CN112911992A - Monitoring method, monitor and computer storage medium - Google Patents

Monitoring method, monitor and computer storage medium Download PDF

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Publication number
CN112911992A
CN112911992A CN201880099004.6A CN201880099004A CN112911992A CN 112911992 A CN112911992 A CN 112911992A CN 201880099004 A CN201880099004 A CN 201880099004A CN 112911992 A CN112911992 A CN 112911992A
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score
sub
display
patient
information
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CN201880099004.6A
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Chinese (zh)
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林洁颖
张健慧
卿磊
秦杰
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Shenzhen Mindray Bio Medical Electronics 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 monitoring method, a monitor and a computer storage medium, the monitoring method comprising: determining a monitoring mode, wherein the monitoring mode comprises the following steps: a first mode for displaying a currently monitored physiological parameter and a second mode for displaying the currently monitored physiological parameter and user status information (201), the user status information comprising at least a patient early warning status score; and under the condition that the monitoring mode is the second mode, after the currently monitored physiological parameters and the user state information are acquired, displaying the currently monitored physiological parameters and displaying the user state information (202). The monitoring method effectively improves the monitoring of the patient by the monitor, reduces the workload of medical care personnel and improves the service efficiency.

Description

Monitoring method, monitor and computer storage medium Technical Field
The present application relates to the field of medical technology, and in particular, to a monitoring method, a monitor, and a computer storage medium.
Background
A monitor is a device or system that measures and controls physiological parameters of a patient and compares them to known settings to generate an alarm if an excessive level is present. Generally, the monitor must continuously monitor the physiological parameters of the patient and indicate critical conditions for the physician to take emergency treatment and treatment, so as to minimize complications and eliminate the disease. Besides measuring and monitoring physiological parameters, the monitor also can be used for monitoring and processing the medication and the conditions before and after the operation.
Therefore, how to make the monitor the physical condition of the patient more effectively is urgently needed to be solved.
Disclosure of Invention
The embodiment of the application provides a monitoring method, a monitor and a computer storage medium, which can effectively improve the monitoring condition of the monitor on a patient, so as to reduce the workload of medical staff and improve the service efficiency.
In a first aspect, an embodiment of the present application provides a monitoring method, including:
determining a monitoring mode, the monitoring mode comprising: a first mode and a second mode, the first mode for displaying a currently monitored physiological parameter, the second mode for displaying the currently monitored physiological parameter and user status information, the user status information including at least a patient early warning status score;
and under the condition that the monitoring mode is the second mode, after acquiring the currently monitored physiological parameters and the user state information, displaying the currently monitored physiological parameters and the user state information.
In a second aspect, an embodiment of the present application provides a monitor, including:
a determination unit for determining a monitoring mode, the monitoring mode comprising: a first mode and a second mode, the first mode for displaying a currently monitored physiological parameter, the second mode for displaying the currently monitored physiological parameter and user status information, the user status information including at least a patient early warning status score;
the acquisition unit is used for acquiring the currently monitored physiological parameters and the user state information;
and the display unit is used for displaying the currently monitored physiological parameters and displaying the user state information under the condition that the monitoring mode is the second mode.
In a third aspect, an embodiment of the present application further provides a monitor, including:
the device comprises a processor, a memory and a display screen, wherein the memory, the display screen and the processor are connected with each other; the memory is used for storing computer programs, and the processor is used for executing the computer programs stored in the memory and executing the following operations:
the processor is configured to determine a monitoring mode, where the monitoring mode includes: a first mode and a second mode, the first mode for displaying a currently monitored physiological parameter, the second mode for displaying the currently monitored physiological parameter and user status information, the user status information including at least a patient early warning status score;
the processor is further configured to display the currently monitored physiological parameter and the user status information through the display screen after acquiring the currently monitored physiological parameter and the user status information when the monitoring mode is the second mode.
In a fourth aspect, an embodiment of the present application further provides a method for monitoring a patient state in real time, including:
obtaining physiological data corresponding to a plurality of physiological parameters through a sensor accessory connected with the body of a patient;
generating real-time waveforms and/or real-time numerical values related to the physiological parameters according to the physiological data corresponding to the physiological parameters;
refreshing and displaying the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time;
generating a plurality of sub-statistical scores respectively corresponding to the plurality of physiological parameters according to the physiological data corresponding to the plurality of physiological parameters in the same period of time;
generating a patient early warning state score according to the plurality of sub-statistical scores;
and outputting and displaying the early warning state score and the plurality of sub-statistical scores of the patient by at least one of the following output display modes:
refreshing and displaying the patient early warning state score in a first area on a display interface according to a first measuring frequency, and,
refreshing and displaying part or all of the plurality of sub-statistical scores in the first area on the display interface according to the second measuring frequency.
In a fifth aspect, an embodiment of the present application further provides a monitor, including:
the parameter measuring circuit is electrically connected with a sensor accessory arranged on the body of a patient and used for acquiring physiological data corresponding to a plurality of physiological parameters;
a processor and a memory;
the memory is used for storing the computer program, and the processor is used for realizing the following steps when executing the computer program stored in the memory:
generating real-time waveforms and/or real-time numerical values related to the physiological parameters according to the physiological data corresponding to the physiological parameters in the same period of time;
refreshing and displaying the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time;
generating a plurality of sub-statistical scores respectively corresponding to the plurality of physiological parameters according to the physiological data corresponding to the plurality of physiological parameters;
generating a patient early warning state score according to the plurality of sub-statistical scores;
outputting and displaying the patient early warning state score and the at least one sub-statistical score by at least one of the following output display modes;
refreshing and displaying the patient early warning state score in a first area on a display interface according to a first measuring frequency, and,
and refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on the display interface according to the second measuring frequency.
In a sixth aspect, embodiments of the present application provide a computer-readable storage medium, in which a computer program is stored, the computer program comprising program instructions that, when executed by a processor, cause the processor to perform the method according to any one of the first aspect; alternatively, the program instructions, when executed by a processor, cause the processor to perform the method of any of the second aspects.
By implementing the embodiment of the application, under the condition that the monitoring mode of the monitor is the second mode, the monitor can display not only the currently monitored physiological parameters, but also the user state information, wherein the user state information at least comprises the early warning state score of the patient, so that medical staff can obtain the state information related to the patient without carrying out corresponding operation, the searching and operating time of the medical staff is saved, on one hand, the working efficiency of the medical staff is effectively improved, and the medical staff has more time and energy to treat or care the patient; on the other hand, by displaying more data related to the patient, the real-time monitoring condition of the monitor for the patient is improved, namely the display efficiency of the monitor is improved.
Drawings
FIG. 1 is a system block diagram of a multi-parameter monitor or module assembly according to an embodiment of the present application;
fig. 2 is a schematic flow chart of a monitoring method according to an embodiment of the present application;
fig. 3A is a schematic view of a display interface of a monitor according to an embodiment of the present application;
FIG. 3B is a schematic view of a display interface of another monitor provided in the embodiments of the present application;
FIG. 3C is a schematic view of a display interface of another monitor provided in the embodiments of the present application;
FIG. 4 is a schematic structural diagram of a monitor according to an embodiment of the present disclosure;
FIG. 5 is a schematic view of another monitor according to an embodiment of the present application;
FIG. 6 is a schematic structural diagram of another monitor provided in the embodiments of the present application;
FIG. 7 is a flow chart illustrating a method for real-time monitoring of patient status according to an embodiment of the present application;
FIG. 8 is a schematic view of a display interface of another monitor provided in an embodiment of the present application;
FIG. 9A is a schematic view of a display interface of another monitor provided in an embodiment of the present application;
FIG. 9B is a schematic view of a display interface of another monitor provided in the embodiments of the present application;
fig. 10 is a schematic structural diagram of another monitor provided in the embodiment of the present application.
Detailed Description
The terms "first," "second," and the like in the description and claims of the present application and in the above-described drawings are used for distinguishing between different objects and not for describing a particular order. Furthermore, the terms "include" and "have," as well as 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, or apparatus.
As shown in FIG. 1, a system block diagram of a multi-parameter monitor or module assembly is provided. The multi-parameter monitor or module assembly includes at least a parameter measurement circuit 112. The parameter measuring circuit 112 at least comprises a parameter measuring circuit corresponding to a physiological parameter, the parameter measuring circuit 112 at least comprises at least one parameter measuring circuit of an electrocardiosignal parameter measuring circuit, a respiration parameter measuring circuit, a body temperature parameter measuring circuit, a blood oxygen parameter measuring circuit, a non-invasive blood pressure parameter measuring circuit, an invasive blood pressure parameter measuring circuit and the like, and each parameter measuring circuit 112 is respectively connected with an externally inserted sensor accessory 111 through a corresponding sensor interface. The sensor accessory 111 comprises a detection accessory corresponding to the detection of physiological parameters such as electrocardio-respiration, blood oxygen, blood pressure, body temperature and the like. The parameter measuring circuit 112 is mainly used for connecting the sensor accessory 111 to obtain the acquired physiological parameter signal, and may include at least two kinds of measuring circuits for physiological parameters, and the parameter measuring circuit 112 may be, but is not limited to, a physiological parameter measuring circuit (module), a human physiological parameter measuring circuit (module) or a sensor for acquiring human physiological parameters, etc. Specifically, the parameter measurement circuit 112 obtains physiological sampling signals related to the patient from external physiological parameter sensor accessories through the expansion interface, and obtains physiological data after processing for alarming and displaying. The expansion interface can also be used for outputting a control signal which is output by the main control circuit and is about how to acquire the physiological parameters to an external physiological parameter monitoring accessory through a corresponding interface, so that the monitoring control of the physiological parameters of the patient is realized.
The multi-parameter monitor or module assembly may further include a main control circuit 113, where the main control circuit 113 needs to include at least one processor and at least one memory, and of course, the main control circuit 113 may further include at least one of a power management module, a power IP module, and an interface conversion circuit. The power management module is used for controlling the on and off of the whole machine, the power-on time sequence of each power domain in the board card, the charging and discharging of the battery and the like. The power supply IP block refers to a power supply module that associates a schematic diagram of a power supply circuit unit that is frequently called repeatedly with a Printed Circuit Board (PCB) diagram and is solidified into a single power supply module, that is, converts an input voltage into an output voltage through a predetermined circuit, wherein the input voltage and the output voltage are different. For example, a voltage of 15V is converted into 1.8V, 3.3V, 3.8V, or the like. It is understood that the power supply IP block may be single-pass or multi-pass. When the power supply IP block is single-pass, the power supply IP block may convert an input voltage into an output voltage. When the power IP module is the multichannel, the power IP module can be a plurality of output voltage with an input voltage conversion, and a plurality of output voltage's magnitude of voltage can be the same, also can not be the same to can satisfy a plurality of electronic component's different voltage demands simultaneously, and the module is few to the external interface, and the work is black box and external hardware system decoupling zero in the system, has improved whole electrical power generating system's reliability. The interface conversion circuit is configured to convert signals output by a minimum system main control module (i.e., at least one processor and at least one memory in the main control circuit) into input standard signals required to be received by an actual external device, for example, to support a Video Graphics Array (VGA) display function, convert RGB digital signals output by a Central Processing Unit (CPU) into VGA analog signals, support an external network function, and convert media independent interface (RMII) signals into standard network differential signals.
In addition, the multi-parameter monitor or module assembly may further include one or more of a local display screen 114, an alarm circuit 116, an input interface circuit 117, an external communication and power interface 115. The main control circuit is used for coordinating and controlling each board card, each circuit and each device in the multi-parameter monitor or the module assembly. In this embodiment, the main control circuit is used for controlling data interaction between the parameter measuring circuit 112 and the communication interface circuit and transmission of control signals, and transmitting physiological data to the display screen 114 for display, and may also receive user control instructions input from a touch screen or a physical input interface circuit such as a keyboard and a key, and of course, may also output control signals on how to acquire physiological parameters. The alarm circuit 116 may be an audible and visual alarm circuit. The main control circuit completes the calculation of the physiological parameters, and the calculation result and the waveform of the parameters can be sent to a host (such as a host with a display, a PC, a central station, etc.) through the external communication and power interface 115, and the external communication and power interface 115 may be one or a combination of a local area network interface composed of ethernet (ethernet), a token ring (token ring), a token bus (token bus) and a backbone distributed data interface (FDDI) as these three networks, or one or a combination of wireless interfaces such as infrared, bluetooth, wireless fidelity (wifi), WMTS communication, or one or a combination of wired data connection interfaces such as an asynchronous transfer standard interface (RS232), a Universal Serial Bus (USB), etc. The external communication and power interface 115 may also be one or a combination of a wireless data transmission interface and a wired data transmission interface. The host can be any computer equipment of a host computer of a monitor, an electrocardiograph, an ultrasonic diagnostic apparatus, a computer and the like, and matched software is installed to form the monitor equipment. The host can also be communication equipment, such as a mobile phone, and the multi-parameter monitor or the module component sends data to the mobile phone supporting Bluetooth communication through the Bluetooth interface to realize remote transmission of the data.
The multi-parameter monitoring module component can be arranged outside the monitor shell and used as an independent external parameter monitoring module, a plug-in monitor can be formed by a host (comprising a main control board) inserted into the monitor and used as a part of the monitor, or the multi-parameter monitoring module component can be connected with the host (comprising the main control board) of the monitor through a cable, and the external parameter monitoring module is used as an external accessory of the monitor. Of course, the parameter processing can also be arranged in the shell and integrated with the main control module, or physically separated and arranged in the shell to form the integrated monitor.
Referring to fig. 2, fig. 2 is a monitoring method according to an embodiment of the present application, where the monitoring method is applicable to a monitor including a display screen, and as shown in fig. 2, the monitoring method at least includes:
201. determining a monitoring mode, wherein the monitoring mode comprises: the system comprises a first mode and a second mode, wherein the first mode is used for displaying the currently monitored physiological parameters, the second mode is used for simultaneously displaying the currently monitored physiological parameters and user state information, and the user state information at least comprises patient early warning state scores. Typically, the monitor's processor automatically selects the monitoring mode based on user selection or a program running within the machine.
The physiological parameters monitored by the monitor at least can include: any one or more of body temperature (Temp), blood pressure diastolic pressure, systolic pressure (BP-S), Heart Rate (HR), Respiratory Rate (RR), consciousness level, blood oxygen (SpO2), oxygen concentration (supp.o2), brain electricity, etc., it is understood that the physiological parameter monitored by the monitor may also include other vital signs, etc., and the embodiment of the present invention is not limited solely.
User status information may be understood as information relating to the current status of the user, e.g. the user status information may comprise at least a patient pre-alarm status score. Specifically, the user status information may further include a patient early warning status score over a period of time, such as a statistical analysis result of physiological parameters from the time when the user starts to use the monitor in hospital to the present time; for example, the statistical analysis result of the physiological parameter in a day, or the statistical analysis result of the physiological parameter in a preset number of days, etc. in this embodiment, the statistical analysis result of the physiological parameter is not limited uniquely. Optionally, the statistical analysis result of the physiological parameter may be a statistical analysis result of a physiological parameter related to the physical condition of the patient, and if the patient is a diabetic patient, the user status information may be a statistical analysis result of blood sugar, specifically, a blood sugar variation trend of the patient and a risk level of a current blood sugar value.
Specifically, the result of the statistical analysis of the physiological parameter may be displayed in the form of a number, or may be displayed in the form of an image, such as in the form of a waveform, and the like, and the embodiment of the present application is not limited.
Optionally, in an embodiment of the present application, the patient warning state score may be obtained by using a plurality of scoring criteria, such as ews (early warning score), Modified Early Warning Score (MEWS), and the like. The ews (early warning score) may also be Modified Early Warning Score (MEWS), which is mainly to assign a plurality of commonly used physiological indicators such as body temperature (Temp), systolic blood pressure (BP-S), Heart Rate (HR), Respiratory Rate (RR), consciousness level, blood oxygen (SpO2), and oxygen concentration (sup. o2) to corresponding scores, and then use the scoresThe statistics are used to assess the clinical status or potential risk of the patient. Alternatively, the EWS in the embodiment of the present application may also refer to a pediatric early warning score (pees), and the like, and the embodiment of the present application is not limited to which type or suitable group of the EWS is. Here, the consciousness level is, for example, LOC (AVPU) -based scoring, i.e., a common method for judging the consciousness state is "AVPU" scoring, and the scoring system divides the consciousness state into four levels: responsive (alert), responsive to verbal (verba) stimulus, responsive to pain (pain) stimulus, and non-responsive. The following explanation takes the MEWS scoring rule as an example. The MEWS scoring has the characteristics of simple application, easy mastering, quick and convenient clinical information acquisition, is not limited by hardware equipment conditions of hospitals or emergency departments, is widely applied to emergency work, accurately judges the illness state of patients in time and better finishes medical work. And grading emergency treatment patients according to MEWS scores, and taking different treatment measures according to grades based on the score of the early warning total score: (1)
Figure PCTCN2018125667-APPB-000001
the patients can be diagnosed and treated according to the general routine procedures without the risk of potential critical diseases and generally hospitalization, and can be temporarily placed for later treatment in case of emergency. (2)
Figure PCTCN2018125667-APPB-000002
In other words, the patient has unstable and large changes, and has the risk of "latent critical disease". Emergency doctors should make a first treatment and inform the patients of the relevant conditions in time, and arrange the patients to live into the specialized ward or even the ICU at the right time. (3)>In 9 minutes, the patient is critically ill and the death risk is obviously increased, and the condition allows the patient to be immediately sent to an intensive care unit or a special ward to receive treatment. In addition, the patient should be subjected to dynamic MEWS scoring, a single scoring 2-point person evaluates the scoring 1 time every 4 hours, a single scoring 3-point person evaluates the scoring 1 time every 2 hours, a single scoring 4-point person evaluates the scoring 1 time every 1 hour, and the diagnosis and treatment plan is adjusted in time according to the scoring change. As can be seen, each patient is pre-treatedThe alarm state scores are all distributed and determined by corresponding sub-scores of the plurality of physiological parameters in the same time period.
In one embodiment, the patient warning state scoring may include: early Warning Score (EWS) statistics; the EWS statistical information includes: the current EWS total score, the sub-scores and the measured values of N parameters corresponding to the EWS total score, and the variation trend of the EWS total score of the user, wherein N is an integer greater than or equal to 1.
The measured values of the N parameters may be values obtained by the monitor by monitoring physiological parameters of the user. The monitor may store scoring rules corresponding to each parameter, for example, if the N parameters include heart rate parameters, the monitor may obtain a heart rate of 51 to 100, and the corresponding heart rate score may be 0, and when the heart rate is 41 to 50 or 101 to 110, the heart rate score may be 1. If the N parameters include systolic pressure, if the systolic pressure obtained by the monitor is 101 to 199, the score corresponding to the measured values 101 to 199 may be determined to be 0; if the systolic blood pressure is 81 to 100, a score of 1 corresponding to 81 to 100 may be determined. The EWS total score is determined by a sub-score of the N parameters, e.g., the EWS total score may be determined by five physiological parameters, which may be body temperature, consciousness, heart rate, systolic blood pressure, and respiratory rate, respectively. It is understood that the embodiment of the present application is not limited to how much N is specifically, and it is also not limited to which physiological parameters are used to determine the total EWS score.
The current EWS total score may refer to a time when the monitor obtains the EWS total score, specifically, the monitor may obtain the EWS total score in real time, or obtain the EWS total score at a certain time interval, and the like.
In this embodiment of the application, the variation trend of the EWS total score may be the EWS total score within a certain time period. For example, the monitor acquires the EWS total score once an hour, such as at 07:00, the monitor acquires the EWS total score of 1 (where the current EWS total score may be the EWS total score at 07: 00); the total EWS score is obtained again at 08:00 and is 1; at 09:00, 10:00 and 11:00, the total EWS scores obtained by the monitor are 1, 2 and 4 respectively, and the variation trend of the total EWS score can be within the range from 07:00 to 11: 00. Through the total EWS score, the medical staff can know the critical grade of the disease condition of the patient.
Optionally, the user status information further includes: the non-physiological sign parameter state information comprises non-physiological sign parameter state information and reminding information, wherein the reminding information is reminding information aiming at the user state, and the reminding information comprises input reminding information and reminding information obtained after the user state is analyzed.
In this embodiment, the reminding information may specifically include reminding information input by a medical worker and reminding information obtained by analyzing the physical condition of the patient with the monitor. In particular, the reminder information may include any one or more of a summary of the current state of the patient by the healthcare worker, an opinion or indication of the current state of the patient, and a treatment recommendation. Wherein the processing advice is some advice given to the patient after the medical personnel has determined the physical state of the patient.
Specifically, the reminding information may further include a reminding event, where the reminding event may be an event that the medical staff pays attention to, and if the patient is a diabetic patient, the reminding event may be a blood sugar reminding event, and if the patient is an operation patient and is a stomach illness, the reminding event may be a sleep or pain event of the patient, and the like.
202. And under the condition that the monitoring mode is the second mode, after acquiring the currently monitored physiological parameters and the user state information, displaying the currently monitored physiological parameters and simultaneously displaying the user state information.
In the embodiment of the application, the display screen of the monitor not only can display the currently monitored physiological parameters, but also can display the user state information. It can be understood that, in the embodiment of the present application, before the monitor displays the monitored physiological parameters and displays the user status information, the monitor needs to acquire the currently monitored physiological parameters and the user status information in advance.
Referring to fig. 3A, fig. 3A is a schematic view of a display interface of a monitor according to an embodiment of the present disclosure, as shown in fig. 3A, the monitor can display user status information in a first area, and display a currently monitored physiological parameter in a second area. It is understood that the physiological parameter displayed in the second region is specifically displayed in any way, and the embodiment of the present application is not limited thereto. It is understood that in the monitoring method described in the embodiment of the present application, the monitor can also display other parameters, such as the alarm event and the system parameters in fig. 3A.
Specifically, in the case that the user status information is a score of the early warning status of the patient, referring to fig. 3B, fig. 3B is a schematic diagram of a display interface of a monitor provided in an embodiment of the present application, as shown in fig. 3B, the user status information is displayed in a first region 32 on the left side of the monitor display interface, and the currently monitored physiological parameter is displayed in a second region 31, such as the physiological parameter conditions shown in fig. 311 and 312, wherein the first region specifically displays the current EWS total score, such as 322 in the figure, the scores 333 and the measured values of 7 parameters 326 corresponding to the EWS total score, and the historical EWS total score (i.e., the variation trend of the EWS total score) from 07:00 to 15:00, such as 328, 329-1, 329-2 and 330 in the figure.
Specifically, when the first area displays the EWS total score, the monitor may further display different EWS total scores through different colors, for example, when the EWS total score is the first EWS total score, the first EWS total score may be displayed through the first color; and when the EWS total score is a second EWS total score, the second EWS total score may be displayed through a second color. The EWS total score is displayed in different colors to increase the attention of the healthcare worker, as shown at 324.
Specifically, the displaying of the variation trend of the EWS total score on the monitor includes:
under the condition that the total EWS score does not exceed a total score threshold value, acquiring the total EWS score at a first frequency, and displaying the total EWS score;
if the total EWS score exceeds the total score threshold, the total EWS score can be obtained at a second frequency and displayed.
As shown in fig. 3B, the first frequency preset by the monitor is to acquire the EWS total score every two hours, and at 07:00, the monitor acquires the EWS total score as 329-1 in the figure, and the EWS total score is smaller than the total score threshold 4, so that at 09:00, the EWS total score as 329-1 in the figure can be acquired again; at 09:00 and 11:00, the monitor obtains the EWS total score less than 4, and therefore, the monitor still obtains the EWS total score once every two hours, that is, at 13:00, the monitor obtains the EWS total score, and after obtaining, the monitor detects that the EWS total score is equal to 4, as shown in 329-2, and therefore, the monitor adjusts the first frequency to the second frequency, that is, obtains the EWS total score 1 time every 1 hour; then at 14: at both 00 and 15:00, the total EWS score was obtained as 330 in the graph.
When the monitor displays the scores of the N parameters, the degree of deviation of the scores of each of the N parameters from the standard threshold, which is a standard threshold corresponding to each of the N parameters, may also be displayed in the form of a bar, as shown in 332. As shown in fig. 3B, when the monitor displays the scores of the 7 parameters, the monitor respectively displays the degree of deviation of the 7 parameters from the standard threshold in a bar form, and it can be understood that the standard threshold in the embodiment of the present application is a threshold in which the physical condition corresponding to the parameter belongs to the normal range.
The monitor can also receive a refresh command 331 as shown in the figure, wherein the refresh command is used for instructing the monitor to refresh data in the display screen;
and after the data currently displayed on the display screen is refreshed, displaying the refreshed data.
In this embodiment, by setting the refresh interface, the user can refresh the data displayed on the display screen of the display device at any time. Such as the refresh interface 331 shown in fig. 3B.
For example, in the case that the user status information includes a reminder, see fig. 3C, fig. 3C is a schematic diagram of a display interface of another monitor provided in the embodiment of the present application, and as shown in fig. 3C, the monitor can display the currently monitored physiological parameter in the first area, display the reminder in the second area,
as shown in fig. 3C, the monitor can obtain the statistical analysis result of the physiological parameter, and can display the statistical analysis result of the physiological parameter in the second area. And after the monitor analyzes the physical condition of the user, the monitor can also display the reminding information obtained after analysis, such as the intelligent analysis shown in fig. 3C. The monitor can also display reminding events, such as vomiting events, pain events and the like, wherein the reminding events can be reminding events input by medical personnel, reminding events obtained after the monitor analyzes the physical state of a patient, and the like.
It can be understood that, an embodiment of the present application further provides a method for switching monitor display scenes, where before the user status information is displayed, the method further includes:
receiving a scene switching instruction, wherein the scene switching instruction is used for indicating to switch the reminding information contained in the user state information;
switching the reminding information into reminding information corresponding to the scene specified by the scene switching instruction;
the displaying the user status information includes:
and displaying the reminding information corresponding to the scene specified by the scene switching instruction.
As shown in fig. 3C, the user can switch scenes by triggering the scene trigger interface, wherein different scenes correspond to different physical conditions. If the monitor switches the scene, the monitor can display the reminding information (including reminding events) corresponding to the scene, if the content of the reminding event display area changes according to the events or parameters concerned by medical personnel, the intelligent statistical analysis of the blood glucose change time concerned by insulin patients also focuses on the statistics of the blood glucose content, and the postoperative patients pay special attention to parameter information influencing postoperative repair, such as sleep, exercise amount, pain and the like.
It can be understood that, in the embodiment of the present application, the monitor can also acquire the disease type of the patient, and display the disease type of the patient, and the like.
Optionally, an embodiment of the present application further provides a method for updating a currently monitored physiological parameter and user status information in a correlated manner, where the method includes: the method further comprises the following steps:
and updating the user state information under the condition that the currently monitored physiological parameter changes and the changed currently monitored physiological parameter influences the user state information.
That is, in the case that the currently monitored physiological parameter changes and the changed currently monitored physiological parameter affects the user status information, the user status information may be updated without updating according to the preset update time.
For example, the user status information includes an EWS total score, which is determined by heart rate, blood oxygen, blood pressure, and body temperature, and the currently monitored physiological parameters also include heart rate, blood oxygen, blood pressure, and body temperature, and after the monitor acquires the currently monitored physiological parameters, the monitor may automatically update the user status information, that is, update the EWS total score.
By implementing the embodiment, the condition that the latest physical state of the user cannot be known in time due to the fact that the user cannot be updated in time can be effectively avoided, and the monitoring efficiency of the monitor is improved.
Optionally, before the displaying the user status information, the method further includes:
and acquiring the user state information in real time or acquiring the user state information at preset time intervals.
Optionally, the method further includes:
and displaying the currently monitored physiological parameter when the monitoring mode is the first mode.
Implement this application embodiment, present patient's real-time physiological parameter, patient's state information and the data that medical personnel cared simultaneously on the display screen, medical personnel need not operate and can obtain its data of careing, when needing more detailed data, can obtain the entry of operation immediately, carry out simple operation and can obtain more detailed data, the time of medical personnel seeking and operating has been saved, make it can be with more time and energy be used in treatment and nursing patient on one's body, thereby the efficiency of monitor has been improved.
The monitoring method provided by the embodiment of the present application is described above, and the apparatus provided by the embodiment of the present application will be specifically described below.
Referring to fig. 4, fig. 4 is a schematic structural diagram of a monitor provided in an embodiment of the present application, the monitor being used for performing the monitoring method provided in the embodiment of the present application, and as shown in fig. 4, the monitor at least includes:
a determining unit 401, configured to determine a monitoring mode, where the monitoring mode includes: a first mode and a second mode, wherein the first mode is used for displaying the currently monitored physiological parameters, the second mode is used for displaying the currently monitored physiological parameters and user state information, and the user state information at least comprises a patient early warning state score;
an obtaining unit 402, configured to obtain a currently monitored physiological parameter and the user status information;
a display unit 403, configured to display the currently monitored physiological parameter and display the user status information when the monitoring mode is the second mode.
By implementing the embodiment of the application, under the condition that the monitoring mode of the monitor is the second mode, the monitor can display not only the currently monitored physiological parameters, but also the user state information, wherein the user state information at least comprises the early warning state score of the patient, so that medical staff can obtain the state information related to the patient without carrying out corresponding operation, the searching and operating time of the medical staff is saved, on one hand, the working efficiency of the medical staff is effectively improved, and the medical staff has more time and energy to treat or care the patient; on the other hand, the display efficiency of the monitor is also improved by displaying more data related to the patient.
Optionally, as shown in fig. 5, the monitor further includes:
an updating unit 404, configured to update the user status information when the currently monitored physiological parameter changes and the changed currently monitored physiological parameter affects the user status information.
Specifically, the above-mentioned patient early warning state score includes: early warning score EWS statistical information; the EWS statistical information includes: the current EWS total score, scores and measurement values of N parameters corresponding to the EWS total score, and a variation trend of the EWS total score of the user, where N is an integer greater than or equal to 1.
Specifically, the user status information further includes: the system comprises non-physiological sign parameter ERAS state information and reminding information, wherein the reminding information is reminding information aiming at the user state, and the reminding information comprises input reminding information and reminding information obtained after the user state is analyzed.
Optionally, as shown in fig. 5, the monitor further includes:
a receiving unit 405, configured to receive a scene switching instruction, where the scene switching instruction is used to instruct to switch the reminding information included in the user state information;
a switching unit 406, configured to switch the reminding information to the reminding information corresponding to the scene specified by the scene switching instruction
The display unit 403 is specifically configured to display the reminding information corresponding to the scene specified by the scene switching instruction.
Specifically, the obtaining unit 402 is further configured to obtain the user status information in real time or at predetermined time intervals.
Optionally, the display unit 403 is further configured to display the currently monitored physiological parameter when the monitoring mode is the first mode.
It can be understood that, the specific implementation manner of each unit may also refer to the monitoring method described in fig. 1, and is not described in detail here.
Referring to fig. 6, fig. 6 is a schematic structural diagram of another monitor provided in the embodiment of the present application, which can be used to perform a monitoring method based on physiological parameters provided in the embodiment of the present application, and as shown in fig. 6, the monitor includes: a processor 601, a memory 602, a display screen 603, and an input/output interface 604; the processor 601, the memory 602, the display 603, and the input/output interface 604 are connected to each other through a connection line 605. The connection line may include a transmission line, a bus, and the like, and the embodiment of the present application is not limited to a specific type of the connection line.
The memory 602 includes, but is not limited to, Random Access Memory (RAM), Read Only Memory (ROM), erasable programmable read only memory (EPROM or flash memory), or portable read only memory (CD-ROM), among others. The input-output interface 604 may include at least one input interface and one output interface. The input/output interface may be used for data transmission with other devices or apparatuses, and the like, and the embodiments of the present application are not limited thereto. The processor 601 may be one or more Central Processing Units (CPUs), and in the case that the processor 601 is one CPU, the CPU may be a single-core CPU or a multi-core CPU.
The memory 602 is used to store computer programs comprising program instructions, and the processor 601 is used to execute the program instructions stored by the memory 602. Wherein the processor 601 is configured to call the program instruction to perform:
determining a monitoring mode, wherein the monitoring mode comprises: a first mode and a second mode, wherein the first mode is used for displaying the currently monitored physiological parameters, the second mode is used for displaying the currently monitored physiological parameters and user state information, and the user state information at least comprises a patient early warning state score;
and under the condition that the monitoring mode is the second mode, after acquiring the currently monitored physiological parameters and the user state information, displaying the currently monitored physiological parameters and the user state information.
Optionally, the processor 601 is configured to call the program instruction to perform:
and updating the user state information under the condition that the currently monitored physiological parameter changes and the changed currently monitored physiological parameter influences the user state information.
Specifically, the above-mentioned patient early warning state score includes: early warning score EWS statistical information; the EWS statistical information includes: the current EWS total score, scores and measurement values of N parameters corresponding to the EWS total score, and a variation trend of the EWS total score of the user, where N is an integer greater than or equal to 1.
Specifically, the user status information further includes: the system comprises non-physiological sign parameter ERAS state information and reminding information, wherein the reminding information is reminding information aiming at the user state, and the reminding information comprises input reminding information and reminding information obtained after the user state is analyzed.
Optionally, the processor 601 is configured to call the program instruction to perform:
receiving a scene switching instruction through the input/output interface, wherein the scene switching instruction is used for indicating to switch the reminding information contained in the user state information; and after the reminding information is switched to the reminding information corresponding to the scene specified by the scene switching instruction, displaying the reminding information corresponding to the scene specified by the scene switching instruction through the display screen.
Optionally, the processor 601 is configured to call the program instruction to perform:
and acquiring the user state information in real time or acquiring the user state information at preset time intervals.
Optionally, the processor 601 is configured to call the program instruction to perform:
and displaying the currently monitored physiological parameters through the display screen under the condition that the monitoring mode is the first mode.
In a specific implementation, the processor 601, the input/output interface 604, and the display screen 603 described in this embodiment of the application may be used to execute the implementation manner of fig. 2 described in this embodiment of the application, and details are not repeated here.
Specifically, an embodiment of the present application further provides a computer-readable storage medium, where a computer program is stored in the computer-readable storage medium, where the computer program includes program instructions, and the program instructions, when executed by a processor, implement:
determining a monitoring mode, wherein the monitoring mode comprises: a first mode and a second mode, wherein the first mode is used for displaying the currently monitored physiological parameters, the second mode is used for displaying the currently monitored physiological parameters and user state information, and the user state information at least comprises a patient early warning state score;
and under the condition that the monitoring mode is the second mode, after acquiring the currently monitored physiological parameters and the user state information, displaying the currently monitored physiological parameters and the user state information.
Based on the foregoing description, the embodiment of the present application further provides a method for real-time monitoring of patient status based on the second mode, which is described in detail with reference to the accompanying drawings.
FIG. 7 provides a flow chart of a method for real-time monitoring of patient status, comprising the steps of:
in step 701, physiological data corresponding to a plurality of physiological parameters is obtained through a sensor accessory connected with the body of a patient.
It can be understood that the embodiment of the present application continuously obtains physiological data corresponding to a plurality of physiological parameters through a sensor accessory connected with the body of a patient according to a preset real-time acquisition frequency, and the physiological data is used for calculating a plurality of physiological parameter information. In one embodiment, the monitor acquires physiological parameter signals through a sensor accessory, such as 111 in fig. 1, attached to the body of the monitored subject to obtain physiological data corresponding to a plurality of physiological parameters, for example, at least two physiological parameters of body temperature (Temp), diastolic blood pressure (diastolic blood pressure), systolic blood pressure (BP-S), Heart Rate (HR), Respiratory Rate (RR), consciousness level, blood oxygen (SpO2), and oxygen concentration (supp. o2), brain electricity, and the like.
Step 702, generating a real-time waveform and/or a real-time numerical value related to the physiological parameter according to the physiological data corresponding to the plurality of physiological parameters.
That is, a real-time waveform and/or a real-time numerical value related to the physiological parameter are generated based on the physiological data corresponding to the plurality of physiological parameters in the same period of time. The same period of time refers to a period of time for obtaining physiological data corresponding to a plurality of physiological parameters.
For example, based on physiological data collected by the electrocardio accessory, at least one electrocardio-leading real-time waveform and heart rate numerical value related to electrocardio can be obtained, and the displayed data can be refreshed on the display interface in real time. Based on the physiological data collected by the blood pressure accessory, real-time waveforms and systolic or diastolic blood pressure values related to the blood pressure can be obtained, and the displayed data can be refreshed on the display interface in real time. Based on the physiological data acquired by the blood oxygen accessory, the blood oxygen real-time waveform and the blood oxygen value related to the blood oxygen can be obtained, and the displayed data can be refreshed on the display interface in real time. Based on physiological data acquired by the electrocardio accessory, respiration real-time waveform and respiration rate value related to respiration can be acquired, and displayed data are refreshed on a display interface in real time. And so on, will not be reiterated here.
And 703, refreshing and displaying the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time.
Referring specifically to fig. 3B, the real-time waveform and/or the real-time value are displayed in a real-time refresh manner in the second area 31 on the display interface. For example, in fig. 3B, the second area 31 is divided into a waveform display area 311 and a numerical value display area 312, the real-time waveform corresponding to the relevant physiological parameter is displayed in the waveform display area 311 in a real-time refresh manner, and the real-time numerical value corresponding to the relevant physiological parameter is displayed in the numerical value display area 312 in a real-time refresh manner, for example, an ECG heart rate value corresponding to the current time of the display interface is 60, an SPO2 blood oxygen value corresponding to the current time of the display interface is 98, a Resp respiratory rate value corresponding to the current time of the display interface is 20, and an NIBP blood pressure value corresponding to the current time of the display interface is 120/80.
Furthermore, historical trend data 313 may also be displayed textually within the second display area 31.
Step 704, generating a plurality of sub-statistical scores corresponding to the plurality of physiological parameters respectively according to the physiological data corresponding to the plurality of physiological parameters in the same period of time; step 705, generating a patient early warning state score according to the plurality of sub-statistical scores.
In the embodiment of the present application, the patient Early Warning status Score may be obtained by using a plurality of scoring criteria such as ews (Early Warning Score), Modified Early Warning Score (MEWS). The ews (Early Warning Score) may also be a Modified Early Warning Score (MEWS), which is obtained by assigning a plurality of commonly used physiological indicators, such as temperature (Temp), systolic pressure (BP-S), Heart Rate (HR), respiratory Rate (RR, respiratory Rate), consciousness level, blood oxygen (SpO2), and oxygen concentration (sup. o2), to corresponding sub-statistical scores, and then evaluating the clinical status or potential risk of the patient using the statistical values of the sub-statistical scores to generate a Warning status Score of the patient. Still alternatively, the EWS in the embodiment of the present application may also refer to a child Early Warning Score (pees), and the like, and the embodiment of the present application does not uniquely limit what type or suitable group of the EWS is. Here, the consciousness level is, for example, LOC (AVPU) -based scoring, i.e., a common method for judging the consciousness state is "AVPU" scoring, and the scoring system divides the consciousness state into four levels: responsive (alert), responsive to verbal (verba) stimulus, responsive to pain (pain) stimulus, and non-responsive. The following explanation takes the MEWS scoring rule as an example. The MEWS scoring has the characteristics of simple application, easy mastering, quick and convenient clinical information acquisition, is not limited by hardware equipment conditions of hospitals or emergency departments, is widely applied to emergency work, accurately judges the illness state of patients in time and better finishes medical work. And grading emergency treatment patients according to MEWS scores, and taking different treatment measures according to grades based on the score of the early warning total score: (1)
Figure PCTCN2018125667-APPB-000003
the patients can be diagnosed and treated according to the general routine procedures without the risk of potential critical diseases and generally hospitalization, and can be temporarily placed for later treatment in case of emergency. (2)
Figure PCTCN2018125667-APPB-000004
In other words, the patient has unstable and large changes, and has the risk of "latent critical disease". Emergency doctors should make a first treatment and inform the patients of the relevant conditions in time, and arrange the patients to live into the specialized ward or even the ICU at the right time. (3)>In 9 minutes, the patient is critically ill and the death risk is obviously increased, and the condition allows the patient to be immediately sent to an intensive care unit or a special ward to receive treatment. In addition, the patient should be subjected to dynamic MEWS scoring, a single scoring 2-point person evaluates the scoring 1 time every 4 hours, a single scoring 3-point person evaluates the scoring 1 time every 2 hours, a single scoring 4-point person evaluates the scoring 1 time every 1 hour, and the diagnosis and treatment plan is adjusted in time according to the scoring change. It can be seen that each patient early warning state score is determined by sub-scores corresponding to the plurality of physiological parameters in the same time period.
In one embodiment, in the generating of the plurality of sub-statistical scores corresponding to the plurality of physiological parameters according to the physiological data corresponding to the plurality of physiological parameters, the sub-statistical score corresponding to each physiological parameter is obtained according to the early warning score rule.
In one embodiment, the generating the patient warning state score according to the plurality of sub-statistical scores includes: and calculating to obtain the early warning state score of the patient through weighted summation according to the plurality of sub-statistical scores.
Step 706, at least one of the following output display modes is adopted to output and display the patient early warning state score and the plurality of sub-statistical scores:
refreshing and displaying the patient early warning state score according to the first measuring frequency in a first area on a display interface, and,
and refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on the display interface according to a second measurement frequency.
For example, the patient alert status score (e.g., icon 322 of fig. 3B) is displayed in the first area 32 of the display interface with a first measurement frequency, and the plurality of sub-statistical scores (e.g., icon 333 of fig. 3B) is displayed in the first area 32 of the display interface with a second measurement frequency.
During this refresh display, the first measurement frequency may be equal to the second measurement frequency, i.e., the patient alert status score and the associated plurality of sub-statistical scores are displayed in the first region 32 in a synchronized refresh display at the same frequency. In addition, in an embodiment, the first measurement frequency is different from the second measurement frequency, and the second measurement frequency is greater than the first measurement frequency. That is, in some embodiments, the refresh display frequency of the plurality of sub-statistical scores is greater than the refresh display frequency of the patient alert status score. In this embodiment, the plurality of sub-statistical scores may not be obtained at the same time according to different obtaining times of the plurality of physiological parameters corresponding to the plurality of sub-statistical scores, and therefore, the generation time of the patient early warning state score may be later than the plurality of sub-statistical scores, and then the display of the plurality of sub-statistical scores may be refreshed and updated.
In some embodiments, referring to fig. 3B, a display embodiment is shown, wherein the processor of the monitor refreshes the patient alert status score in the first area 32 of the display interface at the first measurement frequency by:
drawing a real-time status icon 322 in the second display area 32; and the combination of (a) and (b),
and displaying the real-time status icon 322, and sequentially assigning the display result of the real-time status icon 322 to a value corresponding to the patient early warning status score according to a first measurement frequency, so that the patient early warning status score is displayed in a first area on a display interface in a refreshing manner according to the first measurement frequency. For example, the display result of the real-time status icon 322 is assigned a patient pre-alarm status score of "7". A plurality of patient early warning state scores are obtained one by one according to a first measurement frequency, for example, a patient early warning state score of "1" is obtained at 7:00, a patient early warning state score of "1" is obtained at 9:00, a patient early warning state score of "1" is obtained at 11:00, a patient early warning state score of "4" is obtained at 13:00, a patient early warning state score of "4" is obtained at 14:00, and a patient early warning state score of "7" is obtained at 15:00, so that when the patient early warning state scores are displayed in a first area 32 on a display interface in a refreshing manner according to the first measurement frequency, the display results of the real-time state icon 322 are sequentially displayed as "1" at 7:00, as "1" at 9:00, as "1" at 11:00, as "4" at 13:00, as "4" at 14:00, and as "7" at 15: 00.
Highlighting the real-time status icon when the patient pre-alarm status score is greater than or equal to a total score threshold. For example, when the patient pre-alarm status score is greater than or equal to the total score threshold 4, the real-time status icon 322 at the corresponding time is highlighted, and the real-time status icon 322 may be highlighted by changing the size attribute value, the color attribute value, and the like.
In some embodiments, the above method further comprises the steps of:
the processor determines that at least one sub-statistical score exceeds a sub-score threshold value in the early warning state scores of the patients; and outputting prompt information that at least one sub-statistical score exceeds a sub-score threshold exists in the early warning state scores of the patients.
For example, in fig. 3B, the prompt information is outputted in the second display area 32 along with the refresh display of the real-time status icon 322 according to the patient's early warning status score. In fig. 3B, a property page 323 is provided, and a prompt message indicating that at least one sub-statistical score exceeds a sub-score threshold in the patient pre-alarm status score is written in the property page 323 for reminding. When the display result of the real-time status icon 322 is updated along with the calculation result of the early warning status score of the patient, the prompt message is updated accordingly.
Of course, in addition to the prompt information that at least one sub-statistical score exceeds the sub-score threshold in the patient early warning status scores being displayed in real time with the update of the real-time status icon 322 in the attribute page 323, the score range where the current patient early warning status scores are displayed, the information that should be focused in the current score range, and the prompt event that prompts the user to know may be displayed in real time with the update of the real-time status icon 322.
In some embodiments, the above method further comprises:
the processor draws an image icon (see the upper human body shape pattern in fig. 9A and 9B) similar to the human body shape in the second display area; and the combination of (a) and (b),
and the processor associates and marks the physiological parameter corresponding to at least one sub-statistical score related in the prompt information with the image icon.
The sub-score threshold mentioned in this embodiment may be 0,1,3, etc. Of course, in the prompt information associated with the pictogram icon, not only the related physiological parameter whose sub-statistical score exceeds the sub-score threshold in the patient early warning state score and the sub-statistical score corresponding thereto, but also the related physiological parameter and the sub-statistical score corresponding thereto which are of particular interest to the user may be displayed. For example, in fig. 3B, the prompt displayed with the update of the real-time status icon 322 may be the corresponding real-time values of HR, Respiratory Rate (RR), blood oxygen (SpO2), and oxygen concentration (supp.o2) of particular interest, and their corresponding sub-statistical scores.
In some embodiments, the refreshing the display of the plurality of sub-statistical scores within the first region on the display interface according to the second measurement frequency includes:
drawing a plurality of sub-score display icons in said first region, each sub-score display icon 333 associated with a physiological parameter; and the combination of (a) and (b),
and displaying the sub-score display icons, and sequentially assigning the display results of the sub-score display icons to the generated sub-statistical scores according to a second measurement frequency.
For example, referring to fig. 3B, a plurality of sub-score display icons 326 are drawn in the first area 32, and each sub-score display icon 333 is associated with a physiological parameter, such as HR, Respiratory Rate (RR), blood oxygen (SpO2), oxygen concentration (supp. o2), body temperature, BP-S, LOC (AVPU) corresponding to a respective sub-score display icon 326. Each sub-score display icon 326 comprises a bar 332 and a numerical display area 333, the numerical display area 333 is updated according to the value association of the sub-statistical score, the display result of the sub-score display icon 326 can also be displayed by using the bar 332, the length of the bar 332 is associated with the numerical value of the related sub-statistical score, and the orientation of the bar reflects the variation trend of the related sub-statistical score relative to the benchmark threshold. In addition, a scale of the sub-statistical scoring standard is arranged above the sub-scoring display icon.
As shown in fig. 3B, 8, 9A and 9B, the sub-score display icon 326 is displayed as a bar, the length of the bar is related to the value of the sub-score, and the orientation of the bar reflects the variation trend of the sub-score with respect to a reference threshold, where the reference threshold is 0. The single physiological parameter has 7 sections of 3 points higher, 0 points lower and 3 points lower, namely 3 points lower (red), 2 points lower (orange), 1 point lower (yellow), zero points (white), 1 point higher (yellow), 2 points higher (orange) and 3 points higher (red), different numerical values of each physiological parameter correspond to different score sections, the length of a bar corresponds to different score sections, the color of the bar corresponds to different score section colors, the score section where the single physiological parameter is located is represented by a transverse bar in an interface, the score of a child is higher as the bar is longer, for example, the heart rate HR is smaller than or equal to 40 or is 2 points lower, the bar is leftward as well as 111-129, the heart rate HR is 2 points higher as well as the bar chart is rightward, and the score of each physiological parameter is displayed at the center. Whether the relevance sub-score is high or low relative to the benchmark threshold 0 is reflected by the orientation of the bar.
In addition, the real-time values corresponding to the relevant physiological parameters are also correspondingly displayed in the display area of the sub-score display icon 326. In some embodiments, the real-time values corresponding to the relevant physiological parameters displayed in the display area of the sub-score display icon 326 are real-time collected values corresponding to the time when the sub-statistical score is calculated.
In addition, the display area of the sub-score display icon 326 further includes an edit icon 334, the user enters a setting interface of the relevant score standard and a setting interface of the relevant reminding event and the attention information by clicking the edit icon 334, and certainly, the user can enter the relevant interface by clicking the edit icon 334 to set whether the corresponding physiological parameter needs to be attended, needs to be included in the score of the early warning state of the patient, needs to be displayed, and other attribute states.
In some embodiments, the above method further comprises:
determining associated state attention prompt information according to the grading range of the early warning state grading of the patient;
drawing a prompt message attribute page in the second area; and the combination of (a) and (b),
and outputting and displaying the state attention prompt information on the prompt information attribute page.
The state attention information includes one of a reminding attention item, a score range of an indication score, a reminding event, attention information and the like corresponding to the score range of the corresponding early warning total score.
Still further, the above method further comprises:
determining a related rendering attribute according to the scoring range of the patient early warning state score;
and adjusting the display effect of the prompt information attribute page according to the rendering attribute.
Referring to fig. 3B, a prompt information attribute page 323 is drawn in the first area, and according to the score range where the patient early warning state score is located, associated state attention prompt information is determined, for example, the patient early warning state score displayed at the current time is 7, and the score range where the patient early warning state score is located is 7-14, so that the determined associated state prompt information includes prompt information that at least one sub-statistical score exceeds a sub-score threshold value in the patient early warning state score, the score range where the current patient early warning state score is located, information that should be attended within the current score range, a prompt event prompting the user to know, and the like. As shown by reference numeral 324, in the embodiment, 4 scoring ranges are provided, which correspond to different status attention prompt messages, and the prompt message attribute page 323 containing the attention prompt messages in different statuses is switched according to the different scoring ranges as the icon 322 is displayed in a refreshing manner according to the corresponding numerical value of the patient early warning status score. In addition, according to the score range in which the patient early warning state score is located, the associated rendering attribute may also be determined, and the 4 score ranges provided in the embodiment correspond to the 4 rendering attribute values, as shown in the differentiated display of reference numeral 324, and based on the score range in which the patient early warning state score is located at the current time, the associated rendering attribute may be searched, and the display effect of the prompt information attribute page may be correspondingly refreshed.
In addition, a progress bar 321 is included in the first region 32 for prompting the next time the patient pre-alarm status score is calculated.
Also included in the first region 32 is a manual calculation button 331, which a user can initiate statistical calculations regarding the patient's early warning status score at any time by clicking on the manual calculation button 331.
The first area 32 further includes a setting button 327, and a user can enter the attribute setting window by clicking the setting button 327 to select another function, or perform functions such as page setting and mode setting.
In some embodiments, the sub-score display icons 326 correspond to partial parameters for determining the physiological parameters in the early warning status score, and the sub-scores of the partial parameters respectively exceed a sub-score threshold. That is, to reduce screen occupancy, which may be used to determine only some of the plurality of physiological parameters in the patient warning state score, only the sub-score display icons 326 associated with some of the parameters are displayed in the first region 32.
In the embodiment, the waveform and the numerical value of the physiological parameter can be obtained in real time, and meanwhile, the state of the patient is statistically scored based on the rule of early warning, so that the user is taken out from the situation that the waveform and the numerical value of the complex physiological parameter are read in real time, and the current state and the critical grade of the patient can be rapidly known by the user through simple numerical statistical analysis and color reminding. Furthermore, corresponding prompts of reminding events and attention information can be provided according to critical grade requirements, the utilization rate of the monitor is greatly improved, the attention degree of common patients is improved, and the use of the monitor is simplified.
With continued reference to fig. 3B, a trend graph of historical patient warning state scores is also displayed in a corresponding region (which may be within the first region or the second region) of the display interface. For example, the time axis 328 is plotted in a trend graph region on the display interface; and outputting and displaying the patient early warning state scores in the corresponding time periods at corresponding positions on the time axis 328 to obtain a plurality of icons, wherein the icons are sequentially arranged along the time change on the time axis 328 to form a change trend graph of the historical patient early warning state scores. The distance between corresponding locations displaying the patient early warning status score on a timeline is inversely related to the first measurement frequency. For example, in one embodiment, the first measurement frequency and/or the second measurement frequency are adjusted according to the relationship between the patient early warning state score and the total score threshold. Particularly, when the first measuring frequency is equal to the second measuring frequency and the early warning state score of the patient is greater than or equal to the total score threshold value, the first measuring frequency and the second measuring frequency are synchronously increased.
In one embodiment, a processor receives a plurality of physiological parameters acquired from a real-time monitored subject over a first time period, obtaining a first set of physiological data; obtaining at least one first patient pre-alarm state score at a first frequency based on the first set of physiological data; receiving a plurality of physiological parameters acquired from the real-time monitored subject within a second time period to obtain a second set of physiological data; obtaining at least one second patient pre-alarm state score at a second frequency based on the second set of physiological data; and outputting the at least one first patient early warning state score and the at least one second patient early warning state score in sequence over time. If any one of the first patient early warning state scores is greater than or equal to a total score threshold value, the first frequency is adjusted to be a second frequency, wherein the second frequency is higher when the first patient early warning state score is larger. In one embodiment, the first time period is different from and does not coincide with the second time, but has temporal continuity. The time periods referred to herein are all inclusive of at least one time instant.
Referring to fig. 3B, the at least one first patient warning state score is outputted at least one first position on the time axis 328, and at least one first icon 329-1 is obtained;
correspondingly outputting the at least one second patient warning state score at least one second position on the time axis 328 to obtain at least one second icon 329-2; and the combination of (a) and (b),
and sequentially arranging the first icon 329-1 and the second icon 329-2 along time variation on the time axis according to the acquisition time corresponding to the at least one first patient early warning state score and the at least one second patient early warning state score to form a trend graph of historical patient early warning state scores.
Specifically, the first icon or the second icon may be represented by a graphical specific icon (e.g., a circled number in fig. 3B), a straight line, a dot, or text. And a trend change chart of the corresponding historical early warning total score can be obtained by displaying the first icon and the second icon. Further, in one embodiment, in the trend graph, the distance interval between two adjacent first positions on the time axis 328 is related to the first frequency, and the distance interval between two adjacent second positions on the time axis is related to the second frequency. For example, referring to fig. 3B, first early warning total scores 1, 2, and 4 are respectively and correspondingly marked at first positions corresponding to 7:00, 9:00, 11:00, and 13: 00; and second early warning total scores 4 and 7 are marked at second positions corresponding to 14:00 and 15:00 in sequence, and it can be seen that the time interval corresponding to the first patient early warning state score is two hours (namely, a first frequency), and the time interval corresponding to the second patient early warning state score is one hour (namely, a second frequency), so that the adjacent interval of the first position (namely 329-1) on the time axis is related to the first frequency, and the adjacent interval of the second position (namely 329-2) on the time axis is related to the second frequency.
In addition, in one embodiment, when the first patient warning state score or the second patient warning state score is greater than or equal to a total score threshold, the corresponding first icon or second icon is highlighted. For example, referring to fig. 3B, the first icon and the second icon drawn at the first position corresponding to 13:00 and the second position corresponding to 14:00 and 15:00 are displayed in a distinguishing highlighting manner, and the distinguishing highlighting manner can be obtained by modifying attribute values such as a rendering color of the icon, a shape and a size of the icon, and the like.
In addition, because each patient early warning state score is derived from sub-scores corresponding to a plurality of physiological parameters, for example, sub-scores corresponding to a plurality of physiological parameters can be summed or weighted to obtain the patient early warning state score. Therefore, in some of these embodiments, the first patient warning state score or the second patient warning state score is determined by sub-scores of a plurality of physiological parameters.
The prompt information can be highlighted on a trend graph of the historical patient early warning state score. For example, referring to fig. 3B, on the trend graph area, corresponding prompt information is displayed at a position (i.e. 329-2) related to the second patient early warning state score, the prompt information includes prompt information 330 that the sub-statistical score exceeds (is greater than or equal to) the sub-score threshold 3 in the second patient early warning state score, the highlight prompt is displayed by marking the sub-score threshold 3 in fig. 3B, or the number of parameters in the first early warning total score or the sub-score exceeds (is greater than or equal to) the sub-score threshold 3 in the second early warning total score is marked to highlight the prompt. For example, the prompt message may also be related physiological parameters whose sub-scores exceed (are greater than or equal to) the sub-score threshold in the second patient early warning state score, for example, in fig. 3B, the marked "HR ═ 140" is respectively corresponding to time 13:00, 14:00, and 15:00, which indicates that the sub-score corresponding to the physiological parameter HR exceeds the sub-score threshold 3 in the total early warning scores obtained at time 13:00, 14:00, and 15:00, so as to perform special warning.
The frequency in the embodiment of the present application may be understood as the number of times the patient warning state score is obtained within a predetermined time period (e.g., every hour), or may be understood as the number of times the patient warning state score is obtained within a predetermined time period (e.g., every hour), and so on. The first frequency as in the embodiment of the present application may be to obtain the EWS total score (i.e., the first warning total score) every two hours. The patient warning status score herein may be the aforementioned EWS total score.
By implementing the embodiment of the application, the score of the early warning state of the first patient acquired at the first frequency can be displayed, the score of the early warning state of the second patient acquired at the second frequency is larger than the total score of the first early warning acquired at the first frequency, the change state of the body of the medical staff in the preset time can be clearly prompted, the condition that the medical staff urgently needs related values (such as the total score of the EWS) and manually corresponds to historical values is effectively avoided, the working efficiency of the medical staff is improved, the body state of the medical staff paying attention to the patient can be obviously improved in time, and the monitoring efficiency of the early warning score display device is improved.
In the foregoing, the real-time monitoring method provided by the embodiment of the present application is shown, referring to fig. 10, fig. 10 is a schematic structural diagram of another monitor provided by the embodiment of the present application, and as shown in fig. 10, the monitor includes:
a processor 1001, a memory 1002, a display 1003 and a parameter measurement circuit 1004; the processor 1001, the memory 1002, the display 1003 and the parameter measurement circuit 1004 may be connected to each other through a connection 1005. The connection line may include a transmission line or a bus, and the like, and the embodiment of the present application is not limited to a specific type of the connection line.
The parameter measurement circuit 1004 may be used to electrically connect sensor accessories disposed on the patient's body to obtain a plurality of physiological parameters.
The memory 1002 includes, but is not limited to, Random Access Memory (RAM), Read Only Memory (ROM), erasable programmable read only memory (EPROM or flash memory), or portable read only memory (CD-ROM), among others.
The processor 1001 may be one or more Central Processing Units (CPUs), and in the case that the processor 1001 is one CPU, the CPU may be a single-core CPU or a multi-core CPU. Alternatively, the processor may also be another type of processor, and the like, and the embodiment of the present application is not limited to the type of the processor.
The memory 1002 is used to store a computer program comprising program instructions, and the processor 1001 is used to execute the program instructions stored by the memory 1002. Wherein, the processor 1001 is configured to call the program instruction to execute:
generating real-time waveforms and/or real-time numerical values related to the physiological parameters according to the physiological data corresponding to the physiological parameters in the same period of time;
refreshing and displaying the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time;
generating a plurality of sub-statistical scores corresponding to the plurality of physiological parameters respectively according to the physiological data corresponding to the plurality of physiological parameters;
generating a patient early warning state score according to the plurality of sub-statistical scores;
outputting and displaying the early warning state score and the plurality of sub-statistical scores of the patient by at least one of the following output display modes;
refreshing and displaying the early warning state score of the patient in a first area on a display interface, and,
and refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on the display interface.
Optionally, the processor is further configured to refresh and display the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time by:
the second area is divided into a waveform display area and a numerical display area,
refreshing and displaying the real-time waveform corresponding to the relevant physiological parameter in the waveform display area in real time, and,
and refreshing and displaying the real-time numerical value corresponding to the relevant physiological parameter in the numerical value display area in real time.
Optionally, in the generating of the plurality of sub-statistical scores corresponding to the plurality of physiological parameters according to the physiological data corresponding to the plurality of physiological parameters, the sub-statistical score corresponding to each physiological parameter is obtained according to the early warning score rule.
Optionally, the generating the early warning state score of the patient according to the plurality of sub-statistical scores includes: and calculating to obtain the early warning state score of the patient through weighted summation according to the plurality of sub-statistical scores.
Optionally, the processor is further configured to output and display the patient early warning state score and the plurality of sub-statistical scores in at least one of the following output display manners:
refreshing and displaying the patient early warning state score in a first area on a display interface according to a first measuring frequency, and,
refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on a display interface according to a second measurement frequency;
wherein the first measurement frequency is different from the second measurement frequency, and the second measurement frequency is greater than the first measurement frequency; alternatively, the first measurement frequency is equal to the second measurement frequency.
Optionally, the processor is further configured to refresh and display the patient warning state score in a first area on a display interface according to a first measurement frequency by:
drawing a real-time state icon in the second display area; and the combination of (a) and (b),
and displaying the real-time state icon, and sequentially assigning the display result of the real-time state icon to a numerical value corresponding to the patient early warning state score according to a first measurement frequency, so that the patient early warning state score is displayed in a first area on a display interface in a refreshing manner according to the first measurement frequency.
Optionally, the processor is further configured to highlight the real-time status icon when the patient warning status score is greater than or equal to a total score threshold.
Optionally, the processor is further configured to:
determining that at least one sub-statistical score exceeds a sub-score threshold in the patient early warning state scores; and the combination of (a) and (b),
and outputting prompt information that at least one sub-statistical score exceeding a sub-score threshold exists in the early warning state scores of the patients.
Optionally, the processor is further configured to output prompt information that at least one sub-statistical score exceeds a sub-score threshold in the patient early warning state score by:
and in the second display area, the prompt information is output while the real-time state icon is displayed according to the refreshing of the early warning state score of the patient.
Optionally, the processor is further configured to:
drawing an image icon in the second display area, wherein the image icon is similar to the shape of a human body; and the combination of (a) and (b),
and associating and marking the physiological parameter corresponding to at least one sub-statistical score related in the prompt information with the image icon.
Optionally, the processor is further configured to refresh and display a part or all of the plurality of sub-statistical scores in a first area on the display interface according to a second measurement frequency by:
drawing a plurality of sub-score display icons in the first region, each sub-score display icon being associated with a physiological parameter; and the combination of (a) and (b),
and displaying the sub-score display icons, and sequentially assigning the display results of the sub-score display icons to the generated sub-statistical scores according to a second measurement frequency.
Optionally, the display result of the sub-score display icon is displayed by using a bar, the length of the bar is associated with the value of the related sub-statistical score, and the orientation of the bar reflects the variation trend of the related sub-statistical score relative to the reference threshold.
Optionally, the processor is further configured to:
determining associated state attention prompt information according to the grading range of the early warning state grading of the patient;
drawing a prompt message attribute page in the second area; and the combination of (a) and (b),
and outputting and displaying the state attention prompt information on the prompt information attribute page.
Optionally, the processor is further configured to:
determining a related rendering attribute according to the scoring range of the patient early warning state score;
and adjusting the display effect of the prompt information attribute page according to the rendering attribute.
Optionally, the sub-score display icons correspond to partial parameters for determining a plurality of physiological parameters in the patient early warning state score, and sub-scores corresponding to the partial parameters respectively exceed a sub-score threshold.
Optionally, the processor is further configured to:
and adjusting the first measurement frequency and/or the second measurement frequency according to the relationship between the early warning state score of the patient and a total score threshold value.
Optionally, the first measurement frequency is equal to a second measurement frequency, and when the patient early warning state score is greater than or equal to a total score threshold, the first measurement frequency and the second measurement frequency are synchronously increased.
It will be appreciated that in some implementations, the processor may be further configured to control the display to output related information, such as the processor may control the display to display real-time waveforms and/or real-time values; or, controlling a display screen to display the early warning state score and the plurality of sub-statistical scores of the patient; or controlling a display screen to display the display result of the real-time state icon; or, the display screen is controlled to display prompt information, and the like, and the embodiment of the present application is not limited to this implementation manner.
Specifically, an embodiment of the present application further provides a computer-readable storage medium, where a computer program is stored in the computer-readable storage medium, where the computer program includes program instructions, and the program instructions, when executed by a processor, implement:
generating real-time waveforms and/or real-time numerical values related to the physiological parameters according to the physiological data corresponding to the physiological parameters in the same period of time;
refreshing and displaying the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time;
generating a plurality of sub-statistical scores corresponding to the plurality of physiological parameters respectively according to the physiological data corresponding to the plurality of physiological parameters;
generating a patient early warning state score according to the plurality of sub-statistical scores;
outputting and displaying the early warning state score and the plurality of sub-statistical scores of the patient by at least one of the following output display modes;
refreshing and displaying the patient early warning state score according to the first measuring frequency in a first area on a display interface, and,
and refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on the display interface according to a second measurement frequency.
It is understood that the computer readable storage medium can be an internal storage unit of the monitor in any of the above embodiments, such as a hard disk or a memory of the monitor. The computer readable storage medium may also be an external storage device of the monitor, such as a plug-in hard disk, a Smart Media Card (SMC), a Secure Digital (SD) Card, a Flash memory Card (Flash Card), and the like, provided on the monitor. Further, the computer readable storage medium may include both an internal storage unit and an external storage device of the monitor. The computer-readable storage medium is used for storing the computer program and other programs and data required by the monitor. The above-described computer-readable storage medium may also be used to temporarily store data that has been output or is to be output.
The modules or units in all embodiments of the present Application may be implemented by a general-purpose Integrated Circuit, such as a CPU, or by an ASIC (Application Specific Integrated Circuit).
It should be noted that, for simplicity of description, the above-mentioned embodiments of the method are described as a series of acts or combinations, but those skilled in the art should understand that the present application is not limited by the order of acts described, as some steps may be performed in other orders or simultaneously according to the present application. Further, those skilled in the art should also appreciate that the embodiments described in the specification are preferred embodiments and that the acts and modules referred to are not necessarily required in this application.
The steps in the method of the embodiment of the application can be sequentially adjusted, combined and deleted according to actual needs.
It will be understood by those skilled in the art that all or part of the processes of the methods of the embodiments described above can be implemented by a computer program, which can be stored in a computer-readable storage medium, and when executed, can include the processes of the embodiments of the methods described above. The storage medium may be a magnetic disk, an optical disk, a Read-Only Memory (ROM), a Random Access Memory (RAM), or the like.

Claims (57)

  1. A monitoring method, comprising:
    determining a monitoring mode, the monitoring mode comprising: a first mode and a second mode, the first mode for displaying a currently monitored physiological parameter, the second mode for displaying the currently monitored physiological parameter and user status information, the user status information including at least a patient early warning status score;
    and under the condition that the monitoring mode is the second mode, after acquiring the currently monitored physiological parameters and the user state information, displaying the currently monitored physiological parameters and the user state information.
  2. The method of claim 1, further comprising:
    and updating the user state information under the condition that the currently monitored physiological parameters change and the changed currently monitored physiological parameters influence the user state information.
  3. The method of claim 1 or 2, wherein the patient pre-alarm state scoring comprises: early warning score EWS statistical information; the EWS statistical information includes: the variation trend of the current EWS total score, the sub-scores and the measurement values of N parameters corresponding to the EWS total score and the EWS total score of the user is more than or equal to 1.
  4. The method of claim 3, wherein the user status information further comprises: the system comprises non-physiological sign parameter ERAS state information and reminding information, wherein the reminding information is reminding information aiming at the user state, and the reminding information comprises input reminding information and reminding information obtained after the user state is analyzed.
  5. The method of claim 4, wherein prior to said displaying said user status information, said method further comprises:
    receiving a scene switching instruction, wherein the scene switching instruction is used for indicating to switch the reminding information contained in the user state information;
    switching the reminding information into reminding information corresponding to the scene specified by the scene switching instruction;
    the displaying the user status information comprises:
    and displaying the reminding information corresponding to the scene specified by the scene switching instruction.
  6. The method of claim 1, wherein prior to said displaying said user status information, said method further comprises:
    and acquiring the user state information in real time or acquiring the user state information at preset time intervals.
  7. The method of claim 1, further comprising:
    displaying the currently monitored physiological parameter if the monitoring mode is the first mode.
  8. A monitor, comprising:
    a determination unit for determining a monitoring mode, the monitoring mode comprising: a first mode and a second mode, the first mode for displaying a currently monitored physiological parameter, the second mode for displaying the currently monitored physiological parameter and user status information, the user status information including at least a patient early warning status score;
    the acquisition unit is used for acquiring the currently monitored physiological parameters and the user state information;
    and the display unit is used for displaying the currently monitored physiological parameters and displaying the user state information under the condition that the monitoring mode is the second mode.
  9. The monitor of claim 8, further comprising:
    and the updating unit is used for updating the user state information under the condition that the currently monitored physiological parameters change and the changed currently monitored physiological parameters influence the user state information.
  10. The monitor of claim 8 or 9, wherein the patient warning status score comprises: early warning score EWS statistical information; the EWS statistical information includes: the variation trend of the current EWS total score, the sub-scores and the measurement values of N parameters corresponding to the EWS total score and the EWS total score of the user is more than or equal to 1.
  11. The monitor of claim 10, wherein the user status information further comprises: the system comprises non-physiological sign parameter ERAS state information and reminding information, wherein the reminding information is reminding information aiming at the user state, and the reminding information comprises input reminding information and reminding information obtained after the user state is analyzed.
  12. The monitor of claim 11, further comprising:
    a receiving unit, configured to receive a scene switching instruction, where the scene switching instruction is used to instruct to switch the reminding information included in the user state information;
    the switching unit is used for switching the reminding information into the reminding information corresponding to the scene specified by the scene switching instruction;
    the display unit is specifically configured to display the reminding information corresponding to the scene specified by the scene switching instruction.
  13. The monitor of claim 8,
    the acquiring unit is further configured to acquire the user status information in real time or acquire the user status information at a predetermined time interval.
  14. The monitor of claim 8,
    the display unit is further configured to display the currently monitored physiological parameter when the monitoring mode is the first mode.
  15. A monitor, comprising: the device comprises a processor, a memory, an input/output interface and a display screen, wherein the memory, the input/output interface, the display screen and the processor are connected with each other;
    wherein the processor is configured to determine a monitoring mode, and the monitoring mode includes: a first mode and a second mode, the first mode for displaying a currently monitored physiological parameter, the second mode for displaying the currently monitored physiological parameter and user status information, the user status information including at least a patient early warning status score;
    the processor is further configured to display the currently monitored physiological parameter and the user status information through the display screen after acquiring the currently monitored physiological parameter and the user status information when the monitoring mode is the second mode.
  16. The monitor of claim 15,
    the processor is further configured to update the user state information when the currently monitored physiological parameter changes and the changed currently monitored physiological parameter affects the user state information.
  17. The monitor of claim 15 or 16 wherein the patient alert status score comprises: early warning score EWS statistical information; the EWS statistical information includes: the variation trend of the current EWS total score, the sub-scores and the measurement values of N parameters corresponding to the EWS total score and the EWS total score of the user is more than or equal to 1.
  18. The monitor of claim 17, wherein the user status information further comprises: the system comprises non-physiological sign parameter ERAS state information and reminding information, wherein the reminding information is reminding information aiming at the user state, and the reminding information comprises input reminding information and reminding information obtained after the user state is analyzed.
  19. The monitor of claim 18,
    the processor is further configured to receive a scene switching instruction through the input/output interface, where the scene switching instruction is used to instruct to switch the reminding information included in the user state information; and after the reminding information is switched to the reminding information corresponding to the scene specified by the scene switching instruction, displaying the reminding information corresponding to the scene specified by the scene switching instruction through the display screen.
  20. The monitor of claim 15,
    the processor is further configured to obtain the user status information in real time or at predetermined time intervals.
  21. The monitor of claim 15,
    the processor is further configured to display the currently monitored physiological parameter through the display screen when the monitoring mode is the first mode.
  22. A computer-readable storage medium, characterized in that the computer-readable storage medium stores a computer program comprising program instructions that, when executed by a processor, cause the processor to carry out the method according to any one of claims 1-7.
  23. A method for real-time monitoring of a patient's condition, the method comprising:
    obtaining physiological data corresponding to a plurality of physiological parameters through a sensor accessory connected with the body of a patient;
    generating real-time waveforms and/or real-time numerical values related to the physiological parameters according to the physiological data corresponding to the physiological parameters;
    refreshing and displaying the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time;
    generating a plurality of sub-statistical scores respectively corresponding to the plurality of physiological parameters according to the physiological data corresponding to the plurality of physiological parameters in the same period of time;
    generating a patient early warning state score according to the plurality of sub-statistical scores;
    and outputting and displaying the early warning state score and the plurality of sub-statistical scores of the patient by at least one of the following output display modes:
    refreshing the display of the patient early warning status score in a first region on a display interface, and,
    refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on a display interface.
  24. The method of claim 23, wherein said refreshing the display of the real-time waveform and/or real-time numerical value in real-time within the second region on the display interface comprises:
    the second area is divided into a waveform display area and a numerical display area,
    refreshing and displaying the real-time waveform corresponding to the relevant physiological parameter in the waveform display area in real time, and,
    and refreshing and displaying the real-time numerical value corresponding to the relevant physiological parameter in the numerical value display area in real time.
  25. The method of claim 23, wherein the generating of the plurality of sub-statistical scores corresponding to the plurality of physiological parameters according to the physiological data corresponding to the plurality of physiological parameters comprises obtaining the sub-statistical score corresponding to each physiological parameter according to an early warning score rule.
  26. The method of claim 23, wherein generating a patient early warning status score based on the plurality of sub-statistical scores comprises: and calculating to obtain the early warning state score of the patient through weighted summation according to the plurality of sub-statistical scores.
  27. The method of claim 23, wherein the patient pre-alarm state score and the plurality of sub-statistical scores are displayed in an output display mode selected from at least one of:
    refreshing and displaying the patient early warning state score in a first area on a display interface according to a first measuring frequency, and,
    refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on a display interface according to a second measurement frequency;
    the first measuring frequency is different from the second measuring frequency, and the second measuring frequency is greater than the first measuring frequency; alternatively, the first measurement frequency is equal to the second measurement frequency.
  28. The method of claim 27, wherein said refreshing display of said patient pre-alarm state score at a first measurement frequency in a first region on a display interface comprises:
    drawing a real-time status icon in the second display area; and the combination of (a) and (b),
    and displaying the real-time state icon, and sequentially assigning the display result of the real-time state icon to a numerical value corresponding to the patient early warning state score according to a first measurement frequency, so that the patient early warning state score is displayed in a first area on a display interface in a refreshing manner according to the first measurement frequency.
  29. The method of claim 28, wherein the real-time status icon is highlighted when the patient pre-alarm status score is greater than or equal to a total score threshold.
  30. The method of claim 23, further comprising:
    determining that at least one sub-statistical score in the patient early warning status scores exceeds a sub-score threshold; and the combination of (a) and (b),
    outputting prompt information that at least one sub-statistical score exceeding a sub-score threshold exists in the patient early warning state score.
  31. The method of claim 30, wherein outputting prompt information regarding the presence of at least one sub-statistical score in the patient pre-alarm status score that exceeds a sub-score threshold comprises:
    and in the second display area, the prompt information is output while the real-time state icon is displayed according to the refreshing of the early warning state score of the patient.
  32. The method of claim 30, further comprising:
    drawing an image-shaped icon in the second display area, wherein the image-shaped icon is similar to the shape of a human body; and the combination of (a) and (b),
    and associating and marking the physiological parameter corresponding to at least one sub-statistical score related in the prompt information with the image icon.
  33. The method of claim 27, wherein refreshing the display of some or all of the plurality of sub-statistical scores within the first region on the display interface at the second measurement frequency comprises:
    drawing a plurality of sub-score display icons within the first region, each sub-score display icon associated with a physiological parameter; and the combination of (a) and (b),
    and displaying the sub-score display icons, and sequentially assigning the display results of the sub-score display icons to the generated sub-statistical scores according to a second measurement frequency.
  34. The method of claim 33, wherein the sub-score display icon is displayed as a bar having a length that is related to the value of the associated sub-statistical score and an orientation that reflects the trend of the associated sub-statistical score relative to a baseline threshold.
  35. The method of claim 23, further comprising:
    determining associated state attention prompt information according to the grading range of the early warning state grading of the patient;
    drawing a prompt message attribute page in the second area; and the combination of (a) and (b),
    and outputting and displaying the state attention prompt information on the prompt information attribute page.
  36. The method of claim 35, further comprising:
    determining a related rendering attribute according to a scoring range where the patient early warning state score is located;
    and adjusting the display effect of the prompt information attribute page according to the rendering attribute.
  37. The method of claim 33, wherein the plurality of sub-score display icons correspond to a portion of parameters used to determine the plurality of physiological parameters in the patient pre-alarm state score, the portion of parameters corresponding to respective sub-scores exceeding a sub-score threshold.
  38. The method of claim 27, further comprising:
    and adjusting the first measurement frequency and/or the second measurement frequency according to the relation between the early warning state score of the patient and a total score threshold value.
  39. The method of claim 38, further comprising:
    the first measuring frequency is equal to a second measuring frequency, and when the early warning state score of the patient is larger than or equal to a total score threshold value, the first measuring frequency and the second measuring frequency are synchronously increased.
  40. A monitor, characterized in that it comprises:
    the parameter measuring circuit is electrically connected with a sensor accessory arranged on the body of a patient and used for acquiring physiological data corresponding to a plurality of physiological parameters;
    a processor and a memory;
    the memory is used for storing the computer program, and the processor is used for realizing the following steps when executing the computer program stored in the memory:
    generating real-time waveforms and/or real-time numerical values related to the physiological parameters according to the physiological data corresponding to the physiological parameters in the same period of time;
    refreshing and displaying the real-time waveform and/or the real-time numerical value in a second area on the display interface in real time;
    generating a plurality of sub-statistical scores respectively corresponding to the plurality of physiological parameters according to the physiological data corresponding to the plurality of physiological parameters;
    generating a patient early warning state score according to the plurality of sub-statistical scores;
    outputting and displaying the patient early warning state score and the plurality of sub-statistical scores by at least one of the following output display modes;
    refreshing the display of the patient early warning status score in a first region on a display interface, and,
    refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on a display interface.
  41. The monitor of claim 40 wherein the processor is further configured to refresh the display of the real-time waveform and/or real-time numerical value in real-time within a second region on the display interface by:
    the second area is divided into a waveform display area and a numerical display area,
    refreshing and displaying the real-time waveform corresponding to the relevant physiological parameter in the waveform display area in real time, and,
    and refreshing and displaying the real-time numerical value corresponding to the relevant physiological parameter in the numerical value display area in real time.
  42. The monitor of claim 40, wherein the sub-statistical scores corresponding to the physiological parameters are obtained according to an early warning score rule in generating a plurality of sub-statistical scores corresponding to the physiological parameters according to the physiological data corresponding to the physiological parameters.
  43. The monitor of claim 40 wherein generating a patient early warning status score based on the plurality of sub-statistical scores comprises: and calculating to obtain the early warning state score of the patient through weighted summation according to the plurality of sub-statistical scores.
  44. The monitor of claim 40 wherein the processor is further configured to output the patient pre-alarm state score and the plurality of sub-statistical scores in at least one of the following output displays:
    refreshing and displaying the patient early warning state score in a first area on a display interface according to a first measuring frequency, and,
    refreshing and displaying part or all of the plurality of sub-statistical scores in a first area on a display interface according to a second measurement frequency;
    the first measuring frequency is different from the second measuring frequency, and the second measuring frequency is greater than the first measuring frequency; alternatively, the first measurement frequency is equal to the second measurement frequency.
  45. The monitor of claim 44 wherein the processor is further configured to refresh the display of the patient pre-alarm state score at the first measurement frequency in a first region on the display interface by:
    drawing a real-time status icon in the second display area; and the combination of (a) and (b),
    and displaying the real-time state icon, and sequentially assigning the display result of the real-time state icon to a numerical value corresponding to the patient early warning state score according to a first measurement frequency, so that the patient early warning state score is displayed in a first area on a display interface in a refreshing manner according to the first measurement frequency.
  46. The monitor of claim 45 wherein the processor is further configured to highlight rendering the real-time status icon when the patient pre-alarm status score is greater than or equal to a total score threshold.
  47. The monitor of claim 40 wherein the processor is further configured to:
    determining that at least one sub-statistical score in the patient early warning status scores exceeds a sub-score threshold; and the combination of (a) and (b),
    outputting prompt information that at least one sub-statistical score exceeding a sub-score threshold exists in the patient early warning state score.
  48. The monitor of claim 47 wherein the processor is further configured to output prompt information regarding the presence of at least one sub-statistical score in the patient early warning state score exceeding a sub-score threshold by:
    and in the second display area, the prompt information is output while the real-time state icon is displayed according to the refreshing of the early warning state score of the patient.
  49. The monitor of claim 48 wherein the processor is further configured to:
    drawing an image-shaped icon in the second display area, wherein the image-shaped icon is similar to the shape of a human body; and the combination of (a) and (b),
    and associating and marking the physiological parameter corresponding to at least one sub-statistical score related in the prompt information with the image icon.
  50. The monitor of claim 44 wherein the processor is further configured to refresh display of some or all of the plurality of sub-statistical scores within the first region on the display interface at the second measurement frequency by:
    drawing a plurality of sub-score display icons within the first region, each sub-score display icon associated with a physiological parameter; and the combination of (a) and (b),
    and displaying the sub-score display icons, and sequentially assigning the display results of the sub-score display icons to the generated sub-statistical scores according to a second measurement frequency.
  51. The monitor of claim 50 wherein the sub-score display icons are displayed as bars having a length related to the value of the associated sub-statistical score and an orientation reflecting the trend of the associated sub-statistical score relative to a baseline threshold.
  52. The monitor of claim 40 wherein the processor is further configured to:
    determining associated state attention prompt information according to the grading range of the early warning state grading of the patient;
    drawing a prompt message attribute page in the second area; and the combination of (a) and (b),
    and outputting and displaying the state attention prompt information on the prompt information attribute page.
  53. The monitor of claim 52 wherein the processor is further configured to:
    determining a related rendering attribute according to a scoring range where the patient early warning state score is located;
    and adjusting the display effect of the prompt information attribute page according to the rendering attribute.
  54. The monitor of claim 50 wherein the plurality of sub-score display icons correspond to a portion of parameters used to determine a plurality of physiological parameters in the patient warning status score, the sub-scores corresponding to the respective portions of parameters exceeding a sub-score threshold.
  55. The monitor of claim 44 wherein the processor is further configured to:
    and adjusting the first measurement frequency and/or the second measurement frequency according to the relation between the early warning state score of the patient and a total score threshold value.
  56. The monitor of claim 55 wherein the first measurement frequency is equal to a second measurement frequency, and wherein the first measurement frequency and the second measurement frequency are increased simultaneously when the patient pre-alarm status score is greater than or equal to a total score threshold.
  57. A computer-readable storage medium, characterized in that the computer-readable storage medium stores a computer program comprising program instructions that, when executed by a processor, cause the processor to perform the method according to any of claims 23-39.
CN201880099004.6A 2018-12-29 2018-12-29 Monitoring method, monitor and computer storage medium Pending CN112911992A (en)

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