CN108309302A - A kind of surgical operation microcirculation monitoring method and device - Google Patents

A kind of surgical operation microcirculation monitoring method and device Download PDF

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Publication number
CN108309302A
CN108309302A CN201810229985.3A CN201810229985A CN108309302A CN 108309302 A CN108309302 A CN 108309302A CN 201810229985 A CN201810229985 A CN 201810229985A CN 108309302 A CN108309302 A CN 108309302A
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color
criterion
monitoring
temperature
blood oxygen
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CN201810229985.3A
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CN108309302B (en
Inventor
吴攀峰
王聪杨
庞晓阳
潘丁
符劲飞
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Xiangya Hospital of Central South University
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Xiangya Hospital of Central South University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/1032Determining colour for diagnostic purposes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/01Measuring temperature of body parts ; Diagnostic temperature sensing, e.g. for malignant or inflamed tissue
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14542Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01DMEASURING NOT SPECIALLY ADAPTED FOR A SPECIFIC VARIABLE; ARRANGEMENTS FOR MEASURING TWO OR MORE VARIABLES NOT COVERED IN A SINGLE OTHER SUBCLASS; TARIFF METERING APPARATUS; MEASURING OR TESTING NOT OTHERWISE PROVIDED FOR
    • G01D21/00Measuring or testing not otherwise provided for
    • G01D21/02Measuring two or more variables by means not covered by a single other subclass

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • General Physics & Mathematics (AREA)
  • Dentistry (AREA)
  • Optics & Photonics (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Abstract

The invention discloses a kind of surgical operation microcirculation monitoring methods and device, method to include the following steps:Monitoring obtains the physiological data at monitoring position, judges whether the physiological data meets preset criterion, is, judge that microcirculation is normal, otherwise judges that microcirculation is abnormal.Device includes the physiological data acquisition module and processing module for monitoring position;The physiological data acquisition module is used to monitor the physiological data for obtaining monitoring position;The processing module judges whether the physiological data meets preset criterion, is, judges that microcirculation is normal, otherwise judges that microcirculation is abnormal.The advantages that present invention can be monitored in real time, and monitoring accuracy is good, efficient, and stability is good.

Description

A kind of surgical operation microcirculation monitoring method and device
Technical field
The present invention relates to field of medical technology more particularly to a kind of surgical operation microcirculation monitoring method and devices.
Background technology
For surgical operation, after surgery, medical staff, which needs to watch with the deepest concern, monitors the microcirculation situation at position, special Be not microcirculation situation in three days after operation, monitor the microcirculating state at position quality be directly related to operation whether at Work(, therefore, the monitoring that the microcirculating state at position is monitored after operation are particularly significant for the post operative recovery procedures of patient.It is existing Have in technology, judges microcirculating state generally by nurse or doctor's regular check, and the inspection of nurse can only carry out just Step judges, it is still desirable to which doctor is according to specific circumstances specifically handled, this has resulted in too late to postoperative microcirculation monitoring When, inaccuracy, low efficiency the problems such as, therefore, it is necessary to surgical operation microcirculation monitoring study.
Invention content
The technical problem to be solved in the present invention is that:For technical problem of the existing technology, the present invention provides one Kind can be monitored in real time, and monitoring accuracy is good, efficient, the good surgical operation microcirculation monitoring method of stability and device.
In order to solve the above technical problems, technical solution proposed by the present invention is:A kind of surgical operation microcirculation monitoring method, Include the following steps:
Monitoring obtains the physiological data at monitoring position, judges whether the physiological data meets preset criterion, is, sentences Disconnected microcirculation is normal, otherwise judges that microcirculation is abnormal.
Further, the physiological data includes color and/or blood oxygen saturation and/or temperature;
The preset criterion includes that judgement of color criterion, and/or blood oxygen saturation criterion, and/or temperature judge Standard;
The judgement of color criterion includes judging whether the color belongs to preset standard color collection, is to meet color judgement Otherwise standard is unsatisfactory for judgement of color criterion;
The blood oxygen saturation criterion includes judging whether the blood oxygen saturation falls within preset normal blood oxygen range, is Then meet blood oxygen saturation criterion, is otherwise unsatisfactory for blood oxygen saturation criterion;
The temperature criterion includes judge whether the temperature falls within preset normal temperature range, is that survey meets temperature and sentences Disconnected standard, is otherwise unsatisfactory for temperature criterion.
Further, further include the monitoring temperature for monitoring the environment residing for position, and according to the temperature of the environment Correct the preset normal temperature range.
Further, standard color concentration includes multiple to be carried out to standard color card under varying environment light conditions The standard color subset taken pictures and generated;Further include ambient lighting conditions when obtaining monitoring;The judgement of color criterion is:Root Ambient lighting conditions when according to the monitoring, judge whether the color belongs to opposite with the ambient lighting conditions when monitoring The standard color subset answered is to meet judgement of color criterion, is otherwise unsatisfactory for judgement of color criterion.
Further, further include that the physiological data and/or judging result are pushed into external equipment.
A kind of surgical operation microcirculation monitoring device includes the physiological data acquisition module and processing module at monitoring position;
The physiological data acquisition module is used to monitor the physiological data for obtaining monitoring position;
The processing module judges whether the physiological data meets preset criterion, is, judges that microcirculation is normal, no Then judge that microcirculation is abnormal.
Further, the physiological data acquisition module include color submodule, and/or blood oxygen saturation submodule and/ Or temperature submodule;
The color submodule is used to obtain the color at monitoring position;
The blood oxygen saturation submodule is used to obtain the blood oxygen saturation at monitoring position;
The temperature submodule is used to obtain the temperature at monitoring position;
The preset criterion of the processing module include judgement of color criterion, and/or blood oxygen saturation criterion, And/or temperature criterion;
The judgement of color criterion includes judging whether the color belongs to preset standard color collection, is to meet color judgement Otherwise standard is unsatisfactory for judgement of color criterion;
The blood oxygen saturation criterion includes judging whether the blood oxygen saturation falls within preset normal blood oxygen range, is Then meet blood oxygen saturation criterion, is otherwise unsatisfactory for blood oxygen saturation criterion;
The temperature criterion includes judge whether the temperature falls within preset normal temperature range, is that survey meets temperature and sentences Disconnected standard, is otherwise unsatisfactory for temperature criterion.
Further, further include environment temperature submodule, the temperature for monitoring the environment residing for the monitoring position;
The processing module is additionally operable to preset normal temperature range described in the temperature adjustmemt according to the environment.
Further, further include ambient lighting submodule, for obtaining ambient lighting conditions when monitoring;
The processing module the standard color concentration include it is multiple under varying environment light conditions to standard color card into The capable standard color subset taken pictures and generated;The judgement of color criterion is:Ambient lighting conditions when according to the monitoring, sentence Whether the color of breaking belongs to standard color subset corresponding with the ambient lighting conditions when monitoring, is to meet color Otherwise criterion is unsatisfactory for judgement of color criterion.
Further, further include communication module, set for the physiological data and/or judging result to be pushed to outside It is standby.
Compared with the prior art, the advantages of the present invention are as follows:
1, the present invention can carry out monitoring after operation position full-time, continual monitoring, accurately judge whether just to monitor position Often, monitoring result is pushed to medical staff in time, to greatly mitigate the working strength of medical staff, improves monitoring after operation shield The level of reason, monitoring efficiency is high, and accuracy is good.
2, the present invention is monitored to monitoring position, while getting monitoring data, also obtains environmental parameter, to prison Measured data is modified or selects the normal data being adapted with environment to carry out interpretation, sentence read result accuracy to monitoring data It is high.
Description of the drawings
Fig. 1 is specific embodiment of the invention flow diagram.
Fig. 2 is specific embodiment of the invention structural schematic diagram.
Specific implementation mode
Below in conjunction with Figure of description and specific preferred embodiment, the invention will be further described, but not therefore and It limits the scope of the invention.
The surgical operation microcirculation monitoring method of the present embodiment, as shown in Figure 1, step is:Monitoring obtains monitoring position Physiological data, judges whether physiological data meets preset criterion, is, judges that microcirculation is normal, otherwise judges microcirculation It is abnormal.In the present embodiment, physiological data includes color and/or blood oxygen saturation and/or temperature;Preset criterion packet Include judgement of color criterion, and/or blood oxygen saturation criterion, and/or temperature criterion;Judgement of color criterion includes judging Whether color belongs to preset standard color collection, is to meet judgement of color criterion, is otherwise unsatisfactory for judgement of color criterion;Blood oxygen Saturation degree criterion includes judging whether blood oxygen saturation falls within preset normal blood oxygen range, is to meet blood oxygen saturation Otherwise criterion is unsatisfactory for blood oxygen saturation criterion;Temperature criterion is preset including judging whether temperature falls within Normal temperature range is to survey to meet temperature criterion, is otherwise unsatisfactory for temperature criterion.
In the present embodiment, acquisition can be sampled by imaging sensor by monitoring the color at position, and blood oxygen saturation passes through blood The acquisition of oxygen meter obtains, and temperature is sampled by temperature measuring set and obtained, such as infrared thermography instrument or patch type thermo detector.For Each physiological data index, all there are one corresponding normal data, the physiological data that monitoring is obtained and the criterion numeral According to being compared, it may thereby determine that whether the physiological data that monitoring obtains is normal.Such as the normal data of temperature be 35 to 38 degree(I.e. preset normal temperature range is 35 to 38 degree), the range of 35 to 38 degree is located at as monitored obtained temperature, then is said Bright temperature is normal, otherwise illustrates that temperature is abnormal.Such as color, there is standard color collection, standard color collection is by can determine whether The color that monitoring obtains is compared by the set for monitoring the normal color in position with the standard color collection, if monitoring obtains Color standard color concentrate, then judge that color is normal, be otherwise off color often.
In the present embodiment, further include monitoring the temperature of the environment residing for position, and correct according to the temperature of the environment default Normal temperature range.Since the temperature in ward is not constant, ward temperature is low when such as winter, for exposed Position is monitored, it is affected by the ambient temperature, the temperature at position is monitored at low ambient temperatures relative to being supervised under normal temperature environment The temperature for surveying position, therefore, it is necessary to be modified to the normal data of temperature according to environment temperature.
In the present embodiment, standard color concentration include it is multiple under varying environment light conditions to standard color card carry out The standard color subset taken pictures and generated;Further include ambient lighting conditions when obtaining monitoring;Judgement of color criterion is:According to prison Ambient lighting conditions when survey, judge whether color belongs to standard color corresponding with ambient lighting conditions when monitoring Collection, is to meet judgement of color criterion, is otherwise unsatisfactory for judgement of color criterion.Since color is obtained by imaging sensor monitoring , the data that imaging sensor obtains can equally be influenced by environmental colors, such as in feux rouges environment hypograph Sensor monitoring The image of acquisition is all blushing, influences whether the accuracy that color judges in this way.In the present embodiment, according to several in ward Different light environments, such as fluorescent lamp environment, natural light environment, or even in the light environment etc. drawn the curtain together, respectively Establish standard color subset.It is such as monitored under fluorescent lamp environment, the color at monitoring position is obtained, by under fluorescent lamp environment Standard color subset to monitoring obtain color judge, determine monitoring position color it is whether normal.By this implementation The mode of example, can effectively avoid the variation because of ambient lighting conditions monitoring data caused by adversely affect, ensure monitoring knot The accuracy of fruit.
In the present embodiment, further include that physiological data and/or judging result are pushed into external equipment.By by physiology number According to and/or judging result by network push to network, such as the monitoring administration system of the mobile phone of medical staff, hospital, to The case where facilitating medical staff to check patient anywhere or anytime takes corresponding treatment measures in time.
The surgical operation microcirculation monitoring device of the present embodiment, as shown in Fig. 2, the physiological data including monitoring position obtains Module and processing module;Physiological data acquisition module is used to monitor the physiological data for obtaining monitoring position;Processing module judges life Whether reason data meet preset criterion, are to judge that microcirculation is normal, otherwise judge that microcirculation is abnormal.
In the present embodiment, physiological data acquisition module include color submodule, and/or blood oxygen saturation submodule and/ Or temperature submodule;Color submodule is used to obtain the color at monitoring position;Blood oxygen saturation submodule is for obtaining monitoring portion The blood oxygen saturation of position;Temperature submodule is used to obtain the temperature at monitoring position;The preset criterion of processing module includes Judgement of color criterion, and/or blood oxygen saturation criterion, and/or temperature criterion;Judgement of color criterion includes judging face Whether color belongs to preset standard color collection, is to meet judgement of color criterion, is otherwise unsatisfactory for judgement of color criterion;Blood oxygen is full Include judging whether blood oxygen saturation falls within preset normal blood oxygen range with degree criterion, is to meet blood oxygen saturation to sentence Disconnected standard, is otherwise unsatisfactory for blood oxygen saturation criterion;Temperature criterion include judge temperature whether fall within it is preset just Normal temperature range is to survey to meet temperature criterion, is otherwise unsatisfactory for temperature criterion.
In the present embodiment, color submodule such as imaging sensor, blood oxygen saturation submodule such as oximeter, temperature submodule Block such as temperature measuring set, it is specific such as infrared thermography instrument or patch type thermo detector.In processing module, for each physiology Data target, all there are one corresponding normal datas, and the physiological data that monitoring obtains is compared with the normal data, It may thereby determine that whether the physiological data that monitoring obtains is normal.It is such as 35 to 38 degree for the normal data of temperature(It is i.e. default Normal temperature range be 35 to 38 degree)If monitoring the range that obtained temperature is located at 35 to 38 degree, illustrate temperature just Often, otherwise illustrate that temperature is abnormal.Such as color, it is by can determine whether monitoring position to have standard color collection, standard color collection The set of normal color, the color that monitoring obtains is compared with the standard color collection, if the color that monitoring obtains exists Standard color is concentrated, then judges that color is normal, is otherwise off color often.
In the present embodiment, further include environment temperature submodule, the temperature for monitoring the environment residing for position;Handle mould Block is additionally operable to correct preset normal temperature range according to the temperature of the environment.Due to the temperature in ward be not it is constant, such as Ward temperature is low when winter, affected by the ambient temperature for exposed monitoring position, at low ambient temperatures monitoring portion The temperature of position is relative to the temperature for monitoring position under normal temperature environment, therefore, it is necessary to according to environment temperature to the mark of temperature Quasi- data are modified.
In the present embodiment, further include ambient lighting submodule, for obtaining ambient lighting conditions when monitoring;Handle mould The standard color of block concentrates the standard for including multiple taken pictures to standard color card under varying environment light conditions and generating Subset of colours;Judgement of color criterion is:Ambient lighting conditions when according to monitoring, judge whether color belongs to and ring when monitoring The corresponding standard color subset of border light conditions, is to meet judgement of color criterion, is otherwise unsatisfactory for judgement of color criterion.By It is to monitor to obtain by imaging sensor in color, the data that imaging sensor obtains can equally be influenced by environmental colors, It is such as all blushing in the image of feux rouges environment hypograph Sensor monitoring acquisition, the accuracy that color judges is influenced whether in this way. In the present embodiment, it according to several different light environments in ward, such as fluorescent lamp environment, natural light environment, or even is drawing Light environment etc. in the case of upper curtain, establishes standard color subset respectively, and each standard color subset corresponds to an ambient light According to situation.It is such as monitored under fluorescent lamp environment, obtains the color at monitoring position, pass through the standard color under fluorescent lamp environment The color that subset obtains monitoring judges, determines whether the color at monitoring position is normal.Mode through this embodiment, can The effective variation avoided because of ambient lighting conditions monitoring data caused by adversely affect, ensure the accuracy of monitoring result.
In the present embodiment, further include communication module, set for physiological data and/or judging result to be pushed to outside It is standby.By by physiological data and/or judging result by network push to network, such as the monitoring of the mobile phone, hospital of medical staff Management system etc. the case where to facilitate medical staff to check patient anywhere or anytime, takes corresponding treatment measures in time.
Above-mentioned only presently preferred embodiments of the present invention, is not intended to limit the present invention in any form.Although of the invention Disclosed above with preferred embodiment, however, it is not intended to limit the invention.Therefore, every without departing from technical solution of the present invention Content, technical spirit any simple modifications, equivalents, and modifications made to the above embodiment, should all fall according to the present invention In the range of technical solution of the present invention protection.

Claims (10)

1. a kind of surgical operation microcirculation monitoring method, which is characterized in that include the following steps:
Monitoring obtains the physiological data at monitoring position, judges whether the physiological data meets preset criterion, is, sentences Disconnected microcirculation is normal, otherwise judges that microcirculation is abnormal.
2. surgical operation microcirculation monitoring method according to claim 1, it is characterised in that:The physiological data includes face Color and/or blood oxygen saturation and/or temperature;
The preset criterion includes that judgement of color criterion, and/or blood oxygen saturation criterion, and/or temperature judge Standard;
The judgement of color criterion includes judging whether the color belongs to preset standard color collection, is to meet color judgement Otherwise standard is unsatisfactory for judgement of color criterion;
The blood oxygen saturation criterion includes judging whether the blood oxygen saturation falls within preset normal blood oxygen range, is Then meet blood oxygen saturation criterion, is otherwise unsatisfactory for blood oxygen saturation criterion;
The temperature criterion includes judge whether the temperature falls within preset normal temperature range, is that survey meets temperature and sentences Disconnected standard, is otherwise unsatisfactory for temperature criterion.
3. surgical operation microcirculation monitoring method according to claim 2, it is characterised in that:It further include the monitoring monitoring The temperature of environment residing for position, and according to preset normal temperature range described in the temperature adjustmemt of the environment.
4. surgical operation microcirculation monitoring method according to claim 3, it is characterised in that:The standard color concentrates packet The standard color subset for including multiple taken pictures to standard color card under varying environment light conditions and generating;Further include obtaining Ambient lighting conditions when monitoring;The judgement of color criterion is:Ambient lighting conditions when according to the monitoring, described in judgement Whether color belongs to standard color subset corresponding with the ambient lighting conditions when monitoring, is to meet color to judge mark Otherwise standard is unsatisfactory for judgement of color criterion.
5. surgical operation microcirculation monitoring method according to any one of claims 1 to 4, it is characterised in that:Further including will The physiological data and/or judging result push to external equipment.
6. a kind of surgical operation microcirculation monitoring device, it is characterised in that:Including monitor position physiological data acquisition module and Processing module;
The physiological data acquisition module is used to monitor the physiological data for obtaining monitoring position;
The processing module judges whether the physiological data meets preset criterion, is, judges that microcirculation is normal, no Then judge that microcirculation is abnormal.
7. surgical operation microcirculation monitoring device according to claim 6, it is characterised in that:The physiological data obtains mould Block includes color submodule, and/or blood oxygen saturation submodule, and/or temperature submodule;
The color submodule is used to obtain the color at monitoring position;
The blood oxygen saturation submodule is used to obtain the blood oxygen saturation at monitoring position;
The temperature submodule is used to obtain the temperature at monitoring position;
The preset criterion of the processing module include judgement of color criterion, and/or blood oxygen saturation criterion, And/or temperature criterion;
The judgement of color criterion includes judging whether the color belongs to preset standard color collection, is to meet color judgement Otherwise standard is unsatisfactory for judgement of color criterion;
The blood oxygen saturation criterion includes judging whether the blood oxygen saturation falls within preset normal blood oxygen range, is Then meet blood oxygen saturation criterion, is otherwise unsatisfactory for blood oxygen saturation criterion;
The temperature criterion includes judge whether the temperature falls within preset normal temperature range, is that survey meets temperature and sentences Disconnected standard, is otherwise unsatisfactory for temperature criterion.
8. surgical operation microcirculation monitoring device according to claim 7, it is characterised in that:It further include environment temperature submodule Block, the temperature for monitoring the environment residing for the monitoring position;
The processing module is additionally operable to preset normal temperature range described in the temperature adjustmemt according to the environment.
9. surgical operation microcirculation monitoring device according to claim 8, it is characterised in that:It further include ambient lighting submodule Block, for obtaining ambient lighting conditions when monitoring;
The processing module the standard color concentration include it is multiple under varying environment light conditions to standard color card into The capable standard color subset taken pictures and generated;The judgement of color criterion is:Ambient lighting conditions when according to the monitoring, sentence Whether the color of breaking belongs to standard color subset corresponding with the ambient lighting conditions when monitoring, is to meet color Otherwise criterion is unsatisfactory for judgement of color criterion.
10. according to claim 6 to 9 any one of them surgical operation microcirculation monitoring device, it is characterised in that:Further include leading to Module is believed, for the physiological data and/or judging result to be pushed to external equipment.
CN201810229985.3A 2018-03-20 2018-03-20 A kind of surgical operation microcirculation monitoring method and device Active CN108309302B (en)

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CN109805891A (en) * 2019-01-08 2019-05-28 中南大学湘雅医院 Post-operative recovery state monitoring method, device, system, readable medium and colour atla
WO2020224624A1 (en) * 2019-05-07 2020-11-12 依奈德医疗技术(上海)有限公司 Noninvasive microcirculation quantification diagnostic system and quantification processing method therefor
CN113888655A (en) * 2021-09-27 2022-01-04 广域铭岛数字科技有限公司 Color difference early warning method, system, electronic device and medium

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CN113888655A (en) * 2021-09-27 2022-01-04 广域铭岛数字科技有限公司 Color difference early warning method, system, electronic device and medium

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