CN212369483U - Rehabilitation exercise monitoring system for patients with high and medium risk coronary heart disease - Google Patents

Rehabilitation exercise monitoring system for patients with high and medium risk coronary heart disease Download PDF

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CN212369483U
CN212369483U CN202020455159.3U CN202020455159U CN212369483U CN 212369483 U CN212369483 U CN 212369483U CN 202020455159 U CN202020455159 U CN 202020455159U CN 212369483 U CN212369483 U CN 212369483U
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exercise
patient
patients
monitoring device
heart disease
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陈新元
陈少凡
何炳蔚
倪国新
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Fuzhou University
First Affiliated Hospital of Fujian Medical University
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Fuzhou University
First Affiliated Hospital of Fujian Medical University
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Abstract

The utility model discloses a rehabilitation exercise monitoring system for patients with high risk coronary heart disease in the field of exercise rehabilitation training, which comprises an exercise bicycle, wherein a resistance regulator is also arranged on the exercise bicycle; the electronic sphygmomanometer is connected to one side of the exercise bicycle, and a blocking cuff of the electronic sphygmomanometer is connected to the tail end of a handle on one side of the exercise bicycle; the electrocardiogram monitoring device is a flexible wearable electrocardiogram monitoring device; a control terminal; the system can record and analyze some physiological characteristic data of the patient in real time and display the physiological characteristic data on a computer screen, the exercise intensity of the exercise bike is adjusted according to the real-time physiological data, the exercise bike is immediately stopped by the medical staff or the patient once the physiological characteristic data exceed the set exercise stopping indication, and the control device can also automatically stop the exercise bike, so that the safety of the patient in exercise is protected.

Description

Rehabilitation exercise monitoring system for patients with high and medium risk coronary heart disease
Technical Field
The utility model relates to a motion rehabilitation training field especially relates to a recovered motion monitor system of well high risk coronary heart disease patient.
Background
The cardiovascular and cerebrovascular diseases are the leading causes of disability and death of residents in China, the essence of coronary heart disease is life style disease, and a large number of epidemiological studies and interventional studies show that the combination of drug therapy and life style therapy is the most effective secondary prevention strategy for coronary heart disease. At present, the exercise is not only a body-building means, but also a measure for preventing and treating diseases, and is affirmed by the medical field. Through effective intensity of exercise stimulation, the blood vessel endothelium function can be improved, coronary plaque is stabilized, collateral circulation establishment is promoted, the cardiac function is improved, the hospitalization rate and the death rate are reduced, and the life quality is improved. The exercise intensity has different improving effects on heart and blood vessel functions, physical performance and prognosis, the cardiovascular benefit is larger when the exercise intensity is larger in a certain range, but the exercise risk is increased.
All patients with cardiovascular disease need exercise risk assessment before exercise planning, and risk stratification is performed for patients with cardiovascular disease depending on the condition, whether or not myocardial infarction, exercise trial ST-segment changes, left ventricular ejection fraction, troponin level, malignant arrhythmia, cardiac function, and presence or absence of psychological disturbance. Except contraindications, most cardiovascular patients can start exercise rehabilitation within 1-3 weeks after onset of disease. The middle-high risk patients are recommended to participate in exercise rehabilitation guidance under the participation of doctors and the monitoring of electrocardio.
However, the exercise rehabilitation of patients with coronary heart disease in our country is still in the development stage, and is only developed in a few areas, many patients with coronary heart disease cannot obtain the normative exercise rehabilitation guidance, so that the possibility of repeated morbidity is increased, even sudden death and other adverse events are caused by improper exercise, the main reason is that the monitoring and treatment system for exercise rehabilitation is not perfect enough, because the patients with coronary heart disease of high or medium risk are just rehabilitated, the exercise is very dangerous and life danger is easy to occur, especially in the rehabilitation exercise with certain intensity, the danger is easy to occur without paying attention, even if the patients take full accompanying exercise, the danger is more likely to occur, but if the patients do not take rehabilitation exercise, the rehabilitation is slow to recover and the recovery effect is poor, so a safer rehabilitation exercise device and method are needed to help the doctors accompany the patients to complete the rehabilitation exercise safely, the physical state is restored as soon as possible.
For example, the rehabilitation of patients with coronary heart disease: according to the result of the cardiopulmonary exercise experiment, the exercise intensity of exercise training is recommended to start from 40% -50% PeakV02 or the maximum heart rate, the exercise intensity gradually reaches 80% PeakV02 or the maximum heart rate, and the Borg grade reaches RPE 10-16 points.
Low intensity exercise: RPE9-10 points, 20% -40% of PeakV02, 40% -50% of maximum heart rate; is used for rehabilitation training in the stable phase of heart failure and the early phase of acute myocardial infarction.
Moderate exercise: RPE11-13 points, 50% -60% of PeakV02, 60% -70% of maximum heart rate; the exercise capacity can be improved.
High-intensity exercise: RPE14-16 points; 60% -75% of PeakV02 and 70% -85% of the maximum heart rate; can obviously improve the exercise capacity and raise the ischemic threshold of angina patients.
Low-risk patients are also preferably under doctor's supervision, and both medium-risk and high-risk patients must be under supervision to avoid danger.
Based on this, the utility model designs a recovered motion monitor system of well high risk coronary heart disease patient to solve above-mentioned problem.
Disclosure of Invention
An object of the utility model is to provide a recovered motion monitor system of well high danger coronary heart disease patient, well high danger coronary heart disease patient can carry out the motion rehabilitation under medical staff supervises, some physiological characteristic data that this system can real-time recording and analysis patient and present on the computer screen, the exercise intensity of adjusting the exercise bicycle according to real-time physiological data, patient's real-time sign in the motion surpasss the sign of the stop motion of preset in case, stop the exercise bicycle immediately by medical staff or patient oneself, the controller also can automatic control gymnastics stop, and the physiological characteristic data among the record training process, as the aassessment and the reference of the recovered condition of health.
The utility model discloses a realize like this: a rehabilitation exercise monitoring system for patients with high-risk coronary heart disease comprises an exercise bicycle, wherein a resistance regulator is further arranged on the exercise bicycle;
the electronic sphygmomanometer is connected to one side of the exercise bicycle, and a blocking cuff of the electronic sphygmomanometer is connected to the tail end of a handle on one side of the exercise bicycle;
the electrocardiogram monitoring device is a flexible wearable electrocardiogram monitoring device;
the electrocardiogram monitoring device is in data connection with the control terminal, and the resistance regulator is in data connection with the control terminal.
Furthermore, the exercise bicycle is also provided with a display panel, the display panel is in data connection with the resistance regulator, and the resistance regulator is electrically connected with the exercise bicycle.
Furthermore, the electrocardiogram monitoring device is an elastic vest type wearing device, a waist binding belt and a height adjusting belt are fixed on the back of the electrocardiogram monitoring device, the waist binding belt and the height adjusting belt are respectively pasted with each other through magic tapes, ten electrode plates are arranged on the front of the electrocardiogram monitoring device, and the ten electrode plates are distributed according to twelve-lead dynamic electrocardiogram positions.
Furthermore, the waist binding belt and the height adjusting belt are elastic belts, and the whole electrocardio monitoring device is made of elastic yarns.
Further, the control terminal is a computer.
Further, still include the alarm, the alarm is connected with control terminal electricity.
The utility model has the advantages that: the utility model discloses an electrocardio guardianship device and electronic sphygmomanometer are just carrying out the physiological parameter real time monitoring of the patient who carries out the recovered motion to carry out a dynamic data analysis to the biological state of the patient who carries out the motion through control terminal, know the physical situation of change in the patient motion in real time, and let the patient carry out the recovered motion through the scheme that sets for suitable patient's body function, thereby reach the slow recovered effect of patient, because this kind of well high risk coronary heart disease patient, the motion is very dangerous, life danger appears easily, especially in this kind of recovered motion with certain intensity, it is easy to take place danger to careless slightly;
the device can monitor the blood pressure and the electrocardio parameters of a patient in the movement process through the dynamic electrocardio recording and analyzing system, and make adaptive comparison according to the cardiopulmonary exercise experiment of the patient before training, then monitor in real time on the basis, and adjust the resistance and the time of the exercise bike in real time through data change by the control terminal, so that the patient can achieve the task and the purpose of rehabilitation movement, can perform movement and rest alternation under the safe condition, and can superpose the time and the intensity with different resistance sizes, so that the patient can achieve the movement intensity and the time and cannot exceed the intensity to cause danger;
this device both can adjust the resistance regulator through control terminal, also can adjust the resistance regulator through manual urgent regulation, adjusts the resistance of exercise bicycle, and the patient's of recovered motion safety is ensured to normal use and emergency of being convenient for use.
The system can record and analyze some physiological characteristic data of a patient in real time and display the physiological characteristic data on a computer screen, the exercise intensity of the exercise bike is adjusted according to the real-time physiological data, once the real-time physical signs of the patient in exercise exceed the set indication which accords with the stop exercise of the patient, the exercise bike is immediately stopped by the medical staff or the patient, the controller can also automatically control the stop of the exercise bike, and the physiological characteristic data in the training process is recorded and used as the assessment and reference of the physical rehabilitation condition.
Drawings
The invention will be further described with reference to the following examples with reference to the accompanying drawings.
FIG. 1 is a schematic view of the overall structure of the present invention;
fig. 2 is a schematic view of the structure of the electrocardiograph monitoring device of the present invention.
In the drawings, the components represented by the respective reference numerals are listed below:
1-a control terminal, 11-an alarm, 2-a resistance regulator, 21-a display panel, 3-an exercise bike, 31-a handle, 4-an electronic sphygmomanometer, 41-an occlusion cuff, 5-an electrocardiogram monitoring device, 51-an electrode plate, 52-a waist binding belt and 53-a height regulating belt.
Detailed Description
Referring to fig. 1 and 2, the present invention provides a technical solution: a rehabilitation exercise monitoring system for patients with high-risk coronary heart disease comprises an exercise bicycle 3, wherein a resistance regulator 2 is further arranged on the exercise bicycle 3;
the electronic sphygmomanometer 4 is connected to one side of the exercise bicycle 3, and the occlusion cuff 41 of the electronic sphygmomanometer 4 is connected to the tail end of the handle 31 on one side of the exercise bicycle 3;
the electrocardiogram monitoring device 5 is a flexible wearable electrocardiogram monitoring device 5;
the electrocardio monitoring device 5 is in data connection with the control terminal 1, the resistance regulator 2 is in data connection with the control terminal 1, and the patient who carries out rehabilitation exercise can be protected more safely, and the system can automatically regulate the resistance of the exercise bicycle 3, so that the patient can relax during exercise, the excessive exercise in a short time is avoided, and the physiological parameters of the patient during exercise can not increase or decrease violently but tend to be stable;
the exercise bicycle is characterized in that a display panel 21 is further arranged on the exercise bicycle 3, the display panel 21 is in data connection with a resistance regulator 2, the resistance regulator 2 is electrically connected with the exercise bicycle 3, a doctor can check real-time physiological parameters of the patient through the display panel 21 when the doctor attends to the patient or the doctor is close to the patient for communication, and the resistance and the running state of the exercise bicycle 3 can be adjusted manually and timely through the resistance regulator 2;
the electrocardio monitoring device 5 is an elastic vest type wearing device, a waist binding belt 52 and a height adjusting belt 53 are fixed on the back of the electrocardio monitoring device 5, the waist binding belt 52 and the height adjusting belt 53 are respectively pasted with each other through magic tapes, ten electrode plates 51 are arranged on the front of the electrocardio monitoring device 5, and the ten electrode plates 51 are distributed according to twelve-lead dynamic electrocardiogram positions, so that the electrocardio data of a patient in motion can be accurately detected;
the waist binding belt 52 and the height adjusting belt 53 are elastic belts, and the whole electrocardiograph monitoring device 5 is made of elastic rubber strings, so that the size can be adjusted conveniently, and the electrocardiograph monitoring device is suitable for patients with different body types;
still include alarm 11, alarm 11 is connected with control terminal 1 electricity, control terminal 1 is the computer, and the warning suggestion doctor of being convenient for guards data, avoids missing to see by mistake and looks over untimely condition emergence.
In a specific embodiment of the present invention:
the utility model discloses a technical problem who provides a recovered motion monitor system of well high risk coronary heart disease patient solves is: 1. the coronary heart disease patient is dangerous when performing exercise rehabilitation training, the individual training is not allowed, and the recurrence or more critical situation is easy to occur, so the rehabilitation training exercise of the high-risk coronary heart disease patient needs to be monitored by a doctor, but the monitoring of the doctor can only be roughly operated in the rehabilitation exercise of the high-risk coronary heart disease at present, and the exercise intensity and the exercise duration are set to be very conservative so as to avoid the recurrence of the danger in the exercise, so the exercise intensity cannot be reached, and the effect in 1-3 weeks of the critical recovery period after the occurrence of the disease cannot be good;
2. the traditional twelve-lead dynamic electrocardiograph can help doctors to quickly diagnose the state of an illness due to the advantages of more lead signals, good stability and the like, and further correspondingly treat patients, but is not beneficial to rehabilitation movement due to the factors of large volume, high price, complex operation and the like;
3. middle-risk and high-risk patients need to move under monitoring, a hospital does not have a customized monitoring and treating system for movement rehabilitation training for the patients, but trains according to the subjective experience of doctors, even some hospitals are advanced and defended, the monitoring and treating system is not perfect, the specific body condition of the patients cannot be known in real time, and only judgment can be carried out by the experience;
4. carry out the rehabilitation training in the hospital, the doctor also needs to detect patient's each item parameter constantly, just need stop motion when detecting, detect on the instrument on one side, detected, carry out motion on next step again, but not real time monitoring, need rely on the doctor to monitor always, see that patient's health parameter can judge whether stop motion after exceeding standard, can lead to lou seeing, the condition of misseeing takes place, because need detect and the motion is alternative, the untimely condition of detection appears probably, cause danger.
And the utility model discloses wholly realize following technological effect: 1. the electrocardio monitoring device 5 and the electronic sphygmomanometer 4 which are monitored in real time are used for monitoring key physiological parameters which induce the coronary heart disease patients to get ill in real time, real-time analysis of data is carried out through a dynamic electrocardio recording and analyzing system to obtain a result, and the resistance of the exercise bicycle 3 is adjusted through the result to achieve the aim that the exercise is relaxed and the exercise is not always pressurized, so that the exercise mode can lead the body of the patients to be capable of relaxing and strengthening the exercise to be alternated, the exercise intensity can be achieved, over-concentrated body burden can not be brought to the patients, and the exercise recurrence possibility of the patients is effectively reduced; 2. by the relaxation exercise mode, the patient can have fuller exercise intensity instead of the prior conservative exercise scheme depending on experience, and the patient can have better rehabilitation effect by the plump and non-dangerous exercise scheme; 3. the doctor does not move the patient for a period of time, stops to detect the body state, moves alternately, but monitors the physiological parameters of the patient in real time, effectively knows the body function condition of the patient in motion, adjusts the motion intensity of the patient in time, only needs the doctor to set the intensity, and is automatically adjusted by the control terminal 1, so that the operation is very convenient; 4. the device can better protect the patient by real-time monitoring and real-time adjustment, so that a monitoring doctor can know the physical state of the patient in the exercise process all the time, can manually adjust the exercise intensity in real time according to the state, and can make more accurate judgment according to the communication understanding condition of the patient to better protect the patient in the exercise; 5. through the alarm, can just in time remind doctor and patient in case when the emergence surpasss the condition of physiology critical value, ensure patient's safety to physiological parameter can not appear and leak, look by mistake, look over untimely condition emergence.
The embodiment of the utility model provides an in technical scheme for solving above-mentioned problem, the general thinking is as follows:
for better understanding of the above technical solutions, the following detailed descriptions will be provided in conjunction with the drawings and the detailed description of the embodiments.
The utility model discloses through the exercise bicycle 3 with current when the installation, resistance regulator 2, electrosphygmomanometer 4 and electrocardio guardianship device 5 all carry out data and electricity with control terminal 1 and are connected, control terminal 1 is the computer, come to control all equipment through the computer, and resistance regulator 2 and display panel 21 are the device from taking on present exercise bicycle 3, be convenient for show or adjust data such as resistance power and intensity of motion, link together electrocardio guardianship device 5 and electrosphygmomanometer 4 with control terminal 1 again, be provided with a developments electrocardio record and analytic system in the control terminal 1, this system comes from the patent application number and is: CN201110025095.9, name: a dynamic electrocardiogram and motion recording and analyzing system can process and analyze real-time physiological data so as to know the condition of a patient and perform early warning, and the system can be adjusted conveniently, the data needs to be processed and judged by the device to be used as a judgment parameter for adjusting a resistance regulator 2 by a control terminal 1, so that a prompt and a sample plate value can be given to a doctor and the control terminal 1, and the control terminal 1 and the doctor can make final judgment conveniently.
When the utility model is used, the wearing is accurate, the accurate measurement position pressed on the arm by the blocking sleeve belt 41 is ensured, the electronic sphygmomanometer 4 can measure the accurate blood pressure value, the electrode slice 51 of the electrocardio monitoring device 5 is accurately distributed on the body of the patient according to the twelve-lead dynamic electrocardiogram position, if the accurate measurement is not carried out, the size of the whole electrocardio monitoring device 5 is adjusted through two waist binding belts 52 and two height adjusting belts 53, the vest type of the whole electrocardio monitoring device 5 is made of elastic rubber lines, any position has elasticity, thus the position of the electrode slice 51 can be adjusted, the accurate monitoring position is ensured, the electrocardio parameters of the patient can be monitored in real time, then the computer of the control terminal 1 is started, and the alarm 11, the exercise bicycle 3, the electronic sphygmomanometer 4 and the electrocardio monitoring device 5 are all powered on, then, an appropriate scheme is set according to the cardiopulmonary experiment result of the patient, so that the exercise and the monitoring can be carried out, and the specific steps are as follows:
for example, if a patient is a male, 65 years old, has coronary heart disease history for 5 years, has heart rate of 65 times/minute and blood pressure of 110/60mmHg under a resting state, the patient is clear to have no exercise load test contraindications after simple medical history inquiry and medical record data inquiry,
step 1, data connection is carried out between a control terminal 1 and a resistance regulator 2 of an exercise bicycle 3, then a plurality of movement schemes with different intensities are preset in the control terminal 1, and resistance with different intensities is matched on the resistance regulator 2 for controlling the power of the exercise bicycle 3 according to the plurality of movement schemes with different intensities;
and 2, perfecting a cardiopulmonary exercise test for the patient, judging that the rehabilitation exercise scheme of the patient is met according to the anaerobic threshold of the patient: the target power of the exercise bicycle is 120w, the target heart rate is 105 times/minute, the training time is 30min, and 5 days per week;
step 3, the exercise bicycle 3 and the control terminal 1 are powered on, the patient wears the electronic sphygmomanometer 4 and the electrocardiogram monitoring device 5, then a doctor sets a motion scheme according with the patient in the control terminal 1, and the control terminal 1 controls the resistance regulator 2 to match proper riding resistance and riding duration according to the motion scheme set by the doctor;
step 4, the patient trains according to the grade of the movement scheme preset by the doctor, the electronic sphygmomanometer 4 and the electrocardiogram monitoring device 5 transmit the measured data to the control terminal 1, the control terminal 1 carries out real-time data monitoring, and simultaneously the display panel 21 of the exercise bicycle 3 displays the measured real-time physiological data;
step 5, the electronic sphygmomanometer 4 and the electrocardiographic monitoring device 5 monitor physiological data of a patient who moves in real time, during the movement, if the control terminal 1 monitors that the real-time physiological data exceeds a reasonable range of rehabilitation movement of the patient in the movement process, step 6 is carried out, if various physiological data in the movement process are normal, step 7 is carried out, and meanwhile, after the exercise bicycle 3 is started, a doctor sets an indication which is in accordance with the movement stop of the training patient on the control terminal 1 in advance: the heart rate exceeds 130 times/minute during exercise; ② the blood pressure is 150/100mmHg or is reduced to 100/60mmHg when in exercise; the electrocardiogram has dynamic ST segment change, and the electrocardiogram monitoring ST segment moves downwards by more than or equal to 0.1mV or rises by more than or equal to 0.2mV during exercise; fourthly, serious arrhythmia occurs during or after exercise, such as obvious ventricular and atrial tachycardia, second-degree or third-degree atrioventricular block, or intolerance symptoms exist in the exercise, such as chest pain, obvious shortness of breath, palpitation and dyspnea, once any one of the physiological parameters of the patient measured by the electronic sphygmomanometer 4 and the electrocardiogram monitoring device 5 exceeds the set indication which accords with the stop exercise of the patient, the control terminal 1 stops the exercise bike 3 and starts the alarm 11;
step 6, the control terminal 1 controls the exercise bicycle 3 through the resistance regulator 2 according to a set motion scheme, controls the riding resistance of the exercise bicycle 3 through the resistance regulator 2 to slowly reach a set value, and finishes the time of continuous motion, after the set scheme is finished, the control terminal 1 increases the resistance through the resistance regulator 2 to control the exercise bicycle 3 to stop, the actual time of rehabilitation motion is the sum of the motion time of the step 5, the step 6 and the step 7, and when the sum of the motion time of the step 5, the step 6 and the step 7 reaches the set motion scheme duration in the control terminal 1, the control terminal 1 judges that the patient finishes rehabilitation motion;
step 7, the control terminal 1 controls the exercise bicycle 3 through the resistance regulator 2 according to a set motion scheme, controls the riding resistance of the exercise bicycle 3 through the resistance regulator 2 to slowly reach a set value, and finishes the time of continuous motion, after the set scheme is finished, the control terminal 1 increases the resistance through the resistance regulator 2 to control the exercise bicycle 3 to stop, the actual time of rehabilitation motion is the sum of the motion time of the step 5, the step 6 and the step 7, and when the sum of the motion time of the step 5, the step 6 and the step 7 reaches the length of 30 minutes of the motion scheme set in the control terminal 1, the control terminal 1 judges that the patient finishes rehabilitation motion;
and 8, after the control terminal 1 controls the exercise bike 3 to stop, the control terminal 1 archives all measured physiological data and compares the archived physiological data with initial data of a cardiopulmonary exercise experiment and all exercise data of a past time to obtain rehabilitation exercise effect data.
The device can record and analyze some physiological characteristic data of the patient in real time and display the physiological characteristic data on a computer screen, adjust the exercise intensity of the exercise bicycle according to the real-time physiological data, immediately stop the exercise bicycle 3 by the medical staff or the patient once the exercise stopping indication is exceeded, and record the physiological characteristic data in the training process as the evaluation and reference of the physical rehabilitation condition;
the actual time of the rehabilitation movement is the sum of the movement time of the step 5 and the movement time of the step 6, when the sum of the movement time of the step 5 and the movement time of the step 6 reaches the duration of the movement scheme set in the control terminal 1, the control terminal 1 judges that the patient completes the rehabilitation movement, so that the movement time is more reasonably and accurately counted, the patient can relax to a certain degree, the body is in a stable state during the rehabilitation movement, excessive movement cannot happen for a moment, and the movement amount is zero when the patient needs to stop for detection for a moment;
when the exercise bicycle 3 is started, a doctor sets an indication which is in accordance with the exercise stopping of a training patient on the control terminal 1 in advance, once the electronic sphygmomanometer 4 and the electrocardiogram monitoring device 5 measure an indication that any one of physiological parameters of the patient exceeds the set exercise stopping, the control terminal 1 stops the exercise bicycle 3 and starts the alarm 11 to monitor the physiological parameters of the patient in real time, and once the indication exceeds the set exercise stopping indication, the control terminal 1 controls the alarm 11 to give an alarm to ensure the safety of a patient, so that the situation that monitoring data is overlooked and cannot be viewed timely is avoided;
when the electrocardiogram monitoring device 5 is worn, the lengths of the waist binding belt 52 and the height adjusting belt 53 are adjusted to ensure that each electrode slice 51 is distributed at the corresponding position of the human body according to the twelve-lead dynamic electrocardiogram position, thereby ensuring the accurate detection of the electrocardiogram data when the patient moves.
The dynamic electrocardiogram recording and analyzing system is used for automatically detecting the activities of the user and carrying out electrocardiogram analysis under the activity scene. The system comprises analysis and software units in addition to electrocardiogram and motion sensor units, data acquisition, storage and transmission units. The system records and automatically detects daily physical movements of a user, such as lying, sitting, walking, running, falling, sitting up, standing up, sitting down, lying down and the like, and gives corresponding activity intensity. Automatic analysis of the electrocardiogram: when the abnormal electrocardio or abnormal activity is detected, a corresponding mark is given, all corresponding original signals and analysis results at that time are stored, and medical care personnel are prompted. The system gives the heart rate variability of the user at different activity intensities and the variation of the heart rate variability with activity type, activity intensity, and time. The system also provides a method for analyzing the change of heart rate and electrocardiogram form along with exercise intensity and duration, and can be used for aerobic exercise optimization and training safety in exercise and training.
Indication of cessation of exercise during exercise rehabilitation: safe exercise rehabilitation needs electrocardio and blood pressure monitoring in the exercise process besides making a correct exercise prescription and medical staff guidance, and is usually set according to different electrocardio data and blood pressure conditions of each patient, and the data is more conservative data which is in line with patients with high-risk and high-risk coronary heart disease and is used for avoiding dangerous conditions;
before the exercise bike 3 is started, the current physiological state of the patient needing rehabilitation training should be detected in advance, and an indication of stopping exercise according with the current physiological state of the patient should be set. When the patient has the symptom of stopping exercise during the exercise process or the electronic sphygmomanometer 4 and the electrocardiographic monitoring device 5 monitor that the physiological state of the patient exceeds the indication of stopping exercise, the doctor should immediately inform the patient that the risk exists, and at the same time, stop the exercise being performed by the patient in time and take reasonable protective treatment measures.
Symptoms of cessation of movement include: obvious chest pain, shortness of breath, palpitation, dyspnea, dizziness, pale complexion, muscle pain or spasm.
The following description is made for some devices and professional contents cited in the present invention
The control terminal 1 is internally provided with a dynamic electrocardiogram recording and analyzing system, the control terminal 1 analyzes and judges electrocardiogram data through the internal dynamic electrocardiogram recording and analyzing system, judges which state the body of a patient is in at present, and judges whether the exercise intensity of the patient is excessive or unsaturated, the control terminal 1 controls the resistance regulator 2 to adjust according to the analysis result, the resistance regulator 2 regulates the power of the exercise bike 3, the power of the exercise bike 3 is regulated to a suitable movement range suitable for the patient, and when the patient uses the exercise bike 3, the patient is matched with the suitable riding resistance, so that the purpose of safely carrying out rehabilitation training is achieved.
The heart-lung exercise test is one of the lung function tests which are commonly used internationally and used for measuring the level of human respiratory and circulatory functions, and can be used for evaluating functional exercise capacity, diagnosing diseases and judging and treating diseases. The cardiorespiratory function exercise test is an examination means, which reflects the cardiorespiratory function index of human body in the exercise with increasing load, and by comprehensive analysis of various parameters, the interaction and storage capability among heart, lung and circulatory system can be known.
The heart and lung movement test can be used for experts to know the state of an illness and the treatment effect, and the test is an important reference for patient rehabilitation of doctors and the basis of an appointed rehabilitation training plan;
general indexes are as follows: peak oxygen uptake, peak heart rate, carbon dioxide output, ventilation, minute ventilation and tidal volume, metabolic equivalent, terminal tidal oxygen partial pressure, anaerobic threshold, oxygen pulse, respiratory quotient, alveolar-arterial blood oxygen partial pressure difference;
the exercise bicycle 3 is called a power bicycle in the field of sports science, and is divided into a vertical type exercise bicycle and a back-to-back type exercise bicycle, which are also called horizontal exercise bicycles, the intensity, namely the power, of exercise can be adjusted, and the exercise bicycle plays a role in exercising, so people refer to the exercise bicycle. Aerobic exercise equipment that is typical of simulated outdoor sports is also known as cardiopulmonary exercise equipment. The body can be exercised for a long time and with proper intensity to promote the cardiovascular exercise, accelerate the metabolism and enhance the functions of the heart and the lung, thereby improving the physique of the human body.
The magnetic control exercise bicycle is characterized in that magnets are arranged on the periphery or the inner periphery of a metal flywheel generating resistance and are close to each other, the requirements of different exercise strengths are met by adjusting the distance between the magnets and the metal flywheel and adjusting the resistance through a manual knob wire pulling mode, and the existing exercise bicycle is a main force bicycle for home entry.
The principle of the electromagnetic control exercise bike is similar to that of the magnetic control exercise bike, and the resistance is adjusted by the distance resistance of the stay wire motor control magnet and the flywheel through the original manual knob adjustment. To suit higher-order users. Such exercise bicycles are currently common equipment for high-end home use and small-scale fitness sessions.
Self-generating exercise bike self-generation is a novel green, environment-friendly, energy-saving, low-carbon and pollution-free new energy product, and is mainly characterized in that: the transmission system of the exercise bicycle is provided with the speed increasing mechanism and the power generation device, physical power consumed by people during exercise can be converted into electric energy to be stored in the exercise bicycle, the electric energy can be automatically inverted into 220V alternating current when power is needed, power can be directly supplied while the people move, and the two modes can be freely switched. At present, the exercise bicycle is mostly used in professional gyms and high-grade hotels, and people hope to popularize the exercise bicycle into every family of thousands of households nowadays when low-carbon life is vigorously advocated. Calculated according to 500W of power, taking one household in China as an example, the power generation device can generate 4 hundred million degrees after moving for 2 hours every day.
No matter what type of exercise bicycle 3, the bicycle will be provided with a function of adjusting resistance so as to facilitate the adjustment of exercise intensity by a user, the adjustment device is completed through the resistance adjuster 2, and the display panel 21 displays the exercise intensity of the current exercise parameters and also displays the resistance.
The common electrocardiogram can only record and analyze the condition of the electrocardiogram at the time, and many abnormal conditions can not be recorded when the electrocardiogram is taken, so that the dynamic electrocardiogram is available. I.e. carrying a small box back, recording the 24-hour electrocardiogram, then analyzing all electrocardiogram information within 24 hours, and finally making a conclusion. This avoids this drawback of conventional electrocardiograms. And 12 leads, that is the placement position of the detection electrodes when the electrocardiogram is made. The twelve-lead dynamic electrocardiogram is mainly used for screening heart diseases, arrhythmia, ischemic heart disease, cardiomyopathy and ischemic and anoxic diseases of heart.
The 24-hour electrocardiogram monitoring can accurately record the arrhythmia of the examinee all day and night.
The recording box has small volume, comfortable wearing, clear and accurate information.
Is especially suitable for physical examination patients with the symptoms of normal electrocardiogram abnormity, palpitation, short breath, chest distress and backache, upper abdominal discomfort, dizziness or syncope and the like so as to further determine whether arrhythmia, myocardial ischemia and the like exist.
Transient arrhythmia which is not easy to record by a conventional electrocardiogram is compensated, the dynamic electrocardiogram inspection can determine the nature and the degree of the arrhythmia, and the risk of the arrhythmia and the curative effect of an anti-arrhythmia drug can be judged according to the dynamic electrocardiogram inspection so as to select an optimal treatment scheme.
The tracking detection of heart diseases such as myocardial ischemia, arrhythmia, myocardial infarction and the like of the old people.
The arrhythmia condition which can not be captured by the conventional electrocardiographic examination is compensated, and the latent, chronic and tachyarrhythmia is tracked and detected.
The potential risk factor of sudden death is found, the most common reason of sudden death is ventricular velocity or ventricular fibrillation, ventricular arrhythmia with unstable cardiac electrical activity occurs before the sudden death, and the sudden death can be easily found only by means of dynamic electrocardiographic detection. For patients with mitral valve prolapse, hypertrophic or dilated cardiomyopathy and Q-T protracted syndrome which are possibly subjected to sudden death, the dynamic electrocardiogram can timely and comprehensively discover the risk factors of the sudden death, and is favorable for timely taking powerful preventive measures.
Assist in determining whether intermittently occurring symptoms such as chest tightness, palpitation, vertigo, blackness, or syncope are cardiogenic.
Has high detection rate of myocardial ischemia, and can be used for performing location diagnosis, especially myocardial ischemia with atypical symptoms. Myocardial infarction or silent myocardial ischemia has irreplaceable clinical value. And the type and frequency of arrhythmia accompanying myocardial ischemia can be detected, the possibility of sudden cardiac death is predicted, and prevention and treatment measures can be taken as soon as possible.
Therefore, the twelve-lead electrocardiogram is more suitable for the motion recovery recording device of the device, and does not influence the motion of patients like the traditional electrocardiogram monitor.
Although specific embodiments of the present invention have been described, it will be understood by those skilled in the art that the specific embodiments described are illustrative only and are not limiting upon the scope of the invention, and that equivalent modifications and variations can be made by those skilled in the art without departing from the spirit of the invention, which is to be limited only by the claims appended hereto.

Claims (6)

1. A rehabilitation exercise monitoring system for patients with high and medium risk coronary heart disease is characterized in that: comprises an exercise bicycle (3), and a resistance regulator (2) is also arranged on the exercise bicycle (3);
the electronic sphygmomanometer (4), the electronic sphygmomanometer (4) is connected to the exercise bicycle (3), and the blocking cuff (41) of the electronic sphygmomanometer (4) is connected to the tail end of the handle (31) on one side of the exercise bicycle (3);
the electrocardiogram monitoring device (5), the electrocardiogram monitoring device (5) is a flexible wearable electrocardiogram monitoring device;
the electrocardiogram monitoring device (5), the resistance regulator (2) and the electronic sphygmomanometer (4) are in data connection with the control terminal (1).
2. The rehabilitation exercise monitoring system for patients with high-risk coronary heart disease according to claim 1, characterized in that: still set up display panel (21) on exercise bicycle (3), display panel (21) and resistance regulator (2) data connection, resistance regulator (2) are connected with exercise bicycle (3) electricity.
3. The rehabilitation exercise monitoring system for patients with high-risk coronary heart disease according to claim 1, characterized in that: the electrocardio monitoring device (5) is an elastic vest type wearing device, a waist binding belt (52) and a height adjusting belt (53) are fixed on the back of the electrocardio monitoring device (5), the waist binding belt (52) and the height adjusting belt (53) are respectively pasted with each other through magic tapes, ten electrode plates (51) are arranged on the front of the electrocardio monitoring device (5), and the ten electrode plates (51) are distributed according to twelve-lead dynamic electrocardiogram positions.
4. The rehabilitation exercise monitoring system for patients with high-risk coronary heart disease according to claim 3, characterized in that: the waist binding belt (52) and the height adjusting belt (53) are elastic belts, and the whole electrocardiogram monitoring device (5) is made of elastic yarns.
5. The rehabilitation exercise monitoring system for patients with high-risk coronary heart disease according to claim 1, characterized in that: the control terminal (1) is a computer.
6. The rehabilitation exercise monitoring system for patients with high-risk coronary heart disease according to claim 1, characterized in that: the alarm device is characterized by further comprising an alarm device (11), wherein the alarm device (11) is electrically connected with the control terminal (1).
CN202020455159.3U 2020-04-01 2020-04-01 Rehabilitation exercise monitoring system for patients with high and medium risk coronary heart disease Expired - Fee Related CN212369483U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111467747A (en) * 2020-04-01 2020-07-31 福建医科大学附属第一医院 Rehabilitation exercise monitoring system and method for patients with high and medium risk coronary heart disease
CN112932474A (en) * 2021-01-26 2021-06-11 国家康复辅具研究中心 Rehabilitation training method and system based on cerebral blood oxygen and electromyographic signals

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111467747A (en) * 2020-04-01 2020-07-31 福建医科大学附属第一医院 Rehabilitation exercise monitoring system and method for patients with high and medium risk coronary heart disease
CN112932474A (en) * 2021-01-26 2021-06-11 国家康复辅具研究中心 Rehabilitation training method and system based on cerebral blood oxygen and electromyographic signals
CN112932474B (en) * 2021-01-26 2022-04-01 国家康复辅具研究中心 Rehabilitation training method and system based on cerebral blood oxygen and electromyographic signals

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