CN112911989A - Mobile monitoring measurement method, mobile monitoring device, system and storage medium - Google Patents

Mobile monitoring measurement method, mobile monitoring device, system and storage medium Download PDF

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Publication number
CN112911989A
CN112911989A CN201880098625.2A CN201880098625A CN112911989A CN 112911989 A CN112911989 A CN 112911989A CN 201880098625 A CN201880098625 A CN 201880098625A CN 112911989 A CN112911989 A CN 112911989A
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measurement mode
mobile monitoring
monitored object
monitoring device
determining
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金星亮
刘三超
何先梁
孙泽辉
姚绍威
罗汉源
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Shenzhen Mindray Scientific Co Ltd
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Shenzhen Mindray Scientific Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons

Abstract

A mobile monitoring measurement method is applied to mobile monitoring equipment and comprises the following steps: measuring physiological sign parameters of a monitored object (S501), wherein the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters; acquiring a motion parameter of the monitored object (S502); determining a posture of the monitored object according to the motion parameter (S503); adjusting a measurement mode of the mobile monitoring device according to the posture of the monitored subject (S504); controlling the mobile monitoring device to perform measurements on the monitored subject according to the measurement mode (S505).

Description

Mobile monitoring measurement method, mobile monitoring device, system and storage medium Technical Field
The present application relates to the field of medical and detection, and relates to, but is not limited to, mobile monitoring measurement methods, mobile monitoring devices, systems, and storage media.
Background
In some departments, the patient need not stay indoors at all times, but can perform appropriate outdoor activities, such as walking, getting water to eat, etc. In this case, mobile monitoring is widely used in order to achieve detection of the physiological state of a patient. In order to adapt to different use scenes such as indoor and outdoor situations of patients, the mobile monitoring needs to adjust the physiological signal measurement mode according to the situation so as to achieve the purposes of reducing power consumption and false alarm.
When the patient stays indoors, the mobile monitoring and the bedside monitor are connected in a Wireless Medical Telemonitoring Service (WMTS) mode; when the patient is outdoors, the mobile monitoring and bedside monitor are connected by Wireless Fidelity (WiFi), so that the current mobile monitoring determines whether the patient is indoors or outdoors by detecting the connection state with the bedside monitor. In the related art, when a patient is indoors, the measurement mode of the mobile monitoring device is a continuous measurement mode; when the patient is outdoors, the measurement mode of the mobile monitoring device is a discrete measurement mode. In some situations, the method can cause wrong measurement mode switching, so that the physiological state of the patient is not monitored timely. For example, when the patient is not actively walking out of the room, but is pushed out while sitting on a wheelchair or lifted out while lying on a stretcher, the physical condition of the patient is still poor, and the measurement mode of the mobile monitoring device should still be in a continuous measurement mode, focusing on the physiological condition of the patient.
Disclosure of Invention
In view of this, embodiments of the present application are expected to provide a mobile monitoring measurement method, a mobile monitoring device, a mobile monitoring system, and a storage medium, which can implement intelligent switching of measurement modes in the mobile monitoring field by determining the motion state of a patient and combining the motion state with the connection state of a mobile monitor and a bedside monitor, thereby meeting the usage requirements in multiple scenarios.
The technical scheme of the embodiment of the application is realized as follows:
the embodiment of the application provides a mobile monitoring measurement method, which is applied to mobile monitoring equipment, and the method comprises the following steps:
measuring physiological sign parameters of the monitored object, wherein the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters;
acquiring a motion parameter of the monitored object;
determining the posture of the monitored object according to the motion parameters;
adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object;
and controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode.
An embodiment of the present application provides a mobile monitoring device, which includes a host, where the host is configured to:
measuring physiological sign parameters of the monitored object, wherein the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters;
acquiring a motion parameter of the monitored object;
determining the posture of the monitored object according to the motion parameters;
adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object;
and controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode.
The embodiment of the application provides a mobile monitoring system, which comprises:
a mobile monitoring device, a parameter display monitoring device and a central monitoring station, wherein,
the mobile monitoring equipment is used for measuring physiological sign parameters and/or non-physiological sign parameters of a monitored object;
the mobile monitoring device comprises a host computer which is used for
Measuring physiological sign parameters of the monitored object, wherein the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters;
acquiring a motion parameter of the monitored object;
determining the posture of the monitored object according to the motion parameters;
adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object;
and controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode.
An embodiment of the present application provides a storage medium, in which a program is stored, and the program, when executed by a processor, implements the steps of the mobile monitoring measurement method as described above.
The embodiment of the application provides a mobile monitoring measurement method, a mobile monitoring device, a system and a storage medium, wherein, firstly, physiological sign parameters of a monitored object are measured, and the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters; then, acquiring the motion parameters of the monitored object; determining the posture of the monitored object according to the motion parameters; finally, adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object; controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode; therefore, the motion state of the patient is judged and combined with the connection state of the mobile monitoring and the bedside monitor, so that the intelligent switching of the measurement modes can be realized in the field of mobile monitoring, and the use requirements under multiple scenes are met.
Drawings
FIG. 1 is a schematic diagram of a mobile monitoring device according to an embodiment of the present application;
FIG. 2 is a schematic structural diagram of a mobile monitoring device according to an embodiment of the present application;
FIG. 3 is a schematic structural diagram of a mobile monitoring system according to an embodiment of the present application;
FIG. 4 is a three-dimensional vector acceleration pattern according to an embodiment of the present application;
FIG. 5 is a schematic diagram illustrating a flow chart of an implementation of a mobile monitoring measurement method according to an embodiment of the present application;
fig. 6 is a flowchart illustrating another implementation of the measurement method of the mobile monitoring device according to the embodiment of the present application.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present application clearer, specific technical solutions of the present invention will be described in further detail below with reference to the accompanying drawings in the embodiments of the present application. The following examples are intended to illustrate the present application but are not intended to limit the scope of the present application.
The terms "first," "second," and the like in the description and claims of the present application and in the accompanying drawings are used for distinguishing between different objects and not for describing a particular order. Furthermore, the terms "comprises" and any variations thereof, are intended to cover non-exclusive inclusions. For example, a process, method, system, article, or apparatus that comprises a list of steps or elements is not limited to only those steps or elements listed, but may alternatively include other steps or elements not listed, or inherent to such process, method, article, or apparatus.
The description which follows is a preferred embodiment for carrying out the present application, but is made for the purpose of illustrating the general principles of the application and not for the purpose of limiting the scope of the application. The protection scope of the present application shall be subject to the definitions of the appended claims.
The embodiment of the application provides a mobile monitoring device, which is used for measuring physiological sign parameters and/or non-physiological sign parameters of a monitored object; for a better understanding of the present invention, the present embodiment explains the mobile monitoring device, as shown in fig. 1, the mobile monitoring device 10 comprises: the first parameter measurement module 11 is configured to measure physiological sign parameters of the monitored object, where the physiological sign parameters at least include one of a blood pressure parameter, a blood oxygen parameter, an electrocardiogram parameter, and a respiratory parameter; a second parameter measuring module 12, configured to obtain a motion parameter of the monitored object; a processor 13 for determining the posture of the monitored object according to the motion parameters; adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object; and controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode. The processor 13 is connected with the first parameter measuring module 11 and the second parameter measuring module 12, and the physiological characteristic parameters and the motion parameters are directly sent to the processor 13.
In this embodiment, referring to fig. 2 in conjunction with fig. 1, the first parameter measurement module 11 includes a parameter measurement cable 120, a pre-sampling circuit 130, at least three electrode pad connectors 140, an electrocardiograph electrode pad 150 and a blood oxygen probe 160, which are disposed in one-to-one correspondence with the electrode pad connectors 140. The electrode pad connector 140 is used to hold the electrocardio-electrode pads 150, and each electrocardio-electrode pad 150 is used to be attached to a certain part of the body of a patient to measure the electrocardiosignal of the part. The pre-sampling circuit 130 includes an anti-defibrillation circuit 132 and a body temperature measurement circuit. The anti-defibrillation circuit 132 is used to protect the ECG detection system from damage when defibrillation of the patient's heart is necessary to restore a normal heartbeat. The second parameter measuring module 12 comprises an accelerometer 131, the accelerometer 131 is arranged in the pre-sampling circuit 130, and the pre-sampling circuit 133 with the accelerometer 131 arranged therein can be clamped on the collar of the patient. The physiological characteristic parameters measured by the electrocardio electrode slice 150 and the blood oxygen probe 160 and the motion parameters measured by the accelerometer 131 are respectively transmitted to the processor 13, and the processor 13 determines the posture of the monitored object according to the motion parameters; adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object; and controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode. The processor 13 is located within the wearable physiological parameter monitoring device 110 or is connected to the wearable physiological parameter monitoring device 110. The wearable physiological parameter monitoring device 110 is connected to one end of the parameter measurement cable 120 and is connected to the blood oxygen probe 160. The anti-defibrillation circuit 132 and the at least three electrode pad connectors 140 are sequentially connected in series on the parameter measurement cable 120 from the end close to the wearable physiological parameter monitoring device 110 to the end far away from the wearable physiological parameter monitoring device 110. It is understood that the processor 13 may also be located in an external device communicatively connected to the wearable physiological parameter monitoring device 110 for receiving the physiological parameters and the motion parameters transmitted from the wearable physiological parameter monitoring device 110, the external device including but not limited to a bedside monitor or a central station. It is understood that in other embodiments of the present application, the accelerometer 131 may also be other motion sensors, such as a speed sensor, as long as it can acquire parameters for determining the motion state, which is not limited herein.
Fig. 3 is a schematic structural diagram of a mobile monitoring system according to an embodiment of the present application, and referring to fig. 3 in combination with fig. 1 and fig. 2, the mobile monitoring device 10 is connected to a bedside monitor 32 through a WMTS or Wifi method, and information of the bedside monitor 32 can be collected and displayed in a central monitoring station 33. When the patient is indoors, the mobile monitoring device 10 sends the collected physiological parameters of blood oxygen, blood pressure, electrocardio and the like of the patient to the bedside monitor 32; if the patient is outdoors, the mobile monitoring device 10 preferentially collects parameters of blood oxygen, blood pressure, electrocardiogram, etc. of the patient and sends the parameters to the bedside monitor 32, but if the sending fails, the collected parameters of blood oxygen, blood pressure, electrocardiogram, etc. of the patient are sent to the central monitoring station 33, in this case, the physiological parameters of blood oxygen, blood pressure, electrocardiogram, etc. of the patient collected by the mobile monitoring device 10 at this moment will not appear on the bedside monitor 32. Here, no matter which measurement mode the mobile monitoring device 10 is in, the mobile monitoring device 10 returns the measured physiological sign parameters to the bedside monitor 32 in real time, and if the bedside monitor 32 fails to receive the measured physiological sign parameters when the mobile monitoring device 10 sends the measured physiological sign parameters to the bedside monitor 32, the mobile monitoring device 10 feeds the measured physiological sign parameters back to the central monitoring station 33; thus ensuring that the physiological sign parameters of the patient are saved for subsequent viewing
Here, the mobile monitoring device 10 is used for measuring physiological parameters and/or non-physiological parameters of a monitored subject, which may be a patient or any person needing to be monitored; the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters. The motion parameters are included in the non-physiological parameters, and the non-physiological parameters at least include: sleep parameters, pain parameters, motion parameters, etc., and the motion parameters may be the acceleration of motion of the monitored subject, etc. Acquiring the acceleration of the monitored subject from an accelerometer 131 located in the mobile monitoring device 10; the number of the accelerometers 131 may be several, and when the number of the accelerometers 131 is one, the accelerometer is located on the torso of the subject, for example, clipped on the collar of the subject. The number of the accelerometers 131 is multiple, and the accelerometers are located on the trunk and the limbs of the monitored object. When the number of the accelerometers 131 is multiple, the motion parameters of more parts can be collected, so that the subsequent judgment result is more accurate. It is to be understood that, since the accelerometer 131 is mounted on the upper body of the monitored subject, the upright state in this application is used to represent that the upper body of the monitored subject is in the upright state, and the upright state in this application includes a standing state and a sitting state.
Specifically, the processor 13 adjusting the measurement mode of the mobile monitoring device 10 according to the posture of the monitored subject includes: and acquiring the measurement frequency according to the posture of the monitored object, inquiring a corresponding measurement mode according to the measurement frequency, and adjusting the corresponding measurement mode into the measurement mode of the mobile monitoring equipment. Wherein the measurement mode is set according to different measurement frequencies. The measurement modes of the mobile monitoring device 10 include at least: a continuity measurement mode and a discreteness measurement mode, wherein: the continuous measurement mode is that the mobile monitoring equipment measures the monitored object at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the monitored object at a preset second measurement frequency; the first measurement frequency is greater than the second measurement frequency. In another embodiment of the present application, the continuous measurement mode is that the mobile monitoring device measures the monitored object at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the electrocardio and/or the blood oxygen of the monitored object at a preset second measurement frequency, and measures the respiration and/or the blood pressure of the monitored object at a third measurement frequency; wherein the first measurement frequency is greater than the second measurement frequency, and the third measurement frequency is zero. It is understood that in the discrete measurement mode in this embodiment, the mobile monitor will reduce the measurement frequency of the ecg signal and the oximetry signal, and stop the measurement of parameters such as respiration and non-invasive blood pressure. Meanwhile, the Electrocardiogram (ECG) alarm threshold and the blood oxygen alarm threshold of the mobile monitoring device are also relaxed correspondingly. Through the setting, make mobile monitoring equipment can be according to the gesture of monitored object selection measuring frequency correspondingly, then look for corresponding measurement mode according to measurement frequency, adjust mobile monitoring equipment to the physiological parameter under this mode again and measure, make mobile monitoring equipment can be according to monitored object's gesture self-adaptation adjustment measuring frequency, react patient's state through the gesture, thereby can be when patient's state is better, adopt the discrete measurement mode, when patient's state is relatively poor, in time carry out real-time supervision to patient's physiological state.
Example one
As shown in fig. 1, in this embodiment, the processor 13 determines the posture of the monitored object according to the motion parameter.
In this embodiment, the posture of the object includes standing, lying on one side, and lying on the other side, and the processor 13 determines whether the object is in a lying on one side, lying on the other side, or standing upright state, based on a motion parameter such as acceleration.
In this embodiment, the motion parameter is acceleration. Correspondingly, the processor 13 determines the body posture of the monitored subject from the acceleration. Specifically, since the accelerometer is a three-axis accelerometer, x, y, and z are acceleration magnitudes in three axes of the accelerometer. With reference to fig. 1, as shown in fig. 4, the acceleration measured by the accelerometer is a three-dimensional vector parameter, the positive direction of the x-axis of the three-dimensional vector parameter is perpendicular to the direction in which the coronal plane of the monitored object 501 faces forward, the positive direction of the y-axis of the three-dimensional vector parameter is perpendicular to the direction in which the sagittal plane of the monitored object 501 faces right, and the positive direction of the z-axis of the three-dimensional vector parameter is perpendicular to the direction in which the horizontal plane faces downward, and the amplitude of the accelerometer is calculated by using formula (1:
Figure PCTCN2018125789-APPB-000001
here, x, y, and z are acceleration magnitudes in three axis directions of the accelerometer, respectively. Further, determining a second included angle according to the second acceleration and the amplitude of the acceleration, wherein the second included angle is an included angle between the direction of the acceleration and the direction of the y axis; determining a third included angle according to the third acceleration and the amplitude of the acceleration, wherein the third included angle is an included angle between the direction of the acceleration and the direction of the z axis; and determining the body posture of the monitored object according to the first included angle, the second included angle and the third included angle.
As shown in equation (2), the included angles between the acceleration direction of the accelerometer and the three axial directions can be calculated:
Figure PCTCN2018125789-APPB-000002
in formula (2), first, a first included angle is determined according to the first acceleration and the amplitude of the acceleration, where the first included angle is an included angle between the direction of the acceleration and the direction of the x-axis (i.e., an included angle θ)x) (ii) a Determining a second included angle according to the second acceleration and the amplitude of the acceleration, wherein the second included angle is an included angle between the direction of the acceleration and the direction of the y axis (namely an included angle theta)y) (ii) a Determining a third included angle according to the third acceleration and the amplitude of the acceleration, wherein the third included angle is an included angle between the direction of the acceleration and the direction of the z axis (namely an included angle theta)z) (ii) a Then, judging the minimum of the first included angle, the second included angle and the third included angle, and if the first included angle is the minimum included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in a lying state; if the second included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in a lying state; if the third included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in an upright state; thus, the patient is judged to be in the upright state, the side lying state or the flat lying state.
The processor 13 further adjusts the measurement mode of the mobile monitoring device in accordance with the posture of the monitored subject.
In this embodiment, when the body posture is determined to be upright, the processor 13 adjusts the measurement mode of the mobile monitoring device 10 to a discrete measurement mode; when it is determined that the body posture is lying on its side or on its back, the processor 13 adjusts the measurement mode of the mobile monitoring device 10 to a continuous measurement mode.
In this embodiment, the mobile monitoring device 10 can adjust the measurement mode directly according to whether the monitored subject is lying on his side, lying on his back, or standing upright. When the monitored object is in an upright state, the monitored object is in a good state, and the measurement mode is adjusted to be a discrete measurement mode; when the monitored object is in a lateral lying state or a horizontal lying state, the situation that the monitored object is poor in state or falls down and the like is indicated, and the measurement mode is adjusted to be a continuous measurement mode.
Example two
In this embodiment, the posture of the monitored subject includes a body posture and a body dynamics of the monitored subject; wherein the body posture includes upright, lying on side and lying down; body dynamics include motion states and rest states.
As shown in fig. 1, the processor 13 is further configured to determine whether the object is moving and whether the object is lying on its side, or standing upright, according to a motion parameter, such as acceleration.
In particular, the processor 13 is further configured to determine the body posture and body dynamics of the monitored subject. In this embodiment, the method for determining whether the body posture of the monitored subject is lying on its side, lying on its back, or standing upright is the same as that described in the first embodiment, and therefore, the description thereof is omitted. The following describes a method of determining body dynamics.
Since the accelerometer is a three-axis accelerometer, the processor 13 may calculate the magnitude of the acceleration according to equation (1), and when the magnitude is greater than a set threshold, it may be determined that the patient is in a moving state, otherwise, the patient is in a static state.
Figure PCTCN2018125789-APPB-000003
For example, the preset threshold is 1.2, and if the amplitude of the acceleration is greater than 1.2, it indicates that the monitored object is moving, i.e. in a moving state; if the amplitude of the acceleration is less than 1.2 and is close to 0, the monitored object basically has no motion, namely is in a static state; in this embodiment, the stationary state may be a state in which the movement amplitude of the object is small, such as a jerk or the like. Preferably, a preset time period may be set, and when the duration of the acceleration amplitude greater than the threshold exceeds the preset time period, it is determined that the monitored object is in a motion state. In this case, when the acceleration amplitude is larger than the threshold value but the duration is shorter than the preset time period, it is determined that the object is still in a stationary state. In this embodiment, the body dynamics of the monitored subject is determined by the magnitude of the acceleration, and the body posture of the monitored subject is determined by the first angle, the second angle, and the third angle as described in the first embodiment.
The order of determining the body posture and the body state of the monitored subject is not limited.
In the first case, the body movement of the object is determined, and then the body posture of the object is determined. At this time, the processor 13 is further configured to: when the body of the monitored object is in a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode; when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture. Wherein, when the body dynamics of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring device in combination with the body posture comprises: when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode; when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode. Here, if the object is in a moving state and in an upright posture, it is preferable to describe the physical condition of the object, and since the object can autonomously perform an upright movement and continuous detection is not necessary, the measurement mode is adjusted to a discrete measurement mode.
In the second case, the body posture of the object is determined, and then the body movement of the object is determined. At this time, the processor 13 is configured to: when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode; determining a measurement mode in combination with a body dynamics of the monitored subject when the body posture of the monitored subject is in an upright state. Wherein, when the body posture of the monitored subject is an upright state, determining a measurement mode in combination with the body dynamics of the monitored subject includes: when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
In a third case, the body posture and the body dynamics of the monitored subject are determined simultaneously. At this time, the processor 13 is configured to: when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode; and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode.
It can be understood that, when the monitored object is passively pushed out of the ward, the trunk of the monitored object does not have obvious fluctuation of the acceleration amplitude, and therefore, the method of determining the motion amplitude through the accelerometer on the trunk of the monitored object and further determining whether the monitored object is in the motion state can be used for identifying the autonomous motion of the monitored object. The present embodiment achieves the effect that when the object is in the autonomous moving state and the body posture is in the upright state, it means that the object is autonomously moving upright, and therefore, the state of the object is good, and the measurement mode can be adjusted to the discrete measurement mode, and measurement can be performed for the object at a low measurement frequency. Furthermore, according to the specific situation of the monitored object, the measurement of some physiological parameters of the monitored object may be stopped or the heartbeat alarm threshold may be raised, for example, when the monitored object is in the operation recovery period but the blood pressure is always normal, the measurement of the blood pressure may be temporarily stopped when the monitored object performs normal outdoor activities, which may not only ensure the monitoring of the monitored object, but also save power consumption. In addition, in other situations, for example, when the subject is in a still state, the subject may not be able to move autonomously, or an emergency occurs during the movement, which causes the subject to stop moving or sit down, in which case the measurement mode needs to be adjusted to a continuous measurement mode to pay attention to the change of the physiological parameter of the subject in real time. If the subject lies on his side or on his back, the subject may not be able to move autonomously, or the patient may fall down due to an emergency during the movement, and the like, the measurement mode needs to be adjusted to a continuous measurement mode to pay attention to the change of the physiological parameter of the subject in real time. By the method, the measuring mode of the mobile monitoring equipment can be automatically adjusted according to the actual condition of the detected object.
EXAMPLE III
The present embodiment is different from the second embodiment in that the present embodiment further adjusts the measurement mode of the mobile monitoring device according to the position of the monitored object and the posture of the monitored object.
Further, as shown in fig. 1, the processor 13 is further configured to: the method comprises the steps of obtaining the position of a monitored object, and adjusting the measurement mode of the mobile monitoring equipment according to the position of the monitored object and the posture of the monitored object. When the monitored object is in the ward, the monitored object is measured by adopting a continuous measurement mode. When the monitored object is outside the ward, the measurement mode is further adjusted by combining the posture of the monitored object.
In this embodiment, the processor 13 is further configured to: and acquiring the link signal intensity of the wireless connection of the mobile monitoring equipment, and judging the position of the monitored object according to the link signal intensity. For example, in a ward, the wireless connection of the mobile monitoring device is WMTS connection, and at this time, it is determined whether the object is located outdoors or indoors based on the link signal strength of WMTS. When the link signal intensity of the WMTS is smaller than a preset threshold value, judging that the position of the monitored object is outside the ward; and when the link signal intensity of the WMTS is greater than or equal to a preset threshold value, judging that the position of the monitored object is positioned in the ward.
Furthermore, the connection mode of the mobile monitoring device can be set through the comparison of different link signal strengths. At this time, the processor 13 is further configured to: acquiring a first link signal strength of the mobile monitoring device and a second link signal strength of the mobile monitoring device; comparing the first link signal strength with the second link signal strength to obtain a comparison result; and setting a wireless connection mode and determining the position of the monitored object according to the comparison result. The first link signal is an indoor link signal, and the second link signal is an outdoor link signal. At this time, the processor 13 is further configured to: when the first link signal is larger than the second link signal, setting the wireless connection mode of the mobile monitoring equipment as indoor communication connection, determining that the monitored object is indoors, and adjusting the measurement mode to be a continuity measurement mode; when the first link signal is smaller than the second link signal, setting the wireless connection mode of the mobile monitoring equipment to be outdoor communication connection, determining that the monitored object is located outdoors, and adjusting the measurement mode of the mobile monitoring mode by combining the posture of the monitored object.
In this embodiment, the determination of the connection mode between the mobile monitoring device and the parameter display monitoring device is to determine whether the patient is in the ward, and it can be implemented in two ways: in the first mode, the first link signal is a WMTS signal, and the second link signal is a Wifi signal. When the Wifi signal is larger than the WMTS signal, setting the wireless connection mode of the mobile monitoring equipment as Wifi connection, and determining that the patient is out of the ward; and when the Wifi signal is smaller than the WMTS signal, setting the wireless connection mode of the mobile monitoring equipment as WMTS connection, setting the wireless connection mode of the mobile monitoring equipment as WMTS and determining that the patient is in the ward. In the second mode, the first link signal is an indoor Wifi signal, the second link signal is an outdoor Wifi signal, a router corresponding to the indoor Wifi signal is located in a ward, and if the indoor Wifi signal is larger than the outdoor Wifi signal, the wireless connection mode of the mobile monitoring device is set to be indoor Wifi signal connection, and it is determined that the patient is in the ward; if the indoor Wifi signal is smaller than the outdoor Wifi signal, the wireless connection mode of the mobile monitoring device is set to be outdoor Wifi signal connection, and it is determined that the patient is out of the ward. The mobile monitoring device employs a continuous measurement mode to measure the patient while the patient is in the ward, regardless of whether the patient is in motion or not, and regardless of the patient's body posture.
As described above, when the connection mode between the mobile monitoring device and the parameter display monitoring device is the outdoor connection mode, it means that the monitored object wears the mobile monitoring device to move outdoors, for example, a patient in the recovery period of an operation needs to move properly outside a ward, in this case, when the patient is outside the ward, the body posture of the patient is further determined, and when the body is in the body upright state, it indicates that the monitored object is performing the autonomous upright movement outdoors, and at this time, the mobile monitoring device is switched from the original continuous measurement mode to the discrete measurement mode, so that close attention to the physiological parameters of the patient can be ensured, and the measurement power consumption can be saved.
In the embodiment, the connection mode of the mobile monitoring device and the parameter display monitoring device is determined through the link signal strength; and judging the position of the object according to the connection mode.
The indoor communication connection is WMTS connection and the outdoor communication connection is Wifi connection as the preferred embodiment. Similarly to the second embodiment, the posture of the monitored subject includes a body posture and a body movement, and the following three cases are described depending on the order in which the body posture and the body movement are determined.
In the first case, body dynamics are determined before body posture is determined. When the first link signal is smaller than the second link signal, the processor 13 is configured to: setting the wireless connection mode of the mobile monitoring equipment to be Wifi connection, determining that the monitored object is located outdoors, and adjusting the measurement mode of the mobile monitoring mode by combining the posture of the monitored object. Wherein adjusting the measurement mode of the mobile monitoring mode in combination with the posture of the monitored subject comprises: when the body of the monitored object is in a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode; when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture. Wherein, when the body dynamics of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring device in combination with the body posture comprises: when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode; when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode.
In the second case, the body posture is determined and then the body motion is determined. The processor 13 is configured to adjust the measurement mode of the mobile monitoring mode in conjunction with the posture of the monitored subject when the first link signal is less than the second link signal. Wherein said adjusting the measurement mode of the mobile monitoring mode in combination with the posture of the monitored subject further comprises: when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode; and when the body posture of the monitored object is in an upright state, determining a measurement mode by combining the body dynamics of the monitored object. Wherein, when the body posture of the monitored object is in an upright state, determining the measurement mode by combining the body dynamics of the monitored object comprises: when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
In a third case, body dynamics and body posture are determined simultaneously. The processor 13 is configured to: when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode; and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode.
It is to be appreciated that the present embodiment further adjusts the measurement mode of the mobile monitoring device in conjunction with the position of the monitored subject and the posture of the monitored subject. The position or the place where the patient is located and the motion state of the patient are judged to determine whether to switch the measurement mode of the mobile monitoring equipment, so that the intelligent switching of the measurement mode can be realized in the field of mobile monitoring, and the use requirements under multiple scenes are met. The embodiment can further distinguish the situations that the monitored object is positioned indoors for rehabilitation exercise and the like, and carry out the continuous measurement mode on the physiological parameters of the monitored object when the monitored object moves indoors. Similarly to the second embodiment, the method of this embodiment is adopted to determine the motion state, and when the monitored object is passively pushed out of the ward, the torso of the monitored object does not fluctuate obviously in acceleration amplitude, so the motion state in this application is used to represent the autonomous vertical motion of the monitored object. The present embodiment achieves the object that when the object is in the state of performing autonomous movement outdoors and the body posture is in the upright state, it indicates that the object can perform autonomous movement outdoors in an upright state, the state of the object is good, and the measurement mode can be adjusted to the discrete measurement mode. In addition to this, in other cases, for example, where the object is indoors, the continuity measurement mode is performed regardless of the body posture and the body dynamics of the object. When the object is outdoors and in a static state, the object may not move autonomously, or an emergency occurs during the movement, which causes the object to stop moving or sit down, and at this time, the measurement mode needs to be adjusted to a continuous measurement mode to pay attention to the change of the physiological parameter of the object in real time. Furthermore, if the subject lies on his side or on his back outdoors, the subject may not be able to move autonomously, or the patient may fall down due to an emergency during the movement, and the like, the measurement mode needs to be adjusted to a continuous measurement mode to pay attention to the change of the physiological parameter of the subject in real time. By the method, the measuring mode of the mobile monitoring equipment can be automatically adjusted more accurately according to the actual condition of the detected object.
In this embodiment, when the patient is indoors, no matter the patient sits on the bed, moves indoors, or does any action, the mobile monitor and the bedside monitor are connected in a WMTS manner, so that the mobile monitor is in a continuous measurement mode at this time; when the patient leaves the room and walks outdoors or goes to water for meal, the connection mode of the mobile monitoring and the bedside monitor is changed from WMTS connection to WiFi connection, and meanwhile, the patient is detected to be in a motion state and the body is in an upright state, so that the measurement mode of the mobile monitoring device is switched from continuous measurement to discrete measurement mode. If the patient is sitting on the wheelchair and pushed out from the room by the medical staff or family members, the processor will determine that the patient is in a static state, and the measurement mode of the mobile monitoring device and the bedside monitoring device is still kept constant although the connection mode is changed. If the patient is lying on a stretcher or pushed out by a medical staff in bed, the measurement mode of the mobile monitoring device is also a continuous measurement mode because the body posture of the patient is determined by the processor to be in a non-upright state. When the patient returns from outdoors to indoors, whatever the previous measurement mode of the mobile monitoring device, the continuous measurement mode is changed as the connection state of the mobile monitoring and bedside monitor is changed to WMTS.
In this embodiment, the mobile monitoring device is capable of providing effective physiological state monitoring during the gradual rehabilitation of the patient without affecting the patient's daily activities. And aiming at different patient use scenes, the mobile monitoring equipment can intelligently switch different measurement modes so as to achieve the aims of low power consumption and low false alarm.
It should be noted that, if the mobile monitoring measurement method is implemented in the form of a software functional module and sold or used as a stand-alone product, it can also be stored in a computer readable storage medium. Based on such understanding, the technical solutions of the embodiments of the present application may be essentially implemented or portions thereof contributing to the prior art may be embodied in the form of a software product stored in a storage medium, and including several instructions for causing a computer device (which may be a personal computer, a server, or a network device) to execute all or part of the methods described in the embodiments of the present application. And the aforementioned storage medium includes: various media capable of storing program codes, such as a usb disk, a removable hard disk, a Read Only Memory (ROM), a magnetic disk, or an optical disk. Thus, embodiments of the present application are not limited to any specific combination of hardware and software.
Accordingly, an embodiment of the present application further provides a computer storage medium, where computer-executable instructions are stored on the computer storage medium, and when executed by a processor, the computer-executable instructions implement the steps of the mobile monitoring measurement method provided in the foregoing embodiment.
The above description of the mobile monitoring system and computer storage medium embodiments is similar to the description of the method embodiments above, with similar beneficial effects as the method embodiments. For technical details not disclosed in the embodiments of the mobile monitoring system and the computer storage medium of the present application, reference is made to the description of the embodiments of the method of the present application for understanding.
Fig. 5 is a schematic flow chart of an implementation of the mobile monitoring measurement method according to an embodiment of the present invention, and as shown in fig. 5, the method is applied to a mobile monitoring device, and the mobile monitoring device is used for measuring physiological sign parameters and/or non-physiological sign parameters of a monitored subject, and the method includes the following steps:
in step S501, a physiological parameter of the subject is measured.
Here, the mobile monitoring device is used for measuring physiological sign parameters and/or non-physiological sign parameters of a monitored subject, and the monitored subject may be a patient or any person needing to be monitored; the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters.
Step S502, obtaining a motion parameter of the monitored object.
The motion parameters are included in the non-physiological parameters, and the non-physiological parameters at least include: sleep parameters, pain parameters, motion parameters, etc., and the motion parameters may be the acceleration of motion of the monitored subject, etc. The step S502 may be understood as obtaining the acceleration of the monitored object from an accelerometer located on the mobile monitoring device; in one embodiment, the accelerometer is built into the pre-sampling circuit. The number of accelerometers may be several, and when the number of accelerometers is one, the accelerometer is located on the torso of the subject, for example, clipped on the collar of the subject. The number of the accelerometers is multiple, and the accelerometers are located on the trunk and the limbs of the monitored object. When the number of the accelerometers is multiple, the motion parameters of more parts can be collected, so that the subsequent judgment result is more accurate. For example, the accelerometer is placed on one wrist, one neck, one waist and the like of the monitored object, and the motion state of the monitored object is more accurately judged by performing integrated operation through a plurality of accelerometers; therefore, the accelerometers on the trunk of the patient are used for monitoring body posture and dynamic state, and the accelerometers on the limbs of the patient are mainly used for monitoring the dynamic state of the body, so that the effect of assisting in judging the body dynamic state is achieved, and the body dynamic state judgment accuracy is improved. It is to be understood that, since the accelerometer is mounted on the upper body of the monitored subject, the upright state in this application is used to characterize that the upper body of the monitored subject is in the upright state, and the upright state in this application includes a standing state and a sitting state.
Step S503, determining the posture of the monitored object according to the motion parameter.
Step S504, adjusting the measurement mode of the mobile monitoring device according to the posture of the monitored object.
Specifically, adjusting the measurement mode of the mobile monitoring device according to the posture of the monitored subject includes: acquiring measurement frequency according to the posture of the monitored object, inquiring a corresponding measurement mode by the measurement frequency, and adjusting the corresponding measurement mode into the measurement mode of the mobile monitoring equipment; or directly acquiring a measurement mode through the attitude of the monitored object, wherein the measurement mode is divided according to different measurement frequencies.
And step S505, controlling the mobile monitoring device to perform measurement on the monitored object according to the measurement mode.
Step S503 and step S504 are explained below according to different embodiments.
Step S503, determining the posture of the monitored object according to the motion parameter.
In this embodiment, the posture of the object includes standing, lying on one side, and lying on the other side, and the step S503 may be understood as determining whether the object is in a lying on one side, or standing upright state according to a motion parameter, such as acceleration.
Step S504, adjusting a measurement mode of the mobile monitoring device according to the posture of the monitored object.
In this embodiment, step S504 further includes: when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode; when the body posture is determined to be lying on side or lying on back, adjusting the measurement mode of the mobile monitoring device to be a continuous measurement mode.
In this embodiment, the mobile monitoring device can adjust the measurement mode directly according to whether the monitored subject is lying on his side, lying on his back, or standing upright. When the object is in the standing state, the object is in a good state, and the measurement mode is adjusted to be the discrete measurement mode.
In one embodiment of the present application, the posture of the monitored subject includes a body posture and a body dynamics of the monitored subject; wherein the body posture includes upright, lying on side and lying down; body dynamics include motion states and rest states.
The step S503 may be understood as determining whether the object is moving and whether the object is lying on its side, lying on its back, or standing upright, based on a motion parameter, such as acceleration.
Specifically, step S503 further includes determining the body posture and body dynamics of the monitored subject. In this embodiment, the method for determining the body posture of the monitored object is the same as that described in the first embodiment, and is not described herein again. The following describes a method of determining body dynamics.
Since the accelerometer is a three-axis accelerometer, the amplitude of the acceleration may be calculated by using formula (1) in step S503, and when the amplitude is greater than the set threshold, it may be determined that the patient is in a moving state, otherwise, the patient is in a static state.
The order of determining the body posture and the body state of the monitored subject is not limited.
When determining the body movement of the object and then determining the body posture of the object, step S504 further includes: when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture; and when the body dynamic state of the monitored object is a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode. Wherein, when the body dynamics of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring device in combination with the body posture comprises: when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode; when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode. When the body movement of the monitored object is in a static state, the measurement mode is adjusted to a continuous measurement mode. Here, if the subject is in a moving state and in an upright posture, it is assumed that the physical condition of the subject is good and continuous detection is not necessary, and therefore the measurement mode is adjusted to a discrete measurement mode.
Similarly, the body posture of the object may be determined first, and then the body dynamics of the object may be determined, in this case, step S504 further includes: when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode; determining a measurement mode in combination with a body dynamics of the monitored subject when the body posture of the monitored subject is in an upright state. Wherein, when the body posture of the monitored subject is an upright state, determining a measurement mode in combination with the body dynamics of the monitored subject includes: when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
Similarly, the body posture and the body dynamics of the monitored object may also be determined simultaneously, at this time, step S504 further includes: when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode; and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode. By the method, the measuring mode of the mobile monitoring equipment can be automatically adjusted according to the actual condition of the detected object.
In another embodiment of the present application, the measurement mode of the mobile monitoring device is also adjusted based on the position of the monitored subject and the posture of the monitored subject.
Further, step S504 further includes: the method comprises the steps of obtaining the position of a monitored object, and adjusting the measurement mode of the mobile monitoring equipment according to the position of the monitored object and the posture of the monitored object. When the monitored object is in the ward, the monitored object is measured by adopting a continuous measurement mode. When the monitored object is outside the ward, the measurement mode is further adjusted by combining the posture of the monitored object.
In this embodiment, step S504 further includes: and acquiring the link signal intensity of the wireless connection of the mobile monitoring equipment, and judging the position of the monitored object according to the link signal intensity. For example, in a ward, the wireless connection of the mobile monitoring device is WMTS connection, and at this time, it is determined whether the object is located outdoors or indoors based on the link signal strength of WMTS. And when the link signal intensity of the WMTS is smaller than a preset threshold value, judging that the position of the monitored object is outside the ward.
Further, the connection mode of the mobile monitoring device can be judged through comparison of different link signal strengths. Step S504 further comprises: acquiring a first link signal strength of the mobile monitoring device and a second link signal strength of the mobile monitoring device; comparing the first link signal strength with the second link signal strength to obtain a comparison result; setting a wireless connection mode according to the comparison result; and determining the position of the object according to the wireless connection mode. The first link signal is an indoor link signal, and the second link signal is an outdoor link signal. When the first link signal is larger than the second link signal, setting the wireless connection mode of the mobile monitoring equipment as indoor communication connection, determining that the monitored object is indoors, and adjusting the measurement mode to be a continuity measurement mode; when the first link signal is smaller than the second link signal, setting the wireless connection mode of the mobile monitoring equipment to be outdoor communication connection, determining that the monitored object is located outdoors, and adjusting the measurement mode of the mobile monitoring mode by combining the posture of the monitored object.
In this embodiment, the determination of the connection mode between the mobile monitoring device and the parameter display monitoring device is to determine whether a patient is in a ward, and can be implemented in two ways: the first is that: the first link signal is a WMTS signal, and the second link signal is a Wifi signal. When the Wifi signal is larger than the WMTS signal, setting the wireless connection mode of the mobile monitoring equipment as Wifi connection, and determining that the patient is out of the ward; and when the Wifi signal is smaller than the WMTS signal, setting the wireless connection mode of the mobile monitoring equipment as WMTS connection, setting the wireless connection mode of the mobile monitoring equipment as WMTS and determining that the patient is in the ward. Secondly, the following steps: the first link signal is an indoor Wifi signal, the second link signal is an outdoor Wifi signal, a router corresponding to the indoor Wifi signal is located in a ward, and if the indoor Wifi signal is larger than the outdoor Wifi signal, the wireless connection mode of the mobile monitoring equipment is set to be indoor Wifi signal connection, and it is determined that the patient is in the ward; if the indoor Wifi signal is smaller than the outdoor Wifi signal, the wireless connection mode of the mobile monitoring device is set to be outdoor Wifi signal connection, and then the patient is out of the ward. The mobile monitoring device employs a continuous measurement mode to measure the patient while the patient is in the ward, regardless of whether the patient is in motion, and regardless of the patient's body posture.
As described above, when the connection mode between the mobile monitoring device and the parameter display monitoring device is the outdoor connection mode, it means that the monitored object wears the mobile monitoring device to move outdoors, for example, a patient in the recovery period of an operation needs to move properly outside a ward, in this case, when the patient is outside the ward, the body posture of the patient is further determined, and when the body is in a body upright state and is moving, the mobile monitoring device is switched from the original continuous measurement mode to the discrete measurement mode, so that close attention to the physiological parameters of the patient can be ensured, and the measurement power consumption can be saved.
In the embodiment, the connection mode of the mobile monitoring device and the parameter display monitoring device is determined through the link signal strength; and judging the position of the object according to the connection mode.
The indoor communication connection is WMTS connection and the outdoor communication connection is Wifi connection as the preferred embodiment. Similarly to the second embodiment, the posture of the monitored object includes a body posture and a body movement, when the body movement is determined first and then the body posture is determined, and when the first link signal is smaller than the second link signal, the wireless connection mode of the mobile monitoring device is set to be a WIFI connection, and the monitored object is determined to be located outdoors, and the measurement mode of the mobile monitoring mode is adjusted by combining the posture of the monitored object, further including: when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture; and when the body dynamic state of the monitored object is a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode. Wherein, when the body dynamics of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring device in combination with the body posture comprises: when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode; when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode.
When the body posture is determined first and then the body movement is judged, when the first link signal is smaller than the second link signal, the adjusting the measurement mode of the mobile monitoring mode by combining the posture of the monitored object comprises: when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode; and when the body posture of the monitored object is in an upright state, determining a measurement mode by combining the body dynamics of the monitored object. Wherein, when the body posture of the monitored object is in an upright state, determining the measurement mode by combining the body dynamics of the monitored object comprises: when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
When determining the body dynamics and the body posture simultaneously, the wireless connection mode of the mobile monitoring device is WIFI connection, the monitored object is located outdoors, and the measurement mode of the mobile monitoring device is adjusted according to the posture of the monitored object, including: when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode; and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode.
The above process is exemplified below.
Fig. 6 is a schematic flow chart of another implementation of a measurement method of a mobile monitoring device according to an embodiment of the present application, as shown in fig. 6, the method includes the following steps:
step S601, judging whether the mobile monitoring and the bedside monitor are connected through WiFi or not;
here, if the mobile monitoring and the bedside monitor are not connected through WiFi, go to step S905; if the mobile monitor and the bedside monitor are connected through WiFi, the process proceeds to step S902.
Step S602, judging whether the patient is in a motion state according to the amplitude of the acceleration measured by the accelerometer.
Here, when the magnitude of the acceleration of formula (1) is greater than the set threshold value, it is determined that the patient is in a moving state, otherwise, the patient is in a stationary state. If the patient is in motion, go to step S903; if the patient is not in motion, the process proceeds to step S905.
And step S603, judging whether the patient is in an upright posture or not according to included angles between the acceleration direction and the directions of the x axis, the y axis and the z axis.
Here, when the angle between the direction of acceleration and the positive direction of the z-axis is the smallest in formula (2), it is determined that the patient is in an upright state. If the body posture of the patient is in the upright posture, the step S904 is entered; if the body posture of the patient is not in the upright posture, the procedure proceeds to step S905.
Step S604, the measurement mode of the mobile monitoring device is switched to a discrete measurement mode.
Under the discrete measurement mode, the mobile monitoring can reduce the measurement frequency of electrocardiosignals and blood oxygen signals and stop the measurement of parameters such as respiration, noninvasive blood pressure and the like. Meanwhile, the Electrocardiogram (ECG) alarm threshold and the blood oxygen alarm threshold of the mobile monitoring device are also relaxed correspondingly.
Step S605, the measurement mode of the mobile monitoring device is switched to a continuous measurement mode.
Here, the continuous measurement mode refers to real-time measurement and monitoring of the physiological status of the patient, and the alarm threshold and the alarm strategy are set by medical staff or default thresholds and strategies of the system. When the mobile monitor is in the continuous measurement mode, the measured parameters are returned to the bedside monitor in real time.
In this embodiment, the mobile monitoring device is capable of providing effective physiological state monitoring during the gradual rehabilitation of the patient without affecting the patient's daily activities. And aiming at different patient use scenes, the mobile monitoring equipment can intelligently switch different measurement modes so as to achieve the aims of low power consumption and low false alarm.
It should be appreciated that reference throughout this specification to "one embodiment" or "an embodiment one," etc., means that a particular feature, structure, or characteristic described in connection with the embodiment is included in at least one embodiment of the present application. Thus, the appearances of the phrases "in one embodiment" or "in an embodiment" in various places throughout this specification are not necessarily all referring to the same embodiment. Furthermore, the particular features, structures, or characteristics may be combined in any suitable manner in one or more embodiments. It should be understood that, in the various embodiments of the present application, the sequence numbers of the above-mentioned processes do not mean the execution sequence, and the execution sequence of each process should be determined by its function and inherent logic, and should not constitute any limitation to the implementation process of the embodiments of the present application. The above-mentioned serial numbers of the embodiments of the present application are merely for description and do not represent the merits of the embodiments.
In the several embodiments provided in the present application, it should be understood that the disclosed apparatus and method may be implemented in other ways. The above-described device embodiments are merely illustrative, for example, the division of the unit is only a logical functional division, and there may be other division ways in actual implementation, such as: multiple units or components may be combined, or may be integrated into another system, or some features may be omitted, or not implemented. In addition, the coupling, direct coupling or communication connection between the components shown or discussed may be through some interfaces, and the indirect coupling or communication connection between the devices or units may be electrical, mechanical or other forms.
The units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units; can be located in one place or distributed on a plurality of network units; some or all of the units can be selected according to actual needs to achieve the purpose of the solution of the embodiment.
The above description is only for the embodiments of the present application, but the scope of the present application is not limited thereto, and any person skilled in the art can easily conceive of changes or substitutions within the technical scope of the present application, and shall be covered by the scope of the present application. Therefore, the protection scope of the present application shall be subject to the protection scope of the claims.

Claims (67)

  1. A mobile monitoring measurement method is applied to mobile monitoring equipment, and is characterized by comprising the following steps:
    measuring physiological sign parameters of the monitored object, wherein the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardio parameters and respiratory parameters;
    acquiring a motion parameter of the monitored object;
    determining the posture of the monitored object according to the motion parameters;
    adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object;
    and controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode.
  2. The method of claim 1, wherein adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject comprises: and acquiring a measurement frequency according to the posture of the monitored object, inquiring a corresponding measurement mode according to the measurement frequency, and adjusting the corresponding measurement mode to be the measurement mode of the mobile monitoring equipment.
  3. The method according to claim 1, wherein the measurement mode of the mobile monitoring device comprises at least: a continuity measurement mode and a dispersion measurement mode.
  4. The method according to claim 3, wherein the continuity measurement mode is a mode in which the mobile monitoring device measures the monitored subject at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the monitored object at a preset second measurement frequency; the first measurement frequency is greater than the second measurement frequency; or
    The continuous measurement mode is that the mobile monitoring equipment measures the monitored object at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the electrocardio and/or the blood oxygen of the monitored object at a preset second measurement frequency, and measures the respiration and/or the blood pressure of the monitored object at a third measurement frequency; wherein the first measurement frequency is greater than the second measurement frequency, and the third measurement frequency is zero.
  5. The method of claim 4, wherein the posture of the monitored subject includes a body posture and a body dynamics of the monitored subject.
  6. The method of claim 5, wherein the body position comprises at least one of upright, lying on its side, and lying on its back; the body dynamics include a motion state and/or a rest state.
  7. The method of claim 6, wherein the adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject comprises:
    when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture;
    and when the body dynamic state of the monitored object is a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode.
  8. The method of claim 7, wherein adjusting the measurement mode of the mobile monitoring device in conjunction with the body posture when the body dynamics of the monitored subject is in motion comprises:
    when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode;
    when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode.
  9. The method of claim 6, wherein the adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject comprises:
    when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode;
    and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode.
  10. The method of claim 6, wherein the adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject comprises: when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode;
    determining a measurement mode in combination with a body dynamics of the monitored subject when the body posture of the monitored subject is in an upright state.
  11. The method of claim 10, wherein determining a measurement pattern in conjunction with body dynamics of the subject when the body posture of the subject is upright comprises:
    when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
  12. The method of claim 1, wherein prior to adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject, comprising: acquiring the position of a monitored object;
    the adjusting the measurement mode of the mobile monitoring device according to the posture of the monitored subject further comprises:
    and adjusting the measurement mode of the mobile monitoring equipment according to the position of the monitored object and the posture of the monitored object.
  13. The method of claim 12, wherein obtaining the location of the monitored object comprises: and acquiring the link signal intensity of the wireless connection of the mobile monitoring equipment, and judging the position of the monitored object according to the link signal intensity.
  14. The method of claim 13, wherein obtaining link signal strength of the wireless connection of the mobile monitoring device, and wherein determining the location of the monitored subject based on the link signal strength comprises:
    acquiring a first link signal strength of the mobile monitoring device and a second link signal strength of the mobile monitoring device;
    comparing the first link signal strength with the second link signal strength to obtain a comparison result;
    setting a wireless connection mode and determining the position of the monitored object according to the comparison result;
    the first link signal is an indoor link signal, and the second link signal is an outdoor link signal.
  15. The method according to claim 14, wherein the measurement mode of the mobile monitoring device comprises at least: a continuity measurement mode and a dispersion measurement mode.
  16. The method according to claim 15, wherein the continuity measurement mode is a mode in which the mobile monitoring device measures the monitored subject at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the monitored object at a preset second measurement frequency; the first measurement frequency is greater than the second measurement frequency; or
    The continuous measurement mode is that the mobile monitoring equipment measures the monitored object at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the electrocardio and/or the blood oxygen of the monitored object at a preset second measurement frequency, and measures the respiration and/or the blood pressure of the monitored object at a third measurement frequency; wherein the first measurement frequency is greater than the second measurement frequency, and the third measurement frequency is zero.
  17. The method of claim 16, wherein the setting a wireless connection and determining the location of the object based on the comparison comprises:
    when the first link signal is larger than the second link signal, setting the wireless connection mode of the mobile monitoring equipment to be WMTS connection, determining that the monitored object is indoors, and adjusting the measurement mode to be a continuity measurement mode;
    when the first link signal is smaller than the second link signal, setting the wireless connection mode of the mobile monitoring equipment to be WIFI connection, determining that the monitored object is outdoors, and adjusting the measurement mode of the mobile monitoring mode by combining the posture of the monitored object.
  18. The method of claim 17 wherein the posture of the monitored subject includes body posture and body dynamics.
  19. The method of claim 18, wherein the body position includes at least one of upright, lying on its side, and lying on its back; the body dynamics include a motion state and/or a rest state.
  20. The method of claim 19, wherein the setting the wireless connection mode of the mobile monitoring device to be a WIFI connection when the first link signal is smaller than the second link signal, the determining that the monitored subject is outdoors, and the adjusting the measurement mode of the mobile monitoring mode in combination with the posture of the monitored subject comprises:
    when the body of the monitored object is in a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode;
    when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture.
  21. The method of claim 20 wherein adjusting the measurement mode of the mobile monitoring device in conjunction with the body posture when the body dynamics of the monitored subject is in motion comprises:
    when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode;
    when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode.
  22. The method of claim 19, wherein the setting the wireless connection mode of the mobile monitoring device to be a WIFI connection when the first link signal is smaller than the second link signal, determining that the monitored subject is outdoors, and adjusting the measurement mode of the mobile monitoring mode according to the posture of the monitored subject comprises:
    when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode;
    and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode.
  23. The method of claim 19, wherein the setting the wireless connection mode of the mobile monitoring device to be a WIFI connection when the first link signal is less than the second link signal, the determining that the monitored subject is outdoors, and the adjusting the measurement mode of the mobile monitoring mode in combination with the posture of the monitored subject comprises: when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode;
    and when the body posture of the monitored object is in an upright state, determining a measurement mode by combining the body dynamics of the monitored object.
  24. The method of claim 23, wherein determining the measurement mode in conjunction with the body dynamics of the subject when the body posture of the subject is upright comprises:
    when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
  25. The method of claim 1, wherein the body position comprises at least one of upright, lying on its side, and lying on its back;
    the adjusting the measurement mode of the mobile monitoring device according to the posture of the monitored subject comprises:
    when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode;
    when the body posture is determined to be lying on side or lying on back, adjusting the measurement mode of the mobile monitoring device to be a continuous measurement mode.
  26. The method of claim 1, wherein the obtaining the motion parameters of the monitored subject comprises:
    acquiring the acceleration of the monitored object from an accelerometer positioned on the mobile monitoring equipment;
    correspondingly, the determining the posture of the monitored object according to the motion parameters comprises:
    determining a body posture and a body dynamics of the monitored subject from the acceleration.
  27. The method of claim 26 wherein the number of accelerometers is one and is located on the torso of the subject.
  28. The method of claim 26, wherein the number of accelerometers is multiple and is located on the torso and limbs of the subject.
  29. The method of claim 26 wherein determining the body dynamics of the monitored subject based on the acceleration comprises:
    determining a magnitude of the acceleration;
    if the amplitudes of the acceleration are larger than or equal to a preset threshold value in a preset time period, determining that the monitored object is in a motion state;
    and if the amplitudes of the acceleration are smaller than a preset threshold value within a preset time period, determining that the monitored object is in a static state.
  30. The method of claim 29 wherein the acceleration is a three-dimensional vector parameter, wherein the positive x-direction of the three-dimensional vector parameter is perpendicular to the anterior coronal aspect of the subject, the positive y-direction of the three-dimensional vector parameter is perpendicular to the right sagittal aspect of the subject, and the positive z-direction of the three-dimensional vector parameter is perpendicular to the downward horizontal aspect; the determining the magnitude of the acceleration comprises:
    determining an acceleration value of the acceleration in the x-axis direction as a first acceleration;
    determining an acceleration value of the acceleration in the y-axis direction as a second acceleration;
    determining an acceleration value of the acceleration in the z-axis direction as a third acceleration;
    and determining the amplitude of the acceleration according to the first acceleration, the second acceleration and the third acceleration.
  31. The method of claim 30 wherein determining the body posture of the monitored subject from the acceleration comprises:
    determining a first included angle according to the first acceleration and the amplitude of the acceleration, wherein the first included angle is an included angle between the direction of the acceleration and the direction of an x axis;
    determining a second included angle according to the second acceleration and the amplitude of the acceleration, wherein the second included angle is an included angle between the direction of the acceleration and the direction of the y axis;
    determining a third included angle according to the third acceleration and the amplitude of the acceleration, wherein the third included angle is an included angle between the direction of the acceleration and the direction of the z axis;
    and determining the body posture of the monitored object according to the first included angle, the second included angle and the third included angle.
  32. The method of claim 31, wherein determining the body posture of the monitored subject based on the first, second, and third angles comprises:
    if the first included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in a lying state;
    if the second included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in a lying state;
    and if the third included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in an upright state.
  33. The method according to claim 1, wherein after said controlling the mobile monitoring device to perform measurements of the monitored subject according to the measurement mode, the method further comprises:
    and sending the physiological sign parameters obtained by the mobile monitoring equipment in the measurement mode to external equipment.
  34. A mobile monitoring device, characterized in that the mobile monitoring device comprises:
    the first parameter measurement module is used for measuring physiological sign parameters of the monitored object, wherein the physiological sign parameters at least comprise one of blood pressure parameters, blood oxygen parameters, electrocardiogram parameters and breathing parameters;
    the second parameter measurement module is used for acquiring the motion parameters of the monitored object;
    a processor for determining a pose of the monitored object from the motion parameters;
    adjusting the measurement mode of the mobile monitoring equipment according to the posture of the monitored object;
    and controlling the mobile monitoring equipment to perform measurement on the monitored object according to the measurement mode.
  35. The mobile monitoring device of claim 34, wherein the setting of the measurement mode of the mobile monitoring device according to different measurement frequencies according to the posture of the monitored subject comprises: and acquiring a measurement frequency according to the posture of the monitored object, inquiring a corresponding measurement mode according to the measurement frequency, and adjusting the corresponding measurement mode to be the measurement mode of the mobile monitoring equipment.
  36. The mobile monitoring device of claim 34, wherein the measurement mode of the mobile monitoring device comprises at least: a continuity measurement mode and a discreteness measurement mode, wherein: the continuous measurement mode is that the mobile monitoring equipment measures the monitored object at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the monitored object at a preset second measurement frequency; the first measurement frequency is greater than the second measurement frequency; or
    The continuous measurement mode is that the mobile monitoring equipment measures the monitored object at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the electrocardio and/or the blood oxygen of the monitored object at a preset second measurement frequency, and measures the respiration and/or the blood pressure of the monitored object at a third measurement frequency; wherein the first measurement frequency is greater than the second measurement frequency, and the third measurement frequency is zero.
  37. The mobile monitoring device of claim 36, wherein the posture of the monitored subject includes a body posture and a body dynamics of the monitored subject.
  38. The mobile monitoring device of claim 37, wherein the body position includes at least one of upright, lying on its side, and lying on its back; the body dynamics include a motion state and/or a rest state.
  39. The mobile monitoring device of claim 38, wherein the adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject comprises:
    when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture;
    and when the body dynamic state of the monitored object is a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode.
  40. The mobile monitoring device of claim 39, wherein adjusting a measurement mode of the mobile monitoring device in conjunction with the body posture when the body dynamics of the monitored subject is in motion comprises:
    when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode;
    when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode.
  41. The mobile monitoring device of claim 38, wherein the adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject comprises:
    when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode;
    and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode.
  42. The mobile monitoring device of claim 38, wherein the adjusting the measurement mode of the mobile monitoring device based on the posture of the monitored subject comprises:
    when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode;
    determining a measurement mode in combination with a body dynamics of the monitored subject when the body posture of the monitored subject is in an upright state.
  43. The mobile monitoring device of claim 42, wherein determining a measurement mode in conjunction with the body dynamics of the monitored subject when the body posture of the monitored subject is upright comprises:
    when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
  44. The mobile monitoring device of claim 34, wherein prior to adjusting the measurement mode of the mobile monitoring device based on the pose of the monitored subject, the processor is further configured to: acquiring the position of a monitored object;
    the adjusting the measurement mode of the mobile monitoring device according to the posture of the monitored subject further comprises:
    and adjusting the measurement mode of the mobile monitoring equipment according to the position of the monitored object and the posture of the monitored object.
  45. The mobile monitoring device of claim 44, wherein the obtaining the location of the monitored subject comprises: and acquiring the link signal intensity of the wireless connection of the mobile monitoring equipment, and judging the position of the monitored object according to the link signal intensity.
  46. The mobile monitoring device of claim 45, wherein the obtaining of the link signal strength of the wireless connection of the mobile monitoring device, and the determining the location of the monitored object based on the link signal strength comprises:
    acquiring a first link signal strength of the mobile monitoring device and a second link signal strength of the mobile monitoring device;
    comparing the first link signal strength with the second link signal strength to obtain a comparison result;
    setting a wireless connection mode and determining the position of the monitored object according to the comparison result;
    the first link signal is an indoor link signal, and the second link signal is an outdoor link signal.
  47. The mobile monitoring device of claim 46, wherein the measurement mode of the mobile monitoring device comprises at least: a continuity measurement mode and a dispersion measurement mode.
  48. The method according to claim 47, wherein the continuity measurement mode is a mode in which the mobile monitoring device measures the monitored subject at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the monitored object at a preset second measurement frequency; the first measurement frequency is greater than the second measurement frequency; or
    The continuous measurement mode is that the mobile monitoring equipment measures the monitored object at a preset first measurement frequency; the discrete measurement mode is that the mobile monitoring equipment measures the electrocardio and/or the blood oxygen of the monitored object at a preset second measurement frequency, and measures the respiration and/or the blood pressure of the monitored object at a third measurement frequency; wherein the first measurement frequency is greater than the second measurement frequency, and the third measurement frequency is zero.
  49. The mobile monitoring device of claim 48, wherein the setting of the wireless connection and the determining of the location of the monitored subject based on the comparison comprises:
    when the first link signal is larger than the second link signal, setting the wireless connection mode of the mobile monitoring equipment to be WMTS connection, determining that the monitored object is indoors, and adjusting the measurement mode to be a continuity measurement mode;
    when the first link signal is smaller than the second link signal, setting the wireless connection mode of the mobile monitoring equipment to be WIFI connection, determining that the monitored object is located outdoors, and adjusting the measurement mode of the mobile monitoring mode by combining the posture of the monitored object.
  50. The mobile monitoring device of claim 49, wherein the posture of the monitored subject includes body posture and body dynamics.
  51. The mobile monitoring device of claim 50, wherein the body position includes at least one of upright, lying on its side, and lying on its back; the body dynamics include a motion state and/or a rest state.
  52. The mobile monitoring device of claim 51, wherein when the first link signal is smaller than the second link signal, the setting of the wireless connection mode of the mobile monitoring device to be a WIFI connection, the determining that the monitored object is outdoors, and the adjusting the measurement mode of the mobile monitoring mode in combination with the posture of the monitored object comprises:
    when the body of the monitored object is in a static state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode;
    when the body dynamic state of the monitored object is a motion state, adjusting the measurement mode of the mobile monitoring equipment by combining the body posture.
  53. The mobile monitoring device of claim 52, wherein adjusting the measurement mode of the mobile monitoring device in conjunction with the body posture when the body dynamics of the monitored subject is in motion comprises:
    when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode;
    when the body posture is determined to be lying on its side or lying on its back, the measurement mode of the mobile monitoring device is adjusted to a continuous measurement mode.
  54. The mobile monitoring device of claim 51, wherein when the first link signal is smaller than the second link signal, setting a wireless connection mode of the mobile monitoring device to be a WIFI connection, determining that the monitored object is outdoors, and adjusting a measurement mode of the mobile monitoring mode according to the posture of the monitored object comprises:
    when the body dynamic state of the monitored object is a motion state and the body posture is vertical, the measurement mode of the mobile monitoring equipment is adjusted to be a discrete measurement mode;
    and when the body of the monitored object is in a static state or the body posture is lying on side or lying on flat, adjusting the measurement mode of the mobile monitoring equipment into a continuous measurement mode.
  55. The mobile monitoring device of claim 51, wherein adjusting the measurement mode of the mobile monitoring mode in conjunction with the posture of the monitored subject when the first link signal is less than the second link signal comprises:
    when the body posture of the monitored object is in a lying state or a lying state, adjusting the measurement mode of the mobile monitoring equipment to be a continuous measurement mode;
    and when the body posture of the monitored object is in an upright state, determining a measurement mode by combining the body dynamics of the monitored object.
  56. The mobile monitoring device of claim 55, wherein determining a measurement mode in conjunction with the subject's body dynamics when the subject's body posture is upright comprises:
    when the body dynamic state of the monitored object is a motion state, determining that a measurement mode is a discrete measurement mode; when the body dynamic state of the monitoring object is a static state, determining that the measurement mode is a continuous measurement mode.
  57. The mobile monitoring device of claim 34, wherein the body position includes at least one of upright, lying on its side, and lying flat;
    the adjusting the measurement mode of the mobile monitoring device according to the posture of the monitored subject comprises:
    when the body posture is determined to be upright, adjusting the measurement mode of the mobile monitoring equipment to be a discrete measurement mode;
    when the body posture is determined to be lying on side or lying on back, adjusting the measurement mode of the mobile monitoring device to be a continuous measurement mode.
  58. The mobile monitoring device of claim 34, wherein the obtaining the motion parameter of the monitored subject comprises:
    the second parameter measurement module comprises an accelerometer, and the accelerometer is used for acquiring the acceleration of the monitored object;
    correspondingly, the determining the posture of the monitored object according to the motion parameters comprises: determining a body posture and a body dynamics of the monitored subject from the acceleration.
  59. The mobile monitoring device of claim 58, wherein the number of accelerometers is one and is located on the torso of the subject.
  60. The mobile monitoring device of claim 58, wherein the number of accelerometers is multiple and is located on the torso and limbs of the subject.
  61. The mobile monitoring device of claim 58, wherein determining the physical dynamics of the monitored subject based on the acceleration comprises:
    determining a magnitude of the acceleration;
    if the amplitudes of the acceleration are larger than or equal to a preset threshold value in a preset time period, determining that the monitored object is in a motion state;
    and if the amplitudes of the acceleration are smaller than a preset threshold value within a preset time period, determining that the monitored object is in a static state.
  62. The mobile monitoring device of claim 61, wherein the acceleration is a three-dimensional vector parameter, wherein a positive x-direction of the three-dimensional vector parameter is perpendicular to a forward coronal direction of the monitored subject, a positive y-direction of the three-dimensional vector parameter is perpendicular to a right sagittal direction of the monitored subject, and a positive z-direction of the three-dimensional vector parameter is perpendicular to a downward horizontal direction; the determining the magnitude of the acceleration comprises:
    determining an acceleration value of the acceleration in the x-axis direction as a first acceleration;
    determining an acceleration value of the acceleration in the y-axis direction as a second acceleration;
    determining an acceleration value of the acceleration in the z-axis direction as a third acceleration;
    and determining the amplitude of the acceleration according to the first acceleration, the second acceleration and the third acceleration.
  63. The mobile monitoring device of claim 62, wherein determining the body posture of the monitored subject based on the acceleration comprises:
    determining a first included angle according to the first acceleration and the amplitude of the acceleration, wherein the first included angle is an included angle between the direction of the acceleration and the direction of an x axis;
    determining a second included angle according to the second acceleration and the amplitude of the acceleration, wherein the second included angle is an included angle between the direction of the acceleration and the direction of the y axis;
    determining a third included angle according to the third acceleration and the amplitude of the acceleration, wherein the third included angle is an included angle between the direction of the acceleration and the direction of the z axis;
    and determining the body posture of the monitored object according to the first included angle, the second included angle and the third included angle.
  64. The mobile monitoring device of claim 63, wherein determining the body posture of the monitored subject based on the first, second and third angles comprises:
    if the first included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in a lying state;
    if the second included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in a lying state;
    and if the third included angle is the smallest included angle among the first included angle, the second included angle and the third included angle, determining that the body posture of the monitored object is in an upright state.
  65. The mobile monitoring device of claim 34, wherein after the controlling the mobile monitoring device to perform the measurement of the monitored subject according to the measurement mode, the method further comprises:
    and sending the physiological sign parameters obtained by the mobile monitoring equipment in the measurement mode to external equipment.
  66. A mobile monitoring system, comprising: the mobile monitoring device, the parameter display monitoring device and/or the central monitoring station according to claims 29-59, wherein the parameter display monitoring device and/or the central monitoring station is configured to receive the physiological sign parameter measured by the mobile monitoring device in the measurement mode.
  67. A computer storage medium, characterized in that the computer storage medium has stored therein a program which, when executed by a processor, implements the method of any one of claims 1 to 33.
CN201880098625.2A 2018-12-29 2018-12-29 Mobile monitoring measurement method, mobile monitoring device, system and storage medium Pending CN112911989A (en)

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