CN116712275A - Patient risk monitoring method, device and system based on operating bed - Google Patents

Patient risk monitoring method, device and system based on operating bed Download PDF

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Publication number
CN116712275A
CN116712275A CN202310661251.3A CN202310661251A CN116712275A CN 116712275 A CN116712275 A CN 116712275A CN 202310661251 A CN202310661251 A CN 202310661251A CN 116712275 A CN116712275 A CN 116712275A
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target
pressure
patient
bearing
information
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毕磊
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Shenzhen Comen Medical Instruments Co Ltd
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Shenzhen Childrens Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, 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
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A61B5/02055Simultaneously evaluating both cardiovascular condition and temperature
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/103Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/1036Measuring load distribution, e.g. podologic studies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14542Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient ; user input means
    • A61B5/746Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/121Head or neck
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1225Back
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/123Lower body, e.g. pelvis, hip, buttocks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G13/00Operating tables; Auxiliary appliances therefor
    • A61G13/10Parts, details or accessories
    • A61G13/12Rests specially adapted therefor; Arrangements of patient-supporting surfaces
    • A61G13/1205Rests specially adapted therefor; Arrangements of patient-supporting surfaces for specific parts of the body
    • A61G13/1245Knees, upper or lower legs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/30General characteristics of devices characterised by sensor means
    • A61G2203/34General characteristics of devices characterised by sensor means for pressure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G2203/00General characteristics of devices
    • A61G2203/30General characteristics of devices characterised by sensor means
    • A61G2203/46General characteristics of devices characterised by sensor means for temperature

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  • Heart & Thoracic Surgery (AREA)
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  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

The embodiment of the application discloses a patient risk monitoring method based on an operating table, which comprises the following steps: receiving the working environment information of an operating bed; the operating bed comprises a plurality of compression areas, and the working environment information at least comprises compression force data corresponding to the compression areas; determining a target bearing time threshold corresponding to a target bearing area in the plurality of bearing areas according to the working environment information and preset comparison information; acquiring pressure maintenance time corresponding to the target pressure-bearing area according to the working environment information; and outputting early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value. The embodiment of the application discloses a method for monitoring the risk of a patient in operation and timely early warning the risk to remind medical staff to take measures to reduce the risk.

Description

Patient risk monitoring method, device and system based on operating bed
Technical Field
The application relates to the technical field of medical treatment, in particular to a vital sign monitoring method based on an operating table, a patient risk monitoring device based on the operating table and a patient risk monitoring system based on the operating table.
Background
The traditional operation table provides sufficient surgical field exposure for clinic, so that the operation can be smoothly performed. Nursing during the period, medical staff adjusts the body position of the patient according to the surgical field requirement in preoperative operation so as to meet the surgical body position requirement. When a patient is required to maintain the desired posture for surgery for a long period of time passively, especially under general anesthesia, the patient loses self-protective response, which is liable to cause unnecessary physical damage and complications to the patient.
Thus, there is a need to monitor the risk that a patient is in a particular posture for a long period of time during surgery.
Disclosure of Invention
Therefore, in order to overcome at least part of the defects and problems in the prior art, the embodiment of the application provides a vital sign monitoring method based on an operating table, a patient risk monitoring device based on the operating table and a patient risk monitoring system based on the operating table, which can monitor the risk of a patient in operation and early warn in time to remind medical staff to take measures to reduce the risk.
Specifically, in one aspect, an embodiment of the present application provides a patient risk monitoring method based on an operating table, including: receiving the working environment information of an operating bed; the operating bed comprises a plurality of compression areas, and the working environment information at least comprises compression force data corresponding to the compression areas; determining a target bearing time threshold corresponding to a target bearing area in the plurality of bearing areas according to the working environment information and preset comparison information; acquiring pressure maintenance time corresponding to the target pressure-bearing area according to the working environment information; and outputting early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value.
In one embodiment, the preset comparison information is a function of the magnitude of the compression force and the maximum compression time.
In one embodiment, the predetermined control information is a function of the maintenance time of the prescribed compression force as a function of the degree of patient damage.
In one embodiment, the target bearing time period threshold includes a first target threshold and a second target threshold, the first target threshold being less than the second target threshold; the outputting the early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value comprises the following steps: and outputting first early warning information when the pressure maintaining time corresponding to the target pressed area reaches the first target threshold value, and outputting second early warning information when the pressure maintaining time corresponding to the target pressed area reaches the second target threshold value, wherein the second early warning information is different from the first early warning information.
In one embodiment, the pre-warning information includes zone location information of the target compression zone.
In one embodiment, the operating environment information includes patient skin temperature; the early warning information also comprises the skin temperature of the patient; and/or the working environment information further comprises patient percutaneous oxygen partial pressure; the early warning information also comprises the percutaneous oxygen partial pressure of the patient; and/or the work environment information further includes patient transcutaneous carbon dioxide partial pressure; the pre-warning information also includes the partial pressure of the patient's transcutaneous carbon dioxide.
In one embodiment, the obtaining the pressure maintenance time corresponding to the target pressure-bearing area according to the working environment information includes: updating the compression force data corresponding to the target compression area according to a preset period; comparing the updated compression force data with the compression force data before updating; accumulating the pressure maintaining time of the target pressure-bearing area when the difference value between the updated pressure-bearing force data and the pressure-bearing force data before updating is within a preset difference value range; and when the difference value between the updated compression force data and the pre-updated compression force data exceeds a preset difference value range, the pressure maintaining time is reset to zero.
In one embodiment, the patient risk monitoring method based on the operating table further comprises: and controlling a display unit to display the working environment information of the operating bed.
Another embodiment of the present application also provides a patient risk monitoring device based on an operating table, including: the information receiving module is used for receiving the working environment information of the operating bed; the operating bed comprises a plurality of compression areas, and the working environment information at least comprises compression force data corresponding to the compression areas; the time length threshold determining module is used for determining a target bearing time length threshold corresponding to a target bearing area in the plurality of bearing areas according to the working environment information and preset comparison information; the pressure maintaining time acquisition module is used for acquiring the pressure maintaining time corresponding to the target pressure receiving area according to the working environment information; and the early warning information output module is used for outputting early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value.
The embodiment of the application also provides a patient risk monitoring system based on an operating table, which comprises a processor and a memory connected with the processor, wherein the memory stores instructions executed by the processor, and the instructions enable the processor to execute operations to perform any one of the patient risk monitoring methods based on the operating table.
As can be seen from the above, the above embodiments of the present application can achieve one or more of the following advantages: when a patient is in a specific body position for a long time, all parts of the body, which are in contact with the operating table, are pressed, in the embodiment, by monitoring a plurality of pressed areas of the operating table, when the pressure maintaining time corresponding to the target pressed areas reaches the target pressure bearing time threshold, early warning information is output, and the early warning information can be used for controlling the alarm unit to give an alarm to remind medical staff to pay attention to the part of the patient in the pressed state for a long time and to carry out manual or automatic adjustment, so that the risk of pressure injury or other complications in the operation of the patient can be reduced.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings required for the description of the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present application, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a flow chart of a patient risk monitoring method based on an operating table according to an embodiment of the present application.
FIG. 2 is a graph showing the magnitude of compression force as a function of maximum compression time according to an embodiment of the present application.
FIG. 3 is a graph showing the maintenance time of a given compression force as a function of the degree of patient damage in one embodiment of the present application.
Fig. 4 is a schematic structural diagram of a patient risk monitoring system based on an operating table according to an embodiment of the present application.
Fig. 5 is a schematic diagram of the structure of a mattress in the patient risk monitoring system based on the operating table shown in fig. 4.
Fig. 6 is a schematic structural diagram of a patient risk monitoring device based on an operating table according to an embodiment of the present application.
Fig. 7 is a schematic structural diagram of a patient risk monitoring system based on an operating table according to another embodiment of the present application.
Fig. 8 is a schematic structural diagram of a computer readable medium according to an embodiment of the present application.
Detailed Description
In order that the above objects, features and advantages of the application will be readily understood, a more particular description of the application will be rendered by reference to the appended drawings.
In order that those skilled in the art will better understand the technical solutions of the present application, the technical solutions of the embodiments of the present application will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present application, and it is apparent that the described embodiments are only some embodiments of the present application, not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the present application without making any inventive effort, shall fall within the scope of the present application.
It should be noted that the terms "first," "second," and the like in the description and the claims of the present application and the above figures are used for distinguishing between similar objects and not necessarily for describing a particular sequential or chronological order. It is to be understood that the terms so used are interchangeable under appropriate circumstances such that the embodiments of the application described herein are capable of operation in sequences other than those illustrated or otherwise described herein. Furthermore, the terms "comprises," "comprising," and "having," and any variations thereof, are intended to cover a non-exclusive inclusion, such that a process, method, system, article, or apparatus that comprises a list of steps or elements is not necessarily limited to those steps or elements expressly listed but may include other steps or elements not expressly listed or inherent to such process, method, article, or apparatus.
It should be further noted that the division of the embodiments in the present application is only for convenience of description, and should not be construed as a specific limitation, and features in the various embodiments may be combined and mutually referenced without contradiction.
[ first embodiment ]
Referring to fig. 1, a first embodiment of the present application provides a patient risk monitoring method based on an operating table, including steps S1 to S4.
Step S1: receiving the working environment information of an operating bed; the operating bed comprises a plurality of compression areas, and the working environment information at least comprises compression force data corresponding to the compression areas.
Step S2: determining a target bearing time threshold corresponding to a target bearing area in the plurality of bearing areas according to the working environment information and preset comparison information;
step S3: acquiring pressure maintenance time corresponding to the target pressure-bearing area according to the working environment information;
step S4: and outputting early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value.
In step S1, a plurality of compression areas of the operating table correspond to respective portions of the patient contacting the operating table, for example, the patient lies on the operating table, the plurality of compression areas of the operating table include a head area, an upper back area, a lower back area, a hip area, a leg area, and the like corresponding to the head of the patient, the plurality of compression areas are divided according to the bed body structure of the operating table, and the operating tables of different structures are classified according to different areas, which is not illustrated in this embodiment. The compression force data corresponding to a compression area can be, for example, distribution data of the compression area subjected to the pressure of a patient, or a maximum pressure value or an average pressure value of the compression area subjected to the pressure of the patient, or information which can be used for representing the compression condition of the compression area, such as the compression level of the compression area.
The target compression region may be any one of the plurality of compression regions, that is, steps S2 to S4 may be performed corresponding to all of the plurality of compression regions. According to the working environment information, the compression state of the target compression area and vital signs of a patient can be digitally embodied, and the method is more visual. The target bearing time period threshold value determined according to the difference of the corresponding bearing force data of different bearing areas in the plurality of bearing areas can be different, and can be the same.
In step S3, the pressure maintaining time corresponding to the target pressure-receiving area refers to the time when the pressure-receiving force data of the target pressure-receiving area is maintained or changed little. Step S3 may specifically include: updating the compression force data corresponding to the target compression area according to a preset period; comparing the updated compression force data with the compression force data before updating; accumulating the pressure maintaining time of the target pressure-bearing area when the difference value between the updated pressure-bearing force data and the pressure-bearing force data before updating is within a preset difference value range; and when the difference value between the updated compression force data and the pre-updated compression force data exceeds a preset difference value range, the pressure maintaining time is reset to zero.
The difference between the updated compression force data and the pre-updated compression force data is the variation of the compression force data, if the variation is within the preset difference range, the compression force data of the target compression area can be considered to be unchanged or changed very little, and the position of the patient corresponding to the target compression area can be considered to be unchanged, so that the accumulated pressure maintaining time is needed. If the variation exceeds the preset difference range, the pressure data of the target pressure receiving area can be considered to be greatly changed, and the position of the part of the patient corresponding to the target pressure receiving area can be considered to be changed, and the pressure before the part is relieved, so that the maintenance time of the current pressure receiving data (namely the updated pressure receiving data) is required to be re-determined after the maintenance time of the pressure is reset to zero. For example, the pre-update compression force is P0, the preset difference range is ±x, and the post-update compression force data (including the end value) between, for example, P0-x and p0+x can be considered as the compression force data of the corresponding target compression region to be kept unchanged or have small variation. And when the updated compression force data is smaller than P0-x or larger than P0+x, the compression force data of the target compression area is considered to be changed greatly, the position of the part of the patient corresponding to the compression area is considered to be changed, and the pressure before the part is relieved.
The target area may be any one of the multiple pressed areas, and the early warning information is output in step S4, that is, when the pressure maintaining time of any one of the multiple pressed areas reaches the target pressure bearing duration threshold. And outputting early warning information when the pressure maintaining time of the plurality of pressure bearing areas reaches the target pressure bearing time threshold value.
For example, the working environment information received in step S1 includes first compression force data of the first compression region, and second compression force data of the second compression region. In step S2, it is determined that the target bearing duration threshold corresponding to the first pressed region is t1, and the target bearing duration threshold corresponding to the second pressed region is t2. In step S3, it is determined that the pressure maintaining time of the first pressure-receiving area is tw1, and the pressure maintaining time of the second pressure-receiving area is tw2. When tw1 reaches t1, the early warning information needs to be output, and when tw2 reaches t2, the early warning information needs to be output, so that the early warning information and the early warning information do not interfere with each other.
When a patient is required to keep the body position required by an operation for a long time passively during the operation, particularly under general anesthesia, the patient loses self-protection reaction, and medical staff cannot intuitively know which parts of the patient have the risk of pressure damage. The early warning information can be displayed by the early warning information control display unit or the alarm unit alarms in a sounding or luminous mode, and prompts are sent to medical staff, so that the medical staff can timely learn the states of all parts of a patient according to the prompts corresponding to the early warning information, and even if corresponding measures are taken, the risk of pressure injury or other complications of the patient due to the fact that the patient is in a specific body position for a long time is reduced.
The early warning information comprises, for example, area position information of the target compression area, so that the controllable display unit can display the area position information of the target compression area, and the like, and the medical staff can directly adjust the body position of the part of the patient in the target compression area according to the area position information. The operation is more convenient.
In some embodiments, the predetermined comparison information is a function of the magnitude of the compression force (i.e., the pressure level) as a function of the maximum compression time. Referring to fig. 2, the ordinate of any point in the function in fig. 2 is the magnitude of the compression force, and the abscissa is the maximum compression time corresponding to the magnitude of the compression force. For example, the pressure level of the first pressure-bearing area is a level, and when the first pressure-bearing area is maintained at the a level for d minutes, early warning information is output. Or if the pressure level of the second pressure-bearing area is b-level, outputting early warning information after the second pressure-bearing area is maintained at b-level for e minutes.
In other embodiments, the predetermined control information is a function of the maintenance time of the prescribed compression force as a function of the degree of patient damage. For example, referring to fig. 3, the abscissa of any point in the function of fig. 3 is the maintenance time of a given compression force, and the ordinate is the patient's injury level corresponding to the maintenance time, e.g., the patient's injury level increases more slowly with time in the period a of fig. 3, and more rapidly with time after the period b is reached. Therefore, the corresponding target bearing time threshold value can be determined according to the damage degree of the patient, and the hand damage degree of the patient is ensured to be lower. The preset control information comprises various compression forces as a function of the maintenance time of the specified compression force and the damage degree of the patient.
More specifically, the target bearing time period threshold includes a first target threshold and a second target threshold, the first target threshold being less than the second target threshold; the outputting the early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value comprises the following steps: and outputting first early warning information when the pressure maintaining time corresponding to the target pressed area reaches the first target threshold value, and outputting second early warning information when the pressure maintaining time corresponding to the target pressed area reaches the second target threshold value, wherein the second early warning information is different from the first early warning information. For example, when the functional relationship between the maintaining time of the compression force corresponding to the compression force of the target compression area and the damage degree of the patient is shown in fig. 3, the first target threshold may be T1, the second target threshold may be T2, and when the pressure maintaining time corresponding to the target compression area reaches T1, the first early warning information is output, where the first early warning information is applied to a milder alarm for reminding the medical staff. And outputting second early warning information when the pressure maintaining time corresponding to the target pressure-bearing area reaches T2, wherein the second early warning information is used for warning medical staff in a relatively urgent manner. The first early warning information and the second early warning information are different, so that medical staff can acquire different conditions of a patient at different stages. In actual operation, for example, when the pressure maintenance time reaches T1, the operation is at a key node, the whole position of the patient cannot be adjusted, at this time, medical staff can know that the pressed time of the patient is longer and the whole position is required to be adjusted but is temporarily not adjusted, and when the pressure maintenance time reaches T2, the position of the patient is adjusted after receiving the corresponding prompt of the second early warning information.
In some embodiments, the operating environment information of the operating table may also include vital sign parameters of the patient, such as patient skin temperature, patient partial pressure of transcutaneous oxygen (TcPO 2), and patient partial pressure of transcutaneous carbon dioxide (TcPCO 2), among others. The pre-warning information may also include vital sign parameters of the patient, and may include a combination of one or more of these. Clinical experiments show that the pressure of normal skin capillary vessels is 2.1-4.4 kPa, and the pressure exceeds the pressure, so that the blood flow perfusion of the capillary vessels to tissues can be blocked, and the hypoxia of the tissues is caused. If the pressure is longer than 10.74kPa (more than 3 times the average pressure of capillary vessels), the tissue circulation is blocked, the superficial tissue is not sufficiently supplied with blood for a long time, and the tissue destruction and pressure ulcer are caused. Through experiments, human tissues are possibly damaged under the pressure of 3.99 kPa. Without protective measures, the human tissue is subjected to a pressure of 4.67kPa for 4 hours without changing the posture, while if the pressure is increased to 9.33kPa, the safety time is shortened to 2 hours. By using TcPCO2 and TcPO2 technical parameters, tcPO2CV is calculated, when the pressure is more than or equal to 70mmHg and the duration is more than or equal to 2 hours or the TcPO2CV is more than or equal to 20 percent, the TcPO2 variation coefficient (coefficient of variation, CV) is a variable independent risk factor for judging the microcirculation of human tissues, and the potential complication possibility of the perioperative period is early warned by combining the physical characteristic technical parameters. Therefore, the embodiment combines vital sign parameters of various patients for better reference by medical staff.
In some embodiments, the method further includes step S5, where the control display unit displays the working environment information of the operating table, for example, the control display unit displays a cloud chart of pressure distribution of a plurality of pressure areas, a patient body temperature, a patient percutaneous oxygen partial pressure, a patient percutaneous carbon dioxide partial pressure, etc., and after outputting the early warning information, the medical staff receives the alarm and can determine whether to adjust the body position of the patient corresponding to the target pressure area according to the displayed working environment information in combination with actual conditions or clinical experience.
In summary, referring to fig. 4, the patient risk monitoring system 100 based on an operating table according to the embodiment of the present application further includes an operating table 10, a monitoring unit 20, a control unit 30, an alarm unit 40, a display unit 50, an input unit 60, and the like.
Wherein, the operation table 10 comprises a mattress 11 for supporting a patient, the mattress 11 can select different shapes according to different postures of the patient during different operations, for example, the patient needs to lie on the operation table in a lateral lying manner, and then the mattress 11 with the shape matching with the lateral lying shape of a human body can be selected. For example, if the patient is lying on his or her prone position on the operating table, the mattress 11 may be selected to have a shape that matches the prone shape of the human body. The surgical bed 10 includes a plurality of compression zones, such as a head zone, an upper back zone, a lower back zone, a buttock zone, a leg zone, etc., corresponding to a patient's head.
The monitoring unit 20 is electrically connected to the control unit 30, and is configured to monitor information of a working environment of the operating table and output the information to the control unit 30. The monitoring unit 30 includes, for example, a pressure sensor 31, and the pressure sensor 31 may include a plurality of pressure sensor arrays, such as a head pressure sensor array, an upper back pressure sensor array, a lower back pressure sensor array, a buttock pressure sensor array, a leg pressure sensor array, and the like, respectively corresponding to a plurality of pressure receiving areas, each pressure sensor array having, for example, an ID corresponding to a position of the respective pressure receiving area. Wherein the array of pressure sensors may be disposed within mattress 11. The pressure sensor 31 may be a film type pressure sensor.
The monitoring unit 20 further comprises, for example, a temperature sensor 32 for monitoring the skin temperature of the patient.
The monitoring unit 20 also includes, for example, tcPO2 or TcPCO2 for monitoring the patient's partial pressure of transcutaneous oxygen (TcPO 2) and the patient's partial pressure of transcutaneous carbon dioxide (TcPCO 2).
In some embodiments, referring to fig. 5, mattress 11 includes a first protective layer 111, a pressure sensing element 31, a support pad 113, a temperature sensor 32, and a second protective layer 115 laminated in sequence. The patient is in contact with the second protective layer 115 and the temperature sensor 32 can monitor the temperature of the patient's skin. The pressure sensing member 31 is disposed under the support pad 113, and thus pressure distribution can be achieved. The first protective layer 111 and the second protective layer 115 may be leather or other fabrics, and the support pad 113 may be a 6 cm or 8 cm thick foam pad, or may be other materials having similar support properties to those of a foam pad, such as a silica gel pad, etc.
The alarm unit 40 is electrically connected to the control unit 30, and the alarm unit 40 is, for example, configured to receive alarm driving information output by the control unit 30 and send out a corresponding alarm according to the alarm driving information, where the alarm unit 40 may include an audible alarm such as a horn, a buzzer, or the alarm unit 40 may include a visual alarm such as an LED lamp, and may be a bi-color lamp, a tri-color lamp, or the like, to adapt to different alarms. The alarm generated by the control unit 30 controlling the alarm unit 40 may be classified into a mild alarm and a rapid alarm, a low-frequency lamp flashing or a high-frequency lamp flashing, etc., according to the difference of the alarm information outputted from the control unit 30.
The display unit 50 is electrically connected to the control unit 30, where the display unit 50 is configured to display working environment information of the operating table 10 or display early warning information under control of the control unit 30, for example, the display unit 50 may display compression force data corresponding to a designated compression area of the plurality of compression areas in a cloud chart manner, and also display a current temperature value, tcPO2 values, tcPCO2 values, target compression duration thresholds corresponding to the plurality of compression areas, pressure maintaining time of current compression force of the plurality of compression areas, and so on.
The input unit 60 is electrically connected to the control unit 30, and the input unit 60 is used for inputting a command, for example, a touch screen, a control key, a shuttle, a voice input unit, etc., and for example, the display content of the display unit 50 can be switched through the input unit, or preset comparison information can be input.
The control unit 30 is configured to perform the aforementioned patient risk monitoring method based on the operating table, and may have the functions of sampling data ratio calculation logic, display driving, audible visual alarm driving, touch signal detection and driving module communication. The control unit 30 may also generate a driving signal of the corresponding alarm unit 40 according to the output early warning information, so as to drive the alarm unit 40 to issue a corresponding alarm, etc.
[ second embodiment ]
Referring to fig. 6, a second embodiment of the present application provides a patient risk monitoring device 200 based on an operating table, comprising: an information receiving module 201, a duration threshold determining module 202, a pressure maintaining time obtaining module 203 and an early warning information outputting module 204. The information receiving module 201 is configured to perform the foregoing step S1, the duration threshold determining module 202 is configured to perform the foregoing step S2, the duration threshold determining module 203 is configured to perform the step S3, and the pressure maintaining time obtaining module 204 is configured to perform the foregoing step S4. Reference is specifically made to the description of the patient risk monitoring method based on the operating table in the foregoing first embodiment.
The patient risk monitoring device 200 based on an operating table provided by the second embodiment of the present application is used for executing the patient risk monitoring method based on an operating table provided by the first embodiment, and has the same advantages as those of the first embodiment, and is not repeated.
[ third embodiment ]
Referring to fig. 7, a system 300 according to a third embodiment of the present application includes, for example, a processor 301 and a memory 302 electrically connected to the processor 301, where the memory 302 stores instructions executed by the processor 301, and the instructions cause the processor 301 to perform operations to perform any of the foregoing first embodiments.
The functions and technical effects of the patient risk monitoring system based on an operating table according to the third embodiment of the present application may refer to the related description of the patient risk monitoring method based on an operating table in the foregoing first embodiment, and will not be repeated herein.
[ fourth embodiment ]
Referring to fig. 8, a fourth embodiment of the present application provides a computer readable medium 500, the computer readable medium 500 storing computer readable instructions 501, the computer readable instructions 501 comprising instructions for performing the foregoing first embodiment.
The functions and technical effects of the computer readable medium according to the fourth embodiment of the present application may refer to the technical effects of the foregoing first embodiment, and are not described herein.
It should be noted that, in several embodiments provided by the present application, it should be understood that the disclosed systems, devices and/or methods may be implemented in other manners. For example, the above-described apparatus embodiments are merely illustrative, and the division of the units/modules is merely a logical function division, and there may be additional divisions when actually implemented, e.g., multiple units or modules may be combined or integrated into another system, or some features may be omitted or not performed. Alternatively, the coupling or direct coupling or communication connection shown or discussed with each other may be an indirect coupling or communication connection via some interfaces, devices or units, which may be in electrical, mechanical or other form.
The units/modules described as separate units may or may not be physically separate, and units/modules may or may not be physically units, may be located in one place, or may be distributed on multiple network units. Some or all of the units/modules may be selected according to actual needs to achieve the purpose of the embodiment.
In addition, each functional unit/module in the embodiments of the present application may be integrated in one processing unit/module, or each unit/module may exist alone physically, or two or more units/modules may be integrated in one unit/module. The integrated units/modules may be implemented in hardware or in hardware plus software functional units/modules.
The integrated units/modules implemented in the form of software functional units/modules described above may be stored in a computer readable storage medium. The software functional units described above are stored in a storage medium and include instructions for causing one or more processors of a computer device (which may be a personal computer, a server, or a network device, etc.) to perform some steps of the methods described in the embodiments of the present application.
The present application is not limited to the above-mentioned embodiments, but is intended to be limited to the following embodiments, and any modifications, equivalent changes and variations in the above-mentioned embodiments can be made by those skilled in the art without departing from the scope of the present application.

Claims (10)

1. A patient risk monitoring method based on an operating table, comprising:
receiving the working environment information of an operating bed; the operating bed comprises a plurality of compression areas, and the working environment information at least comprises compression force data corresponding to the compression areas;
determining a target bearing time threshold corresponding to a target bearing area in the plurality of bearing areas according to the working environment information and preset comparison information;
acquiring pressure maintenance time corresponding to the target pressure-bearing area according to the working environment information;
and outputting early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value.
2. The patient risk monitoring method based on an operating table according to claim 1, wherein the preset control information is a function of the magnitude of the compression force and the maximum compression time.
3. The patient risk monitoring method based on an operating table of claim 1, wherein the preset control information is a function of a maintenance time of a prescribed compression force and a degree of damage to the patient.
4. The surgical bed-based patient risk monitoring method of claim 1, wherein the target bearing duration threshold comprises a first target threshold and a second target threshold, the first target threshold being less than the second target threshold; the outputting the early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value comprises the following steps: and outputting first early warning information when the pressure maintaining time corresponding to the target pressed area reaches the first target threshold value, and outputting second early warning information when the pressure maintaining time corresponding to the target pressed area reaches the second target threshold value, wherein the second early warning information is different from the first early warning information.
5. The patient risk monitoring method based on an operating table according to claim 1, wherein the pre-warning information includes region position information of the target compression region.
6. The patient risk monitoring method based on an operating table of claim 1, wherein the work environment information includes a patient skin temperature; the early warning information also comprises the skin temperature of the patient; and/or the working environment information further comprises patient percutaneous oxygen partial pressure; the early warning information also comprises the percutaneous oxygen partial pressure of the patient; and/or the work environment information further includes patient transcutaneous carbon dioxide partial pressure; the pre-warning information also includes the partial pressure of the patient's transcutaneous carbon dioxide.
7. The patient risk monitoring method based on the operating table according to claim 1, wherein the acquiring the pressure maintenance time corresponding to the target pressure area according to the working environment information includes:
updating the compression force data corresponding to the target compression area according to a preset period;
comparing the updated compression force data with the compression force data before updating; accumulating the pressure maintaining time of the target pressure-bearing area when the difference value between the updated pressure-bearing force data and the pressure-bearing force data before updating is within a preset difference value range; and when the difference value between the updated compression force data and the pre-updated compression force data exceeds a preset difference value range, the pressure maintaining time is reset to zero.
8. The patient risk monitoring method based on an operating table of claim 1, further comprising: and controlling a display unit to display the working environment information of the operating bed.
9. A patient risk monitoring device based on an operating table, comprising:
the information receiving module is used for receiving the working environment information of the operating bed; the operating bed comprises a plurality of compression areas, and the working environment information at least comprises compression force data corresponding to the compression areas;
the time length threshold determining module is used for determining a target bearing time length threshold corresponding to a target bearing area in the plurality of bearing areas according to the working environment information and preset comparison information;
the pressure maintaining time acquisition module is used for acquiring the pressure maintaining time corresponding to the target pressure receiving area according to the working environment information;
and the early warning information output module is used for outputting early warning information when the pressure maintaining time corresponding to the target pressure bearing area reaches a target pressure bearing duration threshold value.
10. A patient risk monitoring system based on an operating table, comprising a processor and a memory connected to the processor, the memory storing instructions for execution by the processor and the instructions causing the processor to perform operations to perform the patient risk monitoring method based on an operating table as claimed in any one of claims 1 to 8.
CN202310661251.3A 2023-06-05 2023-06-05 Patient risk monitoring method, device and system based on operating bed Pending CN116712275A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202310661251.3A CN116712275A (en) 2023-06-05 2023-06-05 Patient risk monitoring method, device and system based on operating bed

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202310661251.3A CN116712275A (en) 2023-06-05 2023-06-05 Patient risk monitoring method, device and system based on operating bed

Publications (1)

Publication Number Publication Date
CN116712275A true CN116712275A (en) 2023-09-08

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Country Link
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