CN114496223A - Tinnitus diagnosis and treatment system based on WeChat applet - Google Patents

Tinnitus diagnosis and treatment system based on WeChat applet Download PDF

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CN114496223A
CN114496223A CN202210069238.4A CN202210069238A CN114496223A CN 114496223 A CN114496223 A CN 114496223A CN 202210069238 A CN202210069238 A CN 202210069238A CN 114496223 A CN114496223 A CN 114496223A
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tinnitus
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宫琴
丁鸫翔
范毅博
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Hangzhou Erqingcong Technology Co ltd
Tsinghua University
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Hangzhou Erqingcong Technology Co ltd
Tsinghua University
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Abstract

The tinnitus diagnosis and treatment system based on the WeChat applet detects the hearing ability and tinnitus condition which are subjective and felt by a user through a questionnaire module, detects the tinnitus type and tinnitus frequency of the user through a tinnitus testing module, generates a treatment scheme through a tinnitus treatment module, and plays tinnitus treatment sound to the user to finish a treatment process.

Description

Tinnitus diagnosis and treatment system based on WeChat applet
Technical Field
The invention relates to the technical field of hearing detection, in particular to a tinnitus diagnosis and treatment system based on WeChat small programs.
Background
Tinnitus is a common disorder of the auditory system that severely compromises a person's health and quality of life. The specific symptoms of tinnitus are a subjective perception of the sound produced in the ear or head without any external sound source or electrical stimulation, often perceived as a hissing, buzzing or screaming ring tone.
Treatment of tinnitus usually involves a hospital visit with a specialist for diagnosis. However, the diagnosis and treatment process is a long-term process, and many people cannot go to the hospital for diagnosis and treatment on time and time due to various reasons. There are also some tinnitus treatment devices on the market today, but these devices are often very expensive and do not provide very full functionality.
With the widespread use of mobile devices, there are also diagnosis and treatment programs developed based on mobile devices, and the relative cost is relatively low. However, the tinnitus treatment program applied to the mobile device can cause the problem that the detection sound of the tinnitus and the treatment sound of the tinnitus cannot be calibrated in most cases because the volume conditions of different mobile devices are different. When the sound is known for detecting and generating the tinnitus, because the loudness of the tinnitus and the loudness of the therapeutic sound cannot be calibrated, even if the program of the mobile phone is calibrated on a certain mobile phone, the loudness value is inaccurate due to the difference of hardware on other mobile devices, and finally the therapeutic effect is poor.
Disclosure of Invention
In order to solve the problem that in the prior art, the tinnitus detection sound and the tinnitus treatment sound obtained based on mobile equipment are inaccurate, so that the treatment effect is poor, the invention provides a tinnitus diagnosis and treatment system based on a WeChat small program, the diagnosis and the treatment data acquisition are carried out based on the small program, the cost is low, and the accurate tinnitus loudness and the accurate tinnitus treatment sound based on the tinnitus loudness can be obtained.
The technical scheme of the invention is as follows: the utility model provides a tinnitus system of diagnosing based on little letter applet which characterized in that, it includes: the system comprises a questionnaire module, a tinnitus testing module, a tinnitus treatment module and a cloud server;
the questionnaire module calls questionnaire data from the cloud server and provides questionnaires for investigating tinnitus conditions and hearing conditions of users for the users, scores are obtained through filling calculation based on the users, and the results, the scores and filling time filled by the users are uploaded to the cloud server as questionnaire feedback information;
the tinnitus testing module is used for testing the tinnitus sound type and the tinnitus sound frequency of a user, testing the tinnitus sound type and the tinnitus sound frequency through the tinnitus testing audio which is selected by the user to play, obtaining tinnitus testing data and completing the testing process of the tinnitus condition of the user;
the tinnitus testing module comprises a built-in volume adjusting button and a digital value of tinnitus testing audio; the tinnitus testing module calls the tinnitus testing audio stored in the cloud server one by one to provide the tinnitus testing audio for a user to select; all the tinnitus testing audios are subjected to energy normalization processing and then stored on the cloud server; when the user adjusts the tinnitus test audio based on the built-in volume adjusting button, the tinnitus test module calculates the increase or decrease of the digital quantity of the tinnitus test audio according to the increase or decrease of the loudness selected by the user, obtains the test loudness variation quantity and the test digital quantity corresponding to the user, and transmits the tinnitus test audio, the test loudness variation quantity and the test digital quantity selected by the final user as a tinnitus test result to the cloud server for storage;
the tinnitus treatment module is used for providing tinnitus treatment sound in multiple modes to provide tinnitus treatment processes for a user;
the tinnitus treatment module comprises a built-in treatment method and a built-in treatment mode, and after a user selects one of the built-in treatment method and the built-in treatment mode, the tinnitus treatment module constructs a tinnitus treatment scheme selected by the user and transmits the tinnitus treatment scheme to the cloud server, acquires tinnitus treatment sound from the cloud server according to the tinnitus treatment scheme, and plays the tinnitus treatment sound to the user;
the tinnitus treatment module calculates according to the test loudness variation quantity submitted by the tinnitus test module, the gain corresponding to the test digital quantity and the gain corresponding to the treatment mode selected by the user to obtain the gain when the tinnitus treatment sound is played;
the cloud server is used for storing user information, questionnaire data, the tinnitus testing audio and the tinnitus treatment sound, and the questionnaire feedback information, the tinnitus testing result and the tinnitus treatment scheme corresponding to each user.
It is further characterized in that:
it still includes: the system comprises a login authorization module, a user information module, an interaction module and a science popularization module;
the login authorization module is used for interacting with the WeChat, acquiring WeChat authorization and logging in, and acquiring a nickname head portrait and openid of a user;
the user information module calls data from the cloud server and displays corresponding questionnaire records, tinnitus test records and tinnitus treatment records to a user;
the questionnaire records display the questionnaire feedback information corresponding to the user in sequence from near to far according to the submission time;
the tinnitus test record displays the tinnitus test time, the tinnitus sound type and the tinnitus sound frequency in sequence from near to far according to the submission time;
the tinnitus treatment record displays the treatment duration corresponding to each day of a user according to the specified display days;
the interaction module is used for the contact communication between the user and the doctor, and is convenient for timely information feedback;
the science popularization module is used for popularizing tinnitus and some treatment schemes for the user;
the tinnitus testing module is used for simulating ear sound based on pure tone and narrow band white noise with two widths as the tinnitus testing audio;
the frequency band of the tinnitus test audio is 125Hz-8000Hz, the frequency step is one-thirtieth octave, namely in all the data of the tinnitus test audio, the central frequency of the next tinnitus test audio is 2^ (1/30) times of the central frequency of the last tinnitus test audio;
the tinnitus testing module obtains the values of the testing loudness and the testing digital quantity, and the process is as follows:
storing the value of the digital quantity of the tinnitus testing audio at each time point by using a buffer array; all the tinnitus testing audios are stored in the cloud server after energy normalization processing, and the energy of each tinnitus testing audio in unit time is the same;
when a user uses the built-in volume adjusting button to adjust, the volume of the mobile equipment is adjusted to be a middle value, and the middle value of the volume of the mobile equipment is adjusted to correspond to the initial loudness value of the tinnitus testing audio; then adjusting the loudness of the tinnitus test audio by using the built-in volume adjusting button to increase or decrease;
when a user presses the built-in volume adjusting button for increasing, the audio loudness is increased by 1dB, and the method is realized by respectively multiplying all corresponding numerical values in the buffer array by 10^ (1/20) to obtain adjusted numerical values;
when the user presses the built-in volume adjusting button representing reduction, the audio loudness is reduced by 1dB, and the audio loudness is reduced by dividing all numerical values in the buffer array by 10^ (1/20) respectively to obtain adjusted numerical values;
after the user increases or decreases the test sound, recording the finally obtained test loudness variation and the test digital quantity in the cloud server;
if the initial loudness of the tinnitus test audio is b0, the final adjusted test loudness is b1, and the user adjusted loudness is (b 1-b 0) db;
setting the corresponding initial digital quantity of the tinnitus test audio to be B0iThe final testing digital quantity of the tinnitus testing audio after the adjustment of the user is B1iWherein i is the number of numerical values in the buffer array, namely the number of data acquisition time points of the tinnitus test audio;
then:
when b1>B0, then B1i=B0i*10^((b1-b0)/20)；
When b1<B0, then B1i=B0i/(10^((b0-b1)/20))；
The treatment method comprises the following steps: masking therapy, incisional therapy; the treatment pattern for the masked therapy includes: adjusting the loudness of the tinnitus test audio to be equal to the loudness of the ear sound, 5dB higher than the tinnitus sound intensity or 10dB higher than the tinnitus sound intensity; the treatment modes corresponding to the incisura therapy comprise: the loudness of the tinnitus test audio is adjusted to be consistent with the loudness of the ear sound;
in the tinnitus treatment module, the tinnitus treatment module calculates according to the test loudness variation quantity submitted by the tinnitus test module, the gain corresponding to the test digital quantity and the gain corresponding to the treatment mode selected by the user, and the process of obtaining the gain during the tinnitus treatment sound playing is as follows:
the tinnitus treatment module stores the value of the digital quantity of the tinnitus treatment sound at each time point by using a buffer array;
all the tinnitus treatment sounds are subjected to energy normalization processing and then stored in the cloud server, and the energy of each tinnitus treatment sound in unit time is the same;
if the gain of tinnitus test adjustment obtained by the user in the tinnitus testing process is A1, and the gain corresponding to the selected mode in the treatment mode is A2, when the tinnitus treatment module plays the tinnitus treatment sound, the gain corresponding to the tinnitus treatment sound is A = A1+ A2, and the digital quantity a corresponding to the audio frequency of the actually played tinnitus treatment sound at each time point is a digital quantity ajComprises the following steps: :
aj = bj*10^((A1+A2)/20)
wherein j is the number of numerical values in the buffer array, namely the number of data acquisition time points of the tinnitus treatment sound; bjThe digital quantity corresponding to the audio frequency of the tinnitus treatment sound stored in the cloud server at each time point;
A1 = b1-b0；
b1 is the test loudness obtained by the user during the tinnitus condition test, b0 is the initial loudness of the tinnitus test audio selected by the user during the tinnitus condition test;
performing the same energy normalization processing on all the tinnitus testing audios and the tinnitus treatment sounds;
the questionnaire module comprises: THI questionnaire and SAS scale; when the questionnaire is submitted, each specific option of the whole questionnaire is submitted, the score of the whole questionnaire is calculated, the score rating is obtained, the current time stamp is obtained, in addition, the time stamp is converted into the date, and the date are uploaded to a database in the cloud server; each time the questionnaire module is entered, it is first checked whether a questionnaire has been submitted within a specified time, and if so, the user can no longer submit a tinnitus questionnaire.
The invention provides a tinnitus diagnosis and treatment system based on WeChat small program, which detects the hearing ability and tinnitus condition of subjective feeling of a user through a questionnaire module, detects the tinnitus type and tinnitus frequency of the user through a tinnitus test module, generates a treatment scheme through a tinnitus treatment module, and plays tinnitus treatment sound to the user to complete the treatment process; when tinnitus test data of a user are detected based on the tinnitus test module, a hardware volume adjusting function of mobile equipment is not used, and a built-in volume adjusting button arranged in a diagnosis and treatment system is used for adjusting the loudness of tinnitus test audio of the user, so that test loudness variation and test digital quantity in a tinnitus test result corresponding to the user are obtained, and the problem that the test result is inaccurate due to different volume adjusting ranges based on mobile end equipment in the prior art is solved; when the tinnitus treatment module generates the tinnitus treatment sound, the playing gain of the tinnitus treatment sound is calculated based on the test loudness variation and the test digital quantity, so that the quantitative calculation of the tinnitus treatment sound relative to the ear sound is realized; although the technical scheme of the invention can not calibrate the loudness of the tinnitus and the loudness of the tinnitus treatment sound, the quantitative calculation can be carried out on the relative magnitude of the tinnitus treatment sound to the ear sound, when a user carries out a plurality of times of tinnitus tests, the specific decibel value of the loudness change of the tinnitus of the user can be obtained by comparing the test result values of each time, and the accurate measurement of the loudness change condition of the tinnitus of the user is realized.
Drawings
Fig. 1 is a system module schematic diagram of a tinnitus diagnosis and treatment system based on WeChat small program;
FIG. 2 is an embodiment of an interface for tinnitus test playback;
fig. 3 is an embodiment of an interface for a tinnitus treatment mode.
Detailed Description
As shown in fig. 1, the tinnitus diagnosis and treatment system based on WeChat applet of the present invention is characterized in that it includes: tinnitus is diagnose system little program end and high in the clouds server, and tinnitus is diagnose system little program end and is included: the system comprises a questionnaire module, a tinnitus testing module, a tinnitus treatment module, a login authorization module, a user information module, an interaction module, a science popularization module and a cloud server. The user opens the tinnitus diagnosis and treatment system small program end through the mobile device to perform tinnitus diagnosis and treatment processes.
The login authorization module is used for interacting with the WeChat, obtaining WeChat authorization and logging in, and obtaining the nickname head portrait and openid of the user. The login authorization module cannot acquire other private information of the user, the head portrait and the nickname of the user are used for displaying the login information on the interface, the information of the user is stored in the database in the cloud server based on the openid of the user, the independence and the privacy of the user information in the user database are guaranteed, and the user information cannot be repeated and cannot be accessed by other people.
The questionnaire module calls questionnaire data from the cloud server and provides questionnaires for investigating tinnitus conditions and hearing conditions of the user for the user, scores are obtained through filling calculation based on the user, and the results, the scores and filling time filled by the user are uploaded to the cloud server as questionnaire feedback information;
in this embodiment, the questionnaire module includes: THI questionnaire and SAS scale; in specific implementation, the THI questionnaire and SAS scale are implemented based on existing standard scales. When the questionnaire is submitted, each specific option of the whole questionnaire is submitted, the score of the whole questionnaire is calculated, the score rating is obtained, the current time stamp is obtained, in addition, the time stamp is converted into the date, and the date are uploaded to a database in a cloud server; in the specific implementation, in the process of filling in the questionnaire by the user, the part of the questionnaire which is not filled in is marked with a red star, the questionnaire which is not filled in is not submitted, and the user prompts whether to submit when finishing all the questionnaires; after the user finishes submitting the questionnaire, the whole piece of questionnaire information is submitted to a database, meanwhile, the score of the current questionnaire and the result of the corresponding score of the current questionnaire are calculated and uploaded to the database of the cloud server, and the date of the user questionnaire is also uploaded to the database; the questionnaire button can be clicked when the user does not complete the questionnaire on the specified date, and the questionnaire module is closed and cannot be repeatedly submitted after the user completes the questionnaire on the current day. When entering the questionnaire module, firstly detecting whether the questionnaire is submitted in a specified time; if so, the user is no longer able to submit the tinnitus questionnaire. The questionnaire button can be clicked when the user does not complete the questionnaire on the specified date, and the questionnaire module is closed and cannot be repeatedly submitted after the user completes the questionnaire on the current day.
Through the arrangement of the questionnaire module, the user can be ensured to complete the detection of the hearing condition without the guidance of professional personnel, and the technical scheme of the patent is further ensured to be suitable for various users and various use scenes.
The tinnitus testing module is used for testing the tinnitus sound type and the tinnitus sound frequency of a user, testing the tinnitus sound type and the tinnitus sound frequency of the tinnitus testing audio frequency selected and played by the user, obtaining a tinnitus testing result and completing the testing process of the tinnitus condition of the user.
The loudness and the digital quantity that include user's tinnitus correspondence in the tinnitus test result, diagnose when this patent technical scheme of user's continuous use, regularly detect the tinnitus condition of self, compare tinnitus test result at every turn in tinnitus test record in the user information module, can obtain the specific decibel value that user's tinnitus loudness changes, realized the accurate measurement to user's tinnitus loudness change condition, also can learn the effect of tinnitus treatment. Ensure that this patent technical scheme can provide complete diagnosis and treatment, feedback process to the user.
The tinnitus test module comprises a built-in volume adjusting button and a value of digital quantity (namely audio data amplitude) of tinnitus test audio; the tinnitus testing module calls tinnitus testing audios stored in the cloud server one by one and provides the tinnitus testing audios for a user to select; all tinnitus testing audios are subjected to energy normalization processing and then stored on a cloud server; when the user adjusts tinnitus test audio based on the built-in volume adjusting button, the tinnitus test module calculates the increase or decrease of the digital quantity of the tinnitus test audio according to the increase or decrease of the loudness selected by the user, obtains the test loudness variation quantity and the test digital quantity corresponding to the user, and transmits the tinnitus test audio selected by the end user, the test loudness variation quantity and the test digital quantity to the cloud server for storage as a tinnitus test result.
In this embodiment, the tinnitus test module is based on pure tone and narrow band white noise with two widths, such as: narrow-band white noise with the bandwidth of one sixth octave and narrow-band white noise with the bandwidth of one third are used as tinnitus test sound for simulating ear sound; in each of these three tinnitus test tones, there were 180 data to ensure that the common tinnitus test tone was as much as possible overlaid. Allowing the user to find tinnitus test audio that resembles their own ear sounds.
The frequency band of the tinnitus test audio is 125Hz-8000Hz, the frequency step is one-thirtieth octave, namely, in all the data of the tinnitus test audio, the central frequency of the next tinnitus test audio is 2^ (1/30) times of the central frequency of the last tinnitus test audio; set up test sound play function control button in tinnitus test module, test sound play function control button includes: the last test sound, the next test sound, a play/pause button, a last group of test sounds, a next group of test sounds, a built-in volume adjusting button and a confirmation button; wherein, built-in volume adjustment button includes: volume + button, volume-button. The user can obtain corresponding test sound from the server end by clicking the play button.
The specific implementation is as shown in fig. 2, in the interface of tinnitus test playing, the bottommost control function area includes: two upper and lower rows of function buttons, one row above is respectively: last test sound, play/pause button, confirm button, next test sound, the following rows are respectively: volume down, last set of test sound, confirm button, next set of test sound, volume up.
The last button is used for acquiring the test sound of the last frequency, the next button is used for acquiring the test sound of the next frequency, the last group of buttons are used for acquiring the test sound of which the center frequency is one half of the center frequency of the current test sound, and the next group of buttons are used for acquiring the test sound of which the center frequency is twice of the center frequency of the current test sound; the volume + button is used to increase the amplitude of the audio by a factor of 10^ (1/20); volume-the button reduces the amplitude of the audio by a factor of 10^ (1/20); the confirmation button is used for submitting information to the server database when a user confirms that the played sound is similar to tinnitus sound, popping up a prompt box when clicking, and submitting the current ear sound type, the tinnitus sound frequency, the times of increasing or decreasing the test sound amplitude and the current date to the server database when confirming that the test sound is the tinnitus sound; when the user completes the tinnitus test, the tinnitus test will not be provided within seven days; when the user does not complete the tinnitus questionnaire, the tinnitus testing function is not provided.
The user specifically bases on the tinnitus testing module, when testing of tinnitus conditions is achieved, the testing process is as follows, firstly, a tinnitus sound type is selected, the earphone gives sound from 125Hz, the user uses the button to switch sound frequency, when sound played by the earphone is similar to the tinnitus sound, clicking confirmation is carried out, the tinnitus testing result is uploaded to the server, if all frequencies are tested, the similar ear sound type is changed, and the process is repeated.
The process of obtaining the test loudness variation and the test digital magnitude in the tinnitus test module is as follows.
All tinnitus test audios are subjected to energy normalization processing and then stored in a cloud server, so that the energy of each tinnitus test audio in unit time is ensured to be the same, and further, when a user adjusts the tinnitus test audios based on a built-in volume adjusting button, the adjusting effects obtained on different tinnitus test audios are ensured to be consistent;
setting the total energy of each tinnitus test audio to be EpEach audio file having a duration of tp；
Adjusting the Total energy of each tinnitus test Audio File to Ep', then:
so that it satisfies Ep’/tp = A，
A is a preset fixed value, and when A is set, the volume of the audio file is enabled to meet the requirement that a user can hear the audio file normally; p is the total number of tinnitus test audios.
Storing the value of the digital quantity of the tinnitus testing audio at each time point by using a buffer array; during implementation, each audio file is directly read based on the existing audio decoding technology, the decoded data is obtained, and the digital quantity of each time point of the audio file is stored in the buffer array. If the audio file is too large, in order to ensure that the program runs stably and not occupy too much resources of the mobile device, the buffer array can be read several times, the content of the buffer array is played each time, and the next group is read after the playing is finished.
Before a user uses a built-in volume adjusting button to adjust, the volume of the mobile equipment is adjusted to be a middle value, and the volume of the mobile equipment is adjusted to be an initial loudness value of the tinnitus test audio corresponding to the middle value; then adjusting the loudness of the tinnitus test audio by using a built-in volume adjusting button to increase or decrease;
when a user presses a built-in volume adjusting button for indicating increase, the audio loudness is increased by 1dB, and the method is realized by respectively multiplying all corresponding numerical values in the buffer array by 10^ (1/20) to obtain adjusted numerical values;
when a user presses a built-in volume adjustment button representing reduction, the audio loudness is reduced by 1dB, and the audio loudness is realized by dividing all numerical values in the buffer array by 10^ (1/20) respectively to obtain adjusted numerical values;
after the user increases or decreases the test sound, recording the finally obtained test loudness variation and test digital quantity in the cloud server;
if the initial loudness of the tinnitus test audio is b0, and the final adjusted test loudness is b1, then the user adjusted loudness is (b 1-b 0) db;
let the corresponding initial digital value of the tinnitus test audio be B0iThe final testing digital quantity of the tinnitus testing audio after the adjustment of the user is B1iWherein i is the number of numerical values in the buffer array, namely the number of data acquisition time points of the tinnitus test audio;
then the process of the first step is carried out,
when b1>B0, then B1i=B0i*10^((b1-b0)/20)；
When b1<B0, then B1i=B0i/10^((b0-b1)/20))；
Namely, B1iAnd B0iThe relationship of (1) is: 20log (B1/B0) = B1-B0.
In the technical scheme of the invention, the digital value of the tinnitus test audio at each time point is stored by a built-in volume adjusting button adjusting buffer array, so that the adjustment of the loudness and the digital value of the tinnitus test audio by a user is realized; when the small program is operated on different mobile devices, the volume adjustment ranges of the different mobile devices are different, and after the loudness of the tinnitus test audio and the digital quantity are adjusted on one device, the adjustment value cannot be corresponding to other devices; if the volume adjustment range of the mobile device is detected before each adjustment, the applet is too complex and the user is not necessarily authorized; according to the technical scheme, a buffer array is built in an applet and a built-in volume adjusting button is combined, so that a user adjusts the volume by adjusting the loudness of the tinnitus testing audio, and an accurate tinnitus testing result is obtained; ensuring that the resulting test loudness variation, the value of the test digital quantity, is applicable to any other mobile device after a tinnitus test performed on one device; while ensuring that the procedure is not overly complicated.
The tinnitus treatment module is used for providing tinnitus treatment sound in multiple modes to provide tinnitus treatment processes for users.
The tinnitus treatment module comprises a built-in treatment method and a built-in treatment mode, after a user selects one of the built-in treatment method and the built-in treatment mode, the tinnitus treatment module constructs a tinnitus treatment scheme selected by the user and transmits the tinnitus treatment scheme to the cloud server, and tinnitus treatment sound is obtained from the cloud server according to the tinnitus treatment scheme and is played to the user.
And popping up a treatment mode selection of the tinnitus treatment method after the tinnitus treatment method selection is completed, popping up a confirmation button for submitting a treatment scheme after the treatment mode selection is completed, and clicking a confirmation prompting box to display whether the tinnitus treatment scheme is confirmed or not. After the tinnitus treatment scheme is selected and submitted to the cloud server, when a treatment mode is entered each time, whether the treatment scheme selected by a user exists or not is inquired in the database, if the treatment scheme does not exist, the treatment scheme is selected first, if the treatment scheme is selected, a timestamp when the scheme is submitted is checked, if the treatment scheme is submitted within 14 days, the change cannot be carried out, the mode is automatically entered for treatment, and if the treatment scheme is required to be changed, a manager is contacted to carry out data change of a background server.
As shown in fig. 3, the embodiment of the interface of the tinnitus treatment mode is shown, in the technical scheme of the present invention, the treatment method and the treatment mode are not shown in plain text, but only in the method one, the method two, the mode one and the mode two, so as to display the mode, ensure that the user is not guided by the specific treatment method and treatment mode content, and have no preferential selection, and ensure that the treatment effect is better.
Popping up mode selection of the tinnitus treatment method after the tinnitus treatment method is selected, popping up a confirmation button for submitting a treatment scheme after the mode selection is completed, and clicking a confirmation prompting box to display whether the scheme is confirmed or not; after the tinnitus treatment scheme is selected and submitted to the server, the tinnitus treatment scheme cannot be changed within 14 days, the mode is automatically entered for treatment, and if the tinnitus treatment scheme is required to be changed, an administrator is contacted to change data of the background server.
And the tinnitus treatment module calculates according to the test loudness variation quantity submitted by the tinnitus test module, the gain corresponding to the test digital quantity and the gain corresponding to the treatment mode selected by the user to obtain the gain during the tinnitus treatment sound playing.
In this embodiment, the method of treatment comprises: masking therapy, incisional therapy; the treatment modes corresponding to the masking therapy include: adjusting the loudness of the tinnitus test audio to be equal to the loudness of the ear sound, 5dB higher than the tinnitus sound intensity or 10dB higher than the tinnitus sound intensity; the treatment modes corresponding to the incisura therapy comprise: the loudness of the tinnitus test audio is adjusted to be consistent with the loudness of the ear sounds.
The tinnitus treatment module obtains tinnitus treatment sound from the cloud of the server according to the submitted treatment scheme to be played, the loudness of the treatment sound can be obtained through calculation according to the loudness result of the tinnitus test audio, if a masking therapy is selected by a user, the treatment sound can be adjusted to be equal to, higher than 5dB or 10dB higher than the tinnitus sound intensity according to the mode selection selected by the user, and if the therapy selected by the user is a notch therapy, the loudness of the treatment sound is adjusted to be consistent with the tinnitus sound intensity. Starting timing when playing every time, finishing timing when pausing every time, submitting the treatment time to a server when a treatment page exits, recording the treatment time if the treatment is not used on the same day, and updating the treatment time if the treatment time is recorded; if the user does not finish the specified questionnaire, the treatment cannot be carried out, a prompt box pops up, the user jumps to the questionnaire to be filled after selecting confirmation, the user does not finish the tinnitus test and cannot carry out the treatment, the prompt box pops up, the user clicks the confirmation and jumps to the interface of the tinnitus sound testing module, and the testing process of the tinnitus condition of the user is carried out.
In the tinnitus treatment module, the tinnitus treatment module calculates the test loudness variation quantity submitted by the tinnitus test module, the gain corresponding to the test digital quantity and the gain corresponding to the treatment mode selected by the user, and the process of obtaining the gain when the tinnitus treatment sound is played is as follows:
all tinnitus treatment sounds are stored in a cloud server after energy normalization processing in advance, the energy of each tinnitus treatment sound in unit time is ensured to be the same, the effect of the tinnitus treatment sounds applied to different tinnitus treatment sounds is ensured to be consistent based on test data obtained by a tinnitus test module, and the adjustment effect obtained on the different tinnitus treatment sounds is consistent when a user adjusts the tinnitus treatment sounds based on a built-in volume adjusting button.
Setting the total energy of each tinnitus treatment sound file as EqEach audio file having a duration of tq，
Adjusting the total energy of each audio file to Eq', such that it satisfies Eq’/tq=A，
Wherein q is the total number of files of the tinnitus treatment sound;
the corresponding A value of the tinnitus treatment sound is consistent with the A value selected by the tinnitus test audio.
According to the technical scheme, the same energy normalization processing is carried out on all tinnitus testing audios and tinnitus treatment sounds, so that the tinnitus testing result detected by the tinnitus testing module based on the tinnitus testing audios can be directly applied to the tinnitus treatment sounds without intermediate data conversion, the program structure is simplified, the accuracy of the diagnosis effect of the tinnitus diagnosis and treatment system is ensured, and the treatment effect is improved.
The tinnitus treatment module stores the value of the digital quantity of the tinnitus treatment sound at each time point by using the buffer array; during implementation, each audio file is directly read based on the existing audio decoding technology, the decoded data is obtained, and the digital quantity of each time point of the audio file is stored in the buffer array. If the audio file is too large, in order to ensure that the program runs stably and not occupy too much resources of the mobile device, the buffer array can be read several times, the content of the buffer array is played each time, and the next group is read after the playing is finished.
If the gain of the tinnitus test adjustment obtained by the user in the tinnitus testing process is A1, and the gain corresponding to the mode selected in the treatment modes is A2, the gain A corresponding to the tinnitus treatment sound is A when the tinnitus treatment module plays the tinnitus treatment soundGeneral assembly= A1+ A2, digital quantity a corresponding to the audio frequency of the tinnitus therapeutic sound at each time pointjComprises the following steps:
aj = bj*10^((A1+A2)/20)
wherein j is the number of numerical values in the buffer array, namely the number of data acquisition time points of the tinnitus treatment sound; a. theGeneral assemblyA gain corresponding to the audio at each time point of the tinnitus treatment sound; a isjDigital quantity corresponding to the audio frequency of the actually played tinnitus treatment sound at each time point; bjThe digital quantity corresponding to the audio frequency of the tinnitus treatment sound stored in the cloud server at each time point;
A1 = b1-b0；
b1 is the test loudness obtained by the user during the tinnitus condition test, b0 is the initial loudness of the tinnitus test audio selected by the user during the tinnitus condition test; that is, a1 is the test loudness variation;
the value of a2 varies according to the treatment mode specifically set in the program and the mode selected by the user, and generally ranges from: a2 is more than or equal to 0dB and less than or equal to 20 dB. As in this embodiment: when the user selects the masking therapy, the therapeutic sound is adjusted to be equal to or higher than 5dB or 10dB higher than the tinnitus sound intensity according to the mode selection selected by the user, and the value of the corresponding A2 is 0, 5 or 10 at the moment.
According to the technical scheme, the same energy normalization processing is firstly carried out on all tinnitus testing audios and tinnitus treatment sounds, then the amplitude digital quantities of the tinnitus testing audios and the tinnitus treatment sounds stored in the buffer array are directly adjusted through the built-in volume adjusting buttons, the adjustment of loudness is achieved, although specific values of the tinnitus loudness of users cannot be given in a calibrated mode, theoretical loudness values of the treatment sounds can be calculated according to the tinnitus intensity relative values of the users, and accurate treatment requirements are met. Theoretically, a user can hear the treatment sound according with the tinnitus frequency and the loudness of the user only by adjusting the volume of the mobile phone to the middle value of the volume of the mobile phone without other adjustments, if the user needs to adjust the treatment sound volume by self fine adjustment, the volume button built in the small program can be selected to adjust the treatment sound volume, and the step length of the volume adjustment is 1 dB.
The cloud server is used for storing the user information, the questionnaire data, the tinnitus testing audio and the tinnitus treatment sound, and questionnaire feedback information, tinnitus testing results and tinnitus treatment schemes corresponding to each user. The server side is also provided with a cloud function, and the cloud function is used for updating and deleting information in the database. Various tinnitus questionnaire information, tinnitus test information, tinnitus treatment information, tinnitus test sound and treatment sound of a user are stored in the cloud server, and the tinnitus questionnaire information comprises openid of the user, the time for the user to submit a list, user options of various questions of the questionnaire and scores of the questionnaire. The tinnitus test information includes the user's openid, the time the user submitted the schedule, and the type and frequency of the user's ear sounds. The tinnitus treatment information comprises openid of a user, treatment scheme selected by the user and treatment record of each time of the user. The test audio file and the treatment audio file are also stored in the server side of the applet. The server side is also provided with a cloud function, and the cloud function is used for updating and deleting information in the database.
In the embodiment, the user data is stored in the cloud server and is not stored in the mobile terminal, so that the small program terminal is ensured not to occupy too much mobile terminal resources, and meanwhile, the user can flexibly adjust the mobile terminal equipment used by the user, and the small program terminal in the patent technology can be accurately used on different mobile terminal equipment for detection and treatment processes, so that the technical scheme of the invention is ensured to be more practical.
The user information module calls data from the cloud server and displays corresponding questionnaire records, tinnitus test records and tinnitus treatment records to the user. The questionnaire records display the questionnaire feedback information corresponding to the user from near to far in sequence according to the submission time, and the questionnaire can be deleted, and a prompt is given when the questionnaire is deleted. The tinnitus testing record is used for displaying all the tinnitus testing records of the user, and the tinnitus testing time, the tinnitus sound type and the tinnitus sound frequency are displayed sequentially from near to far according to the submission time; the test information can be deleted, and a prompt is given when the test information is deleted. And displaying the treatment duration corresponding to each day of the user according to the appointed display days of the tinnitus treatment record. The tinnitus treatment records are displayed in the form of a chart and characters, wherein the chart only displays the treatment records of the last seven days, if the number of the treatment records is less than seven days, all the treatment records are displayed, the abscissa is the date, the ordinate is the treatment duration, the treatment information is displayed in sequence from the treatment time to the treatment time, and the treatment information displays the treatment date and the treatment duration on the day. Through the user information module, the user can be ensured to completely and clearly master the personal condition of the user.
And the interaction module is used for the contact and communication between the user and the doctor, and is convenient for timely information feedback. The science popularization module is used for popularizing tinnitus and some treatment schemes for the user. Ensure accurate communication between the user and the doctor.
When the tinnitus diagnosis and treatment system based on the WeChat small program in the technical scheme is used, before the small program is used, the user logs in the small program through the user authorization login module. The user enters the tinnitus diagnosis and treatment interface by clicking a diagnosis and treatment button on a navigation bar under the main interface, wherein a tinnitus questionnaire is displayed on the interface, and a tinnitus test module, a tinnitus test module and a tinnitus treatment module can be respectively started.
If the user uses the tinnitus treatment instrument for the first time, the program prompts the user to click a tinnitus questionnaire for questionnaire testing; the tinnitus questionnaire comprises a THI questionnaire and an SAS scale, and the user completes the filling of the questionnaire in sequence and submits the questionnaire result to the cloud server. After the user completes the filling of all questionnaires, the tinnitus test is carried out, and the test process can be known by clicking the prompt above the tinnitus test interface. The user selects a tinnitus sound type at first, and after the user selects the tinnitus sound type, the user clicks a play button, and the tinnitus testing module acquires tinnitus testing audio from the cloud server. The initial center frequency of the tinnitus test audio is 125Hz, if the user feels that the tinnitus sound is not similar to the tinnitus sound of the user, the next frequency is played, if the user feels that the sound is not similar to the tinnitus sound, the test sound with the center frequency 2 times of the current center frequency can be played quickly, and the frequency and the volume of the test sound are repeatedly adjusted by the user, so that the tinnitus test audio is finally similar to the ear sound. If the test sound similar to the ear sound is not found, the test sound of one mode is reselected, and the steps are continued.
After the user finishes tinnitus test, click tinnitus treatment, enter a tinnitus treatment interface and start sound treatment. Firstly, a user needs to select a tinnitus treatment scheme, after the scheme is selected, the tinnitus treatment module obtains corresponding tinnitus treatment sound from the cloud server to play according to the tinnitus condition submitted before and the selected treatment scheme, and the treatment time is recorded and uploaded to the server to be stored when the treatment is played each time.
The user may click on "my tinnitus questionnaire", "my tinnitus test" and "my tinnitus treatment" on the personal hub page to view their own questionnaire record, tinnitus test record and treatment record, respectively.

Claims (9)

1. The utility model provides a tinnitus system of diagnosing based on little letter applet which characterized in that, it includes: the system comprises a questionnaire module, a tinnitus testing module, a tinnitus treatment module and a cloud server;
the questionnaire module calls questionnaire data from the cloud server and provides questionnaires for investigating tinnitus and hearing conditions of the user to the user, scores are obtained through filling calculation based on the user, and results, scores and filling time filled by the user are uploaded to the cloud server as questionnaire feedback information;
the tinnitus testing module is used for testing the tinnitus sound type and the tinnitus sound frequency of a user, testing the tinnitus sound type and the tinnitus sound frequency through the tinnitus testing audio which is selected by the user to play, obtaining tinnitus testing data and completing the testing process of the tinnitus condition of the user;
the tinnitus testing module comprises a built-in volume adjusting button and a digital value of tinnitus testing audio; the tinnitus testing module calls the tinnitus testing audio stored in the cloud server one by one to provide the tinnitus testing audio for a user to select; all the tinnitus testing audios are subjected to energy normalization processing and then stored on the cloud server; when the user adjusts the tinnitus test audio based on the built-in volume adjusting button, the tinnitus test module calculates the increase or decrease of the digital quantity of the tinnitus test audio according to the increase or decrease of the loudness selected by the user to obtain the test loudness variation quantity and the test digital quantity corresponding to the user, and transmits the tinnitus test audio, the test loudness variation quantity and the test digital quantity selected by the user as a tinnitus test result to the cloud server for storage;
the tinnitus treatment module is used for providing tinnitus treatment sound in multiple modes to provide tinnitus treatment processes for a user;
the tinnitus treatment module comprises a built-in treatment method and a built-in treatment mode, and after a user selects one of the built-in treatment method and the built-in treatment mode, the tinnitus treatment module constructs a tinnitus treatment scheme selected by the user and transmits the tinnitus treatment scheme to the cloud server, acquires tinnitus treatment sound from the cloud server according to the tinnitus treatment scheme, and plays the tinnitus treatment sound to the user;
the tinnitus treatment module calculates according to the test loudness variation quantity submitted by the tinnitus test module, the gain corresponding to the test digital quantity and the gain corresponding to the treatment mode selected by the user to obtain the gain when the tinnitus treatment sound is played;
the cloud server is used for storing user information, questionnaire data, the tinnitus testing audio and the tinnitus treatment sound, and the questionnaire feedback information, the tinnitus testing result and the tinnitus treatment scheme corresponding to each user.
2. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: it still includes: the system comprises a login authorization module, a user information module, an interaction module and a science popularization module;
the login authorization module is used for interacting with the WeChat, acquiring WeChat authorization and logging in, and acquiring a nickname head portrait and openid of a user;
the user information module calls data from the cloud server and displays corresponding questionnaire records, tinnitus test records and tinnitus treatment records to a user;
the questionnaire records display the questionnaire feedback information corresponding to the user in sequence from near to far according to the submission time;
the tinnitus test record displays the tinnitus test time, the tinnitus sound type and the tinnitus sound frequency in sequence from near to far according to the submission time;
the tinnitus treatment record displays the treatment duration corresponding to each day of a user according to the specified display days;
the interaction module is used for the contact communication between the user and the doctor, and is convenient for timely information feedback;
the science popularization module is used for popularizing tinnitus and some treatment schemes for the user.
3. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: the tinnitus test module is used for simulating ear sound based on pure tone and narrow-band white noise with two widths as the tinnitus test audio.
4. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: the frequency band of the tinnitus testing audio is 125Hz-8000Hz, the frequency step is one-thirtieth octave, namely in all the data of the tinnitus testing audio, the central frequency of the next tinnitus testing audio is 2^ (1/30) times the central frequency of the last tinnitus testing audio.
5. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: the tinnitus testing module obtains the values of the testing loudness and the testing digital quantity, and the process is as follows:
storing the value of the digital quantity of the tinnitus testing audio at each time point by using a buffer array; all the tinnitus testing audios are stored in the cloud server after energy normalization processing, and the energy of each tinnitus testing audio in unit time is the same;
when a user uses the built-in volume adjusting button to adjust, the volume of the mobile equipment is adjusted to be a middle value, and the middle value of the volume of the mobile equipment is adjusted to correspond to the initial loudness value of the tinnitus testing audio; then adjusting the loudness of the tinnitus test audio by using the built-in volume adjusting button to increase or decrease;
when a user presses the built-in volume adjusting button for increasing, the audio loudness is increased by 1dB, and the method is realized by respectively multiplying all corresponding numerical values in the buffer array by 10^ (1/20) to obtain adjusted numerical values;
when the user presses the built-in volume adjusting button representing reduction, the audio loudness is reduced by 1dB, and the audio loudness is reduced by dividing all numerical values in the buffer array by 10^ (1/20) respectively to obtain adjusted numerical values;
after the user increases or decreases the test sound, recording the finally obtained test loudness variation and the test digital quantity in the cloud server;
if the initial loudness of the tinnitus test audio is b0, the final adjusted test loudness is b1, and the user adjusted loudness is (b 1-b 0) db;
setting the corresponding initial digital quantity of the tinnitus test audio to be B0iThe final testing digital quantity of the tinnitus testing audio after the adjustment of the user is B1iWherein i is the number of numerical values in the buffer array, namely the number of data acquisition time points of the tinnitus test audio;
then:
when b1>B0, then B1i=B0i*10^((b1-b0)/20)；
When b1<B0, then B1i=B0i/(10^((b0-b1)/20)) 。
6. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: the treatment method comprises the following steps: masking therapy, incisional therapy; the treatment pattern for the masked therapy includes: adjusting the loudness of the tinnitus test audio to be equal to the loudness of the ear sound, 5dB higher than the tinnitus sound intensity or 10dB higher than the tinnitus sound intensity; the treatment modes corresponding to the incisura therapy comprise: the loudness of the tinnitus test audio is adjusted to be consistent with the loudness of the ear sounds.
7. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: in the tinnitus treatment module, the tinnitus treatment module calculates according to the test loudness variation quantity submitted by the tinnitus test module, the gain corresponding to the test digital quantity and the gain corresponding to the treatment mode selected by the user, and the process of obtaining the gain during the tinnitus treatment sound playing is as follows:
the tinnitus treatment module stores the value of the digital quantity of the tinnitus treatment sound at each time point by using a buffer array;
all the tinnitus treatment sounds are subjected to energy normalization processing and then stored in the cloud server, and the energy of each tinnitus treatment sound in unit time is the same;
if the gain of tinnitus test adjustment obtained by the user in the tinnitus testing process is A1, and the gain corresponding to the selected mode in the treatment mode is A2, when the tinnitus treatment module plays the tinnitus treatment sound, the gain corresponding to the tinnitus treatment sound is A = A1+ A2, and the digital quantity a corresponding to the audio frequency of the actually played tinnitus treatment sound at each time point is a digital quantity ajComprises the following steps: :
aj = bj*10^((A1+A2)/20)
wherein j is the number of numerical values in the buffer array, namely the number of data acquisition time points of the tinnitus treatment sound; bjThe digital quantity corresponding to the audio frequency of the tinnitus treatment sound stored in the cloud server at each time point;
A1 = b1-b0；
b1 is the test loudness achieved by the user during the tinnitus condition test, and b0 is the initial loudness of the tinnitus test audio selected by the user during the tinnitus condition test.
8. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: and performing the same energy normalization processing on all the tinnitus testing audios and the tinnitus treatment sounds.
9. The tinnitus diagnosis and treatment system based on the WeChat applet as claimed in claim 1, characterized in that: the questionnaire module comprises: THI questionnaire and SAS scale; when the questionnaire is submitted, each specific option of the whole questionnaire is submitted, the score of the whole questionnaire is calculated, the score rating is obtained, the current time stamp is obtained, in addition, the time stamp is converted into the date, and the date are uploaded to a database in the cloud server; each time the questionnaire module is entered, it is first checked whether a questionnaire has been submitted within a specified time, and if so, the user can no longer submit a tinnitus questionnaire.
CN202210069238.4A 2022-01-21 2022-01-21 Tinnitus diagnosis and treatment system based on WeChat applet Pending CN114496223A (en)

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