CN117045884A - Drainage monitoring device for thoracic surgery - Google Patents
Drainage monitoring device for thoracic surgery Download PDFInfo
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- CN117045884A CN117045884A CN202311312732.XA CN202311312732A CN117045884A CN 117045884 A CN117045884 A CN 117045884A CN 202311312732 A CN202311312732 A CN 202311312732A CN 117045884 A CN117045884 A CN 117045884A
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- 210000000115 thoracic cavity Anatomy 0.000 title claims abstract description 21
- 238000012806 monitoring device Methods 0.000 title claims abstract description 18
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 18
- 238000012797 qualification Methods 0.000 claims abstract description 81
- 238000007405 data analysis Methods 0.000 claims abstract description 49
- 230000003993 interaction Effects 0.000 claims abstract description 17
- 238000012544 monitoring process Methods 0.000 claims abstract description 16
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 40
- 210000000038 chest Anatomy 0.000 claims description 18
- 239000000284 extract Substances 0.000 claims description 9
- 238000009825 accumulation Methods 0.000 claims description 8
- 238000000605 extraction Methods 0.000 claims description 2
- 230000002685 pulmonary effect Effects 0.000 description 14
- 230000002706 hydrostatic effect Effects 0.000 description 8
- 238000001514 detection method Methods 0.000 description 6
- 239000007788 liquid Substances 0.000 description 5
- 238000004364 calculation method Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000012986 modification Methods 0.000 description 4
- 230000004048 modification Effects 0.000 description 4
- 210000003281 pleural cavity Anatomy 0.000 description 4
- 230000001105 regulatory effect Effects 0.000 description 4
- 210000004204 blood vessel Anatomy 0.000 description 3
- 239000012530 fluid Substances 0.000 description 3
- 238000003384 imaging method Methods 0.000 description 3
- 230000033001 locomotion Effects 0.000 description 3
- 238000002595 magnetic resonance imaging Methods 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
- 230000007246 mechanism Effects 0.000 description 3
- 230000029058 respiratory gaseous exchange Effects 0.000 description 3
- 238000005303 weighing Methods 0.000 description 3
- 230000002159 abnormal effect Effects 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 238000006467 substitution reaction Methods 0.000 description 2
- 208000000059 Dyspnea Diseases 0.000 description 1
- 206010013975 Dyspnoeas Diseases 0.000 description 1
- 206010048612 Hydrothorax Diseases 0.000 description 1
- 208000002151 Pleural effusion Diseases 0.000 description 1
- 238000009530 blood pressure measurement Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000037452 priming Effects 0.000 description 1
- 210000001147 pulmonary artery Anatomy 0.000 description 1
- 238000011002 quantification Methods 0.000 description 1
- 230000000241 respiratory effect Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 230000011218 segmentation Effects 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/73—Suction drainage systems comprising sensors or indicators for physical values
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/04—Artificial pneumothorax apparatus
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
- A61M1/71—Suction drainage systems
- A61M1/74—Suction control
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2210/00—Anatomical parts of the body
- A61M2210/10—Trunk
- A61M2210/101—Pleural cavity
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- Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Hematology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Pulmonology (AREA)
- External Artificial Organs (AREA)
Abstract
The invention relates to the technical field of medical treatment, in particular to a drainage monitoring device for thoracic surgery, which comprises: the monitoring acquisition unit is used for acquiring drainage record information; the data analysis unit is used for calculating the drainage qualification of the target patient according to the target body requirement information and searching the stored drainage record information matched with the drainage record information according to a preset matching rule; the data fitting unit is used for adjusting the stored drainage record information when the difference between the fitting record information and the drainage parameter of the successfully matched stored drainage record information is larger than a preset threshold value; a pre-repository for storing stream record information; the interaction unit is used for extracting corresponding stored drainage record information in the inquiry state; the problem that the drainage parameters of the drainage device applied to continuous drainage in the prior art cannot be determined according to the history data of actual drainage, so that errors are easy to occur due to the fact that the manually determined parameters are not considered by data of a system is solved.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a drainage monitoring device for thoracic surgery.
Background
The closed drainage principle of the pleural cavity is to establish a closed drainage channel for connecting the pleural cavity with the outside, drain the gas or liquid which is improperly accumulated in the pleural cavity out by utilizing the negative pressure generated by gravity and respiratory motion, and discharge the gas or liquid out of the body, thereby restoring the normal negative pressure state of the pleural cavity and restoring the volume and the function of the lung. Two common drainage modes aiming at a large amount of hydrothorax are adopted, the first drainage mode is to conduct drainage once a day, the drainage is ended after the single drainage amount reaches the set requirement, the second drainage mode is to conduct continuous drainage, namely conducting a large amount of drainage once, and conducting a small amount of drainage once every certain time, but the drainage amount and the time interval between each small amount of drainage are currently determined by medical staff according to experience, how to determine the drainage amount and the time interval between each small amount of drainage is the problem to be solved urgently by the current staff in the field.
Chinese patent publication No. CN109331240B discloses an automatic thoracic drainage control device, which is composed of a weight-calculating bracket, a flow speed adjusting mechanism, a controller and a power supply assembly; the weighing type bracket is provided with a placement groove for accommodating and clamping the drainage tube and a weighing sensor for weighing; the flow speed adjusting mechanism comprises a fixed clamping block and a movable clamping block, and can realize the purposes of controlling the on-off of the drainage tube and adjusting the flow speed of fluid by extruding the drainage tube in the mounting groove; the controller can correspondingly control the flow speed regulating mechanism based on the preset drainage parameters and the change state of the real-time weight data during drainage; the power supply assembly is used for providing working current for the power consumption element. The thoracic drainage automatic control device adopts an intelligent design, and can realize automatic control of timing drainage, quantitative drainage and constant-speed drainage by being matched with the conventional drainage assembly, so that the technical scheme can be used for solving the problems that although the technical means of automatic control of timing drainage, quantitative drainage and constant-speed drainage are considered, the proper drainage amount is determined according to the history data of actual drainage, a patient is easy to increase in a short time after the postoperative pulmonary re-tension of the drainage due to too fast drainage or too large drainage amount, and the hydrostatic pressure of pulmonary interstitial is obviously lower than the pressure in a blood vessel.
Disclosure of Invention
Therefore, the invention provides a drainage monitoring device for thoracic surgery, which is used for solving the problem that the drainage parameters of the drainage device applied to continuous drainage in the prior art cannot be determined according to the history data of actual drainage, so that the manually determined parameters are easy to have errors due to no data consideration of a system.
To achieve the above object, the present invention provides a drainage monitoring device for thoracic surgery, comprising:
the monitoring acquisition unit is connected with the drainage device and used for acquiring drainage record information;
the data analysis unit is connected with the monitoring acquisition unit and used for dividing and extracting the drainage record information to obtain target drainage information and target body requirement information, calculating the drainage qualification of the target patient according to the target body requirement information, and searching the stored drainage record information matched with the drainage record information according to a preset matching rule when the drainage qualification of the target patient is greater than the preset qualification;
the data fitting unit is connected with the monitoring acquisition unit and the data analysis unit and is used for adjusting the stored drainage record information when the difference degree of the fitting record information and the drainage parameters of the successfully matched stored drainage record information is larger than a preset threshold value;
the adjusting mode comprises a first adjusting mode for adjusting the interval duration of adjacent short drainage for storing drainage record information and a second adjusting mode for adjusting the duration of each single short drainage for storing drainage record information;
the pre-storage library is connected with the data analysis unit and the data fitting unit and is used for storing drainage record information, wherein the stored drainage record information is drainage record information which has the drainage qualification degree larger than the preset qualification degree and does not have the successfully matched stored drainage record information;
and the interaction unit is connected with the monitoring acquisition unit and the pre-storage library and is used for extracting corresponding stored drainage record information in the inquiry state.
Further, the data analysis unit divides and extracts the drainage record information under the condition of information triggering to obtain target drainage information and target body information;
the target drainage information includes: initial water accumulation of a target patient, long drainage time, short drainage times, interval time of adjacent short drainage and time of single short drainage;
the target body need information includes: the chest negative pressure stability coefficient of the target patient and the pressure ratio to coefficient of the target patient;
the information triggering condition is that drainage of the target patient is finished and drainage record information is acquired.
Further, the data analysis unit calculates drainage qualification of the target patient under a first data analysis condition, wherein the drainage qualification is related to target body requirement information of the target patient;
the first data analysis condition is that the data analysis unit is used for dividing and extracting the drainage record information, and the target drainage information and the target body demand information are obtained.
Further, the data analysis unit searches for the stored drainage record information according to a preset matching rule under a second data analysis condition,
if the stored drainage record information successfully matched exists, the data analysis unit judges that the secondary drainage record information is recorded as fitting record information, and the fitting record information and the stored drainage record information are fitted;
if the stored drainage record information which is successfully matched does not exist, the data analysis unit judges that the drainage record information is recorded in a pre-storage library, and the storage drainage record information is recorded;
the second data analysis condition is that the drainage qualification degree of the target patient is calculated and the drainage qualification degree of the target patient is larger than the preset qualification degree.
Further, the data fitting unit calculates the drainage parameter difference degree of the fitting record information and the successfully-matched stored drainage record information under the first data fitting condition, and if the drainage parameter difference degree is larger than the preset drainage parameter difference degree, the data analysis unit judges that the stored drainage record information is adjusted;
and the first data fitting condition is used for judging that fitting record information and the stored drainage record information are fitted by the data analysis unit.
Further, the data fitting unit determines an adjustment mode of the stored drainage record information according to the difference of the qualification degree of the fitting record information and the stored drainage record information under the second data fitting condition, wherein the adjustment mode comprises:
the data fitting unit adjusts the interval duration of the adjacent short drainage which stores the drainage record information according to the qualification degree difference value,
the data fitting unit adjusts the duration of a single short drainage for storing drainage record information according to the qualification degree difference value;
the second data fitting condition is that the drainage parameter difference degree is larger than a preset drainage parameter difference degree.
Further, the data fitting unit increases and adjusts the interval duration of adjacent short drainage of the stored drainage record information according to the qualification degree difference value under a third data fitting condition;
the qualification degree difference value and the increment of the interval duration of the adjacent short drainage of the stored drainage record information are in positive correlation;
and the third data fitting condition is that the qualification degree difference value is in a first preset qualification degree difference value state.
Further, the data fitting unit increases and adjusts the duration of the single short drainage for storing the drainage record information according to the qualification degree difference value under the fourth data fitting condition;
the qualification degree difference value and the increment of the duration of a single short drainage for storing drainage record information are in positive correlation;
and the fourth data fitting condition is that the qualification degree difference value is in a second preset qualification degree difference value state.
Further, the interaction unit searches the pre-repository for the initial water volume of the target patient according to the input search information in the query state, searches the initial water volumes corresponding to all the stored drainage record information in the pre-repository, and extracts and displays the stored drainage record information if the initial water volume corresponding to the stored drainage record information is the same as the initial water volume of the target patient.
Further, the interaction unit searches for initial water volume corresponding to all stored drainage record information in the pre-storage warehouse in a query failure state, and extracts and displays the stored drainage record information with the difference value between the initial water volume corresponding to the stored drainage record information and the initial water volume of the target patient being in a preset water volume difference value;
the interaction unit is provided with a display module.
Compared with the prior art, the drainage method has the advantages that the data analysis unit calculates the drainage qualification of the target patient according to the target body needed information, searches the stored drainage record information matched with the drainage record information according to the preset matching rule when the drainage qualification of the target patient is larger than the preset qualification, reflects whether the drainage is qualified or not according to the target body needed information, judges that the stored drainage record information is regulated when the drainage parameter difference is larger than the preset drainage parameter difference, enables the information in the pre-storage library to be more accurate, enables the information in the pre-storage library to be more suitable for application, and the regulation mode of the data fitting unit for the stored drainage record information comprises that the data fitting unit regulates the interval duration of the adjacent short drainage of the stored drainage record information according to the qualification difference, and the data fitting unit regulates the duration of the single short drainage of the stored drainage record information according to the qualification difference, determines the interval duration of the adjacent short drainage record information and the regulation quantity of the single short drainage according to the actual qualification difference, so that the regulation quantity is more accurate, the drainage parameter of the drainage device is further improved, and the drainage parameter setting error can be directly regulated by a user through the automatic setting of the drainage technology, so that the problem of the drainage device can be directly set by users is avoided.
Drawings
FIG. 1 is a unit connection diagram of a drainage monitoring device for thoracic surgery according to an embodiment of the present invention;
fig. 2 is a flowchart of searching and storing drainage record information according to a preset matching rule according to an embodiment of the present invention.
Detailed Description
In order that the objects and advantages of the invention will become more apparent, the invention will be further described with reference to the following examples; it should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the invention.
Preferred embodiments of the present invention are described below with reference to the accompanying drawings. It should be understood by those skilled in the art that these embodiments are merely for explaining the technical principles of the present invention, and are not intended to limit the scope of the present invention.
It should be noted that, in the description of the present invention, terms such as "upper," "lower," "left," "right," "inner," "outer," and the like indicate directions or positional relationships based on the directions or positional relationships shown in the drawings, which are merely for convenience of description, and do not indicate or imply that the apparatus or elements must have a specific orientation, be constructed and operated in a specific orientation, and thus should not be construed as limiting the present invention.
Furthermore, it should be noted that, in the description of the present invention, unless explicitly specified and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be either fixedly connected, detachably connected, or integrally connected, for example; can be mechanically or electrically connected; can be directly connected or indirectly connected through an intermediate medium, and can be communication between two elements. The specific meaning of the above terms in the present invention can be understood by those skilled in the art according to the specific circumstances.
Referring to fig. 1 to 2, the present invention provides a drainage monitoring device for thoracic surgery, comprising:
the monitoring acquisition unit is connected with the drainage device and used for acquiring drainage record information;
the data analysis unit is connected with the monitoring acquisition unit and used for dividing and extracting the drainage record information to obtain target drainage information and target body requirement information, calculating the drainage qualification of the target patient according to the target body requirement information, and searching the stored drainage record information matched with the drainage record information according to a preset matching rule when the drainage qualification of the target patient is greater than the preset qualification;
the data fitting unit is connected with the monitoring acquisition unit and the data analysis unit and is used for adjusting the stored drainage record information when the difference degree of the fitting record information and the drainage parameters of the successfully matched stored drainage record information is larger than a preset threshold value;
the adjusting mode comprises a first adjusting mode for adjusting the interval duration of adjacent short drainage for storing drainage record information and a second adjusting mode for adjusting the duration of each single short drainage for storing drainage record information;
the pre-storage library is connected with the data analysis unit and the data fitting unit and is used for storing drainage record information, wherein the stored drainage record information is drainage record information which has the drainage qualification degree larger than the preset qualification degree and does not have the successfully matched stored drainage record information;
and the interaction unit is connected with the monitoring acquisition unit and the pre-storage library and is used for extracting corresponding stored drainage record information in the inquiry state.
Specifically, the continuous drainage method applied by the invention comprises the following steps:
s1, determining long drainage time, short drainage times, interval time of adjacent short drainage, time of single short drainage and drainage rate according to illness state and initial ponding amount of a target patient;
s2, long drainage is conducted on a target patient, and drainage is stopped when the drainage time of the target patient reaches the long drainage time;
s3, performing short drainage after waiting for the interval duration of adjacent short drainage, and stopping drainage when the drainage duration of a target patient reaches the short drainage duration;
s4, repeating the step S3, stopping drainage when the running times of the step S3 reach the short drainage times, and reminding a user of finishing the drainage through the interaction unit.
There is provided a flow diverter for use with the present invention, comprising:
the drainage pipeline is used for draining accumulated water in the chest cavity from the body cavity; one end of the drainage pipeline is connected to a drainage source, namely the chest, and the other end of the drainage pipeline is connected to a drainage collector; typically a soft plastic material;
a drainage collector for collecting and storing drainage liquid; it is a sealed container with a scale to monitor the amount of priming;
a drainage negative pressure device to create a negative pressure environment to facilitate drainage of the drainage liquid or gas; the drainage pipeline is connected to the negative pressure pump or the negative pressure container, so that drainage liquid or gas can be sucked and discharged;
the connecting device is used for connecting the drainage pipeline, the drainage collector and the drainage negative pressure device.
This is a matter that is easily understood by those skilled in the art and will not be described here in detail.
Wherein, the monitoring acquisition unit includes:
the recording module is used for recording the drainage time length of each drainage time, recording the drainage time length which is longer than the preset drainage time length as a long drainage time length, recording the drainage time length which is shorter than or equal to the preset drainage time length as a short drainage time length, and setting the preset drainage time length for a user by himself so as to avoid that the actual drainage time length is inconsistent with the planned drainage time length, thereby improving the accuracy of data;
the imaging module is used for detecting the initial water volume of the chest of the target patient.
The recording module has time recording and counting functions, which are easily understood by those skilled in the art and will not be described herein.
An embodiment of an imaging module is provided, the imaging module is a magnetic resonance imaging device, and the method for determining the initial water accumulation amount includes:
acquiring an MRI image, performing MRI scanning, and acquiring an image sequence containing pleural effusion;
selecting a slice from the sequence of images that contains the largest area of effusion, typically in the region of the chest that is most abundant;
delineating the effusion region, using image processing software or computer-aided diagnosis software, delineating the boundary of the effusion region on the selected slice, which can be done by manually drawing a contour or using an automatic segmentation algorithm;
quantification volume: and calculating the volume of the effusion according to the boundary of the effusion area outlined on the selected slice. The method for quantifying the volume can adopt a direct calculation method, the area of the effusion area on the slice is multiplied by the thickness of the slice to obtain the volume of the effusion on the slice, the volumes of the effusion on all the slices are added to obtain the total volume which is recorded as the initial effusion.
The data analysis unit divides and extracts the drainage record information under the information triggering condition to obtain target drainage information and target body demand information;
the target drainage information includes: initial water accumulation of a target patient, long drainage time, short drainage times, interval time of adjacent short drainage and time of single short drainage;
the target body need information includes: the chest negative pressure stability coefficient of the target patient and the pressure ratio to coefficient of the target patient;
the information triggering condition is that drainage of the target patient is finished and drainage record information is acquired, the division and extraction can be realized through field matching, namely, the field of each piece of information in the drainage record information is analyzed to determine whether the information belongs to the target drainage information or the target body requirement information, and the type of the information is well known in the prior art through field identification and is not repeated here.
The drainage record information is obtained, the target drainage information of the target patient is recorded, and the chest negative pressure stability coefficient of the target patient and the pressure ratio pair coefficient of the target patient are input;
the chest negative pressure stability coefficient of the target patient is C1, C1=P0/P, wherein P is the maximum value of the chest negative pressure in the preset coefficient detection time after the drainage of the target patient is finished, and P0 is the preset chest negative pressure with the unit Pa;
the pressure ratio and the coefficient of the target patient are C2, C2=Px/Pz, wherein Px is a minimum value of the interstitial hydrostatic pressure of the lung within a preset coefficient detection time after the drainage of the target patient is finished, and Pz is a maximum value of the intravascular pressure within the preset coefficient detection time after the drainage of the target patient is finished;
the monitoring and collecting unit also comprises a negative pressure sensor for detecting the chest negative pressure of the target patient;
the pressure ratio and the coefficient of the target patient are automatically input to the monitoring and collecting unit after the calculation of the user is completed;
the pulmonary interstitial hydrostatic pressure refers to the static fluid pressure in the pulmonary interstitial tissue, which represents the pressure state of fluid in the pulmonary interstitial tissue, and detection of pulmonary interstitial hydrostatic pressure requires pulmonary capillary wedge pressure measurement by inserting a catheter into the pulmonary artery of a patient and pushing the catheter to the pulmonary capillary level, and then measuring the pressure at that location. The pressure in the pulmonary capillaries at the wedge pressure of the pulmonary capillaries was recorded as the hydrostatic pressure of the pulmonary interstitium. The unit of pulmonary interstitial hydrostatic pressure is Pa. The detection of the pressure in the blood vessel is a common knowledge easily grasped by a person skilled in the art, and is not described in detail herein, and the unit of the pressure in the blood vessel is Pa.
The preset coefficient detection time is 3h, and the value of p0 can be determined according to medical experience, so that a doctor can observe the respiration condition and the chest movement of a patient, under normal conditions, the chest should have proper response to the respiration movement, and show normal expansion and contraction, and abnormal respiration modes, dyspnea or chest asymmetry and the like may indicate that the chest negative pressure is abnormal, and how to determine the proper chest negative pressure according to the physical condition of the patient is common knowledge known to the person skilled in the art, and will not be repeated herein.
The data analysis unit calculates drainage qualification degree of a target patient under a first data analysis condition, wherein the drainage qualification degree is related to target body requirement information of the target patient;
the first data analysis condition is that the data analysis unit is used for dividing and extracting the drainage record information, and the target drainage information and the target body demand information are obtained.
The calculation formula of the drainage qualification degree C is as follows: c=c1×α1+c2×α2;
wherein α1 is a first preset weight coefficient, α2 is a second preset weight coefficient, wherein α1 and α2 are values, a user can set according to the importance degree of the chest negative pressure stability coefficient and the pressure ratio to the coefficient, a value is provided, α1=α2=0.5, it is worth noting that measurement of the pulmonary interstitial hydrostatic pressure is an invasive operation, and a professional is required to perform the measurement only under specific conditions and needs in clinical practice, so if the user does not select to perform the measurement of the pulmonary interstitial hydrostatic pressure, that is, if the data analysis unit only extracts the chest negative pressure stability coefficient and does not extract the pressure ratio to the coefficient of the target patient, α1=1, α2=0 is set, thereby improving the practicability of the invention.
The data analysis unit searches and stores drainage record information according to a preset matching rule under a second data analysis condition,
if the stored drainage record information successfully matched exists, the data analysis unit judges that the secondary drainage record information is recorded as fitting record information, and the fitting record information and the stored drainage record information are fitted;
if the stored drainage record information which is successfully matched does not exist, the data analysis unit judges that the drainage record information is recorded in a pre-storage library, and the storage drainage record information is recorded;
the second data analysis condition is that the drainage qualification degree of the target patient is calculated and the drainage qualification degree of the target patient is larger than a preset qualification degree; and when the drainage qualification degree of the target patient is smaller than or equal to the preset qualification degree, marking the drainage record information as invalid information, and searching and storing the drainage record information according to a preset matching rule.
Specifically, the preset qualification rate has a value of 0.8.
The data fitting unit calculates the drainage parameter difference degree of the fitting record information and the successfully matched stored drainage record information under the first data fitting condition, and if the drainage parameter difference degree is larger than the preset drainage parameter difference degree, the data analysis unit judges that the stored drainage record information is regulated;
if the drainage parameter difference degree is smaller than or equal to the preset drainage parameter difference degree, the data analysis unit judges that the stored drainage record information does not need to be adjusted;
and the first data fitting condition is used for judging that fitting record information and the stored drainage record information are fitted by the data analysis unit.
If the initial accumulated water quantity corresponding to the fitting record information and the stored drainage record information is the same, the fitting record information and the stored drainage record information are successfully matched;
the calculation formula of the drainage parameter difference degree Q is as follows:
Q＝∣（tc1-tc2）∣＋∣（td1-td2）∣
wherein tc1 is a long drainage time length corresponding to stored drainage record information, tc2 is a long drainage time length corresponding to fitting record information, td1 is a short drainage time length corresponding to stored drainage record information, and td2 is a short drainage time length corresponding to fitting record information;
preset drainage parameter difference q0= (tc1+td1) ×3%;
the data fitting unit judges the adjustment mode of the stored drainage record information according to the qualification degree difference value of the fitting record information and the stored drainage record information under the second data fitting condition, and the adjustment mode comprises the following steps:
the data fitting unit adjusts the interval duration of the adjacent short drainage which stores the drainage record information according to the qualification degree difference value,
the data fitting unit adjusts the duration of a single short drainage for storing drainage record information according to the qualification degree difference value;
the second data fitting condition is that the drainage parameter difference degree is larger than the preset drainage parameter difference degree, and the qualification degree difference value is the absolute value of the difference value between the drainage qualification degree corresponding to the stored drainage record information and the drainage qualification degree corresponding to the fitting record information.
The data fitting unit performs increase adjustment of the same adjustment amount on the interval duration of all adjacent short drainage of the stored drainage record information according to the qualification degree difference value under a third data fitting condition;
the qualification degree difference value and the increment of the interval duration of the adjacent short drainage of the stored drainage record information are in positive correlation;
the third data fitting condition is that the qualification degree difference value is in a first preset qualification degree difference value state, and the first preset qualification degree difference value state is that drainage qualification degree corresponding to stored drainage record information is smaller than drainage qualification degree corresponding to fitting record information.
The data fitting unit increases and adjusts the duration of single short drainage for storing drainage record information according to the qualification degree difference value under a fourth data fitting condition;
the qualification degree difference value and the increment of the duration of a single short drainage for storing drainage record information are in positive correlation;
the fourth data fitting condition is that the qualification degree difference value is in a second preset qualification degree difference value state, the second preset qualification degree difference value state is that the drainage qualification degree corresponding to the stored drainage record information is larger than the drainage qualification degree corresponding to the fitting record information, and if the drainage qualification degree corresponding to the stored drainage record information is equal to the drainage qualification degree corresponding to the fitting record information, the stored drainage record information is not required to be adjusted.
And the interaction unit searches the initial water accumulation amount corresponding to all the stored drainage record information of the pre-storage warehouse according to the input search information, and if the initial water accumulation amount corresponding to the stored drainage record information is the same as the initial water accumulation amount of the target patient, the stored drainage record information is extracted and displayed.
The inquiry state is that the interaction unit receives inquiry information of a user, and the inquiry information is initial water accumulation amount.
The interaction unit searches for initial water volumes corresponding to all stored drainage record information in the pre-storage warehouse in a query failure state, and extracts and displays the stored drainage record information of which the difference value between the initial water volumes corresponding to the stored drainage record information and the initial water volumes of the target patients is in a preset water volume difference value;
the interaction unit is provided with a display module, a user inputs inquiry information through the display module, the interaction unit displays storage drainage record information that the difference value of the corresponding initial water volume and the initial water volume of the target patient is in the preset water volume difference value through the display module, the preset water volume difference value V0 is 5% of the initial water volume corresponding to the inquiry information, the difference value of the initial water volume corresponding to the storage drainage record information and the initial water volume of the target patient takes absolute value, and the inquiry failure state is that no storage drainage record information with the same initial water volume as the initial water volume of the target patient exists in the pre-storage library.
Thus far, the technical solution of the present invention has been described in connection with the preferred embodiments shown in the drawings, but it is easily understood by those skilled in the art that the scope of protection of the present invention is not limited to these specific embodiments. Equivalent modifications and substitutions for related technical features may be made by those skilled in the art without departing from the principles of the present invention, and such modifications and substitutions will be within the scope of the present invention.
The foregoing description is only of the preferred embodiments of the invention and is not intended to limit the invention; various modifications and variations of the present invention will be apparent to those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (10)
1. A drainage monitoring device for thoracic surgery, comprising:
the monitoring acquisition unit is connected with the drainage device and used for acquiring drainage record information;
the data analysis unit is connected with the monitoring acquisition unit and used for dividing and extracting the drainage record information to obtain target drainage information and target body requirement information, calculating the drainage qualification of the target patient according to the target body requirement information, and searching the stored drainage record information matched with the drainage record information according to a preset matching rule when the drainage qualification of the target patient is greater than the preset qualification;
the data fitting unit is connected with the monitoring acquisition unit and the data analysis unit and is used for adjusting the stored drainage record information when the difference degree of the fitting record information and the drainage parameters of the successfully matched stored drainage record information is larger than a preset threshold value;
the adjusting mode comprises a first adjusting mode for adjusting the interval duration of adjacent short drainage for storing drainage record information and a second adjusting mode for adjusting the duration of each single short drainage for storing drainage record information;
the pre-storage library is connected with the data analysis unit and the data fitting unit and is used for storing drainage record information, wherein the stored drainage record information is drainage record information which has the drainage qualification degree larger than the preset qualification degree and does not have the successfully matched stored drainage record information;
and the interaction unit is connected with the monitoring acquisition unit and the pre-storage library and is used for extracting corresponding stored drainage record information in the inquiry state.
2. The drainage monitoring device for thoracic surgery according to claim 1, wherein the data analysis unit performs division extraction of the drainage record information under an information trigger condition to obtain target drainage information and target body demand information;
the target drainage information includes: initial water accumulation of a target patient, long drainage time, short drainage times, interval time of adjacent short drainage and time of single short drainage;
the target body need information includes: the chest negative pressure stability coefficient of the target patient and the pressure ratio to coefficient of the target patient;
the information triggering condition is that drainage of the target patient is finished and drainage record information is acquired.
3. The drainage monitoring device for thoracic surgery according to claim 2, wherein the data analysis unit calculates a drainage eligibility of a target patient under a first data analysis condition, the drainage eligibility being related to target volume demand information of the target patient;
the first data analysis condition is that the data analysis unit is used for dividing and extracting the drainage record information, and the target drainage information and the target body demand information are obtained.
4. The drainage monitoring device for thoracic surgery according to claim 3, wherein the data analysis unit searches for the stored drainage record information according to a preset matching rule under the second data analysis condition,
if the stored drainage record information successfully matched exists, the data analysis unit judges that the secondary drainage record information is recorded as fitting record information, and the fitting record information and the stored drainage record information are fitted;
if the stored drainage record information which is successfully matched does not exist, the data analysis unit judges that the drainage record information is recorded in a pre-storage library, and the storage drainage record information is recorded;
the second data analysis condition is that the drainage qualification degree of the target patient is calculated and the drainage qualification degree of the target patient is larger than the preset qualification degree.
5. The drainage monitoring device for thoracic surgery according to claim 4, wherein the data fitting unit calculates a drainage parameter difference between the fitting record information and the successfully-matched stored drainage record information under a first data fitting condition, and the data analysis unit determines to adjust the stored drainage record information if the drainage parameter difference is greater than a preset drainage parameter difference;
and the first data fitting condition is used for judging that fitting record information and the stored drainage record information are fitted by the data analysis unit.
6. The drainage monitoring device for thoracic surgery according to claim 5, wherein the data fitting unit determines an adjustment manner of the stored drainage record information based on a difference in eligibility of the fit record information and the stored drainage record information under a second data fitting condition, the adjustment manner including:
the data fitting unit adjusts the interval duration of the adjacent short drainage which stores the drainage record information according to the qualification degree difference value,
the data fitting unit adjusts the duration of a single short drainage for storing drainage record information according to the qualification degree difference value;
and the second data fitting condition is that the difference degree of the fitting record information and the drainage parameter of the successfully matched stored drainage record information is larger than the preset drainage parameter difference degree.
7. The drainage monitoring device for thoracic surgery according to claim 6, wherein the data fitting unit performs an increase adjustment of the interval duration of adjacent short drains storing drainage record information according to the difference in eligibility under a third data fitting condition;
the qualification degree difference value and the increment of the interval duration of the adjacent short drainage of the stored drainage record information are in positive correlation;
and the third data fitting condition is that the qualification degree difference value is in a first preset qualification degree difference value state.
8. The drainage monitoring device for thoracic surgery according to claim 7, wherein the data fitting unit performs an increase adjustment on the duration of a single short drainage in which drainage record information is stored according to the qualification rate difference value under a fourth data fitting condition;
the qualification degree difference value and the increment of the duration of a single short drainage for storing drainage record information are in positive correlation;
and the fourth data fitting condition is that the qualification degree difference value is in a second preset qualification degree difference value state.
9. The drainage monitoring device for thoracic surgery according to claim 8, wherein the interaction unit performs a targeted search of the pre-reservoir according to the input search information in the query state, the search information being an initial water volume of the target patient, and the interaction unit searches all initial water volumes of the pre-reservoir corresponding to the stored drainage record information, and extracts and displays the stored drainage record information if there is an initial water volume corresponding to the stored drainage record information that is the same as the initial water volume of the target patient.
10. The drainage monitoring device for thoracic surgery according to claim 9, wherein the interaction unit searches for an initial water volume corresponding to all the stored drainage record information in the pre-repository in the inquiry failure state, and extracts and displays the stored drainage record information in which a difference between the initial water volume corresponding to the stored drainage record information and the initial water volume of the target patient is a preset water volume difference;
the interaction unit is provided with a display module.
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