CN107072737A - Patient monitoring system and patient parameter method for information display - Google Patents
Patient monitoring system and patient parameter method for information display Download PDFInfo
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
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Abstract
A kind of patient monitoring system and patient parameter method for information display, including：Parameter acquisition module (10), the data-signal for obtaining the sign anesthesia of patient state monitored from multiple dimensions in real time；Data processing module (30), for handling the data-signal, and the result generation after processing is visualized into display data, the visualization display data includes the dimensional information for characterizing multiple dimensions of anesthesia of patient state, wherein the dimensional information of each dimension includes characterizing the parameter information of at least one parameter of anesthesia of patient state；Display module (50) with least one narcosis viewing area, the dimensional information for showing the multiple dimension in real time at least one described narcosis viewing area.By obtaining the information of the sign anesthesia of patient state detected from multiple dimensions, and the dimensional information of this multiple dimension is shown in real time, help medical personnel to judge whether the narcosis of patient is suitable so as to the information according to display.
Description
Patient monitoring system and patient parameter information display method
Technical field
[0001] this application involves medical monitoring technical fields, and in particular to a kind of patient monitoring system and patient parameter information display method.
[0002]
[0003] background technique
[0004] patient monitor can be used for analyzing and showing the various physiological parameters and/or psychological parameter that are measured by one or more sensor for being connected to patient.These parameters can show by waveform or numeric form, and wherein waveform can show the parameter value between certain inch in the period, and numerical value can show current monitor value.To which the physical condition of patient monitor monitoring patient can be used in doctor, and the case where alarming, is identified according to the parameter measured.
[0005] at present, for in operation or in narcose patient, multi-parameter monitor is generallyd use to the customary physiological parameter of patient, such as blood pressure, heart rate, blood oxygen carries out real inch monitoring, and in the display screen display waveform relevant to monitored physiological parameter of multi-parameter monitor institute band, numerical value, the information such as trend, B IS (bispectral index is used with inch, bispectrum electroencephalogram) one-parameter patient monitor, NMT (neuromuscular transmission, Phrenic nerve diaphragm) one-parameter patient monitor is monitored and shows to the consciousness and flesh pine state of patient.Doctor needs the information seen on multiple patient monitors by Check for the narcosis of anaesthesia patient and Empirical carries out judgement acquisition.However, on the one hand due on multiple patient monitors informational capacity it is larger, doctor, which will inevitably spend therefrom to select between inch, judges anesthesia of patient state useful parameter information, on the other hand these useful monitoring informations are dispersed on different patient monitors, doctor inevitably needs one by one that Check is seen, doctor is resulted in need to remember after the parameter information first seen of a part combines the parameter information being currently seen with inch and make comprehensive descision in this way.In addition, each patient monitor may be due to being provided by different manufacturers, it is inconsistent that style is presented in the display of parameter.The above situation can influence judgement of the doctor to anesthesia of patient state to a certain degree, therefore current patient monitor or monitor system intuitively cannot effectively help medical staff to judge whether the narcosis of patient is suitable.
[0006]
[0007] summary of the invention
[0008] in view of this, it is necessary to provide the patient monitors that one kind can show anesthesia of patient state from multiple dimensions
[0009] according to the one aspect of the application, the application provides a kind of patient monitoring system, comprising: parameter acquisition module obtains the data-signal of the characterization anesthesia of patient state monitored from multiple dimensions for real inch；Connect the data processing module of the parameter acquisition module, for handling the data-signal, and result generates visualization display data by treated, the visualization display data include characterizing the dimensional information of multiple dimensions of anesthesia of patient state, wherein the dimensional information of each dimension includes the parameter information for characterizing at least one parameter of anesthesia of patient state；Display module at least one narcosis display area, the display module connect the data processing module, and the dimensional information of the multiple dimension is shown for inch real at least one described narcosis display area.
[0010] according to further aspect of the application, the application provides a kind of patient parameter information display method, comprising: provides the display screen at least one narcosis display area；Obtain the data-signal of the characterization anesthesia of patient state monitored from multiple dimensions；The data-signal is handled, and result generates visualization display data by treated, the visualization display data include characterizing the dimensional information of multiple dimensions of anesthesia of patient state, wherein, the dimensional information of each dimension includes the parameter information for characterizing at least one parameter of anesthesia of patient state, the parameter is physiological parameter and/or psychological parameter, the parameter information of each parameter includes the title of the parameter and the currently monitored value selected from the parameter, one of parameter variation tendency of the parameter and normal abnormality indicator or any combination thereof, the normal abnormality indicator, which is used to fall in inch within the corresponding preset threshold of the parameter in the currently monitored value, shows that characterization parameter normally identifies, it is also used to fall in the parameter in the currently monitored value corresponding Inch shows the mark of characterization parameter exception except preset threshold, and the preset threshold be the average value for the correspondence parameter for presetting the interior acquisition of inch or the preset threshold is related preset value that the user that receives inputs；The dimensional information of the multiple dimension is shown at least one described narcosis display area.
[0011] according to the another aspect of the application, a kind of patient monitoring system is provided, comprising: signal acquisition unit is connected to patient to acquire the parameter signal for representing patient's physiological status；Processing unit is connected to the signal acquisition unit and receives the parameter signal, and parameter signal processing is generated visualisation parameters information by processing unit；Display unit, including a display interface, display unit receive the visualisation parameters information and show visualisation parameters information in display interface, and display interface includes a narcosis viewing area；The visualisation parameters information includes at least two parameters for being used to characterize anesthesia of patient state and corresponding parameter value, and is configured as
It is shown according at least two narcosis dimensions in the narcosis viewing area.
[0012] by obtaining the information for characterizing anesthesia of patient state detected from multiple dimensions, and pass through the dimensional information of this multiple dimension of narcosis viewing area centralized displaying, so as to be helped medical staff to judge whether the narcosis of patient is suitable according to the information of display.
[0013]
[0014] Detailed description of the invention
[0015] Fig. 1 is a kind of structural schematic diagram of the patient monitoring system of embodiment of the application；
[0016] Fig. 2 is the structural schematic diagram of display module in a kind of patient monitoring system of embodiment of the application；
[0017] figure3For the display schematic diagram of display module in a kind of patient monitoring system of embodiment of the application；
[0018] Fig. 4 is the display schematic diagram of anesthesia of patient status display area in a kind of patient monitoring system of embodiment of the application；
[0019] Fig. 5 is that the display of anesthesia of patient status display area in the patient monitoring system of the application another kind embodiment is shown
[0020] Fig. 6 is the aobvious of anesthesia of patient status display area in the patient monitoring system of another embodiment of the application;It is intended to；
[0021] Fig. 7 is the aobvious of anesthesia of patient status display area in the patient monitoring system of the application another embodiment;
[0022] Fig. 8 is the structural schematic diagram of the patient monitoring system of the application another kind embodiment；
[0023] Fig. 9 is the structural schematic diagram of display module in the patient monitoring system of the application another kind embodiment；
[0024] Figure 10 is the structural schematic diagram of the patient monitoring system of the application another kind embodiment；
[0025] Figure 11 is the schematic diagram of the patient care information display method of the application another kind embodiment.
[0026]
[0027] specific embodiment
[0028] the application is described in further detail below by specific embodiment and in conjunction with attached drawing.Wherein similar component uses associated similar element numbers in different embodiments.In the following embodiments, many datail descriptions are in order to enable the application can be better understood.However, those skilled in the art can recognize that part of feature is dispensed in varied situations without lifting an eyebrow, or can be substituted by other elements, material, method.In some cases, there is no in specification for the relevant some operations of the application
Middle display or description, this is in order to avoid the core of the application is flooded by excessive description, and to those skilled in the art, these relevant operations are described in detail not to be necessary, they can completely understand relevant operation according to the general technology knowledge of description and this field in specification.
[0029] in addition, feature described in this description, operation or feature can be in any suitable way in conjunction with forming various embodiments.Same inch, each step or movement in method description can also can obvious mode carry out sequence exchange or adjustment according to those skilled in the art institute.Therefore, the various sequences in the description and the appended drawings are intended merely to clearly describe some embodiment, are not meant to be necessary sequence, wherein some sequentially must comply with unless otherwise indicated.
[0030] embodiment one:
[0031] as shown in Figure 1, present embodiments provide a kind of patient monitoring system, it include be sequentially connected parameter acquisition module (or unit, be described below involved in the place of module could alternatively be unit) 10, data processing module 30 and display module 50.Each module is described in detail below, and a kind of patient parameter information display method corresponding with the patient monitoring system is elaborated by the description.
[0032] parameter acquisition module 10 is used for the data-signal that real inch obtains characterization anesthesia of patient state.Consciousness, pain and flesh pine are three important dimensions for clinically judging anesthesia of patient state, wherein, consciousness and the loosely-related data-signal of flesh can pass through monitoring BIS parameter and NMT gain of parameter, and for pain there are no direct monitored parameters, monitor system in the present embodiment by monitor the blood pressure and heart rate of patient variation and in patient body hormonal readiness variation etc. obtain the information of pain dimension.In certain other embodiments the data-signal of characterization anesthesia of patient state can also be obtained by monitoring other relevant parameters or by monitoring relevant parameter involved in three dimensions that other relevant parameters and the present embodiment are enumerated.
[0033] data-signal that data processing module 30 is used to obtain parameter acquisition module 10 is handled, and result generates visualization display data by treated, visualization display data include characterizing the dimensional information of multiple dimensions of anesthesia of patient state, wherein the dimensional information of each dimension includes the parameter information for characterizing at least one parameter of anesthesia of patient state.By acquisition be consciousness, loose three dimensions of pain and flesh in terms of information for, here visualization display data include consciousness dimensional information, pain dimensional information and flesh pine dimensional information, wherein realizing the parameter that dimensional information and flesh pine dimensional information include is such as BIS parameter and NMT parameter, and the parameter that pain dimensional information includes at least one of can be such as blood pressure parameter, changes in heart rate parameter, hormonal readiness running parameter in patient body, user can according to need the number of parameters of selection pain dimensional information
And type, the parameter for realizing dimensional information and flesh pine dimensional information certainly may be set to be that number/type is optional, or the number and type of good each dimensional parameter are fixedly installed in advance.Parameter acquisition module can obtain the data-signal for representing some parameter measurement information from multiple parameters sensor respectively, and can also get parms measured value from other patient monitors.
Display module 50 has at least one narcosis display area 51, the visualization display data generated for showing data processing module 30 in region 51 show the dimensional information of multiple dimensions of characterization anesthesia of patient state.Since each dimension has corresponding parameter in multiple dimensional informations, still with acquisition be consciousness, for information in terms of pain and loose three dimensions of flesh, wherein consciousness dimensional information includes BIS parameter, flesh pine dimensional information includes NMT parameter, pain dimensional information includes blood pressure (BP, blood pressure) running parameter, heart rate (HR, heart rate) running parameter and hormonal readiness running parameter in patient body, so display module 50 can correspondingly show all these parameters in narcosis display area 51, (diagram two-dimensional coordinate figure is only schematic example as shown in Figure 3, it is not intended to limit the actual measured results of this example, it is used only as illustrating the display of the present embodiment Each dimensional information that can be presented in module), so as to be helped medical staff to judge whether the narcosis of patient is suitable according to the information of display.The display module 50 can be such as touch or non-touch display screen.Certainly, display module 50 is also possible to the display screen that existing custodial care facility provides, thereon other than at least one narcosis display area 51, it can also include display customary physiological parameter or the relevant data-signal of other physiological parameters, conventional display area 52 including pulse frequency, body temperature, respiratory rate or Svo2, haemodynamics etc., narcosis display area 51 and conventional display area 52 are mutually indepedent.As shown in Fig. 2, specifically can realize that conventional display area 52 can be divided into multiple sub-viewing areas arranged side by side according to horizontal direction, each sub-viewing areas shows the information of a parameter with reference to the relevant technologies of existing patient monitor.In a specific embodiment, narcosis display area 51 is located at the lower left corner that patient monitor shows screen, or positioned at the center of display screen, in some cases, narcosis display area 51 is not overlapped with information shown by conventional display area 52, and narcosis display area 51 can be disposed over to a part of conventional display area 52 in some cases (entire patient monitor shows that screen can be considered as conventional display area under certain conditions).Opposite, narcosis display area 51 can also cover entire screen, or individually be shown by another networking/associated patient monitor/monitor system.The parameter information of each dimension of narcosis can be characterized by concentrating to present in narcosis display area 51, capable of alloing medical staff, quickly Check sees that the current inch of patient carves the parameter information of each dimension, thus quickly judge whether to need or how
Carry out next step intervention.
[0035] the present embodiment characterizes the information of anesthesia of patient state by monitoring from multiple dimensions such as consciousness, pain and flesh pine, and the parameter that real inch shows the dimensional information of each dimension and its respectively contains, one comprehensive tissue and presentation are carried out from multiple dimensions to anesthesia of patient state to provide, help intuitively to help medical staff judges whether the narcosis of patient is suitable.
[0036] patient monitoring system in the present embodiment, its parameter acquisition module 10 for being included, data processing module 30 and display module 50 are only according to different function divisions by system into three modules, however the division mode of module, quantity etc. can carry out a variety of different settings as the case may be.Such as parameter acquisition module 10 can be the parameter plate data processing module 30 of the various parameters module of plug-in type monitor perhaps inside non-plug-in type monitor can be the main control unit of plug-in type monitor or the host of patient monitor；Parameter acquisition module 10 is also possible to an interface of patient monitor main control unit, obtains the data-signal come from sensor or other patient monitors, network transmission；Parameter acquisition module 10 can also refer to the sensor for obtaining raw sensory data-signal, and data processing unit may include one or more module, as long as original sensing data signals to be processed into the visualisation parameters information that can finally characterize physical signs of patient.
[0037] embodiment two:
[0038] still as depicted in figs. 1 and 2, patient monitoring system provided in this embodiment also includes the parameter acquisition module 10 being sequentially connected, data processing module 30 and display module 50.Description of the function description of each module referring to embodiment one, how detailed description below display module integrates the multidimensional information that characterization anesthesia of patient state is presented, in addition, elaborating a kind of patient parameter information display method corresponding with the patient monitoring system by following explanation together description.
[0039] in the present embodiment, each narcosis display area 51 that display module 50 includes has multiple subregions, the quantity of subregion is equal to the number of dimensions of multiple dimensions, the corresponding dimension of a sub-regions, and each subregion shows the dimensional information of corresponding dimension.What it is with acquisition is consciousness, for information in terms of pain and loose three dimensions of flesh, consciousness, pain, the dimensional information centralized displaying of flesh three dimensions of pine is in narcosis display area 51, narcosis display area 51 includes or is divided into three sub-regions 511, 512, 513, as shown in Figure 2, these three subregions are respectively used to display consciousness dimensional information, pain dimensional information and flesh pine dimensional information, wherein each dimensional information includes at least one corresponding parameter, such as consciousness dimensional information includes BIS parameter, flesh pine dimensional information includes NMT parameter, pain dimensional information includes BP running parameter and HR running parameter
, these parameters are all used to characterize anesthesia of patient state.In the present embodiment, the parameter for characterizing anesthesia of patient state is one of physiological parameter and psychological parameter or combinations thereof.
[0040] parameter information of each parameter includes the title of the parameter and the currently monitored value selected from the parameter, one of parameter variation tendency of the parameter and normal abnormality indicator or any combination thereof, i.e., parameter information includes the currently monitored value of parameter name and parameter, or the parameter variation tendency including parameter name and parameter, or including parameter name and normal abnormality indicator, or including parameter name, the currently monitored value and parameter variation tendency, or including parameter name, the currently monitored value and normal abnormality indicator, or including parameter name, the currently monitored value, parameter variation tendency and normal abnormality indicator.Wherein, normal abnormality indicator refers to, inch within the corresponding preset threshold of the parameter is fallen in the currently monitored value and shows that characterization parameter normally identifies, and falls in the mark that inch except the corresponding preset threshold of the parameter shows characterization parameter exception in the currently monitored value.Preset threshold can be empirical value, provide man-machine interactive interface by system default setting or system, the self-defining value inputted by interface user.Parameter name can be the text of various linguistic forms, it is also possible to icon or schematic diagram, it is subject to the meaning that can concisely express the dimension, in the measured value of parameters of the dimension, measured value in the case where the contents such as appearance form on reality interface itself can clearly express the parameter dimensions meaning, parameter name also can be omitted or not show.
[0041] in a kind of embodiment; each subregion can be the dimensional information that corresponding dimension is only shown with text mode; by taking consciousness dimensional information of the display of subregion 511 comprising BIS parameter as an example; this inch is presented the relevant information of BIS parameter directly in subregion 511 with text mode, such as whether the currently monitored BIS parameter value, the BIS parameter that is monitored are normal or abnormal etc.；Other subregions are similar.
[0042] in another embodiment, each subregion is also possible to only show the dimensional information of corresponding dimension to graphically, still by taking consciousness dimensional information of the display of subregion 511 comprising BIS parameter as an example, the relevant information of this inch graphically present BIS parameter directly in subregion 511, such as perhaps whether width is normal etc. to embody the variation of the monitor value of monitored BIS parameter or embody monitored BIS parameter using histogram combination different colours using the height or length of histogram and its variation；Other subregions are similar.
[0043] herein, graphics mode includes at least one of the combination of figure and figure and color and/or pattern, i.e. graphics mode is in such a way that figure is in conjunction with color, perhaps graphics mode is by the way of figure and combination of patterns or graphics mode is by the way of figure, design and color triplicity.Figure can be such as one of lines, column, sector, instrument shape, two dimensional plot, list or its any group
It closes.
In the present embodiment, the dimensional information of corresponding dimension is presented with text mode and in conjunction with graphics mode for each subregion.The information organization form of each subregion is identical.Such as, as shown in Figure 4, subregion 511 shows the consciousness dimensional information comprising BIS parameter, wherein, the dimension name (consciousness) of the dimension is illustrated with written form, the title (BIS) for the parameter that the dimension includes and the current monitor value (67) of the parameter, the dimension is illustrated to graphically, the dimension is showed with histogram, and normal abnormality indicator (the cross section expression exception of crossing in diagram of the parameter is presented in conjunction with pattern (the scribing line cross section in diagram), inch except the corresponding preset threshold of the parameter is fallen in the currently monitored value), furthermore preset threshold 5114 can also being shown in diagram, (preset threshold is referred to as threshold line, threshold marker) position, The threshold value (there is no 5114 corresponding thick scribing line i.e. in this inch figure) can not certainly be shown；Similarly, subregion 512 shows the flesh pine dimensional information comprising NMT parameter, wherein illustrates the dimension name of the dimension with written form
(flesh pine), the title (NMT) for the parameter that the dimension includes and the current monitor value (8) of the parameter, the dimension is illustrated to graphically, the dimension is showed with histogram, and in conjunction with pattern (dashed part in diagram) the normal abnormality indicator of the parameter is presented (dashed part indicates abnormal in diagram, inch except the corresponding preset threshold of the parameter is fallen in the currently monitored value), furthermore the position of preset threshold 5124 can also be shown in diagram, the threshold value (there is no 5124 corresponding thick scribing line i.e. in this inch figure) can not certainly be shown；Subregion 513 shows the pain dimensional information comprising two parameters (such as BP running parameter and HR running parameter), wherein, the dimension name (pain) of the dimension is illustrated with written form, the title (Δ Β Ρ and AHR) for two parameters that the dimension includes and the current monitor value (+35 and+10) of two parameters, the dimension is illustrated to graphically, two parameters that the dimension includes are showed with two histograms, and the normal abnormality indicator of the parameter is presented in combination pattern (dashed part and scribing line cross section in diagram)
(dashed part and scribing line cross section indicate abnormal in diagram, inch except the corresponding preset threshold of the parameter is fallen in the currently monitored value), furthermore the position of preset threshold 5134 can also be shown, naturally it is also possible to which the threshold value (there is no 5134 corresponding thick scribing line i.e. in this inch figure) is not shown in diagram.It can also be using other mark modes in diagram, such as in the upper position for marking the currently monitored value using triangle, arrow or other symbols etc. such as histogram or lines, then in conjunction with the threshold line marked, anesthesia of patient state can be intuitively shown very much brightly.Those skilled in the art can also make corresponding modification to the present embodiment with reference to the existing mode to make marks on figure.In as shown in Figure 4, three sub-regions 511,512 and 513 constitute spider web
Figure, in other examples, these three subregions are also possible to other patterns, such as layering shown in fig. 5 is placed, and place (being rotated by 90 ° placement shown in Fig. 5) side by side or three dimensions constitute triangle manner etc..
[0045] shown in Fig. 4 in pattern can also be substituted with color or other patterns, figure also could alternatively be such as instrument shape (as shown in Figure 7), fan-shaped (as shown in Figure 6) etc., and the parameter information of each subregion can also have two-dimensional coordinate figure to present together with existing column.The specific implementation that the parameter information of each parameter is presented can refer to existing the relevant technologies and realize, such as the specific implementation that wherein parameter variation tendency is presented in usage trend line (i.e. two-dimensional coordinate figure) or table (i.e. list) can refer in existing patient monitor about the methods of presentation of electrocardiogram.In the embodiment shown in fig. 6, monitor system is that the title or meaning of each dimension are indicated by fan-shaped region, the parameter information of each dimension is indicated in conjunction with histogram, the information of parameter value can certainly be directly indicated by the size of fan-shaped region, and threshold line is set in fan-shaped region.
[0046] in the embodiment as shown in fig.4, for showing that the subregion of different dimensions information is substantially in that rotational symmetry is distributed, it rotates angle and is less than 180 degree, specifically, three sub-regions 511,512 and 513 are distributed in trisection one circular three bisector, and substantially 120 degree of rotation angle.For the distribution relation of multiple subregions, it can carry out different variations, for example divergence expression arrangement still is carried out by basic point of the center of narcosis display area, but the mutual angle, distance between all subregion can be set into mutually different, for example two of them subregion is located in same horizontal line, and a remaining sub-regions are between two above subregion and vertical with the two respectively.With the reduction or increase of dimension, more corresponding changes can be carried out.The mode arranged in parallel relative to subregion in Fig. 5, rotational symmetry arrangement, which visually more can intuitively embody, has certain inner link between each dimension.In addition, in embodiment corresponding to Fig. 4, for pain dimension tool there are two straight arranged parameter is erected side by side, the parameter of certain dimension laid out in parallel can be more, arrangement mode also can be set into lateral laid out in parallel or rotational symmetry be distributed other than vertical arrangement side by side.
[0047] in the present embodiment, comprehensive presentation, the current narcosis of instruction patient are carried out to multiple dimensions such as such as patient consciousness, flesh pine and pain and its relevant parameter by patterned mode.It includes two levels that the synthesis, which is presented,.One of level is that anesthesia dimension is presented, wherein graphical multiple subregions (three dimensions that such as three sub-regions correspond to the consciousness of anesthesia of patient state, flesh pine and pain) that corresponding multiple dimensions are presented, each anesthesia relevant parameter is placed in the region of corresponding patient's consciousness, flesh pine and pain dimension etc. according to the difference on Clinical significance of MG and is shown.Certainly, user can customize the quantity of partition dimension, title and each
The parameter for including in dimension (see embodiment three).Another level is that narcosis parameter is presented; such as anesthesia relevant parameter is identified by the presentation of patterned histogram reality inch; by the size for the parameter monitoring value that histogram packed height indicates, indicate that parameter current status is normal or abnormality by histogram Fill Color or pattern etc..Comprehensive instruction is carried out to narcosis by this layered mode, can doctor be covered all at one glance from summary information to specifying information, it ransacks various related informations without all over the screen and understands the current narcosis of patient, improve the easy to use and operability of monitor system to a certain degree.For the present embodiment, it can be provided for distinguishing the mark of normal region and abnormal area, such as pattern, the color lump etc. of filling histogram on histogram, furthermore, user can also can also be using default setting as empirical value using the threshold value of custom parameter exception or preset threshold.Dimension name can be shown in by corresponding dimensional information by forms such as text, icon, schematic diagram, thumbnails/and it is interior, or even which dimension can not also show that dimensional information in dimension name or display diagram to concentrate mark represents is.
[0048] embodiment three:
[0049] as shown in Figure 8, patient monitoring system provided in this embodiment is the improvement to previous embodiment one or two, it is characterized in particular in, system is in addition to including the parameter acquisition module 10 being sequentially connected, outside data processing module 30 and display module 50, it further include the setup module 70 for connecting data processing module 30, for being arranged automatically or being configured according to the information to be displayed that user inputs, the information to be displayed includes the dimensional information for characterizing the multidimensional dimension of anesthesia of patient state, the title of each dimension, the number of parameters and the corresponding parameter information of each parameter that each dimension includes.Here automatic setting refers to and can organize to present automatically according to the currently monitored parameter situation of patient monitoring system, and be arranged according to user's input, being can be by user according to actual needs, such as divided by the system of human body, different parameters are divided by system and carry out comprehensive presentation by graphical presentation mode above-mentioned.
[0050] actually in embodiment one or two, system is the equal of that there are setup modules for default, only the setup module is automatic setting information to be displayed, such as only setting is realized, flesh is loose and three dimensions of pain, and in the present embodiment, setup module 70 can be configured according to the demand of user.It is understood that, patient monitoring system provides man-machine interactive interface and inputs its setting for user, such as shown in figure 9, information to be displayed can be arranged by setting value region in the setting value region 519 provided on the narcosis display area 51 for passing through display module 50, user.The realization in the setting value region and its being associated with setup module 70 etc. can refer to known software desktop and backstage design method, be not described in detail here.
[0051] in addition, in another embodiment, setup module 70 can also be used to length between inch involved in setting parameter variation tendency, length is also possible to change automatically between system inch between the inch, is also possible to be customized by the user.
[0052] example IV:
[0053] patient monitoring system provided in this embodiment is the improvement to previous embodiment one or two or three, it thes improvement is that, system additionally provides the instruction for anaesthetizing preceding patient vital signs parameter basis level, as shown in Figure 9, each narcosis display area 51 further includes a reference value region 518, for showing vital sign parameter foundation level, which can set one of in the following way or any combination thereof in a reference value region 518:
[0054] it a) obtains the monitoring Jian intrinsic parameter average value between latter section of inch that begins and is used as vital sign parameter foundation level before anesthesia of patient automatically；
[0055] b) user is manually operable and will obtain a certain inch quarter vital sign parameter value automatically as vital sign parameter foundation level before anesthesia of patient；
[0056] c) user can the preceding vital sign parameter basal level values of manual setting anesthesia.
[0057] the present embodiment anaesthetizes the instruction of preceding patient vital signs parameter basis level by providing, it is also presented by patterned mode from after the anesthesia of patient Jian beginning with inch, it is each to anaesthetize related monitoring parameters variation tendency, so as to help medical staff intuitively to judge whether anesthesia of patient parameter variation tendency and narcosis are appropriate.In the present embodiment, prenarcotic vital sign parameter foundation level can be substituted for the vital sign parameter of patient in anaesthesia process, or the vital sign parameter of patient in prenarcotic vital sign parameter foundation level and anaesthesia process is shown with inch.
[0058] in each embodiment of visible the application, for example realized by multiple dimensions, pain, flesh loose three dimensions integrate presentation narcosis, it is applicable to the various custodial care facilities such as the Anesthesia machine with monitoring function, ventilator, can wherein there be the state of the characterized single dimension of multiple parameters in some dimension or multiple dimensions, such as pain dimension may include at least two parameters such as HR running parameter and BP running parameter because it does not have direct monitored parameters；For narcosis is more intuitively presented, threshold line can be set on the parameter characterization figure (histogram as the aforementioned, instrument shape, sector diagram etc.) of each dimension again in a kind of embodiment, and/or the currently monitored value (parameter value position is marked such as on histogram) is shown on each dimension direction, and/or according to the normal/abnormal situation etc. current with the relationship color or icon indicia of the threshold range dimensional parameter, to provide whether intuitive judgment anesthesia of patient state suitable and anesthesia parameter variation tendency etc..It is aobvious due to concentrating on narcosis
Show that the parameter information of multiple dimensions is presented with inch for region, medical staff can quickly and effective Check sees information accurately to judge the narcosis of patient.
[0059] the comprehensive rendering method of the narcosis of monitor system in the application, more specific embodiment deformations can also be carried out as needed, for example parameter value, the threshold line of each dimension can be omitted automatically according to the currently monitored patient condition, design parameter information is only just shown in the case that exception occurs in state, or only show the concrete condition of the wherein parameter information of some dimension, other dimensions only retain dimension name and indicate it is current whether normal color, it is such, no longer describe one by one.
[0060] embodiment five:
[0061] present invention also provides a kind of patient parameter information display method with inch, is generally corresponding to patient monitoring system above-mentioned, to be illustrated below in conjunction with attached drawing 10 and attached drawing 11 convenient for narration.
[0062] Figure 10 and Figure 11 are please referred to, Figure 10 is the structural schematic diagram of the patient monitoring system of the application another kind embodiment, and Figure 11 is the corresponding interface schematic diagram of patient parameter information display method in patient monitoring system shown in Figure 10.The patient monitoring system includes signal acquisition unit 801, processing unit 803 and display unit 805.Signal acquisition unit 801 is connected to patient to acquire the parameter signal for representing patient's physiological status, processing unit 803 is connected to signal acquisition unit 801 to receive parameter signal, is followed by subsequent processing unit 803 for parameter signal processing generation visualisation parameters information and is transferred to display unit 805.Display unit 805 includes a display interface 800, and the display unit 805 receives the visualisation parameters information and shows the visualisation parameters f π breath in the display interface 800.
[0063] display interface 800 includes a narcosis viewing area 81, short trend viewing area 82 and conventional parameter viewing area 83.Narcosis viewing area 81 can be set as accounting for 1/9th of the display interface 800 to one third or 1/10th to half.Narcosis viewing area 81 can be located at the lower left corner, the lower right corner, the upper left corner, the upper right corner or the center of the display interface 800.In some embodiments, short trend viewing area 82 can merge referred to as anesthesia information viewing area with narcosis viewing area 81.In certain embodiments or it is certain operation, in the case of, conventional parameter viewing area 83 can be anesthetized some or all of covering in status display area 81.
[0064] conventional parameter viewing area 83 is for showing conventional parameter, such as non-invasive blood pressure (NIBP), blood oxygen (SP02)
, the parameters such as central venous pressure (CVP).The parameter for needing to monitor under some normal conventional parameters and special screne is referred to as conventional parameter in the application, not parameter relevant to anesthesia is excluded other than conventional parameter, but conventional parameter viewing area 83 is monitoring waveform, the parameter value that each parameter is shown with conventional display methods
, i.e., the shown parameter information in conventional parameter viewing area 83, the single parameter information for representing single sign state or physiological status variation enumerates in viewing area side by side.
[0065] short trend viewing area 82 can show the tendency chart of narcosis relevant parameter, for example centainly shorter inch is interior for BIS, NMT, BP, HR, hormone or other parameters, such as 10 seconds, 5 seconds tendency charts, short trend viewing area can be also used for showing the parameter reference value, the a reference value of the parameter is obtained according to before anesthesia of patient and/or in anaesthesia process in the average value of the parameter signal of the default interior acquisition of inch, or is obtained according to the input of user.In a specific embodiment, narcosis viewing area 81 can also include a reference value region 813, the specific reference value area 813 can be an operation button, and when clicking the button inch, the patient parameter value that the same day measures is set as a reference value automatically by system.Pre-stored inch earlier can also be waited into a reference value that the one group of parameter value measured is respectively set as each parameter.The tendency chart of each parameter shown by conventional parameter viewing area 83 can store in monitor system, and by calling special tendency chart Check to see, the page carries out Check and sees.
[0066] narcosis viewing area 81 is used for centralized displaying visualisation parameters information relevant to narcosis.Visualisation parameters information includes at least two parameters for being used to characterize anesthesia of patient state and corresponding parameter value, and is configured as showing according at least two narcosis dimensions in the narcosis viewing area 81.As shown in figure 11, narcosis dimension includes calm, analgesia, loose three dimensions of flesh.Calm, analgesia, loose three dimensions of flesh respectively correspond one for characterizing the parameter of anesthesia of patient state, for example, correspond to the calm, analgesia, the parameter of loose three dimensions of flesh is BIS Propofol-targeted (BIS), heart rate change value (AHR), Neuromuscular Conduction function (NMT) respectively.Calm dimension can also correspond to MAC (Minimum Alveolar Concentration, minimum alveolar concentration), and analgesia dimension can also correspond to blood pressure value (Δ Β Ρ).Two or more parallel parameters also can be set in each narcosis dimension, for example analgesia dimension can be set to parameter there are two tools, including blood pressure value Δ Β Ρ and heart rate change value (AHR).
[0067] visualisation parameters information can also include figure corresponding with narcosis dimension, for graphically characterizing the parameter value of parameter corresponding to the narcosis dimension, such as histogram shown in Figure 11.It can further include the threshold marker of the threshold value for characterizing the parameter in the graphic, such as one among histogram or two mark lines.Figure can further include for whether characterizing the parameter more than the color of a preset threshold, pattern or its combination, such as a part with one section of red filling histogram, the parameter value for indicating some current dimension is more than threshold value, needs that doctor is caused to pay attention to.The ginseng of the current dimension is indicated with green
Numerical value is normal.Doctor can see the comprehensive state of anaesthesia patient in the intuitive quickly Check in narcosis viewing area 81, whether moderately quickly judge the current anesthesia of patient, so that whether quick decision needs to take measures.In one embodiment, figure corresponding to each narcosis dimension, such as histogram are distributed using the center of narcosis viewing area 81 as midpoint in rotational symmetry.The anesthesia information of each dimension is shown in a manner of this concentration so that user can be with each parameter in the intuitive judgment narcosis viewing area 81 it is associated, be used to characterization narcosis, the experience of user can be promoted to a certain degree.
[0068] display interface 800 can also include the first setting area 811 and the second setting area 831, wherein the first setting area 811 is located in narcosis viewing area 81, the lower section of narcosis dimensional information can be specifically located at, its input for being used to receive user is to adjust the narcosis dimension and/or the corresponding parameter of the narcosis dimension, i.e. the quantity of narcosis dimension, specific dimension are optional, and the corresponding number of parameters of each dimension, parameter information are optional.In some cases, for example inappropriate maloperation in order to prevent, system can be set to only optional in certain parameter, dimensional extent.Second setting area 831 is located at conventional parameter viewing area 83, can be used for being arranged the measurement of the display mode, threshold value or the certain parameters of starting of the region parameter.
[0069] it should be noted, although primary motivitation of the invention is to provide a kind of narcose patient monitor of comprehensive characterization, monitor system, but described display/rendering method is of course applied for characterizing other kinds of information, and the specifying information of each dimension and parameter need to be only substituted for other suitable information.
[0070] the various embodiments of the application can be executed by known equipment.Such as general purpose computer, computer programming tool, digital storage media, internet etc..Computer may include the processing units such as microprocessor, microcontroller, logic circuit.Processing unit may include dedicated processing apparatus, such as ASIC, PAL, PL A, PLD, FPGA etc..Computer can also include computer readable storage medium, such as nonvolatile memory, static state RAM, dynamic ram, ROM, CD-ROM. disk, tape, magnetism/optics/flash memory memory card etc..
[0071] the various embodiments of the application can be realized by hardware logic, or be realized in such a way that hardware, software, firmware combine.
[0072] in some embodiments, corresponding method can execute with the functional module for being located at different storage unit/positions respectively, it might even be possible to be executed by the remote processing unit cooperation of networking and complete certain/repertoire.
[0073] the foregoing is a further detailed description of the present application in conjunction with specific implementation manners, and it cannot be said that the specific implementation of the application is only limited to these instructions.For the application person of an ordinary skill in the technical field
For, without departing from the concept of this application, a number of simple deductions or replacements can also be made.Technical problem
Solution to the problem
Advantageous effect of the invention
Claims (16)
- ClaimsA kind of patient monitoring system characterized by comprisingParameter acquisition module, for obtaining the data-signal from least two dimensional representation anesthesia of patient states；It is connected to the data processing module of the parameter acquisition module, for being handled the data-signal to generate visualization display data, the visualization display data include characterizing the dimensional information of at least two dimensions of anesthesia of patient state, wherein the dimensional information of each dimension includes the parameter information for characterizing at least one parameter of the dimension；AndAt least with the display module of a narcosis display area, the display module connection data processing module, the dimensional information for the multiple dimension of centralized displaying in the narcosis display area.The system as claimed in claim 1, it is characterized in that, the narcosis display area includes at least two subregions, the quantity of the subregion is equal to the number of dimensions of at least two dimension, one sub-regions correspond to a dimension, and each subregion shows the dimension f π breath of corresponding dimension.System as claimed in claim 2, it is characterized in that, the dimensional information of corresponding dimension is presented with text mode and/or graphics mode for the subregion, wherein, the graphics mode includes at least one of the combination of figure and figure and color and/or pattern, the figure includes one of lines, column, sector, instrument shape, two-dimensional coordinate curve graph, list or any combination thereof system as claimed in claim 2, it is characterized in that, at least two subregion is distributed in a manner of rotational symmetry.The system as claimed in claim 1, it is characterized in that, the parameter is physiological parameter and/or psychological parameter, the parameter information of each parameter includes one of title of the parameter and/or the currently monitored value, the parameter variation tendency of the parameter and normal abnormality indicator selected from the parameter or any combination thereofWherein, the normal abnormality indicator, which is used to fall in inch within the corresponding preset threshold of the parameter in the currently monitored value, shows that characterization parameter normally identifies, and is also used in the currently monitored value Fall in the mark that inch except the corresponding preset threshold of the parameter shows characterization parameter exception.The system as claimed in claim 1, it is characterized in that, the system also includes the setup modules for connecting the data processing module, for information to be displayed to be arranged automatically or is configured according to the information to be displayed that user inputs, the information to be displayed includes: the number of parameters and/or the corresponding parameter information of each parameter that the number of dimensions of the multiple dimension, the title of each dimension, each dimension include.The system as claimed in claim 1, it is characterized in that, each narcosis display area further includes a reference value region, the a reference value region is for showing vital sign parameter foundation level, the vital sign parameter foundation level is obtained according to before anesthesia of patient and/or in anaesthesia process in the average value of the vital sign parameter of the default interior acquisition of inch, or is obtained according to the input of user.The system as claimed in claim 1, it is characterized in that, the dimensional information of at least two dimension include characterize anesthesia of patient state under consciousness situation consciousness dimensional information, characterize anesthesia of patient state under pain condition pain dimensional information and characterize anesthesia of patient state under flesh pine situation flesh pine dimensional information.System as claimed in claim 8, which is characterized in that the pain dimensional information includes the parameter information of at least two parameters.System as claimed in claim 9, it is characterized in that, the narcosis display area includes three sub-regions, be respectively used to show with text mode and/or graphics mode the consciousness dimensional information, pain dimensional information and flesh pine dimensional information and it includes parameter information, the graphics mode includes at least one of the combination of figure and figure and color and/or pattern, and the figure includes one of lines, column, sector, instrument shape, two-dimensional coordinate curve graph or any combination thereof.System as described in claim 1-10 any one, which is characterized in that the display module further includes and the mutually independent conventional display area in the anesthesia display area.A kind of patient parameter information display method characterized by comprisingThe display screen for having at least one narcosis display area is provided；Obtain the data-signal of the characterization anesthesia of patient state monitored from multiple dimensions； The data-signal is handled to generate visualization display data, the visualization display data include characterizing the dimensional information of multiple dimensions of anesthesia of patient state, wherein, the dimensional information of each dimension includes the parameter information for characterizing at least one parameter of anesthesia of patient state, the parameter is physiological parameter and/or psychological parameter, the parameter information of each parameter includes the title of the parameter and the currently monitored value selected from the parameter, one of parameter variation tendency of the parameter and normal abnormality indicator or any combination thereof, the normal abnormality indicator, which is used to fall in inch within the corresponding preset threshold of the parameter in the currently monitored value, shows that characterization parameter normally identifies, it is also used to fall in inch except the corresponding preset threshold of the parameter in the currently monitored value and show The mark of characterization parameter exception；The dimensional information of the multiple dimension is shown at least one described narcosis display area.Method as claimed in claim 12, which is characterized in that further include:It configures each narcosis display area to include multiple subregions, the quantity of the subregion is equal to the number of dimensions of the multiple dimension, the corresponding dimension of a sub-regions；The dimensional information of corresponding dimension is shown with text mode and/or graphics mode in each subregion；Wherein, the graphics mode includes at least one of the combination of figure and figure and color and/or pattern, and the figure includes one of lines, column, sector, instrument shape, two-dimensional coordinate curve graph or any combination thereof.Method as claimed in claim 12, which is characterized in that further include:Automatic setting information to be displayed is configured according to the information to be displayed that user inputs, and the information to be displayed includes: the number of parameters and the corresponding parameter information of each parameter that the number of dimensions of the multiple dimension, the title of each dimension, each dimension include.Method as claimed in claim 12, it is characterized in that, the multidimensional information include characterize anesthesia of patient state under consciousness situation consciousness dimensional information, characterize anesthesia of patient state under pain condition pain dimensional information and characterize anesthesia of patient state under flesh pine situation flesh pine dimensional information, the pain dimensional information includes the parameter information of at least two parameters.A kind of patient monitoring system characterized by comprisingSignal acquisition unit is connected to patient to acquire the parameter signal for representing patient's physiological status；Processing unit is connected to the signal acquisition unit and receives the parameter signal, the place It manages unit and parameter signal processing is generated into visualisation parameters information；Display unit a comprising display interface, the display unit receive the visualisation parameters information and show the visualisation parameters information in the display interface, and the display interface includes a narcosis viewing area；Wherein, the visualisation parameters information includes at least two parameters for being used to characterize anesthesia of patient state and corresponding parameter value, and is configured as showing according at least two narcosis dimensions in the narcosis viewing area.[claim 17] patient monitoring system as claimed in claim 16, which is characterized in that the narcosis dimension includes calm, analgesia, loose three dimensions of flesh.[claim 18] patient monitoring system as claimed in claim 17, which is characterized in that wherein the calm, analgesia, loose three dimensions of flesh respectively correspond one described in for characterizing the parameter of anesthesia of patient state[claim 19] patient monitoring system as claimed in claim 17, it is characterized in that, the corresponding calm, analgesia, the described of flesh three dimensions of pine for characterizing the parameter of anesthesia of patient state are BIS or MAC, heart rate change value or blood pressure value, NMT respectively.[claim 20] patient monitoring system as claimed in claim 17, it is characterized in that, wherein loose two dimensions of described calm and flesh respectively correspond one described in for characterizing the parameter of anesthesia of patient state, for characterizing the parameter of anesthesia of patient state described in the analgesia dimension is two corresponding.[claim 21] patient monitoring system as claimed in claim 20, which is characterized in that the described of the corresponding analgesia dimension for characterizing the parameter of anesthesia of patient state includes heart rate and blood pressure.The patient monitoring system of [claim 22] as described in claim 16-21 any one, it is characterized in that, the visualisation parameters information further includes figure corresponding with narcosis dimension, for graphically characterizing the parameter value of parameter corresponding to the narcosis dimension.[claim 23] patient monitoring system as claimed in claim 22, which is characterized in that the figure further comprises the threshold marker for characterizing the threshold value of the parameter.[claim 24] patient monitoring system as claimed in claim 22, which is characterized in that the figure further comprises for whether characterizing the parameter more than the color of a preset threshold, pattern or its combination [claim 25] patient monitoring system as claimed in claim 22, it is characterized in that, the figure includes more than two histograms, wherein each narcosis dimension includes at least one described histogram, and the corresponding histogram of different narcosis dimensions is distributed in rotational symmetry.[claim 26] patient monitoring system as claimed in claim 26, which is characterized in that wherein represent more than two histograms of same narcosis dimension side by side/and column distribution.[claim 27] patient monitoring system as claimed in claim 22, which is characterized in that the narcosis viewing area is located at the lower left corner, the lower right corner, the upper left corner, the upper right corner or the center of the display interface[claim 28] patient monitoring system as claimed in claim 22, which is characterized in that the narcosis viewing area accounts for 1/9th of the display interface to one third.[claim 29] patient monitoring system as claimed in claim 22, it is characterized in that, the display interface further includes setting area, and the narcosis dimension and/or the corresponding parameter of the narcosis dimension are adjusted for receiving the input of user.[claim 30] patient monitoring system as claimed in claim 29, which is characterized in that the setting area is located in the narcosis viewing area.[claim 31] patient monitoring system as claimed in claim 22, it is characterized in that, the display interface further includes short trend viewing area, for showing the tendency chart and/or a reference value of the parameter signal, the a reference value of the parameter signal is obtained according to before anesthesia of patient and/or in anaesthesia process in the average value of the parameter signal of the default interior acquisition of inch, or is obtained according to the input of user.
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| PCT/CN2015/088042 WO2017031695A1 (en) | 2015-08-25 | 2015-08-25 | Patient monitoring system and patient parameter information display method |
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| WO2017031695A1 (en) | 2017-03-02 |
| CN107072737B (en) | 2020-10-16 |
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