CN115132340A - Physiological parameter monitoring method, monitoring center and wearable equipment - Google Patents
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Abstract
The application provides a physiological parameter monitoring method, a monitoring center and wearable equipment, wherein the physiological parameter monitoring method is applied to the monitoring center and comprises the following steps: receiving a first message sent by wearable equipment, wherein the first message comprises a first state identifier representing a first state, an equipment identifier of the wearable equipment and a first physiological parameter; analyzing the first message, and determining that a user wearing the wearable device is in the first state; storing the first state of the user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identifier is used to identify the user.
Description
Technical Field
The application relates to the technical field of medical treatment, in particular to a physiological parameter monitoring method, a monitoring center and wearable equipment.
Background
Currently, there are certain surgical scenarios: a fixed monitor is arranged beside a sickbed in an operating room, and can be called as an operating bedside monitor. After the medical staff connects various lead wires on the bedside operating monitor to the patient, the physiological parameters (including electrocardiogram, blood oxygen, pulse wave, non-invasive blood pressure, respiration and other information) of the patient are directly displayed on the display interface of the bedside operating monitor, and then the medical staff performs preoperative preparation, such as anesthesia, on the patient and then performs the operation. When the procedure is completed, the lead wires of the bedside monitors are typically removed from the patient and the patient is moved to a recovery area in the operating room or ward.
The inventor finds that the prior art has the following problems:
during the whole operation process, the effective intervention is needed to be carried out on the postoperative recovery condition of the patient by combining the preoperative and intraoperative physiological parameter conditions of the patient. Since the current monitoring devices usually use traditional stationary monitoring, i.e. the monitor is fixed at a specific position (e.g. beside the operating bed, beside the bed, etc.). However, since the monitors cannot identify the patient, when the physiological parameters of the same patient are displayed on different monitors (e.g., a bedside monitor and a bedside monitor), the monitors cannot associate the physiological parameters of the same patient. Medical personnel can not effectively combine the preoperative state and the intraoperative state of the patient, only can rely on memory, and easily make mistakes.
Disclosure of Invention
In order to solve the above problems, the present application provides a physiological parameter monitoring method, a monitoring center, and a wearable device.
In a first aspect, the present application provides a method for monitoring physiological parameters, which is applied to a monitoring center; the method comprises the following steps:
receiving a first message sent by wearable equipment, wherein the first message comprises a first state identifier representing a first state, an equipment identifier of the wearable equipment and a first physiological parameter;
analyzing the first message, and determining that a user wearing the wearable device is in the first state;
storing the first state of the user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identifier is used to identify the user.
Optionally, if the first packet further includes a first sending time, the storing the first state of the user, the user identifier corresponding to the device identifier, and the first physiological parameter includes:
and storing the corresponding relation among the first state, the user identification, the first physiological parameter and the first sending time.
Optionally, the method further includes:
receiving a second message sent by the wearable device, wherein the second message comprises a second state identifier representing a second state, a device identifier of the wearable device, and a second physiological parameter;
in the event that it is determined that the surgical state has transitioned from the first state to the second state, storing the second state the user is in, the user identification, and a second physiological parameter.
Optionally, if the second packet further includes a second sending time, the method further includes:
determining a first physiological parameter included in the first and last received first messages as a physiological parameter of a first state;
the storing the second state, the user identification, and the second physiological parameter in which the user is located includes:
and storing the corresponding relation between the second state, the user identification, the second physiological parameter and the second sending time.
Optionally, if the first state is a preoperative state, when the first message is received, the corresponding relationship between the device identifier and the user identifier is established.
Optionally, the display area of the monitoring center includes a preoperative display area, an intraoperative display area, and a postoperative display area, and then the method further includes:
when the first state is a preoperative state, displaying the user identification and a first physiological parameter in the preoperative display area;
when the first state is an intraoperative state, displaying the user identification and a first physiological parameter in the intraoperative display area;
and when the first state is a post-operation state, displaying the user identification and the first physiological parameter in the post-operation display area.
Optionally, the method further includes: determining the physical condition of the user in combination with a second physiological parameter in other surgical states than the first state.
In a second aspect, the present application provides a method for monitoring physiological parameters, applied to a wearable device, where the wearable device is configured to acquire the physiological parameters, and the method includes:
receiving a first instruction for setting the wearable device to be in a first state;
sending a first message, wherein the first message contains a first state identifier representing the first state, a device identifier of the wearable device and a first physiological parameter, the first message is used for determining that a user wearing the wearable device is in the first state, and establishing a corresponding relation among the first state in which the user is, the user identifier corresponding to the device identifier and the first physiological parameter, and the user identifier is used for identifying the user.
Optionally, the first packet further includes a first sending time.
Optionally, the method further includes:
receiving a second instruction for setting the wearable device to be in a second state;
and sending a second message, wherein the second message comprises a second state identifier representing the second state, the equipment identifier and a second physiological parameter, and the second message is used for determining that the user is in the second state and establishing a corresponding relation among the second state of the user, the user identifier and the second physiological parameter.
Optionally, the second packet further includes a second sending time.
Optionally, the wearable device includes a voice input unit and a voice recognition unit connected to the voice input unit, the state setting instruction of the wearable device is a voice instruction received by the voice input unit, and the voice instruction includes a state keyword, and then the method further includes:
the voice recognition unit receives the state setting instruction sent by the voice input unit;
the voice recognition unit recognizes the operation state key words and determines operation states matched with the state key words;
and setting the wearable equipment to be in an operation state matched with the state keyword.
Optionally, the wearable device comprises one or more status setting keys;
when the number of the state setting keys is one, the position or the triggering mode of the state setting key is matched with the operation state;
and when the number of the state setting keys is multiple, the state setting keys are matched with the operation state.
In a third aspect, the present application provides a monitoring center comprising:
the wearable device comprises a receiving unit, a processing unit and a processing unit, wherein the receiving unit is used for receiving a first message sent by the wearable device, and the first message comprises a first state identifier representing a first state, a device identifier of the wearable device and a first physiological parameter;
the analysis unit is used for analyzing the first message and determining that the user wearing the wearable device is in the first state;
the storage unit is used for storing the first state of the user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identifier is used to identify the user.
Optionally, if the first packet further includes a first sending time, the storage unit is configured to:
and storing the corresponding relation among the first state, the user identification, the first physiological parameter and the first sending time.
Optionally, the receiving unit is further configured to: receiving a second message sent by the wearable device, wherein the second message comprises a second state identifier representing a second state, a device identifier of the wearable device, and a second physiological parameter;
the storage unit is used for: in the event that it is determined that the surgical state has transitioned from the first state to the second state, storing the second state the user is in, the user identification, and a second physiological parameter.
Optionally, if the second packet further includes a second sending time, the monitoring center further includes a determining unit, configured to:
determining a first physiological parameter included in the first and last received first messages as a physiological parameter of a first state;
the storage unit is used for:
and storing the corresponding relation between the second state, the user identification, the second physiological parameter and the second sending time.
Optionally, if the first state is a preoperative state, the monitoring center further includes an establishing unit, configured to establish a correspondence between the device identifier and the user identifier when receiving the first message.
Optionally, the display device further includes a display unit, where the display unit includes a preoperative display area, an intraoperative display area, and a postoperative display area, then:
when the first state is a preoperative state, displaying the user identification and a first physiological parameter in the preoperative display area;
when the first state is an intraoperative state, displaying the user identification and a first physiological parameter in the intraoperative display area;
and when the first state is a post-operation state, displaying the user identification and the first physiological parameter in the post-operation display area.
Optionally, the system further comprises a diagnosis unit, configured to: determining the physical condition of the user in combination with a second physiological parameter in other surgical states than the first state.
In a fourth aspect, the present application provides a wearable device for acquiring physiological parameters, the wearable device comprising:
the wearable device comprises a setting unit, a display unit and a control unit, wherein the setting unit is used for receiving a first instruction for setting the wearable device to be in a first state;
the wearable device comprises a sending unit, a receiving unit and a processing unit, wherein the sending unit is used for sending a first message, the first message comprises a first state identifier representing the first state, a device identifier of the wearable device and a first physiological parameter, the first message is used for determining that a user wearing the wearable device is in the first state, and establishing a corresponding relation among the first state of the user, the user identifier corresponding to the device identifier and the first physiological parameter, and the user identifier is used for identifying the user.
Optionally, the first packet further includes a first sending time.
Optionally, the setting unit is configured to:
receiving a second instruction for setting the wearable device to be in a second state;
the sending unit is configured to send a second message, where the second message includes a second state identifier indicating the second state, the device identifier, and a second physiological parameter, and the second message is used to determine that the user is in the second state, and establish a correspondence relationship between the second state, the user identifier, and the second physiological parameter that the user is in.
Optionally, the second packet further includes a second sending time.
Optionally, the wearable device includes a voice input unit and a voice recognition unit connected to the voice input unit, the state setting instruction of the wearable device is a voice instruction received by the voice input unit, and the voice instruction includes a state keyword, then:
the voice recognition unit is used for receiving the state setting instruction sent by the voice input unit, recognizing the operation state keyword and determining the operation state matched with the state keyword;
the setting unit is used for setting the wearable equipment to be in the operation state matched with the state keyword.
Optionally, the wearable device comprises one or more status setting keys;
when the number of the state setting keys is one, the position or the triggering mode of the state setting key is matched with the operation state;
and when the number of the state setting keys is multiple, the state setting keys are matched with the operation state.
Compared with the prior art, the wearable device sends the message to the monitoring center, the message comprises the state identification representing the operation state and the acquired physiological parameters, and the preoperative state, the intraoperative state and the postoperative physiological parameters are transmitted to the monitoring center. The monitoring center judges whether a user wearing the wearable device is in a preoperative state, an intraoperative state or a postoperative state through the state identification of the message, and then identifies and stores the state, the user identification and the acquired physiological parameters of the user through the corresponding relation between the user identification and the device identification, so that the physiological parameters of the preoperative state, the intraoperative state and the postoperative state of the same user are monitored and associated, and a basis is provided for issuing a perioperative physiological parameter monitoring report form.
Drawings
Fig. 1 is a schematic diagram of a networking provided in an embodiment of the present application;
FIG. 2 is a schematic structural diagram of a bedside monitor according to an embodiment of the present application;
fig. 3 is a schematic flowchart of a physiological parameter monitoring method according to an embodiment of the present application;
FIG. 4 is a schematic flowchart of a method for monitoring physiological parameters according to another embodiment of the present application;
FIG. 5-1 is a schematic view of a scenario provided by an embodiment of the present application;
FIG. 5-2 is a schematic diagram illustrating a method for monitoring physiological parameters according to an embodiment of the present application;
FIG. 6 is a schematic view of a monitoring center module according to an embodiment of the present application;
fig. 7 is a schematic diagram of a wearable device module according to an embodiment of the present application.
DETAILED DESCRIPTION OF EMBODIMENT (S) OF INVENTION
Reference will now be made in detail to the exemplary embodiments, examples of which are illustrated in the accompanying drawings. When the following description refers to the accompanying drawings, like numbers in different drawings represent the same or similar elements unless otherwise indicated. The embodiments described in the following exemplary embodiments do not represent all embodiments consistent with the present application. Rather, they are merely examples of apparatus and methods consistent with certain aspects of the present application, as detailed in the appended claims.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the application. As used in this application and the appended claims, the singular forms "a", "an", and "the" are intended to include the plural forms as well, unless the context clearly indicates otherwise. It should also be understood that the term "and/or" as used herein refers to and encompasses any and all possible combinations of one or more of the associated listed items.
It is to be understood that although the terms first, second, third, etc. may be used herein to describe various information, such information should not be limited to these terms. These terms are only used to distinguish one type of information from another. For example, first information may also be referred to as second information, and similarly, second information may also be referred to as first information, without departing from the scope of the present application. The word "if" as used herein may be interpreted as "at … …" or "when … …" or "in response to a determination", depending on the context.
The embodiment of the application provides a physiological parameter monitoring method, and wearable equipment sends a message to a monitoring center, wherein the message comprises a state identifier representing an operation state and acquired physiological parameters, and the physiological parameters of the preoperative state, the intraoperative state and the postoperative state are transmitted to the monitoring center. The monitoring center judges whether a user wearing the wearable device is in a preoperative state, an intraoperative state or a postoperative state through the state identification of the message, and then identifies and stores the state, the user identification and the acquired physiological parameters of the user through the corresponding relation between the user identification and the device identification, so that the physiological parameters of the preoperative state, the intraoperative state and the postoperative state of the same user are monitored and associated, and a basis is provided for issuing a perioperative physiological parameter monitoring report form.
As described in the background art, it is a difficult point in the industry at present to provide a basis for providing a perioperative physiological parameter monitoring report sheet by monitoring and correlating physiological parameters of a preoperative state, an intraoperative state and a postoperative state of the same user, so that most hospitals cannot provide a report sheet with distinction of preoperative state, intraoperative state and postoperative state at present, and hospitals with higher requirements on part of quality control management levels usually adopt a manual mode to manually record the state switching time, and then manually add state information to the monitoring report sheet, thereby greatly occupying the workload of medical care personnel, and easily causing data recording errors due to busy work.
Please refer to fig. 1, which is a schematic networking diagram of a monitoring system according to an embodiment of the present disclosure, the monitoring system includes a monitoring center and one or more wearable devices, where the number of the wearable devices is not limited in the embodiment of the present disclosure. In the system shown in fig. 1, the monitoring center and the wearable device have wireless communication modules, and the monitoring center and the wearable device can communicate with each other in a wireless manner. In another embodiment, the wearable device is connected with the monitoring center through a communication device, the communication device is provided with a wired communication module or a wireless communication module, the wearable device is connected with the communication device in a wired or wireless mode, and the communication device is connected with the monitoring center in a wired or wireless mode.
The wearable device is used for acquiring physiological parameters, is a terminal which can be worn on a user body to acquire the physiological parameters of the user, and is connected to the user body through various lead wires, the type of the physiological parameters comprises at least one of blood oxygen signals, temperature signals, blood pressure signals and electrocardio signals, and the lead wires required by the acquisition of the corresponding physiological parameters are respectively blood oxygen sensors, thermometers/temperature sensors, blood pressure sensors/sphygmomanometers, electrocardio lead wires and the like. For example, blood oxygen signals are acquired through a blood oxygen sensor, temperature signals are acquired through a temperature probe, blood pressure signals are acquired through a blood pressure cuff, and electrocardiosignals are acquired through an electrocardio lead wire.
In addition, in some embodiments, the wearable device may further set a threshold corresponding to each physiological parameter, so as to determine whether each physiological parameter of the user is normal in the state, and issue an alarm when the physiological parameter is not normal.
In some embodiments, the wearable device may further display the acquired physiological parameters according to characteristics of the physiological parameters, for example, the blood oxygen signal is displayed as a blood oxygen value, the blood pressure signal is displayed as a blood oxygen value, the temperature signal is displayed as a current temperature value of the user, and the electrocardiogram signal displays an electrocardiogram waveform signal of the user in real time, extracts heart rate information of the user according to the electrocardiogram waveform signal, and synchronously displays the heart rate information on the display device.
In the embodiment of the present application, the wearable device has an identifier that identifies a unique identifier of the wearable device, which is referred to as a device identifier. The device identification may be a device address (e.g., MAC address) of the wearable device or a name set by the user.
In one embodiment, the surgical status of the wearable device may be set. Specifically, the wearable device receives a state setting instruction for setting the surgical state, and sets the wearable device to the surgical state matched with the instruction.
In one embodiment, the status setting instruction is a voice instruction, the voice instruction includes a status keyword, the wearable device comprises a voice input unit, a voice recognition unit connected with the voice input unit, and a central processing unit connected with the voice recognition unit, as shown in fig. 2, in one example, the voice input unit is a microphone, and after the microphone receives the sound signal, automatically outputting the digitized sound signals to a central processing unit, wherein the central processing unit is STM32F427, STM32F427 is internally provided with a speech recognition algorithm, after receiving the digitized voice signal output by the microphone, comparing the signal similarity of the input voice signal and the voice command of 'operation start' or 'operation end' preset in the microphone, and if the similarity and the signal similarity of a certain voice command are more than 80%, automatically judging that the input voice is the certain voice command. In another embodiment, the wearable device receives a state setting instruction (i.e. a voice instruction) from a voice input unit of the wearable device, the voice recognition unit receives the voice instruction from the voice input unit and recognizes a surgical state keyword, determines a surgical state matching the state keyword, and the central processing unit of the wearable device sets the wearable device in the surgical state matching the state keyword.
In another embodiment, the wearable device includes one or more state setting keys.
In one case, when the state setting key is one, the position or the trigger mode of the state setting key is matched with the operation state. For example, as shown in fig. 3, when the switch is in position 1, the wearable device is set to a pre-operative state; when the switch is in position 2, the wearable device is set to an intraoperative state; when the switch is in position 3, the wearable device is set to a post-operative state. In other embodiments, the surgical status may also be set through a predetermined gesture, and the embodiment does not particularly limit the specific gesture as long as different surgical statuses can be set through different gestures.
In another case, when the number of the state setting keys is plural, the state setting key is matched with the operation state. For example, the wearable device includes three mechanical keys 1-3, corresponding to a preoperative state, an intraoperative state, and a postoperative state, respectively: when the key 1 is pressed, the wearable device is set to a preoperative state; when the key 2 is pressed, the wearable device is set to an intraoperative state; when the key 3 is pressed, the wearable device is set to a post-operative state. In another example, the state setting keys are virtual keys 11-13 corresponding to preoperative, intraoperative, and postoperative states, respectively: when the button 11 is clicked, the wearable device is set to the preoperative state; when the button 12 is clicked, the wearable device is set to the intraoperative state; when the button 13 is clicked, the wearable device is set to the post-operative state.
After the wearable device receives the first instruction and is set to be in the first state, the wearable device sends a first message, wherein the first message comprises a first state identification representing the first state, a device identification of the wearable device and a first physiological parameter. The first message is used for determining that a user wearing the wearable device is in a first state, and establishing a corresponding relation among the first state of the user, a user identifier corresponding to the device identifier and the first physiological parameter, wherein the user identifier is used for identifying the user. Referring to fig. 4, a method for monitoring physiological parameters applied to a monitoring center according to an embodiment of the present application at least includes steps 401 and 403.
401. Receiving a first message sent by the wearable device, wherein the first message comprises a first state identifier representing a first state, a device identifier of the wearable device, and a first physiological parameter.
In one embodiment, the default message length of the first message is 10 bytes, where the 1 st byte represents a status identifier, the 2 nd to 7 th bytes represent a unique identification number of the wearable device, and the 8 th to 10 th bytes represent BCD codes of physiological parameter values collected by the corresponding wearable device, such as: respectively, blood oxygen value, pulse value and body temperature value.
The specific meaning table of the status identifier is as follows.
| Status identification | State flag meaning |
| 0x01 | Preoperative state |
| 0x02 | Intraoperative condition |
| 0x03 | Post-operative state |
| Others | Invalid state |
In one example, the wearable device sends a message to the monitoring center, and the specific content is as follows: 0x 010 xAA 0x 550 x 670 x 860 x 900 xFF 0x 980 x 800 x36 represents that the wearable device with MAC address 0xAA 0x 550 x 670 x 860 x 900 xFF corresponds to the patient whose surgery state is at the time of surgery preparation, and the blood oxygen value, the pulse value and the body temperature value are 98%, 80bpm and 36.0 ℃.
In another example, the wearable device sends a message to the monitoring center, and the specific content is as follows: 0x 020 xAA 0x 550 x 670 x 860 x 900 xFF 0x 990 x 700 x36 represents that the wearable device with MAC address 0xAA 0x 550 x 670 x 860 x 900 xFF corresponds to the patient whose surgery status at this time is the surgery executing status, and the blood oxygen value, the pulse value and the body temperature value at this time are 99%, 70bpm and 36.0 ℃.
In an embodiment of the present application, the surgical states include a preoperative state, an intraoperative state, and a postoperative state, each surgical state being represented by a different state identifier. Specifically, the explanation and status identification of each surgical status are as follows:
a preoperative state, representing a state prior to surgery, which may also be referred to as a surgical prep state, e.g., represented by a state indicator of "01 or null";
an intra-operative state, which represents a state in which the operation is in progress, and which may also be referred to as an operation-performing state, for example, indicated by a state indication "10";
the post-operative state, representing a repair state after completion of the surgery, may also be referred to as a surgical recovery state, e.g., indicated by the state indication "11".
In an embodiment, if the first state is a preoperative state, the monitoring center establishes a corresponding relationship between the device identifier and the user identifier when receiving the first message, so as to track the surgical state of the user corresponding to the user identifier and physiological parameters in various surgical states in the subsequent process.
402. And analyzing the first message, and determining that the user wearing the wearable device is in a first state.
In one embodiment, the monitoring center stores the corresponding relationship between the operation status and the status identifier, and the stored corresponding relationship is shown in the following table.
| State of operation | Status identification |
| Preoperative state | 0x01 |
| Intraoperative condition | 0x02 |
| Post-operative state | 0x03 |
The monitoring center analyzes the received first message, acquires a first state identifier, a device identifier and a first physiological parameter, and determines a first state of the first state identifier according to the stored corresponding relation. For example, if the monitoring center determines that the first status flag is 01, it determines that the user wearing the wearable device is in the preoperative state.
403. Storing a first state of a user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identification is used to identify the user.
The monitoring center comprises a storage device, and the storage device stores the user identification, the first state and the first physiological parameter. For example, if the monitoring center analyzes that the user identifier is "user 001", the first state is "preoperative state", and the first physiological parameter is "body temperature 36.5 ℃", the storage device of the monitoring center stores "user 001 is in preoperative state and body temperature 36.5 ℃".
In an embodiment, if the first packet further includes a first sending time, 403 is specifically: and storing the corresponding relation among the first state, the user identification, the first physiological parameter and the first sending time. For example, if the monitoring center analyzes that the user identifier is "user 001", the first state is "preoperative state", the first physiological parameter is "body temperature 36.5 ℃", and the first transmission time is 2020/10/0110: 00, the storage device of the monitoring center stores "user 001 is preoperative state, body temperature 36.5 ℃, and time 2020/10/0110: 00".
In one embodiment, the default message length of the first message is 13 bytes, wherein the 1 st byte represents a status flag code, the 2 nd to 7 th bytes represent a unique identification number of the wearable device, the 8 th to 10 th bytes represent BCD codes of physiological parameter values collected by the corresponding wearable device, such as a blood oxygen value, a pulse value and a body temperature value, respectively, and the 11 th to 13 th bytes are time-minute-second information of status switching.
The specific meaning table of the status identifier is as follows.
| Status identification | State flag meaning |
| 0x01 | Preoperative state |
| 0x02 | Intraoperative state |
| 0x03 | Post-operative state |
| Others | Invalid state |
In one example, the wearable device sends a message to the monitoring center at this time, and the specific content is as follows: 0x 010 xAA 0x 550 x 670 x 860 x 900 xFF 0x 980 x 800 x 360 x 140 x 200 x05, which represents that the operation state of the patient corresponding to the wearable device with the MAC address of 0xAA 0x 550 x 670 x 860 x 900 xFF is a preoperative state at the time, the time of entering the operation is 14:20:05, and the blood oxygen value, the pulse value and the body temperature value are 98%, 80bpm and 36.0 ℃.
In one embodiment, when the surgical state of the wearable device is changed, a second message is sent, wherein the second message includes a second state identifier indicating the new surgical state (i.e., the second state). With reference to fig. 4, in an embodiment, the method for monitoring physiological parameters provided by a monitoring center further includes:
receiving a second message sent by the wearable device, wherein the second message comprises a second state identifier representing a second state, a device identifier of the wearable device and a second physiological parameter;
and in the case that the surgical state is determined to be changed from the first state to the second state, storing the second state of the user, the user identification and the second physiological parameter.
In one embodiment, the second packet further includes a second sending time, and the method further includes:
determining a first physiological parameter included in the first and last received messages as a physiological parameter of a first state;
storing the second state, the user identification and the second physiological parameter of the user, including:
and storing the corresponding relation between the second state, the user identification, the second physiological parameter and the second sending time.
In an embodiment, the display unit of the monitoring center includes a preoperative display area, an intraoperative display area, and a postoperative display area, and the display unit displays a first surgical state of the user, a user identifier corresponding to the device identifier, and a first physiological parameter, including:
when the first state is a preoperative state, displaying a user identifier and a first physiological parameter in a preoperative display area;
when the first state is an intraoperative state, displaying a user identifier and a first physiological parameter in an intraoperative display area;
and when the first state is the postoperative state, displaying the user identification and the first physiological parameter in an postoperative display area.
In one embodiment, the monitoring center further determines the physical condition and recovery condition of the user by combining the physiological parameters of the operation states, and specifically, the monitoring center determines the physical condition of the user by combining the second physiological parameters of the operation states except the first state. Furthermore, the monitoring center can also set a threshold value corresponding to each physiological parameter in each operation state, so as to determine whether each physiological parameter of the user is normal in a certain state when the user is in the certain state, and send an alarm when the physiological parameter is abnormal.
In one embodiment, the wearable device and the monitoring center perform the operation STATE synchronization in a manner that each time the operation STATE changes, the wearable device sends a STATE change message, for example, when the patient wears the wearable device for the first time, assuming that the MAC address 1234 of the wearable device is automatically default to before the operation, the wearable device with MAC address 1234 sends a "STATE 0" command to the monitoring center at the same time, the monitoring center confirms that the patient wearing the wearable device with MAC address 1234 enters the pre-operation STATE, and records the time T1 when the STATE0 command is received, when the medical staff operates the wearable device with MAC address 1234 to enter the intra-operation STATE, the wearable device with MAC address 1234 sends a "STATE 1" command to the monitoring center at the same time, the monitoring center confirms that the patient wearing the wearable device with MAC address 1234 enters the intra-operation STATE, and recording the time of receiving the STATE1 command as T2, when the medical staff operates the wearable device with MAC address 1234 to enter the post-operation STATE, the wearable device with MAC address 1234 sends a "STATE 2" command to the monitoring center at the same time, the monitoring center confirms that the patient wearing the device with MAC address 1234 enters the post-operation STATE, and records the time of receiving the STATE2 command as T3, so that the monitoring center compares the received data with the time, the sign data between T1-T2 are pre-operation data, the sign data between T2-T3 are defined as intra-operation data, and the data after T3 are defined as post-operation data. Therefore, effective division of data of each phase in the whole perioperative period is realized.
In another embodiment, the wearable device and the monitoring center perform the operation state synchronization in such a way that the wearable device sends the current state of the wearable device to the monitoring center at regular time, and when the monitoring center determines that the state changes, the state change time is automatically recorded. For example, when a patient wears the wearable device with MAC address 1234 for the first time, assuming that the wearable device with MAC address 1234 automatically defaults to enter a pre-operation STATE, the wearable device with MAC address 1234 periodically sends a "STATE 0" command to the monitoring center at time intervals of every 1 second, the monitoring center confirms that the patient wearing the wearable device with MAC address 1234 enters a pre-operation STATE and records the time of first receiving the STATE0 command as T1, when a medical staff operates the wearable device with MAC address 1234 to enter an intra-operation STATE, the wearable device with MAC address 1234 periodically sends a "STATE 1" command to the monitoring center at time intervals of every 1 second, the monitoring center confirms that the patient wearing the wearable device with MAC address 1234 enters the intra-operation STATE and records the time of first receiving the STATE1 command as T2, when the medical staff operates the wearable device with MAC address 1234 to enter the post-operation STATE, then at the same time, the wearable device with MAC address 1234 sends a "STATE 2" command to the monitoring center periodically at time intervals of every 1 second, and the monitoring center confirms that the patient wearing the device with MAC address 1234 enters a post-operation STATE, and records the time when the STATE2 command is received for the first time as T3, so that the monitoring center compares the received data with the time, the sign data between T1 and T2 is pre-operation data, the sign data between T2 and T3 is defined as intra-operation data, and the data after T3 is defined as post-operation data. Therefore, effective division of data of each phase in the whole perioperative period is realized.
With reference to the scenario shown in fig. 5-1, fig. 5-2 shows a method for monitoring physiological parameters according to an embodiment of the present application. Fig. 5-1 includes a monitoring center, a wearable device 1, a wearable device 2, and a wearable device 3, each of which is wirelessly connected to the monitoring center.
The device identification of wearable device 1 is 01025678AA, the device identification of wearable device 2 is 01025678BB, and the device identification of wearable device 3 is 01025678 FF.
The monitoring center comprises a display, wherein the display comprises a preoperative display area, an intraoperative display area and a postoperative display area, and the display is respectively used for displaying physiological parameters of a preoperative state, an intraoperative state and a postoperative state.
Assuming that the user of patient 1 is identified as 120789, wearing wearable device 1, surgery will be performed in operating room 1. The user of patient 2, identified as 120790, wearing the wearable device 2 will perform an operation in the operating room 2. The user of the patient 3, identified as 120791, wearing the wearable device 3 will perform an operation in the operating room 2.
In some embodiments, after the patient wears the wearable device, the staff member may manually add the correspondence between the user id and the device id in the monitoring center, that is, add the correspondence between the user id 120789 and the device id 01025678 AA.
In some other embodiments, after the patient wears the wearable device, the wearable device sends a first message to the patient, where the message includes the device identifier, the user identifier, and the physiological parameter, and the monitoring center automatically establishes a correspondence between the user identifier of the patient and the device identifier. In one example, the user identification may be input to the wearable device by a staff member while the patient is wearing the wearable device. It should be understood that if the monitoring center recognizes that the message does not include the status identifier or the field of the status identifier is empty, the message is considered as the first message.
The correspondence between the user identification and the device identification of the patients 1, 2, 3 can be added by the method described above. Taking the patient 1 as an example, with reference to fig. 5-2, a method for monitoring physiological parameters provided in the embodiment of the present application is as follows.
501. The wearable device receives a first instruction to set the wearable device in a first state.
The first command is a voice command, for example, a medical staff inputs voice "set to preoperative state", and "preoperative state" is a state keyword.
502. The wearable device identifies the operation state keyword, determines that the operation state matched with the state keyword is a preoperative state, and sets the wearable device to be in the preoperative state.
503. And sending a first message, wherein the first message comprises a first state identifier ' 0x01 ' representing the first state, a device identifier ' 01025678AA ' of the wearable device, a first physiological parameter ' body temperature 36.5 ℃ and first sending time ' 2020/10/0110: 00 '.
The first message is used for determining that a user wearing the wearable device is in a first state, and establishing a corresponding relation among the first state of the user, a user identifier 120789 corresponding to the device identifier, and the first physiological parameter, where the user identifier is used for identifying the user.
504. The monitoring center receives the first message.
505. The monitoring center parses the first message and determines that the user 120789 wearing the wearable device is in a first state, "preoperative state".
506. The monitoring center stores the physiological parameters and displays the physiological parameters in a preoperative display area on the display: 120789 body temperature 36.5 ℃ preoperative state 2020/10/0110: 00. As shown in the table below.
The patient 1 enters the operating room 1 to perform an operation, and the medical staff inputs a second instruction for setting a second state to the wearable device. The second command is a voice command, for example, "set to intraoperative state", and "intraoperative state" is a state keyword.
507. The wearable device receives a second instruction.
508. The wearable device identifies the operation state keyword, determines that the operation state matched with the state keyword is an intra-operation state, and sets the wearable device to be in the intra-operation state.
509. And sending a second message, wherein the second message comprises a second state identifier ' 0x02 ' representing a second state, a device identifier ' 01025678AA ' of the wearable device, a second physiological parameter ' body temperature 36.5 ℃ and a second sending time ' 2020/10/0110: 30 '.
The second message is used for determining that the user is in the second state and establishing a corresponding relation among the second state, the user identification and the second physiological parameter.
510. And the monitoring center receives the second message.
511. The monitoring center parses the second message, and determines that the user 120789 wearing the wearable device is in a second state, the "intraoperative state".
512. The monitoring center stores the physiological parameters and displays the physiological parameters in an intraoperative display area on the display: 120789 body temperature 36.5 deg.C intraoperative state 2020/10/0110: 30. As shown in the table below.
513. Wearable equipment receives state setting instruction "sets up to the postoperative state", and "postoperative state" is the state keyword.
514. The wearable device identifies the operation state keyword, determines that the operation state matched with the state keyword is a 'post-operation state', and sets the wearable device to be in the post-operation state.
515. The wearable device sends a message. The message contains a state identifier "0 x 03" representing the post-operation state, a device identifier "01025678 AA" of the wearable device, a physiological parameter "body temperature 36.5 ℃ and a sending time" 2020/10/0111: 30 ".
516. The monitoring center receives the message.
517. The monitoring center parses the message and determines that the user 120789 wearing the wearable device is in a "post-operative state".
518. The monitoring center stores the physiological parameters and displays the physiological parameters in a postoperative display area on the display: 120789 body temperature 36.5 ℃ postoperative status 2020/10/0111: 30. As shown in the table below.
In addition, the monitoring center can also determine the recovery condition of the patient 1 by combining the physiological parameters of the patient 1 in the preoperative state and the intraoperative state.
Furthermore, the monitoring center can also set a threshold value corresponding to each physiological parameter in each state, so as to determine whether each physiological parameter of the user is normal in a certain state when the user is in the certain state, and send an alarm when the physiological parameter is abnormal.
In summary, the embodiments of the present application at least include the following technical effects:
1. the wearable device sends a message to the monitoring center, wherein the message comprises a state identifier representing the operation state and acquired physiological parameters, and the transmission of the physiological parameters of the preoperative state, the intraoperative state and the postoperative state to the monitoring center is realized. The monitoring center judges whether a user wearing the wearable device is in a preoperative state, an intraoperative state or a postoperative state through the state identification of the message, and then identifies and stores the state, the user identification and the acquired physiological parameters of the user through the corresponding relation between the user identification and the device identification, so that the physiological parameters of the preoperative state, the intraoperative state and the postoperative state of the same user are monitored and associated, and a basis is provided for issuing a perioperative physiological parameter monitoring report form.
2. In the process that a patient enters an operation before an operation, the operation state of the wearable device can be changed only by a certain instruction, the connection time such as electrocardiogram lead is saved in advance, in the switching process of the patient from the operation to a postoperative recovery area, the operation state of the wearable device can be changed only by a certain instruction, the process of detaching a lead wire and installing the lead wire again is omitted, the time of each operation is reduced from the original 10 minutes to 5 minutes, the efficiency is improved by the original 50%, and the standard state process on a monitoring list is manually carried out through various manual time records;
3. the hospital management and quality control level is improved, the original mode of manual recording is easy to make mistakes especially for the recording of the operation starting time and the operation ending time, so that data errors on a monitoring list are caused, the diagnosis and the nursing of doctors are not facilitated, the occurrence of time or digital recording errors is avoided through the whole-course automatic digital scheme, and the hospital diagnosis and treatment level and the quality control management level are greatly improved.
Referring to fig. 6, an embodiment of the present application provides a monitoring center, including:
a receiving unit 600, configured to receive a first message sent by a wearable device, where the first message includes a first state identifier indicating a first state, a device identifier of the wearable device, and a first physiological parameter;
the analysis unit 601 is configured to analyze the first message and determine that a user wearing the wearable device is in a first state;
the storage unit 602 is configured to store a first state in which a user is located, a user identifier corresponding to the device identifier, and a first physiological parameter; wherein the user identification is used for identifying the user.
Optionally, if the first packet further includes a first sending time, the storage unit 602 is configured to:
and storing the corresponding relation among the first state, the user identification, the first physiological parameter and the first sending time.
Optionally, the receiving unit 600 is further configured to: receiving a second message sent by the wearable device, wherein the second message comprises a second state identifier representing a second state, a device identifier of the wearable device and a second physiological parameter;
the storage unit 602 is configured to: in the event that it is determined that the surgical state has transitioned from the first state to the second state, the second state in which the user is, the user identification, and the second physiological parameter are stored.
Optionally, if the second message further includes a second sending time, the monitoring center further includes a determining unit, configured to:
determining a first physiological parameter included in the first and last received messages as a physiological parameter of a first state;
the storage unit 602 is configured to:
and storing the corresponding relation among the second state, the user identification, the second physiological parameter and the second sending time.
Optionally, if the first state is a preoperative state, the monitoring center further includes an establishing unit, configured to establish a correspondence between the device identifier and the user identifier when the first message is received.
Optionally, the surgical instrument further comprises a display unit, wherein the display unit includes a preoperative display area, an intraoperative display area and a postoperative display area, and then:
when the first state is a preoperative state, displaying a user identifier and a first physiological parameter in a preoperative display area;
when the first state is an intraoperative state, displaying a user identifier and a first physiological parameter in an intraoperative display area;
and when the first state is a post-operation state, displaying the user identification and the first physiological parameter in a post-operation display area.
Optionally, the system further comprises a diagnosis unit, configured to: and determining the physical condition of the user by combining the second physiological parameters in other operation states except the first state.
Referring to fig. 7, a wearable device for acquiring physiological parameters according to an embodiment of the present application includes:
a setting unit 700, configured to receive a first instruction for setting a wearable device in a first state;
the sending unit 701 is configured to send a first message, where the first message includes a first state identifier indicating a first state, a device identifier of the wearable device, and a first physiological parameter, and the first message is used to determine that a user wearing the wearable device is in the first state, and establish a correspondence between the first state of the user, the user identifier corresponding to the device identifier, and the first physiological parameter, where the user identifier is used to identify the user.
Optionally, the first packet further includes a first sending time.
Optionally, the setting unit 700 is configured to:
receiving a second instruction for setting the wearable device in a second state;
the sending unit 701 is configured to send a second message, where the second message includes a second state identifier indicating a second state, a device identifier, and a second physiological parameter, and the second message is used to determine that the user is in the second state, and establish a corresponding relationship between the second state, the user identifier, and the second physiological parameter that the user is in.
Optionally, the second message further includes a second sending time.
Optionally, the wearable device includes a voice input unit and a voice recognition unit connected to the voice input unit, the state setting instruction of the wearable device is a voice instruction received by the voice input unit, the voice instruction includes a state keyword, and then:
the voice recognition unit is used for receiving the state setting instruction sent by the voice input unit, recognizing the operation state keyword and determining the operation state matched with the state keyword;
and the setting unit is used for setting the wearable equipment to be in the operation state matched with the state keyword.
Optionally, the wearable device comprises one or more status setting keys;
when the number of the state setting keys is one, the position or the triggering mode of the state setting key is matched with the operation state;
when the state setting keys are multiple, the state setting keys are matched with the operation state.
An embodiment of the present application further provides a monitoring center, including a processor CPU and a machine-readable storage medium, where the machine-readable storage medium stores machine-executable instructions capable of being executed by the CPU, and the CPU is caused by the machine-executable instructions to: the implementation is based on the steps of any of the methods provided on the monitoring center side.
Embodiments of the present application also provide a wearable device, including a processor CPU and a machine-readable storage medium storing machine-executable instructions executable by the CPU, the CPU being caused by the machine-executable instructions to: the steps of the method provided based on the wearable device side are realized.
An embodiment of the present application further provides a computer-readable storage medium, in which a computer program is stored, and the computer program, when executed by a processor, implements the steps of any one of the foregoing methods.
For the module/device embodiment, since it substantially corresponds to the method embodiment, reference may be made to the partial description of the method embodiment for relevant points. The above-described module/device embodiments are only illustrative, wherein the units described as separate parts may or may not be physically separate, and the parts displayed as units may or may not be physical units, may be located in one place, or may be distributed on a plurality of network units. Some or all of the modules can be selected according to actual needs to achieve the purpose of the scheme of the application. One of ordinary skill in the art can understand and implement it without inventive effort.
The above description is only exemplary of the present application and should not be taken as limiting the present application, as any modification, equivalent replacement, or improvement made within the spirit and principle of the present application should be included in the scope of protection of the present application.
Claims (10)
1. A physiological parameter monitoring method is characterized in that the method is applied to a monitoring center; the method comprises the following steps:
receiving a first message sent by wearable equipment, wherein the first message comprises a first state identifier representing a first state, an equipment identifier of the wearable equipment and a first physiological parameter;
analyzing the first message, and determining that a user wearing the wearable device is in the first state;
storing the first state of the user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identifier is used to identify the user.
2. The method according to claim 1, wherein the first message further includes a first sending time, and the storing the first state of the user, the user identifier corresponding to the device identifier, and the first physiological parameter includes:
and storing the corresponding relation among the first state, the user identification, the first physiological parameter and the first sending time.
3. The method of claim 1 or 2, further comprising:
receiving a second message sent by the wearable device, wherein the second message comprises a second state identifier representing a second state, a device identifier of the wearable device, and a second physiological parameter;
storing the second state in which the user is located, the user identification, and a second physiological parameter if it is determined that the surgical state is transitioning from the first state to the second state.
4. The method according to any of claims 1-3, wherein the second message further comprises a second transmission time, the method further comprising:
determining a first physiological parameter included in the first and last received first messages as a physiological parameter of a first state;
the storing the second state, the user identification, and the second physiological parameter in which the user is located includes:
and storing the corresponding relation between the second state, the user identification, the second physiological parameter and the second sending time.
5. The method according to claim 1, wherein if the first state is a preoperative state, the corresponding relationship between the device identifier and the user identifier is established when the first message is received.
6. The method of claim 1, wherein the display areas of the monitoring center comprise a preoperative display area, an intraoperative display area, and a postoperative display area, the method further comprising:
when the first state is a preoperative state, displaying the user identification and a first physiological parameter in the preoperative display area;
when the first state is an intraoperative state, displaying the user identification and a first physiological parameter in the intraoperative display area;
and when the first state is a post-operation state, displaying the user identification and the first physiological parameter in the post-operation display area.
7. The method of claim 1, further comprising: determining the physical condition of the user in combination with a second physiological parameter in other surgical states than the first state.
8. A physiological parameter monitoring method is applied to a wearable device, wherein the wearable device is used for acquiring a physiological parameter, and the method comprises the following steps:
receiving a first instruction for setting the wearable device in a first state;
sending a first message, wherein the first message contains a first state identifier representing the first state, a device identifier of the wearable device and a first physiological parameter, the first message is used for determining that a user wearing the wearable device is in the first state, and establishing a corresponding relation among the first state in which the user is, the user identifier corresponding to the device identifier and the first physiological parameter, and the user identifier is used for identifying the user.
9. A monitoring center, comprising:
the wearable device comprises a receiving unit, a sending unit and a processing unit, wherein the receiving unit is used for receiving a first message sent by the wearable device, and the first message comprises a first state identifier representing a first state, a device identifier of the wearable device and a first physiological parameter;
the analysis unit is used for analyzing the first message and determining that the user wearing the wearable device is in the first state;
the storage unit is used for storing the first state of the user, a user identifier corresponding to the equipment identifier and a first physiological parameter; wherein the user identifier is used to identify the user.
10. A wearable device for acquiring a physiological parameter, the wearable device comprising:
the wearable device comprises a setting unit, a display unit and a control unit, wherein the setting unit is used for receiving a first instruction for setting the wearable device to be in a first state;
the wearable device comprises a sending unit, a receiving unit and a processing unit, wherein the sending unit is used for sending a first message, the first message comprises a first state identifier representing the first state, a device identifier of the wearable device and a first physiological parameter, the first message is used for determining that a user wearing the wearable device is in the first state, and establishing a corresponding relation among the first state of the user, the user identifier corresponding to the device identifier and the first physiological parameter, and the user identifier is used for identifying the user.
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