CN109662691A - A kind of patient monitor of band NOX index - Google Patents

A kind of patient monitor of band NOX index Download PDF

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Publication number
CN109662691A
CN109662691A CN201811583164.6A CN201811583164A CN109662691A CN 109662691 A CN109662691 A CN 109662691A CN 201811583164 A CN201811583164 A CN 201811583164A CN 109662691 A CN109662691 A CN 109662691A
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index
nox
brain wave
patient
pain
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CN201811583164.6A
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彭丹
张扬发
张增晓
刘洋
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SHENZHEN MAYGREEN MEDICAL EQUIPMENT Co Ltd
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SHENZHEN MAYGREEN MEDICAL EQUIPMENT Co Ltd
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Priority to CN201811583164.6A priority Critical patent/CN109662691A/en
Publication of CN109662691A publication Critical patent/CN109662691A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4824Touch or pain perception evaluation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/369Electroencephalography [EEG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Psychiatry (AREA)
  • Psychology (AREA)
  • Hospice & Palliative Care (AREA)
  • Pain & Pain Management (AREA)
  • Physiology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)

Abstract

The invention discloses a kind of patient monitors of band NOX index, including brain wave sensor, for acquiring brain wave information;Analog-to-digital conversion module, for brain wave information to be converted to digital quantity by analog quantity;Processor, for obtaining brain electricity consciousness index according to the brain wave frequency in the brain wave information after conversion;NOX pain of injury index is obtained according to brain wave frequency, brain wave amplitude and the default grieved model in the brain wave information after conversion.The patient monitor is on the basis of showing brain electricity consciousness index, also add NOX pain of injury index, the probability that NOX pain of injury index makes a response to destructive stimulus to characterize patient, anesthetist can realize the depth of anesthesia that index analyzes patient in anesthesia surgery together by NOX pain of injury index and brain electricity, to help the Anesthesia medicine amount in anesthetist control operation, it realizes precisely anesthesia, effectively reduces the incidence of patient's intraoperative diagnosis and the incidence of the postoperative acute disturbance of consciousness.

Description

A kind of patient monitor of band NOX index
Technical field
The present invention relates to monitor fields, more particularly to a kind of patient monitor of band NOX index.
Background technique
Anesthesia in anesthesia surgery is a kind of nervous centralis and/or surrounding mind generated by anaesthetic or other methods The characteristics of invertibity function inhibitio through system, this inhibition is mainly the forfeiture for feeling the especially pain sensation, to reach painless Carry out the purpose of operative treatment.However, any anesthesia has certain risk.Physical condition of the height of risk by patient, hand The many factors such as the type of art, the technical experience of medical institutions and condition determine.The anesthesia surgery of different parts encloses anesthesia hand Art phase risk height is different.In addition to this, the arcotic for implementing anesthesia surgery is also many kinds of, and different arcotics has different Drug effect.And some operations need while using a variety of anaesthetics, when a variety of anaesthetics act on same patient, between drug The reacting phenomenon of generation leans on the experience of anesthetist completely, therefore more increases the risk of anesthesia surgery.Experienced fiber crops Liquor-saturated doctor can be masterly control anaesthetic and anaesthesia dosage to reach accurate anesthesia, but lack of experience, it is especially medium and small The anesthesia pharmacist of hospital will be at full stretch to high-risk patient.And there is 80% middle and small hospital in China, they are responsible for the country 70% The anesthesia and operation of patient.Therefore, necessary not only for the level for improving anesthetist, it is also necessary to which advanced Anesthesia Monitoring equipment is come More accurate Depth of Anesthesia index.
Existing patient monitor is monitored mainly for brain electricity consciousness, and such product is for acquisition patient's brain electricity during surgery Wave frequency rate simultaneously calculates brain electricity consciousness, deep anaesthesia and calm qualitative reference data is provided for clinician, so as to medical care people Member judges the narcosis of patient.But since the patient monitor only shows brain electricity consciousness, and different operations is to anesthesia Depth requirements are different, each patient is sensitive to anesthesia to the Bearing degree difference of anaesthesia dosage, patient when carrying out anesthesia surgery Degree is different, causes even patient in the case where existing patient monitor is guarded, and anesthesia pharmacist cannot still accurately controlled It makes the Anesthesia medicine amount in operation, avoid shallowly causing hand intraoperative diagnosis and anesthesia too deep caused due to anaesthetizing when patients surgery Delayed recovery and all kinds of potentially hazardous and complication.Meanwhile having for any monitored parameters, illusion and low signal quality It may result in that parameter value is unreliable, therefore rely on the consciousness index of patient monitor merely come to manage anesthesia in art be worthless.Cause This, urgent need auxiliary improves the patient monitor of anesthetist's Anesthesia medicine precision in anesthesia industry.
Summary of the invention
The object of the present invention is to provide a kind of patient monitors of band NOX index, can help in anesthetist control operation Anesthesia medicine amount realizes precisely anesthesia, effectively reduces the incidence of patient's intraoperative diagnosis and the hair of the postoperative acute disturbance of consciousness Raw rate.
In order to solve the above technical problems, the present invention provides a kind of patient monitors of band NOX index, comprising:
Brain wave sensor, for acquiring brain wave information;
Analog-to-digital conversion module, for the brain wave information to be converted to digital quantity by analog quantity;
Processor, for obtaining brain electricity consciousness index according to the brain wave frequency in the brain wave information after conversion; The NOX pain of injury is obtained according to brain wave frequency, brain wave amplitude and the default grieved model in the brain wave information after conversion Index, the NOX pain of injury index is for determining the probability that patient makes a response to destructive stimulus;
Display, for being shown to brain electricity consciousness index and the NOX pain of injury index;
Power supply, for being supplied for the brain wave sensor, the analog-to-digital conversion module, the processor and the display Electricity.
Preferably, the corresponding relationship for the probability that the NOX pain of injury index and patient make a response to destructive stimulus is as follows:
When the range of the NOX pain of injury index is 0-39, the probability that patient makes a response to destructive stimulus is pre- less than first If value;
When the range of the NOX pain of injury index is 40-60, it is pre- that patient is greater than first to the probability that destructive stimulus is made a response If value, less than the second preset value;
When the range of the NOX pain of injury index is 61-99, it is pre- that patient is greater than second to the probability that destructive stimulus is made a response If value;
Wherein, third preset value described in the second preset value < described in the first preset value <.
Preferably, further includes:
Alarm module;
The processor, which is also used to realize index in the brain electricity, is greater than the first brain electricity consciousness threshold value or less than the second brain It controls the alarm module when electricity consciousness threshold value to sound an alarm, the first brain electricity consciousness threshold value is realized greater than the second brain electricity Threshold value.
Preferably, the processor is also used to be greater than second preset value in the NOX pain of injury index or is less than institute The alarm module is controlled when stating the first preset value to sound an alarm.
Preferably, the alarm module is sound alarm module.
Preferably, the processor is also used to determine that myoelectricity index, brain wave outburst inhibit according to the brain wave information When signal quality index SQI;It is also used to control the display and shows that the myoelectricity index, brain wave outburst inhibit ratio And SQI.
Preferably, further includes:
Impedance matching module, for carrying out impedance matching to the brain wave information.
Preferably, the power supply is battery, further includes:
Electric power detection module, for detecting the electricity of the power supply;
The processor is also used to control the display and shows to the electricity.
Preferably, the processor is also used to be drawn according to current brain electricity consciousness index and corresponding time current Brain electricity, which realizes tendency chart and controls the display, to be shown;According to the current NOX pain of injury index and corresponding time It draws current NOX pain of injury exponential trend figure and controls the display and shown.
Preferably, the processor is also used to transfer after receiving historical query instruction and historical query instruction pair The data in period answered simultaneously according to the data and corresponding time render history tendency chart transferred and control the display It is shown.
As it can be seen that patient monitor provided by the invention also adds the NOX pain of injury and refers on the basis of showing brain electricity consciousness index Number, the probability that NOX pain of injury index makes a response to destructive stimulus to characterize patient, anesthetist can be referred to by the NOX pain of injury Several and brain electricity consciousness index analyzes the depth of anesthesia of patient in anesthesia surgery together, even if having an index unreliable, also also Another index can rely on, to help the Anesthesia medicine amount in anesthetist control operation, realize precisely anesthesia, effectively reduce The incidence of patient's intraoperative diagnosis and the incidence of the postoperative acute disturbance of consciousness.
Detailed description of the invention
It to describe the technical solutions in the embodiments of the present invention more clearly, below will be to institute in the prior art and embodiment Attached drawing to be used is needed to be briefly described, it should be apparent that, the accompanying drawings in the following description is only some implementations of the invention Example, for those of ordinary skill in the art, without creative efforts, can also obtain according to these attached drawings Obtain other attached drawings.
Fig. 1 is a kind of structural schematic diagram of the patient monitor of band NOX index provided by the invention;
The relationship for the probability that Fig. 2 is a kind of NOX pain of injury index provided by the invention and patient makes a response to destructive stimulus Figure;
Fig. 3 is a kind of NOX pain of injury index provided by the invention and patient to the relational graph for being intubated the probability made a response;
Fig. 4 is the relational graph that a kind of brain electricity provided by the invention realizes index and depth of anesthesia.
Specific embodiment
Core of the invention is to provide a kind of patient monitor of band NOX index, can help in anesthetist control operation Anesthesia medicine amount realizes precisely anesthesia, effectively reduces the incidence of patient's intraoperative diagnosis and the hair of the postoperative acute disturbance of consciousness Raw rate.
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described, it is clear that described embodiment is A part of the embodiment of the present invention, instead of all the embodiments.Based on the embodiments of the present invention, those of ordinary skill in the art Every other embodiment obtained without making creative work, shall fall within the protection scope of the present invention.
Fig. 1 is please referred to, Fig. 1 is a kind of structural schematic diagram of the patient monitor of band NOX index provided by the invention, the patient monitor Include:
Brain wave sensor 1, for acquiring brain wave information;
Analog-to-digital conversion module 2, for brain wave information to be converted to digital quantity by analog quantity;
Processor 3, for obtaining brain electricity consciousness index according to the brain wave frequency in the brain wave information after conversion;According to The brain wave frequency in brain wave information, brain wave amplitude and default grieved model after conversion obtain NOX pain of injury index, NOX Grieved index is for determining the probability that patient makes a response to destructive stimulus;
Display 4, for being shown to brain electricity consciousness index and NOX pain of injury index;
Power supply 5, for powering for brain wave sensor 1, analog-to-digital conversion module 2, processor 3 and display 4.
The mentality of designing of patient monitor provided by the present application is: not merely only brain electricity consciousness index shown, it is also additional Increase a NOX pain of injury index.Wherein, NOX pain of injury index (0~99) is the electroencephalogram parameter of continuous processing, with patient The probability made a response under general anesthesia or calmness to destructive stimulus is related.
Specifically, since brain electricity consciousness index is related to the hypnosis degree of patient.Therefore, in order to help anesthetist to understand The current depth of anesthesia of patient needs patient monitor that can obtain the brain electricity consciousness index of patient.Patient monitor packet provided by the present application Brain wave sensor 1 is included, for acquiring brain wave information, brain wave information includes brain wave frequency, is turned by brain wave information After being changed to digital quantity, brain electricity consciousness index can be calculated according to brain wave frequency in processor 3.
Patient monitor provided by the present application can also be obtained according to brain wave frequency, brain wave amplitude and default grieved model NOX pain of injury index, above content are mentioned, and NOX pain of injury index is for determining the probability that patient makes a response to destructive stimulus.Patient When encountering destructive stimulus, brain wave information with it is normal when brain wave information be different, such as brain wave frequency and brain Electric wave amplitude is embodied as patient's brain wave frequency when encountering destructive stimulus and gets higher, and brain wave amplitude becomes larger, wherein brain The variable quantity of wave frequency and the variable quantity of amplitude are related with destructive stimulus degree.Based on this, can by clinical test (such as Patient is intubated patient in anesthesia, and obtains the brain wave information of the patient in the case of this kind) obtain the second brain wave Corresponding relationship between information and NOX pain of injury index, and according to the corresponding pass between the second brain wave information and NOX pain of injury index System constructs grieved model.In subsequent practical application, it need to only acquire patient current brain wave information and combine and pre-establish Grieved model can obtain the NOX pain of injury index of current patents.Under normal conditions, NOX pain of injury index is higher, and patient is to nocuousness The reaction probability of stimulation is higher.After surgery, NOX pain of injury index can be used as the wake-up index of patient, and numerical value is higher, Huan Zhesu It wakes up faster.
After processor 3 obtains brain electricity consciousness index and NOX pain of injury index, display 4 realizes index to brain electricity and NOX hurts Pain index is shown, analyzes anesthesia surgery together so that anesthetist can realize index by NOX pain of injury index and brain electricity The depth of anesthesia of middle patient can also be relied on there are also another index, even if there is an index unreliable to help anesthetist control Anesthesia medicine amount in system operation realizes precisely anesthesia, effectively reduces the incidence and postoperative acute meaning of patient's intraoperative diagnosis Know the incidence of obstacle.When using monitor monitors provided by the present application, short acting anesthesia patient can reduce in intraoperative diagnosis rate 80% or more.The patient monitor can also make Propofol reduce 50% during Hypothermic Cardiopulmonary Bypass.
Specifically, display 4 here can with but be not only limited to liquid crystal display.In addition, further including power supply in patient monitor 5, for for each functional module power supply in patient monitor, power supply 5 here can with but be not only limited to battery, it is of course also possible to It is made of rectification module and voltage reduction module, rectification module is connect by plug with external commercial power at this time.In addition, processor here 3 can with but be not only limited to arm processor.
On the basis of the above embodiments:
As a kind of preferred embodiment, probability that NOX pain of injury index and patient make a response to destructive stimulus it is corresponding Relationship is as follows:
When the range of NOX pain of injury index is 0-39, the probability that patient makes a response to destructive stimulus is less than the first preset value;
When the range of NOX pain of injury index is 40-60, it is default that patient is greater than first to the probability that destructive stimulus is made a response Value, less than the second preset value;
When the range of NOX pain of injury index is 61-99, it is default that patient is greater than second to the probability that destructive stimulus is made a response Value;
Wherein, first preset value < the second preset value < third preset value.
In the present embodiment, applicant has obtained NOX pain of injury index and patient by clinical test and has made instead to destructive stimulus The corresponding relationship for the probability answered, specifically, referring to figure 2. and Fig. 3, wherein Fig. 2 is that a kind of NOX pain of injury provided by the invention refers to The relational graph for the probability that several and patient makes a response to destructive stimulus, Fig. 3 are a kind of NOX pain of injury index provided by the invention and suffer from The relational graph for the probability that person makes a response to intubation.
As it can be seen that according to fig. 2, the first preset value here can take 12%, and the second preset value can take 52%.Hurt in NOX When the range of pain index is 0-39, the probability that patient makes a response to destructive stimulus is very small;It is in the range of NOX pain of injury index When 40-60, the probability that patient makes a response to destructive stimulus is general;When the range of NOX pain of injury index is 61-99, patient couple The probability that destructive stimulus is made a response is larger.In practical applications, anesthetist can according to the actual conditions of conditions of patients come Determine the range of the NOX pain of injury index of patient (range for generally selecting the NOX pain of injury index of patient is 40-60).The present embodiment The Anesthesia medicine amount in anesthetist control operation can be further helped, precisely anesthesia is realized, effectively reduces in patient's art The incidence of the incidence and the postoperative acute disturbance of consciousness that know.
As a kind of preferred embodiment, further includes:
Alarm module;
Processor 3, which is also used to realize index in brain electricity, is greater than the first brain electricity consciousness threshold value or less than the second brain electricity minimum sensibile It controls alarm module when value to sound an alarm, the first brain electricity realizes threshold value and is greater than the second brain electricity consciousness threshold value.
Specifically, referring to figure 4., Fig. 4 is the relational graph that a kind of brain electricity provided by the invention realizes index and depth of anesthesia. Brain electricity consciousness index is able to reflect out depth of anesthesia, also associated with level of consciousness.Realizing index by brain electricity can track The variation of brain anaesthetic effect.In order to guarantee that the postoperative acute disturbance of consciousness is implemented and avoided as far as possible to the smooth of operation of patient Occur, when being anaesthetized to patient, anesthesia amount can neither too much can not be very little, be based on this, the patient monitor in the application can Anesthesia survival dose is reacted indirectly to realize index by brain electricity.In order to improve the essence that anesthetist controls Anesthesia medicine amount Accuracy, patient monitor further include alarm module, and when brain electricity consciousness index is too low or too high, processor 3 can control alarm module It sounds an alarm.
As a kind of preferred embodiment, processor 3 is also used to be greater than the second preset value in NOX pain of injury index or be less than Alarm module is controlled when the first preset value to sound an alarm.
Specifically, according to above-described embodiment it is found that anesthetist is typically chosen the NOX wound of patient for most of situation The range of pain index is 40-60, because if the numerical value of NOX pain of injury index is excessive, then reaction probability of the patient to destructive stimulus It is higher;If the numerical value of NOX pain of injury index is too small, after surgery, the recovery time of patient can be longer.Based on this, in the NOX pain of injury When index is greater than the second preset value or less than the first preset value, processor 3 can control alarm module and sound an alarm, to remind Anesthetist controls Anesthesia medicine amount.
As a kind of optionally embodiment, processor 3 is also used to be greater than the second preset value in NOX pain of injury index and continues the One preset time controls alarm module less than the first preset value and when continuing the second preset time and sounds an alarm.
Specifically, it is contemplated that in practical applications, due to the presence of various disturbing factors, it is suitable for can will appear arcotic Amount, but there is deviation in the NOX pain of injury index and predetermined condition that obtain in a certain moment or a certain very little period;Alternatively, Since reaction of patient individual's physical factors to arcotic is different, it is also possible to although causing arcotic appropriate but still occurring in a short time NOX pain of injury index and predetermined condition situation devious.
In order to avoid causing the erroneous judgement of anesthetist due to these errors in a short time, processor 3 is determining that NOX is grieved Index is greater than the second preset value and continues the first preset time or less than the first preset value and continue after the second preset time Control alarm module sounds an alarm, and can be further improved anesthesia precision by this kind of mode.
Here the first preset time and the second preset time can with but be not only limited to 120s, determine according to the actual situation.
As a kind of preferred embodiment, alarm module is sound alarm module.
Specifically, alarm module can be sound alarm module, can NOX pain of injury index be more than bound when sending sound Sound alarm signal.Further, it is also possible to which the sound issued to sound alarm module is adjusted.It can also be represented with different sound Different alarm levels.Specifically, in practical applications, Multi-stage alarming can also be set, such as 0-20 and 80-99 is level-one Alarm, the sound that sound alarm module issues at this time are larger (the first volume);20-39 and 81-99 is secondary alarm, at this time sound The sound that sound alarm module issues is smaller (the second volume), wherein the second volume is less than the first volume.The present embodiment is for specific Alarm level how is arranged do not limit particularly, determine according to the actual situation.
Audible alarm is carried out using sound alarm module, anesthetist can be made without look at alarm signal can be obtained Breath.
In addition, alarm module here can also be display 4, it is of course also possible to be display 4 and sound alarm module Combination.
As a kind of preferred embodiment, processor 3 is also used to determine that myoelectricity index, brain wave are quick-fried according to brain wave information Hair inhibits when signal quality index SQI;It is also used to control display 4 and shows that myoelectricity index, brain wave outburst inhibit when SQI。
Further appreciate that the depth of anesthesia of patient in order to facilitate anesthetist, in the present embodiment, processor 3 is also used to basis Brain wave information determines that myoelectricity index, brain wave outburst inhibit when signal quality index SQI (Signal Quality Index, signal quality index);Also control display 4 shows that myoelectricity index, brain wave outburst inhibit when SQI.
Specifically, myoelectricity index (electromyography, EMG), range is between 0-100, for indicating that patient exists Muscle activity intensity in anesthesia, myoelectricity index is lower, and muscle activity intensity is lower.
Brain wave outburst inhibits than (SR), and range shows as the brain electricity in patient during deep anaesthesia between 0-100 Suppression (and waiting electroencephalograms similar) during periodically breaking out in figure and then occurring, for during assessing deep anaesthesia Narcosis.
Signal quality index (SOI) is the signal measurement unit of electroencephalogram channel source, is according to impedance data and interference wave It calculates, whether the skin contact of electrode slice and patient in measurement sensor is good.Numerical value is higher, signal quality Better, when numerical value is lower than 50, brain electricity consciousness index and other parameters will will be updated delay.
As a kind of preferred embodiment, further includes:
Impedance matching module, for carrying out impedance matching to brain wave information.
Specifically, for the precision of each index improved, it is additionally provided with impedance matching module in patient monitor, is used to Impedance matching is carried out to the first brain wave information and the second brain wave information.Which kind of impedance matching module is the application for taking not Make it is special limit, determine according to the actual situation.
As a kind of preferred embodiment, power supply 5 is battery, further includes:
Electric power detection module, for detecting the electricity of power supply 5;
Processor 3 is also used to control display 4 and shows to electricity.
Specifically, it when power supply 5 is battery, is mentioned in order to facilitate the medical staff timely electricity of electrolytic cell, the present embodiment Further include electric power detection module in the patient monitor of confession, for detecting the electricity of power supply 5, and is shown on display 4, so as to In low battery, medical staff can replace battery in time.
As a kind of preferred embodiment, processor 3 was also used to according to current brain electricity consciousness index and corresponding time It draws to realize tendency chart when forebrain electricity and control display 4 and be shown;According to current NOX pain of injury index and corresponding time It draws current NOX pain of injury exponential trend figure and controls display 4 and shown.
As a kind of preferred embodiment, processor 3 is also used to transfer after receiving historical query instruction and look into history It askes and instructs the data in the corresponding period simultaneously according to the data and corresponding time render history tendency chart transferred and control aobvious Show that device 4 is shown.
Every index is understood in order to facilitate medical staff, and in the present embodiment, processor 3 can also be drawn according to every index Tendency chart is simultaneously shown that the historical query that can also send according to medical staff instructs render history data on display 4 Tendency chart and display.
It should be noted that in the present specification, relational terms such as first and second and the like are used merely to one A entity or operation with another entity or operate distinguish, without necessarily requiring or implying these entities or operation it Between there are any actual relationship or orders.Moreover, the terms "include", "comprise" or its any other variant are intended to Cover non-exclusive inclusion, so that the process, method, article or equipment for including a series of elements not only includes those Element, but also including other elements that are not explicitly listed, or further include for this process, method, article or setting Standby intrinsic element.In the absence of more restrictions, the element limited by sentence "including a ...", it is not excluded that There is also other identical elements in the process, method, article or apparatus that includes the element.
The foregoing description of the disclosed embodiments enables those skilled in the art to implement or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, as defined herein General Principle can be realized in other embodiments without departing from the spirit or scope of the present invention.Therefore, of the invention It is not intended to be limited to the embodiments shown herein, and is to fit to and the principles and novel features disclosed herein phase one The widest scope of cause.

Claims (10)

1. a kind of patient monitor of band NOX index characterized by comprising
Brain wave sensor, for acquiring brain wave information;
Analog-to-digital conversion module, for the brain wave information to be converted to digital quantity by analog quantity;
Processor, for obtaining brain electricity consciousness index according to the brain wave frequency in the brain wave information after conversion;According to The brain wave frequency in the brain wave information, brain wave amplitude and default grieved model after conversion obtain NOX pain of injury index, The NOX pain of injury index is for determining the probability that patient makes a response to destructive stimulus;
Display, for being shown to brain electricity consciousness index and the NOX pain of injury index;
Power supply, for being the brain wave sensor, the analog-to-digital conversion module, the processor and the monitor power supply.
2. the patient monitor with NOX index as described in claim 1, which is characterized in that the NOX pain of injury index and patient are to having The corresponding relationship for the probability that evil stimulation is made a response is as follows:
When the range of the NOX pain of injury index is 0-39, the probability that patient makes a response to destructive stimulus is less than the first preset value;
When the range of the NOX pain of injury index is 40-60, it is default that patient is greater than first to the probability that destructive stimulus is made a response Value, less than the second preset value;
When the range of the NOX pain of injury index is 61-99, it is default that patient is greater than second to the probability that destructive stimulus is made a response Value;
Wherein, third preset value described in the second preset value < described in the first preset value <.
3. the patient monitor as claimed in claim 2 with NOX index, which is characterized in that further include:
Alarm module;
The processor, which is also used to realize index in the brain electricity, is greater than the first brain electricity consciousness threshold value or less than the second brain electricity meaning It controls the alarm module when knowing threshold value to sound an alarm, the first brain electricity consciousness threshold value is greater than the second brain electricity minimum sensibile Value.
4. the patient monitor as claimed in claim 3 with NOX index, which is characterized in that the processor is also used in the NOX The alarm module is controlled when grieved index is greater than second preset value or less than first preset value to sound an alarm.
5. the patient monitor as claimed in claim 4 with NOX index, which is characterized in that the alarm module is audible alarm mould Block.
6. the patient monitor as described in claim 1 with NOX index, which is characterized in that the processor is also used to according to Brain wave information determines that myoelectricity index, brain wave outburst inhibit when signal quality index SQI;It is also used to control the display Show that the myoelectricity index, brain wave outburst inhibit when SQI.
7. the patient monitor as described in claim 1 with NOX index, which is characterized in that further include:
Impedance matching module, for carrying out impedance matching to the brain wave information.
8. such as the patient monitor of the described in any item band NOX indexes of claim 1-7, which is characterized in that the power supply is battery, also Include:
Electric power detection module, for detecting the electricity of the power supply;
The processor is also used to control the display and shows to the electricity.
9. the patient monitor as described in claim 1 with NOX index, which is characterized in that the processor is also used to according to current Brain electricity consciousness index and the corresponding time draw when forebrain electricity consciousness tendency chart and control the display and shown; Current NOX pain of injury exponential trend figure is drawn according to the current NOX pain of injury index and corresponding time and controls the display Device is shown.
10. the patient monitor as claimed in claim 9 with NOX index, which is characterized in that the processor is also used to receiving It is transferred after historical query instruction and instructs data in the corresponding period with the historical query and according to the data transferred and right The time render history tendency chart answered simultaneously controls the display and is shown.
CN201811583164.6A 2018-12-24 2018-12-24 A kind of patient monitor of band NOX index Pending CN109662691A (en)

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Cited By (5)

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CN110269611A (en) * 2019-07-31 2019-09-24 上海诺诚电气股份有限公司 The monitoring of patient's disturbance of consciousness degree, early warning system and method
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Application publication date: 20190423