WO2020132827A1 - 一种应用于监护设备的显示方法及监护设备 - Google Patents

一种应用于监护设备的显示方法及监护设备 Download PDF

Info

Publication number
WO2020132827A1
WO2020132827A1 PCT/CN2018/123170 CN2018123170W WO2020132827A1 WO 2020132827 A1 WO2020132827 A1 WO 2020132827A1 CN 2018123170 W CN2018123170 W CN 2018123170W WO 2020132827 A1 WO2020132827 A1 WO 2020132827A1
Authority
WO
WIPO (PCT)
Prior art keywords
physiological
data
shock
display
prompt
Prior art date
Application number
PCT/CN2018/123170
Other languages
English (en)
French (fr)
Inventor
王澄
何昆仑
张政波
卿磊
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
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
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 PCT/CN2018/123170 priority Critical patent/WO2020132827A1/zh
Priority to CN201880099058.2A priority patent/CN112996427A/zh
Publication of WO2020132827A1 publication Critical patent/WO2020132827A1/zh

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons

Definitions

  • the invention relates to the field of medical equipment, in particular to a display method and monitoring equipment applied to monitoring equipment.
  • the traditional patient monitor can only monitor and alert the abnormal changes of a single physiological parameter of the patient, and the change of the patient's condition often needs to be manifested by multiple physiological parameters.
  • doctors need to combine their own experience to comprehensively analyze multiple physiological parameters of patients when judging the state of patients.
  • the patient's physiological sign state often has diversity, and the same type of physiological sign state often has multiple different severity levels.
  • the traditional patient monitor only compares the monitored single physiological sign data with the preset alarm threshold. If the monitored physiological sign data exceeds the alarm threshold, a simple alarm will be given instead of giving the physiological sign The specific physiological signs of the patient reflected in the data.
  • the alarm prompt is relatively simple, not intelligent enough, and the reference value is not great. It needs medical staff to make further analysis and judgment based on the monitoring data.
  • the present invention provides a display method applied to a monitoring device, including:
  • the prompt information corresponding to the target data is determined, and the prompt information is information for indicating a physiological sign state of the monitored object, and the physiological sign state includes at least volume responsiveness At least one of status, oxygenation risk status, shock risk status;
  • the prompt information is displayed in the prompt display area of the display interface.
  • the invention also provides a monitoring device, including:
  • a display configured to display information
  • a memory that stores executable program instructions
  • a processor configured to execute executable program instructions to implement the steps of the display method applied to the monitoring device as described in the first aspect of the present invention.
  • the present invention provides a monitoring device, including:
  • the memory is used to preliminarily store the analysis result and the prompt information, the analysis result is obtained based on the analysis of the physiological data of the monitored object, the prompt information is used for display on the display, and the prompt information includes at least the physiological sign status of the monitored object Description;
  • a physiological data acquisition device configured to acquire at least one physiological data of the monitoring object
  • a processor configured to analyze and process the at least one physiological data to obtain an analysis result; and obtain prompt information associated with the analysis result from the memory by matching;
  • the display is used to generate and display a prompt display area on the display interface, and display the prompt information in the prompt display area.
  • FIG. 1 is a schematic flowchart of a display method applied to a monitoring device
  • FIG. 2 is a schematic diagram of a prompt display area in a display interface of a monitoring device
  • Figure 3 is a schematic diagram of the display interface of the monitoring device
  • FIG. 4 is a schematic structural diagram of a monitoring device
  • 5 is a schematic structural diagram of another monitoring device.
  • the monitoring equipment mentioned in the embodiment of the present invention is not limited to a monitor, but may also be an invasive/non-invasive ventilator, anesthesia machine, nurse station, central station and other devices with a monitoring function.
  • the display method applied to the monitoring device includes:
  • Step 101 Obtain monitoring data of at least one physiological parameter of a monitoring object.
  • the monitoring device may acquire monitoring data of at least one physiological parameter of the monitoring object.
  • the at least one physiological parameter may include arterial pressure, heart rate, systolic blood pressure, blood oxygen saturation, inhaled oxygen concentration, cardiac preload related parameters, cardiac output related parameters and cardiac postload related parameters, etc., wherein the cardiac preload is related
  • the parameters include at least one of end-diastolic volume index, central venous pressure, and pulmonary artery pressure
  • cardiac output-related parameters include at least one of cardiac output, stroke volume, stroke volume index, and cardiac output index
  • Cardiac postload related parameters include at least one of peripheral vascular resistance, peripheral vascular resistance index, and arterial pressure.
  • the monitoring device can acquire the physiological parameter acquisition signal through a sensor connected to the human body, and then the monitoring device can convert the acquired physiological parameter acquisition signal into an electrical signal, and perform interference suppression, signal filtering and amplification, etc. After processing, the monitoring data of physiological parameters are finally obtained. Since the physiological parameters of the monitored object usually change continuously over time, the monitoring device can obtain the historical monitoring data of the physiological parameters over a period of time in addition to the real-time monitoring data of the physiological parameters, that is, the monitoring device can store the Set the monitoring data of the physiological parameters obtained within the time period to obtain the historical data of the physiological parameters within the preset time period.
  • acquiring the monitoring data of the physiological sign parameters of the monitored object within a preset time period may be: acquiring the monitoring data of the physiological sign parameters in the physiological parameter set of the monitored object within the most recent period, for example, the last 8 hours, the last 24 Hours and so on.
  • Step 102 Generate target data according to the monitoring data of at least one physiological parameter.
  • the monitoring device may analyze or calculate the acquired monitoring data to generate target data.
  • Step 103 When the target data meets the preset condition, determine the prompt information corresponding to the target data.
  • the monitoring device will determine whether the target data meets the preset conditions. If the target data meets the preset conditions, the monitoring device will determine the prompt information corresponding to the target data, where the prompt information is used to indicate the monitoring target physiology Information about signs status.
  • the prompt information may include at least one of a volume responsive state, an oxygenation risk state, and a shock risk state. That is to say, different target data may correspond to different prompt information, and the monitoring device may prompt at least one of a volume reactive state, an oxygenation risk state, or a shock risk state according to the different target data.
  • Step 104 Display prompt information in the prompt display area of the display interface.
  • the monitoring device may provide an independent prompt display area, and display prompt information on the prompt display area.
  • the prompt display area may be a part of the area divided on the display interface.
  • the prompt display area may also be a display area suspended on the display interface, which is not specifically limited herein.
  • the monitoring device acquires monitoring data of at least one physiological parameter of the monitored object, and then generates target data according to the monitoring data of the at least one physiological parameter.
  • target data satisfies a preset condition
  • the prompt information is information used to represent the physiological sign state of the monitoring object, and the physiological sign state includes at least one of the volume responsive state, the oxygenation risk state, and the shock risk state, and then displayed on the display interface prompt display Area, display the prompt information.
  • the monitoring device can analyze and calculate the collected physiological parameter monitoring data to obtain the target data, and use the target data as an indicator to determine the prompt information corresponding to the target data, which is no longer just for a single physiological parameter Threshold alarm, the prompt information displayed by the monitoring equipment is more intelligent and more valuable for reference.
  • the physiological parameters obtained by the monitoring device include arterial pressure, and the monitoring device calculates the arterial blood pressure variability (PPV) based on the monitoring data of the arterial pressure, and then analyzes the arterial blood pressure variability to obtain the analysis result, and Determine the prompt information associated with the analysis result.
  • PSV arterial blood pressure variability
  • the monitoring device determines that the prompt information is volume-responsive.
  • the analysis result is that the arterial blood pressure variability rate is less than the volume responsive state threshold.
  • the monitoring device determines that the prompt message is no volume responsiveness. It is understandable that both capacity-reactive and non-volume-reactive are one of the capacity-reactive states.
  • the capacity reactive state threshold can be defined by the user.
  • the user can set the capacity reactive state threshold to 15%.
  • the present invention does not limit the specific value of the capacity reactive state threshold.
  • the physiological parameters obtained by the monitoring device include heart rate and systolic blood pressure.
  • the monitoring device calculates the ratio of heart rate to systolic blood pressure and uses this as the target data, and then analyzes the target data to obtain the analysis result, and determines the correlation of the analysis result. Prompt information.
  • the monitoring device determines that the prompt information is a mild shock risk.
  • the analysis result is that the target data is greater than the second shock risk state threshold.
  • the monitoring device determines that the prompt message is severe shock risk. It is understandable that both mild shock risk and severe shock risk belong to one of the shock risk states.
  • first shock risk state threshold and the second shock risk state threshold can be customized by the user.
  • the user can set the first shock risk state threshold to 1.5 and set the second shock risk state threshold to 2.
  • the present invention does not limit the specific values of the first shock risk state threshold and the second shock risk state threshold.
  • the physiological parameters obtained by the monitoring device include blood oxygen saturation (Pulse Oxygen Saturation, SpO2) and inhaled oxygen concentration (Fraction of inspiration O2, FiO2).
  • the monitoring device calculates the ratio of blood oxygen saturation to inhaled oxygen concentration and This is taken as the target data, and then the target data is analyzed to obtain the analysis result, and the prompt information associated with the analysis result is determined.
  • the monitoring device determines that the prompt information is mild oxygenation risk.
  • the analysis result is that the target data is less than the second oxygenation risk state threshold
  • the monitoring device determines that the prompt message is serious oxygenation risk. It is understandable that both mild oxygenation risk and severe oxygenation risk belong to one of the oxygenation risk states.
  • first oxygenation risk state threshold and the second oxygenation risk state threshold can be customized by the user.
  • the user can set the first oxygenation risk state threshold to 315 and set the second oxygenation
  • the risk state threshold is 235, and the present invention does not limit the specific values of the first oxygenation risk state threshold and the second oxygenation risk state threshold.
  • the physiological parameters acquired by the monitoring equipment include the relevant parameters of cardiac preload, cardiac output, and cardiac afterload.
  • the relevant parameters of cardiac preload include the end-expansion volume index, central venous pressure, and pulmonary artery pressure.
  • At least one of the cardiac output related parameters includes cardiac output, stroke volume, stroke volume index, cardiac output index at least one, cardiac postload related parameters include peripheral vascular resistance, peripheral vascular resistance index, arteries At least one of the pressure.
  • the monitoring device generates target data including parameters related to cardiac preload, parameters related to cardiac output, and parameters related to cardiac postload. Furthermore, the monitoring device analyzes the target data to obtain an analysis result, and determines prompt information associated with the analysis result.
  • the prompt information is low-volume shock.
  • the pre-heart load related parameter is higher than the first threshold, the cardiac output related parameter is lower than the second threshold, and the post-cardiac load related parameter is higher than the third threshold, the prompt message is determined to be cardiogenic or obstructive shock.
  • the pre-heart load related parameter is lower than the first threshold, the cardiac output related parameter is higher than the second threshold, and the post-cardiac load related parameter is lower than the third threshold, the prompt information is determined to be distributed shock. It is understandable that low-volume shock, cardiogenic or obstructive shock, and distributed shock are among the shock risk states.
  • first threshold, the second threshold, and the third threshold can be customized by the user, and the present invention does not limit the specific values of the first threshold, the second threshold, and the third threshold.
  • FIG. 2 is a schematic diagram of the prompt display area of the monitoring device.
  • the display area shown in FIG. 2 is the prompt display area on the display interface of the monitoring device, and the “PPV greater than 15%, with capacity reactivity” displayed on the prompt display area is the prompt information.
  • the target data is PPV
  • the analysis result is that PPV is greater than 15%
  • the corresponding capacity reactive state is capacity reactive.
  • the prompt message may only display the physiological sign status of the monitored object, that is, display "responsive to volume”.
  • the prompt message may display only the analysis result, that is, "PPV is greater than 15%”.
  • the prompt message can also display the analysis result and the physiological state of the monitored object at the same time, that is, "PPV is greater than 15% and there is volume responsiveness". It can be understood that, according to the above example, the prompt information corresponding to the other types of target data is similar, which will not be repeated here.
  • the prompt display area also includes an operable graphic button, which can be specifically shown by the arrow indicated downward in FIG. 2.
  • the monitoring device can obtain the operation instruction input by the user through the operable graphic button, and close the prompt display area according to the operation instruction. It can be understood that after closing the prompt display area, the monitoring device may resume displaying the prompt display area according to the operation instruction input by the user through the operable graphic button.
  • the operable graphic button also has an indication function, indicating to the user that the prompt display area can be hidden or displayed, and the user can hide the prompt display area by sliding down or sliding up to display the prompt display area. In this way, the operator can adjust the prompt display area of the monitoring device according to his needs, making the display mode of the monitoring device more flexible.
  • FIG. 3 is a schematic diagram of the display interface of the monitoring device.
  • the monitoring device can also display the monitoring information corresponding to the detection data of the physiological parameters in the target area of the display interface.
  • the display information includes at least one of waveform display information and numeric display information.
  • the waveform display information may include a physiological waveform signal analog waveform diagram and/or a physiological diagram parameter trend diagram.
  • the prompt information in this embodiment is different from the traditional alarm information of the monitoring device.
  • “ART-SYS TOO HIGH” shown in FIG. 3 is the alarm information displayed by the monitoring device for a single physiological parameter, that is, The arterial pressure of the currently monitored object exceeds the arterial pressure alarm threshold.
  • the prompt information in this embodiment is to first obtain target data through data calculation of at least one physiological parameter, and then analyze and compare the target data, and finally obtain prompt information for responding to the monitoring of the physiological sign state of the object, for example, through an artery
  • the PPV was calculated by pressure, and the PPV was analyzed to be greater than 15%, and then the physiological state of the monitored object was determined to be volume-responsive.
  • the present invention is no longer just a threshold alarm for a single physiological parameter.
  • the prompt information displayed by the monitoring device is more intelligent and has reference value.
  • the monitoring device has an independent housing, and a sensor interface area is provided on the housing panel, in which multiple sensor interfaces are integrated for connecting with various external physiological parameter sensor accessories 111, and the housing panel also includes a small display area, Display 119, input interface circuit 122, power and battery management circuit 117, memory 118, pump valve drive circuit 121 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 extrapolation parameter modules.
  • the plug-in monitoring module host can be formed by inserting the parameter module as a part of the monitoring device, or it can be connected to the host through a cable.
  • the extrapolating parameter module is used as an external accessory of the monitoring device.
  • the internal circuit of the parameter processing module is placed in the housing, as shown in FIG. 4, and includes at least two signal acquisition circuits 112, signal processing circuits 113, and processors 115 corresponding to physiological parameters.
  • the signal acquisition circuit 112 may be selected from electrocardiographic circuits , Breathing circuit, body temperature circuit, blood oxygen circuit, non-invasive blood pressure circuit, invasive blood pressure circuit, etc., these signal acquisition circuits 112 are electrically connected to the corresponding sensor interfaces for electrical connection to the sensor accessories 111 corresponding to different physiological parameters 111
  • the output terminal is coupled to the front-end signal processor, and the communication port of the front-end signal processor is coupled to the processor.
  • the processor is electrically connected to the external communication and power interface through the power supply and battery management circuit 117.
  • 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 realized by a single chip microcomputer or other semiconductor devices.
  • 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 processor through an isolated communication interface.
  • the front-end signal processor circuit can be coupled to the 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 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 One or a combination of a LAN (Ethernet), Token Ring (Token Ring), Token Bus (Token Bus), and the backbone network optical fiber distributed data interface (FDDI) as these three networks, or a combination thereof
  • LAN Local Area Network
  • Token Ring Token Ring
  • Token Bus Token Bus
  • FDDI backbone network optical fiber distributed data interface
  • wireless interfaces such as infrared, Bluetooth, wifi, and WMTS communication
  • 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 a monitoring equipment, an electrocardiogram machine, an ultrasound diagnostic apparatus, a computer, etc., and a software can be installed to form a monitoring equipment.
  • 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.
  • the display 119 is used to configure the display information according to the instructions of the processor 115;
  • the processor 115 executes program instructions to implement the following steps:
  • the prompt information corresponding to the target data is determined, and the prompt information is information for indicating a physiological sign state of the monitored object, and the physiological sign state includes at least volume responsiveness At least one of status, oxygenation risk status, shock risk status;
  • the prompt information is displayed in the prompt display area of the display interface.
  • the monitoring device can analyze and calculate the collected physiological parameter monitoring data to obtain the target data, and use the target data as an indicator to determine the prompt information corresponding to the target data, which is no longer just for a single physiological parameter Threshold alarm, the prompt information displayed by the monitoring equipment is more intelligent and more valuable for reference.
  • the physiological parameter includes arterial pressure
  • the processor 115 is configured to:
  • the arterial blood pressure variation rate is calculated according to the monitoring data of the arterial pressure.
  • the processor 115 is configured to:
  • the volume responsive state threshold When the arterial blood pressure variability rate is greater than the volume responsive state threshold, it is determined that the prompt information is volume responsive, and the volume responsiveness belongs to the volume responsive state;
  • the prompt information is volume-free reactivity, and the volume-free reactivity belongs to the volume-responsive state.
  • the physiological parameters include heart rate and systolic blood pressure
  • the processor 115 is configured to:
  • the ratio of the heart rate to the systolic blood pressure is used as the target data.
  • the processor 115 is configured to:
  • the target data is greater than the first shock risk state threshold, it is determined that the prompt information is a mild shock risk, and the mild shock risk belongs to the shock risk state;
  • the target data is greater than the second shock risk state threshold, it is determined that the prompt information is a severe shock risk, and the severe shock risk belongs to the shock risk state.
  • the physiological parameters include blood oxygen saturation and inhaled oxygen concentration
  • the processor 115 is configured to:
  • the ratio of the blood oxygen saturation level to the inhaled oxygen concentration is used as the target data.
  • the processor 115 is configured to:
  • the target data is less than the first oxygenation risk state threshold, it is determined that the prompt information is mild oxygenation risk, and the mild oxygenation risk belongs to the oxygenation risk state;
  • the target data is less than the second oxygenation risk state threshold, it is determined that the prompt information is a serious oxygenation risk, and the serious oxygenation risk belongs to the oxygenation risk state.
  • the physiological parameters include cardiac preload-related parameters, cardiac output-related parameters, and cardiac post-load-related parameters
  • cardiac preload-related parameters include whole-heart end-diastolic volume index, central venous pressure, At least one of pulmonary artery pressure
  • the cardiac output-related parameters include at least one of cardiac output, stroke volume, stroke volume index, cardiac output index
  • the cardiac postload-related parameters include peripheral vascular resistance , At least one of peripheral vascular resistance index and arterial pressure
  • the processor 115 is configured to:
  • Generate target data including the pre-heart load-related parameters, cardiac output-related parameters, and post-cardiac load-related parameters.
  • the processor 115 is configured to:
  • the prompt information is determined to be low-volume Shock, the low-volume shock belongs to the shock risk state;
  • the prompt message is determined to be cardiogenic Or obstructive shock, the cardiogenic or obstructive shock belongs to the shock risk state;
  • the prompt information is determined to be distributed shock ,
  • the distributed shock belongs to the shock risk state.
  • the prompt display area further includes an operable graphical button
  • the processor 115 is configured to:
  • the processor 115 is configured to:
  • display information corresponding to the monitoring data of the physiological parameters is displayed, the display information includes at least one of waveform display information and numeric display information, and the waveform display information includes physiological sign signals Simulated waveform diagram and/or trend chart of physiological sign parameters.
  • FIG. 5 is a schematic diagram of another embodiment of the monitoring device of the present invention.
  • the monitoring device 500 includes:
  • the memory 501 is used to pre-correlate and store the analysis result and the prompt information based on the physiological data of the monitored object.
  • the prompt information is used for display on the display, and the prompt information includes at least the physiological sign state of the monitored object Description information.
  • the association storage of the analysis result and the prompt information may be stored in the form of a correspondence table, or the memory 501 may be an associated memory.
  • the physiological data acquisition device 502 is configured to acquire at least one physiological data of the monitoring object.
  • the physiological data acquisition device 502 may be a physiological parameter acquisition sensor.
  • the processor 503 is configured to perform analysis processing on the at least one physiological data to obtain an analysis result; and match the prompt information associated with the analysis result from the memory;
  • the display 504 is used to generate and display a prompt display area on the display interface, and display the prompt information in the prompt display area.
  • the analysis result is based on analysis of at least two physiological data of the monitoring object.
  • the monitoring device provided in this embodiment can refer to multiple (at least (2) Physiological parameters, perform comprehensive analysis, and display prompt information including at least the description information of the physiological sign status of the monitored object.
  • the processor 503 is configured to:
  • the at least one physiological data is calculated based on a preset algorithm, and the calculation result is compared with a corresponding preset threshold to use the determined comparison relationship between the calculation result and the corresponding preset threshold as an analysis result .
  • the physiological data includes arterial blood pressure variability
  • the processor 503 is configured to:
  • the prompt information includes information indicating whether the monitored object has volume responsiveness or no volume responsiveness;
  • the physiological data includes heart rate and systolic blood pressure
  • the processor 503 is configured to:
  • the prompt information includes information indicating that the monitored subject has a risk of mild shock Or information about the risk of severe shock;
  • the physiological data includes pre-heart load related sign data, cardiac output related sign data and post-heart load related sign data
  • the processor 503 is configured to:
  • the prompt information includes Information indicating that the monitored object is low-volume shock, cardiogenic/obstructive shock, or distributed shock;
  • the pre-cardiac load-related sign data includes at least one of whole-heart end-diastolic volume index, central venous pressure, and pulmonary artery pressure
  • the cardiac output-related sign data includes at least one of cardiac output, stroke volume, stroke volume index, and cardiac output index
  • the cardiac postload-related sign data includes peripheral vascular resistance, peripheral vascular resistance At least one of index and arterial pressure.
  • the prompt information further includes the analysis result.
  • the processor 503 is configured to:
  • the display 504 is further used to display an operable graphical button in the prompt display area;
  • the processor 503 is configured as:
  • Obtaining an operation instruction input by a user to close the prompt display area includes: the processor is used to obtain a user's operation by touching the operable graphic button to generate the Operation instructions.
  • the prompt information includes text information and/or graphical information.
  • 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 logical function division, and there may be other divisions in actual implementation, 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

一种应用于监护设备的显示方法包括：获取监测对象的至少一种生理参数的监测数据；根据所述至少一种生理参数的监测数据生成目标数据；当所述目标数据满足预设条件时，确定与所述目标数据对应的提示信息，所述提示信息为用于表示所述监测对象生理体征状态的信息，所述生理体征状态至少包括容量反应性状态、氧合风险状态、休克风险状态中的至少一种；在显示界面的提示显示区域，显示所述提示信息。

Description

一种应用于监护设备的显示方法及监护设备 技术领域
本发明涉及医疗设备领域，尤其涉及一种应用于监护设备的显示方法及监护设备。
背景技术
传统的病人监护仪仅能对病人单个生理参数异常变化进行监护及报警提示，而病人病情状态的变化往往需要通过多个生理参数的表现出来。临床上医生在判断病人状态时需要结合自己的经验对病人多个生理参数进行综合分析。
另外，病人的生理体征状态往往具有多样性，同一类型的生理体征状态也往往具有多个不同的严重程度。传统的病人监护仪仅是根据监测到的单一生理体征数据与预设的报警阈值进行比较，如果监测到的生理体征数据超出了报警阈值，则给予简单的报警，而不会给出该生理体征数据所反应的病人的具体生理体征状态。
因此，传统的病人监护仪难以对病人当前的状态及状态的变化给予医生有效的提示。报警提示较为简单，不够智能化，参考价值不大，需要医护人员再根据监测数据做进一步的分析判断。
发明内容
根据本发明的第一方面，本发明提供了一种应用于监护设备的显示方法，包括：
获取监测对象的至少一种生理参数的监测数据；
根据所述至少一种生理参数的监测数据生成目标数据；
当所述目标数据满足预设条件时，确定与所述目标数据对应的提示信息，所述提示信息为用于表示所述监测对象生理体征状态的信息，所述生理体征状态至少包括容量反应性状态、氧合风险状态、休克风险状态中的至少一种；
在显示界面的提示显示区域，显示所述提示信息。
根据本发明的第二方面，本发明还提供了一种监护设备，包括：
显示器，所述显示器配置为显示信息；
存储器，所述存储器存储有可执行程序指令，和
处理器，所述处理器配置为执行可执行程序指令以实现如本发明第一方面所述应用于监护设备的显示方法的步骤。
根据本发明的第三方面，本发明提供了一种监护设备，包括：
存储器，用于预先关联存储分析结果与提示信息，所述分析结果基于监测对象的生理数据分析得到，所述提示信息用于显示器显示，所述提示信息至少包括所述监测对象的生理体征状态的描述信息；
生理数据获取装置，用于获取所述监测对象的至少一种生理数据；
处理器，用于对所述至少一种生理数据进行分析处理，得到分析结果；并从所述存储器中匹配得到与所述分析结果关联的提示信息；
显示器，用于在显示界面中生成并显示提示显示区域，并在所述提示显示区域显示所述提示信息。
附图说明
图1为一种应用于监护设备的显示方法的流程示意图；
图2为监护设备显示界面中的提示显示区域的示意图；
图3为监护设备显示界面的示意图；
图4为一种监护设备的结构示意图；
图5为另一种监护设备的结构示意图。
具体实施方式
本发明实施例中提及的监护设备不限于监护仪，也可以是具有监护功能的有创/无创呼吸机、麻醉机、护士站、中央站等设备。
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。
下面对本发明中应用于监护设备的显示方法进行详细描述，请参阅图1，在一实施例中，应用于监护设备的显示方法包括：
步骤101、获取监测对象的至少一种生理参数的监测数据。
本实施例中，监护设备可以获取监测对象的至少一种生理参数的监测数据。该至少一种生理参数可以包括动脉压、心率、收缩压、血氧饱和度、吸入氧浓度、心脏前负荷相关参数、心脏输出量相关参数和心脏后负荷相关参数等，其中，心脏前负荷相关参数包括全心张末期容量指数、中心静脉压、肺动脉压中的至少一种，心脏输出量相关参数包括心输出量、每搏量、每搏量指数、心输出量指数中的至少一种，心脏后负荷相关参数包括外周血管阻力、外周血管阻力指数、动脉压中的至少一种。可以理解的是，以上列举的生理参数的具体类型只是一种举例，本实施例中还可以包括其他类型的生理参数，具体此处不做限定。
需要说明的是，监护设备可以通过与人体连接的传感器获取生理参数的采集信号，随后监护设备可以将获取到的生理参数的采集信号转换为电信号，并进行干扰抑制、信号滤波和放大等预处理，最终获取到生理参数的监测数据。由于监测对象的生理参数通常会随着时间的推移不断变化，因此，监护设备除了可以获取生理参数的即时监测数据外，还可以获取一段时间内生理参数的历史监测数据，即监护设备可以存储预设时间段内获得的生理参数的监测数据，以此来得到生理参数在预设时间段内的历史数据。
在具体实施例中，获取预设时间段内监测对象的生理体征参数的监测数据可以是：获取最近一段时间内监测对象生理参数集合中的生理体征参数的监测数据，例如最近8小时、最近24小时等。
需要说明的是，本方案不对所用到的医学传感器的具体类型做限定，采集不同的生理体征参数可以用到不同的传感器。
步骤102、根据至少一种生理参数的监测数据生成目标数据。
本实施例中，监护设备在获取了的至少一种生理参数的监测数据后，可以对获取到的监测数据进行分析或计算，以生成目标数据。
步骤103、当目标数据满足预设条件时，确定与目标数据对应的提示信息。
本实施例中，监护设备会判断目标数据是否满足预设条件，若该目标数据满足预设条件，监护设备将确定与该目标数据对应的提示信息，其中，该提示信息用于表示监测对象生理体征状态的信息。具体地，该提示信息可以至少包括容量反应性状态、氧合风险状态、休克风险状态中的至少一种。也就是说，不同的目标数据可以对应不同的提示信息，监护设备可以根据不同的目标数据提示容量反应性状态、氧合风险状态或者休克风险状态中的至少一种。
步骤104、在显示界面的提示显示区域，显示提示信息。
本实施例中，监护设备可以提供一块独立的提示显示区域，并在该提示显示区域上显示提示信息。该提示显示区域可以是显示界面上划分出的一部分区域，此外，该提示显示区域也可以是悬浮于显示界面上的一块显示区域，具体此处不做限定。
本实施例中，监护设备获取监测对象的至少一种生理参数的监测数据，再根据至少一种生理参数的监测数据生成目标数据，当目标数据满足预设条件时，确定与所述目标数据对应的提示信息，该提示信息为用于表示监测对象生理体征状态的信息，生理体征状态至少包括容量反应性状态、氧合风险状态、休克风险状态中的至少一种，进而在显示界面的提示显示区域，显示所述提示信息。通过上述方式，监护设备可以对采集到的生理参数的监测数据进行分析和计算，以得到目标数据，并以目标数据为指标确定与目标数据对应的提示信息，不再仅仅是对单一生理参数的阈值报警，监护设备显示的提示信息更加智能，更具有参考价值。
下面根据目标数据的具体类型和提示信息的具体类型分别对本发明方案进行进一步的描述：
1、监护设备获取到的生理参数包括动脉压，监护设备根据该动脉压的监测数据计算得到动脉血压变异率(pulse pressure variation，PPV)，进而对该动脉血压变异率进行分析得到分析结果，并确定该分析结果关联的提示信息。
具体地，当分析结果为动脉血压变异率大于容量反应性状态阈值时，监护设备确定提示信息为有容量反应性。当分析结果为动脉血压变异率小于容量反应性状态阈值时，监护设备确定提示信息为无容量反应性。可以理解的是，有容量反应性和无容量反应性都属于容量反应性状态中的一种。
需要说明的是，容量反应性状态阈值可以由用户自定义，例如，用户可以设定该容量反应性状态阈值为15％，本发明不对容量反应性状态阈值的具体数值做限定。
2、监护设备获取到的生理参数包括心率和收缩压，监护设备计算得到心率与收缩压的比值并以此作为目标数据，进而对该目标数据进行分析得到分析结果，并确定该分析结果关联的提示信息。
具体地，当分析结果为目标数据大于第一休克风险状态阈值时，监护设备确定提示信息为轻度休克风险。当分析结果为目标数据大于第二休克风险状态阈值时，监护设备确定提示信息为严重休克风险。可以理解的是，轻度休克风险和严重休克风险都属于休克风险状态中的一种。
需要说明的是，第一休克风险状态阈值以及第二休克风险状态阈值可以由用户自定义，例如，用户可以设定该第一休克风险状态阈值为1.5，设定该第二休克风险状态阈值为2，本发明不对第一休克风险状态阈值以及第二休克风险状态阈值的具体数值做限定。
3、监护设备获取到的生理参数包括血氧饱和度(Pulse Oxygen Saturation，SpO2)和吸入氧浓度(Fraction of inspiration O2，FiO2)，监护设备计算得到血氧饱和度与吸入氧浓度的比值并以此作为目标数据，进而对该目标数据进行分析得到分析结果，并确定该分析结果关联的提示信息。
具体地，当分析结果为目标数据小于第一氧合风险状态阈值时，监护设备确定提示信息为轻度氧合风险。当分析结果为目标数据小于第二氧合风险状态阈值时，监护设备确定提示信息为严重氧合风险。可以理解的是，轻度氧合风险和严重氧合风险都属于氧合风险状态中的一种。
需要说明的是，第一氧合风险状态阈值以及第二氧合风险状态阈值可以由用户自定义，例如，用户可以设定该第一氧合风险状态阈值为315，设定该第 二氧合风险状态阈值为235，本发明不对第一氧合风险状态阈值以及第二氧合风险状态阈值的具体数值做限定。
4、监护设备获取到的生理参数包括心脏前负荷相关参数、心脏输出量相关参数和心脏后负荷相关参数，其中，心脏前负荷相关参数包括全心张末期容量指数、中心静脉压、肺动脉压中的至少一种，心脏输出量相关参数包括心输出量、每搏量、每搏量指数、心输出量指数中的至少一种，心脏后负荷相关参数包括外周血管阻力、外周血管阻力指数、动脉压中的至少一种。监护设备生成包括心脏前负荷相关参数、心脏输出量相关参数、心脏后负荷相关参数的目标数据。进而监护设备对该目标数据进行分析得到分析结果，并确定该分析结果关联的提示信息。
具体地，当心脏前负荷相关参数低于第一阈值，心脏输出量相关参数低于第二阈值，心脏后负荷相关参数高于第三阈值时，确定提示信息为低容量性休克。当心脏前负荷相关参数高于第一阈值，心脏输出量相关参数低于第二阈值，心脏后负荷相关参数高于第三阈值时，确定提示信息为心源性或梗阻性休克。当心脏前负荷相关参数低于第一阈值，心脏输出量相关参数高于第二阈值，心脏后负荷相关参数低于第三阈值时，确定提示信息为分布性休克。可以理解的是，低容量性休克、心源性或梗阻性休克以及分布性休克都属于休克风险状态中的一种。
需要说明的是，第一阈值、第二阈值以及第三阈值可以由用户自定义，本发明不对第一阈值、第二阈值以及第三阈值的具体数值做限定。
上面描述了4中不同类型的目标数据以及分别与之对应的提示信息，下面结合附图对监护设备显示界面的提示显示区域以及显示的提示信息进行进一步的描述：
请参阅图2，图2为监护设备的提示显示区域的示意图。
可以看到，图2中所示的显示区域即为监护设备显示界面上的提示显示区域，在该提示显示区域上显示的“PPV大于15％，有容量反应性”即为提示信息。
下面针对提示信息可能的几种形式分别进行举例说明。
例如，目标数据为PPV，分析结果为PPV大于15％，对应的容量反应性状态为有容量反应性。该提示信息可以只显示监测对象的生理体征状态，即显示“有容量反应性”。该提示信息也可以只显示分析结果，即显示“PPV大于15％”。该提示信息还可以同时显示分析结果以及监测对象的生理体征状态，即显示“PPV大于15％，有容量反应性”。可以理解的是，根据上述举例，其他类型目标数据所对应的提示信息与之类似，这里不再一一赘述。
需要说明的是，该提示显示区域还包括可操作图形按钮，具体可以如图2中向下指示的箭头所示。监护设备可以获取用户通过该可操作图形按钮输入的操作指令，并根据该操作指令关闭提示显示区域。可以理解的是，在关闭提示显示区域后，监护设备可以根据用户通过该可操作图形按钮输入的操作指令恢复显示该提示显示区域。
同时，该可操作图形按钮也具有指示作用，向用户指示该提示显示区域可以隐藏或显示，用户可以通过向下滑动来隐藏提示显示区域或向上滑动来显示提示显示区域。通过这种方式，操作人员可以根据自身的需要来调整监护设备的提示显示区域，使得监护设备的显示方式更灵活。
下面请参阅图3，图3为监护设备的显示界面的示意图。
监护设备还可以在显示界面的目标区域，显示生理参数的检测数据所对应的监测信息。具体地，如图3所示，该显示信息至少包括波形显示信息和数值显示信息中的其中之一。其中，波形显示信息可以包括生理体征信号模拟波形图和/或生理体征参数趋势图。
需要说明的是，本实施例中的提示信息与监护设备传统的报警信息不同，例如，图3中所示的“ART-SYS TOO HIGH”为监护设备显示的针对单一生理参数的报警信息，即当前监测对象的动脉压超过了动脉压报警阈值。而本实施例中的提示信息是首先对至少一个生理参数经过数据计算得到目标数据，进而对目标数据进行分析和比对，最终得到用于反应监测对象生理体征状态的提示信息，例如，通过动脉压计算得到PPV，分析出PPV大于15％，进而确定监测对象生理体征状态为有容量反应性。相对于传统的生理参数报警，本发明不再仅仅是对单一生理参数的阈值报警，监护设备显示的提示信息更加智能，更具有 参考价值。
下面对本发明的一种监护设备进行详细描述：
请参阅图4，监护设备具有独立的外壳，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显示器区，显示器119，输入接口电路122，电源和电池管理电路117，存储器118，泵阀驱动电路121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设备主机，作为监护设备的一部分，也可以通过电缆与主机连接，外插参数模块作为监护设备外置的一个配件。
参数处理模块的内部电路置于外壳内，如图4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处理器，处理器通过电源和电池管理电路117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。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)。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。主机可以是监护设备的主机、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。
具体地，显示器119用于根据处理器115的指令配置显示信息；
处理器115执行程序指令以实现如下步骤：
获取监测对象的至少一种生理参数的监测数据；
根据所述至少一种生理参数的监测数据生成目标数据；
当所述目标数据满足预设条件时，确定与所述目标数据对应的提示信息，所述提示信息为用于表示所述监测对象生理体征状态的信息，所述生理体征状态至少包括容量反应性状态、氧合风险状态、休克风险状态中的至少一种；
在显示界面的提示显示区域，显示所述提示信息。
通过上述方式，监护设备可以对采集到的生理参数的监测数据进行分析和计算，以得到目标数据，并以目标数据为指标确定与目标数据对应的提示信息，不再仅仅是对单一生理参数的阈值报警，监护设备显示的提示信息更加智能，更具有参考价值。
在一实施例中，所述生理参数包括动脉压，处理器115配置为：
根据所述动脉压的监测数据计算动脉血压变异率。
在一实施例中，处理器115配置为：
当所述动脉血压变异率大于容量反应性状态阈值时，确定所述提示信息为有容量反应性，所述有容量反应性属于所述容量反应性状态；
或，
当所述动脉血压变异率小于容量反应性状态阈值时，确定所述提示信息为无容量反应性，所述无容量反应性属于所述容量反应性状态。
在一实施例中，所述生理参数包括心率和收缩压，处理器115配置为：
将所述心率与所述收缩压的比值作为所述目标数据。
在一实施例中，处理器115配置为：
当所述目标数据大于第一休克风险状态阈值时，确定所述提示信息为为轻度休克风险，所述轻度休克风险属于所述休克风险状态；
或，
当所述目标数据大于第二休克风险状态阈值时，确定所述提示信息为为严重休克风险，所述严重休克风险属于所述休克风险状态。
在一实施例中，所述生理参数包括血氧饱和度和吸入氧浓度，处理器115配置为：
将所述血氧饱和度与所述吸入氧浓度的比值作为所述目标数据。
在一实施例中，处理器115配置为：
当所述目标数据小于第一氧合风险状态阈值时，确定所述提示信息为轻度氧合风险，所述轻度氧合风险属于所述氧合风险状态；
或，
当所述目标数据小于第二氧合风险状态阈值时，确定所述提示信息为严重氧合风险，所述严重氧合风险属于所述氧合风险状态。
在一实施例中，所述生理参数包括心脏前负荷相关参数、心脏输出量相关参数和心脏后负荷相关参数，其中，所述心脏前负荷相关参数包括全心张末期容量指数、中心静脉压、肺动脉压中的至少一种，所述心脏输出量相关参数包括心输出量、每搏量、每搏量指数、心输出量指数中的至少一种，所述心脏后负荷相关参数包括外周血管阻力、外周血管阻力指数、动脉压中的至少一种，处理器115配置为：
生成包括所述心脏前负荷相关参数、心脏输出量相关参数、心脏后负荷相关参数的目标数据。
在一实施例中，处理器115配置为：
当所述心脏前负荷相关参数低于第一阈值，所述心脏输出量相关参数低于第二阈值，所述心脏后负荷相关参数高于第三阈值时，确定所述提示信息为低容量性休克，所述低容量性休克属于所述休克风险状态；
或，
当所述心脏前负荷相关参数高于第一阈值，所述心脏输出量相关参数低于第二阈值，所述心脏后负荷相关参数高于第三阈值时，确定所述提示信息为心源性或梗阻性休克，所述心源性或梗阻性休克属于所述休克风险状态；
或，
当所述心脏前负荷相关参数低于第一阈值，所述心脏输出量相关参数高于第二阈值，所述心脏后负荷相关参数低于第三阈值时，确定所述提示信息为分布性休克，所述分布性休克属于所述休克风险状态。
在一实施例中，所述提示显示区域还包括可操作图形按钮，处理器115配置为：
获取用户通过所述可操作图形按钮输入的操作指令；
根据所述操作指令关闭所述提示显示区域。
在一实施例中，处理器115配置为：
在所述显示界面的目标区域，显示所述生理参数的监测数据对应的显示信息，所述显示信息至少包括波形显示信息和数值显示信息中的其中之一，所述波形显示信息包括生理体征信号模拟波形图和/或生理体征参数趋势图。
请参阅图5，图5为本发明监护设备的另一实施例示意图。
该监护设备500包括：
存储器501，用于预先关联存储分析结果与提示信息，所述分析结果基于监测对象的生理数据分析得到，所述提示信息用于显示器显示，所述提示信息至少包括所述监测对象的生理体征状态的描述信息。具体的，分析结果与提示信息进行关联存储可以采用对应表形式进行存储，或者存储器501采用关联存储器。
生理数据获取装置502，用于获取所述监测对象的至少一种生理数据。具体的，生理数据获取装置502可以是生理参数采集传感器。
处理器503，用于对所述至少一种生理数据进行分析处理，得到分析结果；并将从所述存储器中匹配得到与所述分析结果关联的提示信息；
显示器504，用于在显示界面中生成并显示提示显示区域，并在所述提示显示区域显示所述提示信息。
在一实施例中，所述分析结果基于监测对象的至少两种生理数据分析得到。 相比于现有技术中，仅根据监测到的单一生理数据与预设的报警阈值进行比较，仅进行单一生理参数的阈值报警，本实施例提供的监护设备能够参考监测对象的多个(至少两个)生理参数，进行综合分析，并显示至少包括监测对象的生理体征状态的描述信息的提示信息。
在一实施例中，处理器503配置为：
将所述至少一种生理数据与对应的预设阈值进行比较，以将确定的所述至少一种生理数据与对应的预设阈值的比较关系作为分析结果；
或者，基于预设的算法对所述至少一种生理数据进行计算，将计算结果与对应的预设阈值进行比较，以将确定的所述计算结果与对应的预设阈值的比较关系作为分析结果。
在一实施例中，所述生理数据包括动脉血压变异率，处理器503配置为：
将所述动脉血压变异率与对应的预设阈值进行比较，以将确定得到的比较关系作为分析结果；所述提示信息包括用于表示监测对象有容量反应性或无容量反应性的信息；
在一实施例中，所述生理数据包括心率和收缩压，处理器503配置为：
基于所述心率和收缩压计算休克指数，并将所述休克指数与预设阈值进行比较，以将确定得到的比较关系作为分析结果；所述提示信息包括用于表示监测对象存在轻度休克风险或存在严重休克风险的信息；
在一实施例中，所述生理数据包括心脏前负荷相关体征数据、心脏输出量相关体征数据和心脏后负荷相关体征数据，处理器503配置为：
将所述心脏前负荷相关体征数据、心脏输出量相关体征数据、心脏后负荷相关体征数据与对应的预设阈值进行比较，以将确定得到的比较关系作为分析结果；所述提示信息包括用于表示监测对象为低容量休克、心源性/梗阻性休克或分布性休克的信息；其中，所述心脏前负荷相关体征数据包括全心张末期容量指数、中心静脉压、肺动脉压中的至少一种，所述心脏输出量相关体征数据包括心输出量、每搏量、每搏量指数、心输出量指数中的至少一种，所述心脏后负荷相关体征数据包括外周血管阻力、外周血管阻力指数、动脉压中的至少一种。
在一实施例中，所述提示信息还包括所述分析结果。
在一实施例中，处理器503配置为：
获取用户输入的用于关闭所述提示显示区域的操作指令，并响应所述操作指令，以关闭所述提示显示区域。
在一实施例中，显示器504还用于在所述提示显示区域显示可操作图形按钮；
处理器503配置为：
获取用户输入的用于关闭所述提示显示区域的操作指令，包括：所述处理器用于获取用户通过触控所述可操作图形按钮的操作，以生成所述用于关闭所述提示显示区域的操作指令。
在一实施例中，所述提示信息包括文本信息和/或图形化信息。
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，上述描述的监护设备的具体工作过程，可以参考前述方法实施例中的对应过程，在此不再赘述。
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。
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。
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。
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。
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。

Claims (20)

  1. 一种应用于监护设备的显示方法，其特征在于，包括：
    获取监测对象的至少一种生理参数的监测数据；
    根据所述至少一种生理参数的监测数据生成目标数据；
    当所述目标数据满足预设条件时，确定与所述目标数据对应的提示信息，所述提示信息为用于表示所述监测对象生理体征状态的信息，所述生理体征状态至少包括容量反应性状态、氧合风险状态、休克风险状态中的至少一种；
    在显示界面的提示显示区域，显示所述提示信息。
  2. 根据权利要求1所述的方法，其特征在于，所述生理参数包括动脉压；
    根据所述生理参数的监测数据生成目标数据包括：
    根据所述动脉压的监测数据计算动脉血压变异率。
  3. 根据权利要求2所述的方法，其特征在于，当所述动脉血压变异率大于容量反应性状态阈值时，确定所述提示信息为有容量反应性，所述有容量反应性属于所述容量反应性状态；
    或，
    当所述动脉血压变异率小于容量反应性状态阈值时，确定所述提示信息为无容量反应性，所述无容量反应性属于所述容量反应性状态。
  4. 根据权利要求1所述的方法，其特征在于，所述生理参数包括心率和收缩压；
    根据所述生理参数的监测数据生成目标数据包括：
    将所述心率与所述收缩压的比值作为所述目标数据。
  5. 根据权利要求4所述的方法，其特征在于，当所述目标数据大于第一休克风险状态阈值时，确定所述提示信息为为轻度休克风险，所述轻度休克风险属于所述休克风险状态；
    或，
    当所述目标数据大于第二休克风险状态阈值时，确定所述提示信息为为严重休克风险，所述严重休克风险属于所述休克风险状态。
  6. 根据权利要求1所述的方法，其特征在于，所述生理参数包括血氧饱和度和吸入氧浓度；
    根据所述生理参数的监测数据生成目标数据包括：
    将所述血氧饱和度与所述吸入氧浓度的比值作为所述目标数据。
  7. 根据权利要求6所述的方法，其特征在于，当所述目标数据小于第一氧合风险状态阈值时，确定所述提示信息为轻度氧合风险，所述轻度氧合风险属于所述氧合风险状态；
    或，
    当所述目标数据小于第二氧合风险状态阈值时，确定所述提示信息为严重氧合风险，所述严重氧合风险属于所述氧合风险状态。
  8. 根据权利要求1所述的方法，其特征在于，所述生理参数包括心脏前负荷相关参数、心脏输出量相关参数和心脏后负荷相关参数，其中，所述心脏前负荷相关参数包括全心张末期容量指数、中心静脉压、肺动脉压中的至少一种，所述心脏输出量相关参数包括心输出量、每搏量、每搏量指数、心输出量指数中的至少一种，所述心脏后负荷相关参数包括外周血管阻力、外周血管阻力指数、动脉压中的至少一种；
    根据所述生理参数的监测数据生成目标数据包括：
    生成包括所述心脏前负荷相关参数、心脏输出量相关参数、心脏后负荷相关参数的目标数据。
  9. 根据权利要求8所述的方法，其特征在于，当所述心脏前负荷相关参数低于第一阈值，所述心脏输出量相关参数低于第二阈值，所述心脏后负荷相关参数高于第三阈值时，确定所述提示信息为低容量性休克，所述低容量性休克属于所述休克风险状态；
    或，
    当所述心脏前负荷相关参数高于第一阈值，所述心脏输出量相关参数低于第二阈值，所述心脏后负荷相关参数高于第三阈值时，确定所述提示信息为心源性或梗阻性休克，所述心源性或梗阻性休克属于所述休克风险状态；
    或，
    当所述心脏前负荷相关参数低于第一阈值，所述心脏输出量相关参数高于第二阈值，所述心脏后负荷相关参数低于第三阈值时，确定所述提示信息为分布性休克，所述分布性休克属于所述休克风险状态。
  10. 根据权利要求1至9中任一项所述的方法，其特征在于，所述提示显示区域还包括可操作图形按钮，所述方法还包括：
    获取用户通过所述可操作图形按钮输入的操作指令；
    根据所述操作指令关闭所述提示显示区域。
  11. 根据权利要求1至9中任一项所述的方法，其特征在于，所述方法还包括：
    在所述显示界面的目标区域，显示所述生理参数的监测数据对应的显示信息，所述显示信息至少包括波形显示信息和数值显示信息中的其中之一。
  12. 根据权利要求11所述的方法，其特征在于，所述波形显示信息包括生理体征信号模拟波形图和/或生理体征参数趋势图。
  13. 一种监护设备，其特征在于，包括：
    显示器，所述显示器配置为显示信息；
    存储器，所述存储器存储有可执行程序指令，和
    处理器，所述处理器配置为执行可执行程序指令以实现如权利要求1-12任意一项所述应用于监护设备的显示方法的步骤。
  14. 一种监护设备，其特征在于，包括：
    存储器，用于预先关联存储分析结果与提示信息，所述分析结果基于监测对象的生理数据分析得到，所述提示信息用于显示器显示，所述提示信息至少包括所述监测对象的生理体征状态的描述信息；
    生理数据获取装置，用于获取所述监测对象的至少一种生理数据；
    处理器，用于对所述至少一种生理数据进行分析处理，得到分析结果；并从所述存储器中匹配得到与所述分析结果关联的提示信息；
    显示器，用于在显示界面中生成并显示提示显示区域，并在所述提示显示区域显示所述提示信息。
  15. 根据权利要求14所述的监护设备，其特征在于，所述处理器用于对所述至少一种生理数据进行分析处理，得到分析结果，包括：
    所述处理器用于将所述至少一种生理数据与对应的预设阈值进行比较，以将确定的所述至少一种生理数据与对应的预设阈值的比较关系作为分析结果；
    或者，所述处理器用于基于预设的算法对所述至少一种生理数据进行计算， 将计算结果与对应的预设阈值进行比较，以将确定的所述计算结果与对应的预设阈值的比较关系作为分析结果。
  16. 根据权利要求15所述的监护设备，其特征在于：
    所述生理数据包括动脉血压变异率，所述处理器用于将所述动脉血压变异率与对应的预设阈值进行比较，以将确定得到的比较关系作为分析结果；所述提示信息包括用于表示监测对象有容量反应性或无容量反应性的信息；
    或者，所述生理数据包括血氧饱和度和吸入氧浓度，所述处理器用于基于所述血氧饱和度和吸入氧浓度计算氧合指数，并将所述氧合指数与预设阈值进行比较，以将确定得到的比较关系作为分析结果；所述提示信息包括用于表示监测对象存在轻度氧合风险或存在严重氧合风险的信息；
    或者，所述生理数据包括心率和收缩压，所述处理器用于基于所述心率和收缩压计算休克指数，并将所述休克指数与预设阈值进行比较，以将确定得到的比较关系作为分析结果；所述提示信息包括用于表示监测对象存在轻度休克风险或存在严重休克风险的信息；
    或者，所述生理数据包括心脏前负荷相关体征数据、心脏输出量相关体征数据和心脏后负荷相关体征数据，所述处理器用于将所述心脏前负荷相关体征数据、心脏输出量相关体征数据、心脏后负荷相关体征数据与对应的预设阈值进行比较，以将确定得到的比较关系作为分析结果；所述提示信息包括用于表示监测对象为低容量休克、心源性/梗阻性休克或分布性休克的信息；其中，所述心脏前负荷相关体征数据包括全心张末期容量指数、中心静脉压、肺动脉压中的至少一种，所述心脏输出量相关体征数据包括心输出量、每搏量、每搏量指数、心输出量指数中的至少一种，所述心脏后负荷相关体征数据包括外周血管阻力、外周血管阻力指数、动脉压中的至少一种。
  17. 根据权利要求14所述的监护设备，其特征在于，所述提示信息还包括所述分析结果。
  18. 根据权利要求14所述的监护设备，其特征在于，所述处理器还用于：获取用户输入的用于关闭所述提示显示区域的操作指令，并响应所述操作指令，以关闭所述提示显示区域。
  19. 根据权利要求18所述的监护设备，其特征在于：
    所述显示器还用于在所述提示显示区域显示可操作图形按钮；
    所述处理器用于获取用户输入的用于关闭所述提示显示区域的操作指令，包括：所述处理器用于获取用户通过触控所述可操作图形按钮的操作，以生成所述用于关闭所述提示显示区域的操作指令。
  20. 根据权利要求14所述的监护设备，其特征在于，所述提示信息包括文本信息和/或图形化信息。
PCT/CN2018/123170 2018-12-24 2018-12-24 一种应用于监护设备的显示方法及监护设备 WO2020132827A1 (zh)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/CN2018/123170 WO2020132827A1 (zh) 2018-12-24 2018-12-24 一种应用于监护设备的显示方法及监护设备
CN201880099058.2A CN112996427A (zh) 2018-12-24 2018-12-24 一种应用于监护设备的显示方法及监护设备

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CN2018/123170 WO2020132827A1 (zh) 2018-12-24 2018-12-24 一种应用于监护设备的显示方法及监护设备

Publications (1)

Publication Number Publication Date
WO2020132827A1 true WO2020132827A1 (zh) 2020-07-02

Family

ID=71129365

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2018/123170 WO2020132827A1 (zh) 2018-12-24 2018-12-24 一种应用于监护设备的显示方法及监护设备

Country Status (2)

Country Link
CN (1) CN112996427A (zh)
WO (1) WO2020132827A1 (zh)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2024032810A1 (zh) * 2022-08-12 2024-02-15 深圳迈瑞生物医疗电子股份有限公司 生命信息处理系统和生命信息处理方法

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201481398U (zh) * 2009-06-19 2010-05-26 中卫莱康科技发展（北京）有限公司 个人健康监测仪和系统
CN103815966A (zh) * 2012-11-19 2014-05-28 深圳迈瑞生物医疗电子股份有限公司 生理参数处理装置和方法
US9138558B1 (en) * 2014-06-19 2015-09-22 Biofeedback Systems Design, LLC Apparatus and method for improving psychophysiological function for performance under stress
CN107095660A (zh) * 2017-06-08 2017-08-29 桂林医学院 医院监护设备
CN107887014A (zh) * 2017-11-07 2018-04-06 美合实业（苏州）有限公司 一种全方位互通的健康智能监护平台及监护方法

Family Cites Families (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8262579B2 (en) * 2007-05-16 2012-09-11 Massachusetts Institute Of Technology System and method for prediction and detection of circulatory shock
US20090088606A1 (en) * 2007-09-28 2009-04-02 Cuddihy Paul E Systems and methods for patient specific adaptable telemonitoring alerts
AU2009308772B2 (en) * 2008-10-31 2013-07-04 Covidien Lp System and method for facilitating observation of monitored physiologic data
US9532721B2 (en) * 2010-08-06 2017-01-03 The United States Of America As Represented By The Secretary Of The Army Patient care recommendation system
CN103445766B (zh) * 2013-05-09 2016-01-20 陈飞 基于历史生理数据与物理数据对比的状态监测方法及装置
US9265903B2 (en) * 2014-05-27 2016-02-23 Covidien Lp Ventilation vitality ring
IL234823B (en) * 2014-09-23 2019-10-31 New N I Medical 2011 Ltd A system and method of interactive navigation during treatment
CN108937881B (zh) * 2017-05-23 2021-08-10 深圳市理邦精密仪器股份有限公司 确定对象容量反应性的方法和设备
CN107767958A (zh) * 2017-11-10 2018-03-06 湖南省妇幼保健院 医疗预警系统

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201481398U (zh) * 2009-06-19 2010-05-26 中卫莱康科技发展（北京）有限公司 个人健康监测仪和系统
CN103815966A (zh) * 2012-11-19 2014-05-28 深圳迈瑞生物医疗电子股份有限公司 生理参数处理装置和方法
US9138558B1 (en) * 2014-06-19 2015-09-22 Biofeedback Systems Design, LLC Apparatus and method for improving psychophysiological function for performance under stress
CN107095660A (zh) * 2017-06-08 2017-08-29 桂林医学院 医院监护设备
CN107887014A (zh) * 2017-11-07 2018-04-06 美合实业（苏州）有限公司 一种全方位互通的健康智能监护平台及监护方法

Also Published As

Publication number Publication date
CN112996427A (zh) 2021-06-18

Similar Documents

Publication Publication Date Title
JP2003220045A (ja) 非侵襲性心拍出量監視による患者の監視装置及び方法
WO2020082341A1 (zh) 医疗设备、用于医疗设备的多工作模式监护设置方法及装置
CN204734469U (zh) 可穿戴式无创多生命体征监测设备
US20220172721A1 (en) Medical device and medical device system
WO2020132813A1 (zh) 针对颅脑损伤的生理体征监测方法和医疗监护设备
WO2020132814A1 (zh) 一种针对感染情况的生理体征监测方法及监护设备
CN110610760A (zh) 一种用于医疗设备的信息显示方法以及医疗设备
WO2020132827A1 (zh) 一种应用于监护设备的显示方法及监护设备
WO2020132826A1 (zh) 监护设备及其生理体征监测方法
WO2020133339A1 (zh) 一种监护系统、数据采集端、数据接收显示端及监护方法
Tzavaras et al. Development of a low-cost wireless monitoring system supporting the continuity of medical care of the patient at home
EP3558119A1 (en) Patient monitoring
WO2020132811A1 (zh) 一种基于监护设备的界面显示方法及监护设备
WO2020132815A1 (zh) 一种用于医疗设备的医嘱工具显示方法及医疗设备
WO2021108950A1 (zh) 监护方法及监护装置、监护设备、计算机可读存储介质
WO2020147309A1 (zh) 一种智能护理床
WO2020132795A1 (zh) 一种监护设备及其信息提示方法
CN112911990A (zh) 一种医疗监护设备及其状态信息展示方法
US20220122444A1 (en) Monitoring apparatus and method for operating same, monitor and computer storage medium
US11684318B2 (en) Monitoring device
US20220087542A1 (en) Physiological parameter monitoring device and method
WO2020132824A1 (zh) 一种基于监护设备的界面显示方法及监护设备
US20150379220A1 (en) Device and system communicating with a subject
WO2020132808A1 (zh) 针对血流动力学的生理体征监测方法和医疗监护设备
WO2020132816A1 (zh) 一种应用于监护设备的显示方法及监护设备

Legal Events

Date Code Title Description
121 Ep: the epo has been informed by wipo that ep was designated in this application

Ref document number: 18945320

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

32PN Ep: public notification in the ep bulletin as address of the adressee cannot be established

Free format text: NOTING OF LOSS OF RIGHTS PURSUANT TO RULE 112(1) EPC (EPO FORM 1205 DATED 17.08.2021)

122 Ep: pct application non-entry in european phase

Ref document number: 18945320

Country of ref document: EP

Kind code of ref document: A1