CN110327197B - External counterpulsation device for preventing and treating sarcopenia - Google Patents

External counterpulsation device for preventing and treating sarcopenia Download PDF

Info

Publication number
CN110327197B
CN110327197B CN201910671898.8A CN201910671898A CN110327197B CN 110327197 B CN110327197 B CN 110327197B CN 201910671898 A CN201910671898 A CN 201910671898A CN 110327197 B CN110327197 B CN 110327197B
Authority
CN
China
Prior art keywords
vibration
air
pressure
module
split type
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
CN201910671898.8A
Other languages
Chinese (zh)
Other versions
CN110327197A (en
Inventor
杨茗
卢静
蒋佼佼
王任杰
吴锦晖
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
West China Hospital of Sichuan University
Original Assignee
West China Hospital of Sichuan University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by West China Hospital of Sichuan University filed Critical West China Hospital of Sichuan University
Priority to CN201910671898.8A priority Critical patent/CN110327197B/en
Publication of CN110327197A publication Critical patent/CN110327197A/en
Application granted granted Critical
Publication of CN110327197B publication Critical patent/CN110327197B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
    • A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00—Pneumatic or hydraulic massage
    • A61H9/005—Pneumatic massage
    • A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/01—Constructive details
    • A61H2201/0107—Constructive details modular
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/16—Physical interface with patient
    • A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
    • A61H2201/164—Feet or leg, e.g. pedal
    • A61H2201/1642—Holding means therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50—Control means thereof
    • A61H2201/5058—Sensors or detectors
    • A61H2201/5071—Pressure sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/10—Leg
    • A61H2205/106—Leg for the lower legs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/10—Leg
    • A61H2205/108—Leg for the upper legs

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Pain & Pain Management (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Rehabilitation Therapy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Percussion Or Vibration Massage (AREA)
  • Massaging Devices (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

The invention provides an external counterpulsation device for preventing and treating sarcopenia. The technical scheme of the invention is as follows: the split type bag sleeve comprises a split type bag sleeve I and a split type bag sleeve II, the split type bag sleeve I and the split type bag sleeve II comprise a plurality of sections of airbag units, each section of airbag unit at least comprises a pressure sensing device and a plurality of airbags, and the pressure sensing device at least comprises a deformable touch panel. The invention adopts the segmental and pressure self-adaptive technology, divides the thigh and shank cuff into a plurality of segments, each segment is provided with an independent pressure sensing device, the target pressure required to be achieved by each segment is measured and adjusted by the pressure sensing devices corresponding to the segments in real time, thereby ensuring the complete fit of the cuff and limb tissues and facilitating the accurate control of the pressure of the cuff, thereby improving the efficiency of external counterpulsation, and the external counterpulsation technology is used for improving peripheral microcirculation and can be used for preventing and treating sarcopenia.

Description

External counterpulsation device for preventing and treating sarcopenia
Technical Field
The invention relates to a sarcopenia preventing and treating technology, in particular to a sarcopenia preventing and treating technology by using an external counterpulsation device.
Background
Sarcopenia (sarcopenia) is a disease characterized by decreased muscle volume, muscle strength and body function. Sarcopenia acquired the international classification of diseases (ICD-10) code (M62.84) provided by the world health organization in 2016, which marked sarcopenia as a new disease. The prevalence rate of sarcopenia in community elderly people is about 10%, the prevalence rate in elderly people over 80 years old is as high as 50%, and the prevalence rate in hospitalized elderly people is as high as 30-50%. Sarcopenia causes difficulty in finishing various daily activities such as walking, sitting and standing of the old, and increases the falling risk, disability rate and death rate.
At present, the prevention and treatment method of sarcopenia is limited, mainly comprises nutrition intervention and impedance exercise, and has no prevention and treatment medicine with definite curative effect. However, resistance exercise is difficult to perform for most elderly people, especially elderly people, nursing homes and hospitalized elderly people. Whole body vibration prevention and treatment (WBV) for the prevention and treatment of sarcopenia is a new and newly developed technology, but it requires the elderly to stand continuously for implementation, and thus is also difficult to implement for severe sarcopenia patients.
On the other hand, External Counterpulsation (ECP) is a technology that has been used clinically for more than 40 years, and various external counterpulsation devices have been made on the market, but the past application is mainly supplementary prevention and treatment for coronary heart disease, angina pectoris, congestive heart failure and ischemic stroke. However, in recent years, research shows that the blood flow of the mean posterior tibial artery is increased to (133 +/-3.4)% under the basic state 1h after ECP, and the effect of improving peripheral blood circulation is achieved. The research shows that the capillary network is sparse in hypomyosis and microcirculation is disturbed, and the improvement of microcirculation can possibly improve the muscle function of the hypomyosis patients.
Disclosure of Invention
The invention aims to provide an external counterpulsation device for preventing and treating sarcopenia, which can adaptively adjust the internal pressure of a capsule sleeve at different parts, ensure that the capsule sleeve is fully contacted with limbs, accurately regulate and control the appropriate pressure in the capsule sleeve and intervene on the sarcopenia through a microcirculation way.
The invention solves the technical problem, and adopts the technical scheme that: the external counterpulsation device for preventing and treating sarcopenia comprises an electrocardiosignal acquisition module, a central control module, an air source module and a split type bag sleeve, wherein the split type bag sleeve comprises a split type bag sleeve I and a split type bag sleeve II, the split type bag sleeve I and the split type bag sleeve II both comprise a plurality of sections of air bag units, each section of air bag unit at least comprises a pressure sensing device and a plurality of air bags, and the pressure sensing device at least comprises a variable touch panel;
the first split type bag sleeve and the second split type bag sleeve are used for being respectively wrapped at corresponding positions of thighs and shanks of a user;
the electrocardiosignal acquisition module is used for acquiring electrocardiosignals, calculating electrocardio R waves of a user through the electrocardiosignals and transmitting the electrocardiosignals to the central control module;
the pressure sensing device is used for detecting a pressure signal at the contact part of the airbag unit of the corresponding section and the lower limb of the user and transmitting the pressure signal to the central control module;
said deformable touch plate for releasing a gentle impact to the lower limb muscle group at a rate upon actuation;
the central control module is used for receiving the electrocardio R wave and the pressure signal, measuring the rebounding speed and strength of the deformable touch panel when the deformable touch panel releases a soft impact to a lower limb muscle group at a certain speed, calculating the elasticity of muscle tissues, controlling the air source module to supply air to the air bag according to the calculation result, and continuously detecting the pressure signal at the contact part of the air bag unit of the corresponding section and the lower limb of the user by the pressure sensing device until a set threshold value is reached;
the central control module is also used for calculating the systole and the diastole of the heart in real time according to the electrocardio R waves and controlling the air source module to sequentially carry out the processes of inflation and exhaust on the sections of the air bags.
Specifically, the first split-type bag sleeve and the second split-type bag sleeve both comprise sixteen sections of air bag units.
Further, the shape of the balloon when uninflated is a regular hexagon.
The air source module comprises an electromagnetic valve, a pneumatic pump, an air storage tank, an air guide pipe, an exhaust valve and a silencing valve, wherein the electromagnetic valve is used for receiving a control signal of the central control module and transmitting the control signal to the pneumatic pump in real time, the control signal comprises an inflation signal, a holding signal and a release signal, and the silencing valve is used for reducing air noise in the exhaust process;
when the inflation signal is received, the compressed air in the air storage tank is compressed to the air guide pipe by the pneumatic pump;
when the maintaining signal is received, the pneumatic pump stops inflating;
when a release signal is received, the exhaust valve initiates venting.
Further, when the central control module controls the air source module to sequentially inflate and exhaust the sections of the air bags, the method specifically comprises the following steps: during diastole, the air bags are inflated sequentially from far to near with a time difference of about 50ms, and during systole, the air bags are deflated rapidly and synchronously.
The data processing module is used for filtering and denoising the acquired electrocardio R wave and the pressure signal and transmitting the filtered and denoised electrocardio R wave and the pressure signal to the central control module.
The device further comprises a display module, wherein the display module comprises a real-time monitoring panel, and the real-time monitoring panel is used for displaying the starting time, the setting prevention and treatment time, the ending time, the real-time pressure change data and dynamic curve of each segment and the II-lead electrocardiogram waveform.
Specifically, the device also comprises a parameter setting module and a vibration control module, and the air bag unit of each section also comprises a vibration generating device;
the parameter setting module adjusts relevant parameters, wherein the relevant parameters comprise: the control system comprises a control time length, a vibration frequency range, an amplitude range, a pressure range, a control mode and adjusting keys, wherein the adjusting keys at least comprise an emergency stop key, and all vibration generating devices can be powered off immediately to stop working when the emergency stop key is pressed;
the central control module is used for setting the vibration amplitude range of the vibration generating device according to the calculated elasticity of the muscle tissue and the related parameters and sending a vibration control signal to the vibration control module when vibration is needed;
the vibration control module is used for calculating a real-time vibration amplitude control signal and sending the real-time vibration amplitude control signal to the vibration generating device when receiving the vibration control signal;
and the vibration generating device is used for controlling and sending out vertical mechanical vibration with corresponding vibration amplitude and corresponding frequency according to the received real-time vibration amplitude control signal.
Further, the display module further comprises a parameter setting panel, and the display information of the parameter setting panel comprises the real-time amplitude, frequency and duration of each vibration generating device.
Specifically, the range of the corresponding vibration frequency is as follows: 30-45Hz, the corresponding vibration amplitude ranges are: 1.0-2 mm.
The external counterpulsation device for preventing and treating sarcopenia has the advantages that the external counterpulsation device for preventing and treating sarcopenia has no requirement on the body position of a patient, does not need active cooperation of the patient, and can be implemented in severely weak or bedridden patients with sarcopenia; intervention in sarcopenia from a microcirculation pathway; the size of the air bag and the air wave pressure can be adaptively adjusted to a proper level according to the volume of the lower limb muscle group of the user and the elasticity of skeletal muscles.
In addition, the application firstly uses the external counterpulsation technology to improve peripheral microcirculation, thereby being used for preventing and treating sarcopenia; the external counterpulsation and the local vibration prevention and treatment are combined for the first time, so that the external counterpulsation and the local vibration prevention and treatment are simultaneously realized on one device, and the prevention and treatment time and cost are saved.
In addition, the existing external counterpulsation technology adopts an air sac type sac cover design, and the pressure generated by the sac cover on the limbs is a fixed value. In fact, due to the different proportions of skeletal muscle and adipose tissue of different patients, the variation of tissue elasticity is also large, and the local pressure requirements of different tissues cannot be met by adopting fixed pressure, so that the effect is reduced. The thigh and calf cuff is divided into a plurality of sections by adopting a sectional design and a pressure self-adaption technology, each section is provided with an independent pressure sensing device, and the target pressure required to be achieved by each section is measured and adjusted in real time by the pressure sensing devices corresponding to the sections. Not only ensures the complete fit of the cuff and the limb tissue, but also is convenient for accurately controlling the pressure of the air bag, thereby improving the efficiency of external counterpulsation.
Drawings
FIG. 1 is a diagram showing the relationship between modules of an external counterpulsation apparatus for sarcopenia according to example 2 of the present invention.
Detailed Description
The technical solution of the present invention is described in detail below with reference to the embodiments and the accompanying drawings.
The invention relates to an external counterpulsation device for preventing sarcopenia, which comprises an electrocardiosignal acquisition module, a central control module, an air source module and a split type bag sleeve, wherein the split type bag sleeve comprises a split type bag sleeve I and a split type bag sleeve II, the split type bag sleeve I and the split type bag sleeve II both comprise a plurality of sections of air bag units, each section of air bag unit at least comprises a pressure sensing device and a plurality of air bags, and the pressure sensing device at least comprises a variable touch panel;
the first split type bag sleeve and the second split type bag sleeve are used for being respectively wrapped at corresponding positions of thighs and shanks of a user;
the electrocardiosignal acquisition module is used for acquiring electrocardiosignals, calculating electrocardio R waves of a user through the electrocardiosignals and transmitting the electrocardiosignals to the central control module;
the pressure sensing device is used for detecting a pressure signal at the contact part of the airbag unit of the corresponding section and the lower limb of the user and transmitting the pressure signal to the central control module;
a deformable touch plate for releasing a gentle impact at a rate upon activation to the lower limb muscle group;
the central control module is used for receiving the electrocardio R wave and the pressure signal, measuring the rebounding speed and strength of the deformable touch panel when the deformable touch panel releases a soft impact to the lower limb muscle group at a certain speed, calculating the elasticity of muscle tissues, controlling the air source module to supply air to the air bag according to the calculation result, and continuously detecting the pressure signal at the contact part of the air bag unit of the corresponding section and the lower limb of the user by the pressure sensing device till a set threshold value;
the central control module is also used for calculating the systole and the diastole of the heart in real time according to the electrocardio R waves and controlling the air source module to sequentially carry out the processes of inflation and exhaust on the sections of the air bags.
In the system, the first split-type bag sleeve and the second split-type bag sleeve preferably comprise sixteen sections of air bag units; the shape of the balloon when uninflated is preferably a regular hexagon.
The air source module can comprise an electromagnetic valve, a pneumatic pump, an air storage tank, an air guide pipe, an exhaust valve and a silencing valve, wherein the electromagnetic valve is used for receiving a control signal of the central control module and transmitting the control signal to the pneumatic pump in real time, the control signal comprises an inflation signal, a holding signal and a release signal, and the silencing valve is used for reducing air noise in the exhaust process;
when the inflation signal is received, the compressed air in the air storage tank is compressed to the air guide pipe by the pneumatic pump;
when the maintaining signal is received, the pneumatic pump stops inflating;
when a release signal is received, the exhaust valve initiates venting.
When the central control module controls the air source module to sequentially inflate and exhaust the sections of air bags, the method specifically comprises the following steps: during diastole, the air bags are inflated sequentially from far to near by 50ms, and during systole, the air bags are deflated rapidly and synchronously.
The system also comprises a data processing module and a central control module, wherein the data processing module is used for filtering and denoising the acquired electrocardio R wave and pressure signals and transmitting the filtered and denoised electrocardio R wave and pressure signals to the central control module.
The system also comprises a display module which comprises a real-time monitoring panel and is used for displaying the starting time, the setting prevention time, the ending time, the real-time pressure change data and the dynamic curve of each segment, the II-lead electrocardiogram waveform and the like.
The system can also comprise a parameter setting module and a vibration control module, wherein the air bag unit of each section further comprises a vibration generating device;
the parameter setting module adjusts relevant parameters, and the relevant parameters comprise: the control time length, the vibration frequency range, the amplitude range, the pressure range, the control mode, the adjusting keys and the like, wherein the adjusting keys at least comprise an emergency stop key, and all the vibration generating devices can be powered off immediately to stop working when the emergency stop key is pressed;
the central control module is used for setting the vibration amplitude range of the vibration generating device according to the calculated elasticity and related parameters of the muscle tissues and sending a vibration control signal to the vibration control module when vibration is needed;
the vibration control module is used for calculating a real-time vibration amplitude control signal when receiving the vibration control signal and sending the real-time vibration amplitude control signal to the vibration generating device;
and the vibration generating device is used for controlling and sending out vertical mechanical vibration with corresponding vibration amplitude and corresponding frequency according to the received real-time vibration amplitude control signal.
Furthermore, the display module further comprises a parameter setting panel, and the display information of the parameter setting panel comprises the real-time amplitude, frequency and duration of each vibration generating device.
Specifically, the range of the corresponding vibration frequency is: 30-45Hz, and the optimal vibration frequency range is as follows: 35-40Hz, the corresponding vibration amplitude ranges are: 1.0-2mm, the optimal vibration amplitude range is as follows: 1.1-1.5 mm.
Example 1
The external counterpulsation device for preventing and treating sarcopenia comprises an electrocardiosignal acquisition module, a data processing module, a display module, a central control module, an air source module and a split type bag sleeve, wherein the split type bag sleeve comprises a split type bag sleeve I and a split type bag sleeve II, the split type bag sleeve I and the split type bag sleeve II both comprise a plurality of sections of air bag units, each section of air bag unit at least comprises a pressure sensing device and a plurality of air bags, and the pressure sensing device at least comprises a variable touch panel;
the first split type bag sleeve and the second split type bag sleeve are used for being respectively wrapped at corresponding positions of thighs and shanks of a user;
the electrocardiosignal acquisition module is used for acquiring electrocardiosignals, calculating electrocardio R waves of a user through the electrocardiosignals and transmitting the electrocardiosignals to the central control module;
the pressure sensing device is used for detecting a pressure signal at the contact part of the airbag unit of the corresponding section and the lower limb of the user and transmitting the pressure signal to the central control module;
a deformable touch plate for releasing a gentle impact at a rate upon activation to the lower limb muscle group;
the data processing module is used for filtering and denoising the acquired electrocardio R wave and pressure signal and transmitting the filtered and denoised electrocardio R wave and pressure signal to the central control module;
the display module comprises a real-time monitoring panel which is used for displaying the starting time, the setting prevention time, the ending time, the real-time pressure change data and the dynamic curve of each segment and the waveform of the II-lead electrocardiogram;
the central control module is used for receiving the electrocardio R wave and the pressure signal, measuring the rebounding speed and strength of the deformable touch panel when the deformable touch panel releases a soft impact to the lower limb muscle group at a certain speed, calculating the elasticity of muscle tissues, controlling the air source module to supply air to the air bag according to the calculation result, and continuously detecting the pressure signal at the contact part of the air bag unit of the corresponding section and the lower limb of the user by the pressure sensing device till a set threshold value;
the central control module is also used for calculating the systole and the diastole of the heart in real time according to the electrocardio R waves and controlling the air source module to sequentially carry out the processes of inflation and exhaust on the sections of the air bags.
In the embodiment, the first split type bag sleeve and the second split type bag sleeve both comprise sixteen sections of air bag units; the shape of the balloon when uninflated is a regular hexagon.
The air source module comprises an electromagnetic valve, a pneumatic pump, an air storage tank, an air guide pipe, an exhaust valve and a silencing valve, the electromagnetic valve is used for receiving a control signal of the central control module and transmitting the control signal to the pneumatic pump in real time, the control signal comprises an inflation signal, a holding signal and a release signal, and the silencing valve is used for reducing air noise in the exhaust process;
when the inflation signal is received, the compressed air in the air storage tank is compressed to the air guide pipe by the pneumatic pump;
when the maintaining signal is received, the pneumatic pump stops inflating;
when a release signal is received, the exhaust valve initiates venting.
When the central control module controls the air source module to sequentially inflate and exhaust the sections of air bags, the method specifically comprises the following steps: during diastole, the air bags are inflated sequentially from far to near with a time difference of about 50ms, and during systole, the air bags are deflated rapidly and synchronously.
In practical application, the special air bag sleeve with the pressure sensing device is wrapped on the lower leg and the thigh section of a patient. After the user thigh and shank are fixed with the capsule sleeve, the user presses a 'preparation' key of a 'control panel', a deformable touch panel with a pressure sensing device on the inner wall of the capsule sleeve can release soft impact to lower limb muscle groups at a certain speed, a central control module measures the rebounding speed and strength of the touch panel, the elasticity of muscle tissues is calculated, an air source system is controlled to supply air to the capsule bag according to the calculation result, and the pressure sensing device on the deformable touch panel can continuously check the pressure of a contact surface until a threshold value is set. The air bag sleeve of the embodiment adopts a sectional design, and the thigh bag sleeve and the shank bag sleeve respectively comprise sixteen sections; each segment consists of hundreds of hexagonal cubic balloons and 1 pressure sensor, and the inflation amount of each segment is determined by the tissue elasticity measured by the pressure sensor to which the segment belongs.
The electrocardiogram R wave of the patient is detected by the electrocardiosignal acquisition system, the systole and diastole of the heart are calculated in real time by the central control module, and accordingly the air source system is instructed to sequentially carry out the inflation and exhaust processes on each section of the air bag. In diastole, each section of the air bag is inflated sequentially from far to near with a time difference of about 50ms, so that the diastolic pressure is increased, and the blood flow returning to the heart is increased; the air bags rapidly and synchronously exhaust in the contraction period, and after the lower limbs are decompressed, the arteries relax to receive blood from the aorta, thereby achieving the purpose of improving the microcirculation of the muscle tissues of the lower limbs.
In the embodiment, the external counterpulsation technology is used for improving peripheral microcirculation for the first time so as to prevent and treat sarcopenia, the existing external counterpulsation technology adopts an air sac type sac cover design, and the pressure of the sac cover on limbs is a fixed value. In fact, due to the different proportions of skeletal muscle and adipose tissue of different patients, the variation of tissue elasticity is also large, and the local pressure requirements of different tissues cannot be met by adopting fixed pressure, so that the effect is reduced. The embodiment adopts a sectional design and a pressure self-adaptive technology, the thigh and calf capsule sleeve is respectively divided into sixteen sections, each section is provided with an independent pressure sensing device, and the target pressure required to be achieved by each section is measured and adjusted in real time by the pressure sensing devices corresponding to the sections. Not only ensures the complete fit of the cuff and the limb tissue, but also is convenient for accurately controlling the pressure of the air bag, thereby improving the efficiency of external counterpulsation.
Example 2
The embodiment of the invention provides an external counterpulsation device for preventing sarcopenia, wherein a correlation diagram among modules is shown in figure 1, the system comprises an electrocardiosignal acquisition module, a central control module, a data processing module, a display module, a parameter setting module, a vibration control module, an air source module and a split type bag sleeve, the split type bag sleeve comprises a split type bag sleeve I and a split type bag sleeve II, the split type bag sleeve I and the split type bag sleeve II both comprise a plurality of sections of air bag units, each section of air bag unit at least comprises a pressure sensing device and a plurality of air bags, the pressure sensing device at least comprises a variable touch panel, and each section of air bag unit comprises a vibration generating device.
In the external counterpulsation apparatus for preventing sarcopenia of the present example:
the parameter setting module adjusts relevant parameters, and the relevant parameters comprise: the control system comprises a control time length, a vibration frequency range, an amplitude range, a pressure range, a control mode, an adjusting key and the like, wherein the adjusting key at least comprises an emergency stop key, all vibration generating devices can be powered off immediately to stop working when the emergency stop key is pressed down, and the priority of emergency stop is higher than the preset working programs in all vibration generators.
And the vibration control module is used for calculating a real-time vibration amplitude control signal and sending the real-time vibration amplitude control signal to the vibration generating device when receiving the vibration control signal.
And the vibration generating device is used for controlling and sending out vertical mechanical vibration with corresponding vibration amplitude and corresponding frequency according to the received real-time vibration amplitude control signal.
The first split type bag sleeve and the second split type bag sleeve are used for being respectively wrapped at corresponding positions of thighs and shanks of a user.
The electrocardiosignal acquisition module is used for acquiring electrocardiosignals, calculating electrocardio R waves of the user through the electrocardiosignals and transmitting the electrocardiosignals to the central control module.
And the pressure sensing device is used for detecting a pressure signal at the contact part of the airbag unit of the corresponding section and the lower limb of the user and transmitting the pressure signal to the central control module.
The air source module comprises an electromagnetic valve, an air pressure pump, an air storage tank, an air guide pipe, an exhaust valve and a silencing valve, wherein the electromagnetic valve is used for receiving a control signal of the central control module and transmitting the control signal to the air pressure pump in real time, the control signal comprises an inflation signal, a holding signal and a release signal, and the silencing valve is used for reducing air noise in the exhaust process; when the inflation signal is received, the compressed air in the air storage tank is compressed to the air guide pipe by the pneumatic pump; when the maintaining signal is received, the pneumatic pump stops inflating; when a release signal is received, the exhaust valve initiates venting.
A deformable touch pad for releasing a gentle impact at a rate upon activation to the lower limb muscle group.
And the data processing module is used for filtering and denoising the acquired electrocardio R wave and pressure signal and transmitting the filtered and denoised electrocardio R wave and pressure signal to the central control module.
The display module comprises a real-time monitoring panel, the real-time monitoring panel is used for displaying the starting time, setting the prevention time, the ending time, the real-time pressure change data and the dynamic curve of each section and the waveform of the II-lead electrocardiogram, the display module also comprises a parameter setting panel, and the display information of the parameter setting panel comprises the real-time amplitude, the frequency and the duration of each vibration generating device.
And the central control module is used for receiving the electrocardio R wave and the pressure signal, measuring the rebounding speed and strength of the deformable touch panel when the deformable touch panel releases a soft impact to the lower limb muscle group at a certain speed, calculating the elasticity of muscle tissues, controlling the air source module to supply air to the air bag according to the calculation result, and continuously detecting the pressure signal at the contact part of the air bag unit of the corresponding section and the lower limb of the user by the pressure sensing device until a set threshold value is reached.
And the central control module is used for setting the vibration amplitude range of the vibration generating device according to the calculated elasticity and related parameters of the muscle tissues and sending a vibration control signal to the vibration control module when vibration is needed.
The central control module is also used for calculating the systole and diastole of the heart in real time according to the electrocardio R waves, controlling the air source module to sequentially inflate and exhaust the sections of the air bags, and specifically comprises the following steps: during diastole, the air bags are inflated sequentially from far to near with a time difference of about 50ms, and during systole, the air bags are deflated rapidly and synchronously.
In the embodiment, the first split type bag sleeve and the second split type bag sleeve both comprise sixteen sections of air bag units; the shape of the balloon when uninflated is a regular hexagon.
In practical application, the special air bag sleeve with the vibration and pressure sensing device is wrapped on the lower leg and the thigh section of a patient. After the user thigh and shank are fixed with the capsule sleeve, the user presses a 'preparation' key of a 'control panel', a deformable touch panel with a pressure sensing device on the inner wall of the capsule sleeve can release soft impact to lower limb muscle groups at a certain speed, a central control module measures the rebounding speed and strength of the touch panel, the elasticity of muscle tissues is calculated, an air source system is controlled to supply air to the capsule bag according to the calculation result, and the pressure sensing device on the deformable touch panel can continuously check the pressure of a contact surface until a threshold value is set. The inflatable bag sleeve adopts a sectional design, and the thigh bag sleeve and the shank bag sleeve respectively comprise sixteen sections; each segment consists of hundreds of hexagonal cubic small air bags, 1 pressure sensor and a vibration generator, and the inflation quantity of each segment is determined by the tissue elasticity measured by the pressure sensor of the segment.
The electrocardiogram R wave of the patient is detected by the electrocardiosignal acquisition system, the systole and diastole of the heart are calculated in real time by the central control module, and accordingly the air source system is instructed to sequentially carry out the inflation and exhaust processes on each section of the air bag. In diastole, each section of the air bag is inflated sequentially from far to near with a time difference of about 50ms, so that the diastolic pressure is increased, and the blood flow returning to the heart is increased; the air bags rapidly and synchronously exhaust in the contraction period, and after the lower limbs are decompressed, the arteries relax to receive blood from the aorta, thereby achieving the purpose of improving the microcirculation of the muscle tissues of the lower limbs.
Simultaneously, send the vertical mechanical vibration of low-strength high frequency, vibration frequency range through the vibration generator that is located the sack cover: 30-45Hz, and the optimal frequency is 35-40 Hz; amplitude range: 1.0-2mm, and the optimal amplitude is 1.1-1.5 mm. The amplitude is automatically adjusted in a set range by the central control module according to the skeletal muscle elasticity measured by the sensor, the amplitude is larger when the skeletal muscle elasticity is larger, and the amplitude is smaller when the skeletal muscle elasticity is smaller.
In the embodiment, the vibration frequency and the prevention and treatment duration can be set by medical staff, the vibration amplitude can be set by the medical staff, and the amplitude can be automatically adjusted in a set range in real time according to the muscle tissue elasticity value calculated by the central control module.
The existing external counterpulsation technology is mainly used for preventing and treating coronary heart disease, angina pectoris, congestive heart failure and ischemic stroke. The embodiment firstly uses the external counterpulsation technology to improve peripheral microcirculation, thereby being used for preventing and treating sarcopenia; the external counterpulsation and the local vibration prevention and treatment are combined for the first time, so that the external counterpulsation and the local vibration prevention and treatment are simultaneously realized on one device, and the prevention and treatment time and cost are saved.
The prior external counterpulsation technology adopts an air sac type sac cover design, and the pressure generated by the sac cover on limbs is a fixed value. In fact, due to the different proportions of skeletal muscle and adipose tissue of different patients, the variation of tissue elasticity is also large, and the local pressure requirements of different tissues cannot be met by adopting fixed pressure, so that the effect is reduced. The thigh and calf capsule sleeve is divided into sixteen sections by adopting a sectional design and a pressure self-adaption technology, each section is provided with an independent baroreceptor, and the target pressure required to be achieved by each section is measured and adjusted by the baroreceptors corresponding to the sections. Not only ensures the complete fit of the cuff and the limb tissue, but also is convenient for accurately controlling the pressure of the air bag, thereby improving the efficiency of external counterpulsation.
The vibration amplitude of the local vibration generating device is automatically adjusted in a set range by the central control module according to the skeletal muscle elasticity measured by the sensor, the amplitude is larger when the skeletal muscle elasticity is larger, and the amplitude is smaller when the skeletal muscle elasticity is smaller. Not only avoids muscle soft tissue injury caused by overlarge amplitude, but also ensures that deep skeletal muscles receive sufficient vibration stimulation.

Claims (9)

1. The external counterpulsation device for preventing and treating sarcopenia is characterized by comprising an electrocardiosignal acquisition module, a central control module, an air source module and a split type bag sleeve, wherein the split type bag sleeve comprises a split type bag sleeve I and a split type bag sleeve II, the split type bag sleeve I and the split type bag sleeve II both comprise a plurality of sections of air bag units, each section of air bag unit at least comprises a pressure sensing device and a plurality of air bags, and the pressure sensing device at least comprises a deformable touch panel;
the first split type bag sleeve and the second split type bag sleeve are used for being respectively wrapped at corresponding positions of thighs and shanks of a user;
the electrocardiosignal acquisition module is used for acquiring electrocardiosignals, calculating electrocardio R waves of a user through the electrocardiosignals and transmitting the electrocardiosignals to the central control module;
the pressure sensing device is used for detecting a pressure signal at the contact part of the airbag unit of the corresponding section and the lower limb of the user and transmitting the pressure signal to the central control module;
said deformable touch plate for releasing a gentle impact to the lower limb muscle group at a rate upon actuation;
the central control module is used for receiving the electrocardio R wave and the pressure signal, measuring the rebounding speed and strength of the deformable touch panel when the deformable touch panel releases a soft impact to a lower limb muscle group at a certain speed, calculating the elasticity of muscle tissues, controlling the air source module to supply air to the air bag according to the calculation result, and continuously detecting the pressure signal at the contact part of the air bag unit of the corresponding section and the lower limb of the user by the pressure sensing device until a set threshold value is reached;
the central control module is also used for calculating the systole and diastole of the heart in real time according to the electrocardio R waves and controlling the air source module to sequentially carry out the processes of inflation and exhaust on the sections of the air bags, and specifically comprises the following steps: during diastole, the air bags are inflated sequentially from far to near by 50ms, and during systole, the air bags are deflated rapidly and synchronously.
2. The external counterpulsation apparatus according to claim 1, wherein said first split cuff and said second split cuff each comprise sixteen segments of balloon units.
3. The device according to claim 1, wherein said balloon has a shape when not inflated which is a regular hexagon.
4. The external counterpulsation apparatus according to claim 1, wherein said gas source module comprises an electromagnetic valve, a pneumatic pump, a gas storage tank, a gas guide tube, an exhaust valve and a silencing valve, said electromagnetic valve is used for receiving control signals of the central control module and transmitting the control signals to the pneumatic pump in real time, said control signals comprise an inflation signal, a holding signal and a release signal, and said silencing valve is used for reducing air noise in the exhaust process;
when the inflation signal is received, the compressed air in the air storage tank is compressed to the air guide pipe by the pneumatic pump;
when the maintaining signal is received, the pneumatic pump stops inflating;
when a release signal is received, the exhaust valve initiates venting.
5. The extracorporeal counterpulsation device for preventing and treating sarcopenia according to claim 1, further comprising a data processing module, wherein the data processing module is used for filtering and denoising the acquired electrocardio R wave and pressure signals and transmitting the filtered and denoised electrocardio R wave and pressure signals to the central control module.
6. The external counterpulsation apparatus according to claim 1, further comprising a display module, said display module comprising a real-time monitoring panel for displaying the start time, the set prevention time, the end time, the real-time pressure variation data and dynamic curve of each segment and the II-lead ECG waveform.
7. The external counterpulsation apparatus according to claim 6, further comprising a parameter setting module and a vibration control module, the air cell unit of each segment further comprising a vibration generating device;
the parameter setting module adjusts relevant parameters, wherein the relevant parameters comprise: the control system comprises a control time length, a vibration frequency range, an amplitude range, a pressure range, a control mode and adjusting keys, wherein the adjusting keys at least comprise an emergency stop key, and all vibration generating devices can be powered off immediately to stop working when the emergency stop key is pressed;
the central control module is used for setting the vibration amplitude range of the vibration generating device according to the calculated elasticity of the muscle tissue and the related parameters and sending a vibration control signal to the vibration control module when vibration is needed;
the vibration control module is used for calculating a real-time vibration amplitude control signal and sending the real-time vibration amplitude control signal to the vibration generating device when receiving the vibration control signal;
and the vibration generating device is used for controlling and sending out vertical mechanical vibration with corresponding vibration amplitude and corresponding frequency according to the received real-time vibration amplitude control signal.
8. The external counterpulsation apparatus according to claim 7, wherein said display module further comprises a parameter setting panel, and the display information of said parameter setting panel comprises the real-time amplitude, frequency and duration of each vibration generating device.
9. The external counterpulsation apparatus according to claim 7, wherein said corresponding vibration frequencies are in the range of: 30-45Hz, the corresponding vibration amplitude ranges are: 1.0-2 mm.
CN201910671898.8A 2019-07-24 2019-07-24 External counterpulsation device for preventing and treating sarcopenia Active CN110327197B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910671898.8A CN110327197B (en) 2019-07-24 2019-07-24 External counterpulsation device for preventing and treating sarcopenia

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910671898.8A CN110327197B (en) 2019-07-24 2019-07-24 External counterpulsation device for preventing and treating sarcopenia

Publications (2)

Publication Number Publication Date
CN110327197A CN110327197A (en) 2019-10-15
CN110327197B true CN110327197B (en) 2021-09-03

Family

ID=68147222

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201910671898.8A Active CN110327197B (en) 2019-07-24 2019-07-24 External counterpulsation device for preventing and treating sarcopenia

Country Status (1)

Country Link
CN (1) CN110327197B (en)

Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN114010431B (en) * 2021-11-09 2023-04-25 刘铁军 Hyperbaric oxygen chamber with electromotive standing and external counterpulsation functions and use method thereof
CN116139002B (en) * 2023-04-20 2023-07-07 南昌大学 Control method of massage vest and massage vest
CN116172849A (en) * 2023-04-28 2023-05-30 安徽通灵仿生科技有限公司 External counterpulsation treatment device and control method thereof

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2390595Y (en) * 1999-11-01 2000-08-09 盛虹 Blood circulation auxiliary machine
CN2482996Y (en) * 2000-12-31 2002-03-27 中山医科大学科技开发部 Sternal part pressing cardio-pulmonary resuscitation apparatus affiliated with external counter-pulsation
US6770041B2 (en) * 2002-04-29 2004-08-03 P.P.T.T. L.L.P External counterpulsation cardiac assist device pressure applicators having an outer shell which resists deformation
ATE504283T1 (en) * 2007-05-28 2011-04-15 Fundacion Fatronik DEVICE FOR BALANCE AND BODY ORIENTATION SUPPORT
CN105708667A (en) * 2016-01-20 2016-06-29 广州奥迈医疗科技有限公司 Body temperature regulation device used in in-vitro counterpulsation treatment
CN106038167B (en) * 2016-07-21 2018-09-18 山东康泰实业有限公司 A kind of robot
CN106726419A (en) * 2017-01-25 2017-05-31 浙江大学 A kind of reaction type shock wave treatment instrument control system
CN107595575B (en) * 2017-09-21 2020-10-30 万贤能 External pressure pushing device and pushing method
CN109394506A (en) * 2018-12-11 2019-03-01 苏州大学 A kind of restraining for alleviating leg cramps

Also Published As

Publication number Publication date
CN110327197A (en) 2019-10-15

Similar Documents

Publication Publication Date Title
CN110279574B (en) Local vibration device for preventing and treating sarcopenia
CN110327197B (en) External counterpulsation device for preventing and treating sarcopenia
US20090036938A1 (en) Method and system for external counterpulsation therapy
JP4959573B2 (en) apparatus
JP4298197B2 (en) Method for treating an organism to reduce cardiac load and apparatus for performing the same
AU2014354581B2 (en) "Blood volume monitor"
US7074200B1 (en) External pulsation unit cuff
US8287474B1 (en) Method and apparatus for noninvasively increasing whole body blood flow and noninvasive physical exercise of limbs from the outside and from within the limb to treat diseases throughout the body
US20030233061A1 (en) External counterpulsation and method for minimizing end diastolic pressure
RU2002107014A (en) METHOD FOR TREATING A LIVING ORGANISM FOR REDUCING THE LOAD OF THE HEART AND A DEVICE FOR IMPLEMENTING THIS METHOD
CN107374880A (en) Patients with cerebral apoplexy convalescence training bed
WO2006047095A2 (en) A device for synchronizing the parameters of resuscitative therapies to residual myocardial activity during cardiopulmonary resuscitation
JPH01501921A (en) blood extraction aid device
CN104644147A (en) Ischemia pre-adaption therapeutic apparatus, and application and method thereof for judging vessel health state
CN103826593A (en) Respiration-assistance systems, devices, or methods
CN106963610A (en) A kind of lower limb rehabilitation therapeutic system
CN102579238B (en) Limb vein pump system synchronous to pulses of limbs
CN208243760U (en) A kind of automatic pressure-controlled interval inflation socks
CN201426830Y (en) Air pressure massager machine
CN110384864A (en) It is a kind of to prevent thrombus treating apparatus
CN208525365U (en) Pneumatic type upper limbs rehabilitation support
CN204351819U (en) A kind of ischemic preconditioning therapeutic instrument with vascular health arbitration functions
CN107616903B (en) Novel equipment for resisting four-limb venous thrombosis through respiratory coupling matching
CN111714351A (en) Control system of pneumatic massage instrument
AU2021100414A4 (en) Local Vibrating Device for Prevention and Treatment of Sarcopenia

Legal Events

Date Code Title Description
PB01 Publication
PB01 Publication
SE01 Entry into force of request for substantive examination
SE01 Entry into force of request for substantive examination
GR01 Patent grant
GR01 Patent grant