WO2018120636A1 - Electrocardio monitoring method and system - Google Patents

Electrocardio monitoring method and system Download PDF

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Publication number
WO2018120636A1
WO2018120636A1 PCT/CN2017/086501 CN2017086501W WO2018120636A1 WO 2018120636 A1 WO2018120636 A1 WO 2018120636A1 CN 2017086501 W CN2017086501 W CN 2017086501W WO 2018120636 A1 WO2018120636 A1 WO 2018120636A1
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Prior art keywords
signal
ecg
filter
ecg monitoring
filtering
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PCT/CN2017/086501
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French (fr)
Chinese (zh)
Inventor
包磊
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深圳市善行医疗科技有限公司
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Publication of WO2018120636A1 publication Critical patent/WO2018120636A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0004Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by the type of physiological signal transmitted
    • A61B5/0006ECG or EEG signals
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/318Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6801Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
    • A61B5/6802Sensor mounted on worn items
    • A61B5/6804Garments; Clothes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7225Details of analog processing, e.g. isolation amplifier, gain or sensitivity adjustment, filtering, baseline or drift compensation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235Details of waveform analysis
    • A61B5/725Details of waveform analysis using specific filters therefor, e.g. Kalman or adaptive filters

Definitions

  • Electrocardiogram is a commonly used clinical examination, which not only reflects the heart health, but also reflects changes in mood.
  • the traditional ECG equipment cannot be easily monitored for a long time, and it is difficult to find an abnormal ECG at an early stage.
  • an embodiment of the present invention provides an ECG monitoring system, where the system includes an electrocardiogram electrode, a filter circuit, an electrocardiogram integrated chip, a controller, a power source, a wireless transmission circuit, an early warning server, and the ECG electrode setting On the wearable electrocardiograph, the ECG electrode transmits the collected ECG monitoring analog signal to the ECG integrated chip through the filtering process of the filter circuit, and the ECG integrated chip Transmitting the converted ECG monitoring digital signal to the controller, the controller transmitting the compressed ECG monitoring digital signal and the user identifier to the early warning server via the wireless transmission circuit, and the early warning service will monitor the ECG digital The signal and the historical data of the user identification are compared, and the comparison result is sent to the emergency center.
  • the electrocardiographic electrode is a fabric electrode disposed on the electrocardiograph, and the fabric electrode is connected by the filter circuit of the conductive textile thread.
  • the power supply includes a battery and a voltage conversion circuit, and an input end of the voltage conversion circuit Connected to the battery, the first output of the voltage conversion circuit is connected to the power supply pin of the electrocardiograph integrated chip, and the voltage of the first output is matched with the low voltage supply value of the electrocardiograph integrated chip, the voltage A second output of the conversion circuit is coupled to the controller.
  • the signal input pin of the electrocardiograph integrated chip and the electrocardiographic electrode pass the magnet spring pin
  • the plugin is connected to the outlet.
  • the wireless transmission circuit is a Bluetooth 4.0-based Bluetooth communication circuit.
  • the ECG monitoring system further includes a timing circuit, the timing circuit is integrated with the ECG A sleep control pin of the chip, and/or a sleep control pin of the controller, and/or a sleep control pin of the wireless transmission circuit are coupled.
  • an embodiment of the present invention provides an ECG monitoring method including the ECG monitoring system of any of the above, the method comprising:
  • the user identifier and the ECG monitoring digital signal are compression-encoded by the controller and sent to the pre- police server
  • the early warning server obtains the historical data of the user according to the user identifier, compares the historical data of the user with the currently acquired ECG monitoring digital signal, and sends the comparison result to the early warning center.
  • the filtering step of the ECG monitoring analog signal includes one or both of the following:
  • the step of eliminating potential power frequency noise and ringing noise by using the double bilateral filtering technique and the two iterative techniques includes :
  • the first filter calculates the first filter according to a sampling rate, a notch frequency, and a first stopband width, and respective parameters in the original filter.
  • the step of eliminating interference by two parallel noise reduction and electromyogram and electrode noise includes:
  • Parallel one Decomposing the eigenmode function IMF containing noise by the empirical mode decomposition method, and dividing the signal sequence included in the eigenmode function according to a preset length to obtain a maximum threshold and a minimum threshold of the window, according to the Filtering the maximum threshold and the minimum threshold;
  • Parallel 2 Extract and filter the baseline drift in the ECG signal, using the wavelet method and the notch filter respectively Filtering the myoelectric interference and power frequency interference, adding the above three filtered signals as the reference signal of the adaptive filter, and adaptively filtering with the noisy ECG signal to generate an output signal.
  • the ECG monitoring analog signal is collected by the ECG electrode, and the ECG monitoring analog signal is filtered by the filter circuit, and the filtered signal is converted into the ECG monitoring digital signal by the ECG integrated chip, and the controller
  • the early warning server After the digital signal is encoded and compressed, and sent to the early warning server together with the user identifier, the early warning server generates a comparison result by comparing the current ECG monitoring digital signal and the historical data corresponding to the user identification, and sends the comparison result to the emergency center, so that the alarm server can
  • the user performs real-time and effective monitoring.
  • the abnormality can be found at the first time and the emergency center can help the user, which is beneficial to improve the timeliness of the user being rescued.
  • FIG. 1 is a schematic structural diagram of an ECG monitoring system according to an embodiment of the present invention.
  • FIG. 2 is a flowchart of implementing an ECG monitoring method according to an embodiment of the present invention
  • FIG. 3 is a schematic structural diagram of an ECG monitoring apparatus according to an embodiment of the present invention.
  • the main purpose of the embodiments of the present invention is to provide an ECG monitoring system and an ECG monitoring method to solve the ECG monitoring system in the prior art, which is inconvenient for the user to perform long-term effective monitoring, thereby failing to appear in the user's physical state.
  • the abnormality is found in the first time, so that it is not convenient for the user to take timely and effective assistance to the patient, which is not conducive to better protecting people's life and health problems.
  • ECG monitoring system is a schematic structural diagram of an ECG monitoring system according to an embodiment of the present invention, where the system includes an electrocardiogram electrode 1, a filter circuit 2, an electrocardiogram integrated chip 3, a controller 4, a power source 5, and a wireless transmission circuit 6.
  • the ECG electrode 1 is disposed on the wearable electrocardiograph, and the ECG electrode 1 transmits the collected ECG monitoring analog signal to the ECG integrated chip 3 through the filtering process of the filter circuit 2,
  • the ECG integrated chip 3 sends the converted ECG monitoring digital signal to the controller 4, and the controller 4 transmits the compression-encoded ECG monitoring digital signal and the user identifier to the early warning server 7 via the wireless transmission circuit 6.
  • the early warning service compares the ECG monitoring digital signal and the historical data of the user identification, and compares the result to the emergency center.
  • the electrocardiographic electrode 1 is configured to acquire an ECG signal of a user.
  • the electrocardiographic electrode 1 is provided with a fabric electrode and is disposed on a wearable electrocardiograph. And, the fabric electrode 1 is connected to the filter circuit through a conductive textile wire. The fabric electrode is disposed on the electrocardiograph, which can facilitate the user to wear for a long time, and the fabric electrode can effectively conduct the ECG signal, so that the acquired ECG signal is stable and reliable.
  • the filter circuit 2 may perform filtering processing by using a combination of a low-pass filter circuit and a high-pass filter circuit, or may include a processor pre-set with a filtering algorithm to filter the ECG monitoring analog signal.
  • the filtering algorithm is specifically described in the subsequent method section.
  • the ECG integrated chip 3 which may also be referred to as an ECG (English full name Electrocardiograph) chip, is used for performing gain amplification, analog-to-digital conversion, and the like on an analog signal collected by a recording electrode.
  • the electrocardiography integrated chip 2 includes, but is not limited to, ADS1294, ADS1296, ADS1298, ADS1294R, ADS1296R, or ADS1298R.
  • the utility model can further disconnect or turn off the power supply pin circuit corresponding to the IO port corresponding to the unused peripherals in the processor according to different application scenarios, thereby further reducing power consumption.
  • the circuit structure can reduce the power consumption of the processor to less than 3mW.
  • the power source 5 may be a directly powered battery.
  • the power source may include a battery and a voltage conversion circuit, and an input end of the voltage conversion circuit is connected to the battery, and the voltage conversion circuit is The first output end is connected to the power supply pin of the electrocardiograph integrated chip, and the voltage of the first output end is matched with the low voltage power supply value of the electrocardiograph integrated chip, and the second output end of the voltage conversion circuit is The controller is connected.
  • the signal transmission circuit 6 may be connected to the second output terminal or may be connected to the first output terminal.
  • the battery may be a lithium ion battery, a lithium manganese button battery or a zinc empty button battery.
  • the voltage of the battery may be 3.0V, or may be 5.0V, 3.7V or the like. For example, when the voltage of a single button battery is 1.5V, an output voltage of 3.0V can be obtained by series connection.
  • the voltage conversion circuit in the ECG data acquisition circuit may be a DC-DC conversion, and the original DC power is controlled by adjusting its PWM (duty ratio) to control the effective voltage of the output, and may include a boost circuit or a step-down circuit.
  • the first output is coupled to the electrocardiography integrated chip to provide electrical energy to the electrocardiograph integrated chip.
  • the voltage at the first output may be a low voltage match of the power supply pin of the electrocardiograph integrated chip. Therefore, the internal voltage regulator in the ECG integrated chip does not need to perform LDO voltage conversion, and the LDO voltage conversion generates a large power loss, thereby contributing to reducing the power consumption of the chip. Therefore, it is more advantageous for the user to wear the electrocardiogram for ECG detection for a long time.
  • the electrocardiogram integrated chip 2 such as ADS1294, ADS1296, ADS1298, ADS1294R, ADS1296R or ADS1298R.
  • the system power supply is generally collected at 3.3V.
  • the main core portion is internally converted to 1.8V using a low-dropout linear regulator LDO, which causes a large power loss during the conversion process.
  • LDO low-dropout linear regulator
  • the 1.8V regulator inside the ECG chip is prohibited, but the battery is subjected to DC-DC conversion of the voltage conversion circuit, and the output is 1.8V filtered, and then directly supplied to the ECG chip. Used, this reduces power consumption from the power supply.
  • unnecessary functions and pins in the ECG integrated chip can be turned off according to different application scenarios to reduce power consumption.
  • the ECG part of the power consumption can be reduced to 20mW when the 12-lead is made.
  • the present invention may further include a timer, which may be coupled to a power consumption control pin of the signal transmission circuit, and/or a power consumption control pin of the electrocardiograph integrated chip.
  • a timer can be implemented by a controller or a dedicated timing circuit.
  • the signal transmission circuit 6 preferably a Bluetooth communication circuit based on the Bluetooth 4.0 transmission protocol.
  • the signal transmission circuit 6 can be connected to the first output, such as a 1.8V low power Bluetooth 4.0 transmission scheme.
  • the signal input end of the electrocardiograph integrated chip is provided with an interface connectable to the recording electrode.
  • the interface is a magnet spring needle insert. The powerful magnet makes the interface firmly sucked, even if the beating is very stable, the spring pin increases the insertion and insertion life, up to 1 million times. It has the advantages of convenience, good signal quality and firmness.
  • FIG. 2 is a flowchart of implementing an ECG monitoring method according to an embodiment of the present invention, which is described in detail as follows:
  • the implementation of the ECG monitoring method is based on the ECG monitoring system of FIG. 1 , and the method specifically includes:
  • step S201 the user's ECG monitoring analog signal is collected through the ECG electrode.
  • the electrocardiographic electrode may be a fabric electrode, and the electrocardiographic electrode may be connected to the filter circuit through a conductive textile wire.
  • the electrocardiographic electrode can be disposed on the electrocardiograph, and the user can effectively obtain the electrocardiogram monitoring analog signal through the fabric electrode when the user wears the electrocardiograph.
  • step S202 the ECG monitoring analog signal is filtered, and the ECG monitoring analog signal is converted into an ECG monitoring digital signal by an electrocardiogram integrated chip.
  • Filtering the ECG monitoring analog signal can effectively remove power frequency interference, ringing noise, myoelectric noise and electrode noise in the ECG monitoring analog signal.
  • the filtering step of the ECG monitoring analog signal includes one or two of the following:
  • the steps of eliminating potential power frequency noise and ringing noise by using a double bilateral filtering technique and two iterative techniques include:
  • the first filter calculates the first filter according to a sampling rate, a notch frequency, and a first stopband width, and respective parameters in the original filter.
  • the filter coefficients are calculated by equation (1) given the sampling rate, the notch frequency, and the stopband width of the notch.
  • f s is the sampling rate
  • f 0 is the notch frequency
  • ⁇ f is the first stop band width
  • the image extension signal is passed through the system determined by equation (1) to obtain an output signal and a residual portion, and the residual portion includes potential power frequency noise PLI and ringing noise RAs. This process is equivalent to filtering the original signal twice: once from left to right; the other is from right to left. Since equation (1) is a causal system, the RAs caused by the same heartbeat pulse signal will be located on both sides of the pulse.
  • the filtered signal is again passed through the same system to obtain an output signal.
  • the PLI will be filtered out in this step.
  • the residual portion contains only RAs and broadband noise located within the stop band.
  • the RAs are eliminated.
  • the RAs are eliminated by using a certain threshold rule, that is, in the residual portion of step 3, the coefficient of one end of each heartbeat pulse that is not contaminated by RAs (the end of one end of the pulse is contaminated, and the other end is not contaminated) is selected as an output.
  • the distortion caused by the transient effects of the system that the output signal lasts for a few seconds at the beginning will also be eliminated at this step.
  • the dual bilateral filtering technique implies an important assumption: the set stopband width parameter does not overlap the RAs generated by each of the two heartbeat pulse signals, and the technique cannot distinguish the overlapping RAs.
  • the actual selected stopband width inevitably causes the RAs to overlap.
  • the city's electrician frequency usually has a certain drift, the general national industrial standard is controlled within 1%; but the poor mains environment, the drift is as high as 3%. Two iteration techniques can solve this problem.
  • the step of obtaining the output filtering portion mainly utilizes that the residual portion is usually two levels lower than the original signal, and the RAs contained in the residual portion are negligible.
  • Parallel one Decomposing the eigenmode function IMF containing noise by the empirical mode decomposition method, and dividing the signal sequence included in the eigenmode function according to a preset length to obtain a maximum threshold and a minimum threshold of the window, according to the Filtering the maximum threshold and the minimum threshold;
  • Parallel two extract and filter the baseline drift in the ECG signal, use the wavelet method and the notch filter to filter the EMG interference and the power frequency interference respectively, and add the above three filtered signals as the reference of the adaptive filter.
  • the signal is adaptively filtered with the noisy ECG signal to generate an output signal.
  • the simple combined denoising method can only filter out noise outside the frequency range of the ECG signal, and denoise the noise of the aliasing. It is bound to affect the characteristics of each waveform, resulting in signal distortion. Therefore, it is necessary to fully consider the combination of various methods, and keep the ECG as undistorted as possible during the denoising process.
  • each method has its own difficulties before combining various methods. For example, when using wavelet denoising, the selection of wavelet basis should be considered. When denoising by threshold method, the selection of optimal threshold should be considered. When using morphological denoising, the selection of structural elements should be considered. Therefore, when selecting the combination of denoising schemes, it is necessary to fully consider their respective advantages and disadvantages and make up for each other.
  • the invention achieves the purpose of removing aliasing noise interference by two-way parallel noise reduction:
  • the empirical mode decomposition method is very suitable for processing nonlinear and non-stationary signals.
  • the biggest advantage is that it does not require a predefined basic function to represent the signal, and adaptively selects the base-pair signal directly according to the characteristics of the signal itself.
  • the wavelet function needs to be defined, so that it faces the selection of wavelet base, so it is very suitable for processing ECG signals.
  • the present invention is considered to be combined with the threshold denoising method.
  • the soft and hard thresholds are achieved by setting a value greater than the threshold to a given threshold and zeroing the value of the threshold to zero, thereby increasing the possibility of false denoising, and thus the present invention adopts Double threshold method.
  • the method first finds the eigenmode function IMF containing noise from all the IMFs decomposed by the EMD, and then divides the signal sequence contained by these IMFs into “window”, sets the length of the "window”, and calculates the maximum in the "window”.
  • the minimum value is obtained by the maximum threshold and the minimum threshold, that is, the double thresholds of the respective "windows" are obtained and filtered.
  • Mathematical morphology is a mathematical tool for analyzing images based on morphological structural elements. Its basic idea is to use a certain structural element to measure and extract the corresponding shape in the image to achieve the purpose of image analysis and recognition.
  • the ECG signal is a one-dimensional periodic signal composed of PQRST waves. So when selecting structural elements, choosing a straight line will be more conducive to analysis and processing. However, this method is sensitive to singular points, which will cause distortion of QRS waveform. Therefore, this patent considers combining notch filter, wavelet method and adaptive filter, and adaptive filter can reflect real-time performance well. The method firstly uses the morphological method to extract the baseline drift and filter it out.
  • the wavelet method and the notch filter are used to filter the myoelectric interference and power frequency interference, and then the three filtered signals are added as adaptive filtering.
  • the reference signal of the device is adaptively filtered with the noisy ECG signal to finally achieve the denoising effect.
  • step S203 the controller identifies and compresses the user identifier and the ECG monitoring digital signal to the early warning server;
  • step S204 the early warning server acquires the historical data of the user according to the user identifier, compares the historical data of the user with the currently acquired ECG monitoring digital signal, and sends the comparison result to the early warning center.
  • the controller may further send the location information, the environment information, and the historical diagnosis information of the user to the early warning server, so that the early warning server can complete more accurate ECG data analysis. For example, based on the acquired data, a dynamic state data chart of the user may be established, and the historical diagnosis information may be combined to generate a targeted suggestion, which may be sent to a mobile terminal bound to the user identifier.
  • the ECG monitoring method of the present invention further introduces the filtering process of the ECG monitoring analog signal on the basis of the ECG monitoring system shown in Fig. 1. Through the above filtering process, a more reliable ECG can be obtained. Monitor the signal.
  • the present invention further provides an ECG monitoring device, the device comprising:
  • the collecting unit 301 is configured to collect an ECG monitoring analog signal of the user through the ECG electrode;
  • the filter conversion unit 302 is configured to filter the ECG monitoring analog signal, and convert the ECG monitoring analog signal into an ECG monitoring digital signal by an ECG integrated chip;
  • the first sending unit 303 is configured to compress and encode the user identifier and the ECG monitoring digital signal by the controller, and send the signal to the early warning server;
  • the second sending unit 304 is configured to obtain, by the early warning server, the historical data of the user according to the user identifier, compare the historical data of the user with the currently acquired ECG monitoring digital signal, and send the comparison result to the early warning center.
  • the ECG monitoring device corresponds to the ECG monitoring method described above, and will not be repeated here.
  • the disclosed apparatus and method may be implemented in other manners.
  • the device embodiments described above are merely illustrative.
  • the division of the unit is only a logical function division.
  • there may be another division manner for example, multiple units or components may be combined or Can be integrated into another system, or some features can be ignored or not executed.
  • the mutual coupling or direct coupling or communication connection shown or discussed may be an indirect coupling or communication connection through some interface, device or unit, and may be in an electrical, mechanical or other form.
  • the units described as separate components may or may not be physically separated, and the components displayed as units may or may not be physical units, that is, may be located in one place, or may be distributed to multiple network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of the embodiment.
  • each functional unit in each embodiment of the present invention may be integrated into one processing unit, or each unit may exist physically separately, or two or more units may be integrated into one unit.
  • the above integrated unit can be implemented in the form of hardware or in the form of a software functional unit.
  • the integrated unit if implemented in the form of a software functional unit and sold or used as a standalone product, may be stored in a computer readable storage medium.
  • the technical solution of the present invention which is essential or contributes to the prior art, or all or part of the technical solution, may be embodied in the form of a software product stored in a storage medium.
  • a number of instructions are included to cause a computer device (which may be a personal computer, server, or network device, etc.) to perform all or part of the methods described in various embodiments of the present invention.
  • the foregoing storage medium includes: a U disk, a mobile hard disk, a read-only memory (ROM), and a random memory. Take a variety of media that can store program code, such as RAM (Random Access Memory), disk, or optical disk.

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Abstract

An electrocardio monitoring system, comprising: electrocardio electrodes (1), a filter circuit (2), an electrocardio integration chip (3), a controller (4), a power supply (5), a wireless transmission circuit (6), and an alarm server (7), the electrocardio electrodes (1) being disposed on wearable electrocardio clothing; the electrocardio electrodes (1) send a collected electrocardio monitoring analog signal to the electrocardio integration chip (3) after the signal is filtered by the filter circuit (2), the electrocardio integration chip (3) then sends a converted electrocardio monitoring digital signal to the controller (4), while the controller (4) sends a compression-coded electrocardio monitoring digital signal and a user identification to the alarm server (7) by means of the wireless transmission circuit (6), and the alarm server (7) sends a comparison result, which is obtained by comparing historical data of the electrocardio monitoring digital signal and the user identification, to an emergency center. The electrocardio monitoring system may find an abnormality during a first time and aid a user by means of the emergency center, which may improve the timeliness of aiding the user.

Description

一种心电监测方法及系统ECG monitoring method and system 技术领域Technical field
本发明属于心电监测领域,尤其涉及一种心电监测方法及系统。The invention belongs to the field of electrocardiogram monitoring, and in particular relates to an ECG monitoring method and system.
背景技术Background technique
在过去的二十多年间,数字化革新出现了前所未有的巨大进步,不仅日益影响我们的日常生活,同时也快速渗透到医疗卫生保健领域。在二十世纪九十年代,全科诊疗朝着电子医疗档案的方向不断发展,数字技术在卫生保健领域的应用也在快速扩张。数字化健康技术具有改变当前医疗卫生保健模式的巨大潜力。然而,许多新技术却最终停留在“最后一公里”,并未达到事先的预想。面对面的健康咨询及诊疗依然是全科诊疗的主流模式,但是实时的、可穿戴式的、无扰的以及多模态的监控系统及相应的解决方案已经开始逐步应用到全科诊疗中以提高诊疗效率。Over the past two decades, digital innovation has seen unprecedented advances that not only increasingly affect our daily lives, but also quickly penetrate into the healthcare sector. In the 1990s, the practice of general medical treatment continued to develop in the direction of electronic medical archives, and the application of digital technology in the field of health care was also rapidly expanding. Digital health technologies have great potential to change the current health care model. However, many new technologies ended up in the “last mile” and did not meet the expectations. Face-to-face health consultation and diagnosis are still the mainstream mode of general practice, but real-time, wearable, undisturbed and multi-modal monitoring systems and corresponding solutions have been gradually applied to general practice to improve The rate of treatment.
心电图是临床常用的检查,不仅直观反映心脏健康,还能体现的情绪等变化。但是传统的心电设备由于检查方式,不能方便的进行长期监测,很难在早期发现心电异常。Electrocardiogram is a commonly used clinical examination, which not only reflects the heart health, but also reflects changes in mood. However, due to the inspection method, the traditional ECG equipment cannot be easily monitored for a long time, and it is difficult to find an abnormal ECG at an early stage.
发明内容Summary of the invention
本发明的目的在于提供一种心电监测方法和系统,以解决现有技术的心电设备不方便长期监测,很难早期发现心电异常的问题。It is an object of the present invention to provide an ECG monitoring method and system for solving the problem that the prior art ECG device is inconvenient for long-term monitoring, and it is difficult to find an abnormal ECG early.
第一方面,本发明实施例提供了一种心电监测系统,所述系统包括心电电极、滤波电路、心电图集成芯片、控制器、电源、无线传输电路、预警服务器,所述心电电极设置于穿戴式心电衣上,所述心电电极将采集的心电监测模拟信号经过滤波电路的滤波处理后,发送至心电图集成芯片,所述心电图集成芯片 将转换后的心电监测数字信号发送至控制器,所述控制器将压缩编码后的心电监测数字信号以及用户标识,经由无线传输电路发送至预警服务器,预警服务将所述心电监测数字信号以及所述用户标识的历史数据进行比较后的比较结果,并将所述比较结果发送至急救中心。In a first aspect, an embodiment of the present invention provides an ECG monitoring system, where the system includes an electrocardiogram electrode, a filter circuit, an electrocardiogram integrated chip, a controller, a power source, a wireless transmission circuit, an early warning server, and the ECG electrode setting On the wearable electrocardiograph, the ECG electrode transmits the collected ECG monitoring analog signal to the ECG integrated chip through the filtering process of the filter circuit, and the ECG integrated chip Transmitting the converted ECG monitoring digital signal to the controller, the controller transmitting the compressed ECG monitoring digital signal and the user identifier to the early warning server via the wireless transmission circuit, and the early warning service will monitor the ECG digital The signal and the historical data of the user identification are compared, and the comparison result is sent to the emergency center.
结合第一方面,在第一方面的第一种可能实现方式中,所述心电电极为设置于心电衣上的织物电极,所述织物电极通过导电的纺织线所述滤波电路相连。In conjunction with the first aspect, in a first possible implementation of the first aspect, the electrocardiographic electrode is a fabric electrode disposed on the electrocardiograph, and the fabric electrode is connected by the filter circuit of the conductive textile thread.
结合第一方面,或第一方面的第一种可能实现方式,在第一方面的第二种可能实现方式中,所述电源包括电池和电压转换电路,所述电压转换电路的输入端与所述电池相连,所述电压转换电路的第一输出端与所述心电图集成芯片的供电引脚相连,且所述第一输出端的电压与所述心电图集成芯片的低电压供电值匹配,所述电压转换电路的第二输出端与所述控制器相连。With reference to the first aspect, or the first possible implementation manner of the first aspect, in a second possible implementation manner of the first aspect, the power supply includes a battery and a voltage conversion circuit, and an input end of the voltage conversion circuit Connected to the battery, the first output of the voltage conversion circuit is connected to the power supply pin of the electrocardiograph integrated chip, and the voltage of the first output is matched with the low voltage supply value of the electrocardiograph integrated chip, the voltage A second output of the conversion circuit is coupled to the controller.
结合第一方面,或第一方面的第一种可能实现方式,在第一方面的第三种可能实现方式中,所述心电图集成芯片的信号输入引脚与所述心电电极通过磁铁弹簧针插件和插座相连。With reference to the first aspect, or the first possible implementation manner of the first aspect, in a third possible implementation manner of the first aspect, the signal input pin of the electrocardiograph integrated chip and the electrocardiographic electrode pass the magnet spring pin The plugin is connected to the outlet.
结合第一方面,或第一方面的第一种可能实现方式,在第一方面的第四种可能实现方式中,所述无线传输电路为基于蓝牙4.0的蓝牙通信电路。With reference to the first aspect, or the first possible implementation manner of the first aspect, in a fourth possible implementation manner of the first aspect, the wireless transmission circuit is a Bluetooth 4.0-based Bluetooth communication circuit.
结合第一方面,或第一方面的第一种可能实现方式,在第一方面的第五种可能实现方式中,所述心电监测系统还包括定时电路,所述定时电路与所述心电图集成芯片的休眠控制引脚、和/或所述控制器的休眠控制引脚、和/或所述无线传输电路的休眠控制引脚相连。In conjunction with the first aspect, or the first possible implementation of the first aspect, in a fifth possible implementation manner of the first aspect, the ECG monitoring system further includes a timing circuit, the timing circuit is integrated with the ECG A sleep control pin of the chip, and/or a sleep control pin of the controller, and/or a sleep control pin of the wireless transmission circuit are coupled.
第二方面,本发明实施例提供了一种包括上述任一项所述心电监测系统的心电监测方法,所述方法包括:In a second aspect, an embodiment of the present invention provides an ECG monitoring method including the ECG monitoring system of any of the above, the method comprising:
通过心电电极采集用户的心电监测模拟信号;Collecting the user's ECG monitoring analog signal through the ECG electrode;
对所述心电监测模拟信号进行滤波,由心电图集成芯片将所述心电监测模拟信号转换为心电监测数字信号;Filtering the ECG monitoring analog signal, and converting the ECG monitoring analog signal into an ECG monitoring digital signal by an electrocardiogram integrated chip;
由控制器将用户标识以及所述心电监测数字信号进行压缩编码后发送至预 警服务器;The user identifier and the ECG monitoring digital signal are compression-encoded by the controller and sent to the pre- Police server
预警服务器根据用户标识获取用户的历史数据,将所述用户的历史数据和当前获取的心电监测数字信号比较,并将所述比较结果发送至预警中心。The early warning server obtains the historical data of the user according to the user identifier, compares the historical data of the user with the currently acquired ECG monitoring digital signal, and sends the comparison result to the early warning center.
结合第二方面,在第二方面的第一种可能实现方式中,所述对所述心电监测模拟信号进行滤波步骤包括以下一种或者两种:With reference to the second aspect, in a first possible implementation manner of the second aspect, the filtering step of the ECG monitoring analog signal includes one or both of the following:
通过双重双边滤波技术和两次迭代技术来消除潜在的工频噪声和振铃噪声;Eliminate potential power-frequency noise and ringing noise through dual bilateral filtering techniques and two iterative techniques;
通过两种并行降噪消除和肌电及电极噪声干扰。Elimination of two parallel noise reductions and myoelectric and electrode noise interference.
结合第二方面的第一种可能实现方式,在第二方面的第二种可能实现方式中,所述通过双重双边滤波技术和两次迭代技术来消除潜在的工频噪声和振铃噪声步骤包括:In conjunction with the first possible implementation of the second aspect, in a second possible implementation of the second aspect, the step of eliminating potential power frequency noise and ringing noise by using the double bilateral filtering technique and the two iterative techniques includes :
将镜像延拓信号输入第一滤波器后,执行正向滤波,得到第一正向滤波信号;After the image extension signal is input to the first filter, forward filtering is performed to obtain a first forward filtered signal;
对所述第一正向滤波信号执行反向滤波,得到第一反向滤波信号;Performing inverse filtering on the first forward filtered signal to obtain a first inverse filtered signal;
将所述第一反向滤波信号迭代输入所述第一滤波器,执行所述正向滤波,获取第二正向滤波信号;And iteratively inputting the first inverse filtered signal into the first filter, performing the forward filtering, and acquiring a second forward filtered signal;
对所述第二正向滤波信号执行所述反向滤波,得到所述不包含工频噪声的第一滤波信号;Performing the inverse filtering on the second forward filtered signal to obtain the first filtered signal that does not include power frequency noise;
其中,所述第一滤波器根据采样率、陷波频率以及第一阻带宽度,以及原始滤波器中的各个参数,计算得到所述第一滤波器。The first filter calculates the first filter according to a sampling rate, a notch frequency, and a first stopband width, and respective parameters in the original filter.
结合第二方面的第一种可能实现方式,在第二方面的第三种可能实现方式中,所述通过两种并行降噪消除和肌电及电极噪声干扰步骤包括:In conjunction with the first possible implementation of the second aspect, in a third possible implementation of the second aspect, the step of eliminating interference by two parallel noise reduction and electromyogram and electrode noise includes:
并行一:通过经验模态分解法分解含有噪声的本征模函数IMF,将所述本征模函数包含的信号序列按照预设的长度进行窗口分割,得到窗口的最大阈值和最小阈值,根据所述最大阈值和最小阈值进行滤波;Parallel one: Decomposing the eigenmode function IMF containing noise by the empirical mode decomposition method, and dividing the signal sequence included in the eigenmode function according to a preset length to obtain a maximum threshold and a minimum threshold of the window, according to the Filtering the maximum threshold and the minimum threshold;
并行二:提取并滤除心电信号中的基线漂移,使用小波方法和陷波器分别 滤除肌电干扰和工频干扰,将上述三种滤波后的信号相加作为自适应滤波器的参考信号,与含噪心电信号进行自适应滤波,生成输出信号。Parallel 2: Extract and filter the baseline drift in the ECG signal, using the wavelet method and the notch filter respectively Filtering the myoelectric interference and power frequency interference, adding the above three filtered signals as the reference signal of the adaptive filter, and adaptively filtering with the noisy ECG signal to generate an output signal.
在本发明中,通过心电电极采集心电监测模拟信号,由滤波电路对所述心电监测模拟信号进行滤波,由心电图集成芯片将滤波后的信号转换为心电监测数字信号,由控制器对所述数字信号进行编码压缩后,连同用户标识发送至预警服务器,预警服务器通过比较当前的心电监测数字信号以及用户标识对应的历史数据,生成比较结果并发送至急救中心,从而可以能够对用户进行实时有效的监测,当用户心电数据出现异常时,可以第一时间发现异常并由急救中心对用户进行救助,有利于提高用户被救助的及时性。In the present invention, the ECG monitoring analog signal is collected by the ECG electrode, and the ECG monitoring analog signal is filtered by the filter circuit, and the filtered signal is converted into the ECG monitoring digital signal by the ECG integrated chip, and the controller After the digital signal is encoded and compressed, and sent to the early warning server together with the user identifier, the early warning server generates a comparison result by comparing the current ECG monitoring digital signal and the historical data corresponding to the user identification, and sends the comparison result to the emergency center, so that the alarm server can The user performs real-time and effective monitoring. When the user's ECG data is abnormal, the abnormality can be found at the first time and the emergency center can help the user, which is beneficial to improve the timeliness of the user being rescued.
附图说明DRAWINGS
图1是本发明实施例提供的心电监测系统的结构示意图;1 is a schematic structural diagram of an ECG monitoring system according to an embodiment of the present invention;
图2是本发明实施例提供的心电监测方法的实现流程图;2 is a flowchart of implementing an ECG monitoring method according to an embodiment of the present invention;
图3是本发明实施例提供的心电监测装置的结构示意图。FIG. 3 is a schematic structural diagram of an ECG monitoring apparatus according to an embodiment of the present invention.
具体实施方式detailed description
为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图及实施例,对本发明进行进一步详细说明。应当理解,此处所描述的具体实施例仅仅用以解释本发明,并不用于限定本发明。The present invention will be further described in detail below with reference to the accompanying drawings and embodiments. It is understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.
本发明实施例的主要目的在于提供一种心电监测系统和心电监测方法,以解决现有技术中的心电监测系统,不方便对用户进行长期有效的监测,从而不能在用户身体状态出现异常时,第一时间发现异常,从而不能够方便用户对病人采取及时有效的救助,不利于更好的保障人们的生命健康的问题。下面结合附图,对本发明作进一步的说明。The main purpose of the embodiments of the present invention is to provide an ECG monitoring system and an ECG monitoring method to solve the ECG monitoring system in the prior art, which is inconvenient for the user to perform long-term effective monitoring, thereby failing to appear in the user's physical state. When an abnormality occurs, the abnormality is found in the first time, so that it is not convenient for the user to take timely and effective assistance to the patient, which is not conducive to better protecting people's life and health problems. The invention will now be further described with reference to the accompanying drawings.
图1是本发明实施例提供的心电监测系统的结构示意图,所述系统包括心电电极1、滤波电路2、心电图集成芯片3、控制器4、电源5、无线传输电路6、 预警服务器7,所述心电电极1设置于穿戴式心电衣上,所述心电电极1将采集的心电监测模拟信号经过滤波电路2的滤波处理后,发送至心电图集成芯片3,所述心电图集成芯片3将转换后的心电监测数字信号发送至控制器4,所述控制器4将压缩编码后的心电监测数字信号以及用户标识,经由无线传输电路6发送至预警服务器7,预警服务将所述心电监测数字信号以及所述用户标识的历史数据进行比较后的比较结果,并将所述比较结果发送至急救中心。1 is a schematic structural diagram of an ECG monitoring system according to an embodiment of the present invention, where the system includes an electrocardiogram electrode 1, a filter circuit 2, an electrocardiogram integrated chip 3, a controller 4, a power source 5, and a wireless transmission circuit 6. The ECG electrode 1 is disposed on the wearable electrocardiograph, and the ECG electrode 1 transmits the collected ECG monitoring analog signal to the ECG integrated chip 3 through the filtering process of the filter circuit 2, The ECG integrated chip 3 sends the converted ECG monitoring digital signal to the controller 4, and the controller 4 transmits the compression-encoded ECG monitoring digital signal and the user identifier to the early warning server 7 via the wireless transmission circuit 6. The early warning service compares the ECG monitoring digital signal and the historical data of the user identification, and compares the result to the emergency center.
具体的,所述心电电极1,用于获取用户的心电信号。作为本发明优选的实施方式,所述心电电极1采用织物电极,设置在可穿戴的心电衣上。并且,所述织物电极1通过导电的纺织线连接至滤波电路。通过织物电极的方式配置在心电衣上,可以方便用户持久的穿戴,并且织物电极能够有效的对心电信号进行传导,使得获取的心电信号稳定可靠。Specifically, the electrocardiographic electrode 1 is configured to acquire an ECG signal of a user. As a preferred embodiment of the present invention, the electrocardiographic electrode 1 is provided with a fabric electrode and is disposed on a wearable electrocardiograph. And, the fabric electrode 1 is connected to the filter circuit through a conductive textile wire. The fabric electrode is disposed on the electrocardiograph, which can facilitate the user to wear for a long time, and the fabric electrode can effectively conduct the ECG signal, so that the acquired ECG signal is stable and reliable.
所述滤波电路2,可以采用低通滤波电路和高通滤波电路相结合的方式进行滤波处理,也可以包括预设有滤波算法的处理器对所述心电监测模拟信号进行滤波处理。所述滤波算法在后续方法部分有具体介绍。The filter circuit 2 may perform filtering processing by using a combination of a low-pass filter circuit and a high-pass filter circuit, or may include a processor pre-set with a filtering algorithm to filter the ECG monitoring analog signal. The filtering algorithm is specifically described in the subsequent method section.
所述心电集成芯片3,也可称为ECG(英文全称为Electrocardiograph)芯片,用于对记录电极所采集的模拟信号进行增益放大、模数转换等。所述心电图集成芯片2包括但不限于ADS1294、ADS1296、ADS1298、ADS1294R、ADS1296R或ADS1298R。The ECG integrated chip 3, which may also be referred to as an ECG (English full name Electrocardiograph) chip, is used for performing gain amplification, analog-to-digital conversion, and the like on an analog signal collected by a recording electrode. The electrocardiography integrated chip 2 includes, but is not limited to, ADS1294, ADS1296, ADS1298, ADS1294R, ADS1296R, or ADS1298R.
所述控制器4中设置或者安装有对信号进行分析处理的应用程序或者软件,可对采集的数据进行滤波、压缩、编码或者加密等操作。所述控制器可以采用超低功耗的高性能32位ARM Cortex-M4F处理器,该处理器具有浮点运算单元,能够快速进行心电数据的滤波与压缩等算法的计算,减少系统运行时间。在每次采样处理心电数据后,可以接收到定时电路的定时信号,控制器系统进入睡眠模式,在经过预定的一段时间后,通过定时器唤醒控制器系统进行下一次采样。并且,本实用新型还可以根据不同的应用场景,将处理器中未用到的外设与IO口对应的供电引脚电路断开或者关闭,进一步降低功耗。本发明所述 电路结构,可以使处理器的功耗降到3mW以下。An application or software for analyzing and processing the signal is disposed or installed in the controller 4, and the collected data may be filtered, compressed, encoded, or encrypted. The controller can adopt a high-performance 32-bit ARM Cortex-M4F processor with ultra-low power consumption, and the processor has a floating-point arithmetic unit, which can quickly perform calculation of algorithms such as filtering and compression of electrocardiogram data, and reduce system running time. . After each sampling of the ECG data, the timing signal of the timing circuit can be received, and the controller system enters the sleep mode. After a predetermined period of time, the controller wakes up the controller system for the next sampling. Moreover, the utility model can further disconnect or turn off the power supply pin circuit corresponding to the IO port corresponding to the unused peripherals in the processor according to different application scenarios, thereby further reducing power consumption. The invention The circuit structure can reduce the power consumption of the processor to less than 3mW.
所述电源5可以为直接供电的电池,作为优选的一种实施方式,所述电源可以包括电池和电压转换电路,所述电压转换电路的输入端与所述电池相连,所述电压转换电路的第一输出端与所述心电图集成芯片的供电引脚相连,且所述第一输出端的电压与所述心电图集成芯片的低电压供电值匹配,所述电压转换电路的第二输出端与所述控制器相连。The power source 5 may be a directly powered battery. As a preferred embodiment, the power source may include a battery and a voltage conversion circuit, and an input end of the voltage conversion circuit is connected to the battery, and the voltage conversion circuit is The first output end is connected to the power supply pin of the electrocardiograph integrated chip, and the voltage of the first output end is matched with the low voltage power supply value of the electrocardiograph integrated chip, and the second output end of the voltage conversion circuit is The controller is connected.
当然,所述信号传输电路6可以与第二输出端相连,也可以与所述第一输出端相连。Of course, the signal transmission circuit 6 may be connected to the second output terminal or may be connected to the first output terminal.
其中,所述电池可以为锂离子电池、锂锰钮扣电池或者锌空钮扣电池。所述电池的电压可以为3.0V,也可以为5.0V、3.7V等。比如,当单个钮扣电池的电压为1.5V时,可以通过串联的方式,得到3.0V的输出电压。The battery may be a lithium ion battery, a lithium manganese button battery or a zinc empty button battery. The voltage of the battery may be 3.0V, or may be 5.0V, 3.7V or the like. For example, when the voltage of a single button battery is 1.5V, an output voltage of 3.0V can be obtained by series connection.
所述心电数据采集电路中的电压转换电路,可以为DC-DC变换,将原直流电通过调整其PWM(占空比)来控制输出的有效电压的大小,可以包括升压电路或者降压电路。所述第一输出端与心电图集成芯片相连,为心电图集成芯片提供电能。所述第一输出端的电压可以为心电图集成芯片的供电引脚的低压值匹配。从而使心电图集成芯片中内部的电压调节器不需要进行LDO电压转换,而LDO电压转换会产生较大的电能损耗,因而有利于降低芯片功耗。从而更有利于用户能够持久的穿戴心电检测的心电衣。The voltage conversion circuit in the ECG data acquisition circuit may be a DC-DC conversion, and the original DC power is controlled by adjusting its PWM (duty ratio) to control the effective voltage of the output, and may include a boost circuit or a step-down circuit. . The first output is coupled to the electrocardiography integrated chip to provide electrical energy to the electrocardiograph integrated chip. The voltage at the first output may be a low voltage match of the power supply pin of the electrocardiograph integrated chip. Therefore, the internal voltage regulator in the ECG integrated chip does not need to perform LDO voltage conversion, and the LDO voltage conversion generates a large power loss, thereby contributing to reducing the power consumption of the chip. Therefore, it is more advantageous for the user to wear the electrocardiogram for ECG detection for a long time.
所述心电图集成芯片2,比如ADS1294、ADS1296、ADS1298、ADS1294R、ADS1296R或ADS1298R等。其系统供电一般采集为3.3V。但是,在本发明中,主要的核心部分在内部使用低压差线性稳压器LDO转换成1.8V,转换过程中会产生较大的电能损耗。在本发明中,为了有效的降低系统功耗,禁止了ECG芯片内部的1.8V调节器,而是将电池经过电压转换电路的DC-DC变换,输出1.8V经过滤波处理后,供ECG芯片直接使用,这样从供电上就降低了功耗。另外,可以根据不同的应用场景,关闭心电图集成芯片中的不需要的功能与引脚,来降低功耗。可以使12导联时,ECG部分功耗降到20mW。 The electrocardiogram integrated chip 2, such as ADS1294, ADS1296, ADS1298, ADS1294R, ADS1296R or ADS1298R. The system power supply is generally collected at 3.3V. However, in the present invention, the main core portion is internally converted to 1.8V using a low-dropout linear regulator LDO, which causes a large power loss during the conversion process. In the present invention, in order to effectively reduce the power consumption of the system, the 1.8V regulator inside the ECG chip is prohibited, but the battery is subjected to DC-DC conversion of the voltage conversion circuit, and the output is 1.8V filtered, and then directly supplied to the ECG chip. Used, this reduces power consumption from the power supply. In addition, unnecessary functions and pins in the ECG integrated chip can be turned off according to different application scenarios to reduce power consumption. The ECG part of the power consumption can be reduced to 20mW when the 12-lead is made.
另外,本发明还可包括定时器,所述定时器可以与所述信号传输电路的功耗控制引脚,和/或心电图集成芯片的功耗控制引脚。在不需要进行信号采集时,自动进入休眠模式,从而能够节省更多的电能。所述定时器可以为控制器实现,也可以采用专门的定时电路。Additionally, the present invention may further include a timer, which may be coupled to a power consumption control pin of the signal transmission circuit, and/or a power consumption control pin of the electrocardiograph integrated chip. When the signal acquisition is not required, the sleep mode is automatically entered, thereby saving more power. The timer can be implemented by a controller or a dedicated timing circuit.
所述信号传输电路6,优选基于蓝牙4.0传输协议的蓝牙通信电路。所述信号传输电路6可以与所述第一输出端相连,比如采用1.8V的低功耗蓝牙4.0传输方案。The signal transmission circuit 6, preferably a Bluetooth communication circuit based on the Bluetooth 4.0 transmission protocol. The signal transmission circuit 6 can be connected to the first output, such as a 1.8V low power Bluetooth 4.0 transmission scheme.
另外,为了提高心电采集电路安装的便利性,所述心电图集成芯片的信号输入端设置有能够与记录电极相连的接口。优选的实施方式中,所述接口为磁铁弹簧针插件。强力磁铁使接口牢牢吸住,即使跳动也很稳固,弹簧针增加拔插寿命,可达100万次。有便捷、信号质量好、牢固等优点。In addition, in order to improve the convenience of installation of the electrocardiographic acquisition circuit, the signal input end of the electrocardiograph integrated chip is provided with an interface connectable to the recording electrode. In a preferred embodiment, the interface is a magnet spring needle insert. The powerful magnet makes the interface firmly sucked, even if the beating is very stable, the spring pin increases the insertion and insertion life, up to 1 million times. It has the advantages of convenience, good signal quality and firmness.
图2为本发明实施例提供的心电监测方法的实现流程图,详述如下:2 is a flowchart of implementing an ECG monitoring method according to an embodiment of the present invention, which is described in detail as follows:
所述心电监测方法的实现,基于图1所述心电监测系统,所述方法具体包括:The implementation of the ECG monitoring method is based on the ECG monitoring system of FIG. 1 , and the method specifically includes:
在步骤S201中,通过心电电极采集用户的心电监测模拟信号。In step S201, the user's ECG monitoring analog signal is collected through the ECG electrode.
具体的,所述心电电极可以为织物电极,所述心电电极可以通过导电的纺织线与滤波电路相连。所述心电电极可以设置在心电衣上,用户在穿戴所述心电衣时,可以通过织物电极有效的获取心电监测模拟信号。Specifically, the electrocardiographic electrode may be a fabric electrode, and the electrocardiographic electrode may be connected to the filter circuit through a conductive textile wire. The electrocardiographic electrode can be disposed on the electrocardiograph, and the user can effectively obtain the electrocardiogram monitoring analog signal through the fabric electrode when the user wears the electrocardiograph.
在步骤S202中,对所述心电监测模拟信号进行滤波,由心电图集成芯片将所述心电监测模拟信号转换为心电监测数字信号。In step S202, the ECG monitoring analog signal is filtered, and the ECG monitoring analog signal is converted into an ECG monitoring digital signal by an electrocardiogram integrated chip.
对所述心电监测模拟信号进行滤波,可以有效的去除心电监测模拟信号中的工频干扰、振环噪声以及肌电噪声以及电极噪声等。Filtering the ECG monitoring analog signal can effectively remove power frequency interference, ringing noise, myoelectric noise and electrode noise in the ECG monitoring analog signal.
其中,对所述心电监测模拟信号进行滤波步骤包括以下一种或者两种:The filtering step of the ECG monitoring analog signal includes one or two of the following:
通过双重双边滤波技术和两次迭代技术来消除潜在的工频噪声和振铃噪声;Eliminate potential power-frequency noise and ringing noise through dual bilateral filtering techniques and two iterative techniques;
通过两种并行降噪消除和肌电及电极噪声干扰。 Elimination of two parallel noise reductions and myoelectric and electrode noise interference.
具体的,所述通过双重双边滤波技术和两次迭代技术来消除潜在的工频噪声和振铃噪声步骤包括:Specifically, the steps of eliminating potential power frequency noise and ringing noise by using a double bilateral filtering technique and two iterative techniques include:
将镜像延拓信号输入第一滤波器后,执行正向滤波,得到第一正向滤波信号;After the image extension signal is input to the first filter, forward filtering is performed to obtain a first forward filtered signal;
对所述第一正向滤波信号执行反向滤波,得到第一反向滤波信号;Performing inverse filtering on the first forward filtered signal to obtain a first inverse filtered signal;
将所述第一反向滤波信号迭代输入所述第一滤波器,执行所述正向滤波,获取第二正向滤波信号;And iteratively inputting the first inverse filtered signal into the first filter, performing the forward filtering, and acquiring a second forward filtered signal;
对所述第二正向滤波信号执行所述反向滤波,得到所述不包含工频噪声的第一滤波信号;Performing the inverse filtering on the second forward filtered signal to obtain the first filtered signal that does not include power frequency noise;
其中,所述第一滤波器根据采样率、陷波频率以及第一阻带宽度,以及原始滤波器中的各个参数,计算得到所述第一滤波器。The first filter calculates the first filter according to a sampling rate, a notch frequency, and a first stopband width, and respective parameters in the original filter.
所述双重双边滤波技术具体实现过程如下:The specific implementation process of the dual bilateral filtering technology is as follows:
①初始化。给定采样率、陷波频率及陷波器的阻带宽度,由式(1)计算滤波器系数。1 initialization. The filter coefficients are calculated by equation (1) given the sampling rate, the notch frequency, and the stopband width of the notch.
其中,式(1)具体为:Wherein, the formula (1) is specifically:
Figure PCTCN2017086501-appb-000001
Figure PCTCN2017086501-appb-000001
fs为所述采样率,f0为所述陷波频率,Δf为所述第一阻带宽度。f s is the sampling rate, f 0 is the notch frequency, and Δf is the first stop band width.
②第一次双边滤波。使镜像延拓信号通过式(1)决定的系统,得到输出信号和残留部分,残留部分包含了潜在的工频噪声PLI和振环噪声RAs。这个过程相当于原始信号被滤波两次:一次是从左至右;另一次是从右至左。由于式(1)是一因果系统,同一个心跳脉冲信号造成的RAs会位于脉冲的两侧。2 first bilateral filtering. The image extension signal is passed through the system determined by equation (1) to obtain an output signal and a residual portion, and the residual portion includes potential power frequency noise PLI and ringing noise RAs. This process is equivalent to filtering the original signal twice: once from left to right; the other is from right to left. Since equation (1) is a causal system, the RAs caused by the same heartbeat pulse signal will be located on both sides of the pulse.
③第二次双边滤波。使滤波信号再次通过同一系统得到输出信号。PLI在这一步将被滤除。残差部分仅包含RAs以及位于阻带内的宽带噪声。3 second bilateral filtering. The filtered signal is again passed through the same system to obtain an output signal. The PLI will be filtered out in this step. The residual portion contains only RAs and broadband noise located within the stop band.
④RAs定位。采用差分、低通滤波及阈值等技术对步骤③中残差部分 中的的RAs进行定位。4RAs positioning. Use the techniques of differential, low-pass filtering and threshold to the residual part of step 3. The RAs in the position are located.
⑤RAs消除。利用一定的阈值规则消除RAs,即在步骤③中残差部分中筛选每个心跳脉冲中未被RAs污染的一端(脉冲两端一端污染,另一端未被污染)的系数作为输出。实际上,由系统的暂态效应造成输出信号在开始端持续约几秒的失真也将在这一步被消除。5RAs are eliminated. The RAs are eliminated by using a certain threshold rule, that is, in the residual portion of step 3, the coefficient of one end of each heartbeat pulse that is not contaminated by RAs (the end of one end of the pulse is contaminated, and the other end is not contaminated) is selected as an output. In fact, the distortion caused by the transient effects of the system that the output signal lasts for a few seconds at the beginning will also be eliminated at this step.
双重双边滤波技术隐含了一个重要的假设:设定的阻带宽度参数使每两个心跳脉冲信号产生的RAs没有重叠,该技术无法分辨出重叠的RAs。实际选定的阻带宽度不可避免的会造成RAs重叠。因为市电工频通常有一定的漂移,一般国家的工业标准是控制在1%以内;但较差的市电环境,漂移高达3%。两重迭代技术可以解决这个问题。The dual bilateral filtering technique implies an important assumption: the set stopband width parameter does not overlap the RAs generated by each of the two heartbeat pulse signals, and the technique cannot distinguish the overlapping RAs. The actual selected stopband width inevitably causes the RAs to overlap. Because the city's electrician frequency usually has a certain drift, the general national industrial standard is controlled within 1%; but the poor mains environment, the drift is as high as 3%. Two iteration techniques can solve this problem.
两次迭代技术滤波介绍如下:The two iterations of technical filtering are introduced as follows:
①使用一个较大的第一阻带宽度进行PLI消除。设定一个较大的第一阻带宽度(比如6.0Hz),采用双重双边滤波技术对信号滤除PLI干扰。残差部分中包含了PLI和较强但持续时间较短的RAs。1 Use a larger first stopband width for PLI cancellation. Set a larger first stopband width (such as 6.0Hz) and use double bilateral filtering to filter out PLI interference. The residual part contains the PLI and the stronger but shorter duration RAs.
②使用一个较小的第二阻带宽度进行信息重构。选择一个较小的第二阻带宽度(实际情况要求小于6.0Hz,一般为2.0Hz左右),采用双重双边滤波技术对上步(①)残差部分进行处理。得到输出滤波部分这一步主要利用了残差部分比原始信号的强度通常低两个两级,残差部分中包含的RAs可以忽略不计。2 Use a smaller second stopband width for information reconstruction. Select a smaller second stopband width (the actual requirement is less than 6.0Hz, generally about 2.0Hz), and use the double bilateral filtering technique to process the residual part of the previous step (1). The step of obtaining the output filtering portion mainly utilizes that the residual portion is usually two levels lower than the original signal, and the RAs contained in the residual portion are negligible.
两次迭代技术中使用较大和较小的阻带宽对RAs的持续时间和强度上的要求在是互补的。可以看出,工频干扰及RAs的同时消除是个非实时处理,但通过设计(比如其中的低通滤波系数设置为简单整系数),可实现准实时处理。The use of larger and smaller resistance bandwidths in the two iterative techniques is complementary to the duration and strength requirements of the RAs. It can be seen that the simultaneous elimination of power frequency interference and RAs is a non-real-time processing, but by design (such as the low-pass filter coefficient set to a simple integer coefficient), quasi-real-time processing can be realized.
对于所述通过两种并行降噪消除和肌电及电极噪声干扰步骤包括:The steps for the elimination of the two parallel noise reduction and the myoelectric and electrode noise are as follows:
并行一:通过经验模态分解法分解含有噪声的本征模函数IMF,将所述本征模函数包含的信号序列按照预设的长度进行窗口分割,得到窗口的最大阈值和最小阈值,根据所述最大阈值和最小阈值进行滤波; Parallel one: Decomposing the eigenmode function IMF containing noise by the empirical mode decomposition method, and dividing the signal sequence included in the eigenmode function according to a preset length to obtain a maximum threshold and a minimum threshold of the window, according to the Filtering the maximum threshold and the minimum threshold;
并行二:提取并滤除心电信号中的基线漂移,使用小波方法和陷波器分别滤除肌电干扰和工频干扰,将上述三种滤波后的信号相加作为自适应滤波器的参考信号,与含噪心电信号进行自适应滤波,生成输出信号。Parallel two: extract and filter the baseline drift in the ECG signal, use the wavelet method and the notch filter to filter the EMG interference and the power frequency interference respectively, and add the above three filtered signals as the reference of the adaptive filter. The signal is adaptively filtered with the noisy ECG signal to generate an output signal.
具体的,鉴于心电信号的频率带和噪声频率带存在混叠的现象,简单的组合去噪方法只是对心电信号频率范围以外的噪声可以滤除干净,而对混叠的噪声去噪时,势必会影响到各波形的特性,从而造成信号的失真。所以,在对各类方法组合时还要充分考虑到,在去噪过程中要尽可能的保持心电图不失真。此外,在进行各类方法组合之前,每种方法又都有各自的难点。例如:用小波去噪时,需要考虑小波基的选取问题;用阈值法去噪时,需要考虑最佳阈值的选取问题;用形态学去噪时,需要考虑结构元素的选取问题等等。所以,在选择去噪方案的组合时,要充分考虑各自的优缺点,进行取长补短。Specifically, in view of the fact that the frequency band of the ECG signal and the noise frequency band are aliased, the simple combined denoising method can only filter out noise outside the frequency range of the ECG signal, and denoise the noise of the aliasing. It is bound to affect the characteristics of each waveform, resulting in signal distortion. Therefore, it is necessary to fully consider the combination of various methods, and keep the ECG as undistorted as possible during the denoising process. In addition, each method has its own difficulties before combining various methods. For example, when using wavelet denoising, the selection of wavelet basis should be considered. When denoising by threshold method, the selection of optimal threshold should be considered. When using morphological denoising, the selection of structural elements should be considered. Therefore, when selecting the combination of denoising schemes, it is necessary to fully consider their respective advantages and disadvantages and make up for each other.
本发明通过两路并行降噪,实现混叠噪声干扰去除的目的:The invention achieves the purpose of removing aliasing noise interference by two-way parallel noise reduction:
并行一:经验模态分解法(EMD)非常适合处理非线性和非平稳的信号,其最大的优势就在于不需要预先定义的基本函数来表示信号,直接依据信号自身特性自适应选择基底对信号进行分析,不像小波方法,需要定义小波函数,从而面临小波基的选取问题,故非常适用于处理心电信号。但是由于信号频率带和噪声频率带的混叠,在去噪过程中,会造成信号的失真,所以,本发明考虑和阈值去噪法进行组合。不过软、硬阈值都是通过将大于阈值的值设置成给定阈值,而小于阈值的值置零的方法来达到去噪的目的,从而加大了错误去噪的可能性,因此本发明采用双阈值的方法。该方法首先从EMD分解出来的所有IMF中找到含有噪声的本征模函数IMF,其次再把这些IMF包含的信号序列进行“窗口”分割,设定“窗口”长度,计算“窗口”中的最大、最小值得到最大阈值和最小阈值,即得到各个“窗口”的双阈值,进行滤波。Parallel 1: The empirical mode decomposition method (EMD) is very suitable for processing nonlinear and non-stationary signals. The biggest advantage is that it does not require a predefined basic function to represent the signal, and adaptively selects the base-pair signal directly according to the characteristics of the signal itself. For analysis, unlike the wavelet method, the wavelet function needs to be defined, so that it faces the selection of wavelet base, so it is very suitable for processing ECG signals. However, due to the aliasing of the signal frequency band and the noise frequency band, the signal is distorted during the denoising process. Therefore, the present invention is considered to be combined with the threshold denoising method. However, the soft and hard thresholds are achieved by setting a value greater than the threshold to a given threshold and zeroing the value of the threshold to zero, thereby increasing the possibility of false denoising, and thus the present invention adopts Double threshold method. The method first finds the eigenmode function IMF containing noise from all the IMFs decomposed by the EMD, and then divides the signal sequence contained by these IMFs into "window", sets the length of the "window", and calculates the maximum in the "window". The minimum value is obtained by the maximum threshold and the minimum threshold, that is, the double thresholds of the respective "windows" are obtained and filtered.
并行二:数学形态学是以形态结构元素为基础对图像进行分析的数学工具。它的基本思想是用具有一定形态的结构元素去度量和提取图像中的对应形状以达到对图像分析和识别的目的。心电信号是以PQRST波构成的一维周期信号, 所以在选取结构元素时,选择直线型会比较利于分析和处理。但是这种方法对奇异点比较敏感,从而会造成QRS波形的失真,所以本专利考虑结合陷波器、小波方法和自适应滤波器,而自适应滤波器能够很好的反映实时性。该方法首先是利用形态学的方法提取出基线漂移并将其滤除,其次利用小波方法和陷波器滤除肌电干扰和工频干扰,然后将三种滤波的信号相加作为自适应滤波器的参考信号,与含噪心电信号进行自适应滤波,最终达到去噪的效果。Parallel 2: Mathematical morphology is a mathematical tool for analyzing images based on morphological structural elements. Its basic idea is to use a certain structural element to measure and extract the corresponding shape in the image to achieve the purpose of image analysis and recognition. The ECG signal is a one-dimensional periodic signal composed of PQRST waves. So when selecting structural elements, choosing a straight line will be more conducive to analysis and processing. However, this method is sensitive to singular points, which will cause distortion of QRS waveform. Therefore, this patent considers combining notch filter, wavelet method and adaptive filter, and adaptive filter can reflect real-time performance well. The method firstly uses the morphological method to extract the baseline drift and filter it out. Secondly, the wavelet method and the notch filter are used to filter the myoelectric interference and power frequency interference, and then the three filtered signals are added as adaptive filtering. The reference signal of the device is adaptively filtered with the noisy ECG signal to finally achieve the denoising effect.
在步骤S203中,由控制器将用户标识以及所述心电监测数字信号进行压缩编码后发送至预警服务器;In step S203, the controller identifies and compresses the user identifier and the ECG monitoring digital signal to the early warning server;
在步骤S204中,预警服务器根据用户标识获取用户的历史数据,将所述用户的历史数据和当前获取的心电监测数字信号比较,并将所述比较结果发送至预警中心。In step S204, the early warning server acquires the historical data of the user according to the user identifier, compares the historical data of the user with the currently acquired ECG monitoring digital signal, and sends the comparison result to the early warning center.
作为本发明进一步优化的实施方式,所述控制器还可以将用户的位置信息、环境信息以及历史诊断信息发送至预警服务器,使得预警服务器可以完成更为准确的心电数据分析。比如,可以根据获取的数据,建立用户的动态的状态数据图表,结合历史的诊断信息,生成针对性的建议,可以发送至与所述用户标识绑定的移动终端等。As a further optimized implementation manner of the present invention, the controller may further send the location information, the environment information, and the historical diagnosis information of the user to the early warning server, so that the early warning server can complete more accurate ECG data analysis. For example, based on the acquired data, a dynamic state data chart of the user may be established, and the historical diagnosis information may be combined to generate a targeted suggestion, which may be sent to a mobile terminal bound to the user identifier.
本发明所述心电监测方法在图1所述心电监测系统的基础上,进一步对心电监测模拟信号的滤波处理进行了具体的介绍,通过上述滤波处理,可以得到更为可靠的心电监测信号。The ECG monitoring method of the present invention further introduces the filtering process of the ECG monitoring analog signal on the basis of the ECG monitoring system shown in Fig. 1. Through the above filtering process, a more reliable ECG can be obtained. Monitor the signal.
另外,如图3所示,本发明实施便还提供了一种心电监测装置,所述装置包括:In addition, as shown in FIG. 3, the present invention further provides an ECG monitoring device, the device comprising:
采集单元301,用于通过心电电极采集用户的心电监测模拟信号;The collecting unit 301 is configured to collect an ECG monitoring analog signal of the user through the ECG electrode;
滤波转换单元302,用于对所述心电监测模拟信号进行滤波,由心电图集成芯片将所述心电监测模拟信号转换为心电监测数字信号;The filter conversion unit 302 is configured to filter the ECG monitoring analog signal, and convert the ECG monitoring analog signal into an ECG monitoring digital signal by an ECG integrated chip;
第一发送单元303,用于由控制器将用户标识以及所述心电监测数字信号进行压缩编码后发送至预警服务器; The first sending unit 303 is configured to compress and encode the user identifier and the ECG monitoring digital signal by the controller, and send the signal to the early warning server;
第二发送单元304,用于由预警服务器根据用户标识获取用户的历史数据,将所述用户的历史数据和当前获取的心电监测数字信号比较,并将所述比较结果发送至预警中心。The second sending unit 304 is configured to obtain, by the early warning server, the historical data of the user according to the user identifier, compare the historical data of the user with the currently acquired ECG monitoring digital signal, and send the comparison result to the early warning center.
本心电监测装置与上述心电监测方法对应,在此不作重复赘述。The ECG monitoring device corresponds to the ECG monitoring method described above, and will not be repeated here.
在本发明所提供的几个实施例中,应该理解到,所揭露的装置和方法,可以通过其它的方式实现。例如,以上所描述的装置实施例仅仅是示意性的,例如,所述单元的划分,仅仅为一种逻辑功能划分,实际实现时可以有另外的划分方式,例如多个单元或组件可以结合或者可以集成到另一个系统,或一些特征可以忽略,或不执行。另一点,所显示或讨论的相互之间的耦合或直接耦合或通信连接可以是通过一些接口,装置或单元的间接耦合或通信连接,可以是电性,机械或其它的形式。In the several embodiments provided by the present invention, it should be understood that the disclosed apparatus and method may be implemented in other manners. For example, the device embodiments described above are merely illustrative. For example, the division of the unit is only a logical function division. In actual implementation, there may be another division manner, for example, multiple units or components may be combined or Can be integrated into another system, or some features can be ignored or not executed. In addition, the mutual coupling or direct coupling or communication connection shown or discussed may be an indirect coupling or communication connection through some interface, device or unit, and may be in an electrical, mechanical or other form.
所述作为分离部件说明的单元可以是或者也可以不是物理上分开的,作为单元显示的部件可以是或者也可以不是物理单元,即可以位于一个地方,或者也可以分布到多个网络单元上。可以根据实际的需要选择其中的部分或者全部单元来实现本实施例方案的目的。The units described as separate components may or may not be physically separated, and the components displayed as units may or may not be physical units, that is, may be located in one place, or may be distributed to multiple network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of the embodiment.
另外,在本发明各个实施例中的各功能单元可以集成在一个处理单元中,也可以是各个单元单独物理存在,也可以两个或两个以上单元集成在一个单元中。上述集成的单元既可以采用硬件的形式实现,也可以采用软件功能单元的形式实现。In addition, each functional unit in each embodiment of the present invention may be integrated into one processing unit, or each unit may exist physically separately, or two or more units may be integrated into one unit. The above integrated unit can be implemented in the form of hardware or in the form of a software functional unit.
所述集成的单元如果以软件功能单元的形式实现并作为独立的产品销售或使用时,可以存储在一个计算机可读取存储介质中。基于这样的理解,本发明的技术方案本质上或者说对现有技术做出贡献的部分或者该技术方案的全部或部分可以以软件产品的形式体现出来,该计算机软件产品存储在一个存储介质中,包括若干指令用以使得一台计算机设备(可以是个人计算机,服务器,或者网络设备等)执行本发明各个实施例所述方法的全部或部分。而前述的存储介质包括:U盘、移动硬盘、只读存储器(ROM,Read-Only Memory)、随机存 取存储器(RAM,Random Access Memory)、磁碟或者光盘等各种可以存储程序代码的介质。The integrated unit, if implemented in the form of a software functional unit and sold or used as a standalone product, may be stored in a computer readable storage medium. Based on such understanding, the technical solution of the present invention, which is essential or contributes to the prior art, or all or part of the technical solution, may be embodied in the form of a software product stored in a storage medium. A number of instructions are included to cause a computer device (which may be a personal computer, server, or network device, etc.) to perform all or part of the methods described in various embodiments of the present invention. The foregoing storage medium includes: a U disk, a mobile hard disk, a read-only memory (ROM), and a random memory. Take a variety of media that can store program code, such as RAM (Random Access Memory), disk, or optical disk.
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内所作的任何修改、等同替换和改进等,均应包含在本发明的保护范围之内。 The above is only the preferred embodiment of the present invention, and is not intended to limit the present invention. Any modifications, equivalent substitutions and improvements made within the spirit and principles of the present invention should be included in the protection of the present invention. Within the scope.

Claims (10)

  1. 一种心电监测系统,其特征在于,所述系统包括心电电极、滤波电路、心电图集成芯片、控制器、电源、无线传输电路、预警服务器,所述心电电极设置于穿戴式心电衣上,所述心电电极将采集的心电监测模拟信号经过滤波电路的滤波处理后,发送至心电图集成芯片,所述心电图集成芯片将转换后的心电监测数字信号发送至控制器,所述控制器将压缩编码后的心电监测数字信号以及用户标识,经由无线传输电路发送至预警服务器,预警服务将所述心电监测数字信号以及所述用户标识的历史数据进行比较后的比较结果,并将所述比较结果发送至急救中心。An electrocardiogram monitoring system, characterized in that the system comprises an electrocardiogram electrode, a filter circuit, an electrocardiogram integrated chip, a controller, a power source, a wireless transmission circuit, an early warning server, and the ECG electrode is disposed on the wearable electrocardiograph The ECG electrode sends the collected ECG monitoring analog signal to the ECG integrated chip through the filtering process of the filter circuit, and the ECG integrated chip sends the converted ECG monitoring digital signal to the controller. The controller sends the compressed and encoded ECG monitoring digital signal and the user identifier to the early warning server via the wireless transmission circuit, and the early warning service compares the ECG monitoring digital signal and the historical data of the user identification, And the result of the comparison is sent to the emergency center.
  2. 根据权利要求1所述心电监测系统,其特征在于,所述心电电极为设置于心电衣上的织物电极,所述织物电极通过导电的纺织线所述滤波电路相连。The electrocardiographic monitoring system according to claim 1, wherein said electrocardiographic electrodes are fabric electrodes disposed on a core garment, said fabric electrodes being connected by said filter circuit of a conductive textile thread.
  3. 根据权利要求1或2所述心电监测系统,其特征在于,所述电源包括电池和电压转换电路,所述电压转换电路的输入端与所述电池相连,所述电压转换电路的第一输出端与所述心电图集成芯片的供电引脚相连,且所述第一输出端的电压与所述心电图集成芯片的低电压供电值匹配,所述电压转换电路的第二输出端与所述控制器相连。The electrocardiographic monitoring system according to claim 1 or 2, wherein the power source comprises a battery and a voltage conversion circuit, an input end of the voltage conversion circuit is connected to the battery, and a first output of the voltage conversion circuit The terminal is connected to the power supply pin of the electrocardiograph integrated chip, and the voltage of the first output terminal is matched with the low voltage power supply value of the electrocardiograph integrated chip, and the second output end of the voltage conversion circuit is connected to the controller .
  4. 根据权利要求1或2所述心电监测系统,其特征在于,所述心电图集成芯片的信号输入引脚与所述心电电极通过磁铁弹簧针插件和插座相连。The electrocardiographic monitoring system according to claim 1 or 2, wherein the signal input pin of the electrocardiograph integrated chip and the electrocardiographic electrode are connected through a magnet spring pin insert and a socket.
  5. 根据权利要求1或2所述心电监测系统,其特征在于,所述无线传输电路为基于蓝牙4.0的蓝牙通信电路。The ECG monitoring system according to claim 1 or 2, wherein the wireless transmission circuit is a Bluetooth communication circuit based on Bluetooth 4.0.
  6. 根据权利要求1或2所述心电监测系统,其特征在于,所述心电监测系统还包括定时电路,所述定时电路与所述心电图集成芯片的休眠控制引脚、和/或所述控制器的休眠控制引脚、和/或所述无线传输电路的休眠控制引脚相连。The ECG monitoring system according to claim 1 or 2, wherein the ECG monitoring system further comprises a timing circuit, a sleep control pin of the ECG integrated chip, and/or the control The sleep control pin of the device and/or the sleep control pin of the wireless transmission circuit are connected.
  7. 一种包括权利要求1-6任一项所述心电监测系统的心电监测方法,其特征在于,所述方法包括: An ECG monitoring method comprising the ECG monitoring system according to any one of claims 1 to 6, wherein the method comprises:
    通过心电电极采集用户的心电监测模拟信号;Collecting the user's ECG monitoring analog signal through the ECG electrode;
    对所述心电监测模拟信号进行滤波,由心电图集成芯片将所述心电监测模拟信号转换为心电监测数字信号;Filtering the ECG monitoring analog signal, and converting the ECG monitoring analog signal into an ECG monitoring digital signal by an electrocardiogram integrated chip;
    由控制器将用户标识以及所述心电监测数字信号进行压缩编码后发送至预警服务器;The user identifier and the ECG monitoring digital signal are compression-encoded by the controller and sent to the early warning server;
    预警服务器根据用户标识获取用户的历史数据,将所述用户的历史数据和当前获取的心电监测数字信号比较,并将所述比较结果发送至预警中心。The early warning server obtains the historical data of the user according to the user identifier, compares the historical data of the user with the currently acquired ECG monitoring digital signal, and sends the comparison result to the early warning center.
  8. 根据权利要求7所述方法,其特征在于,所述对所述心电监测模拟信号进行滤波步骤包括以下一种或者两种:The method according to claim 7, wherein the step of filtering the ECG monitoring analog signal comprises one or both of the following:
    通过双重双边滤波技术和两次迭代技术来消除潜在的工频噪声和振铃噪声;Eliminate potential power-frequency noise and ringing noise through dual bilateral filtering techniques and two iterative techniques;
    通过两种并行降噪消除和肌电及电极噪声干扰。Elimination of two parallel noise reductions and myoelectric and electrode noise interference.
  9. 根据权利要求8所述方法,其特征在于,所述通过双重双边滤波技术和两次迭代技术来消除潜在的工频噪声和振铃噪声步骤包括:The method of claim 8 wherein said step of eliminating potential power-frequency noise and ringing noise by dual bilateral filtering techniques and two iterative techniques comprises:
    将镜像延拓信号输入第一滤波器后,执行正向滤波,得到第一正向滤波信号;After the image extension signal is input to the first filter, forward filtering is performed to obtain a first forward filtered signal;
    对所述第一正向滤波信号执行反向滤波,得到第一反向滤波信号;Performing inverse filtering on the first forward filtered signal to obtain a first inverse filtered signal;
    将所述第一反向滤波信号迭代输入所述第一滤波器,执行所述正向滤波,获取第二正向滤波信号;And iteratively inputting the first inverse filtered signal into the first filter, performing the forward filtering, and acquiring a second forward filtered signal;
    对所述第二正向滤波信号执行所述反向滤波,得到所述不包含工频噪声的第一滤波信号;Performing the inverse filtering on the second forward filtered signal to obtain the first filtered signal that does not include power frequency noise;
    其中,所述第一滤波器根据采样率、陷波频率以及第一阻带宽度,以及原始滤波器中的各个参数,计算得到所述第一滤波器。The first filter calculates the first filter according to a sampling rate, a notch frequency, and a first stopband width, and respective parameters in the original filter.
  10. 根据权利要求8所述方法,其特征在于,所述通过两种并行降噪消除和肌电及电极噪声干扰步骤包括:The method of claim 8 wherein said step of eliminating noise by two parallel noise reductions and electromyogram and electrode noise comprises:
    并行一:通过经验模态分解法分解含有噪声的本征模函数IMF,将所述本 征模函数包含的信号序列按照预设的长度进行窗口分割,得到窗口的最大阈值和最小阈值,根据所述最大阈值和最小阈值进行滤波;Parallel one: Decomposing the eigenmode function IMF containing noise by empirical mode decomposition method, The signal sequence included in the modulo function is divided into windows according to a preset length to obtain a maximum threshold and a minimum threshold of the window, and filtering is performed according to the maximum threshold and the minimum threshold;
    并行二:提取并滤除心电信号中的基线漂移,使用小波方法和陷波器分别滤除肌电干扰和工频干扰,将上述三种滤波后的信号相加作为自适应滤波器的参考信号,与含噪心电信号进行自适应滤波,生成输出信号。 Parallel two: extract and filter the baseline drift in the ECG signal, use the wavelet method and the notch filter to filter the EMG interference and the power frequency interference respectively, and add the above three filtered signals as the reference of the adaptive filter. The signal is adaptively filtered with the noisy ECG signal to generate an output signal.
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