CN113827437A - Full-period personalized remote ischemia adaptation training system - Google Patents

Full-period personalized remote ischemia adaptation training system Download PDF

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Publication number
CN113827437A
CN113827437A CN202111156366.4A CN202111156366A CN113827437A CN 113827437 A CN113827437 A CN 113827437A CN 202111156366 A CN202111156366 A CN 202111156366A CN 113827437 A CN113827437 A CN 113827437A
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training
module
cloud
full
ischemia
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陆晓
郑瑜
张心彤
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Jiangsu Province Hospital First Affiliated Hospital Of Nanjing Medical University
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Jiangsu Province Hospital First Affiliated Hospital Of Nanjing Medical University
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Priority to CN202111156366.4A priority Critical patent/CN113827437A/en
Publication of CN113827437A publication Critical patent/CN113827437A/en
Priority to PCT/CN2022/122391 priority patent/WO2023051658A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H1/00Apparatus for passive exercising; Vibrating apparatus; Chiropractic devices, e.g. body impacting devices, external devices for briefly extending or aligning unbroken bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022Monitoring a patient using a global network, e.g. telephone networks, internet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/02141Details of apparatus construction, e.g. pump units or housings therefor, cuff pressurising systems, arrangements of fluid conduits or circuits
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0225Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/7465Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00Pneumatic or hydraulic massage
    • A61H9/005Pneumatic massage
    • A61H9/0078Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H9/00Pneumatic or hydraulic massage
    • A61H9/005Pneumatic massage
    • A61H9/0078Pneumatic massage with intermittent or alternately inflated bladders or cuffs
    • A61H9/0092Cuffs therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12Driving means
    • A61H2201/1238Driving means with hydraulic or pneumatic drive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5007Control means thereof computer controlled
    • A61H2201/501Control means thereof computer controlled connected to external computer devices or networks
    • A61H2201/5012Control means thereof computer controlled connected to external computer devices or networks using the internet
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5058Sensors or detectors
    • A61H2201/5071Pressure sensors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/50Control means thereof
    • A61H2201/5097Control means thereof wireless
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61HPHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00Measuring physical parameters of the user
    • A61H2230/30Blood pressure
    • A61H2230/305Blood pressure used as a control parameter for the apparatus

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  • Health & Medical Sciences (AREA)
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  • Ophthalmology & Optometry (AREA)
  • Nursing (AREA)
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Abstract

The invention provides a full-period personalized remote ischemia adaptive training system which comprises a remote ischemia adaptive training instrument, a cloud APP and a cloud system, wherein the remote ischemia adaptive training instrument is in signal connection with the cloud APP, and the cloud APP is in network connection with the cloud system; the remote ischemia preadaptation training instrument comprises a loudspeaker amplifier module and a remote ischemia training device which are mutually matched and connected. The key points of the invention are internet plus control, accurate measurement of blocking pressure and personalized prescription formulation, small size and convenient carrying and operation, integral regulation and control are carried out through the cloud APP, the training state of a user can be monitored in real time, training data can be recorded at any time, potential safety hazards in training can be found in time, a patient can conveniently see a doctor in time, and meanwhile, the damage of cardiovascular diseases can be effectively prevented and alleviated.

Description

Full-period personalized remote ischemia adaptation training system
Technical Field
The invention relates to the technical field of medical equipment, in particular to a full-period personalized remote ischemia adaptation training system in an Internet +' mode.
Background
Coronary atherosclerotic heart disease is one of the leading causes of death of people in China, the morbidity and the mortality of the coronary atherosclerotic heart disease continuously rise, and Percutaneous Coronary Intervention (PCI) is widely applied clinically as the most effective treatment mode for reducing the myocardial infarction area, keeping the ventricular function and improving the clinical outcome of the coronary atherosclerotic heart disease at the acute stage at present. However, ischemia reperfusion injury can occur after the patient is subjected to PCI reperfusion, and chronic vasculopathy can still exist in the patient after the PCI treatment, so that the patient still has the risk of recurrent myocardial infarction or death after the PCI operation. The remote ischemia adaptation training is used as a training mode applied to patients with coronary heart disease, and can promote the generation of active substances (bradykinin, adenosine and nitric oxide) in blood, increase the tolerance of cardiac muscle to ischemia and anoxia, relieve the myocardial damage caused by the ischemia and anoxia for a long time, improve the blood supply of the cardiac muscle by promoting the formation of collateral blood vessel circulation of the heart, relieve the reperfusion injury and effectively reduce the recurrence rate and death rate of cardiovascular diseases by performing transient, repeated and noninvasive ischemic training on limbs.
The existing remote ischemia preadaptation training instrument realizes ischemia training by pressurizing upper limbs through a cuff, the applied pressurizing cuff needs to be connected with a pressurizing host through a connecting pipeline for use, and the pressurizing host is heavy, so that the whole device cannot be portable. The connecting tubing is restrictive, adding complexity to the handling and wearing. Parameters such as a pressurization pressure value, training times and training duration need to be set for the host in the training operation process, the steps are complex, and the overall user experience is poor. The follow-up tracking of the training data cannot be realized, the safety monitoring of the training cannot be realized, the doctor cannot check the training data and the compliance of the patient at any time, and the training prescription cannot be adjusted according to the illness state of the patient. In addition, the existing remote ischemia preadaptation training instrument mainly trains by artificially setting the pressurizing pressure to a specific numerical value, the pressure numerical value cannot be changed after the instrument is started, the remote ischemia training under the fixed pressure may cause incomplete blood vessel clamping due to the low pressurizing numerical value, so that the optimal training effect cannot be achieved, and the patient cannot tolerate the training under the high pressure when the pressurizing numerical value is high, so that the long-term execution of the training is not facilitated, and the wide application of the treatment is hindered.
Therefore, a full disease cycle remote ischemia training device integrating accurate pressurization and personalized training modes is of great importance to the heart rehabilitation of patients with coronary heart disease.
Disclosure of Invention
The invention aims to solve the defects in the prior art and provides the method.
In order to achieve the purpose, the invention adopts the following technical scheme:
a full-period personalized remote ischemia adaptive training system comprises a remote ischemia adaptive training instrument, a cloud APP and a cloud system, wherein the remote ischemia adaptive training instrument is in signal connection with the cloud APP, and the cloud APP is in network connection with the cloud system; the remote ischemia preadaptation training instrument comprises a loudspeaker amplifier module and a remote ischemia training device which are mutually matched and connected.
Preferably, the loudspeaker amplifier module comprises an impulse sensing module and a noise amplifying module which are electrically connected.
Preferably, the remote ischemia training device comprises a mainboard, wherein a blood pressure measuring module, a power supply module, a bluetooth interaction module, a display module and a control module are arranged on the mainboard, and the power supply module is electrically connected with the blood pressure measuring module, the bluetooth interaction module, the display module and the control module respectively.
Preferably, the measuring module comprises an air pump, a pressure sensor, an inflation valve, an air escape valve, a three-way head and an air bag cuff; the air inlet and outlet of the air bag cuff are respectively connected with the inflation valve, the air release valve and the pressure sensor through a three-way pipe, and the inflation valve is connected with the air pump; the air bag cuff comprises a first end and a second end which are opposite, and the reverse side of the first end and the obverse side of the second end are respectively provided with a coarse sticking surface which is stuck in a matched mode.
Preferably, the rear end of the pressure sensor is electrically connected with an amplifying circuit, and the amplification factor of the amplifying circuit is adjustable.
Preferably, a filter circuit is further arranged at the rear end of the pressure sensor.
Preferably, the remote ischemia training device further comprises an upper cover and a lower cover which are buckled with each other; a clamping groove is formed in the lower cover, a buckle is correspondingly arranged on the front surface of the first end, and the buckle is clamped in the clamping groove; the lower cover is provided with an inflation inlet, the air inlet and the air outlet of the air bag sleeve belt are connected with the inflation inlet oppositely, and the inflation inlet is connected with the inflation valve, the air release valve and the pressure sensor respectively through the tee joint head.
Preferably, the bluetooth interaction module is a main control circuit, on which a bluetooth chip and its peripheral circuits are arranged, and an RF antenna is also arranged.
Preferably, the cloud APP is carried on the mobile terminal, and is connected with the Bluetooth interaction module through a Bluetooth chip on the mobile terminal in a Bluetooth mode; cloud end APP has the training state module of blood pressure and the early warning of rhythm of the heart when synchronous display blood pressure measured data and real-time training data and training, still has cloud service module, cloud service module includes daily early warning evaluation module, uses medicine and guides module and doctor-patient to communicate the module.
Preferably, the cloud system comprises a personalized training prescription making module.
Compared with the prior art, the invention has the beneficial effects that: the system comprises a host and a cuff, wherein the host is connected with the cuff in an integrated manner, remote control is carried out through a cloud end APP and a cloud end system, the pressure during blood flow blockage is accurately measured by using a built-in loudspeaker amplifier and is fed back to the cloud end APP and the system, the cloud end APP and the system send out a command after receiving a signal, a training instrument trains by using the pressure, a clinician formulates an individualized training prescription through the cloud end system and feeds the prescription back to the cloud end APP, and a patient can adopt the prescription to carry out individualized training to realize rehabilitation training of a whole disease period; the cloud system can send follow-up visit reminding to the patient, reminds the patient to go out a clinic for reexamination at regular intervals, and the clinician can also realize simple communication with the patient through the cloud system, timely solves the relevant problems of the patient, and realizes real remote home rehabilitation.
Drawings
FIG. 1 is a schematic diagram of an overall structure of a remote ischemia pre-adaptive training instrument of a full-cycle personalized remote ischemia adaptive training system according to the present invention;
fig. 2 is a host computer explosion diagram of the remote ischemia pre-adaptation training instrument of the full-cycle personalized remote ischemia adaptation training system of the present invention.
Fig. 3 is a schematic diagram of an internal circuit board of a full-cycle personalized remote ischemia adaptation training system according to the present invention.
Fig. 4 is an ischemia control schematic diagram of a full-cycle personalized remote ischemia adaptive training system according to the present invention.
Fig. 5 is a blood pressure measurement schematic diagram of a full-cycle personalized remote ischemia adaptation training system according to the present invention.
Fig. 6 is a connection diagram of a remote ischemia preadaptation training instrument, a cloud APP and a cloud system of the full-cycle personalized remote ischemia adaptation training system of the present invention.
Detailed Description
In order to further understand the objects, structures, features and functions of the present invention, the following embodiments are described in detail.
Referring to fig. 1, fig. 2, fig. 3, fig. 4, fig. 5, and fig. 6, the present invention provides a full-period personalized remote ischemia adaptive training system, which includes a remote ischemia adaptive training instrument, a cloud APP, and a cloud system, wherein the remote ischemia adaptive training instrument is in signal connection with the cloud APP, and the cloud APP is in network connection with the cloud system; the remote ischemia preadaptation training instrument comprises a loudspeaker amplifier module and a remote ischemia training device which are mutually matched and connected.
Preferably, the speaker amplifier module comprises an impulse sensing module and a noise amplifying module which are electrically connected. The sufficient condition of blood flow when the pulse is experienced the module and can be used to experience the pressurization can appear lasting waveform change when the blood flow passes through, and when pressurization pressure reached a certain numerical value and blocked the blood flow, the pulse receptor can experience the change of waveform to record the pressure this moment, upload to high in the clouds APP and high in the clouds system simultaneously. The noise amplification module can be passed through the speaker with the wave form change that pulse sensor felt and enlargies to pass to high in the clouds APP and high in the clouds system on this signal passes through the built-in bluetooth chip of training appearance.
In one embodiment, the speaker amplifier module precisely records the pressure of the blood flow blocking through the pulse sensing module and the noise amplification module, amplifies the pressure, uploads the pressure to the cloud system, processes data in the background, feeds the data back to the training instrument after processing, and trains the training instrument according to the pressure. The remote ischemia training device is used for performing ischemia training and comprises a blood pressure measuring module, a power supply module, a Bluetooth interaction module, a display module and a control module. The training device receives the instruction from the cloud system and then trains according to the training prescription. The cloud APP and the cloud system are used for adjusting a training prescription, detecting physiological parameters, tracking a training record and reminding follow-up visits.
Preferably, the remote ischemia training device comprises a mainboard 21, wherein a blood pressure measuring module, a power supply module, a bluetooth interaction module, a display module and a control module are arranged on the mainboard 21, and the power supply module is electrically connected with the blood pressure measuring module, the bluetooth interaction module, the display module and the control module respectively.
Preferably, the measuring module comprises an air pump, a pressure sensor 13, an inflation valve 15, an air release valve 14, a three-way head and an air bag cuff 10; the air inlet and outlet of the air bag cuff 10 are respectively connected with an inflation valve 15, an air release valve 14 and a pressure sensor 13 through a three-way pipe, and the inflation valve 15 is connected with an air pump; the air bag cuff 10 includes a first end and a second end opposite to each other, and a rough attachment surface to which the air bag cuff is attached is provided on a back surface of the first end and a front surface of the second end, respectively. The inflation valve 15 is opened to inflate the air pumped out by the air pump into the airbag cuff 10, and the inflation valve 15 is closed after the inflation is completed. The air release valve 14 is always in a closed state during the inflation and training state, and after the training is completed, the air release valve 14 is opened to release the air in the air bag cuff 10, so that the air bag cuff 10 is reset to be restored to the initial state. The pressure sensor 13 is connected to the inside of the airbag cuff 10 through a three-way head, and can monitor the pressure inside the airbag cuff 10 in real time. The three-way joint is made of a silica gel hose, so that the pressure sensor 13, the inflation valve 15 and the air escape valve 14 can change directions to find a proper installation position in the remote ischemia training device conveniently, and the three cooperate to control and adjust the pressure in the air bag cuff 10 in real time. The air bag cuff 10 is provided with corresponding thick adhesive surfaces at both ends thereof, so that the air bag cuff 10 can be easily wound around and fixed to the upper limb or the lower limb of a patient during training.
Preferably, the rear end of the pressure sensor 13 is electrically connected with an amplifying circuit, and the amplification factor of the amplifying circuit is adjustable. The pressure sensor 13 can convert the obtained pressure change into linear voltage change, and the linear voltage change is amplified in a multiplying mode through the rear-end amplifying circuit, the amplifying times of the amplifying circuit can be adjusted, and the measuring accuracy is greatly improved.
Preferably, a filter circuit is further disposed at the rear end of the pressure sensor 13. The filter circuit uses a second-order active low-pass filter circuit to filter out direct current components, high-frequency noise generated by friction between a human body and a cuff, 50Hz power frequency noise, circuit noise, PUMP and air valve noise and the like, and can accurately extract human pulse waves.
The control module firstly boosts the voltage to 6V through the boost chip and supplies power to the air pump, the inflation valve and the air release valve; then the N-channel mos tube is connected with a GPIO pin of the Bluetooth chip, and the high level is input through the GPIO to control the on-off of the air pump, the inflation valve and the air release valve.
The power supply module is used for providing stable voltage for the air pump, the inflation valve 15, the air release valve 14, the circuit control module, the Bluetooth interaction module and the display module; the power supply selects a built-in lithium battery and an external USB for power supply. The power module uses 3.7v lithium battery power supply, designs the charge protection circuit and uses the chip that charges, and accessible microusb interface charges to the lithium cell, and the output of 3.7v voltage stabilization of lithium cell output is in 3.3v output to supply power for each module circuit. The charging chip may set the charging current to 800mA at the maximum.
The display screen bracket 7 is arranged on the main board 21, the display module is arranged on the display screen bracket 7, the OLED screen of 0.96 inch used by the display module can display the measured data of the patient and the measurement failure reasons (the failure reasons comprise cuff error, mobile speaking, pressurization error, overtime training and pulse error), and the measurement prompts the patient to adjust the posture, adjust the tightness of the cuff and automatically measure the electric quantity of the equipment again.
Preferably, the bluetooth interaction module is a main control circuit, on which a bluetooth chip and its peripheral circuits are arranged, and an RF antenna is also arranged. The antenna can strengthen the Bluetooth signal, promotes the distance that the bluetooth is connected to can have enough big home range under the condition that the patient does not carry mobile terminal, guarantee signal connection's stability and long distance. When a patient trains, if the range of motion is large, the influence on the normal life of the patient can be reduced to the greatest extent, so that the conflict psychology of the patient training is reduced, and the compliance of remote ischemia training is improved.
Preferably, the remote ischemia training device further comprises an upper cover 19 and a lower cover 20 which are buckled with each other; a clamping groove 4 is formed in the lower cover 20, a buckle 1 is correspondingly arranged on the front surface of the first end, and the buckle 1 is clamped in the clamping groove 4; the lower cover 20 is provided with an inflation inlet 6, the air inlet and outlet 2 of the air bag cuff 10 is connected with the inflation inlet 6 oppositely, and the inflation inlet 6 is respectively connected with an inflation valve 15, an air release 14 and a pressure sensor 13 through a tee joint. The buckle 1 and the clamping groove 4 are matched with each other, so that the installation and the disassembly of the air bag cuff 10 are facilitated, and the cuff can be disassembled and replaced conveniently when the air bag cuff 10 becomes dirty or is damaged and cannot be inflated. The buckle formula both had been convenient for install and dismantle, had the whole volume that can reduce the long-range ischemia training appearance of preadaptation, and is more portable.
Preferably, the cloud APP is carried on the mobile terminal, and Bluetooth connection is realized through a Bluetooth chip on the mobile terminal and a Bluetooth interaction module; the cloud APP has a training state module for synchronously displaying blood pressure measurement data, real-time training data and blood pressure and heart rate early warning during training, and further has a cloud service module, wherein the cloud service module comprises a daily early warning evaluation module, a medication guidance module and a doctor-patient communication module.
The cloud APP is connected through the built-in Bluetooth chip of the host, and the host receives the command of the cloud APP and inflates and deflates the air bag, so that the operation of blood pressure measurement and remote ischemia pre-adaptation training is realized. Pressure sensor's signal passes through signal processor after and transmits for high in the clouds APP, can synchronous display blood pressure measurement data and real-time training data on the display screen of high in the clouds APP and host computer to automatic upload to high in the clouds system realizes training data real-time feedback and record, traces patient's training compliance through high in the clouds system simultaneously. Abnormal blood pressure and rhythm of the heart can in time be discover when measuring the blood pressure rhythm of the heart, through transmitting early warning information to high in the clouds APP, carry out pronunciation early warning after the early warning information is received to high in the clouds APP, remind the patient "your blood pressure is on the high side, it improves living habit to advise you to pay attention to, the food is light and few salt as far as possible, avoid light amazing food, eat fresh fruit and vegetables more, if blood pressure lasts on the high side, please go on the hospital and go on regular double-diagnosis, the blood pressure rhythm of the heart that the high in the clouds APP will record simultaneously uploads cloud system in real time. The working mode of the cloud further comprises the following steps: association, evaluation. The patient can upload heart rate, blood pressure, electrocardiogram, training images and the like through the cloud APP every day so as to realize long-term management of the patient and evaluate the training compliance; a doctor evaluates a patient according to a plurality of physiological parameters uploaded to the APP by the remote ischemia pre-adaptation training instrument, and a personalized scheme is formulated or adjusted for the patient; the method monitors and finds fatal arrhythmia (sinus tachycardia or bradycardia, supraventricular tachycardia, ventricular tachycardia, atrial fibrillation, ventricular II-III conduction block and the like) in real time, and alarms in medical care personnel and mobile phones of relatives of patients, so that the patients can be timely cured when cardiovascular accidents happen; better drug delivery. The patient uploads the medication conditions including the medication type, the medication dosage and the medication time regularly through the cloud APP, and a cardiologist performs personalized medication guidance on the patient according to the medication information provided by the patient in the APP and by combining various physiological parameters, so that the patient is helped to better control symptoms, and further cardiac rehabilitation is performed; consultant, consult. An efficient doctor-patient communication platform is built through a cloud APP, and a patient can consult a doctor about medication and rehabilitation problems through the platform; reminding the patient to go to a hospital to receive follow-up assessment on time through the cloud APP, and feeding the follow-up result back to the patient through the APP, so that the patient can know the change condition of the patient at the first time; diet. Cloud APP can make a dietary prescription for a patient through the collected information. For example: stopping smoking and giving up alcohol; a low-salt low-fat diet set is formulated, and the food is diversified; reducing the intake of dietary fat, particularly animal oil; selecting staple food with low glycemic index, such as whole wheat staple food, oat and barley mixed staple food, etc.; supplementing vitamins in appropriate amount. Through diet control and life style adjustment, the weight of a patient is controlled within a standard range, so that the organism achieves nutrient balance, the nutrient state of the organism is improved, the immunity of the organism is enhanced, and the life quality is improved; exposure and education. The cloud APP is used for pushing the science popularization knowledge related to the heart diseases, understanding of disease risk factors and control modes, pushing the guidance of exercise training such as walking and Taijiquan, and achieving self management and rehabilitation of patients with cardiovascular diseases through multiple ways. And meanwhile, the cloud APP is connected with the cloud system, and the measured parameters are uploaded to the console. In addition, the patient can simply communicate with the clinician through the "smart dialog" in the cloud APP.
Preferably, the cloud system comprises a personalized training prescription making module. Patient's accessible high in the clouds APP record any adverse event, for example, myocardial infarction recurs, syncope, limbs ischemia damage etc. and with data upload to cloud system, the doctor carries out comprehensive judgement through the data that the patient uploaded, and send the feedback result for patient high in the clouds APP, simultaneously the doctor can make individualized training prescription for the patient at the cloud system according to patient's state of an illness condition, such as ischemia time, the cycle number, frequency, cycle etc., send the follow-up visit and remind for the patient, remind the patient periodic outpatient service reexamination, clinician still can realize simple interchange through cloud system and patient, in time solve patient's relevant problem, realize real long-range rehabilitation at home.
The ischemia control schematic diagram of the remote ischemia training of the invention is shown in fig. 4, wherein Pm is pulse amplitude, P is ischemic pulse volume, M is an ischemia factor, and a, b and c are fitting coefficients.
The control requirements are as follows:
(1) the upper edge air bag tracks and processes pressure changes caused by factors such as limb movement, natural deflation of equipment and the like.
(2) The lower edge air bag performs pulse volume control, and high-speed sampling (MHz) is used for regulating and controlling (PID) response and precision, regulating pressure in real time and keeping the set amount of blood deficiency.
The specific blood pressure measurement principle is shown in fig. 5, and the blood pressure is measured by adopting an oscillometric method, and the corresponding pulse amplitude is obtained when the average pressure is obtained in the blood pressure measurement process.
The far-isolation ischemia pre-adaptation training instrument, the cloud APP and the cloud system connection diagram of the far-isolation ischemia training system are shown in fig. 5, and the far-isolation ischemia pre-adaptation training instrument is used for detecting the blood pressure and the heart rate of a patient in real time; the cloud APP is used for displaying and integrating training states before, during, after and in a recovery period, and providing cloud services, specifically including assessment, medication, consultation, diet and motion education; the cloud system mainly reminds the patient of regular follow-up visits through the cloud APP, integrates and processes the training data of the patient to formulate an individualized prescription, and achieves the purpose-specific training prescription of the patient and the optimal training effect.
Referring to fig. 1, the full-cycle personalized remote ischemia training system in the internet +' mode of the invention comprises an air bag cuff 10 with an inflation inlet, wherein a rough pasting surface 11 is arranged on the reverse side of a first end of the air bag cuff 10, a rough pasting surface 12 is correspondingly arranged on the front side of a second end of the air bag cuff 10, the rough pasting surface can be a letter magic paste, and the air bag cuff 10 can be fixed through two rough pasting surfaces when the air bag cuff 10 is worn. The buckle 1 on the air bag cuff can be hooked with the clamping groove 4 on the lower cover to fix the equipment. The inflation port 6 on the device can inflate the air bag cuff 10 through the air inlet and outlet port 2 of the air bag cuff 10. The USB charging port 3 can charge the battery 16 through the android data line. The air escape valve 14 and the inflation valve 15 on the lower cover 19 are connected with the pressure sensor 13 on the main board 21 through a three-way rubber air pipe; the pressure sensor 13 can measure the pressure value of the inflated air bag cuff 10 in real time; but the pulse in the amplifier module of raising one's voice 8 feels the module and accurately measures the blood flow and blocks pressure to pass through bluetooth interactive module with this pressure and upload to high in the clouds APP. The display screen 18 is arranged on the display screen bracket 7, the current pressurizing value and the pressurizing time can be displayed on the display screen in real time, and the pressurizing state can be automatically released after the set time is reached. The built-in Bluetooth chip can be connected with the mobile phone APP, and the pressurizing value and the pressurizing time are set through the mobile phone APP. The display screen bracket 7 can be fixed on the main board 21 through a limiting hole. The visual window 9 on the upper cover can see through the numbers on the display screen 18 in a high-definition mode. The button 17 can control the power on/off of the main board 21 by pressing. Finally, the upper cover can be fixed with the lower cover through four fixing holes 5.
The cloud APP of the mobile phone is opened, the verification code is acquired through the mobile phone number for registration, and relevant health data such as gender, age, height, weight and the like are input through the mobile phone end. The short "start/pause" button of pressing the host computer, get into high in the clouds APP interface simultaneously, the host computer carries out the bluetooth with the cell-phone is automatic to be connected, gets into the ischemia adaptation training of separating far, and blood pressure measurement finishes the back, and the blood pressure numerical value is carried out synchronous display on host computer display module and cell-phone APP. Then, gradual pressurization is started, and blood flow blocking pressure is measured to perform remote ischemia adaptation training. In the training process, the pressurization pressure value is synchronously displayed in the host display module and the cloud APP.
After the training is finished, the microprocessor on the control module controls the remote ischemia preadaptation training instrument to perform blood pressure detection on the user again. After the blood pressure detection is finished, the blood pressure value is synchronously displayed on the host display module and the mobile phone APP. When abnormal blood pressure occurs, the host can transmit early warning information to the cloud APP. Blood pressure detection results and training related information are stored in the host data module and are uploaded and sent to the cloud APP after training is finished. In addition, the user is using this instrument in-process, and detection results such as cardiovascular incident emergence, heart electrograph, image are uploaded to accessible high in the clouds APP.
The clinician passes through the data in the high in the clouds system, judges patient's the state of an illness to for every patient formulates individualized training prescription, send the training prescription for every patient through high in the clouds APP, remind the patient periodic follow-up visit simultaneously, and carry out simple state of an illness with the patient and exchange.
The key points of the invention are internet plus control, accurate measurement of blocking pressure and personalized prescription formulation, small size and convenient carrying and operation, integral regulation and control are carried out through the cloud APP, the training state of a user can be monitored in real time, training data can be recorded at any time, potential safety hazards in training can be found in time, a patient can conveniently see a doctor in time, and meanwhile, the damage of cardiovascular diseases can be effectively prevented and alleviated.
In view of the above, according to the full-cycle personalized remote ischemia-isolated adaptive training system, the host and the cuff are integrally connected, remote control is performed through the cloud end APP and the cloud end system, the pressure during blood flow blockage is accurately measured by using the built-in loudspeaker amplifier, the pressure is fed back to the cloud end APP and the system, the cloud end APP and the system send out a command after receiving a signal, the training instrument performs training by using the pressure, meanwhile, a clinician formulates a personalized training prescription through the cloud end system and feeds the prescription back to the cloud end APP, and a patient can perform personalized training by using the prescription to realize rehabilitation training of a full-cycle disease; the cloud system can send follow-up visit reminding to the patient, reminds the patient to go out a clinic for reexamination at regular intervals, and the clinician can also realize simple communication with the patient through the cloud system, timely solves the relevant problems of the patient, and realizes real remote home rehabilitation.
The present invention has been described in relation to the above embodiments, which are only exemplary of the implementation of the present invention. It should be noted that the disclosed embodiments do not limit the scope of the invention. Rather, it is intended that all such modifications and variations be included within the spirit and scope of this invention.

Claims (10)

1. A full-cycle personalized remote ischemia adaptation training system is characterized in that: the remote ischemia-isolated pre-adaptation training instrument is in signal connection with the cloud end APP, and the cloud end APP is in network connection with the cloud end system;
the remote ischemia preadaptation training instrument comprises a loudspeaker amplifier module and a remote ischemia training device which are mutually matched and connected.
2. The full-cycle personalized remote ischemic conditioning training system of claim 1, wherein: the loudspeaker amplifier module comprises a pulse sensing module and a noise amplifying module which are electrically connected.
3. The full-cycle personalized remote ischemic conditioning training system of claim 1, wherein: the remote ischemia-isolation training device comprises a mainboard, wherein a blood pressure measuring module, a power supply module, a Bluetooth interaction module, a display module and a control module are arranged on the mainboard, and the power supply module is respectively electrically connected with the blood pressure measuring module, the Bluetooth interaction module, the display module and the control module.
4. The full-cycle personalized remote ischemic conditioning training system of claim 3, wherein: the measuring module comprises an air pump, a pressure sensor, an inflation valve, an air escape valve, a three-way head and an air bag cuff; the air inlet and outlet of the air bag cuff are respectively connected with the inflation valve, the air release valve and the pressure sensor through a three-way pipe, and the inflation valve is connected with the air pump; the air bag cuff comprises a first end and a second end which are opposite, and the reverse side of the first end and the obverse side of the second end are respectively provided with a coarse sticking surface which is stuck in a matched mode.
5. The full-cycle personalized remote ischemia adaption training system of claim 4, wherein: the rear end of the pressure sensor is electrically connected with an amplifying circuit, and the amplification factor of the amplifying circuit is adjustable.
6. The full-cycle personalized remote ischemia adaption training system of claim 4, wherein: and the rear end of the pressure sensor is also provided with a filter circuit.
7. The full-cycle personalized remote ischemia adaption training system of claim 4, wherein: the remote ischemia training device further comprises an upper cover and a lower cover which are buckled with each other; a clamping groove is formed in the lower cover, a buckle is correspondingly arranged on the front surface of the first end, and the buckle is clamped in the clamping groove; the lower cover is provided with an inflation inlet, the air inlet and the air outlet of the air bag sleeve belt are connected with the inflation inlet oppositely, and the inflation inlet is connected with the inflation valve, the air release valve and the pressure sensor respectively through the tee joint head.
8. The full-cycle personalized remote ischemic conditioning training system of claim 3, wherein: the Bluetooth interaction module is a main control circuit, a Bluetooth chip and peripheral circuits thereof are arranged on the Bluetooth interaction module, and an RF antenna is also arranged on the Bluetooth interaction module.
9. The full-cycle personalized remote ischemic conditioning training system of claim 1, wherein: the cloud APP is carried on the mobile terminal and is connected with the Bluetooth interaction module through a Bluetooth chip on the mobile terminal in a Bluetooth mode; cloud end APP has the training state module of blood pressure and the early warning of rhythm of the heart when synchronous display blood pressure measured data and real-time training data and training, still has cloud service module, cloud service module includes daily early warning evaluation module, uses medicine and guides module and doctor-patient to communicate the module.
10. The full-cycle personalized remote ischemic conditioning training system of claim 1, wherein: the cloud system comprises a personalized training prescription making module.
CN202111156366.4A 2021-09-30 2021-09-30 Full-period personalized remote ischemia adaptation training system Pending CN113827437A (en)

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