WO2011000245A1 - 一种检测血压数据的装置 - Google Patents

一种检测血压数据的装置 Download PDF

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Publication number
WO2011000245A1
WO2011000245A1 PCT/CN2010/073216 CN2010073216W WO2011000245A1 WO 2011000245 A1 WO2011000245 A1 WO 2011000245A1 CN 2010073216 W CN2010073216 W CN 2010073216W WO 2011000245 A1 WO2011000245 A1 WO 2011000245A1
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blood pressure
data
interface
processing unit
computer processing
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PCT/CN2010/073216
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French (fr)
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姚亦鸣
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Yao Yiming
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021—Measuring pressure in heart or blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B7/00—Instruments for auscultation

Definitions

  • the invention relates to a medical testing instrument.
  • Blood pressure is one of the three major life parameters of the human body, and hypertension is the most common non-infectious chronic disease in humans and one of the causes of other serious chronic diseases.
  • China Cardiovascular Disease Report 2005 At present, there are 160 million people with hypertension in China, 160 million people with abnormal blood lipids, 200 million people overweight, 60 million people with obesity, 20 million people with diabetes, and 350 million people. China has 2 million new strokes each year, and now has 7 million strokes; 500,000 new myocardial infarctions per year, 2 million people with myocardial infarction; 4 million heart failures; 2.5 million people with rheumatic heart disease Every year, 100,000 children with congenital heart disease are born. The number of people dying from cardiovascular disease each year in China is 2,500-3 million. The annual medical expenses for major cardiovascular diseases amount to 130.17 billion yuan.
  • the WHO World Health Organization
  • cardiovascular disease is the number one killer of human health.
  • One third of the world's population is dying of heart disease, killing 12 million people worldwide every year. Every 1 in China In 5 seconds, one person died of cardiovascular disease. Every 22 seconds, one person lost his ability to work. More than 3 million people died of this disease each year, accounting for 50% of the total number of deaths in China each year. 75% of different levels of incapacity and 4% of disability.
  • the doctor can not understand other effective information about the time point of the patient's blood pressure measurement, such as: before or after meals, physical symptoms, medication and medication.
  • the device for detecting blood pressure data comprises a blood pressure measuring unit with an air pump, an inflatable cuff and a pressure sensor, wherein the pressure sensor is connected to the computer processing unit through an A/D conversion interface;
  • a central processing unit CPU for performing operations
  • a memory for storing various types of data
  • the communication interface of the computer processing unit is coupled to a data communication module for transmitting blood pressure data and voice data to a network server.
  • the inflatable cuff can be an arm inflatable cuff or a wrist inflatable cuff.
  • the communication interface of the computer processing unit may include, but is not limited to, a serial/parallel communication interface, a USB interface, a network interface, a wired transmission function interface, or a wireless transmission function interface.
  • the human machine interface may include a keyboard, a display light, and a display screen.
  • the data communication module for transmitting blood pressure data and voice data is a wireless communication module, a modulation module of a wired network, or a mobile communication mobile phone.
  • the blood pressure detecting device of the present invention is a portable blood pressure measuring instrument, and the important feature is that the instrument can record the user's voice while measuring and storing the user's blood pressure data, and the user describes the voice through the voice. The status information at the time point is measured.
  • the instrument can send blood pressure data and recorded voice data to a remote web server by wired or wireless communication.
  • the invention combines medical instruments, modern communication technologies and network technologies to create a new way to treat, control and manage hypertension diseases with the highest prevalence and greatest threat to human health, and has the following advantages:
  • the change in blood pressure during a day is normal, so a high blood pressure at one day is difficult to explain.
  • the blood pressure value of more than one day, especially a plurality of characteristic points, is meaningful. If the blood pressure curve can be accumulated for several days, and can help explain the patient's condition and medication at the time of measurement, it will be judged by the doctor.
  • the type of hypertension and the effect of medication provide a sufficient basis to greatly improve the accuracy of doctors in the diagnosis of hypertension.
  • the patient is required to record the time point of the measurement through the pen and paper after each measurement. Even if the data is recorded for many days, the patient needs to send the record to the doctor before being able to The method of obtaining the diagnosis result and obtaining the medicine is too inefficient, and the patient needs to do too much. In practice, it is difficult to require the patient to follow the method for strict operation.
  • the invention is simple and convenient to operate, and the patient only needs to measure a few points in a day and record a simple phrase sound, and the button can be sent after a period of time.
  • the patient's easy operation and easy to grasp can ensure that more patients can be used according to the requirements, so as to improve the diagnostic accuracy.
  • Hypertensive patients are required to take medication for life, and patients are required to adhere to the usual measurement of blood pressure, and regularly replace the drug under the guidance of a doctor. There are many patients with high blood pressure diseases. If all of them go to the hospital regularly, they will not have enough medical resources to bear, and they will also consume a lot of energy.
  • the invention can make the patient not to go to the hospital, and can transmit more and more sufficient information to the doctor than in the past, and the doctor can judge the condition and the drug treatment effect during the period according to the information, and guide the patient to adopt more effective treatment.
  • the invention enables the doctor to provide diagnosis and treatment services for the patient through the network, regardless of the geographical location and the distance, so that the use area of the high-quality medical resources can be infinitely increased, and the use efficiency of the medical resources is greatly improved.
  • the device for detecting blood pressure data is a portable instrument.
  • the method for detecting is that the user records the voice of the user description state while measuring the blood pressure and stores the blood pressure data stored by the instrument through wired or wireless communication. And the voice is sent to the remote data terminal or the network server, the doctor can make a more accurate diagnosis according to the blood pressure data curve measured by the user and the voice description of the user state, and the invention will greatly improve the control of the hypertension disease. Capacity will provide an important means for effective monitoring and control of blood pressure changes in hypertensive patients.
  • Figure 1 is a schematic view of the structure of the present invention.
  • FIG. 2 is a schematic structural view of a computing unit.
  • Figure 4 is a flow chart of the operation of the blood pressure detection and diagnosis system.
  • the device of the present invention is composed of a blood pressure measuring unit, a computer unit and a data communication module.
  • the components of the blood pressure measuring unit include, but are not limited to, a pressure sensor, an air pump, and an inflatable cuff, wherein the inflatable cuff is divided into Both arm and wrist, the pressure sensor is connected to the computer processing unit through the A/D conversion interface.
  • the computer processing unit includes a central processing unit CPU, a memory, a human-machine interface (such as a display screen and a display light, a keyboard, etc.), a voice collection device (pickup), a voice module, and a communication interface, wherein: the CPU is a device.
  • the computing and control core the memory can be a variety of digital memories for storing blood pressure data and voice data
  • the communication interface includes a network or wired, wireless transmission function interface, and includes a data transmission interface between the various parts of the device.
  • a single-chip microcomputer is used as a core device in a computer processing unit.
  • the internal circuit of the single-chip microcomputer usually includes a CPU, a storage unit, an A/D interface, an I/O (input/output) interface, a communication interface, etc., and the single-chip microcomputer can expand the memory externally.
  • Keyboards, displays, pickups (eg microphones), LEDs, data communication modules, voice module chips, etc. are external circuits and devices of the microcontroller. As microcontroller integration becomes higher and higher, many external chips will be integrated into the microcontroller.
  • the data communication module refers to the circuit and device for transmitting blood pressure data, voice data and other data collected by the device to a network server or a remote data terminal.
  • the data communication module can be built in the instrument; it can also be separated from the instrument and connected to the communication interface of the computer processing unit for data transmission by wired or wireless communication.
  • the present invention is a portable blood pressure measuring device that can measure the blood pressure of a user with the body.
  • the working principle of the blood pressure measuring unit can be divided into direct or indirect type, usually using indirect measurement method.
  • the method for measuring blood pressure in indirect measurement is more accurate.
  • An important feature of the blood pressure meter designed by the present invention is that the user's voice can be recorded while measuring the blood pressure data, and the user can record the state information at the time point by recording the voice description, such as: measuring time (morning or evening, before meals or After meals, etc.), body sensation, taking the name and dosage of the drug, etc., these status information are extremely important for the doctor to diagnose the patient's hypertension.
  • the device is a front-end data acquisition device for a network-based blood pressure detection and diagnosis system, and the structure of the blood pressure detection and diagnosis system is as shown in FIG. 3, including:
  • the invention relates to a blood pressure detector with voice recording and remote transmission function used by a user
  • the customer communicates with the doctor and other personnel in the service system
  • the above four devices constitute a networked and highly effective detection and diagnosis system for hypertension diseases.
  • the workflow for blood pressure detection and diagnosis is shown in Figure 4.
  • the patient can use the instrument of the present invention to perform multi-point blood pressure measurement every day. Generally, it should be selected at a specific time, such as: wake up in the morning, before or after meals, or according to the doctor's request; the patient is measured a certain number of times. After (due to storage space limitation, the maximum number of storage is Nmax), the data is transmitted to the network server or data terminal of the data center, and the data center and the data terminal will automatically generate the blood pressure curve in the measurement period, and at the time of measurement. Mark the recording. The doctor can play the patient's recording of the measurement point while observing the patient's blood pressure change, which is equivalent to the doctor's face to ask the patient's condition. This provides a more comprehensive picture of the patient's status at the measurement point, which is extremely important for the doctor's diagnosis, and is conducive to the doctor's accurate diagnosis and medication plan.
  • the method and device for detecting blood pressure data according to the present invention will be supported by a network platform.
  • the doctor can view the blood pressure curve and status information of the patient through the network terminal, and submit diagnosis and treatment suggestions through the network terminal, and the patient will also pass the network.
  • the terminal queries the doctor's diagnosis and treatment recommendations.
  • the treatment proposal may include a medication plan.
  • the client may purchase drugs for treating hypertension or take other treatment measures according to the doctor's medication recommendations.
  • the doctor's diagnosis and suggestions can be sent to the user's mobile phone via SMS, so that users who do not regularly access the Internet can also get timely diagnosis and treatment suggestions.
  • the patient's data will be kept in the network database for a long time, for patients and doctors to check online at any time, and can store the patient's long-term blood pressure curve. Because of the rich historical data of hypertensive patients in this system, and the long-term follow-up of the same client, the accuracy of the doctor's treatment of patients is very high.

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Description

一种检测血压数据的装置 技术领域
本发明涉及一种医疗检测仪器。
背景技术
血压是人体三大生命参数之一，而高血压疾病是人类最常见的非传染性慢性病，并是其他严重慢性病的致病因素之一。 《中国心血管病报告2005》： 目前全国高血压患者1.6亿人、现患血脂异常1.6亿人、超重2亿人、肥胖6000万人、糖尿病2000万人、烟民3.5亿人。我国每年新发脑卒中200万人，现患脑卒中700万人；每年新发心肌梗死50万人，现患心肌梗死200万人；现患心力衰竭400万人；现患风心病250万人；每年出生先心病患儿10万人。我国每年死于心血管病的人数达到250-300万。每年主要心血管病的医疗费用达1301.17亿元人民币。
WHO(世界卫生组织)专家组报告，心血管疾病是威胁人类健康的头号杀手，全世界1／3的人口死亡是因心脏病引起的，每年夺走全世界1200万人的生命。中国每1 5秒就有1位死于心血管疾病，每22秒就有一位因此丧失工作能力，每年死于这种病的人有300多万，占我国每年总死亡人数的50％，而幸存下来的75％不同程度的丧失劳动能力，4％重残。
而在心血管疾病中，高血压被称为“万恶之源”，血压长期偏高将导致心脏、肾脏等疾病和其他并发症。因此，有效控制血压是预防和治疗多种严重危害人类健康和生命的基本要素。
然而，高血压致病机理非常复杂，治疗的药物繁多，药物针对性强，往往一种有效的药物使用一段时间后就会失效，造成控制血压的难度很高；因此，要求高血压患者必须坚持长期检测血压变化，针对性地变化治疗药物，才能将血压控制在正常范围内。
但是目前高血压患者在血压检测和血压控制上的难题是：
1、一次血压的测量意义不大，因为人体每天不同时间的血压变化是正常的，因此需要每日多点测量血压数据才能有效地反映血压的变化范围是否正常。
2、医生无法了解患者测量血压的时间点的其他有效信息，如：饭前还是饭后，身体症状、是否服药和服用何种药物等。
3、医生无法方便地得到患者几天的血压变化曲线，则无法有效判断患者在此期间服用药物的治疗效果。
因此，如何简便地进行多点血压测量后能生成血压变化曲线，同时可以记录测量点的患者状态信息对医生准确诊断高血压的类型和药物治疗效果、为患者制定有效的治疗方案具有重要意义。
 技术问题
本发明的目的是要提供一种检测血压数据的装置，针对性地解决上述技术难题。
技术解决方案
这种检测血压数据的装置，包括带有气泵、充气袖带和压力传感器的血压测量单元，其特征在于：所述压力传感器通过A/D转换接口与计算机处理单元相连；
所述计算机处理单元包括：
用于进行运算的中心处理单元CPU；
用于存储各类数据的存储器；
A/D转化接口；
用于数据输入及显示的人机界面；
用于各部件之间数据传输的总线；
计算机处理单元还与一个用于采集使用者语音的拾音器和一个用于对拾音器采集的声频信号进行处理并转化成数字信号的语音模块连接；
计算机处理单元的通讯接口与用于将血压数据和语音数据发送到网络服务器的数据通讯模块连接。
所述充气袖带可为臂式充气袖带或腕式充气袖带。
所述计算机处理单元的通讯接口可包括但不限于串/并行通讯接口、USB接口、网络接口、有线传输功能接口或无线传输功能接口。
所述人机界面可包括键盘、显示灯和显示屏。
所述发送血压数据和语音数据的数据通讯模块为无线通讯模块、有线网络的调制模块，或者是移动通信的手机。
本发明涉及的血压检测装置是一种便携式的血压测量仪，其重要特征是：该仪器在测量并存储使用者的血压数据的同时可以记录使用者的语音，使用者通过这段语音描述在该测量时间点上的状态信息。
该仪器可以通过有线、无线通讯方式将血压数据和记录的语音数据发送至远端的网络服务器。
 有益效果
本发明通过将医疗仪器、现代通讯技术和网络技术相结合，开创了对患病率最高、对人类健康威胁最大的高血压疾病治疗、控制和管理的新途径，具有以下优点：
1、大大提高了对高血压疾病诊断的准确性
人一天之中血压变化是正常，因此，一天的一点血压值高难以说明问题。而一天多点、特别是多个特征点的血压值才是有意义的，而如能积累几天的血压变化曲线，并能够辅助说明测量时间点上的患者状况和用药情况，将为医生判断高血压类型和用药效果提供充分的依据，大大提高医生对高血压疾病诊断的准确性。
2、使用简便，方便患者采集数据
如果采用传统的血压计测量记录血压变化曲线，则要求患者每次测量后要通过纸笔记录测量时间点的状况，即使将多天的数据记录完整则患者还需将记录送到医生面前才能够得到诊断结果、获得用药的方案，这种方法效率太低，患者需做的事情太多，在实际中很难要求患者遵循这种方法进行严格的操作。
本发明操作简便，患者仅需一天中测量几点并录制简短语音，一段时间后按键发送即可。患者操作简便，容易掌握，则可保证更多的患者按照要求使用，达到提高诊断准确性的目的。
3、提高了医疗资源的使用效率
高血压患者被要求终生服药，同时要求患者坚持平时测量血压，定期在医生的指导下更换药物。而高血压疾病患者为数众多，如全部定期去医院就医则没有足够的医疗资源可以承担，也将耗费患者大量的精力。本发明可以使患者不去医院则可以将比以往去医院更多、更充分的信息传达给医生，医生根据这些信息就可以判断这段时间的病情和药物治疗效果，指导患者采用更有效的治疗方法和药物；同时，本发明使医生的可以通过网络为患者提供诊断和治疗服务，不受地域和路程的限制，这样可以无限止地大优质医疗资源的使用区域，大大提高医疗资源的使用效率。
本发明涉及的一种检测血压数据的装置是便携式仪器，检测的方法是使用者在测量血压的同时录制使用者描述状态的语音并存储，该仪器可以通过有线或无线通讯方式将存储的血压数据和语音发送到远端的数据终端或网络服务器，医生根据使用者多次测量的血压数据曲线和对使用者状态的语音描述可以作出更加准确的诊断，本发明将大大提高对高血压疾病的控制能力，将为有效监测和控制高血压患者的血压变化提供一种重要的手段。
 附图说明
图1是本发明的结构示意图。
图2是计算单元的结构示意图。
图3是血压检测和诊断体系的结构图。
图4是血压检测和诊断体系工作的流程框图。
 本发明的最佳实施方式
本发明的实施方式
参见图1，本发明的装置由血压测量单元、计算机单元和数据通讯模块三部分组成，其中血压测量单元的组成包括（但不限于）压力传感器、气泵、充气袖带，其中充气袖带分为臂式和腕式两种，压力传感器通过A/D转换接口与计算机处理单元相连。
参见图2，计算机处理单元包括中心处理单元CPU、存储器、人机界面（如：显示屏和显示灯、键盘等）、语音采集装置（拾音器）、语音模块、通讯接口，其中：CPU是装置的运算和控制核心，存储器可以是各种数字存储器，用以存储血压数据和语音数据，通讯接口包括网络或有线、无线传输功能接口，同时包括装置内各部分之间的数据传输接口。
通常在计算机处理单元中采用单片机作为核心器件，单片机内部通常包括CPU、存储单元、A/D接口、I/O（输入/输出）接口、通讯接口等，单片机可在外部扩展存储器。键盘、显示屏、拾音器（如：麦克风）、LED、数据通讯模块、语音模块芯片等都是单片机的外部电路和器件。随着单片机集成度的越来越高，许多外部芯片都将集成到单片机内部。
数据通讯模块指将本装置采集的血压数据、语音数据和其他数据发送到网络服务器或远端数据终端的电路和器件。数据通讯模块可以内置于本仪器内部；也可以与仪器分离，通过有线或无线通讯方式与计算机处理单元的通讯接口相联进行数据传输。
本发明是一种便携式的血压测量仪，可以随身测量使用者的血压。血压测量单元的工作原理可分为直接式或间接式两种，通常采用间接式测量法，间接测量中测量血压比较准确的方法是臂式血压测量法。
每次测量到的血压数据都将被自动保存在本装置的存储器中。
本发明设计的血压仪的重要特征是在测量血压数据的同时可以记录使用者的语音，使用者可以通过录制语音描述测量时间点上的状态信息，如：测量时间（早晨或晚上、饭前或饭后等）、身体感觉、服用药物名称和剂量等，这些状态信息对医生诊断患者的高血压病情极为重要。
本仪器可以通过有线、无线通讯方式将血压数据和记录的语音数据发送到远端的数据终端或网络服务器，有线方式包括：通过有线internet网络、电话线载波方式等，无线传输方式包括但不限于：通过移动通讯的GSM网的GPRS数据通讯方式、通过TD-CDMA或W-CDMA的数据传输方式。
本装置是一种基于网络的血压检测和诊断体系的前端数据采集装置，而该血压检测和诊断体系的结构如图3所示，包括：
本发明涉及的用户使用的具有语音录制和远程传输功能的血压检测仪；
网络服务器；
网络终端；
客户与服务体系中医生和其他人员沟通的电话；
以上四部分装置组成了一种网络化的高效的高血压疾病的检测和诊断体系，其对血压检测和诊断的工作流程如图4所示。
患者使用本发明涉及的仪器可以每天进行多点的血压测量，一般应该选择在特定时间，如：早晨醒来、饭前或饭后等，或遵照医生的要求选择时间；患者在测量了一定次数后（由于存储空间限制，最大存储次数为Nmax）将数据传送到数据中心的网络服务器或数据终端，数据中心和数据终端将自动生成测量时间段中的血压变化曲线，并在测量的时间点上标示录音。医生可以在观察患者血压变化情况时播放测量点的患者录音，这相当于医生当面询问患者的病情， 这样可以更全面地了解患者在测量点的状态信息，这对医生的诊断是极为重要的，有利于医生作出准确的诊断和用药方案。
本发明涉及的一种检测血压数据的方法和装置将得到网络平台的支持，医生通过网络终端查看患者的血压曲线和状态信息，并可通过网络终端提交诊断和治疗建议，而患者也将通过网络终端查询医生的诊断结果和治疗建议，这里治疗建议中可包括用药方案，客户可以根据医生的用药建议购买治疗高血压的药品或采取其他治疗措施。医生的诊断和建议可以通过短信发送到用户的手机上，使不经常上网的用户也可及时得到诊断和治疗建议。
患者的数据将被长期保留在网络数据库中，供患者和医生随时上网查询，并可以储存患者长期的血压变化曲线。由于本系统中高血压患者的历史数据丰富，且医生长期追踪同一个客户，则医生对患者治疗的准确性很高。
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Claims (5)

  1. 一种检测血压数据的装置，包括带有气泵、充气袖带和压力传感器的血压测量单元， 其特征在于： 所述压力传感器通过A/D转换接口与计算机处理单元相连；
    所述计算机处理单元包括：
    用于进行运算的中心处理单元CPU；
    用于存储各类数据的存储器；
    A/D转换接口；
    用于数据输入及显示的人机界面；
    用于各部件之间数据传输的总线；
    计算机处理单元还与一个用于采集使用者语音的拾音器和一个用于对拾音器采集的声频信号进行处理并转化成数字信号的语音模块连接；
    计算机处理单元的通讯接口与用于将血压数据和语音数据发送到网络服务器的数据通讯模块连接。
  2. 根据权利要求1所述的检测血压的装置，其特征在于：所述充气袖带为臂式充气袖带或腕式充气袖带。
  3. 根据权利要求1所述的检测血压的装置，其特征在于：所述计算机处理单元的通讯接口包括串/并行通讯接口、USB接口、网络接口、有线传输功能接口或无线传输功能接口。
  4. 根据权利要求1所述的检测血压的装置，其特征在于：所述人机界面包括键盘、显示灯和显示屏。
  5. 根据权利要求1所述的检测血压的装置，其特征在于：所述发送血压数据和语音数据的数据通讯模块为无线通讯模块、有线网络的调制模块，或者是移动通信的手机。
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