WO2020258337A1 - 一种监护装置及其运行方法、监护仪和计算机存储介质 - Google Patents

一种监护装置及其运行方法、监护仪和计算机存储介质 Download PDF

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Publication number
WO2020258337A1
WO2020258337A1 PCT/CN2019/093927 CN2019093927W WO2020258337A1 WO 2020258337 A1 WO2020258337 A1 WO 2020258337A1 CN 2019093927 W CN2019093927 W CN 2019093927W WO 2020258337 A1 WO2020258337 A1 WO 2020258337A1
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Prior art keywords
data analysis
monitoring
analysis function
parameter
physiological parameter
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PCT/CN2019/093927
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English (en)
French (fr)
Inventor
孙泽辉
叶文宇
关则宏
刘三超
代建
何先梁
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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 EP19935118.0A priority Critical patent/EP3991636A4/en
Priority to PCT/CN2019/093927 priority patent/WO2020258337A1/zh
Priority to CN201980097048.XA priority patent/CN113905658A/zh
Publication of WO2020258337A1 publication Critical patent/WO2020258337A1/zh
Priority to US17/561,947 priority patent/US20220122444A1/en

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    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/18—Status alarms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
    • A61B5/1116—Determining posture transitions
    • 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]
    • 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
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7207—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts
    • A61B5/721—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise induced by motion artifacts using a separate sensor to detect motion or using motion information derived from signals other than the physiological signal to be measured
    • 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
    • G—PHYSICS
    • G08—SIGNALLING
    • G08B—SIGNALLING OR CALLING SYSTEMS; ORDER TELEGRAPHS; ALARM SYSTEMS
    • G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
    • G08B21/02—Alarms for ensuring the safety of persons
    • G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
    • G08B21/0438—Sensor means for detecting
    • G08B21/0453—Sensor means for detecting worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/70—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for mining of medical data, e.g. analysing previous cases of other patients
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2560/00—Constructional details of operational features of apparatus; Accessories for medical measuring apparatus
    • A61B2560/02—Operational features
    • A61B2560/0266—Operational features for monitoring or limiting apparatus function

Definitions

  • the invention relates to the field of guardianship monitoring, in particular to a monitoring device, an operating method thereof, a monitor and a computer storage medium.
  • the monitoring mode of the monitor is a passive monitoring mode.
  • the working mode of the monitor is to monitor the parameters according to the settings of the user, and the monitoring parameters cannot be intelligently adjusted according to the changes in the condition of the monitored object; so, it is possible This leads to delays in capturing changes in the condition of the custodial subject, reducing the quality of monitoring, and further, prolonging the stay of the custodial subject and increasing the medical burden.
  • the embodiments of the present invention provide a monitoring device, an operating method thereof, a monitor, and a computer storage medium, which can adaptively prompt the user to adjust and/or adaptively adjust the monitored physiological parameters in time to improve the quality of monitoring.
  • the embodiment of the present invention provides a monitoring device, which includes a processor and a parameter measurement circuit,
  • the parameter measurement circuit is configured to obtain the monitoring signal of the monitored object in real time through the sensor attachment connected with the monitored object during the monitoring of the monitored object;
  • the processor is configured to obtain monitoring parameters of the subject according to the monitoring signal, and analyze the monitoring parameters according to a first data analysis function; wherein, the monitoring parameters include at least a first physiological parameter for characterization The physiological state of the subject;
  • the data analysis function changing step is executed, and the data analysis function changing step includes at least one of the following steps:
  • the embodiment of the present invention provides an operating method of a monitoring device, and the method includes:
  • At least one monitoring signal of the guardian is acquired in real time
  • the monitoring parameters of the monitoring subject are acquired, and the monitoring parameters are analyzed according to the first data analysis function; wherein the monitoring parameters include at least a first physiological parameter, which is used to characterize the physiology of the monitoring subject status;
  • the data analysis function changing step is executed, and the data analysis function changing step includes at least one of the following steps:
  • the embodiment of the present invention provides another monitoring device, which includes a processor and a parameter measurement circuit,
  • the parameter measurement circuit is configured to obtain at least one monitoring signal of the monitored object in real time through a sensor attachment connected to the monitored object during the monitoring of the monitored object;
  • the processor is configured to obtain at least one monitoring parameter of the subject according to the monitoring signal, and analyze the at least one monitoring parameter according to the first data analysis function; when the at least one monitoring parameter satisfies a preset When conditions are met, the data analysis function changing step is executed, and the data analysis function changing step includes at least one of the following steps:
  • the monitoring parameters are used to characterize at least one of the following characteristics of the monitored object: physiological state, sports state, and posture state.
  • the embodiment of the present invention provides a monitor, which includes any one of the above-mentioned monitor devices.
  • the embodiment of the present invention provides another method for operating a monitoring device, and the method includes:
  • the function change step, the data analysis function change step includes at least one of the following steps:
  • the monitoring parameters are used to characterize at least one of the following characteristics of the monitored object: physiological state, sports state, and posture state.
  • the embodiment of the present invention provides a computer storage medium storing a computer program, and when the computer program is executed, it implements any of the above-mentioned operating methods of the monitoring device.
  • the process of monitoring the subject in the process of monitoring the subject, at least one monitoring signal of the subject is acquired in real time through a sensor attachment connected to the subject; According to the monitoring signal, at least one monitoring parameter of the subject is acquired, and the at least one monitoring parameter is analyzed according to the first data analysis function; when the at least one monitoring parameter meets a preset condition, data analysis is performed
  • the function change step the data analysis function change step includes at least one of the following steps: turn on the second data analysis function for at least one physiological parameter of the subject; turn off the function for at least one physiological parameter of the subject.
  • the second data analysis function wherein the monitoring parameters are used to characterize at least one of the following characteristics of the monitored object: physiological state, exercise state, and posture state.
  • the embodiment of the present invention can turn on or off the data analysis function for the physiological parameters of the monitored object according to the current monitoring parameters of the monitored object, that is, can adaptively adjust the monitored physiological parameters to improve the quality of monitoring.
  • FIG. 1 is a flowchart of an operating method of a monitoring device according to an embodiment of the present invention
  • FIG. 2 is a system framework diagram of a multi-parameter monitor or module assembly according to an embodiment of the present invention
  • Figure 3 is a schematic diagram of a monitor networking system according to an embodiment of the present invention.
  • Fig. 4 is a schematic diagram of the composition structure of a monitoring device according to an embodiment of the present invention.
  • the monitoring scheme adopted by the monitor is a passive monitoring scheme.
  • CCU Cardiovascular Care Unit
  • the cardiac patient is received in the Cardiovascular Care Unit (CCU) department, it often only monitors the ECG parameters, but for blood oxygen, Parameters such as blood pressure will not be paid attention to, however, changes in the condition of the monitored object during the diagnosis and treatment of the monitored object may affect the indicators of blood oxygen and blood pressure.
  • the medical staff finds that only monitoring ECG parameters are not enough according to the condition of the patient or looking at the history review. They need to manually set the relevant parameters to measure.
  • the embodiment of the present invention proposes an operating method of a monitoring device, which can be applied to a monitoring device such as a monitor that monitors the parameters of a monitored object.
  • Fig. 1 is a flow chart of the operating method of the monitoring device according to the embodiment of the present invention. As shown in Fig. 1, the process may include:
  • Step 101 In the process of monitoring the subject, obtain at least one monitoring signal of the subject in real time through a sensor attachment connected to the subject; obtain at least one monitoring parameter of the subject according to the monitoring signal.
  • the monitoring parameters are used to at least characterize one of the following characteristics of the monitored object: physiological state, sports state, and posture state.
  • the at least one monitoring parameter may include the first physiological parameter of the subject.
  • the first physiological parameter may be used to characterize the physiological state of the subject; optionally, the first physiological parameter of the subject is determined according to the actual monitoring needs of the subject; exemplary, the first physiological parameter of the subject may be ECG monitoring parameters or other physiological monitoring parameters, etc.
  • monitoring equipment such as a monitor can be used to collect the first physiological parameter of the subject; after the first physiological parameter of the subject is acquired, the first physiological parameter of the subject can also be stored.
  • the movement state data and/or posture state data of the guardian can be acquired; here, the movement state data of the guardian can be used to indicate the Acceleration, speed and other information; the posture state data of the guardian can represent the posture information of the guardian; it is understandable that according to the movement state data and/or posture state data of the guardian, the movement state and/or of the guardian can be judged
  • the posture information for example, can determine whether the subject is exercising vigorously.
  • At least one motion signal of the monitored object can be monitored, and the motion state data and/or posture state data of the monitored object can be obtained according to the at least one motion signal of the monitored object; in practical applications, you can use Sensors such as accelerometers and gyroscopes obtain motion signals (such as acceleration data) of the monitored object, and then, based on the motion signals of the monitored object, the motion state data and/or posture state data of the monitored object can be calculated. After acquiring the motion state data and/or posture state data of the monitored object, the motion state data of the monitored object can also be stored.
  • Sensors such as accelerometers and gyroscopes obtain motion signals (such as acceleration data) of the monitored object, and then, based on the motion signals of the monitored object, the motion state data and/or posture state data of the monitored object can be calculated. After acquiring the motion state data and/or posture state data of the monitored object, the motion state data of the monitored object can also be stored.
  • Step 102 Analyze the at least one monitoring parameter according to the first data analysis function; when the at least one monitoring parameter meets a preset condition, perform a data analysis function change step.
  • the step of changing the data analysis function includes at least one of the following steps: turning on a second data analysis function for at least one physiological parameter of the monitored subject for prompting the real-time change of the at least one physiological parameter; Turn off the second data analysis function for at least one physiological parameter of the subject.
  • the at least one monitoring parameter satisfies a preset condition, turn on or turn off the second data analysis function for the at least one physiological parameter of the monitored subject, where turning on or off includes directly turning on or off intelligently
  • the second data analysis function for at least one physiological parameter of the subject may also include sending out a first prompt message to remind the user that the second data analysis function for at least one physiological parameter needs to be turned on or off, after receiving the confirmation instruction Then, the second data analysis function of at least one physiological parameter is turned on or off.
  • the form of the first prompt information is not limited, and it can be realized by preset sound, light, text, graphics, etc., as long as it can remind the user to turn on or off the second data analysis function of at least one physiological parameter.
  • second prompt information is issued, and the second prompt information includes at least one of the following: the preset condition, The monitoring parameters, the physiological parameters, and the data analysis function that is turned on or off enable the user to know the second data analysis function that is turned on, the physiological parameters corresponding to the second data analysis function that is currently turned on through the second prompt information, Information such as the reason for turning on the second data analysis function, so as to monitor the patient in a more timely manner.
  • the form of the second prompt information is not limited, and it can also be realized through preset forms of sound, light, text, graphics, etc., as long as it can remind the user to turn on or turn off the data analysis function of at least one physiological parameter OK.
  • the first data analysis function and the second data analysis function include at least one of the following functions: a data measurement function for obtaining physiological characteristic signals in real time to obtain at least one physiological parameter according to the physiological characteristic signals;
  • the preset rule processes at least one physiological parameter;
  • the monitoring function is used to generate alarm information when the at least one physiological parameter meets the preset alarm condition.
  • the at least one monitoring parameter includes the first physiological parameter of the monitored object, and the at least one physiological parameter includes the first physiological parameter.
  • the monitoring signal and the physiological characteristic signal may be generated from the same signal source.
  • the monitoring signal and the physiological characteristic signal are both ECG signals; in this way, when the first physiological parameter changes, at least one is determined When the set physiological signal characteristics change, the second data analysis function for the first physiological parameter can be turned on or off.
  • the following takes the first physiological parameter as the ST wave in the ECG signal as an example for illustration.
  • the ST wave part of the ECG signal will shift from the zero point difference line.
  • the value of the ST segment offset can identify the risk of the patient’s myocardial ischemia or infarction .
  • the monitor usually displays the ST wave offset in millimeters, and this value characterizing the ST wave offset is called the ST value.
  • the ST monitoring function is usually not turned on. Therefore, even if the ST value exceeds the alarm threshold at this time, an alarm will not be triggered.
  • sudden myocardial ischemia may cause changes in the ST value.
  • the ST monitoring function is turned on when the user discovers the change in the ST value by himself, the patient's myocardial ischemia may not be detected in time.
  • the first prompt message will be promptly reminded to turn on the ST monitoring function or directly intelligently turn on the ST monitoring function, which is convenient for medical care.
  • Personnel detect and analyze the trend change of ST value in time, so that when the ST value reaches or exceeds the alarm threshold, an alarm can be generated in time.
  • the ST monitoring function when the ST monitoring function is reminded to open or smartly turned on, a second prompt message is issued at the same time, for example, the ST monitoring function has been turned on, the ST value offset meets the first mutation condition, etc., and the data analysis function used to prompt the user to turn on is
  • the ST monitoring function the physiological parameter corresponding to the currently enabled data analysis function is the ST value
  • the reason for enabling the data analysis function is that the ST value deviation meets the first mutation condition and other information, so that the patient can be monitored in a more timely and effective manner.
  • the first physiological parameter is an electrocardiographic physiological parameter in the electrocardiographic signal as an example for illustration.
  • the real-time analysis function of the electrocardiographic physiological parameter is generally in an on state.
  • the resting function is another data analysis function of the electrophysiological parameters. Different from the ECG real-time analysis function, it is the ECG diagnostic function, which takes the ECG physiological parameters of a certain period of time for analysis and provides the diagnosis result.
  • the The analysis of electrophysiological parameters determines that when the physiological signal characteristics change, the intelligent reminder or start resting function analysis, data measurement and resting function analysis of the electrophysiological parameters within the preset time period can help medical staff to track the patient's condition in time Change and give timely treatment.
  • the first data analysis function or the second data analysis function may also be any combination of at least one of the data measurement function, the data processing function, and the monitoring function, and is not limited to the above-mentioned embodiments.
  • the at least one monitoring parameter includes the first physiological parameter of the monitored object, and the at least one physiological parameter includes the second physiological parameter of the monitored object; After at least one monitoring parameter, it can be determined according to the first physiological parameter that when at least one set physiological signal characteristic changes, the second data analysis function of the second physiological parameter of the monitored subject is turned on, or at least Part of the first data analysis function of the first physiological parameter.
  • At least one of the above-mentioned monitoring parameters can be analyzed to determine whether the at least one set physiological signal characteristic has changed.
  • the set physiological signal characteristics may include at least one of the following: the value of the above-mentioned at least one monitoring parameter, signal waveform shape, and signal characteristics associated with other physiological parameters; for example, the monitoring parameter may be heart rate or heart rhythm.
  • the value of the at least one monitoring parameter includes: the value of the physiological parameter and/or the value of the exercise state data.
  • the change in the at least one set physiological signal feature includes at least one of the following:
  • the value of the at least one monitoring parameter changes in compliance with the preset first mutation condition, the signal waveform shape of the at least one monitoring parameter changes in compliance with the preset second mutation condition, the at least one monitoring parameter and the at least one The signal characteristics associated with physiological parameters change.
  • the change in at least one set physiological signal feature includes: a change in the heartbeat frequency that meets the preset first mutation condition (a mutation in the heartbeat frequency), and the signal waveform shape of the first physiological parameter meets the preset second mutation. Changes in conditions (a sudden change in the shape of the signal waveform), sudden arrhythmia events, changes in signal characteristics associated with the first physiological parameter and other physiological parameters.
  • the at least one monitoring parameter may also be the first physiological parameter of the subject, and the at least one physiological parameter includes the second physiological parameter of the subject; accordingly, the function can be analyzed according to the first data Analyze the first physiological parameter, and when it is determined that at least one set physiological signal characteristic changes, turn on the second data analysis function of the second physiological parameter of the monitored subject, or turn off at least part of the first physiological parameter of the monitored subject The first data analysis function of parameters.
  • the second data analysis function of the second physiological parameter of the custodial subject can be enabled according to the changed physiological signal characteristics; the actual implementation can be intelligent Remind or activate the second data analysis function of the second physiological parameter.
  • the data measurement function of the second physiological parameter is turned on as an example for description.
  • the electrocardiographic physiological parameter signal characteristics change, it can intelligently remind or start the data measurement function of other physiological parameters (such as NIBP measurement), and timely capture the changes of other physiological parameters when the patient's condition changes; for example, it can intelligently remind or start automation Non-invasive blood pressure (Automated Non-invasive Blood Pressure, NIBP) measurement, timely capture the blood pressure changes of the subject.
  • the data processing function and/or the monitoring function can also be activated accordingly to process and/or monitor the measured respiratory parameter or blood pressure parameter.
  • the monitoring function of at least part of the first physiological parameter of the monitored object may be turned off according to the changed physiological signal characteristics. That is to say, when it is determined that at least part of the first physiological parameter of the monitored object does not need to be monitored according to the changed physiological signal characteristics, the monitoring function of at least part of the first physiological parameter of the monitored object can be intelligently turned off to reduce the impact of the monitoring function. The impact caused by the guardian.
  • the data analysis function of at least part of the first physiological parameter can be turned off to reduce the impact of analysis and measurement on the subject, and at the same time, reduce the energy consumption of the device.
  • the implementation of enabling the monitoring function of the second physiological parameter of the subject it may be determined that at least one set physiological signal characteristic changes according to the first physiological parameter analysis according to the first data analysis function, And according to at least one set physiological signal characteristic, it is determined that the change of the second physiological parameter of the monitoring subject meets the preset deterioration change condition, but when the second data analysis function of the second physiological parameter of the monitoring subject is turned off, the monitoring of the subject is turned on The second data analysis function of the second physiological parameter.
  • the change of the second physiological parameter of the guardian may indicate that the condition of the guardian is improving, or it may indicate that the condition of the guardian is deteriorating; in actual implementation, the deterioration change conditions can be preset for the monitoring parameters of the guardian; in this way, When the change of the second physiological parameter of the guardian meets the preset deterioration change condition, it indicates that the condition of the guardian is deteriorating. At this time, the monitoring function of the second physiological parameter of the guardian needs to be turned on; 2.
  • the monitoring function of physiological parameters When the monitoring function of physiological parameters is turned off, by intelligently turning on the monitoring function of the second physiological parameter of the monitored object, it is convenient to catch the cause of the deterioration of the monitored object in time; for example, for the second physiological parameter of the monitored object, the alarm switch is turned off. When no alarm is generated, you can intelligently remind you to turn on the corresponding alarm switch, or you can intelligently turn on the corresponding alarm function directly.
  • the method further includes: generating alarm information when the monitored physiology meets a preset alarm condition.
  • the implementation of the alarm function is not limited.
  • the arrhythmia switch adopts the default setting, that is, it only pays attention to whether the patient has fatal arrhythmia (such as arrest, ventricular fibrillation).
  • arrhythmia such as arrest, ventricular fibrillation.
  • non-fatal arrhythmias non-sustained ventricular tachycardia, multiple bursts, dual rhythm, triple rhythm, atrial fibrillation, irregular rhythm, etc.
  • certain arrhythmias such as duality
  • the monitoring function of the duality is turned off at this time, this risky alarm may be missed, which is not conducive to
  • the medical staff find out in time what caused the deterioration of the condition of the monitored object; using the scheme of the embodiment of the present invention, due to the real-time monitoring of the electrophysiological parameters and hemodynamic characteristics of the heart, when the hemo
  • the alarm function for the physiological parameter can also be realized; in the embodiment of the present invention, the realization method of the alarm function is not limited.
  • the embodiment of the present invention is not limited to the ECG monitoring scene, for example, it is not limited to monitoring ECG in the CCU scene; in other scenes, while the subject uses a ventilator to assist breathing, it may not necessarily monitor blood oxygen, or the blood oxygen probe may The patient was removed because it was uncomfortable to wear. When the patient suffers from breathing asphyxia, the oxygen supply of the patient will be affected. At this time, it is necessary to remind the medical staff to perform blood oxygen monitoring on the patient in time to check the oxygen supply of the patient situation.
  • the data analysis function of blood oxygen can be activated intelligently, or the data analysis function of blood oxygen can be determined to be activated by sending the first prompt message.
  • the data analysis function can include data measurement function, data processing function and monitoring function at the same time.
  • the alarm rule of blood oxygen monitoring is executed. For example, if the blood oxygen probe is worn normally, blood oxygen monitoring is performed. When the blood oxygen reaches the alarm threshold and the preset alarm conditions are met, an alarm message is generated to indicate that the blood oxygen reaches or exceeds the threshold; if the blood oxygen probe is not worn normally, Then the blood oxygen value is invalid or no signal, and the preset related alarm conditions are also met at this time, and an alarm message is generated, indicating that the blood oxygen probe is not worn normally.
  • the parameter data analysis function can timely capture the status change of the monitored object through more parameter prompts or performance, improve the diagnosis and treatment efficiency of the condition, and make the monitor more intelligent and more in line with the operating habits of medical staff.
  • the first data analysis function of at least part of the first physiological parameter of the monitored subject can be turned off; it can be seen that when at least one When the set physiological signal characteristics are stable (for example, the signal waveform shape of at least one monitoring parameter is always in a stable state), the condition of the monitored subject can be considered to be basically stable. At this time, by turning off at least part of the first physiological parameter of the monitored subject The first data analysis function can reduce the impact of the monitoring or alarm function on the subject.
  • the NIBP measurement function can be turned off intelligently to reduce the impact on the patient during the NIBP measurement.
  • the resting function analysis can be turned off intelligently to reduce the impact of the analysis and measurement on the patient. At the same time, the energy consumption of the device is reduced.
  • the monitoring object can be turned on or off according to the motion state data and/or posture state data of the monitored subject.
  • the second data analysis function of at least one physiological parameter of the subject that is to say, the technical solution of the embodiment of the present invention can be combined with the state of motion (steady or vigorous) and/or posture information of the subject to intelligently turn on or off the physiological
  • the second data analysis function of the parameter For example, when the subject is constantly exercising vigorously, the function of measuring various physiological parameters of the subject can be turned off, which can prevent the measurement results of physiological parameters from affecting the judgment of medical staff when the subject is exercising frequently.
  • the first physiological parameter and the second physiological parameter include at least one of the following: electrophysiological parameters, respiratory parameters, blood pressure, blood oxygen, pulse, body temperature, end-respiratory carbon dioxide, anesthetic gas, cardiac output, EEG bispectral index, etc.
  • step 101 and step 102 can be implemented by a processor in the monitor, and the above processor can be an Application Specific Integrated Circuit (ASIC) or a Digital Signal Processor (DSP) , Digital signal processing device (Digital Signal Processing Device, DSPD), Programmable Logic Device (PLD), Field Programmable Gate Array (Field Programmable Gate Array, FPGA), Central Processing Unit (CPU) , At least one of controller, microcontroller, microprocessor, etc.
  • ASIC Application Specific Integrated Circuit
  • DSP Digital Signal Processor
  • DSPD Digital Signal Processing Device
  • PLD Programmable Logic Device
  • FPGA Field Programmable Gate Array
  • CPU Central Processing Unit
  • FIG. 2 is a system framework diagram of a multi-parameter monitor or module assembly according to an embodiment of the present invention. As shown in FIG. 2, the multi-parameter monitor or module assembly at least includes 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 among blood pressure parameter measurement circuit, exercise signal state 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 112 is mainly used to connect the sensor attachment 111 to obtain the collected physiological parameter signals, and may include at least one physiological parameter measurement circuit.
  • 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 or non-physiological parameters.
  • the parameter measurement circuit obtains the external physiological parameter sensor attachment to obtain the physiological sampling signal of the patient through the extended interface, and obtains the physiological data after processing for alarm and display.
  • the expansion 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 measurement accessory through the corresponding interface to realize the monitoring and control of the patient's physiological parameters.
  • the multi-parameter monitor or module component 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 interface conversion. At least one of circuits, 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 module assembly may also include one or more of the display 114, the alarm circuit 116, the input interface circuit 117, and the 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 module assembly.
  • 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, and of course, 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.
  • 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 module component that sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface to realize remote data transmission.
  • the multi-parameter monitoring module component can be set outside the monitor shell, as an independent external plug-in parameter module, which 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 hospitals is provided.
  • the monitor data can be stored as a whole, and the patient information and nursing information can be centrally managed. The two are stored in association to facilitate the preservation of historical data. And associated alarms.
  • a bedside monitor 212 may be provided for each hospital bed, and the bedside monitor 212 may 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 module component, which can be worn on the patient's body to correspond to the patient's mobile
  • the portable monitoring device 213 can communicate with the bedside monitor 212 through wired or wireless communication.
  • the physiological data generated by the mobile monitoring can be transmitted to the bedside monitor 212 for display, or transmitted to the central station through the bedside monitor 212 211 is for viewing by doctors or nurses, or transmitted 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.
  • the application scenario shown in Figures 2 and 3 is only an exemplary application scenario of the embodiment of the present invention, and the embodiment of the present invention is not limited to this; based on the application shown in Figures 2 and 3 Scenarios and the operating method of the monitoring device proposed in the foregoing embodiments, the embodiment of the present invention also proposes a monitoring device.
  • FIG. 4 is a schematic diagram of the composition structure of a monitoring device according to an embodiment of the present invention.
  • the monitoring device may include a processor 401 and a parameter measurement circuit 112; wherein,
  • the parameter measurement circuit 112 is configured to obtain at least one monitoring signal of the monitored object in real time through the sensor attachment connected to the monitored object during the monitoring of the monitored object;
  • the processor 401 is configured to obtain at least one monitoring parameter of the subject according to the monitoring signal, and analyze the at least one monitoring parameter according to the first data analysis function; when the at least one monitoring parameter satisfies a preset condition
  • the data analysis function changing step includes at least one of the following steps:
  • the monitoring parameters are used to characterize at least one of the following characteristics of the monitored object: physiological state, sports state, and posture state.
  • the first data analysis function and the second data analysis function include at least one of the following functions: a data measurement function for acquiring physiological characteristic signals in real time to acquire at least one physiological parameter according to the physiological characteristic signals
  • the data processing function is used to process at least one physiological parameter according to preset rules; the monitoring function is used to generate alarm information when the at least one physiological parameter meets the preset alarm condition.
  • the at least one monitoring parameter includes a first physiological parameter used to characterize the physiological state of the monitored subject, and the at least one physiological parameter includes the first physiological parameter;
  • the processor 401 is specifically configured to, when analyzing the first physiological parameter changes according to the first data analysis function, and determining that at least one set physiological signal characteristic changes, turn on or turn off the first physiological parameter.
  • a second data analysis function for physiological parameters is specifically configured to, when analyzing the first physiological parameter changes according to the first data analysis function, and determining that at least one set physiological signal characteristic changes, turn on or turn off the first physiological parameter.
  • the at least one monitoring parameter is a first physiological parameter of the subject, and the at least one physiological parameter includes a second physiological parameter of the subject;
  • the processor 401 is specifically configured to analyze the first physiological parameter according to the first data analysis function, and when it is determined that at least one set physiological signal characteristic changes, turn on the second physiological parameter of the monitored subject Or, turn off the first data analysis function of at least part of the first physiological parameter of the monitored subject.
  • the at least one monitoring parameter is a first physiological parameter of the subject, and the at least one physiological parameter includes a second physiological parameter of the subject;
  • the processor 401 is specifically configured to analyze the first physiological parameter according to the first data analysis function, determine that at least one set physiological signal characteristic has changed, and according to the at least one set physiological signal
  • the change of characteristics determines that the change of the second physiological parameter of the monitored subject meets the preset deterioration change condition, but when the second data analysis function of the second physiological parameter of the monitored subject is turned off, the second physiological parameter of the monitored subject is turned on 2.
  • the second data analysis function of physiological parameters is specifically configured to analyze the first physiological parameter according to the first data analysis function, determine that at least one set physiological signal characteristic has changed, and according to the at least one set physiological signal
  • the change of characteristics determines that the change of the second physiological parameter of the monitored subject meets the preset deterioration change condition, but when the second data analysis function of the second physiological parameter of the monitored subject is turned off, the second physiological parameter of the monitored subject is turned on 2.
  • the second data analysis function of physiological parameters is specifically configured to analyze the first physiological parameter according to the first data analysis function, determine that at least one set physiological signal characteristic
  • the change in the at least one set physiological signal feature includes at least one of the following:
  • the value of the at least one monitoring parameter changes in compliance with the preset first mutation condition, the signal waveform shape of the at least one monitoring parameter changes in compliance with the preset second mutation condition, and the at least one monitoring parameter changes with The signal characteristic associated with the at least one physiological parameter changes.
  • the processor 401 is further configured to analyze the at least one monitoring parameter according to the first data analysis function, and when it is determined that the at least one set physiological signal characteristic is stable, turn off the at least Part of the first data analysis function of the first physiological parameter.
  • the first physiological parameter is determined according to the actual monitoring needs of the monitored subject.
  • the processor 401 is further configured to: when the second data analysis function for at least one physiological parameter of the subject is turned on or off, send a second prompt message, the second prompt message It includes at least one of the following: the preset condition, the monitoring parameter, the physiological parameter, and the data analysis function that is turned on or off.
  • the form of the second prompt information includes at least one of the following: sound, light, text, and graphics.
  • the parameter measurement circuit 112 includes a motion sensor, and the monitoring signal includes at least one motion signal.
  • the processor is specifically configured to obtain the monitoring signal according to the at least one motion signal.
  • the movement state data and/or posture state data of the subject; the movement state data and/or posture state data of the monitored subject are analyzed according to the first data analysis function, and at least one physiological parameter for the monitored subject is turned on or off The second data analysis function.
  • the processor 401 is specifically configured to: when the at least one monitoring parameter satisfies a preset condition, send a first prompt message for prompting to turn on or turn off at least one of the monitored subjects The second data analysis function of physiological parameters;
  • the form of the first prompt information includes at least one of the following: sound, light, text, and graphics.
  • the processor 401 is further configured to, after enabling the second data analysis function for at least one physiological parameter of the monitored subject, and when the monitored physiological parameter meets a preset alarm condition, Generate alarm information.
  • the aforementioned processor 401 may be at least one of ASIC, DSP, DSPD, PLD, FPGA, CPU, controller, microcontroller, microprocessor, and the like.
  • the technical solution of this embodiment is essentially or the part that contributes to the prior art 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 and includes several instructions. It is used to make a computer device (which may be a personal computer, a server, or a network device, etc.) or a processor (processor) execute all or part of the steps of the method described in this embodiment.
  • the aforementioned storage media include: U disk, mobile hard disk, read only memory (Read Only Memory, ROM), random access memory (Random Access Memory, RAM), magnetic disk or optical disk and other media that can store program codes.
  • the computer program instructions corresponding to the operation method of the monitoring device in this embodiment can be stored on storage media such as optical disks, hard disks, and USB flash drives.
  • storage media such as optical disks, hard disks, and USB flash drives.
  • This embodiment also proposes a monitor, including any of the monitoring devices described in the foregoing embodiments.
  • the disclosed method and smart device can be implemented in other ways.
  • the device embodiments described above are merely illustrative.
  • the division of the units is only a logical function division, and there may be other divisions in actual implementation, such as: multiple units or components can be combined, or It can be integrated into another system, or some features can be ignored or not implemented.
  • the coupling, or direct coupling, or communication connection between the components shown or discussed may be indirect coupling or communication connection through some interfaces, devices or units, and may be electrical, mechanical or other forms of.
  • the units described above as separate components may or may not be physically separate, and the components displayed as units may or may not be physical units, that is, they may be located in one place or distributed on multiple network units; Some or all of the units can be selected according to actual needs to achieve the purpose of the solution of the embodiment.
  • the functional units in the embodiments of the present invention can be all integrated into a second processing unit, or each unit can be individually used as a unit, or two or more units can be integrated into one unit;
  • the above-mentioned integrated unit may be implemented in the form of hardware, or may be implemented in the form of hardware plus software functional units.

Abstract

一种监护装置及其运行方法、监护仪和计算机存储介质，其中方法包括：在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件（111）实时获取监护对象的至少一种监测信号；根据监测信号，获取监护对象的至少一种监测参数（101）：根据第一数据分析功能对至少一种监测参数进行分析；当至少一种监测参数满足预设条件时，执行数据分析功能改变步骤（102），数据分析功能改变步骤至少包括以下步骤之一：开启针对监护对象的至少一种生理参数的第二数据分析功能；关闭针对监护对象的至少一种生理参数的第二数据分析功能；其中，监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。从而能够根据监护对象当前的监测参数，开启或关闭针对监护对象的生理参数的监控功能，即可以自适应地调整监控的生理参数，提高监护质量。

Description

一种监护装置及其运行方法、监护仪和计算机存储介质 技术领域
本发明涉及监护对象监护领域，尤其涉及一种监护装置及其运行方法、监护仪和计算机存储介质。
背景技术
相关技术中，监护仪的监护方式为被动监护方式，具体地，监护仪的工作方式为根据用户的设置进行参数的监护，而并不能根据监护对象的状况变化智能调整监测的参数；如此，可能导致对监护对象的状况变化捕捉不及时，降低监护质量，进一步地，会导致监护对象住院时间延长，增加医疗负担。
发明内容
本发明实施例提供了一种监护装置及其运行方法、监护仪和计算机存储介质，可以自适应地及时提醒用户调整和/或自适应地及时调整监控的生理参数，提高监护质量。
本发明实施例提供了一种监护装置，所述装置包括处理器和参数测量电路，
所述参数测量电路配置为在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的监测信号；
所述处理器配置为根据所述监测信号，获取监护对象的监测参数，并根据第一数据分析功能对所述监测参数进行分析；其中，所述监测参数至少包括第一生理参数，用于表征所述监护对象的生理状态；
当所述监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
开启针对所述第一生理参数的第二数据分析功能；
关闭针对所述第一生理参数的第二数据分析功能。
本发明实施例提供了一种监护装置的运行方法，所述方法包括：
在对监护对象进行监护的过程中，实时获取监护对象的至少一种监测信号；
根据所述监测信号，获取监护对象的监测参数，并根据第一数据分析功能对所述监测参数进行分析；其中，所述监测参数至少包括第一生理参数，用于表征所述监护对象的生理状态；
当所述监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
开启针对所述第一生理参数的第二数据分析功能；
关闭针对所述第一生理参数的第二数据分析功能。
本发明实施例提供了另一种监护装置，所述装置包括处理器和参数测量电路，
所述参数测量电路配置为在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的至少一种监测信号；
所述处理器配置为根据所述监测信号，获取监护对象的至少一种监测参数，根据第一数据分析功能对所述至少一种监测参数进行分析；当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
开启针对所述监护对象的至少一种生理参数的第二数据分析功能；
关闭针对所述监护对象的至少一种生理参数的第二数据分析功能；
其中，所述监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。
本发明实施例提供了一种监护仪，所述监护仪包括上述任意一种监护装置。
本发明实施例提供了另一种监护装置的运行方法，所述方法包括：
在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的至少一种监测信号；
根据所述监测信号，获取监护对象的至少一种监测参数；根据第一数据分析功能对所述至少一种监测参数进行分析；当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
开启针对所述监护对象的至少一种生理参数的第二数据分析功能；
关闭针对所述监护对象的至少一种生理参数的第二数据分析功能；
其中，所述监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。
本发明实施例提供了一种计算机存储介质，存储有计算机程序，所述计算机程序被执行时实现上述任意一种监护装置的运行方法。
本发明实施例提供的技术方案，在对监护对象进行监护的过程中，在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的至少一种监测信号；根据所述监测信号，获取监护对象的至少一种监测参数，根据第一数据分析功能对所述至少一种监测参数进行分析；当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：开启针对所述监护对象的至少一种生理参数的第二数据分析功能；关闭针对所述监护对象的至少一种生理参数的第二数据分析功能；其中，所 述监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。如此，本发明实施例能够根据监护对象当前的监测参数，开启或关闭针对监护对象的生理参数的数据分析功能，即，可以自适应地调整监控的生理参数，提高监护质量。
附图说明
图1为本发明实施例的监护装置的运行方法的流程图；
图2为本发明实施例的多参数监护仪或模块组件的系统框架图；
图3为本发明实施例的监护仪联网系统的示意图；
图4为本发明实施例的监护装置的组成结构示意图。
具体实施方式
为了能够更加详尽地了解本发明实施例的特点与技术内容，下面结合附图对本申请实施例的实现进行详细阐述，所附附图仅供参考说明之用，并非用来限定本发明实施例。
本发明的说明书和权利要求书及附图中的术语“第一”、“第二”等是用于区别不同的对象，而不是用于描述特定顺序。此外，术语“包括”和“具有”以及它们任何变形，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、产品或设备没有限定于已列出的步骤或单元，而是可选地还包括没有列出的步骤或单元，或可选地还包括对于这些过程、方法或设备固有的其他步骤或单元。
相关技术中，监护仪采用的监护方案为被动监护方案，例如，心脏病重症监护病房(Cardiovascular Care Unit，CCU)科室接收到一个心脏病患者之后，往往只监测心电参数，但对于血氧、血压等参数不会被关注，然而，在监护对象诊疗过程中监护对象的状况变化可能会影响到血氧和血压的指标。当监护对象病情发生后，医护人员根据监护对象的状况变化或者 查看历史回顾发现仅仅监测心电参数不够时，需要手动设置实现相关参数测量，这样，往往对于监护对象的状况跟踪不够及时，甚至捕捉不到监护对象的病情，延误病情的治疗应对；可以看出，被动监护对于患者的病情变化捕捉不及时，必然会导致患者住院时间延长，增加医疗负担和降低监护质量。
针对上述技术问题，本发明实施例提出了一种监护装置的运行方法，可以应用于监护仪等实现监控监护对象参数的监护设备中。
图1为本发明实施例的监护装置的运行方法的流程图，如图1所示，该流程可以包括：
步骤101：在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的至少一种监测信号；根据所述监测信号，获取监护对象的至少一种监测参数。
这里，监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。
下面示例性地说明本步骤的几种实现方式。
方式1：
对于获取监护对象的至少一种监测参数的实现方式，在一个示例中，上述至少一种监测参数可以包括监护对象的第一生理参数。第一生理参数可以用于表征所述监护对象生理状态；可选地，监护对象的第一生理参数是根据监护对象的实际监护需求确定的；示例性地，监护对象的第一生理参数可以是心电监测参数或其他生理监测参数等。
实际应用中，可以利用监护仪等监护设备采集监护对象的第一生理参数；在获取监护对象的第一生理参数后，还可以存储监护对象的第一生理参数。
方式2：
对于获取监护对象的至少一种监测参数的实现方式，在另一个示例中，可以获取监护对象的运动状态数据和/或姿势状态数据；这里，监护对象的运动状态数据可以用于表示监护对象的加速度、速度等信息；监护对象的姿势状态数据可以表示监护对象的姿势信息；可以理解的是，根据监护对象的运动状态数据和/或姿势状态数据，可以判断出监护对象的运动状态和/或姿势信息，例如，可以判断出监护对象是否正在进行剧烈运动。
本发明实施例中，可以监测监护对象的至少一种运动信号，根据所述监护对象的至少一种运动信号，得到监护对象的运动状态数据和/或姿势状态数据；在实际应用中，可以利用加速度计、陀螺仪等传感器获取到监护对象的运动信号(如加速度数据)，然后，在监护对象的运动信号的基础上，可以计算出监护对象的运动状态数据和/或姿势状态数据。在获取到监护对象的运动状态数据和/或姿势状态数据后，还可以对监护对象的运动状态数据进行存储。
步骤102：根据第一数据分析功能对所述至少一种监测参数进行分析；当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤。
这里，所述数据分析功能改变步骤至少包括以下步骤之一：开启针对所述监护对象的至少一种生理参数的第二数据分析功能，用于提示所述至少一种生理参数的实时变化情况；关闭针对所述监护对象的至少一种生理参数的第二数据分析功能。
可以理解地，当所述至少一种监测参数满足预设条件时，开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能，这里的开启或关闭包括直接智能开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能；还可以包括发出第一提示信息，提示用户需要开启或关闭至少一种生理参数的第二数据分析功能，在接收到确认指令后，再开启或关闭至少一种生理参数的第二数据分析功能。第一提示 信息的形式不受限制，其可以通过预设的声、光、文字、图形等形式实现，只要其可以提醒用户进行开启或关闭至少一种生理参数的第二数据分析功能即可。
进一步地，当开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能时，发出第二提示信息，所述第二提示信息至少包括以下之一：所述预设条件、所述监测参数、所述生理参数、被开启或关闭的数据分析功能，使得用户可以通过第二提示信息知晓开启的第二数据分析功能、当前开启的第二数据分析功能所对应的生理参数、开启第二数据分析功能的原因等信息，从而对患者进行更及时的监护。可以理解地，第二提示信息的形式不受限制，其还可以通过预设的声、光、文字、图形等形式实现，只要其可以提醒用户开启或关闭了至少一种生理参数的数据分析功能即可。
其中，第一数据分析功能和第二数据分析功能至少包括以下功能之一：数据测量功能，用于实时获取生理特征信号以根据生理特征信号获取至少一种生理参数；数据处理功能，用于根据预设规则对至少一种生理参数进行处理；监控功能，用于在至少一种生理参数满足预设报警条件时，生成报警信息。
对于本步骤的实现方式，示例性地，上述至少一种监测参数包括监控对象的第一生理参数，上述至少一种生理参数包括第一生理参数。可以理解地，此时，监测信号和生理特征信号可以产生于同一信号源，例如，监测信号和生理特征信号均为心电信号；如此，当根据所述第一生理参数发生变化，确定至少一种设定的生理信号特征发生变化时，可以开启或关闭针对第一生理参数的第二数据分析功能。
对于开启针对第一生理参数的第二数据分析功能的实现方式，下面以第一生理参数为心电信号中的ST波为例，进行举例说明。在心电监测过程 中，当病人心肌缺血或损伤时，心电信号中的ST波部分会从零点位差线偏移，通过ST段偏移的数值可以识别出病人心肌缺血或梗塞的风险。监护仪通常按照毫米的方式来显示ST波的偏移量，这个表征ST波偏移量的数值被称为ST值。但是在监护过程中，ST监控功能通常不会被开启，因此，即便此时ST值超过报警阈值，也不会引发报警。然而，突发的心肌缺血可能会引起ST值的变化，如果等用户自行发现ST值变化时再开启ST监控功能，则可能对于监护对象心肌缺血的状况不能及时察觉。在本申请中，如果在心电监测过程中发现ST值偏移符合预设第一突变条件时，此时会通过第一提示信息及时给予提醒开启ST监控功能或直接智能开启ST监控功能，方便医护人员及时察觉和分析ST值的趋势变化，从而使得ST值在达到或者超过报警阈值时，能够及时产生报警。
进一步地，当提醒开启或智能开启ST监控功能时，同时发出第二提示信息，例如，ST监控功能已开启、ST值偏移符合第一突变条件等，用于提示用户开启的数据分析功能为ST监控功能、当前开启的数据分析功能所对应的生理参数为ST值、开启数据分析功能的原因为ST值偏移符合第一突变条件等信息，从而对患者进行更及时、有效的监护。
对于开启针对第一生理参数的数据测量功能和数据处理功能的实现方式，下面以第一生理参数为心电信号中的心电生理参数为例，进行举例说明。在一个具体的示例中，当监护对象的第一生理参数为心电生理参数时，心电生理参数的实时分析功能一般处于开启状态。在对心电生理参数进行实时分析和监控的过程中，通常需要根据生理信号特征的改变对心电生理参数进行静息功能分析，静息功能为心电生理参数的另一种数据分析功能，与心电实时分析功能不同，其为心电诊断功能，取一定时间段的心电生理参数进行分析，并提供诊断结果。但如果没有及时发现设定的心电信号特征发生改变，就会错过进行静息功能分析的机会，进而不能及时跟踪监护 对象的状况变化；针对该问题，本发明实施例中，可以在根据心电生理参数的分析确定生理信号特征发生改变时，智能提醒或启动静息功能分析，对预设时间段内的心电生理参数进行数据测量和静息功能分析，可以帮助医护人员及时跟踪患者病情变化，及时给予治疗对策。
可以理解地，第一数据分析功能或第二数据分析功能还可以为数据测量功能、数据处理功能和监控功能中至少之一的任意组合，而不限于上述实施例。
对于本步骤的实现方式，示例性地，上述至少一种监测参数包括监控对象的第一生理参数，上述至少一种生理参数包括监护对象的第二生理参数；在采用上述方式1获取监护对象的至少一种监测参数后，可以根据第一生理参数，确定至少一种设定的生理信号特征发生变化时，开启监护对象的第二生理参数的第二数据分析功能，或者，关闭监护对象的至少部分第一生理参数的第一数据分析功能。
本发明实施例中，可以通过分析上述至少一种监测参数，以确定至少一种设定的生理信号特征是否发生变化。
这里，设定的生理信号特征可以包括以下至少一项：上述至少一种监测参数的数值、信号波形形态、与其他生理参数关联的信号特征；例如，监测参数可以是心率或心律等。其中，至少一种监测参数的数值包括：生理参数的数值和/或运动状态数据的数值。
相应地，上述至少一种设定的生理信号特征发生变化包括以下至少一项：
上述至少一种监测参数的数值发生符合预设第一突变条件的变化、上述至少一种监测参数的信号波形形态发生符合预设第二突变条件的变化、上述至少一种监测参数与至少一种生理参数关联的信号特征发生变化。
例如，上述至少一种设定的生理信号特征发生变化包括：心跳频率发生符合预设第一突变条件的变化(心跳频率发生突变)、第一生理参数的信号波形形态发生符合预设第二突变条件的变化(信号波形形态发生突变)、出现突发心律失常事件、第一生理参数与其他生理参数关联的信号特征发生变化。
在本发明一实施例中，至少一种监测参数还可以为监护对象的第一生理参数，至少一种生理参数包括所述监护对象的第二生理参数；相应地，可以根据第一数据分析功能分析第一生理参数，确定至少一种设定的生理信号特征发生变化时，开启所述监护对象的第二生理参数的第二数据分析功能，或者，关闭所述监护对象的至少部分第一生理参数的第一数据分析功能。
对于开启监护对象的第二生理参数的监控功能的实现方式，在一个示例中，可以根据发生变化的生理信号特征，开启监护对象的第二生理参数的第二数据分析功能；实际实施时可以智能提醒或启动第二生理参数的第二数据分析功能。本发明一实施例中，以开启第二生理参数的数据测量功能为例进行说明。在心电生理参数信号特征发生改变时，可以智能提醒或启动其他生理参数的数据测量(例如NIBP测量)功能，以及时捕捉监护对象状况变化时的其他生理参数变化；例如，可以智能提醒或启动自动化无创性血压(Automated Non-invasive Blood Pressure，NIBP)测量，以及时捕捉监护对象的血压变化。可以理解地，数据处理功能和/或监控功能也可以相应地启动，以对测量到的呼吸参数或者血压参数进行处理和/或监控。
对于关闭监护对象的至少部分第一生理参数的监控功能的实现方式，示例性地，可以根据发生变化的生理信号特征，关闭监护对象的至少部分第一生理参数的监控功能。也就是说，根据发生变化的生理信号特征，确定监护对象的至少部分第一生理参数不需要进行监测时，可以智能地关闭 监护对象的至少部分第一生理参数的监控功能，以减少监控功能对监护对象造成的影响。例如，当根据发生变化的生理信号特征，确定监护对象的情况好转时，可以关闭至少部分第一生理参数的数据分析功能，以减少分析测量对监护对象的影响，同时，减少装置的能耗。
对于开启监护对象的第二生理参数的监控功能的实现方式，在另一个示例中，可以在根据第一数据分析功能分析根据第一生理参数，确定至少一种设定的生理信号特征发生变化，且根据至少一种设定生理信号特征，确定监护对象的第二生理参数的变化符合预设的恶化改变条件，但监护对象的第二生理参数的第二数据分析功能关闭时，开启监护对象的第二生理参数的第二数据分析功能。
可以理解的是，监护对象的第二生理参数的变化可能说明监护对象状况好转，也可能说明监护对象状况恶化；在实际实施时，可以针对监护对象的监测参数，预先设置恶化改变条件；这样，当监护对象的第二生理参数的变化符合预设的恶化改变条件，则说明监护对象的状况正在恶化，此时，需要开启监护对象的第二生理参数的监控功能；进而，在监护对象的第二生理参数的监控功能关闭时，通过智能开启监护对象的第二生理参数的监控功能，便于及时捕捉导致监护对象状况恶化的原因；例如，对于监护对象的第二生理参数，由于报警开关关闭而未产生报警时，可以智能提醒开启对应的报警开关，也可以直接智能开启对应的报警功能。
在开启针对所述监护对象的至少一种生理参数的第二数据分析功能后，所述方法还包括：监测到的生理满足预设报警条件时，生成报警信息。本发明实施例中，并不对报警功能的实现方式进行限定。
对于开启监护对象的第二生理参数的监控功能的实现方式，下面通过具体示例进行说明。
在进行心电常规监护时，通常只监测心率和心律失常，而在很多应用场景下，心律失常开关都采用默认设置，即仅关注监护对象是否有发生致命性心律失常(如停搏、室颤、室速、极度心动过速或过缓等)，对于非致命性心律失常(非持续性室速、多连发、二联律、三联律、房颤、不规则节律等)基本都是关闭状态；然而，当某些心律失常发生(比如二联律)引起监护对象血液动力学改变时，此时如果二联律的监控功能处于关闭状态，这个有风险的报警就可能被遗漏，不利于医护人员及时发现是什么原因导致监护对象状况发生恶化；采用本发明实施例的方案，由于实时监测心电生理参数和血液动力学特征，当发现血液动力学特征发生变化时，可以提醒或智能将二联律的监控功能打开，这样，就可以及时捕捉到二联律的报警事件，从而给予医护人员及时提醒。进一步地，还可以发送第二提示信息，提醒用户开启的监控功能和监控的生理参数等内容，例如，提示用户二联律监控功能开启的原因是因为血液动力学特征发生变化。
进一步地，还可以在监测到的生理参数满足预设报警条件时，实现针对生理参数的报警功能；本发明实施例中，并不对报警功能的实现方式进行限定。
本发明实施例不仅仅限于心电监测场景，比如不仅限于在CCU场景下监测心电；在其他场景中，监护对象采用呼吸机辅助呼吸的同时，不一定会监测血氧，或血氧探头可能因为监护对象的佩戴不舒适而被摘除，当监护对象发生呼吸窒息时会影响到监护对象的氧供情况，这时需要提醒医护人员及时给予监护对象进行血氧监测，以查看监护对象的氧供状况。此时，可以智能开启血氧的数据分析功能，也可以通过发送第一提示信息的方式确定开启血氧的数据分析功能。在这里，数据分析功能可以同时包括数据测量功能，数据处理功能和监控功能。当血氧的数据分析功能开启后，执行血氧监控的报警规则。例如，若血氧探头正常佩戴，则进行血氧监控， 当血氧达到报警阈值时，满足预设报警条件，则生成报警信息，提示血氧达到或超过阈值；若血氧探头未正常佩戴，则血氧值无效或无信号，此时也满足预设相关报警条件，生成报警信息，提示血氧探头未正常佩戴。
综上，采用本发明实施例的技术方案，可以在监护对象监测的某个参数发生变化时，可自适应的及时提醒医护人员进行其它生理参数监护或智能启动与监测参数相关联的某些生理参数的数据分析功能，通过更多参数的提示或表现以及时的捕捉监护对象的状况变化，提高病情的诊疗效率，可以使监护仪更加智能，更加符合医护人员的操作习惯。
进一步地，在根据上述至少一种监测参数，确定至少一种设定的生理信号特征稳定时，可以关闭监护对象的至少部分第一生理参数的第一数据分析功能；可以看出，当至少一种设定的生理信号特征稳定(如至少一种监测参数的信号波形形态一直处于稳定状态)时，可以认为监护对象的状况基本稳定，此时，通过关闭监护对象的至少部分第一生理参数的第一数据分析功能，可以减少监控或报警功能对监护对象的影响。例如，在上述示例中，如果心率/脉率参数特征基本平稳，与前次NIBP测量时基本保持一致，则可以智能关闭NIBP测量功能，以减少NIBP测量时对患者产生的影响。类似地，当静息功能分析开启时，监测到心电生理参数的生理信号特征趋于或处于正常状态或稳定状态时，则可以智能关闭静息功能分析，以减少分析测量对患者的影响，同时，减少装置的能耗。
对于步骤102的实现方式，示例性地，在采用上述方式2获取监护对象的运动状态数据和/或姿势状态数据后，可以根据监护对象的运动状态数据和/或姿势状态数据，开启或关闭针对监护对象的至少一种生理参数的第二数据分析功能；也就是说，采用本发明实施例的技术方案，可以结合监护对象运动状态(平稳或剧烈)和/或姿势信息，智能开启或关闭生理参数的第二数据分析功能。例如，当监护对象经常处于剧烈运动时，可以关闭 对监护对象的种生理参数的测量功能，可以防止监护对象运动频繁时生理参数的测量结果影响医护人员的判断。
第一生理参数和第二生理参数包括以下至少之一：心电生理参数、呼吸参数、血压、血氧、脉搏、体温、呼吸末二氧化碳、麻醉气体、心输出量、脑电双频指数等。
实际应用中，步骤101和步骤102可以由监护仪中的处理器等设备实现，上述处理器可以为特定用途集成电路(Application Specific Integrated Circuit，ASIC)、数字信号处理器(Digital Signal Processor，DSP)、数字信号处理装置(Digital Signal Processing Device，DSPD)、可编程逻辑装置(Programmable Logic Device，PLD)、现场可编程门阵列(Field Programmable Gate Array，FPGA)、中央处理器(Central Processing Unit，CPU)、控制器、微控制器、微处理器等等中的至少一种。
下面通过图2和图3对本发明实施例的应用场景进行说明。
图2为本发明实施例的多参数监护仪或模块组件的系统框架图，如图2所示，多参数监护仪或模块组件至少包括参数测量电路112。
参数测量电路112至少包括一个生理参数对应的参数测量电路，参数测量电路至少包含心电信号参数测量电路、呼吸参数测量电路、体温参数测量电路、血氧参数测量电路、无创血压参数测量电路、有创血压参数测量电路、运动信号状态测量电路等等中的至少一个参数测量电路，每个参数测量电路分别通过相应的传感器接口与外部插入的传感器附件111连接。传感器附件111包括用于心电呼吸、血氧、血压、体温等生理参数检测所对应的检测附件。参数测量电路112主要是用来连接传感器附件111获得采集的生理参数信号的，可以包括至少一种生理参数的测量电路，参数测量电路112可以是但不局限于生理参数测量电路(模块)，人体生理参数测量电路(模块)或传感器采集人体生理参数或非生理参数等。具体的，参数测量 电路通过扩展接口获得外部生理参数传感器附件获得有关病人的生理采样信号，并经过处理后得到生理数据，用以报警和显示。扩展接口还可用于将主控电路输出的关于如何采集生理参数的控制信号通过相应接口输出至外部生理参数测量附件，实现对病人生理参数的监测控制。
多参数监护仪或模块组件还可以包括主控电路113，主控电路113需要包括至少一个处理器和至少一个存储器，当然，主控电路113还可以包括电源管理管理模块、电源IP模块和接口转换电路等中的至少之一。电源管理模块用于控制整机开关机、板卡内部各电源域上电时序和电池充放电等。电源IP模块是指把经常重复调用的电源电路单元的原理图和PCB版图相关联，固化成单独的电源模块，即，将一输入电压通过预定的电路转换为一输出电压，其中，输入电压和输出电压不同。例如，将15V的电压转换为1.8V、3.3V或3.8V等。可以理解的是，电源IP模块可以是单路的，还可以是多路的。当电源IP模块为单路时，电源IP模块可以将一个输入电压转换为一个输出电压。当电源IP模块为多路时，电源IP模块可以将一个输入电压转换为多个输出电压，且多个输出电压的电压值可以相同，也可以不相同，从而能够同时满足多个电子元件的不同电压需求，并且模块对外接口少，在系统中工作呈黑盒与外界硬件系统解耦，提高了整个电源系统的可靠性。接口转换电路用于将主控最小系统模块(即主控电路中的至少一个处理器和至少一个存储器)输出的信号，转换为实际外部设备所要求接收的输入标准信号，例如，支持外接VGA显示功能，是将主控CPU输出的RGB数字信号转换为VGA模拟信号，支持对外网络功能，是将RMII信号转换为标准的网络差分信号。
此外，多参数监护仪或模块组件还可以包括显示器114、报警电路116、输入接口电路117、对外通讯和电源接口115中的一个或多个。主控电路113用于协调、控制多参数监护仪或模块组件中的各板卡、各电路和设备。 在本实施例中，主控电路113用于控制参数测量电路112和通讯接口电路之间的数据交互、以及控制信号的传输，并将生理数据输送到显示器114上进行显示，也可以接收来自触摸屏或者键盘、按键等物理输入接口电路输入的用户控制指令，当然还可以输出的关于如何采集生理参数的控制信号。报警电路116可以是声光报警电路。主控电路113完成生理参数的计算，并通过对外通讯和电源接口115可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115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115也可以是无线数据传输接口和有线数据传输接口中的一种或两种的组合。主机可以是监护仪的主机、心电图机，超声诊断仪，计算机等任何一个计算机设备，安装配合的软件，就能够组成一个监护设备。主机还可以是通讯设备，例如手机，多参数监护仪或模块组件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。
多参数监护模块组件可以设置在监护仪外壳之外，作为独立的外插参数模块，可以通过插入到监护仪的主机(包含主控板)形成插件式监护仪，作为监护仪的一部分，或者也可以通过电缆与监护仪的主机(包含主控板)连接，外插参数模块作为监护仪外置的一个配件。当然，参数处理还可以内置于外壳之内，与主控模块集成，或物理分离设置在外壳之内，形成集成监护仪。
如图3所示，提供一种院内使用的监护仪联网系统，利用该系统可以将监护仪的数据进行整体保存，集中管理病人信息和看护信息，两者进行 关联存储，便于进行历史数据的保存和关联报警。在图3所示的系统中，针对病床均可以提供一个床边监护仪212，该床边监护仪212可以是前述多参数监护仪或者插件式监护仪。另外，每个床边监护仪212还可以与一个便携式监护设备213进行配对传输，便携式监护设备213提供简便、可携带的多参数监护仪或模块组件，可穿戴在病人身体上对应病人进行移动式监护，通过便携式监护设备213与床边监护仪212进行有线或无线通讯后可以将移动式监护产生的生理数据传输到床边监护仪212上进行显示，或通过床边监护仪212传输到中央站211供医生或护士查看，或通过床边监护仪212传输到数据服务器215进行存储。另外，便携式监护设备213还可以直接通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到中央站211进行存储和显示，或者通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到数据服务器215进行存储。可见，床边监护仪212上显示的生理参数对应的数据可以是源自直接连接到监护以上的传感器附件，或者源自便携式监护设备213，或者源自数据服务器。
需要说明的是，图2和图3所示的应用场景仅仅是本发明实施例的一种示例性的应用场景，本发明实施例并不限定于此；基于图2和图3所示的应用场景、以及前述实施例提出的监护装置的运行方法，本发明实施例还提出了一种监护装置。
图4为本发明实施例的监护装置的组成结构示意图，如图4所示，该监护装置可以包括处理器401和参数测量电路112；其中，
参数测量电路112配置为在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的至少一种监测信号；
处理器401配置为根据所述监测信号，获取监护对象的至少一种监测参数，根据第一数据分析功能对所述至少一种监测参数进行分析；当所述 至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
开启针对所述监护对象的至少一种生理参数的第二数据分析功能，用于提示所述至少一种生理参数的实时变化情况；
关闭针对所述监护对象的至少一种生理参数的第二数据分析功能；
其中，所述监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。
在一实施方式中，所述第一数据分析功能和所述第二数据分析功能至少包括以下功能之一：数据测量功能，用于实时获取生理特征信号以根据生理特征信号获取至少一种生理参数；数据处理功能，用于根据预设规则对至少一种生理参数进行处理；监控功能，用于在至少一种生理参数满足预设报警条件时，生成报警信息。
在一实施方式中，所述至少一种监测参数包括用于表征所述监护对象生理状态的第一生理参数，所述至少一种生理参数包括所述第一生理参数；
相应地，所述处理器401，具体配置为当根据第一数据分析功能分析所述第一生理参数发生变化，确定至少一种设定的生理信号特征发生变化时，开启或关闭针对所述第一生理参数的第二数据分析功能。
在一实施方式中，所述至少一种监测参数为所述监护对象的第一生理参数，所述至少一种生理参数包括所述监护对象的第二生理参数；
相应地，所述处理器401，具体配置为根据第一数据分析功能分析所述第一生理参数，确定至少一种设定的生理信号特征发生变化时，开启所述监护对象的第二生理参数的第二数据分析功能，或者，关闭所述监护对象的至少部分第一生理参数的第一数据分析功能。
在一实施方式中，所述至少一种监测参数为所述监护对象的第一生理参数，所述至少一种生理参数包括所述监护对象的第二生理参数；
相应地，所述处理器401，具体配置为根据第一数据分析功能分析所述第一生理参数，确定至少一种设定的生理信号特征发生变化，且根据所述至少一种设定生理信号特征的变化，确定所述监护对象的第二生理参数的变化符合预设的恶化改变条件，但所述监护对象的第二生理参数的第二数据分析功能关闭时，开启所述监护对象的第二生理参数的第二数据分析功能。
在一实施方式中，所述至少一种设定的生理信号特征发生变化包括以下至少一项：
所述至少一种监测参数的数值发生符合预设第一突变条件的变化、所述至少一种监测参数的信号波形形态发生符合预设第二突变条件的变化、所述至少一种监测参数与所述至少一种生理参数关联的信号特征发生变化。
在一实施方式中，所述处理器401，还配置为根据第一数据分析功能分析所述至少一种监测参数，确定至少一种设定的生理信号特征稳定时，关闭所述监护对象的至少部分第一生理参数的第一数据分析功能。
在一实施方式中，所述第一生理参数是根据监护对象的实际监护需求确定的。
在一实施方式中，所述处理器401还配置为：当开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能时，发出第二提示信息，所述第二提示信息至少包括以下之一：所述预设条件、所述监测参数、所述生理参数、被开启或关闭的数据分析功能。
在一实施方式中，所述第二提示信息的形式包括以下至少之一：声、光、文字、图形。
在一实施方式中，所述参数测量电路112包括运动传感器，所述监测信号包括至少一种运动信号，相应地，所述处理器，具体配置为根据所述 至少一种运动信号获取所述监护对象的运动状态数据和/或姿势状态数据；根据所述第一数据分析功能分析所述监护对象的运动状态数据和/或姿势状态数据，开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能。
在一实施方式中，所述处理器401，具体配置为：当所述至少一种监测参数满足预设条件时，发出第一提示信息，用于提示开启或关闭所述监护对象的至少一种生理参数的第二数据分析功能；
当接收到确认指令后，开启或关闭所述监护对象的至少一种生理参数的数据分析功能。
在一实施方式中，所述第一提示信息的形式包括以下至少之一：声、光、文字、图形。
在一实施方式中，所述处理器401，还配置为在开启针对所述监护对象的至少一种生理参数的第二数据分析功能后，且在监测到的生理参数满足预设报警条件时，生成报警信息。
实际应用中，上述处理器401可以为ASIC、DSP、DSPD、PLD、FPGA、CPU、控制器、微控制器、微处理器等中的至少一种。
本实施例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)或processor(处理器)执行本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。
具体来讲，本实施例中的一种监护装置的运行方法对应的计算机程序指令可以被存储在光盘，硬盘，U盘等存储介质上，当存储介质中的与一 种监护装置的运行方法对应的计算机程序指令被一电子设备读取或被执行时，实现前述实施例的任意一种监护装置的运行方法。
本实施例还提出了一种监护仪，包括前述实施例记载的任意一种监护装置。
本申请所提供的各方法实施例中所揭露的方法，在不冲突的情况下可以任意组合，得到新的方法实施例。
本申请所提供的各产品实施例中所揭露的特征，在不冲突的情况下可以任意组合，得到新的产品实施例。
本申请所提供的各方法或各产品实施例中所揭露的特征，在不冲突的情况下可以任意组合，得到新的方法实施例或设备实施例。
在本发明所提供的几个实施例中，应该理解到，所揭露的方法和智能设备，可以通过其它的方式实现。以上所描述的设备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，如：多个单元或组件可以结合，或可以集成到另一个系统，或一些特征可以忽略，或不执行。另外，所显示或讨论的各组成部分相互之间的耦合、或直接耦合、或通信连接可以是通过一些接口，设备或单元的间接耦合或通信连接，可以是电性的、机械的或其它形式的。
上述作为分离部件说明的单元可以是、或也可以不是物理上分开的，作为单元显示的部件可以是、或也可以不是物理单元，即可以位于一个地方，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全部单元来实现本实施例方案的目的。
另外，在本发明各实施例中的各功能单元可以全部集成在一个第二处理单元中，也可以是各单元分别单独作为一个单元，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，也可以采用硬件加软件功能单元的形式实现。
以上所述，仅为本发明的具体实施方式，但本发明的保护范围并不局限于此，任何熟悉本技术领域的技术人员在本发明揭露的技术范围内，可轻易想到变化或替换，都应涵盖在本申请的保护范围之内。

Claims (45)

  1. 一种监护装置，其中，所述装置包括处理器和参数测量电路，
    所述参数测量电路配置为在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的监测信号；
    所述处理器配置为根据所述监测信号，获取监护对象的监测参数，并根据第一数据分析功能对所述监测参数进行分析；其中，所述监测参数至少包括第一生理参数，用于表征所述监护对象的生理状态；
    当所述监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
    开启针对所述第一生理参数的第二数据分析功能；
    关闭针对所述第一生理参数的第二数据分析功能。
  2. 根据权利要求1所述的装置，其中，所述第一数据分析功能和所述第二数据分析功能至少包括以下功能之一：数据测量功能，用于实时获取生理特征信号以根据生理特征信号获取第一生理参数；数据处理功能，用于根据预设规则对第一生理参数进行处理；监控功能，用于在第一生理参数满足预设报警条件时，生成报警信息。
  3. 根据权利要求1所述的装置，其中，所述处理器，具体配置为当根据所述第一数据分析功能分析所述第一生理参数发生变化，确定至少一种设定的生理信号特征发生变化时，开启或关闭针对所述第一生理参数的第二数据分析功能。
  4. 根据权利要求3所述的装置，其中，所述至少一种设定的生理信号特征发生变化包括以下至少一项：
    所述第一生理参数的数值发生符合预设第一突变条件的变化、所述第一生理参数的信号波形形态发生符合预设第二突变条件的变化、所述第一生理参数与第二生理参数关联的信号特征发生变化。
  5. 根据权利要求3所述的装置，其中，所述处理器，还配置为根据所述第一数据分析功能分析所述第一生理参数，确定至少一种设定的生理信号特征稳定时，关闭至少部分所述第一生理参数的第二数据分析功能。
  6. 根据权利要求1所述的装置，其中，所述处理器还配置为：当开启或关闭针对所述第一生理参数的第二数据分析功能时，发出第二提示信息，所述第二提示信息至少包括以下之一：所述预设条件、所述监测参数、所述生理参数、被开启或关闭的第二数据分析功能。
  7. 根据权利要求1所述的装置，其中，所述处理器，具体配置为：当根据所述第一数据分析功能分析所述第一生理参数满足预设条件时，发出第一提示信息，用于提示开启或关闭所述第一生理参数的第二数据分析功能；
    当接收到确认指令后，开启或关闭所述第一生理参数的第二数据分析功能。
  8. 一种监护装置的运行方法，其中，所述方法包括：
    在对监护对象进行监护的过程中，实时获取监护对象的至少一种监测信号；
    根据所述监测信号，获取监护对象的监测参数，并根据第一数据分析功能对所述监测参数进行分析；其中，所述监测参数至少包括第一生理参数，用于表征所述监护对象的生理状态；
    当所述监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
    开启针对所述第一生理参数的第二数据分析功能；
    关闭针对所述第一生理参数的第二数据分析功能。
  9. 根据权利要求8所述的方法，其中，所述第一数据分析功能和所述第二数据分析功能至少包括以下功能之一：数据测量功能，用于实时获取生理特征信号以根据生理特征信号获取至少一种生理参数；数据处理功能，用于根据预设规则对至少一种生理参数进行处理；监控功能，用于在至少一种生理参数满足预设报警条件时，生成报警信息。
  10. 根据权利要求8所述的方法，其中，所述当所述第一生理参数满足预设条件时，执行数据分析功能改变步骤，包括：
    当根据所述第一数据分析功能分析所述第一生理参数发生变化，确定至少一种设定的生理信号特征发生变化时，开启或关闭针对所述第一生理参数的第二数据分析功能。
  11. 根据权利要求10所述的方法，其中，所述至少一种设定的生理信号特征发生变化包括以下至少一项：
    所述第一生理参数的数值发生符合预设第一突变条件的变化、所述第一生理参数的信号波形形态发生符合预设第二突变条件的变化、所述第一生理参数与第二生理参数关联的信号特征发生变化。
  12. 权利要求10所述的方法，其中，所述当根据所述第一数据分析功能分析所述第一生理参数满足预设条件时，执行数据分析功能改变步骤，还包括：
    根据所述第一数据分析功能分析所述至少一种监测参数，确定至少一种设定的生理信号特征稳定时，关闭所述监护对象的至少部分第一生理参数的第二数据分析功能。
  13. 根据权利要求8所述的方法，其中，还包括：当开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能时，发出第二提示信息，所述第二提示信息至少包括以下之一：所述预设条件、所述监测参数、所述生理参数、被开启或关闭的第二数据分析功能。
  14. 根据权利要求8所述的方法，其中，所述获取监护对象的至少一种监测参数，还包括：获取监护对象的运动状态数据和/或姿势状态数据；
    相应地，根据所述至少一种监测参数，执行数据分析功能改变步骤，包括：
    根据所述第一数据分析功能分析所述监护对象的运动状态数据和/或姿势状态数据，开启或关闭针对所述监护对象的至少一种生理参数的数据分析功能。
  15. 根据权利要求8所述的方法，其中，当根据所述第一数据分析功能分析所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤包括：
    当所述至少一种监测参数满足预设条件时，发出第一提示信息，用于提示开启或关闭所述监护对象的第一生理参数的第二数据分析功能；
    当接收到确认指令后，开启或关闭所述第一生理参数的第二数据分析功能。
  16. 一种监护装置，其中，所述装置包括处理器和参数测量电路，
    所述参数测量电路配置为在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的至少一种监测信号；
    所述处理器配置为根据所述监测信号，获取监护对象的至少一种监测参数，根据第一数据分析功能对所述至少一种监测参数进行分析；当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
    开启针对所述监护对象的至少一种生理参数的第二数据分析功能；
    关闭针对所述监护对象的至少一种生理参数的第二数据分析功能；
    其中，所述监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。
  17. 根据权利要求16所述的装置，其中，所述第一数据分析功能和所述第二数据分析功能至少包括以下功能之一：数据测量功能，用于实时获取生理特征信号以根据生理特征信号获取至少一种生理参数；数据处理功能，用于根据预设规则对至少一种生理参数进行处理；监控功能，用于在至少一种生理参数满足预设报警条件时，生成报警信息。
  18. 根据权利要求16所述的装置，其中，所述至少一种监测参数包括用于表征所述监护对象生理状态的第一生理参数，所述至少一种生理参数包括所述第一生理参数；
    相应地，所述处理器，具体配置为当根据第一数据分析功能分析所述第一生理参数发生变化，确定至少一种设定的生理信号特征发生变化时，开启或关闭针对所述第一生理参数的第二数据分析功能。
  19. 根据权利要求16所述的装置，其中，所述至少一种监测参数为所述监护对象的第一生理参数，所述至少一种生理参数包括所述监护对象的第二生理参数；
    相应地，所述处理器，具体配置为根据第一数据分析功能分析所述第一生理参数，确定至少一种设定的生理信号特征发生变化时，开启所述监护对象的第二生理参数的第二数据分析功能，或者，关闭所述监护对象的至少部分第一生理参数的第一数据分析功能。
  20. 根据权利要求16所述的装置，其中，所述至少一种监测参数为所述监护对象的第一生理参数，所述至少一种生理参数包括所述监护对象的第二生理参数；
    相应地，所述处理器，具体配置为根据第一数据分析功能分析所述第一生理参数，确定至少一种设定的生理信号特征发生变化，且根据所 述至少一种设定生理信号特征的变化，确定所述监护对象的第二生理参数的变化符合预设的恶化改变条件，但所述监护对象的第二生理参数的第二数据分析功能关闭时，开启所述监护对象的第二生理参数的第二数据分析功能。
  21. 根据权利要求17至20任一项所述的装置，其中，所述至少一种设定的生理信号特征发生变化包括以下至少一项：
    所述至少一种监测参数的数值发生符合预设第一突变条件的变化、所述至少一种监测参数的信号波形形态发生符合预设第二突变条件的变化、所述至少一种监测参数与所述至少一种生理参数关联的信号特征发生变化。
  22. 根据权利要求17至20任一项所述的装置，其中，所述处理器，还配置为根据第一数据分析功能分析所述至少一种监测参数，确定至少一种设定的生理信号特征稳定时，关闭所述监护对象的至少部分第一生理参数的第一数据分析功能。
  23. 根据权利要求17至20任一项所述的装置，其中，所述第一生理参数是根据监护对象的实际监护需求确定的。
  24. 根据权利要求16所述的装置，其中，所述处理器还配置为：当开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能时，发出第二提示信息，所述第二提示信息至少包括以下之一：所述预设条件、所述监测参数、所述生理参数、被开启或关闭的数据分析功能。
  25. 根据权利要求24所述的装置，其中，所述第二提示信息的形式包括以下至少之一：声、光、文字、图形。
  26. 根据权利要求16所述的装置，其中，所述参数测量电路包括运动传感器，所述监测信号包括至少一种运动信号，相应地，所述处理器，具体配置为根据所述至少一种运动信号获取所述监护对象的运动状态数 据和/或姿势状态数据；根据所述第一数据分析功能分析所述监护对象的运动状态数据和/或姿势状态数据，开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能。
  27. 根据权利要求16所述的装置，其中，所述处理器，具体配置为：当所述至少一种监测参数满足预设条件时，发出第一提示信息，用于提示开启或关闭所述监护对象的至少一种生理参数的第二数据分析功能；
    当接收到确认指令后，开启或关闭所述监护对象的至少一种生理参数的数据分析功能。
  28. 根据权利要求17所述的装置，其中，所述第一提示信息的形式包括以下至少之一：声、光、文字、图形。
  29. 根据权利要求16所述的装置，其中，所述处理器，还配置为在开启针对所述监护对象的至少一种生理参数的第二数据分析功能后，且在监测到的生理参数满足预设报警条件时，生成报警信息。
  30. 一种监护仪，其中，所述监护仪包括权利要求1至7任一项或权利要求26至29任一项所述的装置。
  31. 一种监护装置的运行方法，其中，所述方法包括：
    在对监护对象进行监护的过程中，通过与监护对象连接的传感器附件实时获取所述监护对象的至少一种监测信号；
    根据所述监测信号，获取监护对象的至少一种监测参数；根据第一数据分析功能对所述至少一种监测参数进行分析；当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，所述数据分析功能改变步骤至少包括以下步骤之一：
    开启针对所述监护对象的至少一种生理参数的第二数据分析功能；
    关闭针对所述监护对象的至少一种生理参数的第二数据分析功能；
    其中，所述监测参数至少用于表征监护对象的以下特征之一：生理状态、运动状态、姿态状态。
  32. 根据权利要求31所述的方法，其中，所述第一数据分析功能和所述第二数据分析功能至少包括以下功能之一：数据测量功能，用于实时获取生理特征信号以根据生理特征信号获取至少一种生理参数；数据处理功能，用于根据预设规则对至少一种生理参数进行处理；监控功能，用于在至少一种生理参数满足预设报警条件时，生成报警信息。
  33. 根据权利要求31所述的方法，其中，所述至少一种监测参数包括用于表征所述监护对象生理状态的第一生理参数，所述至少一种生理参数包括所述第一生理参数；
    相应地，所述当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，包括：
    当根据第一数据分析功能分析所述第一生理参数发生变化，确定至少一种设定的生理信号特征发生变化时，开启或关闭针对所述第一生理参数的第二数据分析功能。
  34. 根据权利要求31所述的方法，其中，所述至少一种监测参数包括所述监护对象的第一生理参数，所述至少一种生理参数包括所述监护对象的第二生理参数；
    相应地，所述当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，包括：
    根据第一数据分析功能分析所述第一生理参数，确定至少一种设定的生理信号特征发生变化时，开启所述监护对象的第二生理参数的第二数据分析功能，或者，关闭所述监护对象的至少部分第一生理参数的第一数据分析功能。
  35. 根据权利要求31所述的方法，其中，所述至少一种监测参数为所述监护对象的第一生理参数，所述至少一种生理参数包括所述监护对象的第二生理参数；
    相应地，所述当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，包括：
    根据第一数据分析功能分析所述第一生理参数，确定至少一种设定的生理信号特征发生变化，且根据所述至少一种设定生理信号特征的变化，确定所述监护对象的第二生理参数的变化符合预设的恶化改变条件，但所述监护对象的第二生理参数的第二数据分析功能关闭时，开启所述监护对象的第二生理参数的第二数据分析功能。
  36. 根据权利要求32至35任一项所述的方法，其中，所述至少一种设定的生理信号特征发生变化包括以下至少一项：
    所述至少一种监测参数的数值发生符合预设第一突变条件的变化、所述至少一种监测参数的信号波形形态发生符合预设第二突变条件的变化、所述至少一种监测参数与所述至少一种生理参数关联的信号特征发生变化。
  37. 根据权利要求32至35任一项所述的方法，其中，所述当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，还包括：
    据第一数据分析功能分析所述至少一种监测参数，确定至少一种设定的生理信号特征稳定时，关闭所述监护对象的至少部分第一生理参数的第一数据分析功能。
  38. 根据权利要求32至35任一项所述的方法，其中，所述第一生理参数是根据监护对象的实际监护需求确定的。
  39. 根据权利要求31所述的方法，其中，还包括：当开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能时，发出第二提示信息，所述第二提示信息至少包括以下之一：所述预设条件、所述监测参数、所述生理参数、被开启或关闭的数据分析功能。
  40. 根据权利要求39所述的方法，其中，所述第二提示信息的形式包括以下至少之一：声、光、文字、图形。
  41. 根据权利要求31所述的方法，其中，所述监测信号包括至少一种运动信号；所述获取监护对象的至少一种监测参数，包括：
    根据所述至少一种运动信号获取所述监护对象的运动状态数据和/或姿势状态数据；
    相应地，所述当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤，包括：
    根据所述第一数据分析功能分析所述监护对象的运动状态数据和/或姿势状态数据，开启或关闭针对所述监护对象的至少一种生理参数的第二数据分析功能。
  42. 根据权利要求31所述的方法，其中，所述当所述至少一种监测参数满足预设条件时，执行数据分析功能改变步骤包括：
    当所述至少一种监测参数满足预设条件时，发出第一提示信息，用于提示开启或关闭所述监护对象的至少一种生理参数的第二数据分析功能；
    当接收到确认指令后，开启或关闭所述监护对象的至少一种生理参数的数据分析功能。
  43. 根据权利要求42所述的方法，其中，所述第一提示信息的形式包括以下至少之一：声、光、文字、图形。
  44. 根据权利要求31所述的方法，其中，所述方法还包括：在开启针对所述监护对象的至少一种生理参数的第二数据分析功能后，且在监测到的生理参数满足预设报警条件时，生成报警信息。
  45. 一种计算机存储介质，存储有计算机程序，其中，所述计算机程序被执行时实现权利要求8至15任一项或权利要求31至44任一项所述的方法。
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