CN114469672B - Pneumatic compression rehabilitation system based on multi-signal coupling guidance - Google Patents
Pneumatic compression rehabilitation system based on multi-signal coupling guidance Download PDFInfo
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Abstract
The invention discloses a pneumatic compression rehabilitation system based on multi-signal coupling guidance, which comprises a patient physiological and pathological information acquisition module (1), a pneumatic compression rehabilitation therapy prescription module (2), a pneumatic compression intervention therapy module (3), a rehabilitation effect short-term evaluation module (4), a rehabilitation effect long-term evaluation module (5) and a feedback module (6); the feedback module (6) is positioned between the rehabilitation effect long-term evaluation module (5) and the pneumatic compression rehabilitation therapy prescription module (2). The invention evaluates the rehabilitation effect of the pneumatic compression therapy more clearly and accurately from the angles of multi-signal coupling evaluation, short-term and long-term rehabilitation effect evaluation.
Description
Technical Field
The invention relates to a pneumatic compression treatment device, in particular to a pneumatic compression rehabilitation system based on multi-signal coupling guidance.
Background
Cerebral apoplexy is an important cause of global death and disability, the lifetime incidence rate is as high as 39.9%, and a heavy burden is brought to patients, families and society thereof. The circulatory functions of the brain and limbs play an important role in the recovery effect of the cerebral apoplexy patients in the subacute phase and the recovery phase. Improving the blood circulation of the brain and limbs of a brain stroke patient plays an important role in reducing the risk of complications and improving the rehabilitation effect of the circulatory system and the motor system.
Pneumatic compression is a common, non-invasive physical therapy in clinic, whereby the blood vessel is passively forced to promote blood circulation by applying external air wave compression to the limb instead of muscle pumping. Currently, pneumatic compression therapy is also used to improve blood circulation in stroke patients, prevent deep vein thrombosis, and alleviate limb edema and muscle atrophy. However, the clinical prescription of pneumatic compression rehabilitation therapy is generally based on the experience of clinicians and rehabilitation technicians, and the rehabilitation effect of pneumatic compression intervention on the physical health level of stroke patients is not clear. Therefore, the prior art has the problem of single evaluation means of the pneumatic compression treatment effect.
Disclosure of Invention
The invention aims to provide a pneumatic compression rehabilitation system based on multi-signal coupling guidance. The invention has the characteristic of diversified evaluation means of the pneumatic compression treatment effect.
The technical scheme of the invention is as follows: the pneumatic compression rehabilitation system based on multi-signal coupling guidance comprises a patient physiological and pathological information acquisition module, a pneumatic compression rehabilitation therapy prescription module, a pneumatic compression intervention therapy module, a rehabilitation effect short-term evaluation module, a rehabilitation effect long-term evaluation module and a feedback module; the feedback module is positioned between the rehabilitation effect long-term evaluation module and the pneumatic compression rehabilitation therapy prescription module.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the patient physiological and pathological information acquisition module is used for acquiring the name, sex, age, past history, contraindications, disease types, vascular lesion characteristics, hemodynamic characteristics and limb soft tissue force transmission capacity of the patient.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the pneumatic compression rehabilitation therapy prescription module inputs and stores the pneumatic compression rehabilitation therapy prescription prescribed by the doctor according to the information acquired by the patient physiological and pathological information acquisition and evaluation module.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the pneumatic compression intervention treatment module controls the pneumatic compression treatment equipment to perform rehabilitation treatment on the target disease of the patient according to the pneumatic compression rehabilitation treatment prescription; the treatment parameters of the pneumatic compression treatment equipment comprise pneumatic compression pressure, pneumatic compression inflation and deflation and retention time, pneumatic compression frequency, pneumatic compression mode and pneumatic compression position.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the short-term rehabilitation effect evaluation module compares short-term brain circulation indexes with short-term peripheral circulation indexes before and during the treatment of single pneumatic compression intervention of a patient.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the short-term brain circulation indexes comprise the activation degree and the activation mode of each brain region, the functional connection and the effect connection of each brain region, and the lateral deviation of the left brain region and the right brain region; the short-term peripheral circulation index comprises a short-term peripheral micro-circulation index and a short-term peripheral large-circulation index; the short-term peripheral microcirculation indexes comprise microvascular perfusion quantity, blood cell aggregation degree, flow rate and multi-frequency band physiological regulation and control activities; the short-term peripheral large circulation index includes systolic peak velocity, end diastole velocity, average velocity, pulsation index and resistance index of the target artery.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the long-term rehabilitation effect evaluation module compares long-term cerebral circulation indexes, long-term peripheral circulation indexes, edema and deep venous thrombosis indexes and exercise function indexes before and after the patient receives multi-course pneumatic compression intervention treatment.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the long-term brain circulation index comprises the activation degree and the activation mode of each brain region, the functional connection and the effect connection of each brain region, the lateral deviation of the left brain region and the right brain region and the brain blood flow self-regulating capability.
The long-term peripheral circulation index includes a long-term peripheral microcirculation index and a long-term peripheral large circulation index; the long-term peripheral microcirculation indexes comprise microvascular perfusion quantity, blood cell aggregation degree and flow rate, and the microvascular thermal stimulation response and force stimulation response of the multiband physiological regulation activity; the long-term peripheral large circulation index includes the systolic peak velocity, the end-diastolic velocity, the average velocity, the pulsatility index and resistance index of the target artery, the vascular area and the blood flow velocity time integral of the target artery.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the edema index is the peripheral diameter of the soft tissue of the limb; the index of deep vein thrombosis is the incidence rate of deep vein thrombosis; the movement function indexes comprise Fugl-Meyer movement function scores, movement speed, smoothness and joint movement angle and joint moment in the movement process; the muscle function index is the muscle strength and the muscle tension of the limb muscles.
In the pneumatic compression rehabilitation system based on multi-signal coupling guidance, the feedback module evaluates the rehabilitation treatment effect of the pneumatic compression intervention treatment module and adjusts the pneumatic compression intervention treatment parameters.
Compared with the prior art, the method comprises a patient physiological and pathological information acquisition module, a pneumatic compression rehabilitation therapy prescription module, a pneumatic compression intervention therapy module, a rehabilitation effect short-term evaluation module, a rehabilitation effect long-term evaluation module and a feedback module, and the rehabilitation effect of the pneumatic compression therapy is evaluated more clearly and accurately from the angles of multi-signal coupling evaluation, short-term and long-term rehabilitation effect evaluation. In addition, the feedback module is arranged to feed the treatment effect back to the pneumatic compression rehabilitation treatment prescription module, so that the prescription is more beneficial to doctors to accurately prescribe, and the treatment effect is improved. In conclusion, the invention has the characteristic of diversified evaluation means of the pneumatic compression treatment effect.
Drawings
FIG. 1 is a general construction diagram of the present invention;
FIG. 2 is a flow chart of a short term assessment module of rehabilitation effect;
FIG. 3 is a flow chart of a long term assessment module of rehabilitation effect
Fig. 4 is a flow chart of the feedback module.
The marks in the drawings are: the system comprises a 1-patient physiological and pathological information acquisition module, a 2-pneumatic compression rehabilitation therapy prescription module, a 3-pneumatic compression intervention therapy module, a 4-rehabilitation effect short-term evaluation module, a 5-rehabilitation effect long-term evaluation module and a 6-feedback module.
Detailed Description
The invention is further illustrated by the following figures and examples, which are not intended to be limiting.
Examples. The pneumatic compression rehabilitation system based on multi-signal coupling guidance is shown in fig. 1 to 4, and comprises a patient physiological and pathological information acquisition module 1, a pneumatic compression rehabilitation therapy prescription module 2, a pneumatic compression intervention therapy module 3, a rehabilitation effect short-term evaluation module 4, a rehabilitation effect long-term evaluation module 5 and a feedback module 6; the feedback module 6 is positioned between the long-term rehabilitation effect evaluation module 5 and the pneumatic compression rehabilitation therapy prescription module 2.
The patient physiological and pathological information acquisition module 1 is used for acquiring the name, sex, age, past history, contraindications, disease types, vascular lesion characteristics, hemodynamic characteristics and limb soft tissue force transmission capacity of a patient.
The pneumatic compression rehabilitation therapy prescription module 2 inputs and stores a pneumatic compression rehabilitation therapy prescription which is prescribed by a doctor according to the information acquired by the patient physiological and pathological information acquisition and evaluation module.
The pneumatic compression intervention treatment module 3 controls pneumatic compression treatment equipment to perform rehabilitation treatment on the target symptoms of the patient according to the pneumatic compression rehabilitation treatment prescription; the treatment parameters of the pneumatic compression treatment equipment comprise pneumatic compression pressure, pneumatic compression inflation and deflation and retention time, pneumatic compression frequency, pneumatic compression mode and pneumatic compression position.
The short-term assessment module 4 of rehabilitation effect compares the short-term cerebral circulation index with the short-term peripheral circulation index before and during the treatment of the patient receiving single pneumatic compression intervention.
Short-term brain circulation indexes (used for evaluating the influence of short-term pneumatic compression treatment on the brain circulation capacity of a patient) comprise the activation degree and activation mode of each brain region, functional connection and effect connection of each brain region, and lateral deviation of left and right brain regions; short-term peripheral circulation indexes (used for evaluating the influence of short-term pneumatic compression treatment on peripheral microcirculation and large circulation capacity of a patient) comprise short-term peripheral microcirculation indexes and short-term peripheral large circulation indexes, wherein the short-term peripheral microcirculation indexes comprise microvascular perfusion quantity, blood cell aggregation degree, flow velocity and multiband physiological regulation and control activities; the short-term peripheral large circulation index includes systolic peak velocity, end diastole velocity, average velocity, pulsation index and resistance index of the target artery.
The long-term rehabilitation effect evaluation module 5 compares the long-term cerebral circulation index, the long-term peripheral circulation index, the index of edema and deep vein thrombosis, the index of exercise function and the index of muscle function before and after the patient receives the multi-course pneumatic compression intervention treatment.
The long-term brain circulation index (used for evaluating the influence of long-term pneumatic compression treatment on the brain circulation capacity of a patient) comprises the activation degree and activation mode of each brain region, the functional connection and effect connection of each brain region, the lateral deviation of the left brain region and the right brain region and the brain blood flow self-regulating capacity;
the long-term peripheral circulation index (which is used for evaluating the influence of long-term pneumatic compression treatment on the peripheral microcirculation and large circulation capacity of a patient) comprises a long-term peripheral microcirculation index and a long-term peripheral large circulation index; the long-term peripheral microcirculation indexes comprise microvascular perfusion quantity, blood cell aggregation degree and flow rate, and the microvascular thermal stimulation response and force stimulation response of the multiband physiological regulation activity; the long-term peripheral large circulation index includes the systolic peak velocity, the end-diastolic velocity, the average velocity, the pulsatility index and resistance index of the target artery, the vascular area and the blood flow velocity time integral of the target artery.
The index of edema and deep vein thrombosis is used for evaluating the influence of long-term pneumatic compression treatment on the edema degree and deep vein thrombosis of a patient. Edema index refers to the peripheral diameter of the soft tissue of the limb; the deep vein thrombosis index refers to the occurrence rate of deep vein thrombosis.
The exercise function index (used for evaluating the influence of long-term pneumatic compression treatment on the exercise function and muscle function of a patient) comprises a Fugl-Meyer exercise function score, and the exercise speed, smoothness, joint movement angle and joint moment in the exercise process.
The muscle function index is the muscle strength and the muscle tension of the limb muscles.
The feedback module 6 evaluates the rehabilitation treatment effect of the pneumatic compression intervention treatment module and combines the three aspects of adverse reaction, improvement effect and treatment effect requirement to determine whether to adjust the pneumatic compression intervention parameters.
The application method of the invention comprises the following steps: the method comprises the steps of collecting physiological and pathological information data such as patient name, sex, age, past history, contraindications, disease type, vascular lesion characteristics, hemodynamic characteristics, limb soft tissue force transmission capacity and the like of a patient through a patient physiological and pathological information collecting module, and a doctor prescribes a pneumatic compression rehabilitation treatment according to the collected physiological and pathological information data and inputs and stores the prescription into a pneumatic compression rehabilitation treatment prescription module; the pneumatic compression intervention treatment module controls the pneumatic compression treatment equipment to carry out rehabilitation treatment on the target symptoms of the patient according to the treatment prescription; after treatment, the short-term rehabilitation effect evaluation module compares short-term cerebral circulation indexes with short-term peripheral circulation indexes before and during the treatment of the patient receiving single pneumatic compression intervention; after multiple treatments, the rehabilitation effect long-term evaluation module evaluates and compares the long-term cerebral circulation index, the long-term peripheral circulation index, the edema and deep venous thrombosis index, the exercise function index and the muscle function index before and after the patient receives the multi-course pneumatic compression intervention treatment; finally, the feedback module adjusts the pneumatic compression intervention parameters according to the rehabilitation treatment effect of the pneumatic compression intervention treatment module.
Claims (4)
1. Pneumatic compression rehabilitation system based on multi-signal coupling direction, its characterized in that: the system comprises a patient physiological and pathological information acquisition module (1), a pneumatic compression rehabilitation therapy prescription module (2), a pneumatic compression intervention therapy module (3), a rehabilitation effect short-term evaluation module (4), a rehabilitation effect long-term evaluation module (5) and a feedback module (6); the feedback module (6) is positioned between the rehabilitation effect long-term evaluation module (5) and the pneumatic compression rehabilitation therapy prescription module (2);
the patient physiological and pathological information acquisition module (1) is used for acquiring the name, sex, age, past history, contraindications, disease type, vascular disease characteristics, hemodynamic characteristics and limb soft tissue force transmission capacity of a patient;
the pneumatic compression rehabilitation therapy prescription module (2) inputs and stores a pneumatic compression rehabilitation therapy prescription which is prescribed by a doctor according to the information acquired by the patient physiological and pathological information acquisition and evaluation module;
the pneumatic compression intervention treatment module (3) controls the pneumatic compression treatment equipment to carry out rehabilitation treatment on the target symptoms of the patient according to the pneumatic compression rehabilitation treatment prescription; the treatment parameters of the pneumatic compression treatment equipment comprise pneumatic compression pressure, pneumatic compression inflation and deflation and holding time, pneumatic compression frequency, pneumatic compression mode and pneumatic compression part;
the short-term rehabilitation effect evaluation module (4) compares short-term brain circulation indexes with short-term peripheral circulation indexes before and during the treatment of a patient receiving single pneumatic compression intervention;
the rehabilitation effect long-term evaluation module (5) compares the long-term cerebral circulation index, the long-term peripheral circulation index, the edema and deep vein thrombosis index, the exercise function index and the muscle function index before and after the patient receives the multi-course pneumatic compression intervention treatment;
the feedback module (6) adjusts the pneumatic compression intervention treatment parameters by evaluating the rehabilitation treatment effect of the pneumatic compression intervention treatment module.
2. The pneumatic compression rehabilitation system based on multi-signal coupling guidance according to claim 1, wherein: the short-term brain circulation indexes comprise the activation degree and activation mode of each brain region, the functional connection and effect connection of each brain region and the lateral deviation of the left brain region and the right brain region;
the short-term peripheral circulation index comprises a short-term peripheral micro-circulation index and a short-term peripheral large-circulation index; the short-term peripheral microcirculation indexes comprise microvascular perfusion quantity, blood cell aggregation degree, flow rate and multi-frequency band physiological regulation and control activities; the short-term peripheral large circulation index includes systolic peak velocity, end diastole velocity, average velocity, pulsation index and resistance index of the target artery.
3. The pneumatic compression rehabilitation system based on multi-signal coupling guidance according to claim 1, wherein: the long-term brain circulation index comprises the activation degree and activation mode of each brain region, the functional connection and effect connection of each brain region, the lateral deviation of the left brain region and the right brain region and the self-regulation capacity of cerebral blood flow;
the long-term peripheral circulation index includes a long-term peripheral microcirculation index and a long-term peripheral large circulation index; the long-term peripheral microcirculation indexes comprise microvascular perfusion quantity, blood cell aggregation degree and flow rate, and the microvascular thermal stimulation response and force stimulation response of the multiband physiological regulation activity; the long-term peripheral large circulation index includes the systolic peak velocity, the end-diastolic velocity, the average velocity, the pulsatility index and resistance index of the target artery, the vascular area and the blood flow velocity time integral of the target artery.
4. The pneumatic compression rehabilitation system based on multi-signal coupling guidance according to claim 1, wherein: edema index is the peripheral diameter of the soft tissue of the limb; the index of deep vein thrombosis is the incidence rate of deep vein thrombosis; the movement function indexes comprise Fugl-Meyer movement function scores, movement speed, smoothness and joint movement angle and joint moment in the movement process; the muscle function index is the muscle strength and the muscle tension of the limb muscles.
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| CN110364241A (en) * | 2019-07-17 | 2019-10-22 | 孟李中 | It is a kind of to practice feeding prevention and treatment psychosomatic and the system for tempering record and data feedback is provided |
| CN112206140A (en) * | 2020-09-03 | 2021-01-12 | 国家康复辅具研究中心 | Pneumatic circulation training method and system for heart and brain coupling guidance |
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| US20180021210A1 (en) * | 2016-07-19 | 2018-01-25 | James Stray-Gundersen | Efficacy based feedback system for blood flow restriction training |
| CN108685577B (en) * | 2018-06-12 | 2020-11-06 | 国家康复辅具研究中心 | Brain function rehabilitation effect evaluation device and method |
| US11771368B2 (en) * | 2020-03-09 | 2023-10-03 | Arizona Board Of Regents On Behalf Of Arizona State University | Rapid assessment of microcirculation in patients to realize closed-loop systems |
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| CN110364241A (en) * | 2019-07-17 | 2019-10-22 | 孟李中 | It is a kind of to practice feeding prevention and treatment psychosomatic and the system for tempering record and data feedback is provided |
| CN112206140A (en) * | 2020-09-03 | 2021-01-12 | 国家康复辅具研究中心 | Pneumatic circulation training method and system for heart and brain coupling guidance |
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