WO2021081729A1 - 自适应报警系统、方法、装置、及物联网系统 - Google Patents

自适应报警系统、方法、装置、及物联网系统 Download PDF

Info

Publication number
WO2021081729A1
WO2021081729A1 PCT/CN2019/113854 CN2019113854W WO2021081729A1 WO 2021081729 A1 WO2021081729 A1 WO 2021081729A1 CN 2019113854 W CN2019113854 W CN 2019113854W WO 2021081729 A1 WO2021081729 A1 WO 2021081729A1
Authority
WO
WIPO (PCT)
Prior art keywords
alarm
main control
parameter
refractory period
control parameter
Prior art date
Application number
PCT/CN2019/113854
Other languages
English (en)
French (fr)
Inventor
苏健伟
代建
孙泽辉
关则宏
杨康
Original Assignee
深圳迈瑞生物医疗电子股份有限公司
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by 深圳迈瑞生物医疗电子股份有限公司 filed Critical 深圳迈瑞生物医疗电子股份有限公司
Priority to PCT/CN2019/113854 priority Critical patent/WO2021081729A1/zh
Priority to CN201980098236.4A priority patent/CN114072045B/zh
Publication of WO2021081729A1 publication Critical patent/WO2021081729A1/zh

Links

Images

Classifications

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

Definitions

  • the present invention relates to the field of monitoring, in particular to an adaptive alarm system, method, device and Internet of Things system.
  • the current monitor has a treatment method for the alarm refractory period, that is, after an alarm ends, if the same type of alarm occurs again within the refractory period, the alarm will be blocked.
  • This processing method will lead to the problem that this kind of alarm may be under-reported during the alarm refractory period, when the physiological state of the custodian deteriorates, because the alarm is in the refractory period.
  • This application provides an adaptive alarm system, method, device, and IoT system to solve the technical problem that when the physiological state of the monitored object deteriorates, the alarm may be underreported because the alarm is in the refractory period.
  • the present invention provides an adaptive alarm device, including: a parameter obtainer, a controller, and an alarm, the controller is connected to the parameter obtainer, and the controller is connected to the alarm;
  • the parameter acquirer is used to acquire the measurement signal of the monitored object
  • the controller is used to receive and analyze the measurement signal from the parameter obtainer to obtain main control parameters and reference parameters, and when the main control parameter exceeds the normal range, output a first alarm instruction for the main control parameter and control Start the alarm refractory period of the main control parameter;
  • the alarm is used for alarming the main control parameter when the first alarm instruction is received.
  • the alarm is also used for alarming the main control parameter when at least one of the first alarm instruction or the second alarm instruction is received.
  • the reference parameter is associated with the main control parameter.
  • the reference parameter exceeds the preset range and does not exceed all the parameters.
  • the alarm only alarms the main control parameter.
  • the controller is also used to determine the number of times that the main control parameter exceeds the normal range and the reference parameter is within the preset range during the current alarm refractory period, and when the number of times is greater than the preset number of times, Extend the time of the alarm refractory period.
  • the controller is further configured to set the extended alarm refractory period as the default alarm refractory period after the number of times of extending the alarm refractory period exceeds a preset threshold.
  • the controller is further configured to, when the number of times of extending the alarm refractory period exceeds a preset threshold, according to the main control parameter that exceeds the normal range during the alarm refractory period and the reference parameter does not
  • the corresponding relationship between the number of times exceeding the preset range and the corresponding extension time of the alarm refractory period is generated, and the real-time main control parameter exceeds the normal range and the reference parameter does not exceed the preset range
  • the number of times and the corresponding relationship determine the extension time of the alarm refractory period.
  • it also includes a display for displaying at least one of the trend graph of the main control parameter, the normal range, the alarm refractory period, the reference parameter, or the preset range.
  • the alarm device is also used to perform an alarm response when at least one physiological parameter of the main control parameter or the reference parameter exceeds the corresponding normal range, and the current moment is out of the alarm refractory period.
  • the at least one physiological parameter is used to alarm.
  • This application also provides an adaptive alarm system, including:
  • the acquisition module is used to acquire the measurement signal of the monitored object
  • the control module is used to receive and analyze the measurement signal from the parameter acquirer to obtain the main control parameter and the reference parameter, and when the main control parameter exceeds the normal range, output the first alarm instruction for the main control parameter and control Start the alarm refractory period of the main control parameter;
  • the alarm module is used to alarm the main control parameter when the first alarm instruction is received.
  • control module is further configured to: during the alarm refractory period, when the main control parameter exceeds the normal range and the reference parameter exceeds the preset range, output a second alarm for the main control parameter instruction;
  • the alarm is also used for alarming the main control parameter when at least one of the first alarm instruction or the second alarm instruction is received.
  • the reference parameter is associated with the main control parameter.
  • the reference parameter exceeds the preset range and does not exceed all the parameters.
  • the alarm only alarms the main control parameter.
  • control module is also used to extend the alarm period when the main control parameter exceeds the corresponding normal range within the current alarm refractory period and the number of times the reference parameter does not exceed the preset range is greater than the preset number of times. The due time.
  • control module sets the extended alarm refractory period as the default alarm refractory period after the number of times of extending the alarm refractory period exceeds a preset threshold.
  • control module is further configured to, when the number of times of extending the alarm refractory period exceeds a preset threshold, according to the main control parameter that exceeds the normal range during the alarm refractory period and the reference parameter does not
  • the corresponding relationship between the number of times exceeding the preset range and the corresponding extension time of the alarm refractory period is generated, and the real-time main control parameter exceeds the normal range and the reference parameter does not exceed the preset range
  • the number of times and the corresponding relationship determine the extension time of the alarm refractory period. .
  • the adaptive alarm system further includes a display module for displaying at least one of the trend graph of the main control parameter, the normal range, the alarm refractory period, the reference parameter, or the preset range.
  • the alarm module is also used to perform an alarm response when at least one physiological parameter of the main control parameter or the reference parameter exceeds the corresponding normal object, and the current moment is out of the alarm refractory period.
  • the at least one physiological parameter is used to alarm.
  • This application also provides an alarm method of an adaptive alarm system, including:
  • main control parameter exceeds the normal range, output the first alarm instruction for the main control parameter and control the start of the alarm of the main control parameter. Due
  • the alarm is also used for alarming the main control parameter when at least one of the first alarm instruction or the second alarm instruction is received.
  • control to start the alarm refractory period of the main control parameter includes:
  • the main control parameter if the main control parameter exceeds the normal range, and the reference parameter exceeds the preset range and does not exceed the normal range of the reference parameter, the alarm only monitors all parameters.
  • the main control parameter alarms.
  • the method further includes:
  • the method further includes:
  • the extended alarm refractory period is set as the default alarm refractory period.
  • the method further includes:
  • the number of times of extending the alarm refractory period exceeds a preset threshold
  • the number of times that the main control parameter exceeds the normal range during the alarm refractory period and the reference parameter does not exceed the preset range is the same as
  • the corresponding relationship is generated for the extension time of the alarm refractory period, and the corresponding relationship is determined based on the number of times the real-time main control parameter exceeds the normal range and the reference parameter does not exceed the preset range and the corresponding relationship
  • the extension time of the alarm refractory period is generated for the extension time of the alarm refractory period, and the corresponding relationship is determined based on the number of times the real-time main control parameter exceeds the normal range and the reference parameter does not exceed the preset range and the corresponding relationship The extension time of the alarm refractory period.
  • the method further includes:
  • At least one of the trend graph of the main control parameter, the normal range, the alarm refractory period, the reference parameter, or the preset range is displayed.
  • the method further includes:
  • the at least one physiological parameter of the main control parameter or the reference parameter exceeds the corresponding normal range, and the current moment is outside the alarm refractory period, the at least one physiological parameter is alarmed.
  • This application also provides an alarm method of an adaptive alarm system, including:
  • the application also provides an Internet of Things system, including the above-mentioned adaptive alarm device and/or adaptive alarm system.
  • the adaptive alarm system, device and method of the present application deteriorates in the physiological state of the monitored object at a certain moment, and the physiological parameters of the monitored object exceed the preset range, even if the time is within the alarm refractory period,
  • the alarm module can still alarm the physiological parameters, so that the deterioration of the physiological state of the monitored object can be detected in time, and the probability of danger of the monitored object can be reduced.
  • Fig. 1 is a schematic structural diagram of an adaptive alarm system provided by an embodiment of the present invention.
  • Fig. 2 is a schematic flowchart of an adaptive alarm method provided by an embodiment of the present invention.
  • Fig. 3 is a schematic structural diagram of an adaptive alarm device provided by an embodiment of the present invention.
  • Fig. 4 is a schematic structural diagram of an Internet of Things system provided by an embodiment of the present invention.
  • the present invention provides an adaptive alarm system, which can be applied to monitors and other equipment.
  • the adaptive alarm system includes: an acquisition module 10, an alarm module 20, and a control module 30.
  • the acquiring module 10 is used to acquire the measurement signal of the monitored object.
  • the control module 30 is configured to receive and analyze the measurement signal from the parameter obtainer to obtain main control parameters and reference parameters, and when the main control parameter exceeds the normal range, output a first alarm instruction for the main control parameter and Control to start the alarm refractory period of the main control parameter; during the alarm refractory period, adjust the duration of the alarm refractory period according to the main control parameter and the reference parameter; the alarm module 20 is used to In the case of the first alarm instruction, an alarm is issued for the main control parameter.
  • adjusting the duration of the alarm refractory period includes shortening the alarm refractory period, extending the alarm refractory period, canceling the alarm refractory period, modifying the default alarm refractory period, setting the next alarm refractory period and other adjustment methods.
  • the alarm refractory period can be adjusted, which is not limited here.
  • control module 30 is further configured to output a second alarm instruction for the main control parameter when the main control parameter exceeds the normal range and the reference parameter exceeds the preset range; the alarm module 20 also uses When at least one of the first alarm instruction or the second alarm instruction is received, an alarm is issued to the main control parameter.
  • the method of adjusting the alarm refractory period in this embodiment may be such methods as shortening the alarm refractory period or interrupting the alarm refractory period, so that the second alarm command can be reported during the alarm refractory period.
  • the alarm refractory period of the main control parameter only limits the alarm of the main control parameter, that is, during the alarm refractory period, when only the main control parameter exceeds the normal range and the reference parameter does not exceed the preset range, The first warning instruction is not output.
  • the reference parameter also has a corresponding normal range, and the refractory period of the alarm of the main control parameter does not affect the control module 30 to output an alarm command for the reference parameter.
  • the control module 30 is further configured to output an alarm command for the reference parameter when the reference parameter exceeds its normal range.
  • the main control parameter when the main control parameter exceeds the normal range, the first alarm instruction for the main control parameter is output, and when the main control parameter falls back to the normal range, the control starts the main control parameter
  • the alarm refractory period when the main control parameter continues to exceed the normal range and does not fall back to the normal range, the first alarm command is continuously output without entering the alarm refractory period.
  • the alarm refractory period is started when the main control parameter exceeds the normal range and the first alarm command is output and then falls back to the normal range.
  • the main control parameter generated during the alarm refractory period exceeds the normal range and the reference parameter does not exceed the preset range. Circumstances are shielded by alarm.
  • the main control parameter of the monitoring object when the physiological state of the monitoring object is normal, the main control parameter of the monitoring object is within the normal range and the alarm condition is not met, and the alarm module 20 does not alarm.
  • the control module 30 sends out the first alarm instruction, and the alarm module 20 receives the first alarm instruction to alarm the main control parameter;
  • the alarm refractory period of the main control parameter During the alarm refractory period, only when the main control parameter exceeds the normal range again, the control module 30 does not output the first alarm command.
  • the control module 30 may also issue an alarm instruction for the reference parameter, and control the alarm module 20 to alarm the reference parameter.
  • the adaptive alarm system of the present application deteriorates in the physiological state of the monitored object at a certain time, and the reference parameter of the monitored object exceeds the preset range, even if the time is within the alarm refractory period of the main control parameter, the alarm module 20 is still
  • the main control parameter can be alarmed, so that the deterioration of the physiological state of the monitored object can be detected in time during the alarm refractory period, and the probability of danger of the monitored object can be reduced.
  • the main control parameters of the monitored subject include physiological parameters such as ventricular premature beat morphology, heart rate, blood oxygen, and blood pressure.
  • the reference parameters of the guardian may also include physiological parameters such as the morphology of ventricular premature beats, heart rate, blood oxygen, and blood pressure.
  • the physiological parameters included in the reference parameter and the physiological parameters included in the main control parameter may be the same kind of parameters or different kinds of parameters. Therefore, when the reference parameter exceeds the preset range, and the physiological state of the subject deteriorates, the physiological parameter of the same type as the main control parameter exceeds the preset range, and the physiological parameter that is different from the main control parameter exceeds the preset range. The scope of the situation.
  • the reference parameter exceeds the preset range, it means that the patient's physiological state has deteriorated. For example, the patient's ventricular premature beats become more morphological, the degree of exceeding the alarm limit increases, the heart rate exceeds the alarm limit, such as blood oxygen decrease, blood pressure increase, etc. When either occurs, the alarm module 20 will still alarm the main control parameter even during the alarm refractory period of each main control parameter.
  • the physiological parameters included in the reference parameter and the physiological parameters included in the main control parameter are the same kind of parameters.
  • the morphology and heart rate of ventricular premature beats will be described as examples below.
  • the main control parameter is ventricular premature beats
  • the reference parameter is also ventricular premature beats.
  • the form of ventricular premature beats exceeds the normal range and an alarm is generated, the morphology of premature ventricular beats becomes more and worse.
  • the alarm module 20 still alarms for premature ventricular beats.
  • the main control parameter is the heart rate
  • the reference parameter is also the heart rate.
  • the heart rate exceeds the normal range, that is, the heart rate exceeds the original alarm condition
  • the heart rate limit alarm is reported
  • the degree of the heart rate exceeds the original alarm condition is significantly increased compared with the previous alarm, and exceeds the preset range of the heart rate, it is a worsening situation.
  • an increase in the degree of exceeding the original alarm condition may include both a numerical increase and a numerical decrease.
  • the normal range of the heart rate is greater than or equal to 80 and less than or equal to 120.
  • the preset range of the heart rate can be set to a preset upper limit range of greater than 120 and less than or equal to 160, and a preset lower limit range of less than or equal to 60.
  • the increase in the degree of exceeding the original alarm condition can include the following two situations. In the first type, when the heart rate exceeds the normal range, the heart rate exceeds the limit alarm is triggered. After that, the heart rate exceeds 160 and exceeds the preset upper limit range, which is an increase in the degree of exceeding the original alarm condition. In the second type, when the heart rate exceeds the normal range of 75, the heart rate over-limit alarm is triggered.
  • the heart rate when the heart rate further drops to 59 and exceeds the preset lower limit range, it also belongs to the situation that the degree of exceeding the original alarm condition has increased. Both of the above two situations belong to the situation that the heart rate has increased beyond the original alarm condition. At this time, even if the heart rate alarm is still in the alarm refractory period, the alarm module 20 still alarms the heart rate.
  • the physiological parameters included in the reference parameter and the physiological parameters included in the master control parameter are different kinds of parameters.
  • the reference parameter is related to the master control parameter, which can be related in a medical sense. For example, if the user often combines two or more parameters for the patient’s diagnosis, then the two or more parameters It is the associated parameter, one of which can be the master control parameter, and the rest can be the reference parameter. For example, heart rate and ventricular premature beat morphology. Understandably, in this case, the preset range of the reference parameter has nothing to do with its normal range, and its preset range may be the same as its normal range, or may be smaller or larger than its normal range, which is not limited here.
  • the preset range of the reference parameter is the same as its normal range.
  • the main control parameter is ventricular premature beats
  • the reference parameter is heart rate; when the alarm is generated when the ventricular premature beats exceed the normal range, the shape of the ventricular premature beats does not change, but the heart rate exceeds the normal range. This situation is aggravated.
  • the alarm module 20 still alarms the premature ventricular contraction.
  • the alarm module 20 still alarms for premature ventricular beats.
  • the reference parameter associated with the main control parameter reaches a single original alarm condition and exceeds the normal range, and the control module 30 controls the alarm module 20 to alarm the main control parameter. Understandably, at this time, it does not affect the control module 30 to control the alarm module 20 to alarm the reference parameter. Since the reference parameter also exceeds its corresponding normal range, the alarm for the reference parameter can also be activated at this time.
  • the preset range of the reference parameter is different from its normal range.
  • the main control parameter is heart rate
  • the reference parameter is ventricular premature beats.
  • the upper limit of the normal range of heart rate is 120
  • the heart rate when the heart rate exceeds the limit alarm is 125
  • the normal range of ventricular premature beats is less than or equal to 4
  • its preset range is less than or equal to 2.
  • the heart rate alarm refractory period when the heart rate exceeds the normal range and reaches 125, the ventricular premature beats become more morphological, for example, from 1 to 3. At this time, even in the heart rate alarm refractory period, and the types of ventricular premature beats It does not reach beyond its normal range, but it has exceeded the preset range.
  • the alarm module 20 still alarms the heart rate.
  • the reference parameter associated with the main control parameter did not reach the separate alarm condition, did not exceed its normal range, but exceeded the preset range, therefore, it is still considered that the physiological state of the monitored object has deteriorated
  • the alarm module 20 also alarms the first physiological parameter.
  • the control module 30 does not control the alarm module 20 to alarm the reference parameter.
  • the control module 30 is also used to control the alarm module 20 to alarm at least one physiological parameter when at least one physiological parameter in the main control parameter or reference parameter exceeds the corresponding normal range; during the alarm refractory period of the main control parameter, If the main control parameter exceeds the normal range and the reference parameter does not exceed the corresponding preset range, the main control parameter will not be alarmed again.
  • the main control parameter or the reference parameter can be one physiological parameter, two physiological parameters or more, which is not limited here.
  • the alarm module 20 When the main control parameter and the reference parameter include only one physiological parameter, if the physiological parameter exceeds the normal range, the alarm module 20 will alarm the physiological parameter, and the control module 30 will start the alarm refractory period of the physiological parameter; if the physiological parameter If the preset range is not exceeded, and the current moment is within the alarm refractory period of the physiological parameter, the alarm module 20 no longer alarms the physiological parameter.
  • the control module 30 controls the alarm module 20 to alarm the first type of physiological parameter and the second type of physiological parameter, and when the first type of physiological parameter and the second type of physiological parameter fall back to the normal range, start the alarm for the first type of physiological parameter.
  • the alarm module 20 no longer alarms the first type of physiological parameter and the second type of physiological parameter. That is to say, the physiological parameter types included in the main control parameter may be one or more types. Similarly, the physiological parameters included in the reference parameter may also be one or more types, which is not limited here.
  • the control module 30 is also used to control the alarm module 20 to perform at least one physiological parameter when at least one physiological parameter of the main control parameter or reference parameter exceeds the corresponding normal range and the current moment is not within the alarm refractory period. Call the police. That is to say, in the alarm period of any physiological parameter, any physiological parameter exceeds the corresponding normal range, and any physiological parameter is abnormal, the alarm module 20 directly controls the physiological parameter beyond the normal range. Make an alarm.
  • the control module 30 is also used to extend the time of the alarm refractory period of the main control parameter when the main control parameter exceeds the corresponding normal range during the alarm refractory period but the reference parameter does not exceed the corresponding preset range for more than the preset number of times. It can extend the refractory period of the current alarm of the main control parameter, and can also extend the refractory period of the next alarm of the main control parameter. That is to say, during the current alarm refractory period, the number of times that the main control parameter detected for a period of time exceeds the normal range but the reference parameter does not exceed the corresponding preset range exceeds the preset number of times.
  • This situation indicates that the main control parameter during this period of time If the alarm condition of the control parameter is relatively frequent, the control module 30 controls to extend the refractory period of the current or next alarm of the physiological parameter. Therefore, after the alarm refractory period is extended, the alarm of the main control parameter under the same situation can be reduced, repeated alarms, and alarm fatigue problems can be reduced.
  • the normal range of the heart rate is greater than or equal to 80 and less than or equal to 120.
  • the preset range of the heart rate can be set to a preset upper limit range of greater than 120 and less than or equal to 160, and a preset lower limit range of less than or equal to 60. If the heart rate during the alarm refractory period exceeds 120 and does not exceed 160 times greater than the preset number, then the alarm refractory period will be extended.
  • the main control parameter is heart rate
  • the reference parameter is ventricular premature beats.
  • the upper limit of the normal range of heart rate is 120, and the preset range of ventricular premature beats is less than or equal to 2.
  • the extension of the alarm refractory period may be the extension of the alarm refractory period of one physiological parameter, two physiological parameters or more physiological parameters, which is not limited in this application.
  • the control module 30 is also used to set the extended alarm refractory period as the default alarm refractory period after the number of times of extending the alarm refractory period exceeds the preset threshold. That is to say, when it is detected that the number of times that the physiological parameter exceeds the corresponding normal range but does not exceed the corresponding preset range during the alarm refractory period is greater than the preset number, and the number of times the alarm refractory period exceeds the preset threshold, then The control module 30 automatically sets the extended alarm refractory period as the default alarm refractory period, that is, the effective time of the subsequent alarm refractory period is the extended alarm refractory period.
  • the length of the extended alarm refractory period can be obtained according to the length of each alarm refractory period before the default alarm refractory period is changed.
  • the length of the extended alarm refractory period is the length of each previous alarm refractory period average value.
  • the preset number of times can be 1, that is, the default alarm refractory period is modified after the alarm refractory period is extended once.
  • the preset number can also be greater than or equal to 2.
  • the control module 30 is also used to generate the corresponding extension time of the alarm refractory period according to the number of times that the physiological parameter exceeds the normal range but does not exceed the preset range during the alarm refractory period. According to the real-time main control parameters to meet the original alarm conditions, the number of times beyond the normal range and the corresponding relationship, determine the extension time of the alarm refractory period.
  • the control module 30 can determine the number of times the main control parameter exceeds the normal range and the corresponding extended alarm refractory period.
  • the corresponding relationship is generated at the specific time, so that according to the corresponding relationship and the number of times that the main control parameter exceeds the normal object in the next real-time monitoring, the extension time of the alarm refractory period can be determined, thereby adaptively extending the time of the alarm refractory period .
  • a similar method can also be adopted to adaptively shorten the time of the alarm refractory period, or even cancel the alarm refractory period.
  • the adaptive adjustment of the alarm refractory period time can prevent the patient's physiological condition from deteriorating, and the patient may be dangerous if the patient is not alarmed for a long time, and it also avoids the technical problem of alarm fatigue caused by repeated alarms.
  • the adaptive alarm system also includes a display, which is used to display the trend graph and the normal range of the main control parameter. From the display, it can be seen intuitively that the main control parameter is out of the normal range.
  • the display can also show the duration of the alarm refractory period, so that it can be seen intuitively on the display that after the main control parameter exceeds the normal range, the reason why the system does not alarm is that it is in the alarm refractory period.
  • the display can also display the reference parameter and/or the preset range, and the user can intuitively see that the reference parameter exceeds the preset range from the display.
  • the adaptive alarm system of the present invention realizes that the main control parameter is still alarmed during the alarm refractory period, avoids alarm omissions caused by setting the alarm refractory period, and can detect the danger of deterioration of the physiological state of the monitored object in time. And give an alarm.
  • the flexible setting of the alarm refractory period of the self-adaptive alarm system of the present invention can not only meet the requirements of alarming the deterioration of the physiological state of the monitored subject even during the refractory period, but also Extend the length of the refractory period to reduce repeated alarms, and automatically extend the length of the refractory period to reduce repeated alarms.
  • each module of the above-mentioned adaptive alarm system may be a software module running in a monitor.
  • the present invention provides an adaptive alarm method, which can be applied to the above-mentioned adaptive alarm system, and can also be applied to corresponding medical equipment such as monitors, including:
  • the parameter type included in the reference parameter and the parameter type included in the main control parameter may be the same or different.
  • the reference parameter is associated with the main control parameter
  • the "control to start the alarm refractory period of the main control parameter" includes: during the alarm refractory period, if the main control parameter When it exceeds the normal range, the reference parameter exceeds the preset range and does not exceed the normal range of the reference parameter, the alarm only alarms the main control parameter.
  • “during the alarm refractory period, output a second alarm instruction for the main control parameter according to the main control parameter and the reference parameter;” includes: during the alarm refractory period, when When the main control parameter exceeds the normal range and the reference parameter exceeds the preset range, output a second alarm instruction for the main control parameter; upon receiving at least one of the first alarm instruction or the second alarm instruction, The main control parameter gives an alarm.
  • the "control to start the alarm refractory period of the main control parameter" includes: during the alarm refractory period, if the main control parameter exceeds the normal Range, when the reference parameter exceeds the preset range and does not exceed the normal range of the reference parameter, the alarm only alarms the main control parameter.
  • the above-mentioned adaptive alarm method also includes:
  • the above-mentioned adaptive alarm method also includes:
  • the extension of the alarm refractory period may be the extension of the alarm refractory period of one physiological parameter, two physiological parameters or more physiological parameters, which is not limited in this application.
  • the above-mentioned adaptive alarm method also includes:
  • the extended alarm refractory period can be obtained based on the duration of each extended alarm refractory period, for example, the average of the duration of each extended alarm refractory period, or it can be based on the last extended alarm refractory period
  • the duration of is determined, and there is no limit here.
  • the main control parameter exceeds the normal range during the alarm refractory period and the reference parameter does not exceed the preset range.
  • the corresponding relationship between the number of times exceeding the preset range and the corresponding extension time of the alarm refractory period is generated, and the real-time main control parameter exceeds the normal range and the reference parameter does not exceed the preset range. The number of times and the corresponding relationship determine the extension time of the alarm refractory period.
  • the control module 30 can determine the specific number of times the physiological parameter detected in a period of time exceeds the normal range and the specific length of the corresponding extended alarm refractory period.
  • the corresponding relationship is generated by time, and based on the corresponding relationship and the number of times that the physiological parameters are out of the normal range in the next real-time monitoring, the extension time of the alarm refractory period can be determined, thereby adaptively extending the time of the alarm refractory period.
  • Adapting to the extended alarm time can further avoid the technical problem of alarm fatigue caused by repeated alarms. Understandably, the time of the alarm refractory period can also be shortened adaptively. Therefore, an alarm refractory period suitable for the current situation of the guardian can be formed according to the situation of each guardian.
  • the method further includes: displaying at least one of the trend graph of the main control parameter, the normal range, the alarm refractory period, the reference parameter, or the preset range.
  • the method can also display at least one of the trend graph of the main control parameter, the normal range, the alarm refractory period, the reference parameter, or the preset range, so that the user can visually observe the above-mentioned alarms. Or the reason for not calling the police.
  • the adaptive alarm method of the present invention realizes the flexible setting of the alarm refractory period, which can meet the needs of alarming the deterioration of the physiological state of the monitored object even during the refractory period when the physiological state of the monitored object is deteriorated. Extend the length of the refractory period to reduce repeated alarms, and automatically extend the length of the refractory period to reduce repeated alarms.
  • this application also provides an adaptive alarm device, which can be applied to medical equipment such as monitors, similar to the above-mentioned adaptive alarm system and method.
  • the adaptive alarm device includes a parameter obtainer 112, a controller 113, and an alarm 116.
  • the parameter obtainer 112 is connected to the controller 113, and the controller 112 is connected to the alarm 116.
  • the "connection" here can be a direct connection or an indirect connection, a wired connection or a communication connection, as long as the two are directly or indirectly connected, and the specific connection mode is not limited.
  • the parameter acquirer 112 is used to acquire measurement signals. In an embodiment of the present application, it is a measurement signal.
  • the controller 113 receives and analyzes the measurement signal from the parameter acquirer to acquire the main control parameter and the reference parameter, and when the main control parameter exceeds the normal range, it outputs the first alarm instruction for the main control parameter and controls the startup of the control parameter.
  • the alarm refractory period of the main control parameter during the alarm refractory period, when the main control parameter exceeds the normal range and the reference parameter exceeds the preset range, adjust the duration of the alarm refractory period.
  • the alarm 116 is configured to alarm the main control parameter when the first alarm instruction is received.
  • the controller 113 is further configured to: during the alarm refractory period, when the main control parameter exceeds the normal range and the reference parameter exceeds the preset range, outputting information about the main control parameter The second alarm instruction; the alarm 116 is also used to alarm the main control parameter when at least one of the first alarm instruction or the second alarm instruction is received.
  • the controller 113 controls the alarm of the main control parameter of the monitored object to enter the alarm refractory period; during the alarm refractory period, During the alarm refractory period, if the main control parameter exceeds the normal range and the reference parameter does not exceed the preset range, the alarm only alarms the main control parameter.
  • the alarm only alarms the main control parameter.
  • the physiological state of the monitoring object deteriorates, that is, when the reference parameter of the monitoring object exceeds the preset range, at this time, even within the alarm refractory period, the alarm 116 still alarms the main control parameter again.
  • the adaptive alarm system of the present application deteriorates in the physiological state of the monitored object at a certain moment, and when the physiological parameter of the monitored object exceeds the preset range, even if the time is in the alarm refractory period, the alarm 116 can still monitor the physiological parameter. Carrying out the alarm realizes that the deterioration of the physiological state of the guardian can be detected in time, and the probability of the guardian's danger is reduced.
  • the reference parameter is associated with the main control parameter.
  • the reference parameter exceeds the preset range and does not exceed all the parameters.
  • the alarm 116 only alarms the main control parameter.
  • the controller 116 is further configured to determine the number of times that the main control parameter exceeds the normal range and the reference parameter is within the preset range during the current alarm refractory period, when the number of times is greater than When the number of times is preset, the time of the alarm refractory period is extended.
  • the controller 116 is further configured to set the extended alarm refractory period as the default alarm refractory period after the number of times of extending the alarm refractory period exceeds a preset threshold.
  • the controller 116 is further configured to, when the number of times of extending the alarm refractory period exceeds a preset threshold, according to the main control parameter, the normal range is exceeded during the alarm refractory period and the The number of times the reference parameter does not exceed the preset range and the corresponding extension time of the alarm refractory period generate a correspondence, and according to the real-time master control parameter exceeds the normal range and the reference parameter does not exceed the The number of times in the preset range and the corresponding relationship determine the extension time of the alarm refractory period.
  • the alarm 116 is also used for when at least one physiological parameter of the main control parameter or the reference parameter exceeds the corresponding normal range, and the current moment is outside the alarm refractory period , To alarm the at least one physiological parameter.
  • the self-adaptive alarm device of the present invention realizes the flexible setting of the alarm refractory period, which can meet the requirements of alarming the deterioration of the physiological state of the custodial subject even during the refractory period when the physiological state of the custodial subject deteriorates. Extend the length of the refractory period to reduce repeated alarms, and automatically extend the length of the refractory period to reduce repeated alarms.
  • the parameter acquirer 112, the controller 113, and the alarm 116 may be one or more elements, circuits, or components.
  • the parameter acquirer 112 is a parameter measurement circuit 112
  • the controller 113 is a control circuit 113
  • the alarm 116 is an alarm circuit 116.
  • the parameter measurement circuit 112 includes at least one parameter measurement circuit 112 corresponding to a physiological parameter or state parameter.
  • the parameter measurement circuit 112 includes at least an ECG signal parameter measurement circuit 112, a respiratory parameter measurement circuit 112, and a body temperature parameter measurement circuit 112.
  • Blood oxygen parameter measurement circuit 112 premature beat morphological parameter measurement circuit 112, non-invasive blood pressure parameter measurement circuit 112, invasive blood pressure parameter measurement circuit 112, etc., at least one parameter measurement circuit 112, each parameter measurement circuit 112 passes the corresponding
  • the sensor interface is connected to a sensor accessory 111 inserted externally.
  • the sensor accessories 111 include detection accessories corresponding to the detection of physiological parameters such as electrocardiographic 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 two or more physiological parameter measurement circuits.
  • the parameter measurement circuit 112 may be, but is not limited to, the physiological parameter measurement circuit 112 (module) ,
  • the human body physiological parameter measurement circuit 112 (module) or sensor collects human body physiological parameters and so on.
  • the parameter measurement circuit 112 obtains the external physiological parameter sensor attachment 111 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 extended interface can also be used to output the control signal on how to collect the physiological parameters output by the control circuit 113 to the external physiological parameter monitoring accessory through the corresponding interface, so as to realize the monitoring and control of the patient's physiological parameters.
  • the control circuit 113 needs to include at least one processor and at least one memory.
  • the control circuit 113 may also include at least one of a power management module, a power IP module, and an interface conversion circuit.
  • 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 the charging and discharging of the battery.
  • 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. For example, the voltage of 15V is converted to 1.8V, 3.3V or 3.8V, etc.
  • the power IP module can be single-channel or multi-channel.
  • the power IP module can convert an input voltage into an output voltage.
  • 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 control the signal output by the smallest system module (ie at least one processor and at least one memory in the control circuit 113) into an input standard signal required by the actual external device, for example, to support an external VGA display function It converts the RGB digital signal output by the control CPU into a VGA analog signal, supports external network functions, and converts the RMII signal into a standard network differential signal.
  • the adaptive alarm device or system may also include one or more of the local display 114, the input interface circuit 117, and the external communication and power interface 115.
  • the control circuit 113 is used to coordinate and control the boards, circuits and devices in the multi-parameter monitor or module assembly. In this embodiment, the 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 or
  • the user control instructions input by the physical input interface circuit 117 such as keyboards and keys can of course also output control signals on how to collect physiological parameters.
  • the display 114 is also used to display at least one of the trend graph of the main control parameter, the normal range, the alarm refractory period, the reference parameter, or the preset range.
  • the alarm circuit 116 may be an audible and visual alarm circuit 116.
  • the 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 the display 114, the PC, the central station 211, etc.) through the external communication and power interface 115, and external communication and power supply
  • the interface 115 can be one of Ethernet, Token Ring, Token Bus, and the optical fiber distributed data interface (FDDI) of the backbone of these three networks, or one of the LAN interfaces.
  • FDDI optical fiber distributed data interface
  • the combination may also be one or a combination of wireless interfaces such as infrared, Bluetooth, wifi, and WMTS communication, or may also be 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 of a wireless data transmission interface and a wired data transmission interface or a combination of both.
  • the host can be any computer equipment such as the host of the monitor, electrocardiograph, ultrasonic diagnostic apparatus, computer, etc., and a monitoring device can be formed by installing the 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 self-adaptive alarm device can be set outside the monitor shell, as an independent external plug-in parameter module, which can be inserted into the host (including the control board) of the monitor to form a plug-in monitor, as a part of the monitor, or through
  • the cable is connected to the host (including the control board) of the monitor, 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 control module, or physically separated and arranged in the shell to form an integrated monitor.
  • this application also provides a monitor network system used in hospitals.
  • the monitor data can be stored as a whole, and patient information and nursing information can be centrally managed. The two are stored in association to facilitate history. Data storage and associated alarms.
  • a bedside monitor 212 may be provided for each hospital bed, and the bedside monitor 212 may include the above-mentioned adaptive alarm device 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 and corresponding to the patient's mobile
  • the physiological data generated by 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 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 through the wireless network node 214 set in the hospital for storage and display, 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 the sensor attachment 111 directly connected to the monitor, or from the portable monitoring device 213, or from the data server 215.

Landscapes

  • Life Sciences & Earth Sciences (AREA)
  • Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Alarm Systems (AREA)

Abstract

一种自适应报警系统、方法、装置及物联网系统，自适应报警系统包括：获取模块（10）、报警模块（20）以及控制模块（30）；获取模块（10），用于获取监护对象的测量信号；控制模块（30），用于从参数获取器（112）接收和分析测量信号以获取主控参数和参考参数，当主控参数超出正常范围时，输出针对主控参数的第一报警指令并控制启动主控参数的报警不应期；在报警不应期内，根据主控参数和参考参数，调整报警不应期的时长；报警模块（20）用于在接收到第一报警指令时，对主控参数进行报警。该自适应报警系统使得监护对象的生理状态出现恶化时，及时在报警不应期内，仍可以输出报警，而不会被漏报警。

Description

自适应报警系统、方法、装置、及物联网系统 技术领域
本发明涉及监护领域，特别涉及一种自适应报警系统、方法、装置及物联网系统。
背景技术
当前监护仪为减少报警疲劳问题，存在报警不应期的处理方式，即当一种报警结束后，如果在不应期内同一类型报警再次产生，则该报警会被屏蔽。这种处理方式会导致在报警不应期内，当监护对象生理状态出现恶化时，由于报警处于不应期内，这种报警可能会被漏报的问题。
发明内容
本申请提供一种自适应报警系统、方法、装置及物联网系统，以解决当监护对象生理状态出现恶化时，由于报警处于不应期内，这种报警可能会被漏报的技术问题。
本发明提供一种自适应报警装置，包括：参数获取器、控制器、报警器，所述控制器与所述参数获取器连接，所述控制器与所述报警器连接；
所述参数获取器用于获取监护对象的测量信号；
所述控制器用于从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
所述报警器用于在接收到所述第一报警指令时，对所述主控参数进行报警。
其中，在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二报警指令；
所述报警器还用于在接收到所述第一报警指令或第二报警指令中的至少 一个时，对所述主控参数进行报警。
其中，所述参考参数与所述主控参数相关联，在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
其中，控制器还用于确定所述主控参数在当前报警不应期内超出所述正常范围且所述参考参数位于所述预设范围内的次数，当所述次数大于预设次数时，延长所述报警不应期的时间。
其中，所述控制器还用于在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。
其中，所述控制器还用于在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。
其中，还包括显示器，用于至少显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。
其中，所述报警器还用于在所述主控参数或所述参考参数中的至少一种生理参数超出对应的所述正常范围，且当前时刻在报警不应期外的情况下，对所述至少一种生理参数进行报警。
本申请还提供了一种自适应报警系统，包括：
获取模块，用于获取监护对象的测量信号；
控制模块，用于从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
报警模块，用于在接收到所述第一报警指令时，对所述主控参数进行报警。
其中，所述控制模块进一步用于：在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二 报警指令；
所述报警器还用于在接收到所述第一报警指令或第二报警指令中的至少一个时，对所述主控参数进行报警。
其中，所述参考参数与所述主控参数相关联，在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
其中，控制模块还用于所述主控参数在当前报警不应期内超出对应所述正常范围且所述参考参数没超过所述预设范围的次数大于预设次数时，延长所述报警不应期的时间。
其中，所述控制模块在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。
其中，所述控制模块还用于在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。。
其中，自适应报警系统还包括显示模块，用于至少显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。
其中，所述报警模块还用于在所述主控参数或所述参考参数中的至少一种生理参数超出对应的所述正常对象，且当前时刻在报警不应期外的情况下，对所述至少一种生理参数进行报警。
本申请还提供了一种自适应报警系统的报警方法，包括：
获取监护对象的测量信号；
接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
当接收到所述第一报警指令时，对所述主控参数进行报警。
其中，“在所述报警不应期内，根据所述主控参数和所述参考参数，输出针对所述主控参数的第二报警指令；”包括：
在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二报警指令；
所述报警器还用于在接收到所述第一报警指令或第二报警指令中的至少一个时，对所述主控参数进行报警。
其中，所述参考参数与所述主控参数相关联，所述“控制启动所述主控参数的报警不应期”包括：
在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
其中，所述方法还包括：
确定所述主控参数在当前报警不应期内超出所述正常范围且所述参考参数位于所述预设范围内的次数，当所述次数大于预设次数时，延长所述报警不应期的时间。
其中，所述方法还包括：
在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。
其中，所述方法还包括：
在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。
其中，所述方法还包括：
显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。
其中，所述方法还包括：
在所述主控参数或所述参考参数中的至少一种生理参数超出对应的所述正常范围，且当前时刻在报警不应期外的情况下，对所述至少一种生理参数进行报警。
本申请还提供了一种自适应报警系统的报警方法，包括：
通过参数获取器获取监护对象的测量信号；
从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
在接收到所述第一报警指令时，对所述生理参数进行报警。
本申请还提供了一种物联网系统，包括如上述的自适应报警装置和\或自适应报警系统。
综上所述，本申请的自适应报警系统、装置和方法在监护对象某一时刻的生理状态发生恶化，监护对象的生理参数将超过预设范围时，即使该时刻处于报警不应期内，报警模块仍然可以对生理参数进行报警，实现了可及时发现监护对象的生理状态发生恶化，降低了监护对象发生危险的概率。
附图说明
为了更清楚地说明本申请实施例或现有技术中的技术方案，下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍，显而易见地，下面描述中的附图仅仅是本申请的一些实施例，对于本领域普通技术人员来讲，在不付出创造性劳动的前提下，还可以根据这些附图获得其他的附图。
图1是本发明实施例提供自适应报警系统的结构示意图。
图2是本发明实施例提供自适应报警方法的流程示意图。
图3是本发明实施例提供自适应报警装置的结构示意图。
图4是本发明实施例提供的物联网系统结构示意图。
具体实施方式
请参阅图1，基于上述问题，本发明提供一种自适应报警系统，可以应用到监护仪等设备中。自适应报警系统包括：获取模块10、报警模块20以及控制模块30。
获取模块10，用于获取监护对象的测量信号。
控制模块30，用于从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；报警模块20用于在接收到所述第一报警指令时，对所述主控参数进行报警。可以理解地，调整报警不应期的时长包括缩短报警不应期、延长报警不应期、取消报警不应期、修改默认报警不应期、设置下一次报警不应期等调整方式，只要其对报警不应期进行调整即可，在此不做限定。
在一实施例中，控制模块30还用于当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二报警指令；报警模块20还用于在接收到所述第一报警指令或第二报警指令中的至少一个时，对所述主控参数进行报警。可以理解地，该实施例中的调整报警不应期的方式可以为缩短报警不应期或打断报警不应期等方式，使得第二报警指令可以在报警不应期内报出。主控参数的报警不应期只限制主控参数的报警，也就是说，在所述报警不应期内，当仅有所述主控参数超出正常范围，参考参数未超出预设范围时，不输出针对所述第一报警指令。另一方面，参考参数也具有对应的正常范围，主控参数的报警不应期不影响控制模块30输出针对参考参数的报警指令。控制模块30进一步用于在参考参数超出其正常范围时，输出针对参考参数的报警指令。
在一实施例中，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令，并当所述主控参数回落到正常范围时，控制启动所述主控参数的报警不应期；当主控参数持续超出正常范围，没有回落到正常范围内时，持续输出第一报警指令，而不进入报警不应期。当主控参数超出正常范围、输出第一报警指令再回落到正常范围时，才启动报警不应期，对报警不应期内产生的主控参数超出正常范围且参考参数没有超出预设范围的情况进行报警屏 蔽。
本申请中，监护对象生理状态正常时，监护对象的主控参数位于正常范围内，不满足报警条件，报警模块20不报警。当监护对象生理状态异常，监护对象的主控参数超过正常范围，满足原始报警条件，控制模块30发出第一报警指令，报警模块20接收第一报警指令对该主控参数报警；同时，启动针对该主控参数的报警不应期，在报警不应期内，仅存在该主控参数再次超出正常范围的情况时，控制模块30不输出第一报警指令。但是，在报警不应期内，当主控参数超出正常范围且监护对象的参考参数超过预设范围时，监护对象的生理状态发生恶化，此时，即使在该主控参数的报警不应期内，报警模块20仍然对该主控参数进行再次报警。可以理解地，这种情况下，并不影响报警模块20对参考参数的单独报警。当参考参数超过其对应的正常范围时，控制模块30也可以发出针对参考参数的报警指令，控制报警模块20对参考参数进行报警。
从而，本申请的自适应报警系统在监护对象某一时刻的生理状态发生恶化，监护对象的参考参数超过预设范围时，即使该时刻处于主控参数的报警不应期内，报警模块20仍然可以对主控参数进行报警，实现了在报警不应期内可及时发现监护对象的生理状态发生恶化，降低了监护对象发生危险的概率。
本申请中，监护对象的主控参数包括：室性早搏形态、心率、血氧以及血压等生理参数。监护对象的参考参数也可以包括：室性早搏形态、心率、血氧以及血压等生理参数。参考参数包括的生理参数和主控参数包括的生理参数可以为同种参数，也可以为不同种参数。因此，参考参数发生超过预设范围，监护对象的生理状态发生恶化的情况包括与主控参数同种的生理参数超过预设范围的情况，也包括与主控参数不同种的生理参数超过预设范围的情况。只要参考参数超过预设范围，意味着监护对象的生理状态发生恶化，如监护对象室性早搏形态变多、超过报警限的程度增加、心率超过报警限、如血氧降低、血压升高等中的任一种发生时，此时即使在各主控参数的报警不应期内，报警模块20仍然会对主控参数进行报警。
在一实施例中，参考参数包括的生理参数和主控参数包括的生理参数为同种参数。下面将分别室性早搏形态和心率为例进行说明。
主控参数为室性早搏，参考参数也为室性早搏。当室性早搏形态超过正常范围产生报警后，室性早搏形态进一步变多属于恶化，此时即使室性早搏形态的报警在不应期内，报警模块20仍然对室性早搏进行报警。
主控参数为心率，参考参数也为心率。当心率超过正常范围，即，心率超过原始报警条件，心率超限报警报出后，若心率超过原始报警条件的程度较之前报警时明显增加，超过心率的预设范围时，属于恶化情况，此时即使针对心率的报警在报警不应期内，报警模块20仍然对心率进行报警。可以理解地，超过原始报警条件的程度增加既可以包括数值增加也可以包括数值减少。在一实施例中，心率的正常范围为大于或等于80且小于或等于120。心率的预设范围相应地可以设置为预设上限范围为大于120且小于或等于160，和预设下限范围为小于或等于60。相应地，超过原始报警条件的程度增加可以包括以下两种情况。第一种，心率为125时，超过正常范围触发心率超限报警，之后，心率超过160，超过预设上限范围，属于超过原始报警条件程度增加的情况。第二种，心率为75时，超过正常范围，触发心率超限报警，之后，心率进一步降低为59时，超出预设下限范围，也属于超过原始报警条件程度增加的情况。以上两种情况均属于心率超过原始报警条件的程度增加的情况，此时，即使针对心率的报警仍在报警不应期内，报警模块20仍然对心率进行报警。
在另一实施例中，参考参数包括的生理参数和主控参数包括的生理参数为不同种参数。参考参数和主控参数相关联，其可以为医学意义上的相关联，例如，用户经常将某两种或两种以上的参数结合起来监护对象进行诊断，则该两种或两种以上的参数则为相关联的参数，其中之一可以为主控参数，其余的可以为参考参数。例如，心率和室性早搏形态。可以理解地，在这种情况下，参考参数的预设范围和其正常范围无关，其预设范围可以与其正常范围相同，也可以小于或大于其正常范围，在此不做限定。
在一实施例中，参考参数的预设范围和其正常范围相同。主控参数为室性早搏，参考参数为心率；当室性早搏超过正常范围产生报警后，室性早搏形态不变，但是发生了心率超过了正常范围，此种情况属于恶化，此时即使在室性早搏的报警不应期内，报警模块20仍然对室性早搏进行报警。再如：当室性早搏形态超过正常范围产生报警后，室性早搏形态不变，但是监护对象的血液 动力学参数发生恶化，如血氧降低或血压升高等超过了血压的正常范围，此种情况也属于恶化，此时即使在室性早搏的报警不应期内，报警模块20仍然对室性早搏进行报警。此种情况在主控参数的报警不应期内，与主控参数关联的参考参数达到单独的原始报警条件，超出正常范围，控制模块30控制报警模块20对主控参数进行报警。可以理解地，此时，并不影响控制模块30控制报警模块20对参考参数的报警，由于参考参数也超出了其相应的正常范围，因此，此时也可以启动针对参考参数的报警。
在另一实施例中，参考参数的预设范围和其正常范围不相同。主控参数为心率，参考参数为室性早搏。心率的正常范围的上限为120，触发心率超限报警时的心率为125，室性早搏形态的正常范围是小于等于4，其预设范围为小于等于2。在心率的报警不应期内，当心率超出正常范围达到125，室性早搏形态变多，例如，从1变成3，此时即使在心率的报警不应期内，且室性早搏形态种类没有达到其超出其正常范围，但其已经超出预设范围，此时，报警模块20仍然对心率进行报警。此种情况在报警不应期内，与主控参数关联的参考参数未达到单独的报警条件，未超出其正常范围，但超出了预设范围，因此，仍认为其监护对象的生理状态出现恶化的趋势，报警模块20也对第一种生理参数进行报警。但是，在这种情况下，由于参考参数没有超出正常范围，控制模块30不控制报警模块20对参考参数进行报警。
控制模块30还用于在主控参数或参考参数中至少一种生理参数超出对应的正常范围时，控制报警模块20对至少一种生理参数进行报警；在主控参数的报警不应期内，若主控参数超出正常范围且参考参数未超出对应的预设范围时，不对主控参数进行再次报警。本方式中，主控参数或参考参数可以为一种生理参数、两种生理参数或者以上，在此不做限定。
当主控参数和参考参数仅包括一种生理参数时，若该生理参数超过正常范围，报警模块20对该生理参数进行报警，且控制模块30启动该生理参数的报警不应期；若生理参数没有超出预设范围，且当前时刻在该生理参数的报警不应期内，则报警模块20不再对该生理参数进行报警。
当主控参数包括第一种生理参数和第二种生理参数，第一种生理参数和第二种生理参数没有关联，第一种生理参数和第二种生理参数均超过对应的正常 范围时，控制模块30控制报警模块20对第一种生理参数和第二种生理进行报警，并当第一种生理参数和第二种生理参数回落到正常范围时，启动针对第一种生理参数的报警不应期和第二种生理参数的报警不应期；若第一种生理参数和第二种生理参数均没有超过对应的预设范围，且当前时刻在第一种生理参数和第二种生理参数对应的报警不应期内，报警模块20不再对第一种生理参数和第二种生理参数进行报警。也就是说，主控参数包含的生理参数类型可以为一种或多种，同样地，参考参数包含的生理参数，也可以为一种或多种，在此不做限定。
控制模块30还用于控制报警模块20在主控参数或参考参数中的至少一种生理参数超出对应的正常范围，且当前时刻不在报警不应期内的情况下，对至少一种生理参数进行报警。也就是说，在任何一种生理参数的报警不应期外，任何一种生理参数超出对应的正常范围，任何一种生理参数发生异常的情况下，报警模块20对超出正常范围的生理参数直接进行报警。
控制模块30还用于主控参数在报警不应期内超出对应正常范围但参考参数没超过对应的预设范围的次数大于预设次数时，延长主控参数的报警不应期的时间。其可以延长主控参数当前报警不应期的时间，也可以延长主控参数下一次报警不应期的时间。也就是说，在当前报警不应期内，一段时间检测的主控参数超出正常范围但参考参数没超过对应的预设范围的次数超过预设次数，此种情况预示着在该段时间内主控参数的报警情况较为频繁，则控制模块30控制延长当前或下一次该种生理参数的报警不应期时间。从而在报警不应期的时间延长之后，则可以减少同种情况下主控参数的报警，减少重复报警，减少报警疲劳的问题。
例如，在一实施例中，当主控参数和参考参数均为心率时，心率的正常范围为大于或等于80且小于或等于120。心率的预设范围相应地可以设置为预设上限范围为大于120且小于或等于160，和预设下限范围为小于或等于60。若心率在报警不应期内超过120且未超过160的次数大于预设次数，此时，将延长报警不应期。另一实施例中，主控参数为心率，参考参数为室性早搏。心率的正常范围的上限为120，室性早搏形态的预设范围为小于等于2，当在心率的报警不应期内，心率超过120且室性早搏形态没有超出2的次数大于预设 次数的时候，延长报警不应期。
本申请中，报警不应期的延长可以为一种生理参数、两种生理参数或者更多生理参数的报警不应期的延长，本申请在此不做限定。
控制模块30还用于在延长报警不应期的时间的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。也就是说，在检测到生理参数在报警不应期内超出对应正常范围但没超过对应预设范围的次数大于预设次数时，且延长了报警不应期的次数超过预设阈值后，则控制模块30自动设置延长后的报警不应期为默认报警不应期，即后续的报警不应期的有效时间为延长后的报警不应期。延长后的报警不应期的时长可以根据更改默认报警不应期之前的每一报警不应期的时长获得，例如，延长后的报警不应期的时长为之前每一报警不应期的时长的平均值。可以理解地，预设次数可以为1，即在一次延长报警不应期的时间之后就修改默认报警不应期。预设次数也可以大于等于2，需要产生多次延长的报警不应期时间后，进一步确定病人的状态更适用于更长的报警不应期，再将延长后的报警不应期修改为默认报警不应期。
控制模块30在多次延长报警不应期的情况下，还用于根据生理参数在报警不应期内超出正常范围但没超过预设范围的次数与对应的报警不应期的延长时间生成对应关系，并根据实时的主控参数满足原始报警条件，超出正常范围的次数和对应关系，确定报警不应期的延长时间。
也就是说，控制模块30在多次延长报警不应期的时间后，控制模块30可以根据在一段时间内检测到的主控参数超出正常范围的具体次数与对应的延长的报警不应期的具体时间生成对应的关系，从而根据该对应关系，并根据下一次实时监测到主控参数超出正常对象的次数，可以确定报警不应期的延长时间，从而自适应延长了报警不应期的时间。可以理解地，在一实施例中，还可以采用类似的方法自适应地缩短报警不应期的时间，甚至取消报警不应期。
自适应调整报警不应期的时间既可以避免监护对象的生理状况发生恶化时，长时间不报警所导致的监护对象可能发生危险，同时也避免了重复报警所导致的报警疲劳的技术问题。
该自适应报警系统还包括显示器，显示器用于显示所述主控参数的趋势图和正常范围，从显示器上可以直观地看出主控参数超出正常范围。显示器还可 以显示出报警不应期的时长，从而在显示器上可以直观地看出主控参数超出正常范围后，系统不报警的原因为位于报警不应期内。显示器还可以显示出参考参数和/或预设范围，用户从显示器上可以直观地看到参考参数超出预设范围。
综上，本发明的自适应报警系统实现了在报警不应期内仍然对主控参数进行报警，避免了因设置报警不应期造成的报警遗漏，能够及时发现监护对象生理状态恶化的危险，并进行报警。另一方面，本发明的自适应报警系统的报警不应期的灵活设置，既可以能满足监护对象生理状态恶化时即使在不应期内仍能对监护对象的生理状态恶化进行报警，也能延长不应期长度以减少重复报警，同时还能自动延长不应期长度以减少重复报警。
本申请中，上述自适应报警系统的各个模块可为运行于监护仪中的软件模块。
请参阅图2，本发明提供一种自适应报警方法，可以应用与上述自适应报警系统中，还可以应用在相应的监护仪等医疗设备中，包括：
S1，获取监护对象的测量信号。
S2，接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，调整报警不应期的时长；
S3，接收到所述第一报警指令时，对所述主控参数进行报警。
其中，参考参数所包含的参数种类与主控参数所包含的参数种类可以相同也可以不相同。
在一实施例中，参考参数与所述主控参数相关联，所述“控制启动所述主控参数的报警不应期”包括：在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
其中，“在所述报警不应期内，根据所述主控参数和所述参考参数，输出针对所述主控参数的第二报警指令；”包括：在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数 的第二报警指令；在接收到第一报警指令或第二报警指令中的至少一个，对所述主控参数进行报警。
其中，当参考参数与主控参数相关联时，所述“控制启动所述主控参数的报警不应期”包括：在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
上述自适应报警方法还包括：
S5，在主控参数或参考参数中至少一种参数超出对应的正常范围，且当前时刻在对应的报警不应期外的情况下，对该至少一种参数进行报警。也就是说，在参数的报警不应期外，任何一种参数超出对应的正常范围，任何一种参数发生异常的情况下，报警模块20对超出正常范围的参数直接进行报警。
上述自适应报警方法还包括：
S6，确定所述主控参数在当前报警不应期内超出所述正常范围且所述参考参数位于所述预设范围内的次数，当所述次数大于预设次数时，延长所述报警不应期的时间。也就是说，在报警不应期内，一段时间检测的主控参数超出正常范围的次数超过预设次数，此种情况预示着在该段时间内主控参数的报警情况仍较为频繁，则控制模块30控制延长当前或下一次该主控参数的报警不应期时间。从而在报警不应期的时间延长之后，则可以减少同种情况下报警，减少重复报警，减少报警疲劳的问题。本申请中，报警不应期的延长可以为一种生理参数、两种生理参数或者更多生理参数的报警不应期的延长，本申请在此不做限定。
上述自适应报警方法还包括：
S7，在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。也就是说，在检测到主控参数在报警不应期内超出对应正常范围但参考参数没超过对应预设范围的次数大于预设次数时，且延长了报警不应期的次数超过预设阈值时，则控制模块30自动设置延长后的报警不应期为默认报警不应期，即后续的报警不应期的有效时间为延长后的报警不应期。延长后的报警不应期可以为根据每次延长的报警不应期的时长得到，例如，为每次延长的报警不应期的时长的平均值，也可以根据最后一次延长的报警不 应期的时长确定，在此不做限定。
具体地，在一实施例中，在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。也就是说，控制模块30在多次延长报警不应期的时间后，控制模块30可以根据在一段时间内检测到的生理参数超出正常范围的具体次数与对应的延长的报警不应期的具体时间生成对应的关系，从而根据该对应关系，并根据下一次实时监测到生理参数超出正常范围的次数，可以确定报警不应期的延长时间，从而自适应延长了报警不应期的时间，自适应延长的报警时间可以进一步避免了重复报警所导致的报警疲劳的技术问题。可以理解地，还可以自适应地缩短报警不应期的时间。从而可以根据每个监护对象的情况形成适合监护对象当前情况的报警不应期时长。
其中，该方法还包括：显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。该方法还可以通过显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个，使得用户可以直观地观察上述导致报警或不报警的原因。
综上，本发明的自适应报警方法实现了报警不应期的灵活设置，既可以能满足监护对象生理状态恶化时即使在不应期内仍能对监护对象的生理状态恶化进行报警，也能延长不应期长度以减少重复报警，同时还能自动延长不应期长度以减少重复报警。
请参阅图3，本申请还提供一种自适应报警装置，可以应用于监护仪等医疗设备中，与上述自适应报警系统及方法类似地。
自适应报警装置包括参数获取器112、控制器113、报警器116，参数获取器112与控制器113连接，控制器112与报警器116连接。这里的“连接”可以是直接连接也可以是间接连接，可以是有线连接也可以是通信连接，只要两者之间直接或间接地进行连接即可，对其具体的连接方式不做限定。
参数获取器112，用于获取测量信号。在本申请的一实施例中，为测量信号。
控制器113从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，调整报警不应期的时长。报警器116，用于在接收到所述第一报警指令时，对所述主控参数进行报警。
在一实施例中，控制器113进一步用于：在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二报警指令；报警器116还用于在接收到所述第一报警指令或第二报警指令中的至少一个时，对所述主控参数进行报警.
监护对象生理状态正常时，监护对象的生理参数位于正常范围内，不满足任何报警条件，报警器116不报警；当监护对象生理状态异常，监护对象的生理参数超过正常范围，则监护对象的生理参数达到了原始报警条件，报警器116将对该生理参数进行报警，此时，控制器113控制监护对象的该主控参数的报警进入报警不应期；在所述报警不应期内，在所述报警不应期内，若所述主控参数超出所述正常范围且所述参考参数没有超出所述预设范围时，所述报警器仅对所述主控参数报警。其中，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。当监护对象的生理状态发生恶化，即监护对象的参考参数超过预设范围时，此时，即使在报警不应期内，报警器116仍然对该主控参数进行再次报警。
从而，本申请的自适应报警系统在监护对象某一时刻的生理状态发生恶化，监护对象的生理参数超过预设范围时，即使该时刻处于报警不应期内，报警器116仍然可以对生理参数进行报警，实现了可及时发现监护对象的生理状态发生恶化，降低了监护对象发生危险的概率。
其中，所述参考参数与所述主控参数相关联，在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所 述参考参数的正常范围时，报警器116仅对所述主控参数报警。
在一实施例中，控制器116还用于确定所述主控参数在当前报警不应期内超出所述正常范围且所述参考参数位于所述预设范围内的次数，当所述次数大于预设次数时，延长所述报警不应期的时间。
在一实施例中，控制器116还用于在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。
在一实施例中，控制器116还用于在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。
在一实施例中，报警器116还用于在所述主控参数或所述参考参数中的至少一种生理参数超出对应的所述正常范围，且当前时刻在报警不应期外的情况下，对所述至少一种生理参数进行报警。
综上，本发明的自适应报警装置实现了报警不应期的灵活设置，既可以能满足监护对象生理状态恶化时即使在不应期内仍能对监护对象的生理状态恶化进行报警，也能延长不应期长度以减少重复报警，同时还能自动延长不应期长度以减少重复报警。
具体的，参数获取器112、控制器113和报警器116可以为一个或多个元件、电路或部件。在一实施例中，参数获取器112为参数测量电路112，控制器113为控制电路113，报警器116为报警电路116。在该实施例中，参数测量电路112至少包括一个生理参数或状态参数对应的参数测量电路112，参数测量电路112至少包含心电信号参数测量电路112、呼吸参数测量电路112、体温参数测量电路112、血氧参数测量电路112、早搏形态参数测量电路112、无创血压参数测量电路112、有创血压参数测量电路112等等中的至少一个参数测量电路112，每个参数测量电路112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，可以包括至少两种以上生理参数的 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112(模块)，人体生理参数测量电路112(模块)或传感器采集人体生理参数等。具体的，参数测量电路112通过扩展接口获得外部生理参数传感器附件111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控制电路113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监测附件，实现对病人生理参数的监测控制。
控制电路113需要包括至少一个处理器和至少一个存储器，当然，控制电路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控制最小系统模块(即控制电路113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，是将控制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，自适应报警装置或系统还可以包括本地显示器114、输入接口电路117、对外通讯和电源接口115中的一个或多个。控制电路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，控制电路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117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。显示器114还用于至少显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。报警电路116可以是声光报警电路116。控制电路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114的主机、PC机、中央站211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。
自适应报警装置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(包含控制板)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(包含控制板)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，与控制模块集成，或物理分离设置在外壳之内，形成集成监护仪。
如图4所示，本申请还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4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可以包括上述的自适应报警装置或者插件式监护仪。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，可是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111，或者源自便携式监护设备213，或者源自数据服务器215。
以上所揭露的仅为本发明较佳实施例而已，当然不能以此来限定本发明之权利范围，本领域普通技术人员可以理解实现上述实施例的全部或部分流程，并依本发明权利要求所作的等同变化，仍属于发明所涵盖的范围。

Claims (24)

  1. 一种自适应报警装置，其特征在于，包括：参数获取器、控制器、报警器，所述控制器与所述参数获取器连接，所述控制器与所述报警器连接；
    所述参数获取器用于获取监护对象的测量信号；
    所述控制器用于从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
    在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
    所述报警器用于在接收到所述第一报警指令时，对所述主控参数进行报警。
  2. 根据权利要求1所述的自适应报警装置，其特征在于，所述控制器进一步用于：
    在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二报警指令；
    所述报警器还用于在接收到所述第一报警指令或第二报警指令中的至少一个时，对所述主控参数进行报警。
  3. 根据权利要求2所述的自适应报警装置，其特征在于，所述参考参数与所述主控参数相关联，在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
  4. 根据权利要求1所述的自适应报警装置，其特征在于，控制器还用于确定所述主控参数在当前报警不应期内超出所述正常范围且所述参考参数位于所述预设范围内的次数，当所述次数大于预设次数时，延长所述报警不应期的时间。
  5. 根据权利要求4所述的自适应报警装置，其特征在于，所述控制器还用于在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。
  6. 根据权利要求4所述的自适应报警装置，其特征在于，所述控制器还用于在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。
  7. 根据权利要求1所述的自适应报警系统，其特征在于，还包括显示器，用于至少显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。
  8. 一种自适应报警系统，其特征在于，包括：
    获取模块，用于获取监护对象的测量信号；
    控制模块，用于从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
    在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
    报警模块，用于在接收到所述第一报警指令时，对所述主控参数进行报警。
  9. 根据权利要求8所述的自适应报警系统，其特征在于，所述控制模块进一步用于：
    在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二报警指令；
    所述报警器还用于在接收到所述第一报警指令或第二报警指令中的至少一个时，对所述主控参数进行报警。
  10. 根据权利要求8所述的自适应报警系统，其特征在于，所述参考参数与所述主控参数相关联，在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
  11. 根据权利要求8所述的自适应报警系统，其特征在于，控制模块还用于所述主控参数在当前报警不应期内超出对应所述正常范围且所述参考参数 没超过所述预设范围的次数大于预设次数时，延长所述报警不应期的时间。
  12. 根据权利要求11所述的自适应报警系统，其特征在于，所述控制模块在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。
  13. 根据权利要求11所述的自适应报警系统，其特征在于，所述控制模块还用于在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。
  14. 根据权利要求8所述的自适应报警系统，其特征在于，还包括显示模块，用于至少显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。
  15. 一种自适应报警系统的报警方法，其特征在于，包括：
    获取监护对象的测量信号；
    接收和分析所述测量信号以获取主控参数和参考参数，当所述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
    在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
    当接收到所述第一报警指令时，对所述主控参数进行报警。
  16. 根据权利要求15所述的报警方法，其特征在于，“在所述报警不应期内，根据所述主控参数和所述参考参数，输出针对所述主控参数的第二报警指令；”包括：
    在所述报警不应期内，当所述主控参数超出正常范围且所述参考参数超出预设范围时，输出针对所述主控参数的第二报警指令；
    在接收到第一报警指令或第二报警指令中的至少一个时，对所述主控参数进行报警。
  17. 根据权利要求15所述的报警方法，其特征在于，所述参考参数与所 述主控参数相关联，所述“控制启动所述主控参数的报警不应期”包括：
    在所述报警不应期内，若所述主控参数超出所述正常范围，所述参考参数超出所述预设范围且没有超出所述参考参数的正常范围时，所述报警器仅对所述主控参数报警。
  18. 根据权利要求15所述的报警方法，其特征在于，所述方法还包括：
    确定所述主控参数在当前报警不应期内超出所述正常范围且所述参考参数位于所述预设范围内的次数，当所述次数大于预设次数时，延长所述报警不应期的时间。
  19. 根据权利要求18所述的报警方法，其特征在于，所述方法还包括：
    在延长所述报警不应期的次数超过预设阈值后，设置延长的报警不应期为默认报警不应期。
  20. 根据权利要求18所述的报警方法，其特征在于，所述方法还包括：
    在延长所述报警不应期的次数超过预设阈值时，根据所述主控参数在所述报警不应期内超出所述正常范围且所述参考参数没超过所述预设范围的次数与对应的所述报警不应期的延长时间生成对应关系，并根据实时的所述主控参数超出所述正常范围且所述参考参数没超过所述预设范围的次数和所述对应关系，确定所述报警不应期的延长时间。
  21. 根据权利要求15所述的报警方法，其特征在于，所述方法还包括：
    显示所述主控参数的趋势图、所述正常范围、所述报警不应期、所述参考参数或所述预设范围中至少一个。
  22. 根据权利要求15所述的报警方法，其特征在于，所述方法还包括：
    在所述主控参数或所述参考参数中的至少一种生理参数超出对应的所述正常范围，且当前时刻在报警不应期外的情况下，对所述至少一种生理参数进行报警。
  23. 一种物联网系统，其特征在于，包括如权利要求1-7任一项所述的自适应报警装置。
  24. 一种自适应报警系统的报警方法，其特征在于，包括：
    通过参数获取器获取监护对象的测量信号；
    从参数获取器接收和分析所述测量信号以获取主控参数和参考参数，当所 述主控参数超出正常范围时，输出针对所述主控参数的第一报警指令并控制启动所述主控参数的报警不应期；
    在所述报警不应期内，根据所述主控参数和所述参考参数，调整报警不应期的时长；
    在接收到所述第一报警指令时，对所述生理参数进行报警。
PCT/CN2019/113854 2019-10-29 2019-10-29 自适应报警系统、方法、装置、及物联网系统 WO2021081729A1 (zh)

Priority Applications (2)

Application Number Priority Date Filing Date Title
PCT/CN2019/113854 WO2021081729A1 (zh) 2019-10-29 2019-10-29 自适应报警系统、方法、装置、及物联网系统
CN201980098236.4A CN114072045B (zh) 2019-10-29 2019-10-29 自适应报警系统、方法、装置、及物联网系统

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
PCT/CN2019/113854 WO2021081729A1 (zh) 2019-10-29 2019-10-29 自适应报警系统、方法、装置、及物联网系统

Publications (1)

Publication Number Publication Date
WO2021081729A1 true WO2021081729A1 (zh) 2021-05-06

Family

ID=75714719

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/CN2019/113854 WO2021081729A1 (zh) 2019-10-29 2019-10-29 自适应报警系统、方法、装置、及物联网系统

Country Status (2)

Country Link
CN (1) CN114072045B (zh)
WO (1) WO2021081729A1 (zh)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116649895B (zh) * 2023-04-20 2024-03-15 中船海神医疗科技有限公司 一种便携式生命支持系统的报警控制方法及其装置

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030036777A1 (en) * 2001-08-14 2003-02-20 Medtronic, Inc. Dynamic non-competitive atrial pacing
CN102117384A (zh) * 2011-03-24 2011-07-06 西安交通大学苏州研究院 便携式远程生命多参数监护终端及构建的远程监护系统
CN103598873A (zh) * 2013-09-27 2014-02-26 四川大学 一种基于自适应无线传感器网络的生理信号智能监测系统
CN105664313A (zh) * 2014-11-21 2016-06-15 中国医学科学院北京协和医院 一种呼吸机及其通气控制装置和方法
CN106725422A (zh) * 2016-11-30 2017-05-31 南京大学 基于心电检测、显示和上传的一体化系统
CN109102881A (zh) * 2018-10-12 2018-12-28 河北健康侍卫网络科技有限公司 一种智能中医家庭监护报警系统

Family Cites Families (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9929355D0 (en) * 1999-12-10 2000-02-02 Bone Julian L Warning system
CN2827268Y (zh) * 2004-05-20 2006-10-18 上海莱恩生物医学科技有限公司 具有心电显示的程控刺激仪
CN1739833A (zh) * 2005-07-21 2006-03-01 高春平 生理信号控制的模拟射击装置
CN101467879B (zh) * 2007-12-26 2012-11-21 深圳迈瑞生物医疗电子股份有限公司 一种基于多导同步心电信号处理方法及装置
KR101751823B1 (ko) * 2009-08-14 2017-06-29 데이비드 버톤 마취 및 의식 심도 모니터링 시스템
CN103020472B (zh) * 2012-12-27 2015-12-09 中国科学院深圳先进技术研究院 基于约束估计的生理信号质量评估方法和系统
CN203417195U (zh) * 2013-08-08 2014-02-05 深圳市理邦精密仪器股份有限公司 一种具有语音报警功能的监护系统
EP4306041A1 (en) * 2015-01-06 2024-01-17 David Burton Mobile wearable monitoring systems
CN107788969B (zh) * 2017-09-29 2020-09-29 成都瑞迪康医疗科技有限公司 一种心电信号中qrs波群的自动检测方法
CN108478209B (zh) * 2018-02-24 2021-06-11 上海乐普云智科技股份有限公司 心电信息动态监护方法和动态监护系统
CN108577830B (zh) * 2018-03-15 2021-10-26 上海乐普云智科技股份有限公司 一种面向用户的体征信息动态监护方法和动态监护系统
CN109589117A (zh) * 2018-10-31 2019-04-09 深圳市龙华区中心医院 一种基于大数据的呼吸内科用监护仪控制方法及系统

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030036777A1 (en) * 2001-08-14 2003-02-20 Medtronic, Inc. Dynamic non-competitive atrial pacing
CN102117384A (zh) * 2011-03-24 2011-07-06 西安交通大学苏州研究院 便携式远程生命多参数监护终端及构建的远程监护系统
CN103598873A (zh) * 2013-09-27 2014-02-26 四川大学 一种基于自适应无线传感器网络的生理信号智能监测系统
CN105664313A (zh) * 2014-11-21 2016-06-15 中国医学科学院北京协和医院 一种呼吸机及其通气控制装置和方法
CN106725422A (zh) * 2016-11-30 2017-05-31 南京大学 基于心电检测、显示和上传的一体化系统
CN109102881A (zh) * 2018-10-12 2018-12-28 河北健康侍卫网络科技有限公司 一种智能中医家庭监护报警系统

Also Published As

Publication number Publication date
CN114072045B (zh) 2024-03-22
CN114072045A (zh) 2022-02-18

Similar Documents

Publication Publication Date Title
US20220039762A1 (en) Alarm threshold setting suggestion method, system and monitor
WO2020132799A1 (zh) 一种监护设备的报警限值设置方法及装置
EP3273844A1 (en) Multiple independent audio spheres for patient monitor
WO2018172352A1 (en) Method and apparatus for determining a health status of an infant
US20210321927A1 (en) Method and device for monitoring vital sign of user
US20210327592A1 (en) Method for displaying an early warning score, monitoring device and display system
WO2021081729A1 (zh) 自适应报警系统、方法、装置、及物联网系统
WO2020133347A1 (zh) 一种对患者的监护方法及装置
WO2021077288A1 (zh) 报警系统及报警方法
US20220241602A1 (en) Portable defibrillator used for display, hardcopy, and control for other devices
WO2021056537A1 (zh) 自适应报警系统、方法、装置及物联网系统
CN114072048B (zh) 自适应报警系统、方法、装置及物联网系统
US10945667B2 (en) Restraint management
US20180008208A1 (en) Patient-Assisted Alarm System
US20220122444A1 (en) Monitoring apparatus and method for operating same, monitor and computer storage medium
WO2020132827A1 (zh) 一种应用于监护设备的显示方法及监护设备
CN118303851A (zh) 移动监测装置、监护设备、监护系统及病人状态监测方法
WO2020132796A1 (zh) 一种医疗监护设备及其状态信息展示方法
US11663894B2 (en) Method for processing alarms of multiple devices and central display device
WO2020258251A1 (zh) 监护设备、设定参考基线的方法和可读存储介质
US10937297B2 (en) Signal relay apparatus and patient monitoring system
WO2020133430A1 (zh) 基于生理参数的监护方法、监护设备及计算机存储介质
US10541055B2 (en) Visual alarm indication on parameter active cables
CN112911997A (zh) 监护设备、监护方法及计算机可读存储介质

Legal Events

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

Ref document number: 19950355

Country of ref document: EP

Kind code of ref document: A1

NENP Non-entry into the national phase

Ref country code: DE

122 Ep: pct application non-entry in european phase

Ref document number: 19950355

Country of ref document: EP

Kind code of ref document: A1

122 Ep: pct application non-entry in european phase

Ref document number: 19950355

Country of ref document: EP

Kind code of ref document: A1