CN113397554A

CN113397554A - Device and method for electrocardio monitoring

Info

Publication number: CN113397554A
Application number: CN202110793842.7A
Authority: CN
Inventors: 罗中宝; 王海峰; 易勇华
Original assignee: Shanghai Remedicine Co ltd
Current assignee: Shanghai Remedicine Co ltd
Priority date: 2021-07-14
Filing date: 2021-07-14
Publication date: 2021-09-17

Abstract

The application relates to a device and a method for electrocardio monitoring, which comprises the following steps: the electrocardio sensing unit is used for acquiring a first digital electrocardiosignal of a patient in a treatment state; the monitoring unit is coupled to the electrocardio sensing unit and used for receiving the first digital electrocardiosignals and determining first voltage values corresponding to a first number of first monitoring points on the first digital electrocardiosignals; and the processing unit is coupled to the monitoring unit and used for comparing the first voltage value corresponding to each first monitoring point with the corresponding preset reference value, determining the difference value, and determining the arrhythmia of the patient if the absolute value of the difference value is not within the corresponding preset threshold range, so that the real-time monitoring of the rhythm of the heart of the patient can be performed in the treatment process, and the risk of injury of other parts of the body of the patient caused by the arrhythmia in the operation can be reduced.

Description

Device and method for electrocardio monitoring

Technical Field

The application belongs to the technical field of medical instruments, and particularly relates to a device and a method for electrocardio monitoring.

Background

Tumors, especially malignant tumors, are major diseases that endanger human health. Traditional and more recently developed therapies for tumors are thermal ablation physiotherapy characterized by minimally invasive ablation. The clinical application of the traditional Chinese medicine composition has certain limitations due to the limitation of factors such as adaptability, contraindications, side effects of treatment, heat effect and the like. In recent years, with the continuous development of pulsed bioelectricity, the electric field pulse attracts the attention of researchers due to the non-thermal and minimally invasive biomedical effects thereof, and the irreversible electroporation therapy of tumors among them attracts the extensive attention of researchers in the bioelectricity field at home and abroad due to the advantages and characteristics of rapidness, controllability, visibility, selectivity, non-thermal mechanism and the like, and is gradually applied to the clinical treatment of tumors.

The composite steep pulse treatment equipment is one of equipment for treating tumors by adopting an irreversible electroporation technology, and when the composite steep pulse treatment equipment is used for carrying out an electric ablation operation on tumor tissues close to a centrifugal heart, the phenomenon that the heart beat of the heart of a patient is interfered and the arrhythmia of the patient is easily caused due to the fact that a pulse electric field is in a high-frequency kilovolt level is found.

Disclosure of Invention

In order to solve the technical problems that when the composite steep pulse treatment equipment is used for carrying out the electrical ablation on tumor tissues close to a heart, the pulse electric field is in a high-frequency kilovolt level, so that the interference is generated on the heartbeat of the heart of a patient, and the arrhythmia of the patient is easily caused.

The application provides a device for electrocardio monitoring is applied to compound steep pulse treatment facility, includes:

the electrocardio sensing unit is used for acquiring a first digital electrocardiosignal of a patient in a treatment state;

and the monitoring unit is coupled to the electrocardio sensing unit and used for receiving the first digital electrocardiosignals and determining first voltage values corresponding to a first number of first monitoring points on the first digital electrocardiosignals.

And the processing unit is coupled to the monitoring unit and used for comparing the first voltage values corresponding to the first monitoring points with corresponding preset reference values, determining a difference value, and if the absolute value of the difference value is not within the corresponding preset threshold range, determining the arrhythmia of the patient.

In some embodiments, the electrocardiographic sensing unit is further configured to obtain a second number of second digital electrocardiographic signals of the patient in a normal state;

the monitoring unit is further configured to receive the second digital electrocardiosignals, and determine second voltage values corresponding to the first number of second monitoring points on the second digital electrocardiosignals; the first monitoring point corresponds to the sampling position of the second monitoring point;

the processing unit is further configured to perform an averaging calculation on the second voltage values corresponding to the second monitoring points, respectively, to determine a first average voltage value; and

the electrocardio sensing unit is also used for acquiring a third number of third digital electrocardiosignals of the patient in a test state;

the monitoring unit is further configured to receive the third digital electrocardiograph signals, and determine third voltage values corresponding to the first number of third monitoring points on the third digital electrocardiograph signals; the third monitoring point corresponds to the sampling position of the first monitoring point;

the processing unit is further configured to perform an averaging calculation on the third voltage values corresponding to the third monitoring points, determine a second average voltage value, and determine the preset threshold range based on the first average voltage value and the second average voltage value.

In some embodiments, the processing unit is further configured to determine the preset reference value based on the first average voltage value.

In certain embodiments, the first number of first monitoring points is determined based on sampling locations.

In some embodiments, the processing unit is further configured to determine the second average voltage value again in an iterative manner based on the first digital electrocardiographic signal.

In some embodiments, the electrocardiographic sensing unit comprises at least: the first end of the electrocardio sensor is contacted with the patient through an electrocardio electrode plate, the second end of the electrocardio sensor is coupled to the analog-to-digital conversion unit, and the analog-to-digital conversion unit is respectively coupled to the electrocardio sensor and the monitoring unit;

the electrocardio sensor is used for acquiring a first simulated electrocardiosignal of the patient in a treatment state, a second simulated electrocardiosignal in a normal state and a third simulated electrocardiosignal in a test state;

the analog-to-digital conversion unit is configured to convert the first analog electrocardiograph signal into the first digital electrocardiograph signal, convert the second analog electrocardiograph signal into the second digital electrocardiograph signal, and convert the third analog electrocardiograph signal into the third digital electrocardiograph signal.

In some embodiments, the electrocardiographic sensing unit further comprises: the electrocardiosignal conditioning unit is respectively coupled to the electrocardiosensor and the analog-to-digital conversion unit;

the electrocardiosignal conditioning unit is used for denoising the first simulated electrocardiosignal, the second simulated electrocardiosignal and the third simulated electrocardiosignal.

In some embodiments, the processing unit is further configured to send an instruction to the composite steep pulse treatment device to control stopping of the composite steep pulse treatment device.

In some embodiments, the monitoring unit is further configured to monitor a heart rate of the patient, and the processing unit is configured to determine that the patient is arrhythmia when the heart rate of the patient is determined not to be within a normal range.

The embodiment of the application also provides composite steep pulse treatment equipment which comprises the device for electrocardio monitoring.

In addition, the embodiment of the application also provides a method for electrocardio monitoring, which comprises the following steps:

acquiring a first digital electrocardiosignal of a patient in a treatment state;

determining a first voltage value corresponding to a first number of first monitoring points on the first digital electrocardiosignal;

and comparing the first voltage value corresponding to each first monitoring point with a corresponding preset reference value, determining a difference value, and if the absolute value of the difference value is not within the corresponding preset threshold range, determining the arrhythmia of the patient.

In certain embodiments, the method further comprises:

acquiring a second number of second digital electrocardiosignals of the patient in a normal state;

determining a second voltage value corresponding to the first number of second monitoring points on the second digital electrocardiosignal; the first monitoring point corresponds to the sampling position of the second monitoring point;

calculating the average value of the second voltage values corresponding to the second monitoring points respectively to determine a first average voltage value; and

acquiring a third number of third digital electrocardiosignals of the patient in a test state;

determining a third voltage value corresponding to the first number of third monitoring points on the third digital electrocardiosignal; the third monitoring point corresponds to the sampling position of the first monitoring point;

calculating the average value of the third voltage values corresponding to the third monitoring points respectively to determine a second average voltage value;

determining the preset threshold range based on the first average voltage value and the second average voltage value.

In certain embodiments, the method further comprises: determining the preset reference value based on the first average voltage value.

In certain embodiments, the method further comprises:

and determining the second average voltage value again in an iterative mode based on the first digital electrocardiosignal.

The beneficial effect of this application: according to the device and the method for monitoring the electrocardio, after the first digital electrocardiosignals of the patient in the treatment state are obtained, the first voltage values corresponding to the first monitoring points in the first number can be determined, the first voltage values corresponding to the first monitoring points in the first digital electrocardiosignals are compared with the corresponding preset reference values, the difference value is determined, and when the absolute value of the difference value is not within the corresponding preset threshold range, the arrhythmia of the patient can be determined.

Drawings

Fig. 1 shows a schematic structural diagram of a device for electrocardiographic monitoring according to an embodiment of the present application;

fig. 2 shows another schematic structural diagram of the device for electrocardiographic monitoring according to the embodiment of the present application;

FIG. 3 is a schematic diagram of a device for electrocardiographic monitoring to determine a monitoring point according to an embodiment of the present application;

FIG. 4 is a schematic flow chart illustrating a method for electrocardiographic monitoring according to an embodiment of the present application;

fig. 5 is a flowchart illustrating a method for determining a preset threshold range according to an embodiment of the present application.

Detailed Description

In order to make the objects, technical solutions and advantages of the present application more apparent, the present application is further described in detail below with reference to the accompanying drawings in combination with specific embodiments. Those skilled in the art will appreciate that the present application is not limited to the drawings and the following examples.

As used herein, the term "include" and its various variants are to be understood as open-ended terms, which mean "including, but not limited to. The term "based on" may be understood as "based at least in part on". The term "one embodiment" may be understood as "at least one embodiment". The term "another embodiment" may be understood as "at least one other embodiment". The term "within … …" is to be understood as being within the range including the endpoints. The terms "first", "second", and the like herein are used merely for distinguishing technical features and have no essential meaning.

As mentioned above, when the composite steep pulse therapeutic equipment is used for carrying out the electrical ablation on the tumor tissue close to the heart, the pulse electric field is in the high-frequency kilovolt level, which can interfere the heartbeat of the heart of the patient and easily cause the technical problem of arrhythmia of the patient. Based on this, the embodiment of the present application provides a device and a method for electrocardiographic monitoring, after a first digital electrocardiographic signal of a patient in a treatment state is obtained, first voltage values corresponding to a first number of first monitoring points on the first digital electrocardiographic signal can be determined, the first voltage values corresponding to each first monitoring point are compared with corresponding preset reference values, a difference value is determined, and when an absolute value of the difference value is not within a corresponding preset threshold range, arrhythmia of the patient can be determined.

The embodiments of the present application will be further described with reference to the accompanying drawings. Fig. 1 shows a schematic structural diagram of an apparatus 100 for electrocardiographic monitoring according to an embodiment of the present application. Referring to fig. 1, an apparatus for electrocardiographic monitoring according to an embodiment of the present application includes: the electrocardio sensing unit 1, the monitoring unit 2 and the processing unit 3. Wherein:

the electrocardio sensing unit 1 is used for acquiring a first digital electrocardiosignal of a patient in a treatment state.

And the monitoring unit 2 is coupled to the electrocardio sensing unit 1 and is used for receiving the first digital electrocardiosignals and determining first voltage values corresponding to a first number of first monitoring points on the first digital electrocardiosignals.

And the processing unit 3 is coupled to the monitoring unit 2 and configured to compare each first voltage value corresponding to each first monitoring point with a corresponding preset reference value, determine a difference value, determine that the patient is arrhythmia if the absolute value of the difference value is not within the corresponding preset threshold range, and otherwise, determine that the patient is normal in rhythm.

In order to determine the preset threshold range, the electrocardiograph sensing unit 1 is further configured to obtain a second number of second digital electrocardiograph signals of the patient in a normal state, and the monitoring unit 2 is further configured to receive the second digital electrocardiograph signals and determine, on the second digital electrocardiograph signals, second voltage values corresponding to the first number of second monitoring points; the processing unit 3 is further configured to perform an averaging calculation on second voltage values corresponding to the second monitoring points respectively to determine a first average voltage value; the electrocardio sensing unit 1 is further configured to obtain a third number of third digital electrocardiosignals of the patient in the test state, and the monitoring unit 2 is further configured to receive the third digital electrocardiosignals and determine a third voltage value corresponding to the first number of third monitoring points on the third digital electrocardiosignals; the third monitoring points correspond to the sampling positions of the first monitoring points, the processing unit 3 is further configured to perform an averaging calculation on the third voltage values corresponding to the third monitoring points, determine a second average voltage value, determine a preset threshold range based on the first average voltage value and the second average voltage value, and determine the preset reference value based on the first average voltage value

In order to convert the digital cardiac electrical signal into a first number of voltage values corresponding to each monitoring point, in a preferred embodiment, the monitoring unit 2 may comprise a conversion unit 21 for converting the first digital cardiac electrical signal into a first number of voltage values corresponding to the first monitoring point, for converting the second digital cardiac electrical signal into a second number of voltage values corresponding to the first number of second monitoring point, and for converting the third digital cardiac electrical signal into a third number of voltage values corresponding to the first number of third monitoring point.

In a preferred embodiment, the electrocardiograph sensing unit 1 may include an electrocardiograph sensor 11, an electrocardiograph signal conditioning unit 12, and an analog-to-digital conversion unit 13, see fig. 2. The electrocardiograph sensor 1 is configured to acquire simulated electrocardiograph signals of a patient in a treatment state, a normal state, and a test state, and the simulated electrocardiograph signals of the patient in the treatment state, the normal state, and the test state acquired by the electrocardiograph sensor 1 may further include interference signals such as an electromyogram signal and a respiratory signal of a human body, so the electrocardiograph signal conditioning unit 12 is configured to perform denoising processing on the acquired simulated electrocardiograph signals, for example, filter the interference signals such as an electromyogram signal and a respiratory signal existing in the simulated electrocardiograph signals. Generally, the analog electrocardiographic signal acquired by the electrocardiograph sensor 11 is very weak, usually in the order of microvolts to millivolts, and in order to facilitate drawing of an electrocardiographic waveform, the analog electrocardiographic signal needs to be amplified, so that the electrocardiographic signal conditioning unit 12 is further configured to amplify the analog electrocardiographic signal after denoising the analog electrocardiographic signal, so as to obtain an amplified analog electrocardiographic signal; the analog-to-digital conversion unit 13 is configured to convert the amplified analog electrocardiographic signal into a digital electrocardiographic signal.

In particular implementations, the first number of first monitoring points may be determined based on the sampling locations. In an example, the first number of first monitoring points may respectively correspond to a specific sampling position of the electrocardiographic signal, for example, the first number of monitoring points may be set to 5 monitoring points based on a rule of the electrocardiographic waveform, and the 5 monitoring points may respectively correspond to one sampling point on the P wave of the electrocardiogram, three sampling points on the QRS complex, and one sampling point on the T wave. In one example, these 5 monitoring points may correspond to sample point 1 on the P-wave peak, sample point 2 on the Q-wave peak, sample point 3 on the R-wave peak, sample point 4 on the S-wave peak, and sample point 5 on the T-wave peak, respectively, see fig. 3. Of course, in specific implementation, other numbers of monitoring points may be set, and generally, the higher the number of monitoring points is, the higher the accuracy of determining whether the arrhythmia is occurring later, for example, 10 monitoring points may be set in one example, but it should be noted that even in the case of setting 5 monitoring points, the 5 monitoring points may be set as sampling points at other sampling positions on the electrocardiogram waveform. In another example, based on the rule of the electrocardiographic waveform, the monitoring points may be set by equally dividing the time period occupied by the heartbeat waveform of one cycle of the patient, for example, on the basis of setting the first number of monitoring points as 5 monitoring points, 5 monitoring points may be set by equally dividing the time period occupied by the heartbeat waveform of one cycle of the patient five times, that is, the first equal dividing time point of the time period occupied by the heartbeat waveform of one cycle of the patient is set as the 1 st monitoring point, the second equal dividing time point of the time period occupied by the heartbeat waveform of one cycle of the patient is set as the 2 nd monitoring point, the third equal dividing time point of the time period occupied by the heartbeat waveform of one cycle of the patient is set as the 3 rd monitoring point, the fourth equal dividing time point of the time period occupied by the heartbeat waveform of one cycle of the patient is set as the 4 th monitoring point, the fifth bisection point of the time period occupied by the heartbeat waveform of one cycle of the patient is set as the 5 th monitoring point.

In order to determine the preset reference value, the ecg sensing unit 1 is further configured to acquire a second number of digital ecg signals of the patient in a normal state, for example, before performing an operation on the patient, the ecg sensor 11 is used to acquire 5 minutes of ecg data of the patient, and if the heart rate of the patient in a quiet state before performing the operation is 75 times/minute, 375 analog ecg signals are generated in 5 minutes, so the second number may be set to 375 in an example. Then, the electrocardiographic signal conditioning unit 12 performs denoising and amplification processing on the 375 parts of analog electrocardiographic signals, and sends the processed signals to the analog-to-digital conversion unit 13, the analog-to-digital conversion unit 13 converts the 375 parts of analog electrocardiographic signals into 375 parts of digital electrocardiographic signals, and sends the 375 parts of digital electrocardiographic signals to the monitoring unit 2, after receiving the 375 parts of digital electrocardiographic signals, the monitoring unit 2 determines each digital electrocardiographic signal corresponding to the first number of second monitoring points for each part of digital electrocardiographic signals, and then determines each corresponding voltage value according to each digital electrocardiographic signal.

For example, in one example, for each of the 375 digital electrocardiographic signals, digital electrocardiographic signals corresponding to 5 monitoring points are determined, and then corresponding 5 voltage values are determined according to the digital electrocardiographic signals. Assume that the 5 monitoring points determined for the 1 st part of the 375 parts of the digital electrocardiosignals are respectively: a. the₁₁、A₁₂、A₁₃、A₁₄And A₁₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v₁₁、V₁₂、V₁₃、V₁₄And V₁₅(ii) a Further assume that the 5 monitoring points determined by the 2 nd digital electrocardiosignal in the 375 parts of digital electrocardiosignals are respectively: a. the₂₁、A₂₂、A₂₃、A₂₄And A₂₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v₂₁、V₂₂、V₂₃、V₂₄And V₂₅(ii) a Further assume that the 5 monitoring points determined by the 3 rd digital electrocardiosignal in the 375 th digital electrocardiosignals are respectively: a. the₃₁、A₃₂、A₃₃、A₃₄And A₃₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v₃₁、V₃₂、V₃₃、V₃₄And V₃₅(ii) a Further assume that the 5 monitoring points determined by the 4 th digital electrocardiosignal in the 375 parts of digital electrocardiosignals are respectively: a. the₄₁、A₄₂、A₄₃、A₄₄And A₄₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v₄₁、V₄₂、V₄₃、V₄₄And V₄₅(ii) a Further assume that the 5 monitoring points determined by the 5 th digital electrocardiosignal in the 375 th digital electrocardiosignals are respectively:A₅₁、A₅₂、A₅₃、A₅₄and A₅₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v₅₁、V₅₂、V₅₃、V₅₄And V₅₅(ii) a By analogy, further assume that the 375 th digital electrocardiosignal of the 375 parts of digital electrocardiosignals determines 5 monitoring points respectively as follows: a. the₃₇₅₁、A₃₇₅₂、A₃₇₅₃、A₃₇₅₄And A₃₇₅₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v₃₇₅₁、V₃₇₅₂、V₃₇₅₃、V₃₇₅₄And V₃₇₅₅。

Then, for the ith monitoring point in each of the 375 digital electrocardiosignals, the average voltage value V corresponding to the monitoring point can be determined by the following formula (1)_{i Normal average}

In the formula (1), the value range of i is a positive integer from 1 to 5, and the value range of j is a positive integer from 1 to 375.

For example, for the 1 st monitoring point in each 375 copies of digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

For the 2 nd monitoring point in each part of the 375 parts of the digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

For the 3 rd monitoring point in each part of the 375 parts of the digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

For the 4 th monitoring point in each part of the 375 parts of the digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

For the 5 th monitoring point in each part of the 375 parts of the digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

Thus, V can be set to 375 digital electrocardiosignals based on setting the first number of monitoring points to 5 monitoring points and the second number of second digital electrocardiosignals_{1 Normal average}As a reference value corresponding to the 1 st monitor point, V is set_{2 Normal average}As a reference value corresponding to the 2 nd monitor point, V is set_{3 Normal average}As a reference value corresponding to the 3 rd monitoring point, V_{4 Normal average}As a reference value corresponding to the 4 th monitor point, V is set_{5 Normal average}As a reference value for the 5 th monitoring point.

After determining the reference value, the ecg sensing unit 1 is further configured to acquire a third number of digital ecg signals of the patient in a test state, for example, in one embodiment, the electrode needle releases the treatment pulse in the test state, in order to determine the preset threshold range. The electrocardiographic data of the patient is acquired by the electrocardiographic sensor 11 for a period of time (for example, 12.5 seconds), and in a general case, the period of time for acquiring the electrocardiographic data by the electrocardiographic sensor 11 needs to be considered in combination with the operation time length, and assuming that 10 analog electrocardiographic signals of the patient in the period of time are acquired, the third number may be set to 10. Then the electrocardiosignal conditioning unit 12 denoises and amplifies the 10 parts of analog electrocardiosignals, and sends the processed signals to the analog-to-digital conversion unit 13, then the analog-to-digital conversion unit 13 converts the 10 parts of analog electrocardiosignals into 10 parts of digital electrocardiosignals, and sends the 10 parts of digital electrocardiosignals to the monitoring unit 2, after receiving the 10 parts of digital electrocardiosignals, the monitoring unit 2 determines each digital electrocardiosignal corresponding to the first number of third monitoring points aiming at each part of digital electrocardiosignals, and then determines each corresponding voltage value according to each digital electrocardiosignal.

For example, for each of the 10 parts of digital electrocardiographic signals, digital electrocardiographic signals corresponding to 5 monitoring points are determined, and then corresponding 5 voltage values are determined according to the digital electrocardiographic signals, assuming that the 5 monitoring points determined for the 1 st part of digital electrocardiographic signals in the 10 parts of digital electrocardiographic signals are respectively: b is₁₁、B₁₂、B₁₃、B₁₄And B₁₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v'₁₁、V′₁₂、V′₁₃、V′₁₄And V'₁₅(ii) a Further assume that the 5 monitoring points determined by the 2 nd digital electrocardiosignal in the 10 parts digital electrocardiosignals are respectively: b is₂₁、B₂₂、B₂₃、B₂₄And B₂₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v'₂₁、V′₂₂、V′₂₃、V′₂₄And V'₂₅(ii) a Further assume that 5 monitoring points determined by the 3 rd digital electrocardiosignal in the 10 parts of digital electrocardiosignals are respectively: b is₃₁、B₃₂、B₃₃、B₃₄And B₃₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v'₃₁、V′₃₂、V′₃₃、V′₃₄And V'₃₅(ii) a Further assume that the 5 monitoring points determined by the 4 th digital electrocardiosignal in the 10 parts of digital electrocardiosignals are respectively: b is₄₁、B₄₂、B₄₃、B₄₄And B₄₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v'₄₁、V′₄₂、V′₄₃、V′₄₄And V'₄₅(ii) a Further assume that the 5 monitoring points determined by the 5 th digital electrocardiosignal in the 10 parts of digital electrocardiosignals are respectively: b is₅₁、B₅₂、B₅₃、B₅₄And B₅₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v'₅₁、V′₅₂、V′₅₃、V′₅₄And V'₅₅(ii) a By analogy, further assume that the 5 monitoring points determined by the 10 th digital electrocardiosignal in the 10 parts of digital electrocardiosignals are respectively: b is₁₀₁、B₁₀₂、B₁₀₃、B₁₀₄And B₁₀₅And the 5 voltage values corresponding to the digital electrocardiosignals corresponding to the 5 monitoring points are assumed to be: v'₁₀₁、V′₁₀₂、V′₁₀₃、V′₁₀₄And V'₁₀₅。

Then, for the ith monitoring point in each of the 10 digital electrocardiosignals, the average voltage value V corresponding to the monitoring point can be determined by the following formula (2)_{i test average}

For example, for the 1 st monitoring point in each of the 10 copies of digital electrocardiosignals, the average voltage value corresponding to the monitoring point may be determined to be

For the 2 nd monitoring point in each digital electrocardiosignal in the 10-part digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

For the 3 rd monitoring point in each digital electrocardiosignal in the 10-part digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

For the 4 th monitoring point in each digital electrocardiosignal in the 10-part digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

For the 5 th monitoring point in each digital electrocardiosignal in the 10-part digital electrocardiosignals, the average voltage value corresponding to the monitoring point can be determined to be

Then, can be according to V_{i Normal average}And V_{i test average}To determine a preset threshold range for the ith monitoring point in the first number.

Specifically, on the basis that the first number of monitoring points is set to 5 monitoring points, the second number of second digital electrocardiosignals is set to 375 parts of digital electrocardiosignals, and the third number of third digital electrocardiosignals is set to 10 parts of digital electrocardiosignals, the method can be carried out according to V_{1 Normal average}And V_{1 test average}The absolute value of the difference between the first and second monitoring points is used for determining the preset threshold range of the 1 st monitoring point according to V_{2 Normal average}And V_{2 test average}To determine the preset threshold range of the 2 nd monitoring point according to V_{3 Normal average}And V_{3 test average}To determine the preset threshold range of the 3 rd monitoring point according to V_{4 Normal average}And V_{4 test average}To determine the preset threshold range of the 4 th monitoring point according to V_{5 Normal average}And V_{5 test average}To determine the preset threshold range for the 5 th monitoring point.

In an alternative embodiment, V may be based_{i Normal average}And V_{i test average}The absolute value of the difference between the values is shifted by a certain amount to determine the predetermined threshold range, and the shifting data determines the size of the predetermined threshold range_{i Normal average}And V_{i test average}The absolute value of the difference between the values is shifted up and down by 20% to determine the preset threshold range, but V may be used_{i Normal average}And V_{i test average}The absolute value of the difference between the two values is floated up and down by other values to determine the preset threshold range, which is not limited in this embodiment of the present application.

For example, the first number of monitoring points may be set as 5 monitoring points, the second number of second digital electrocardiosignals may be set as 375 digital electrocardiosignals, and the third number of third digital electrocardiosignals may be set as 10 digital electrocardiosignals, based on V_{1 Normal average}And V_{1 test average}The absolute value of the difference between the values is floated up and down by 20 percent to determine the preset threshold range of the 1 st monitoring point, and the preset threshold range is based on V_{2 Normal average}And V_{2 test average}The absolute value of the difference between the two is floated up and down by 20 percent to determine the preset threshold range of the 2 nd monitoring point, and the preset threshold range is based on V_{3 Normal average}And V_{3 test average}The absolute value of the difference between the values is floated up and down by 20 percent to determine the preset threshold range of the 3 rd monitoring point, and the preset threshold range is based on V_{4 Normal average}And V_{4 test average}The absolute value of the difference between the values is floated up and down by 20 percent to determine the preset threshold range of the 4 th monitoring point, and the preset threshold range is based on V_{5 Normal average}And V_{5 test average}The absolute value of the difference between the values is shifted up or down by 20% to determine the preset threshold range for the 5 th monitoring point.

Continuing with the above patient example, the following describes how to follow V_{i Normal average}And V_{i test average}To determine a preset threshold range for the ith monitoring point in the first number.

For the preset threshold range of the 1 st monitoring point, it is assumed that the average voltage value V corresponding to the 1 st monitoring point calculated based on 375 parts of electrocardiographic data of the patient in the normal state_{1 Normal average}1.2V, and further assuming that the average voltage value V corresponding to the 1 st monitoring point calculated based on 10 pieces of electrocardiographic data of the patient in the treatment state_{1 test average}1.3, then V can be determined_{1 Normal average}And V_{1 test average}The absolute value of the difference between the values is 0.1V, and then the preset threshold range of the 1 st monitoring point can be determined based on the absolute value of 0.1V, for example, the preset threshold range of the 1 st monitoring point can be determined based on the absolute value of 0.1V floating up and down by 20%, then the preset threshold range of the 1 st monitoring point can be determined as follows: 0.08V to 0.12V, namely, after the denoising, amplification and analog-to-digital conversion processing are carried out on each analog electrocardiosignal of the patient in the subsequent treatment state, only the voltage value corresponding to the digital electrocardiosignal of the 1 st monitoring point follows V_{1 Normal average}When the absolute value of the difference between 1.2V and 0.08V-0.12V, the electrocardiographic data corresponding to the 1 st monitoring point of the electrocardiographic data is considered to be normal.

For the preset threshold range of the 2 nd monitoring point, it is assumed that the average voltage value V corresponding to the 2 nd monitoring point calculated based on 375 parts of electrocardiographic data of the patient in the normal state_{2 Normal average}0.8V, and further assuming that the average voltage value V corresponding to the 2 nd monitoring point calculated based on 10 electrocardiographic data of the patient in the treatment state_{2 test average}0.7V, then V can be determined_{2 Normal average}And V_{2 test average}The absolute value of the difference between these is 0.1V, and the preset threshold for the 2 nd monitoring point can then be determined based on the absolute value of 0.1V floating up or down by 20%Value range, the preset threshold range of the 2 nd monitoring point can be determined as follows: 0.08V to 0.12V, namely, after the denoising, amplification and analog-to-digital conversion processing are carried out on each analog electrocardiosignal of the patient in the subsequent treatment state, only the voltage value corresponding to the digital electrocardiosignal of the 2 nd monitoring point is required to be equal to V_{2 Normal average}When the absolute value of the difference between 0.8V and 0.08V-0.12V, the electrocardiographic data corresponding to the 2 nd monitoring point of the electrocardiographic data is considered to be normal.

For the preset threshold range of the 3 rd monitoring point, it is assumed that the average voltage value V corresponding to the 3 rd monitoring point calculated based on 375 parts of electrocardiographic data of the patient in the normal state is_{3 Normal average}2.3V, and further assume that the average voltage value V corresponding to the 3 rd monitoring point calculated based on 10 electrocardiographic data of the patient in the treatment state_{3 test average}2.1V, then V can be determined_{3 Normal average}And V_{3 test average}The absolute value of the difference between the two is 0.2V, and then the preset threshold range of the 3 rd monitoring point can be determined based on the fact that the absolute value of the difference is 0.2V and fluctuates up and down by 20%, then the preset threshold range of the 3 rd monitoring point can be determined as follows: 0.16V-0.24V, namely, after the denoising, amplification and analog-to-digital conversion processing are carried out on each analog electrocardiosignal of the patient in the subsequent treatment state, only the voltage value corresponding to the digital electrocardiosignal of the 3 rd monitoring point is required to be V_{3 Normal average}If the absolute value of the difference between 2.3V and 0.16V-0.24V, the electrocardiographic data corresponding to the 3 rd monitoring point of the electrocardiographic data is considered to be normal.

For the preset threshold range of the 4 th monitoring point, it is assumed that the average voltage value V corresponding to the 4 th monitoring point calculated based on 375 parts of electrocardiographic data of the patient in the normal state is_{4 Normal average}0.7V, and further assuming that the average voltage value V corresponding to the 4 th monitoring point calculated based on 10 electrocardiographic data of the patient in the treatment state_{3 test average}0.8V, then V can be determined_{4 Normal average}And V_{4 test average}The absolute value of the difference between is 0.1V, and then 0 can be based on the absolute value1V fluctuates up and down by 20% to determine the preset threshold range of the 4 th monitoring point, and then the preset threshold range of the 4 th monitoring point can be determined as follows: 0.08V to 0.12V, namely, after the denoising, amplification and analog-to-digital conversion processing are carried out on each analog electrocardiosignal of the patient in the subsequent treatment state, only the voltage value corresponding to the digital electrocardiosignal of the 4 th monitoring point follows V_{4 Normal average}When the absolute value of the difference between 0.7V and 0.8V-1.2V, the electrocardiographic data corresponding to the 4 th monitoring point of the electrocardiographic data is considered to be normal.

For the preset threshold range of the 5 th monitoring point, it is assumed that the average voltage value V corresponding to the 5 th monitoring point calculated based on 375 parts of electrocardiographic data of the patient in the normal state is_{5 Normal average}1.4V, and further assuming that the average voltage value V corresponding to the 5 th monitoring point calculated based on 10 electrocardiographic data of the patient in the treatment state_{3 test average}1.2V, then V can be determined_{5 Normal average}And V_{5 test average}The absolute value of the difference between the values is 0.2V, and then the preset threshold range of the 5 th monitoring point can be determined based on the fact that the absolute value is 0.2V and fluctuates up and down by 20%, then the preset threshold range of the 5 th monitoring point can be determined as follows: 0.16V-0.24V, namely, after the denoising, amplification and analog-to-digital conversion processing are carried out on each analog electrocardiosignal of the patient in the subsequent treatment state, only the voltage value corresponding to the digital electrocardiosignal of the 5 th monitoring point is required to be equal to V_{5 Normal average}When the absolute value of the difference between 1.4V and 0.16V to 0.24V, the electrocardiographic data corresponding to the 5 th monitoring point of the electrocardiographic data is considered to be normal.

On the basis of setting the first number to 5, after the 1 st monitoring point, the 2 nd monitoring point, the 3 rd monitoring point, the 4 th monitoring point and the 5 th monitoring point of a part of the electrocardiogram data are judged to be normal respectively, the part of the electrocardiogram data of the patient can be judged to be normal, after the part of the electrocardiogram data of the patient is judged to be normal, the current heart rhythm of the patient can be further judged to be normal, otherwise, the current heart rhythm of the patient can be judged.

In another embodiment, the electrode needle releases the pre-pulse in said test state. Since the voltage of the pre-pulse is generally lower than the voltage of the therapeutic pulse, in this case, a specific correction value is also added to the threshold range for each monitoring point, the correction value being determined based on the difference between the average voltage value at the time of releasing the pre-pulse in the history data and the average voltage value at the time of releasing the therapeutic pulse in the history data.

Continuing to take the above-mentioned patient as an example, assuming that, in the subsequent treatment, the electrocardiographic sensor is used to obtain the xth analog electrocardiographic signal of the patient in the treatment state, and after the denoising, amplification and analog-to-digital conversion processing, the xth digital electrocardiographic signal is obtained, and further assuming that the 5 monitoring points determined for the xth digital electrocardiographic signal are respectively: c₁₁、C₁₂、C₁₃、C₁₄、C₁₅Further, it is assumed that 5 voltage values corresponding to 5 digital electrocardiosignals corresponding to the 5 monitoring points are respectively: 1.1V, 0.9V, 2.1V, 0.65V, and 1.2V, that is, the voltage value corresponding to the digital electrocardiographic signal of the 1 st monitoring point in the 5 monitoring points is 1.1V, the voltage value corresponding to the digital electrocardiographic signal of the 2 nd monitoring point in the 5 monitoring points is 0.9V, the voltage value corresponding to the digital electrocardiographic signal of the 3 rd monitoring point in the 5 monitoring points is 2.2V, the voltage value corresponding to the digital electrocardiographic signal of the 4 th monitoring point in the 5 monitoring points is 0.6V, and the voltage value corresponding to the digital electrocardiographic signal of the 5 th monitoring point in the 5 monitoring points is 1.2V. Then, the voltage value corresponding to the digital electrocardiosignal of the 1 st monitoring point in the 5 monitoring points is 1.1V and the average voltage value V corresponding to the 1 st monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{1 Normal average}If the comparison is made at 1.2V, it can be determined that the voltage value corresponding to the digital electrocardiographic signal at the 1 st monitoring point of the 5 monitoring points is 1.1V and the average voltage value V corresponding to the 1 st monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state_{1 Normal average}The absolute value of the difference between 1.2V is 0.1V, and 0.1V is aboveThe preset threshold range determined for the 1 st monitoring point is within 0.08-0.12V, so that the electrocardio data corresponding to the 1 st monitoring point in the 5 monitoring points can be judged to be normal.

Then, the voltage value 0.9V corresponding to the digital electrocardiosignal of the 2 nd monitoring point in the 5 monitoring points and the average voltage value V corresponding to the 2 nd monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state are compared_{2 Normal average}If the comparison is made at 0.8V, it is determined that the voltage value corresponding to the digital electrocardiographic signal at the 2 nd monitoring point of the 5 monitoring points is 0.9V and the average voltage value V corresponding to the 2 nd monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state_{2 Normal average}The absolute value of the difference between 0.8V and 0.1V is 0.1V, and 0.1V is within the above-mentioned preset threshold range of 0.08V to 0.12V determined for the 2 nd monitoring point, so that it can be determined that the electrocardiographic data corresponding to the 2 nd monitoring point of the 5 monitoring points is also normal.

The voltage value corresponding to the digital electrocardiosignal of the 3 rd monitoring point in the 5 monitoring points is 2.1V and the average voltage value V corresponding to the 3 rd monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{3 Normal average}If the comparison is made at 2.3V, the voltage value 2.1V corresponding to the digital electrocardiographic signal of the 3 rd monitoring point of the 5 monitoring points can be determined to be the average voltage value V corresponding to the 3 rd monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state_{3 Normal average}The absolute value of the difference between 2.3V and 0.2V is 0.2V, and 0.2V is within the above-mentioned preset threshold range 0.16V-0.24V determined for the 3 rd monitoring point, so that it can be determined that the electrocardiographic data corresponding to the 3 rd monitoring point of the 5 monitoring points is also normal.

The voltage value 0.6V corresponding to the digital electrocardiosignal of the 4 th monitoring point in the 5 monitoring points and the average voltage value V corresponding to the 4 th monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{4 Normal average}If the comparison is made at 0.7V, the 4 th monitoring point of the 5 monitoring points can be determinedThe voltage value 0.6V corresponding to the digital electrocardiosignal and the average voltage value V corresponding to the 4 th monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{4 Normal average}The absolute value of the difference between 0.7V and 0.1V is 0.1V, and 0.1V is within the above-mentioned preset threshold range of 0.08V to 0.12V determined for the 4 th monitoring point, so that it can be determined that the electrocardiographic data corresponding to the 4 th monitoring point of the 5 monitoring points is also normal.

The voltage value 1.2V corresponding to the digital electrocardiosignal of the 5 th monitoring point in the 5 monitoring points and the average voltage value V corresponding to the 5 th monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{5 Normal average}If the comparison is made at 1.4V, the voltage value 1.2V corresponding to the digital electrocardiographic signal of the 5 th monitoring point of the 5 monitoring points can be determined to be the average voltage value V corresponding to the 5 th monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state_{5 Normal average}The absolute value of the difference between 1.4V and 0.2V is 0.2V, and 0.2V is within the above-mentioned preset threshold range 0.16V-0.24V determined for the 5 th monitoring point, so that it can be determined that the electrocardiographic data corresponding to the 5 th monitoring point of the 5 th monitoring point is also normal.

Because the electrocardio data corresponding to the 1 st monitoring point, the 2 nd monitoring point, the 3 rd monitoring point, the 4 th monitoring point and the 5 th monitoring point in the X-th part of the digital electrocardiosignals are normal under the condition that the first number of monitoring points are set as 5 monitoring points, the X-th part of the digital electrocardiosignals of the patient can be judged to be normal, so that the X-th part of the analog electrocardiosignals of the patient can be judged to be normal, and the heart rhythm of the patient at the moment can be judged to be normal.

On the basis of judging that the xth electrocardiogram data of the patient is normal, in a preferred embodiment, in order to improve the accuracy of judging arrhythmia by using the apparatus for electrocardiogram monitoring provided by the embodiment of the present application, the second average voltage value V may be determined again in an iterative manner based on the xth electrocardiogram data of the patient in the treatment state_{i test average}。

For example, based on the above example, V can be recalculated by combining the X-th electrocardiographic data with the 10 electrocardiographic data_{i test average}That is, the voltage values of 5 corresponding to 5 digital electrocardiosignals corresponding to 5 monitoring points of the Xth part of the electrocardio data are combined and calculated to re-determine V by combining the voltage values of 5 corresponding to 5 digital electrocardiosignals corresponding to 5 monitoring points of the X part of the electrocardio data, namely 1.1V, 0.9V, 2.1V, 0.65V and 1.2V with the voltage values of 50 corresponding to 10 parts of the electrocardio data_{i test average}。

Now, continuing with the above-mentioned patient as an example, in the subsequent treatment, after obtaining the xth analog electrocardiographic signal of the patient in the treatment state through the electrocardiographic sensor, obtaining the yth analog electrocardiographic signal of the patient in the treatment state through the electrocardiographic sensor, after performing denoising, amplification and analog-to-digital conversion, obtaining the yth digital electrocardiographic signal, and further assuming that the 5 monitoring points determined for the yth digital electrocardiographic signal are respectively: d₁₁、D₁₂、D₁₃、D₁₄、D₁₅Further, it is assumed that 5 voltage values corresponding to 5 digital electrocardiosignals corresponding to the 5 monitoring points are respectively: 1.1V, 0.95V, 2.1V, 0.65V, and 1.2V, that is, the voltage value corresponding to the digital electrocardiographic signal of the 1 st monitoring point in the 5 monitoring points is 1.1V, the voltage value corresponding to the digital electrocardiographic signal of the 2 nd monitoring point in the 5 monitoring points is 0.95V, the voltage value corresponding to the digital electrocardiographic signal of the 3 rd monitoring point in the 5 monitoring points is 2.2V, the voltage value corresponding to the digital electrocardiographic signal of the 4 th monitoring point in the 5 monitoring points is 0.65V, and the voltage value corresponding to the digital electrocardiographic signal of the 5 th monitoring point in the 5 monitoring points is 1.2V. Then, the voltage value corresponding to the digital electrocardiosignal of the 1 st monitoring point in the 5 monitoring points is 1.1V and the average voltage value V corresponding to the 1 st monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{1 Normal average}If the comparison is made at 1.2V, the voltage value 1.1V corresponding to the digital electrocardiographic signal of the 1 st monitoring point of the 5 monitoring points can be determined to be the average voltage value V corresponding to the 1 st monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state_{1 Normal average}The absolute value of the difference between 1.2V and 0.1V is 0.1V, and 0.1V is within the above-mentioned preset threshold range of 0.08V to 0.12V determined for the 1 st monitoring point, so that the electrocardiographic data corresponding to the 1 st monitoring point of the 5 monitoring points can be judged to be normal.

Then, the voltage value corresponding to the digital electrocardiosignal of the 2 nd monitoring point in the 5 monitoring points is set to be 0.95V and the average voltage value V corresponding to the 2 nd monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{2 Normal average}If the comparison is made at 0.8V, the voltage value 0.95V corresponding to the digital electrocardiographic signal at the 2 nd monitoring point of the 5 monitoring points can be determined to be the average voltage value V corresponding to the 2 nd monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state_{2 Normal average}The absolute value of the difference between 0.8V and 0.15V is 0.15V, and 0.15V is not within the above-mentioned preset threshold range of 0.08V to 0.12V determined for the 2 nd monitoring point, so that it can be determined that the electrocardiographic data corresponding to the 2 nd monitoring point of the 5 monitoring points is abnormal.

The voltage value corresponding to the digital electrocardiosignal of the 4 th monitoring point in the 5 monitoring points is 0.65V and the average voltage value V corresponding to the 4 th monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{4 Normal average}If the comparison is made at 0.7V, the voltage value 0.65V corresponding to the digital electrocardiographic signal of the 4 th monitoring point of the 5 monitoring points and the average voltage value V corresponding to the 4 th monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state can be determined_{4 Normal average}The absolute value of the difference between 0.7V and 0.05V is 0.05V, but 0.05V is not within the above-mentioned preset threshold range of 0.08V to 0.12V determined for the 4 th monitoring point, so that it can be determined that the electrocardiographic data corresponding to the 4 th monitoring point of the 5 monitoring points is abnormal.

Setting the voltage value corresponding to the digital electrocardiosignal of the 5 th monitoring point in the 5 monitoring points as 1.2V and the average voltage value V corresponding to the 5 th monitoring point calculated based on 375 parts of electrocardio data of the patient in the normal state_{5 Normal average}If the comparison is made at 1.4V, the voltage value 1.2V corresponding to the digital electrocardiographic signal of the 5 th monitoring point of the 5 monitoring points can be determined to be the average voltage value V corresponding to the 5 th monitoring point calculated based on 375 electrocardiographic data of the patient in the normal state_{5 Normal average}The absolute value of the difference between 1.4V and 0.2V is 0.2V, and 0.2V is within the above-mentioned preset threshold range 0.16V-0.24V determined for the 5 th monitoring point, so that it can be determined that the electrocardiographic data corresponding to the 5 th monitoring point of the 5 th monitoring point is also normal.

In the case that the first number of monitoring points is set to 5 monitoring points, although the electrocardiographic data corresponding to the 1 st monitoring point, the 3 rd monitoring point and the 5 th monitoring point in the Y-th digital electrocardiographic signal are normal, since the electrocardiographic data corresponding to the 2 nd monitoring point and the 4 th monitoring point in the Y-th digital electrocardiographic signal are abnormal, the Y-th digital electrocardiographic signal of the patient can be judged to be abnormal, so that the Y-th analog electrocardiographic signal of the patient can be judged to be abnormal, and further the arrhythmia of the patient at the moment can be judged.

In the specific implementation, for the sake of patient safety, it is possible to determine that the cardiac rhythm of the patient is abnormal as long as there are 1 monitoring point corresponding to the cardiac electric data of the patient.

In an optional embodiment, the electrocardiographic sensor is used to collect the 5-minute electrocardiographic data of the patient, and then 375 parts of simulated electrocardiographic signals can be obtained, and the simulated electrocardiographic data of the patient for 5 minutes is collected, and then the collected 5-minute simulated electrocardiographic data is segmented based on the rule of electrocardiographic waveforms to obtain the electrocardiographic signal. Similarly, the above-mentioned acquiring of the electrocardiographic data of the patient for a period of time (for example, 12.5 seconds) by the electrocardiograph sensor can then obtain 10 parts of electrocardiographic data, which is actually obtained by acquiring the simulated electrocardiographic data of the patient for a period of time by the electrocardiograph sensor and then segmenting the acquired simulated electrocardiographic data based on the rule of the electrocardiographic waveform.

Furthermore, in an alternative embodiment, the monitoring unit 2 is further configured to monitor a heart rate of the patient, and the processing unit 3 is configured to determine that the patient is arrhythmia when the heart rate of the patient is determined not to be within a normal range. For example, if a normal adult has a heart rate of 60-100 beats/minute in a resting state, and the monitoring unit 2 monitors that the heart rate of the patient exceeds 100 beats/minute, the processing unit 3 may determine that the patient is tachycardia, thereby determining that the patient has arrhythmia. If the monitoring unit monitors that the heart rate of the patient is lower than 60 times/min, the processing unit 3 can judge bradycardia, so as to judge that the patient has arrhythmia.

In an example, an error range may also be set, and if the heart rate monitored by the monitoring unit is within the error range compared with the normal heart rate of the patient, the processing unit determines that the rhythm of the heart of the patient is normal, otherwise, determines that the rhythm of the heart of the patient is abnormal. For example, when the error range is set to 5 times, if the monitoring unit monitors that the heart rate of a patient is 75 times/min in a quiet state before operation, and if the heart rate of the patient occurs less than 70 times/min or more than 80 times/min during operation, the processing unit may determine that the patient has arrhythmia.

After determining the patient's arrhythmia, the processing unit 3 may also be configured to send an instruction to the composite steep pulse therapy device to control the operation of the composite steep pulse therapy device to be stopped. For example, after the processing unit determines the arrhythmia of the patient, the processing unit may send an instruction to the composite steep pulse treatment device by outputting a logic high/low level to control to stop operating the composite steep pulse treatment device.

The apparatus for electrocardiographic monitoring according to the embodiment of the present application is described in detail above with reference to fig. 1 to 2, and the apparatus for electrocardiographic monitoring may perform the following method for electrocardiographic monitoring, as shown in fig. 4, the method may include:

s401, acquiring a first digital electrocardiosignal of a patient in a treatment state.

S402, determining first voltage values corresponding to a first number of first monitoring points on the first digital electrocardiosignal.

And S403, comparing the first voltage value corresponding to each first monitoring point with the corresponding preset reference value, and determining a difference value.

S404, judging whether the absolute value of the difference value is in the corresponding preset threshold range, if not, turning to the step S405, otherwise, turning to the step S406. S405, determining the arrhythmia of the patient.

S406, determining that the heart rhythm of the patient is normal.

In an alternative embodiment, the predetermined threshold range may be determined by the following method flow illustrated in fig. 5.

S501, a second number of second digital electrocardiosignals of the patient in a normal state are acquired.

S502, determining second voltage values corresponding to the first number of second monitoring points on a second digital electrocardiosignal; and the first monitoring point corresponds to the sampling position of the second monitoring point.

S503, the second voltage values corresponding to the second monitoring points are respectively subjected to averaging calculation, and the first average voltage value is determined.

S504, third digital electrocardiosignals of a third number of the patients in the test state are obtained.

S505, determining a third voltage value corresponding to the first number of third monitoring points on a third digital electrocardiosignal; and the third monitoring point corresponds to the sampling position of the first monitoring point.

S506, the third voltage values corresponding to the third monitoring points are respectively subjected to mean value calculation, and second mean voltage values are determined.

And S507, determining a preset threshold range based on the first average voltage value and the second average voltage value.

When the absolute value of the difference value is within the corresponding preset threshold range, namely when the heart rhythm of the patient is judged to be normal, the second average voltage value can be determined again in an iterative mode based on the first digital electrocardiosignal.

It should be noted that although various components or circuits are schematically illustrated in fig. 1-2, it should be understood that this is merely an illustration and not a limitation on the scope of the disclosure. For example, in the embodiment of FIG. 1, some other components may be added between various components, or some components may be subtracted from the embodiment of FIG. 1.

Those of skill in the art will understand that the logic and/or steps represented in the flowcharts or otherwise described herein, e.g., an ordered listing of executable instructions that can be viewed as implementing logical functions, can be embodied in any computer-readable medium for use by or in connection with an instruction execution system, apparatus, or device, such as a computer-based system, processor-containing system, or other system that can fetch the instructions from the instruction execution system, apparatus, or device and execute the instructions. For the purposes of this description, a "computer-readable medium" can be any means that can contain, store, communicate, propagate, or transport the program for use by or in connection with the instruction execution system, apparatus, or device.

More specific examples (a non-exhaustive list) of the computer-readable medium would include the following: an electrical connection (electronic device) having one or more wires, a portable computer diskette (magnetic device), a Random Access Memory (RAM), a read-only memory (ROM), an erasable programmable read-only memory (EPROM or flash memory), an optical fiber device, and a portable compact disc read-only memory (CDROM). Additionally, the computer-readable medium could even be paper or another suitable medium upon which the program is printed, as the program can be electronically captured, via for instance optical scanning of the paper or other medium, then compiled, interpreted or otherwise processed in a suitable manner if necessary, and then stored in a computer memory.

It should be understood that portions or modules of the present application may be implemented in hardware, software, firmware, or a combination thereof. In the above embodiments, the various steps or methods may be implemented in software or firmware stored in memory and executed by a suitable instruction execution system. For example, if implemented in hardware, as in another embodiment, any one or combination of the following techniques, which are known in the art, may be used: a discrete logic circuit having a logic gate circuit for implementing a logic function on a data signal, an application specific integrated circuit having an appropriate combinational logic gate circuit, a Programmable Gate Array (PGA), a Field Programmable Gate Array (FPGA), or the like.

In the description herein, reference to the description of the term "one embodiment," "some embodiments," "an example," "a specific example," or "some examples," etc., means that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the application. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.

The embodiments of the present application have been described above. However, the present application is not limited to the above embodiments. Any modification, equivalent replacement, improvement and the like made within the spirit and principle of the present application shall be included in the protection scope of the present application.

Claims

1. A device for electrocardio monitoring is characterized by being applied to a composite steep pulse treatment device and comprising:

2. The apparatus of claim 1,

the electrocardio sensing unit is also used for acquiring a second number of second digital electrocardiosignals of the patient in a normal state;

3. The apparatus of claim 2, wherein the processing unit is further configured to determine the preset reference value based on the first average voltage value.

4. The apparatus of claim 1, wherein the first number of first monitoring points is determined based on sampling locations.

5. The apparatus of claim 4, wherein the processing unit is further configured to iteratively re-determine the second average voltage value based on the first digital cardiac signal.

6. The apparatus according to claim 4, characterized in that said electrocardio-sensing unit comprises at least: the first end of the electrocardio sensor is contacted with the patient through an electrocardio electrode plate, the second end of the electrocardio sensor is coupled to the analog-to-digital conversion unit, and the analog-to-digital conversion unit is respectively coupled to the electrocardio sensor and the monitoring unit;

7. The apparatus of claim 6, wherein the cardiac sensing unit further comprises: the electrocardiosignal conditioning unit is respectively coupled to the electrocardiosensor and the analog-to-digital conversion unit;

8. The apparatus according to claim 1, wherein the processing unit is further configured to send an instruction to the complex steep pulse treatment device to control to stop operating the complex steep pulse treatment device.

9. The apparatus of claim 1, wherein the monitoring unit is further configured to monitor a heart rate of the patient, and wherein the processing unit is configured to determine that the patient is arrhythmic when the heart rate of the patient is determined not to be within a normal range.

10. A compound steep pulse therapy device comprising the apparatus for electrocardiographic monitoring of any one of claims 1-9.

11. A method for electrocardiographic monitoring, comprising:

12. The method of claim 11, further comprising:

13. The method of claim 12, further comprising: determining the preset reference value based on the first average voltage value.

14. The method of claim 12, further comprising: