WO2020258333A1 - Procédé et dispositif de surveillance et de traitement et support de stockage - Google Patents

Procédé et dispositif de surveillance et de traitement et support de stockage Download PDF

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Publication number
WO2020258333A1
WO2020258333A1 PCT/CN2019/093919 CN2019093919W WO2020258333A1 WO 2020258333 A1 WO2020258333 A1 WO 2020258333A1 CN 2019093919 W CN2019093919 W CN 2019093919W WO 2020258333 A1 WO2020258333 A1 WO 2020258333A1
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WIPO (PCT)
Prior art keywords
information
monitoring
real
alarm
ecg
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PCT/CN2019/093919
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English (en)
Chinese (zh)
Inventor
孙泽辉
杨康
叶文宇
代建
李明
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深圳迈瑞生物医疗电子股份有限公司
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Priority to CN201980097065.3A priority Critical patent/CN113905667A/zh
Priority to PCT/CN2019/093919 priority patent/WO2020258333A1/fr
Publication of WO2020258333A1 publication Critical patent/WO2020258333A1/fr

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient ; user input means
    • A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/361—Detecting fibrillation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/363—Detecting tachycardia or bradycardia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
    • A61B5/346—Analysis of electrocardiograms
    • A61B5/349—Detecting specific parameters of the electrocardiograph cycle
    • A61B5/366—Detecting abnormal QRS complex, e.g. widening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems

Definitions

  • the embodiment of the present invention relates to the technical field of medical equipment, in particular to a monitoring processing method and device, and a storage medium.
  • monitoring equipment such as bedside monitors generally integrate the function of monitoring the ECG to realize real-time continuous monitoring of the target object's ECG, focusing on real-time heart conditions such as heart rate and arrhythmia.
  • the monitoring of the ECG is based on the ECG signal obtained in real time for monitoring analysis and alarming.
  • the condition of the target subject is complex and changeable.
  • the same alarm method may not be suitable for every target object, that is, the intelligence of real-time monitoring and alarm is low.
  • the embodiments of the present invention expect to provide a monitoring processing method, device, and storage medium, which utilize auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust it in combination with the real-time analysis result Monitoring alarm level to meet the actual monitoring needs of the target object, thereby improving the intelligence of real-time monitoring.
  • the embodiment of the present invention provides a monitoring processing device, the device including:
  • the ECG monitoring module is used to obtain the ECG monitoring analysis result corresponding to the target object
  • the ECG diagnosis module is used to obtain the ECG diagnosis analysis result corresponding to the target object
  • a fusion analysis module connected to the ECG monitoring module and the ECG diagnosis module, and used to fuse the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain fusion result information;
  • the alarm processing module is connected to the fusion analysis module and is used to adjust the ECG monitoring alarm strategy according to the fusion result information.
  • the embodiment of the present invention provides a monitoring processing device, the device including:
  • the first acquisition module is configured to acquire real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time status of the target object;
  • the second acquisition module is used to acquire auxiliary analysis information corresponding to the target object
  • a real-time analysis module connected to the first acquisition module, and configured to determine a real-time analysis result according to the real-time monitoring information
  • the processing module is connected to the first acquisition module and the real-time analysis module, and is configured to perform monitoring adjustment processing according to the real-time analysis result and the auxiliary analysis information according to a preset monitoring adjustment mode.
  • the embodiment of the present invention provides a monitoring processing method, the method includes:
  • monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information analysis result.
  • the embodiment of the present invention provides a monitoring processing method, the method includes:
  • the embodiment of the present invention provides a monitoring system, including:
  • the parameter measurement circuit uses the sensor attachment connected with the target object to obtain real-time monitoring information corresponding to the target object;
  • the processor performs the following steps:
  • the monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information.
  • the embodiment of the present invention provides a computer-readable storage medium that stores a first monitoring processing program, and the monitoring processing program can be executed by a processor to implement a monitoring processing method.
  • the embodiment of the present invention provides a computer-readable storage medium, the computer-readable storage medium stores a second monitoring processing program, and the monitoring processing program can be executed by a processor to implement a monitoring processing method.
  • the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for acquiring Auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results based on real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to follow the preset
  • the monitoring adjustment method is to perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information.
  • the technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
  • Figure 1 is a system framework diagram of a multi-parameter monitor or monitoring processing device provided by an embodiment of the present invention
  • Figure 2 is a monitor networking system for hospital use provided by an embodiment of the present invention
  • FIG. 3 is a first structural diagram of a monitoring processing device provided by an embodiment of the present invention.
  • FIG. 4 is a second structural diagram of a monitoring processing device provided by an embodiment of the present invention.
  • FIG. 5 is a schematic structural diagram of an ECG monitoring module provided by an embodiment of the present invention.
  • FIG. 6 is a schematic structural diagram of an ECG diagnostic module provided by an embodiment of the present invention.
  • FIG. 7 is a schematic structural diagram of a fusion analysis module provided by an embodiment of the present invention.
  • FIG. 8 is a first schematic flowchart of a monitoring processing method according to an embodiment of the present invention.
  • FIG. 9 is a second schematic flowchart of a monitoring processing method according to an embodiment of the present invention.
  • Fig. 10 is a schematic structural diagram of a monitoring system provided by an embodiment of the present invention.
  • the multi-parameter monitor or monitoring processing device includes at least a parameter measurement circuit 112.
  • the parameter measurement circuit 112 includes at least one parameter measurement circuit corresponding to a physiological parameter.
  • the parameter measurement circuit includes at least an ECG signal parameter measurement circuit, a respiratory parameter measurement circuit, a body temperature parameter measurement circuit, a blood oxygen parameter measurement circuit, a noninvasive blood pressure parameter measurement circuit, and a At least one parameter measurement circuit in the blood pressure parameter measurement circuit, etc., each parameter measurement circuit is respectively connected to the externally inserted sensor accessory 111 through a corresponding sensor interface.
  • the sensor accessories 111 include detection accessories corresponding to the detection of physiological parameters such as ECG respiration, blood oxygen, blood pressure, and body temperature.
  • the parameter measurement circuit is mainly used to connect the sensor attachment 111 to obtain the collected physiological parameter signal, and may include at least two or more physiological parameter measurement circuits.
  • the parameter measurement circuit 112 may be, but is not limited to, a physiological parameter measurement circuit (module).
  • Physiological parameter measurement circuit (module) or sensor collects human physiological parameters, etc.
  • the parameter measurement circuit obtains the external physiological parameter sensor attachment through the extended interface to obtain the physiological sampling signal of the target object, and obtains the physiological data after processing for alarm and display.
  • the extended interface can also be used to output the control signal on how to collect the physiological parameters output by the main control circuit to the external physiological parameter monitoring accessory through the corresponding interface to realize the monitoring and control of the physiological parameters of the target object.
  • the multi-parameter monitor or monitoring processing device may also include a main control circuit 113.
  • the main control circuit 113 needs to include at least one processor and at least one memory.
  • the main control circuit 113 may also include a power management module, a power IP module, and an interface. At least one of the conversion circuit, etc.
  • the power management module is used to control the power on and off of the whole machine, the power-on sequence of each power domain inside the board, and battery charging and discharging.
  • the power IP module refers to associating the schematic diagram of the power circuit unit that is frequently called repeatedly with the PCB layout, and solidifying it into a separate power module, that is, converting an input voltage into an output voltage through a predetermined circuit, where the input voltage and The output voltage is different.
  • the voltage of 15V is converted to 1.8V, 3.3V or 3.8V.
  • the power IP module can be single-channel or multi-channel. When the power IP module is a single channel, the power IP module can convert an input voltage into an output voltage. When the power IP module is multi-channel, the power IP module can convert one input voltage into multiple output voltages, and the voltage values of the multiple output voltages can be the same or different, so as to meet the differences of multiple electronic components at the same time Voltage demand, and the module has few external interfaces, it works in the system as a black box decoupling from the external hardware system, which improves the reliability of the entire power supply system.
  • the interface conversion circuit is used to convert the signal output by the main control minimum system module (that is, at least one processor and at least one memory in the main control circuit) into an input standard signal required by the actual external device, for example, to support an external VGA display
  • the function is to convert the RGB digital signal output by the main control CPU into a VGA analog signal, support the external network function, and convert the RMII signal into a standard network differential signal.
  • the multi-parameter monitor or monitoring processing device may also include one or more of a local display 114, an alarm circuit 116, an input interface circuit 117, and an external communication and power interface 115.
  • the main control circuit 113 is used to coordinate and control the boards, circuits and devices in the multi-parameter monitor or monitoring processing device.
  • the main control circuit 113 is used to control the data interaction between the parameter measurement circuit 112 and the communication interface circuit, as well as the transmission of control signals, and transmit the physiological data to the display 114 for display, or it can receive data from the touch screen.
  • user control instructions input by physical input interface circuits such as keyboards and keys can also output control signals on how to collect physiological parameters.
  • the alarm circuit 116 may be an audible and visual alarm circuit.
  • the main control circuit 113 completes the calculation of physiological parameters, and can send the calculation results and waveforms of the parameters to the host (such as the host with a display, PC, central station, etc.) through the external communication and power interface 115, and the external communication and power interface 115 can be one or a combination of Ethernet, Token Ring, Token Bus, and a local area network interface composed of the backbone fiber distribution data interface (FDDI) of these three networks It can also be one or a combination of wireless interfaces such as infrared, bluetooth, wifi, WMTS communication, or one or a combination of wired data connection interfaces such as RS232 and USB.
  • FDDI backbone fiber distribution data interface
  • the external communication and power interface 115 may also be one or a combination of a wireless data transmission interface and a wired data transmission interface.
  • the host can be any computer equipment such as the host of the monitor, an electrocardiograph, an ultrasonic diagnostic apparatus, a computer, etc., and a monitoring device can be formed by installing matching software.
  • the host can also be a communication device, such as a mobile phone, a multi-parameter monitor or a monitoring processing device that sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface to realize remote data transmission.
  • the multi-parameter monitoring and processing device can be set outside the housing of the monitor as an independent external plug-in parameter module. It can be inserted into the host (including the main control board) of the monitor to form a plug-in monitor as a part of the monitor, or also It can be connected to the monitor's host (including the main control board) through a cable, and the external parameter module is used as an external accessory of the monitor.
  • the parameter processing can also be built in the shell, integrated with the main control module, or physically separated and set in the shell to form an integrated monitor.
  • a monitor network system used in the hospital is provided.
  • the system can store the monitor data as a whole, centrally manage the target object information and the nursing information, and the two are stored in association, which is convenient for historical data. Save and associate alarms.
  • a bedside monitor 212 can be provided for each hospital 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 and transmitted with a portable monitoring device 213.
  • the portable monitoring device 213 provides a simple and portable multi-parameter monitor or monitoring processing device that can be worn on the body of the target object to correspond to the target object
  • the physiological data generated by the mobile monitoring can be transmitted to the bedside monitor 212 for display through the portable monitoring device 213 and the bedside monitor 212 after wired or wireless communication, or transmitted through the bedside monitor 212 Go to the central station 211 for doctors or nurses to view, or transmit 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 mobile monitoring to the central station 211 for storage and display through the wireless network node 214 set in the hospital, or transfer the mobile monitoring device through the wireless network node 214 set 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 a data server.
  • FIG. 3 is a first structural diagram of a monitoring processing device provided by an embodiment of the present invention. As shown in Figure 3, the monitoring and processing device includes:
  • the first acquisition module 301 is configured to acquire real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time state of the target object;
  • the second obtaining module 302 is configured to obtain auxiliary analysis information corresponding to the target object
  • the real-time analysis module 303 connected to the first acquisition module 301, is used to determine the real-time analysis result according to the real-time monitoring information;
  • the processing module 304 is connected to the first acquisition module 301 and the real-time analysis module 303, and is configured to perform monitoring adjustment processing according to the real-time analysis result and auxiliary analysis information according to the preset monitoring adjustment mode.
  • the target object is the patient who needs to be monitored.
  • the real-time monitoring information may be any information that characterizes the real-time status of the target object, for example, real-time ECG signals.
  • the specific real-time monitoring information is not limited in the embodiment of the present invention.
  • the real-time monitoring information may be real-time ECG signals.
  • the real-time analysis module 303 is specifically used to perform ECG monitoring and analysis on the real-time ECG signals to obtain ECG monitoring analysis results; Determine the result of real-time analysis.
  • the first acquisition module 301 may specifically collect the patient’s real-time ECG signal in real time through the ECG sensor and specific hardware circuits, so as to transmit the real-time ECG signal to the first
  • the real-time analysis module 303 connected to the acquisition module 301, the real-time analysis module 303 can perform ECG monitoring analysis on the real-time ECG signal, thereby obtaining the ECG monitoring analysis result.
  • the real-time analysis module 303 may first perform software and/or hardware preprocessing for real-time ECG signals, including but not limited to filtering, notching, amplification, baseline correction, and noise suppression, And pacing suppression, etc. After that, the real-time analysis module 303 can analyze the pre-processed real-time ECG signal, including but not limited to heart rate analysis, arrhythmia analysis, ST analysis, and QT analysis.
  • the specific analysis method is not limited in the embodiment of the present invention.
  • the ECG monitoring analysis results obtained by the real-time analysis module 303 include, but are not limited to, heart rate results, arrhythmia analysis results, ST analysis results, and QT analysis results.
  • the specific ECG monitoring analysis result is not limited in the embodiment of the present invention.
  • the auxiliary analysis information may include the ECG diagnosis analysis result.
  • the second obtaining module 302 is specifically used to obtain the offline ECG signal corresponding to the target object; perform ECG diagnosis and analysis on the offline ECG signal to obtain ECG diagnosis and analysis results.
  • the second acquisition module 302 may specifically collect the patient's offline ECG signal through an ECG sensor and a specific hardware circuit.
  • the ECG sensor and the specific hardware circuit may be the same as the ECG sensor and hardware circuit of the first acquisition module 301.
  • the second acquiring module 302 can specifically acquire the ECG signal of the most recent period of time at the current moment, for example, the ECG signal 10 seconds before the current moment is an offline ECG signal. Understandably, the second obtaining module 302 may also obtain historical data closest to the current moment from the memory for analysis.
  • the second acquisition module 302 may first perform software and hardware preprocessing for offline ECG signals, including but not limited to filtering, notching, amplification, baseline correction, and noise suppression. And pacing suppression, etc. After that, the second acquisition module 302 can analyze the preprocessed offline ECG signal, including but not limited to heart rate analysis, arrhythmia analysis, P-QRS-ST-T amplitude and period analysis, and ECG morphology analysis. The specific analysis method is not limited in the embodiment of the present invention.
  • the ECG diagnosis analysis result obtained by the second obtaining module 302 includes, but is not limited to, the heart rate result, arrhythmia analysis result, morphological analysis result, and diagnosis information result.
  • the specific ECG diagnosis analysis result is not limited in the embodiment of the present invention.
  • the auxiliary analysis information may also include target object characteristic information, and the second acquisition module 302 is specifically configured to receive input target object characteristic information.
  • the target object characteristic information includes target object basic information, case diagnosis information, image inspection information, and target object inspection information. Specific target object characteristic information is in the embodiment of the present invention.
  • the medical staff can input the characteristic information of the target object, for example, the basic information of the target object, into the second acquisition module 302, and the second acquisition module 302 can directly receive the input target.
  • Object characteristic information for example, the basic information of the target object
  • the auxiliary analysis information acquired by the second acquisition module 302 may include the above-mentioned electrocardiographic diagnosis analysis result and target object characteristic information, and of course, may also include other signs and conditions that can characterize the patient. Information.
  • the specific auxiliary analysis information is not limited in the embodiment of the present invention.
  • the preset monitoring adjustment method includes adjusting the real-time monitoring alarm strategy, and the processing module 304 is specifically used to merge the real-time analysis result and auxiliary analysis information to obtain the fusion result information; adjust the real-time monitoring according to the fusion result information Alarm strategy.
  • the processing module 304 may be a hardware processor, or may be a computer-usable storage medium, which is stored in a monitor, a central station, or other devices.
  • the processing module 304 includes a fusion analysis module and an alarm adjustment module; the fusion analysis module is used to input the fusion result information into a preset fusion comparison library for comparison, and determine whether the preset fusion comparison library exists Fusion result information; if there is fusion result information in the preset fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; the alarm adjustment module is used to automatically adjust the real-time monitoring alarm strategy according to the alarm strategy information.
  • the processing module 304 fuses the real-time analysis result and the auxiliary analysis information, which is actually implemented by the fusion analysis module.
  • the processing module 304 fuses the real-time analysis result and the auxiliary analysis information through the fusion analysis module.
  • the fusion can be carried out through certain combination rules, or from the real-time analysis result and auxiliary analysis. Part of the information is selected for fusion, and other methods can also be used for fusion.
  • the specific fusion manner is not limited in the embodiment of the present invention.
  • a preset fusion comparison library is stored in the monitoring processing device, which is used to compare the fusion result information.
  • the specific fusion comparison library can be set independently according to actual monitoring requirements, which is not limited in the embodiment of the present invention.
  • the results of electrocardiographic monitoring analysis (RECG) and the results of electrocardiographic diagnostic analysis (MECG) can be directly combined according to type or quantity, such as the combination of the RECG pre-excitation syndrome diagnosis result and the MECG atrial fibrillation analysis result
  • type or quantity such as the combination of the RECG pre-excitation syndrome diagnosis result and the MECG atrial fibrillation analysis result
  • the abnormal J wave diagnosis result of RECG is combined with the result of bradycardia analysis of MECG.
  • the processing module 304 inputs the fusion result information into the preset fusion comparison library through the fusion analysis module for comparison, and determines whether the fusion result information exists in the preset fusion comparison library, if If it exists, it indicates that the alarm strategy needs to be adjusted, and then the corresponding alarm strategy information is further obtained and output to the alarm adjustment module.
  • the information in the preset fusion comparison library can exist in text form or in coded form. When it exists in coded form, the fusion result information is converted into a code according to the preset coding method, and then combined with the fusion comparison library To compare the information.
  • the preset fusion comparison library stores clinical high-risk ECG judgment criteria and experience
  • the fusion result information is pre-excitation syndrome with rapid ventricular rate atrial fibrillation
  • the processing module 304 fusion analysis module will The fusion result information is input into the preset fusion comparison library for comparison, and if such a fusion result is judged to exist, the corresponding alarm strategy information for raising the priority of AF detection is obtained and output to the alarm adjustment module.
  • the reason for increasing the priority of atrial fibrillation detection is that atrial fibrillation in the pre-excitation condition can easily deteriorate into ventricular fibrillation, which is life-threatening.
  • the alarm adjustment module of the processing module 304 can receive the alarm strategy information output by the fusion analysis module, and can adjust the real-time monitoring alarm strategy according to the alarm strategy information.
  • the alarm adjustment module of the processing module 304 is also used to output adjustment prompt information based on the alarm strategy information; upon receiving a change instruction determined based on the adjustment prompt information, adjust the real-time monitoring alarm strategy according to the change instruction,
  • the alarm policy information can be changed only after the user's confirmation.
  • the alarm adjustment module of the processing module 304 can also output corresponding adjustment prompt information for the medical staff to confirm whether to proceed according to the alarm strategy information.
  • Real-time monitoring and alarm strategy adjustment and when receiving a change instruction, adjust the real-time monitoring and alarm strategy according to the instruction of the change instruction.
  • the medical staff judges that there is no need to adjust the real-time monitoring and alarm strategy at present, and the alarm adjustment module does not receive the change instruction, the current real-time monitoring and alarm strategy is maintained.
  • the alarm adjustment module of the processing module 304 is specifically configured to adjust at least one of the alarm level, alarm content, and alarm condition in the real-time monitoring alarm strategy according to the alarm strategy information; the alarm content is at least Including one of the alarm event type and the presentation mode of the alarm event.
  • the alarm presentation mode may specifically include the alarm volume, and the alarm font color.
  • the fusion result information is pre-excitation syndrome with rapid ventricular rate atrial fibrillation
  • the corresponding alarm strategy information is to raise the atrial fibrillation alarm level from intermediate to advanced. Therefore, the alarm adjustment module is based on The instructions of the alarm strategy information adjust the real-time monitoring alarm strategy, that is, the alarm level of atrial fibrillation is changed from intermediate to advanced.
  • the fusion result information is abnormal J wave with bradycardia
  • the corresponding alarm strategy information is to increase the priority of bradycardia. Therefore, the alarm adjustment module adjusts according to the instructions of the alarm strategy information.
  • Real-time monitoring and alarm strategy that is, raising the priority of bradycardia. Understandably, while raising the priority of bradycardia, the alarm conditions for bradycardia can also be appropriately reduced, making the alarm for bradycardia more sensitive.
  • the monitoring processing device may further include an alarm output module for outputting an alarm at least one of the real-time analysis result, auxiliary analysis information, and fusion result information according to the adjusted real-time alarm monitoring strategy.
  • the alarm output module may be a display on which at least one of the real-time analysis result, auxiliary analysis information, and fusion result information is displayed.
  • the real-time analysis result is bradycardia
  • the auxiliary analysis information is abnormal J wave
  • the fusion result information is abnormal J wave with bradycardia.
  • the heartbeat The alarm level corresponding to the slowness is raised from intermediate to advanced, and the display module can alarm output for real-time analysis results according to the advanced alarm mode.
  • the preset monitoring adjustment method includes adjusting the real-time analysis result
  • the processing module 304 is specifically configured to adjust the real-time analysis result according to the auxiliary analysis information to obtain the adjusted real-time analysis result.
  • the processing module 304 can directly adjust the real-time analysis result according to the auxiliary analysis information, including adding relevant information of the auxiliary analysis information to the real-time analysis result, for example, the real-time analysis result is tachycardia If the auxiliary analysis information is atrial fibrillation, the atrial fibrillation information can be added to the real-time analysis result, and the adjusted real-time analysis result is atrial fibrillation with tachycardia.
  • the processing module 304 can also make some other types of adjustments to the real-time analysis results based on the auxiliary analysis information, for example, deleting or modifying part of the real-time analysis results, etc., so that the adjusted real-time analysis results obtained are more accurate.
  • the specific adjustment method is not limited in the embodiment of the present invention.
  • the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for acquiring Auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results based on real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to follow the preset
  • the monitoring adjustment method is to perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information.
  • the technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.
  • FIG. 4 is a second structural diagram of a monitoring processing device provided by an embodiment of the present invention. As shown in Figure 4, the monitoring and processing device includes:
  • the ECG monitoring module 401 is used to obtain the ECG monitoring analysis result corresponding to the target object;
  • the ECG diagnosis module 402 is used to obtain the ECG diagnosis analysis result corresponding to the target object;
  • the fusion analysis module 403 is connected to the ECG monitoring module 401 and the ECG diagnosis module 402, and is used to fuse the ECG monitoring analysis results and the ECG diagnosis analysis results to obtain fusion result information;
  • the alarm processing module 404 is connected to the fusion analysis module 403 and is used to adjust the ECG monitoring alarm strategy according to the fusion result information.
  • Fig. 5 is a schematic structural diagram of an ECG monitoring module provided by an embodiment of the present invention. As shown in FIG. 5, the ECG monitoring module 401 includes:
  • the real-time ECG acquisition module 4011 is used to acquire the real-time ECG signal corresponding to the target object;
  • the first signal preprocessing module 4012 is connected to the real-time ECG acquisition module 4011, and is used to preprocess the real-time ECG signal to obtain the pre-processed real-time ECG signal;
  • the monitoring ECG analysis module 4013 is connected to the first signal preprocessing module 4012, and is used to perform ECG monitoring analysis on the preprocessed real-time ECG signal to obtain the ECG monitoring analysis result.
  • the real-time ECG acquisition module 4011 may specifically collect the patient's real-time ECG signal in real time through an ECG sensor and a hardware circuit.
  • the first signal preprocessing module 4012 preprocesses real-time ECG signals, including but not limited to filtering, notching, amplification, baseline correction, noise suppression, and pacing Suppress and other processing.
  • the monitoring ECG analysis module 4013 performs ECG monitoring analysis on the preprocessed real-time ECG signal, including but not limited to heart rate analysis, arrhythmia analysis, ST analysis, and QT Analysis, correspondingly, ECG monitoring analysis results include, but are not limited to, heart rate results, arrhythmia analysis results, ST analysis results, and QT analysis results.
  • Fig. 6 is a schematic structural diagram of an ECG diagnostic module provided by an embodiment of the present invention. As shown in FIG. 6, the ECG diagnostic module 402 includes:
  • the offline ECG signal acquisition module 4021 is used to acquire the offline ECG signal corresponding to the target object
  • the second signal preprocessing module 4022 is connected to the offline ECG signal acquisition module 4021, and is used to preprocess the offline ECG signal to obtain the preprocessed offline ECG signal;
  • the resting electrocardiogram analysis module 4023 is connected to the second signal preprocessing module 4022, and is used to perform electrocardiographic diagnosis and analysis on the preprocessed offline electrocardiogram signal to obtain the electrocardiographic diagnosis analysis result.
  • the offline ECG signal acquisition module 4021 may specifically collect the patient's offline ECG signal for a period of time offline through the ECG sensor and hardware circuit.
  • the second signal preprocessing module 4022 preprocesses the offline ECG signal
  • the first signal preprocessing module 4021 preprocesses the real-time ECG signal. Similar, not repeat them here.
  • the resting ECG analysis module 4023 analyzes the preprocessed offline ECG signals, including but not limited to heart rate analysis, arrhythmia analysis, P-QRS-ST-T Amplitude and period analysis, as well as ECG morphology analysis.
  • ECG diagnosis analysis results include but are not limited to heart rate results, arrhythmia analysis results, morphological analysis results, and diagnosis information results.
  • the specific ECG diagnosis analysis result is not limited in the embodiment of the present invention.
  • FIG. 7 is a schematic structural diagram of a fusion analysis module provided by an embodiment of the present invention.
  • the fusion analysis module 403 includes a result fusion module 4031, and the result fusion module 4031 is used to combine the ECG monitoring analysis result and the ECG diagnosis analysis result according to a preset combination method to obtain at least one analysis result Combination; each analysis result combination in at least one analysis result combination is determined as fusion result information.
  • the fusion analysis module 403 also includes a fusion comparison module 4032, a fusion comparison module 4032, used to input the fusion result information into a preset fusion comparison library for comparison, and determine whether there is a fusion result in the preset fusion comparison library Information; if there is fusion result information in the fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information.
  • the result fusion module 3041 combines the ECG monitoring analysis result and the ECG diagnosis analysis result according to type and quantity. Specifically, the result fusion module 3041 can combine the atrial fibrillation analysis result in the ECG monitoring analysis result and the pre-excitation syndrome diagnosis result in the ECG diagnosis analysis result, and combine the rapid heart rate and ECG diagnosis in the ECG monitoring analysis result Combine the results of atrial fibrillation in the analysis results, combine the ST analysis and arrhythmia analysis results in the ECG monitoring analysis results, and the acute myocardial infarction analysis results in the ECG diagnosis analysis results, and combine the arrhythmia analysis results in the ECG monitoring analysis results The result is combined with the QT interval syndrome diagnosis result in the ECG diagnosis analysis result, and the bradycardia analysis result in the ECG diagnosis analysis result is combined with the abnormal J wave diagnosis result in the ECG diagnosis analysis result.
  • the preset fusion comparison library stores clinical high-risk ECG judgment criteria and experience
  • the fusion result information is abnormal J wave with bradycardia
  • the fusion comparison module 4032 inputs the fusion result information into the prediction Set up a fusion comparison database to determine the existence of the fusion result information, so as to obtain the corresponding alarm strategy information.
  • the specific alarm strategy information is to increase the priority of bradycardia.
  • the alarm processing module 404 is specifically configured to adjust the ECG monitoring alarm strategy according to the alarm strategy information.
  • the alarm processing module 404 is specifically configured to automatically adjust the ECG monitoring alarm strategy according to the alarm strategy information.
  • the alarm processing module 404 may also be specifically used to: output adjustment prompt information based on the alarm strategy information; when receiving a change instruction determined based on the adjustment prompt information, adjust the ECG monitoring alarm strategy according to the change instruction.
  • the alarm processing module 404 is specifically configured to adjust the alarm level and/or alarm content in the ECG monitoring alarm strategy according to the alarm strategy information; the alarm content includes at least the alarm event One of the types and presentation methods of alarm events.
  • the alarm processing module 404 adjusts the ECG monitoring alarm strategy according to the alarm strategy information, which is consistent with the way of adjusting the alarm strategy in the previous embodiment, and will not be repeated here.
  • the alarm processing module 404 is also used to output the alarm output of the ECG monitoring analysis result, the ECG diagnosis analysis result and the fusion result information according to the adjusted ECG monitoring alarm strategy. .
  • the specific alarm output mode is consistent with the alarm output mode in the previous embodiment, and will not be repeated here.
  • the monitoring processing device includes: an electrocardiographic monitoring module for obtaining an electrocardiographic monitoring analysis result corresponding to the target object; an electrocardiographic diagnosis module for obtaining an electrocardiographic diagnosis analysis result corresponding to the target object;
  • the fusion analysis module is connected to the ECG monitoring module and the ECG diagnosis module to fuse the ECG monitoring analysis results and the ECG diagnosis analysis results to obtain the fusion result information;
  • the alarm processing module is connected to the fusion analysis module for Adjust the ECG monitoring alarm strategy according to the fusion result information.
  • the technical solution provided by the embodiment of the present invention uses the ECG diagnosis analysis result and the ECG analysis monitoring result of the target object to adjust the monitoring alarm level to meet the actual monitoring needs of the target object, thereby improving the intelligence of real-time monitoring.
  • FIG. 8 is a first schematic flowchart of a monitoring processing method according to an embodiment of the present invention. As shown in Figure 8, it mainly includes the following steps:
  • the monitoring processing device can obtain real-time monitoring information corresponding to the target object, and the real-time monitoring information is used to characterize the real-time state of the target object.
  • the monitoring processing device can directly obtain the real-time monitoring information corresponding to the target object through the first acquisition module 301, and the specific real-time monitoring signal can be
  • the real-time ECG signal can also be other information that can characterize the real-time state of the target object, which is not limited in the embodiment of the present invention.
  • the monitoring processing device can obtain auxiliary analysis information corresponding to the target object.
  • the auxiliary analysis information includes the analysis result of the electrocardiogram diagnosis
  • the monitoring processing device obtains the auxiliary analysis information corresponding to the target object, including: obtaining the offline ECG signal corresponding to the target object; Perform electrocardiographic diagnosis and analysis, and obtain the results of electrocardiographic diagnosis and analysis.
  • the auxiliary analysis information includes target object characteristic information
  • the monitoring and processing device acquiring auxiliary analysis information corresponding to the target object includes: receiving input target object characteristic information
  • the target object characteristic information is at least one of the target object basic information, case diagnosis information, image inspection information, and target object inspection information.
  • the monitoring processing device may obtain auxiliary analysis information through the second obtaining module 302.
  • the specific auxiliary analysis information may include electrocardiographic diagnosis analysis results and target object characteristic information, and may also be other types of information, which is not limited in the embodiment of the present invention.
  • S803 Determine the real-time analysis result according to the real-time monitoring information.
  • the monitoring processing device can determine the real-time analysis result according to the real-time monitoring information.
  • the real-time monitoring information is a real-time ECG signal
  • the monitoring processing device determines the real-time analysis result according to the real-time monitoring information, including: performing ECG monitoring analysis on the real-time ECG signal to obtain the ECG Monitoring analysis results; Determine the ECG monitoring analysis results as real-time analysis results.
  • the monitoring processing device after the monitoring processing device obtains the real-time analysis result and auxiliary analysis information, it can perform monitoring adjustment processing according to the real-time analysis result and auxiliary analysis information analysis result according to the preset monitoring adjustment mode.
  • the preset monitoring adjustment method includes adjusting a real-time monitoring alarm strategy, and the monitoring processing device performs monitoring adjustment processing according to the preset monitoring adjustment method according to the real-time analysis result and auxiliary analysis information, including: The analysis result and auxiliary analysis information are fused to obtain the fusion result information; the real-time monitoring and alarm strategy is adjusted according to the fusion result information.
  • the preset monitoring adjustment method includes adjusting the real-time analysis result
  • the monitoring processing device performs the monitoring adjustment processing according to the preset monitoring adjustment method according to the real-time analysis result and auxiliary analysis information, including: according to the auxiliary analysis Information adjustment real-time analysis results, real-time analysis results after adjustment are obtained.
  • the monitoring processing device adjusts the real-time monitoring alarm strategy according to the fusion result information, including: inputting the fusion result information into a preset fusion comparison library for comparison, and judging whether the preset fusion comparison library exists Fusion result information; if there is fusion result information in the preset fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; automatically adjust the real-time monitoring alarm strategy according to the alarm strategy information.
  • the monitoring processing device after the monitoring processing device obtains the alarm strategy information corresponding to the fusion result information, it further includes: outputting adjustment prompt information based on the alarm strategy information; after receiving the change instruction determined based on the adjustment prompt information When, according to the change instructions, adjust the real-time monitoring and alarm strategy.
  • the monitoring processing device automatically adjusts the real-time monitoring alarm strategy according to the alarm strategy information, including: adjusting the alarm level and/or alarm content in the real-time monitoring alarm strategy according to the alarm strategy information;
  • the content includes at least one of the alarm event type and the presentation mode of the alarm event.
  • the monitoring processing device adjusts the real-time monitoring alarm strategy according to the fusion result information, it also includes: according to the adjusted real-time alarm monitoring strategy, the real-time analysis result, auxiliary analysis information, and fusion result are analyzed Information is output to alarm.
  • FIG. 9 is a second schematic flowchart of a monitoring processing method according to an embodiment of the present invention. As shown in Figure 9, it mainly includes the following steps:
  • the monitoring processing device may first obtain the ECG monitoring analysis result.
  • the monitoring and processing device obtaining the ECG monitoring analysis result corresponding to the target object includes: obtaining the real-time ECG signal corresponding to the target object; preprocessing the real-time ECG signal to obtain the preprocessed ECG signal Real-time ECG signal; Perform ECG monitoring analysis on the pre-processed real-time ECG signal to obtain ECG monitoring analysis results.
  • the monitoring processing device can not only obtain the ECG monitoring analysis result corresponding to the target object, but also the ECG diagnosis analysis result corresponding to the target object.
  • the monitoring and processing device acquiring the ECG diagnostic analysis result corresponding to the target object includes: acquiring the offline ECG signal corresponding to the target object; preprocessing the offline ECG signal to obtain the preprocessed ECG signal Offline ECG signal; Perform ECG diagnostic analysis on the preprocessed offline ECG signal to obtain the ECG diagnostic analysis result.
  • the monitoring processing device can fuse the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain the fusion result information.
  • the monitoring processing device merges the ECG monitoring analysis result and the ECG diagnosis analysis result to obtain the fusion result information, including: combining the ECG monitoring analysis result with the cardiac Different results in the electrical diagnosis analysis results are combined to obtain at least one analysis result combination; each analysis result combination in the at least one analysis result combination is determined as the fusion result information.
  • the interface adjusts the ECG monitoring alarm strategy according to the fusion result information.
  • the monitoring processing device adjusts the ECG monitoring alarm strategy according to the fusion result information, including: inputting the fusion result information into a preset fusion comparison library for comparison, and determining whether the preset fusion comparison library is There is fusion result information; if there is fusion result information in the fusion comparison database, obtain the alarm strategy information corresponding to the fusion result information; adjust the ECG monitoring alarm strategy according to the alarm strategy information.
  • the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, including: automatically adjusting the ECG monitoring alarm strategy according to the alarm strategy information.
  • the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, and further includes: outputting adjustment prompt information based on the alarm strategy information; upon receiving a change instruction determined based on the adjustment prompt information, According to the change order, adjust the ECG monitoring alarm strategy.
  • the monitoring processing device adjusts the ECG monitoring alarm strategy according to the alarm strategy information, including: performing the alarm level and/or alarm content in the ECG monitoring alarm strategy according to the alarm strategy information Adjustment:
  • the alarm content includes at least one of the type of alarm event and the presentation mode of the alarm event.
  • the monitoring processing device adjusts the ECG monitoring alarm strategy according to the fusion result information, it also includes: according to the adjusted ECG monitoring alarm strategy, analyzing the results of the ECG monitoring analysis and the ECG monitoring alarm strategy.
  • the diagnosis analysis result and the fusion result information are outputted to the alarm.
  • Fig. 10 is a schematic structural diagram of a monitoring system provided by an embodiment of the present invention. As shown in Figure 10, the monitoring system includes:
  • the parameter measurement circuit 1001 uses the sensor accessory 1002 connected to the target object to obtain real-time monitoring information corresponding to the target object;
  • the processor 1003 performs the following steps:
  • the monitoring adjustment processing is performed according to the real-time analysis result and the auxiliary analysis information.
  • the real-time monitoring information is a real-time ECG signal
  • the processor is specifically configured to execute the following steps:
  • the ECG monitoring analysis result is determined as the real-time analysis result.
  • the auxiliary analysis information includes an electrocardiographic diagnosis analysis result
  • the processor is specifically configured to execute the following steps:
  • the auxiliary analysis information includes target object characteristic information
  • the monitoring system further includes an input interface circuit 1004
  • the processor 1003 is specifically configured to execute the following steps:
  • the target object characteristic information is at least one of target object basic information, case diagnosis information, image inspection information, and target object inspection information.
  • the preset monitoring adjustment mode includes adjusting a real-time monitoring alarm strategy
  • the processor 1003 is specifically configured to perform the following steps:
  • the preset monitoring adjustment method includes adjusting the real-time analysis result
  • the processor 1003 is specifically configured to execute the following steps:
  • the monitoring system further includes an alarm circuit 1005;
  • the alarm circuit 1005 performs alarm output on the real-time analysis result, the auxiliary analysis information, and the fusion result information according to the adjusted ECG alarm monitoring strategy.
  • processor 1003 is specifically configured to execute the following steps:
  • the real-time monitoring alarm strategy is automatically adjusted according to the alarm strategy information.
  • processor 1003 is further configured to execute the following steps:
  • the real-time monitoring alarm strategy is adjusted according to the modification instruction.
  • processor 1003 is specifically configured to execute the following steps:
  • the alarm level and/or alarm content in the ECG monitoring alarm strategy are adjusted; the alarm content includes at least one of the alarm event type and the alarm event presentation mode.
  • the embodiments of the present invention may be provided as methods, systems, or computer program products. Therefore, the present invention may adopt the form of a hardware embodiment, a software embodiment, or an embodiment combining software and hardware. Moreover, the present invention may adopt the form of a computer program product implemented on one or more computer-usable storage media (including but not limited to disk storage, optical storage, etc.) containing computer-usable program codes.
  • a computer-usable storage media including but not limited to disk storage, optical storage, etc.
  • These computer program instructions can also be stored in a computer-readable memory that can guide a computer or other programmable signal processing equipment to work in a specific manner, so that the instructions stored in the computer-readable memory produce an article of manufacture including the instruction device.
  • the device implements the functions specified in one process or multiple processes in the flowchart and/or one block or multiple blocks in the block diagram.
  • These computer program instructions can also be loaded on a computer or other programmable signal processing equipment, so that a series of operation steps are executed on the computer or other programmable equipment to produce computer-implemented processing, so as to execute on the computer or other programmable equipment.
  • the instructions provide steps for implementing functions specified in a flow or multiple flows in the flowchart and/or a block or multiple blocks in the block diagram.
  • the monitoring processing device includes: a first acquisition module for acquiring real-time monitoring information corresponding to the target object, the real-time monitoring information is used to characterize the real-time status of the target object; and a second acquisition module for Acquire auxiliary analysis information corresponding to the target object; real-time analysis module, connected to the first acquisition module, used to determine real-time analysis results according to real-time monitoring information; processing module, connected to the first acquisition module and real-time analysis module, used to Set up a monitoring adjustment method, and perform monitoring adjustment processing based on real-time analysis results and auxiliary analysis information.
  • the technical solution provided by the embodiment of the present invention uses auxiliary analysis information of other dimensions of the target object to adjust the real-time analysis result determined based on the real-time monitoring information, or adjust the monitoring alarm level in combination with the real-time analysis result to meet the actual monitoring needs of the target object, thereby Improve the intelligence of real-time monitoring.

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Abstract

L'invention concerne un dispositif de surveillance et de traitement, comprenant : un premier module d'acquisition (301), utilisé pour acquérir des informations de surveillance en temps réel correspondant à un objet cible, les informations de surveillance en temps réel étant utilisées pour caractériser l'état en temps réel de l'objet cible ; un second module d'acquisition (302), utilisé pour acquérir des informations d'analyse auxiliaire correspondant à l'objet cible ; un module d'analyse en temps réel (303) connecté au premier module d'acquisition (301) et utilisé pour déterminer, en fonction des informations de surveillance en temps réel, un résultat d'analyse en temps réel ; un module de traitement (304) connecté au premier module d'acquisition (301) et au module d'analyse en temps réel (303) et utilisé pour effectuer un traitement de réglage de surveillance en fonction du résultat d'analyse en temps réel et des informations d'analyse auxiliaire et conformément à un moyen de réglage de surveillance prédéfini.
PCT/CN2019/093919 2019-06-28 2019-06-28 Procédé et dispositif de surveillance et de traitement et support de stockage WO2020258333A1 (fr)

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CN103476328A (zh) * 2011-04-14 2013-12-25 皇家飞利浦有限公司 用于患者监测器的阶梯式警报方法
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