JP2013158415A - Blood pressure monitoring system and blood pressure measuring device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a blood pressure monitoring system by which high-quality information on blood pressure can be readily available with as little burden as possible when using a sphygmomanometer for a long period of time; and to provide a blood pressure measuring device.SOLUTION: A blood pressure monitoring system includes: a blood pressure measuring means capable of sending measured data to a primary display means; a primary display means a user has; a measurement result database installed on a network; a medical care information database which links with the measurement result database and in which the measured data are stored as a part of medical care record data on the user; and a secondary display means a medical profession such as a doctor has. To the measured data stored in the measurement result database, identification information for identifying the user is added.

Description

  The present invention relates to a blood pressure monitoring system and a blood pressure measurement device.

“Sphygmomanometer” is indispensable for daily medical care. In recent years, blood pressure is measured at home with the increase of hypertension as a lifestyle-related disease. It has become popular.
By the way, in a medical institution, a big difference may be recognized between the blood pressure (outpatient blood pressure) measured by a doctor or a nurse and the home blood pressure. A typical case is called “white coat hypertension”, in which the blood pressure of the outpatient blood pressure is higher than the home blood pressure, and a person with normal blood pressure rises temporarily in the examination room.
On the other hand, there is a case called “masked hypertension” in which home blood pressure is higher than outpatient blood pressure. Typical cases include early morning hypertension, where morning blood pressure rises excessively as diurnal fluctuations in blood pressure, but blood pressure falls and oversight may be missed during outpatient visits during the day .

Against this background, it has become desirable to regularly measure blood pressure for 24 hours in order to further improve the quality of blood pressure information. As doctors and health care professionals, in order to improve the quality of blood pressure information, blood pressure information in the home is also important information, so the development of blood pressure measuring devices that can measure daily fluctuations in blood pressure at home has also been developed. It has been strongly desired.
Therefore, conventionally, a device “24-hour blood pressure monitor (ABPM)” that automatically measures blood pressure for 24 hours has been developed, and it is possible to see how the blood pressure changes in daily life. (For example, refer to Patent Document 1).
This 24-hour sphygmomanometer (ABPM) has a structure in which a cuff for measuring blood pressure is wrapped around the upper arm and a recorder is worn on the shoulder or worn on the waist, and spends one day every 30 or 60 minutes. Blood pressure is automatically measured and recorded.

Japanese Patent Laid-Open No. 11-47103

By the way, from the clinical site, it is strongly desired to develop a sphygmomanometer that can obtain high-quality blood pressure information from blood pressure measurement data as long as possible and can be used in the clinical site.
However, the 24-hour sphygmomanometer according to Patent Document 1 requires a recorder attached to the shoulder and waist in addition to the cuff for measuring blood pressure, and there is a problem that the cost increases. If the cost becomes high in this way, it becomes difficult to purchase and use it individually. Therefore, although a 24-hour blood pressure monitor owned by a doctor or the like is lent, in order to have more people use it, the period of use per person is inevitably shortened. For this reason, it becomes difficult to perform monitoring over a long period of time, and it may be difficult to obtain high-quality blood pressure information. Furthermore, since the environment for managing blood pressure measurement data of a large number of people is not prepared at present, it may be difficult to meet the demand of a large number of people.
In addition, since it is necessary to attach not only the cuff but also a recorder, it may be a burden on the user if the recorder is used for a long time. In addition, since blood pressure measurement data is supposed to be brought to a doctor, if the sphygmomanometer is used over a long period of time, the number of visits may increase, and annoyance may be felt.

  An object of the present invention is to provide a blood pressure monitoring system and a blood pressure measuring device that can obtain high-quality blood pressure information as much as possible and without trouble when using a blood pressure monitor over a long period of time.

In order to achieve the above object, the present invention takes the following technical means.
That is, the invention according to claim 1 is mounted on a user's upper arm, and blood pressure measuring means for measuring the blood pressure of the user's upper arm,
A first display means that is owned by the user and receives and displays measurement data of the blood pressure of the user transmitted from the blood pressure measurement means;
A measurement result database provided on the network and storing the measurement data transmitted from the first display means via the network;
Linked to the measurement result database, a medical information database in which the measurement data is stored as part of user medical record data,
A second display means that is owned by a medical staff such as a doctor and obtains and displays the medical record data of the user including the measurement data from the medical information database; and
Identification information for identifying a user is added to the measurement data stored in the measurement result database.

According to the first aspect of the present invention, the blood pressure measuring means is worn on the upper arm of the user, and the data measured by the blood pressure measuring means is a first separate from the blood pressure measuring means. (1) Since blood pressure is always measured at a position close to the heart, accurate blood pressure measurement data can be obtained as compared to a wrist sphygmomanometer, and the like ( 2) Since the blood pressure measurement result is displayed by the first display means separate from the blood pressure measurement means, the blood pressure measurement means attached to the upper arm is not provided with a display means such as a display. There is an advantage that the device of the upper arm portion can be reduced in size. As a result, accurate blood pressure measurement and miniaturization can be achieved, so that the applicability as a sphygmomanometer under 24-hour action can be enhanced. Further, since the recording of the measurement data from the blood pressure measurement means is stored in the measurement result database, there is no limitation on the memory or the like equipped in the blood pressure measurement means, and the case where the sphygmomanometer is used for a long time. However, the physical burden and mental burden of the user can be reduced.
In addition, as the first display means for receiving the measurement data from the blood pressure measurement means, for example, various portable information terminals such as smartphones, PDAs, and tablet terminals, and various personal computers are owned by the user, and If you use what you use on a daily basis, you need to install blood pressure measurement data display software on these, and you can easily display blood pressure data measured by blood pressure measurement means, so the cost of equipment is reduced Therefore, it is possible to prevent the increase in the manufacturing cost of the entire sphygmomanometer. This makes it easy for an individual to purchase a blood pressure monitor under 24-hour behavior, and thus monitoring blood pressure over a long period of time is easy to execute, and as a result, high-quality blood pressure information is easily obtained.
In addition, since identification information for identifying a user is added to the measurement data stored in the measurement result database, data management for each of a large number of users is possible. This makes it easy to create an environment that can meet the demands of a large number of people, eliminating the need to shorten the period of use of a blood pressure monitor per person as in the past, and to monitor blood pressure over a long period of time. Can meet the demands of people.
Further, the measurement data is stored in the measurement result database, and a medical worker such as a doctor can acquire the measurement data through the medical care information database, so that the user sequentially stores the measurement data with the doctor. No need to bring. For this reason, even when the blood pressure is measured over a long period of time, it is possible to prevent an increase in the number of hospital visits, which saves time and contributes to a reduction in the physical burden and mental burden on the user.
Furthermore, since a medical worker such as a doctor can obtain the user's medical record data including the measurement data from the medical information database, the user's health can be obtained from the medical record data including the measurement data under the 24-hour behavior. It becomes possible to grasp the state accurately. In addition, since doctors can easily grasp the situation of white coat hypertension, masked hypertension, workplace hypertension, morning surge, etc., it is possible to improve the utilization in clinical practice.

The invention according to claim 2 is the blood pressure monitoring system according to claim 1, wherein each of the first display means and the second display means creates a trend graph that displays the measurement data in time series. Graph creation means,
A display unit for displaying a trend graph formed by the graph creating means;
An input unit for detecting touch input,
Arrow information indicating a direction of a drag operation or a flick operation for moving the trend graph along the time series on the display unit is created together with the trend graph by the graph creating means. .

  According to the second aspect of the present invention, since the trend graph in which the measurement data is displayed in time series can be displayed on the display unit, blood pressure information such as blood pressure fluctuations is easy to see. In addition, since the arrow information is created at the same time when the trend graph is created by the graph creating means, the trend graph can be converted by simply dragging or flicking the trend graph based on the arrow information. It can be easily moved along the time series on the display unit. And since blood pressure information becomes easy to see and it becomes easy to operate the trend graph in this way, it becomes easy to make a diagnosis by a medical worker such as a doctor. As a result, since the quality of blood pressure information can be improved as a result, it can contribute to the improvement of the health condition of the user.

  The invention according to claim 3 is the blood pressure monitoring system according to claim 1 or 2, wherein access to the measurement result database is permitted, and the measurement data is acquired from the measurement result database via a network and displayed. And a third display means.

  According to the invention described in claim 3, since the third display means can acquire the measurement data from the measurement result database via a network, for example, the user himself is different from the first display means. The measurement data is acquired using an information terminal, a medical worker such as a doctor acquires the measurement data using an information terminal different from the second display means, or a third party performs the measurement Data can be acquired. As a result, the blood pressure information of the user can be obtained anytime and anywhere as long as access to the measurement result database is permitted, so that a diagnosis can be made as necessary and the health status of the user can be improved. Can contribute.

The invention described in claim 4 is a blood pressure measurement device that is used in the blood pressure monitoring system according to any one of claims 1 to 3 and includes a blood pressure measurement unit that is worn on the upper arm of a user. ,
Blood pressure measuring means is the main body of the blood pressure monitor,
A holding band that holds the blood pressure monitor main body and is worn on the upper arm of the user,
The sphygmomanometer body includes a cuff for compressing a blood vessel of a user's upper arm,
A blood pressure measurement unit for measuring blood pressure based on a pressure change of the cuff unit;
Transmission means for transmitting blood pressure measurement data measured by the blood pressure measurement unit to the first display means.

According to the invention described in claim 4, the sphygmomanometer body includes a cuff unit for compressing a blood vessel of a user's upper arm, and a blood pressure measurement unit that performs blood pressure measurement based on a pressure change of the cuff unit. Therefore, blood pressure can be measured on the user's upper arm. This makes it possible to obtain accurate measurement data that is less affected by the external environment than when blood pressure is measured using, for example, the wrist, and can contribute to improving the quality of blood pressure information.
The blood pressure monitor main body has a transmission means for transmitting the blood pressure measurement data measured by the blood pressure measurement unit to the first display means, so that the measurement data is transmitted to the first display by the transmission means. It can be reliably transmitted to the means.

The invention according to claim 5 is the blood pressure measurement device according to claim 4, wherein the wearing band is worn over the entire circumference of the user's upper arm and holds the blood pressure monitor body;
A forearm mounting portion that is integrally formed with the upper arm mounting portion and is mounted so as to be in close contact with the forearm portion over the entire circumference of the user's forearm portion;
The forearm mounting portion is formed to be stretchable in the radial direction of the forearm mounting portion.

  According to the fifth aspect of the present invention, since the upper arm mounting portion holds the sphygmomanometer body, it also holds the cuff portion at the same time. Therefore, since the cuff part swells during blood pressure measurement and is shrunk except during measurement, the upper arm wearing part is in close contact with the user's upper arm part during blood pressure measurement, and is relatively loose except during measurement. It becomes a wearing state. For this reason, if the forearm attachment part is attached so as to be in close contact with the user's forearm part, the upper arm attachment part and the sphygmomanometer body can be supported by the forearm attachment part. As a result, it is possible to continue wearing the upper arm wearing part and the sphygmomanometer body with respect to the user's arm part, so that, for example, the physical and mental burdens felt by the user by worrying about the fall of the sphygmomanometer. It can be reduced and is suitable for long-term blood pressure measurement.

  According to the present invention, it is possible to obtain high-quality blood pressure information with minimal burden and effort when using a blood pressure monitor over a long period of time. In addition, it becomes possible to form an environment where more people can obtain high-quality blood pressure information.

It is a figure which shows the structure of the blood pressure monitoring system which concerns on this invention. It is a figure which shows a part of blood pressure monitoring system shown in FIG. 1 in detail. It is a figure which shows a blood-pressure measuring device and its mounting state. It is a figure which shows the relationship between a user, a blood-pressure measurement apparatus, and a 1st display means. It is a figure which shows the mounting state of the sphygmomanometer which considered the positional relationship of a blood-pressure measuring apparatus and the heart. It is a figure which shows the detail of the blood-pressure measuring apparatus which concerns on this invention. It is a figure which shows another form of the blood-pressure measuring apparatus shown in FIG. It is a figure which shows the state which extended the blood-pressure measuring apparatus shown in FIG. It is a figure which shows the control circuit of a blood pressure measuring device, and the structure of a 1st display means. It is a figure which shows the structure of a 2nd display means. It is a figure which shows the structure of a 3rd display means. It is a figure which shows an example of the screen displayed on a display part. It is a figure which shows an example of the screen displayed on a display part. It is a figure which shows an example of the screen displayed on a display part. It is a figure which shows an example of the screen displayed on a display part. It is a figure which shows an example of the screen displayed on a display part. It is a figure which shows an example of the screen displayed on a display part. It is a figure which shows an example of the screen displayed on a display part.

(Basic configuration of blood pressure monitoring system)
As shown in FIGS. 1 to 18, the blood pressure monitoring system of the present embodiment is mounted on the upper arms A <b> 1 of users 1 and 2 and measures blood pressure of the upper arms A <b> 1 of users 1 and 2. Blood pressure measuring means 3 (blood pressure measuring device) having a meter body 10;
A first display means 60 that is owned by the users 1 and 2 and receives and displays the blood pressure measurement data 4 of the users 1 and 2 transmitted from the blood pressure measurement means 3;
A measurement result database 100 provided on the network 5 and storing the measurement data 4 transmitted from the first display means 60 via the network 5;
A medical information database 110 linked to the measurement result database 100 and storing the measurement data 4 as part of the medical record data 120 of the users 1 and 2;
And a second display means 80 that is owned by a medical worker 6 such as a doctor and acquires and displays the medical record data 120 of the users 1 and 2 including the measurement data 4 from the medical information database 110.
Further, a third display means 90 is provided which is permitted to access the measurement result database 100 and acquires and displays the measurement data 4 from the measurement result database 100 via the network 5.
Then, identification information for identifying the users 1 and 2 is added to the measurement data 4 stored in the measurement result database 100.
Note that the measurement data 4 in the present embodiment includes at least a blood pressure measurement value measured by the blood pressure measurement means 3 and a blood pressure measurement time.

The users 1 and 2 indicate those who use the blood pressure measurement means 3. Specifically, for example, a person who is determined to need blood pressure monitoring by a medical worker 6 such as a doctor, and a healthy person or home caregiver who monitors blood pressure as part of a health diagnosis However, it is not particularly limited, and people with various attributes can use the blood pressure measuring means 3.
In the blood pressure monitoring system according to the present embodiment, a large number of users 1 and 2 can perform monitoring over a long period of time at a time. Accordingly, FIG. 1 shows a plurality of users 1 and 2.
The medical staff 6 such as a doctor may refer not only to a doctor but also to a medical institution (blood analysis center) for analyzing blood pressure and blood, other medical institutions / facility, and the like. However, the act of making a diagnosis based on the measurement data 4 is a medical act, and it is necessary that a doctor is resident or linked with the doctor at any medical institution or facility.

(Configuration of blood pressure measuring means 3)
As shown in FIGS. 1 to 9, the blood pressure measuring means 3 holds the blood pressure monitor main body 10 and the blood pressure monitor main body 10, and at least the upper arm A <b> 1 of the arms A of the users 1 and 2. And a wearing band 20 to be worn.
The blood pressure monitor main body 10 includes a cuff unit 11, a blood pressure measurement unit, and a transmission / reception unit 30 as a transmission unit that transmits the blood pressure measurement data 4 measured by the blood pressure measurement unit to the first display unit 60. And have.

  The cuff part 11 is for compressing the blood vessels of the upper arms A1 of the users 1 and 2, and has an air-filling type sac structure. The cuff portion 11 is provided integrally with an upper arm attachment portion 21 (described later) of the attachment band 20 and along the length direction of the upper arm attachment portion 21, and is disposed on the entire upper arm portion A <b> 1. It is considered to be a long strip.

The blood pressure measurement unit measures blood pressure based on the pressure change of the cuff unit 11, measures the maximum blood pressure and the minimum blood pressure by causing a pressure sensor 35, a microphone 36, and the like to be described later to function. The converted blood pressure data can be analyzed and converted into an arterial waveform.
The blood pressure measurement unit is mainly configured by a holding plate part 13 slightly curved along the upper arms A1 of the users 1 and 2 and a device main body 14 provided with various devices for blood pressure measurement. Yes.

The holding plate portion 13 is a plate-like shape formed of a soft plastic or the like into a substantially rectangular shape, and is detachably attached to the mounting band 20 (particularly the upper arm mounting portion 21).
As shown in FIG. 8, a holding portion 16 that detachably fixes the device main body 14 is attached to the surface of the holding plate portion 13. The holding part 16 is provided with air circulation pipes 17 and 18 for sending air to the cuff part 11, and is supplied from an air pump 44 provided in the device main body 14 through the air circulation pipes 17 and 18. The generated air enters the cuff part 11 and the air in the cuff part 11 is leaked.

  The device main body 14 is a main part of the blood pressure measurement unit, and controls a box-shaped case 15 having a soundproof structure, various devices housed in the box-shaped case 15, and these various devices. The case 15 is slidably fitted between the left and right side plates 16a and 16b of the holding portion 16, and is fixed by a protrusion 16c at the end of the side plate.

  The device main body 14 includes, as the various devices housed in the case 15 and the control circuit, a transmission / reception unit 30, a control unit 31, a storage unit 32, a pressure sensor 35, a microphone 36, and a blood pressure measurement circuit. 37, a position sensor 39, a body posture determination circuit 40, a blood pressure correction circuit 41, a clock circuit 42, a blood pressure measurement timer circuit 43, an air pump 44, a leak pressure valve 45, a daytime waking control circuit 46, A night sleep control circuit 47, a device control circuit 48, a safety circuit 49, a manual measurement circuit 50, a pulse detection circuit 52, an activity amount measurement circuit 53, a stop button 54, and a manual button 55 are provided. . The case 15 contains a battery 19 for operating various devices.

As shown in FIGS. 3A to 3F, the wearing band 20 is worn at least on the upper arm A1, and the design and the like are not particularly limited.
In the case of the wearing band 20 that is worn only on the upper arm A1 of the users 1 and 2, the upper arm wearing portion 21 that is worn over the entire circumference of the upper arms A1 of the users 1 and 2 and holds the blood pressure monitor main body 10. Is the main constituent.
In the case of the wearing band 20 that is worn over the upper arms A1 and the forearms A2 of the users 1 and 2, the upper arms 21 and the forearms of the users 1 and 2 are formed integrally with the upper arms 21. And a forearm mounting portion 22 that is mounted so as to be in close contact with the forearm portion A2. The forearm mounting portion 22 is extendable in the radial direction of the forearm mounting portion 22. Is formed. Furthermore, it has an elbow pad 23 provided between the upper arm mounting part 21 and the forearm mounting part 22.

As shown in FIGS. 6 and 8, the upper arm mounting portion 21 is formed in a long strip shape that runs over the entire upper arm portion A <b> 1.
The upper arm mounting portion 21 holds the sphygmomanometer main body 10 as described above. In particular, the cuff portion 11 is integrally provided along the length direction of the upper arm mounting portion 21.
Also, hook and loop fasteners 21 a and 21 b are provided on both surfaces of the upper arm mounting portion 21 on the surface. It is assumed that the cuff portion 11 is not provided in a portion where the surface fasteners 21a and 21b are provided.

  Further, when the blood pressure measuring means 3 is attached to the upper arm A1, for example, when standing, the height positions of the blood pressure measuring means 3 and the heart H are substantially equal as shown in FIG. Attach to. The sphygmomanometer body 10 is worn so as to match the position of the biceps brachii in the upper arm A1.

  FIG. 7 shows another embodiment of the upper arm mounting portion 21, which is not a belt shape as shown in FIG. 6 and FIG. Therefore, it is easier to attach to the upper arm A1. In this case, the upper arm mounting portion 21 is formed of a stretchable material so that it does not easily fall off the upper arm portion A1.

According to the wearing band 20 having the upper arm wearing part 21 and the forearm wearing part 22, the upper arm wearing part 21 and the sphygmomanometer main body 10 are attached to the arm part A of the users 1 and 2. Therefore, for example, by worrying about the drop of the blood pressure measurement means 3, it is possible to reduce the physical burden and the mental burden felt by the users 1 and 2, and it is suitable for long-term blood pressure measurement.
That is, since the upper arm mounting portion 21 holds the blood pressure monitor main body 10, the cuff portion 11 is also held at the same time. Accordingly, the cuff portion 11 swells during blood pressure measurement and is shrunk except during measurement. Therefore, the upper arm attachment portion 21 is in close contact with the upper arms A1 of the users 1 and 2 during blood pressure measurement. Other than that, it is in a relatively loose mounting state. For this reason, if the forearm mounting portion 22 is mounted so as to be in close contact with the forearm portion A2 of the users 1 and 2, the forearm mounting portion 22 supports the upper arm mounting portion 21 and the sphygmomanometer body 10. be able to.
Although not shown, the forearm mounting portion 22 may be provided with adjusting means such as a belt that can adjust the tightening degree of the forearm portion A2. When the forearm mounting portion 22 supports the mounting band 20 itself, the upper arm mounting portion 21 may be relatively relaxed.

(Configuration of the first display means 60)
The first display means 60 is owned by the users 1 and 2 and used on a daily basis among various portable information terminals such as smartphones, PDAs, and tablet terminals, and various personal computers. . By installing a dedicated application, the signal from the device main body 14 is analyzed and converted into an arterial waveform, or the measurement time of blood pressure under a 24-hour action is set, and blood pressure measurement means is set at the set time. It is possible to control the daily activities of the users 1 and 2. Further, communication with the device main body 14 is possible, and control information can be transmitted to the device main body 14 and measurement data 4 can be received from the device main body 14. The first display means 60 may be equipped with a dedicated circuit instead of a dedicated application. In order to enable such control, the first display means 60 stores various programs. Mainly includes a control unit 61 for execution, a storage unit 62 for storing various programs and various data, a display unit 63 for displaying various types of information, an input unit 64 for detecting touch input, a transmission / reception unit 65, and the like. It is configured.
The input unit 64 includes a transparent touch screen or the like disposed on the display unit 63, and the display unit 63 and the input unit 64 constitute a touch panel.

Further, in the first display means 60, blood pressure measurement settings and agenda settings are performed, and the blood pressure measurement time and the daily activity contents of the user are associated with each other on the display unit 63 along with the arterial waveform. Information is displayed.
In order to enable such an operation, the first display unit of the present embodiment includes the control unit 61, the storage unit 62, the display unit 63, the input unit 64, and the transmission / reception unit 65. An agenda setting means 66, a clock means 67, a blood pressure measurement timer means 68, a doctor instruction input means 69, a blood pressure data processing means 70, an alarm means 71, and a liquid crystal display instruction means 72.
The display unit 63 includes information including at least an arterial waveform based on the measured value of blood pressure, and information that associates the blood pressure measurement time with the daily activities of the users 1 and 2. Is displayed. In the present embodiment, the measurement data 4 includes at least the blood pressure measurement value measured by the blood pressure measurement means 3 and the blood pressure measurement time. Information further including blood pressure measurement time and information relating daily activities of the users 1 and 2 may be used as the measurement data 4.

The first display means 60 further includes a graph creation means 76 for creating a trend graph that displays the measurement data 4 in chronological order.
The trend graph formed by the graph creating means 76 can be displayed on the display unit 63 as shown in FIG.
Further, the graph creation means 76 creates arrow information Y indicating the direction of the drag operation or flick operation for moving the trend graph along the time series on the display unit 63 together with the trend graph. Can do. The arrow information Y displays one or two arrows indicating the directions in which the trend graph can be moved, and a date. When moving the trend graph, the trend graph can be moved by placing a finger on the display unit 63 and performing a drag operation or a flick operation in the direction of the arrow. The trend graph can be displayed on the display unit 63 (for example, the screen is switched from FIG. 16 to FIG. 17).
The trend graph is a graph reflecting the measurement data 4, and includes a waveform based on blood pressure measurement values (maximum blood pressure / minimum blood pressure / pulse), pulse interval variation information, body motion detection information, and blood pressure. You can see the measurement time.

As shown in FIG. 2, the first display means 60 is set so that the trend graph and other information displayed on the display unit 63 can be output by an output means such as the printer 7.
Further, if the first display means 60 is not connected to output means such as a printer 7 such as a smartphone, for example, the printer 7 once among other terminals owned by the users 1 and 2. Data may be sent to a terminal 60a connected to an output means such as and a trend graph or the like may be output using this terminal 60a.
Furthermore, the measurement data 4 may be transmitted from the terminal 60a to the measurement result database 100. In this case, it is assumed that a dedicated application similar to the first display unit 60 is also installed in the terminal 60a.

(Configuration of second display means 80)
The second display means 80 is owned by a medical worker 6 such as a doctor and used daily among various portable information terminals such as smartphones, PDAs and tablet terminals, and various personal computers. It is.
The second display means 80 is permitted to access the medical information database 110, and acquires and displays the medical record data 120 of the users 1 and 2 including the measurement data 4 from the medical information database 110. be able to. The second display means 80 is set to be accessible also to the measurement result database 100.
In order to enable such an operation, as shown in FIG. 10, the second display means 80 includes a control unit 81 for executing various programs, and a storage unit 82 for storing various programs and various data. The display unit 83 displays various information, the input unit 84 detects a touch input, the transmission / reception unit 85, and the like.
The input unit 84 includes a transparent touch screen or the like disposed on the display unit 83, and the display unit 83 and the input unit 84 constitute a touch panel.

The second display means 80 is equipped with a dedicated application so as to create a trend graph or link the measurement data 4 and the medical record data 120 on the display unit 83. It is possible to display or to instruct the specific users 1 and 2 to measure the blood pressure measurement time.
In order to enable such an operation, the second display unit 80 includes the control unit 81 and the like, a graph creation unit 86, a data link unit 87, and a doctor instruction unit 88.

  The graph creation means 86 is for creating a trend graph that displays the measurement data 4 in time series, and is set to perform the same function as the graph creation means 76 of the first display means 60. Yes.

The data link means 87 is for linking the measurement data 4 or trend graph and the medical record data 120 and displaying them on the display unit 83.
According to such a data link means 87, for example, as shown in FIGS. 14 and 15, the data of the users 1 and 2 stored in the medical information database 110 are displayed on the display unit 83 while being used. The measurement data 4 of the persons 1 and 2 can also be displayed on the display unit 83.

The doctor instruction means 88 is for instructing specific users 1 and 2 to measure the blood pressure measurement time. A doctor makes a diagnosis based on the medical record data 120 of specific users 1 and 2, and determines the time for which blood pressure is desired to be measured. The information can be transmitted as doctor instruction information to the first display means 60 owned by a specific user 1 or 2 via the transmission / reception unit 85.
The first display means 60 receives doctor instruction information via the transmission / reception unit 65 and is appropriately processed by the doctor instruction input means 69. That is, a medical worker 6 such as a doctor can set the time for blood pressure measurement by the blood pressure measurement means 3 through the first display means 60 by operating the second display means 80.

  The second display unit 80 is set so that the trend graph and other information displayed on the display unit 83 can be output by an output unit such as the printer 7.

(Configuration of the third display means 90)
The third display unit 90 is, for example, various portable information terminals such as a smartphone, a PDA, and a tablet terminal, various personal computers, and the like.
The owner of the third display means 90 is not particularly limited as long as it can access the measurement result database 100 and can receive access permission from the measurement result database 100 side. Good.
Therefore, the medical staff 6 such as the users 1 and 2 and the doctor can use the third display means 90, which is an external computer other than the first display means 60 and the second display means 80, as necessary. The measurement result database 100 can be accessed to view necessary information (measurement data 4). For example, as shown in FIG. 1, measurement data stored in the measurement result database 100 using a computer other than the first display unit 60 and the second display unit 80 at a home 8a, a place 8b, etc. 4 can be seen.
In order to enable such an operation, as shown in FIG. 11, the third display means 90 includes a control unit 91 for executing various programs, and a storage unit 92 for storing various programs and various data. The display unit 93 for displaying various information, the input unit 94, the transmission / reception unit 95, and the like are mainly configured.
The input unit 94 may adopt a touch panel, or may adopt other input methods such as a keyboard and a mouse.

The third display means 90 can create a trend graph by installing a dedicated application. In order to enable such an operation, the third display unit 90 includes the control unit 91 and the like, and a graph creation unit 96.
The graph creation means 96 is for creating a trend graph that displays the measurement data 4 in time series, and is set to perform the same function as the graph creation means 76 of the first display means 60. Yes.

  The third display unit 90 is set so that the trend graph and other information displayed on the display unit 93 can be output by an output unit such as the printer 7.

(Configuration of the measurement result database 100)
The measurement result database 100 is provided on the network 5 and stores the measurement data 4 transmitted from the first display means 60 via the network 5.
The measurement result database 100 performs data processing based on control by the server 101.

The server 101 adds identification information of users 1 and 2 to the measurement data 4 stored in the measurement result database 100 in addition to a basic configuration (not shown) such as a control unit and a transmission / reception unit. Information adding means 102 is provided.
The measurement result database 100 stores measurement data 4 for each of the users 1 and 2 and the identification information, and the measurement data 4 can be acquired for each of the users 1 and 2 and the identification information.
In the present embodiment, the measurement data 4 includes at least the measurement value of the blood pressure measured by the blood pressure measurement unit 3 and the measurement time of the blood pressure. The measurement data 4 stored in the database 100 further includes identification information of the users 1 and 2.

The server 101 has a function as an authentication server.
That is, the first display means 60, the second display means 80, the third display means 90, the medical information database 110, or other computers that have been accessed to acquire information from the measurement result database 100 are: It can be determined (authenticated), for example, by an ID, a password, an electronic certificate, or the like, whether it is a legitimate user / terminal that has received access permission.
If it is a legitimate user / terminal, information can be transmitted to the measurement result database 100 or information can be acquired from the measurement result database 100 based on a preset authority. Thereby, for example, even if the users 1 and 2 use a plurality of types of terminals equipped with dedicated applications as the first display means 60, the measurement result database 100 performs authentication. Management of the measurement data 4 can be performed reliably.

  The measurement result database 100 may be managed by a medical worker 6 such as a doctor, or may be managed by a company engaged in data management.

(Configuration of the medical information database 110)
The medical information database 110 is linked to the measurement result database 100 and stores the measurement data 4 as part of the medical record data 120 of the users 1 and 2.
The medical information database 110 performs data processing based on control by a server 111 having a basic configuration (not shown) such as a control unit and a transmission / reception unit.

The medical information database 110 stores a large number of medical record data 120 (electronic medical records) managed by a medical worker 6 such as a doctor.
Among these many medical record data 120, there is also included medical record data 120 in which medical records of users 1 and 2 (records of progress related to medical care) are written. It is written in the medical record as a part of the medical record data 120.
That is, since the medical information database 110 is linked to the measurement result database 100, the measurement data 4 stored in the measurement result database 100 is also stored in the medical information database 110. Since identification information is added to the measurement data 4, the measurement data for each user 1, 2 is also included in the medical record data 120 for each user 1, 2 stored in the medical information database 110. 4 is definitely written.
Further, in the medical care information database 110, various records relating to medical care are stored as data. In the second display means 80 of the present embodiment, the other records relating to the medical care can also be displayed on the display unit 83, and the other records relating to the medical care are included in the medical record data 120. It is good.

  The medical care information database 110 itself may be managed by a medical worker 6 such as a doctor, or may be managed by a company engaged in data management, but the stored medical record data 120 is It is managed by a hospital, medical institution, or the like to which a doctor who directly gives a blood pressure diagnosis to the users 1 and 2 belongs.

(Functions of the device main body 14 and the first display means 60 of the blood pressure measuring means 3)
9 shows the basic circuit of the device main body 14 including various devices such as the pressure sensor 35 and the air pump 44 in the blood pressure measuring means 3, and the configuration necessary for blood pressure measurement in the first display means 60. It is shown.
In the device main body 14 of the blood pressure measuring means 3, various circuits incorporated in the basic circuit and the various devices are connected to the control unit 31, and various operations can be performed by the control of the control unit 31. Yes.
In the first display means 60, various means are connected to the control unit 61, and various operations can be performed under the control of the control unit 61.

The circuit of the device main body 14 includes devices for measuring the blood pressure and pulse of the users 1 and 2 and a control circuit for controlling these devices. A pressure sensor 35 for detecting the ischemic pressure, a microphone 36 for detecting the Korotkoff sound, and a blood pressure measuring circuit 37 for measuring the systolic blood pressure and the diastolic blood pressure based on the Korotkoff sound information and the pressure information. Control circuit 46 during daytime waking, control circuit 47 during nighttime sleep, blood pressure correction circuit 41, air pump 44, leak pressure valve 45, stop button 54, device control circuit 48, safety circuit 49, manual button 55, manual measurement circuit 50, pulse The blood pressure can be measured by controlling the detection circuit 52, the blood pressure measurement timer circuit 43, the storage unit 32, and the like.
Further, the device main body 14 is provided with a position sensor 39, a posture determination circuit 40, and an activity amount measurement circuit 53, so that the number of walks, walk time, etc. can be measured as a so-called life recorder.
These pieces of measurement information are sent to the first display means 60 by the transmission / reception unit 30 serving as the transmission means, and the control information sent from the first display means 60 is received and stored in the storage unit 32. And the device main body 14 can be operated based on the control information.

On the other hand, the configuration of the first display means 60 is configured mainly by means for blood pressure analysis (program or the like), and the control section 61, blood pressure data processing means 70, alarm means 71 as blood pressure analysis means, Various means such as a blood pressure measurement timer means 68, a clock means 67, an agenda setting means 66, a doctor instruction input means 69, and a liquid crystal display instruction means 72 are provided.
The control unit 31 analyzes the measurement data 4 sent from the device main body 14, and the measurement instruction data input by the agenda setting unit 66 and the doctor instruction input unit 69 is transmitted via the transmission / reception unit 65. It can be transmitted to the device body 14

Here, among the circuits of the device main body 14, the blood pressure measurement circuit 37 is connected to a daytime awakening control circuit 46 and a nighttime sleep control circuit 47, and at the time of daytime awakening and nighttime sleep. Each blood pressure measurement circuit is separated.
The daytime awakening control circuit 46 is used when measuring the action period of daytime, blood pressure during work, and the like, and calculates the daytime average value.
The nighttime sleep control circuit 47 is mainly used to measure the blood pressure during nighttime sleep and the rise in blood pressure from sleep to early morning awakening, and calculates a nighttime average value.
In the present embodiment, daytime and nighttime blood pressure measurement is performed using the two circuits of the daytime awakening control circuit 46 and the nighttime sleep control circuit 47. These circuits 46, It goes without saying that 47 may be performed by one circuit.
Further, the distinction between daytime and nighttime is set by the agenda setting means 66 of the first display means 60. Normally, when waking up at noon, it is set, for example, from 6 am when waking up to 10 pm before going to bed. For example, when sleeping at night, the time is set from 10 pm to 6 am after going to bed.

Further, in the blood pressure measurement based on the blood pressure measurement circuit 37, an error can be corrected by the blood pressure correction circuit 41.
That is, the blood pressure correction circuit 41 has the center of the cuff part 11 higher or lower than the position of the heart H of the users 1 and 2 depending on the human body position (supposed position, sitting position, standing position). Since the difference in hydrostatic pressure is added to the difference that occurs, the error is corrected. The position at the time of measurement is determined by the position sensor 39 and the body position determination circuit 40, and the measured value is corrected. It can be done.

The blood pressure measurement based on the blood pressure measurement circuit 37 is configured to operate in cooperation with the device control circuit 48. The device control circuit 48 is set so as to control the air pump 44 and the leak pressure valve 45 and an emergency stop button 54 for stopping blood pressure measurement based on the blood pressure measurement circuit 37.
Further, a safety circuit 49 is connected to the device control circuit 48 so that when an abnormality of the device such as abnormal pressurization of the air pump 44 is detected, the operation is automatically stopped and the blood pressure measurement can be interrupted. It has become.

  The manual button 55 is used when manually measuring blood pressure, and is exposed on the surface of the case 15 (not shown in FIG. 8). When the manual button 55 is pressed, measurement is started via the manual measurement circuit 50.

The position sensor 39, together with the human body position (supposed position, sitting position, standing position), how far the cuff part 11 is from the position of the heart H (the upper arm part A1 to which the blood pressure measuring means 3 is attached and the heart For example, an acceleration sensor or the like is used.
When an acceleration sensor is used as the position sensor 39, various information such as tilt, movement, vibration and impact can be obtained by measuring the acceleration and performing appropriate signal processing by the body position determination circuit 40.
For example, at the time of waking up in the daytime, by measuring the movement or vibration of the blood pressure measuring means 3, the measurement time is alerted via the alarm means 71 of the first display means 60 at the time of measurement. The blood pressure can be measured in the posture.

  Further, in this embodiment, an activity amount measurement circuit 53 is connected to the position sensor 39, and information from the position sensor 39 is acquired and the activity amount measurement circuit 53, for example, the number of steps, walking distance, walking time, walking speed. The amount of activity such as the amount of exercise is measured. These activity amounts are sent to the control unit 31 and displayed on the display unit 63 of the first display means 60 together with the blood pressure measurement values obtained by the blood pressure measurement circuit 37. The display format is, for example, as shown in FIG.

The clock circuit 42 has functions of generating hour, minute, and second data and controlling each part of the device main body 14 in time series. When the blood pressure measuring means 3 itself is not provided with a display unit, the clock circuit 42 functions as a clock built in the device main body 14 and is not particularly displayed.
The timepiece circuit 42 is linked with the timepiece means 67 provided in the first display means 60, and is set to keep the same time.

Further, the control unit 31 of the present embodiment controls the air pump 44, the leakage pressure valve 45 and the like through the device control circuit 48 (and the safety circuit 49), and detects the pressure change and pulsation with the pressure sensor 35. And the function of calculating the maximum, minimum blood pressure, and heart rate from the measurement results.
Further, the position of the blood pressure measuring means 3 is determined through the body position (supposed position / sitting position / standing position) determination circuit 40 based on information from the position sensor 39 and the blood pressure correction circuit 41 is controlled. The blood pressure can be measured by the signal, and the obtained measurement data 4 can be stored in the storage unit 32.
Furthermore, the measurement data 4 stored in the storage unit 32 can be transmitted to the first display unit 60 by the transmission / reception unit 30 and displayed on the display unit 63 of the first display unit 60.

  The storage unit 32 stores data of measured blood pressure and data necessary for error determination and the like.

  The pulse detection circuit 52 is for measuring the pulse, and can measure the pulse together with the blood pressure.

On the other hand, in the configuration of the first display means 60, the clock means 67 generates data of hours, minutes, and seconds to notify the time, and controls each part of the first display means 60 in chronological order. It has.
The timepiece means 67 is interlocked with the timepiece circuit 42 provided in the blood pressure measurement means 3, and is set to keep the same time.

The agenda setting means 66 sets a daily action plan, a schedule, a schedule (agenda), a blood pressure measurement time, and the like by various input buttons (input unit 64) displayed on the display unit 63. is there.
The agenda means the daily activities of the users 1 and 2. For example, daily activities such as sleeping time, waking up time, sleep depth, taking medication, before meals, after meals, before and after defecation and urination. Or action plan, schedule, schedule.
Specifically, as shown in FIG. 18, for the time generated by the clock means 67, the daily action plan, schedule, and schedule (agenda) are generated along with the generation of icons corresponding to the action content. In addition to being stored inside, the blood pressure measurement time is set in conjunction with the blood pressure measurement timer means 68 to set the blood pressure measurement time under a 24-hour action, and various devices and circuits (the pressure sensor 35, the microphone) of the device main body 14 of the blood pressure measurement means 3 36, the blood pressure measurement circuit 37 and the like).
The schedule registration can be changed at any time, and the schedule can be registered in synchronization with the contents registered by other schedule management software stored in the first display means 60.
The measurement time of blood pressure is, for example, every 30 minutes, every hour, etc., as well as daily activity points (for example, sleeping time and waking time, taking medication, before meals, after meals, before and after defecation, etc.) ) Can be set.

  The blood pressure measurement timer means 68 manages the blood pressure measurement time set by the agenda setting means 66 and the doctor instruction input means 69, and the agenda setting as well as the time management every 30 minutes and every hour. The measurement setting time according to the schedule by the means 66 is managed, and when the measurement time comes, a signal is sent to the blood pressure measurement circuit 37 of the blood pressure measurement means 3 to measure the blood pressure.

  The doctor instruction input means 69 can input a blood pressure measurement time that a medical worker 6 such as a doctor wants to measure for a specific user 1 or 2, and in this embodiment, as shown in FIG. Furthermore, information transmitted from the second display means 80 owned by the medical staff 6 such as a doctor is sent to the doctor instruction input means 69 in the first display means 60 via the transmission / reception unit 65, and the blood pressure The measurement time can be managed in conjunction with the measurement timer means 68.

  The blood pressure data processing means 70 processes enormous blood pressure data obtained by blood pressure measurement, and the blood pressure data processed here is analyzed in detail by the control unit 61 using predetermined mathematical analysis means. Thus, it can be clinically applied, and a periodic pattern of daily fluctuation is displayed on the display unit 63 through the liquid crystal display instruction means 72.

The alarm means 71 alerts the users 1 and 2 when the measurement is impossible, when an error occurs in the blood pressure data processing means 70 of the first display means 60, or during measurement time. This is for generating an alarm display on the display unit 63 of the first display means 60 when calling.
Moreover, you may set so that an alarm sound can be generated for uses, such as an alarm clock.

The control unit 61 and the blood pressure data processing means 70 may be used in a healthy body when there is a circulatory disorder such as occlusion of an artery or when a disease such as diabetes, hyperlipidemia, or hypertension is present. It is also possible to perform processing that can analyze the difference with the blood pressure value and perform an alarm processing via the alarm means 71 if necessary, and can also determine an error in the case of blood pressure data as follows. It has become.
For example, in the case of an adult, an error is displayed if the measured value does not satisfy even one of the following conditions.
1) 70 mmHg ≦ SBP (systolic blood pressure) ≦ 250 mmHg
2) 30 mmHg ≦ DBP (diastolic blood pressure) ≦ 130 mmHg

  The display unit 63 is set to display various input buttons and the like so that necessary input can be performed by touch input, flick input, or drag input of the various input buttons. It has become.

The storage unit 62 stores various programs and various data for operating the various units as described above, and the control unit 61 executes the various programs.
In addition, the storage unit 62 stores physical information (such as height, chest circumference, waist circumference, and weight) input by the input unit 64.

In this embodiment, data transmission / reception between the blood pressure measurement unit 3 and the first display unit 60 is performed by wireless connection using, for example, infrared rays or other radio waves. However, data transmission / reception is performed by wire connection. You may go.
The measurement data 4 stored in the first display means 60 can be written and carried on various recording media.

(Measurement method of blood pressure)
Next, a blood pressure measurement method using the blood pressure measurement unit 3 and the first display unit 60 of the present embodiment will be described.
First, the blood pressure measuring means 3 is attached to the upper arms A1 of the users 1 and 2.
At this time, the holding plate portion 13 is held, the holding plate portion 13 is aligned with the biceps brachii muscle side, and the upper arm mounting portion 21 in which the cuff portion 11 is integrally provided is sowed from above the bare skin. The both ends of the upper arm mounting portion 21 are fastened with hook-and-loop fasteners 21a and 21b.
As a result, the cuff portion 11 is spread over the entire upper arm portion A1, the device main body 14 is disposed above the biceps brachii muscle, and the microphone 36 is disposed at an appropriate position for collecting Korotkoff sounds. It becomes.
When the blood pressure measuring means 3 is attached to the upper arm A1, for example, when standing, the height positions of the blood pressure measuring means 3 and the heart H are substantially equal as shown in FIG. Attach to.

  Subsequently, the blood pressure measurement means 3 is attached to the upper arm A1, and the first blood pressure is measured in a correct posture. Then, the obtained first measurement value is set as a standard value for blood pressure correction, which is a later procedure.

  Subsequently, the clock unit 67 of the first display unit 60 is operated, the time is set by the input unit 64 on the display unit 63, and the clock circuit of the blood pressure measurement unit 3 interlocked with the clock unit 67. 42 time is set.

  Subsequently, the alarm means 71 is executed to set a wake-up time by the input unit 64 on the display unit 63 and a time to sound an alarm sound for waking up.

Subsequently, the agenda setting means 66 is executed to set the daily action plan, schedule, and schedule by displaying icons. Further, according to the agenda setting means 66, it is possible to set a record of daily activities (sleeping time and waking time, sleep depth, meal, defecation urination, medication, etc.).
The blood pressure measurement circuit 37 is set to operate in conjunction with the execution of the agenda setting means 66.

Subsequently, separately from the agenda setting means 66, the blood pressure measurement timer circuit 43 of the blood pressure measurement means 3 is operated to set the blood pressure measurement time. Blood pressure measurement time can be easily set from the first display means 60 not only for every hour (every 30 minutes, every hour, etc.) but also for clinically important time such as sleeping, waking up, and taking medication. The blood pressure measurement circuit 37 is set to operate in conjunction with the operation of the blood pressure measurement timer circuit 43.

Subsequently, the blood pressure measurement circuit 37 is operated to perform blood pressure measurement. In the present embodiment, the blood pressure measurement is automatically performed based on the blood pressure measurement time set by the agenda setting means 66 and the blood pressure measurement timer circuit 43. However, the present invention is not limited to this, and the manual measurement circuit 50 is operated. The blood pressure may be measured manually.
Hereinafter, the blood pressure measurement in which the blood pressure measurement circuit 37 is operated will be described in more detail.

In the measurement of blood pressure, first, the cuff part 11 is filled with air by the air pump 44 to apply pressure to the blood vessel.
When the blood circulation is stopped by the pressure, the air in the cuff part 11 is gradually released from the leakage pressure valve 45 to reduce the pressure applied to the blood vessel, and the blood circulation is started.
The cuff unit 11 incorporates the microphone 36 for detecting a pulse, and a signal is sent to the manual measurement circuit 50 via a signal line (not shown), and the pressure in the cuff unit 11 corresponding to the stop and start of blood circulation. Blood pressure data can be obtained from

The blood pressure correction is performed based on the body characteristics (such as height, chest circumference, waist circumference, body weight, etc.) stored in advance in the storage unit 62 of the first display means 60 and the preset standard value. Based on the operation of the circuit 41, correction at the time of blood pressure measurement can be appropriately performed.
For example, when the measurement position is lower than the heart H in the supine position, the measurement value tends to be high. However, if physical information is input in this way, the blood pressure correction circuit 41 performs correction during blood pressure measurement. As a result, high-quality blood pressure data will be measured.

Next, blood pressure measurement by the agenda setting means 66 and the blood pressure measurement timer circuit 43 will be described.
First, on the display unit 63, a daily schedule is registered by the input unit 64, and a blood pressure measurement time for operating the blood pressure measurement timer circuit 43 is set.
As shown in FIG. 18, the daily schedule registration includes various icons (drive icon F1, meal icon F2, commuting icon not shown, alarm icon not shown, medicine icon F5, walking icon F6, meeting icon F7, deskwork icon F8, Of course, it can be set by selecting the alcohol icon F9, the bus icon F10, the rest icon F11) or the like, but it can also be set in conjunction with the schedule management software provided in the first display means 60.

During daytime awakening, when the blood pressure measuring time is reached with the blood pressure measuring means 3 mounted on the upper arm A1, the daytime awakening control circuit 46 operates and the alarm means 71 operates to cause the users 1 and 2 to It is notified that the measurement time starts (for example, vibrate function or alarm sound).
When the blood pressure measurement time is notified when waking up at noon, when the manual button 55 is pressed in a correct posture or when waiting gently in that state, the blood pressure measurement circuit 37 operates and the cuff unit 11 Pressurization starts and blood pressure measurement begins.

When sleeping at night, the blood pressure measuring means 3 is put to sleep with the upper arm A1 attached.
During nighttime sleep, the nighttime sleep control circuit 47 operates and, unlike during daytime awakening, an alarm sound or the like does not sound so as not to disturb sleep.
Further, for example, even when the position of the sleeping arm part A (the position of the device main body 14) is higher or lower than the heart H, the blood pressure correction circuit 41 can measure the appropriate blood pressure. Become.

The blood pressure data measured as described above is transmitted through the transmission / reception unit 30 of the blood pressure measurement unit 3 and the transmission / reception unit 65 of the first display unit 60 as shown in FIGS. It is sent from the blood pressure measuring means 3 to the first display means 60 and stored in the storage unit 62 of the first display means 60.
The blood pressure data (measurement data 4) stored in the storage unit 62 of the first display means 60 is sent to the measurement result database 100 via the network 5 and stored in the measurement result database 100. Is done.

  In the measurement of blood pressure while going out, information may be exchanged via, for example, the public wireless LAN spot 5a.

(Monitoring method using blood pressure monitoring system)
The measurement result database 100 is linked to the medical care information database 110 as described above, and the measurement data 4 stored in the measurement result database 100 is sent to the medical care information database 110 via the network 5. It is done. And it stores in the said medical information database 110 as a part of medical record data 120 for every user 1 and 2. FIG.

As shown in FIGS. 12 to 18, the doctor 6 displays the medical record data 120 on the display unit 83 of the second display unit 80, and based on the measurement data 4, the health status of the users 1 and 2 is displayed. A more detailed diagnosis can be made.
In addition, the 2nd display means 80 shown in FIGS. 12-18 is a tablet terminal, and the touch panel system is employ | adopted.

FIG. 12 is a home screen of the second display means 80, and the display unit 83 displays a plurality of thumbnails, a plurality of icons, dates, and the like.
For example, when it is desired to display the medical record data 120, the icon IC1 for the medical record data 120 among the plurality of icons is tapped, and the screen for calling the medical record data 120 as shown in FIG. 13 is displayed. Part 83 can be displayed.

On the calling screen for the medical record data 120 shown in FIG. 13, an input field C1 for inputting the chart numbers of the users 1 and 2 (patient) is displayed.
An input button group B1 including a plurality of character input buttons is displayed below the input field C1, and a character is input to the input field C1 by tapping the character input button. Note that the type of characters can be changed as appropriate. In FIG. 13, alphabets are displayed, but numbers may be used, and kanji, hiragana, and other characters may be displayed.
A search execution button B2 is displayed next to the input field C1, and after the chart numbers of the users 1 and 2 are input to the input field C1, by tapping the search execution button B2, The search result list L1 can be displayed.
The search result list L1 is displayed on the right side in FIG. 13 and includes a “No. column” indicating the display order of the charts, a “chart number column” indicating the chart numbers, and “patients” indicating the names of the users 1 and 2 “Name column” is displayed.
By tapping each column displayed in the search result list L1, the medical record data 120 of the tapped user (patient) can be displayed.

Also, by tapping the icon IC2 displayed on the home screen in FIG. 12, information as shown in FIG. 14 can be displayed on the display unit 83.
FIG. 14 is a screen displayed by executing the data link means 87. The list L2 of users (patients) stored in the medical care information database 110 and the user 1 selected from the list L2 are shown. , 2 (patient) basic information (historical history, smoking history, etc.), etc., and the measurement data 4 of the users 1 and 2 (patient) selected in the list L2 are created. A graph display field C3 in which the trend graph is displayed is displayed at the same time. Thereby, the doctor 6 can diagnose blood pressure while viewing the basic information of the users 1 and 2.
The information column C2 displays a button B3 that can call the medical record data 120 of the users 1 and 2 (patient) selected in the list L2.

FIG. 15 is a screen in a state where a part of the display shown in FIG. 14 is changed, and a trend graph having a date different from that of the graph display column C3 is displayed instead of the information column C2. A graph display column C4 is displayed.
Accordingly, the doctor 6 can display trend graphs with different dates in the graph display column C3 and the graph display column C4, and thus can perform diagnosis while comparing the graphs.

16 and 17 are screens in which the graph display column C3 and the graph display column C4 are enlarged and displayed on the display unit 83, respectively. By performing a pinch-out operation on each graph displayed in the graph display column C3 and the graph display column C4, these graphs can be enlarged and displayed.
The arrow information Y is displayed in each graph in the graph display column C3 and the graph display column C4. Therefore, by placing a finger on the display unit 63 and performing a drag operation or a flick operation in the direction of the arrow, the trend graph can be moved, and a trend graph of another date can be displayed on the display unit 63. Can be displayed above.

  The graphs in the enlarged graph display column C3 and the graph display column C4 as shown in FIGS. 16 and 17 are not only the second display unit 80 but also the display unit 63 of the first display unit 60, It can also be displayed on the display section 93 of the third display means 90.

FIG. 18 is a graph obtained by analyzing the measurement data 4, and can be displayed on the display unit 83 by tapping the icon IC3 displayed on the home screen of FIG.
In the illustrated example, blood pressure is arranged on the vertical axis, time is arranged on the horizontal axis, and the measured values of the systolic blood pressure and the diastolic blood pressure are displayed as a line graph in units of 24 hours. It is easy to understand on the screen. The upper line graph indicates the systolic blood pressure, and the lower line graph indicates the diastolic blood pressure.
In addition, the number of walks, which is one of the activity amounts, is displayed as a bar graph in the same chart as a bar graph, and various icons (drive icon F1, meal icon F2, drug icon F5, walk icon F6, conference icon F7) are displayed. , Desk work icon F8, alcohol icon F9, bus icon F10, rest icon F11) are displayed for each hour.
In addition, in this chart, specific contents such as wake-up, breakfast, exercise, work (outside), lunch, meeting, work (desk), dinner, bath, bedtime, sleep, etc. are displayed in the “Life” column G1. In addition, the contents set by the doctor such as the time of medication are displayed in the column “Doc” G2.
These display contents are automatically generated at the time of agenda setting and doctor instruction setting and displayed on the screen.

Further, after being diagnosed by the doctor 6 in this way, the doctor 6 instructs the users 1 and 2 to measure the blood pressure in order to obtain higher quality data necessary for the clinical site. At this time, the doctor 6 executes the doctor instruction means 88 on the second display means 80, and uses the information on the time when blood pressure is desired to be measured as doctor instruction information via the transmitter / receiver 85 to the users 1, 2 Is transmitted to the first display means 60 owned by.
The first display means 60 receives doctor instruction information via the transmission / reception unit 65. Then, the doctor instruction input means 69 is executed, and the blood pressure measurement time is managed in conjunction with the blood pressure measurement timer circuit 43.
Note that the setting of the blood pressure measurement time set based on the data sent to the doctor instruction input unit 69 in this way has priority over any of the blood pressure measurement time settings registered by other circuits.

  In the present embodiment, the auscultation method is replaced with the microphone 36, and the microphone method for automatically determining the blood vessel sound (Korotkoff sound) and measuring the blood pressure is used. However, the pressure oscillation (oscillation) due to the pulse pressure of the cuff pressure is used. It is needless to say that the effect of the present invention can be achieved even with an oscillometric (OS) method for measuring blood pressure by analyzing the above, and the present invention is not limited to the examples.

The measurement data 4 stored in the measurement result database 100 can be acquired by the third display means 90 via the network 5.
As the third display means 90, for example, a computer other than the first display means 60 and the second display means 80 at home 8a, whereabouts 8b, etc. can be used, so the measurement data 4 can be confirmed at any time. can do. As a result, not only the medical staff 6 such as a doctor, but also the users 1 and 2 can raise the awareness of participation in the medical care and improve the quality of the high blood pressure medical care.

According to the present embodiment, blood pressure information is obtained in relation to time, agenda (daily action schedule), in addition to frequent measurement compared to blood pressure measurement at any time outpatient, The quality as blood pressure information can be improved. In particular, it is possible to perform high-quality blood pressure measurement necessary for clinical practice.
Further, since the user's behavior planned in advance by the agenda setting means 66 can be managed by the blood pressure measurement timer means 68, the quality of blood pressure information can be further improved.
Moreover, since the time instructed by the doctor 6 can be managed by the blood pressure measurement timer means 68, the quality of blood pressure information can be further improved.
Further, since the doctor 6 can freely select the blood pressure measurement by the doctor instruction input means 69, for example, to obtain long-term blood pressure information of the users 1 and 2 obtained under the uniform measurement conditions of morning and evening. Can also improve clinical significance.
Furthermore, by setting the agenda, for example, the change in blood pressure during taking antihypertensive drugs can be confirmed as daily fluctuations at any time by the first display means 60, the second display means 80, etc. In the course of medical treatment, not only the doctor 6 but also the users 1 and 2 themselves can be confirmed, the state and efficacy of the medication, and the change in blood pressure level are clarified. Taking compliance can be improved.
This raises the consciousness of the users 1 and 2 to participate in the medical care and improves the quality of the high blood pressure medical care.
Furthermore, if you measure several times a day and take the average of not only one day but also one month, the number of samples increases, and a highly predictive value is obtained. The average better reflects the individual's inherent blood pressure level. Such information is indispensable for medical care of white coat hypertension indicating normal blood pressure outside the examination room.
In addition, when blood pressure measurement is different between daytime awakening and nighttime sleep, blood pressure during nighttime sleep, blood pressure rise leading to early morning awakening from sleep (morning surge), daytime action period, during labor Information such as blood pressure can be obtained. Furthermore, such information is useful for analysis of blood pressure diurnal rhythm and blood pressure variability in blood pressure measurement at regular time intervals, for example.
In addition, blood pressure measurement during daytime awakening and nighttime sleep can be performed in different modes, and daytime working blood pressure and nighttime sleeping blood pressure can be accurately measured, so daytime average and nighttime average values can be calculated. This average value can be presented as a reference value of blood pressure unique to the users 1 and 2.

Furthermore, the blood pressure measuring means 3 does not require a recorder to be worn on the shoulder or worn on the waist, is easy to carry, and can easily measure blood pressure in daily life. In addition, since blood pressure can be measured at the upper arm A1, it is necessary to perform an operation to bother the position of the cuff part 11 close to the heart H during blood pressure measurement, as compared to a blood pressure measuring device that measures with a wrist or the like. However, the applicability to blood pressure measurement under 24-hour behavior is further enhanced.
Further, blood pressure is measured under 24-hour action by the device main body 14 and the first display means 60, and the daily activity contents of the users 1 and 2 are set by setting the agenda. Since the information is displayed together with the arterial waveform on the display unit 63 of the first display means 60, the relationship between daily recording and blood pressure can be easily grasped.

Further, according to the present embodiment, the blood pressure measuring means 3 is worn on the upper arms A1 of the users 1 and 2, and the data measured by the blood pressure measuring means 3 is the same as the blood pressure measuring means. Is displayed by a separate first display means 60. (1) Blood pressure is always measured at a position close to the heart H, so that blood pressure can be measured more accurately than a wrist sphygmomanometer. Since the data 4 is obtained and (2) the blood pressure measurement result is displayed by the first display means 60 separate from the blood pressure measurement means 3, the blood pressure measurement means 3 attached to the upper arm A1. Has an advantage that the device of the upper arm A1 can be reduced in size because no display means such as a display is provided. As a result, accurate blood pressure measurement and miniaturization can be achieved, so that the applicability as a sphygmomanometer under 24-hour action can be enhanced.
In addition, since the recording of the measurement data from the blood pressure measurement means 3 is stored in the measurement result database 100, the blood pressure monitor can be used for a long time without being restricted by the memory or the like provided in the blood pressure measurement means 3. Even if it does, it can reduce a user's physical burden and mental burden.
Moreover, as said 1st display means 60 which receives the said measurement data from the said blood-pressure measurement means 3, a user owns among various portable information terminals, such as a smart phone, PDA, a tablet terminal, various personal computers, etc., for example. If the ones that are used on a daily basis are adopted, the blood pressure measurement data display software is installed in these, and the blood pressure data measured by the blood pressure measurement means 3 can be easily displayed. The cost can be specialized only for blood pressure measurement, and the manufacturing cost of the entire blood pressure monitor can be prevented from increasing. This makes it easy for an individual to purchase a blood pressure monitor under 24-hour behavior, and thus monitoring blood pressure over a long period of time is easy to execute, and as a result, high-quality blood pressure information is easily obtained.
In addition, since identification information for identifying the users 1 and 2 is added to the measurement data 4 stored in the measurement result database 100, data management for a large number of users 1 and 2 is possible. Become. As a result, it is possible to create an environment that can meet the demands of a large number of people, and it is not necessary to shorten the usage period of the sphygmomanometer per person as in the past, and many people who want to monitor blood pressure over a long period of time. Can meet the demand.
Further, the measurement data 4 is stored in the measurement result database 100, and a medical worker 6 such as a doctor can obtain the measurement data 4 through the medical care information database 110. There is no need to bring the data 4 sequentially to the doctor. For this reason, even when the blood pressure measuring means 3 is used over a long period of time, it is possible to prevent an increase in the number of hospital visits, so there is no trouble, and the physical and mental burdens of the users 1 and 2 are reduced. It can contribute to.
Furthermore, since the medical staff 6 such as a doctor can obtain the user's medical record data 120 including the measurement data from the medical information database 110, from the medical record data 120 including the measurement data under the 24-hour behavior, It becomes possible to accurately grasp the health condition of the user. In addition, since doctors can easily grasp the situation of white coat hypertension, masked hypertension, workplace hypertension, morning surge, etc., it is possible to improve the utilization in clinical practice.

  Since the trend graph in which the measurement data 4 is displayed in time series can be displayed on the display units 63, 83, and 93, blood pressure information such as blood pressure fluctuations can be easily viewed. In addition, since the arrow information Y is simultaneously created by the graph creating means 76, 86, 96 when the trend graph is created, the trend graph is dragged or flicked based on the arrow information Y. The trend graph can be easily moved along the time series on the display units 63, 83, and 93. And since blood pressure information becomes easy to see and it becomes easy to operate the trend graph in this way, it is easy to make a diagnosis by a medical worker 6 such as a doctor. As a result, the quality of blood pressure information can be improved as a result, which can contribute to the improvement of the health condition of the users 1 and 2.

  Further, since the third display means 90 can acquire the measurement data 4 from the measurement result database 100 via the network 5, for example, the users 1 and 2 themselves are information different from the first display means 60. The measurement data 4 is acquired using a terminal, or a medical worker 6 such as a doctor acquires the measurement data 4 using an information terminal different from the second display means 80, or a third party The measurement data 4 can be acquired. As a result, blood pressure information of the users 1 and 2 can be obtained anytime and anywhere as long as access to the measurement result database 100 is permitted. It can contribute to the improvement of 2 health conditions.

The sphygmomanometer body 10 includes a cuff unit 11 for compressing the blood vessels of the upper arms A1 of the users 1 and 2, and a blood pressure measurement unit that measures blood pressure based on a pressure change of the cuff unit 11. Therefore, blood pressure can be measured at the upper arm A1 of the arms A of the users 1 and 2. This makes it possible to obtain accurate measurement data 4 that is less affected by the external environment than when blood pressure is measured at the periphery of the body, for example, and can contribute to improving the quality of blood pressure information.
And since the blood pressure monitor main body 10 has the transmission / reception unit 30 as a transmission unit for transmitting the blood pressure measurement data 4 measured by the blood pressure measurement unit to the first display unit 60, the transmission / reception unit 30 allows the The measurement data 4 can be reliably transmitted to the first display means 60.

  Since the upper arm mounting portion 21 holds the sphygmomanometer body 10, the cuff portion 11 is also held at the same time. Accordingly, the cuff portion 11 swells during blood pressure measurement and is shrunk except during measurement. Therefore, the upper arm attachment portion 21 is in close contact with the upper arms A1 of the users 1 and 2 during blood pressure measurement. Other than that, it is in a relatively loose mounting state. For this reason, if the forearm mounting portion 22 is mounted so as to be in close contact with the forearm portion A2 of the users 1 and 2, the forearm mounting portion 22 supports the upper arm mounting portion 21 and the sphygmomanometer body 10. be able to. Thereby, since the wearing state of the upper arm mounting part 21 and the blood pressure monitor main body 10 with respect to the arm part A of the users 1 and 2 can be continued, for example, the user 1, The physical burden and the mental burden felt by 2 can be reduced, and it is suitable for long-term blood pressure measurement.

1 User 2 Other user 3 Blood pressure measuring means (blood pressure measuring device)
4 Measurement Data 5 Network 6 Medical Staff 10 Blood Pressure Monitor Main Body 11 Cuff Part 14 Device Main Body 20 Wearing Belt 21 Upper Arm Wearing Part 22 Forearm Wearing Part 30 Transmitting / Receiving Part 60 First Display Means 80 Second Display Means 90 Third Display Means 100 Measurement Result database 102 Identification information adding means 110 Medical treatment information database A1 Upper arm

Claims (5)

A blood pressure measuring means mounted on the user's upper arm and measuring the blood pressure of the user's upper arm;
A first display means that is owned by the user and receives and displays measurement data of the blood pressure of the user transmitted from the blood pressure measurement means;
A measurement result database provided on the network and storing the measurement data transmitted from the first display means via the network;
Linked to the measurement result database, a medical information database in which the measurement data is stored as part of user medical record data,
A second display means that is owned by a medical staff such as a doctor and obtains and displays the medical record data of the user including the measurement data from the medical information database; and
A blood pressure monitoring system, wherein identification information for identifying a user is added to the measurement data stored in the measurement result database. Each of the first display means and the second display means includes a graph creation means for creating a trend graph that displays the measurement data in time series,
A display unit for displaying a trend graph formed by the graph creating means;
An input unit for detecting touch input,
Arrow information indicating a direction of a drag operation or a flick operation for moving the trend graph along the time series on the display unit is created together with the trend graph by the graph creating means. The blood pressure monitoring system according to claim 1.   3. The blood pressure monitoring according to claim 1, further comprising third display means that is permitted to access the measurement result database and acquires and displays the measurement data from the measurement result database via a network. system. A blood pressure measurement device comprising the blood pressure measurement means used in the blood pressure monitoring system according to any one of claims 1 to 3 and attached to a user's upper arm,
Blood pressure measuring means is the main body of the blood pressure monitor,
A holding band that holds the blood pressure monitor main body and is worn on the upper arm of the user,
The sphygmomanometer body includes a cuff for compressing a blood vessel of a user's upper arm,
A blood pressure measurement unit for measuring blood pressure based on a pressure change of the cuff unit;
A blood pressure measurement apparatus comprising: a transmission unit configured to transmit blood pressure measurement data measured by the blood pressure measurement unit to the first display unit. The wearing band is worn over the entire circumference of the user's upper arm and holds the sphygmomanometer body;
A forearm mounting portion that is integrally formed with the upper arm mounting portion and is mounted so as to be in close contact with the forearm portion over the entire circumference of the user's forearm portion;
The blood pressure measuring device according to claim 4, wherein the forearm mounting portion is formed to be extendable and contractible in a radial direction of the forearm mounting portion.

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