CN107715242A - Intelligent wireless analgesia pump management system based on intelligent expert storehouse - Google Patents

Intelligent wireless analgesia pump management system based on intelligent expert storehouse Download PDF

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Publication number
CN107715242A
CN107715242A CN201711194090.2A CN201711194090A CN107715242A CN 107715242 A CN107715242 A CN 107715242A CN 201711194090 A CN201711194090 A CN 201711194090A CN 107715242 A CN107715242 A CN 107715242A
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CN
China
Prior art keywords
module
analgesia pump
management system
infusion
state
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Pending
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CN201711194090.2A
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Chinese (zh)
Inventor
钟君
于涌
杨洪波
蔡黎明
马建强
李慎贵
苏卫东
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Zhejiang Fert Medical Device Co ltd
Suzhou Institute of Biomedical Engineering and Technology of CAS
Original Assignee
Zhejiang Fert Medical Device Co ltd
Suzhou Institute of Biomedical Engineering and Technology of CAS
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Application filed by Zhejiang Fert Medical Device Co ltd, Suzhou Institute of Biomedical Engineering and Technology of CAS filed Critical Zhejiang Fert Medical Device Co ltd
Priority to CN201711194090.2A priority Critical patent/CN107715242A/en
Publication of CN107715242A publication Critical patent/CN107715242A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16831Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • A61M5/16854Monitoring, detecting, signalling or eliminating infusion flow anomalies by monitoring line pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M2005/14208Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/18General characteristics of the apparatus with alarm
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring
    • A61M2205/3331Pressure; Flow
    • A61M2205/3334Measuring or controlling the flow rate
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/35Communication
    • A61M2205/3576Communication with non implanted data transmission devices, e.g. using external transmitter or receiver
    • A61M2205/3584Communication with non implanted data transmission devices, e.g. using external transmitter or receiver using modem, internet or bluetooth

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses a kind of intelligent wireless analgesia pump management system based on intelligent expert storehouse, including:More analgesia pumps, CSRC management system, the intelligent expert library module being connected with the CSRC management system and the communication base station for establishing the communication connection between the more analgesia pumps and CSRC management system.The analgesia pump management system of the intelligent wireless based on intelligent expert storehouse of the present invention, system for unified management with the automatic feedback regulatory function that becomes more meticulous can be carried out to multiple analgesia pumps based on intelligent expert storehouse, control accuracy is high, and intelligence degree is high, have net or without net in the case of can be used.Both the workload of medical personnel can have been mitigated, also can avoid the Operative risk that patient one self is administered by the adjustment in real time of intelligent expert storehouse to the Therapeutic mode of the liquid infusion of patient.In addition, pressure detecting module can analyze system state in which, different conditions alert of the alarm module according to system is controlled.

Description

Intelligent wireless analgesia pump management system based on intelligent expert storehouse
Technical field
The present invention relates to medical instruments field, more particularly to a kind of intelligent wireless analgesia pump management based on intelligent expert storehouse System.
Background technology
Analgesia pump can help the effective pain of alleviation of postoperative patient, but the pain degree of different patients is different, state of an illness tool There is individual difference, conditions of patients can also change with therapeutic process, rely solely on patient and independently use analgesia pump, according to list The process that one stored program control system completes a whole set of administration of anaesthesia can not meet Treatment need, and security is poor, patient's usage experience It is bad.And fully rely on medical personnel and monitor conditions of patients in real time, a large amount of manpowers can be wasted, aggravate the workload of medical personnel. Current existing controlled analgesia equipment can only carry out parameter setting on analgesia pump and realize program control treatment, and parameters setting process It is comparatively laborious.When medical personnel can not carry out remote control to analgesia pump, when the state of an illness occurs abnormal in patient treatment procedure, patient Oneself change treatment parameter is it is possible that danger, if medical personnel's real time remote controls analgesia pump, can cause human resources Waste, be unable to reach the effect for both having saved manpower and can remote control in a word.
In summary, need badly now and develop a kind of intelligent wireless analgesia pump management system based on intelligent expert storehouse.
The content of the invention
In view of the above-mentioned deficiencies in the prior art, the technical problem to be solved by the present invention is that provide a kind of based on intelligence The intelligent wireless analgesia pump management system of experts database.
In order to solve the above technical problems, the technical solution adopted by the present invention is:A kind of wireless intelligence based on intelligent expert storehouse Can be eased pain pump management system, including:More analgesia pumps, CSRC management system, it is connected with the CSRC management system Intelligent expert library module and for establishing the logical of the communication connection between the more analgesia pumps and CSRC management system Interrogate base station;
The CSRC management system includes the upper computer software in embedded host computer, and the upper computer software includes prison Control center alarm module, data inputting module, data sheet management module and analgesia pump management module;
The analgesia pump includes analgesia pump body, the single-chip microcomputer for being arranged at the analgesia pump body and divided with the single-chip microcomputer It is the information input not connected and display module, wireless communication module, motor drive module, alarm module, pressure monitoring module, defeated Metering module, manual control module, voltage monitoring module, real-time clock module, power module are noted, the analgesia pump body includes There are pump head, infusion pipeline, button and display screen.
Preferably, Surveillance center's alarm module is used to detect threshold of the touch potential beyond setting of analgesia pump Alert during value;The data inputting module and outside HIS system dockings, and by the CSRC management system The data message of collection is entered into HIS systems;The analgesia pump management module is used to add or cancel and the CSRC The analgesia pump of management system communication connection, and for carrying out A+E to the working condition of analgesia pump;The data sheet Management module is used to preserve the data message of the CSRC management system collection and carries out statistical analysis to data message, raw Into statistical report form and export.
Preferably, in addition to the CSRC management system communication cell phone application end connected.
Preferably, with pressing key connection on the analgesia pump body, user is adjusted the manual control module by button Liquid infusion amount is saved, the manual control module receives key information, and the medicine of analgesia pump is controlled according to the information for receiving button Liquid is transfused;The pattern of the manual control module control liquid infusion includes increment mode, decline mode and self-defined pattern, Under increment mode, liquid infusion speed is incremented to after max-thresholds according to fixed rate and keeps constant;Under decline mode, decoction Infusion velocity keeps constant after minimizing threshold value according to fixed rate pumps;It is manual according to medical personnel under self-defined pattern The speed of setting carries out liquid infusion.
Preferably, the single-chip microcomputer is used to receive the key information that the manual control module is sent, and by the nothing Line communication module is transferred to the CSRC management system by the communication base station;When user's Self-operating button to adjust During the liquid infusion of analgesia pump, the CSRC management system is according to key information automatically from the intelligent expert library module Therapeutic scheme corresponding to matching, the therapeutic scheme obtained further according to matching control the analgesia pump, liquid infusion are carried out, to patient Carry out feedback treating.
Preferably, described information input is to be used to show liquid infusion information on analgesia pump with display module;It is described Motor drive module is used for the pump head for driving the analgesia pump, completes liquid infusion action;Alarm module, which comprises at least, residue Amount warning function, infusion pipeline block warning function, infusion pipeline has bubble or no liquid warning function, transfusion terminate alarm work( Energy, medicine box are without warning function in place, the transfusion amount of reaching capacity warning function, system without medicine box warning function, low battery report Alert function and standby warning function;The infusion metering module is used for the infusion liquid measure for measuring the analgesia pump.
Preferably, the pressure detecting module is used for the pressure value for detecting infusion pipeline outer surface, and by detection As a result carry out Treatment Analysis and judge system state in which, system status comprises at least normal condition, the non-powder charge of system Box-like state, infusion pipeline blocked state, infusion pipeline have bubble or infusion pipeline no liquid state;The pressure detecting module pair The method that testing result carries out Treatment Analysis comprises the following steps:
1) pressure signal in a cycle is gathered, and obtained pressure signal is smoothly located using moving average method Reason;
2) pressure signal after smoothing processing is standardized, standardizes between 0-1000 amplitudes, marked Standardization signal;
3) parameter of extraction standard signal, and analysis and summary draws characteristic parameter, the parameter include average value, square Difference, peak-peak, peak-peak go out current moment, the signal number of 700 amplitudes, the time occupied by signals more than 700 amplitudes;
4) by features above parameter, the Bayesian classifier model obtained using previous analog Experiment Training, judge to press State representated by force signal, wherein described state comprises at least normal condition, system is blocked up without medicine box state, infusion pipeline Plug-like state, infusion pipeline have bubble or infusion pipeline no liquid state;
5) state that will determine that out is back to the alarm that the alarm module carries out corresponding state.
Preferably, the step 4) specifically includes:
1) previous analog Experiment Training is carried out:N state Y of system simulationi, and b is obtained to each stateiIn the individual cycle Pressure signal, the pressure in each cycle in each state is extracted beneficial to the method described in the step 1-3 in the claims 7 M characteristic parameter X of force signalj, and each feature is counted under each state in biThe total degree a occurred in the individual cycleji
ajiExpression state YiMiddle characteristic parameter XjThe number of appearance, i=1,2 ... ..n, j=1,2 ... .m;
2) the division status condition probable value P (X of each characteristic parameter are calculatedj|Yi)P(Yi), P (Xj|Yi)P(Yi)= (aji/bi)*(1/n);
3) by each state YiUnder each characteristic parameter XjDivision status condition probable value P (Xj|Yi)P(Yi) tired out Multiply, obtain each state YiState probability values Pi,Compare obtained each state probability Value PiSize, take PiState of the maximum state representated by as the pressure signal, obtains pressure signal judged result.
Preferably, its mode of operation includes the networked mode and single cpu mode that can mutually switch;
Under networked mode, the analgesia pump is communicated by communication base station with CSRC management system and connected, in described Entreat monitoring management system to be connected with intelligent expert library module communication, of patient is included in the intelligent expert library module People's information, automatically control analgesia pump from treatment information that patient is corresponding and according to the different key informations of analgesia pump The therapeutic scheme of liquid infusion;
The CSRC management system is according to the patient ID number inputted on analgesia pump automatically from intelligent expert storehouse mould Treatment information corresponding with patient is matched in block, and the treatment information is issued to corresponding analgesia pump, corresponding analgesia pump is again The infusion of decoction is automatically controlled according to the treatment information of reception, patient is treated automatically;When user is by operating analgesia pump On button voluntarily the infusion of regulating liquid medicine when, the key information on CSRC management system collection analgesia pump, and root Therapeutic scheme corresponding to being matched according to the key information from the intelligent expert library module, then will match under obtained therapeutic scheme Corresponding analgesia pump is dealt into, automatically controls the infusion of decoction, feedback treating is carried out to patient.
Preferably, under single cpu mode pattern, the pattern of liquid infusion, the hand are selected by the button on analgesia pump According to the key information of input control instruction occurs for dynamic control module to the motor drive module, controls the infusion of decoction;Institute The infusion information of the memory module storage decoction set on single-chip microcomputer is stated, and when system enters networked mode again by the medicine of storage The infusion information of liquid occurs to the CSRC management system to be stored.
The beneficial effects of the invention are as follows:The analgesia pump management system of the intelligent wireless based on intelligent expert storehouse of the present invention, energy System for unified management with the automatic feedback regulatory function that becomes more meticulous, control essence are carried out to multiple analgesia pumps based on intelligent expert storehouse Degree is high, and intelligence degree is high, have net or without net in the case of can be used.Both the workload of medical personnel can have been mitigated, can also have been led to The adjustment in real time of intelligent expert storehouse is crossed to the Therapeutic mode of the liquid infusion of patient, avoids the Operative risk that patient one self is administered. In addition, pressure detecting module can analyze system state in which, if normal condition, system are without medicine box state, woven hose Road blocked state, infusion pipeline have bubble or infusion pipeline no liquid state, control different conditions of the alarm module according to system Alert.And by setting cell phone application end, patient can be facilitated to check treatment information, understand the state of an illness of oneself, enhancing doctor Exchanged between trouble.
Brief description of the drawings
Fig. 1 is the theory diagram of the CSRC management system of the present invention;
Fig. 2 is the theory diagram of the analgesia pump of the present invention;
Fig. 3 is the handoff procedure sketch of system operating mode in a kind of embodiment of the invention;
Fig. 4 is workflow diagram of the system under networked mode in a kind of embodiment of the invention;
Fig. 5 is the workflow diagram of system in a stand-alone mode in a kind of embodiment of the invention;
Fig. 6 is the flow letter that pressure detecting module carries out Treatment Analysis to testing result in a kind of embodiment of the invention Figure.
Embodiment
With reference to embodiment, the present invention is described in further detail, to make those skilled in the art with reference to specification Word can be implemented according to this.
It should be appreciated that such as " having ", "comprising" and " comprising " term used herein are not precluded from one or more The presence or addition of individual other elements or its combination.
A kind of intelligent wireless analgesia pump management system based on intelligent expert storehouse of the present embodiment, including:More analgesia pumps, CSRC management system, the intelligent expert library module being connected with the CSRC management system and for establishing described more The communication base station of communication connection between analgesia pump and CSRC management system.
The CSRC management system includes the upper computer software in embedded host computer, and the upper computer software includes prison Control center alarm module, data inputting module, data sheet management module and analgesia pump management module.Fig. 1 is in the present invention Entreat the theory diagram of monitoring management system.
Surveillance center's alarm module is used to send when detecting the touch potential of analgesia pump beyond the threshold value of setting Warning message;The data inputting module is docked with the HIS systems (management information system for hospitals) of outside, and the center is supervised The data message of keyholed back plate reason systematic collection is entered into HIS systems;The analgesia pump management module is used to add or cancel and institute The analgesia pump of CSRC management system communication connection is stated, and for carrying out A+E to the working condition of analgesia pump;Institute Data sheet management module is stated to be used to preserve the data message of the CSRC management system collection and carry out data message Statistical analysis, generate statistical report form and export, also with data export Excel functions, printing function and storage of history data P work( Energy.
The analgesia pump includes analgesia pump body, the single-chip microcomputer for being arranged at the analgesia pump body and divided with the single-chip microcomputer It is the information input not connected and display module, wireless communication module, motor drive module, alarm module, pressure monitoring module, defeated Metering module, manual control module, voltage monitoring module, real-time clock module, power module are noted, the analgesia pump body includes There are pump head, infusion pipeline, button and display screen.Fig. 2 is the theory diagram of the analgesia pump of the present invention.
The single-chip microcomputer is used to receive the key information that the manual control module is sent, and by the wireless communication module The CSRC management system is transferred to by the communication base station;When user's Self-operating button to adjust the medicine of analgesia pump When liquid is transfused, the CSRC management system is according to corresponding to the key information matching from the intelligent expert library module automatically Therapeutic scheme, the therapeutic scheme obtained further according to matching control the analgesia pump, carry out liquid infusion, carry out feedback to patient and control Treat, complete personalized treatment.
It is to be used to show liquid infusion information on analgesia pump that described information, which is inputted with display module, including liquid infusion The treatment information such as initial dose, single dose, lasting amount and limiting quantity;Ensuing control is carried out after medical personnel confirm these information Treat, also treatment data and patient's correlation essential information can be inputted by film key.Wireless communication module is used for connecting analgesia pump With CSRC management system, wireless analgesia pump operation and warning message, convenient and safe specification pipe are provided to medical personnel in time Reason.The motor drive module is used for the pump head for driving the analgesia pump, completes liquid infusion action;Alarm module comprises at least There are surplus warning function, infusion pipeline blocking warning function, infusion pipeline to there is bubble or no liquid warning function, transfusion to terminate Warning function, medicine box are without warning function in place, the transfusion amount of reaching capacity warning function, system without medicine box warning function, low Electricity warning function and standby warning function;Pressure detecting module is used to detect the woven hose section in drive device motion process Appearance surface pressure, during equipment normal operating conditions, with the work of pump head, the pressure detected should be the peak for having certain amplitude Paddy is fluctuated, if exception occurs in pipeline situation, the differences such as no medicine box, blocking, bubble or aneroid can be analyzed according to different modalities Warning message.The infusion metering module is used for the infusion liquid measure for measuring the analgesia pump, and it can be rotated by measuring axle Number of total coils measure infusion liquid measure.
Also include the cell phone application end with CSRC management system communication connection.Patient is realized by cell phone application end Exchanged with the line of medical personnel, while the treatment such as liquid infusion amount for the treatment of stage information can all be stored in intelligent expert storehouse In, patient can input ID number in hospital in APP can check its personal information and treatment information, patient is understood individual rule by men in time Treatment impression in therapeutic process can be also recorded on APP by treatment situation, patient, and real-time communication on line is realized with medical personnel, Medical personnel can also adjust therapeutic scheme in real time, strengthen Consumer's Experience.
In the present invention, more analgesia pumps are wireless by the WLAN and CSRC management system for routeing base station foundation Connection, decoction input initial dose, list that analgesia pump needs to set are inputted on the upper computer end software of CSRC management system After the treatment information such as secondary amounts, lasting amount and limiting quantity, these treatment information can realize treatment by being wirelessly transmitted on analgesia pump The operation that the key of information one is keyed in, complete the infusion information setting work before analgesia pump work.Can be by PCA (towns during analgesia pump work Pain pump) key information and patient treat information, the monitoring situation of liquid dose feeds back to CSRC management system, CSRC Management system is connected with intelligent expert library module, can be from intelligent expert storehouse according to PCA touch potentials Auto-matching on analgesia pump Therapeutic scheme, realize the feedback regulation function that becomes more meticulous.
Manual control module is that the liquid infusion of single dose is completed by PCA buttons, and real with CSRC management system Now communicate.With pressing key connection on the analgesia pump body, user is transfused the manual control module by button regulating liquid medicine Amount, the manual control module receive key information, and the liquid infusion of analgesia pump is controlled according to the information for receiving button;It is described The pattern of manual control module control liquid infusion includes increment mode, decline mode and self-defined pattern, under increment mode, Liquid infusion speed is incremented to after max-thresholds according to fixed rate and keeps constant;Under decline mode, liquid infusion speed is pressed Keep constant after minimizing threshold value according to fixed rate pumps;Under self-defined pattern, the speed that is manually set according to medical personnel Carry out liquid infusion.
The pressure detecting module is used to detecting the pressure value of infusion pipeline outer surface, and by testing result System state in which is judged in reason analysis, and system status comprises at least normal condition, system without medicine box state, transfusion Pipeline blockage state, infusion pipeline have bubble or infusion pipeline no liquid state;The pressure detecting module is entered to testing result The method of row Treatment Analysis comprises the following steps:
1) pressure signal in a cycle is gathered, and obtained pressure signal is smoothly located using moving average method Reason;
2) pressure signal after smoothing processing is standardized, standardizes between 0-1000 amplitudes, marked Standardization signal;
3) parameter of extraction standard signal, and analysis and summary draws characteristic parameter;The parameter includes average value, square Difference, peak-peak, peak-peak go out current moment, the signal number of 700 amplitudes, the time occupied by signals more than 700 amplitudes; Wherein analysis and summary show that characteristic parameter is:Reach and impose a condition that (parameter is more than certain value, parameter is less than certain value or ginseng with parameter value Number is equal to certain value), then as characteristic parameter;Such as:Characteristic parameter X1It is more than 200 amplitudes, feature X for signal averaging2For Signal mean square deviation is less than 10, and the even signal averaging in the parameter of pressure signal is more than 200 amplitudes, then it is assumed that feature occurs Parameter X1, signal mean square deviation is less than 10, then it is assumed that characteristic parameter X occurs2
4) by features above parameter, the Bayesian classifier model obtained using previous analog Experiment Training, judge to press State representated by force signal, wherein described state comprises at least normal condition, system is blocked up without medicine box state, infusion pipeline Plug-like state, infusion pipeline have bubble or infusion pipeline no liquid state;
5) state that will determine that out is back to the alarm that the alarm module carries out corresponding state.
Fig. 6 gives the general flow chart that pressure detecting module in a kind of embodiment carries out Treatment Analysis to testing result.
Wherein, the step 4) specifically includes:
1) previous analog Experiment Training is carried out:N state Y of system simulationi, and b is obtained to each stateiIn the individual cycle Pressure signal, the pressure in each cycle in each state is extracted beneficial to the method described in the step 1-3 in the claims 7 M characteristic parameter X of force signalj, and each feature is counted under each state in biThe total degree a occurred in the individual cycleji; To following form;
ajiExpression state YiMiddle characteristic parameter XjThe number of appearance, i=1,2 ... ..n, j=1,2 ... .m;
2) the division status condition probable value P (X of each characteristic parameter are calculatedj|Yi)P(Yi), P (Xj|Yi)P(Yi)= (aji/bi)*(1/n);
3) by each state YiUnder each characteristic parameter XjDivision status condition probable value P (Xj|Yi)P(Yi) tired out Multiply, obtain each state YiState probability values Pi,Compare obtained each state probability Value PiSize, take PiState of the maximum state representated by as the pressure signal, obtains pressure signal judged result.PiI.e. Table is in state YiUnder, each characteristic parameter XjDivision status condition probable value P (Xj|Yi)P(Yi) tired multiply value.
Such as the state of division includes normal condition Y1, system is without medicine box state Y2, infusion pipeline blocked state Y3, it is defeated Liquid pipeline has bubble or infusion pipeline no liquid state Y4, each characteristic parameter X under four statesjDivision status condition it is general Rate value P (Xj|Yi)P(Yi) it is tired multiply value be respectively P1、P2、P3、P4, wherein P1Value is maximum, then judges representated by the pressure signal State is P1Normal condition.
The analgesia pump management system of the intelligent wireless based on intelligent expert storehouse of the present invention, its mode of operation include mutually cutting The networked mode and single cpu mode changed;Fig. 3 gives a kind of handoff procedure sketch of its mode of operation in embodiment, and Fig. 4 is provided In a kind of embodiment under networked mode system workflow diagram, Fig. 5 given in a kind of embodiment in a stand-alone mode The workflow diagram of system.
Under networked mode, the analgesia pump is communicated by communication base station with CSRC management system and connected, in described Entreat monitoring management system to be connected with intelligent expert library module communication, of patient is included in the intelligent expert library module People's information, automatically control analgesia pump from treatment information that patient is corresponding and according to the different key informations of analgesia pump The therapeutic scheme of liquid infusion;
The CSRC management system is according to the patient ID number inputted on analgesia pump automatically from intelligent expert storehouse mould Treatment information corresponding with patient is matched in block, and the treatment information is issued to corresponding analgesia pump, corresponding analgesia pump is again The infusion of decoction is automatically controlled according to the treatment information of reception, patient is treated automatically;When user is by operating analgesia pump On button voluntarily the infusion of regulating liquid medicine when, the key information on CSRC management system collection analgesia pump, and root Therapeutic scheme corresponding to being matched according to the key information from the intelligent expert library module, then will match under obtained therapeutic scheme Corresponding analgesia pump is dealt into, automatically controls the infusion of decoction, feedback treating is carried out to patient.
In one embodiment, medical personnel read the base of patient by patient's ID number of being in hospital directly from intelligent expert storehouse This information is simultaneously entered into corresponding patient information card, such as the name of patient, sex, age, body weight, lesion bed label, operation Title etc., by the treatment information such as the Auto-matching Therapeutic mode in intelligent expert storehouse and treatment parameter, establish a set for the treatment of mould Type.Medical personnel input patient ID number on analgesia pump, the treatment information matched from intelligent expert storehouse can by networking without Line is sent on analgesia pump, is realized and is keyed in from upper computer end by the key of information one is treated to the operation of the next generator terminal, eliminates medical care The tedious steps of the treatment such as key-press input initial dose, single dose, total amount information, medical personnel only need personnel one by one on analgesia pump The treatment information received shown is checked in analgesia pump pump head lcd screen, is pressed after confirmation is errorless and confirms that button is i.e. acceptable Treatment.If treatment information need to change, medical personnel can also change on slave computer analgesia pump treats information, then according to Amended treatment information carries out liquid infusion to patient.If carry out liquid infusion according to default treatment information in therapeutic process The pain of Shi Wufa reduction of patient, patient institute can feed back to CSRC administrative center by PCA touch potentials, then by intelligence specially Family's corresponding therapeutic scheme of storehouse Auto-matching, while treatment information is stored in intelligent expert storehouse.This process is without medical care people Member's monitoring in real time, the time and efforts of medical personnel is greatly saved.
By the PCA key informations of patient during liquid infusion by wireless communication module by routeing base station feedback to center Supervision and management center, using half an hour as timing node, CSRC management system checks that once this is half small every half an hour When interior PCA touch potentials, by pressed PCA touch potentials change decoction infusion model.Set decoction maximum infusion velocity as 4ml/h, decoction minimum infusion velocity are 1ml/h, and liquid infusion is according to 0.5ml/h speed increases or successively decreases.It is assumed that initial setting Liquid infusion speed be 2ml/h, if before patient in half an hour by PCA number be 0 during treatment, continuation is according to initially setting Infusion model is treated, if patient was still 0 by PCA touch potentials in first 2 hours, analgesia pump can receive CSRC management The instruction that system is sent, the infusion velocity for the decoction that automatically constantly successively decreases per hour in ensuing therapeutic process, from 2ml/h 1.5ml/h is decremented to, then is decremented to 1ml/h from 1.5ml/h and keeps constant, until treatment is completed, if period patient presses PCA Button, then further treated according to PCA touch potentials in the per half an hour detected;If PCA is pressed in half an hour during treatment Key number is 0-5 times, then once increases liquid infusion with 0.5ml/h speed, and increasing to 2.5ml/h from 2ml/h keeps constant, Until treatment is completed;If PCA touch potentials are 5-10 times in half an hour during treatment, medicine is increased with 0.5ml/h speed twice Liquid is transfused, and being incremented to 3ml/h from 2ml/h keeps constant, until treatment is completed;If PCA touch potentials are in half an hour during treatment 10-15 times, then liquid infusion is increased with 0.5ml/h speed three times, being incremented to 3.5ml/h from 2ml/h keeps constant, until controlling Treat and complete;It is defeated with 0.5ml/h four increasing decoctions of speed if PCA touch potentials are 15-20 times in half an hour during treatment Note, it is incremented to 4ml/h from 2ml/h and keeps constant, until treatment is completed;If treatment when half an hour in PCA touch potentials more than 20 Secondary, then CSRC management system can send warning message, and medical personnel can handle this special circumstances immediately, and formulate correlation Therapeutic scheme, avoid the occurrence of malpractice.If PCA touch potentials are reduced in per half an hour during treatment, according to as above rule Decoction is transfused with 0.5ml/h decrease of speed, the minimum infusion threshold velocity set is 1ml/h.To sum up, can according to above procedure Realize the automatic feedback regulatory function that becomes more meticulous of the wireless analgesia pump management system based on intelligent expert storehouse.
The analgesia pump management system of the intelligent wireless based on intelligent expert storehouse of the present invention, under single cpu mode pattern, passes through The pattern of button selection liquid infusion on analgesia pump, the manual control module occur control according to the key information of input and referred to Make the infusion for the motor drive module, controlling decoction;The infusion of the memory module storage decoction set on the single-chip microcomputer Information, and the infusion information of the decoction of storage occurs to the CSRC management system again when system enters networked mode Stored.
Single cpu mode, which is not required to networking, directly to be used on analgesia pump pump head, and has multi-mode PCA administration functions, Decoction is incremented by, successively decreased or self-defined pattern, increment mode:Liquid infusion speed is incremented to max-thresholds according to fixed rate and protected Hold constant;Decline mode:Liquid infusion speed minimizes threshold value according to fixed rate pumps and keeps constant;Self-defined pattern:It is right Treated when a kind of personalized treatment pattern of especial patient, treatment according to medical personnel from liquid infusion speed is set. This pattern only needs medical personnel key-press input decoction initial dose, single dose, total amount etc. directly on pump head to be transfused information, and startup is opened Machine button then can complete liquid infusion according to set information.And by treatment information storage into the memory module of single-chip microcomputer, until Treatment information is sent to CSRC management system when there is net, avoids treating information omission, is advantageous to complete medical personnel Maintenance of information work to patient.
Patient's PCA information in therapeutic process is uploaded to central monitoring administrative center by the present invention, and in intelligent expert storehouse Treatment information compareed, and the therapeutic scheme matched is transferred on analgesia pump by routeing base station automatically and carries out individual character Change treatment.This new analgesia pump management system has abandoned the complicated processes of traditional pump head key-press input, only needs medical care people Member is sent to analgesia pump by host computer by the key of information one is treated, and anaphase process is supervised in real time without medical personnel Survey, by intelligent expert storehouse Auto-matching therapeutic scheme.And a set of cell phone application is developed, medical personnel upload historical therapeutic information Into intelligent expert storehouse, patient can check corresponding treatment information by downloading APP, and the impression in therapeutic process is recorded in On APP, real-time communication on line is realized with medical personnel, increase patient treats experience.In addition, medical personnel can in this set system 256 analgesia pumps in networking are managed simultaneously, and system has the characteristics of digitlization, intelligent, networking and personalization in itself.
Although embodiment of the present invention is disclosed as above, it is not restricted in specification and embodiment listed With it can be applied to various suitable the field of the invention completely, can be easily for those skilled in the art Other modification is realized, therefore under the universal limited without departing substantially from claim and equivalency range, it is of the invention and unlimited In specific details.

Claims (10)

  1. A kind of 1. intelligent wireless analgesia pump management system based on intelligent expert storehouse, it is characterised in that including:More analgesia pumps, CSRC management system, the intelligent expert library module being connected with the CSRC management system and for establishing described more The communication base station of communication connection between analgesia pump and CSRC management system;
    The CSRC management system includes the upper computer software in embedded host computer, and the upper computer software is included in monitoring Heart alarm module, data inputting module, data sheet management module and analgesia pump management module;
    The analgesia pump includes analgesia pump body, is arranged at the single-chip microcomputer of the analgesia pump body and connects respectively with the single-chip microcomputer The information input connect is counted with display module, wireless communication module, motor drive module, alarm module, pressure monitoring module, infusion Module, manual control module, voltage monitoring module, real-time clock module, power module are measured, the analgesia pump body includes pump Head, infusion pipeline, button and display screen.
  2. 2. the intelligent wireless analgesia pump management system according to claim 1 based on intelligent expert storehouse, it is characterised in that institute State Surveillance center's alarm module and be used for the alert when detecting the touch potential of analgesia pump beyond the threshold value of setting;Institute State data inputting module and outside HIS system dockings, and the data message typing that the CSRC management system is collected Into HIS systems;The analgesia pump management module is used to add or cancel and CSRC management system communication connection Analgesia pump, and for carrying out A+E to the working condition of analgesia pump;The data sheet management module is used to preserve institute State the data message of CSRC management system collection and statistical analysis is carried out to data message, generate statistical report form and export.
  3. 3. the intelligent wireless analgesia pump management system according to claim 1 based on intelligent expert storehouse, it is characterised in that also Including the cell phone application end with CSRC management system communication connection.
  4. 4. the intelligent wireless analgesia pump management system according to claim 2 based on intelligent expert storehouse, it is characterised in that institute Manual control module is stated with passing through button regulating liquid medicine infusion amount, the hand by key connection, user on the analgesia pump body Dynamic control module receives key information, and the liquid infusion of analgesia pump is controlled according to the information for receiving button;The control manually The pattern of module control liquid infusion includes increment mode, decline mode and self-defined pattern, under increment mode, liquid infusion Speed is incremented to after max-thresholds according to fixed rate and keeps constant;Under decline mode, liquid infusion speed is according to fixed speed Rate keeps constant after being decremented to minimum threshold;Under self-defined pattern, the speed manually set according to medical personnel carries out decoction Infusion.
  5. 5. the intelligent wireless analgesia pump management system according to claim 4 based on intelligent expert storehouse, it is characterised in that institute State single-chip microcomputer to be used to receive the key information that the manual control module is sent, and described lead to is passed through by the wireless communication module News base station is transferred to the CSRC management system;When user's Self-operating button is to adjust the liquid infusion of analgesia pump, CSRC management system therapeutic scheme according to corresponding to the key information matching from the intelligent expert library module automatically, The therapeutic scheme obtained further according to matching controls the analgesia pump, carries out liquid infusion, and feedback treating is carried out to patient.
  6. 6. the intelligent wireless analgesia pump management system according to claim 4 based on intelligent expert storehouse, it is characterised in that institute It is to be used to show liquid infusion information on analgesia pump to state information input and display module;The motor drive module is used to drive The pump head of the analgesia pump, complete liquid infusion action;Alarm module, which comprises at least, has surplus warning function, infusion pipeline to block up Plug warning function, infusion pipeline have bubble or no liquid warning function, transfusion to terminate warning function, medicine box without work(of alarming in place Energy, the transfusion amount of reaching capacity warning function, system are without medicine box warning function, low battery warning function and standby warning function; The infusion metering module is used for the infusion liquid measure for measuring the analgesia pump.
  7. 7. the intelligent wireless analgesia pump management system according to claim 6 based on intelligent expert storehouse, it is characterised in that institute The pressure value that pressure detecting module is used to detect infusion pipeline outer surface is stated, and by carrying out Treatment Analysis judgement to testing result Go out system state in which, system status comprises at least normal condition, system blocks shape without medicine box state, infusion pipeline State, infusion pipeline have bubble or infusion pipeline no liquid state;The pressure detecting module carries out Treatment Analysis to testing result Method comprise the following steps:
    1) pressure signal in a cycle is gathered, and obtained pressure signal is smoothed using moving average method;
    2) pressure signal after smoothing processing is standardized, standardizes between 0-1000 amplitudes, standardized Signal;
    3) parameter of extraction standard signal, and analysis and summary draws characteristic parameter, the parameter include average value, mean square deviation, Peak-peak, peak-peak go out current moment, the signal number of 700 amplitudes, the time occupied by signals more than 700 amplitudes;
    4) by features above parameter, the Bayesian classifier model obtained using previous analog Experiment Training, judge that pressure is believed State representated by number, wherein described state comprises at least normal condition, system blocks shape without medicine box state, infusion pipeline State, infusion pipeline have bubble or infusion pipeline no liquid state;
    5) state that will determine that out is back to the alarm that the alarm module carries out corresponding state.
  8. 8. the intelligent wireless analgesia pump management system according to claim 7 based on intelligent expert storehouse, it is characterised in that institute Step 4) is stated to specifically include:
    1) previous analog Experiment Training is carried out:N state Y of system simulationi, and b is obtained to each stateiPressure in the individual cycle Signal, the pressure extracted beneficial to the method described in the step 1-3 in the claims 7 in each cycle in each state are believed Number m characteristic parameter Xj, and each feature is counted under each state in biThe total degree a occurred in the individual cycleji
    ajiExpression state YiMiddle characteristic parameter XjThe number of appearance, i=1,2 ... ..n, j=1,2 ... .m;
    2) the division status condition probable value P (X of each characteristic parameter are calculatedj|Yi)P(Yi), P (Xj|Yi)P(Yi)=(aji/ bi)*(1/n);
    3) by each state YiUnder each characteristic parameter XjDivision status condition probable value P (Xj|Yi)P(Yi) carry out it is tired multiply, Obtain each state YiState probability values Pi,Compare obtained each state probability values Pi Size, take PiState of the maximum state representated by as the pressure signal, obtains pressure signal judged result.
  9. 9. the intelligent wireless analgesia pump management system according to claim 4 based on intelligent expert storehouse, it is characterised in that its Mode of operation includes the networked mode and single cpu mode that can mutually switch;
    Under networked mode, the analgesia pump is communicated by communication base station with CSRC management system and connected, the center prison Control management system to connect with intelligent expert library module communication, the personal letter of patient is included in the intelligent expert library module Breath, automatically control the decoction of analgesia pump from treatment information that patient is corresponding and according to the different key informations of analgesia pump The therapeutic scheme of infusion;
    The CSRC management system is according to the patient ID number inputted on analgesia pump automatically from the intelligent expert library module Matching is corresponding with patient to treat information, and the treatment information is issued into corresponding analgesia pump, corresponding analgesia pump further according to The treatment information of reception automatically controls the infusion of decoction, and patient is treated automatically;When user is by operating on analgesia pump Button voluntarily the infusion of regulating liquid medicine when, the key information on CSRC management system collection analgesia pump, and according to this Key information matched from the intelligent expert library module corresponding to therapeutic scheme, then be issued to obtained therapeutic scheme is matched Corresponding analgesia pump, the infusion of decoction is automatically controlled, feedback treating is carried out to patient.
  10. 10. the intelligent wireless analgesia pump management system according to claim 9 based on intelligent expert storehouse, it is characterised in that Under single cpu mode pattern, the pattern of liquid infusion is selected by the button on analgesia pump, the manual control module is according to defeated Control instruction occurs for the key information that enters to the motor drive module, controls the infusion of decoction;Set on the single-chip microcomputer Memory module stores the infusion information of decoction, and the infusion information of the decoction of storage occurs again when system enters networked mode Stored to the CSRC management system.
CN201711194090.2A 2017-11-24 2017-11-24 Intelligent wireless analgesia pump management system based on intelligent expert storehouse Pending CN107715242A (en)

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