CN111297548A - Method for adjusting temperature control parameters of rewarming device, adjusting terminal and adjusting system thereof - Google Patents
Method for adjusting temperature control parameters of rewarming device, adjusting terminal and adjusting system thereof Download PDFInfo
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- CN111297548A CN111297548A CN202010152527.1A CN202010152527A CN111297548A CN 111297548 A CN111297548 A CN 111297548A CN 202010152527 A CN202010152527 A CN 202010152527A CN 111297548 A CN111297548 A CN 111297548A
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- temperature
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- rewarming device
- thermometer
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/0053—Cabins, rooms, chairs or units for treatment with a hot or cold circulating fluid
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/08—Warming pads, pans or mats; Hot-water bottles
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/10—Cooling bags, e.g. ice-bags
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F2007/0095—Heating or cooling appliances for medical or therapeutic treatment of the human body with a temperature indicator
- A61F2007/0096—Heating or cooling appliances for medical or therapeutic treatment of the human body with a temperature indicator with a thermometer
Abstract
The invention discloses a temperature control parameter adjusting method of a human body rewarming device, an adjusting terminal and an adjusting system thereof, wherein the adjusting system comprises an adjusting terminal, a thermometer and the rewarming device, the adjusting terminal can detect body temperature data of a human body through the thermometer and determine a measuring part of the thermometer, then a temperature control scheme is determined according to the measuring part and the body temperature data, temperature control parameters of the rewarming device are dynamically adjusted according to the temperature control scheme and the body temperature data, and the rewarming device controls various parameters according to the temperature control parameters until the body temperature of the human body returns to normal, so that the safety and the effectiveness of treatment of patients with abnormal body temperature are ensured, and the method is suitable for different medical environments.
Description
Technical Field
The invention relates to the field of control or regulation systems of non-electric variables, in particular to a method for regulating temperature control parameters of a rewarming device, a regulation terminal and a regulation system thereof.
Background
Currently, there are many clinical thermoregulation methods for patients with abnormal human body temperature, for example: the patients with hypothermia usually adopt a cotton quilt covered with a cover, an electric blanket, infusion warming liquid, peritoneal lavage or extracorporeal circulation heating. Hyperthermia patients (patients suffering from heatstroke, heat stroke or infectious hyperpyrexia) usually adopt rewarming devices such as ice bag cold compress, ice blanket, ice cap, low-temperature liquid infusion or extracorporeal circulation cooling to regulate temperature.
The body temperature regulation is not a single method of heating or cooling, and the aim can be achieved by regulating the temperature of a human body to a normal range. If the temperature of the human body is increased or decreased too quickly and exceeds the bearing range of the human body, the human body can be damaged again, and the damage to the human body is aggravated. Therefore, in the process of adjusting the body temperature of the human body, different states of the human body should be judged according to the body temperature data measured by the human body in real time, and the temperature adjustment parameters of the rewarming device are dynamically adjusted according to the temperature control scheme.
There are many kinds of body temperature data measuring parts, for example, a blood thermometer, an armpit thermometer, etc. Different measurement positions are suitable for different medical environments, wherein a blood thermometer is adopted to measure the blood temperature, the difference between the measured temperature data and the core temperature of the human body is minimum, but blood vessels need to be punctured, and the equipment is more precise, so that the blood temperature measuring device is frequently used in wards.
The armpit thermometer can be clamped under the armpit, and is mainly used for first aid on site or in an ambulance. However, the measured body temperature data is the temperature of the armpit of the human body, and the difference between the measured body temperature data and the core temperature of the human body is large, so that the body temperature condition of the human body can be monitored more accurately only by switching to a blood thermometer to measure the body temperature after a patient with abnormal body temperature is sent to a hospital ward. The temperature data change is caused by switching the measuring part, and the temperature control scheme of the rewarming device needs to be readjusted, but the data change caused by equipment switching is not considered in the prior art, so that the safety and the effectiveness of the treatment of the patient with abnormal body temperature cannot be effectively guaranteed.
Disclosure of Invention
In order to solve the technical problems, the invention provides a temperature control parameter adjusting method, an adjusting terminal and an adjusting system of a human body rewarming device, which are used for dynamically adjusting the temperature control parameters of the rewarming device according to the temperature control scheme according to the body temperature data and the corresponding temperature control scheme matched with the measuring part of the body temperature data and the body temperature data measured in real time based on the measuring part, thereby ensuring the safety and the effectiveness of the treatment of the patient with abnormal body temperature.
The technical scheme is as follows:
in a first aspect, a method for adjusting temperature control parameters of a human body rewarming device is provided, which comprises the following steps:
detecting body temperature data of a human body and determining a measurement part of the body temperature data;
determining a temperature control scheme according to the measurement part and the body temperature data;
and dynamically adjusting the temperature control parameters of the rewarming device according to the temperature control scheme and the body temperature data.
With reference to the first aspect, in a first implementable manner of the first aspect, the determining a temperature control scheme according to the measurement site and the body temperature data includes:
determining a threshold parameter for evaluating the body temperature state through the measurement site;
determining a body temperature state corresponding to the body temperature data according to the threshold parameter;
and matching the corresponding temperature control scheme according to the body temperature state.
With reference to the first aspect, in a second implementable manner of the first aspect, the measurement site is determined by identifying a thermometer that measures body temperature data.
In a second aspect, an adjusting terminal for adjusting temperature control parameters of a human body rewarming device is provided, where the adjusting terminal adjusts the temperature control parameters of the rewarming device by using any one of the methods of the first aspect and the first implementable manner of the first aspect.
With reference to the second aspect, in a first implementation manner of the second aspect, the adjusting terminal includes a plurality of data input interfaces, and each data input interface corresponds to a thermometer at a different measurement location.
With reference to the first implementable manner of the second aspect, in a second implementable manner of the second aspect, the adjusting terminal determines the measurement site by identifying a data input interface for obtaining body temperature data.
With reference to the first implementable manner of the second aspect, in a third implementable manner of the second aspect, the plurality of data input interfaces include: the blood temperature interface, the armpit temperature interface, the rectum temperature interface and the oral cavity temperature interface respectively correspond to a blood thermometer, an armpit thermometer, a rectum thermometer and an oral cavity thermometer.
With reference to the second aspect, in a fourth implementation manner of the second aspect, the adjusting terminal includes a display, and the display is configured to display the body temperature data, the measurement location, the type of the rewarming device, and the temperature control parameter.
With reference to the fourth implementable manner of the second aspect, in a fifth implementable manner of the second aspect, the adjusting terminal further includes an input module, the input module is configured to input a manual selection instruction of the temperature control scheme, and the adjusting terminal determines the temperature control scheme according to the manual selection instruction.
In a third aspect, a human body core temperature adjusting system is provided, which comprises a thermometer and a rewarming device, and further comprises an adjusting terminal provided in the second aspect, wherein the adjusting terminal is respectively in signal connection with the thermometer and the rewarming device.
Has the advantages that:
1. the corresponding temperature control scheme can be dynamically matched according to the body temperature data and the change of the measurement part of the body temperature data;
2. the temperature adjusting parameters of the rewarming device can be dynamically adjusted according to the temperature data measured in real time and a matched temperature control scheme, so that the safety and the effectiveness of treatment are ensured;
3. the temperature measuring device is suitable for different medical environments and body temperature measuring equipment.
Drawings
FIG. 1 is a flow chart of a conditioning method of the present invention;
FIG. 2 is a flow chart for determining a temperature control scheme;
FIG. 3 is a schematic block diagram of a system for adjusting a terminal;
fig. 4 is a system schematic block diagram of the conditioning system.
Detailed Description
The invention is further illustrated by the following examples and figures.
As shown in fig. 1, the flow chart of the method for adjusting temperature control parameters of a human body rewarming device comprises:
step 1, detecting body temperature data of a human body, and determining a measurement part of the body temperature data;
step 2, determining a temperature control scheme according to the measurement part and the body temperature data;
step 3, dynamically adjusting temperature control parameters of the rewarming device according to the temperature control scheme and the body temperature data;
and (5) repeating the steps 1 to 3 until the body temperature of the human body returns to normal.
Specifically, first, a measurement site of body temperature data may be determined by identifying a thermometer type for measuring body temperature, and then, the body temperature data and the measurement site are determined to a corresponding temperature control scheme. And finally, adjusting the temperature control parameters of the rewarming device according to the body temperature data and the temperature control scheme, and repeating the steps until the measured body temperature data is restored to the normal body temperature data range. In the temperature adjusting process, if the measurement part of the body temperature data is changed due to the change of the medical environment, the temperature control scheme can be determined again to adjust the temperature control parameters, so that the safety and the effectiveness of treatment are ensured.
In this embodiment, preferably, as shown in fig. 2, the determining the temperature control scheme according to the measurement site and the body temperature data includes:
step 2-1, determining a threshold parameter for evaluating the body temperature state through a measurement part;
step 2-2, determining a body temperature state corresponding to the body temperature data according to the threshold parameter;
and 2-3, matching the corresponding temperature control scheme according to the body temperature state.
Specifically, the body temperature state of the human body includes 7 states, and the 7 states are: severe low temperature, moderate low temperature, mild low temperature, normal state, mild high temperature, moderate high temperature, and severe high temperature. The body temperatures of the 7 states are different at different parts, the threshold parameters of the 7 states can be determined and evaluated according to the measuring part, the body temperature state of the human body can be determined by matching the threshold range corresponding to the body temperature data obtained by measurement, a proper temperature control scheme is selected according to the body temperature state of the human body to control the temperature control parameters of the rewarming device, and the corresponding relation between the threshold parameters of the body temperature state and the measuring part is evaluated as shown in table 1:
TABLE 1
The temperature control parameters of the temperature control scheme correspond to the rewarming device, and if the rewarming device for adjusting the body temperature in an infusion mode is adopted, the corresponding temperature control parameters comprise the temperature, the speed, the liquid amount, the target temperature, the rewarming time and the like of the infused liquid. If a body surface temperature adjusting mode is adopted, such as a temperature resetting device of a heating blanket or an ice blanket, the corresponding temperature control parameters include device temperature, target temperature, temperature resetting time and the like.
When the body temperature data is used for determining that the human body is in an extremely low temperature state, the death rate of a patient is nearly 100%, the core temperature of the human body needs to be quickly increased to be far away from the death temperature, the rewarming rate at the moment is the highest rate which can be borne by the human body, the core body temperature rising speed is the highest speed which can be borne by the human body, if infusion cooling is adopted, the used liquid is the highest temperature which can be borne by the human body, and the recommended liquid temperature is 60 ℃ until the body temperature data is detected to rise to the threshold range corresponding to the severe low temperature state.
At the moment, the death rate is still high, the body temperature of the human body still needs to be continuously and rapidly increased, the rewarming rate can be adjusted to 1-2 ℃/h, if infusion cooling is adopted, the recommended liquid temperature is 43 ℃, until the body temperature data is detected to be increased to a threshold range corresponding to a moderate low temperature state.
When the body temperature data is raised to a moderate low temperature state, the human body is out of the critical state, but the temperature of the human body can still be reduced to be below 34 ℃ without intervention, and the body temperature data needs to be maintained at 34-35 ℃ for a period of time at this stage, so that the opportunity is created for the recovery of the human body. The temperature of the infused liquid can be adjusted to control the temperature of the body to be kept between 34 and 35 ℃; the recommended body temperature is maintained for 2-48h, and if infusion cooling is adopted, the recommended liquid temperature range is 37-43 ℃. Until the body temperature data is detected to rise to the threshold range corresponding to the mild low temperature state.
When the body temperature data is raised to a mild low-temperature state, the human body is rested and can bear the damage to the body caused by re-warming, the body temperature can be raised again at the moment, the recommended body temperature raising rate is 0.5-1 ℃/h, and if infusion cooling is adopted, the recommended liquid temperature range is 37-43 ℃ until the body temperature is restored to a normal state.
When the body temperature data is used for determining that the human body is in a severe high-temperature state, the temperature is required to be reduced to below 40 ℃ within 30 minutes, if infusion cooling is adopted, the liquid temperature is recommended to be 0-4 ℃, and infusion is carried out at the highest infusion rate which can be borne by the human body. Until the body temperature data of the human body falls to a threshold range for the moderate high temperature state.
After the medium high temperature state is entered, the infusion rate is adjusted, so that the body temperature data is within the threshold range corresponding to the mild low temperature state within 2 hours, and if the infusion cooling is adopted, the liquid temperature is also required to be adjusted to 4 ℃.
After entering the mild high temperature state, the temperature of the liquid is adjusted, so that the body temperature of the human body is kept in the state for a certain time to finish rewarming. The infusion rate can be adjusted by calculating the temperature change rate in unit time according to the body temperature data measured in real time, and then adjusting the infusion rate by comparing the temperature change rate with the rewarming rate until the temperature change rate is consistent with the rewarming rate.
As shown in fig. 3, the adjusting terminal for adjusting the temperature control parameter of the human body rewarming device dynamically adjusts the temperature control parameter of the rewarming device by the adjusting method. Specifically, the adjusting terminal may be a computer, an industrial personal computer, or the like. The adjusting terminal can acquire body temperature data and automatically identify the measuring part of the body temperature data, and a database about the threshold parameter and the temperature control scheme is stored in a memory of the adjusting terminal. The adjusting terminal can call the matched temperature control scheme from the database according to the body temperature data and the measuring part thereof, and dynamically adjust the temperature adjusting parameters of the rewarming device according to the matched temperature control scheme according to the body temperature data measured in real time, thereby ensuring the safety and the effectiveness of rewarming treatment.
In this embodiment, preferably, the adjusting terminal includes a plurality of data input interfaces, each data input interface corresponds to a thermometer at a different measurement location, and the adjusting terminal determines the measurement location by identifying the data input interface for acquiring the body temperature data.
The adjusting terminal also comprises a plurality of signal output interfaces which are used for signal connection with the rewarming device, and can be signal interfaces such as RJ45, RS232 and USB, and the signal output interfaces are respectively matched with the existing rewarming device so as to be in signal connection with different rewarming devices.
In this embodiment, preferably, the plurality of data input interfaces include a blood temperature interface, an armpit temperature interface, a rectal temperature interface, and an oral temperature interface, and the blood temperature interface, the armpit temperature interface, the rectal temperature interface, and the oral temperature interface respectively correspond to a blood thermometer, an armpit thermometer, a rectal thermometer, and an oral thermometer.
The regulation terminal can be respectively connected with a blood thermometer, an armpit thermometer, a rectal thermometer and an oral thermometer through a blood temperature interface, an armpit temperature interface, a rectal temperature interface and an oral temperature interface. And the difference between the body temperature data measured by the blood thermometer, the armpit thermometer, the rectal thermometer and the oral thermometer and the core body temperature of the human body is small, so that the adjusting terminal acquires accurate body temperature data through the data interface, and the adjusting accuracy is ensured. Moreover, the blood thermometer, the armpit thermometer, the rectal thermometer and the oral thermometer are different in application environment, and the application range of the adjusting terminal can be expanded by arranging the data interfaces.
The adjusting terminal comprises a display, and the display is used for displaying the body temperature data, the measuring part, the type of the rewarming device and the temperature control parameter. The data interface that the measurement position that shows through the display can indicate medical personnel thermometer to connect avoids medical personnel to be connected to the wrong data interface with the thermometer. Meanwhile, the display can also display the body temperature and temperature control parameters of the human body, so that the medical staff can monitor the temperature.
In this embodiment, preferably, the adjusting terminal further includes an input module, the input module is configured to input a manual selection instruction of the temperature control scheme, and the adjusting terminal determines the temperature control scheme according to the manual selection instruction. The input module can be a key module or a touch screen, and medical personnel can manually select a more appropriate temperature control scheme through the input module by combining other physiological state parameters of the patient, such as heart rate, blood pressure, blood oxygen and the like, so that more serious damage to the patient is avoided.
The human body core temperature regulating system shown in fig. 4 comprises a thermometer, a rewarming device and the regulating terminal, wherein the regulating terminal is respectively connected with the thermometer and the rewarming device through signals. The thermometer can monitor the body temperature data of a human body, and the adjusting terminal is provided with different signal output interfaces for connecting different rewarming devices.
In a specific using process, the adjusting terminal is only connected with 1 thermometer and 1 rewarming device, the adjusting terminal measures body temperature data through the thermometer, matches a corresponding temperature control scheme according to the body temperature data and a measuring part, and dynamically adjusts temperature control parameters of the rewarming device according to the corresponding temperature control scheme.
The adjusting terminal can determine the type of the rewarming device by identifying the connection state of the signal output interface and can also acquire the type information of the rewarming device input by the input module. The adjusting terminal can determine a temperature control scheme by combining the measuring part, the body temperature data and the type of the rewarming device.
In the rewarming process, the adjusting terminal can display information such as the real-time body temperature of the patient, a body temperature progress bar, a body temperature state, a temperature control parameter and the type of the rewarming device detected by the thermometer through the display, so that medical personnel can monitor the information.
The structure principle of the rewarming device is the same as that of the existing rewarming device, such as an intelligent volume therapeutic apparatus (publication No. CN100536946C) and the like, and the rewarming device can adjust various working parameters of the rewarming device according to temperature control parameters, such as liquid temperature and infusion rate. If the measurement part of the body temperature data is replaced in the rewarming process, the adjusting terminal can adjust the temperature control scheme according to the new measurement part and the body temperature data, and the safety and the effectiveness of treatment are ensured.
Finally, it should be noted that the above-mentioned description is only a preferred embodiment of the present invention, and those skilled in the art can make various similar representations without departing from the spirit and scope of the present invention.
Claims (10)
1. A temperature control parameter adjusting method of a human body rewarming device is characterized by comprising the following steps:
detecting body temperature data of a human body and determining a measurement part of the body temperature data;
determining a temperature control scheme according to the measurement part and the body temperature data;
and dynamically adjusting the temperature control parameters of the rewarming device according to the temperature control scheme and the body temperature data.
2. The method for adjusting temperature control parameters of a human rewarming device of claim 1, wherein said determining a temperature control scheme based on the measurement site and the body temperature data comprises:
determining a threshold parameter for evaluating the body temperature state through the measurement site;
determining a body temperature state corresponding to the body temperature data according to the threshold parameter;
and matching the corresponding temperature control scheme according to the body temperature state.
3. The method for adjusting temperature control parameters of a human rewarming device of claim 1, wherein said measurement site is determined by identifying a thermometer that measures body temperature data.
4. The utility model provides an adjust regulation terminal of human rewarming device temperature control parameter which characterized in that: the adjusting terminal adopts the temperature control parameter adjusting method of the human body rewarming device as claimed in any one of claims 1-3 to adjust the temperature control parameters of the rewarming device.
5. The adjusting terminal for adjusting the temperature control parameter of the human body rewarming device of claim 4, which is characterized in that: the adjusting terminal comprises a plurality of data input interfaces, and each data input interface corresponds to thermometers at different measuring positions respectively.
6. The adjusting terminal for adjusting the temperature control parameter of the human body rewarming device of claim 5, wherein: the adjusting terminal determines the measuring part of the body temperature data by identifying the data input interface for acquiring the body temperature data.
7. The adjusting terminal for adjusting the temperature control parameter of a human body rewarming device of claim 5, wherein the plurality of data input interfaces comprise: the blood temperature interface, the armpit temperature interface, the rectum temperature interface and the oral cavity temperature interface respectively correspond to a blood thermometer, an armpit thermometer, a rectum thermometer and an oral cavity thermometer.
8. The adjusting terminal for adjusting the temperature control parameter of the human body rewarming device of claim 4, which is characterized in that: the adjusting terminal comprises a display, and the display is used for displaying the body temperature data, the measuring part, the type of the rewarming device and the temperature control parameters.
9. The adjusting terminal for adjusting the temperature control parameter of the human body rewarming device of claim 8, wherein: the adjusting terminal further comprises an input module, the input module is used for inputting a manual selection instruction of the temperature control scheme, and the adjusting terminal determines the temperature control scheme according to the manual selection instruction.
10. The utility model provides a human core temperature governing system, includes thermometer and rewarming device, its characterized in that: the temperature control device further comprises an adjusting terminal according to claim 4, wherein the adjusting terminal is respectively connected with the thermometer and the rewarming device in a signal mode.
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Application publication date: 20200619 |