CN110367956A - A kind of autonomic control monitoring system and method - Google Patents
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- 230000002567 autonomic effect Effects 0.000 title claims abstract description 32
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- 238000005070 sampling Methods 0.000 claims abstract description 7
- 238000004088 simulation Methods 0.000 claims abstract description 6
- 238000012545 processing Methods 0.000 claims abstract description 4
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
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- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
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- A61B5/024—Detecting, measuring or recording pulse rate or heart rate
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/22—Ergometry; Measuring muscular strength or the force of a muscular blow
- A61B5/224—Measuring muscular strength
- A61B5/225—Measuring muscular strength of the fingers, e.g. by monitoring hand-grip force
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Abstract
The invention belongs to information data processing technology fields, disclose a kind of autonomic control monitoring system and method, and autonomic control monitoring system includes: the sampling module for being detected to patient sign and environment；It is connected with sampling module, the Arduino template of digitized format is switched to for realizing the simulation input data of acquisition；It is connected with Arduino template by bluetooth module, for realizing the intelligent terminal of Data Integration.Display interface is simply clear, can effectively transmit information and give subject, is mounted on large screen terminal device such as 9.7 cun of iPad, the display interface of APP can look after the weaker subject of eyesight.
Description
Technical field
The invention belongs to information data processing technology field more particularly to a kind of autonomic control monitoring system and sides
Method.
Background technique
Function of Autonomic Nervous System disorder refers to the dysfunction or obstacle of autonomic nerves system, and the elderly is easier
It takes place frequently, but other age groups crowd can also suffer from.Apoplexy, senile dementia, diabetes, is being taken Parkinsonism
The probability for having the patient of side effect drug and electrolyte disturbance Function of Autonomic Nervous System disorder occur is higher.Gained according to the study,
The probability of patient's Function of Autonomic Nervous System disorder of the above disease up to 20%-80%, and in the middle some patientss more simultaneously companion
With fluctuation of blood pressure and hypertension.
For Function of Autonomic Nervous System disorder diagnostic method invention in 1981, be limited to technology at that time, it is a whole set of
Diagnostic device has used the hardware of independent work, such as sphygmomanometer and ecg equipment, and nonconformity, integrated intelligent diagnostics system
System.Currently, the prior art commonly used in the trade is such that with the multi-parameter prison for being suitble to Function of Autonomic Nervous System disorder assessment
The electrocardiogram and blood pressure of instrument test constantly subject are protected, and is equipped with the gripe dynamometer and blowning installation of independent work, is referred to by operator
Show that subject carries out each behavior power test and needs professional person's manual analyzing data and judging result after completing detecting step.
So far, backward technology and equipment cause the diagnosis for Function of Autonomic Nervous System disorder to get the brush-off, and reason includes:
The diagnosis of traditional Function of Autonomic Nervous System disorder needs 1.5 hours, this substantially limits acceptable diagnosis daily
Subject's quantity and extend the turn time.Subject causes tighter then it is therefore possible to fail to obtain timely treatment
The complication of weight.
The diagnosis of traditional Function of Autonomic Nervous System disorder needs the medical staff of certain amount to carry out.Complete institute after diagnosing
The data of generation also need professional person's manual analyzing and judging result.Required cost of human resources will be significantly increased in this.
Manual analyzing autonomic nervous function test result is possible to lead to mistaken diagnosis because of human error, and subjectivity is big, this cuts
The reliability of weak diagnosis.Furthermore excessively interminable analytic process meeting can make analyst's fatigue and lead to human error.But this
Fault can avoid if using automated analysis.
In conclusion problem of the existing technology is:
(1) diagnosis of traditional Function of Autonomic Nervous System disorder expends the time.
(2) the diagnosis cost of labor of traditional Function of Autonomic Nervous System disorder is high.
(3) the diagnosis human error of traditional Function of Autonomic Nervous System disorder takes place frequently.
The difficulty for solving above-mentioned technical problem is: traditional Function of Autonomic Nervous System assessment needs subject actively to cooperate
Sign detection and the detection of behavior power are carried out, and it is to depend on very much effective monitoring mode that behavior power, which completes correctness,.And it is analyzing
When data, cardiac electrical RR spacing must be by operator's manual operations, error caused by being easier to because of subjective factor, also increases analysis and is consumed
The time taken and cost of labor.
The meaning for solving above-mentioned technical problem is:
Time needed for diagnosis for Function of Autonomic Nervous System disorder can be reduced to 15 minutes, the above-mentioned time-consuming of solution,
The shortcomings that high cost of labor, human error, reaches the function of detection data diagnosis.
Summary of the invention
In view of the problems of the existing technology, the present invention provides a kind of autonomic control monitoring system and methods.
The present invention can be automatically performed multi-channel data analysis, using verified Function of Autonomic Nervous System theory and formula
Comprehensive score is calculated, and automatically generating individuation analysis includes a variety of physical signs and comprehensive Function of Autonomic Nervous System score
Analysis report, and be shown on screen in a manner of pattern and text.Operator can then manipulate through intelligent terminal
Medical hardware can browse report at any time, reform test and check hardware state to complete diagnostic process.
The invention is realized in this way a kind of autonomic control monitoring system includes:
Sampling module for being detected to patient sign and environment；
Switch to the Arduino template of digitized format for realizing the simulation input data of acquisition；
It is connect with Arduino template by Bluetooth Low Energy wireless technology (BLE), it is whole for realizing the intelligence of Data Integration
End equipment.
Further, the sampling module includes:
Barometer for being detected to environmental pressure, and Arduino template is connected by analogy input mode；
Gripe dynamometer for being detected to patient's grip strength, and Arduino template is connected by analogy input mode；
Heart rate detector for being detected to Heart Rate, and connected by bluetooth 2.0 and crossfire input mode
Arduino template；
Sphygmomanometer for being detected to patient, and Arduino template is connected by analogy input mode；
Another object of the present invention is to provide a kind of autonomic nerve tune for realizing the autonomic control monitoring system
Monitoring system method is saved, including system voice prompt subject carries out sign detection and the detection of behavior power, and records testing result,
Itself specifically,
Detecting step: system prompts subject to carry out blood pressure measurement, heart rate survey by multiple voice, image and text etc.
Amount, breath pressure measurement hold power measurement, and above-mentioned measurement result are stored respectively.Autonomic control detecting step
Valsalva maneuver in including but not limited to Ewing ' s Battery, deep breathing movement, 30:15 ratio, orthostatic body position effect
And continue gripping handle effect.
In valsalva maneuver, subject blows to spike current meter, so that pressure is maintained 40mmHg, subject must hold
After continuous air blowing 15 seconds, repeat to blow 3 times after taking a quick nap.Intelligent terminal can be noted down simultaneously and is collected by heart rate detector
RR spacing.
In deep breathing movement, subject must carry out 6 times in 1 minute and deeply breathe, and each air-breathing 5 seconds and expiration 5 seconds.Intelligence
Energy terminal device can note down the RR spacing being collected by heart rate detector simultaneously.
In 30:15 ratio and orthostatic body position effect, subject must lie down first receives heart rate detector and sphygmomanometer
Then detection prompts subject to stand.Intelligent terminal will record subject lie down when and stand after every point in five minutes
The pressure value of clock, and record the RR spacing of subject's 30 heartbeats after standing；
In lasting gripping handle effect, intelligent terminal can record the baseline blood pressure value of subject by sphygmomanometer,
And subject is prompted to be applied to gripe dynamometer with peak power.At subsequent five minutes, subject must continue to impose most to gripe dynamometer
The 30% of big grip value, intelligent terminal can be in the blood pressures of detection subject per minute.
Behavior power completes correction judgement step: system judges that the behavior power of subject tests whether to meet regulation, if
Meet regulation, then detection data etc. is to be called；If against regulation, there will be corresponding prompts, and operator is facilitated to delete the inspection
It measured data and is detected again for subject.Such as in the measurement of valsalva maneuver breath pressure, fluorescent screen can real-time display air flue
Pressure parameter allows subject that can control air blowing dynamics according to show value, airway pressure is made to maintain the code requirement of 40mmHg
On, if being not up to code requirement in air blowing process, show value can become red to prompt operator and subject.And continuing
Gripping handle effect is held in power measurement, and fluorescent screen meeting real-time display grip parameter is checked for operator and subject, if subject
Not up to grip maximum value 30% when, show value can equally become red to prompt operator and subject.
Further, system according to analysis detection as a result, whether judging subject's illness, be specially the following steps are included:
Analytical procedure: calling the sign data and behavior force data of last time record, carries out data analysis；
In valsalva maneuver, intelligent terminal can calculate subject in air blowing process longest and most short RR spacing
Ratio, and analyzed according to the data that 3 repetitions are blown；
In deep breathing movement, intelligent terminal can calculate and analyze subject's longest and most short during deep breathing
The ratio of RR spacing；
In 30:15 ratio and orthostatic body position effect, intelligent terminal can calculate subject after standing the 15th time and
The ratio of 30 RR spacing, and analyze the difference after stood with baseline blood pressure；
In lasting gripping handle effect, intelligent terminal can analyze testee after standing with the difference of baseline blood pressure
Value.
Further, the sign detection includes blood pressure measurement, heart rate measurement；The behavior power detection includes that breath pressure is surveyed
Amount holds power measurement.
Another object of the present invention is to provide a kind of computer programs of autonomic control monitoring method.
Another object of the present invention is to provide a kind of information data processing terminals of autonomic control monitoring method.
Another object of the present invention is to provide a kind of computer readable storage mediums, including instruction, when it is in computer
When upper operation, so that computer executes the autonomic control monitoring method.
In conclusion advantages of the present invention and good effect are as follows: realize use moveable intelligent terminal as
The center system for collecting and analyzing different physiological characteristic datas is more convenient to carry and use in the environment of flowing.And intelligence is eventually
The display interface at end can be provided for subject by forms such as image and texts and simply clearly be indicated, medical care can be effectively shared
Workload of the personnel in evaluation process.Furthermore it is compared with typical assessment mode existing at present, diagnosis of the invention is more accelerated
Victory can show diagnostic result after subject completes test immediately, be intelligent entirely without palpus manual analyzing and judging result
With the inexorable trend of integrative development.
Display interface is simply clear, can effectively transmit information and give subject, is mounted on such as 9.7 cun of large screen terminal device
On iPad, the display interface of APP can look after the weaker subject of eyesight.
Detailed description of the invention
Fig. 1 is the schematic diagram of autonomic control monitoring system provided in an embodiment of the present invention.
Fig. 2 is autonomic control monitoring method logical flow chart provided in an embodiment of the present invention.
Fig. 3 is autonomic control monitoring display renderings provided in an embodiment of the present invention.
Fig. 4 is the material object of Arduino101 provided in an embodiment of the present invention (left side) and NANO V3.0 exploitation version (right side) template
Figure.
Fig. 5 is the pictorial diagram of gripe dynamometer provided in an embodiment of the present invention.
Fig. 6 is barometrical pictorial diagram provided in an embodiment of the present invention.
Fig. 7 is the pictorial diagram of sphygmomanometer provided in an embodiment of the present invention.
Fig. 8 is the pictorial diagram of heart rate detector provided in an embodiment of the present invention.
Fig. 9 is heart rate detecting effect picture provided in an embodiment of the present invention.
Figure 10 is the pictorial diagram of remote control sphygmomanometer provided in an embodiment of the present invention.
Figure 11 is display renderings provided in an embodiment of the present invention.
Figure 12 is display renderings provided in an embodiment of the present invention.
Figure 13 is display renderings provided in an embodiment of the present invention.
Figure 14 is display renderings provided in an embodiment of the present invention.
Figure 15 is display renderings provided in an embodiment of the present invention.
Specific embodiment
In order to further understand the content, features and effects of the present invention, the following examples are hereby given, and cooperate attached drawing
Detailed description are as follows.
In view of the problems of the existing technology, the present invention provides a kind of autonomic control monitoring system and method, under
Face is explained in detail in conjunction with attached drawing 1 to 15 couples of present invention of attached drawing.
The autonomic control monitoring system includes barometer, gripe dynamometer, heart rate detector, sphygmomanometer, smart machine end
End, compared with the hardware device of passing independent work, the applying of hardware of autonomic control monitoring system intermediary is connected to
Intelligent terminal.The Arduino template used is intermediary, and the data of simulation input are switched to after digitized format to pass through bluetooth
Intelligent terminal is transmitted to be integrated.
By taking iPad as an example, the mode that intelligent terminal imitates professional diagnoses subject, this indicates intelligence
Terminal device other than collecting and analyzing data in the process, also can simultaneously feedback and instruction subject make or correct move
Make.It is abnormal such as to find that the data imported occur, system can indicate that subject is reformed with correct posture.It can guarantee to obtain in this way
Data be accurate.
By taking valsalva maneuver as an example, subject need to be blown with the dynamics of 40mmHg toward barometer in 15 seconds.Fig. 3 is shown
Image and text is utilized to solve the deficiency that oral account is linked up in the display interface of APP.The dynamics real-time display of air blowing is at interface
Center, and indicate whether the dynamics of air blowing passes with blue with red.The meter reciprocal of lower section then clearly shows still remaining more
Few time, allow subject that can grasp the progress of diagnosis easily.Such as above-mentioned example, new display interface can effectively arrange and
Clearly data are transmitted.Compared to rising using subject when password, new system can get rid of the language such as Language Mastery, accent barrier
Hinder, to lower the chance for misreading information significantly.
It is intermediary using Arduino101 template, the analogue data obtained from subject is converted into digital number in real time
According to, and utilize built-in Bluetooth Low Energy module crossfire to intelligent terminal iPad.Conversion parameter is that 0-5V is input to 0-
1024 sections of outputs.
Gripe dynamometer is used to measure the holding power of subject.In prototype, the simulation output for holding power is fed to
Arduino101 template is simultaneously exported to iPad.In this way, system just can real-time monitoring subject hold power variation.
Barometer is used to measure the breath pressure of subject.In prototype, subject need to prototype barometer mouthpiece with
The pressure of 40mmHg is blown, and barometrical simulation output is fed to Arduino101 template and exports to iPad.In this way, being
System just can real-time monitoring subject's blow gas pressure variation.Conversion parameter is that 0-155mmHg is input to 0-1024 sections of outputs.
Sphygmomanometer is used to measure the blood pressure of subject.In prototype, the switching circuit of sphygmomanometer repacks into can be via
Arduino101 template remote control switch.Using the technology of Bluetooth Low Energy, APP and operator can be accurately controlled sphygmomanometer starting
To obtain data.
Heart rate detector is used to measure the heartbeat of subject.Bluetooth BMD101 electrocardiogram acquisition module has been used in prototype,
With the heart rate data in ECG technology measurement subject chest.Since module is using being wirelessly transferred, without very long electrode wires, move
State effect is preferable, is a kind of reliable, the method for inexpensive non-invasive monitoring heart rate.Rechargeable lithium battery built in module, onboard lithium
Battery charging chip, with Android mobile phone charger, that is, chargeable.The collected original signal of module can be passed by 2.0 crossfire of bluetooth
It transports to Arduino101 and NANO V3.0 exploitation version and carries out heart rate detecting.
After the data for obtaining subject's heartbeat, the waveform of data will be developed in version in Arduino101 and NANO V3.0
It is analyzed to obtain heart rate.Fig. 9 shows normal output signal.During diagnosis, program can proofread the spirit of detecting first
Sensitivity.In this stage, system can by received 3000 sample datas (by taking the sample frequency for using 512Hz as an example, 3000
A sample is equal to 5.86 seconds) calculate threshold value.Upper, middle and lower three are eventually obtained by the average value of sample and standard deviation
Threshold value.In view of the QRS complex on electrocardiogram generally will appear positive R wave and/or negative sense S wave, during measurement, signal 1)
It is more than middle threshold value (in high-intensitive positive R wave) in rising edge, and (the negative sense S when subsequent failing edge is lower than lower threshold value
Wave) or 2) rising edge be more than upper threshold value (high-intensitive positive R wave), but subsequent failing edge be not less than lower threshold value when (do not have
Have negative sense S wave), it will be identified as heartbeat, and the R wave spacing of heartbeat twice is RRI.The check and correction stage is obtaining threshold value and 5, head
It finishes after RRI value (being used in filtration system).
Motion artifacts can be led to output data misalignment, and a wrong data point leads to entire data group and makees
It is useless.Filtration system is compared with the RRI of real-time stream data with previous RRI, to ensure that the RRI inputted is located at preset appearance
In poor range.For example, RRI value median is calculated using first 5 data of calibration phase, if the RRI of input is located at RRI median
± 50% range in, then be considered as effectively, otherwise is to distinguish and be filtered for mistake.This mechanism causes in filtering because of motion artifacts
Wrong data outside, also simultaneously consider and allow a degree of reasonable heart rate volatility of subject.
In order to coupled system use, sphygmomanometer repacks into can be by intelligent terminal remote control switch.Intelligent terminal
Sphygmomanometer can be started like clockwork with regard to this setting, so as to avoid the time error of manpower control.In final design, sphygmomanometer
BLE technology will be synthesized, is wirelessly connect with intelligent terminal and receives and dispatches instruction and data.
Software installation uses the user interface of simple and clear in the APP of intelligent terminal iPad to ensure to use house can be quick
Upper hand and the chance for lowering error.Through interactive interface, subject can pass through movement when feedback amendment diagnosis.The connection of hardware
Situation and stream data can cover all at one glance in the control page, facilitate diagnosis person except mistake.Into after diagnostic mode, shown on master console
Show the progress diagnosed with each test as a result, diagnosis person can click test label to start to test, reform test and inspection
Depending on complete data.The data that all diagnosis finish is resident locally with independent archives or cloud is to facilitate occupational staff to look at any time
It reads.
The above is only the preferred embodiments of the present invention, and is not intended to limit the present invention in any form,
Any simple modification made to the above embodiment according to the technical essence of the invention, equivalent variations and modification, belong to
In the range of technical solution of the present invention.
Claims (9)
1. a kind of autonomic control monitoring system, which is characterized in that the autonomic control monitoring system includes:
Sampling module for being detected to patient sign and environment；
It is connected with sampling module by analogy input, crossfire input and bluetooth approach, for realizing the simulation input number of acquisition
According to the Arduino template for switching to digitized format；
It is connect with Arduino template by Bluetooth Low Energy wireless technology, for realizing the intelligent terminal of Data Integration.
2. autonomic control monitoring system as described in claim 1, which is characterized in that the sampling module includes:
Barometer for being detected to environmental pressure, and Arduino template is connected by analogy input mode；
Gripe dynamometer for being detected to patient's grip strength, and Arduino template is connected by analogy input mode；
Heart rate detector for being detected to Heart Rate, and Arduino is connected by bluetooth 2.0 and crossfire input mode
Template；
Sphygmomanometer for being detected to patient, and Arduino template is connected by analogy input mode.
3. a kind of autonomic control monitoring system method for realizing autonomic control monitoring system as claimed in claim 1 or 2,
The autonomic control monitoring method the following steps are included:
Detecting step: system voice prompts subject to carry out sign detection and the detection of behavior power, and records testing result
As a result export step: system is according to analysis detection as a result, whether judging subject's illness.
4. a kind of autonomic control monitoring system method for realizing autonomic control monitoring system described in claim 3, is
The voice prompting subject that unites carries out sign detection and the detection of behavior power, and records testing result, specifically,
Detecting step: system prompt subject carries out blood pressure measurement, heart rate measurement, and power measurement is held in breath pressure measurement, and will
Above-mentioned measurement result is stored respectively；
Behavior power completes correction judgement step: system judges that the behavior power of subject tests whether to meet regulation, if met
Regulation, then detection data etc. is to be called；If against regulation, there will be corresponding prompts, and operator is facilitated to delete the testing number
It is detected again according to and for subject.
5. a kind of autonomic control monitoring system method described in realization claim 3, which is characterized in that system is examined according to analysis
Survey as a result, whether judge subject's illness, specially the following steps are included:
Analytical procedure: calling the sign data and behavior force data of last time record, carries out data analysis；
Judgment step: analysis result is exported from the display end of system and is stored the judging result, diagnosis report is generated, waits and adjusting
With.
6. a kind of autonomic control monitoring system method described in realization claim 3, which is characterized in that the sign detection packet
Include blood pressure measurement, heart rate measurement；The behavior power detection includes breath pressure measurement, holds power measurement.
7. a kind of computer program for realizing autonomic control monitoring method described in claim 3.
8. a kind of information data processing terminal for realizing autonomic control monitoring method described in claim 3.
9. a kind of computer readable storage medium, including instruction, when run on a computer, so that computer is executed as weighed
Benefit require 3 described in autonomic control monitoring method.
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| CN201910769909.6A CN110367956A (en) | 2019-08-20 | 2019-08-20 | A kind of autonomic control monitoring system and method |
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| CN112057058A (en) * | 2020-08-07 | 2020-12-11 | 南京市中医院 | Method for evaluating autonomic nerve function and application |
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