CN114141350A - Anesthesia dosage control system, method, electronic device and storage medium - Google Patents
Anesthesia dosage control system, method, electronic device and storage medium Download PDFInfo
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- CN114141350A CN114141350A CN202111485940.0A CN202111485940A CN114141350A CN 114141350 A CN114141350 A CN 114141350A CN 202111485940 A CN202111485940 A CN 202111485940A CN 114141350 A CN114141350 A CN 114141350A
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- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
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- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
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Abstract
The invention discloses an anesthesia dosage control system, a method, an electronic device and a storage medium, wherein the anesthesia dosage control system comprises: the data acquisition module is used for acquiring diagnosis and treatment data of a patient; a target concentration detection unit for detecting target concentration data of anesthetic in blood of a patient in real time; the drug administration calculation unit is connected with the data acquisition module and the target concentration detection unit, and calculates to obtain dynamic drug administration data by using an anesthesia drug administration data model according to the diagnosis and treatment data and the target concentration data of the patient; the actuator comprises a plurality of storage units for storing different anesthetics and is connected with the medication calculating unit; and the actuator calls the corresponding anesthetic in the storage unit according to the dynamic medication data output by the medication amount calculation unit and executes the medication input of the anesthetic. The invention can flexibly and automatically adjust the dosage of the anesthetic according to individual difference of patients, different dosage required in the operation stage and the concentration of the anesthetic in the blood of the patient monitored in real time.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to an anesthesia dosage control system, method, electronic equipment and storage medium.
Background
The anesthetic is necessary for smooth operation treatment, generally, an anesthesiologist selects a proper dosage according to the physical condition of a patient by personal experience, but the patient frequently revives in advance or revives after delay due to individual differences such as drug resistance, physique and the like, and if the patient revives in advance, the anesthesiologist needs to perform anesthesia again according to the concentration of the anesthetic in the blood of the patient, so that the patient suffers from anesthesia again. Therefore, an automatic anesthesia apparatus is proposed for automatically selecting an appropriate mode for anesthetic input according to the condition of a patient to reduce the risk that the manually input parameter values of the anesthesia apparatus are easily inputted by mistake. For example, CN101862491B discloses a painless automatic anesthesia apparatus, which comprises an anesthetic injection execution unit for injecting an anesthetic into a patient, wherein the anesthetic is propofol; the control unit is electrically connected with the anesthetic injection execution unit and is used for controlling the administration amount of propofol of the anesthetic injection execution unit according to external input by utilizing preset parameters; an input unit electrically connected to the control unit for inputting the anesthesia mode selection and the weight of the subject by the operator, and/or selecting the target concentration of the anesthetic therefrom, and/or starting or stopping the anesthetic input process.
However, the existing automatic anesthesia apparatus only depends on the patient weight to calculate the injection speed to maintain the concentration range of the anesthetic in the blood, and does not consider individual drug resistance difference and different dosage required in the operation stage, which results in insufficient flexibility of the automatic anesthesia apparatus, and cannot individually adjust the dosage in different operation stages of different individuals. Therefore, there is a need for new automatic anesthetic dose control methods and devices.
Disclosure of Invention
The invention provides an anesthesia dosage control system, method, electronic equipment and storage medium, which can solve the problems that the flexibility of an automatic anesthesia device is insufficient and the dosage of different individuals at different operation stages can not be individually adjusted due to the fact that individual drug resistance difference and different dosages required at the operation stages are not considered. In order to solve the above technical problems, the present invention provides an anesthesia dosage control system, comprising:
the data acquisition module is used for acquiring diagnosis and treatment data of a patient;
a target concentration detection unit for detecting target concentration data of anesthetic in blood of a patient in real time;
the drug administration calculation unit is connected with the data acquisition module and the target concentration detection unit, and calculates dynamic drug administration data by using a drug administration data model according to the patient diagnosis and treatment data acquired by the data acquisition module and the target concentration data of the anesthetic in the blood of the patient acquired by the target concentration detection unit;
the actuator comprises a plurality of storage units for storing different anesthetics and is connected with the medication calculating unit; and the actuator calls the corresponding anesthetic in the storage unit according to the dynamic medication data output by the medication amount calculation unit and executes the medication input of the anesthetic.
Preferably, the data acquisition module includes:
the manual input module is used for supplementing missing diagnosis and treatment data of the patient or correcting error data through manual intervention;
the data acquisition module is used for connecting the weighing module and the blood pressure and heart rate measurement module and acquiring weight data, blood pressure data and heart rate data of a patient acquired by a user;
the data searching module is used for connecting the hospital information system and/or the physical examination system and searching and acquiring historical physical examination data, historical clinic records, historical anesthesia data or special medication data of the patient;
and the data scanning and extracting module is used for scanning the historical physical examination list and the historical clinic record of the patient in an image recognition mode and acquiring historical height data, weight data and historical diagnosis data in the historical physical examination list and the historical clinic record.
Preferably, the weighing module is arranged below the operation sickbed, and the weight data of the patient is obtained according to the weighing before and after the patient gets on the sickbed; the data acquisition module acquires the weight data and is connected with the blood pressure data and the heart rate data measured by the blood pressure and heart rate measurement module.
Preferably, the data search module is used for acquiring data required by the patient in a hospital information system and/or a physical examination system, and the historical physical examination data, the historical clinic record, the historical anesthesia data or the special medication data can be retrieved and acquired through keywords.
Preferably, the data scanning and extracting module comprises an image acquisition module and an OCR character recognition module, wherein the image acquisition module is used for scanning or shooting the physical examination list and/or the case list, sending the scanned or shot image to the OCR character recognition module for character recognition, and acquiring historical height and weight or historical diagnosis data according to the recognized characters.
Preferably, the dynamic dosing data includes anesthetic dosing type, dose amount, and dosing input rate data.
The invention also provides an anesthesia medicine dosage control method, which comprises the following steps:
acquiring diagnosis and treatment data of a patient;
monitoring target concentration data of the anesthetic in the patient's blood in real time;
the drug administration calculation unit calculates dynamic drug administration data by using an anesthetic drug administration data model according to the patient diagnosis and treatment data and the target concentration data of the anesthetic; when manual intervention is carried out, the dynamic medication data obtained by manual intervention replaces the anesthesia medication data model to calculate to obtain dynamic medication data;
and the actuator calls the corresponding anesthetic in the storage unit according to the dynamic administration data and executes the administration input of the anesthetic.
Preferably, the acquiring of the patient diagnosis and treatment data specifically includes the following steps:
acquiring weight data, blood pressure data and heart rate data of a patient;
searching and acquiring historical physical examination data, historical clinic records, historical anesthesia data or special medication data of a patient;
scanning a historical physical examination sheet and a historical clinic record of a patient in an image recognition mode, and acquiring historical height data, weight data and historical diagnosis data in the historical physical examination sheet and the historical clinic record;
the manual intervention supplements missing patient clinical data or corrects erroneous data.
The invention also provides an electronic device, which comprises a memory, a processor and a computer program stored on the memory and capable of running on the processor, wherein the processor executes the computer program to realize the anesthetic administration calculation method.
The invention also provides a computer-readable storage medium, on which a computer program is stored which, when being executed by a processor, carries out the steps of the method for calculating an anesthetic administration as defined in any of the above.
The invention has the beneficial effects that: the dosage of the anesthetic can be flexibly and automatically adjusted according to individual differences of patients, different dosages required in the operation stage and the concentration of the anesthetic in the blood of the patient monitored in real time.
Drawings
FIG. 1 is a schematic diagram of an anesthesia dosage control system;
FIG. 2 is a schematic diagram of a data acquisition module;
FIG. 3 is a schematic diagram of the steps of the method for controlling the amount of anesthetic agent.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
The present embodiment provides an anesthesia dosage control system, referring to fig. 1 and fig. 2, including:
the data acquisition module 1 is used for acquiring diagnosis and treatment data of a patient;
a target concentration detection unit 2 for detecting target concentration data of an anesthetic in blood of a patient in real time;
the drug administration calculation unit 3 is connected with the data acquisition module 1 and the target concentration detection unit 2, and calculates dynamic drug administration data by using an anesthetic drug administration data model according to the patient diagnosis and treatment data acquired by the data acquisition module 1 and the target concentration data of anesthetic in the blood of the patient acquired by the target concentration detection unit 2;
the actuator 4 comprises a plurality of storage units for storing different anesthetics and is connected with the medication calculating unit 3; and the actuator 4 calls the corresponding anesthetic in the storage unit according to the dynamic medication data output by the medication amount calculation unit and executes the medication input of the anesthetic.
As a preferred embodiment, the data acquisition module 1 includes:
the data acquisition module 11 is used for connecting the weighing module 5 and the blood pressure and heart rate measurement module 6 to acquire the weight data and the heart rate data of the patient acquired by the user;
the data searching module 12 is used for connecting the hospital information system and/or the physical examination system 7, and searching and acquiring historical physical examination data, historical clinic records, historical anesthesia data or special medication data of the patient;
the data scanning and extracting module 13 is used for scanning the historical physical examination list and the historical clinic record of the patient in an image recognition mode, and acquiring historical height data, weight data and historical diagnosis data in the historical physical examination list and the historical clinic record;
a manual input module 14 for manually supplementing missing patient diagnosis and treatment data or correcting error data; the manual input module 14 may supplement and correct errors of the displayed patient diagnosis and treatment data by means of a keyboard or a touch screen.
As a preferred embodiment, the weighing module 5 is arranged below a surgical bed, and obtains weight data of a patient according to the weighing before and after the patient gets on the surgical bed; the data acquisition module 11 acquires the weight data and connects the blood pressure data and the heart rate data measured by the blood pressure and heart rate measurement module 6. Weighing module 5 includes a plurality of pressure sensor, pressure sensor adopts MEMS sensor, can set up in order to realize weighing measurement under the operation sick bed, if set up a plurality of pressure sensor under the footpost, will again the pressure value of a plurality of pressure sensor adds can obtain total pressure value, obtains the difference of total pressure value before the patient goes up the sick bed and after going up the sick bed, and then just can calculate the weight data that obtains the patient. The blood pressure heart rate measuring module 6 comprises a blood pressure measuring module and is used for measuring blood pressure data of a patient in real time; the blood pressure heart rate measuring module 6 further comprises a heart rate measuring module, and a heart rate monitoring module for acquiring heart rate data can be independently arranged, or heart rate data in an electrocardio monitoring instrument can be directly adopted. In addition, the blood pressure and heart rate measuring module 6 preferably adopts a medical-grade high-precision and high-reliability measuring instrument to ensure that the acquired data is accurate and reliable.
In a preferred embodiment, the data search module 12 is configured to obtain data required by the patient in the hospital information system and/or the physical examination system 7, and may retrieve and obtain the historical physical examination data, the historical clinic record, the historical anesthesia data, or the special medication data through keywords. The data search module 12 can be implemented by using a search script, and searches for patient personal data in a hospital information system and/or a physical examination system according to patient personal information, so as to obtain historical physical examination data, historical clinic records, historical anesthesia data or special medication data which are required to be acquired through keywords.
In a preferred embodiment, the data scanning and extracting module 13 includes an image collecting module 131 and an OCR character recognition module 132, where the image collecting module 131 is configured to scan or shoot the physical examination order and/or the case order, send the scanned or shot image to the OCR character recognition module 142 for character recognition, and obtain historical height, weight and historical diagnosis data according to the recognized characters. The image acquisition module 131 is a desktop or handheld scanner, and may even be a mobile phone with a scanning function or a PAD tablet computer, and scans or shoots the physical examination sheet and/or case sheet of the patient to form an image; the OCR character recognition module 132 may be implemented using scripts to read the image and translate the shape in the image into computer text using character recognition methods, obtain the text and layout information, and then obtain historical height data, weight data, or historical diagnostic data based on the recognized text.
In a preferred embodiment, the dynamic drug administration data includes anesthetic administration type, drug dosage, and drug administration input rate data. The anesthetic is mainly remifentanil, sufentanil, diazepam, propofol, midazolam and dexmedetomidine, an anesthetic administration data model or pharmacist or anesthesiologist obtains the administration amount and administration input speed data by comprehensive calculation according to patient weight data, anesthetic parameters meeting the operation type and stage and combining target concentration and drug resistance difference of the anesthetic in blood of a patient, and the anesthetic parameters mainly comprise a meeting dose, a maintenance dose, an onset time, a half-life period and a clearing speed.
Example 2
The present embodiment provides a method for controlling an anesthetic dosage, referring to fig. 3, including:
s1, acquiring diagnosis and treatment data of the patient;
s2, monitoring the target concentration data of the anesthetic in the blood of the patient in real time;
s3, calculating by a medication calculating unit according to the patient diagnosis and treatment data and target concentration data of anesthetic by using an anesthetic medication data model to obtain dynamic medication data; when manual intervention is carried out, the dynamic medication data obtained by manual intervention replaces the anesthesia medication data model to calculate to obtain dynamic medication data;
and S4, the actuator calls the corresponding anesthetic in the storage unit according to the dynamic administration data and executes the administration input of the anesthetic.
As a preferred embodiment, the acquiring of the patient diagnosis and treatment data specifically includes the following steps:
s11: acquiring weight data, blood pressure data and heart rate data of a patient;
s12: searching and acquiring historical physical examination data, historical clinic records, historical anesthesia data or special medication data of a patient;
s13: scanning a historical physical examination sheet and a historical clinic record of a patient in an image recognition mode, and acquiring historical height data, weight data and historical diagnosis data in the historical physical examination sheet and the historical clinic record;
s14: the manual intervention supplements missing patient clinical data or corrects erroneous data.
Example 3
The present embodiment provides an electronic device, which includes a memory, a processor, and a computer program stored in the memory and executable on the processor, wherein the processor executes the computer program to implement the method for calculating an anesthetic agent as described in embodiment 2.
Example 4
The present embodiment provides a computer-readable storage medium having stored thereon a computer program which, when being executed by a processor, implements the steps of the anesthetic administration calculation method described in embodiment 2.
More specific examples, among others, that the readable storage medium may employ may include, but are not limited to: a portable disk, a hard disk, random access memory, read only memory, erasable programmable read only memory, optical storage device, magnetic storage device, or any suitable combination of the foregoing.
The invention can also be implemented in the form of a program product comprising program code means for causing a terminal device to carry out the steps of implementing the method for calculating narcotics as described in embodiment 2, when said program product is run on said terminal device.
Where program code for carrying out the invention is written in any combination of one or more programming languages, the program code may be executed entirely on the user device, partly on the user device, as a stand-alone software package, partly on the user device and partly on a remote device or entirely on the remote device.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. An anesthesia dosage control system, comprising:
the data acquisition module is used for acquiring diagnosis and treatment data of a patient;
a target concentration detection unit for detecting target concentration data of anesthetic in blood of a patient in real time;
the drug administration calculation unit is connected with the data acquisition module and the target concentration detection unit, and calculates dynamic drug administration data by using a drug administration data model according to the patient diagnosis and treatment data acquired by the data acquisition module and the target concentration data of the anesthetic in the blood of the patient acquired by the target concentration detection unit;
the actuator comprises a plurality of storage units for storing different anesthetics and is connected with the medication calculating unit; and the actuator calls the corresponding anesthetic in the storage unit according to the dynamic medication data output by the medication amount calculation unit and executes the medication input of the anesthetic.
2. The system of claim 1, wherein the data acquisition module comprises:
the data acquisition module is used for connecting the weighing module and the blood pressure and heart rate measurement module to acquire weight data, blood pressure data and heart rate data of the patient;
the data searching module is used for connecting the hospital information system and/or the physical examination system and searching and acquiring historical physical examination data, historical clinic records, historical anesthesia data or special medication data of the patient;
the data scanning and extracting module is used for scanning a historical physical examination list and a historical clinic record of a patient in an image recognition mode and acquiring historical height data, weight data and historical diagnosis data in the historical physical examination list and the historical clinic record;
and the manual input module is used for supplementing missing diagnosis and treatment data of the patient or correcting error data through manual intervention.
3. The anesthesia drug dosage control system of claim 2, wherein the weighing module is arranged under a surgical bed, and the weight data of the patient is obtained according to the weighing before and after the patient gets on the bed; the data acquisition module acquires the weight data, the blood pressure data and the heart rate data which are connected with the blood pressure and heart rate measuring module to measure.
4. The system of claim 2, wherein the data search module is configured to obtain data required by the patient in the hospital information system and/or the physical examination system, and retrieve and obtain the historical physical examination data, the historical visit record, the historical anesthesia data or the special medication data through keywords.
5. The anesthesia drug dosage control system of claim 2, wherein the data scanning and extracting module comprises an image acquisition module and an OCR character recognition module, the image acquisition module is used for scanning or shooting the physical examination list and/or the case list, sending the scanned or shot image to the OCR character recognition module for character recognition, and acquiring historical height, weight and historical diagnosis data according to the recognized characters.
6. The system of claim 1, wherein the dynamic dosing data comprises anesthetic dosing type, dose, and dosing input rate data.
7. A method for controlling the dosage of anesthesia is characterized by comprising the following steps:
acquiring diagnosis and treatment data of a patient;
detecting in real time target concentration data of the anesthetic in the patient's blood;
calculating to obtain dynamic medication data by using an anesthetic medication data model according to the patient diagnosis and treatment data and the target concentration data of the anesthetic; when manual intervention is carried out, the dynamic medication data obtained by manual intervention replaces the anesthesia medication data model to calculate to obtain dynamic medication data;
and calling the corresponding anesthetic in the storage unit according to the dynamic medication data, and executing anesthetic medication input.
8. The method for controlling the anesthetic drug dosage according to claim 7, wherein the step of obtaining the patient diagnosis and treatment data specifically comprises the steps of:
acquiring weight data, blood pressure data and heart rate data of a patient;
searching and acquiring historical physical examination data, historical clinic records, historical anesthesia data or special medication data of a patient;
scanning a historical physical examination sheet and a historical clinic record of a patient in an image recognition mode, and acquiring historical height data, weight data and historical diagnosis data in the historical physical examination sheet and the historical clinic record;
the manual intervention supplements missing patient clinical data or corrects erroneous data.
9. An electronic device comprising a memory, a processor and a computer program stored on the memory and executable on the processor, wherein the processor implements the method of calculating an anesthetic drug administration of any of claims 7-8 when executing the computer program.
10. A computer-readable storage medium, on which a computer program is stored which, when being executed by a processor, carries out the steps of the method for calculating an anesthetic administration according to any of the claims 7-8.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111485940.0A CN114141350A (en) | 2021-12-07 | 2021-12-07 | Anesthesia dosage control system, method, electronic device and storage medium |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202111485940.0A CN114141350A (en) | 2021-12-07 | 2021-12-07 | Anesthesia dosage control system, method, electronic device and storage medium |
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| CN114141350A true CN114141350A (en) | 2022-03-04 |
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| CN202111485940.0A Withdrawn CN114141350A (en) | 2021-12-07 | 2021-12-07 | Anesthesia dosage control system, method, electronic device and storage medium |
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