CN117393141A - Peritoneal dialysis remote monitoring system and management method - Google Patents
Peritoneal dialysis remote monitoring system and management method Download PDFInfo
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- CN117393141A CN117393141A CN202311316020.5A CN202311316020A CN117393141A CN 117393141 A CN117393141 A CN 117393141A CN 202311316020 A CN202311316020 A CN 202311316020A CN 117393141 A CN117393141 A CN 117393141A
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- 238000000502 dialysis Methods 0.000 title claims abstract description 133
- 238000012544 monitoring process Methods 0.000 title claims abstract description 39
- 238000007726 management method Methods 0.000 title abstract description 77
- 238000010295 mobile communication Methods 0.000 claims abstract description 185
- 238000003745 diagnosis Methods 0.000 claims abstract description 122
- 238000011282 treatment Methods 0.000 claims abstract description 120
- 238000011156 evaluation Methods 0.000 claims abstract description 78
- 208000020832 chronic kidney disease Diseases 0.000 claims abstract description 59
- 208000028208 end stage renal disease Diseases 0.000 claims abstract description 59
- 201000000523 end stage renal failure Diseases 0.000 claims abstract description 59
- 230000004962 physiological condition Effects 0.000 claims abstract description 46
- 230000002159 abnormal effect Effects 0.000 claims description 14
- 238000000034 method Methods 0.000 claims description 12
- 239000002699 waste material Substances 0.000 claims description 12
- 201000010099 disease Diseases 0.000 claims description 9
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 9
- 239000007788 liquid Substances 0.000 claims description 9
- 230000000007 visual effect Effects 0.000 claims description 9
- 238000004891 communication Methods 0.000 claims description 6
- 239000000284 extract Substances 0.000 claims description 6
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims description 3
- 230000005540 biological transmission Effects 0.000 claims description 3
- 239000008280 blood Substances 0.000 claims description 3
- 210000004369 blood Anatomy 0.000 claims description 3
- 230000036772 blood pressure Effects 0.000 claims description 3
- 230000036760 body temperature Effects 0.000 claims description 3
- 229910052760 oxygen Inorganic materials 0.000 claims description 3
- 239000001301 oxygen Substances 0.000 claims description 3
- 230000029058 respiratory gaseous exchange Effects 0.000 claims description 3
- 230000010412 perfusion Effects 0.000 claims description 2
- 239000000385 dialysis solution Substances 0.000 claims 2
- 210000003734 kidney Anatomy 0.000 description 9
- 230000008569 process Effects 0.000 description 8
- 238000010586 diagram Methods 0.000 description 2
- 238000001802 infusion Methods 0.000 description 2
- 230000009471 action Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000007435 diagnostic evaluation Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000004083 survival effect 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
- A61M1/14—Dialysis systems; Artificial kidneys; Blood oxygenators ; Reciprocating systems for treatment of body fluids, e.g. single needle systems for hemofiltration or pheresis
- A61M1/28—Peritoneal dialysis ; Other peritoneal treatment, e.g. oxygenation
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- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
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Abstract
The invention discloses a peritoneal dialysis remote monitoring system and a management method. In one aspect, a remote monitoring system for peritoneal dialysis includes a peritoneal dialysis device and a portable medical device; the peritoneal dialysis equipment and the portable medical equipment are connected with a multi-level medical care mobile communication end through a remote medical care management platform by a user mobile communication end, and the user mobile communication end and the multi-level medical care mobile communication end are connected with alarm equipment; the remote medical management platform is also connected with a diagnosis and evaluation plan unit. On the other hand, the invention also provides a management method adopting the peritoneal dialysis remote monitoring system. The invention has the advantages of realizing accurate and complete acquisition of peritoneal dialysis treatment data of the patients with end-stage kidney disease, diagnosis and evaluation of physiological conditions and life quality of the patients with end-stage kidney disease, timely and effective early warning according to sudden accidents, and realizing multistage closed-loop management and hierarchical diagnosis and treatment management of interconnection and intercommunication of multistage medical places.
Description
Technical Field
The invention relates to the technical field of medical treatment, in particular to a remote monitoring system and a management method for peritoneal dialysis.
Background
Peritoneal dialysis (peritoneal dialysis, PD) is an important way to replace treatment for end-stage renal disease. At present, for the treatment of end-stage renal disease, it is generally necessary to periodically carry out peritoneal dialysis on such patients to improve the survival prognosis of the patients.
According to statistics of medical industry, compared with the current patients with the end-stage kidney disease which carry out peritoneal dialysis treatment from regular to hospital, the current patients with the end-stage kidney disease which carry out peritoneal dialysis treatment in China have more than 10 ten thousand persons, in the process of assisting in carrying out peritoneal dialysis treatment by adopting the current peritoneal dialysis monitoring system during the treatment period, the current peritoneal dialysis monitoring system not only can realize simple collection of peritoneal dialysis data and simple diagnosis evaluation and early warning of physiological conditions of patients, but also can hardly realize accurate and complete collection of peritoneal dialysis treatment data of patients with the end-stage kidney disease and diagnosis evaluation of physiological conditions and life quality of patients with the end-stage kidney disease, and in the process of carrying out home peritoneal dialysis treatment on patients with the end-stage kidney disease, when the physiological conditions of patients with the end-stage kidney disease are abnormal or the home peritoneal dialysis treatment is interrupted, the current peritoneal dialysis monitoring system also has difficulty in carrying out early warning timely and effective according to sudden accidents; in addition, most of the existing peritoneal dialysis monitoring systems perform remote monitoring management between point to point, so that multistage closed-loop management of interconnection and intercommunication of multi-stage medical places is difficult to achieve, and meanwhile, the existing peritoneal dialysis monitoring systems are difficult to perform hierarchical diagnosis and treatment management according to the illness state of patients with end-stage renal disease, so that actual application requirements are difficult to meet.
The Chinese patent publication No. CN106650248A discloses a remote management system and a remote management method for peritoneal dialysis, and the technical points are as follows: the system comprises peritoneal dialysis equipment, portable medical equipment, a patient mobile phone client, a medical mobile phone client and a remote medical service platform; the peritoneal dialysis device is used for carrying out peritoneal dialysis on a patient; the portable medical device is used for monitoring physiological condition parameters of a patient; the patient mobile phone client is used for sending physiological condition parameters and peritoneal dialysis states of the patient to the remote medical service platform and receiving treatment prescription information issued by the remote medical service platform; the medical care mobile phone client is used for receiving physiological condition parameters and peritoneal dialysis states of patients and sending treatment prescription information through the remote medical service platform; the remote medical service platform is used for adding basic information of patients, issuing prescriptions and receiving information. Although the scheme solves the problems that only simple collection of peritoneal dialysis data and simple diagnosis, evaluation and early warning of the physiological condition of a patient can be realized, the scheme cannot solve the problems that multistage closed-loop management of interconnection and intercommunication of multi-stage medical places can be realized and hierarchical diagnosis and treatment management can be carried out according to the illness state of patients with end-stage kidney disease.
Accordingly, the present invention provides a new solution to the above-mentioned problems.
Disclosure of Invention
An object of the present invention is to provide a remote peritoneal dialysis monitoring system capable of realizing accurate and complete collection of peritoneal dialysis treatment data of an end-stage renal patient for home peritoneal dialysis treatment and diagnosis and evaluation of physiological conditions and quality of life of the end-stage renal patient, which can timely and effectively perform early warning according to sudden accidents when the physiological conditions of the end-stage renal patient are abnormal or the home peritoneal dialysis treatment is interrupted during use, and can realize multistage closed loop management of interconnection and intercommunication of multistage medical sites and hierarchical diagnosis and treatment management according to conditions of the end-stage renal patient.
Another object of the present invention is to provide a management method employing the above-mentioned remote monitoring system for peritoneal dialysis.
In order to achieve the above purpose, the technical scheme adopted by the invention is as follows:
in one aspect, the invention provides a remote peritoneal dialysis monitoring system comprising peritoneal dialysis equipment for performing peritoneal dialysis treatment and collecting treatment data to an end-stage renal patient, and further comprising portable medical equipment for monitoring and collecting physiological condition indicators of the end-stage renal patient; the peritoneal dialysis equipment and the portable medical equipment are connected with a multi-level medical care mobile communication end capable of realizing closed-loop management of interconnection and intercommunication of multi-level medical places through a remote medical care management platform by a user mobile communication end, and the user mobile communication end and the multi-level medical care mobile communication end are both connected with an alarm device for timely sending out a reminding alarm when the physiological condition of a patient with end-stage kidney disease is abnormal or home peritoneal dialysis treatment is interrupted; the remote medical management platform is also connected with a diagnosis and evaluation plan unit for diagnosing and evaluating the physiological condition and life quality of the end-stage renal patients and automatically generating a grading diagnosis and treatment plan according to the conditions of the end-stage renal patients.
Preferably, the telemedicine management platform includes a remote server for connecting the user mobile communication terminal with the multi-level medical care mobile communication terminal in a wireless communication manner, and for receiving and storing transmission data of the user mobile communication terminal and the multi-level medical care mobile communication terminal, and a file module which is communicated with the remote server and used for establishing file information of an end-stage kidney disease patient for medical staff is embedded in the remote server, wherein: the remote medical management platform is connected with the diagnosis and evaluation plan unit through the remote server.
Preferably, the diagnosis and evaluation plan unit comprises a diagnosis and evaluation module which is communicated with the remote server and used for receiving treatment data and physiological condition index data of the end-stage renal patients, comparing the data with standard index values preset in the diagnosis and evaluation module according to preset standards to obtain diagnosis and evaluation results, and a grading diagnosis and treatment plan module which is communicated with the diagnosis and evaluation module and used for automatically generating grading diagnosis and treatment plans according to the diagnosis and evaluation results and synchronously transmitting the grading diagnosis and treatment plans to the user mobile communication end and the multi-grade medical mobile communication end for medical staff to serve as the basis of transferring to the end-stage renal patients so as to realize grading diagnosis and treatment management.
Preferably, the peritoneal dialysis device comprises a workbench with travelling wheels, an automatic peritoneal dialysis machine with a dialysate bag and a waste liquid bag is arranged on the top of the workbench, a dialysate outlet end of the automatic peritoneal dialysis machine is connected with a designated part of the body of the end-stage renal patient through a perfusion tube, a dialysis waste liquid inlet end of the automatic peritoneal dialysis machine is connected with the designated part of the body of the end-stage renal patient through a drainage tube, wherein the peritoneal dialysis device is electrically connected with the user mobile communication end through the automatic peritoneal dialysis machine, and treatment data of the end-stage renal patient is automatically acquired by the automatic peritoneal dialysis machine and transmitted to the remote server for storage through the user mobile communication end.
Preferably, the system further comprises a science popularization and education module which is connected with the remote server and is internally preset with a common disease science popularization video for the end-stage renal patients to check to self-evaluate the etiology of the physical condition.
Preferably, the multi-level medical care mobile communication terminal comprises a three-level medical care mobile communication terminal, a two-level medical care mobile communication terminal and a one-level medical care mobile communication terminal which are connected with the remote server and are in multi-level branch pipes from high to low in level to achieve the end-stage renal patients, wherein the three-level medical care mobile communication terminal, the two-level medical care mobile communication terminal and the one-level medical care mobile communication terminal are all connected with the corresponding alarm equipment.
Preferably, the three-level medical care mobile communication terminal is arranged in an appointed three-dimensional hospital, the two-level medical care mobile communication terminal is arranged in an appointed two-dimensional hospital, and the one-level medical care mobile communication terminal is arranged in an appointed basic community hospital.
Preferably, the three-level medical care mobile communication terminal, the two-level medical care mobile communication terminal, the one-level medical care mobile communication terminal and the user mobile communication terminal are any one of a smart phone, a tablet personal computer or a desktop personal computer with a video communication system.
Preferably, the portable medical equipment is a KX-8000G multiparameter monitor capable of monitoring and collecting data of physiological indexes related to electrocardio, blood oxygen, pulse rate, respiration, body temperature and blood pressure of patients with end-stage renal disease; the alarm device is an audible and visual alarm with a controller.
On the other hand, the invention also provides a management method adopting the peritoneal dialysis remote monitoring system, which comprises the following steps:
the method comprises the steps that S1, a user mobile communication terminal is connected with a multi-level medical mobile communication terminal through a remote medical management platform so as to realize closed-loop management of remote consultation and intercommunication of the multi-level medical place on the patients with the kidney at the terminal of the user mobile communication terminal, and medical staff build file information of the patients with the kidney at the terminal of the user mobile communication terminal in the remote medical management platform through the multi-level medical mobile communication terminal;
s2, when the home peritoneal dialysis treatment is carried out on the patients with the end-stage renal disease, the mobile communication end of the user is communicated with the voice and video of the multi-level medical mobile communication end, and medical staff corresponding to the multi-level medical mobile communication end remotely monitor and instruct the patients with the end-stage renal disease to connect the peritoneal dialysis equipment and the portable medical equipment with the appointed parts of the body of the patients with the end-stage renal disease;
s3, starting the peritoneal dialysis equipment and the portable medical equipment to work so as to realize home peritoneal dialysis treatment of the end-stage renal patients, and simultaneously, automatically collecting accurate and complete treatment data and physiological condition index data of the end-stage renal patients by the peritoneal dialysis equipment and the portable medical equipment, and synchronously transmitting the accurate and complete treatment data and physiological condition index data to a remote medical management platform for storage through a mobile communication end of a user;
s4, the diagnosis evaluation plan unit automatically receives and extracts the stored data of the remote medical management platform and compares the data with standard index values preset in the diagnosis evaluation plan unit according to preset standards to obtain diagnosis evaluation results of physiological conditions and life quality of patients with end-stage renal disease, when the diagnosis evaluation results are abnormal, the diagnosis evaluation plan unit generates early warning information according to the preset standards and sends the early warning information to the remote medical management platform, and the remote medical management platform starts corresponding alarm equipment according to preset programs through corresponding user mobile communication ends and multi-level medical mobile communication ends to timely send effective audible and visual alarm information to remind corresponding medical staff to follow up treatment in time, otherwise, the alarm equipment does not work;
and S5, automatically generating a grading diagnosis and treatment plan according to the diagnosis and treatment evaluation result by the diagnosis and treatment plan unit, synchronously transmitting the grading diagnosis and treatment plan to the user mobile communication terminal and the multi-level medical mobile communication terminal for medical staff to serve as the basis for transferring the patients with the end-stage kidney according to the condition of the patients with the end-stage kidney in the diagnosis and treatment evaluation result and transferring the patients with the end-stage kidney to medical places with corresponding levels according to a preset standard by the medical staff so as to realize grading diagnosis and treatment management.
Compared with the prior art, the invention has the following beneficial effects:
1. in the using process, the mobile communication terminal of the user is connected with the multi-level medical care mobile communication terminal through the remote medical care management platform so as to realize the closed-loop management of the multi-level medical place on the remote consultation and intercommunication of the end-stage renal patients of the mobile communication terminal of the user, and medical staff establishes the file information of the end-stage renal patients in the remote medical care management platform through the multi-level medical care mobile communication terminal; when the home peritoneal dialysis treatment of the end-stage renal patients is performed, the mobile communication end of the user is communicated with the voice and video of the multi-level medical mobile communication end, medical staff corresponding to the multi-level medical mobile communication end remotely monitor and guide the end-stage renal patients to connect the peritoneal dialysis equipment and the portable medical equipment with the appointed parts of the body of the end-stage renal patients, the peritoneal dialysis equipment and the portable medical equipment are started to work so as to realize the home peritoneal dialysis treatment of the end-stage renal patients, and meanwhile, the peritoneal dialysis equipment and the portable medical equipment automatically acquire accurate and complete treatment data and physiological condition index data of the end-stage renal patients and synchronously transmit the accurate and complete treatment data and physiological condition index data to a remote medical management platform for storage through the mobile communication end of the user. The diagnosis evaluation plan unit automatically receives and extracts the stored data of the remote medical management platform and compares the data with standard index values preset in the diagnosis evaluation plan unit according to preset standards to obtain diagnosis evaluation results of physiological conditions and life quality of end-stage renal patients, when the diagnosis evaluation results are abnormal, the diagnosis evaluation plan unit generates early warning information according to the preset standards and sends the early warning information to the remote medical management platform, and the remote medical management platform starts corresponding alarm equipment to work according to preset programs through corresponding user mobile communication ends and multi-level medical mobile communication ends to timely send effective audible and visual alarm information to remind corresponding medical staff to follow up treatment in time so as to reduce medical safety hidden dangers, otherwise, the alarm equipment does not work; finally, the diagnosis and evaluation plan unit automatically generates a grading diagnosis and treatment plan according to the diagnosis and evaluation result and synchronously transmits the grading diagnosis and treatment plan to the user mobile communication terminal and the multi-level medical mobile communication terminal for medical staff to serve as the basis for transferring the patients with the end-stage kidney according to the condition of the patients with the end-stage kidney in the diagnosis and evaluation result and the medical staff transfers the patients with the end-stage kidney to medical places with corresponding levels according to the preset standard so as to realize grading diagnosis and treatment management; therefore, the invention has the advantages of realizing accurate and complete acquisition of peritoneal dialysis treatment data of the patients with the end-stage peritoneal dialysis treatment, diagnosis and evaluation of the physiological condition and life quality of the patients with the end-stage peritoneal dialysis treatment, timely and effective early warning according to sudden accidents when the physiological condition of the patients with the end-stage renal treatment is abnormal or the home peritoneal dialysis treatment is interrupted, multistage closed-loop management of interconnection and intercommunication of multi-stage medical places and grading diagnosis and treatment management according to the conditions of the patients with the end-stage renal treatment.
2. The invention also provides a science popularization and education module which is connected with the remote server and is internally preset with a common disease science popularization video. In the use process, the end-stage kidney disease patient can self-evaluate the body condition by checking common disease science popularization videos in the science popularization and education module according to the etiology of the end-stage kidney disease patient, so that unnecessary resource waste caused by the fact that the patient goes to a hospital for treatment because of common ailments is effectively avoided, and the risk of being infected in the way is increased.
Drawings
The invention is further described below with reference to the drawings and examples.
FIG. 1 is a schematic diagram of a remote monitoring system for peritoneal dialysis according to the present invention;
FIG. 2 is a circuit connection block diagram of a remote monitoring system for peritoneal dialysis according to the present invention;
fig. 3 is a flow chart of a method of management employing the remote monitoring system for peritoneal dialysis of the present invention.
Reference numerals illustrate: 1. peritoneal dialysis equipment, 11, walking wheels, 12, a workbench, 13, an automatic peritoneal dialysis machine, 14, a transfusion tube, 15, a dialysate bag, 16, a drainage tube, 17, a waste liquid bag, 2, portable medical equipment, 3, a user mobile communication end, 4, a remote medical management platform, 41, a remote server, 42, a file module, 5, a multi-level medical mobile communication end, 51, a three-level medical mobile communication end, 52, a two-level medical mobile communication end, 53, a one-level medical mobile communication end, 6, an alarm device, 7, a diagnosis and evaluation plan unit, 71, a diagnosis and evaluation module, 72, a hierarchical diagnosis and treatment plan module, 8 and a science popularization and education module.
Detailed Description
Referring to fig. 1 to 3, a remote monitoring system for peritoneal dialysis comprises a peritoneal dialysis device 1 for carrying out peritoneal dialysis treatment and collecting treatment data for an end-stage renal patient, and a portable medical device 2 for monitoring and collecting physiological condition indexes of the end-stage renal patient; the peritoneal dialysis equipment 1 and the portable medical equipment 2 are connected with a multi-level medical care mobile communication end 5 capable of realizing closed-loop management of interconnection and intercommunication of multi-level medical places through a remote medical care management platform 4 by a user mobile communication end 3, and the user mobile communication end 3 and the multi-level medical care mobile communication end 5 are both connected with an alarm device 6 for timely sending out a reminding alarm when the physiological condition of a patient with end-stage renal disease is abnormal or the home peritoneal dialysis treatment is interrupted; the remote medical management platform 4 is also connected with a diagnosis and evaluation plan unit 7 for diagnosing and evaluating the physiological condition and life quality of the end-stage renal patients and automatically generating a grading diagnosis and treatment plan according to the conditions of the end-stage renal patients.
In the using process, the user mobile communication terminal 3 is connected with the multi-level medical mobile communication terminal 5 through the remote medical management platform 4 so as to realize the closed-loop management of the multi-level medical place on the remote consultation and intercommunication of the end-stage renal patients of the user mobile communication terminal 3, and medical staff establishes the file information of the end-stage renal patients in the remote medical management platform 4 through the multi-level medical mobile communication terminal 5; when the home peritoneal dialysis treatment is carried out on the patients with the end-stage renal disease, the mobile communication terminal 3 of the user is communicated with the multi-level medical mobile communication terminal 5 in a voice-video mode, and medical staff corresponding to the multi-level medical mobile communication terminal 5 remotely monitor and instruct the patients with the end-stage renal disease to connect the peritoneal dialysis equipment 1 and the portable medical equipment 2 with appointed parts of the body of the patients; starting the peritoneal dialysis equipment 1 and the portable medical equipment 2 to work so as to realize home peritoneal dialysis treatment of the end-stage renal patients, and simultaneously, automatically collecting accurate and complete treatment data and physiological condition index data of the end-stage renal patients by the peritoneal dialysis equipment 1 and the portable medical equipment 2, and synchronously transmitting the accurate and complete treatment data and physiological condition index data to a remote medical management platform 4 for storage through a mobile communication terminal 3 of a user; the diagnosis evaluation plan unit 7 automatically receives and extracts the stored data of the remote medical management platform 4 and compares the data with standard index values preset in the diagnosis evaluation plan unit 7 according to preset standards to obtain diagnosis evaluation results of physiological conditions and life quality of patients with end-stage renal disease, when the diagnosis evaluation results are abnormal, the diagnosis evaluation plan unit 7 generates early warning information according to the preset standards and sends the early warning information to the remote medical management platform 4, and the remote medical management platform 4 starts corresponding alarm equipment 6 to work according to a preset program through the corresponding user mobile communication end 3 and the multi-level medical mobile communication end 5 to timely send effective audible and visual alarm information to remind corresponding medical staff to follow up treatment in time, otherwise, the alarm equipment 6 does not work; the diagnosis and evaluation plan unit 7 automatically generates a grading diagnosis and treatment plan according to the diagnosis and evaluation result and synchronously transmits the grading diagnosis and treatment plan to the user mobile communication terminal 3 and the multi-level medical mobile communication terminal 5 for medical staff to serve as the basis for transferring the patients with the end-stage renal disease, and the medical staff transfers the patients with the end-stage renal disease to medical places of corresponding levels according to the preset standard according to the state of the patients with the end-stage renal disease in the diagnosis and evaluation result so as to realize grading diagnosis and treatment management.
In this embodiment, the telemedicine management platform 4 includes a remote server 41 for wirelessly connecting the user mobile communication terminal 3 with the multi-level medical mobile communication terminal 5 and for receiving and storing transmission data of the user mobile communication terminal 3 and the multi-level medical mobile communication terminal 5, and an archive module 42 which is connected with the remote server 41 and is used for medical staff to establish archive information of the end-stage renal patients is embedded in the remote server 41, wherein: the telemedicine management platform 4 is connected to the diagnostic evaluation plan unit 7 via the remote server 41. In the use process, the user mobile communication terminal 3 is connected with the multi-level medical care mobile communication terminal 5 through the remote server 41 so as to realize the closed-loop management of the multi-level medical place on the remote consultation and intercommunication of the end-stage renal patients of the user mobile communication terminal 3, and medical staff establishes the file information of the end-stage renal patients in the file module 42 of the remote medical care management platform 4 through the multi-level medical care mobile communication terminal 5.
In this embodiment, the diagnosis and evaluation plan unit 7 includes a diagnosis and evaluation module 71, which is connected to the remote server 41 and is used for receiving treatment data and physiological condition index data of the end-stage renal patient, and comparing the data with standard index values preset in the remote server according to preset standards to obtain diagnosis and evaluation results, and a grading diagnosis and treatment plan module 72, which is connected to the diagnosis and evaluation module 71 and is used for automatically generating a grading diagnosis and treatment plan according to the diagnosis and evaluation results and synchronously transmitting the grading diagnosis and treatment plan to the user mobile communication terminal 3 and the multi-grade medical mobile communication terminal 5, so that the medical staff can take the grading diagnosis and treatment plan as a basis for transferring to the end-stage renal patient to realize grading diagnosis and treatment management.
In this embodiment, the peritoneal dialysis apparatus 1 includes a workbench 12 with travelling wheels 11, an automatic peritoneal dialysis machine 13 with a dialysate bag 15 and a waste liquid bag 17 is detachably arranged on the top of the workbench 12, a dialysate outlet end of the automatic peritoneal dialysis machine 13 is connected with a designated part of the body of the end-stage renal patient through a transfusion tube 14, a dialysis waste liquid inlet end of the automatic peritoneal dialysis machine 13 is connected with the designated part of the body of the end-stage renal patient through a drainage tube 16, wherein the peritoneal dialysis apparatus 1 is electrically connected with the user mobile communication end 3 through the automatic peritoneal dialysis machine 13, and treatment data of the end-stage renal patient is automatically collected by the automatic peritoneal dialysis machine 13 and transmitted to the remote server 41 through the user mobile communication end 3 for storage.
In this embodiment, the system further comprises a science popularization and education module 8 which is connected with the remote server 41 and is internally preset with a common disease science popularization video for the end-stage renal patients to check to self-evaluate the etiology of the physical condition of the patients. In the use process, the end-stage kidney disease patient can self-evaluate the body condition by looking at the common disease science popularization video in the science popularization and education module 8 according to the etiology of the patient, so that unnecessary resource waste caused by the patient going to the hospital for seeing a doctor because of common ailments is effectively avoided, and the risk of being infected on the way is increased.
In this embodiment, the multi-level medical mobile communication terminal 5 includes a three-level medical mobile communication terminal 51, a two-level medical mobile communication terminal 52 and a one-level medical mobile communication terminal 53, which are connected to the remote server 41 and are hierarchical from high to low to achieve multi-level branching of the end-stage renal patients, wherein the three-level medical mobile communication terminal 51, the two-level medical mobile communication terminal 52 and the one-level medical mobile communication terminal 53 are connected to the corresponding alarm device 6.
In this embodiment, the third-level medical care mobile communication terminal 51 is set in a designated three-dimensional hospital, the second-level medical care mobile communication terminal 52 is set in a designated two-dimensional hospital, and the first-level medical care mobile communication terminal 53 is set in a designated primary community hospital. The three-level medical mobile communication terminal 51 is used as a main control terminal, any one level of the two-level medical mobile communication terminal 52 and the one-level medical mobile communication terminal 53 can be controlled and monitored, the two-level medical mobile communication terminal 52 can control and monitor the one-level medical mobile communication terminal 53, when a patient with an end-stage kidney disease carries out home treatment and accesses the one-level medical mobile communication terminal 53 or the two-level medical mobile communication terminal 52 through the user mobile communication terminal 3 to carry out remote consultation, the one-level medical mobile communication terminal 53 or the two-level medical mobile communication terminal 52 acquires treatment data and physiological condition index data of the patient with the end-stage kidney disease in real time and synchronizes to the three-level medical mobile communication terminal 51, and compares the physiological condition index data of the patient with a physiological index area threshold preset in the three-level medical mobile communication terminal 51 to obtain a comparison result, and when the physiological condition index data in the comparison result is higher than a highest threshold of the preset physiological index or lower than a lowest threshold of the preset physiological index, the three-level mobile communication terminal 51 starts corresponding alarm equipment 6 to work to remind medical personnel to carry out remote consultation, and simultaneously realize remote communication of medical consultation with multiple levels.
In this embodiment, the three-level medical care mobile communication terminal 51, the two-level medical care mobile communication terminal 52, the one-level medical care mobile communication terminal 53 and the user mobile communication terminal 3 are any one of a smart phone, a tablet computer or a desktop computer with a video communication system.
In this embodiment, the portable medical device 2 is a KX-8000G multi-parameter monitor capable of monitoring and collecting data of physiological indexes related to electrocardiograph, blood oxygen, pulse rate, respiration, body temperature and blood pressure of patients with end-stage renal disease; the alarm device 6 is an audible and visual alarm with a controller. In the use process, the alarm device 6 adopts an audible and visual alarm, and when the physiological index of the patient with the end-stage kidney is abnormal or the treatment is interrupted, the alarm device 6 can work to make an early warning in two modes of sound and flash at the same time, so that the use safety can be further improved.
When the embodiment is specifically used, firstly, under the action of the travelling wheel 11 of the peritoneal dialysis equipment 1, the workbench 12 is pushed to drive the automatic peritoneal dialysis machine 13, the infusion tube 14 and the dialysate bag 15 to move to a designated workplace together with the drainage tube 16 and the waste liquid bag 16; secondly, connecting the user mobile communication terminal 3 with the multi-level medical mobile communication terminal 5 through the remote server 41 to realize the closed-loop management of the multi-level medical place on the remote consultation and intercommunication of the end-stage renal patients of the user mobile communication terminal 3, and establishing the file information of the end-stage renal patients in the file module 42 of the remote medical management platform 4 through the multi-level medical mobile communication terminal 5 by medical staff; secondly, when the home peritoneal dialysis treatment is carried out on the patients with the end-stage renal disease, the mobile communication end 3 of the user is communicated with the voice and video of the multi-level medical mobile communication end 5, medical staff corresponding to the multi-level medical mobile communication end 5 remotely monitor and guide the patients with the end-stage renal disease to connect the peritoneal dialysis equipment 1 and the portable medical equipment 2 with the appointed parts of the body of the patients, wherein the dialysate outlet end of the automatic peritoneal dialysis machine 13 is connected with the appointed parts of the body of the patients with the end-stage renal disease through the infusion tube 14, the dialysis waste liquid of the automatic peritoneal dialysis machine 13 is connected with the appointed parts of the body of the patients with the end-stage renal disease through the drainage tube 16, and each data monitoring and collecting end of the portable medical equipment 2 is connected with the appointed parts of the body of the patients; starting the peritoneal dialysis equipment 1 and the portable medical equipment 2 to work so as to realize home peritoneal dialysis treatment of the end-stage renal patients, and simultaneously, automatically collecting accurate and complete treatment data and physiological condition index data of the end-stage renal patients by the peritoneal dialysis equipment 1 and the portable medical equipment 2, synchronously transmitting the data to a remote server 41 of a remote medical management platform 4 through a user mobile communication terminal 3 for storage, and checking by medical staff through a three-level medical mobile communication terminal 51 or a two-level medical mobile communication terminal 52 or a first-level medical mobile communication terminal 53 corresponding to the multi-level medical mobile communication terminal 5; then, the diagnosis evaluation module 71 of the diagnosis evaluation plan unit 7 automatically receives and extracts the stored data in the remote server 41 and compares the data with the standard index value preset in the diagnosis evaluation module 71 according to the preset standard to obtain the diagnosis evaluation result of the physiological condition and life quality of the end-stage renal patient, when the diagnosis evaluation result is abnormal, the diagnosis evaluation module 71 generates early warning information according to the preset standard and sends the early warning information to the remote server 41, and the remote server 41 starts the corresponding alarm equipment 6 to work according to the preset program through the corresponding user mobile communication end 3, the three-level medical care mobile communication end 51 or the second-level medical care mobile communication end 52 or the first-level medical care mobile communication end 53 to timely send effective audible and visual alarm information to remind corresponding medical staff to follow up the treatment in time, otherwise, the alarm equipment 6 does not work; finally, the hierarchical diagnosis and treatment plan module 72 of the diagnosis and treatment plan unit 7 automatically generates a hierarchical diagnosis and treatment plan according to the diagnosis and treatment evaluation result and synchronously transmits the hierarchical diagnosis and treatment plan to the user mobile communication terminal 3, the corresponding three-level medical mobile communication terminal 51 or the corresponding two-level medical mobile communication terminal 52 or the corresponding one-level medical mobile communication terminal 53 for medical staff to serve as the basis for diagnosing the end-stage renal patients, and the medical staff can diagnose the end-stage renal patients to the medical places of the corresponding level according to the condition of the end-stage renal patients in the diagnosis and evaluation result and the preset standard so as to realize hierarchical diagnosis and treatment management; meanwhile, when the end-stage kidney disease patient is in house and has a small disease condition, the end-stage kidney disease patient can self-evaluate the body condition by checking common disease science popularization videos in the science popularization and education module 8 according to the etiology of the end-stage kidney disease patient, so that unnecessary resource waste caused by the fact that the patient goes to a hospital for seeing a doctor because of the common small disease is effectively avoided, and the risk of being infected on the way is increased.
In a word, the invention adopts the structure, and has the advantages of realizing accurate and complete acquisition of peritoneal dialysis treatment data of patients with end-stage renal disease in home peritoneal dialysis treatment, diagnosis and evaluation of physiological conditions and life quality of patients with end-stage renal disease, timely and effective early warning according to sudden accidents when the physiological conditions of patients with end-stage renal disease are abnormal or home peritoneal dialysis treatment is interrupted, multistage closed-loop management of interconnection and intercommunication of multistage medical places and grading diagnosis and treatment management according to the conditions of patients with end-stage renal disease.
A management method of a peritoneal dialysis remote monitoring system comprises the following specific steps:
s1, connecting a user mobile communication terminal 3 with a multi-level medical mobile communication terminal 5 through a remote medical management platform 4 to realize closed-loop management of remote consultation and intercommunication of the multi-level medical place on the user mobile communication terminal 3 and the end-stage renal patients, and establishing file information of the end-stage renal patients in the remote medical management platform 4 through the multi-level medical mobile communication terminal 5 by medical staff;
s2, when the home peritoneal dialysis treatment is carried out on the patients with the end-stage renal disease, the mobile communication terminal 3 of the user is communicated with the multi-level medical mobile communication terminal 5 in a voice-video mode, and medical staff corresponding to the multi-level medical mobile communication terminal 5 remotely monitor and instruct the patients with the end-stage renal disease to connect the peritoneal dialysis equipment 1 and the portable medical equipment 2 with appointed parts of the body of the patients with the end-stage renal disease;
s3, starting the peritoneal dialysis equipment 1 and the portable medical equipment 2 to work so as to realize home peritoneal dialysis treatment of the end-stage renal patients, and simultaneously, automatically collecting accurate and complete treatment data and physiological condition index data of the end-stage renal patients by the peritoneal dialysis equipment 1 and the portable medical equipment 2, and synchronously transmitting the accurate and complete treatment data and physiological condition index data to the remote medical management platform 4 for storage through the mobile communication end 3 of the user;
s4, the diagnosis evaluation plan unit 7 automatically receives and extracts the stored data of the remote medical management platform 4, and compares the data with standard index values preset in the diagnosis evaluation plan unit 7 according to preset standards to obtain diagnosis evaluation results of physiological conditions and life quality of patients with end-stage renal disease, when the diagnosis evaluation results are abnormal, the diagnosis evaluation plan unit 7 generates early warning information according to the preset standards and sends the early warning information to the remote medical management platform 4, and the remote medical management platform 4 starts corresponding alarm equipment 6 to work according to preset programs through the corresponding user mobile communication end 3 and the multi-level medical mobile communication end 5 to prompt corresponding medical staff to follow up the treatment in time, otherwise, the alarm equipment 6 does not work;
s5, a diagnosis and evaluation plan unit 7 automatically generates a grading diagnosis and treatment plan according to the diagnosis and evaluation result and synchronously transmits the grading diagnosis and treatment plan to the user mobile communication terminal 3 and the multi-level medical mobile communication terminal 5 for medical staff to serve as the basis for transferring to the end-stage renal patients, and the medical staff transfers the end-stage renal patients to medical places of corresponding levels according to the condition of the end-stage renal patients in the diagnosis and evaluation result and the preset standard so as to realize grading diagnosis and treatment management.
It will be apparent to those skilled in the art from this disclosure that various other changes and modifications can be made which are within the scope of the invention as defined in the appended claims.
Claims (10)
1. A remote monitoring system for peritoneal dialysis, which comprises a peritoneal dialysis device (1) for carrying out peritoneal dialysis treatment and collecting treatment data to an end-stage renal patient, and a portable medical device (2) for monitoring and collecting physiological condition indexes of the end-stage renal patient; the method is characterized in that: the peritoneal dialysis equipment (1) and the portable medical equipment (2) are connected with a multi-level medical care mobile communication end (5) capable of realizing closed-loop management of interconnection and intercommunication of multi-level medical places through a remote medical care management platform (4) by a user mobile communication end (3), and the user mobile communication end (3) and the multi-level medical care mobile communication end (5) are both connected with an alarm device (6) for timely sending out a reminding alarm when the physiological condition of a patient with end-stage renal disease is abnormal or the treatment of home peritoneal dialysis is interrupted; the remote medical management platform (4) is also connected with a diagnosis and evaluation plan unit (7) for diagnosing and evaluating the physiological condition and the quality of life of the end-stage renal patients and automatically generating a grading diagnosis and treatment plan according to the conditions of the end-stage renal patients.
2. The remote monitoring system for peritoneal dialysis of claim 1, wherein: the remote medical management platform (4) comprises a remote server (41) for connecting the user mobile communication end (3) with the multi-level medical care mobile communication end (5) in a wireless communication manner and for receiving and storing transmission data of the user mobile communication end (3) and the multi-level medical care mobile communication end (5), and a file module (42) which is communicated with the remote server (41) and used for medical staff to establish file information of end-stage renal patients is embedded in the remote server (41), wherein: the remote medical management platform (4) is connected with the diagnosis and evaluation plan unit (7) through the remote server (41).
3. The remote monitoring system for peritoneal dialysis of claim 2, wherein: the diagnosis and evaluation plan unit (7) comprises a diagnosis and evaluation module (71) which is communicated with the remote server (41) and is used for receiving treatment data and physiological condition index data of the end-stage renal patients and comparing the data with standard index values preset in the remote server according to preset standards to obtain diagnosis and evaluation results, and a grading diagnosis and treatment plan module (72) which is communicated with the diagnosis and evaluation module (71) and is used for automatically generating grading diagnosis and treatment plans according to the diagnosis and evaluation results and synchronously transmitting the grading diagnosis and treatment plans to the user mobile communication end (3) and the multi-grade medical care mobile communication end (5) so as to enable medical staff to serve as a basis for transferring the end-stage renal patients to realize grading diagnosis and treatment management.
4. A peritoneal dialysis remote monitoring system as claimed in claim 3, wherein: the peritoneal dialysis equipment (1) comprises a workbench (12) with travelling wheels (11), an automatic peritoneal dialysis machine (13) with a dialysis fluid bag (15) and a waste liquid bag (17) is arranged on the top of the workbench (12), a dialysis fluid outlet end of the automatic peritoneal dialysis machine (13) is connected with a designated part of the body of a patient with the end-stage renal disease through a perfusion tube (14), a dialysis waste liquid inlet end of the automatic peritoneal dialysis machine (13) is connected with the designated part of the body of the patient with the end-stage renal disease through a drainage tube (16), wherein the peritoneal dialysis equipment (1) is electrically connected with the user mobile communication end (3) through the automatic peritoneal dialysis machine (13) and treatment data of the patient with the end-stage renal disease is automatically collected by the automatic peritoneal dialysis machine (13) and transmitted to the remote server (41) through the user mobile communication end (3) for storage.
5. The remote monitoring system for peritoneal dialysis of claim 4, wherein: the system also comprises a science popularization and education module (8) which is connected with the remote server (41) and is internally preset with a common disease science popularization video for the end-stage renal patients to check to self-evaluate the etiology of the physical condition.
6. The remote monitoring system for peritoneal dialysis of claim 4, wherein: the multi-level medical care mobile communication terminal (5) comprises a three-level medical care mobile communication terminal (51), a two-level medical care mobile communication terminal (52) and a one-level medical care mobile communication terminal (53) which are connected with the remote server (41) and are of a level from high to low so as to realize multi-level management of patients with end-stage renal disease, wherein the three-level medical care mobile communication terminal (51), the two-level medical care mobile communication terminal (52) and the one-level medical care mobile communication terminal (53) are all connected with corresponding alarm equipment (6).
7. The remote monitoring system for peritoneal dialysis of claim 6, wherein: the three-level medical care mobile communication end (51) is arranged in an appointed three-dimensional hospital, the two-level medical care mobile communication end (52) is arranged in an appointed two-dimensional hospital, and the one-level medical care mobile communication end (53) is arranged in an appointed basic community hospital.
8. The remote monitoring system for peritoneal dialysis of claim 7, wherein: the three-level medical care mobile communication terminal (51), the two-level medical care mobile communication terminal (52), the one-level medical care mobile communication terminal (53) and the user mobile communication terminal (3) are any one of a smart phone, a tablet personal computer or a desktop personal computer with a video communication system.
9. The remote monitoring system for peritoneal dialysis according to any one of claims 1 to 8, wherein: the portable medical equipment (2) is a KX-8000G multiparameter monitor capable of monitoring and collecting data of physiological indexes related to electrocardio, blood oxygen, pulse rate, respiration, body temperature and blood pressure of patients with end-stage renal disease; the alarm device (6) is an audible and visual alarm with a controller.
10. A method of management using the remote monitoring system for peritoneal dialysis of claim 1, comprising the steps of:
s1, connecting a user mobile communication end (3) with a multi-level medical care mobile communication end (5) through a remote medical care management platform (4) so as to realize closed-loop management of remote consultation and intercommunication of the multi-level medical care site on the user mobile communication end (3) for the end-stage renal patients, and establishing file information of the end-stage renal patients in the remote medical care management platform (4) through the multi-level medical care mobile communication end (5) by medical staff;
s2, when the home peritoneal dialysis treatment is carried out on the patients with the end-stage renal disease, the mobile communication end (3) of the user is communicated with the voice video of the multi-level medical mobile communication end (5), and medical staff corresponding to the multi-level medical mobile communication end (5) remotely monitor and guide the patients with the end-stage renal disease to connect the peritoneal dialysis equipment (1) and the portable medical equipment (2) with the appointed parts of the body of the patients;
s3, starting the peritoneal dialysis equipment (1) and the portable medical equipment (2) to work so as to realize home peritoneal dialysis treatment of the end-stage renal patients, and simultaneously, automatically collecting accurate and complete treatment data and physiological condition index data of the end-stage renal patients by the peritoneal dialysis equipment (1) and the portable medical equipment (2) and synchronously transmitting the accurate and complete treatment data and physiological condition index data to a remote medical management platform (4) for storage through a mobile communication end (3) of a user;
s4, a diagnosis evaluation plan unit (7) automatically receives and extracts the stored data of the remote medical management platform (4) and compares the data with standard index values preset in the diagnosis evaluation plan unit (7) according to preset standards to obtain diagnosis evaluation results of physiological conditions and life quality of patients with end-stage renal disease, when the diagnosis evaluation results are abnormal, the diagnosis evaluation plan unit (7) generates early warning information according to the preset standards and sends the early warning information to the remote medical management platform (4), the remote medical management platform (4) starts corresponding alarm equipment (6) to work according to preset programs through corresponding user mobile communication ends (3) and multi-level medical mobile communication ends (5) to timely send effective audible and visual alarm information to remind corresponding medical staff to follow up the treatment in time, and otherwise, the alarm equipment (6) does not work;
s5, a diagnosis and evaluation plan unit (7) automatically generates a grading diagnosis and treatment plan according to a diagnosis and evaluation result, synchronously transmits the grading diagnosis and treatment plan to the user mobile communication terminal (3) and the multi-level medical mobile communication terminal (5) for medical staff to serve as a basis for transferring to a patient with the end-stage renal disease, and the medical staff transfers the patient with the end-stage renal disease to a medical place with a corresponding level according to a preset standard according to the state of the patient with the end-stage renal disease in the diagnosis and evaluation result so as to realize grading diagnosis and treatment management.
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| CN117809833A (en) * | 2024-02-29 | 2024-04-02 | 中国人民解放军总医院第一医学中心 | Remote intelligent peritoneal dialysis system |
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