WO2018168800A1

WO2018168800A1 - Device and method for managing blood pressure-related information

Info

Publication number: WO2018168800A1
Application number: PCT/JP2018/009571
Authority: WO
Inventors: 皓介井上; 就介江下
Original assignee: オムロン株式会社; オムロンヘルスケア株式会社
Priority date: 2017-03-14
Filing date: 2018-03-12
Publication date: 2018-09-20
Also published as: JP2018149176A

Abstract

One embodiment of the present invention provides a device and a method for managing blood pressure related information by continuously making examinations of blood pressure related information for a prolonged period of time, automatically determining the health status of an examined patient, and informing the examined patient of the health status or the like according to the determination result. The device of one embodiment according to the present invention pertains to a blood pressure related information management device that is capable of notifying an examined patient of an alert according to the health status thereof, the device being provided with: an alert notification unit (1sp, 11, 16) that is capable of giving notice of alert; a blood pressure information examination unit (15) that is capable of continuously examining the blood pressure of the examined patient; a determination unit (131) that determines the health status of the examined patient in accordance with predetermined determination criteria, on the basis of an examination result provided by the blood pressure information examination unit (15); and a notification processing unit (132) that causes a notice of alert to be issued from the alert notification unit (1sp, 11, 16) in accordance with a determination result provided by the determination unit (131).

Description

Blood pressure related information management apparatus and method

The present invention relates to a blood pressure related information management apparatus and method, and more particularly, to a blood pressure related information management apparatus and method for informing a possibility that the measurement subject is in a dangerous state based on information related to the blood pressure of the measurement subject.

Conventionally, as an apparatus for measuring information related to the blood pressure of a measurement subject, for example, as disclosed in Japanese Patent Application Laid-Open No. 2004-261442, a measured blood pressure value is associated with measurement time information and measurement conditions. There has been proposed a sphygmomanometer that calculates an average value obtained by averaging blood pressure values stored in a memory and measured a plurality of times in a specific time zone, and calculates and displays a risk value based on the calculation result.

In recent years, it has been proposed to measure the blood pressure of a person to be measured at a predetermined time interval for a long period (for example, 24 hours) using a portable sphygmomanometer, and to manage the health of the person to be measured based on the measurement result. ing.

For example, depending on the health condition of the person being measured, a sudden increase in blood pressure (surge blood pressure) or atrial fibrillation (AF) may occur, resulting in a need for help from the surroundings. A case is assumed. In addition, a subject who may fall into a serious condition triggered by the occurrence of surge blood pressure or AF should ask his / her surroundings for help when he / she becomes sick, or ask his / her doctor or family It is also assumed that it is impossible to inform one's own health status.

The present invention has been made paying attention to the above circumstances, and it is possible to automatically determine the health condition of the person to be measured based on blood pressure related information and to make known the health condition of the person to be measured according to the determination result. An object of the present invention is to provide a blood pressure related information management apparatus and method.

In order to solve the above problems, a first aspect of the present invention is a blood pressure related information management apparatus capable of notifying an alert according to the health condition of a measurement subject, and an alert notification unit capable of notifying an alert, A blood pressure information measurement unit capable of continuously measuring the blood pressure of the measurement subject, and a determination unit that determines the health condition of the measurement subject based on a predetermined determination criterion based on a measurement result of the blood pressure information measurement unit And a notification processing unit that notifies an alert from the alert notification unit according to a determination result in the determination unit.

According to a second aspect of the present invention, in the first aspect, the alert notification unit includes a speaker capable of notifying an alert by sound or sound, and the notification processing unit transmits a sound or sound signal to the alert notification unit. And an alert by sound or voice can be output from the alert notification unit.

According to a third aspect of the present invention, in the first aspect, the alert notification unit includes a display unit capable of notifying an alert by an image, and the notification processing unit is configured to respond to a determination result in the determination unit. The health condition of the measurement subject determined by the determination unit is displayed on the display unit.

The fourth aspect of the present invention is a blood pressure related information management apparatus capable of notifying an alert according to the health condition of the person being measured, the alert notifying unit capable of communicating with the outside, and the blood pressure of the person being measured. A blood pressure information measurement unit capable of continuously measuring, a determination unit that determines a health condition of the measurement subject based on a determination criterion set in advance based on a measurement result in the blood pressure information measurement unit, and the determination unit In accordance with the determination result in, it is determined whether or not to notify the alert according to a preset notification criterion, and when it is determined to notify the alert, the notification information including the notification destination information of the alert is acquired, and the alert A notification processing unit that transmits the alert and the notification information to the notification destination via the notification unit.

According to a fifth aspect of the present invention, in the fourth aspect, the information processing device further includes a position detection unit capable of detecting a position of the blood pressure related information management device, and the notification information includes the position information detected by the position detection unit. Is included.

A sixth aspect of the present invention further includes a memory capable of storing the blood pressure related information of the measurement subject measured by the blood pressure information measurement unit for a predetermined period in the fourth or fifth aspect, The notification information includes at least a part of the blood pressure related information of the measurement subject stored in the memory.

According to a seventh aspect of the present invention, in any one of the fourth to sixth aspects, the alert notification unit includes a speaker capable of notifying the alert by sound or sound, and the notification processing unit is sound or sound. A signal is transmitted to the alert notification unit, and an alert by sound or voice can be output from the alert notification unit.

According to an eighth aspect of the present invention, in any one of the fourth to seventh aspects, the information on the notification destination of the alert is stored in the portable terminal of the measured person's family or the hospital of the measured person. It includes unique address information of the installed terminal or the mobile terminal of the attending physician.

According to the first aspect of the present invention, by notifying the alert according to the health condition of the measured person determined based on the blood pressure related information, the person around the measured person is sought for help, It becomes possible to deal with the subject quickly. As a result, it can be expected that the measurement subject can be prevented from becoming serious.

In addition, the blood pressure measuring device that the subject can wear can automatically check the health condition of the subject over a long period of time, so that the subject is restrained at the hospital or home. It is possible to increase the degree of freedom of action of the subject.

According to the second aspect of the present invention, it is possible to facilitate confirmation of the health condition of the person being measured by notifying the alert by sound or voice.

According to the third aspect of the present invention, by displaying the health condition of the person to be measured on the display unit and notifying the alert, the people around the person to be measured confirm the health condition of the person to be measured. Can be easily.

According to the fourth aspect of the present invention, according to the health condition of the measurement subject determined based on the blood pressure related information, an alert or the like is notified to the outside, for example, the health of the measurement subject to the doctor or family By notifying the state, it is possible to quickly deal with the subject. As a result, it can be expected that the measurement subject can be prevented from becoming serious.

According to the fifth aspect of the present invention, by notifying the position information of the blood pressure measuring device together with the alert, for example, the attending physician or family member who has received the alert recognizes the location of the subject and measures It is possible to deal with a person quickly.

According to the sixth aspect of the present invention, the blood pressure related information of the measurement subject measured in a predetermined period together with the alert is notified to the outside, for example, the attending physician or family member who has received the alert accesses the server. It is possible to immediately check the health condition of the measurement subject without doing so. In addition, for example, even when the data stored in the storage unit of the server is not the latest state or in an environment where the server cannot be accessed, the blood pressure related information notified together with the alert is used to accurately determine the health condition of the subject. Can be recognized.

According to the seventh aspect of the present invention, it is possible to notify the outside of the alert, seek help from the person around the person to be measured by sound or voice, and quickly deal with the person to be measured. Become.

According to the eighth aspect of the present invention, by notifying an alert to the hospital or the attending physician of the subject, it is expected that the measure prepared in advance for the subject will be performed, It becomes possible to deal with the subject quickly.

FIG. 1 is a diagram schematically showing an overall configuration of a blood pressure related information management system including a blood pressure related information management device according to an embodiment of the present invention. FIG. 2 is a block diagram showing an example of the configuration of the blood pressure measuring device shown in FIG. FIG. 3 is a block diagram showing an example of the configuration of the user terminal shown in FIG. FIG. 4 is a block diagram showing an example of the configuration of the server shown in FIG. FIG. 5 is a flowchart illustrating a blood pressure related information management method according to an embodiment of the present invention. FIG. 6 is a flowchart illustrating a blood pressure related information management method according to another embodiment of the present invention.

Embodiments according to the present invention will be described below with reference to the drawings.
[One Embodiment]
(Constitution)
FIG. 1 is a diagram schematically showing an overall configuration of a blood pressure related information management system including a blood pressure related information management device according to an embodiment of the present invention.

The blood pressure related information management system includes a blood pressure measuring device 10, a user terminal 20, and a server 30. The blood pressure measurement device 10, the user terminal 20, and the server 30 are configured to be able to communicate with each other by wireless communication or wired communication via a network. The blood pressure measurement device 10 may be configured to be able to communicate with the server 30 via the user terminal 20.

The blood pressure measuring instrument 10 includes a strip and a measuring instrument main body mounted in the casing. The person to be measured wraps the band-like body around the measured part so that at least a part of the measuring instrument main body is in contact with a position (measured part) where an artery (for example, radial artery) that is a blood pressure measurement target is present. Thus, the blood pressure measuring device 10 can be attached and the measuring device main body can be operated to measure and display blood pressure related information as will be described later.

For example, the blood pressure measurement device 10 employs a continuous measurement type blood pressure detection method using a PTT method, a tonometry method, an optical method, a radio wave method, an ultrasonic method, or the like, and measures blood pressure related information of the measurement subject. can do. The PTT method is a method of measuring a pulse wave propagation time (PTT; Pulse Transmit Time) and estimating a blood pressure value from the measured pulse wave propagation time. The tonometry method is a method in which a pressure sensor is brought into direct contact with a living body part (measurement target) through which an artery such as the radial artery of the wrist passes, and a blood pressure value is measured using information detected by the pressure sensor. The optical system, radio wave system, and ultrasonic system are systems in which light, radio waves, or ultrasonic waves are applied to blood vessels and blood pressure values are measured from the reflected waves.

The user terminal 20 can employ, for example, a mobile communication terminal such as a smartphone, a tablet or a mobile phone, or a communication terminal such as a personal computer.

1 shows only one blood pressure measuring device 10 and one user terminal 20, the server 30 can communicate with a plurality of blood pressure measuring devices 10 and a plurality of user terminals 20, Each blood pressure related information measured by the blood pressure measuring device 10 can be managed.

FIG. 2 is a block diagram showing an example of the configuration of the blood pressure measuring device shown in FIG.
The blood pressure measuring device 10 includes a communication unit 11, an operation unit 12, a control unit 13, a memory 14, a blood pressure information measurement unit 15, a display unit 16, a sensor unit 17, a speaker 1sp, and a position detection unit 18. And.

The communication unit 11 is controlled by the control unit 13 and can transmit predetermined information received from the control unit 13 to the outside via the network, and can receive information from the outside and transmit it to the control unit 13. Can do. Communication via the network by the communication unit 11 may be either wireless communication or wired communication. In the present embodiment, the network is, for example, the Internet, but is not limited thereto, and may be another type of network such as a LAN (Local Area Network), and a pair of communication cables such as a USB cable. 1 communication may be sufficient.

In response to an operation device (not shown) such as a touch panel or operation buttons / operation keys being operated by a user (measured person), the operation unit 12 outputs an operation signal corresponding to the operated content to the control unit 13. Output to. The operation unit 12 is not limited to a touch panel, operation buttons, or operation keys. For example, a voice recognition unit that recognizes an operation instruction by a user's voice, a biometric authentication unit that authenticates a part of the user's biological body, an imaging You may provide the image recognition part etc. which recognize a user's facial expression and gesture with the image obtained by a means.

The memory 14 stores data of a program for controlling the blood pressure measuring device 10, setting data for setting various functions of the blood pressure measuring device 10, data of measurement results for at least a predetermined period retroactive from the present, and an alert notification destination Information, position information detected by the position detector 18 and the like can be stored. The memory 14 is used as a work memory when the program is executed.

The sensor unit 17 is provided at a position where at least a part of the blood pressure measuring device 10 is in contact with the measured part when the strip of the blood pressure measuring device 10 is attached to the measured part of the measured person, and detects the pressure pulse wave of the measured person. To do. The sensor unit 17 includes, for example, an air bag, a pressing unit, a pump, and at least one pressure sensor. The sensor unit 17 adjusts the amount of air inside the air bag using the pump, and the measurement unit receives the measurement object from the pressing unit. The pressure for pressing the measurement unit can be adjusted. At this time, for example, it is assumed that the pressing force applied to the radial artery of the measurement subject 17 by the sensor unit 17 is equivalent to the internal pressure of the air bag. In addition, the sensor part 17 should just be the structure which can press a to-be-measured person's to-be-measured part, and is not limited to a structure provided with an air bag.

At least one pressure sensor is disposed at a position where the pressing part and the part to be measured are in contact with each other. The pressure sensor can be constituted by, for example, a pressure-sensitive diode formed on the surface of the pressing portion that contacts the portion to be measured.
For example, the pressure sensor is arranged at a position pressed against the radial artery so as to intersect (substantially orthogonal) with the radial artery of the measurement subject, and is generated from the radial artery of the measurement subject and transmitted to the skin Vibration waves, that is, pressure pulse waves can be detected.

The blood pressure information measurement unit 15 controls the pump based on the control signal from the control unit 13 to adjust the pressure of the air bag of the sensor unit 17, receives the pressure pulse wave detected by the sensor unit 17, and The measurer's systolic blood pressure (SBP) and diastolic blood pressure (DBP) can be measured. The blood pressure information measurement unit 15 can measure the pulse rate of the measurement subject based on the detection value obtained from the sensor unit 17. The blood pressure information measurement unit 15 outputs the pressure pulse wave, the measured value of the measured blood pressure, and the pulse rate to the control unit 13.

The sensor unit 17 is not limited to the above configuration, and an optical sensor or an ultrasonic sensor may be adopted. Moreover, the sensor part 17 may measure the pulse wave propagation time (PTT) between the two electrodes pressed against the radial artery, for example. In this case, the sensor unit 17 transmits the PTT to the blood pressure information measurement unit 15, and the blood pressure information measurement unit 15 uses, for example, the PTT measured by the sensor unit 17, the distance between the two electrodes, and the pressing force of the measured part. Based on this, it is possible to measure the systolic blood pressure (SBP) and the diastolic blood pressure (DBP) of the measurement subject.

The display unit 16 includes, for example, a display screen (for example, an LCD (Liquid Crystal Display) or an EL (Electroluminescence) display), an indicator, and the like, and includes predetermined images (still images and moving images) according to control signals from the control unit 13. ), Information by color and brightness can be displayed.

The speaker 1sp can output a predetermined sound and sound according to a control signal from the control unit 13.

The position detection unit 18 includes, for example, a GPS (Global Positioning System), operates according to a control signal from the control unit 13, and can detect the position of the blood pressure measuring device 10 from information obtained from a GPS satellite.

The blood pressure measuring device 10 may include at least one of an activity amount measuring function, a step count measuring function, a sleep state measuring function, and an environment (temperature / humidity) measuring function. That is, the blood pressure measurement device 10 may further include at least one of a three-axis sensor, an environment sensor, and a barometer, and detects acceleration by the three-axis sensor and calculates an activity amount of the measurement subject. It may be configured to be capable of calculating acceleration with a three-axis sensor and detecting atmospheric pressure with a barometer to calculate the number of steps of the person being measured, the number of steps taken quickly, the number of steps climbing stairs, etc. You may be comprised so that a sleep state can be detected by detecting an acceleration with a triaxial sensor and detecting the state of a to-be-measured person's turning.

The environmental sensor includes a sensor that measures environmental information around the user and acquires the measured environmental data. The environmental sensor may include a sensor that measures temperature, temperature, humidity, sound, light, and the like. The environmental sensor may include a sensor that measures environmental information (environmental data) that is assumed to be directly or indirectly related to fluctuations in blood pressure values. The control unit 13 can acquire measurement data measured by the environmental sensor as measurement data (environment data) in association with a measurement time set based on the time information.

For example, temperature (change in temperature) can be considered as one of the factors that can cause human blood pressure fluctuations. For this reason, the temperature data measured by the environmental sensor is information that can cause fluctuations in blood pressure of the user, and can be output as measurement data of one element other than blood pressure. In addition to temperature, humidity, sound, light, etc. can be considered as one of the factors that can cause blood pressure fluctuations, so that these measurement data are output as measurement data for elements other than blood pressure. good.

The control unit 13 includes at least one processor such as a CPU (central processing unit) or an MPU (micro processing unit), and from the operation signal from the operation unit 12 and the blood pressure information measurement unit 15 according to a program stored in the memory 14. The memory 14, the display unit 16, and the communication unit 11 can be controlled based on the measurement results (pressure pulse wave, pulse rate, blood pressure value, etc.). For example, the control unit 13 can execute a mode for measuring the current blood pressure of the measurement subject in accordance with an instruction from the operation unit 12. In addition, in response to an instruction from the operation unit 12, the control unit 13 automatically measures the blood pressure or the like of the measurement subject continuously for a long period (for example, 24 hours) at a predetermined time interval (for example, every beat). It is possible to execute a measurement mode.

The control unit 13 can determine whether or not atrial fibrillation has occurred in the subject based on information on the subject's pulse rate or pressure pulse wave, for example. Moreover, the control part 13 can judge whether surge blood pressure has generate | occur | produced based on whether the blood pressure value of a to-be-measured person increased rapidly per unit time, for example.

Further, the control unit 13 may include a determination unit 131 and a notification processing unit 132.

The determination unit 131 can determine the health condition of the measurement subject based on blood pressure related information based on measurement results (pressure pulse wave, pulse rate, blood pressure value, etc.) from the blood pressure information measurement unit 15, for example. The determination unit 131 can determine the health condition of the measurement subject in at least two stages.

The determination unit 131 includes, for example, at least one of blood pressure related information such as the highest blood pressure value, the lowest blood pressure value, the pulse rate, the occurrence of surge blood pressure, the occurrence of AF, and the continuous occurrence time of AF. The health condition of the person to be measured may be determined based on the above. Further, the determination unit 131 may determine the health condition of the measurement subject by combining a plurality of blood pressure related information. In addition, the determination unit 131 further considers, for example, the ambient temperature around the blood pressure measurement device 10 obtained from a temperature sensor (not shown), the operation information of the measurement subject obtained from the acceleration sensor, and the like. You may determine your health status.

For example, the determination unit 131 may represent the determination result of the health condition of the subject as a numerical value as a score based on whether the health condition is good or bad, or may be represented by letters such as “A” to “E”. It may be expressed by symbols such as “◎”, “○”, “□”, “△”, “×”. The control unit 13 may control the display unit 16 to display numerical values, characters, or symbols corresponding to the determination result of the determination unit 131, and display the numerical values corresponding to the determination result as an image such as an indicator. May be.

The determination result in the determination unit 131 may indicate, for example, that the health condition is good (or bad) in stages, or each of the determination results in a plurality of stages may indicate an independent health condition. Good.

For example, when the determination unit 131 determines the health condition of the subject based on the maximum blood pressure value, the minimum blood pressure value, the pulse rate, the presence or absence of surge blood pressure, the presence or absence of AF, and the duration of AF, In 131, the number of abnormal items (“0” to “6”) may be determined.

Also, the determination unit 131 may obtain a determination result by combining numerical values, characters, and symbols corresponding to an abnormal item, for example. For example, the numerical value corresponding to the abnormality of the maximum blood pressure value is “0”, the numerical value corresponding to the abnormality of the minimum blood pressure value is “1”, the numerical value corresponding to the abnormality of the pulse rate is “2”, and corresponds to the occurrence of surge blood pressure. The numerical value is “3”, the numerical value corresponding to the occurrence of AF is “4”, the numerical value corresponding to when the AF duration is equal to or greater than a predetermined threshold is “5”, and the determination unit 131 corresponds to the abnormal item. A column in which numerical values are arranged may be used as the determination result.

In addition, the determination unit 131 arranges numerical values (“0” or “1”) corresponding to the order of preset items, for example, by setting an abnormal item as “1” and a normal item as “0”. A column may be the determination result.

As a criterion used for determining the health condition of the measurement subject in the determination unit 131, a reference value that is generally considered to be abnormal may be set, or may be set individually for each measurement subject. Good. By setting the criteria for determining the health condition individually for each person to be measured, for example, the health condition of the person to be measured can be individually determined in consideration of a professional opinion by the attending physician.

The notification processing unit 132 notifies an alert according to the determination result of the health condition of the measurement subject. The notification standard used when determining whether or not to notify the alert in the notification processing unit 132 may be a standard common to all the measurement subjects set in advance. It may be possible to individually set based on the patient's past illness or the tendency of blood pressure fluctuation.

The notification processing unit 132 can generate, as an alert, for example, a sound or a sound signal notifying that the person being measured needs help, and can transmit it to the speaker (alert notification unit) 1sp. In addition, the notification processing unit 132 may change the display content of the display unit 16 by controlling the display unit 16 using the display unit 16 as an alert notification unit. For example, the health condition and blood pressure related information of the measurement subject Or the like may be displayed on the display unit 16 or may be blinked by changing the display color or brightness of the display unit 16. Further, the notification processing unit 132 can transmit an alert to the outside via the communication unit (alert notification unit) 11 according to the determination result of the health condition of the measurement subject.

The notification processing unit 132 can transmit notification information to the communication unit 11 together with the alert when transmitting the alert to the outside. The notification information includes, for example, information on the transmission destination of the alert, the determination result of the health condition of the measurement subject determined by the determination unit 131, the position information of the blood pressure measuring device 10 detected by the position detection unit 18, and the latest blood pressure related information It may include at least one piece of information such as blood pressure related information of the measurement subject measured by the blood pressure information measurement unit 15 in a predetermined period retroactively from the time of information measurement.

In addition, when the notification processing unit 132 acquires blood pressure related information measured during a predetermined period as the notification information, the notification processing unit 132 may select only the part of the data that has a large influence on the health condition of the measured person as the notification information. Good. By selecting only a part of the blood pressure related information, it is possible to reduce the amount of data to be transmitted, and for example, the attending physician or family can easily grasp the health condition of the subject from the received information. become.

The notification processing unit 132 can select a plurality of notification destinations according to the health condition determination result of the measurement subject, and changes the content and data format of the measurement subject information to be transmitted together with the alert for each notification destination. May be. Also, the alert destination information is stored in, for example, the memory 14 and includes address information unique to the terminal such as an e-mail address or a telephone number.

For example, the notification destination information of the alert includes a terminal installed in the hospital or home of the person to be measured, a mobile doctor's or family portable terminal, a notification device (not shown) for reporting to 119, At least one unique address information can be included. In the hospital or home where the subject is measured, it is expected that measures are taken in advance when the health condition of the subject is deteriorated by the attending physician or family. Therefore, it is possible to promptly deal with the subject by notifying the patient and the attending physician of the subject of the alert.

FIG. 3 is a block diagram showing an example of the configuration of the user terminal shown in FIG.
The user terminal 20 includes a communication unit 21, an operation unit 22, a control unit 23, a memory 24, a display unit 25, and a speaker 2sp.

In the present embodiment, the user terminal 20 is a mobile communication terminal such as a smartphone or a tablet, for example, and has application software (program) installed so that the processing described later can be executed.

The communication unit 21 is controlled by the control unit 23 and can transmit predetermined information received from the control unit 23 to the outside via the network, and can receive information from the outside and transmit it to the control unit 23. Can do. Communication via the network by the communication unit 21 may be either wireless communication or wired communication. In the present embodiment, the network is, for example, the Internet, but is not limited thereto, and may be another type of network such as a LAN (Local Area Network), and a pair of communication cables such as a USB cable. 1 communication may be sufficient.

The operation unit 22 includes, for example, a touch panel and operation buttons, and transmits an operation signal corresponding to an operation by a user (for example, a person to be measured) to the control unit 23. The operation unit 22 is not limited to a touch panel or operation buttons. For example, an operation unit such as a keyboard and a mouse, a voice recognition unit that recognizes an operation instruction by a user's voice, or a part of a user's living body is authenticated. You may provide the biometrics authentication part, the image recognition part which recognizes a user's facial expression and gesture with the image obtained by an imaging means, etc.

The memory 24 includes, for example, a RAM (Random Access Memory) used as a work area necessary for executing the program by the control unit 23, and a ROM (a ROM for storing a basic program to be executed by the control unit 23). Read Only Memory). The memory 24 may store the blood pressure related information received from the blood pressure measuring device 10 for at least a predetermined period retroactively from the present. Further, as a storage medium of an auxiliary storage device for assisting the storage area of the memory 24, a semiconductor memory (memory card, SSD (Solid State Drive)) or the like may be provided.

The display unit 25 includes a display screen (for example, an LCD or an EL display). The display unit 25 is controlled by the control unit 23 and can display a predetermined image on the display screen.

The speaker 2sp can output a predetermined sound and sound according to a control signal from the control unit 23.

The control unit 23 includes, for example, at least one processor such as a CPU or MPU and its auxiliary circuit, and can control each component of the user terminal 20. The control unit 23 executes processing described later according to the program and data stored in the memory 24. That is, the control unit 23 processes data input from the operation unit 22 and the communication unit 21, stores the processed data in the memory 24, displays the data on the display unit 25, and outputs from the communication unit 21. It is possible to make it.

When the control unit 23 receives an alert from the blood pressure measurement device 10 from the communication unit 21, for example, the control unit 23 controls the speaker 2sp to notify the surrounding person that the person being measured needs help (for example, a buzzer sound). ) Or audio may be output. The control unit 23 controls the display unit 25 to receive the blood pressure related information of the measured person when receiving information (notification information) of the measured person from the communication unit 21 together with the alert of the blood pressure measuring device 10. Or information on the person to be measured such as position information of the blood pressure measuring device 10 may be displayed.

FIG. 4 is a block diagram showing an example of the configuration of the server shown in FIG.
The server 30 includes a communication unit 31, an operation unit 32, a control unit 33, a storage unit 34, and a display unit 35. The server 30 is, for example, a program (software) installed so that a general-purpose computer device can perform processing described later.

The operation unit 32 includes, for example, a keyboard and a mouse, and transmits an operation signal indicating an operation by the user to the control unit 33. Further, the operation unit 32 may be configured by another operation device such as a touch panel instead of or in addition to the keyboard and the mouse.

The communication unit 31 transmits information from the control unit 33 to the outside via the network, and receives information transmitted from the outside via the network and transmits the information to the control unit 33.

The storage unit 34 includes a RAM used as a work area necessary for executing the program by the control unit 33 and a ROM for storing a basic program to be executed by the control unit 33. The storage unit 34 is provided with a database including a lot of blood pressure related information data sent from the blood pressure measuring device 10 or the user terminal 20. In addition, in the storage unit 34, for example, a database including an ID (identifier) of a user who has access authority to blood pressure related information, a password, and the like is provided.

Further, as a storage medium of an auxiliary storage device for assisting the storage area of the storage unit 34, a magnetic disk (HD (Hard Disk), FD (Flexible Disk)), an optical disk (CD (Compact Disk), DVD (Digital Versatile Disk) ), BD (Blu-ray (registered trademark) Disc)), magneto-optical disk (MO (Magneto-Optical disk)), semiconductor memory (memory card, SSD), or the like may be used.

The display unit 35 includes a display screen (for example, an LCD or an EL display). The display unit 35 is controlled by the control unit 33 to display a predetermined image (including a still image and a moving image) on the display screen.

The control unit 33 includes, for example, at least one processor such as a CPU or MPU and an auxiliary circuit thereof. The control unit 33 controls each unit of the server 30, executes predetermined processing according to the program and data stored in the storage unit 34, processes data input from the operation unit 32 and the communication unit 31, and performs processing The stored data can be stored in the storage unit 34, displayed on the display unit 35, or output from the communication unit 31.

When the control unit 33 is requested to access data stored in the database of the storage unit 34 from the outside via the communication unit 31, for example, the access authority to the requested data is obtained using an ID and a password. It is possible to check whether or not there is a user, and when the user has access authority, the requested data can be read from the database and transmitted to a predetermined user via the communication unit 31. Therefore, when the person being measured is away from the hospital or home, a user who has access authority to the blood pressure related information of the person to be measured, such as the attending physician or family of the person to be measured, is stored in the storage unit 34 (database) of the server 30. The blood pressure related information of the measurement subject can be obtained by accessing, and the health condition of the measurement subject can be confirmed.

(Operation)
Next, an example of the operation of the blood pressure related information management system equipped with the blood pressure related information management device configured as described above will be described.

First, an example of an operation for accumulating blood pressure related information measured by the blood pressure measuring device 10 in the storage unit 34 of the server 30 will be described.

When the user operates the operation unit 12 of the blood pressure measurement device 10 so as to automatically execute the blood pressure related information continuously for a long period of time, the control unit 13 of the blood pressure measurement device 10 Thus, for example, the blood pressure information measurement unit 15 so as to measure blood pressure related information including the highest blood pressure of the subject, the lowest blood pressure, the pulse rate per unit time, and the measurement date and time, and The sensor unit 17 is controlled.

The control unit 13 receives the measurement result from the blood pressure information measurement unit 15 and stores it in the memory 14. The control unit 13 may delete the oldest blood pressure related information when storing new blood pressure related information in the memory 14.

Subsequently, the control unit 13 controls the communication unit 11 to measure the blood pressure related information measured via the user terminal 20 (or not via the user terminal 20) (or the blood pressure measuring device 10). Are transmitted to the server 30 together with the individual identification information. At this time, the control unit 13 may transmit blood pressure related information to the server 30 as needed in real time, or may collectively transmit a plurality of blood pressure related information to the server 30. By reducing the frequency of communication by the communication unit 11, the power consumption of the blood pressure measuring device 10 can be kept low.

The control unit 33 of the server 30 receives the blood pressure related information via the communication unit 31 and stores it in the database of the storage unit 34.

The blood pressure measurement device 10, the user terminal 20, and the server 30 repeat the above operation and accumulate the blood pressure related information of the measurement subject in the database of the storage unit 34.

Subsequently, an example of the operation when the blood pressure related information management device notifies an alert based on the health condition of the measurement subject will be described.

FIG. 5 is a flowchart for explaining a blood pressure related information management method according to an embodiment of the present invention. Here, an example will be described in which the blood pressure measuring device 10 is a blood pressure related information management device, the alert notification unit is a speaker 1sp, and an alert is notified around the person being measured. In the present embodiment, the server 30 may be a blood pressure related information management device. In that case, the control unit 33 of the server 30 has the same configuration as the determination unit 131 and the notification processing unit 132 described above.

The control unit 13 controls the blood pressure information measurement unit 15 to measure the blood pressure related information of the measurement subject at predetermined time intervals (step S1), and stores the measurement result in the memory 14 (step S2). The memory 14 stores blood pressure related information measured during the most recent predetermined period.

The determination unit 131 of the control unit 13 determines the health condition of the measurement subject based on the latest blood pressure related information (or blood pressure related information stored in the memory 14) received from the blood pressure information measurement unit 15 (step S3). ). The determination unit 131 transmits the determination result of the health condition of the measurement subject to the notification processing unit 132.

The notification processing unit 132 determines whether or not to notify an alert based on the determination result received from the determination unit 131 and a preset notification criterion (step S4).

For example, when the determination result from the determination unit 131 is obtained in five stages from “0” to “4”, the notification criterion is set in advance as a numerical value. For example, when the preset notification criteria are “3” and “4”, the notification processing unit 132 determines that the alert is not notified when the determination result is “0” to “2”, and the determination result is It is determined that an alert is notified when it is “3” and when it is “4”. For example, when the determination result from the determination unit 131 is obtained by a numerical value or character string, the notification criterion is set in advance by a predetermined numerical value or character string.

When the notification processing unit 132 determines that the alert is not notified, the control unit 13 returns to step S1 and performs the above processing.

When it is determined that an alert is to be notified, the notification processing unit 132 generates, for example, a sound or audio signal that informs that the person being measured needs help, and transmits the sound or audio signal to the speaker 1sp for output. (Alert is notified) (step S5). For example, as in the above example, when an alert is notified to a plurality of determination results (“3” and “4”), the notification processing unit 132 uses the speaker 1sp for each determination result in the determination unit 131. The sound or audio signal to be output may be changed, and the output volume of the speaker 1sp may be changed for each determination result. Further, the notification processing unit 132 may control the sound or sound output from the speaker 1sp as an alert to gradually increase.

Note that the sound output as an alert from the speaker 1sp informs the surroundings that the health condition of the measurement subject is not good, and a buzzer sound or the like output at a relatively large volume can be employed. . The sound output from the speaker 1sp as an alert is a message that asks people around for help, requests to contact a family hospital or family, requests to contact 119, It is possible to employ an item requesting first aid for the patient.

(effect)
As described above, by alerting the subject according to the health condition of the subject determined based on the blood pressure related information, the person around the subject is sought for help and the subject's response Can be performed quickly. As a result, it can be expected that the measurement subject can be prevented from becoming serious.

In addition, as described above, the blood pressure measuring device 10 that can be worn by the subject can automatically check the health condition of the subject over a long period of time. There is no need to be bound by a hospital or home, and the degree of freedom of action of the subject can be increased.

That is, according to the present embodiment, the blood pressure related information management apparatus that can automatically determine the health condition of the measurement subject based on the blood pressure related information and make the health condition of the measurement subject known based on the determination result. And methods can be provided.

[Other Embodiments]
Next, a blood pressure related information management apparatus and method according to another embodiment will be described with reference to the drawings. In addition, since the structure of the blood pressure related information management system provided with the blood pressure related information management apparatus of this embodiment is the same as that of the said embodiment, the same code | symbol is attached | subjected about the same structure in the following description, and description is abbreviate | omitted. .

Further, the operation for accumulating the blood pressure related information measured by the blood pressure measuring device 10 in the storage unit 34 of the server 30 is the same as that in the above-described embodiment, and thus the description thereof is omitted here.

FIG. 6 is a flowchart for explaining a blood pressure related information management method according to another embodiment of the present invention. Here, an example will be described in which the blood pressure measuring device 10 is a blood pressure related information management device and the alert notification unit is a communication unit 11 to notify an alert to the outside. In the present embodiment, the server 30 may be a blood pressure related information management device, and the communication unit 31 may be an alert notification unit. In that case, the control unit 33 of the server 30 has the same configuration as the determination unit 131 and the notification processing unit 132 described above.

The control unit 13 controls the blood pressure information measurement unit 15 to measure the blood pressure related information of the measurement subject at predetermined time intervals (step S5), and stores the measurement result in the memory 14 (step S6). The memory 14 stores blood pressure related information measured during the most recent predetermined period.

Based on the latest blood pressure related information received from the blood pressure information measuring unit 15 and the blood pressure related information stored in the memory 14, the determination unit 131 of the control unit 13 determines the health condition of the measurement subject, as in the above embodiment. Determination is made (step S7).

The determination unit 131 transmits, for example, the determination result of the health condition of the measurement subject determined as described above to the notification processing unit 132.
The notification processing unit 132 determines whether or not to notify an alert based on the determination result received from the determination unit 131 and a predetermined determination criterion, as in the above embodiment (step S8).

When the notification processing unit 132 determines that the alert is not notified, the control unit 13 returns to step S5 and performs the above processing.

When it is determined that an alert is to be notified, the notification processing unit 132 selects an alert notification destination based on the determination result, and acquires information to be notified together (notification information including information on the alert notification destination) (step S9). ).

The alert notification destination may be common to all determination results or may be different for each determination result. Further, when a predetermined determination result is obtained, there may be a notification destination that is set not to notify an alert.

Further, the notification processing unit 132 uses the position information of the blood pressure measurement device 10 detected by the position detection unit 18 as a notification destination of the alert, and contacts included in a predetermined distance range from the position of the blood pressure measurement device 10. May be selected. In this case, the memory 14 of the blood pressure measurement device 10 can store the notification destination position information in association with the notification destination address information.

The notification processing unit 132 notifies the acquired notification destination of the alert and notification information (step S10). Note that the notification processing unit 132 may omit the step S9 and notify the alert and the notification information to all preset notification destinations after determining to notify the alert.

The notification processing unit 132 may notify the selected notification destination of an alert by, for example, e-mail (e-mail), short message service (SMS), push-type information delivery (push-based information delivery) It is possible to adopt. Further, the notification processing unit 132 may notify various information from the communication unit 11 to the predetermined notification destination via the server 30 (or via the user terminal and the server 30).

For example, when a terminal installed in the hospital of the measurement subject is set as a notification destination when a predetermined determination result is obtained, the notification processing unit 132 displays the alert and the health status of the measurement subject. (For example, the determination result in the determination unit 131), the latest blood pressure related information, and the position information of the blood pressure measuring device 10 may be transmitted.

The terminal installed in the hospital where the alert is received can notify that the alert has been received, for example, by outputting sound or sound from a speaker, and can display the received information on the display means. The subject's attending physician recognizes that the subject's health condition is not good due to the alert from the blood pressure measuring device 10, and based on the received subject's health condition and the latest blood pressure related information, etc. Current health status can be confirmed. In addition, for example, the location of the subject is recognized based on the position information of the blood pressure measuring device 10, and an ambulance is dispatched, the attending physician is heading for the treatment of the subject, and the hospital near the subject is supported. Can be requested, and prompt treatment for the person to be measured can be expected.

Further, for example, when the measurement subject's family mobile terminal is set as the notification destination when a predetermined determination result is obtained, the notification processing unit 132 displays the alert and the measurement subject's health condition (for example, The determination result in the determination unit 131) and the position information of the blood pressure measuring device 10 may be transmitted.

The mobile terminal that has received the alert notification can notify that the alert has been received, for example, by outputting sound or voice through a speaker, and can display the received information on the display means. The measurement subject's family recognizes that the measurement subject's health condition is not good by the alert from the blood pressure measuring device 10, and confirms the measurement subject's current health condition from the received measurement condition of the measurement subject. be able to. In addition, for example, based on the position information of the blood pressure measuring device 10, it is possible to recognize the location of the person to be measured and contact the attending physician or call an ambulance.

Further, for example, when 119 is set as the notification destination when a predetermined determination result is obtained, the notification processing unit 132 notifies the 119 notification via a predetermined notification device (not shown), for example. You may go. At this time, the notification processing unit 132 emails the measurement subject's health status (for example, the determination result of the determination unit 131), the latest blood pressure related information of the measurement subject, and the position information of the blood pressure measuring device 10. It may be sent to the fire station by fax or fax. In addition, the notification processing unit 132 transmits an authentication ID and a password through which the emergency personnel can access the server 30 and temporarily acquire the blood pressure related information data of the measurer via the server 30. Also good.

(effect)
As described above, according to the health condition of the subject determined based on the blood pressure related information, an alert or the like is notified to the outside, and the health status of the subject is notified to the attending physician or family. The measurer can be quickly dealt with. As a result, it can be expected that the measurement subject can be prevented from becoming serious.

In the above embodiment, the control unit 23 is configured to be able to determine whether or not atrial fibrillation has occurred in the subject based on information on the subject's pulse rate or pressure pulse wave, for example. May be. Further, the control unit 23 may be configured to be able to determine whether or not surge blood pressure is generated based on, for example, whether or not the blood pressure value of the measurement subject has rapidly increased per unit time.

Moreover, in the said embodiment, the control part 33 is comprised, for example based on the information on the to-be-measured person's pulse rate and a pressure pulse wave, so that it can be judged whether the to-be-measured person has atrial fibrillation. May be. Further, the control unit 33 may be configured to be able to determine whether or not surge blood pressure is generated based on, for example, whether or not the blood pressure value of the measurement subject has rapidly increased per unit time.

The present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying the constituent elements without departing from the scope of the invention in the implementation stage. Further, various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the embodiment. For example, some components may be deleted from all the components shown in the embodiment. Furthermore, you may combine suitably the component covering different embodiment.

A part or all of the above embodiment may be described as in the following supplementary notes, but is not limited thereto.
(Appendix 1)
A blood pressure related information management apparatus capable of notifying an alert according to a health condition of a subject, comprising a hardware processor, a memory, an alert notifying unit capable of notifying an alert, and the blood pressure of the subject. A blood pressure information measuring unit capable of measuring
The hardware processor is
Based on the measurement result in the blood pressure information measurement unit, the health condition of the measurement subject is determined according to a predetermined determination criterion,
A blood pressure related information management device configured to output an alert from the alert notification unit in accordance with a determination result of the health condition of the measurement subject.
(Appendix 2)
A blood pressure related information management apparatus capable of notifying an alert according to the health condition of a subject, comprising a hardware processor, a memory, an alert notification unit capable of communicating with the outside, and the blood pressure of the subject. A blood pressure information measuring unit capable of measuring
The hardware processor is
Based on the measurement result in the blood pressure information measurement unit, the health condition of the measurement subject is determined according to a predetermined determination criterion,
In accordance with the determination result in the determination unit, it is determined whether or not to notify an alert according to a preset notification criterion, and when it is determined to notify the alert, notification information including information on a notification destination of the alert is acquired. The blood pressure related information management device configured to transmit the alert and the notification information to the notification destination via the alert notification unit.
(Appendix 3)
A blood pressure related information management method capable of notifying an alert according to the health condition of a subject,
Measuring the blood pressure of the subject using at least one hardware processor;
Using at least one hardware processor to store information about the blood pressure of the subject in a memory;
Using at least one hardware processor, based on the blood pressure information, determine the health condition of the measurement subject according to a predetermined criterion,
A blood pressure related information management method of causing an alert notification unit to output an alert in accordance with a determination result of the health condition of the subject using at least one hardware processor.
(Appendix 4)
A blood pressure related information management method capable of notifying an alert according to the health condition of a subject,
Measuring the blood pressure of the subject using at least one hardware processor;
Using at least one hardware processor to store information about the blood pressure of the subject in a memory;
Using at least one hardware processor, based on the blood pressure information, determine the health condition of the measurement subject according to a predetermined criterion,
Using at least one hardware processor, according to the determination result of the health condition of the measurement subject, determine whether to notify an alert according to a preset notification criterion, and when determining to notify the alert, A blood pressure related information management method for acquiring notification information including information on a notification destination of an alert and transmitting the alert and the notification information to the notification destination via an alert notification unit capable of communicating with the outside.

Claims

A blood pressure related information management device capable of notifying an alert according to the health condition of a subject,
An alert notification unit capable of notifying an alert;
A blood pressure information measurement unit capable of continuously measuring the blood pressure of the measurement subject;
A determination unit that determines a health condition of the measurement subject based on a predetermined determination criterion based on a measurement result in the blood pressure information measurement unit;
A blood pressure related information management apparatus comprising: a notification processing unit that notifies an alert from the alert notification unit according to a determination result in the determination unit.
The alert notification unit includes a speaker capable of notifying an alert by sound or voice,
The blood pressure related information management device according to claim 1, wherein the notification processing unit is capable of transmitting a sound or audio signal to the alert notification unit and outputting an alert by sound or audio from the alert notification unit.
The alert notification unit includes a display unit capable of notifying an alert by an image,
The blood pressure-related item according to claim 1 or 2, wherein the notification processing unit causes the display unit to display a health state of the measurement subject determined by the determination unit according to a determination result of the determination unit. Information management device.
A blood pressure related information management device capable of notifying an alert according to the health condition of a subject,
An alert notification unit capable of communicating with the outside;
A blood pressure information measurement unit capable of continuously measuring the blood pressure of the measurement subject;
A determination unit that determines a health condition of the measurement subject based on a predetermined determination criterion based on a measurement result in the blood pressure information measurement unit;
In accordance with the determination result in the determination unit, it is determined whether or not to notify an alert according to a preset notification criterion, and when it is determined to notify the alert, notification information including information on a notification destination of the alert is acquired. A blood pressure related information management apparatus comprising: a notification processing unit that transmits an alert and the notification information to the notification destination via the alert notification unit.
A position detector capable of detecting the position of the blood pressure related information management device;
The blood pressure related information management device according to claim 4, wherein the notification information includes position information detected by the position detection unit.
A blood pressure related information measured by the blood pressure information measuring unit, further comprising a memory capable of storing the blood pressure related information for a predetermined period;
The blood pressure related information management device according to claim 4 or 5, wherein the notification information includes at least a part of the blood pressure related information of the measurement subject stored in the memory.
The alert notification unit includes a speaker capable of notifying an alert by sound or voice,
The blood pressure according to any one of claims 4 to 6, wherein the notification processing unit transmits a sound or a sound signal to the alert notification unit, and can output a sound or sound alert from the alert notification unit. Related information management device.
The information of the notification destination of the alert includes unique address information of the portable terminal of the measured person's family, the terminal installed in the measurement subject's family hospital, or the portable terminal of the measured person's attending physician The blood pressure related information management device according to any one of claims 4 to 7.
A blood pressure related information management method capable of notifying an alert according to the health condition of a subject,
Measuring the blood pressure of the subject,
Storing blood pressure information of the measurement subject in a memory;
Based on the information on the blood pressure, the health condition of the measurement subject is determined according to a predetermined determination criterion,
A blood pressure related information management method of outputting an alert from an alert notification unit according to a determination result of the health condition of the measurement subject.
A blood pressure related information management method capable of notifying an alert according to the health condition of a subject,
Measuring the blood pressure of the subject,
Storing blood pressure information of the measurement subject in a memory;
Based on the information on the blood pressure, the health condition of the measurement subject is determined according to a predetermined determination criterion,
Notification information including information on a notification destination of an alert when it is determined whether or not to notify an alert according to a predetermined notification criterion according to a determination result of the health condition of the measurement subject, and when it is determined to notify the alert The blood pressure related information management method of transmitting the alert and the notification information to the notification destination through an alert notification unit that can communicate with the outside.