CN115645660A - Process management system for hemodialysis - Google Patents
Process management system for hemodialysis Download PDFInfo
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- CN115645660A CN115645660A CN202211395165.4A CN202211395165A CN115645660A CN 115645660 A CN115645660 A CN 115645660A CN 202211395165 A CN202211395165 A CN 202211395165A CN 115645660 A CN115645660 A CN 115645660A
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- 238000001631 haemodialysis Methods 0.000 title claims abstract description 25
- 230000000322 hemodialysis Effects 0.000 title claims abstract description 25
- 238000000034 method Methods 0.000 title claims abstract description 18
- 230000008569 process Effects 0.000 title claims description 7
- 238000012544 monitoring process Methods 0.000 claims abstract description 22
- 230000036760 body temperature Effects 0.000 claims abstract description 21
- 230000008921 facial expression Effects 0.000 claims abstract description 12
- 238000000502 dialysis Methods 0.000 claims description 31
- 238000007726 management method Methods 0.000 claims description 15
- 238000000108 ultra-filtration Methods 0.000 claims description 15
- 208000001953 Hypotension Diseases 0.000 claims description 14
- 230000002159 abnormal effect Effects 0.000 claims description 9
- 230000036543 hypotension Effects 0.000 claims description 9
- 238000007405 data analysis Methods 0.000 claims description 6
- 230000004044 response Effects 0.000 claims description 6
- 230000035487 diastolic blood pressure Effects 0.000 claims description 4
- 230000035488 systolic blood pressure Effects 0.000 claims description 4
- 238000013500 data storage Methods 0.000 claims description 3
- 230000000004 hemodynamic effect Effects 0.000 claims description 3
- 208000021822 hypotensive Diseases 0.000 description 5
- 230000001077 hypotensive effect Effects 0.000 description 5
- 230000033764 rhythmic process Effects 0.000 description 4
- 238000010586 diagram Methods 0.000 description 3
- 208000010496 Heart Arrest Diseases 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 238000013479 data entry Methods 0.000 description 2
- 230000000246 remedial effect Effects 0.000 description 2
- 230000004075 alteration Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000036772 blood pressure Effects 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 230000035484 reaction time Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
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Abstract
The invention discloses a hemodialysis flow management system, which comprises a server, a plurality of patient control ends, a plurality of doctor control ends, a plurality of nurse control ends and a monitoring terminal, wherein the server is respectively connected with each patient control end, each doctor control end, each nurse control end and the monitoring terminal; according to the method, when a patient is subjected to hemodialysis, firstly, the information of normal expression of the patient is acquired according to the facial expression acquisition module, the threshold value of normal body temperature of the patient is set by the body temperature acquisition module, and normal MAP data of the patient is set by the MAP acquisition module.
Description
Technical Field
The invention relates to the technical field of hemodialysis, in particular to a process management system for hemodialysis.
Background
Blood is drawn out of the body and passed through an extracorporeal circulation device with a dialyzer to remove harmful substances and water from the blood, i.e. hemodialysis, where there is a risk of potential hypotension due to the condition of the patient himself OR the influence of the external environment, etc., but the current routine patient monitoring for hypotension in the OR and ICU settings may include continuous OR periodic blood pressure measurements.
However, such monitoring, whether performed continuously or periodically, typically provides only real-time assessment, and as a result, hypotension in hemodialysis is typically only detected after it begins to occur in the patient, and therefore remedial measures and intervention cannot be initiated until the patient enters a hypotensive state, but even relatively mild hypotensive levels may present some risk of cardiac arrest and the like at the time of hemodialysis, and in view of this, a solution that can predict future hypotensive events before they occur is highly desirable.
Disclosure of Invention
The present invention is directed to a hemodialysis procedure management system that solves the problems of the related art.
In order to achieve the purpose, the invention provides the following technical scheme: flow management system for hemodialysis, including server, a plurality of patient control end, a plurality of doctor control end, a plurality of nurse control end and monitor terminal, each patient control end, each doctor control end, each nurse control end and monitor terminal are connected respectively to the server, monitor terminal still includes data entry module, data analysis module, data acquisition module and data storage module, data acquisition module still includes MAP data acquisition module, body temperature acquisition module and facial expression acquisition module, patient control end still includes alarm module, and alarm module is used for sending alarm signal to setting for nurse control end or doctor control end.
Preferably, the MAP data acquisition module determines the MAP data for hemodynamic signals configured on a patient control side, MAP is used to assess a trend of hypotension in the patient, and an alarm module on the patient control side is enabled if the patient risk score meets a predetermined risk criterion.
Preferably, the MAP = SP 2 -2DP, wherein SP is systolic pressure, DP is diastolic pressure and SP and DP can be measured by a sphygmomanometer.
Preferably, body temperature collection module adopts intelligent clinical thermometer, facial expression collection module adopts including an at least camera, and intelligent clinical thermometer and camera all with patient control end, doctor control end and nurse control end are connected.
Preferably, the monitoring terminal further comprises a control command corresponding to the dialysis terminal; if the expression of the patient is uncomfortable, and/or the question of the patient is abnormal, and/or the MAP value is abnormal, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; and if the expression of the patient is normal after the ultrafiltration is stopped, the body temperature of the patient is normal and the MAP value of the patient is normal, generating a control signal for controlling the corresponding dialysis terminal to recover the dialysis.
Preferably, the data acquisition module further comprises a heart rate acquisition module, and the heart rate acquisition module is used for acquiring heart rate information of the patient; the server is used for generating a control signal sent to the corresponding dialysis terminal according to the heart rate information of the patient obtained by the heart rate obtaining module, and sending an alarm signal to the corresponding doctor control end or/and nurse control end when needed; and when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, an alarm signal is sent to the corresponding doctor control end or/and nurse control end.
Preferably, the server acquires the heart rate information of the patient according to the heart rate acquisition module, and when the heart rate of the patient acquired by the heart rate acquisition unit is greater than 100 times/minute or less than 60 times/minute, sends an alarm signal to a corresponding doctor control end or/and nurse control end, and generates a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; and if the expression of the patient is normal after the ultrafiltration is stopped, the body temperature of the patient is normal, the MAP value of the patient is normal, and the heart rate is 60-100 times/minute, generating a control signal for controlling the corresponding dialysis terminal to recover the dialysis.
Preferably, the heart rate acquisition module adopts a heart rate tester, and the heart rate tester is electrically connected with the monitoring terminal.
Preferably, the attending physician can receive the information through the physician control end of the attending physician, and can send the specific medical order scheme to the corresponding nurse control end through the physician control end of the attending physician on the system interface for the responsibility nurse to execute, and the responsibility nurse can receive the specific medical order scheme through the nurse control end of the attending physician and execute the medical order; the nurse control end can remotely talk with the corresponding doctor control end.
Preferably, the data acquisition process includes: setting the acquisition cycle of the data acquisition module to be T, namely acquiring basic body data of a patient at intervals of T, after receiving data information sent by the data analysis module, the monitoring terminal sends the data information to a doctor control terminal, a nurse control terminal and a mobile phone terminal of an emergency contact, wherein the doctor control terminal, the nurse control terminal and the mobile phone terminal of the emergency contact need to confirm the data information within a set response time T1; when the set response time T1 is exceeded, the doctor control end, the nurse control end and the mobile phone end of the emergency contact do not confirm the information, and the alarm module gives an alarm or dials an emergency call.
Compared with the prior art, the invention has the beneficial effects that:
according to the method, when a patient is subjected to hemodialysis, firstly, the information of normal expression of the patient is acquired according to the facial expression acquisition module, the threshold value of normal body temperature of the patient is set by the body temperature acquisition module, and normal MAP data of the patient is set by the MAP acquisition module.
Drawings
FIG. 1 is a schematic diagram of an execution system according to the present invention;
FIG. 2 is a schematic diagram of a monitoring terminal system according to the present invention;
FIG. 3 is a schematic diagram of a data acquisition module system according to the present invention;
FIG. 4 is a schematic view of the SP-DP parabolic structure of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be obtained by a person skilled in the art without making any creative effort based on the embodiments in the present invention, belong to the protection scope of the present invention.
Referring to fig. 1-3, the present invention provides a technical solution: the flow management system for hemodialysis comprises a server, a plurality of patient control ends, a plurality of doctor control ends, a plurality of nurse control ends and a monitoring terminal, wherein the server is respectively connected with the patient control ends, the doctor control ends, the nurse control ends and the monitoring terminal, the monitoring terminal further comprises a data entry module, a data analysis module, a data acquisition module and a data storage module, the data acquisition module further comprises an MAP data acquisition module, a body temperature acquisition module and a facial expression acquisition module, the patient control ends further comprise an alarm module, the alarm module is used for sending alarm signals to the set nurse control ends or/and the doctor control ends, the MAP data acquisition module determines MAP data for hemodynamic signals configured on the patient control ends, the MAP is used for evaluating the hypotension trend of a patient, and if the risk score of the patient meets a preset risk standard, the alarm module on the patient control ends is started.
When patient hemodialysis, at first gather the information of patient's normal expression according to facial expression collection module, utilize body temperature collection module to set for patient normal body temperature's threshold, utilize MAP collection module to set for patient's normal MAP data, can pass through the data acquisition system on the monitor terminal, can collect patient's facial expression, body temperature and MAP data, and then can judge whether the patient can appear hypotensive trend, can begin remedial measures and intervene before the patient gets into the hypotensive state, avoid when hemodialysis because some risks such as cardiac arrest take place for the hypotension.
Wherein, MAP = SP 2 -2DP, wherein SP is systolic pressure, DP is diastolic pressure, and SP and DP can be measured by a sphygmomanometer.
Wherein, DP is also called diastolic pressure, also called the lower pressure, its normal value is 60-90mmHg, SP is the systolic pressure in blood pressure, also called the upper pressure, its normal value is 90-140mmHg, according to parabola and its standard equation, consider SP as X direction, consider DP as Y direction, MAP = X 2 2Y and a parabola is made, which can be seen in an upwardly open increasing fashion.
Taking SP as 90, taking DP as 60 in the normal range, and calculating to obtain MAP as 7980;
taking SP as 100, taking DP as 80, and calculating to obtain MAP as 9840;
therefore, according to the parabola, when the MAP value is smaller and smaller, the patient can be judged to have a tendency of hypotension, and signals can be transmitted to the doctor control end and the nurse control end in time through the monitoring terminal, and meanwhile, the control signal for controlling the dialysis machine to stop ultrafiltration is utilized by the control command of the monitoring terminal corresponding to the dialysis terminal.
In the implementation system, the maximum and minimum values of MAP are set by the server, and a prediction can be made in advance of the patient's hypotension based on the change in MAP values.
Wherein, body temperature collection module adopts intelligent clinical thermometer, and facial expression collection module adopts including an at least camera, and intelligent clinical thermometer and camera all are connected with patient control end, doctor control end and nurse control end.
The monitoring terminal also comprises a control command corresponding to the dialysis terminal; if the expression of the patient is uncomfortable, and/or the question of the patient is abnormal, and/or the MAP value is abnormal, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; and if the expression of the patient is normal after the ultrafiltration is stopped, the body temperature of the patient is normal, and the MAP value of the patient is normal, generating a control signal for controlling the dialysis terminal to recover dialysis.
In the process of dialysis of a patient, when the patient has any one of the conditions of abnormal facial expression, abnormal body temperature and abnormal MAP value, or two conditions, or three conditions, the monitoring terminal can control the control signal corresponding to the dialysis terminal to stop ultrafiltration through the server.
The data acquisition module further comprises a heart rate acquisition module, and the heart rate acquisition module is used for acquiring heart rate information of the patient; the server is used for acquiring the heart rate information of the patient according to the heart rate acquisition module, generating a control signal sent to the corresponding dialysis terminal and sending an alarm signal to the corresponding doctor control terminal or/and nurse control terminal when needed; and when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, an alarm signal is sent to the corresponding doctor control end or/and nurse control end.
The server acquires the heart rate information of the patient according to the heart rate acquisition module, sends an alarm signal to a corresponding doctor control end or/and nurse control end when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, and generates a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; and if the expression of the patient is normal after the ultrafiltration is stopped, the body temperature of the patient is normal, the MAP value of the patient is normal, and the heart rate is 60-100 times/minute, generating a control signal for controlling the corresponding dialysis terminal to recover the dialysis.
Wherein, heart rate acquisition module adopts heart rate tester, and heart rate tester and monitor terminal electric connection.
This is that patient's rhythm of the heart threshold is 60-100 times/minute as patient's rhythm of the heart through the server, and not in 60-100 times/minute within range, then the control signal that control corresponds dialysis terminal and stops the ultrafiltration, sets up rhythm of the heart collection module through increasing, can increase the collection to patient's crowded basic data, increases the accuracy of judging, only satisfies facial expression simultaneously, the body temperature is normal, MAP data and rhythm of the heart are all normal when, corresponds the control signal that dialysis terminal just resumes the dialysis.
The attending physician can receive information through the physician control end of the attending physician, and can send a specific medical advice scheme to the corresponding nurse control end through the physician control end of the attending physician on the system interface for the responsibility nurse to execute, and the responsibility nurse can receive the specific medical advice scheme through the nurse control end of the attending physician and execute medical advice; the nurse control terminal can remotely talk with the corresponding doctor control terminal.
Wherein, the collection process of data includes: setting the acquisition cycle of the data acquisition module to be T, namely acquiring basic body data of a patient at intervals of T, after receiving data information sent by the data analysis module, sending the data information to a doctor control end, a nurse control end and a mobile phone end of an emergency contact person by a monitoring terminal, wherein the doctor control end, the nurse control end and the mobile phone end of the emergency contact person need to confirm the data information within a set response time T1; when the set response time T1 is exceeded, the doctor control end, the nurse control end and the mobile phone end of the emergency contact do not confirm the information, and the alarm module sends an alarm to make an emergency call.
The data acquisition period T is 30-60 seconds, the reaction time T1 is set to be 160-180 seconds, and when no person confirms, the alarm module gives an alarm or dials a first-aid call to rescue the patient in time.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that various changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (10)
1. A hemodialysis procedure management system comprising: the system comprises a server, a plurality of patient control ends, a plurality of doctor control ends, a plurality of nurse control ends and a monitoring terminal, wherein the server is respectively connected with each patient control end, each doctor control end, each nurse control end and the monitoring terminal;
the monitoring terminal also comprises a data input module, a data analysis module, a data acquisition module and a data storage module;
the data acquisition module further comprises an MAP data acquisition module, a body temperature acquisition module and a facial expression acquisition module;
the patient control end further comprises an alarm module, and the alarm module is used for sending alarm signals to the set nurse control end or/and the doctor control end.
2. The hemodialysis procedure management system according to claim 1, wherein: the MAP data acquisition module determines the MAP data for hemodynamic signals configured on a patient control side, MAP is used to assess a patient's tendency to hypotension, and an alarm module on the patient control side is enabled if a patient risk score meets predetermined risk criteria.
3. The hemodialysis procedure management system according to claim 2, wherein: the MAP = SP 2 -2DP, wherein SP is systolic pressure, DP is diastolic pressure and SP and DP can be measured by a sphygmomanometer.
4. The hemodialysis procedure management system according to claim 3, wherein: body temperature collection module adopts intelligent clinical thermometer, facial expression collection module adopts including an at least camera, and intelligent clinical thermometer and camera all with patient control end, doctor control end and nurse control end are connected.
5. The flow management system for hemodialysis according to claim 4, comprising: the monitoring terminal also comprises a control command corresponding to the dialysis terminal; if the expression of the patient is uncomfortable, and/or the question of the patient is abnormal, and/or the MAP value is abnormal, generating a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; and if the expression of the patient is normal after the ultrafiltration is stopped, the body temperature of the patient is normal and the MAP value of the patient is normal, generating a control signal for controlling the corresponding dialysis terminal to recover the dialysis.
6. The hemodialysis procedure management system according to claim 5, wherein: the data acquisition module also comprises a heart rate acquisition module, and the heart rate acquisition module is used for acquiring heart rate information of the patient; the server is used for generating a control signal sent to the corresponding dialysis terminal according to the heart rate information of the patient obtained by the heart rate obtaining module, and sending an alarm signal to the corresponding doctor control end or/and nurse control end when needed; and when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, sending an alarm signal to a corresponding doctor control end or/and nurse control end.
7. The hemodialysis procedure management system according to claim 6, wherein: the server acquires the heart rate information of the patient according to the heart rate acquisition module, and sends an alarm signal to a corresponding doctor control end or/and nurse control end when the heart rate of the patient acquired by the heart rate acquisition unit is more than 100 times/minute or less than 60 times/minute, and generates a control signal for controlling the corresponding dialysis terminal to stop ultrafiltration; and if the expression of the patient is normal after the ultrafiltration is stopped, the body temperature of the patient is normal, the MAP value of the patient is normal, and the heart rate is 60-100 times/minute, generating a control signal for controlling the corresponding dialysis terminal to recover the dialysis.
8. The hemodialysis procedure management system according to claim 7, wherein: the heart rate acquisition module adopts a heart rate tester, and the heart rate tester is electrically connected with the monitoring terminal.
9. The hemodialysis procedure management system according to claim 1, wherein: the main doctor can receive information through the doctor control end of the main doctor, and can send a specific order scheme to the corresponding nurse control end through the doctor control end of the main doctor on a system interface for a responsibility nurse to execute, and the responsibility nurse can receive the specific order scheme through the nurse control end of the responsibility nurse and execute the order; the nurse control end can remotely talk with the corresponding doctor control end.
10. The flow management system for hemodialysis according to any one of claims 1 to 9, wherein: the data acquisition process comprises the following steps: setting the acquisition cycle of the data acquisition module to be T, namely acquiring basic body data of a patient at intervals of T, after receiving data information sent by the data analysis module, the monitoring terminal sends the data information to a doctor control terminal, a nurse control terminal and a mobile phone terminal of an emergency contact, wherein the doctor control terminal, the nurse control terminal and the mobile phone terminal of the emergency contact need to confirm the data information within a set response time T1; when the set response time T1 is exceeded, the doctor control end, the nurse control end and the mobile phone end of the emergency contact do not confirm the information, and the alarm module gives an alarm or dials an emergency call.
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| CN202211395165.4A CN115645660A (en) | 2022-11-09 | 2022-11-09 | Process management system for hemodialysis |
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| CN202211395165.4A CN115645660A (en) | 2022-11-09 | 2022-11-09 | Process management system for hemodialysis |
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Application publication date: 20230131 |