CN108682231A - A kind of palpation training method and wearable palpation training device - Google Patents
A kind of palpation training method and wearable palpation training device Download PDFInfo
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- CN108682231A CN108682231A CN201810641344.9A CN201810641344A CN108682231A CN 108682231 A CN108682231 A CN 108682231A CN 201810641344 A CN201810641344 A CN 201810641344A CN 108682231 A CN108682231 A CN 108682231A
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- 238000002559 palpation Methods 0.000 title claims abstract description 251
- 238000000034 method Methods 0.000 title claims abstract description 48
- 210000003811 finger Anatomy 0.000 claims abstract description 353
- 210000003813 thumb Anatomy 0.000 claims abstract description 61
- 230000008569 process Effects 0.000 claims description 25
- 241000251468 Actinopterygii Species 0.000 claims description 3
- 238000004088 simulation Methods 0.000 abstract description 2
- 241001133760 Acoelorraphe Species 0.000 description 16
- 210000001015 abdomen Anatomy 0.000 description 16
- 230000000694 effects Effects 0.000 description 7
- 230000008859 change Effects 0.000 description 4
- 238000003745 diagnosis Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 238000009434 installation Methods 0.000 description 3
- 238000012797 qualification Methods 0.000 description 3
- 238000006243 chemical reaction Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 239000003292 glue Substances 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000003205 muscle Anatomy 0.000 description 2
- 230000003068 static effect Effects 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 1
- 210000003489 abdominal muscle Anatomy 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 239000011229 interlayer Substances 0.000 description 1
- 210000000811 metacarpophalangeal joint Anatomy 0.000 description 1
- 230000008439 repair process Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 210000000952 spleen Anatomy 0.000 description 1
- 210000002784 stomach Anatomy 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
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- G—PHYSICS
- G09—EDUCATION; CRYPTOGRAPHY; DISPLAY; ADVERTISING; SEALS
- G09B—EDUCATIONAL OR DEMONSTRATION APPLIANCES; APPLIANCES FOR TEACHING, OR COMMUNICATING WITH, THE BLIND, DEAF OR MUTE; MODELS; PLANETARIA; GLOBES; MAPS; DIAGRAMS
- G09B19/00—Teaching not covered by other main groups of this subclass
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Abstract
The present invention relates to Medical simulation teaching field, more particularly to a kind of palpation training method.A kind of palpation training method, including step：Palpation mode is set as deep palpation；Pass through pressure sensor acquisition thumb, the force value of index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar；Judge whether the force value of thumb and big hypothenar is zero, if not being zero, judges whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified according to default force value；If qualified, judge that deep palpation gimmick is qualified.Pass through the method, it can accurately judge that whether user of service's palm force size is qualified, if unqualified, if power is excessive, then user of service, user of service is prompted then to adjust dynamics by the form of voice or warning lamp, effectively user of service is helped to correct palpation dynamics and the mistake in posture, so that it is quickly grasped the palpation gimmick of specification, promotes Patient Experience, it is ensured that palpation quality.
Description
Technical field
The present invention relates to Medical simulation teaching field, more particularly to a kind of palpation training method and wearable palpation training cartridge
It sets.
Background technology
《Diagnostics》As an important subject in medicine, wherein physical examination is one of important content of diagnostics,
Wherein the basic skills of physical examination includes mainly visual examination, palpation, 4 part of P＆A.The palpation scope of application is very wide, especially with
Abdomen examination is even more important.Abdominal touch divides superficial palpation and deep palpation.Within superficial palpation palpation depth 1cm,
General not cause patient suffering or pain lighter, the depth that deep palpation touches is 2cm or more, can reach sometimes 4-5cm or
It is deeper, if gimmick is lack of standardization, the stomach wall muscle tonue of patient will be caused, palpation depth is inadequate, is easy to fail to pinpoint a disease in diagnosis, also increases patient
Sense of discomfort and pain.
If doctor's gimmick specification is consummate, patient can be comfortable on or pain is lighter, will loosen abdominal muscle, cooperation inspection
It looks into, also increases the degree of belief of patient, harmonious doctor-patient relationship.The doctor of high seniority is because there is practice year in year out, a sleight of hand, action
Softly, in place, patient is lighter without pain or pain for palpation depth；And intern or young doctor are due to the training of hand
Not enough, hand is stiff, and palm position of exerting oneself is not right, and muscle group cooperation is uncoordinated, and when physical examination usually increases patient suffering, patient's flesh
Defend enhancing, it is difficult to coordinate physical examination, cause palpation depth inadequate, influence palpation effect.
Invention content
For this reason, it may be necessary to a kind of palpation training method be provided, to solve no one of existing medical teaching auxiliary tool
The problem of can effectively helping palpation beginner quickly to grasp the palpation gimmick of specification, influencing palpation treatment effect.Particular technique
Scheme is as follows：
A kind of palpation training method, including step：Palpation mode is set as deep palpation or superficial part palpation；It is passed by pressure
The force value of sensor acquisition thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar；Judge the thumb
Whether the force value with big hypothenar is zero, if not being zero, it is other to judge whether the force value of the index finger finger pulp is more than
The force value of two finger pulp loss, if the force value of index finger finger pulp is more than the force value of other two finger pulp loss, according to pre-
Facility force value judges whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified；If index finger finger pulp, middle finger
The force value of finger pulp and nameless finger pulp is qualified, then judges that palpation gimmick is qualified.
Further, further include step：By pressure sensor acquire hand moving process in thumb, index finger finger pulp, in
Refer to finger pulp, the force value of nameless finger pulp and big hypothenar；Judge that the thumb, index finger finger pulp, middle finger finger pulp, the third finger refer to
Whether the force value of abdomen and big hypothenar is zero, if not being zero, judges that palpation gimmick is qualified in hand moving process.
Further, further include step：By pressure sensor acquire hand moving process in thumb, index finger finger pulp, in
Refer to finger pulp, the force value of nameless finger pulp and big hypothenar；Judge that the thumb, index finger finger pulp, middle finger finger pulp, the third finger refer to
Whether the force value of abdomen and big hypothenar is zero, if being zero, judges the index finger finger pulp, middle finger finger pulp and nameless finger pulp
Force value size be more than predetermined threshold value number whether reach preset times, if reaching preset times, judge that palpation terminates,
If not up to preset times, judge that palpation gimmick is unqualified.
Further, further include step：Judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp has to appoint
Meaning one is zero, if it is zero to have any one, judges that palpation gimmick is unqualified.
Further, further include step：Switch palpation mode to finger tip palpation；Index finger is acquired by pressure sensor to refer to
The force value of abdomen, middle finger finger pulp and nameless finger pulp；Judge index finger finger pulp, middle finger finger pulp and nameless finger pulp force value whether
It is identical, if identical, judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp closes according to force value is preset
Lattice.
To solve the above problems, a kind of wearable palpation training device is additionally provided, including：Gloves, power supply, pressure sensing
Device and controller；The power supply is set on gloves, and for powering to pressure sensor and controller；The controller setting
In on gloves, the controller communicates to connect the pressure sensor, and the controller is used for：Palpation mode is set to touch as deep
It examines or superficial part palpation；The pressure sensor is set to gloves thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big
At hypothenar, the pressure sensor is used for：Acquire thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar
Force value；The controller is additionally operable to：Judge whether the force value of the thumb and big hypothenar is zero, if not being
Zero, judge whether the force value of the index finger finger pulp is more than the force value of other two finger pulp loss, if the force of index finger finger pulp
Value then judges index finger finger pulp, middle finger finger pulp and the third finger more than the force value of other two finger pulp loss according to default force value
Whether the force value of finger pulp is qualified；If the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified, judgement is touched
Examine gimmick qualification.
Further, the pressure sensor is additionally operable to：Thumb, index finger finger pulp, middle finger refer in acquisition hand moving process
The force value of abdomen, nameless finger pulp and big hypothenar；The controller is additionally operable to：Judge the thumb, index finger finger pulp, middle finger
Whether the force value of finger pulp, nameless finger pulp and big hypothenar is zero, if not being zero, judges palpation in hand moving process
Gimmick is qualified.
Further, the controller is additionally operable to：Judge the thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp
Whether the force value with big hypothenar is zero, if being zero, judges the index finger finger pulp, middle finger finger pulp and nameless finger pulp
Whether the number that force value size is more than predetermined threshold value reaches preset times, if reaching preset times, judges that palpation terminates, if
Not up to preset times then judge that palpation gimmick is unqualified.
Further, the controller is additionally operable to：Judging the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is
No to have any one be zero, if it is zero to have any one, judges that palpation gimmick is unqualified.
Further, the controller is additionally operable to：Switch palpation mode to finger tip palpation；The pressure sensor is also used
In：Acquire index finger finger pulp, the force value of middle finger finger pulp and nameless finger pulp；The controller is additionally operable to：Judge index finger finger pulp, in
Whether the force value for referring to finger pulp and nameless finger pulp is identical, if identical, judges that index finger finger pulp, middle finger refer to according to force value is preset
Whether the force value of abdomen and nameless finger pulp is qualified.
The beneficial effects of the invention are as follows：
1, deep palpation or when superficial part palpation, passes through pressure sensor and acquires thumb, index finger finger pulp, middle finger finger pulp, nothing
The force value of name finger pulp and big hypothenar；Judge whether the force value of the thumb and big hypothenar is zero, if uneven
It is zero, illustrates the thumb and at least one position of big hypothenar and skin contact, if the thumb and big hypothenar
At least one position and skin contact, further judge whether the force value of the index finger finger pulp is more than other two Fingers
The force value of abdomen is sentenced if the force value of index finger finger pulp is more than the force value of other two finger pulp loss according to force value is preset
Whether the jejunitas force value for referring to finger pulp, middle finger finger pulp and nameless finger pulp is qualified, if qualified, judges that palpation gimmick is closed
Lattice.Either in deep palpation or superficial part palpation, the dynamics and posture of finger palpation are very crucial two factors, are too used
Power can cause patient pain, and diagnosis effect is gently not achieved very much, and poor form not only impacts dynamics, also influence beginner's
Experience, by pressure sensor acquire thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar force value,
Controller carries out above force value according to the force value of pre-set specifications to judge whether it qualified, and will determine that result export to
Terminal, beginner is by checking judging result, it is to be understood that oneself palpation gimmick whether specification, if lack of standardization, adjust dynamics with
Posture effectively helps user of service to correct palpation dynamics and the mistake in posture, it is made quickly to grasp the palpation gimmick of specification,
Ensure palpation quality；
2, further, during palpation, mobile hand is needed to carry out multiple palpation, and is only reached in hand moving process
To default palpation number, otherwise can not full palm leave skin, then by pressure sensor acquire thumb in hand moving process,
The force value of index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar；Judge that the thumb, index finger finger pulp, middle finger refer to
Whether the force value of abdomen, nameless finger pulp and big hypothenar is zero, if not being zero, judges palpation hand in hand moving process
Method is qualified.Beginner is in hand moving process, it is easy to there is not up to default palpation number, with regard to the state that full palm leaves,
By above method so that beginner is by checking judging result, it is to be understood that oneself palpation gimmick whether specification, if lack of standardization,
Adjustment dynamics and posture effectively help user of service to correct palpation dynamics and the mistake in posture, it are made quickly to grasp specification
Palpation gimmick, it is ensured that palpation quality；
3, further, in order to avoid some lower level errors, tentatively judge whether deep palpation gimmick is qualified, further include step
Suddenly：Judge the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp whether to have any one to be zero, if there is any one to be
Zero, illustrate three finger pulp loss not all with skin contact, then palpation gimmick is unqualified.
Description of the drawings
Fig. 1 is a kind of flow chart of palpation training method described in specific implementation mode；
Fig. 2 is the flow chart of palpation in hand moving process described in specific implementation mode；
Fig. 3 is the flow chart of palpation in hand moving process described in specific implementation mode；
Fig. 4 is a kind of signal of wearable palpation training device pressure sensor installation position described in specific implementation mode
Figure；
Fig. 5 is a kind of schematic diagram of wearable palpation training device controller installation position described in specific implementation mode；
Fig. 6 is a kind of signal of wearable palpation training device pressure sensor installation position described in specific implementation mode
Figure；
Fig. 7 is a kind of module connection diagram of wearable palpation training device described in specific implementation mode；
Fig. 8 is a kind of module connection diagram of wearable palpation training device described in specific implementation mode.
Reference sign：
500, wearable palpation training device；
501, power supply；
502, pressure sensor；
503, gloves；
504, controller.
Specific implementation mode
For the technology contents of technical solution, construction feature, the objects and the effects are described in detail, below in conjunction with specific reality
It applies example and attached drawing is coordinated to be explained in detail.
Referring to Fig. 1, fig. 4 to fig. 6, in the present embodiment, a kind of palpation training method can be applicable to a kind of wearable
On palpation training device, the wearable palpation training device includes：Gloves, the gloves are rubber material, and matter is thin, can be bonded
Be worn on hand, and adjustable size, correspond at finger pulp in the gloves, big hypothenar and metacarpophalangeal joints palmar be provided with it is multiple
Pressure sensor, to obtain force size；The pressure sensor is set at gloves surfaces externally and internally interlayer；In this embodiment party
In formula, the pressure sensor is diaphragm pressure sensor, and the pressure sensor model is：RFP-602, RFP-602 pressure
Sensor grows about 60mm, and roomy about 10mm, thickness about 0.2mm, RFP-602 pressure sensors can be to the pressure of any contact surface
Power carries out static and dynamic and measures, and will be applied to the pressure conversion in sensor sensing region at resistance signal, then according to power-electricity
The calibration relation curve of resistance obtains the extraneous change information exerted pressure, and pressure is bigger, and sensor output resistance is smaller.And pressure
Sensor communicates to connect controller (in the present embodiment, controller can connect pressure sensor by conducting wire), the control
Device carries out processing output result to obtain the data that pressure sensor collects to collected data；The control
The model of device：TMS320F28335 is provided with palpation mode select button on the controller, for selecting different palpation
Mode.In the present embodiment, the pressure sensor and controller are fixed on by glue on gloves.The gloves also may be used
For training massage manipulation.
In the present embodiment, surgery Senior Expert palpation mistake under a variety of different palpation modes is provided in controller
Whether each position of palm contacts the data of the force radian of patient skin, firmly situation and finger in journey.To as standard
Data judge whether the data that palpation beginner is got using palpation equipment are qualified, and then judge whether its palpation gimmick accords with
Close specification.
In the present embodiment, for response judging result, preferably there are two types of processing modes：
The first：Controller will determine that result is exported to showing in the terminal bound with wearable palpation training device, make
With personnel by checking judging result, learn whether specification adjusts dynamics and posture to oneself palpation gimmick if lack of standardization；
Second：Controller will determine that result is exported to the terminal bound with wearable palpation training device, the terminal
Can be prompted by voice, vibration or other prompting modes user its palpation gimmick whether specification, convenient for users to adjusting in real time
Dynamics and posture make it quickly grasp the palpation gimmick of specification, it is ensured that palpation quality.
In the present embodiment, the palpation mode includes：Deep palpation, superficial part palpation and finger tip palpation.Specific implementation
Technical solution is as follows：
Step S101：Palpation mode is set as deep palpation or superficial part palpation.It can be used such as under type：It can be touched by clicking
It examines mode select button and carries out palpation mode selection, set palpation mode as deep palpation or superficial part palpation, and selected is touched
The mode of examining is sent to controller.
In other embodiments, special App can also be provided on intelligent terminal, such as mobile phone, iPad, it is described
Intelligent terminal and wearable palpation apparatus bound, select palpation mode by App, and send palpation mode to control
Device.
After setting palpation mode, step S102 is executed：Thumb, index finger finger pulp, middle finger are acquired by pressure sensor
The force value of finger pulp, nameless finger pulp and big hypothenar.It can be used such as under type：Deep palpation or superficial part palpation mainly pass through
Index finger, middle finger and nameless progress palpation, but during palpation, thumb, great thenar, hypothenar at least will be there are one portions
Position still with skin attachement, avoids that three fingers is applied alone to carry out deep palpation, causes patient pain, influence palpation effect.
The effective auxiliary tool of no one of prior art can help beginner to detect thumb, great thenar and small fish
Border whether at least one and skin attachement, and then beginner is helped quickly to grasp the palpation gimmick of specification.And in this embodiment party
In formula, it can be used such as under type：
Acquired thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar force value, and will be above-mentioned
After all force values are sent to controller, step S103 is executed：Judge whether the force value of the thumb and big hypothenar is equal
It is zeroIf being zero, illustrate that thumb and big hypothenar are away from skin, then judges that deep palpation gimmick is unqualified.Beginner
It can be by checking that judging result or terminal inform beginner by the prompting mode of voice, to quickly beginner be helped to find
Problem, and the palpation dynamics of oneself is corrected in time, to quickly grasp the palpation gimmick of specification.
If the thumb and at least one position of big hypothenar and skin contact, then follow the steps S104：Judge institute
Whether the force value for stating index finger finger pulp is more than the force value of other two finger pulp lossIt can be used such as under type：It will be collected
Force Value Data is sent to controller, and controller receives corresponding data, and the force value of index finger finger pulp is judged according to palpation mode
Whether the force value of other two finger pulp loss is more than.
If the force value of index finger finger pulp is more than the force value of other two finger pulp loss, S105 is thened follow the steps：According to pre-
Facility force value judges whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified.It can be used such as under type：
Controller judges whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified according to default force value.
If qualified, S106 is thened follow the steps：Judge that deep palpation gimmick is qualified.
When deep palpation or superficial part palpation, thumb, index finger finger pulp, middle finger finger pulp, unknown is acquired by pressure sensor
Refer to the force value of finger pulp and big hypothenar；Judge whether the force value of the thumb and big hypothenar is zero, if not being
Zero, i.e., the force value of at least one position is not zero, and illustrates the thumb and at least one position of big hypothenar and patient
Skin contact, if the thumb and at least one position of big hypothenar and skin contact, further judge that the index finger refers to
Whether the force value of abdomen is more than the force value of other two finger pulp loss, if the force value of index finger finger pulp is more than other two fingers
The force value of finger pulp then judges whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is equal according to default force value
Qualification judges that palpation gimmick is qualified if qualified.Either in deep palpation or superficial part palpation, the dynamics of finger palpation
It is two very crucial factors with posture, too firmly can causes patient pain, diagnosis effect gently be not achieved very much, poor form is not
Only dynamics is impacted, also influences the experience of beginner, acquiring thumb, index finger finger pulp, middle finger by pressure sensor refers to
The force value of abdomen, nameless finger pulp and big hypothenar, controller carry out above force value according to the force value of pre-set specifications
Judge whether it is qualified, and will determine that result is exported to terminal, beginner is by checking judging result, it is to be understood that oneself palpation hand
Whether specification adjusts dynamics and posture to method if lack of standardization, effectively user of service is helped to correct in palpation dynamics and posture
Mistake makes it quickly grasp the palpation gimmick of specification, it is ensured that palpation quality.
Because in deep palpation or superficial part palpation, index finger, middle finger and it is nameless must be with skin contact, therefore further
, further include step：Judge the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp whether to have any one to be zero, if
It is zero to have any one, then judges that deep palpation gimmick is unqualified.It can be used such as under type：Controller, will according to palpation mode
The force value size received is compared with preset specification force value size, if in deep palpation or superficial part palpation mode
Under, it is zero that the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp, which has any one, then judges that corresponding palpation gimmick does not conform to
Lattice avoid some beginners from violating some lower level errors and have no knowledge about, and beginner is quickly helped to grasp the palpation gimmick of specification.
In other embodiments, collected force Value Data can also be practiced to each palpation to preserve, can led to
The data for multiple palpation practice of analysing and comparing are crossed, quickly discovery beginner is to improve preferably in which place, which place is
It still waits continuing improved.Beginner is contributed to quickly to grasp the palpation gimmick of specification.
Referring to Fig. 2, it is further, in the present embodiment, it is also necessary to palpation hand in training beginner's hand moving process
Method whether specification, specific implementation mode is as follows：
Step S201：Thumb in hand moving process, index finger finger pulp, middle finger finger pulp, unknown is acquired by pressure sensor
Refer to the force value of finger pulp and big hypothenar.After being collected, step S202 is executed：Judge that the thumb, index finger finger pulp, middle finger refer to
Whether the force value of abdomen, nameless finger pulp and big hypothenar is zero.If not being zero, illustrate in entire moving process, palm
It is not leave skin completely, thens follow the steps S203：Judge that palpation gimmick is qualified in hand moving process.
Beginner is in hand moving process, it is easy to there is not up to default palpation number, with regard to the state that full palm leaves,
By above method so that beginner is by checking judging result, it is to be understood that oneself palpation gimmick whether specification, if lack of standardization,
Adjustment dynamics and posture effectively help user of service to correct palpation dynamics and the mistake in posture, it are made quickly to grasp specification
Palpation gimmick, it is ensured that palpation quality.
Referring to Fig. 3, further, to avoid reaching default palpation number, palm leaves skin, misjudged at palpation hand
Method is nonstandard to be happened, and specific embodiment is as follows：
Step S301：Thumb in hand moving process, index finger finger pulp, middle finger finger pulp, unknown is acquired by pressure sensor
Refer to the force value of finger pulp and big hypothenar.Step S302：Judge the thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp
Whether the force value with big hypothenar is zero.If being zero, step S303 is further executed：Judge the index finger finger pulp, in
Whether the force value size for referring to finger pulp and nameless finger pulp reaches preset times more than the number of predetermined threshold value.It can be used such as lower section
Formula：In the present embodiment, preset times be five times, in the present embodiment, deep palpation with it is pre- corresponding to superficial part palpation
If threshold size is different, if detecting, entire palm leaves skin, and that time since palpation leaves skin to palm
During the entire process of, whether the force value size of index finger finger pulp, middle finger finger pulp and nameless finger pulp is more than five times, if it is greater than five
It is secondary, then illustrate to have carried out five corresponding deep palpation or superficial part palpation, thens follow the steps S304：Judgement palpation terminates.If food
Whether the force value size for referring to finger pulp, middle finger finger pulp and nameless finger pulp is not more than five times, such as just twice or thrice in this way, then
Judge that palpation gimmick is unqualified.
During actual palpation, according to by palpation personnel physical condition, palpation position situation etc., preset times all can
Different, it can also be other arbitrary times, in actual palpation, force value size is more than predetermined threshold value, then twice that can be
Represent a deep palpation or superficial part palpation, then hand can slightly move a little at this time, this when be cannot full palm from
Skin is opened, after movement is good, and deep palpation of progress or superficial part palpation, hand move again, then carry out palpation, so repeat,
After reaching preset times or more than preset times, it can be considered that a palpation course for the treatment of terminates.
In the present embodiment, it can also be used to train finger tip palpation gimmick, finger tip palpation gimmick to be mainly used for touching spleen
With.Specific implementation mode is as follows：
Switch palpation mode to finger tip palpation.It can be used such as under type：It can be by clicking the switching of palpation mode select button
Palpation mode is to finger tip palpation；Or by being switched over specific App on the intelligent terminal of palpation apparatus bound.And it will switching
Palpation mode information afterwards is sent to controller, can also be sent to and wearable palpation equipment in other embodiments
The intelligent terminal of binding.
After having switched palpation mode, applying for index finger finger pulp, middle finger finger pulp and nameless finger pulp is acquired by pressure sensor
Force value.It can be used such as under type：Index finger finger pulp, the force value of middle finger finger pulp and nameless finger pulp are acquired by pressure sensor,
And collected data are sent to controller, can also be sent to and wearable palpation equipment in other embodiments
The intelligent terminal of binding.
After sending well, judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is identical, if identical,
Judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified according to default force value.It can be used such as lower section
Formula：Controller or intelligent terminal receive corresponding force Value Data, obtain corresponding pre-set specifications force value according to palpation mode and sentence
Whether the jejunitas force value for referring to finger pulp, middle finger finger pulp and nameless finger pulp is qualified.If qualified, judge that finger tip palpation gimmick is closed
Lattice.
Index finger finger pulp, the force value of middle finger finger pulp and nameless finger pulp are acquired by pressure sensor, and is applied described in transmission
Force value to controller, controller judges that the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is according to default force value
No qualification judges that finger tip palpation gimmick is qualified if qualified, acquires force Value Data by pressure sensor and according to default rule
The force value of model judges it, if unqualified, beginner is by checking judging result, it is to be understood that whether oneself palpation gimmick
Specification adjusts dynamics and posture if lack of standardization, effectively user of service is helped to correct palpation dynamics and the mistake in posture,
It is set quickly to grasp the palpation gimmick of specification, it is ensured that palpation quality.
Fig. 4 to Fig. 8 is please referred to, further, a kind of wearable 500 specific technical solution of palpation training device is as follows：
A kind of wearable palpation training device 500, including：Gloves 503, power supply 501, pressure sensor 502 and controller
504；The power supply 501 is set on gloves 503, and for powering to pressure sensor 502 and controller 504；The control
Device 504 is set on gloves 503, and the controller 504 communicates to connect the pressure sensor 502, and the controller 504 is used
In：Palpation mode is set as deep palpation or superficial part palpation；The pressure sensor 502 is set to 503 thumb of gloves, index finger
At finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar, the pressure sensor 502 is used for：Acquisition thumb, index finger refer to
The force value of abdomen, middle finger finger pulp, nameless finger pulp and big hypothenar；The controller 504 is additionally operable to：Judge the thumb and
Whether the force value of big hypothenar is zero, if not being zero, judges whether the force value of the index finger finger pulp is more than other two
The force value of a finger pulp loss, if the force value of index finger finger pulp is more than the force value of other two finger pulp loss, according to default
Force value judges whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified；If index finger finger pulp, middle finger refer to
The force value of abdomen and nameless finger pulp is qualified, then judges that palpation gimmick is qualified.
In the present embodiment, surgery Senior Expert is provided in controller 504 to touch under a variety of different palpation modes
Whether each position of palm contacts the data of the force radian of patient skin, firmly situation and finger during examining.To conduct
Normal data judges whether the data that palpation beginner is got using palpation equipment are qualified, and then judges that its palpation gimmick is
It is no to meet specification.
In other embodiments, palm side can also be acquired by gyroscope by being provided with gyroscope on the back of the hand
Position data, judge whether the force value of thumb and big hypothenar is zero, if being adopted according to gyroscope according to palm bearing data
The palm bearing data judgement palm upright state collected, then judge that the force value of thumb and big hypothenar is zero.
In the present embodiment, the gloves 503 are rubber material, and matter is thin, can be bonded and be worn on hand, and adjustable big
It is small.The pressure sensor 502 is diaphragm pressure sensor, 502 model of the pressure sensor：RFP-602, RFP-602
Pressure sensor 502 grows about 60mm, and roomy about 10mm, thickness about 0.2mm, RFP-602 pressure sensors 502 can be to any
The pressure of contact surface carries out static and dynamic and measures, and will be applied to the pressure conversion in sensor sensing region at resistance signal, so
The extraneous change information exerted pressure is obtained according to the calibration relation curve of power-resistance afterwards, pressure is bigger, sensor output resistance
It is smaller.The model of the controller 504：TMS320F28335, be provided on the controller 504 palpation mode select by
Button, for selecting different palpation modes.In the present embodiment, the pressure sensor 502 and controller 504 pass through glue
Hydropexis is on gloves 503.The gloves 503 also can be used for training massage manipulation.
When deep palpation or superficial part palpation, pressure sensor 502 acquires thumb, index finger finger pulp, middle finger finger pulp, the third finger
The force value of finger pulp and big hypothenar；And the force Value Data is sent to controller 504, ventilating controller 504 judges described big
Whether the force value of thumb and big hypothenar is zero, judge the thumb and big hypothenar whether at least one position with
Skin contact, if the thumb and at least one position of big hypothenar and skin contact, further judge that the index finger refers to
Whether the force value of abdomen is more than the force value of other two finger pulp loss, if the force value of index finger finger pulp is more than other two fingers
The force value of finger pulp judges whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp closes according to default force value
Lattice judge that deep palpation gimmick is qualified if qualified.In the palpation of deep, the dynamics and posture of finger palpation are very crucial
Two factors, too firmly can cause patient pain, diagnosis effect is gently not achieved very much, poor form not only causes shadow to dynamics
It rings, also influences the experience of beginner, force Value Data is acquired by pressure sensor 502, controller 504 is according to pre-set specifications
Force value judges it, and can will determine that result is exported to terminal, and beginner is by checking judging result, it is to be understood that oneself
Whether specification adjusts dynamics and posture to palpation gimmick if lack of standardization, effectively user of service is helped to correct palpation dynamics and posture
On mistake, so that it is quickly grasped the palpation gimmick of specification, it is ensured that palpation quality.
Further, in order to avoid some lower level errors, tentatively judge whether deep palpation gimmick is qualified, the controller
504 are additionally operable to：Judge the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp whether to have any one to be zero, appoint if having
Meaning one is zero, illustrates that three finger pulp loss not all with skin contact, then judge that deep palpation gimmick is unqualified.
Further, the controller 504 is additionally operable to：Switch palpation mode to finger tip palpation；The pressure sensor 502
It is additionally operable to：Acquire index finger finger pulp, the force size of middle finger finger pulp and nameless finger pulp；The controller 504 is additionally operable to：Judge food
Whether the force size for referring to finger pulp, middle finger finger pulp and nameless finger pulp is identical, if identical, judges index finger according to force value is preset
Whether the force value of finger pulp, middle finger finger pulp and nameless finger pulp is qualified.
Further, the pressure sensor 502 is additionally operable to：Acquire thumb, index finger finger pulp, middle finger in hand moving process
The force value of finger pulp, nameless finger pulp and big hypothenar；The controller 504 is additionally operable to：Judge that the thumb, index finger refer to
Whether abdomen, middle finger finger pulp, the force value of nameless finger pulp and big hypothenar are zero, if not being zero, judge that hand is moved through
Palpation gimmick is qualified in journey.
Beginner is in hand moving process, it is easy to there is not up to default palpation number, with regard to the state that full palm leaves,
By apparatus above so that beginner is by checking judging result, it is to be understood that oneself palpation gimmick whether specification, if lack of standardization,
Adjustment dynamics and posture effectively help user of service to correct palpation dynamics and the mistake in posture, it are made quickly to grasp specification
Palpation gimmick, it is ensured that palpation quality.
Further, the controller 504 is additionally operable to：Judge the thumb, index finger finger pulp, middle finger finger pulp, the third finger
Whether finger pulp and the force value of big hypothenar are zero, if being zero, judge that the index finger finger pulp, middle finger finger pulp and the third finger refer to
Whether the number that the force value size of abdomen is more than predetermined threshold value reaches preset times, if reaching preset times, judges palpation knot
Beam judges that palpation gimmick is unqualified if not up to preset times.
It should be noted that although the various embodiments described above have been described herein, it is not intended to limit
The scope of patent protection of the present invention.Therefore, based on the present invention innovative idea, to embodiment described herein carry out change and repair
Change, or using equivalent structure or equivalent flow shift made by description of the invention and accompanying drawing content, it directly or indirectly will be with
Upper technical solution is used in other related technical areas, is included within the scope of patent protection of the present invention.
Claims (10)
1. a kind of palpation training method, which is characterized in that including step：
Palpation mode is set as deep palpation or superficial part palpation；
Pass through pressure sensor acquisition thumb, the force value of index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar；
Judge whether the force value of the thumb and big hypothenar is zero, if not being zero, judges the index finger finger pulp
Whether force value is more than the force value of other two finger pulp loss, if the force value of index finger finger pulp is more than other two finger pulp loss
Force value, then according to preset force value judge index finger finger pulp, middle finger finger pulp and the third finger finger pulp force value whether close
Lattice；
If the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified, judge that palpation gimmick is qualified.
2. a kind of palpation training method according to claim 1, which is characterized in that further include step：
Thumb in hand moving process, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big small fish are acquired by pressure sensor
The force value on border；
Judge whether the force value of the thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar is zero,
If not being zero, judge that palpation gimmick is qualified in hand moving process.
3. a kind of palpation training method according to claim 1 or 2, which is characterized in that further include step：
Thumb in hand moving process, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big small fish are acquired by pressure sensor
The force value on border；
Judge whether the force value of the thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar is zero,
If being zero, judge that the force value size of the index finger finger pulp, middle finger finger pulp and nameless finger pulp is more than the number of predetermined threshold value
Whether reach preset times, if reaching preset times, judge that palpation terminates, if not up to preset times, judges palpation hand
Method is unqualified.
4. a kind of palpation training method according to claim 1, which is characterized in that further include step：
Judge the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp whether to have any one to be zero, if there is any one
It is zero, then judges that palpation gimmick is unqualified.
5. a kind of palpation training method according to claim 1, which is characterized in that further include step：
Switch palpation mode to finger tip palpation；
Index finger finger pulp, the force value of middle finger finger pulp and nameless finger pulp are acquired by pressure sensor；
Judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is identical, if identical, according to default force value
Judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified.
6. a kind of wearable palpation training device, which is characterized in that including：Gloves, power supply, pressure sensor and controller；
The power supply is set on gloves, and for powering to pressure sensor and controller；
The controller is set on gloves, and the controller communicates to connect the pressure sensor, and the controller is used for：If
It is deep palpation or superficial part palpation to determine palpation mode；
The pressure sensor is set at gloves thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar,
The pressure sensor is used for：The force value of acquisition thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar；
The controller is additionally operable to：Judge whether the force value of the thumb and big hypothenar is zero, if not being zero, is sentenced
Whether the force value for the index finger finger pulp of breaking is more than the force value of other two finger pulp loss, if the force value of index finger finger pulp is more than
The force value of other two finger pulp loss then judges index finger finger pulp, middle finger finger pulp and nameless finger pulp according to default force value
Whether force value is qualified；If the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified, palpation gimmick is judged
It is qualified.
7. a kind of wearable palpation training device according to claim 6, which is characterized in that
The pressure sensor is additionally operable to：Acquire thumb in hand moving process, index finger finger pulp, middle finger finger pulp, nameless finger pulp
With the force value of big hypothenar；
The controller is additionally operable to：Judge the thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar
Whether force value is zero, if not being zero, judges that palpation gimmick is qualified in hand moving process.
8. a kind of wearable palpation training device described according to claim 6 or 7, which is characterized in that
The controller is additionally operable to：Judge the thumb, index finger finger pulp, middle finger finger pulp, nameless finger pulp and big hypothenar
Whether force value is zero, if being zero, judges that the force value size of the index finger finger pulp, middle finger finger pulp and nameless finger pulp is big
Whether reach preset times in the number of predetermined threshold value, if reaching preset times, judges that palpation terminates, if not up to default time
Number, then judge that palpation gimmick is unqualified.
9. a kind of wearable palpation training device according to claim 6, which is characterized in that
The controller is additionally operable to：Judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp has any one
It is zero, if it is zero to have any one, judges that palpation gimmick is unqualified.
10. a kind of wearable palpation training device according to claim 6, which is characterized in that
The controller is additionally operable to：Switch palpation mode to finger tip palpation；
The pressure sensor is additionally operable to：Acquire index finger finger pulp, the force value of middle finger finger pulp and nameless finger pulp；
The controller is additionally operable to：Judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is identical, if phase
Together, then judge whether the force value of index finger finger pulp, middle finger finger pulp and nameless finger pulp is qualified according to default force value.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810641344.9A CN108682231A (en) | 2018-06-21 | 2018-06-21 | A kind of palpation training method and wearable palpation training device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810641344.9A CN108682231A (en) | 2018-06-21 | 2018-06-21 | A kind of palpation training method and wearable palpation training device |
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| JP2005121889A (en) * | 2003-10-16 | 2005-05-12 | Gifu Univ | Palpation training system |
| WO2011113101A1 (en) * | 2010-03-17 | 2011-09-22 | Terence Vardy | An improved palpation monitor |
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| US20160015272A1 (en) * | 2013-03-01 | 2016-01-21 | Deepak Gaddipati | Palpation evaluation or diagnosis device, system and method |
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| JP2005121889A (en) * | 2003-10-16 | 2005-05-12 | Gifu Univ | Palpation training system |
| WO2011113101A1 (en) * | 2010-03-17 | 2011-09-22 | Terence Vardy | An improved palpation monitor |
| US20160015272A1 (en) * | 2013-03-01 | 2016-01-21 | Deepak Gaddipati | Palpation evaluation or diagnosis device, system and method |
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