CN112996427A - Display method applied to monitoring equipment and monitoring equipment - Google Patents

Display method applied to monitoring equipment and monitoring equipment Download PDF

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Publication number
CN112996427A
CN112996427A CN201880099058.2A CN201880099058A CN112996427A CN 112996427 A CN112996427 A CN 112996427A CN 201880099058 A CN201880099058 A CN 201880099058A CN 112996427 A CN112996427 A CN 112996427A
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China
Prior art keywords
data
prompt
physiological
shock
cardiac
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CN201880099058.2A
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Chinese (zh)
Inventor
王澄
何昆仑
张政波
卿磊
秦杰
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Chinese PLA General Hospital
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Shenzhen Mindray Bio Medical Electronics Co Ltd
Chinese PLA General Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons

Abstract

A display method applied to a monitoring device comprises the following steps: acquiring monitoring data of at least one physiological parameter of a monitored subject; generating target data according to the monitoring data of the at least one physiological parameter; when the target data meet a preset condition, determining prompt information corresponding to the target data, wherein the prompt information is information used for representing physiological sign states of the monitored subject, and the physiological sign states at least comprise at least one of a volume reactivity state, an oxygenation risk state and a shock risk state; and displaying the prompt information in a prompt display area of a display interface.

Description

Display method applied to monitoring equipment and monitoring equipment Technical Field
The invention relates to the field of medical equipment, in particular to a display method applied to monitoring equipment and the monitoring equipment.
Background
The traditional patient monitor can only monitor and alarm the abnormal change of a single physiological parameter of a patient, and the change of the state of illness of the patient is often expressed by a plurality of physiological parameters. In clinical practice, doctors need to comprehensively analyze a plurality of physiological parameters of patients by combining their own experiences when judging the states of the patients.
In addition, the physiological sign states of patients are often diverse, and the physiological sign states of the same type are also often of multiple different severity levels. The traditional patient monitor only compares the monitored single physiological sign data with a preset alarm threshold value, and gives a simple alarm if the monitored physiological sign data exceeds the alarm threshold value, but does not give a specific physiological sign state of the patient reflected by the physiological sign data.
Therefore, it is difficult for the conventional patient monitor to give effective prompt to the doctor about the current state and the change of the state of the patient. The alarm prompt is simple, not intelligent enough, and the reference value is not large, so that medical personnel need to perform further analysis and judgment according to the monitoring data.
Disclosure of Invention
According to a first aspect of the present invention, the present invention provides a display method applied to a monitoring device, including:
acquiring monitoring data of at least one physiological parameter of a monitored subject;
generating target data according to the monitoring data of the at least one physiological parameter;
when the target data meet a preset condition, determining prompt information corresponding to the target data, wherein the prompt information is information used for representing physiological sign states of the monitored subject, and the physiological sign states at least comprise at least one of a volume reactivity state, an oxygenation risk state and a shock risk state;
and displaying the prompt information in a prompt display area of a display interface.
According to a second aspect of the invention, there is also provided a monitoring device comprising:
a display configured to display information;
a memory, said memory storing executable program instructions, an
A processor configured to execute executable program instructions to implement the steps of the display method as applied to the monitoring device according to the first aspect of the invention.
According to a third aspect of the invention, there is provided a monitoring device comprising:
the memory is used for storing an analysis result and prompt information in a pre-associated mode, the analysis result is obtained based on physiological data analysis of a monitored subject, the prompt information is used for being displayed by the display, and the prompt information at least comprises description information of the physiological sign state of the monitored subject;
physiological data acquisition means for acquiring at least one physiological data of the monitored subject;
the processor is used for analyzing and processing the at least one physiological data to obtain an analysis result; and obtaining prompt information associated with the analysis result from the memory in a matching way;
and the display is used for generating and displaying a prompt display area in a display interface and displaying the prompt information in the prompt display area.
Drawings
FIG. 1 is a flow chart illustrating a display method applied to a monitoring device;
FIG. 2 is a schematic diagram of a prompt display area in a display interface of a monitoring device;
FIG. 3 is a schematic view of a display interface of the monitoring device;
FIG. 4 is a schematic diagram of a monitoring device;
fig. 5 is a schematic structural diagram of another monitoring device.
Detailed Description
The monitoring device mentioned in the embodiment of the invention is not limited to a monitor, and can also be an invasive/noninvasive ventilator with a monitoring function, an anesthesia machine, a nurse station, a central station and other devices.
The terms "first," "second," "third," "fourth," and the like in the description and in the claims, as well as in the drawings, if any, are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It will be appreciated that the data so used may be interchanged under appropriate circumstances such that the embodiments described herein may be practiced otherwise than as specifically illustrated or described herein. Moreover, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover non-exclusive inclusions, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed, but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.
Referring to fig. 1, in an embodiment, a display method applied to a monitoring device includes:
step 101, acquiring monitoring data of at least one physiological parameter of a monitored subject.
In this embodiment, the monitoring device may obtain monitoring data of at least one physiological parameter of the monitored subject. The at least one physiological parameter may comprise arterial pressure, heart rate, systolic pressure, blood oxygen saturation, inspired oxygen concentration, cardiac preload related parameter, cardiac output related parameter, pulmonary artery pressure, and the like, wherein the cardiac preload related parameter comprises at least one of a full end diastolic volume index, central venous pressure, pulmonary artery pressure, the cardiac output related parameter comprises at least one of cardiac output, stroke volume index, cardiac output index, the cardiac output related parameter comprises at least one of peripheral vascular resistance, peripheral vascular resistance index, arterial pressure, and the like. It is understood that the specific types of the physiological parameters listed above are only examples, and other types of physiological parameters may be included in the embodiment, and are not limited herein.
It should be noted that the monitoring device may acquire the acquisition signal of the physiological parameter through a sensor connected to a human body, and then the monitoring device may convert the acquired acquisition signal of the physiological parameter into an electrical signal, perform preprocessing such as interference suppression, signal filtering and amplification, and finally acquire the monitoring data of the physiological parameter. Because the physiological parameters of the monitored object usually change continuously with the lapse of time, the monitoring device can acquire the historical monitoring data of the physiological parameters within a period of time, in addition to the instant monitoring data of the physiological parameters, that is, the monitoring device can store the monitoring data of the physiological parameters acquired within a preset period of time, so as to obtain the historical data of the physiological parameters within the preset period of time.
In a specific embodiment, the obtaining of the monitoring data of the physiological sign parameter of the monitored subject within the preset time period may be: monitoring data for monitoring physiological sign parameters in a physiological parameter set of a subject over a last period of time, such as the last 8 hours, the last 24 hours, and the like, is obtained.
It should be noted that the scheme does not limit the specific type of the used medical sensor, and different sensors can be used for acquiring different physiological parameters.
Step 102, generating target data according to the monitoring data of at least one physiological parameter.
In this embodiment, after acquiring the monitoring data of at least one physiological parameter, the monitoring device may analyze or calculate the acquired monitoring data to generate target data.
And 103, determining prompt information corresponding to the target data when the target data meets the preset conditions.
In this embodiment, the monitoring device may determine whether the target data meets a preset condition, and if the target data meets the preset condition, the monitoring device may determine prompt information corresponding to the target data, where the prompt information is used to indicate information of a physiological sign state of the monitored object. In particular, the prompt information may comprise at least one of a volume reactivity state, an oxygenation risk state, a shock risk state. That is, different target data may correspond to different prompt information, and the monitoring device may prompt at least one of a volume responsiveness state, an oxygenation risk state, or a shock risk state based on the different target data.
And 104, displaying prompt information in a prompt display area of the display interface.
In this embodiment, the monitoring device may provide an independent prompt display area, and display the prompt information on the prompt display area. The prompt display area may be a part of area divided on the display interface, and in addition, the prompt display area may also be a display area suspended on the display interface, which is not limited herein.
In this embodiment, the monitoring device obtains monitoring data of at least one physiological parameter of the monitored subject, generates target data according to the monitoring data of the at least one physiological parameter, and determines prompt information corresponding to the target data when the target data meets a preset condition, where the prompt information is information used for indicating a physiological sign state of the monitored subject, and the physiological sign state at least includes at least one of a volume responsiveness state, an oxygenation risk state, and a shock risk state, so as to display the prompt information in a prompt display area of a display interface. By the mode, the monitoring device can analyze and calculate the collected monitoring data of the physiological parameters to obtain the target data, and the target data is used as an index to determine the prompt information corresponding to the target data, so that the alarm is not only given to the threshold value of the single physiological parameter, and the prompt information displayed by the monitoring device is more intelligent and has higher reference value.
The following further describes the scheme of the present invention according to the specific type of the target data and the specific type of the prompt message, respectively:
1. the physiological parameters acquired by the monitoring device include arterial pressure, the monitoring device calculates arterial blood pressure variation rate (PPV) according to the monitoring data of the arterial pressure, and further analyzes the PPV to obtain an analysis result and determine prompt information associated with the analysis result.
Specifically, when the analysis result is that the arterial blood pressure variation rate is greater than the volume reactivity state threshold value, the monitoring device determines that the prompt information is volume reactivity. And when the analysis result shows that the arterial blood pressure variation rate is smaller than the volume reactivity state threshold value, the monitoring device determines that the prompt information is no volume reactivity. It is understood that both volumetric reactivity and non-volumetric reactivity fall within one of the volumetric reactivity states.
It should be noted that the capacity reactivity state threshold may be customized by a user, for example, the user may set the capacity reactivity state threshold to be 15%, and the present invention does not limit the specific value of the capacity reactivity state threshold.
2. The physiological parameters acquired by the monitoring equipment comprise heart rate and systolic pressure, the ratio of the heart rate to the systolic pressure is calculated by the monitoring equipment and is used as target data, then the target data is analyzed to obtain an analysis result, and prompt information related to the analysis result is determined.
Specifically, when the analysis result is that the target data is greater than the first shock risk state threshold, the monitoring device determines that the prompt information is a mild shock risk. And when the analysis result is that the target data is larger than the second shock risk state threshold value, the monitoring equipment determines that the prompt information is the severe shock risk. It is understood that both the risk of mild shock and the risk of severe shock are among the shock risk states.
It should be noted that, the first shock risk state threshold and the second shock risk state threshold may be customized by a user, for example, the user may set the first shock risk state threshold to be 1.5 and set the second shock risk state threshold to be 2.
3. The physiological parameters acquired by the monitoring device include blood Oxygen Saturation (SpO 2) and inhaled Oxygen concentration (Fraction of inhalation O2, FiO2), the monitoring device calculates a ratio of the blood Oxygen Saturation to the inhaled Oxygen concentration and uses the ratio as target data, and then analyzes the target data to obtain an analysis result and determines prompt information related to the analysis result.
Specifically, when the analysis result is that the target data is less than the first oxygenation risk state threshold, the monitoring device determines that the prompt information is a light oxygenation risk. And when the analysis result is that the target data is smaller than the second oxygenation risk state threshold value, the monitoring device determines that the prompt information is serious oxygenation risk. It is understood that both the risk of mild oxygenation and the risk of severe oxygenation are among the oxygenation risk states.
It should be noted that the first oxidation risk state threshold and the second oxidation risk state threshold may be customized by a user, for example, the user may set the first oxidation risk state threshold to 315 and the second oxidation risk state threshold to 235.
4. The physiological parameters acquired by the monitoring device comprise a cardiac preload related parameter, a cardiac output related parameter and a cardiac afterload related parameter, wherein the cardiac preload related parameter comprises at least one of a full end-diastolic volume index, a central venous pressure and a pulmonary artery pressure, the cardiac output related parameter comprises at least one of a cardiac output, a stroke volume index and a cardiac output index, and the cardiac afterload related parameter comprises at least one of a peripheral vascular resistance, a peripheral vascular resistance index and an arterial pressure. The monitoring device generates target data comprising a cardiac preload related parameter, a cardiac output related parameter, a cardiac afterload related parameter. And then the monitoring equipment analyzes the target data to obtain an analysis result and determines prompt information related to the analysis result.
Specifically, the prompt is determined to be hypovolemic shock when the preload related parameter is below a first threshold, the cardiac output related parameter is below a second threshold, and the afterload related parameter is above a third threshold. And when the pre-cardiac load related parameter is higher than a first threshold, the cardiac output related parameter is lower than a second threshold, and the post-cardiac load related parameter is higher than a third threshold, determining that the prompt message is cardiogenic or obstructive shock. And when the pre-cardiac load related parameter is lower than a first threshold, the cardiac output related parameter is higher than a second threshold, and the post-cardiac load related parameter is lower than a third threshold, determining that the prompt message is distributed shock. It is understood that low volume shock, cardiogenic or obstructive shock, and distributed shock are among the shock risk states.
It should be noted that the first threshold, the second threshold, and the third threshold may be customized by a user, and the specific values of the first threshold, the second threshold, and the third threshold are not limited in the present invention.
In the above description of the different types of target data and the prompt messages respectively corresponding to the target data in 4, the prompt display area of the display interface of the monitoring device and the displayed prompt message are further described with reference to the following drawings:
referring to fig. 2, fig. 2 is a schematic diagram of a prompt display area of a monitoring device.
It can be seen that the display area shown in fig. 2 is a prompt display area on the display interface of the monitoring device, and "PPV greater than 15% and volume responsiveness" displayed on the prompt display area is prompt information.
The following examples are provided to illustrate several possible forms of the hint information.
For example, the target data is PPV, the analysis results are that the PPV is greater than 15%, and the corresponding state of volumetric reactivity is volumetric reactivity. The prompt message may only display the physiological sign status of the monitored subject, i.e., "volume responsiveness". The prompt message may also display only the analysis result, i.e., "PPV greater than 15%". The prompt information can also simultaneously display the analysis result and the physiological sign state of the monitored object, namely, the PPV is more than 15 percent and the PPV has capacity reactivity. It can be understood that, according to the above example, the prompt messages corresponding to other types of target data are similar to each other, and are not described in detail here.
It should be noted that the prompt display area further includes an operable graphic button, which may be specifically indicated by an arrow pointing downward in fig. 2. The monitoring device can acquire an operation instruction input by the user through the operable graphic button and close the prompt display area according to the operation instruction. It is understood that after the prompt display area is closed, the monitoring device may resume displaying the prompt display area according to the operation instruction input by the user through the operable graphic button.
Meanwhile, the operable graphic button also has an indicating function of indicating to the user that the prompt display area can be hidden or displayed, and the user can hide the prompt display area by sliding downwards or display the prompt display area by sliding upwards. By the mode, an operator can adjust the prompt display area of the monitoring device according to the requirement of the operator, so that the display mode of the monitoring device is more flexible.
Referring to fig. 3, fig. 3 is a schematic view of a display interface of the monitoring device.
The monitoring device can also display monitoring information corresponding to the detection data of the physiological parameters in a target area of the display interface. Specifically, as shown in fig. 3, the display information includes at least one of waveform display information and numerical value display information. The waveform display information can include a physiological sign signal simulation oscillogram and/or a physiological sign parameter trend graph.
It should be noted that the prompt information in the present embodiment is different from the conventional alarm information of the monitoring device, for example, "ART-SYS TOO HIGH" shown in fig. 3 is the alarm information for a single physiological parameter displayed by the monitoring device, that is, the arterial pressure of the currently monitored subject exceeds the arterial pressure alarm threshold. The prompt information in this embodiment is obtained by first performing data calculation on at least one physiological parameter to obtain target data, and then analyzing and comparing the target data to finally obtain the prompt information for reflecting the physiological sign state of the monitoring subject, for example, the PPV is obtained by calculating arterial pressure, and the PPV is analyzed to be greater than 15%, so that it is determined that the physiological sign state of the monitoring subject is volume-responsive. Compared with the traditional physiological parameter alarm, the alarm device has the advantages that the alarm is not only carried out on the threshold value of a single physiological parameter, and the prompt information displayed by the monitoring device is more intelligent and has higher reference value.
The following describes in detail a monitoring device of the invention:
referring to fig. 4, the monitoring device has a separate housing with a sensor interface area on the housing panel, in which a plurality of sensor interfaces are integrated for connecting to external physiological parameter sensor accessories 111, a small display area, a display 119, an input interface circuit 122, a power and battery management circuit 117, a memory 118, a pump valve driving circuit 121, and an alarm circuit 120 (e.g., an LED alarm area), etc. The parameter processing module is used for communicating with the host and getting electricity from the host, and is used for an external communication and power interface. The parameter processing module also supports an external parameter insertion module, a plug-in monitoring device host can be formed by inserting the parameter insertion module and is used as a part of the monitoring device, the plug-in monitoring device host can also be connected with the host through a cable, and the external parameter insertion module is used as an external accessory of the monitoring device.
The internal circuit of the parameter processing module is disposed in the housing, as shown in fig. 4, and includes at least two signal acquisition circuits 112 corresponding to physiological parameters, a signal processing circuit 113 and a processor 115, the signal acquisition circuits 112 may be selected from an electrocardiograph circuit, a respiration circuit, a body temperature circuit, a blood oxygen circuit, a non-invasive blood pressure circuit, an invasive blood pressure circuit, and the like, these signal acquisition circuits 112 are respectively electrically connected to corresponding sensor interfaces for electrically connecting to the sensor accessories 111 corresponding to different physiological parameters, the output end of the signal acquisition circuits is coupled to the front-end signal processor, the communication port of the front-end signal processor is coupled to the processor, and the processor is electrically connected to an external communication and power interface through a power supply and battery management circuit 117. The various physiological parameter measuring circuits can adopt a common circuit in the prior art, a front-end signal processor completes the sampling and analog-to-digital conversion of the output signal of the signal acquisition circuit and outputs a control signal to control the measuring process of the physiological signal, and the parameters include but are not limited to: electrocardio, respiration, body temperature, blood oxygen, noninvasive blood pressure and invasive blood pressure parameters. The front-end signal processor can be realized by adopting a singlechip or other semiconductor devices. The front-end signal processor may be powered by an isolated power supply, and the sampled data may be sent to the processor through an isolated communication interface after being simply processed and packaged, for example, the front-end signal processor circuit may be coupled to the processor 115 through the isolated power supply and communication interface 114. The reason that the front-end signal processor is supplied with power by the isolation power supply is that the DC/DC power supply is isolated by the transformer, which plays a role in isolating the patient from the power supply equipment, and mainly aims at: 1. isolating the patient, and floating the application part through an isolation transformer to ensure that the leakage current of the patient is small enough; 2. the voltage or energy when defibrillation or electrotome is applied is prevented from influencing board cards and devices of intermediate circuits such as a main control board and the like (guaranteed by creepage distance and electric clearance). The processor completes the calculation of the physiological parameters and sends the calculation results and waveforms of the parameters to a host (such as a host with a display, a PC, a central station, etc.) through an external communication and power interface 116, which may be one or a combination of an Ethernet (Ethernet), a Token Ring (Token Ring), a Token Bus (Token Bus) and a local area network interface composed of a backbone Fiber Distributed Data Interface (FDDI) as the three networks, one or a combination of wireless interfaces such as infrared, bluetooth, wifi, WMTS communication, etc., or one or a combination of wired data connection interfaces such as RS232, USB, etc. The external communication and power interface 116 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 machine, an electrocardiograph, an ultrasonic diagnostic apparatus, a computer and the like of the monitoring equipment, and matched software is installed to form the monitoring equipment. The host can also be communication equipment such as a mobile phone, and the parameter processing module sends data to the mobile phone supporting Bluetooth communication through the Bluetooth interface to realize remote transmission of the data.
Specifically, the display 119 is used to configure display information according to instructions of the processor 115;
the processor 115 executes program instructions to implement the following steps:
acquiring monitoring data of at least one physiological parameter of a monitored subject;
generating target data according to the monitoring data of the at least one physiological parameter;
when the target data meet a preset condition, determining prompt information corresponding to the target data, wherein the prompt information is information used for representing physiological sign states of the monitored subject, and the physiological sign states at least comprise at least one of a volume reactivity state, an oxygenation risk state and a shock risk state;
and displaying the prompt information in a prompt display area of a display interface.
By the mode, the monitoring device can analyze and calculate the collected monitoring data of the physiological parameters to obtain the target data, and the target data is used as an index to determine the prompt information corresponding to the target data, so that the alarm is not only given to the threshold value of the single physiological parameter, and the prompt information displayed by the monitoring device is more intelligent and has higher reference value.
In one embodiment, the physiological parameter includes arterial pressure, and the processor 115 is configured to:
and calculating the arterial blood pressure variation rate according to the monitoring data of the arterial pressure.
In one embodiment, the processor 115 is configured to:
when the arterial blood pressure variation rate is larger than a volume reactivity state threshold value, determining that the prompt message is volume reactivity, wherein the volume reactivity belongs to the volume reactivity state;
or the like, or, alternatively,
when the arterial blood pressure variation rate is smaller than a volume reactivity state threshold value, determining that the prompt message is volume-free reactivity, and the volume-free reactivity belongs to the volume reactivity state.
In one embodiment, the physiological parameters include heart rate and systolic blood pressure, and the processor 115 is configured to:
and taking the ratio of the heart rate to the systolic blood pressure as the target data.
In one embodiment, the processor 115 is configured to:
when the target data is larger than a first shock risk state threshold value, determining that the prompt information is a mild shock risk, wherein the mild shock risk belongs to the shock risk state;
or the like, or, alternatively,
and when the target data is larger than a second shock risk state threshold value, determining that the prompt message is a severe shock risk, wherein the severe shock risk belongs to the shock risk state.
In one embodiment, the physiological parameters include blood oxygen saturation and inspired oxygen concentration, and the processor 115 is configured to:
the ratio of the blood oxygen saturation to the inhaled oxygen concentration is taken as the target data.
In one embodiment, the processor 115 is configured to:
when the target data is less than a first oxygenation risk state threshold, determining that the reminder information is a light oxygenation risk, the light oxygenation risk belonging to the oxygenation risk state;
or the like, or, alternatively,
determining that the prompt information is a severe oxygenation risk when the target data is less than a second oxygenation risk status threshold, the severe oxygenation risk belonging to the oxygenation risk status.
In one embodiment, the physiological parameters include a cardiac preload related parameter, a cardiac output related parameter, and a cardiac afterload related parameter, wherein the cardiac preload related parameter includes at least one of a full end-diastolic volume index, a central venous pressure, a pulmonary artery pressure, the cardiac output related parameter includes at least one of a cardiac output, a stroke volume index, a cardiac output index, the cardiac afterload related parameter includes at least one of a peripheral vascular resistance, a peripheral vascular resistance index, an arterial pressure, the processor 115 is configured to:
generating target data comprising the cardiac preload related parameter, the cardiac output related parameter, the cardiac afterload related parameter.
In one embodiment, the processor 115 is configured to:
when the cardiac preload related parameter is lower than a first threshold, the cardiac output quantity related parameter is lower than a second threshold, and the cardiac afterload related parameter is higher than a third threshold, determining that the prompt message is low volume shock, wherein the low volume shock belongs to the shock risk state;
or the like, or, alternatively,
when the cardiac preload related parameter is higher than a first threshold, the cardiac output related parameter is lower than a second threshold, and the cardiac afterload related parameter is higher than a third threshold, determining that the prompt information is cardiogenic or obstructive shock, wherein the cardiogenic or obstructive shock belongs to the shock risk state;
or the like, or, alternatively,
and when the cardiac preload related parameter is lower than a first threshold, the cardiac output related parameter is higher than a second threshold, and the cardiac afterload related parameter is lower than a third threshold, determining that the prompt message is distributed shock, wherein the distributed shock belongs to the shock risk state.
In one embodiment, the prompt display area further comprises an operable graphical button, and the processor 115 is configured to:
acquiring an operation instruction input by a user through the operable graphic button;
and closing the prompt display area according to the operation instruction.
In one embodiment, the processor 115 is configured to:
and displaying display information corresponding to the monitoring data of the physiological parameters in a target area of the display interface, wherein the display information at least comprises one of waveform display information and numerical display information, and the waveform display information comprises a physiological sign signal simulation oscillogram and/or a physiological sign parameter trend graph.
Referring to fig. 5, fig. 5 is a schematic view of another embodiment of a monitoring device according to the present invention.
The monitoring device 500 comprises:
the memory 501 is configured to pre-associate and store an analysis result obtained based on analysis of physiological data of a monitored subject and prompt information used for display on a display, where the prompt information at least includes description information of a physiological sign state of the monitored subject. Specifically, the analysis result and the prompt information may be stored in a form of a corresponding table, or the memory 501 may be an associative memory.
A physiological data acquiring device 502 for acquiring at least one physiological data of the monitored subject. In particular, the physiological data acquisition device 502 can be a physiological parameter acquisition sensor.
The processor 503 is configured to perform analysis processing on the at least one physiological data to obtain an analysis result; and matching the prompt information associated with the analysis result from the memory;
the display 504 is configured to generate and display a prompt display area in the display interface, and display the prompt information in the prompt display area.
In an embodiment, the analysis result is obtained based on at least two physiological data analyses of the monitored subject. Compared with the prior art, only threshold alarm of a single physiological parameter is performed only by comparing monitored single physiological data with a preset alarm threshold, the monitoring device provided by the embodiment can perform comprehensive analysis by referring to a plurality of (at least two) physiological parameters of a monitored object, and display prompt information at least including description information of physiological sign states of the monitored object.
In one embodiment, the processor 503 is configured to:
comparing the at least one physiological data with a corresponding preset threshold value to take the comparison relationship between the at least one physiological data and the corresponding preset threshold value as an analysis result;
or, calculating the at least one physiological data based on a preset algorithm, and comparing the calculation result with a corresponding preset threshold value to take the determined comparison relationship between the calculation result and the corresponding preset threshold value as an analysis result.
In one embodiment, the physiological data includes arterial blood pressure variation rate, and the processor 503 is configured to:
comparing the arterial blood pressure variation rate with a corresponding preset threshold value to obtain a comparison relation as an analysis result; the prompt information comprises information for indicating that the monitored object has capacity reactivity or no capacity reactivity;
in one embodiment, the physiological data includes heart rate and systolic blood pressure, and the processor 503 is configured to:
calculating a shock index based on the heart rate and the systolic pressure, and comparing the shock index with a preset threshold value to obtain a determined comparison relationship as an analysis result; the prompt message comprises information for indicating that the monitored subject is at risk of mild shock or at risk of severe shock;
in an embodiment, the physiological data comprises cardiac preload related vital sign data, cardiac output related vital sign data and cardiac afterload related vital sign data, the processor 503 is configured to:
comparing the cardiac preload related sign data, the cardiac output quantity related sign data and the cardiac afterload related sign data with corresponding preset thresholds so as to take the determined comparison relationship as an analysis result; the prompt information comprises information for indicating that the monitored object is low volume shock, cardiogenic/obstructive shock or distributed shock; wherein the cardiac preload related vital sign data comprises at least one of a full end-diastolic volume index, a central venous pressure, a pulmonary artery pressure, the cardiac output related vital sign data comprises at least one of a cardiac output, a stroke volume index, a cardiac output index, the cardiac afterload related vital sign data comprises at least one of a peripheral vascular resistance, a peripheral vascular resistance index, an arterial pressure.
In an embodiment, the prompt information further includes the analysis result.
In one embodiment, the processor 503 is configured to:
and acquiring an operation instruction which is input by a user and used for closing the prompt display area, and responding to the operation instruction to close the prompt display area.
In one embodiment, the display 504 is further configured to display an operable graphical button in the prompt display area;
the processor 503 is configured to:
acquiring an operation instruction which is input by a user and used for closing the prompt display area, wherein the operation instruction comprises the following steps: the processor is used for acquiring the operation of a user through touching the operable graphic button so as to generate the operation instruction for closing the prompt display area.
In one embodiment, the prompt message includes textual and/or graphical information.
It can be clearly understood by those skilled in the art that, for convenience and brevity of description, the specific working process of the monitoring device described above may refer to the corresponding process in the foregoing method embodiment, and is not described herein again.
In the embodiments provided in the present invention, it should be understood that the disclosed system, apparatus and method may be implemented in other ways. For example, the above-described apparatus embodiments are merely illustrative, and for example, the division of the units is only one logical division, and other divisions may be realized in practice, for example, a plurality of units or components may be combined or integrated into another system, or some features may be omitted, or not executed. In addition, the shown or discussed mutual coupling or direct coupling or communication connection may be an indirect coupling or communication connection through some interfaces, devices or units, and may be in an electrical, mechanical or other form.
The units described as separate parts may or may not be physically separate, and parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the units can be selected according to actual needs to achieve the purpose of the solution of the embodiment.
In addition, functional units in the embodiments of the present invention may be integrated into one processing unit, or each unit may exist alone physically, or two or more units are integrated into one unit. The integrated unit can be realized in a form of hardware, and can also be realized in a form of a software functional unit.
The integrated unit, if implemented in the form of a software functional unit and sold or used as a stand-alone product, may be stored in a computer readable storage medium. Based on such understanding, the technical solution of the present invention may be embodied in the form of a software product, which is stored in a storage medium and includes instructions for causing a computer device (which may be a personal computer, a server, or a network device) to execute all or part of the steps of the method according to the embodiments of the present invention. And the aforementioned storage medium includes: various media capable of storing program codes, such as a usb disk, a removable hard disk, a read-only memory (ROM), a Random Access Memory (RAM), a magnetic disk, or an optical disk.
The above-mentioned embodiments are only used for illustrating the technical solutions of the present invention, and not for limiting the same; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.

Claims (20)

  1. A display method applied to a monitoring device is characterized by comprising the following steps:
    acquiring monitoring data of at least one physiological parameter of a monitored subject;
    generating target data according to the monitoring data of the at least one physiological parameter;
    when the target data meet a preset condition, determining prompt information corresponding to the target data, wherein the prompt information is information used for representing physiological sign states of the monitored subject, and the physiological sign states at least comprise at least one of a volume reactivity state, an oxygenation risk state and a shock risk state;
    and displaying the prompt information in a prompt display area of a display interface.
  2. The method of claim 1, wherein the physiological parameter comprises arterial pressure;
    generating target data from the monitored data of the physiological parameter comprises:
    and calculating the arterial blood pressure variation rate according to the monitoring data of the arterial pressure.
  3. The method of claim 2, wherein the prompt is determined to be a volume responsiveness when the arterial blood pressure variation rate is greater than a volume responsiveness state threshold, the volume responsiveness belonging to the volume responsiveness state;
    or the like, or, alternatively,
    when the arterial blood pressure variation rate is smaller than a volume reactivity state threshold value, determining that the prompt message is volume-free reactivity, and the volume-free reactivity belongs to the volume reactivity state.
  4. The method of claim 1, wherein the physiological parameters include heart rate and systolic blood pressure;
    generating target data from the monitored data of the physiological parameter comprises:
    and taking the ratio of the heart rate to the systolic blood pressure as the target data.
  5. The method of claim 4, wherein the prompt is determined to be a mild shock risk when the target data is greater than a first shock risk state threshold, the mild shock risk belonging to the shock risk state;
    or the like, or, alternatively,
    and when the target data is larger than a second shock risk state threshold value, determining that the prompt message is a severe shock risk, wherein the severe shock risk belongs to the shock risk state.
  6. The method of claim 1, wherein the physiological parameters include blood oxygen saturation and inspired oxygen concentration;
    generating target data from the monitored data of the physiological parameter comprises:
    the ratio of the blood oxygen saturation to the inhaled oxygen concentration is taken as the target data.
  7. The method of claim 6, wherein when the target data is less than a first oxygenation risk state threshold, determining the cue information as a light oxygenation risk, the light oxygenation risk belonging to the oxygenation risk state;
    or the like, or, alternatively,
    determining that the prompt information is a severe oxygenation risk when the target data is less than a second oxygenation risk status threshold, the severe oxygenation risk belonging to the oxygenation risk status.
  8. The method of claim 1, wherein the physiological parameters include a cardiac preload related parameter, a cardiac output related parameter, and a cardiac afterload related parameter, wherein the cardiac preload related parameter includes at least one of a full end-diastolic volume index, a central venous pressure, a pulmonary artery pressure, the cardiac output related parameter includes at least one of a cardiac output, a stroke volume index, a cardiac output index, the cardiac afterload related parameter includes at least one of a peripheral vascular resistance, a peripheral vascular resistance index, an arterial pressure;
    generating target data from the monitored data of the physiological parameter comprises:
    generating target data comprising the cardiac preload related parameter, the cardiac output related parameter, the cardiac afterload related parameter.
  9. The method of claim 8, wherein the prompt is determined to be hypovolemic shock when the cardiac preload related parameter is below a first threshold, the cardiac output quantity related parameter is below a second threshold, and the cardiac afterload related parameter is above a third threshold, the hypovolemic shock being in the shock risk state;
    or the like, or, alternatively,
    when the cardiac preload related parameter is higher than a first threshold, the cardiac output related parameter is lower than a second threshold, and the cardiac afterload related parameter is higher than a third threshold, determining that the prompt information is cardiogenic or obstructive shock, wherein the cardiogenic or obstructive shock belongs to the shock risk state;
    or the like, or, alternatively,
    and when the cardiac preload related parameter is lower than a first threshold, the cardiac output related parameter is higher than a second threshold, and the cardiac afterload related parameter is lower than a third threshold, determining that the prompt message is distributed shock, wherein the distributed shock belongs to the shock risk state.
  10. The method of any of claims 1-9, wherein the prompt display area further comprises an operable graphical button, the method further comprising:
    acquiring an operation instruction input by a user through the operable graphic button;
    and closing the prompt display area according to the operation instruction.
  11. The method according to any one of claims 1 to 9, further comprising:
    and displaying display information corresponding to the monitoring data of the physiological parameters in a target area of the display interface, wherein the display information at least comprises one of waveform display information and numerical value display information.
  12. The method of claim 11, wherein the waveform display information comprises a physiologic sign signal simulation waveform map and/or a physiologic sign parameter trend map.
  13. A monitoring device, comprising:
    a display configured to display information;
    a memory, said memory storing executable program instructions, an
    A processor configured to execute executable program instructions to implement the steps of the display method as claimed in any one of claims 1 to 12 applied to a monitoring device.
  14. A monitoring device, comprising:
    the memory is used for storing an analysis result and prompt information in a pre-associated mode, the analysis result is obtained based on physiological data analysis of a monitored subject, the prompt information is used for being displayed by the display, and the prompt information at least comprises description information of the physiological sign state of the monitored subject;
    physiological data acquisition means for acquiring at least one physiological data of the monitored subject;
    the processor is used for analyzing and processing the at least one physiological data to obtain an analysis result; and obtaining prompt information associated with the analysis result from the memory in a matching way;
    and the display is used for generating and displaying a prompt display area in a display interface and displaying the prompt information in the prompt display area.
  15. The monitoring device of claim 14, wherein the processor is configured to perform analysis processing on the at least one physiological data to obtain an analysis result, and comprises:
    the processor is used for comparing the at least one physiological data with a corresponding preset threshold value so as to take the determined comparison relationship between the at least one physiological data and the corresponding preset threshold value as an analysis result;
    or the processor is used for calculating the at least one physiological data based on a preset algorithm, comparing the calculation result with a corresponding preset threshold value, and taking the determined comparison relationship between the calculation result and the corresponding preset threshold value as an analysis result.
  16. The monitoring device of claim 15, wherein:
    the physiological data comprise arterial blood pressure variation rate, and the processor is used for comparing the arterial blood pressure variation rate with a corresponding preset threshold value so as to take the determined comparison relationship as an analysis result; the prompt information comprises information for indicating that the monitored object has capacity reactivity or no capacity reactivity;
    or, the physiological data comprises a blood oxygen saturation and an inhaled oxygen concentration, the processor is used for calculating an oxygenation index based on the blood oxygen saturation and the inhaled oxygen concentration, and comparing the oxygenation index with a preset threshold value to obtain a determined comparison relationship as an analysis result; the prompt information comprises information indicative of the presence of a risk of mild oxygenation or of a risk of severe oxygenation in the subject;
    or the physiological data comprises heart rate and systolic pressure, and the processor is used for calculating a shock index based on the heart rate and the systolic pressure and comparing the shock index with a preset threshold value to obtain a determined comparison relationship as an analysis result; the prompt message comprises information for indicating that the monitored subject is at risk of mild shock or at risk of severe shock;
    or the physiological data comprises cardiac preload related sign data, cardiac output quantity related sign data and cardiac afterload related sign data, and the processor is used for comparing the cardiac preload related sign data, the cardiac output quantity related sign data and the cardiac afterload related sign data with corresponding preset thresholds so as to take the determined comparison relationship as an analysis result; the prompt information comprises information for indicating that the monitored object is low volume shock, cardiogenic/obstructive shock or distributed shock; wherein the cardiac preload related vital sign data comprises at least one of a full end-diastolic volume index, a central venous pressure, a pulmonary artery pressure, the cardiac output related vital sign data comprises at least one of a cardiac output, a stroke volume index, a cardiac output index, the cardiac afterload related vital sign data comprises at least one of a peripheral vascular resistance, a peripheral vascular resistance index, an arterial pressure.
  17. The monitoring device of claim 14, wherein the prompt information further includes the analysis result.
  18. The monitoring device of claim 14, wherein the processor is further configured to: and acquiring an operation instruction which is input by a user and used for closing the prompt display area, and responding to the operation instruction to close the prompt display area.
  19. The monitoring device of claim 18, wherein:
    the display is further used for displaying operable graphic buttons in the prompt display area;
    the processor is configured to obtain an operation instruction input by a user and used for closing the prompt display area, and includes: the processor is used for acquiring the operation of a user through touching the operable graphic button so as to generate the operation instruction for closing the prompt display area.
  20. The monitoring device of claim 14, wherein the prompt information comprises textual information and/or graphical information.
CN201880099058.2A 2018-12-24 2018-12-24 Display method applied to monitoring equipment and monitoring equipment Pending CN112996427A (en)

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