CN108324283B - Recording method for pain - Google Patents

Recording method for pain Download PDF

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Publication number
CN108324283B
CN108324283B CN201810242347.5A CN201810242347A CN108324283B CN 108324283 B CN108324283 B CN 108324283B CN 201810242347 A CN201810242347 A CN 201810242347A CN 108324283 B CN108324283 B CN 108324283B
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pain
recording
detection device
data
patient
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CN108324283A (en
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徐陶
曾俊伟
游沙沙
田虹
陈远寿
刘晓红
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Zunyi Medical 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
    • A61B5/11Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1107Measuring contraction of parts of the body, e.g. organ, muscle
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/44Detecting, measuring or recording for evaluating the integumentary system, e.g. skin, hair or nails
    • A61B5/441Skin evaluation, e.g. for skin disorder diagnosis
    • A61B5/445Evaluating skin irritation or skin trauma, e.g. rash, eczema, wound, bed sore
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physiology (AREA)
  • Dentistry (AREA)
  • Dermatology (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The invention belongs to the technical field of medical equipment and detection for leaving a doctor, and particularly relates to a pain recording method. This subjective impression of pain can be carried out the quantization of certain degree to this scheme of adoption to make things convenient for the doctor to see the diagnosis, improve and see diagnosis efficiency.

Description

Recording method for pain
Technical Field
The invention belongs to the technical field of medical equipment and diagnosis and detection, and particularly relates to a pain recording method.
Background
The treatment time of many diseases is very long nowadays, patients often choose to take medicines home for treatment, so that when the patients are subjected to a back-examination, doctors cannot accurately control the dosage due to limited expression ability of the patients, and the dosage is reduced for safety, so that the recovery time is also reduced.
Through the treatment observation of some diseases, it is found that many times the patients are asked about the subjective pain feeling of the patients in the case of a consultation, but the prior art has no reliable means for quantifying the pain value. Internationally, a pain mental measuring scale is used, subjective pain information of a patient can be obtained, but clinical diagnosis is greatly influenced by the subjectivity of the patient. Researchers also scan the brain by functional magnetic resonance to measure the real pain level of a person, but the method has high equipment price and complex operation.
When a body is painful, muscles of a human body can contract to a certain degree, the pain feeling can be quantified to a certain degree by detecting the muscle contraction degree, and the condition severity and the dosage can be determined only by the subjective feeling of a patient when a doctor asks for a doctor.
Disclosure of Invention
Therefore, the invention provides a pain recording method, which records and counts the physical parameters of a patient through a detection device so as to objectively and quantitatively record the pain degree of a human body, thereby facilitating the inquiry of doctors and improving the medical efficiency.
In order to achieve the purpose, the scheme of the invention is as follows:
a method for recording pain, comprising the steps of,
(1) preparing a record: determining the position of pain, and wearing a detection device on the pain part of the patient body;
(2) and (3) starting recording: starting a detection device, wherein the detection device detects the muscle contraction value of the pain part by sensing the deformation quantity of the pain part;
(2) electronic data collection: when pain occurs, the muscle of the pain part contracts, the detection device detects the deformation quantity generated when the muscle contracts, and data are collected;
(3) electronic data calculation: the detection device transmits the collected data to a calculation center connected with the detection device, and calculates the magnitude of the acting force applied to the pain part;
(4) electronic data recording: the recording center connected with the computing center records the data computed by the computing center as electronic data as a first measurement reflecting pain of patients;
(5) data reading: when the patient is in a visit, the doctor reads data from the recording center by using the reading device.
Wherein, the first measurement reflecting the pain sensation is a first reference index when a doctor diagnoses, and the second measurement reflecting the pain sensation is a second reference index when the doctor diagnoses.
The technical principle of the invention is as follows:
the detection device is worn on a pain part of a patient, when muscles of the pain part contract, the detection device can detect the muscle contraction value of the pain part, so that the detected muscle contraction value is transmitted to the calculation center, the calculation center calculates the acting force of the pain part according to a mathematical formula, and then the recording center records the acting force as electronic data to be stored as a first measurement reflecting pain feeling; when a patient is in a doctor's visit, a doctor can accurately judge the illness state of the patient according to the data by reading the electronic data of the body from the recording center.
The invention has the beneficial effects that:
1. the pain condition of the patient body is recorded through the detection device, for a patient to be away from the clinic, when the patient is reexamined or an attending physician is replaced, accurate pain value records can be provided for the physician, compared with the condition that only the subjective description of the patient is relied on, the data expressed by electronic data is more real, the control of the drug amount by the physician is facilitated, and the treatment effect of the patient is improved.
2. The detection device is used for detecting the deformation amount of muscle contraction during pain, the calculation center is used for calculating the stress of a pain part, the subjective pain sense is quantified, and more accurate reference is provided for the treatment of a doctor; compared with some detection equipment with high cost, the device has a simple structure and is convenient to carry.
The first preferred scheme is as follows: preferably, the method further comprises the step (6) of subjective data recording: the subjective pain perception value is entered in the recording center as a second measure reflecting the patient's pain perception when the patient experiences the pain perception. The individual tolerance capability of the individual to the pain is different, so that individual difference is generated, the subjective pain feeling value of the patient is recorded and used as a second reference index when a doctor diagnoses, and the doctor can control the dosage according to the individual difference by combining electronic data of the body, so that the treatment effect of the patient is improved.
The preferred scheme II is as follows: preferably, the method further comprises the step (7) of cooling and radiating: the patient is through the extrusion mechanism of aerifing, makes gaseous flow through detection device, cools down detection device and patient skin contact department. When the detection device detects the muscle contraction value of the pain part, the patient needs to wear the detection device all the time, the part of the detection device, which is in contact with the skin, is not in contact with air for a long time and is not airtight, so that the feeling of sultriness can be generated, and the airflow plays a certain role in cooling and ventilating the part.
The preferable scheme is three: preferably, in the second step (3), the calculation center calculates the magnitude of the force applied to the pain area using a set of equations in a spring-mass model. In order to meet the comprehensive requirements of the system on authenticity and response real-time property, after soft tissue modeling methods in a non-physical model, a spring-mass model, a finite element model and a long element model are analyzed, a living body soft tissue viscoelasticity model under large deformation is established on the basis of the spring-mass model.
The preferable scheme is four: preferably, in the third preferred embodiment, the electronic data recorded in the step (4) is represented by a waveform diagram. The oscillogram is simpler than a single number, and a doctor can quickly find the pain development trend of a patient when watching the oscillogram.
The preferable scheme is five: preferably, in the fourth preferred embodiment, the subjective data recorded in the step (5) is in one-to-one correspondence with the electronic data at the time of recording. The subjective data are in one-to-one correspondence with the electronic data when being recorded, doctors do not need to compare and search one by one, the doctors can watch conveniently, and the seeing and examining efficiency is improved.
Drawings
FIG. 1 is a schematic structural diagram of an embodiment of the present invention;
fig. 2 is a schematic diagram of data transmission according to an embodiment of the present invention.
Detailed Description
The present invention will be described in further detail below by way of specific embodiments:
reference numerals in the drawings of the specification include: detection circle 1, slider 2, dwang 3, spring 4, light sensor 5, hose 6.
The embodiment is basically as shown in the attached figures 1 and 2: for the recording method of pain, the recording method needs to use a detection device, and the structure of the detection device is as follows: the detection device is a detection ring 1, the inner ring of the detection ring 1, namely a ring in contact with the skin of a human body, is a soft leather layer, on one hand, the comfort degree of the detection ring 1 sleeved on the human body is enhanced, on the other hand, the soft leather layer can sensitively detect the contraction motion of the muscle of the human body and further detect, the outer ring of the detection ring 1 is made of hard rubber, the hard rubber is not easy to deform, the outer ring of the detection ring 1 is not driven to deform when the inner ring of the detection ring 1 deforms, and the measurement precision is improved; a sliding block 2 is connected in the detection ring 1 in a sliding manner, the sliding block 2 abuts against the inner ring of the detection ring 1, a rotating rod 3 is hinged in the detection ring 1, the lower end of the rotating rod 3 is in contact with the sliding block 2, a spring 4 is connected between the lower end of the rotating rod 3 and the detection ring 1, an optical sensor 5 and an infrared emitter (not shown in the figure) are fixedly installed in the detection ring 1, and the rotating rod 3 can block infrared rays emitted by the infrared emitter in the rotating process so that the optical sensor 5 can sense the change of light and transmit data; the hinged part of the rotating rod 3 and the detection ring 1 is parallel to the lower end of the optical sensor 5, the hinged part of the rotating rod 3 and the detection ring 1 is parallel to the upper end of the sliding block 2, and the distance ratio of the hinged part of the rotating rod 3 and the detection ring 1 to the upper end of the optical sensor 5 and the upper end of the sliding block 2 is 3: 1. Still fixedly connected with hose 6 in the detection circle 1 inner circle, hose 6 one end is connected with miniature inflater, and the hose 6 other end communicates with the external world. When the miniature inflator is used, a patient can hold the miniature inflator in the hand or step on the miniature inflator, and the miniature inflator inflates the hose 6 to achieve the purpose of cooling and radiating the inner ring of the detection ring 1, so that the comfort degree of the patient when wearing the detection ring 1 is improved. Still install in the detection circle 1 and calculate chip, record chip and be used for reading the USB interface of record chip content, make things convenient for the patient to read the painful data of disease when seeing a doctor.
The specific recording steps are as follows:
(1) preparing a record: the position of pain occurrence is determined, and the detection ring 1 is worn on the pain part of the patient body.
(2) And (3) starting recording: the detection ring 1 is started, and the detection ring 1 detects the muscle contraction value of the pain part by sensing the deformation quantity of the pain part.
(3) Electronic data collection: when pain occurs, muscles of the pain part contract, the detection ring 1 detects the deformation amount occurring when the muscles contract, and data is collected. When taking place the pain, painful position muscle takes place centrifugal contraction, muscle is elongated when the contraction produces tension, thereby make 1 inner circle of detection circle open greatly, thereby detect 1 inner circle of circle open greatly and promote slider 2 and slide right, slider 2 promotes dwang 3 and rotates around its pin joint, rotate the in-process and shelter from light sensor 5, after dwang 3 rotates and stops, because light sensor 5 receives sheltering from this moment, lead to light sensor 5's partly can not receive light signal, consequently, light sensor 5 gives the center of calculation with the signal transmission this moment.
(4) Electronic data calculation: the detection ring 1 transmits the collected data to a calculation center, and calculates the magnitude of the acting force applied to the pain part. After the optical sensor 5 transmits a signal to the calculation center, a calculation chip of the calculation center starts to work, and the hinged position of the rotating rod 3 and the detection ring 1 is determined according to the ratio of the distance between the upper end of the optical sensor 5 and the upper end of the sliding block 2, and the horizontal distance of the rotating rod 3 is known, so that the distance of the sliding block 2 sliding rightwards can be obtained according to the similar triangle principle, and the distance of the sliding block 2 sliding rightwards is the muscle contraction value. Then the stress of the pain part is obtained by using a formula set in a spring-mass model:
mx "+ Cx' + Kx ═ f (where M denotes mass, C denotes resistance, K denotes elastic coefficient matrix, x is amount of muscle contraction, and f denotes all external forces exerted on the mass point)
Considering that the soft tissue of human body has viscoelasticity, when an exponential delay (e ^ t/tau) is passed when the load is applied and removed correspondingly, the spring 4 coefficient of the soft tissue model can be simulated by an exponential function, and the elastic coefficient k is set to be the exponential function of the deformation x, namely: k is a ebx, where a, b are the parameters to be determined and x is the amount of muscle contraction.
And then, a dynamic equation of the system can be solved by adopting a common iteration method Euler algorithm.
(5) Electronic data recording: the recording chip records the data calculated by the calculating chip as electronic data which is used as a first measurement for reflecting pain of patients; the recording chip records the value of f obtained by the calculating chip, and makes a oscillogram to be stored in the recording chip.
(6) Subjective data recording: inputting a subjective pain feeling value in the recording chip when the patient feels the pain feeling as a second measurement for reflecting the pain feeling of the patient; after the patient feels the pain, the subjective pain feeling value is actively input into the recording chip, and the subjective pain feeling of the patient and the electronic data obtained by the calculating chip are recorded on the same oscillogram by the recording chip.
(7) Cooling and heat dissipation: the patient extrudes the miniature inflator to enable the air to flow through the detection ring 1, and the contact part of the detection device and the skin of the patient is cooled; because wearing time overlength can make detection ring 1 and skin contact's part produce stifled hot sense, bring the discomfort for the disease, the disease can be squeezed with the hand or step on miniature inflater with the foot this moment, inflates in the hose 6, makes to have the air current to flow in the hose 6 to utilize the air current to cool down in the detection ring 1, thereby improve the comfort level.
(8) Data reading: when the patient is in a visit, the doctor reads data from the recording chip by using the reading device. The USB interface is installed on the detection ring 1, when a patient is in a doctor, a doctor only needs to read data on a recording chip in the detection ring 1 by using a card reader, and then relevant data of the patient can be obtained, so that the diagnosis efficiency is improved.
The foregoing is merely an example of the present invention and common general knowledge of known specific structures and features of the embodiments is not described herein in any greater detail. It should be noted that variations and modifications can be made by those skilled in the art without departing from the structure of the present invention. These should also be construed as the scope of the present invention, and they should not be construed as affecting the effectiveness of the practice of the present invention or the applicability of the patent. The scope of the claims of the present application shall be determined by the contents of the claims, and the description of the embodiments and the like in the specification shall be used to explain the contents of the claims.

Claims (6)

1. A method of recording pain, characterized by: comprises the following steps of (a) carrying out,
(1) preparing a record: determining the position of pain, and wearing a detection device on the pain part of the patient body;
(2) and (3) starting recording: starting a detection device, wherein the detection device detects the muscle contraction value of the pain part by sensing the deformation quantity of the pain part;
(2) electronic data collection: when pain occurs, the muscle of the pain part contracts, the detection device detects the deformation quantity generated when the muscle contracts, and data are collected;
(3) electronic data calculation: the detection device transmits the collected data to a calculation center connected with the detection device, and calculates the magnitude of the acting force applied to the pain part;
(4) electronic data recording: the recording center connected with the computing center records the data computed by the computing center as electronic data as a first measurement reflecting pain of patients;
(5) data reading: when the patient is in a visit, the doctor reads data from the recording center by using the reading device;
the detection device is a detection ring, a sliding block is connected in the detection ring in a sliding mode, the sliding block offsets with the inner ring of the detection ring, a rotating rod is hinged in the detection ring, the lower end of the rotating rod is in contact with the sliding block, a spring is connected between the lower end of the rotating rod and the detection ring, an optical sensor and an infrared emitter are further fixed in the detection ring, infrared rays emitted by the infrared emitter can be shielded in the rotating process of the rotating rod, and therefore the optical sensor can sense the change of light to transmit data.
2. A recording method for pain according to claim 1, characterized in that: further comprising the step (6) of subjective data recording: the subjective pain perception value is entered in the recording center as a second measure reflecting the patient's pain perception when the patient experiences the pain perception.
3. A recording method for pain as claimed in claim 2, characterized in that: still include step (7) cooling heat dissipation: the patient is through the extrusion mechanism of aerifing, makes gaseous flow through detection device, cools down detection device and patient skin contact department.
4. A recording method for pain according to claim 3, characterized in that: in the step (3), the calculation center calculates the acting force applied to the pain part by using a formula set in the spring-mass model.
5. Recording method for pain according to claim 4, characterized in that: the electronic data recorded in said step (4) is represented as a waveform diagram.
6. Recording method for pain according to claim 5, characterized in that: the subjective data recorded in the step (5) correspond to the electronic data one to one at the time of recording.
CN201810242347.5A 2018-03-22 2018-03-22 Recording method for pain Expired - Fee Related CN108324283B (en)

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CN111466880B (en) * 2020-04-15 2023-01-24 上海中医药大学附属曙光医院 Device and method for standardized tracing of knee joint pain and tenderness parts
CN115083598B (en) * 2022-06-20 2023-04-07 中南大学湘雅二医院 Comprehensive diagnosis and treatment system and tool for maxillofacial pain

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CN103654729A (en) * 2013-12-12 2014-03-26 张军 Pressing pain mechanics tester

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US20100198081A1 (en) * 2009-02-02 2010-08-05 John Harold Hanlin Scanning light imager
US8801739B2 (en) * 2009-04-17 2014-08-12 Spine View, Inc. Devices and methods for arched roof cutters
US10350767B2 (en) * 2015-11-18 2019-07-16 Canon Kabushiki Kaisha Sensor, driving mechanism, and robot
CN206566180U (en) * 2016-09-27 2017-10-20 李晓君 A kind of beating physical therapy device for treating skelagia

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CN103654729A (en) * 2013-12-12 2014-03-26 张军 Pressing pain mechanics tester

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