserved cardiac function,
Anemia of pregnant woman's exercise prescription module, is called for short prescriptions module,
Anemia of pregnant woman's movement time evaluation module,
Anemia of pregnant woman's exercise prescription case memory module, is called for short prescription memory module,
Wherein:
Healthy pregnant women screening module, including: healthy layering examination criterion sub module stored, is called for short health layering criterion submodule;Risk classification criterion sub module stored, is called for short risk classification criterion submodule;Healthy layering examination message sub-module, is called for short layering examination submodule;Risk classification identification submodule, is called for short healthy pregnant women and assert submodule, wherein:
Healthy layering criterion submodule,
First level criterion of identification (A) is: whether there is known cardiovascular, lungs or metabolic disease (A1), or whether there is the absolute contraindication of trimester of pregnancy aerobatic exercise (A2), wherein:
Described known cardiovascular, lungs or metabolic disease (A1), contain: with (A11)~(A17) 7 disease informations indicated, order is followed successively by: heart disease, peripheral blood vessel, cerebrovascular disease, chronic obstructive pulmonary disease COPD, asthma, interstitial lung disease, cystic fibrosis
The absolute contraindication of described trimester of pregnancy aerobatic exercise (A2), contain: with (A21)~(A27) 7 disease informations indicated, order is followed successively by: cervical incompetence, the once above hemorrhage history of premature labor history, at least one times Medium and late pregnancy, placenta previa, threatened premature labor, premature rupture of fetal membrane, preeclampsia/pregnancy induced hypertension syndrome after 26 weeks
Second level criterion of identification (B) is: whether there is the symptom/sign (B1) of cardiovascular, lungs or metabolic disease, or the relative contraindication of trimester of pregnancy aerobatic exercise (B2), wherein symbol "/" represent " or " meaning:
Symptom/the sign (B1) of described cardiovascular, lungs or metabolic disease; contain: with (B11)~(B17) 7 disease informations indicated; order is followed successively by: breathe hard during gentle activity, dizziness, orthopnea or paroxysmal dyspnea, ankle edema, intermittent claudication, cardiac murmur and normal activity occur abnormal weak or breathe hard
The relative contraindication of described trimester of pregnancy aerobatic exercise (B2), contain: with (B21)~(B27) 7 disease informations indicated, order is followed successively by: severe anemia, extremely morbid oberity, extremely low weight, extremely static life style, this Pregnant Fetus Intrauterine growth restriction, severe epilepsy and severe smoking
Third level criterion of identification (C) is: whether there is the risk factor of cardiovascular disease, containing: 5 disease informations that (C1)~(C5) indicates, order is followed successively by: age, family history, smoking history, hypertension and disorders of lipid metabolism prediabetes;
Layering examination submodule, input anemia of pregnant woman individual's name, age and Historical medical's information and described healthy layering examination criterion, it is output as the anemia of pregnant woman's disease information obtained through level sequence number successively examination, represent with each corresponding disease information mark number, if there being this disease, assignment is " 1 ", it is " 0 " without then assignment
Risk classification criterion submodule, is divided into highly dangerous group, poor risk group and healthy group, wherein:
Highly dangerous group, refers to that anemia of pregnant woman is contained in following three medical information any, needs carry out comprehensive medical inspection and secure permission before the motion participating in any intensity:
The cardiovascular of 1 or more than 1, lungs, metabolic disease symptom/sign, or
There is trimester of pregnancy aerobatic exercise and definitely avoid symptom, or
The disease being diagnosed to be;
Poor risk group, refers to that anemia of pregnant woman is contained in following two kinds of medical informations any, is necessary that hospital carries out medical inspection and exercise test, if be engaged in moderate exercise and need to accept the suggestion of doctor before participating in medium or the motion of high intensity:
There is no cardiovascular, lungs, the symptom/sign of metabolic disease or there is no disease after diagnosing, but there is the risk factor of 2 or more than 2 cardiovascular disease, or
There is trimester of pregnancy aerobatic exercise and relatively avoid symptom,
Healthy group, accounts for the major part of anemia of pregnant woman, is healthy pregnant women, it is allowed to launch pregnancy period Sport Administration according to individuation guidance method;
Risk classification identification submodule, inputs as described anemia of pregnant woman's disease information and risk classification criterion, is output as highly dangerous group anemia of pregnant woman, poor risk group anemia of pregnant woman and healthy group anemia of pregnant woman, compares successively with three groups by pregnant woman health the selection result and obtains,
D/S value classification and alarm module, including: D/S value grading criterion sub module stored and D/S value warning submodule, wherein:
D/S value grading criterion sub module stored is provided with: level Four D/S sports safety value grading criterion includes:
Detecting meansigma methods >=1.4 of the D/S value of all pulse waves in cycle time at one, corresponding to I level target heart rate intensity 80%~90%, represent that Reserved cardiac function is in good shape, can easily control moderate exercise, anemia of pregnant woman mostly is sports fan or athlete,
The meansigma methods of the D/S value of all pulse waves is detected in cycle time between 1.2~1.4 at one, corresponding to II level target heart rate intensity 65%~80%, represent that Reserved cardiac function is in good condition, it is allowed to carry out moderate exercise, most anemia of pregnant woman's first half period of gestation can reach this rank
Detecting in cycle time at one that the meansigma methods of the D/S value of all pulse waves is between 1.0~1.2, corresponding to III level target heart rate intensity 50%~65%, expression Reserved cardiac function state is general, it is allowed to carry out the moderate exercise within the scope of relatively low target heart rate,
Detecting the meansigma methods 1.0 of the D/S value of all pulse waves in cycle time at one, corresponding to IV level target heart rate intensity 40%~50%, discomfort is fit to do moderate exercise,
D/S value warning submodule, reports to the police when the average D/S value 1.0 of per minute interior pulse wave of the anemia of pregnant woman doing moderate exercise being detected immediately, points out stop motion,
Prescriptions module includes: pulse wave method detection heart reservation submodule and anemia of pregnant woman's target heart rate strength range calculating sub module, wherein:
Pulse wave method detection heart reservation submodule, preset pulse wave method heart dynamic parameter inspection software, perform following steps successively:
1. step, according to the level Four D/S value grading criterion inputted, gathers healthy pregnant women when doing moderate exercise from the real-time pulse wave data of wristband type universal serial Photoelectric sphygmograph sensor input and pregnant woman age;
2. step, sets detection cycle T as 30 minutes, the average D/S value of pulse wave per minute in detection cycle T, if there being an average D/S value 1.0, then described D/S value warning submodule sends alarm signal, otherwise 3. healthy pregnant women is performed step,
3. step, is calculated as follows maximum heart rate HRmax:
HRmax=206.9-0.67 × age,
Step 4., anemia of pregnant woman's target heart rate strength range calculating sub module,
Detect in cycle T at one, when anemia of pregnant woman does moderate exercise effectively and the actual measurement largest motion target heart rate of safety is THRmax(T), actual measurement minimum movement target heart rate be THRmin(T), it is believed that in cycle T anemia of pregnant woman do moderate exercise effectively and the motion target heart rate range of safety is THRmin(T)~THRmax(T), output display,
Step 5., anemia of pregnant woman's movement time evaluation module, calculate the maximum target heart rate intensity η in cycle Tmax(T)% and minimum target heart rate intensity ηmin(T)%, it is determined that go out target heart rate average strength ηav(T)% and average target heart rate value, computing formula:
η m a x ( T ) = THR m a x ( T ) HR m a x ,
η m i n ( T ) = THR m i n ( T ) HR m a x ,
Average target heart rate intensity level in one cycle T is
Calculating average target heart rate is THRav=[(HRmax HRrest) × ηav(T)%]+HRrest,
HRrest is resting heart rate value, pulse wave detect and obtain;
Set anemia of pregnant woman's movement time score value as:
Output display,
Set tyAverage target heart rate THR is reached for exercise heart rate in cycle TavThe number of heart rate, reach average target heart rate THR equal to moderate exercise process centric rate in numberavTime ty,
Step 6., anemia of pregnant woman's exercise prescription case memory module, respectively input:
The name of healthy pregnant women, age, pulse wave testDate and described anemia of pregnant woman's disease information, be referred to as healthy pregnant women personal medical information,
Target heart rate THR is inputted from anemia of pregnant woman's target heart rate strength range calculating sub modulemax(T)、THRmin(T)、THRav, then input anemia of pregnant woman movement time score value Y (t from described anemia of pregnant woman's movement time evaluation moduley), both is collectively forming exercise prescription,
Output: the mapping table corresponding by anemia of pregnant woman's personal medical information and dynamic motion prescription;
Step (2), the computer dynamic evaluation healthy pregnant women Reserved cardiac function state when doing moderate exercise according to the following steps successively:
Step (2.1), computer initialization;
Step (2.1.1), to described hierarchical screening submodule input health layering examination criterion,
Step (2.1.2), inputs risk classification criterion to described risk classification criterion submodule,
Step (2.1.3), inputs level Four sports safety D/S value grading criterion to described D/S value grading criterion sub module stored,
Step (3), is input to described layering examination submodule anemia of pregnant woman's name, age and Historical medical's information, exports anemia of pregnant woman's disease information,
Step (4), is input to healthy pregnant women described anemia of pregnant woman's disease information and assert submodule, the output age of healthy pregnant women, name and personal illness information, be referred to as healthy pregnant women medical information,
Step (5), detects the date described healthy pregnant women medical information and its pulse wave detected when doing moderate exercise and pulse wave data is input to described pulse wave detection heart reservation submodule,
Step (6), described pulse wave method detection heart reservation submodule, resting heart rate before detection anemia of pregnant woman's D/S value when the moderate exercise that the time cycle is T, exercise heart rate and motion, in one minute on average the healthy pregnant women of D/S value 1.0 send the alarm signal of stop motion
Step (7), described anemia of pregnant woman's target heart rate strength range calculating sub module, according to the resting heart rate value of healthy pregnant women of input, maximum heart rate and actual motion heart rate, calculates the maximum target heart rate intensity η in cycle Tmax(T)% and minimum target heart rate intensity ηmin(T)%, it is determined that go out target heart rate average strength ηav(T)%, stores and shows,
Step (8), described anemia of pregnant woman's movement time evaluation module, reaches the time t of target heart rate according to the motion effective time specified by international anemia of pregnant woman's motion criteria inputted and the healthy pregnant women heart rate in this moderate exercise carries out obtained by pulse wave method inspection softwarey, calculate and obtain anemia of pregnant woman movement time score value Y (ty),
Step (9), described prescription memory module forms mapping table output THR according to healthy pregnant women personal medical information and the exercise prescription of inputmax(T)、THRmin(T)、THRav、ty、Y(ty) and store.
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