WO2020132826A1 - Monitoring apparatus and physiological vital sign monitoring method implemented thereby - Google Patents

Monitoring apparatus and physiological vital sign monitoring method implemented thereby Download PDF

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Publication number
WO2020132826A1
WO2020132826A1 PCT/CN2018/123165 CN2018123165W WO2020132826A1 WO 2020132826 A1 WO2020132826 A1 WO 2020132826A1 CN 2018123165 W CN2018123165 W CN 2018123165W WO 2020132826 A1 WO2020132826 A1 WO 2020132826A1
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WIPO (PCT)
Prior art keywords
physiological
physiological sign
display area
parameters
signs
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PCT/CN2018/123165
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French (fr)
Chinese (zh)
Inventor
卿磊
何昆仑
张政波
王澄
秦杰
Original Assignee
深圳迈瑞生物医疗电子股份有限公司
中国人民解放军总医院
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Application filed by 深圳迈瑞生物医疗电子股份有限公司, 中国人民解放军总医院 filed Critical 深圳迈瑞生物医疗电子股份有限公司
Priority to CN201880098874.1A priority Critical patent/CN112996426A/en
Priority to PCT/CN2018/123165 priority patent/WO2020132826A1/en
Publication of WO2020132826A1 publication Critical patent/WO2020132826A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/145Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue

Definitions

  • the invention relates to the field of medical monitoring, in particular to a monitoring device and a method for monitoring its physiological signs.
  • the monitor can synchronously and continuously monitor the patient's ECG, blood pressure, breathing and body temperature and other parameters, providing a good means for medical staff to grasp the patient's condition in a comprehensive, intuitive and timely manner.
  • monitors With the continuous development of monitors, the display interface of monitors is becoming more and more abundant.
  • Current monitors usually provide real-time patient parameters and waveform monitoring information on the main interface, and list all historical data of monitoring parameters in the review menu.
  • Doctors need to call up the review menu on the monitor during ward rounds, and then select the required parameters from many monitoring parameters for viewing and evaluation, and search and analyze system by system, which is tedious and time-consuming.
  • An embodiment of the present invention provides a method for monitoring physiological signs, including:
  • the monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area.
  • An embodiment of the present invention provides a monitoring device, including:
  • a display configured to display information
  • a processor the processor executes program instructions to implement the following steps:
  • the monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area.
  • An embodiment of the present invention provides a computer-readable storage medium, in which instructions are stored in a computer-readable storage medium, which when executed on a computer, causes the computer to execute the methods described in the above aspects.
  • Figure 1 is a system framework diagram of a parameter processing module in a multi-parameter monitor
  • Figure 2 is a system framework diagram of a parameter processing module in a single-parameter monitor
  • Figure 3 is a framework diagram of a network system of monitors used in the hospital
  • FIG. 5 is a schematic diagram of an interface of a display area of a slice window in an embodiment of the present invention.
  • FIG. 6 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention.
  • FIG. 7 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention.
  • FIG. 8 is a schematic diagram of another interface of the display area of the slice window in the embodiment of the present invention.
  • FIG. 9 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention.
  • FIG 10 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention.
  • FIG 11 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention.
  • FIG. 1 provides a system frame diagram of a multi-parameter monitor.
  • the multi-parameter monitor has an independent housing with a sensor interface area on the housing panel, in which multiple sensor interfaces are integrated for connection with external physiological parameter sensor accessories 111.
  • the housing panel also includes a small LCD display area and a display 119 , Input interface circuit 122 and alarm circuit 120 (such as LED alarm area) and so on.
  • the parameter processing module is used for external communication and power interface for communicating with the host and taking power from the host.
  • the parameter processing module also supports extrapolated parameter modules.
  • the plug-in monitor host can be formed by inserting the parameter module as a part of the monitor, or connected to the host through a cable.
  • the extrapolated parameter module is used as an external accessory of the monitor.
  • the internal circuit of the parameter processing module is placed in the housing, as shown in FIG. 1, and includes at least two signal acquisition circuits 112, signal processing circuits 113, and a main processor 115 corresponding to physiological parameters.
  • the signal acquisition circuit 112 may be selected from electrocardiograms Circuits, breathing circuits, body temperature circuits, blood oxygen circuits, non-invasive blood pressure circuits, invasive blood pressure circuits, etc. These signal acquisition circuits 112 are electrically connected to the corresponding sensor interfaces for electrical connection to sensor accessories corresponding to different physiological parameters 111, its output terminal is coupled to the front-end signal processor, the communication port of the front-end signal processor is coupled to the main processor, and the main processor is electrically connected to the external communication and power interface.
  • the front-end signal processor completes the sampling and analog-to-digital conversion of the signal acquisition circuit output signal, and outputs the control signal to control the physiological signal measurement process. These parameters include but are not limited to : ECG, respiration, body temperature, blood oxygen, noninvasive blood pressure and invasive blood pressure parameters.
  • the front-end signal processor can be implemented by a single-chip microcomputer or other semiconductor devices. For example, LHL2136 of PHLIPS, or mixed-signal single-chip microcomputers such as ADI's ADuC7021, or ASIC or FPGA can be used.
  • the front-end signal processor can be powered by an isolated power supply.
  • the sampled data is sent to the main processor through the isolated communication interface.
  • the front-end signal processor circuit can be coupled to the main processor 115 through the isolated power supply and the communication interface 114. .
  • the reason why the front-end signal processor is powered by the isolated power supply is that the DC/DC power supply isolated by the transformer plays the role of isolating the patient from the power supply equipment.
  • the main purposes are: 1. Isolating the patient, floating the application part through the isolation transformer, so that The patient leakage current is small enough; 2. Prevent the voltage or energy during the application of defibrillation or electrocautery from affecting the cards and devices of the intermediate circuit such as the main control board (guaranteed by creepage distance and electrical clearance).
  • the main processor completes the calculation of physiological parameters, and sends the calculation results and waveforms of the parameters to the host (such as a host with a display, a PC, a central station, etc.) through external communication and power interface.
  • the external communication and power interface 116 can be Ethernet (Ethernet), Token Ring (Token Ring), Token Bus (Token Bus), and one or a combination of the LAN interfaces composed of the fiber distribution data interface (FDDI) as the backbone of the three types of networks. It is one or a combination of wireless interfaces such as infrared, Bluetooth, wifi, and WMTS communication, or one or a combination of wired data connection interfaces such as RS232 and USB.
  • the external communication and power supply interface 116 may also be one or a combination of two of a wireless data transmission interface and a wired data transmission interface.
  • the host computer can be any computer equipment such as the host computer of the monitor, the electrocardiograph, the ultrasound diagnostic apparatus, and the computer. By installing the matched software, a monitor device can be formed.
  • the host can also be a communication device, such as a mobile phone, and the parameter processing module sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface to realize remote transmission of data.
  • FIG. 3 it provides a network system of monitors used in the hospital.
  • the data of the monitor can be saved as a whole, and the patient information and care information can be centrally managed. The two are stored in association to facilitate the preservation of historical data. And associated alarms.
  • a bedside monitor 212 can be provided for each bed, and the bedside monitor 212 can be the aforementioned multi-parameter monitor or a plug-in monitor.
  • each bedside monitor 212 can also be paired with a portable monitoring device 213.
  • the portable monitoring device 213 provides a simple and portable parameter processing module, but it is worn on the patient's body to carry out mobile monitoring for the patient.
  • the physiological data generated by the mobile monitoring can be transmitted to the bedside monitor 212 for display, or transmitted to the central station 211 through the bedside monitor 212 for the doctor or The nurse can view it or transmit it to the data server 215 through the bedside monitor 212 for storage.
  • the portable monitoring device 213 can also directly transmit the physiological data generated by the mobile monitoring to the central station 211 through the wireless network node 214 installed in the hospital for storage and display, or the mobile monitoring through the wireless network node 214 installed in the hospital The generated physiological data is transmitted to the data server 215 for storage. It can be seen that the data corresponding to the physiological parameters displayed on the bedside monitor 212 may be derived from a sensor accessory directly connected to the monitor, or from the portable monitoring device 213, or from the data server.
  • An embodiment of the present invention provides a physiological sign monitoring method.
  • the method is applied to medical monitoring equipment, and is particularly suitable for medical monitoring equipment including a display. Therefore, the display can be used to display the monitoring data corresponding to the relevant physiological signs.
  • the medical monitoring device can execute program instructions stored in the memory to implement the corresponding physiological sign monitoring method.
  • Step 401 Obtain monitoring data of physiological signs of a monitoring object.
  • the physiological sign sensor in the medical monitoring device can acquire monitoring data of the physiological sign parameter of the monitoring object within a preset time period.
  • the preset time period may be preset by the user, such as 8 hours or 24 hours, or may be set when the medical monitoring equipment is shipped from the factory, which is not limited here.
  • the sensor in this embodiment may be a detection device, which can sense the measured information and convert the sensed information into electrical signals or other required forms of information output according to a certain rule to meet the transmission of information , Processing, storage, display, recording and control requirements.
  • the medical monitoring device may also obtain monitoring data from other devices.
  • the medical monitoring device when the medical monitoring device is the central station 211, the central station 211 may obtain monitoring data from the bedside monitor 212.
  • Step 402 Classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set.
  • the processor of the monitoring device may classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set, and each classified physiological sign set corresponds to a category.
  • different physiological sign sets in at least one physiological sign set correspond to different physiological systems, wherein the physiological system includes at least one of the following: basic vital sign system, circulatory system, infection system, nervous system, respiratory system, Nutritional metabolism system. The following is a detailed introduction to the collection of physiological signs corresponding to each physiological system.
  • the set of physiological sign parameters related to hemodynamics can be corresponded to the circulatory system.
  • the processor in the medical monitoring device can first convert the physiological sign parameters according to the correlation of the physiological sign parameters Perform classification to obtain physiological sign parameters related to hemodynamics, and determine the physiological sign parameters related to hemodynamics as a set of physiological signs.
  • the physiological signs related to hemodynamics may include at least blood pressure and heart rate, or the physiological signs related to hemodynamics may include at least blood pressure and pulse rate, wherein the blood pressure may be non-invasive blood pressure, arterial pressure and/or Central venous pressure, etc.
  • the physiological sign parameters related to hemodynamics may include: heart rate (HR), blood oxygen saturation (surplus pulse O2, SpO2), arterial pressure (ART), central vein Pressure (CVP), pulse pressure variation (PPV), cardiac output (CO) (for example, continuous cardiac output (CO)) and peripheral vascular resistance index (CCO) one or more of speripheral vascular resistance index (SVRI) parameters.
  • HR heart rate
  • surplus pulse O2, SpO2 blood oxygen saturation
  • ART arterial pressure
  • CVP central vein Pressure
  • PSV pulse pressure variation
  • CO cardiac output
  • CO peripheral vascular resistance index
  • SVRI speripheral vascular resistance index
  • HR refers to the number of heartbeats per minute in a normal person in a quiet state, also known as a quiet heart rate, which is generally 60 to 100 beats per minute, which can vary individually due to age, gender or other physiological factors. Generally speaking, the younger the age, the faster the HR, the heartbeat of the elderly is slower than that of the younger, and the HR of women is faster than that of men of the same age. These are normal physiological phenomena. In a quiet state, the normal HR of an adult is 60 to 100 times per minute, and the ideal HR should be 55 to 70 times per minute.
  • SpO2 is the percentage of the volume of oxygen-bound oxyhemoglobin in the blood that accounts for the volume of all bound hemoglobin, that is, the concentration of blood oxygen in the blood. It is an important physiological parameter of the respiratory cycle.
  • the metabolic process of the human body is a biological oxidation process, and the oxygen required in the metabolic process enters the human blood through the respiratory system, combines with the hemoglobin in the blood red blood cells to form oxyhemoglobin, and then transports to various tissues and cells of the human body. Blood's ability to carry and transport oxygen is measured by blood oxygen saturation.
  • ART is one of the important indicators of circulatory function. If ART is too high or too low, it will affect the blood supply of various organs and the burden of the heart. If the ART is too low, it will cause a decrease in blood supply to the organs, especially the insufficient blood supply to important organs such as the brain and heart, which will cause serious consequences. If the blood pressure is too high, the heart and blood vessels are overloaded. Patients with long-term hypertension often cause compensatory cardiac hypertrophy, cardiac insufficiency, and even heart failure. Blood vessels are subject to high pressure for a long time, and the pathological changes of the blood vessel wall itself may even cause rupture and cause serious consequences such as cerebral hemorrhage. Therefore, it is very important to maintain the relatively stable state of ART near normal.
  • CVP refers to the pressure in the right atrium and the upper and inferior vena cava thoracic segment. It can judge the comprehensive situation of the patient's blood volume, cardiac function and vascular tone, which is different from the surrounding venous pressure. The latter is affected by venous valves and other mechanical factors, so it cannot accurately reflect blood volume and cardiac function.
  • PPV is defined as the arterial blood pressure variability in patient fluid management and relies on cardiopulmonary interaction to assess infusion responsiveness during mechanical ventilation.
  • Arterial PPV derived from arterial waveform analysis and stroke volume variation derived from pulse profile analysis have been shown to be good predictors of infusion responsiveness.
  • CO refers to the amount of blood injected into the aorta or pulmonary artery by the left ventricle or right ventricle per minute.
  • the output of the left and right ventricles are basically equal.
  • the volume of blood output by each beat of the ventricle is called stroke volume.
  • the body At rest, the body is about 70 ml. If the HR averages 75 times per minute, the output of blood per minute is about 5000 ml, that is, CO per minute.
  • CO is an important indicator for evaluating the efficiency of the circulation system.
  • CO is largely compatible with the metabolism of tissue cells throughout the body.
  • CCO refers to the CO obtained in a continuous period of time.
  • the CO in this embodiment may specifically include CCO.
  • SVR peripheral vascular resistance
  • SVR is a quantitative indicator that diagnoses and reflects the level of post-load in the circulating blood flow group and the heart.
  • the resistance blood vessels increase the response to vasomotor regulation and gradually increase the blood vessel remodeling.
  • the narrowing of the radius of the blood vessel is the key factor for the increase of SVR.
  • Increased SVR increases blood pressure, which increases the heart's afterload level and oxygen consumption.
  • the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain the physiological sign parameters related to the basic vital sign system, and the The physiological sign parameters related to the vital signs system are determined as a set of physiological signs.
  • the physiological sign parameters related to the basic vital sign system can be used to judge the severity and criticality of the patient.
  • the physiological sign parameters related to the basic vital sign system can include at least heart rate, pulse, blood pressure, blood Changes in oxygen saturation, respiration rate, pain, body temperature, pupillary and corneal reflexes, etc. They are the mainstay for maintaining the normal activities of the body. They are indispensable. No matter which abnormality will cause serious or fatal diseases, and some diseases can also cause the changes or deterioration of these four major signs.
  • the physiological sign parameters related to the basic vital sign system may include: heart rate (HR), blood oxygen saturation (surplus pulse O2, SpO2), arterial pressure (ART), respiration One or more of the rate (respiration, rate, RR) and body temperature (temperature, TEMP).
  • BP refers to the lateral pressure that acts on the blood vessel wall per unit area when blood flows in the blood vessel, and it is the driving force that promotes blood flow in the blood vessel. It is called arterial blood pressure, capillary pressure and venous blood pressure in different blood vessels.
  • the blood pressure is generally referred to as the arterial blood pressure of the systemic circulation.
  • RR is the number of milligrams of oxygen consumed or carbon dioxide released per gram of living tissue per hour.
  • the size of RR can reflect the strength of a certain organism's metabolic activity.
  • the RR per minute varies with age, gender, and physiological state.
  • the RR for adults is about 16-20 times per minute when calm, about 20 times per minute for children, and generally 1-2 times faster for women than men. It is also an important diagnosis basis for doctors in clinical diagnosis.
  • TEMP may change slightly within the normal range, for example: TEMP is relatively higher in the afternoon than in the morning, but generally differs by less than 1°C; after eating, after working or strenuous exercise, TEMP may also increase slightly; suddenly enter a high temperature environment Factors such as emotional agitation can also slightly increase TEMP; women's TEMP is slightly higher than normal during ovulation and pregnancy. There are also slight differences in TEMP at different ages. For example, children have a higher metabolic rate and TEMP is higher than adults; elderly people have a lower metabolic rate and their TEMP is slightly lower than that of young adults.
  • the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain the physiological sign parameters related to the infection system and relate the infection system
  • the physiological sign parameters are determined as a set of physiological signs.
  • the physiological sign parameters related to the infection system may include at least blood pressure, heart rate (HR), respiration rate (RR), temperature (Temp), and central venous pressure (CVP) , Central Venous Oxygen Saturation (ScvO2) and other physiological signs parameters.
  • the set of physiological sign parameters related to craniocerebral injury may be corresponding to the nervous system.
  • the processor in the medical monitoring device may first perform the physiological sign parameters according to the correlation of the physiological sign parameters Classification, obtain physiological sign parameters related to craniocerebral injury, and determine the physiological sign parameters related to craniocerebral injury as a set of physiological signs.
  • the physiological sign parameters related to craniocerebral injury may include at least blood pressure and body temperature, wherein the blood pressure may be non-invasive blood pressure, arterial pressure, central venous pressure, etc.
  • the physiological sign parameters related to craniocerebral injury It can include respiration rate (RR), intracranial pressure (ICP), bispectral index (BIS) and so on.
  • the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters, to obtain the physiological sign parameters related to the nutritional metabolism system, and compare the nutritional metabolism parameters with the nutritional metabolism system.
  • the system-related physiological sign parameters are determined as a set of physiological signs.
  • the physiological sign parameters related to the nutritional metabolic system may include at least energy expenditure (EE), respiratory entropy, and major metabolites.
  • the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters, to obtain the physiological sign parameters related to the respiratory system, and to correlate them with the respiratory system
  • the physiological sign parameters are determined as a set of physiological signs.
  • the physiological sign parameters related to the respiratory system may include at least respiration rate (RR), blood oxygen saturation (surplus pulse O2, SpO2), end-tidal carbon dioxide (end-tidal, EtCO2), etc.
  • Step 403 Display monitoring data of physiological sign parameters in the at least one physiological sign set in the display area of the slice window.
  • the physiological sign parameters in the at least one physiological sign set may be displayed in the slice window display area Monitoring data.
  • the area where the monitoring data is displayed in the display area of the slice window is called the first area.
  • the waveform information of the monitoring data may be displayed in the display area of the slice window.
  • the waveform information mentioned in this embodiment may include analog signal waveforms corresponding to physiological signs, numerical trend graphs, etc. At the same time, it can also include the numerical information of the physiological sign parameters displayed along with the waveform.
  • At least one of waveform information, alarm statistical information, and health scores of physiological sign parameters in at least one physiological sign set may be displayed in the slice window display area.
  • FIG. 5 is an interface schematic diagram of the slice window display area in the embodiment of the present invention.
  • the slice window display area When displaying the waveform information of the physiological sign parameters in at least one physiological sign set, related waveform monitoring information may be displayed in the first display area.
  • the waveform monitoring information of the circulatory system parameters such as HR, ART, CVP, and PPV of the patient within 8 hours is displayed in the first display area.
  • the waveform monitoring information of these circulatory system parameters can be obtained through the trend graph. Display in form, that is, you can see the change of the detection data of the circulatory system parameters with time.
  • FIG. 6 is another schematic diagram of the interface of the slice window display area in the embodiment of the present invention.
  • the window display area displays waveform information of physiological sign parameters in at least one physiological sign set
  • related waveform monitoring information may be displayed in the first display area.
  • the waveform monitoring information of the patient's basic vital signs system parameters such as HR, SpO2, RR, Temp (body temperature), and Art (arterial pressure) within 8 hours are displayed in the first display area.
  • these basic The waveform monitoring information of the vital signs system parameters can be displayed in the form of a trend graph, that is, the change of the detection data of the basic vital signs system parameters with time can be seen.
  • FIG. 7 is another schematic diagram of the interface of the slice window display area in the embodiment of the present invention.
  • the area displays waveform information of physiological sign parameters in at least one physiological sign set
  • related waveform monitoring information may be displayed in the first display area.
  • the waveform monitoring information of the patient's HR, CVP, ScvO2, RR, Temp (body temperature), Art (arterial pressure) and other infection system parameters within 8 hours is displayed.
  • the waveform monitoring information of the system parameters can be displayed in the form of a trend graph, that is, the change of the detection data of the infected system parameters over time can be seen.
  • FIG. 8 is another schematic view of the interface of the slice window display area in the embodiment of the present invention.
  • the area displays waveform information of physiological sign parameters in at least one physiological sign set
  • related waveform monitoring information may be displayed in the first display area.
  • the waveform display information of the brain injury parameters such as RR, Temp (Art temperature), Art (arterial pressure), and ICP of the patient within 8 hours are displayed in the first display area, specifically, these brain injury parameters
  • the waveform monitoring information can be displayed in the form of a trend graph, that is, the change of the detection data of the craniocerebral injury parameters over time can be seen.
  • FIG. 9 is another schematic view of the interface of the slice window display area in the embodiment of the present invention.
  • the first display area displays the histogram information of the patient's EE, respiratory entropy, equilibrium metabolism (main metabolites) and other nutrient metabolic system parameters.
  • these nutrient metabolic system parameters can be in the form of a histogram By displaying, you can see the changes of the monitoring data of the nutritional metabolism system over time.
  • FIG. 10 is another schematic view of the interface of the slice window display area in the embodiment of the present invention.
  • the area displays waveform information of physiological sign parameters in at least one physiological sign set
  • related waveform monitoring information may be displayed in the first display area.
  • the waveform monitoring information of the patient's RR, SpO2, EtCO2 and other respiratory system parameters is displayed in the first display area.
  • the waveform monitoring information of these respiratory system parameters can be displayed in the form of a trend graph, that is, See the changes in the detection data of respiratory system parameters over time.
  • the alarm statistical information of the physiological sign parameters in at least one physiological sign set may be displayed in the display area of the slice window.
  • the alarm statistical information can include one or more of the type of alarm event, the number of triggers, and the trigger time. It can be understood that the types of alarm events, the number of triggers, and the trigger time shown in FIG. 5 are only an illustration. In actual applications, there are different types of alarm events, and the number of triggers and the trigger time corresponding to the types of alarm events. No limitation here. In the above way, the user can find out whether the patient is in a dangerous state in time.
  • the medical monitoring device can monitor the patient's physiological signs in real time and review the historical information of the alarm event. When the alarm event occurs, it can also display the information related to the event. Thereby further improving the reliability and practicality of monitoring.
  • the health score of the physiological sign parameters in at least one physiological sign set may be displayed in the display area of the slice window.
  • the health score may be The Glasgow Coma Scale (GCS) score, specifically, the score value at the time point can be marked at a corresponding time point on the time axis of the GCS score.
  • GCS score includes three aspects: open eye response, language response and limb movement. The sum of the scores in these three areas is the coma index, which is a medical index commonly used to assess the degree of coma in patients.
  • the maximum score of the GCS score is 15 points, 15 points indicate clear consciousness; 12-14 points are mild conscious disturbances; 9-11 points are moderate conscious disturbances; 8 points or less is coma; the lower the score, the more severe the conscious disturbances.
  • the patient's GCS score was 12 points within 8 hours, and there was no change.
  • the health scores of the physiological sign parameters in at least one physiological sign set may be displayed in the slice window display area.
  • FIG. 11 is another example of the slice window display area in the embodiment of the present invention.
  • a schematic diagram of the interface, when the set of physiological signs corresponds to the infection system, the health score may be a quick sequential organ failure score (quick Sequential Organ Failure Assessment, qSOFA).
  • qSOFA score which records the average monitoring data of RR and systolic pressure (Blood Systolic pressure, BP-S) within 24 hours of the monitored object, as well as monitoring Whether the subject has changed the state of consciousness (Alteredmental status) within 24 hours.
  • the result is "Yes” indicating that the state of consciousness has changed, and the result is "No” indicating that there has been no change in the state of consciousness.
  • the above three parameters are set in advance There is a threshold. If a parameter exceeds the threshold, it is counted as 1 point, otherwise it is counted as 0.
  • the monitoring data of RR and BP-S exceeds the preset threshold, and each scores 1 point , And the monitoring object did not change the consciousness within 24 hours, the score is 0 points.
  • the qSOFA score in these 24 hours is 2 points, and the qSOFA score calculated by the monitoring device will be displayed in the second display area. come out.
  • the monitoring device when the total score of the qSOFA score is greater than or equal to the preset threshold, an alarm will also be prompted. For example, if the preset threshold of the qSOFA score is set to 2 points, then if the qSOFA score reaches 2 points, it means there is a risk of infection. At the qSOFA score display, the score will be displayed in red to alert you, and if the qSOFA score does not reach 2 points, there is no risk of infection. At the qSOFA score display, the score will be displayed in green, indicating that Safe state. It can be understood that, besides the method described above, there are other ways of prompting the risk alarm. For example, when the total score of the qSOFA score is greater than or equal to the preset threshold, the monitoring device will give an alarm by issuing an alarm sound. There are no restrictions.
  • a third display area in the display area of the slice window can also be displayed.
  • the third display area can display historical data of pupil measurement results.
  • the pupil measurement value including left and right eyes
  • the pupil is the hollow in the center of the iris of the eye, which is commonly known as the "black eye kernel", and the diameter is 3 to 4 mm.
  • the pupil of the normal person is round and the two sides are equal in size. Observation of pupil changes is of great significance for understanding the diagnosis and first aid of some diseases, especially intracranial diseases, poisoning, and critically ill patients.
  • the technical solution provided by the embodiments of the present application provides a method for monitoring physiological signs.
  • the monitoring data of the physiological sign parameters of the monitored object is obtained, and then, according to the correlation of the physiological sign parameters, the physiological sign parameters are classified to obtain At least one physiological sign set, and finally, the monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area.
  • the physiological sign parameters are classified to obtain at least one physiological sign set.
  • the medical monitoring device can directly display the monitoring data of the physiological sign parameters in each physiological sign set according to the user's needs, so as to realize the slice display of different types of physiological sign parameters. Therefore, the time for the user to search for the monitoring data related to each physiological sign parameter one by one is saved, and the operability of the scheme is improved.
  • the displaying of the monitoring data of the physiological sign parameters in the at least one physiological sign set in the display area of the slice window includes:
  • the monitoring data of the physiological sign parameters corresponding to the target physiological sign set is displayed in the display area of the slice window.
  • a target physiological sign set may be determined from the at least two physiological sign sets, and the target physiological sign may be displayed in the display area of the slice window Collect the monitoring data of the corresponding physiological sign parameters.
  • the health score corresponding to each physiological sign set in the at least two physiological sign sets can be calculated first, and the physiological sign set with the lowest health score in the at least two physiological sign sets can be automatically determined as the target Physiological signs collection.
  • the current usage scenario can be determined first, and the target physiological sign set can be automatically determined from the at least two physiological sign sets according to the usage scenario. For example, if the current usage scenario is to monitor the respiratory system of the monitored object, it can be determined that the target physiological sign set is the physiological sign set corresponding to the respiratory system, and the physiological sign set corresponding to the respiratory system is displayed in the slice window display area.
  • the set of physiological signs included in the at least two sets of physiological signs is determined according to the critical level or disease type of the monitored object, specifically, it can be determined according to the critical level or disease type of the monitored object
  • the set of physiological signs included in the at least two sets of physiological signs is displayed in the display area of the slice window.
  • the physiological sign set included in the at least two physiological sign sets is determined as the physiological sign set corresponding to the basic vital sign system and the circulatory system according to the criticality level or disease type of the monitored object.
  • the physiological sign set included in the at least two physiological sign sets can be determined as at least one of the basic vital sign system, the circulatory system, the infection system, the nervous system, the respiratory system, and the nutrient metabolism system according to requirements. Two sets of corresponding physiological signs.
  • the method further includes:
  • a selection area of a set of physiological signs is displayed, and the selection area of the set of physiological signs includes at least two options, each of the options corresponds to a set of physiological signs, and each of the options is used to display a corresponding Physiological signs collection.
  • the monitoring device may receive a selection instruction for the options of the target set of physiological signs in the selection area of the set of physiological signs, and in response to the selection instruction input by the operator, the The display content of the display area of the slice window changes to the display content corresponding to the target physiological sign set.
  • the medical monitoring device receives the selection instruction that the operator clicks the display box of "craniocerebral injury" on the monitoring interface, that is, the Monitoring data in the collection of physiological signs corresponding to the nervous system.
  • the medical monitoring device may receive the user's sliding gesture in the slice window display area, and change the display content of the slice window display area to correspond to the set of adjacent physiological signs according to the sliding gesture Display content.
  • the display content of the current slice window display area is a set of physiological signs corresponding to the nutritional metabolism system. If an operator's swipe gesture to the left is received at this time, the current slice window displays The display content of the area changes to the set of physiological signs corresponding to the basic vital signs system. If a swipe gesture of the operator to the right is received at this time, the display content of the display area of the current slice window changes to the set of physiological signs corresponding to the nervous system.
  • the current display content of the slice window display area is the physiological sign set corresponding to the nutritional metabolism system
  • the operator wants to switch the display content of the slice window display area to the respiratory system he can perform three swipe gestures to the right. If the medical monitoring device receives the operator three swipe gestures to the right, the current slice window display area The display content is changed to the nervous system, the infection system, and finally the interface stops at the collection of physiological signs corresponding to the respiratory system.
  • the method further includes:
  • the selection of the physiological sign set corresponding to the target physiological sign parameter is highlighted in the fourth manner in the selection area of the physiological sign set.
  • the display method of the selected area of the physiological sign set is introduced.
  • the option corresponding to the target physiological sign set may be highlighted in the selected area of the physiological sign set according to the first manner, for example, if the current slice window
  • the target physiological sign set displayed in the display area is a physiological sign set corresponding to the respiratory system
  • the display area of options corresponding to the respiratory system may be set to be larger than the display area of options corresponding to other physiological systems.
  • the display text of the options corresponding to the respiratory system may also be displayed in bold, or the display color of the options corresponding to the respiratory system may be set to be different from the display colors of the options corresponding to other physiological systems.
  • other display methods that can play a prominent role can also be selected, which is not limited here.
  • the set of physiological signs whose health score is lower than the preset score may be determined as the target set of physiological signs, for example, if the set of physiological signs whose current health score is lower than the preset score is corresponding to the respiratory system Physiological sign collection, you can set the display area of the options corresponding to the respiratory system to be larger than the display area of the options corresponding to other physiological systems, or set the display color of the options corresponding to the respiratory system to the options corresponding to other physiological systems Display colors are different.
  • the health score corresponding to each physiological sign set may be displayed in a third manner in the selected area of the physiological sign set.
  • the basic vital sign system, circulatory system, infection The corresponding health scores of the system, nervous system, respiratory system and nutrient metabolism system are displayed in the corresponding options.
  • the physiological sign corresponding to the target physiological sign parameter is highlighted in a fourth manner in the selected area of the physiological sign set Set options, for example, if it is determined that the set of physiological signs corresponding to the alarm information of the target physiological sign parameters of the monitored object is the set of physiological signs corresponding to the respiratory system, the display area of the options corresponding to the respiratory system may be set to be greater than The display area of options corresponding to other physiological systems, or setting the display color of options corresponding to the respiratory system to different display colors of options corresponding to other physiological systems, etc.
  • the method further includes:
  • a second display interface is displayed, and the second display interface is used to display the slice display area.
  • the medical monitoring device may first display a first display interface, and the first display interface may be used as an initial display interface of the medical monitoring device, where the first display interface is used to display a fixed set of physiological signs, for example, in The first display interface displays a set of physiological signs corresponding to one physiological system among the basic vital signs system, the circulatory system, the infection system, the nervous system, the respiratory system, and the nutritional metabolism system.
  • the set of physiological signs displayed on the first display interface may be preset by the medical staff, or may be pre-configured by the medical monitoring device, or may be determined by the medical monitoring device according to the health status of the monitored object.
  • the physiological sign set with the lowest health score among the at least two physiological sign sets may be determined as the physiological sign set displayed on the first display interface, or may be determined from the at least two physiological sign sets according to the usage scenario
  • the set of physiological signs displayed on the first display interface is not limited here.
  • a second display interface is displayed, where the second interface may display a slice window display area, which is equivalent to switching from the initial display interface to the slice display interface.
  • the medical monitoring device may change the display content of the display area of the slice window to the display content corresponding to the target physiological sign set in response to the selection instruction input by the operator.
  • the method further includes: The window display area displays an entry identifier of an auxiliary application tool corresponding to a target physiological system, the target physiological system corresponding to the target physiological sign set.
  • the area in the slice window display area where the entry identifier of the auxiliary application tool is displayed is referred to as the second display area.
  • the second display area can display one of the hemodynamic analysis interface entrance, the central venous pressure tool interface entrance, and the passive leg lift test auxiliary tool interface entrance Or more.
  • the second display area is the bottom of the slice window display area, the second display area shows the entrance of the hemodynamic analysis (Hemosight) interface, and the entrance of the central venous pressure tool (CVP2-5Tool) interface And the passive leg lift test assistance (Passive Legging Guide, PLR guide) tool interface entrance.
  • the second display area is the bottom of the slice window display area
  • the second display area shows the entrance of the hemodynamic analysis (Hemosight) interface
  • the passive leg lift test assistance (Passive Legging Guide, PLR guide) tool interface entrance Passive Legging Guide, PLR guide
  • the second display area may display the entrance of the SOFA scoring tool and the entrance of the Surviving Sepsis Campaign (SSC) treatment guide tool, as shown in qSOFA in FIG. 7
  • SSC Surviving Sepsis Campaign
  • the right side of the score shows the display boxes of "SSC Bundles” and "SOFA".
  • the operator can click the display box on the monitoring interface to link to other interfaces. For example, click the display box of "SSC Bundles" to open a menu to display the list of various treatment measures recommended by the SSC treatment guide; click the display box of "SOFA" Open the SOFA score menu, the operator can view the detailed SOFA score.
  • the user can view and mark the required SSC treatment measures and the implementation of the treatment measures.
  • the SSC treatment guide tool supports automatic or user manual confirmation that the treatment measures have been completed;
  • the detailed SOFA score can be displayed in the SOFA score menu, that is, the SOFA score of more other parameters including some SOFA scores displayed in the second target area, for example, bilirubin, platelets, and urine volume not shown in FIG. 7 SOFA scores for other parameters.
  • the second display area may display the entrance of the GCS scoring tool, as shown in the "GCS score" display box shown in the lower right corner of the first display area in FIG. 7.
  • the operator can open the GCS scoring menu interface by selecting the "GCS scoring" display box, and the medical staff can input the corresponding data on the GCS scoring menu interface according to the actual situation of the patient, and finally the system calculates the GCS score Total score.
  • the display area of the GCS score in the second display area will display the latest GCS score, and update the historical data of the GCS score.
  • the operator can select the desired analysis or treatment tool entry by clicking on the touch operation method, and can also select the required analysis or treatment tool entry by clicking the mouse. , The specific is not limited here.
  • the craniocerebral injury integrated coma index score entry port the Surviving Sepsis Campaign (SCC) treatment guide tool and the Sequential Organ Failure (Assessment, SOFA) score can also be displayed in the second display area Tool entrance etc.
  • SCC Surviving Sepsis Campaign
  • SOFA Sequential Organ Failure
  • the Hemosight interface is used to display the physiological signs and parameters related to the patient, so that multi-parameter joint decision-making can be realized.
  • the PLR guide tool interface is used to prompt and guide the operation of the PLR process, including 1. Prompt to adjust the patient to the semi-recumbent position before starting the test to obtain the baseline of the patient's observation parameters. 2. Adjust the patient's leg-lifting posture by adjusting the hospital bed, and observe and record the changes in the observed parameters. 3. Adjust the patient to return to the semi-recumbent position and check whether the observation parameters have returned to the baseline.
  • the CVP2-5Tool interface entrance is used to provide real-time CVP parameter trend display in the user's rehydration project for patients. Based on the CVP2-5 principles commonly used in clinical practice, an auxiliary tool is provided to display the CVP parameter changes during the rehydration process in real time. And give an intelligent reminder of whether the fluid can be refilled, helping the doctor to conveniently and accurately complete the fluid refill.
  • the entry identifier of the auxiliary application tool corresponding to the target physiological system is displayed in the slice window display area, and the target physiological system corresponds to the target physiological sign set.
  • the medical monitoring equipment can not only display the monitoring data of the physiological sign parameters in each physiological sign set, but also provide the user with the entrance identification of the auxiliary application tool.
  • the user can directly select the required auxiliary entry on the display area of the slice window
  • the entry mark of the tool is used to improve the flexibility of the operation, and the physiological state of the patient can be analyzed and observed more efficiently.
  • the method further includes: Displaying a graphical touch area in the window display area; receiving a switching instruction input through the graphical touch area; and displaying the monitoring data of the physiological sign parameters in the at least one physiological sign set in the slice window display area includes: The switching instruction displays the monitoring data of the physiological sign parameters in the at least one physiological sign set in the first period of time in the slice window display area, or the monitoring data of the physiological sign parameters in the at least one physiological sign set in the second period of time.
  • the display area of the display area of the slice window may be enlarged or reduced based on the switching instruction.
  • the current display area of the slice window displays waveform monitoring information within 8 hours (the first time period)
  • the slice window display area displays the waveform monitoring information within 24 hours (second time period).
  • the disclosed system, device, and method may be implemented in other ways.
  • the device embodiments described above are only schematic.
  • the division of the units is only a division of logical functions.
  • there may be other divisions for example, multiple units or components may be combined or Can be integrated into another system, or some features can be ignored, or not implemented.
  • the displayed or discussed mutual coupling or direct coupling or communication connection may be indirect coupling or communication connection through some interfaces, devices or units, and may be in electrical, mechanical, or other forms.
  • the units described as separate components may or may not be physically separated, and the components displayed as units may or may not be physical units, that is, they may be located in one place, or may be distributed on multiple network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of this embodiment.
  • each functional unit in each embodiment of the present invention may be integrated into one processing unit, or each unit may exist alone physically, or two or more units may be integrated into one unit.
  • the above integrated unit can be implemented in the form of hardware or software function unit.
  • the integrated unit is implemented in the form of a software functional unit and sold or used as an independent product, it may be stored in a computer-readable storage medium.
  • the technical solution of the present invention essentially or part of the contribution to the existing technology or all or part of the technical solution can be embodied in the form of a software product, the computer software product is stored in a storage medium , Including several instructions to enable a computer device (which may be a personal computer, server, or network device, etc.) to perform all or part of the steps of the methods described in various embodiments of the present invention.
  • the aforementioned storage media include: U disk, mobile hard disk, read-only memory (ROM), random access memory (RAM), magnetic disk or optical disk and other media that can store program codes .

Abstract

A physiological vital sign monitoring method comprises: acquiring monitoring data associated with physiological vital sign parameters of an object under monitoring (401); classifying, according to correlation among the physiological vital sign parameters, the physiological vital sign parameters to obtain at least one physiological vital sign set (402); and displaying, in a slice window display region, the monitoring data associated with the physiological vital sign parameters in the at least one physiological vital sign set (403).

Description

监护设备及其生理体征监测方法Monitoring equipment and method for monitoring physiological signs 技术领域Technical field
本发明涉及医疗监护领域,尤其涉及一种监护设备及其生理体征监测方法。The invention relates to the field of medical monitoring, in particular to a monitoring device and a method for monitoring its physiological signs.
背景技术Background technique
监护仪能够对患者的心电、血压、呼吸以及体温等参数进行同步连续监测,为医护人员全面、直观且及时地掌握患者的病情提供了一个很好的手段。The monitor can synchronously and continuously monitor the patient's ECG, blood pressure, breathing and body temperature and other parameters, providing a good means for medical staff to grasp the patient's condition in a comprehensive, intuitive and timely manner.
随着监护仪的不断发展,监护仪的显示界面越来越丰富,当前的监护仪通常在主界面上提供病人实时的各种参数及波形监护信息,在回顾菜单中罗列所有监测参数历史数据。With the continuous development of monitors, the display interface of monitors is becoming more and more abundant. Current monitors usually provide real-time patient parameters and waveform monitoring information on the main interface, and list all historical data of monitoring parameters in the review menu.
医生在查房时需要在监护仪上操作调出回顾菜单,然后从众多监护参数中选择需要的参数进行查看和评估,逐个系统进行查找和分析,操作繁琐,费时费力。Doctors need to call up the review menu on the monitor during ward rounds, and then select the required parameters from many monitoring parameters for viewing and evaluation, and search and analyze system by system, which is tedious and time-consuming.
发明内容Summary of the invention
本发明实施例提供了一种生理体征监测方法,包括:An embodiment of the present invention provides a method for monitoring physiological signs, including:
按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合;Classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set;
在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据。The monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area.
本发明实施例提供了一种监护设备,包括:An embodiment of the present invention provides a monitoring device, including:
显示器,所述显示器配置为显示信息;和A display configured to display information; and
处理器,所述处理器执行程序指令以实现下面步骤:A processor, the processor executes program instructions to implement the following steps:
获取监测对象生理体征参数的监测数据;Obtain the monitoring data of the physiological sign parameters of the monitoring object;
按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合;Classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set;
在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监 测数据。The monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area.
本发明实施例提供了一种计算机可读存储介质,所述计算机可读存储介质中存储有指令,当其在计算机上运行时,使得计算机执行上述各方面所述的方法。An embodiment of the present invention provides a computer-readable storage medium, in which instructions are stored in a computer-readable storage medium, which when executed on a computer, causes the computer to execute the methods described in the above aspects.
附图说明BRIEF DESCRIPTION
图1为一种多参监护仪中参数处理模块的系统框架图;Figure 1 is a system framework diagram of a parameter processing module in a multi-parameter monitor;
图2为一种单参监护仪中参数处理模块的系统框架图;Figure 2 is a system framework diagram of a parameter processing module in a single-parameter monitor;
图3为一种院内使用的监护仪联网系统框架图;Figure 3 is a framework diagram of a network system of monitors used in the hospital;
图4为一种生理体征监测方法的流程示意图;4 is a schematic flowchart of a method for monitoring physiological signs;
图5为本发明实施例中切片窗显示区域的一个界面示意图;5 is a schematic diagram of an interface of a display area of a slice window in an embodiment of the present invention;
图6为本发明实施例中切片窗显示区域的另一个界面示意图;6 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention;
图7为本发明实施例中切片窗显示区域的另一个界面示意图;7 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention;
图8为本发明实施例中切片窗显示区域的另一个界面示意图;8 is a schematic diagram of another interface of the display area of the slice window in the embodiment of the present invention;
图9为本发明实施例中切片窗显示区域的另一个界面示意图;9 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention;
图10为本发明实施例中切片窗显示区域的另一个界面示意图;10 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention;
图11为本发明实施例中切片窗显示区域的另一个界面示意图。11 is another schematic view of the interface of the display area of the slice window in the embodiment of the present invention.
具体实施方式detailed description
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。The technical solutions in the embodiments of the present invention will be described clearly and completely in conjunction with the drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those skilled in the art without creative work fall within the protection scope of the present invention.
本发明的说明书和权利要求书及上述附图中的术语“第一”、“第二”、“第三”、“第四”等(如果存在)是用于区别类似的对象,而不必用于描述特定的顺序或先后次序。应该理解这样使用的数据在适当情况下可以互换,以便这里描述的实施例能够以除了在这里图示或描述的内容以外的顺序实施。此外,术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含,例如,包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚 地列出的那些步骤或单元,而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。The terms "first", "second", "third", "fourth", etc. (if any) in the description and claims of the present invention and the above drawings are used to distinguish similar objects without using To describe a specific order or sequence. It should be understood that the data so used can be interchanged under appropriate circumstances so that the embodiments described herein can be implemented in an order other than what is illustrated or described herein. In addition, the terms "including" and "having" and any variations thereof are intended to cover non-exclusive inclusions, for example, processes, methods, systems, products or devices that contain a series of steps or units are not necessarily limited to those clearly listed Those steps or units, but may include other steps or units not explicitly listed or inherent to these processes, methods, products, or equipment.
应理解,本发明所涉及的监护设备不局限于监护仪,也包括具有监护功能的有创/无创呼吸机、护士站、中央站等。本申请主要以监护仪为例进行说明。如图1所示,图1提供了一种多参监护仪的系统框架图。多参监护仪具有独立的外壳,外壳面板上具有传感器接口区,其中集成了多个传感器接口,用于与外部的各个生理参数传感器附件111连接,外壳面板上还包括小型IXD显示器区,显示器119,输入接口电路122和报警电路120(如LED报警区)等。参数处理模块用于与主机进行通讯和从主机取电的对外通讯和电源接口。参数处理模块还支持外插参数模块,可以通过插入参数模块形成插件式监护仪主机,作为监护仪的一部分,也可以通过电缆与主机连接,外插参数模块作为监护仪外置的一个配件。It should be understood that the monitoring equipment involved in the present invention is not limited to a monitor, but also includes an invasive/non-invasive ventilator with a monitoring function, a nurse station, a central station, and the like. This application mainly uses the monitor as an example. As shown in FIG. 1, FIG. 1 provides a system frame diagram of a multi-parameter monitor. The multi-parameter monitor has an independent housing with a sensor interface area on the housing panel, in which multiple sensor interfaces are integrated for connection with external physiological parameter sensor accessories 111. The housing panel also includes a small LCD display area and a display 119 , Input interface circuit 122 and alarm circuit 120 (such as LED alarm area) and so on. The parameter processing module is used for external communication and power interface for communicating with the host and taking power from the host. The parameter processing module also supports extrapolated parameter modules. The plug-in monitor host can be formed by inserting the parameter module as a part of the monitor, or connected to the host through a cable. The extrapolated parameter module is used as an external accessory of the monitor.
参数处理模块的内部电路置于外壳内,如图1所示,包括至少两个生理参数对应的信号采集电路112、信号处理电路113和主处理器115,信号采集电路112可以选自于心电电路、呼吸电路、体温电路、血氧电路、无创血压电路、有创血压电路等等,这些信号采集电路112分别与相应的传感器接口电连接,用于电连接到不同的生理参数对应的传感器附件111,其输出端耦合到前端信号处理器,前端信号处理器的通讯口耦合到主处理器,主处理器与对外通讯和电源接口电连接。各种生理参数测量电路可采用现有技术中的通用电路,前端信号处理器完成信号采集电路输出信号的采样和模数转换,并输出控制信号控制生理信号的测量过程,这些参数包括但不限于:心电,呼吸,体温,血氧,无创血压和有创血压参数。前端信号处理器可采用单片机或其它半导体器件实现,例如可以选用PHLIPS公司的LPC2136,或者ADI的ADuC7021等混合信号单片机,也可以采用ASIC或FPGA实现。前端信号处理器可由隔离电源供电,采样得到的数据经过简单处理打包后,通过隔离通讯接口发送至主处理器,例如前端信号处理器电路可以通过隔离电源和通讯接口114耦合到主处理器115上。前端信号处理器由隔离电源供电的原因是通过变压器隔离的DC/DC电源,起到了隔离患者与供电设备的作用,主要目的是:1、隔离患者,通过隔离变压器,将应用部分浮地,使患者漏电流足够 小;2、防止除颤或电刀应用时的电压或能量影响主控板等中间电路的板卡及器件(用爬电距离和电气间隙保证)。主处理器完成生理参数的计算,并通过对外通讯和电源接口将参数的计算结果和波形发送到主机(如带显示器的主机、PC机、中央站等等),对外通讯和电源接口116可以是以太网(Ethernet)、令牌环(Token Ring)、令牌总线(Token Bus)以及作为这三种网的骨干网光纤分布数据接口(FDDI)构成的局域网接口中的一个或其组合,还可以是红外、蓝牙、wifi、WMTS通讯等无线接口中的一个或其组合,或者还可以是RS232、USB等有线数据连接接口中的一个或其组合。对外通讯和电源接口116也可以是无线数据传输接口和有线数据传输接口中的一种或两种的组合。主机可以是监护仪的主机、心电图机,超声诊断仪,计算机等任何一个计算机设备,安装配合的软件,就能够组成一个监护设备。主机还可以是通讯设备,例如手机,参数处理模块通过蓝牙接口将数据发送到支持蓝牙通讯的手机上,实现数据的远程传输。The internal circuit of the parameter processing module is placed in the housing, as shown in FIG. 1, and includes at least two signal acquisition circuits 112, signal processing circuits 113, and a main processor 115 corresponding to physiological parameters. The signal acquisition circuit 112 may be selected from electrocardiograms Circuits, breathing circuits, body temperature circuits, blood oxygen circuits, non-invasive blood pressure circuits, invasive blood pressure circuits, etc. These signal acquisition circuits 112 are electrically connected to the corresponding sensor interfaces for electrical connection to sensor accessories corresponding to different physiological parameters 111, its output terminal is coupled to the front-end signal processor, the communication port of the front-end signal processor is coupled to the main processor, and the main processor is electrically connected to the external communication and power interface. Various physiological parameter measurement circuits can use the common circuit in the prior art. The front-end signal processor completes the sampling and analog-to-digital conversion of the signal acquisition circuit output signal, and outputs the control signal to control the physiological signal measurement process. These parameters include but are not limited to : ECG, respiration, body temperature, blood oxygen, noninvasive blood pressure and invasive blood pressure parameters. The front-end signal processor can be implemented by a single-chip microcomputer or other semiconductor devices. For example, LHL2136 of PHLIPS, or mixed-signal single-chip microcomputers such as ADI's ADuC7021, or ASIC or FPGA can be used. The front-end signal processor can be powered by an isolated power supply. After simple processing and packaging, the sampled data is sent to the main processor through the isolated communication interface. For example, the front-end signal processor circuit can be coupled to the main processor 115 through the isolated power supply and the communication interface 114. . The reason why the front-end signal processor is powered by the isolated power supply is that the DC/DC power supply isolated by the transformer plays the role of isolating the patient from the power supply equipment. The main purposes are: 1. Isolating the patient, floating the application part through the isolation transformer, so that The patient leakage current is small enough; 2. Prevent the voltage or energy during the application of defibrillation or electrocautery from affecting the cards and devices of the intermediate circuit such as the main control board (guaranteed by creepage distance and electrical clearance). The main processor completes the calculation of physiological parameters, and sends the calculation results and waveforms of the parameters to the host (such as a host with a display, a PC, a central station, etc.) through external communication and power interface. The external communication and power interface 116 can be Ethernet (Ethernet), Token Ring (Token Ring), Token Bus (Token Bus), and one or a combination of the LAN interfaces composed of the fiber distribution data interface (FDDI) as the backbone of the three types of networks. It is one or a combination of wireless interfaces such as infrared, Bluetooth, wifi, and WMTS communication, or one or a combination of wired data connection interfaces such as RS232 and USB. The external communication and power supply interface 116 may also be one or a combination of two of a wireless data transmission interface and a wired data transmission interface. The host computer can be any computer equipment such as the host computer of the monitor, the electrocardiograph, the ultrasound diagnostic apparatus, and the computer. By installing the matched software, a monitor device can be formed. The host can also be a communication device, such as a mobile phone, and the parameter processing module sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface to realize remote transmission of data.
如图2所示,提供的是单个生理参数的处理系统架构。相同内容可参见上述内容。As shown in FIG. 2, a single physiological parameter processing system architecture is provided. For the same content, please refer to the above.
如图3所示,提供一种院内使用的监护仪联网系统,利用该系统可以将监护仪的数据进行整体保存,集中管理病人信息和看护信息,两者进行关联存储,便于进行历史数据的保存和关联报警。在图3所示的系统中,针对病床均可以提供一个床边监护仪212,该床边监护仪212可以是前述多参数监护仪或者插件式监护仪。另外,每个床边监护仪212还可以与一个便携监护设备213进行配对传输,便携监护设备213提供简便、可携带的参数处理模块,可是穿戴在病人身体上对应病人进行移动式监护,通过便携监护设备213与床边监护仪212进行有线或无线通讯后可以将移动式监护产生的生理数据传输到床边监护仪212上进行显示,或通过床边监护仪212传输到中央站211供医生或护士查看,或通过床边监护仪212传输到数据服务器215进行存储。另外,便携监护设备213还可以直接通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到中央站211进行存储和显示,或者通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到数据服务器215进行存储。可见,床边监护仪212上显示的生理参数对应的数据可以是源 自直接连接到监护以上的传感器附件,或者源自便携监护设备213,或者源自数据服务器。As shown in Figure 3, it provides a network system of monitors used in the hospital. With this system, the data of the monitor can be saved as a whole, and the patient information and care information can be centrally managed. The two are stored in association to facilitate the preservation of historical data. And associated alarms. In the system shown in FIG. 3, a bedside monitor 212 can be provided for each bed, and the bedside monitor 212 can be the aforementioned multi-parameter monitor or a plug-in monitor. In addition, each bedside monitor 212 can also be paired with a portable monitoring device 213. The portable monitoring device 213 provides a simple and portable parameter processing module, but it is worn on the patient's body to carry out mobile monitoring for the patient. After wired or wireless communication between the monitoring device 213 and the bedside monitor 212, the physiological data generated by the mobile monitoring can be transmitted to the bedside monitor 212 for display, or transmitted to the central station 211 through the bedside monitor 212 for the doctor or The nurse can view it or transmit it to the data server 215 through the bedside monitor 212 for storage. In addition, the portable monitoring device 213 can also directly transmit the physiological data generated by the mobile monitoring to the central station 211 through the wireless network node 214 installed in the hospital for storage and display, or the mobile monitoring through the wireless network node 214 installed in the hospital The generated physiological data is transmitted to the data server 215 for storage. It can be seen that the data corresponding to the physiological parameters displayed on the bedside monitor 212 may be derived from a sensor accessory directly connected to the monitor, or from the portable monitoring device 213, or from the data server.
下面对本发明中的生理体征监测方法进行详细描述,请参阅图4,本发明实施例提供的一种生理体征监测方法,该方法应用于医疗监护设备,特别适用于包含显示器的医疗监护设备,用于可以利用显示器来显示相关生理体征对应的监测数据。该医疗监护设备可执行存储在存储器中的程序指令以实现对应的生理体征监测方法。The physiological sign monitoring method in the present invention will be described in detail below. Please refer to FIG. 4. An embodiment of the present invention provides a physiological sign monitoring method. The method is applied to medical monitoring equipment, and is particularly suitable for medical monitoring equipment including a display. Therefore, the display can be used to display the monitoring data corresponding to the relevant physiological signs. The medical monitoring device can execute program instructions stored in the memory to implement the corresponding physiological sign monitoring method.
本发明实施例中生理体征监测方法包括:The method for monitoring physiological signs in the embodiment of the present invention includes:
步骤401、获取监测对象生理体征参数的监测数据。Step 401: Obtain monitoring data of physiological signs of a monitoring object.
本实施例中,医疗监护设备中的生理体征传感器可以获取预设时间段内监测对象生理体征参数的监测数据。其中,预设时间段可以是用户预先设置的,比如8个小时或者24个小时等,也可以是医疗监护设备出厂的时候就设置好的,此处不做限定。In this embodiment, the physiological sign sensor in the medical monitoring device can acquire monitoring data of the physiological sign parameter of the monitoring object within a preset time period. The preset time period may be preset by the user, such as 8 hours or 24 hours, or may be set when the medical monitoring equipment is shipped from the factory, which is not limited here.
本实施例中的传感器可以是一种检测装置,能感受到被测量的信息,并能将感受到的信息,按一定规律变换成为电信号或其他所需形式的信息输出,以满足信息的传输、处理、存储、显示、记录和控制等要求。The sensor in this embodiment may be a detection device, which can sense the measured information and convert the sensed information into electrical signals or other required forms of information output according to a certain rule to meet the transmission of information , Processing, storage, display, recording and control requirements.
在另一些实施例中,医疗监护设备也可以从其他设备中获取监测数据。例如,当医疗监护设备为中央站211时,中央站211可以从床边监护仪212中获取监测数据。In other embodiments, the medical monitoring device may also obtain monitoring data from other devices. For example, when the medical monitoring device is the central station 211, the central station 211 may obtain monitoring data from the bedside monitor 212.
步骤402、按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合。Step 402: Classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set.
本实施例中,监护设备的处理器可以按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合,分类后的每一个生理体征集合对应于一个类别。可选的,至少一个生理体征集合中的不同生理体征集合对应于不同生理系统,其中,所述生理系统包括如下至少一项:基本生命体征系统,循环系统,感染系统,神经系统,呼吸系统,营养代谢系统。以下分别对对应于各个生理系统的生理体征集合进行详细的介绍。In this embodiment, the processor of the monitoring device may classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set, and each classified physiological sign set corresponds to a category. Optionally, different physiological sign sets in at least one physiological sign set correspond to different physiological systems, wherein the physiological system includes at least one of the following: basic vital sign system, circulatory system, infection system, nervous system, respiratory system, Nutritional metabolism system. The following is a detailed introduction to the collection of physiological signs corresponding to each physiological system.
一、对应于循环系统的生理体征集合。1. A collection of physiological signs corresponding to the circulatory system.
本实施例中,可以将与血流动力学相关的生理体征参数的集合对应于循 环系统,具体的,医疗监护设备中的处理器可以先按照生理体征参数的相关性,将所述生理体征参数进行分类,获得与血流动力学相关的生理体征参数,并将与血流动力学相关的生理体征参数确定为一个生理体征集合。其中,与血流动力学相关的生理体征参数可以至少包括血压和心率,或者与血流动力学相关的生理体征可以至少包括血压和脉率,其中,血压可以是无创血压、动脉压和/或中心静脉压等。In this embodiment, the set of physiological sign parameters related to hemodynamics can be corresponded to the circulatory system. Specifically, the processor in the medical monitoring device can first convert the physiological sign parameters according to the correlation of the physiological sign parameters Perform classification to obtain physiological sign parameters related to hemodynamics, and determine the physiological sign parameters related to hemodynamics as a set of physiological signs. The physiological signs related to hemodynamics may include at least blood pressure and heart rate, or the physiological signs related to hemodynamics may include at least blood pressure and pulse rate, wherein the blood pressure may be non-invasive blood pressure, arterial pressure and/or Central venous pressure, etc.
在一种实施例中,与血流动力学相关生理体征参数可以包括:心率(heart rate,HR)、血氧饱和度(surplus pulse O2,SpO2)、动脉压(arterial pressure,ART)、中心静脉压(central venous pressure,CVP)、脉压变异率(pulse pressure variation,PPV)、心输出量(cardiac output,CO)(例如连续心输出量,conti nuous cardiac output,CCO)以及外周血管阻力指数(speripheral vascular resistance index,SVRI)参数中的一项或多项。In one embodiment, the physiological sign parameters related to hemodynamics may include: heart rate (HR), blood oxygen saturation (surplus pulse O2, SpO2), arterial pressure (ART), central vein Pressure (CVP), pulse pressure variation (PPV), cardiac output (CO) (for example, continuous cardiac output (CO)) and peripheral vascular resistance index (CCO) one or more of speripheral vascular resistance index (SVRI) parameters.
需要说明的是,HR是指正常人安静状态下每分钟心跳的次数,也叫安静心率,一般为60~100次/分,可因年龄、性别或其他生理因素产生个体差异。一般来说,年龄越小,HR越快,老年人心跳比年轻人慢,女性的HR比同龄男性快,这些都是正常的生理现象。安静状态下,成人正常HR为60~100次/分钟,理想HR应为55~70次/分钟。It should be noted that HR refers to the number of heartbeats per minute in a normal person in a quiet state, also known as a quiet heart rate, which is generally 60 to 100 beats per minute, which can vary individually due to age, gender or other physiological factors. Generally speaking, the younger the age, the faster the HR, the heartbeat of the elderly is slower than that of the younger, and the HR of women is faster than that of men of the same age. These are normal physiological phenomena. In a quiet state, the normal HR of an adult is 60 to 100 times per minute, and the ideal HR should be 55 to 70 times per minute.
SpO2是血液中被氧结合的氧合血红蛋白的容量占全部可结合的血红蛋白容量的百分比,即血液中血氧的浓度,它是呼吸循环的重要生理参数。人体的新陈代谢过程是生物氧化过程,而新陈代谢过程中所需要的氧,是通过呼吸系统进入人体血液,与血液红细胞中的血红蛋白,结合成氧合血红蛋白,再输送到人体各部分组织细胞中去。血液携带输送氧气的能力即用血氧饱和度来衡量。SpO2 is the percentage of the volume of oxygen-bound oxyhemoglobin in the blood that accounts for the volume of all bound hemoglobin, that is, the concentration of blood oxygen in the blood. It is an important physiological parameter of the respiratory cycle. The metabolic process of the human body is a biological oxidation process, and the oxygen required in the metabolic process enters the human blood through the respiratory system, combines with the hemoglobin in the blood red blood cells to form oxyhemoglobin, and then transports to various tissues and cells of the human body. Blood's ability to carry and transport oxygen is measured by blood oxygen saturation.
ART是循环功能的重要指标之一,ART过高或过低都会影响各器官的血液供应和心脏的负担。若ART过低,将引起器官血液供应减少,尤其是脑和心脏等重要器官的供血不足,将导致严重后果。若血压过高,则心脏和血管的负担过重。长期高血压患者往往引起心脏代偿性肥大、心功能不全,甚至导致心力衰竭。血管长期受到高压,血管壁本身发生病理性改变,甚至可导致 破裂而引起脑溢血等严重后果,所以保持ART近于正常的相对稳定状态是十分重要的。ART is one of the important indicators of circulatory function. If ART is too high or too low, it will affect the blood supply of various organs and the burden of the heart. If the ART is too low, it will cause a decrease in blood supply to the organs, especially the insufficient blood supply to important organs such as the brain and heart, which will cause serious consequences. If the blood pressure is too high, the heart and blood vessels are overloaded. Patients with long-term hypertension often cause compensatory cardiac hypertrophy, cardiac insufficiency, and even heart failure. Blood vessels are subject to high pressure for a long time, and the pathological changes of the blood vessel wall itself may even cause rupture and cause serious consequences such as cerebral hemorrhage. Therefore, it is very important to maintain the relatively stable state of ART near normal.
CVP是指右心房及上以及下腔静脉胸腔段的压力。它可判断病人血容量、心功能与血管张力的综合情况,有别于周围静脉压力。后者受静脉腔内瓣膜与其他机械因素的影响,故不能确切反映血容量与心功能等状况。CVP refers to the pressure in the right atrium and the upper and inferior vena cava thoracic segment. It can judge the comprehensive situation of the patient's blood volume, cardiac function and vascular tone, which is different from the surrounding venous pressure. The latter is affected by venous valves and other mechanical factors, so it cannot accurately reflect blood volume and cardiac function.
PPV在病人液体管理中定义为动脉血压变异率,在机械通气时依靠心肺相互作用评估输液反应性。源自动脉波形分析的动脉PPV和源自脉冲轮廓分析的每搏输出量变异已被证明能够很好的预测输液反应性。PPV is defined as the arterial blood pressure variability in patient fluid management and relies on cardiopulmonary interaction to assess infusion responsiveness during mechanical ventilation. Arterial PPV derived from arterial waveform analysis and stroke volume variation derived from pulse profile analysis have been shown to be good predictors of infusion responsiveness.
CO是指每分钟左心室或者右心室射入主动脉或肺动脉的血量。左、右心室的输出量基本相等。心室每次搏动输出的血量称为每搏输出量,人体静息时约为70毫升,如果HR每分钟平均为75次,则每分钟输出的血量约为5000毫升,即每分钟CO,CO是评价循环系统效率高低的重要指标。CO很大程度上和全身组织细胞的新陈代谢相适应。CCO是指连续时间段内得到的CO。本实施例中的CO具体可以包括CCO。CO refers to the amount of blood injected into the aorta or pulmonary artery by the left ventricle or right ventricle per minute. The output of the left and right ventricles are basically equal. The volume of blood output by each beat of the ventricle is called stroke volume. At rest, the body is about 70 ml. If the HR averages 75 times per minute, the output of blood per minute is about 5000 ml, that is, CO per minute. CO is an important indicator for evaluating the efficiency of the circulation system. CO is largely compatible with the metabolism of tissue cells throughout the body. CCO refers to the CO obtained in a continuous period of time. The CO in this embodiment may specifically include CCO.
SVRI与外周血管阻力(speripheral vascular resistance,SVR)相关,SVR是诊断和反映循环血流组里以及心脏后负荷水平的数量指标,阻力血管对缩血管调节反应增强和渐进性加重的血管改建引起组里血管半径缩小,是SVR增大的关键因素。SVR的增高使血压升高,加重了心脏的后负荷水平以及氧耗。SVRI is related to peripheral vascular resistance (SVR). SVR is a quantitative indicator that diagnoses and reflects the level of post-load in the circulating blood flow group and the heart. The resistance blood vessels increase the response to vasomotor regulation and gradually increase the blood vessel remodeling. The narrowing of the radius of the blood vessel is the key factor for the increase of SVR. Increased SVR increases blood pressure, which increases the heart's afterload level and oxygen consumption.
二、对应于基本生命体征系统的生理体征集合。2. A collection of physiological signs corresponding to the basic vital signs system.
本实施例中,具体的,医疗监护设备中的处理器可以先按照生理体征参数的相关性,将所述生理体征参数进行分类,获得与基本生命体征系统相关的生理体征参数,并将与基本生命体征系统相关的生理体征参数确定为一个生理体征集合。需要说明的是,与基本生命体征系统相关的生理体征参数可以用来判断病人的病情轻重和危急程度,具体的,与基本生命体征系统相关的生理体征参数可以至少包括心率、脉搏、血压、血氧饱和度、呼吸率、疼痛度、体温、瞳孔和角膜反射的改变等等。它们是维持机体正常活动的支柱,缺一不可,不论哪项异常也会导致严重或致命的疾病,同时某些疾病也可导致这四大体征的变化或恶化。In this embodiment, specifically, the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain the physiological sign parameters related to the basic vital sign system, and the The physiological sign parameters related to the vital signs system are determined as a set of physiological signs. It should be noted that the physiological sign parameters related to the basic vital sign system can be used to judge the severity and criticality of the patient. Specifically, the physiological sign parameters related to the basic vital sign system can include at least heart rate, pulse, blood pressure, blood Changes in oxygen saturation, respiration rate, pain, body temperature, pupillary and corneal reflexes, etc. They are the mainstay for maintaining the normal activities of the body. They are indispensable. No matter which abnormality will cause serious or fatal diseases, and some diseases can also cause the changes or deterioration of these four major signs.
在一种实施例中,与基本生命体征系统相关的生理体征参数可以包括:心率(heart rate,HR)、血氧饱和度(surplus pulse O2,SpO2)、动脉压(arterial pressure,ART)、呼吸率(respiration rate,RR)、体温(temperature,TEMP)中的一项或多项。In an embodiment, the physiological sign parameters related to the basic vital sign system may include: heart rate (HR), blood oxygen saturation (surplus pulse O2, SpO2), arterial pressure (ART), respiration One or more of the rate (respiration, rate, RR) and body temperature (temperature, TEMP).
需要说明的是,BP是指血液在血管内流动时作用于单位面积血管壁的侧压力,它是推动血液在血管内流动的动力。在不同血管内被分别称为动脉血压、毛细血管压和静脉血压,通常所说的血压是指体循环的动脉血压。It should be noted that BP refers to the lateral pressure that acts on the blood vessel wall per unit area when blood flows in the blood vessel, and it is the driving force that promotes blood flow in the blood vessel. It is called arterial blood pressure, capillary pressure and venous blood pressure in different blood vessels. The blood pressure is generally referred to as the arterial blood pressure of the systemic circulation.
RR表示每克活组织在每小时内消耗氧或释放二氧化碳的毫克数。RR的大小可反映某生物体代谢活动的强弱。每分钟的RR随年龄、性别和生理状态而异.成人平静时的RR约为每分钟16-20次,儿童约为每分钟20次,一般女性比男性快1-2次。它也是医生在临床诊断中的一项重要的诊断依据。RR is the number of milligrams of oxygen consumed or carbon dioxide released per gram of living tissue per hour. The size of RR can reflect the strength of a certain organism's metabolic activity. The RR per minute varies with age, gender, and physiological state. The RR for adults is about 16-20 times per minute when calm, about 20 times per minute for children, and generally 1-2 times faster for women than men. It is also an important diagnosis basis for doctors in clinical diagnosis.
TEMP在正常范围内可有轻度变化,例如:下午较早晨TEMP相对要高,但一般相差小于1℃;进餐后、劳动或剧烈运动后,TEMP也可有轻度升高;突然进入高温环境或情绪激动等因素也可使TEMP略有升高;妇女在排卵期和妊娠期TEMP稍高于正常。不同的年龄阶段也存在轻微的TEMP差异,如小儿因代谢率高,TEMP较成年人偏高;老年人由于代谢率低,其TEMP也比青壮年稍低。TEMP may change slightly within the normal range, for example: TEMP is relatively higher in the afternoon than in the morning, but generally differs by less than 1°C; after eating, after working or strenuous exercise, TEMP may also increase slightly; suddenly enter a high temperature environment Factors such as emotional agitation can also slightly increase TEMP; women's TEMP is slightly higher than normal during ovulation and pregnancy. There are also slight differences in TEMP at different ages. For example, children have a higher metabolic rate and TEMP is higher than adults; elderly people have a lower metabolic rate and their TEMP is slightly lower than that of young adults.
三、对应于感染系统的生理体征集合。3. A collection of physiological signs corresponding to the infection system.
本实施例中,具体的,医疗监护设备中的处理器可以先按照生理体征参数的相关性,将所述生理体征参数进行分类,获得与感染系统相关的生理体征参数,并将与感染系统相关的生理体征参数确定为一个生理体征集合。具体的,与感染系统相关的生理体征参数可以至少包括血压,心率(heart rate,HR),呼吸率(respiration rate,RR),体温(temperature,Temp),中心静脉压(central venous pressure,CVP),中心静脉血氧饱和度(Central venous oxygen saturation,ScvO2)等生理体征参数。In this embodiment, specifically, the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain the physiological sign parameters related to the infection system and relate the infection system The physiological sign parameters are determined as a set of physiological signs. Specifically, the physiological sign parameters related to the infection system may include at least blood pressure, heart rate (HR), respiration rate (RR), temperature (Temp), and central venous pressure (CVP) , Central Venous Oxygen Saturation (ScvO2) and other physiological signs parameters.
四、对应于神经系统的生理体征集合。4. A set of physiological signs corresponding to the nervous system.
本实施例中,可以将与颅脑损伤相关的生理体征参数的集合对应于神经系统,具体的,医疗监护设备中的处理器可以先按照生理体征参数的相关性,将所述生理体征参数进行分类,获得与颅脑损伤相关的生理体征参数,并将与颅脑损伤相关的生理体征参数确定为一个生理体征集合。其中,与颅脑损伤相关 的生理体征参数可以至少包括血压和体温,其中,血压可以是是无创血压、动脉压、中心静脉压等,除此之外,与颅脑损伤相关的生理体征参数还可以包括呼吸率(respiration rate,RR),颅内压(Intracranial Pressure,ICP),脑电双频指数(bispectral index,BIS)等。In this embodiment, the set of physiological sign parameters related to craniocerebral injury may be corresponding to the nervous system. Specifically, the processor in the medical monitoring device may first perform the physiological sign parameters according to the correlation of the physiological sign parameters Classification, obtain physiological sign parameters related to craniocerebral injury, and determine the physiological sign parameters related to craniocerebral injury as a set of physiological signs. Among them, the physiological sign parameters related to craniocerebral injury may include at least blood pressure and body temperature, wherein the blood pressure may be non-invasive blood pressure, arterial pressure, central venous pressure, etc. In addition, the physiological sign parameters related to craniocerebral injury It can include respiration rate (RR), intracranial pressure (ICP), bispectral index (BIS) and so on.
五、对应于营养代谢系统的生理体征集合。5. A collection of physiological signs corresponding to the nutritional metabolism system.
本实施例中,具体的,医疗监护设备中的处理器可以先按照生理体征参数的相关性,将所述生理体征参数进行分类,获得与营养代谢系统相关的生理体征参数,并将与营养代谢系统相关的生理体征参数确定为一个生理体征集合。具体的,与营养代谢系统相关的生理体征参数可以至少包括能量消耗(energy expenditure,EE),呼吸熵,主要代谢物等。In this embodiment, specifically, the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters, to obtain the physiological sign parameters related to the nutritional metabolism system, and compare the nutritional metabolism parameters with the nutritional metabolism system. The system-related physiological sign parameters are determined as a set of physiological signs. Specifically, the physiological sign parameters related to the nutritional metabolic system may include at least energy expenditure (EE), respiratory entropy, and major metabolites.
六、对应于呼吸系统的生理体征集合。6. A collection of physiological signs corresponding to the respiratory system.
本实施例中,具体的,医疗监护设备中的处理器可以先按照生理体征参数的相关性,将所述生理体征参数进行分类,获得与呼吸系统相关的生理体征参数,并将与呼吸系统相关的生理体征参数确定为一个生理体征集合。具体的,与呼吸系统相关的生理体征参数可以至少包括呼吸率(respiration rate,RR),血氧饱和度(surplus pulse O2,SpO2),呼吸末二氧化碳(end-tidal,EtCO2)等。In this embodiment, specifically, the processor in the medical monitoring device may first classify the physiological sign parameters according to the correlation of the physiological sign parameters, to obtain the physiological sign parameters related to the respiratory system, and to correlate them with the respiratory system The physiological sign parameters are determined as a set of physiological signs. Specifically, the physiological sign parameters related to the respiratory system may include at least respiration rate (RR), blood oxygen saturation (surplus pulse O2, SpO2), end-tidal carbon dioxide (end-tidal, EtCO2), etc.
步骤403、在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据。Step 403: Display monitoring data of physiological sign parameters in the at least one physiological sign set in the display area of the slice window.
本实施例中,当按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合之后,可以在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据。为了便于介绍,将切片窗显示区域中显示监测数据的区域称为第一区域。In this embodiment, after the physiological sign parameters are classified according to the correlation of the physiological sign parameters to obtain at least one physiological sign set, the physiological sign parameters in the at least one physiological sign set may be displayed in the slice window display area Monitoring data. For ease of introduction, the area where the monitoring data is displayed in the display area of the slice window is called the first area.
本实施例中,可选地,可以在切片窗显示区域显示监测数据的波形信息,需要说明的是,本实施例中提及的波形信息可以包括生理体征对应的模拟信号波形、数值趋势图等,同时也可以包括伴随波形一起显示的生理体征参数的数值信息。In this embodiment, optionally, the waveform information of the monitoring data may be displayed in the display area of the slice window. It should be noted that the waveform information mentioned in this embodiment may include analog signal waveforms corresponding to physiological signs, numerical trend graphs, etc. At the same time, it can also include the numerical information of the physiological sign parameters displayed along with the waveform.
在一种实施例中,可以在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息、报警统计信息、健康评分中的至少一种。In one embodiment, at least one of waveform information, alarm statistical information, and health scores of physiological sign parameters in at least one physiological sign set may be displayed in the slice window display area.
本实施例中,以生理体征集合对应于循环系统为例,请参阅图5,图5为本发明实施例中切片窗显示区域的一个界面示意图,如图5所示,当在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息时,可以在第一显示区域中显示相关的波形监护信息。可以看到,在该第一显示区域显示有病人的HR、ART、CVP、PPV等循环系统参数在8小时内的波形监护信息,具体地,这些循环系统参数的波形监护信息可以通过趋势图的形式进行显示,即可以看到循环系统参数的检测数据随时间的变化情况。In this embodiment, taking the physiological sign set corresponding to the circulatory system as an example, please refer to FIG. 5, which is an interface schematic diagram of the slice window display area in the embodiment of the present invention. As shown in FIG. 5, when the slice window display area When displaying the waveform information of the physiological sign parameters in at least one physiological sign set, related waveform monitoring information may be displayed in the first display area. It can be seen that the waveform monitoring information of the circulatory system parameters such as HR, ART, CVP, and PPV of the patient within 8 hours is displayed in the first display area. Specifically, the waveform monitoring information of these circulatory system parameters can be obtained through the trend graph. Display in form, that is, you can see the change of the detection data of the circulatory system parameters with time.
本实施例中,以生理体征集合对应于基本生命体征系统为例,请参阅图6,图6为本发明实施例中切片窗显示区域的另一个界面示意图,如图6所示,当在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息时,可以在第一显示区域中显示相关的波形监护信息。可以看到,在该第一显示区域显示有病人的HR、SpO2、RR、Temp(体温)、Art(动脉压)等基本生命体征系统参数在8小时内的波形监护信息,具体地,这些基本生命体征系统参数的波形监护信息可以通过趋势图的形式进行显示,即可以看到基本生命体征系统参数的检测数据随时间的变化情况。In this embodiment, taking the physiological sign set corresponding to the basic vital sign system as an example, please refer to FIG. 6, which is another schematic diagram of the interface of the slice window display area in the embodiment of the present invention. As shown in FIG. When the window display area displays waveform information of physiological sign parameters in at least one physiological sign set, related waveform monitoring information may be displayed in the first display area. It can be seen that the waveform monitoring information of the patient's basic vital signs system parameters such as HR, SpO2, RR, Temp (body temperature), and Art (arterial pressure) within 8 hours are displayed in the first display area. Specifically, these basic The waveform monitoring information of the vital signs system parameters can be displayed in the form of a trend graph, that is, the change of the detection data of the basic vital signs system parameters with time can be seen.
本实施例中,以生理体征集合对应于感染系统为例,请参阅图7,图7为本发明实施例中切片窗显示区域的另一个界面示意图,如图7所示,当在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息时,可以在第一显示区域中显示相关的波形监护信息。可以看到,在该第一显示区域显示有病人的HR、CVP、ScvO2、RR、Temp(体温)、Art(动脉压)等感染系统参数在8小时内的波形监护信息,具体地,这些感染系统参数的波形监护信息可以通过趋势图的形式进行显示,即可以看到感染系统参数的检测数据随时间的变化情况。In this embodiment, taking the physiological sign set corresponding to the infection system as an example, please refer to FIG. 7, which is another schematic diagram of the interface of the slice window display area in the embodiment of the present invention. As shown in FIG. 7, when displayed in the slice window When the area displays waveform information of physiological sign parameters in at least one physiological sign set, related waveform monitoring information may be displayed in the first display area. It can be seen that in the first display area, the waveform monitoring information of the patient's HR, CVP, ScvO2, RR, Temp (body temperature), Art (arterial pressure) and other infection system parameters within 8 hours is displayed. Specifically, these infections The waveform monitoring information of the system parameters can be displayed in the form of a trend graph, that is, the change of the detection data of the infected system parameters over time can be seen.
本实施例中,以生理体征集合对应于神经系统为例,请参阅图8,图8为本发明实施例中切片窗显示区域的另一个界面示意图,如图8所示,当在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息时,可以在第一显示区域中显示相关的波形监护信息。可以看到,在该第一显示区域显示有病人的RR、Temp(体温)、Art(动脉压)、ICP等颅脑损伤参数在8小时内的波形监护信息,具体地,这些颅脑损伤参数的波形监护信息可以 通过趋势图的形式进行显示,即可以看到颅脑损伤参数的检测数据随时间的变化情况。In this embodiment, taking the set of physiological signs corresponding to the nervous system as an example, please refer to FIG. 8, which is another schematic view of the interface of the slice window display area in the embodiment of the present invention. As shown in FIG. 8, when displayed in the slice window When the area displays waveform information of physiological sign parameters in at least one physiological sign set, related waveform monitoring information may be displayed in the first display area. It can be seen that the waveform display information of the brain injury parameters such as RR, Temp (Art temperature), Art (arterial pressure), and ICP of the patient within 8 hours are displayed in the first display area, specifically, these brain injury parameters The waveform monitoring information can be displayed in the form of a trend graph, that is, the change of the detection data of the craniocerebral injury parameters over time can be seen.
本实施例中,以生理体征集合对应于营养代谢系统为例,请参阅图9,图9为本发明实施例中切片窗显示区域的另一个界面示意图,如图9所示,当在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息时,可以在第一显示区域中显示相关的波形监护信息。可以看到,在该第一显示区域显示有病人的EE、呼吸熵、平衡代谢(主要代谢物)等营养代谢系统参数的柱状图信息,具体地,这些营养代谢系统参数可以通过柱状图的形式进行显示,即可以看到营养代谢系统的监测数据随时间的变化情况。In this embodiment, taking the physiological sign set corresponding to the nutrient metabolic system as an example, please refer to FIG. 9, which is another schematic view of the interface of the slice window display area in the embodiment of the present invention. As shown in FIG. 9, when the slice window When the display area displays waveform information of physiological sign parameters in at least one physiological sign set, related waveform monitoring information may be displayed in the first display area. It can be seen that the first display area displays the histogram information of the patient's EE, respiratory entropy, equilibrium metabolism (main metabolites) and other nutrient metabolic system parameters. Specifically, these nutrient metabolic system parameters can be in the form of a histogram By displaying, you can see the changes of the monitoring data of the nutritional metabolism system over time.
本实施例中,以生理体征集合对应于呼吸系统为例,请参阅图10,图10为本发明实施例中切片窗显示区域的另一个界面示意图,如图10所示,当在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息时,可以在第一显示区域中显示相关的波形监护信息。可以看到,在该第一显示区域显示有病人的RR、SpO2、EtCO2等呼吸系统参数的波形监护信息,具体地,这些呼吸系统参数的波形监护信息可以通过趋势图的形式进行显示,即可以看到呼吸系统参数的检测数据随时间的变化情况。In this embodiment, taking the physiological sign set corresponding to the respiratory system as an example, please refer to FIG. 10, which is another schematic view of the interface of the slice window display area in the embodiment of the present invention. As shown in FIG. 10, when the slice window is displayed When the area displays waveform information of physiological sign parameters in at least one physiological sign set, related waveform monitoring information may be displayed in the first display area. It can be seen that the waveform monitoring information of the patient's RR, SpO2, EtCO2 and other respiratory system parameters is displayed in the first display area. Specifically, the waveform monitoring information of these respiratory system parameters can be displayed in the form of a trend graph, that is, See the changes in the detection data of respiratory system parameters over time.
在一种实施例中,可以在切片窗显示区域显示至少一个生理体征集合中生理体征参数的报警统计信息,本实施例中,参照图5,当生理体征集合对应于循环系统时,报警统计信息可以包括报警事件的类型、触发次数以及触发时间中的一项或多项。可以理解的是,图5所示的报警事件类型、触发次数和触发时间仅为一个示意,在实际应用中,还存在不同的报警事件类型,以及报警事件类型所对应的触发次数和触发时间,此处不作限定。通过上述方式,用户能够及时地发现患者是否处于危险状态,医疗监护设备可以对患者的生理体征参数进行实时监测以及报警事件历史信息回顾,在出现报警事件的时候还可以显示与事件相关的信息,从而进一步提升了监测的可靠性和实用性。In one embodiment, the alarm statistical information of the physiological sign parameters in at least one physiological sign set may be displayed in the display area of the slice window. In this embodiment, referring to FIG. 5, when the physiological sign set corresponds to the circulatory system, the alarm statistical information It can include one or more of the type of alarm event, the number of triggers, and the trigger time. It can be understood that the types of alarm events, the number of triggers, and the trigger time shown in FIG. 5 are only an illustration. In actual applications, there are different types of alarm events, and the number of triggers and the trigger time corresponding to the types of alarm events. No limitation here. In the above way, the user can find out whether the patient is in a dangerous state in time. The medical monitoring device can monitor the patient's physiological signs in real time and review the historical information of the alarm event. When the alarm event occurs, it can also display the information related to the event. Thereby further improving the reliability and practicality of monitoring.
在一种实施例中,可以在切片窗显示区域显示至少一个生理体征集合中生理体征参数的健康评分,本实施例中,参照图8,当生理体征集合对应于神经系统时,健康评分可以是格拉斯哥昏迷评分法(Glasgow Coma Scale, GCS)评分,具体地,可以在GCS评分的时间轴上对应的时间点处标记出该时间点的评分值。其中,GCS评分包括睁眼反应、语言反应和肢体运动三个方面。这三个方面的分数加总即为昏迷指数,昏迷指数是医学上通常用来评估病人昏迷程度的指标。GCS评分最高分为15分,15分表示意识清楚;12-14分为轻度意识障碍;9-11分为中度意识障碍;8分以下为昏迷;分数越低则意识障碍越重。例如,睁眼反应方面:有刺痛时病人会睁眼,评分2分;语言反应方面:病人不能进行对话,只能说简短句或单个字,评分3分;肢体运动方面:病人对疼痛刺激有反应,肢体会回缩,评分4分;综上,该病人的GCS评分为2+3+4=9分。从图8中的示例可以看出,病人在8小时内的GCS评分为12分,并未发生变化。In one embodiment, the health score of the physiological sign parameters in at least one physiological sign set may be displayed in the display area of the slice window. In this embodiment, referring to FIG. 8, when the physiological sign set corresponds to the nervous system, the health score may be The Glasgow Coma Scale (GCS) score, specifically, the score value at the time point can be marked at a corresponding time point on the time axis of the GCS score. Among them, the GCS score includes three aspects: open eye response, language response and limb movement. The sum of the scores in these three areas is the coma index, which is a medical index commonly used to assess the degree of coma in patients. The maximum score of the GCS score is 15 points, 15 points indicate clear consciousness; 12-14 points are mild conscious disturbances; 9-11 points are moderate conscious disturbances; 8 points or less is coma; the lower the score, the more severe the conscious disturbances. For example, the eye-opening response: the patient will open his eyes when tingling, score 2 points; the language response: the patient can not talk, only speak short sentences or single words, score 3 points; limb movement: the patient's stimulation of pain In response, the limbs retracted and scored 4 points; in summary, the patient’s GCS score was 2+3+4=9 points. As can be seen from the example in Figure 8, the patient's GCS score was 12 points within 8 hours, and there was no change.
在一种实施例中,可以在切片窗显示区域显示至少一个生理体征集合中生理体征参数的健康评分,本实施例中,参照图11,图11为本发明实施例中切片窗显示区域的另一个界面示意图,当生理体征集合对应于感染系统时,健康评分可以是快速序贯器官衰竭评分(quick Sequential Organ Failure Assessment,qSOFA)。例如,如图11中“qSOFA score”标题栏下显示有qSOFA评分,其中,记录了监测对象在24小时内的RR和收缩压(Blood Systolic pressure,BP-S)的平均监测数据,还有监测对象在24小时内是否存在意识状态的改变(Altered mental status),结果为“Yes”表示发生了意识状态的改变,结果为“No”表示未发生意识状态的改变,上述3项参数都预先设置有阈值,如果某项参数超过阈值那么就计为1分,否则就计为0分,从图2中可以看到,RR及BP-S的监测数据均超过了预设阈值,各计1分,而监测对象在24小时内并未发生意识改变的情况,计0分,综上在这24小时内的qSOFA评分为2分,在该第二显示区域会将监护设备计算出的qSOFA评分显示出来。In one embodiment, the health scores of the physiological sign parameters in at least one physiological sign set may be displayed in the slice window display area. In this embodiment, refer to FIG. 11, which is another example of the slice window display area in the embodiment of the present invention. A schematic diagram of the interface, when the set of physiological signs corresponds to the infection system, the health score may be a quick sequential organ failure score (quick Sequential Organ Failure Assessment, qSOFA). For example, as shown in Figure 11 under the "qSOFA score" title bar, there is a qSOFA score, which records the average monitoring data of RR and systolic pressure (Blood Systolic pressure, BP-S) within 24 hours of the monitored object, as well as monitoring Whether the subject has changed the state of consciousness (Alteredmental status) within 24 hours. The result is "Yes" indicating that the state of consciousness has changed, and the result is "No" indicating that there has been no change in the state of consciousness. The above three parameters are set in advance There is a threshold. If a parameter exceeds the threshold, it is counted as 1 point, otherwise it is counted as 0. As can be seen from Figure 2, the monitoring data of RR and BP-S exceeds the preset threshold, and each scores 1 point , And the monitoring object did not change the consciousness within 24 hours, the score is 0 points. In summary, the qSOFA score in these 24 hours is 2 points, and the qSOFA score calculated by the monitoring device will be displayed in the second display area. come out.
另外,在qSOFA评分的总分大于或等于预设阈值时,还会进行报警提示,例如,该qSOFA评分的预设阈值设为2分,那么如果qSOFA评分达到2分就意味着存在感染风险,在qSOFA评分显示处会通过红色字样来进行评分显示,以进行报警提示,而如果qSOFA评分未达到2分就意味着不存在感染风险,在qSOFA评分显示处会通过绿色字样来进行评分显示,表示安全状态。 可以理解的是,风险报警的提示方式除了上述介绍的方法外,还可以有其他方式,例如,qSOFA评分的总分大于或等于预设阈值时,监护设备通过发出警报声进行报警提示,具体此处不做限定。In addition, when the total score of the qSOFA score is greater than or equal to the preset threshold, an alarm will also be prompted. For example, if the preset threshold of the qSOFA score is set to 2 points, then if the qSOFA score reaches 2 points, it means there is a risk of infection. At the qSOFA score display, the score will be displayed in red to alert you, and if the qSOFA score does not reach 2 points, there is no risk of infection. At the qSOFA score display, the score will be displayed in green, indicating that Safe state. It can be understood that, besides the method described above, there are other ways of prompting the risk alarm. For example, when the total score of the qSOFA score is greater than or equal to the preset threshold, the monitoring device will give an alarm by issuing an alarm sound. There are no restrictions.
在一实施例中,当生理体征集合对应于神经系统时,还可以在切片窗显示区域第三显示区域,该第三显示区域可以显示瞳孔测量结果的历史数据,具体地,可以在瞳孔测量的时间轴上对应的时间点处标记出该时间点的瞳孔测量值(包括左右眼)。其中,瞳孔是眼睛虹膜中央的空洞,就是人们俗称的“黑眼仁”,直径3~4毫米,正常人的瞳孔为圆形,两侧大小相等。观察瞳孔的变化,对了解一些疾病,特别是颅内疾病、中毒、危重病人的诊断和急救,有重要的意义。In an embodiment, when the set of physiological signs corresponds to the nervous system, a third display area in the display area of the slice window can also be displayed. The third display area can display historical data of pupil measurement results. At the corresponding time point on the time axis, the pupil measurement value (including left and right eyes) at that time point is marked. Among them, the pupil is the hollow in the center of the iris of the eye, which is commonly known as the "black eye kernel", and the diameter is 3 to 4 mm. The pupil of the normal person is round and the two sides are equal in size. Observation of pupil changes is of great significance for understanding the diagnosis and first aid of some diseases, especially intracranial diseases, poisoning, and critically ill patients.
本申请实施例提供的技术方案中,提供了一种生理体征监测方法,首先获取监测对象生理体征参数的监测数据,之后,按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合,最后,在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据。通过上述方式,将生理体征参数进行分类得到至少一个生理体征集合,医疗监护设备能够根据用户的需求直接显示各个生理体征集合中生理体征参数的监测数据,实现不同类别的生理体征参数的切片展示,从而节省了用户逐个查找与各个生理体征参数相关的监测数据的时间,提升了方案的可操作性。The technical solution provided by the embodiments of the present application provides a method for monitoring physiological signs. First, the monitoring data of the physiological sign parameters of the monitored object is obtained, and then, according to the correlation of the physiological sign parameters, the physiological sign parameters are classified to obtain At least one physiological sign set, and finally, the monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area. In the above manner, the physiological sign parameters are classified to obtain at least one physiological sign set. The medical monitoring device can directly display the monitoring data of the physiological sign parameters in each physiological sign set according to the user's needs, so as to realize the slice display of different types of physiological sign parameters. Therefore, the time for the user to search for the monitoring data related to each physiological sign parameter one by one is saved, and the operability of the scheme is improved.
可选地,在上述图4对应的实施例的基础上,本发明实施例提供的针对血流动力学的生理体征监测方法的一个可选实施例中,当所述生理体征集合的数量为至少两个时,所述在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据,包括:Optionally, based on the embodiment corresponding to FIG. 4 above, in an optional embodiment of the method for monitoring physiological signs for hemodynamics provided by an embodiment of the present invention, when the number of the physiological sign sets is at least In both cases, the displaying of the monitoring data of the physiological sign parameters in the at least one physiological sign set in the display area of the slice window includes:
从所述至少两个生理体征集合中确定目标生理体征集合;Determining a target physiological sign set from the at least two physiological sign sets;
在所述切片窗显示区域显示所述目标生理体征集合对应的生理体征参数的监测数据。The monitoring data of the physiological sign parameters corresponding to the target physiological sign set is displayed in the display area of the slice window.
本实施例中,当所述生理体征集合的数量为至少两个时,可以从所述至少两个生理体征集合中确定目标生理体征集合,并在所述切片窗显示区域显示所述目标生理体征集合对应的生理体征参数的监测数据。In this embodiment, when the number of the physiological sign sets is at least two, a target physiological sign set may be determined from the at least two physiological sign sets, and the target physiological sign may be displayed in the display area of the slice window Collect the monitoring data of the corresponding physiological sign parameters.
在一种实施例中,首先可以计算所述至少两个生理体征集合中各个生理体 征集合对应的健康评分,并自动将所述至少两个生理体征集合中健康评分最低的生理体征集合确定为目标生理体征集合。In one embodiment, the health score corresponding to each physiological sign set in the at least two physiological sign sets can be calculated first, and the physiological sign set with the lowest health score in the at least two physiological sign sets can be automatically determined as the target Physiological signs collection.
在一种实施例中,首先可以确定当前使用场景,并自动根据所述使用场景从至少两个生理体征集合中确定目标生理体征集合。例如,当前的使用场景为对监测对象进行呼吸系统的监测,则可以确定目标生理体征集合为与呼吸系统对应的生理体征集合,并在切片窗显示区域显示与呼吸系统对应的生理体征集合。In one embodiment, the current usage scenario can be determined first, and the target physiological sign set can be automatically determined from the at least two physiological sign sets according to the usage scenario. For example, if the current usage scenario is to monitor the respiratory system of the monitored object, it can be determined that the target physiological sign set is the physiological sign set corresponding to the respiratory system, and the physiological sign set corresponding to the respiratory system is displayed in the slice window display area.
在一种实施例中,根据所述监测对象的危重等级或病种确定所述至少两个生理体征集合中包括的生理体征集合,具体的,可以根据所述监测对象的危重等级或病种确定所述至少两个生理体征集合中包括的生理体征集合,并在切片窗显示区域显示。例如,根据所述监测对象的危重等级或病种确定所述至少两个生理体征集合中包括的生理体征集合为基本生命体征系统和循环系统对应的生理体征集合。需要说明的是,实际应用中可根据需求确定所述至少两个生理体征集合中包括的生理体征集合为基本生命体征系统,循环系统,感染系统,神经系统,呼吸系统,营养代谢系统中的至少两项对应的生理体征集合。In one embodiment, the set of physiological signs included in the at least two sets of physiological signs is determined according to the critical level or disease type of the monitored object, specifically, it can be determined according to the critical level or disease type of the monitored object The set of physiological signs included in the at least two sets of physiological signs is displayed in the display area of the slice window. For example, the physiological sign set included in the at least two physiological sign sets is determined as the physiological sign set corresponding to the basic vital sign system and the circulatory system according to the criticality level or disease type of the monitored object. It should be noted that in practical applications, the physiological sign set included in the at least two physiological sign sets can be determined as at least one of the basic vital sign system, the circulatory system, the infection system, the nervous system, the respiratory system, and the nutrient metabolism system according to requirements. Two sets of corresponding physiological signs.
可选地,在上述图4对应的实施例的基础上,本发明实施例提供的针对血流动力学的生理体征监测方法的一个可选实施例中,所述方法还包括:Optionally, on the basis of the embodiment corresponding to FIG. 4 above, in an optional embodiment of the method for monitoring physiological signs of hemodynamics provided by an embodiment of the present invention, the method further includes:
显示生理体征集合的选择区域,所述生理体征集合的选择区域包括至少两个选项,每个所述选项对应一个生理体征集合,每个所述选项用于在所述切片窗显示区域显示对应的生理体征集合。A selection area of a set of physiological signs is displayed, and the selection area of the set of physiological signs includes at least two options, each of the options corresponds to a set of physiological signs, and each of the options is used to display a corresponding Physiological signs collection.
本实施例中,可以在切片窗显示区域的上方显示包含有“基本生命体征”、“血流动力学”、“感染”、“呼吸通气”、“营养代谢”以及“颅脑损伤”六个不同的选项,每个选项对应一个生理体征集合,监护设备可以在生理体征集合的选择区域接收对所述目标生理体征集合的选项的选择指令,并响应该操作者输入的选择指令,将所述切片窗显示区域的显示内容改变为目标生理体征集合对应的显示内容,例如,医疗监护设备在监测界面接收到操作人员点击“颅脑损伤”显示框的选择指令,即在切片窗显示区域显示与神经系统对应的生理体征集合中的监测数据。In this embodiment, six sections including "basic vital signs", "hemodynamics", "infection", "respiratory ventilation", "nutrition metabolism" and "craniocerebral injury" can be displayed above the display area of the slice window Different options, each option corresponds to a set of physiological signs, the monitoring device may receive a selection instruction for the options of the target set of physiological signs in the selection area of the set of physiological signs, and in response to the selection instruction input by the operator, the The display content of the display area of the slice window changes to the display content corresponding to the target physiological sign set. For example, the medical monitoring device receives the selection instruction that the operator clicks the display box of "craniocerebral injury" on the monitoring interface, that is, the Monitoring data in the collection of physiological signs corresponding to the nervous system.
在一种实施例中,医疗监护设备可以在所述切片窗显示区域接收到用户的 滑动手势,并根据所述滑动手势将所述切片窗显示区域的显示内容改变为相邻的生理体征集合对应的显示内容。In an embodiment, the medical monitoring device may receive the user's sliding gesture in the slice window display area, and change the display content of the slice window display area to correspond to the set of adjacent physiological signs according to the sliding gesture Display content.
本实施例中,例如,参照图9示出的,当前切片窗显示区域的显示内容为营养代谢系统对应的生理体征集合,若此时接收到操作者向左的滑动手势,则当前切片窗显示区域的显示内容改变为基本生命体征系统对应的生理体征集合,若此时接收到操作者向右的滑动手势,则当前切片窗显示区域的显示内容改变为神经系统对应的生理体征集合。In this embodiment, for example, as shown in FIG. 9, the display content of the current slice window display area is a set of physiological signs corresponding to the nutritional metabolism system. If an operator's swipe gesture to the left is received at this time, the current slice window displays The display content of the area changes to the set of physiological signs corresponding to the basic vital signs system. If a swipe gesture of the operator to the right is received at this time, the display content of the display area of the current slice window changes to the set of physiological signs corresponding to the nervous system.
本实施例中,若操作者想将切片窗显示区域的显示内容切换到一个目标生理体征集合,参照图9示出的,当前切片窗显示区域的显示内容为营养代谢系统对应的生理体征集合,若操作者想将切片窗显示区域的显示内容切换到呼吸系统,则可以进行三次向右的滑动手势,若医疗监护设备接收到操作者三次向右的滑动手势,则依次当前切片窗显示区域的显示内容改变为神经系统、感染系统,并最终将界面停在呼吸系统对应的生理体征集合。In this embodiment, if the operator wants to switch the display content of the slice window display area to a target physiological sign set, referring to FIG. 9, the current display content of the slice window display area is the physiological sign set corresponding to the nutritional metabolism system, If the operator wants to switch the display content of the slice window display area to the respiratory system, he can perform three swipe gestures to the right. If the medical monitoring device receives the operator three swipe gestures to the right, the current slice window display area The display content is changed to the nervous system, the infection system, and finally the interface stops at the collection of physiological signs corresponding to the respiratory system.
可选地,在上述图4对应的实施例的基础上,本发明实施例提供的针对血流动力学的生理体征监测方法的一个可选实施例中,所述方法还包括:Optionally, on the basis of the embodiment corresponding to FIG. 4 above, in an optional embodiment of the method for monitoring physiological signs of hemodynamics provided by an embodiment of the present invention, the method further includes:
在所述生理体征集合的选择区域按照第一方式突出显示目标生理体征集合对应的选项;和/或Highlighting the option corresponding to the target physiological sign set in the selected area of the physiological sign set in the first manner; and/or
确定所述健康评分低于预设评分的生理体征集合为目标生理体征集合;Determining that the set of physiological signs whose health score is lower than the preset score is the set of target physiological signs;
在所述生理体征集合的选择区域按照第二方式突出显示所述目标生理体征集合对应的选项;和/或Highlighting the option corresponding to the target physiological sign set in the second region in the selected area of the physiological sign set; and/or
在所述生理体征集合的选择区域按照第三方式显示每个生理体征集合对应的健康评分;和/或Displaying the health score corresponding to each set of physiological signs in the selected area of the set of physiological signs in a third manner; and/or
确定到所述监测对象的目标生理体征参数的报警信息后,在所述生理体征集合的选择区域按照第四方式突出显示所述目标生理体征参数对应的生理体征集合的选项。After the alarm information of the target physiological sign parameter of the monitoring object is determined, the selection of the physiological sign set corresponding to the target physiological sign parameter is highlighted in the fourth manner in the selection area of the physiological sign set.
本实施例中,介绍了生理体征集合的选择区域的显示方式,具体的,可以在所述生理体征集合的选择区域按照第一方式突出显示目标生理体征集合对应的选项,例如,若当前切片窗显示区域显示的目标生理体征集合为呼吸系统对应的生理体征集合,则可以将与呼吸系统对应的选项的显示面积设置为大于 其他生理系统对应的选项的显示面积。也可以将与呼吸系统对应的选项的显示文字进行加粗显示,或者将与呼吸系统对应的选项的显示颜色设置为与其他生理系统对应的选项的显示颜色不同。在实际应用中,也可以选择其他能起到突出显示作用的显示方式,此处并不限定。In this embodiment, the display method of the selected area of the physiological sign set is introduced. Specifically, the option corresponding to the target physiological sign set may be highlighted in the selected area of the physiological sign set according to the first manner, for example, if the current slice window The target physiological sign set displayed in the display area is a physiological sign set corresponding to the respiratory system, and the display area of options corresponding to the respiratory system may be set to be larger than the display area of options corresponding to other physiological systems. The display text of the options corresponding to the respiratory system may also be displayed in bold, or the display color of the options corresponding to the respiratory system may be set to be different from the display colors of the options corresponding to other physiological systems. In practical applications, other display methods that can play a prominent role can also be selected, which is not limited here.
本实施例中,可选地,可以确定所述健康评分低于预设评分的生理体征集合为目标生理体征集合,例如,若当前健康评分低于预设评分的生理体征集合为呼吸系统对应的生理体征集合,则可以将与呼吸系统对应的选项的显示面积设置为大于其他生理系统对应的选项的显示面积、或将与呼吸系统对应的选项的显示颜色设置为与其他生理系统对应的选项的显示颜色不同等。In this embodiment, optionally, the set of physiological signs whose health score is lower than the preset score may be determined as the target set of physiological signs, for example, if the set of physiological signs whose current health score is lower than the preset score is corresponding to the respiratory system Physiological sign collection, you can set the display area of the options corresponding to the respiratory system to be larger than the display area of the options corresponding to other physiological systems, or set the display color of the options corresponding to the respiratory system to the options corresponding to other physiological systems Display colors are different.
本实施例中,可选地,可以在所述生理体征集合的选择区域按照第三方式显示每个生理体征集合对应的健康评分,本实施例中,可以将基本生命体征系统、循环系统、感染系统、神经系统、呼吸系统和营养代谢系统对应的健康评分都显示在对应的选项中。In this embodiment, optionally, the health score corresponding to each physiological sign set may be displayed in a third manner in the selected area of the physiological sign set. In this embodiment, the basic vital sign system, circulatory system, infection The corresponding health scores of the system, nervous system, respiratory system and nutrient metabolism system are displayed in the corresponding options.
本实施例中,可选地,确定到所述监测对象的目标生理体征参数的报警信息后,在所述生理体征集合的选择区域按照第四方式突出显示所述目标生理体征参数对应的生理体征集合的选项,例如,若确定到所述监测对象的目标生理体征参数的报警信息对应的生理体征集合为呼吸系统对应的生理体征集合,则可以将与呼吸系统对应的选项的显示面积设置为大于其他生理系统对应的选项的显示面积、或将与呼吸系统对应的选项的显示颜色设置为与其他生理系统对应的选项的显示颜色不同等。In this embodiment, optionally, after the alarm information of the target physiological sign parameter of the monitored object is determined, the physiological sign corresponding to the target physiological sign parameter is highlighted in a fourth manner in the selected area of the physiological sign set Set options, for example, if it is determined that the set of physiological signs corresponding to the alarm information of the target physiological sign parameters of the monitored object is the set of physiological signs corresponding to the respiratory system, the display area of the options corresponding to the respiratory system may be set to be greater than The display area of options corresponding to other physiological systems, or setting the display color of options corresponding to the respiratory system to different display colors of options corresponding to other physiological systems, etc.
可选地,在上述图4对应的实施例的基础上,本发明实施例提供的针对血流动力学的生理体征监测方法的一个可选实施例中,所述从至少两个生理体征集合中确定目标生理体征集合之前,所述方法还包括:Optionally, on the basis of the embodiment corresponding to FIG. 4 above, in an optional embodiment of the method for monitoring physiological signs of hemodynamics provided by an embodiment of the present invention, the at least two sets of physiological signs Before determining the target physiological sign set, the method further includes:
显示第一显示界面,所述第一显示界面用于显示固定的一个生理体征集合;Displaying a first display interface for displaying a fixed set of physiological signs;
若接收到切换指令,则显示第二显示界面,所述第二显示界面用于显示所述切片显示区域。If a switching instruction is received, a second display interface is displayed, and the second display interface is used to display the slice display area.
本实施例中,医疗监护设备可以首先显示第一显示界面,该第一显示界面可以作为医疗监护设备的初始显示界面,其中,第一显示界面用于显示固定的 一个生理体征集合,例如可以在第一显示界面上显示基本生命体征系统,循环系统,感染系统,神经系统,呼吸系统,营养代谢系统中的一个生理系统对应的生理体征集合。需要说明的是,第一显示界面显示的生理体征集合可以是医护人员预先设置的,也可以是医疗监护设备预先配置的,也可以是医疗监护设备根据监测对象的健康状况确定的。例如,可以是将所述至少两个生理体征集合中健康评分最低的生理体征集合确定为第一显示界面显示的生理体征集合,也可以是根据所述使用场景从至少两个生理体征集合中确定第一显示界面显示的生理体征集合,此处并不限定。In this embodiment, the medical monitoring device may first display a first display interface, and the first display interface may be used as an initial display interface of the medical monitoring device, where the first display interface is used to display a fixed set of physiological signs, for example, in The first display interface displays a set of physiological signs corresponding to one physiological system among the basic vital signs system, the circulatory system, the infection system, the nervous system, the respiratory system, and the nutritional metabolism system. It should be noted that the set of physiological signs displayed on the first display interface may be preset by the medical staff, or may be pre-configured by the medical monitoring device, or may be determined by the medical monitoring device according to the health status of the monitored object. For example, the physiological sign set with the lowest health score among the at least two physiological sign sets may be determined as the physiological sign set displayed on the first display interface, or may be determined from the at least two physiological sign sets according to the usage scenario The set of physiological signs displayed on the first display interface is not limited here.
本实施例中,若接收到切换指令,则显示第二显示界面,其中第二界面可以显示切片窗显示区域,相当于从初始显示界面切换到了切片显示界面。在第二显示界面上,医疗监护设备可以响应操作者输入的选择指令,将所述切片窗显示区域的显示内容改变为目标生理体征集合对应的显示内容。In this embodiment, if a switching instruction is received, a second display interface is displayed, where the second interface may display a slice window display area, which is equivalent to switching from the initial display interface to the slice display interface. On the second display interface, the medical monitoring device may change the display content of the display area of the slice window to the display content corresponding to the target physiological sign set in response to the selection instruction input by the operator.
可选地,在上述图4对应的实施例的基础上,本发明实施例提供的针对血流动力学的生理体征监测方法的一个可选实施例中,所述方法还包括:在所述切片窗显示区域显示目标生理系统对应的辅助应用工具的入口标识,所述目标生理系统与所述目标生理体征集合对应。Optionally, on the basis of the embodiment corresponding to FIG. 4 above, in an optional embodiment of the method for monitoring physiological signs of hemodynamics provided by an embodiment of the present invention, the method further includes: The window display area displays an entry identifier of an auxiliary application tool corresponding to a target physiological system, the target physiological system corresponding to the target physiological sign set.
本实施例中,为方便描述,将切片窗显示区域中显示辅助应用工具的入口标识的区域称为第二显示区域。In this embodiment, for convenience of description, the area in the slice window display area where the entry identifier of the auxiliary application tool is displayed is referred to as the second display area.
本实施例中,以目标生理体征集合对应于循环系统为例,第二显示区域可以显示血流动力学分析界面入口、中心静脉压工具界面入口以及被动抬腿试验辅助工具界面入口中的一项或多项。请参阅图5,如图所示,第二显示区域即为切片窗显示区域的底部,第二显示区域显示血流动力学分析(Hemosight)界面入口、中心静脉压工具(CVP2-5Tool)界面入口以及被动抬腿试验辅助(Passive Leg Rising guide,PLR guide)工具界面入口。可以理解的是,在实际应用中,可以包括Hemosight界面入口、CVP2-5Tool界面入口以及PLR guide工具界面入口的一项或多项。In this embodiment, taking the target physiological sign set corresponding to the circulatory system as an example, the second display area can display one of the hemodynamic analysis interface entrance, the central venous pressure tool interface entrance, and the passive leg lift test auxiliary tool interface entrance Or more. Please refer to Figure 5, as shown in the figure, the second display area is the bottom of the slice window display area, the second display area shows the entrance of the hemodynamic analysis (Hemosight) interface, and the entrance of the central venous pressure tool (CVP2-5Tool) interface And the passive leg lift test assistance (Passive Legging Guide, PLR guide) tool interface entrance. It can be understood that, in actual applications, one or more of the Hemosight interface entry, the CVP2-5Tool interface entry, and the PLR guide tool interface entry may be included.
本实施例中,以目标生理体征集合对应于感染系统为例,第二显示区域可以显示SOFA评分工具入口以及拯救脓毒症运动(Surviving Sepsis Campaign,SSC)治疗指南工具入口,如图7中qSOFA评分的右侧显示有“SSC Bundles” 以及“SOFA”的显示框。操作人员可以在监测界面上点击该显示框链接到其他界面,例如,点击“SSC Bundles”的显示框可以打开一个菜单显示SSC治疗指南推荐的各项治疗措施列表;点击“SOFA”的显示框会打开SOFA评分菜单,操作人员可以查看详细的SOFA评分。In this embodiment, taking the target physiological sign set corresponding to the infection system as an example, the second display area may display the entrance of the SOFA scoring tool and the entrance of the Surviving Sepsis Campaign (SSC) treatment guide tool, as shown in qSOFA in FIG. 7 The right side of the score shows the display boxes of "SSC Bundles" and "SOFA". The operator can click the display box on the monitoring interface to link to other interfaces. For example, click the display box of "SSC Bundles" to open a menu to display the list of various treatment measures recommended by the SSC treatment guide; click the display box of "SOFA" Open the SOFA score menu, the operator can view the detailed SOFA score.
其中,在SSC治疗指南推荐的各项治疗措施列表中,用户可以查看及标记需要进行的SSC治疗措施及治疗措施执行情况,此外该SSC治疗指南工具支持自动或者用户手动确认治疗措施已完成;在SOFA评分菜单中可以显示详细的SOFA评分,即包括第二目标区域显示有的部分SOFA评分在内的更多其他参数的SOFA评分,例如,图7中没有显示的胆红素、血小板以及尿量等参数的SOFA评分。Among them, in the list of various treatment measures recommended by the SSC treatment guideline, the user can view and mark the required SSC treatment measures and the implementation of the treatment measures. In addition, the SSC treatment guide tool supports automatic or user manual confirmation that the treatment measures have been completed; The detailed SOFA score can be displayed in the SOFA score menu, that is, the SOFA score of more other parameters including some SOFA scores displayed in the second target area, for example, bilirubin, platelets, and urine volume not shown in FIG. 7 SOFA scores for other parameters.
本实施例中,以目标生理体征集合对应于神经系统为例,第二显示区域可以显示GCS评分工具的入口,如图7中第一显示区域右下角处所示的“GCS评分”显示框。In this embodiment, taking the target physiological sign set corresponding to the nervous system as an example, the second display area may display the entrance of the GCS scoring tool, as shown in the "GCS score" display box shown in the lower right corner of the first display area in FIG. 7.
本实施例中,操作人员可以通过选择该“GCS评分”显示框来打开GCS评分菜单界面,医护人员可以根据病人的实际情况在该GCS评分菜单界面输入相应的数据,最终由系统计算出GCS评分的总分。In this embodiment, the operator can open the GCS scoring menu interface by selecting the "GCS scoring" display box, and the medical staff can input the corresponding data on the GCS scoring menu interface according to the actual situation of the patient, and finally the system calculates the GCS score Total score.
系统计算出此次GCS评分后,在第二显示区域中GCS评分的显示区域将显示该最新一次统计的GCS评分,完成对GCS评分历史数据的更新。After the system calculates the GCS score, the display area of the GCS score in the second display area will display the latest GCS score, and update the historical data of the GCS score.
需要说明的是,操作人员可以通过触摸的操作方式来选择所需要的分析或治疗工具的入口进行点击,此外,也可以用过操作鼠标的方式来选择所需要的分析或治疗工具的入口进行点击,具体此处不做限定。It should be noted that the operator can select the desired analysis or treatment tool entry by clicking on the touch operation method, and can also select the required analysis or treatment tool entry by clicking the mouse. , The specific is not limited here.
此外,在第二显示区域中还可以展示颅脑损伤整合昏迷指数评分进入口,拯救脓毒症运动(Surviving Sepsis Campaign,SCC)治疗指南工具和序贯器官衰竭(Sequential Organ Failure Assessment,SOFA)评分工具入口等。In addition, the craniocerebral injury integrated coma index score entry port, the Surviving Sepsis Campaign (SCC) treatment guide tool and the Sequential Organ Failure (Assessment, SOFA) score can also be displayed in the second display area Tool entrance etc.
在Hemosight界面用于展示与患者相关的生理体征参数,从而可以实现多参数联合辅助决策。The Hemosight interface is used to display the physiological signs and parameters related to the patient, so that multi-parameter joint decision-making can be realized.
PLR guide工具界面用于对PLR过程操作提示指导,包括1、提示开始试验前调整病人为半卧位,获得病人观察参数基线。2、通过调节病床调节病人值腿抬高姿态,观察并记录观察参数变化。3、调节病人恢复半卧位,查看观 察参数是否恢复基线。The PLR guide tool interface is used to prompt and guide the operation of the PLR process, including 1. Prompt to adjust the patient to the semi-recumbent position before starting the test to obtain the baseline of the patient's observation parameters. 2. Adjust the patient's leg-lifting posture by adjusting the hospital bed, and observe and record the changes in the observed parameters. 3. Adjust the patient to return to the semi-recumbent position and check whether the observation parameters have returned to the baseline.
CVP2-5Tool界面入口用于在用户对病人进行补液工程中提供实时的CVP参数趋势显示,基于在临床上普遍使用的CVP2-5原则,提供辅助工具,对补液过程中的CVP参数变化进行实时呈现并对是否可以补液进行智能的提示,帮助医生方便准确的完成补液。The CVP2-5Tool interface entrance is used to provide real-time CVP parameter trend display in the user's rehydration project for patients. Based on the CVP2-5 principles commonly used in clinical practice, an auxiliary tool is provided to display the CVP parameter changes during the rehydration process in real time. And give an intelligent reminder of whether the fluid can be refilled, helping the doctor to conveniently and accurately complete the fluid refill.
再次,本发明实施例中,在所述切片窗显示区域显示目标生理系统对应的辅助应用工具的入口标识,所述目标生理系统与所述目标生理体征集合对应。通过上述方式,医疗监护设备不但可以显示与各个生理体征集合中生理体征参数的监测数据,还可以为用户提供辅助应用工具的入口标识,用户可以直接在切片窗显示区域上选择所需进入的辅助应用工具的入口标识,从而提升操作的灵便性,可以更高效地对患者的生理状态进行分析和观察。Again, in the embodiment of the present invention, the entry identifier of the auxiliary application tool corresponding to the target physiological system is displayed in the slice window display area, and the target physiological system corresponds to the target physiological sign set. In the above manner, the medical monitoring equipment can not only display the monitoring data of the physiological sign parameters in each physiological sign set, but also provide the user with the entrance identification of the auxiliary application tool. The user can directly select the required auxiliary entry on the display area of the slice window The entry mark of the tool is used to improve the flexibility of the operation, and the physiological state of the patient can be analyzed and observed more efficiently.
可选地,在上述图4对应的实施例的基础上,本发明实施例提供的针对血流动力学的生理体征监测方法的一个可选实施例中,所述方法还包括:在所述切片窗显示区域中显示图形化触控区域;接收通过所述图形化触控区域输入的切换指令;所述在切片窗显示区域显示至少一个生理体征集合中生理体征参数的监测数据包括:基于所述切换指令,在切片窗显示区域显示第一时间段内至少一个生理体征集合中生理体征参数的监测数据,或显示第二时间段内至少一个生理体征集合中生理体征参数的监测数据。Optionally, on the basis of the embodiment corresponding to FIG. 4 above, in an optional embodiment of the method for monitoring physiological signs of hemodynamics provided by an embodiment of the present invention, the method further includes: Displaying a graphical touch area in the window display area; receiving a switching instruction input through the graphical touch area; and displaying the monitoring data of the physiological sign parameters in the at least one physiological sign set in the slice window display area includes: The switching instruction displays the monitoring data of the physiological sign parameters in the at least one physiological sign set in the first period of time in the slice window display area, or the monitoring data of the physiological sign parameters in the at least one physiological sign set in the second period of time.
本实施例中,可选地,还可以基于所述切换指令,扩大或缩小所述切片窗显示区域的显示面积。本实施例中,以生理体征集合对应于循环系统为例,如图5中所示的“>”按钮,目前切片窗显示区域显示的是8小时(第一时间段)内的波形监护信息,用户触摸“>”按钮后,切片窗显示区域显示为24小时(第二时间段)内的波形监护信息。In this embodiment, optionally, the display area of the display area of the slice window may be enlarged or reduced based on the switching instruction. In this embodiment, taking the physiological sign set corresponding to the circulatory system as an example, as shown in the ">" button in FIG. 5, the current display area of the slice window displays waveform monitoring information within 8 hours (the first time period), After the user touches the “>” button, the slice window display area displays the waveform monitoring information within 24 hours (second time period).
所属领域的技术人员可以清楚地了解到,为描述的方便和简洁,上述描述的系统,装置和单元的具体工作过程,可以参考前述方法实施例中的对应过程,在此不再赘述。Those skilled in the art can clearly understand that for the convenience and conciseness of the description, the specific working processes of the system, device and unit described above can refer to the corresponding processes in the foregoing method embodiments, which will not be repeated here.
在本发明所提供的几个实施例中,应该理解到,所揭露的系统,装置和方法,可以通过其它的方式实现。例如,以上所描述的装置实施例仅仅是示意性的,例如,所述单元的划分,仅仅为一种逻辑功能划分,实际实现时可以有另外的划分方式,例如多个单元或组件可以结合或者可以集成到另一个系统,或 一些特征可以忽略,或不执行。另一点,所显示或讨论的相互之间的耦合或直接耦合或通信连接可以是通过一些接口,装置或单元的间接耦合或通信连接,可以是电性,机械或其它的形式。In the several embodiments provided by the present invention, it should be understood that the disclosed system, device, and method may be implemented in other ways. For example, the device embodiments described above are only schematic. For example, the division of the units is only a division of logical functions. In actual implementation, there may be other divisions, for example, multiple units or components may be combined or Can be integrated into another system, or some features can be ignored, or not implemented. In addition, the displayed or discussed mutual coupling or direct coupling or communication connection may be indirect coupling or communication connection through some interfaces, devices or units, and may be in electrical, mechanical, or other forms.
所述作为分离部件说明的单元可以是或者也可以不是物理上分开的,作为单元显示的部件可以是或者也可以不是物理单元,即可以位于一个地方,或者也可以分布到多个网络单元上。可以根据实际的需要选择其中的部分或者全部单元来实现本实施例方案的目的。The units described as separate components may or may not be physically separated, and the components displayed as units may or may not be physical units, that is, they may be located in one place, or may be distributed on multiple network units. Some or all of the units may be selected according to actual needs to achieve the purpose of the solution of this embodiment.
另外,在本发明各个实施例中的各功能单元可以集成在一个处理单元中,也可以是各个单元单独物理存在,也可以两个或两个以上单元集成在一个单元中。上述集成的单元既可以采用硬件的形式实现,也可以采用软件功能单元的形式实现。In addition, each functional unit in each embodiment of the present invention may be integrated into one processing unit, or each unit may exist alone physically, or two or more units may be integrated into one unit. The above integrated unit can be implemented in the form of hardware or software function unit.
所述集成的单元如果以软件功能单元的形式实现并作为独立的产品销售或使用时,可以存储在一个计算机可读取存储介质中。基于这样的理解,本发明的技术方案本质上或者说对现有技术做出贡献的部分或者该技术方案的全部或部分可以以软件产品的形式体现出来,该计算机软件产品存储在一个存储介质中,包括若干指令用以使得一台计算机设备(可以是个人计算机,服务器,或者网络设备等)执行本发明各个实施例所述方法的全部或部分步骤。而前述的存储介质包括:U盘、移动硬盘、只读存储器(read-only memory,ROM)、随机存取存储器(random access memory,RAM)、磁碟或者光盘等各种可以存储程序代码的介质。If the integrated unit is implemented in the form of a software functional unit and sold or used as an independent product, it may be stored in a computer-readable storage medium. Based on this understanding, the technical solution of the present invention essentially or part of the contribution to the existing technology or all or part of the technical solution can be embodied in the form of a software product, the computer software product is stored in a storage medium , Including several instructions to enable a computer device (which may be a personal computer, server, or network device, etc.) to perform all or part of the steps of the methods described in various embodiments of the present invention. The aforementioned storage media include: U disk, mobile hard disk, read-only memory (ROM), random access memory (RAM), magnetic disk or optical disk and other media that can store program codes .
以上所述,以上实施例仅用以说明本发明的技术方案,而非对其限制;尽管参照前述实施例对本发明进行了详细的说明,本领域的普通技术人员应当理解:其依然可以对前述各实施例所记载的技术方案进行修改,或者对其中部分技术特征进行等同替换;而这些修改或者替换,并不使相应技术方案的本质脱离本发明各实施例技术方案的精神和范围。As mentioned above, the above embodiments are only used to illustrate the technical solutions of the present invention, not to limit them; although the present invention has been described in detail with reference to the foregoing embodiments, those of ordinary skill in the art should understand that they can still The technical solutions described in the embodiments are modified, or some of the technical features are equivalently replaced; and these modifications or replacements do not deviate from the spirit and scope of the technical solutions of the embodiments of the present invention.

Claims (17)

  1. 一种生理体征监测方法,其特征在于,包括:A method for monitoring physiological signs, characterized in that it includes:
    获取监测对象生理体征参数的监测数据;Obtain the monitoring data of the physiological sign parameters of the monitoring object;
    按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合;Classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set;
    在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据。The monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area.
  2. 根据权利要求1所述的方法,其特征在于,所述至少一个生理体征集合中的不同生理体征集合对应于不同生理系统,其中,所述生理系统包括如下至少一项:The method according to claim 1, wherein different sets of physiological signs in the at least one set of physiological signs correspond to different physiological systems, wherein the physiological systems include at least one of the following:
    基本生命体征系统,循环系统,感染系统,神经系统,呼吸系统,营养代谢系统。Basic vital signs system, circulatory system, infection system, nervous system, respiratory system, nutrient metabolism system.
  3. 根据权利要求1或2所述的方法,其特征在于,当所述生理体征集合的数量为至少两个时,所述在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据,包括:The method according to claim 1 or 2, wherein when the number of the physiological sign sets is at least two, the monitoring of physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area Data, including:
    从所述至少两个生理体征集合中确定目标生理体征集合;Determining a target physiological sign set from the at least two physiological sign sets;
    在所述切片窗显示区域显示所述目标生理体征集合对应的生理体征参数的监测数据。The monitoring data of the physiological sign parameters corresponding to the target physiological sign set is displayed in the display area of the slice window.
  4. 根据权利要求3所述的方法,其特征在于,所述从至少两个生理体征集合中确定目标生理体征集合,包括:The method according to claim 3, wherein the determining the target physiological sign set from at least two physiological sign sets comprises:
    计算所述至少两个生理体征集合中各个生理体征集合对应的健康评分;Calculating a health score corresponding to each set of physiological signs in the at least two sets of physiological signs;
    将所述至少两个生理体征集合中健康评分最低的生理体征集合确定为目标生理体征集合。The physiological sign set with the lowest health score among the at least two physiological sign sets is determined as the target physiological sign set.
  5. 根据权利要求3所述的方法,其特征在于,所述从至少两个生理体征集合中确定目标生理体征集合,包括:The method according to claim 3, wherein the determining the target physiological sign set from at least two physiological sign sets comprises:
    确定当前使用场景;Determine the current usage scenario;
    根据所述使用场景从至少两个生理体征集合中确定目标生理体征集合。The target physiological sign set is determined from at least two physiological sign sets according to the usage scenario.
  6. 根据权利要求3所述的方法,其特征在于,所述从至少两个生理体征集合中确定目标生理体征集合之前,所述方法还包括:The method according to claim 3, wherein before determining the target physiological sign set from at least two physiological sign sets, the method further comprises:
    显示第一显示界面,所述第一显示界面用于显示固定的一个生理体征集合;Displaying a first display interface for displaying a fixed set of physiological signs;
    若接收到切换指令,则显示第二显示界面,所述第二显示界面用于显示所述切片显示区域。If a switching instruction is received, a second display interface is displayed, and the second display interface is used to display the slice display area.
  7. 根据权利要求3所述的方法,其特征在于,所述从至少两个生理体征集合中确定目标生理体征集合之前,所述方法还包括:The method according to claim 3, wherein before determining the target physiological sign set from at least two physiological sign sets, the method further comprises:
    根据所述监测对象的危重等级或病种确定所述至少两个生理体征集合中包括的生理体征集合。The physiological sign set included in the at least two physiological sign sets is determined according to the criticality level or disease type of the monitored object.
  8. 根据权利要求3所述的方法,其特征在于,所述方法还包括:The method of claim 3, further comprising:
    显示生理体征集合的选择区域,所述生理体征集合的选择区域包括至少两个选项,每个所述选项对应一个生理体征集合,每个所述选项用于在所述切片窗显示区域显示对应的生理体征集合。A selection area of a set of physiological signs is displayed, and the selection area of the set of physiological signs includes at least two options, each of the options corresponds to a set of physiological signs, and each of the options is used to display a corresponding Physiological signs collection.
  9. 根据权利要求8所述的方法,其特征在于,所述从至少两个生理体征集合中确定目标生理体征集合,包括:The method according to claim 8, wherein the determining the target physiological sign set from at least two physiological sign sets comprises:
    在生理体征集合的选择区域接收对所述目标生理体征集合的选项的选择指令;Receiving a selection instruction for an option of the target physiological sign set in a selection area of the physiological sign set;
    根据所述选择指令将所述切片窗显示区域的显示内容改变为目标生理体征集合对应的显示内容。Changing the display content of the display area of the slice window to the display content corresponding to the target physiological sign set according to the selection instruction.
  10. 根据权利要求8所述的方法,其特征在于,所述从至少两个生理体征集合中确定目标生理体征集合,包括:The method according to claim 8, wherein the determining the target physiological sign set from at least two physiological sign sets comprises:
    在所述切片窗显示区域接收到用户的滑动手势;Receiving a sliding gesture of the user in the display area of the slice window;
    根据所述滑动手势将所述切片窗显示区域的显示内容改变为相邻的生理体征集合对应的显示内容。Changing the display content of the display area of the slice window to the display content corresponding to the adjacent physiological sign set according to the sliding gesture.
  11. 根据权利要求8所述的方法,其特征在于,所述方法还包括:The method according to claim 8, wherein the method further comprises:
    在所述生理体征集合的选择区域按照第一方式突出显示目标生理体征集合对应的选项;和/或Highlighting the option corresponding to the target physiological sign set in the selected area of the physiological sign set in the first manner; and/or
    确定所述健康评分低于预设评分的生理体征集合为目标生理体征集合;Determining that the set of physiological signs whose health score is lower than the preset score is the set of target physiological signs;
    在所述生理体征集合的选择区域按照第二方式突出显示所述目标生理体征集合对应的选项;和/或Highlighting the option corresponding to the target physiological sign set in the second region in the selected area of the physiological sign set; and/or
    在所述生理体征集合的选择区域按照第三方式显示每个生理体征集合对应的健康评分;和/或Displaying the health score corresponding to each set of physiological signs in the selected area of the set of physiological signs in a third manner; and/or
    确定到所述监测对象的目标生理体征参数的报警信息后,在所述生理体征集合的选择区域按照第四方式突出显示所述目标生理体征参数对应的生理体征集合的选项。After the alarm information of the target physiological sign parameter of the monitoring object is determined, the selection of the physiological sign set corresponding to the target physiological sign parameter is highlighted in the fourth manner in the selection area of the physiological sign set.
  12. 根据权利要求3所述的方法,其特征在于,所述方法还包括:The method of claim 3, further comprising:
    在所述切片窗显示区域显示目标生理系统对应的辅助应用工具的入口标识,所述目标生理系统与所述目标生理体征集合对应。An entry identifier of an auxiliary application tool corresponding to a target physiological system is displayed in the display area of the slice window, and the target physiological system corresponds to the target physiological sign set.
  13. 根据权利要求1或2所述的方法,其特征在于,所述在切片窗显示区域显示至少一个生理体征集合中生理体征参数的监测数据,包括:The method according to claim 1 or 2, wherein the displaying of monitoring data of physiological sign parameters in at least one physiological sign set in the display area of the slice window includes:
    在切片窗显示区域显示至少一个生理体征集合中生理体征参数的波形信息、报警统计信息、健康评分中的至少一种。At least one of waveform information, alarm statistical information, and health scores of physiological sign parameters in at least one physiological sign set is displayed in the slice window display area.
  14. 根据权利要求1或2所述的方法,其特征在于,所述方法还包括:The method according to claim 1 or 2, wherein the method further comprises:
    在所述切片窗显示区域中显示图形化触控区域;Displaying a graphical touch area in the slice window display area;
    接收通过所述图形化触控区域输入的切换指令;Receiving a switching instruction input through the graphical touch area;
    所述在切片窗显示区域显示至少一个生理体征集合中生理体征参数的监测数据包括:The monitoring data of displaying physiological sign parameters in at least one physiological sign set in the display area of the slice window includes:
    基于所述切换指令,在切片窗显示区域显示第一时间段内至少一个生理体征集合中生理体征参数的监测数据,或显示第二时间段内至少一个生理体征集合中生理体征参数的监测数据。Based on the switching instruction, the monitoring data of the physiological sign parameters in the at least one physiological sign set in the first time period is displayed in the slice window display area, or the monitoring data of the physiological sign parameters in the at least one physiological sign set in the second time period is displayed.
  15. 根据权利要求14所述的方法,其特征在于,所述方法还包括:The method according to claim 14, wherein the method further comprises:
    基于所述切换指令,扩大或缩小所述切片窗显示区域的显示面积。Based on the switching instruction, the display area of the display area of the slice window is enlarged or reduced.
  16. 一种监护设备,其特征在于,包括:A monitoring device, characterized in that it includes:
    显示器,所述显示器配置为显示信息;和A display configured to display information; and
    处理器,所述处理器执行程序指令以实现下面步骤:A processor, the processor executes program instructions to implement the following steps:
    获取监测对象生理体征参数的监测数据;Obtain the monitoring data of the physiological sign parameters of the monitoring object;
    按照生理体征参数的相关性,将所述生理体征参数进行分类,获得至少一个生理体征集合;Classify the physiological sign parameters according to the correlation of the physiological sign parameters to obtain at least one physiological sign set;
    在切片窗显示区域显示所述至少一个生理体征集合中生理体征参数的监测数据。The monitoring data of the physiological sign parameters in the at least one physiological sign set is displayed in the slice window display area.
  17. 一种计算机可读存储介质,包括指令,当所述指令在计算机上运行时,使得计算机执行如权利要求1至15中任一项所述的方法。A computer-readable storage medium including instructions, which when executed on a computer, causes the computer to perform the method according to any one of claims 1 to 15.
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT202100007922A1 (en) * 2021-03-31 2022-10-01 Riatlas S R L METHOD FOR DISPLAYING ON A COMPUTER EQUIPMENT SCREEN A TIME TREND OF AT LEAST ONE HEALTH STATE OF A PATIENT AND COMPUTER EQUIPMENT
EP4068305A1 (en) * 2021-03-31 2022-10-05 Riatlas S.r.l. Method for displaying on a screen of a computerized apparatus a temporal trend of a state of health of a patient and computerized apparatus

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101272734A (en) * 2005-03-02 2008-09-24 太空实验室健康护理有限公司 High efficiency switching power supply
CN105852799A (en) * 2015-01-21 2016-08-17 深圳迈瑞生物医疗电子股份有限公司 Method for displaying cardio pulmonary resuscitation (CPR) monitoring data, equipment for displaying CPR monitoring data, breathing machine and monitoring instrument
CN107661092A (en) * 2017-08-07 2018-02-06 厦门亿力吉奥信息科技有限公司 Vital sign state monitoring method and computer-readable recording medium
US20180303417A1 (en) * 2012-07-09 2018-10-25 Dexcom, Inc. Systems and methods for leveraging smartphone features in continuous glucose monitoring
CN108742564A (en) * 2018-07-03 2018-11-06 梁汐萌 Life parameters monitoring method and device

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2010065067A1 (en) * 2008-11-20 2010-06-10 Bodymedia, Inc. Method and apparatus for determining critical care parameters
CN103815966A (en) * 2012-11-19 2014-05-28 深圳迈瑞生物医疗电子股份有限公司 Physiological parameter processing device and method
CN104146770A (en) * 2014-07-16 2014-11-19 滨州医学院附属医院 Operation monitoring system
CN108764310B (en) * 2018-05-17 2021-10-29 西安电子科技大学 SAR target recognition method based on multi-scale multi-feature depth forest

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101272734A (en) * 2005-03-02 2008-09-24 太空实验室健康护理有限公司 High efficiency switching power supply
US20180303417A1 (en) * 2012-07-09 2018-10-25 Dexcom, Inc. Systems and methods for leveraging smartphone features in continuous glucose monitoring
CN105852799A (en) * 2015-01-21 2016-08-17 深圳迈瑞生物医疗电子股份有限公司 Method for displaying cardio pulmonary resuscitation (CPR) monitoring data, equipment for displaying CPR monitoring data, breathing machine and monitoring instrument
CN107661092A (en) * 2017-08-07 2018-02-06 厦门亿力吉奥信息科技有限公司 Vital sign state monitoring method and computer-readable recording medium
CN108742564A (en) * 2018-07-03 2018-11-06 梁汐萌 Life parameters monitoring method and device

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT202100007922A1 (en) * 2021-03-31 2022-10-01 Riatlas S R L METHOD FOR DISPLAYING ON A COMPUTER EQUIPMENT SCREEN A TIME TREND OF AT LEAST ONE HEALTH STATE OF A PATIENT AND COMPUTER EQUIPMENT
EP4068305A1 (en) * 2021-03-31 2022-10-05 Riatlas S.r.l. Method for displaying on a screen of a computerized apparatus a temporal trend of a state of health of a patient and computerized apparatus

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