CN114748348B - Nursing device for hemodialysis patients - Google Patents

Nursing device for hemodialysis patients Download PDF

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Publication number
CN114748348B
CN114748348B CN202210245943.5A CN202210245943A CN114748348B CN 114748348 B CN114748348 B CN 114748348B CN 202210245943 A CN202210245943 A CN 202210245943A CN 114748348 B CN114748348 B CN 114748348B
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patient
preset
unit
variation
rotation speed
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CN114748348A (en
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顾双双
郭喜华
张同海
宋歌
陈旭
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Jilin Medical College
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Jilin Medical College
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H39/00—Devices for locating or stimulating specific reflex points of the body for physical therapy, e.g. acupuncture
    • A61H39/04—Devices for pressing such points, e.g. Shiatsu or Acupressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/024—Detecting, measuring or recording pulse rate or heart rate
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F7/007—Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N5/0613—Apparatus adapted for a specific treatment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0001—Body part
    • A61F2007/0029—Arm or parts thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
    • A61F2007/0095—Heating or cooling appliances for medical or therapeutic treatment of the human body with a temperature indicator
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/02—Characteristics of apparatus not provided for in the preceding codes heated or cooled
    • A61H2201/0207—Characteristics of apparatus not provided for in the preceding codes heated or cooled heated
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/10—Characteristics of apparatus not provided for in the preceding codes with further special therapeutic means, e.g. electrotherapy, magneto therapy or radiation therapy, chromo therapy, infrared or ultraviolet therapy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
    • A61H2201/12—Driving means
    • A61H2201/1207—Driving means with electric or magnetic drive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2205/00—Devices for specific parts of the body
    • A61H2205/06—Arms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00—Measuring physical parameters of the user
    • A61H2230/04—Heartbeat characteristics, e.g. E.G.C., blood pressure modulation
    • A61H2230/06—Heartbeat rate
    • A61H2230/065—Heartbeat rate used as a control parameter for the apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
    • A61H2230/00—Measuring physical parameters of the user
    • A61H2230/50—Temperature
    • A61H2230/505—Temperature used as a control parameter for the apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0626—Monitoring, verifying, controlling systems and methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0626—Monitoring, verifying, controlling systems and methods
    • A61N2005/0627—Dose monitoring systems and methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0632—Constructional aspects of the apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N5/00—Radiation therapy
    • A61N5/06—Radiation therapy using light
    • A61N2005/0664—Details

Abstract

The invention relates to a nursing device for hemodialysis patients, which relates to the technical field of medical equipment.

Description

Nursing device for hemodialysis patients
Technical Field
The invention relates to the technical field of medical equipment, in particular to a nursing device for hemodialysis patients.
Background
Hemodialysis, so-called kidney washing, helps patients with renal insufficiency to discharge waste products generated by metabolism in the body out of the body by means of extracorporeal circulation, thereby achieving the effect of life support, and after the patients undergo hemodialysis, nursing is still needed.
The existing hemodialysis nursing device is mostly carried out in the dialysis process, does not have nursing equipment which can be used for home use of patients, is an important link for daily nursing of hemodialysis patients and post-dialysis nursing, and is also very important.
Chinese patent publication No.: CN105496696B discloses a hemodialysis auxiliary nursing device, which belongs to the technical field of medical appliances. The invention discloses an auxiliary nursing device for hemodialysis, which comprises a floor fixed seat, an auxiliary dialysis box and a nursing recording table, wherein a dialysis nursing puncture outfit is arranged in the auxiliary dialysis box, a solid sterilizing agent box is arranged on the upper side of the dialysis nursing puncture outfit, a sterilizing agent replacement cover is arranged on the solid sterilizing agent box, an electric heating volatilization plate is arranged on the upper side of the sterilizing agent replacement cover, a liquid guide pipe is arranged on the left side of the dialysis nursing puncture outfit, a dialysis pipe connecting nozzle is arranged on the left upper side of the liquid guide pipe, a puncture needle fixed seat is arranged on the left lower side of the liquid guide pipe, a disposable puncture needle head is arranged on the puncture needle fixed seat, a medicine cup accommodating box is arranged in the nursing recording table, and an accommodating box top cover is arranged on the upper side of the medicine cup accommodating box. The invention has complete functions and convenient use, is safe and efficient, saves time and labor when carrying out hemodialysis nursing on patients, and reduces the burden of medical staff; therefore, the hemodialysis auxiliary nursing device is only limited to the operation and use of medical staff, is used for nursing patients, is not suitable for daily nursing of the patients, and does not have a corresponding auxiliary operation control system, so that human resources are wasted.
Disclosure of Invention
Therefore, the invention provides a nursing device for hemodialysis patients, which is used for solving the problems that the nursing device in the prior art is only limited to the operation and use of medical staff, is used for nursing patients and is not suitable for daily nursing of the patients, and has no corresponding auxiliary operation control system, so that human resources are wasted.
To achieve the above object, the present invention provides a nursing device for hemodialysis patients, comprising:
the upper main body is provided with a driving motor on the upper end face, a fixing part in the upper main body is arranged at the lower part of the driving motor, a semicircular column type bearing mechanism is arranged in the upper main body, a movable part is fixedly connected with the bearing mechanism, the fixing part is movably connected with the movable part, and the movable part is driven by the driving motor to axially move along the driving motor.
The bearing mechanism is provided with a plurality of massage heads for massaging the blood vessels and acupoints of the arms of the patient in an array manner, a plurality of semiconductor lasers for carrying out laser physiotherapy on the arms of the patient, and heating rods arranged inside the massage heads for heating the massage heads.
A lower main body, in which a controller for controlling the driving motor, the massage head, the semiconductor laser and the heating rod and a care product drawer for placing care products required by arm care of a patient are installed; the outside of the lower main body is also connected with a body temperature detection device, a heart rate detection device and a pulse sensor for detecting vital signs of patients;
the controller comprises an acquisition unit for acquiring vital sign information of the patient, an analysis unit for analyzing the vital sign information of the patient acquired by the acquisition unit, a determination unit for determining the nursing device parameters according to the analysis result of the analysis unit, and an adjustment unit for adjusting the nursing device parameters according to the real-time analysis result of the analysis unit in the nursing process of the patient.
Further, the determining unit starts the massage head, the semiconductor laser and the heating rod of the nursing device with initial parameters when nursing the patient, wherein the initial parameters comprise the rotation speed V of the massage head motor, the light power W of the semiconductor laser and the temperature T of the heating rod;
the acquisition module acquires the body temperature Y, the heart rate E and the pulse frequency M of a patient in real time when the patient uses the nursing device, determines whether the vital sign of the patient is normal according to the comparison result of the real-time detection result and the standard vital sign, and if the vital sign of the patient is normal, the adjustment unit adjusts the optical power of the laser, and if the vital sign of the patient is abnormal, the adjustment unit adjusts the rotating speed of the motor of the massage head.
Further, when the adjusting unit adjusts the rotation speed of the motor of the massage head, the analyzing unit analyzes whether the pulse of the patient is in a normal range, and when the pulse is in the normal range, the adjusting unit selects a corresponding adjusting coefficient according to a comparison result of the pulse frequency M and a preset pulse frequency to continuously adjust the rotation speed of the motor of the massage head, and the adjusting unit sets the adjusted rotation speed of the motor of the massage head as V1, and sets v1=vx Kvj, wherein Kvj is a rotation speed adjusting coefficient.
Further, the adjusting unit is further provided with a preset rotating speed adjusting interval duration tj, and when the adjusting unit continuously adjusts the massaging head motor, the preset rotating speed adjusting interval duration tj is used as the frequency of continuous rotating speed adjustment;
the adjusting unit is further provided with a preset maximum rotation speed Vmax, and when the rotation speed of the motor of the massage head is continuously adjusted by the adjusting unit and is adjusted to the preset maximum rotation speed Vmax, the rotation speed of the massage head is not adjusted by the adjusting unit.
Further, when the adjusting unit adjusts the light power of the laser, the analyzing unit analyzes the heart rate variation Ye of the patient in a preset time period, compares the heart rate variation Ye with a preset heart rate variation Y0, determines whether the heart rate of the patient is normal according to the comparison result,
if Ye is less than or equal to Y0, the analysis unit judges that the heart rate variation of the patient is normal;
if Ye is more than Y0, the analysis unit judges that the heart rate variation of the patient is abnormal;
when the analysis unit judges that the heart rate of the patient is normal and the body temperature and the pulse are in the standard range, the analysis unit calculates a first variation difference delta Ya of the heart rate variation Ye and the preset heart rate variation Y0, the delta ya=y0-Ye is set, the adjustment unit selects a corresponding power compensation coefficient to compensate the optical power according to a comparison result of the first variation difference and the preset variation difference, and the adjustment unit sets the compensated optical power as W1 and sets W1=W Kwi, wherein Kwi is the optical power compensation coefficient.
Further, when the analyzing unit judges that the heart rate variation of the patient is abnormal, calculating a second variation difference delta Yb of the heart rate variation Ye and a preset heart rate variation Y0, setting delta Yb=Ye-Y0, determining to adjust the light power of the laser or turn off the laser according to the comparison result of the second variation difference and the preset variation difference,
if delta Yb is less than or equal to delta Y1, the analysis unit judges to adjust the optical power of the laser;
if delta Y1 is less than delta Yb and less than or equal to delta Yb2, the analysis unit judges to adjust the optical power of the laser;
if Δyb > Δy2, the analysis unit determines to turn off the optical power of the laser.
Further, when the analysis unit determines that the optical power of the laser is adjusted and Δyb is less than or equal to Δy1, the analysis unit calculates a first ratio Ba of the second variation difference Δyb to the first preset variation difference Δy1, sets ba=Δyb/Δy1, and the adjustment unit selects a corresponding adjustment coefficient according to a comparison result of the first ratio and the preset ratio to adjust the optical power of the laser, and the adjustment unit sets the adjusted optical power to W2, and sets w2=wxrwz, where Rwz is an optical power adjustment coefficient.
Further, when the analysis unit determines that the optical power of the laser is adjusted and Δy1 is smaller than Δyb and smaller than or equal to Δyb2, the analysis unit calculates a second ratio Bb of the second variation difference Δyb to a second preset variation difference Δy2, and sets bb=Δyb/Δy2, and the adjustment unit selects a corresponding correction coefficient to correct the optical power of the laser according to a comparison result of the second ratio to the preset ratio, and the adjustment unit sets the corrected optical power to W3, and sets w3=wx Xwn, where Xwn is the optical power correction coefficient.
Further, the pulse detection device is also provided with a pressure sensor for detecting the pulse beating pressure of the patient, the acquisition unit is also used for acquiring the pressure P of the pressure sensor in the process of using the nursing device by the patient, the analysis unit analyzes the pressure variation U in the nursing process and determines whether the patient sign is normal or not according to the comparison result of the pressure variation U and the preset pressure variation U0,
if U is less than or equal to U0, the analysis unit judges that the patient is normal in sign;
if U is more than U0, the analysis unit judges that the patient is abnormal in sign;
when the analysis unit judges that the patient is normal, the adjustment unit selects a corresponding rotation speed correction coefficient to correct the rotation speed of the motor of the massage head according to the comparison result of the pressure P and the preset pressure, the adjustment unit sets the corrected rotation speed as V2, and v2=v1× Xvs is set, wherein Xvs is the rotation speed correction coefficient.
Further, when the analysis unit determines that the patient sign is abnormal, the analysis unit calculates a pressure variation difference value Δu between the pressure variation U and a preset pressure variation U0, and sets Δu=u-U0, and the adjustment unit selects a corresponding correction coefficient according to a comparison result of the pressure variation difference value and the preset pressure variation difference value to perform secondary correction on the optical power, and the adjustment unit sets the corrected optical power as W4, sets w4=wβ× Xwn, and sets β=1, 2, and 3.
Compared with the prior art, the invention has the beneficial effects that by integrating the detection equipment for detecting the vital sign information of the patient with the nursing equipment, the invention realizes that the hemodialysis patient can massage arm blood vessels after hemodialysis by using the nursing device at home after the hemodialysis is finished, prevents arteriosclerosis and blockage and realizes the use requirement of home nursing of the patient.
In particular, the invention further obtains vital sign information of a patient through the obtaining unit of the controller by arranging the controller, analyzes the vital sign information of the patient through the analysis unit, automatically controls the nursing device according to the analysis result, improves the detection precision and the control precision of the nursing device, reduces the operation of the patient, and ensures the comfort of the patient under the condition of ensuring the daily nursing of the patient.
In particular, the nursing device is provided with the massage heads and the semiconductor lasers, and after the patient is coated with the corresponding ointment for softening the blood vessels, the arm of the patient is massaged, so that the purposes of softening the blood vessels and dredging the blood vessels are achieved.
Furthermore, when the nursing device is used by a patient, the detection results of the unit body temperature detection device, the heart rate detection device and the pulse sensor are obtained, and the detection results are compared and analyzed, so that nursing operation is performed under the condition that vital signs of a user are normal, the detection precision and the control precision of the nursing device are further improved, and the health of the patient is further ensured.
Furthermore, the initial parameters of the nursing device are set, when the patient starts to use, the massage and the physiotherapy are carried out in a gentle mode, and in the use process of the patient, the initial parameters of the nursing device are continuously adjusted under the normal condition through the monitoring result of vital signs of the patient, so that the detection precision and the control precision of the nursing device are improved, and the nursing effect of the patient is further ensured.
Furthermore, the invention further determines whether the optical power of the semiconductor laser is regulated according to the heart rate variation condition within the preset time length when the analysis unit sets the preset heart rate variation quantity and the analysis unit determines that the vital signs of the user are in the normal range, thereby further improving the detection precision and the control precision of the nursing device and further ensuring the health of the patient.
Furthermore, the invention sets the preset pressure variation in the analysis unit, and the pressure sensor for detecting the pulse pressure of the patient is arranged on the pulse detection device, so that the analysis unit is used for comparing and analyzing the pulse pressure variation of the patient in the nursing process, and further judging whether the initial parameters can be adjusted according to the analysis result, thereby further improving the detection precision and the control precision of the nursing device and further ensuring the nursing effect of the patient.
Drawings
FIG. 1 is a schematic view of a nursing device for hemodialysis patients according to the present invention;
FIG. 2 is a side view of a care device for hemodialysis patients according to the present invention;
FIG. 3 is an internal cutaway view of a care device for hemodialysis patients according to the present invention;
fig. 4 is a block diagram showing the structure of a controller of a nursing device for hemodialysis patients according to the present invention.
Detailed Description
In order that the objects and advantages of the invention will become more apparent, the invention will be further described with reference to the following examples; it should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
Preferred embodiments of the present invention are described below with reference to the accompanying drawings. It should be understood by those skilled in the art that these embodiments are merely for explaining the technical principles of the present invention, and are not intended to limit the scope of the present invention.
It should be noted that, in the description of the present invention, terms such as "upper," "lower," "left," "right," "inner," "outer," and the like indicate directions or positional relationships based on the directions or positional relationships shown in the drawings, which are merely for convenience of description, and do not indicate or imply that the apparatus or elements must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as limiting the present invention.
Furthermore, it should be noted that, in the description of the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention can be understood by those skilled in the art according to the specific circumstances.
Referring to fig. 1-4, fig. 1 is a schematic view illustrating a nursing device for hemodialysis patients according to the present invention; FIG. 2 is a side view of a care device for hemodialysis patients according to the present invention; FIG. 3 is an internal cutaway view of a care device for hemodialysis patients according to the present invention; fig. 4 is a block diagram showing the structure of a controller of a nursing device for hemodialysis patients according to the present invention.
The nursing device for hemodialysis patients according to the embodiment of the invention comprises:
the upper main body 1 is provided with a driving motor 11 on the upper end surface, a fixed part 12 in the upper main body is arranged at the lower part of the driving motor 11, a semi-cylindrical bearing mechanism 14 is arranged in the upper main body, a movable part 13 fixedly connected with the bearing mechanism 14, the fixed part 12 is movably connected with the movable part 13, and the movable part 12 is driven by the driving motor 11 to axially reciprocate along the driving motor 11.
The bearing mechanism 14 is provided with a plurality of massage heads 15 for massaging the blood vessels and acupoints of the arms of the patient in an array manner, a plurality of semiconductor lasers 16 for carrying out laser physiotherapy on the arms of the patient, and heating rods 17 arranged inside the massage heads for heating the massage heads.
A lower body 2 having a controller 21 for controlling the driving motor 11, the massage head 15, the semiconductor laser 16 and the heating rod and a care product drawer 22 for placing care products required for arm care of a patient installed therein; the lower main body 2 is also externally connected with a body temperature detection device 23, a heart rate detection device 24 and a pulse sensor 25 for detecting vital signs of patients.
The controller comprises an acquisition unit for acquiring vital sign information of the patient, an analysis unit for analyzing the vital sign information of the patient acquired by the acquisition unit, a determination unit for determining the nursing device parameters according to the analysis result of the analysis unit, and an adjustment unit for adjusting the nursing device parameters according to the real-time analysis result of the analysis unit in the nursing process of the patient.
The upper part of the lower main body is also provided with a cushion 18 for placing the arm of the patient, one side of the lower main body is connected with one side of the upper main body through a hinge, and the other side is connected with the other side through a lock catch; the side wall of the upper main body, which is opposite to one axial side of the bearing mechanism, is provided with a round hole.
When the nursing device is used by a patient, the upper main body is opened, the arm of the patient is coated with a vascular softening drug, the arm is coated with a drug protection film, the arm is placed on a soft cushion, the upper main body is covered, and the nursing device is started to care the arm of the patient.
According to the nursing device for hemodialysis patients, when the patient is nursed, the determining unit starts the massage head, the semiconductor laser and the heating rod of the nursing device according to initial parameters, wherein the initial parameters comprise the rotation speed V of the motor of the massage head, the light power W of the semiconductor laser and the temperature T of the heating rod.
According to the nursing device for hemodialysis patients, when the nursing device is used by a patient, the acquisition module acquires the body temperature Y, the heart rate E and the pulse frequency M of the patient in real time, determines whether the vital signs of the patient are normal according to the comparison result of the real-time detection result and the standard vital signs, and if the vital signs of the patient are normal, the adjustment unit adjusts the optical power of the laser, and if the vital signs of the patient are abnormal, the adjustment unit adjusts the rotating speed of the motor of the massage head.
Specifically, when the adjusting unit adjusts the rotation speed of the motor of the massage head, the analyzing unit analyzes whether the pulse of the patient is in a normal range, and when the pulse is in the normal range, the adjusting unit selects a corresponding adjusting coefficient according to the comparison result of the pulse frequency M and the preset pulse frequency to continuously adjust the rotation speed of the motor of the massage head,
wherein the adjusting unit is provided with a first preset pulse frequency M1, a second preset pulse frequency M2, a first rotation speed adjusting coefficient Kv1, a second rotation speed adjusting coefficient Kv2 and a third rotation speed adjusting coefficient Kv3, wherein M1 is smaller than M1, kv1 is smaller than Kv2 and Kv3 is smaller than 1.2,
when M is less than or equal to M1, the adjusting unit selects a first rotation speed adjusting coefficient Kv1 to continuously adjust the rotation speed of the motor of the massage head;
when M1 is more than M and less than or equal to M2, the adjusting unit selects a second rotating speed adjusting coefficient Kv2 to continuously adjust the rotating speed of the motor of the massage head;
when M is more than M2, the adjusting unit selects a third rotating speed adjusting coefficient Kv3 to continuously adjust the rotating speed of the motor of the massage head;
when the adjustment unit selects the jth rotation speed adjustment coefficient Kvj to continuously adjust the rotation speed of the massage head motor, j=1, 2,3 is set, and the adjustment unit sets the adjusted rotation speed of the massage head motor to V1, and v1=v× Kvj is set.
Specifically, the adjusting unit is further provided with a preset rotation speed adjusting interval duration tj, and when the adjusting unit continuously adjusts the massage head motor, the preset rotation speed adjusting interval duration tj is used as the frequency of rotation speed continuous adjustment.
Specifically, the adjusting unit is further provided with a preset maximum rotation speed Vmax, and when the rotation speed of the motor of the massage head is continuously adjusted, the adjusting unit does not adjust the rotation speed of the massage head any more when the rotation speed of the motor of the massage head is adjusted to the preset maximum rotation speed Vmax.
Specifically, when the adjusting unit adjusts the light power of the laser, the analyzing unit analyzes the heart rate variation Ye of the patient within a preset time period, compares the heart rate variation Ye with a preset heart rate variation Y0, determines whether the heart rate of the patient is normal according to the comparison result,
if Ye is less than or equal to Y0, the analysis unit judges that the heart rate variation of the patient is normal;
if Ye > Y0, the analysis unit judges that the heart rate variation of the patient is abnormal.
Specifically, when the analysis unit determines that the heart rate of the patient is normal and the body temperature and the pulse are in the standard range, the analysis unit calculates a first variation difference delta Ya between the heart rate variation Ye and a preset heart rate variation Y0, and sets delta ya=y0-Ye, the adjustment unit selects a corresponding power compensation coefficient to compensate the optical power according to the comparison result of the first variation difference and the preset variation difference,
wherein the adjusting unit is provided with a first preset variation difference delta Y1, a second preset variation difference delta Y2, a first power compensation coefficient Kw1, a second power compensation coefficient Kw2 and a third power compensation coefficient Kw3, wherein delta Y1 is less than delta Y2,1 is less than Kw3 is less than Kw2 is less than 1.5,
when Deltaya is less than or equal to DeltaY 1, the adjusting unit selects a third power compensation coefficient Kw1 to compensate the optical power;
when delta Y1 is smaller than delta Ya and is smaller than or equal to delta Y2, the adjusting unit selects a second power compensation coefficient Kw2 to compensate the optical power;
when Deltaya is larger than DeltaY 2, the adjusting unit selects a third power compensation coefficient Kw3 to compensate the optical power;
when the adjustment unit selects the ith power compensation coefficient Kwi to compensate the optical power, i=1, 2,3 is set, and the adjustment unit sets the compensated optical power to W1, and w1=wx Kwi is set.
Specifically, when the heart rate variation of the patient is judged to be abnormal, the analysis unit calculates a second variation difference delta Yb between the heart rate variation Ye and a preset heart rate variation Y0, sets delta Yb=Ye-Y0, determines to adjust the light power of the laser or turn off the laser according to the comparison result of the second variation difference and the preset variation difference,
if delta Yb is less than or equal to delta Y1, the analysis unit judges to adjust the optical power of the laser;
if delta Y1 is less than delta Yb and less than or equal to delta Yb2, the analysis unit judges to adjust the optical power of the laser;
if Δyb > Δy2, the analysis unit determines to turn off the optical power of the laser.
Specifically, when the analysis unit determines that the optical power of the laser is adjusted and Δyb is less than or equal to Δy1, the analysis unit calculates a first ratio Ba of the second variation difference Δyb to a first preset variation difference Δy1, sets ba=Δyb/Δy1, the adjustment unit selects a corresponding adjustment coefficient according to the comparison result of the first ratio and the preset ratio to adjust the optical power of the laser,
wherein the adjusting unit is also provided with a first preset ratio B1, a second preset ratio B2, a first power adjustment coefficient Rw1, a second power adjustment coefficient Rw2 and a third power adjustment coefficient Rw3, wherein B1 is smaller than B2, rw3 is smaller than Rw2 and Rw3 is smaller than 1 and is larger than 0.8,
when B is less than or equal to B1, the adjusting unit selects a first power adjusting coefficient Rw1 to adjust the optical power;
when B1 is more than B and less than or equal to B2, the adjusting unit selects a second power adjusting coefficient Rw2 to adjust the optical power;
when B is more than B2, the adjusting unit selects a third power adjusting coefficient Rw3 to adjust the optical power;
when the adjustment unit selects the z-th power adjustment coefficient Rwz to adjust the optical power, z=1, 2,3 is set, and the adjustment unit sets the adjusted optical power to W2, and w2=w×rwz is set.
Specifically, when the analysis unit determines that the optical power of the laser is adjusted and Δy1 is smaller than Δyb and smaller than or equal to Δyb2, the analysis unit calculates a second ratio Bb of the second variation difference Δyb to a second preset variation difference Δy2, sets bb=Δyb/Δy2, the adjustment unit selects a corresponding correction coefficient to correct the optical power of the laser according to the comparison result of the second ratio and the preset ratio,
wherein the adjusting unit is also provided with a first power correction coefficient Xw1, a second power correction coefficient Xw2 and a third power correction coefficient Xw3, 0.5 < Xw3 < Xw2 < Xw1 < 0.8,
when Bb is less than or equal to B1, the adjusting unit selects a first power correction coefficient Xw1 to correct the optical power;
when B1 is more than Bb and less than or equal to B2, the adjusting unit selects a second power correction coefficient Xw2 to correct the optical power;
when Bb is larger than B2, the adjusting unit selects a third power correction coefficient Xw3 to correct the optical power;
when the adjustment unit selects the nth power correction coefficient Xwn to correct the optical power, n=1, 2,3 is set, the adjustment unit sets the corrected optical power to W3, and w3=wx Xwn is set.
The nursing device for hemodialysis patients of the embodiment of the invention, the pulse detection device is also provided with a pressure sensor for detecting the pulse beating pressure of the patients, the acquisition unit is also used for acquiring the pressure P of the pressure sensor in the process of using the nursing device by the patients, the analysis unit analyzes the pressure variation U in the nursing process and determines whether the patient is normal according to the comparison result of the pressure variation U and the preset pressure variation U0,
if U is less than or equal to U0, the analysis unit judges that the patient is normal in sign;
if U > U0, the analysis unit determines that the patient is abnormal.
Specifically, when the analysis unit determines that the patient's physical sign is normal, the adjustment unit selects a corresponding rotation speed correction coefficient to correct the rotation speed of the motor of the massage head according to the comparison result of the pressure P and the preset pressure,
wherein the adjusting unit is further provided with a first preset pressure P1, a second preset pressure P2, a first rotational speed correction coefficient Xv1, a second rotational speed correction coefficient Xv2 and a third rotational speed correction coefficient Xv3, wherein P1 is smaller than P2, xv1 is smaller than Xv2 and Xv3 is smaller than 1.5,
when P is less than or equal to P1, the adjusting unit selects a first rotation speed correction coefficient Xv1 to correct the rotation speed of the motor of the massage head;
when P1 is more than P and less than or equal to P2, the adjusting unit selects a second rotation speed correction coefficient Xv2 to correct the rotation speed of the motor of the massage head;
when P is more than P2, the adjusting unit selects a third rotation speed correction coefficient Xv3 to correct the rotation speed of the motor of the massage head;
when the adjustment unit selects the s-th rotation speed correction coefficient Xvs to correct the rotation speed of the motor of the massage head, s=1, 2 and 3 are set, the adjustment unit sets the corrected rotation speed as V2, and v2=v1× Xvs is set.
Specifically, when the analysis unit determines that the patient's sign is abnormal, the analysis unit calculates a pressure variation difference value DeltaU between the pressure variation U and a preset pressure variation U0, sets DeltaU=U-U0, and the adjustment unit selects a corresponding correction coefficient to perform secondary correction on the optical power according to a comparison result of the pressure variation difference value and the preset pressure variation difference value,
wherein the adjusting unit is also provided with a first preset pressure variation difference delta U1 and a second preset pressure variation difference delta U2, wherein delta U1 is less than delta U2,
when DeltaU is less than or equal to DeltaU 1, the adjusting unit selects a first power correction coefficient Xw1 to correct the optical power;
when DeltaU 1 is more than DeltaU and less than or equal to DeltaU 2, the adjusting unit selects a second power correction coefficient Xw2 to correct the optical power;
when DeltaU is larger than DeltaU 2, the adjusting unit selects a third power correction coefficient Xw3 to correct the optical power;
when the adjustment unit selects the nth power correction coefficient Xwn to correct the optical power, the adjustment unit sets α=1, 2,3, and the adjustment unit sets w4, w4=wβ×xwα, and β=1, 2,3.
Thus far, the technical solution of the present invention has been described in connection with the preferred embodiments shown in the drawings, but it is easily understood by those skilled in the art that the scope of protection of the present invention is not limited to these specific embodiments. Equivalent modifications and substitutions for related technical features may be made by those skilled in the art without departing from the principles of the present invention, and such modifications and substitutions will be within the scope of the present invention.
The foregoing description is only of the preferred embodiments of the invention and is not intended to limit the invention; various modifications and variations of the present invention will be apparent to those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

1. A care apparatus for hemodialysis patients, comprising:
the upper main body is provided with a driving motor on the upper end face, a fixing part in the upper main body is arranged at the lower part of the driving motor, a semicircular column type bearing mechanism is arranged in the upper main body, a movable part is fixedly connected with the bearing mechanism, the fixing part is movably connected with the movable part, and the movable part is driven by the driving motor to axially move along the driving motor.
The bearing mechanism is provided with a plurality of massage heads for massaging the blood vessels and acupoints of the arms of the patient in an array manner, a plurality of semiconductor lasers for carrying out laser physiotherapy on the arms of the patient, and heating rods arranged inside the massage heads for heating the massage heads.
A lower main body, in which a controller for controlling the driving motor, the massage head, the semiconductor laser and the heating rod and a care product drawer for placing care products required by arm care of a patient are installed; the outside of the lower main body is also connected with a body temperature detection device, a heart rate detection device and a pulse sensor for detecting vital signs of patients;
the controller comprises an acquisition unit for acquiring vital sign information of the patient, an analysis unit for analyzing the vital sign information of the patient acquired by the acquisition unit, a determination unit for determining the nursing device parameters according to the analysis result of the analysis unit, and an adjustment unit for adjusting the nursing device parameters according to the real-time analysis result of the analysis unit in the nursing process of the patient.
2. The nursing device for hemodialysis patients according to claim 1, wherein the determining unit activates a massage head, a semiconductor laser and a heating rod of the nursing device with initial parameters when nursing the patient, wherein the initial parameters include a massage head motor rotation speed V, an optical power W of the semiconductor laser and a heating rod temperature T;
when a patient uses the nursing device, the acquisition unit acquires the body temperature Y, the heart rate E and the pulse frequency M of the patient in real time, determines whether the vital sign of the patient is normal according to the comparison result of the real-time detection result and the standard vital sign, and if the vital sign of the patient is normal, the adjustment unit adjusts the optical power of the laser, and if the vital sign of the patient is abnormal, the adjustment unit adjusts the rotating speed of the motor of the massage head.
3. The nursing device for hemodialysis patients according to claim 1, wherein when the adjusting unit adjusts the rotation speed of the motor of the massaging head, the analyzing unit analyzes whether the pulse of the patient is in a normal range, and when the pulse is in the normal range, the adjusting unit selects a corresponding adjusting coefficient according to a comparison result of the pulse frequency M and a preset pulse frequency to continuously adjust the rotation speed of the motor of the massaging head, and the adjusting unit sets the adjusted rotation speed of the motor of the massaging head to V1, and sets v1=v× Kvj, wherein Kvj is a rotation speed adjusting coefficient.
4. The nursing device for hemodialysis patients according to claim 1, wherein the adjusting unit is further provided with a preset rotational speed adjusting interval duration tj, and when the adjusting unit continuously adjusts the massage head motor, the frequency of continuous adjustment is set by taking the preset rotational speed adjusting interval duration tj as a rotational speed;
the adjusting unit is further provided with a preset maximum rotation speed Vmax, and when the rotation speed of the motor of the massage head is continuously adjusted by the adjusting unit and is adjusted to the preset maximum rotation speed Vmax, the rotation speed of the massage head is not adjusted by the adjusting unit.
5. The nursing device for hemodialysis patients according to claim 1, wherein the adjusting unit analyzes a heart rate variation Ye of the patient within a preset time period and compares the heart rate variation Ye with a preset heart rate variation Y0 when adjusting the optical power of the laser, the analyzing unit determines whether the heart rate of the patient is normal according to the comparison result,
if Ye is less than or equal to Y0, the analysis unit judges that the heart rate variation of the patient is normal;
if Ye is more than Y0, the analysis unit judges that the heart rate variation of the patient is abnormal;
when the analysis unit judges that the heart rate of the patient is normal and the body temperature and the pulse are in the standard range, the analysis unit calculates a first variation difference delta Ya of the heart rate variation Ye and the preset heart rate variation Y0, the delta ya=y0-Ye is set, the adjustment unit selects a corresponding power compensation coefficient to compensate the optical power according to a comparison result of the first variation difference and the preset variation difference, and the adjustment unit sets the compensated optical power as W1 and sets W1=W Kwi, wherein Kwi is the optical power compensation coefficient.
6. The nursing device for hemodialysis patients according to claim 5, wherein the analyzing unit calculates a second variation difference Δyb between the heart rate variation Ye and a preset heart rate variation Y0, sets Δyb=ye-Y0, and determines to adjust the optical power of the laser or turn off the laser according to a comparison result of the second variation difference and the preset variation difference when it is determined that the heart rate variation of the patient is abnormal,
if delta Yb is less than or equal to delta Y1, the analysis unit judges to adjust the optical power of the laser;
if delta Y1 is less than delta Yb and less than or equal to delta Yb2, the analysis unit judges to adjust the optical power of the laser;
if Δyb > Δy2, the analysis unit determines to turn off the optical power of the laser.
7. The nursing device for hemodialysis patients according to claim 6, wherein when the analysis unit determines that the laser light power is adjusted and Δyb is less than or equal to Δy1, the analysis unit calculates a first ratio Ba of the second variation difference Δyb to a first preset variation difference Δy1, sets ba=Δyb/Δy1, the adjustment unit selects a corresponding adjustment coefficient according to the comparison result of the first ratio and the preset ratio to adjust the light power of the laser, and the adjustment unit sets the adjusted light power to W2, and sets w2=w×rwz, where Rwz is the light power adjustment coefficient.
8. The nursing device for hemodialysis patients according to claim 6, wherein when the analyzing unit determines that the laser light power is adjusted and Δy1 < Δyb is equal to or less than Δyb2, the analyzing unit calculates a second ratio Bb of the second variation difference Δyb to a second preset variation difference Δy2, sets bb=Δyb/Δy2, and the adjusting unit selects a corresponding correction coefficient to correct the light power of the laser according to a comparison result of the second ratio and the preset ratio, and the adjusting unit sets the corrected light power to W3, and sets w3=wχ Xwn, wherein Xwn is the light power correction coefficient.
9. The nursing device for hemodialysis patients according to claim 8, wherein the pulse sensor is further provided with a pressure sensor for detecting the pulse beating pressure of the patient, the acquisition unit is further used for acquiring the pressure P of the pressure sensor during the patient using the nursing device, the analysis unit analyzes the pressure variation U during the nursing process and determines whether the patient is normal or not according to the comparison result of the pressure variation U and a preset pressure variation U0,
if U is less than or equal to U0, the analysis unit judges that the patient is normal in sign;
if U is more than U0, the analysis unit judges that the patient is abnormal in sign;
when the analysis unit judges that the patient is normal, the adjustment unit selects a corresponding rotation speed correction coefficient to correct the rotation speed of the motor of the massage head according to the comparison result of the pressure P and the preset pressure, the adjustment unit sets the corrected rotation speed as V2, and v2=v1× Xvs is set, wherein Xvs is the rotation speed correction coefficient.
10. The nursing device for hemodialysis patients according to claim 9, wherein the analyzing unit calculates a pressure change difference Δu between the pressure change U and a preset pressure change U0, sets Δu=u-U0, and the adjusting unit selects a corresponding correction coefficient to correct the optical power for the second time according to a comparison result of the pressure change difference and the preset pressure change difference, and the adjusting unit sets the corrected optical power to w4, w4=wβ× Xwn, and sets β=1, 2,3 when the patient's sign is determined to be abnormal.
CN202210245943.5A 2022-03-14 2022-03-14 Nursing device for hemodialysis patients Active CN114748348B (en)

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CN107582326A (en) * 2017-09-15 2018-01-16 北京石油化工学院 A kind of upper limbs physiotherapy robot
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