1267369 九、發明說明： 【發明所屬之技術領域】 本發明係關於一種自動回饋孕婦及胎兒生理狀態 的裝置及操作方法，特別指一種設置於服飾甲隨身配 ^ 戴亦即除原有之胎心音監測原理，配合EMg、EKg、 、超^波影像，及壓力、血壓、心跳等不同自動監測方 - 法交互監測，並自動回饋反覆監測，以隨時掌握孕婦 鲁與胎兒生理狀況，必要時提供遠監測中心給予孕婦最 佳協助的監控方法。 【先前技術】 對於懷孕中的婦女以及其丈夫、親友而言，迎接 2生命的到來無疑是一件值得喜樂的事情，尤其是夾 ▼眾人期4與祝福的小生命，其誕生的那__刻必是沐 洛在幸福的光芒之中。 _ $而，孕婦與腹中胎兒的脆弱與無力感，亦是眾 所皆知的事情。雖然現代醫學較之從前已有顯著的進 :步，但對於懷孕此等攸關生命創造的領域，現代醫學 仍有許多無法預先解決的課題。 因此，對於孕婦與胎兒的保健方法，仍然必須藉 由長期的觀察與追蹤。 以前常用的胎兒監視方法，主 土I有胎兒非加壓試 驗（NST · Not Stress Test)。1 古、;k 7么 具方法係利用子宮壓力 5 1267369 收縮器，經由母親腹部連續記錄胎心率及子宮收縮， 若有胎動反應則壓下按鈕記錄。經由研判胎動記錄， 可得以下結果： 有反應（Reactive)，係指在二十分鐘内有二次以 上的胎動，且伴隨胎心率加速在每分鐘十五次以上， 且每次可維持至少十五秒’如此視為正常，若無伴隨 不疋性減速，其有效性可維持七天。 無反應（Non-Reactive)，係指其結果未達前述有 反應範圍者，其可能為胎兒正在睡眠，故可請孕婦先 吃點甜食或施打葡萄糖，並採取左舰或半侧臥，然 後持續記錄，若仍然無反應，則發生胎兒箸迫的可能 性則會增加。 b 所明胎兒窘迫」者，是指胎兒有低血氧、高血 中二氧化碳、代謝性酸+毒。當胎兒箸迫發生時，若 未予即時的適當處理，料能造成中樞神經及其它= 官之傷害]嚴重者甚至死亡。造成胎兒箸迫的常見情 形’可能㈣臍帶壓迫、子宮收縮㈣、胎盤功能 良、臍繞頸或Μ水過少。解決方法是㈣適當 孕婦氧氣、灌輸大量點滴，或是讓孕婦採取侧躺，“ 2然無法解決’則醫師會採取「儘速生產」的原則， 果短時間内無法自然產下，則有必要立即採取剖腹 6 1267369 生產，以挽救胎兒與母體。 月述監測方法約在懷孕三十七週時每週實施一 人，但於尚危險群的孕婦，例如高血壓、糖尿病、過 期妊娠、子宮生長遲滯、有死胎之病史、貧血、溶血 疾病、遺傳疾病、心臟病、胎兒過小、胎兒胎動減少、 膠原丨生疾病、早產或早期性破水，以及其它醫師判斷 不良原因時，則建議在懷孕三十二週起每週實施二次。 然而’即使實施以前的監測方法，以前在持續性 NST監測下一切正常，卻在產後七曰内發生胎兒死亡的 事件，造成嚴重的醫療糾紛亦常有之。因此，本發明 的監測方法會主動提供母親與監測中心重要訊息，以 幫助釐清糾紛之所在，亦提供母親整個孕期的安全 性’清楚胎兒心跳、胎動、胎位，或母親水腫、破水 等狀況，持續加以監控，以利日後糾紛時作為證據。 另有報告指出，經由以往持續性配帶胎心音監視 器’當監視器稍有顯示不當的結果時，往往令醫師與 孕婦緊張萬分，然後立即實施剖腹產，造成持續性配 帶胎心音監視器的地區其剖腹產機率大增，顯然並非 良善的醫療之道。所以本發明乃提供監測中心正破的 胎兒訊息，無論破水、子宮收縮異常、胎兒胎動減弱 或心跳不好等窘迫情況，亦或胎位不正、母親本身水 7 1267369 腫血壓變化情況亦均記錄，藉以提供監測中心正確 訊息而作出正確的判斷。 本案發明人鑑於習用方法的缺失，本於醫師的道 德與專業，採取間斷性的適時監測方案，讓不同狀況 的孕婦能得到不同的醫療辅助，減少錯誤的發生，提 • 同孕婦與胎兒的健康機率。且該裝置得隨身配戴，不 ㈣#孕婦日常生活’減少對孕婦不良的影響。 鳥【發明内容】 本發明之主要目的在於提供一種自動回饋孕婦及 胎兒生理狀態的方法，其以至少三個EMG以不同0 ^己i在孕婦身體上，藉由不同位置的訊號可得知 子呂收縮、胎動時機，若子宮收縮在懷孕36週以上可 視為正$ ,若低於此數則應予以安胎，以及孕婦水腫 等情況，如孕婦近期内水腫厲害時，可予以衛教或高 蛋白的飲食改善，可有效維護孕婦及胎兒的健康； 本發明之另一目的在於提供一種自動回饋孕婦及 胎兒生理狀態的方法，其採用超音波影像定位，用來 實際測量胎兒的EKG或胎心音，即時傳導實際的胎兒 心跳韻律，由於傳統方法可能因身體内的其它器官聲 響’造成胎心音判讀錯誤時，產生偽陽性的情況，故 採用超音波影像定位，可避免此項錯誤，而阻止進一 8 1267369 步的悲劇發生。 本發明之再一目的在於提供一種自動回饋孕婦及 胎兒生理狀態的方法，其根據發明人的實務經驗，回 歸重視胎動的重要性，利用不同象限的EMG交互監測， 可準確評估船兒的胎動與發展狀況，使本方法提供一 客觀且準確的健康指標。 本發明係採用-種新的產前胎兒生長、心跳、子 宮收縮、母親血壓、水腫m度等不同的㈣ 方式交互辅助進行，將不同的監測感應器藉由穿戴方 式放置在孕婦肚皮上，藉由醫師的研判決定監測周期 與時間，例如以胎兒心跳監視器按照前述現有監測時 間進行監測，如果反應良好，則維持預設之監測時間， 如果監測結果研判為不良情況’則增加監測周期或時 間’並請㈣協助處理。同時可絲超音波影像監視 或EMG監測、超音波影像、壓 认紗、 全刀计、血壓或其它適卷 的a測方法，藉由不同的監 田 。了间，以及自動回館 覆監測，交互進行監測，將不 1 u吁間、不同監測方、、表 所得到的數據综合，而後可得 / 田， 更為洋盡的監測έ士1267369 IX. Description of the Invention: [Technical Field] The present invention relates to a device and an operation method for automatically feeding back the physiological state of a pregnant woman and a fetus, and particularly to a device that is placed on the wearer's body and is worn in addition to the original fetal heart. The principle of sound monitoring, combined with EMg, EKg, ultra-wave image, and different automatic monitoring methods such as pressure, blood pressure, heartbeat, etc., and automatic feedback feedback, to grasp the physiological status of pregnant women and fetuses at any time, if necessary The remote monitoring center provides monitoring methods for optimal assistance to pregnant women. [Prior Art] For pregnant women and their husbands, relatives and friends, the arrival of 2 lives is undoubtedly a joyful thing, especially the small life of the people and the blessings of the people, the birth of the __ It must be Mulu in the light of happiness. _ $, and the fragility and powerlessness of pregnant women and the fetus in the abdomen are also well known. Although modern medicine has made significant progress compared to the past, modern medicine still has many problems that cannot be solved in advance in the field of pregnancy-related life creation. Therefore, the health care methods for pregnant women and the fetus must still be observed and tracked through long-term observation. Previously used fetal monitoring methods, the main soil I has a non-pressurized test (NST · Not Stress Test). 1 Ancient, k 7 The method uses the uterine pressure 5 1267369 retractor to continuously record the fetal heart rate and uterine contraction through the mother's abdomen. If there is a fetal movement reaction, press the button to record. Through the study of fetal movement records, the following results can be obtained: Reactive means that there are more than two fetal movements in 20 minutes, and the fetal heart rate is accelerated more than fifteen times per minute, and can be maintained at least once every time. Fifteen seconds 'is considered normal, and its effectiveness can last for seven days without accompanying deceleration. Non-Reactive means that the result is less than the above-mentioned range of reaction. It may be that the fetus is sleeping. Therefore, the pregnant woman may be asked to eat sweets or glucose, and take the left or half side, then Continuous recording, if still no response, the possibility of fetal distress will increase. b The fetal distress is defined as the fetus has hypoxemia, high blood carbon dioxide, metabolic acid + poison. When fetal distress occurs, if it is not properly treated immediately, it can cause damage to the central nervous system and other officials. Common conditions that cause fetal distress 'may be (iv) umbilical cord compression, uterine contractions (four), good placental function, umbilical around the neck or too little water. The solution is (4) appropriate pregnant women with oxygen, instill a large number of drops, or let pregnant women take a side lying, "2 can not be resolved" then the doctor will take the principle of "as fast as possible", if it can not be naturally produced in a short time, it is necessary Immediately take cesarean 6 1267369 production to save the fetus and the mother. The monthly monitoring method is implemented once a week for the 37th week of pregnancy, but pregnant women who are at risk, such as hypertension, diabetes, overdue pregnancy, uterine growth retardation, history of stillbirth, anemia, hemolytic disease, genetic disease , heart disease, fetal hypoplasia, fetal fetal movement loss, collagen-prone disease, premature delivery or early water breakage, and other doctors to determine the cause of adverse, it is recommended to implement twice a week from the 32nd week of pregnancy. However, even if the previous monitoring method was implemented, everything was normal under continuous NST monitoring, but fetal death occurred within seven weeks after delivery, causing serious medical disputes. Therefore, the monitoring method of the present invention actively provides important information for the mother and the monitoring center to help clarify the location of the dispute, and also provides the mother's safety during the whole pregnancy. 'Clear fetal heartbeat, fetal movement, fetal position, or mother edema, water breakage, etc. Monitor it to facilitate future disputes as evidence. According to another report, through the past continuous fetal heart sound monitors, when the monitor shows a slight misrepresentation, the doctors and pregnant women are often very nervous, and then the caesarean section is immediately implemented, resulting in continuous monitoring of fetal heart sounds. In the area of the device, the chance of caesarean section is greatly increased, which is obviously not a good medical treatment. Therefore, the present invention provides a fetal message that the monitoring center is breaking, regardless of the water shortage, abnormal uterine contraction, weak fetal movement or poor heartbeat, or the fetal position is not correct, and the blood pressure of the mother's own water is also recorded. Provide the correct message from the monitoring center and make the right judgment. In view of the lack of customary methods, the inventors of this case adopted an intermittent and timely monitoring program to enable pregnant women of different conditions to receive different medical assistance, reduce the occurrence of errors, and improve the health of pregnant women and fetuses. Probability. And the device has to be worn with you, not (four) #pregnant women's daily life to reduce the adverse effects on pregnant women. OBJECTS OF THE INVENTION The main object of the present invention is to provide a method for automatically feeding back the physiological state of a pregnant woman and a fetus, which can be found on the body of the pregnant woman with at least three EMGs, and the signals of different positions can be used to obtain the child. Contraction, fetal movement timing, if the uterus contraction is more than 36 weeks of pregnancy, it can be regarded as positive $, if it is lower than this number, it should be cured, and pregnant women with edema, etc., if the pregnant woman has severe edema in the near future, it can be taught or high protein. The dietary improvement can effectively maintain the health of the pregnant woman and the fetus; another object of the present invention is to provide a method for automatically feeding back the physiological state of the pregnant woman and the fetus, which uses ultrasonic image localization to actually measure the EKG or fetal heart sound of the fetus. Real-time transmission of the actual fetal heartbeat rhythm, because the traditional method may cause false positives when the fetal heart sounds are misinterpreted due to the sound of other organs in the body, so the use of ultrasonic image positioning can avoid this error and prevent Into a tragedy of 8 1267369 steps took place. A further object of the present invention is to provide a method for automatically feeding back the physiological state of a pregnant woman and a fetus. According to the inventor's practical experience, the importance of returning to the fetal movement is emphasized, and the EMG interactive monitoring of different quadrants can accurately evaluate the fetal movement of the boat. The development status allows the method to provide an objective and accurate health indicator. The invention adopts a new type of prenatal fetal growth, heartbeat, uterine contraction, mother blood pressure, edema m degree and the like (4) to interact with each other, and different monitoring sensors are placed on the pregnant woman's belly by wearing, borrowing The monitoring period and time are determined by the doctor's judgment. For example, the fetal heartbeat monitor is monitored according to the aforementioned existing monitoring time. If the response is good, the preset monitoring time is maintained. If the monitoring result is judged as a bad condition, the monitoring period or time is increased. 'And please (4) to assist in handling. At the same time, it can be used for ultrasonic image monitoring or EMG monitoring, ultrasonic imaging, embossing, full-knife, blood pressure or other suitable methods of measurement, with different monitoring fields. In the meantime, as well as automatically returning to the museum to monitor and interact with each other, the data obtained from the different departments, the different monitoring parties, and the tables will be integrated, and then the field can be obtained.
果’提供醫師對該名孕婦最適當㈣助。 Q 【實施方式】 如圖一所示 本發明之自動 回饋孕婦及胎兒生理 9 1267369 % :大悲的裝置至少包括有一監測裝置！，該監測裝置^ I為具影像顯示的胎兒生理監測器1卜EMG、EKG、超 曰波、超音波影像、磨力計，母親血壓、心跳、水腫、 體溫或其它監測裝置。將該監測裝置1設置在服飾7 而穿戴在孕婦2身上，即可用來監測孕婦2與胎兒3 的生理變化。該監測裝I !所監測的訊號連接一近端 【測中心4進行分析、記錄及顯示，並將結果反饋回 監測裝置1進行偵測，必要時可經由無線電、電話、 手機,、PDA、網路等方式將該訊號傳遞到遠端監測中心 5進仃主動分析’或讓醫師根據接收訊息進行狀況判斷 ^及進一步之醫療協助。而孕婦自己也可主動與遠端 醫護人員互動’或看監測結果’遠端醫護人員亦可不 定期與孕婦利用視訊或語音進行交談。 前述監測震置1可調整其監測周期與監_間， 如先前技術所提到，—般科2得在㈣三十七 每週實施連續或多次胎兒生理監測1|11|^作業，若 在二十分鐘内有二次以上的胎動，且伴隨胎 在每分鐘十五心上，且每次可維持至少十五秒，^ 視為正常，該設定條件因人狀況不同而改變其條件 否則必須進行進-步處置。又遠端監測中心、5内設有 一顯不器6’亦可放置子宮壓力收縮器12或前述其它 1267369 監測器11，用來顯示監測結果給醫師判讀。 、請參圖二所示，為求設置簡便，本發明係將該監 則裂置1係《X置在-服飾7上，例如孕婦2的貼身衣 物或束腹帶等，藉由穿載方式固定在孕婦2身體上， 若監測不到’可主動發出訊號或聲音請孕婦調整適當 位置’或監測震置1自動移動適當位置或角度，孕婦 可維持其正吊作息，監測時間由由監測裝置1自動設 定，或由近端監測中心4、監測中心5主動設定及隨時 自動調整’而監測結果則直接顯示在服飾上7，如前述 有’5V像顯不的胎兒生理gt :目丨丨哭彳1 兄生理孤測态11，如此孕婦即能隨 夺觀察自己或胎兒的生理狀況。 如下.圖所不’本發明首先需作—些設^，其步驟 a~i系統先顯示使用者資訊，讓使用者進行登錄； a〜2研判是否為新使用者； a~3若為新使用者，則進行使用者註冊； a 4若非為新使用者，則詢問是否更改資料； 設定使用者的基本資料，如身高、體重、年齡、 病史f，以作為設定監測時間、週期的依 開始設定生理監測裝置； 1267369 a-7檢測是否有感測器，若沒有反應，則需a-8 重新檢查感測器； a-9檢測偵測訊號是否正常，若不正常，則重新檢 查感測器； a-10檢測其它軟硬體是否失效，若為失效，則 重新設定軟硬體。 經由前述設定，使本發明的監測系統可以正常進 行工作。 如圖四所示，本發明的監測流程可如下所述： b-l將監測裝置1藉由服飾7穿戴於孕婦2身體 上，並啟用適當的監測裝置丨進行監控（例如胎兒生理 監測器11);It is the most appropriate (four) help for the pregnant woman. Q [Embodiment] As shown in Figure 1, the automatic feedback of pregnant women and fetuses of the present invention 9 1267369 %: The device of great sadness includes at least one monitoring device! The monitoring device is a fetal physiological monitor with image display 1 EMG, EKG, ultra-chopper, ultrasonic image, grindometer, mother blood pressure, heartbeat, edema, body temperature or other monitoring device. The monitoring device 1 is placed on the garment 7 and worn on the pregnant woman 2 to monitor the physiological changes of the pregnant woman 2 and the fetus 3. The signal monitored by the monitoring device I is connected to a near end [test center 4 for analysis, recording and display, and the result is fed back to the monitoring device 1 for detection, if necessary via radio, telephone, mobile phone, PDA, network The way to pass the signal to the remote monitoring center 5 to actively analyze ' or let the doctor judge the status according to the received message ^ and further medical assistance. Pregnant women themselves can also actively interact with remote health care providers or see monitoring results. Remote medical staff can also use video or voice conversations with pregnant women from time to time. The aforementioned monitoring of the shock 1 can adjust its monitoring period and monitoring, as mentioned in the prior art, - General Branch 2 has to perform continuous or multiple fetal physiological monitoring 1|11|^ every week (4) thirty-seven, if There are more than two fetal movements in 20 minutes, and the tires are on the fifteen cents per minute, and can be maintained for at least fifteen seconds each time. ^ is regarded as normal. The setting conditions change the conditions due to different human conditions. Otherwise, Step-by-step disposal is required. Further, a remote monitoring center, 5 is provided with a display 6', and a uterine pressure contractor 12 or the other 1267369 monitor 11 can be placed to display the monitoring result for interpretation by the physician. Please refer to FIG. 2, in order to facilitate the setting, the invention is to dispose the supervision 1 series "X placed on the clothing 7, such as the underwear 2 or the corset belt of the pregnant woman 2, by means of wearing. Fixed on the body of pregnant woman 2, if you can't monitor 'can send the signal or sound, please adjust the appropriate position for pregnant woman' or monitor the vibration to automatically move the appropriate position or angle, the pregnant woman can maintain its hanging work, monitoring time by the monitoring device 1 Automatic setting, or by the near-end monitoring center 4, the monitoring center 5 active setting and automatic adjustment at any time' and the monitoring results are directly displayed on the clothing 7, as described above, there is a '5V image showing the fetal physiology gt: witnessing crying彳 1 brother physiological orphan 11 , so that pregnant women can observe the physiological condition of themselves or the fetus. As shown below. The invention does not need to be set up first. The steps a~i system first display user information and let the user log in; a~2 judges whether it is a new user; a~3 is new User, user registration; a 4 If it is not a new user, ask whether to change the data; Set the user's basic information, such as height, weight, age, medical history f, as the setting of monitoring time, cycle start Set the physiological monitoring device; 1267369 a-7 to detect whether there is a sensor, if there is no response, you need to re-check the sensor a-8; a-9 detect whether the detection signal is normal, if not normal, then re-examine the sensing A-10 Check if other hardware and software are invalid. If it is invalid, reset the hardware and software. Through the foregoing settings, the monitoring system of the present invention can be operated normally. As shown in FIG. 4, the monitoring process of the present invention can be as follows: b-1 the monitoring device 1 is worn on the body of the pregnant woman 2 by the clothing 7, and the appropriate monitoring device is enabled for monitoring (for example, the fetal physiological monitor 11);
b_2判斷監測裝f 1 S否有訊號，若無訊號可主動 發出訊號或聲音請孕婦調整適當位置，或監測裝置工 自動移動適田位置或角度，直到監測到胎兒生理信號； D-d依糠孕婦2輸入的身 件，若有異常，則自動更多次或連續監測； b-4選擇監測項目，例如胎兒胎心音藍測、孕婦胎 【測、子宮收縮監測等，現以胎心音監測說明； 首先有無胎心、音及胎動情況，母親生理狀 况如HR、血糖、血壓等； 12 1267369 b —6如有胎心音及心跳，則持續將監測資料傳輸到 近端監測中心4 ; b一7分析數據、儲存； b-8研判胎兒3或母親狀況是否良好，若為良好， 則持續監測，並反饋重覆監測； • b-9如研判胎兒3或母親狀況不佳，則根據現況決 ^ 定是否進行壓迫性測試； ^ b—10進行外界拍打，或給藥如子宮收縮劑等壓迫 性測試； 11再次研判胎兒3或母親狀況是否良好，若為 良好’則持續監測，並反饋重覆監測 b -12如仍然研判胎兒3或母親狀況不佳，或未予 壓迫性测試，則給予孕婦訊號，並持續監測，若則胎 # = 3或母親生理訊號異常未改善，則將訊號傳至遠端 監測中心5進行處置； ^ y b 13由遠端監測中心5根據數據資料指示進一步 - 仃動’該遠端監測中心5亦可定時或隨時主動與孕婦2 進仃溝通，以提供孕婦2最佳的指導； b 14步驟e若監測不到胎心音，則首先研判狀置 不戈’需要調整胎兒生理監測$ u位置； b 15再次監測是否有胎心音，若有，則進行f步 13 1267369 驟，若無，料行步驟i緊急處理。 另外，前述超音波可監測胎兒3心跳、畸形、妒 動、生長週數異常，或孕婦羊水破裂、心、肝、㈣ =，而監測裝置1亦可採用超音波、聲音監測器、 壓力監測器、難、EKG或bp、hR、bt等方式，例如 超音波、、聲音監測器可用來監測胎心音變化， 丑1^嗜、冊、打可來監測孕婦2身體狀況。藉由不 ;的監測裝置1交互監測，可得到更為完整的數據， 必要時，可將監測農置1直接植入孕婦2體内， 例如生物晶片方式，可谓測孕婦的荷爾蒙、泌乳素、 血糖值、内分泌等值。 前述荷爾蒙試劑包括❹hGg、黃體素、催產素、 泌乳激素、fsh、lh、tsh、T4、T3、Eu〇 hCg、E2可檢測是否懷孕’而黃體素、催產素、泌乳 激，又可檢測懷孕狀況，故藉由這些荷爾蒙試劑，配 &曰曰片植入衛生棉中，即可對一般或懷孕婦女提供良 好的監控作業，引申而言，本發明亦可針對一般人提 供其它的監控動作；又，藉由前述的監漸方法，必要 時可給予治療辅助，例如TENS(經皮神經電刺激）療 法、超音波療法，或拍打療法、注射療法等，而藉由 EMG即可進行TENS，超音波本身具有監測與治療功 1267369 能，故本發明甚至不需要增加額外裝置，即可達成監 測與辅助治療的功能。 前述監測裝置1可同時佶 丨J于便用二種或更多種混合監 測，例如胎心音監測可用超音波、聲音監測器、EKG; 胎動監測可用超音波或壓力監測器；子宮收縮則可用 3\或傳統的子线力收縮ϋ。藉由多種監測裝置i 或判斷，給予孕婦2得知或警告’並隨時溝通 員：：糾正，必要時可傳回遠端監測中心 具端與孕婦2交互溝 1 令。 以私不下一步檢查項目或指 測數掳 5，毛明藉由不同的監測裝置1的監 歌據，可以提早檢驗出 時虛 f 的生理狀恶，以利即 免理。如以下範例··B_2 Judging whether there is a signal in the monitoring device f 1 S, if there is no signal, the mother can adjust the appropriate position by the signal or sound, or the monitoring device automatically moves the position or angle of the field until the fetal physiological signal is detected; Dd snuggles the pregnant woman 2 If the input body is abnormal, it will automatically monitor more times or continuously; b-4 select monitoring items, such as fetal fetal heart sound blue test, maternal fetal test [measure, uterine contraction monitoring, etc., now the fetal heart sound monitoring instructions First, there is no fetal heart, sound and fetal movement, the mother's physiological status such as HR, blood sugar, blood pressure, etc.; 12 1267369 b -6 If there is fetal heart sound and heartbeat, the monitoring data will continue to be transmitted to the near-end monitoring center 4; b A 7 analysis of data, storage; b-8 to determine whether the fetus 3 or mother is in good condition, if it is good, continuous monitoring, and feedback repeated monitoring; • b-9 if the fetus 3 or mother's condition is not good, according to the current situation Determine whether to conduct the stress test; ^ b-10 for external tapping, or for the application of stress tests such as uterine contraction; 11 again to determine whether the fetus 3 or mother is in good condition, if it is good, then Monitoring, and feedback repeated monitoring b -12 If the fetus 3 or the mother is still in poor condition, or the stress test is not given, the pregnant woman is given a signal and continuously monitored, if the child # = 3 or the mother's physiological signal is abnormal For improvement, the signal is transmitted to the remote monitoring center 5 for disposal; ^ yb 13 is further indicated by the remote monitoring center 5 according to the data data - 仃 'The remote monitoring center 5 can also actively and pregnantly enter the pregnant woman 2 Communicate to provide the best guidance for pregnant women; b 14 Step e If the fetal heart sound is not detected, then the first judgment is not set to 'require the adjustment of fetal physiological monitoring $ u position; b 15 to monitor whether there is fetal heart sound, If yes, proceed to step f 1 13267369. If not, proceed to step i. In addition, the aforementioned ultrasonic waves can monitor fetal 3 heartbeat, malformation, turbulence, abnormal number of growth weeks, or rupture of amniotic fluid in pregnant women, heart, liver, (4) =, and monitoring device 1 can also use ultrasonic, sound monitor, pressure monitor , difficult, EKG or bp, hR, bt, etc., such as ultrasound, sound monitor can be used to monitor fetal heart sound changes, ugly 1 ^ addiction, book, can be used to monitor the physical condition of pregnant women 2 . By monitoring the monitoring device 1 without monitoring, more complete data can be obtained. If necessary, the monitoring farm can be directly implanted into the pregnant woman 2, for example, the biochip method can be used to measure the hormones, prolactin, and Blood sugar level, endocrine and other values. The aforementioned hormone reagents include ❹hGg, lutein, oxytocin, prolactin, fsh, lh, tsh, T4, T3, Eu 〇 hCg, E2 can detect pregnancy 'and lutein, oxytocin, lactation, and can detect pregnancy status Therefore, by implanting these hormonal reagents and ampules into the sanitary napkin, it is possible to provide good monitoring work for general or pregnant women. For the sake of extension, the present invention can also provide other monitoring actions for the average person; By the aforementioned method of monitoring, if necessary, a therapeutic aid such as TENS (transcutaneous nerve electrical stimulation) therapy, ultrasonic therapy, or tapping therapy, injection therapy, etc. can be given, and TENS can be performed by EMG, and ultrasound can be performed. It has the ability to monitor and treat 1267369, so the invention can achieve the functions of monitoring and adjuvant therapy without adding additional devices. The aforementioned monitoring device 1 can be monitored at the same time by using two or more hybrids, such as fetal heart sound monitoring available ultrasonic waves, sound monitors, EKG; fetal movement monitoring available ultrasonic or pressure monitors; uterine contractions are available 3\ or the traditional sub-line force contraction. The pregnant woman 2 is informed or warned by a variety of monitoring devices i or judged and communicated at any time:: Corrected, if necessary, can be transmitted back to the remote monitoring center and the pregnant woman 2 interacts with the ditch. In order to check the number of items or the number of measurements in the next step, Mao Ming can use the monitoring data of different monitoring devices 1 to detect the physiological symptoms of the virtual f in advance, so that it can be ignored. As the following example··
由超音波檢测，可得知羊水多寡，萬一發 現破水，則通知孕婦2，孕婦2可告知遠端 監測中心5進行處理，當然孕婦2有身體 異常的情況時，亦可告知孕婦2立即處理， 以㈣監測中^ 5或醫師力。以處理。 由血糖或生物晶片可偵測孕婦2血糖，若 ^婦2過高’料端監測巾心4主動對孕 蛉2提出警告，讓孕婦2注意血糖控制， 15 1267369 亦傳遞到遠端監測中心5提供醫療協助。 C· 由血壓計可測出孕婦2血壓，警偵測血壓 過咼則由近端監測中心4提醒孕婦2改盖 飲食，控制鹽份、水份攝取，並定時服藥。 D· 由EMG可偵測水腫，若發現水腫，則告知 e 孕婦限鹽限水。 前述血壓高或水腫時，必須隨時掌握孕婦2的恢 偽復情形，若一直沒有改善，當懷孕低於三十六週時， 則嚴格監測並控制孕婦2與胎兒3的生理狀況，若懷 孕高於三十六週時，則由遠端監測中心5通知醫護人 員評估情報來作可能生產的準備。 經由前述說明，可知近端監測中心4、遠端監測中 心5均可交互偵測及反應溝通，使孕婦2可即時掌握 身體狀況，不必一直往待產中心檢查；而醫護人員亦 • 可隨時讀取資料，並與孕婦2溝通，隨時掌握孕婦2 情況，提出適時的建議。 — 【圖式簡單說明】 請參閱以下有關本發明一較佳實施例之詳細說明 及其附圖，將可進一步瞭解本發明之技術内容及其目 的功效；有關該實施例之附圖為： 圖一是本發明的裝置配置圖； 16 1267369 圖二是本發明的監測裝置配帶示意圖； 圖三是本發明的系統設定流程圖 圖四是本發明的實施例流程圖。 【主要元件符號說明】 11胎兒生理監測器 2孕婦 4近端監測中心 6顯示器 ’ 1監測裝置 12胎兒生理監測器 . 3胎兒 5遠端監測中心 _ 7服飾Ultrasonic detection can be used to know the amount of amniotic fluid. If a broken water is found, the pregnant woman 2 is notified. The pregnant woman 2 can inform the remote monitoring center 5 to handle the treatment. Of course, if the pregnant woman 2 has a physical abnormality, the pregnant woman can also be informed immediately. Treatment, to (4) monitoring in the middle of 5 or physician force. To handle. Blood glucose or biochip can detect the blood sugar of pregnant women 2, if the woman 2 is too high, the end of the material monitoring 4 heart to warn the pregnancy 2, let the pregnant woman 2 pay attention to blood sugar control, 15 1267369 is also passed to the remote monitoring center 5 Provide medical assistance. C· The sphygmomanometer can measure the blood pressure of the pregnant woman 2, and the police can detect the blood pressure. The near-end monitoring center 4 reminds the pregnant woman 2 to change the diet, control the salt and water intake, and take the medicine regularly. D· EMG can detect edema. If edema is found, tell e pregnant women to limit salt and water. In the case of high blood pressure or edema, it is necessary to keep abreast of the recovery of pregnant women 2. If there is no improvement, when the pregnancy is less than 36 weeks, the physiological conditions of pregnant women 2 and 3 are strictly monitored and controlled. At 36 weeks, the remote monitoring center 5 informs the medical staff to evaluate the information for possible production preparation. Through the above description, it can be seen that the near-end monitoring center 4 and the remote monitoring center 5 can interactively detect and communicate with each other, so that the pregnant woman 2 can immediately grasp the physical condition without having to go to the waiting center for examination; and the medical staff can also read at any time. Information, and communicate with pregnant women 2, keep abreast of the situation of pregnant women 2, and make timely recommendations. BRIEF DESCRIPTION OF THE DRAWINGS The following is a detailed description of a preferred embodiment of the present invention and its accompanying drawings, which will further explain the technical contents of the present invention and the purpose of the present invention; 1 is a device configuration diagram of the present invention; 16 1267369 FIG. 2 is a schematic diagram of the monitoring device of the present invention; FIG. 3 is a flow chart of the system setting of the present invention. FIG. 4 is a flow chart of an embodiment of the present invention. [Main component symbol description] 11 fetal physiological monitor 2 pregnant women 4 proximal monitoring center 6 display ‘ 1 monitoring device 12 fetal physiological monitor . 3 fetal 5 remote monitoring center _ 7 clothing
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