WO2019100585A1 - 基于眼底相机的中医治未病监控系统及方法 - Google Patents

基于眼底相机的中医治未病监控系统及方法 Download PDF

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Publication number
WO2019100585A1
WO2019100585A1 PCT/CN2018/074857 CN2018074857W WO2019100585A1 WO 2019100585 A1 WO2019100585 A1 WO 2019100585A1 CN 2018074857 W CN2018074857 W CN 2018074857W WO 2019100585 A1 WO2019100585 A1 WO 2019100585A1
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WIPO (PCT)
Prior art keywords
patient
information
terminal
doctor
eye
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PCT/CN2018/074857
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English (en)
French (fr)
Inventor
张贯京
葛新科
王海荣
高伟明
张红治
周亮
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深圳市前海安测信息技术有限公司
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Publication of WO2019100585A1 publication Critical patent/WO2019100585A1/zh

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/12—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for looking at the eye fundus, e.g. ophthalmoscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00—Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10—Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/14—Arrangements specially adapted for eye photography
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • the invention relates to the technical field of Chinese medicine treatment, and particularly relates to a system and method for monitoring medical diseases based on fundus camera.
  • Traditional Chinese medicine "treating no disease” is the need for people not to get sick, to get sick, to get sick late, and to prolong life.
  • Chinese medicine "treatment of disease” is to take appropriate measures to maintain health and prevent the occurrence and development of diseases.
  • the treatment of untreated disease is the preventive science of traditional Chinese medicine, including the three levels of “no disease first prevention, disease prevention, disease recovery and recovery”, which is the core concept of “treatment without disease”.
  • “Treatment of disease” emphasizes that people should pay attention to maintaining the body and cultivating righteousness, so as to improve the body's ability to resist disease and disease, to prevent the occurrence of disease before the disease, to prevent further development after the disease, and to prevent recurrence after the disease is cured.
  • the method of "treating the disease” of traditional Chinese medicine is applied to sub-health, common diseases and frequently-occurring diseases, especially for the prevention, treatment and rehabilitation of chronic diseases such as hypertension, diabetes and malignant tumors, and eliminate or reduce mental and psychological problems. And the influence of "pathogenic factors” such as bad living habits, to achieve the purpose of maintaining human health and disease prevention.
  • the fundus of the fundus in the eye is the part of the brain that extends outward. It is an important visual organ.
  • the image of the fundus can be collected by instruments such as fundus cameras.
  • fundus images can be used to provide early diagnosis or prognosis for fundus diseases or certain systemic diseases. Therefore, high quality fundus images are of great value in the diagnosis and research of ophthalmic diseases or certain systemic diseases.
  • the speed and/or accuracy of the human eye tracking has a great influence on the quality of the fundus image, thereby affecting the accuracy of the diagnosis of the Chinese medicine treatment.
  • the main object of the present invention is to provide a fundus camera-based Chinese medicine treatment system and method, aiming at solving the problem of poor quality of the fundus image obtained by using fundus image assisted Chinese medicine in the prior art.
  • Technical problems in the treatment of undiagnosed diseases are to provide a fundus camera-based Chinese medicine treatment system and method, aiming at solving the problem of poor quality of the fundus image obtained by using fundus image assisted Chinese medicine in the prior art.
  • the present invention provides a fundus camera-based Chinese medicine treatment monitoring system, which is operated in a server, which is connected with a health detecting terminal, a doctor terminal and a health record database, and the server comprises a computer suitable for implementing various computers.
  • the fundus camera of the terminal performs focus adjustment and controls the fundus camera to detect the eye of the patient to obtain refractive information of the eye; and the image sensor of the fundus camera controls local curvature according to the refractive information of the eye to ingest the adapted eye bend
  • the fundus image of the light capability detecting the pulse signal of the patient through the pulse diagnosis instrument of the health detection terminal, and extracting the pulse characteristic parameter of the patient from the pulse wave signal; establishing a video communication connection between the health detection terminal and the doctor terminal For the doctor to video call with the patient and receive it from the doctor's terminal
  • the consultation information between the doctor and the patient sending the patient's identity information, fundus image and pulse characteristic parameters to the doctor terminal for the doctor to combine the consultation information to formulate the TCM treatment plan for the patient; and obtaining the T
  • the step of controlling the fundus camera of the health detecting terminal to perform focus adjustment and controlling the fundus camera to detect the eye of the patient to obtain the refractive information of the eye includes the following steps: finding the fundus image of the plurality of eyes to find The sharpest image is captured as an imaging parameter of the fundus camera imaging light path; optical calculation is performed according to the imaging parameter to obtain an eye focus parameter, and the refractive information of the eye is acquired based on the focus parameter.
  • the step of controlling the image sensor of the fundus camera to generate a local curvature to take a fundus image adapted to the refractive power of the eye according to the refractive information of the eye comprises the steps of: acquiring different refractive information and different image sensors a mapping relationship between the shape distribution information; determining shape distribution information of the image sensor corresponding to the refractive information of the eye according to the mapping relationship; controlling the fundus image of the image sensor to generate local curvature to adapt the refractive power of the eye according to the shape distribution information Imaging on the image sensor.
  • the computer program instructions are loaded by the processor and further perform the following steps: periodically obtaining the patient's health information from the health file database and sending it to the doctor terminal for the doctor to evaluate the effect of the Chinese medicine treatment, and the Chinese medicine treatment The improvement effect of the disease is sent to the patient terminal.
  • the computer program instructions are loaded by the processor, and the following steps are performed: periodically acquiring the knowledge of the Chinese medicine from the health archive database, transmitting the knowledge of the Chinese medicine to the patient terminal, and receiving the Chinese medicine treatment sent from the patient terminal. Disease feedback information, and keep a record of the information sent and received.
  • the invention also provides a method for monitoring a disease-free treatment based on a fundus camera, which is applied to a server, which is connected with a health detection terminal, a doctor terminal and a health record database, and the method for monitoring the disease-free according to the fundus camera includes Step: obtaining identity information of the patient through the ID card reader of the health detection terminal; controlling the fundus camera of the health detection terminal to perform focus adjustment and controlling the fundus camera to detect the eye of the patient to obtain refractive information of the eye; The refractive information of the fundus control image sensor of the fundus camera generates local curvature to capture a fundus image adapted to the refractive power of the eye; the pulse wave signal of the patient is detected by the pulse detector of the health detecting terminal, and the pulse wave signal is detected from the pulse wave signal Extracting the pulse characteristic parameter of the patient; establishing a video communication connection between the health detecting terminal and the doctor terminal for the doctor to make a video call with the patient, and collecting the medical consultation information between the doctor and the patient from the
  • the step of controlling the fundus camera of the health detecting terminal to perform focus adjustment and controlling the fundus camera to detect the eye of the patient to obtain the refractive information of the eye includes the following steps: finding the fundus image of the plurality of eyes to find The sharpest image is captured as an imaging parameter of the fundus camera imaging light path; optical calculation is performed according to the imaging parameter to obtain an eye focus parameter, and the refractive information of the eye is acquired based on the focus parameter.
  • the step of controlling the image sensor of the fundus camera to generate a local curvature to take a fundus image adapted to the refractive power of the eye according to the refractive information of the eye comprises the steps of: acquiring different refractive information and different image sensors a mapping relationship between the shape distribution information; determining shape distribution information of the image sensor corresponding to the refractive information of the eye according to the mapping relationship; controlling the fundus image of the image sensor to generate local curvature to adapt the refractive power of the eye according to the shape distribution information Imaging on the image sensor.
  • the fundus camera-based Chinese medicine treatment monitoring method further includes the steps of: periodically obtaining the patient's health information from the health record database and transmitting it to the doctor terminal for the doctor to evaluate the effect of the Chinese medicine treatment, and The improvement effect of TCM treatment is sent to the patient terminal.
  • the fundus camera-based Chinese medicine treatment monitoring method further comprises the steps of: regularly acquiring the knowledge of the Chinese medicine treatment from the health archive database, transmitting the Chinese medicine treatment disease knowledge to the patient terminal, and receiving the Chinese medicine sent from the patient terminal. Treat uninformed feedback and save the information that has been sent and received.
  • the fundus camera-based Chinese medicine treatment monitoring system and method can obtain a high-definition fundus image through a fundus camera, acquire a patient's pulse image according to a pulse diagnosis instrument, and view a patient's fundus.
  • the image is combined with pulse characteristics and consultation information to assist doctors in improving the accuracy of the diagnosis of Chinese medicine.
  • the invention can also provide health reminders for each patient's health status, provide a personalized TCM treatment plan, provide patients with effective health interventions, prevent diseases from the body to maintain patient health, and Better provide patients with a full range of health management services to effectively prevent the occurrence of diseases.
  • FIG. 1 is a schematic diagram of an application environment of a preferred embodiment of a fundus camera-based Chinese medicine treatment monitoring system according to the present invention
  • FIG. 2 is a schematic view of photographing a fundus image using a fundus camera
  • FIG. 3 is a functional block diagram of a Chinese medicine treatment-free disease monitoring system based on a fundus camera of the present invention
  • FIG. 4 is a flow chart of a preferred embodiment of a method for monitoring a disease-free treatment of a fundus camera based on the present invention.
  • FIG. 1 is a schematic diagram of an application environment of a preferred embodiment of a fundus camera-based Chinese medicine treatment monitoring system according to the present invention.
  • the Chinese medicine treatment monitoring system 10 runs in the server 1.
  • the server 1 establishes a communication connection with the health detecting terminal 2 via a wireless network, and establishes a communication connection with the doctor terminal 3 and the patient terminal 4 via the communication network 6, which may be a wired communication network or a wireless communication network, respectively.
  • the server 1 is a server or a computer in a cloud platform. Through the data transmission capability and data processing capability of the server 1, the health detection terminal 2, the doctor terminal 3, and the patient terminal 4 can be better managed and/or assisted. Data transmission and processing.
  • the health detecting terminal 2 includes, but is not limited to, an ID card reader 20, a fundus camera 21, a pulse meter 22, and a communication interface 23.
  • the health detecting terminal 2 further includes a display screen, a microphone, a speaker, and the like for the user to perform voice and video interaction with the doctor.
  • the ID card reader 20 is a photoelectric sensor module for reading personal identification information, and is used for directly reading personal identification information stored on the user's second generation ID card magnetic strip, including name, age, date of birth. Information such as the address of residence can save the time for the patient to enter personally identifiable information, and the entry of personally identifiable information due to input errors during the entry.
  • FIG. 2 is a schematic diagram of photographing a fundus image using a fundus camera.
  • the fundus camera 21 includes, but is not limited to, an optical lens 211, an image sensor 212, and a driving member 213 and a light source 214.
  • the image sensor 212 is a flexible image sensor that is bendable, and the specific structure and form of the flexible image sensor are not limited. The bending is a broad understanding, including a change in curvature of a continuous imaging surface, or a misalignment distribution of different imaging sub-regions in the depth direction, and the like.
  • the driving force of the driving component 213 can be used to bend the imaging surface of the flexible image sensor in whole or in part to a certain extent, that is, the flexible image sensor can change the bending degree thereof to change the flexible image sensor imaging.
  • the shape of the surface is distributed.
  • the optical lens 211 is used for optical focus adjustment of the fundus camera 21, and the image sensor 212 is capable of detecting refractive information of the patient's eye and imaging the patient's eye, thereby acquiring the fundus image that causes the fundus camera 21 to capture the user's fundus image (eg, including clear Color image of the fundus of the retina distribution).
  • the light source 214 is an LED light source that provides light source illumination for the fundus camera 21.
  • the pulse diagnosis device 22 is a commercially available intelligent pulse detection device, which is composed of a single-head, a three-head or a five-head pulse transducer, a pulse amplifier, and an A/D converter.
  • the composition can automatically collect the pulse signal of the patient.
  • the pulse wave transducer is used to detect the blood pressure wave signal of the patient's brachial artery, the blood pressure wave signal is amplified by the pulse amplifier, and the pulse wave signal is output through the A/D converter.
  • the communication interface 23 is a communication interface with remote wireless communication function, for example, a communication interface supporting communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCDMA, TD-LTE, FDD-LTE, etc., for health
  • the detecting terminal 2 performs data communication with the server 1.
  • the doctor terminal 3 is a personal computer, a notebook computer or a doctor workstation installed in a third-party medical care institution.
  • the doctor terminal 3 is configured to receive the fundus image and the pulse characteristic parameter of the patient from the server 1 for the doctor to identify the patient's constitution to obtain a TCM constitution report, and send the patient's TCM constitution report to the server 1 for the doctor to
  • the health information evaluates the patient's effect of the Chinese medicine treatment, and sends the improvement to the patient terminal 4 to inform the patient to track the patient's effect of the Chinese medicine treatment.
  • the patient terminal 4 may be a communication device such as a personal computer, a notebook computer, or a mobile phone carried by the patient.
  • the server 1 is also connected to the health record database 5, and the connection between the server 1 and the health record database 5 is a database connection, for example, Open Database Connectivity (ODBC). And Java Database Connectivity (JDBC).
  • the health record database 5 stores an electronic health record of each patient, the electronic health file including basic information of the patient's health record, medical examination information, health risk assessment information, information on the treatment of the disease, and knowledge of the health care of the patient, such as for the patient. Dietary guidance, exercise guidance, meridian care, acupressure, precautions and many other aspects.
  • FIG. 3 is a block diagram of a preferred embodiment of the fundus camera-based Chinese medicine treatment monitoring system 10 of the present invention.
  • the Chinese medicine treatment monitoring system 10 is applied to the server 1, and the server 1 further includes, but is not limited to, the communication unit 11, the memory 12, and the processor 13.
  • the communication unit 11 is a wired or wireless communication interface with a remote communication function, for example, a communication interface supporting communication technologies such as GSM, GPRS, WCDMA, CDMA, TD-SCDMA, TD-LTE, and FDD-LTE.
  • the memory 12 can be a read only memory ROM, an electrically erasable memory EEPROM, a flash memory FLASH or a solid state hard disk or the like.
  • the processor 13 is a central processing unit (CPU), a microcontroller (MCU), a data processing chip, or an information processing unit having a data processing function.
  • the Chinese medicine treatment monitoring system 10 includes, but is not limited to, the information collection module 101, the fundus detection module 102, the pulse detection module 103, the Chinese medicine consultation module 104, and the treatment of the disease prevention module. 105.
  • the term "module” as used in the present invention refers to a series of computer program instruction segments that can be executed by the processor 13 of the server 1 and that can perform fixed functions, which are stored in the memory 12 of the server 1, as described in detail below with reference to FIG. The function of each module.
  • FIG. 4 it is a flow chart of a preferred embodiment of the method for monitoring the disease of the fundus camera based on the present invention.
  • the various method steps of the fundus camera-based Chinese medicine treatment monitoring method are implemented by a computer software program stored in a computer readable storage medium (for example, a server) in the form of computer program instructions.
  • the computer readable storage medium may include a read only memory, a random access memory, a magnetic disk or an optical disk, etc.
  • the computer program instructions can be loaded by a processor (for example, the processor 13 of the server 1) and perform the following steps. S31 to step S39.
  • step S31 the information collecting module 101 acquires the identity information of the patient through the ID card reader 20 of the health detecting terminal 2.
  • the ID card reader 20 can read the personal identification information from the patient's second generation ID card magnetic strip, including Information such as name, age, date of birth, and address of residence can save time for patients to enter personally identifiable information, as well as incorrect entry of personally identifiable information due to input errors during entry.
  • the fundus detecting module 102 controls the fundus camera 21 of the health detecting terminal 2 to perform focus adjustment, and controls the fundus camera 21 to detect the eye of the patient to acquire refractive information of the eye.
  • the focus adjustment of the optical lens 211 of the fundus camera 21 is beneficial to increase the area of the fundus that can be clearly imaged by the image sensor 212, which is equivalent to increasing the area of the imaging area in which the image sensor 212 is in a focused state, thereby facilitating Improve the image quality of fundus images.
  • the fundus detection module 102 controls the fundus camera 21 to detect the eye of the patient to obtain refractive information of the eye.
  • the fundus detecting module 102 controls the fundus camera 21 to detect the eye portion to obtain the refractive information of the eye portion.
  • the step of: the fundus detecting module 102 finds the sharpest image by capturing the fundus images of the plurality of eyes.
  • the image is used as an imaging parameter of the imaging path of the fundus camera 21, optically calculated according to the imaging parameters to obtain the focusing parameter of the eye, and the refractive information of the eye is acquired based on the focusing parameter.
  • the fundus detecting module 102 controls the image sensor 212 of the fundus camera 21 to generate a local curvature according to the refractive information of the eye to take a fundus image adapted to the refractive power of the eye.
  • the fundus detection module 102 controls the local curvature of the image sensor of the fundus camera according to the refractive information of the eye to improve the sharpness of the fundus of the eye in the image sensor 212. Referring to FIG.
  • the fundus detection module 102 can determine shape distribution information of the image sensor that matches the refractive information of the eye, and control at least partial bending of the image sensor 212 according to the shape distribution information to improve The sharpness of the fundus of the eye is imaged at the image sensor 212.
  • the determining the shape distribution information of the image sensor 212 that matches the refractive information of the eye includes: obtaining a mapping relationship between different refractive information and different shape distribution information of the image sensor 212; determining and according to the mapping relationship The shape distribution information of the image sensor 212 corresponding to the refractive information of the eye.
  • the fundus camera 21 is used to take the fundus image of the user, and the fundus image is sent to the doctor terminal 3 through the communication interface 23 for the doctor to check the eye health condition of the user, or to assist the diagnosis of the patient's pathological condition by observing the fundus image.
  • the fundus image is sent to the doctor terminal 3 through the communication interface 23 for the doctor to check the eye health condition of the user, or to assist the diagnosis of the patient's pathological condition by observing the fundus image.
  • internal medicine, surgery, cardio-cerebral vascular, neurology, cranial surgery, nephrology, hematology, endocrinology, diabetes, infectious diseases, obstetrics and gynecology, genetic diseases, and many other physiological and pathological conditions Provide direct medical evidence for the physician's auxiliary diagnosis, differential diagnosis, and observation of treatment effects.
  • the pulse detection module 103 detects the pulse signal of the patient through the pulse detector 22 of the health detecting terminal 2, and extracts the pulse characteristic parameter of the patient from the pulse signal of the patient; in this embodiment, the pulse The wave signal is composed of a plurality of single pulse waves, and each single pulse wave signal includes at least a characteristic parameter such as a pulse pacing point, a main peak, a heavy beat trough, and a heavy beat peak.
  • the step of extracting a set of pulse characteristic parameters of the patient from the pulse signal of the pulse detection module 102 includes: cutting each pulse signal into a plurality of singles by using each trough or each peak in the pulse signal as a cutting point Pulse wave signal, and each single pulse wave represents the pulse wave generated by each heartbeat rhythm of the heart; using at least one single pulse wave to process data by using a multi-Gaussian hybrid model to find the main peak of the single pulse wave and the two peaks of the heavy beat wave
  • the feature point positions are used as pulse feature parameters.
  • the multi-Gaussian hybrid model is used to process the pulse wave signal, and the characteristic point position of the pulse wave can be effectively extracted, thereby obtaining the pulse characteristic parameter of the patient, so that the doctor can perform the diagnosis of the disease for the patient, such as assessing cardiovascular health. Status and so on.
  • step S35 the Chinese medicine consultation module 104 establishes a video communication connection between the health detecting terminal 2 and the doctor terminal 3 for the doctor to make a video call with the patient, and collects the consultation information between the doctor and the patient from the doctor terminal 3.
  • the Chinese medicine consultation module 104 sends a control command to open the video input and output device of the health detecting terminal 2 and the doctor terminal 3, and the health detecting terminal
  • the video input and output device of 2 establishes a video communication connection with the video input and output device of the doctor terminal 3.
  • the doctor can communicate with the patient through voice and video to realize the consultation, and the doctor can pass the input and output device of the doctor terminal 3 (for example, a keyboard and mouse, etc.
  • the medical consultation information between the doctor and the patient is entered into the doctor terminal 3, and the Chinese medicine consultation module 104 can collect the medical consultation information between the doctor and the patient from the doctor terminal 3 through the server 1.
  • Step S36 the treatment and illness adjustment module 105 sends the patient's identity information, fundus image and pulse feature parameters to the doctor terminal for the doctor to combine the consultation information to formulate a Chinese medicine treatment for the patient.
  • the doctor performs physical fitness identification according to the patient's fundus image, pulse characteristic parameters and medical consultation information, and combines the TCM physical fitness identification criteria, and generates a TCM physical constitution report corresponding to each patient.
  • the TCM constitution identification standard is issued by the Chinese Medicine Association, and includes a variety of physical type information, such as peace and quality, qi deficiency, yin deficiency, yang deficiency, phlegm, blood sputum 9 kinds of human body types such as qi stagnation and special sputum, and 36 types of TCM physique identification criteria derived from the above 9 kinds of physique, such as Qiyin deficiency and deficiency, doctors according to the patient's fundus image and pulse characteristic parameters Combined with the consultation information, the physical identification is performed according to the above criteria.
  • physical type information such as peace and quality, qi deficiency, yin deficiency, yang deficiency, phlegm, blood sputum 9 kinds of human body types such as qi stagnation and special sputum
  • TCM physique identification criteria derived from the above 9 kinds of physique, such as Qiyin deficiency and deficiency, doctors according to the
  • the doctor identifies the patient according to the fundus image and the pulse characteristic parameters of the patient and the diagnosis information, and generates a TCM constitution report corresponding to each patient.
  • the TCM constitution report includes the patient's physical condition report. TCM physical condition, psychological characteristics, pathological conditions and adaptability to the external environment, and whether there is a tendency to ward, etc., according to the TCM constitution report for the doctor to freely develop a personalized treatment plan for the treatment of disease.
  • the untreated nursed back module 105 obtains the patient's traditional Chinese medicine treatment from the doctor terminal 3 and sends it to the patient terminal 4 for the patient to perform the Chinese medicine untreated care program.
  • the treatment for the disease-free regimen includes the doctor's advice on the treatment of the patient according to the patient's TCM constitution report, including diet guidance, exercise guidance, meridian care, acupressure, and precautions. Chinese medicine conditioning recommendations.
  • Step S38 the treatment and illness tracking module 106 periodically obtains the patient's health information from the health record database 52 and sends it to the doctor terminal 3 for the doctor to evaluate the effect of the Chinese medicine treatment, and sends the improvement effect of the Chinese medicine treatment.
  • the patient terminal 4 is centered to notify the patient.
  • the health record database 5 of the present invention can be synchronized with an external medical management system (for example, a hospital information system such as HIS), and thus can be synchronized with the health information of the patient recorded by the external medical management system, thereby enabling each
  • the patient's latest health information is regularly obtained from the Kang archive database 5 for a predetermined period of time (for example, once a month), so that the doctor can supervise the implementation of the nursery program and evaluate the effect of the nursery program, and according to the patient's designated number.
  • the patient's treatment improvement is sent to the patient terminal 4 to inform the patient, enhance the patient's confidence in the effect of the Chinese medicine treatment, and improve the recognition of the Chinese medicine treatment.
  • the treatment of the disease prevention tracking module 106 provides a function of reminding the patient to perform the treatment of the disease prevention and treatment program on time, that is, the treatment of the disease prevention tracking module 106 can send the reminder information to the patient terminal 4 according to the time specified by the Chinese medicine treatment and disease prevention program to remind the patient.
  • Implement the TCM treatment plan on time such as reminding patients to “timely exercise or pay attention to eating habits, etc.” to improve the effect of TCM treatment.
  • the health education module 107 sends the Chinese medical treatment knowledge to the patient terminal 4, receives the Chinese medical treatment information from the patient terminal 4, and saves the information records that have been sent and received for subsequent query by the patient and the doctor.
  • the health education module 107 can actively send the health reminding information to the corresponding patient according to the designated number of the pre-registered patient, that is, for a plurality of patients having commonality, the batch sending of the short message of the designated number of the plurality of patients can be performed.
  • the patient's effective health improvement recommendations can be customized to remind the patient to develop scientific and healthy living habits and other information to send.
  • the fundus camera-based Chinese medicine treatment monitoring system and method disclosed in the embodiment can obtain a high-definition fundus image through a fundus camera, acquire a patient's pulse image according to a pulse diagnosis instrument, and display a patient's fundus image and pulse characteristics, and ask The combination of medical information to assist doctors to improve the accuracy of the diagnosis of Chinese medicine treatment.
  • the invention can also provide health reminders for each patient's health status, provide a personalized TCM treatment plan, provide patients with effective health interventions, prevent diseases from the body to maintain patient health, and Better provide patients with a full range of health management services to effectively prevent the occurrence of diseases.
  • the fundus camera-based Chinese medicine treatment monitoring system and method can obtain a high-definition fundus image through a fundus camera, acquire a patient's pulse image according to a pulse diagnosis instrument, and view a patient's fundus.
  • the image is combined with pulse characteristics and consultation information to assist doctors in improving the accuracy of the diagnosis of Chinese medicine.
  • the invention can also provide health reminders for each patient's health status, provide a personalized TCM treatment plan, provide patients with effective health interventions, prevent diseases from the body to maintain patient health, and Better provide patients with a full range of health management services to effectively prevent the occurrence of diseases.

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Abstract

本发明提供一种基于眼底相机的中医治未病监控系统及方法，该方法包括步骤：通过身份证读卡器获取患者的身份信息；控制眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息；根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像；通过脉诊仪侦测患者的脉波信号，并从脉波信号中抽取患者的脉象特征参数；从医生终端收集医生与患者之间的问诊信息；将患者的身份信息、眼底图像及脉象特征参数发送至医生终端供医生结合问诊信息为患者制定中医治未病调养方案。实施本发明，能够获取高清晰度的眼底图像，并结合脉象特征与问诊信息辅助医生提高对中医治未病诊断效果的准确性。

Description

基于眼底相机的中医治未病监控系统及方法 技术领域
本发明涉及中医治未病的技术领域，尤其涉及一种基于眼底相机的中医治未病监控系统及方法。
 背景技术
中医“治未病”，是让人们不生病，少得病，迟得病，延年益寿的需要。中医“治未病”，就是采取相应措施，维护健康，预防疾病的发生与发展。治未病是中医学的预防学，包括“未病先防、既病防变、病愈防复”三个层次，是“治未病”核心理念。“治未病”强调人们应该注重保养身体、培养正气，以提高机体的抵御病邪能力，达到未生病前预防疾病的发生，生病之后防止进一步发展，以及疾病痊愈以后防止复发的目的。中医“治未病”的方法运用于亚健康、常见病、多发病，特别对慢性病高危人群，如高血压、糖尿病以及恶性肿瘤等慢性疾病的预防、治疗和康复养生，消除或减少精神、心理以及不良生活习惯等“致病因素”的影响，达到维护人体健康状态和疾病预防目的。
人眼眼部的眼底视神经是大脑向外延伸的部分，是重要的视觉器官，眼底的图像可通过眼底相机等仪器进行采集。通常，借助眼底图像可进行眼底疾病或某些全身疾病提供早期诊断或预后判断，因此，高质量的眼底图像对眼科疾病或某些全身疾病的诊断和研究具有重要的价值。然而，利用眼底图像辅助中医治未病时，人眼跟踪的速度和/或精度对获取眼底图像的质量存在较大影响，从而影响对中医治未病诊断的准确性。
 技术问题
本发明的主要目的在于提供一种基于眼底相机的中医治未病监控系统及方法，旨在解决现有技术中利用眼底图像辅助中医治未病时获取眼底图像的质量不佳而影响医生对中医治未病诊断效果的技术问题。
 技术解决方案
为实现上述目的，本发明提供一种基于眼底相机的中医治未病监控系统，运行于服务器中，该服务器连接有健康检测终端、医生终端和健康档案数据库，该服务器包括适于实现各种计算机程序指令的处理器以及适于存储多条计算机程序指令的存储器，所述计算机程序指令由处理器加载并执行如下步骤：通过健康检测终端的身份证读卡器获取患者的身份信息；控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息；根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像；通过健康检测终端的脉诊仪侦测患者的脉波信号，并从所述脉波信号中抽取患者的脉象特征参数；将健康检测终端与医生终端之间建立视频通信连接以供医生与患者视频通话，并从医生终端收集医生与患者之间的问诊信息；将患者的身份信息、眼底图像及脉象特征参数发送至医生终端供医生结合问诊信息为患者制定中医治未病调养方案；从医生终端获取患者的中医治未病调养方案并发送至患者终端供患者执行治中医未病调养方案。
进一步地，所述控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息的步骤包括如下步骤：通过拍摄多张眼部的眼底图像找到拍摄到最清晰图像作为眼底相机成像光路的成像参数；根据成像参数进行光学计算得到眼部的对焦参数，基于对焦参数获取所述眼部的屈光信息。
进一步地，所述根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像的步骤包括如下步骤：获取不同的屈光信息和图像传感器的不同形状分布信息之间的映射关系；根据映射关系确定与眼部的屈光信息对应的图像传感器的形状分布信息；根据形状分布信息控制图像传感器产生局部弯曲使适配眼部屈光能力的眼底图像成像在图像传感器上。
进一步地，所述计算机程序指令由处理器加载还执行如下步骤：定期从健康档案数据库中获取患者的健康信息并发送给医生终端以供医生对中医治未病的效果进行评估，并将中医治未病的改善效果发送至患者终端。
进一步地，所述计算机程序指令由处理器加载还执行如下步骤：定期从健康档案数据库中获取中医治未病知识，发送中医治未病知识至患者终端，接收来自该患者终端发送的中医治未病反馈信息，并保存已发送和接收的信息记录。
本发明还提供一种基于眼底相机的中医治未病监控方法，应用于服务器中，该服务器连接有健康检测终端、医生终端和健康档案数据库，所述基于眼底相机的中医治未病监控方法包括步骤：通过健康检测终端的身份证读卡器获取患者的身份信息；控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息；根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像；通过健康检测终端的脉诊仪侦测患者的脉波信号，并从所述脉波信号中抽取患者的脉象特征参数；将健康检测终端与医生终端之间建立视频通信连接以供医生与患者视频通话，并从医生终端收集医生与患者之间的问诊信息；将患者的身份信息、眼底图像及脉象特征参数发送至医生终端供医生结合问诊信息为患者制定中医治未病调养方案；从医生终端获取患者的中医治未病调养方案并发送至患者终端供患者执行治中医未病调养方案。
进一步地，所述控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息的步骤包括如下步骤：通过拍摄多张眼部的眼底图像找到拍摄到最清晰图像作为眼底相机成像光路的成像参数；根据成像参数进行光学计算得到眼部的对焦参数，基于对焦参数获取所述眼部的屈光信息。
进一步地，所述根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像的步骤包括如下步骤：获取不同的屈光信息和图像传感器的不同形状分布信息之间的映射关系；根据映射关系确定与眼部的屈光信息对应的图像传感器的形状分布信息；根据形状分布信息控制图像传感器产生局部弯曲使适配眼部屈光能力的眼底图像成像在图像传感器上。
进一步地，所述基于眼底相机的中医治未病监控方法还包括步骤：定期从健康档案数据库中获取患者的健康信息并发送给医生终端以供医生对中医治未病的效果进行评估，并将中医治未病的改善效果发送至患者终端。
进一步地，所述基于眼底相机的中医治未病监控方法还包括步骤：定期从健康档案数据库中获取中医治未病知识，发送中医治未病知识至患者终端，接收来自该患者终端发送的中医治未病反馈信息，并保存已发送和接收的信息记录。
 有益效果
相较于现有技术，本发明所述基于眼底相机的中医治未病监控系统及方法，能够通过眼底相机获取高清晰度的眼底图像，根据脉诊仪获取患者的脉象特征，将患者的眼底图像与脉象特征、问诊信息相结合来辅助医生提高对中医治未病诊断效果的准确性。此外，发明还能够针对每个患者的健康状态进行健康提醒，提供个性化的中医治未病调养方案，可为患者提供效果显著的健康干预方式，从体质上着手预防疾病以维护患者健康，能更好地为患者提供了全方位的健康管理服务，有效地预防疾病的发生。
 附图说明
图1是本发明基于眼底相机的中医治未病监控系统优选实施例的应用环境示意图；
图2是利用眼底相机拍摄眼底图像的示意图；
图3为本发明基于眼底相机的中医治未病监控系统的功能模块图；
图4是本发明基于眼底相机的中医治未病监控方法优选实施例的流程图。
本发明目的的实现、功能特点及优点将结合实施例，参照附图做进一步说明。
 本发明的最佳实施方式
为更进一步阐述本发明为达成预定发明目的所采取的技术手段及功效，以下结合附图及较佳实施例，对本发明的具体实施方式、结构、特征及其功效，详细说明如下。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。
参照图1所示，图1是本发明基于眼底相机的中医治未病监控系统优选实施例的应用环境示意图。在本实施例中，所述中医治未病监控系统10运行于服务器1中。所述服务器1通过无线网络与健康检测终端2建立通信连接，并通过通信网络6（可以是有线通信网络或无线通信网络）分别与医生终端3以及患者终端4建立通信连接。所述服务器1是一种云平台中的一台服务器或计算机，通过服务器1的数据传输能力及数据处理能力，可以更好地管理及/或协助健康检测终端2、医生终端3以及患者终端4的数据传输与处理。
所述健康检测终端2包括，但不仅限于，身份证读卡器20、眼底相机21、脉诊仪22以及通信接口23。此外，所述健康检测终端2还包括显示屏、麦克风、扬声器等设备，用于用户与医生进行语音和视频交互。所述身份证读卡器20为现有读取个人身份信息的光电感应模块，用于直接读入用户的二代身份证磁条上存储的个人身份信息，包括姓名、年龄、出生年月日以及居住地址等信息，可以节省患者录入个人身份信息的时间，以及由于录入时的输入错误造成个人身份信息的录入错误。
参考图2所示，图2是利用眼底相机拍摄眼底图像的示意图。在本实施例中，所述眼底相机21包括，但不仅限于，光学透镜211、图像传感器212以及驱动部件213以及光源214。其中，所述图像传感器212为可弯曲的柔性图像传感器，该柔性图像传感器的具体结构和形态并不限制。所述弯曲为广义理解，包括连续成像面的曲率变化，或者包括不同成像子区在深度方向上的错位分布等等。在本实施例中，采用驱动部件213的驱动作用力可将柔性图像传感器的成像表面整体或局部进行一定程度的弯曲，也就是说，柔性图像传感器可整体改变其弯曲程度来改变柔性图像传感器成像表面的形状分布。所述光学透镜211用于眼底相机21的光学对焦调整，图像传感器212能够检测患者眼部的屈光信息以及对患者眼部成像，从而获取使得眼底相机21摄取用户的眼底图像（例如包括清晰的视网膜分布的眼底彩色图像）。所述光源214为LED光源，为眼底相机21提供光源照明。
在本实施例中，所述脉诊仪22为现有市售的一种智能型脉象检测装置，由单头、三头或五头脉象换能器、脉象放大器和A/D转换器等部分组成，能自动采集患者的脉波信号。具体地，利用脉象换能器侦测患者桡动脉的血压波信号，通过脉象放大器将血压波信号进行放大，并通过A/D转换器输出脉波信号。所述通信接口23为一种具有远程无线通讯功能的通讯接口，例如，支持GSM、GPRS、WCDMA、CDMA、TD-SCDMA、TD-LTE、FDD-LTE等通讯技术的通讯接口，用于供健康检测终端2与服务器1进行数据通信。
所述医生终端3为设置在第三方的医疗护理机构中的一台个人计算机、笔记本电脑或者医生工作站。医生终端3用于从服务器器1接收患者的眼底图像及脉象特征参数，供医生对患者的体质进行辨识得到中医体质报告，并将患者的中医体质报告发送给服务器器1，供医生根据患者的健康信息对患者的中医治未病效果进行评估，并把改善情况发送至患者终端4以通知患者对患者的中医治未病效果进行跟踪。所述患者终端4可以是个人计算机、笔记本电脑或患者随身携带的手机等通信设备。
在本实施例中，所述服务器1还连接有健康档案数据库5，所述服务器1与健康档案数据库5之间的连接为一种数据库连接，例如可以为开放数据库连接（Open Database Connectivity，ODBC）以及Java数据库连接（Java Data Base Connectivity，JDBC）。所述健康档案数据库5存储有每一个患者的电子健康档案，该电子健康档案包括患者的健康档案基本信息、体检信息、健康风险评估信息、治未病服务信息以及中医养生知识，例如对患者的饮食指导、运动指导、经络保健、穴位按摩、注意事项等多个方面。
参照图3所示，图3是本发明基于眼底相机的中医治未病监控系统10的优选实施例的模块示意图。在本实施例中，所述中医治未病监控系统10应用于服务器1，该服务器1还包括，但不仅限于，通信单元11、存储器12及处理器13。所述通信单元11为一种具有远程通讯功能的有线或无线通讯接口，例如，支持GSM、GPRS、WCDMA、CDMA、TD-SCDMA、TD-LTE、FDD-LTE等通讯技术的通讯接口。所述存储器12可以为一种只读存储器ROM，电可擦写存储器EEPROM、快闪存储器FLASH或固体硬盘等。所述处理器13为一种中央处理器（CPU）、微控制器（MCU）、数据处理芯片、或者具有数据处理功能的信息处理单元。
在本实施例中，所述中医治未病监控系统10包括，但不局限于，信息采集模块101、眼底侦测模块102、脉象侦测模块103、中医问诊模块104、治未病调养模块105、治未病跟踪模块106及健康教育模块107。本发明所称的模块是指一种能够被所述服务器1的处理器13执行并且能够完成固定功能的一系列计算机程序指令段，其存储在服务器1的存储器12中，以下结合图4具体说明每一个模块的功能。
参考图4所示，是本发明基于眼底相机的中医治未病监控方法的优选实施例的流程图。在本实施例中，所述基于眼底相机的中医治未病监控方法的各种方法步骤通过计算机软件程序来实现，该计算机软件程序以计算机程序指令的形式存储于计算机可读存储介质（例如服务器1的存储器12）中，计算机可读存储介质可以包括：只读存储器、随机存储器、磁盘或光盘等，所述计算机程序指令能够被处理器（例如服务器1的处理器13）加载并执行如下步骤S31至步骤S39。
步骤S31，信息采集模块101通过健康检测终端2的身份证读卡器20获取患者的身份信息。在本实施例中，当患者将二代身份证放置在身份证读卡器20的读卡区域，身份证读卡器20能够从患者的二代身份证磁条上读取个人身份信息，包括姓名、年龄、出生年月日以及居住地址等信息，可以节省患者录入个人身份信息的时间，以及由于录入时的输入错误造成个人身份信息的录入错误。
步骤S32，眼底侦测模块102控制健康检测终端2的眼底相机21进行对焦调整，并控制眼底相机21对患者的眼部进行检测以获取眼部的屈光信息。本实施例对所述眼底相机21的光学透镜211进行对焦调整，有利于增加眼底在图像传感器212可清晰成像的区域，相当于增加图像传感器212处于合焦状态的成像区域的面积，进而有利于提高眼底图像的成像质量。此外，眼底侦测模块102控制眼底相机21对患者的眼部进行检测以获取眼部的屈光信息。所述眼底侦测模块102控制眼底相机21对所述眼部进行检测以获取所述眼部的屈光信息包括步骤：眼底侦测模块102通过拍摄多张眼部的眼底图像找到拍摄到最清晰图像作为眼底相机21成像光路的成像参数，根据成像参数进行光学计算得到眼部的对焦参数，基于对焦参数获取所述眼部的屈光信息。
步骤S33，眼底侦测模块102根据眼部的屈光信息控制眼底相机21的图像传感器212产生局部弯曲以摄取适配眼部屈光能力的眼底图像。在本实施例中，眼底侦测模块102根据眼部的屈光信息控制眼底相机的图像传感器的局部弯曲，以提高所述眼部的眼底在所述图像传感器212成像的清晰度，参考图2所示，眼底侦测模块102可确定与所述眼部的屈光信息匹配的所述图像传感器的形状分布信息，根据所述形状分布信息控制所述图像传感器212的至少局部弯曲，以提高所述眼部的眼底在图像传感器212成像的清晰度。其中，确定与所述眼部的屈光信息匹配的所述图像传感器212的形状分布信息，包括：获取不同屈光信息和图像传感器212不同形状分布信息之间的映射关系；根据映射关系确定与所述眼部的屈光信息对应的图像传感器212的形状分布信息。
在本实施例中，采用眼底相机21摄取用户的眼底图像，并将眼底图像通过通信接口23发送至医生终端3供医生检查用户的眼睛健康状况，或者通过观察眼底图像辅助诊断用户的病理病症，例如内科、外科、心脑血管科、神经内科、颅脑外科、肾脏病科、血液病科、内分泌科、糖尿病科、传染病科、妇产科、遗传病科等众多生理和病理病症，从而为医生的辅助诊断、鉴别诊断以及治疗效果观察提供直接医学证据。
步骤S34，脉象侦测模块103通过健康检测终端2的脉诊仪22侦测患者的脉波信号，并从患者的脉波信号中抽取患者的脉象特征参数；在本实施例中，所述脉波信号由多个单一脉波所组成，每一个单一脉波信号至少包括脉搏的起搏点、主波峰、重搏波谷、重搏波峰等特征参数。脉象侦测模块102患者的脉波信号中抽取患者的一组脉象特征参数的步骤包括：将脉波信号中的每一波谷或每一波峰作为切割点将每一个脉波信号切割出多个单一脉波信号，而每一个单一脉波代表心脏每一次心跳律动所产生的脉波；利用多高斯混合模型将至少一个单一脉波进行数据处理找出单一脉波的主波峰及重搏波峰的两个特征点位置作为脉象特征参数。本实施例通过多高斯混合模型处理脉波信号能够有效的撷取出脉波的特征点位置，进而能得到患者的脉象特征参数，以供医生为患者进行中医治未病分析，如评估心血管健康状态等等。
步骤S35，中医问诊模块104将健康检测终端2与医生终端3之间建立视频通信连接以供医生与患者视频通话，并从医生终端3收集医生与患者之间的问诊信息。当信息采集模块101从身份证读卡器21获取到慢病患者的身份信息时，中医问诊模块104发送控制指令开启健康检测终端2与医生终端3的视频输入输出设备，并将健康检测终端2的视频输入输出设备与医生终端3的视频输入输出设备建立视频通信连接，此时，医生可以通过语音视频与患者沟通实现问诊，医生可以通过医生终端3的输入输出设备（例如键盘鼠标等）将医生与患者之间的问诊信息录入到医生终端3中，此时中医问诊模块104可以通过服务器1从医生终端3收集医生与患者之间的问诊信息。
步骤S36，治未病调养模块105将患者的身份信息、眼底图像及脉象特征参数发送至医生终端供医生结合问诊信息为患者制定中医治未病调养方案。具体地，医生根据患者的眼底图像、脉象特征参数及问诊信息，并结合中医体质辨识判定标准进行体质辨识，同时生成每个患者对应的中医体质报告。在本实施例中，所述中医体质辨识判定标准由中华中医药学会颁发，其包括多种体质类型信息，例如平和质、气虚质、阴虚质、阳虚质、痰湿质、血瘀质、气郁质和特禀质等9种人群体质类型以及由上述9种体质衍生的体检质类型如气阴两虚等36种的中医体质辨识判定标准，医生根据患者的眼底图像及脉象特征参数并结合问诊信息按照上述标准进行体质辨识，医生根据患者的眼底图像及脉象特征参数并结合问诊信息对患者进行体质辨识，生成每个患者对应的中医体质报告，该中医体质报告包括患者的中医体质情况、心理特征、病理病症和对外界环境的适应能力，以及是否有发病倾向等信息，医生根据中医体质报告为患者自由制定个性化的治未病调养方案。
步骤S37，治未病调养模块105从医生终端3获取患者的中医治未病调养方案并发送至患者终端4供患者执行治中医未病调养方案。在本实例中，所述治未病调养方案包括医生根据患者的中医体质报告对患者给出的治未病建议，包括饮食指导、运动指导、经络保健、穴位按摩、注意事项等多个方面的中医调理建议。
步骤S38，治未病跟踪模块106定期从健康档案数据库52中获取患者的健康信息并发送给医生终端3以供医生对中医治未病的效果进行评估，并将中医治未病的改善效果发送至中患者终端4以通知患者。具体地，本发明所述健康档案数据库5可通过与外部的医疗管理系统（例如HIS等医院信息化系统）的对接，因此能够与外部医疗管理系统记录的患者的健康信息保持同步，从而能够每个预定时间周期（例如每月1次）定期从康档案数据库5中获取患者的最新健康信息，方便医生对调养方案的执行进行监管以及对调养方案的效果进行评估，并按照患者的指定号码将患者的治未病改善情况发送至患者终端4以通知患者，增强患者对中医治未病效果的信心，同时提高对中医治未病的认同感。
在本实施例中，充分考虑到中医治未病的特点，需要患者持续执行治未病调养方案直到病根的解除，对于一些特殊的患者可能对长期执行调养方案的意愿不强或者忘记执行调养方案。因此，治未病跟踪模块106提供了提醒患者按时执行治未病调养方案的功能，即治未病跟踪模块106可以按照中医治未病调养方案规定的时间发送提醒信息至患者终端4以提醒患者按时执行中医治未病调养方案，例如提醒患者“按时运动或者注意饮食习惯等，”以提升中医治未病的效果。
步骤S39，健康教育模块107发送中医治未病知识至患者终端4，接收来自患者终端4的中医治未病反馈信息，并保存已发送和接收的信息记录，以供患者和医生后续查询。具体地，健康教育模块107可以根据预先登记的患者的指定号码主动向对应的患者发送健康提醒信息，即对于有共性的多个患者，可以进行对该多个患者的指定号码进行短信的批量发送；针对个别患者存在的健康危险状况，可以自定义该患者的有效的健康改善建议，提醒该患者养成科学的、健康的生活习惯等信息进行发送。
本实施例公开的基于眼底相机的中医治未病监控系统及方法，能够通过眼底相机获取高清晰度的眼底图像，根据脉诊仪获取患者的脉象特征，将患者的眼底图像与脉象特征、问诊信息相结合来辅助医生提高对中医治未病诊断效果的准确性。此外，发明还能够针对每个患者的健康状态进行健康提醒，提供个性化的中医治未病调养方案，可为患者提供效果显著的健康干预方式，从体质上着手预防疾病以维护患者健康，能更好地为患者提供了全方位的健康管理服务，有效地预防了疾病的发生。
本领域技术人员可以理解，上述实施方式中各种方法的全部或部分步骤可以通过相关程序指令完成，该程序可以存储于计算机可读存储介质中，存储介质可以包括：只读存储器、随机存储器、磁盘或光盘等。
以上仅为本发明的优选实施例，并非因此限制本发明的专利范围，凡是利用本发明说明书及附图内容所作的等效结构或等效流程变换，或直接或间接运用在其他相关的技术领域，均同理包括在本发明的专利保护范围内。
 工业实用性
相较于现有技术，本发明所述基于眼底相机的中医治未病监控系统及方法，能够通过眼底相机获取高清晰度的眼底图像，根据脉诊仪获取患者的脉象特征，将患者的眼底图像与脉象特征、问诊信息相结合来辅助医生提高对中医治未病诊断效果的准确性。此外，发明还能够针对每个患者的健康状态进行健康提醒，提供个性化的中医治未病调养方案，可为患者提供效果显著的健康干预方式，从体质上着手预防疾病以维护患者健康，能更好地为患者提供了全方位的健康管理服务，有效地预防疾病的发生。

Claims (10)

  1. 一种基于眼底相机的中医治未病监控系统，运行于服务器中，该服务器连接有健康检测终端、医生终端和健康档案数据库，该服务器包括适于实现各种计算机程序指令的处理器以及适于存储多条计算机程序指令的存储器，其特征在于，所述计算机程序指令由处理器加载并执行如下步骤：通过健康检测终端的身份证读卡器获取患者的身份信息；控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息；根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像；通过健康检测终端的脉诊仪侦测患者的脉波信号，并从所述脉波信号中抽取患者的脉象特征参数；将健康检测终端与医生终端之间建立视频通信连接以供医生与患者视频通话，并从医生终端收集医生与患者之间的问诊信息；将患者的身份信息、眼底图像及脉象特征参数发送至医生终端供医生结合问诊信息为患者制定中医治未病调养方案；从医生终端获取患者的中医治未病调养方案并发送至患者终端供患者执行治中医未病调养方案。
  2. 如权利要求1所述的基于眼底相机的中医治未病监控系统，其特征在于，所述控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息的步骤包括如下步骤：通过拍摄多张眼部的眼底图像找到拍摄到最清晰图像作为眼底相机成像光路的成像参数；根据成像参数进行光学计算得到眼部的对焦参数，基于对焦参数获取所述眼部的屈光信息。
  3. 如权利要求1所述的基于眼底相机的中医治未病监控系统，其特征在于，所述根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像的步骤包括如下步骤：获取不同的屈光信息和图像传感器的不同形状分布信息之间的映射关系；根据映射关系确定与眼部的屈光信息对应的图像传感器的形状分布信息；根据形状分布信息控制图像传感器产生局部弯曲使适配眼部屈光能力的眼底图像成像在图像传感器上。
  4. 如权利要求1所述的基于眼底相机的中医治未病监控系统，其特征在于，所述计算机程序指令由处理器加载还执行如下步骤：定期从健康档案数据库中获取患者的健康信息并发送给医生终端以供医生对中医治未病的效果进行评估，并将中医治未病的改善效果发送至患者终端。
  5. 如权利要求1所述的基于眼底相机的中医治未病监控系统，其特征在于，所述计算机程序指令由处理器加载还执行如下步骤：定期从健康档案数据库中获取中医治未病知识，发送中医治未病知识至患者终端，接收来自该患者终端发送的中医治未病反馈信息，并保存已发送和接收的信息记录。
  6. 一种基于眼底相机的中医治未病监控方法，应用于服务器中，该服务器连接有健康检测终端、医生终端和健康档案数据库，其特征在于，所述基于眼底相机的中医治未病监控方法包括步骤：通过健康检测终端的身份证读卡器获取患者的身份信息；控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息；根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像；通过健康检测终端的脉诊仪侦测患者的脉波信号，并从所述脉波信号中抽取患者的脉象特征参数；将健康检测终端与医生终端之间建立视频通信连接以供医生与患者视频通话，并从医生终端收集医生与患者之间的问诊信息；将患者的身份信息、眼底图像及脉象特征参数发送至医生终端供医生结合问诊信息为患者制定中医治未病调养方案；从医生终端获取患者的中医治未病调养方案并发送至患者终端供患者执行治中医未病调养方案。
  7. 如权利要求6所述的基于眼底相机的中医治未病监控方法，其特征在于，所述控制健康检测终端的眼底相机进行对焦调整并控制眼底相机对患者的眼部进行检测以获取眼部的屈光信息的步骤包括如下步骤：通过拍摄多张眼部的眼底图像找到拍摄到最清晰图像作为眼底相机成像光路的成像参数；根据成像参数进行光学计算得到眼部的对焦参数，基于对焦参数获取所述眼部的屈光信息。
  8. 如权利要求6所述的基于眼底相机的中医治未病监控方法，其特征在于，所述根据眼部的屈光信息控制眼底相机的图像传感器产生局部弯曲以摄取适配眼部屈光能力的眼底图像的步骤包括如下步骤：获取不同的屈光信息和图像传感器的不同形状分布信息之间的映射关系；根据映射关系确定与眼部的屈光信息对应的图像传感器的形状分布信息；根据形状分布信息控制图像传感器产生局部弯曲使适配眼部屈光能力的眼底图像成像在图像传感器上。
  9. 如权利要求6所述的基于眼底相机的中医治未病监控方法，其特征在于，该方法还包括步骤：定期从健康档案数据库中获取患者的健康信息并发送给医生终端以供医生对中医治未病的效果进行评估，并将中医治未病的改善效果发送至患者终端。
  10. 如权利要求6所述的基于眼底相机的中医治未病监控方法，其特征在于，该方法还包括步骤：定期从健康档案数据库中获取中医治未病知识，发送中医治未病知识至患者终端，接收来自该患者终端发送的中医治未病反馈信息，并保存已发送和接收的信息记录。
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