WO2022141012A1

WO2022141012A1 - Medical monitoring manner setting method and related device

Info

Publication number: WO2022141012A1
Application number: PCT/CN2020/140569
Authority: WO
Inventors: 谈琳
Original assignee: 深圳迈瑞生物医疗电子股份有限公司
Priority date: 2020-12-29
Filing date: 2020-12-29
Publication date: 2022-07-07
Also published as: CN116669621A

Abstract

A medical monitoring manner setting method, a medical monitoring device and a storage medium. The method comprises: acquiring gestational age information of a newborn baby (101); determining a target alarm gestational age range corresponding to the gestational age information (102); determining target alarm configuration information corresponding to the target alarm gestational age range (103); and loading the target alarm configuration information (104), so as to obtain a target alarm monitoring manner regarding the newborn baby. Alarm configuration information is determined on the basis of an alarm gestational age range corresponding to gestational age information of a newborn baby, and an alarm monitoring manner regarding the newborn baby is then obtained. Due to the fact that different alarm gestational age ranges correspond to different pieces of alarm configuration information, the alarm configuration information serves as the alarm configuration information used for a newborn baby that better matches the alarm gestational age range. The newborn baby monitoring accuracy is improved, and the operation whereby medical staff manually adjust an alarm configuration is omitted.

Description

Setting method of medical monitoring mode and related equipment

technical field

The present application relates to the technical field of medical equipment, and more particularly, to a method for setting a medical monitoring mode and related equipment.

Background technique

Clinically, the view of refined patient care and treatment is increasingly recognized by the industry. Patients with different characteristics, at different stages of clinical care or treatment, may require different approaches to alarm monitoring. Reasonable setting of the alarm monitoring method can not only detect the clinical dangerous state of the patient in time, but also reasonably reduce the useless alarm. However, the current monitoring equipment often takes effect for one set of alarm thresholds for one patient. After changing the monitoring patient, another set of alarm thresholds needs to be manually set according to the condition of the monitored patient. This setting method is manually implemented by the operator, which is inconvenient to operate and may cause alarm errors due to human factors.

SUMMARY OF THE INVENTION

In view of this, the present application provides a method for setting a medical monitoring mode, so as to automatically complete the setting process of different patient alarm modes, reduce the operations that medical staff need to perform, and thus avoid alarm errors caused by improper operations.

In a first aspect, an embodiment of the present application provides a method for setting a medical monitoring mode, including:

Obtain the gestational age information of the newborn, and determine the target alarm gestational age range corresponding to the gestational age information;

Target alarm configuration information corresponding to the target alarm gestational age range is determined in at least one set of preset correspondence between the alarm gestational age range and the alarm configuration information, and the correspondence is used to indicate which alarm gestational age range can Trigger the alarm monitoring method from which alarm configuration information is obtained;

Loading the target alarm configuration information to obtain a target alarm monitoring mode for the newborn.

In a second aspect, the embodiments of the present application provide a method for setting a medical monitoring mode, including:

Obtain feature information of at least one dimension of the monitoring object, and determine target monitoring conditions corresponding to the feature information;

In the preset correspondence between at least one set of monitoring conditions and monitoring configuration information, target monitoring configuration information corresponding to the target monitoring condition is determined, and the corresponding relationship is used to indicate which monitoring condition can trigger which monitoring configuration The way in which the information is obtained is monitored;

Loading the target monitoring configuration information to obtain a target monitoring mode about the monitoring object.

In a third aspect, an embodiment of the present application provides a medical monitoring device, including:

a memory for storing a preset correspondence between at least one set of alarm gestational age ranges and alarm configuration information, where the correspondence is used to indicate which alarm gestational age range can trigger an alarm monitoring method obtained from which alarm configuration information;

a processor, configured to obtain the gestational age information of the newborn, and determine the target alarm gestational age range corresponding to the gestational age information; in the correspondence between the at least one group of alarm gestational age ranges and the alarm configuration information, determine target alarm configuration information corresponding to the target alarm gestational age range; and loading the target alarm configuration information to obtain a target alarm monitoring method for the newborn.

In a fourth aspect, an embodiment of the present application provides a medical monitoring device, including:

a memory for storing a preset correspondence between at least one set of monitoring conditions and monitoring configuration information, where the corresponding relationship is used to indicate which monitoring condition can trigger the monitoring method obtained from what kind of monitoring configuration information;

a processor for obtaining feature information of at least one dimension of the monitoring object; determining target monitoring conditions corresponding to the feature information; target monitoring configuration information corresponding to a condition; and loading the target monitoring configuration information to obtain a target monitoring mode about the monitoring object.

In a fifth aspect, an embodiment of the present application provides a readable storage medium on which a computer program is stored, and when the computer program is loaded and executed by a processor, the method for setting a medical monitoring mode described in any one of the above aspects is implemented .

It can be seen from the above technical solutions that the method for setting a medical monitoring mode provided in the embodiment of the present application can obtain the characteristic information of the monitoring object, determine the corresponding target monitoring conditions based on the characteristic information, and obtain the corresponding monitoring configuration information based on the target monitoring conditions, so as to obtain The target monitoring method of the monitoring object, this scheme obtains different monitoring methods for the monitoring object through different characteristic information, improves the flexibility of monitoring method setting, and avoids the need for medical staff to manually set the monitoring method for different objects. The setting efficiency of the medical monitoring method is improved, and at the same time, setting errors that may be caused by manual operation are avoided.

Description of drawings

In order to explain the embodiments of the present invention or the technical solutions in the prior art more clearly, the following briefly introduces the accompanying drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained according to these drawings without creative efforts.

Fig. 1 is a schematic flowchart of a method for setting a medical monitoring mode provided by an embodiment of the present application;

2 is another schematic flowchart of a method for setting a medical monitoring mode provided by an embodiment of the present application;

3 is another schematic flowchart of a method for setting a medical monitoring mode provided by an embodiment of the present application;

Fig. 4 is a schematic diagram of the interface setting of the medical monitoring mode provided by the embodiment of the present application;

5 is another schematic flowchart of a method for setting a medical monitoring mode provided by an embodiment of the present application;

6 is another schematic flowchart of a method for setting a medical monitoring mode provided by an embodiment of the present application;

7 is another schematic flowchart of a method for setting a medical monitoring mode provided by an embodiment of the present application;

8 is a schematic diagram of a medical monitoring device provided by an embodiment of the present application;

FIG. 9 is a schematic structural diagram of a multi-parameter monitor provided by an embodiment of the present application.

Detailed ways

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, but not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

In the medical field, different alarm thresholds may need to be set when monitoring vital sign parameters of patients with different characteristics or different clinical treatment stages of patients. At present, this work needs to be done manually by medical staff, and frequent changes of settings bring additional work content to medical staff, which is inconvenient to operate and has poor experience. Inexperienced medical staff may not have a clear understanding of how to set the settings. In order to avoid clinical care accidents, they may not replace them, or the medical staff may forget to switch or the switch is not timely, etc. These situations will affect the clinical care of patients. quality, which in turn affects the safe care or treatment given to patients.

The most common clinical practice is the setting of alarm thresholds for vital signs of neonates and children. For newborns of different gestational ages or children of different ages, during daily hospital monitoring, medical staff usually define appropriate vital sign alarm thresholds for them according to their clinical work experience. It is inconvenient for medical staff to set manually and may cause monitoring errors. . In this regard, the embodiment of the present application provides a method for setting a medical monitoring mode, and the medical monitoring device automatically completes the alarm configuration. It should be noted that the alarm settings for neonates are also suitable for the alarm settings for children or patients of other ages.

The embodiment of the present application provides a method for setting a medical monitoring mode, and the method can be applied to medical monitoring equipment. The medical monitoring equipment is a medical equipment with a monitoring function, such as a monitor, a ventilator with Anesthesia machines with sign monitoring capabilities, et al. Please refer to FIG. 1 for details. The method may include steps 101-103.

101. Obtain the gestational age information of the newborn.

This embodiment is described by taking the setting process of a medical monitoring mode applied to a newborn as an example. Because the newborn has just left the mother's body, its gestational age information has a great influence on the vital signs of the newborn. Newborns in different gestational age ranges need to use different alarm thresholds for monitoring. Neonates can be classified based on different gestational age ranges. Exemplarily, newborns can be divided into three categories: preterm infants, term infants, and expired fetuses, wherein the gestational age corresponding to preterm infants is less than 37 weeks, and the gestational age corresponding to full-term infants is greater than or equal to 37 weeks and less than or equal to 42 weeks. . The gestational age of post-term infants is greater than 42 weeks. It should be noted that, according to the actual application, the number of categories for newborns may be other, and the gestational age range corresponding to each category may also be other, which is not specifically limited in this application. In addition, the gestational age may also be a corrected gestational age.

Only based on the information of the gestational age of the neonate can the classification of the neonatal attribution be determined. The gestational age information of the newborn can be obtained by any of the following methods.

(1) Obtain the gestational age information of the neonate input by the operator.

The medical monitoring device is equipped with an input device, through which the operator can input the gestational age information of the newborn, and then the medical monitoring device obtains the gestational age information of the newborn. Exemplarily, the input device may be a keyboard, a touch screen, a microphone, or the like. It should be noted that the input can be the value of the gestational age information directly input by the operator, or it can be a selection input, that is, the medical monitoring device provides a selection interface for the gestational age information of the newborn, and the user selects a certain gestational age information as the input newborn. information on the gestational age of the child. Further, the input device can verify the identity of the operator before receiving the gestational age information input by the operator. For example, the operator is required to input a job number to confirm the identity of the operator's medical staff, so as to avoid non-medical staff from entering the wrong gestational age. This information in turn leads to errors in the setting of medical monitoring methods.

(2) Obtain the patient ID of the newborn, and query the gestational age information of the newborn according to the patient ID.

Specifically, the medical monitoring device can obtain the patient identification of the newborn, and the patient identification can be manually input by the operator through the input device or obtained by scanning the information acquisition device. If there is a patient identification of the newborn, the operator can use the scanning gun and other information acquisition and scanning equipment to scan the patient bracelet of the newborn, and then obtain the patient identification of the newborn. The patient identification can be a name or a hospitalization number. After obtaining the patient identification, the medical monitoring device can query the local database to obtain the gestational age information corresponding to the patient identification, and can also send the patient identification to the central monitoring station and the clinical information system. , hospital information system or electronic medical record system, query the information record with the patient identification, and then obtain the corresponding gestational age information of the newborn. The specifics can be determined according to the actual situation, which is not limited here.

(3) Obtain the gestational age information of the newborn from the patient information of the newborn scanned by the information collection device.

Only the patient identification of the newborn may be recorded in the information carrier such as the patient bracelet of the newborn, or more data such as the patient information of the newborn may be recorded, and the patient information at least includes the gestational age information. Therefore, after using the information acquisition device to scan the patient information carrier of the newborn to obtain the patient information, the gestational age information of the newborn is extracted from the patient information.

It should be noted that, in addition to the above methods, the gestational age information of the newborn can also be obtained by other methods, for example, other medical equipment collects the gestational age information of the newborn and sends the gestational age information to the medical monitoring equipment. Using the information collection device to collect the gestational age information of the newborn can save the manual input steps of the medical staff, and can improve the efficiency of obtaining the gestational age information of the newborn.

102. Determine the target alarm gestational age range corresponding to the gestational age information.

It should be noted that, in this embodiment of the present application, multiple gestational age ranges may be pre-divided, and reference may be made to the above description for an example of division of the gestational age ranges. The gestational age range can be a range composed of multiple consecutive gestational age values. In special cases, a gestational age value can also be called a gestational age range.

After the gestational age information of a neonate is obtained, the gestational age range corresponding to the neonate is determined according to the gestational age information. In the application scenario of the embodiment of the present application, one purpose of setting the gestational age range is to set corresponding alarm configuration information for different gestational age ranges, so that newborns with different gestational age ranges correspond to different alarm monitoring methods. Therefore, the gestational age range can also be referred to as the alarm gestational age range. Further, in order to distinguish it from other alarm gestational age ranges, the alarm gestational age range determined according to the neonatal gestational age information obtained in step 101 may be referred to as the target alarm gestational age range.

For example, set the gestational age range of preterm infants with a gestational age of less than 37 weeks, the gestational age range of normal infants from 37 to 42 weeks, and the gestational age range of overage fetuses with a gestational age of more than 42 weeks. Suppose step 101 obtains the gestational age information of a newborn At this time, it is determined that the alarm gestational age range of the newborn is the alarm gestational age range of normal infants, that is, the target alarm gestational age range is 37 to 42 weeks. It can be understood that the setting of the alarm gestational age range can be adjusted according to the actual situation. For example, the alarm gestational age can be subdivided to obtain multiple different alarm gestational age ranges, and more detailed alarm configuration settings can be made according to the actual situation. It depends on the situation and is not limited here.

103. Determine target alarm configuration information corresponding to the target alarm gestational age range.

Corresponding alarm configuration information may be set for the alarm gestational age range in advance, and the corresponding relationship between the alarm gestational age range and the alarm configuration information may be one group or multiple groups. The corresponding relationship is used to indicate which alarm gestational age range can trigger the alarm monitoring mode obtained from which alarm configuration information. Based on at least one set of preset correspondences, corresponding alarm configuration information is determined for the target alarm gestational age range. For ease of description, the alarm configuration information determined according to the target alarm gestational age range may be referred to as target alarm configuration information.

It should be noted that different alarm configuration information should be set for different alarm gestational age ranges. For example, for a smaller gestational age range, newborns with weak constitution often have poor organ development and poor anti-risk ability. The alarm configuration information corresponding to the alarm gestational age range is set to be more sensitive, so that the medical staff can discover the possible danger in time and take better care of the newborn. In addition, the physiological indicators of newborns in different gestational age ranges are also quite different. The alarm setting in one gestational age range may be normal in another gestational age range, so it is necessary to set different alarm gestational age ranges. Corresponding alarm configuration information.

The correspondence between the alarm configuration information and the alarm gestational age range can be pre-stored in the medical monitoring device for quick search. It can be understood that the alarm configuration information can be preset by the staff, and the alarm configuration information set for the gestational age information of the newborn in a certain period of time can also be statistically analyzed and processed, and the corresponding alarms corresponding to each alarm gestational age range can be obtained by learning. Configuration information and the specific content of the alarm configuration information to realize the automatic setting of the alarm configuration information.

104. Load target alarm configuration information.

Load the target alarm configuration information to obtain the target alarm monitoring method about the newborn, and then use the target alarm monitoring method to perform alarm monitoring on the newborn. Specifically, the target alarm configuration information includes the parameter names of one or more vital sign parameters and the alarm threshold corresponding to the vital sign parameter, including but not limited to the alarm threshold of heartbeat frequency, the alarm threshold of blood oxygen saturation, the alarm threshold of blood pressure, etc. Wait. After loading the target alarm configuration information, the vital sign parameters of the newborn can be monitored. If the parameter value of a monitored vital sign parameter reaches the alarm threshold of the vital sign parameter, an alarm will be issued to realize the medical monitoring of the newborn. Purpose. Since there may be multiple neonates in the ward where medical monitoring equipment is used, the patient identification of the neonate, such as the bed number or name, can be sent to the medical staff when the alarm is issued, so that the medical staff can accurately determine the neonate with the alarm. It depends on the situation and is not limited here.

It can be seen from the above method embodiments that this solution obtains the gestational age information of the neonate, determines the alarm configuration information based on the alarm gestational age range corresponding to the neonatal gestational age information, and loads the alarm configuration information to obtain the alarm monitoring method for the neonate. Since different alarm gestational age ranges correspond to different alarm configuration information, the alarm configuration information is the alarm configuration information used by neonates that are more in line with the alarm gestational age range, so this solution can obtain information for the newborn based on the gestational age information of the neonate. The alarm monitoring method for infants improves the accuracy of neonatal monitoring and saves the operation of medical staff to manually adjust the alarm configuration.

Based on the above-mentioned embodiment corresponding to FIG. 1 , one gestational age range division is taken as an example to specifically describe how to set alarm configuration information of newborns with different gestational age ranges. Please refer to FIG. 2 for details, including steps 201-204.

201. Determine a target alarm gestational age range corresponding to the gestational age information.

For the specific acquisition method of gestational age information, reference may be made to step 101 in the corresponding embodiment of FIG. 1 , and the gestational age information of the newborn is acquired by manually inputting or scanning the patient identifier, which will not be repeated here. This plan uses three gestational age ranges as examples to illustrate. For example, gestational age less than 37 weeks corresponds to the gestational age range of preterm infants, gestational age between 37 weeks and 42 weeks corresponds to the gestational age range of full-term infants, and gestational age greater than 42 weeks corresponds to the gestational age range of overdue infants. It is worth noting that when setting the gestational age range, the gestational age included in different gestational age ranges can be adjusted according to the actual situation. In addition, it should be avoided that a gestational age belongs to two gestational age ranges at the same time to avoid Error or conflict in alarm setting based on gestational age range.

The corresponding target alarm gestational age range is determined based on the obtained gestational age information. Suppose, if the gestational age obtained in step 201 is less than 37 weeks, it is determined that the monitoring object corresponds to the gestational age range of preterm infants, then step 202 is executed to load the parameter names and alarm thresholds of the vital signs monitoring parameters corresponding to the gestational age range of preterm infants; if step 201 obtains If the gestational age is greater than or equal to 37 weeks and less than or equal to 42 weeks, it is determined that the monitoring object corresponds to the gestational age range of the term infant, and step 203 is executed to load the parameter name and alarm threshold of the vital sign monitoring parameters corresponding to the gestational age range of the term infant; If the age is greater than 42 weeks, it is determined that the monitoring object corresponds to the gestational age range of the overdue infant, and step 204 is executed to load the parameter name and alarm threshold of the vital sign monitoring parameters corresponding to the overdue infant gestational age range.

Because neonates of different gestational age ranges, such as preterm infants, tend to have poor organ development, and their sign monitoring parameter values are higher or lower than those of term infants and expired infants. The neonatal ward adopts the same set of alarm threshold settings by default. unreasonable. For example, for preterm infants with a gestational age of <36 weeks, the common range of HR is high, while the common ranges of blood oxygen saturation SpO2 and blood pressure BP are low.

202. Load the parameter name of the vital sign monitoring parameter corresponding to the gestational age range of the premature infant and the alarm threshold corresponding to the vital sign monitoring parameter.

If the obtained gestational age of the newborn belongs to the gestational age range of preterm infants, the parameter name of the vital sign monitoring parameter corresponding to the gestational age range of the premature infant and the alarm threshold corresponding to the vital sign monitoring parameter are loaded. Specifically, the parameter of the vital sign monitoring parameter is loaded. It is called the types of vital signs monitoring parameters that need to be used for monitoring premature infants, such as: heart rate, blood oxygen saturation, blood pressure and other parameters. Each vital sign monitoring parameter has a preset alarm threshold, which is specific for each monitoring parameter. If the parameter value of a certain type of vital sign monitoring parameter reaches the alarm threshold, the medical monitoring device will trigger an alarm to notify the medical staff that an abnormal condition may occur.

It can be understood that the gestational age range of preterm infants may also include multiple gestational age sub-ranges, and for the same vital sign monitoring parameter, the alarm thresholds corresponding to the multiple different gestational age sub-ranges included in the gestational age range of preterm infants are inconsistent. For example, although the 35-week gestational age neonates and the 23-week gestational age neonates belong to the same gestational age range of preterm infants, the vital signs of the 23-week gestational age neonates are significantly different from those of the 35-week gestational age neonates. The alarm thresholds of vital signs monitoring parameters corresponding to neonates with a gestational age of 30 weeks are subdivided accordingly, that is, further gestational age sub-range settings are performed for neonates belonging to the gestational age range of preterm infants, including those with a gestational age of less than 23 weeks. range, sub-range for gestational age 23 to 32 weeks, and sub-range for gestational age greater than 32 weeks. Each sub-range has different numerical settings for the alarm threshold corresponding to each vital sign monitoring parameter, thereby making the alarm action more detailed and sensitive, and more in line with the monitoring needs of newborns in different situations, specific gestational age sub-range and gestational age range The alarm threshold can be determined according to the actual situation, which is not limited here.

203. Load the parameter name of the vital sign monitoring parameter corresponding to the gestational age range of the term infant and the alarm threshold corresponding to the vital sign monitoring parameter.

If the obtained gestational age of the newborn belongs to the gestational age range of the term infant, the parameter name of the vital sign monitoring parameter corresponding to the gestational age range of the term infant and the alarm threshold corresponding to the vital sign monitoring parameter are loaded. It can be understood that multiple gestational age sub-ranges can also be included under the gestational age range of full-term infants, so that the alarm threshold can be adjusted based on the gestational age of the monitored object, that is, for the same vital sign monitoring parameters, term infants can The alarm thresholds corresponding to a plurality of different gestational age sub-ranges included in the gestational age range are inconsistent, and the specific setting method is similar to the setting method in the above step 202, which will not be repeated here.

204. Load the parameter name of the vital sign monitoring parameter corresponding to the gestational age range of the overdue infant and the alarm threshold corresponding to the vital sign monitoring parameter.

If the obtained gestational age of the newborn belongs to the gestational age range of the overdue infant, load the parameter name of the vital sign monitoring parameter corresponding to the gestational age range of the overdue infant and the alarm threshold corresponding to the vital sign monitoring parameter. It can be understood that multiple gestational age sub-ranges can also be included under the gestational age range of overdue infants, so that the alarm threshold can be adjusted based on the gestational age of the monitored object, that is, for the same vital sign monitoring parameters, overdue infants and fetuses can be adjusted. The alarm thresholds corresponding to a plurality of different gestational age sub-ranges included in the age range are inconsistent, and the specific setting method is similar to the setting method in the above step 202, and will not be repeated here.

It can be seen from the above description that this solution obtains the gestational age information of the neonate, and determines the alarm configuration information based on the alarm gestational age range corresponding to the neonatal gestational age information. The gestational age range and the gestational age range of overdue babies, the alarm configuration information corresponding to each gestational age range is set separately for the situation, so that the alarm configuration information is more in line with the alarm configuration information used by the newborns in the alarm gestational age range. Therefore, in this solution, an alarm monitoring method for the newborn can be obtained based on the gestational age information of the newborn, the accuracy of the newborn monitoring is improved, and the operation of manually adjusting the alarm configuration of the medical staff is saved.

It should be noted that the above-mentioned embodiments of the method for setting various medical monitoring methods applied to neonates can be adapted to monitoring objects of other age groups, such as children or adults. Taking a child as an example, the alarm age range can be divided into 1-6 years old and 6-12 years old. Taking an adult as an example, the alarming age range can be divided into 80-90 years old and more than 90 years old. Of course, according to actual monitoring requirements, the numerical value for dividing the alarm age range may be other, and the number of divisions for the alarm age range may also be other, which is not specifically limited here. It should be noted that the alarm configuration information corresponding to different alarm age ranges is different, so that different alarm configuration information can be set for different age ranges, and then different alarm monitoring methods are used to perform alarm monitoring on monitoring objects in different age ranges.

Further, not only gestational age can be extended to age, but also age parameters can be extended to other characteristic information, such as gender, height, weight, body fat percentage, standard body mass index, medical history, family history, biochemical monitoring items, vital signs Any one or more of measurement values, diagnostic information, treatment information, abnormal events, etc., and determine which type of object the monitoring object belongs to according to the multi-dimensional feature information, so as to provide targeted monitoring for the monitoring object in the future . Further, the targeted monitoring method is not only limited to alarming, but can also be extended to other medical monitoring methods, such as displaying different forms of monitoring interfaces for monitoring objects with different characteristics to facilitate medical staff to view the interface content in a targeted manner. Not only can the monitoring objects be configured differently in terms of alarm, but also be configured differently from other aspects such as the display interface, so that the setting method of the medical monitoring method provided by the present application has higher usability and wider application range.

The embodiment of the present application provides a method for setting a medical monitoring mode. For details, please refer to FIG. 3 , including steps 301 to 304 .

301. Obtain feature information of at least one dimension of the monitoring object.

Specifically, the characteristic information may include patient information and vital sign monitoring parameters, wherein the patient information may be entered when the patient is admitted to the hospital, such as age, gender, family history, treatment information and abnormal events, as well as the doctor's diagnosis of the patient results, etc. The dimension of vital signs monitoring parameters may include information obtained by monitoring equipment, such as: height, weight, body fat percentage, standard body mass index, medical history, family history, diagnostic information, treatment information (such as medication type and dosage, special treatment) and abnormal events (such as myocardial infarction, cardiopulmonary resuscitation within the last 24 hours). The vital signs monitoring parameters are obtained by medical equipment, such as biochemical monitoring items, vital signs measurement values and other information. It can be obtained by direct monitoring of equipment such as hospital beds, or it can be networked with other medical systems and obtained from other medical systems, such as electronic medical record system, doctor's order system, etc., or obtained through the input device of medical monitoring equipment, such as manual input by medical personnel or It is obtained by scanning the patient identification with a scanning device, and the specific obtaining method may be determined according to the actual situation, which is not limited here. It can be understood that, in the actual implementation process of this solution, the type of feature information can be adjusted according to the actual situation, which is not specifically limited here.

302. Determine target monitoring conditions corresponding to the feature information.

Specifically, the corresponding relationship (mapping relationship) between the feature information and the monitoring conditions may be preset. Monitoring conditions refer to conditions that can trigger certain monitoring configuration information. For example, if a hypertensive patient needs to use a certain blood pressure alarm threshold, then hypertension can be regarded as a monitoring condition; another example is a patient who has experienced a myocardial infarction event. More types of arrhythmia alarms need to be turned on and the prompt level of arrhythmia alarms needs to be increased, then the myocardial infarction event can be considered as a monitoring condition; for another example, for patients who have recently suffered shock, medical staff are more concerned about the monitoring interface. According to the display content of this parameter of ECG waveform, the shock event can be regarded as a monitoring condition. Of course, this is just an example, and various other types of conditions that need special attention can be set as monitoring conditions according to actual application requirements. It should be noted that, since this embodiment is not limited to the type of monitoring that alarms are performed, the monitoring conditions may include not only the alarm conditions that trigger the alarm, but also other types of conditions, such as certain events that medical staff are concerned about. As a monitoring condition, monitoring configuration information corresponding to the event of interest is triggered.

It should be noted that whether the monitoring object has a special situation corresponding to a monitoring condition can be determined according to the characteristic information of the monitoring object, so the corresponding relationship between the characteristic information and the monitoring condition is preset. For example, if the diagnosis information includes hypertension, it is determined that the patient belongs to a hypertensive patient; if the treatment information includes the use of cardiopulmonary resuscitation equipment, it is determined that the patient has experienced a shock event. This step is the same as in the medical monitoring method applied to neonates, which is determined according to the gestational age information of the neonate to which alarm monitoring range it belongs to. monitoring conditions. That is, according to the characteristic information obtained in step 301, the monitoring condition corresponding to the characteristic information in step 301 is determined in the corresponding relationship between the characteristic information and the monitoring condition. For convenience of description, the monitoring condition may be referred to as a target monitoring condition. It should be noted that, in the actual implementation of this scheme, the same monitoring object can obtain multiple target monitoring conditions based on different types of characteristic information, so as to complete the monitoring of the monitoring object from different angles, which can be determined according to the actual situation, here Not limited.

303. Determine target monitoring configuration information corresponding to the target monitoring condition.

In the preset correspondence between at least one set of monitoring conditions and monitoring configuration information, the monitoring configuration information corresponding to the target monitoring condition is determined. For convenience of description, the determined monitoring configuration information may be referred to as target monitoring configuration information. The corresponding relationship is used to indicate which monitoring condition can trigger the monitoring method obtained from which monitoring configuration information. For example, if the monitoring condition is an alarm condition, it corresponds to the alarm configuration information, which means that the alarm condition can trigger the monitoring method obtained from the alarm configuration information. In another example, if the monitoring condition is a preset attention event, it corresponds to the interface configuration information, which means that the preset attention event can trigger a monitoring interface obtained from the interface configuration information.

After the target monitoring conditions are determined, the target monitoring configuration information set corresponding to the target monitoring conditions is obtained. The target monitoring configuration information can be input to the medical monitoring equipment by manual preset, or can be sorted and studied with the monitoring process of different patients. The learned results are used as target monitoring conditions. For example, if it is monitored that the patient's blood pressure continues to be too high, it can be determined that the patient is a hypertensive patient, and at the same time it is monitored that the medical staff for the patient has adjusted the various alarm thresholds of blood pressure, and then according to the long-term monitoring situation can learn Alarm thresholds such as high line threshold and low line threshold for blood pressure alarms of hypertensive patients. The specific settings can be made according to the actual situation, which is not limited here.

Exemplarily, the preset attention event may include a shock event, and for the shock event, the monitoring interface may be adjusted to a monitoring interface corresponding to a patient in shock. The interface is generally shown in Figure 4. Below the ECG waveform display area is the blood oxygen waveform display area, and below the blood oxygen waveform display area is the invasive blood pressure waveform display area. This monitoring interface can be used for monitoring general patients. However, for patients with shock, the fluctuation range of central venous pressure reflected in the invasive blood pressure waveform is extremely important for judging the state of the shock patient, so medical staff often adjust the invasive blood pressure waveform to the ECG during monitoring. Below the waveform, it is convenient to compare the amplitude and width of the waveform. Therefore, as shown in Figure 4, the monitoring interface is adjusted to increase the display area of the invasive blood pressure waveform. It can be seen that, in order to simplify the operation of medical staff, the embodiment of the present application automatically sets the monitoring interface displayed corresponding to the shock event, which improves the applicability of the solution.

304. Load the target monitoring configuration information to obtain the target monitoring mode about the monitoring object.

The determined target monitoring configuration information is loaded, and the monitoring object is monitored based on the monitoring configuration information. For example, the alarm configuration information includes monitoring items and alarm settings corresponding to the monitoring items. After the alarm configuration information is loaded, the monitoring objects are monitored to obtain the monitoring items in the alarm configuration information. Alarm settings, if the parameter value of a vital sign monitoring parameter reaches the alarm threshold corresponding to the parameter, an alarm will be issued, such as a prompt sound or a light flashing.

It can be seen from the description of the above technical solutions that this solution obtains the characteristic information of the monitoring object, determines the corresponding target monitoring conditions based on the characteristic information of the monitoring object, obtains the corresponding monitoring configuration information based on the target monitoring conditions, and loads the monitoring configuration information. For the target monitoring method of the monitoring object, since different feature information corresponds to different detection configuration information, the obtained detection configuration information is more in line with the actual situation of the monitoring object, and the accuracy of the monitoring method set for the monitoring object is improved. The operation of manually adjusting the alarm configuration by medical staff is saved.

Based on the above-mentioned embodiment corresponding to FIG. 3 , the present solution provides several more specific embodiments. For example, in FIG. 5 , the setting method of medical monitoring is described by taking several different situations of blood pressure as examples, and the method may specifically include steps 501 to 504 .

501. Determine a corresponding alarm condition according to the characteristic information of the monitoring object, where the alarm condition is a hypertensive patient, a normotensive patient or a hypotensive patient.

Wherein, the acquisition method of the feature information is as shown in the foregoing FIG. 3 corresponding to step 301 , and details are not repeated here. According to the characteristic information of the monitoring object, such as medical history information, diagnosis information, etc., determine the specific situation of the monitoring object. For example, based on the medical history information or diagnosis information, it can be determined that the monitoring object has hypertension symptoms or hypertensive diseases, and then the monitoring object is determined to be a hypertensive patient. The information or diagnosis information can confirm that the monitoring object has symptoms of hypotension or hypotensive disease, and the monitoring object is determined to be a hypotensive patient. patient.

If it is determined based on the feature information that the monitoring object is a hypertensive patient, load the alarm configuration information corresponding to the hypertensive patient, that is, perform step 502 to load the systolic blood pressure alarm threshold, diastolic blood pressure alarm threshold and average blood pressure alarm threshold corresponding to the hypertensive patient; The information determines that the monitoring object is a normal blood pressure patient, then load the alarm configuration information corresponding to the normal blood pressure patient, that is, execute step 503 to load the systolic blood pressure alarm threshold, diastolic blood pressure alarm threshold and average blood pressure alarm threshold corresponding to the normal blood pressure patient; If the object is a hypotensive patient, load the alarm configuration information corresponding to the hypotensive patient, that is, perform step 504 to load the systolic blood pressure alarm threshold, diastolic blood pressure alarm threshold and mean blood pressure alarm threshold corresponding to the hypotensive patient. It should be noted that, in order to achieve differential monitoring, with respect to at least one of the same monitoring items, the high-line threshold in the alarm thresholds of hypertensive patients is higher than the high-line threshold in the alarm thresholds of normotensive patients, and the alarm thresholds of hypotensive patients are in the high-line threshold. The low-line threshold for is lower than the low-line threshold in the alarm thresholds for normotensive patients.

502. Load the systolic blood pressure alarm threshold, the diastolic blood pressure alarm threshold and the mean blood pressure alarm threshold corresponding to the hypertensive patient.

503. Load the systolic blood pressure alarm threshold, the diastolic blood pressure alarm threshold and the mean blood pressure alarm threshold corresponding to the normal blood pressure patient.

504. Load the systolic blood pressure alarm threshold, the diastolic blood pressure alarm threshold and the mean blood pressure alarm threshold corresponding to the hypotensive patient.

The systolic blood pressure alarm threshold, the diastolic blood pressure alarm threshold and the mean blood pressure alarm threshold are the alarm configuration information. Load different alarm configuration information according to different blood pressure patients. It should be noted that the corresponding alarm thresholds for patients in different conditions should be different, so that the alarm thresholds conform to the actual conditions of the patients. Specifically, with respect to at least one of the same monitoring items, the high-line threshold in the alarm thresholds for hypertensive patients is higher than the high-line threshold in the alarm thresholds for normotensive patients, and the low-line threshold in the alarm thresholds for hypotensive patients is lower than normal The low-line threshold in the alarm thresholds for blood pressure patients. For example, for a hypertensive patient, the alarm thresholds can be set as: arterial blood pressure systolic blood pressure alarm high-line threshold is 180 mmHg, mean pressure alarm high-line threshold is 140 mmHg, diastolic blood pressure alarm high-line threshold is 90 mmHg, For normal patients, the high-line alarm threshold for arterial blood pressure is 160 mmHg for systolic blood pressure, 110 mmHg for mean blood pressure, and 90 mmHg for diastolic blood pressure. Among them, the high-line threshold setting of each alarm for hypertensive patients is higher than that for ordinary people, which is more in line with the actual situation of hypertensive patients and avoids unnecessary alarms. The specific values corresponding to each interval may be determined according to the actual situation, which is not limited here.

It can be understood that the alarm thresholds set for patients under various conditions may also have sub-range settings. For example, two sub-ranges are respectively set for patients with severe hypertension symptoms and patients with mild hypertension symptoms. A higher alarm threshold is set for more serious patients, and a lower alarm threshold is set for patients with milder symptoms, which can be adjusted according to the actual situation, which is not limited here.

Also as shown in FIG. 6 , a method for setting medical monitoring is described by taking whether a myocardial infarction event occurs as an example. As shown in FIG. 6 , the method embodiment may specifically include steps 601 to 603 .

601. Determine a corresponding alarm condition according to the characteristic information of the monitored object, where the alarm condition is occurrence of a myocardial infarction event or no myocardial infarction event.

Wherein, the acquisition method of the feature information is as shown in the foregoing FIG. 3 corresponding to step 301 , and details are not repeated here. According to the characteristic information of the monitoring object, such as medical history information, treatment information, diagnosis information, abnormal events, etc., it is determined whether the monitoring object has had a myocardial infarction event. If it is determined that the monitoring object has a myocardial infarction event, step 602 is executed to load the first number of arrhythmia events. alarm and set the prompt level of arrhythmia alarm. If it is identified that there is no myocardial infarction event in the medical history of the monitored object, step 603 is performed to load a second number of arrhythmia alarms and a prompt level of arrhythmia alarms.

602. Load a first number of arrhythmia alarms and set a prompt level of arrhythmia alarms.

603. Load a second quantity of arrhythmia alarms and set a prompt level of arrhythmia alarms.

It should be noted that because the clinic believes that some arrhythmia situations do not need to be dealt with in time, the medical staff will turn off the alarm switch corresponding to the situation. That is to say, if the monitoring object is not a patient with myocardial infarction, the alarms of some arrhythmia events are turned off, such as the alarm switch for premature ventricular contractions (PVC). The alarm switch may be turned off, but if the monitoring object is a patient with myocardial infarction, the arrhythmia alarm switch that was not turned on before needs to be turned on. In addition, the open arrhythmia alarm level will be increased, for example, medical staff can customize which arrhythmia alarm levels need to be increased. Therefore, the loaded alarm configuration information is different for a patient who has experienced a myocardial infarction event and a patient who has not experienced a myocardial infarction event.

Specifically, the first number of arrhythmia alarms is set for patients with myocardial infarction, and its alarm settings are more sensitive than those used by patients without myocardial infarction, so the first number is greater than the second number, that is, if monitoring If the subject has experienced a myocardial infarction event, more arrhythmia alarms will be turned on. Specifically, for example, the second number of arrhythmia alarms does not include the alarm for PVC or the alarm for the existence of PVC, but the prompt method is only text prompts, while for myocardial infarction For patients, the PVC alarm is turned on, and an audible signal or a light signal is used to alarm, so that the medical staff can find the situation in time and deal with it accordingly. For the same reference, the Bigeminy condition or Trigeminy condition or other types of arrhythmia alarms are turned on under certain circumstances but turned off under certain circumstances, which will not be repeated here. It can be understood that when the corresponding alarm configuration is performed for myocardial infarction patients, more detailed sub-interval settings can be set for myocardial infarction patients with different conditions. For example, more sensitive alarm settings can be set for myocardial infarction patients with more serious conditions. The specifics can be determined according to the actual situation, which is not limited here.

The second number of arrhythmia alarms is set for non-myocardial infarction patients. For details, please refer to the setting of arrhythmia alarms for normal people. Compared with the alarm settings for patients with myocardial infarction, it is better for non-myocardial infarction patients to alarm. Less, that is, the second number is smaller than the first number, some situations that need to be alarmed for patients with myocardial infarction may be normal phenomena or not cause too serious impact for patients without myocardial infarction, so it can be set to not be set for such situations. Alarm settings, or just text prompts, can be determined according to the actual situation, which is not limited here. In addition, the prompt level of the arrhythmia alarm corresponding to the myocardial infarction event and the non-myocardial infarction event is different, for example, the prompt level of the arrhythmia alarm corresponding to the myocardial infarction event will be higher.

As shown in FIG. 7 , the setting method of medical monitoring is described by taking whether there is a problem in the blood circulation system as an example. As shown in FIG. 7 , the method embodiment may specifically include steps 701 to 703 .

701. Determine a corresponding alarm condition according to the characteristic information of the monitored object, where the alarm condition is that there is a problem in the blood circulation system or there is no problem in the blood circulation system.

Wherein, the acquisition method of the feature information is as shown in the foregoing FIG. 3 corresponding to step 301 , and details are not repeated here. According to the characteristic information of the monitoring object, such as medical history information, treatment information, diagnosis information, abnormal events, etc., it is determined whether the monitoring object has problems in the blood circulation system, such as sepsis or shock and other diseases. If there is no disease related to the blood circulatory system in the patient's medical history, step 703 is executed to load the corresponding alarm level of the central venous pressure fluctuation amplitude. Second number of alarm levels.

702. Load the alarm corresponding to the central venous pressure, the intermediate alarm corresponding to the fluctuation range of the central venous pressure, and the advanced alarm corresponding to the fluctuation range of the central venous pressure.

703. Load an alarm corresponding to the central venous pressure.

Load the corresponding alarm configuration information based on the actual condition of the monitored object. If there is a problem with the patient's blood circulation system, at least three alarms are loaded: the intermediate alarm corresponding to the fluctuation range of central venous pressure (CVP), and the central venous pressure The advanced alarm corresponding to the fluctuation range; if the patient does not have problems with the blood circulation system, at least the alarm corresponding to the central venous pressure is loaded. It should be noted that, it can be seen from the comparison that different alarms are loaded in the embodiment of the present application for patients with problems in the blood circulatory system and patients with no problems in the blood circulatory system, and the former has two more alarm types than the latter, which are: The intermediate alarm corresponding to the central venous pressure fluctuation range and the advanced alarm corresponding to the central venous pressure fluctuation range.

For patients with blood circulation problems such as sepsis or shock, the fluctuation range of central venous pressure is of great significance for medical staff to determine the patient's status. During treatment, the doctor will record a group of patients before treatment. The baseline of signs, including the waveform amplitude and width of the central venous pressure, during treatment, the doctor will focus on the difference between the parameters of the central venous pressure during the treatment and the baseline of the signs. Generally speaking, the central venous pressure and the data before treatment A difference of 3 mmHg is already a more serious condition for patients with sepsis or shock, a difference of 5 mmHg is a very serious condition, and for patients with other circulatory disorders, this is a very serious condition. A difference of orders of magnitude will not have serious consequences, and no alarm processing is required.

Therefore, load intermediate alarms and advanced alarms corresponding to the central venous pressure fluctuation range. For example, an alarm with a central venous pressure fluctuation greater than 3 mmHg is an intermediate alarm, and an alarm with a central venous pressure fluctuation greater than 5 mmHg is a high-level alarm. It can be understood that, the above descriptions of 3 mmHg and 5 mmHg are only examples for easier explanation of the solution, and are not specifically limited here. Further, the difference between the intermediate alarm and the advanced alarm includes but is not limited to the following forms: the difference in the volume of the alarm sound, the difference in the color of the alarm prompt, and the difference in the area of the alarm display area.

In order to ensure the practical application and realization of the above method, the present application provides medical monitoring equipment. Medical monitoring equipment is medical equipment with monitoring functions, such as monitors, anesthesia machines with monitoring functions, and ventilators with monitoring functions.

Referring to FIG. 8 , a medical monitoring device includes: a memory 801 , a processor 802 and a medical accessory 803 .

The memory 801 is used to store at least one preset corresponding relationship between the alarm gestational age range and the alarm configuration information, and the corresponding relationship is used to indicate which alarm gestational age range can trigger the alarm monitoring mode obtained from which alarm configuration information ;

The processor 802 is configured to obtain the gestational age information of the newborn, and determine the target alarm gestational age range corresponding to the gestational age information; in the corresponding relationship between the at least one group of alarm gestational age ranges and the alarm configuration information, determine the target alarm gestational age range corresponding to the gestational age information; The target alarm configuration information corresponding to the target alarm gestational age range is loaded; and the target alarm configuration information is loaded to obtain the target alarm monitoring mode for the newborn.

Of course, the medical monitoring device also includes medical accessories 803 for realizing medical functions. If the medical monitoring device is a specific medical device, the medical accessory is the specific accessory that realizes the medical device. If the medical monitoring device is a monitor, the medical accessory is the vital sign monitoring parameter sensor accessory; if the medical monitoring device is an anesthesia machine The medical accessory is then a medical accessory for achieving anesthesia, and so on.

In one embodiment, the medical monitoring device further includes an input device; the input device is used to obtain the gestational age information of the neonate input by the operator, or obtain the patient identification of the neonate;

The processor is configured to obtain the gestational age information of the neonate, and specifically includes: obtaining the gestational age information of the neonate obtained by the input device, or querying the database according to the patient identifier of the neonate obtained by the input device. information on the gestational age of the newborn.

In one embodiment, the medical monitoring device further includes an information collection device; the information collection device is used for scanning the obtained patient information of the newborn, or scanning and obtaining the patient identification of the newborn;

The processor is configured to obtain the gestational age information of the newborn, specifically including: obtaining the gestational age information of the newborn from the patient information of the newborn scanned by the information collection device, or scanning the information collection device The obtained patient identification is sent to a central monitoring station, a clinical information system, a hospital information system or an electronic medical record system to inquire about the gestational age information of the newborn.

In one embodiment, the alarm gestational age range includes: the gestational age range of preterm infants, the gestational age range of full-term infants, and the gestational age range of overdue infants; and the stored alarm configuration information includes: parameters of vital signs monitoring parameters name and the alarm threshold corresponding to the vital sign monitoring parameter; wherein for the same vital sign monitoring parameter, the alarm threshold corresponding to the gestational age range of the preterm infant is the same as the alarm threshold of the gestational age range of the term infant and the gestational age range of the overdue infant. Thresholds are inconsistent.

In one embodiment, each of the preterm gestational age ranges, term gestational age ranges, and late gestational age ranges stored in the memory includes a plurality of different gestational age subranges; wherein: monitoring for the same vital sign parameter, the alarm thresholds corresponding to multiple different gestational age sub-ranges included in the gestational age range of preterm infants are inconsistent; for the same vital sign monitoring parameter, the multiple different gestational age sub-ranges included in the gestational age range of full-term infants correspond to The alarm thresholds are inconsistent; for the same vital sign monitoring parameters, the alarm thresholds corresponding to multiple different gestational age sub-ranges included in the gestational age range of the overdue child are inconsistent.

In an embodiment, the medical monitoring device further includes an alarm unit, and the alarm unit is configured to: if the monitored parameter value of the vital sign parameter of the newborn reaches the alarm threshold, alarm.

In one embodiment, the processor is further configured to receive the alarm gestational age range, alarm configuration information, and the corresponding relationship between the alarm gestational age range and the alarm configuration information input by the operator, and send the alarm gestational age range, alarm configuration information, and The configuration information and the corresponding relationship between the alarm gestational age range and the alarm configuration information are stored in the memory.

In one embodiment, the processor is further configured to: obtain alarm configuration information set by the gestational age information of a plurality of newborns, perform statistical analysis on the alarm configuration information of the gestational age information of the plurality of newborns, and obtain at least An alarm gestational age range and alarm configuration information corresponding to the alarm gestational age range are stored, and the obtained alarm gestational age range and the alarm configuration information corresponding to the alarm gestational age range are stored in the memory.

In addition, the embodiment of the present application also provides a medical monitoring device, including:

a memory for storing a preset correspondence between at least one set of monitoring conditions and monitoring configuration information;

a processor for obtaining feature information of at least one dimension of the monitoring object; determining target monitoring conditions corresponding to the feature information; The target monitoring configuration information corresponding to the condition, the corresponding relationship is used to indicate what kind of monitoring condition can trigger the monitoring method obtained by what kind of monitoring configuration information; and loading the target monitoring configuration information to obtain the target about the monitoring object monitoring method.

In one embodiment, the characteristic information includes: patient information and/or vital sign monitoring parameters.

In one embodiment, the monitoring conditions stored in the memory include alarm conditions, the monitoring configuration information includes alarm configuration information, and the corresponding relationship between the alarm conditions and the alarm configuration information is used to indicate which alarm conditions can trigger the The alarm monitoring method for which alarm configuration information is obtained.

In one embodiment, the characteristic information acquired by the characteristic information acquisition device includes: age, gender, height, weight, body fat percentage, standard body mass index, medical history, family history, biochemical monitoring items, vital sign measurements, Any one or more of diagnostic information, treatment information, abnormal events.

In one embodiment, the alarm configuration information stored in the memory includes monitoring items and alarm settings corresponding to the monitoring items.

In one embodiment, the alarm condition stored in the memory includes a hypertensive patient, and the alarm configuration information corresponding to the hypertensive patient includes: an alarm threshold corresponding to systolic blood pressure, an alarm threshold corresponding to diastolic blood pressure, and an alarm threshold corresponding to mean pressure; The alarm conditions stored in the memory include normal blood pressure patients, and the alarm configuration information corresponding to the normal blood pressure patients includes: an alarm threshold corresponding to systolic blood pressure, an alarm threshold corresponding to diastolic blood pressure, and an alarm threshold corresponding to average pressure; the alarm conditions stored in the memory include: For hypotensive patients, the alarm configuration information corresponding to the hypotensive patient includes: the alarm threshold corresponding to the systolic blood pressure, the alarm threshold corresponding to the diastolic blood pressure, and the alarm threshold corresponding to the average pressure; wherein, for at least one same monitoring item, the alarm of the hypertensive patient is The high-line threshold in the thresholds is higher than the high-line threshold in the alarm thresholds for normotensive patients, and the low-line threshold in the alarm thresholds for hypotensive patients is lower than the low-line threshold in the alarm thresholds for normotensive patients.

In one embodiment, the alarm condition stored in the memory includes a myocardial infarction event, and the alarm configuration information corresponding to the myocardial infarction event includes: enabling a first number of arrhythmia alarms and setting a prompt level of arrhythmia alarms; The alarm condition includes no myocardial infarction event, and the alarm configuration information corresponding to the no myocardial infarction event includes: enabling the second number of arrhythmia alarms and setting the prompt level of the arrhythmia alarm; wherein, the myocardial infarction event and the arrhythmia corresponding to the no myocardial infarction event The prompt levels of the alarms are different, and the first number is greater than the second number.

In one embodiment, the alarm condition stored in the memory includes a patient with a problem in the blood circulation system, and the alarm configuration information corresponding to the patient with a problem in the blood circulation system includes: a first number of alarm levels corresponding to the central venous pressure fluctuation amplitude; The alarm conditions stored in the memory include patients with no problems in the blood circulation system, and the alarm configuration information corresponding to the patients with no problems in the blood circulation system includes: a second number of alarm levels corresponding to the central venous pressure fluctuation amplitude; wherein the first number is greater than second quantity.

In one embodiment, the monitoring conditions stored in the memory include a preset event of interest, the monitoring configuration information includes interface configuration information, and the corresponding relationship between the preset event of interest and the interface configuration information is used to indicate what kind of preset Set the monitoring interface obtained by what interface configuration information the concerned event can trigger.

In one embodiment, the processor is further configured to receive monitoring conditions, monitoring configuration information, and the corresponding relationship between monitoring conditions and monitoring configuration information input by the operator, and compare the monitoring conditions, monitoring configuration information, and monitoring conditions with the monitoring conditions. The corresponding relationship of the monitoring configuration information is stored in the memory; or, the processor is further configured to obtain the monitoring configuration information of the monitoring condition settings of multiple monitoring objects, and perform statistical analysis on the monitoring configuration information of the multiple monitoring conditions to obtain The corresponding relationship between the monitoring conditions and the monitoring configuration information is stored, and the obtained corresponding relationship between the monitoring conditions and the monitoring configuration information is stored in the memory.

A specific implementation product of the medical monitoring device may be a multi-parameter monitor, and a specific example of the multi-parameter monitor is shown in FIG. 9 .

The multi-parameter monitor has an independent housing, and the housing panel has a sensor interface area, which integrates a plurality of sensor interfaces for connecting with various external physiological sign parameter sensor accessories 911. The housing panel also includes a small LCD display area, display 918, input interface circuit 920 and alarm circuit 919 (such as LED alarm area) and so on. The parameter processing module is used for external communication and power interface for communicating with the host and taking power from the host. The parameter processing module also supports the extrapolation parameter module, which can form a plug-in monitor host by inserting the parameter module, as a part of the monitor, or can be connected to the host through a cable, and the extrapolation parameter module can be used as an external accessory of the monitor. In addition, the multi-parameter monitor includes a memory 917 for storing computer programs and various data required in the embodiment of the medical monitoring method setting method, such as alarm conditions and alarm configuration information corresponding to the alarm conditions, monitoring conditions and monitoring conditions corresponding to the monitoring conditions. configuration information, etc.

The internal circuit of the parameter processing module is placed in the casing, as shown in FIG. 9 , and includes a signal acquisition circuit 912 corresponding to at least two physiological sign parameters, a front-end signal processing circuit 913 and a main processor 915 .

The main processor 915 may implement each step related to data processing in the method for setting the medical monitoring mode provided by the above embodiments.

The signal acquisition circuit 912 can be selected from an electrocardiogram circuit, a breathing circuit, a body temperature circuit, a blood oxygen circuit, a non-invasive blood pressure circuit, an invasive blood pressure circuit, etc. Connected to the sensor accessories 911 corresponding to different physiological sign parameters, its output end is coupled to the front-end signal processor, the communication port of the front-end signal processor is coupled to the main processor, and the main processor is electrically connected to the external communication and power interface.

Various physiological sign parameter measurement circuits can use general circuits in the prior art. The front-end signal processor completes the sampling and analog-to-digital conversion of the output signal of the signal acquisition circuit, and outputs a control signal to control the measurement process of the physiological signal. These parameters include but are not. Limited to: ECG, respiration, body temperature, blood oxygen, non-invasive blood pressure and invasive blood pressure parameters.

The front-end signal processor can be implemented by a single-chip microcomputer or other semiconductor devices, and can also be implemented by an ASIC or FPGA. The front-end signal processor can be powered by an isolated power supply, and the sampled data is simply processed and packaged, and then sent to the main processor through the isolated communication interface. For example, the front-end signal processor circuit can be coupled to the main processor 915 through the isolated power supply and the communication interface 914. .

The reason why the front-end signal processor is powered by the isolated power supply is that the DC/DC power supply isolated by the transformer plays the role of isolating the patient and the power supply equipment. The main purposes are: 1. Isolate the patient and float the application part through the isolation transformer to make the The leakage current of the patient is small enough; 2. Prevent the voltage or energy in the application of defibrillation or electrosurgery from affecting the boards and devices of the intermediate circuit such as the main control board (guaranteed by creepage distance and electrical clearance).

The main processor completes the calculation of the physiological sign parameters, and sends the calculation results and waveforms of the parameters to the host (such as a host with a display, a PC, a central station, etc.) through the external communication and power interface. The external communication and power interface 916 can be used. It is one or a combination of the LAN interfaces composed of Ethernet, Token Ring, Token Bus, and FDDI as the backbone network of these three networks. It can be one or a combination of wireless interfaces such as infrared, bluetooth, wifi, and WMTS communication, or it can also be one or a combination of wired data connection interfaces such as RS232 and USB.

The external communication and power interface 916 may also be one or a combination of both wireless data transmission interfaces and wired data transmission interfaces. The host can be the host of the monitor, an electrocardiograph, an ultrasound diagnostic apparatus, a computer, or any other computer equipment. By installing the matching software, it can form a monitoring device. The host can also be a communication device, such as a mobile phone, and the parameter processing module sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface to realize remote data transmission.

Additionally, as understood by those skilled in the art, the principles herein may be reflected in a computer program product on a computer-readable storage medium preloaded with computer-readable program code. Any tangible, non-transitory computer-readable storage medium may be used, including magnetic storage devices (hard disks, floppy disks, etc.), optical storage devices (CD-ROMs, DVDs, Blu Ray disks, etc.), flash memory, and/or the like . These computer program instructions may be loaded on a general purpose computer, special purpose computer or other programmable data processing apparatus to form a machine such that execution of the instructions on the computer or other programmable data processing apparatus may generate means for implementing the specified functions. These computer program instructions may also be stored in a computer-readable memory that instructs a computer or other programmable data processing device to operate in a particular manner, such that the instructions stored in the computer-readable memory form a piece of Articles of manufacture, including implementing means for implementing specified functions. Computer program instructions may also be loaded on a computer or other programmable data processing device to perform a series of operational steps on the computer or other programmable device to produce a computer-implemented process such that a process executed on the computer or other programmable device Instructions may provide steps for implementing specified functions.

It should be noted that the various embodiments in this specification are described in a progressive manner, and each embodiment focuses on the differences from other embodiments. For the same and similar parts among the various embodiments, refer to each other Can.

It should also be noted that in this document, relational terms such as first and second are used only to distinguish one entity or operation from another, and do not necessarily require or imply those entities or operations There is no such actual relationship or order between them. Moreover, the terms "comprising", "comprising" or any other variation thereof are intended to encompass a non-exclusive inclusion such that a process, method, article or device that includes a list of elements includes not only those elements, but also includes not explicitly listed or other elements inherent to such a process, method, article or apparatus. Without further limitation, an element qualified by the phrase "comprising a..." does not preclude the presence of additional identical elements in a process, method, article or apparatus that includes the above-described element.

The above description of the disclosed embodiments enables any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein, but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims

A method for setting a medical monitoring mode, comprising:

Obtain the gestational age information of the newborn, and determine the target alarm gestational age range corresponding to the gestational age information;

Target alarm configuration information corresponding to the target alarm gestational age range is determined in at least one set of preset correspondence between the alarm gestational age range and the alarm configuration information, and the correspondence is used to indicate which alarm gestational age range can Trigger the alarm monitoring method from which alarm configuration information is obtained;

Loading the target alarm configuration information to obtain a target alarm monitoring mode for the newborn.
The method for setting a medical monitoring mode according to claim 1, wherein the step of obtaining the gestational age information of the newborn comprises:

obtain the gestational age information of the neonate entered by the operator; or,

Obtain the patient identification of the newborn, and query the gestational age information of the newborn according to the patient identification; or,

The gestational age information of the newborn is obtained from the patient information of the newborn scanned by the information collection device.
The method for setting a medical monitoring mode according to claim 2, wherein the step of obtaining the patient identification of the newborn, and querying the gestational age information of the newborn according to the patient identification, comprises:

Obtain the patient identification of the newborn entered by the operator, and query the gestational age information of the newborn according to the patient identification; or,

Obtain the patient identification of the newborn scanned by the information collection device, and send the patient identification to a central monitoring station, a clinical information system, a hospital information system or an electronic medical record system to inquire about the gestational age information of the newborn.
The method for setting a medical monitoring mode according to claim 1, wherein,

The alarm gestational age range includes: the gestational age range of preterm infants, the gestational age range of full-term infants, and the gestational age range of overdue infants;

The alarm configuration information includes: the parameter name of the vital sign monitoring parameter and the alarm threshold corresponding to the vital sign monitoring parameter;

Wherein for the same vital sign monitoring parameter, the alarm threshold value corresponding to the gestational age range of the preterm infant is inconsistent with the alarm threshold value of the gestational age range of the full-term infant and the gestational age range of the overdue infant.
The method for setting a medical monitoring mode according to claim 4, wherein,

The gestational age ranges for preterm infants, the gestational age ranges for full-term infants, and the gestational age ranges for overdue infants each include a plurality of different gestational age sub-ranges; wherein:

For the same vital sign monitoring parameter, the alarm thresholds corresponding to the multiple different gestational age sub-ranges included in the gestational age range of the preterm infant are inconsistent;

For the same vital sign monitoring parameter, the alarm thresholds corresponding to the multiple different gestational age sub-ranges included in the full-term gestational age range are inconsistent;

For the same vital sign monitoring parameter, the alarm thresholds corresponding to the multiple different gestational age sub-ranges included in the gestational age range of the overdue infant are inconsistent.
The method for setting a medical monitoring mode according to claim 4, further comprising:

If it is detected that the parameter value of the vital sign parameter of the newborn reaches the alarm threshold, an alarm is performed.
The method for setting a medical monitoring mode according to claim 1, wherein the correspondence between the alarm gestational age range and the alarm configuration information is set through the following steps:

Receive the alarm gestational age range, alarm configuration information and the corresponding relationship between the alarm gestational age range and the alarm configuration information input by the operator.
The method for setting a medical monitoring mode according to claim 1, wherein the correspondence between the alarm gestational age range and the alarm configuration information is set through the following steps:

Obtain the alarm configuration information set by the gestational age information of a plurality of newborns, perform statistical analysis on the alarm configuration information of the gestational age information of the plurality of newborns, and obtain at least one alarm gestational age range and the corresponding alarm gestational age range. Alarm configuration information.
A method for setting a medical monitoring mode, comprising:

Obtain feature information of at least one dimension of the monitoring object, and determine target monitoring conditions corresponding to the feature information;

In the preset correspondence between at least one set of monitoring conditions and monitoring configuration information, target monitoring configuration information corresponding to the target monitoring condition is determined, and the corresponding relationship is used to indicate which monitoring condition can trigger which monitoring configuration The way in which the information is obtained is monitored;

Loading the target monitoring configuration information to obtain a target monitoring mode about the monitoring object.
The method for setting a medical monitoring mode according to claim 9, wherein the characteristic information comprises: patient information and/or vital sign monitoring parameters.
The method for setting a medical monitoring mode according to claim 9, wherein,

The monitoring conditions include alarm conditions, the monitoring configuration information includes alarm configuration information, and the corresponding relationship between the alarm conditions and the alarm configuration information is used to indicate which alarm conditions can trigger the alarm monitoring obtained from which alarm configuration information. Way.
The method for setting a medical monitoring method according to claim 11, wherein the characteristic information includes: age, gender, height, weight, body fat percentage, standard body mass index, medical history, family history, biochemical monitoring items, Any one or more of vital sign measurements, diagnostic information, treatment information, abnormal events.
The method for setting a medical monitoring mode according to claim 11, wherein the alarm configuration information comprises: monitoring items and alarm settings corresponding to the monitoring items.
The method for setting a medical monitoring mode according to claim 13, wherein:

The alarm condition includes a hypertensive patient, and the alarm configuration information corresponding to the hypertensive patient includes: an alarm threshold corresponding to systolic blood pressure, an alarm threshold corresponding to diastolic blood pressure, and an alarm threshold corresponding to mean pressure;

The alarm condition includes a normal blood pressure patient, and the alarm configuration information corresponding to the normal blood pressure patient includes: an alarm threshold value corresponding to systolic blood pressure, an alarm threshold value corresponding to diastolic blood pressure, and an alarm threshold value corresponding to average blood pressure;

The alarm condition includes a hypotensive patient, and the alarm configuration information corresponding to the hypotensive patient includes: an alarm threshold corresponding to systolic blood pressure, an alarm threshold corresponding to diastolic blood pressure, and an alarm threshold corresponding to mean pressure;

Wherein, regarding at least one of the same monitoring items, the high-line threshold in the alarm thresholds of hypertensive patients is higher than the high-line threshold in the alarm thresholds of normotensive patients, and the low-line threshold in the alarm thresholds of hypotensive patients is lower than the normal blood pressure The low-line threshold in the patient's alarm thresholds.
The method for setting a medical monitoring mode according to claim 13, wherein:

The alarm condition includes a myocardial infarction event, and the alarm configuration information corresponding to the myocardial infarction event includes: enabling a first number of arrhythmia alarms and setting a prompt level of arrhythmia alarms;

The alarm condition includes no myocardial infarction event, and the alarm configuration information corresponding to the no myocardial infarction event includes: enabling a second number of arrhythmia alarms and setting a prompt level of arrhythmia alarms;

The prompt levels of the arrhythmia alarms corresponding to the myocardial infarction event and the no-myocardial infarction event are different, and the first number is greater than the second number.
The method for setting a medical monitoring mode according to claim 13, wherein:

The alarm condition includes a patient with a problem in the blood circulation system, and the alarm configuration information corresponding to the patient with a problem in the blood circulation system includes: an alarm corresponding to the central venous pressure, an intermediate alarm corresponding to the central venous pressure fluctuation range, and the central venous pressure fluctuation range. advanced alarm;

The alarm condition includes a patient with no problem in the blood circulation system, and the alarm configuration information corresponding to the patient with no problem in the blood circulation system includes: an alarm corresponding to the central venous pressure.
The method for setting a medical monitoring mode according to claim 9, wherein,

The monitoring conditions include preset attention events, the monitoring configuration information includes interface configuration information, and the corresponding relationship between the preset attention events and the interface configuration information is used to indicate which preset attention events can be triggered by which interface. The monitoring interface where the configuration information is obtained.
The method for setting a medical monitoring mode according to claim 9, wherein the corresponding relationship between the monitoring conditions and the monitoring configuration information is set by the following steps:

Receive monitoring conditions, monitoring configuration information, and the corresponding relationship between monitoring conditions and monitoring configuration information input by the operator; or,

Obtaining monitoring configuration information historically set for monitoring conditions of a plurality of monitoring objects, and performing statistical analysis on the monitoring configuration information of a plurality of the monitoring conditions to obtain a corresponding relationship between the monitoring conditions and the monitoring configuration information.
A medical monitoring device, characterized in that it includes:

a memory for storing a preset correspondence between at least one set of alarm gestational age ranges and alarm configuration information, where the correspondence is used to indicate which alarm gestational age range can trigger an alarm monitoring method obtained from which alarm configuration information;

a processor, configured to obtain the gestational age information of the newborn, and determine the target alarm gestational age range corresponding to the gestational age information; in the correspondence between the at least one group of alarm gestational age ranges and the alarm configuration information, determine target alarm configuration information corresponding to the target alarm gestational age range; and loading the target alarm configuration information to obtain a target alarm monitoring method for the newborn.
The medical monitoring device of claim 19, further comprising an input device;

an input device, configured to obtain the gestational age information of the newborn entered by the operator, or obtain the patient identification of the newborn;

The processor is used to obtain the gestational age information of the newborn, specifically including:

Obtain the gestational age information of the newborn obtained by the input device, or query the gestational age information of the newborn according to the patient identifier of the newborn obtained by the input device.
The medical monitoring device according to claim 19, further comprising an information collection device;

an information collection device, configured to scan and obtain the patient information of the neonate, or scan and obtain the patient identifier of the neonate;

The processor is used to obtain the gestational age information of the newborn, specifically including:

Obtain the gestational age information of the newborn from the patient information of the newborn scanned by the information collection device, or send the patient ID scanned by the information collection device to the central monitoring station, clinical information system, hospital information system or electronic medical record system to query the gestational age information of the newborn.
The medical monitoring device of claim 19, wherein:

The alarm gestational age range includes: the gestational age range of preterm infants, the gestational age range of full-term infants, and the gestational age range of overdue infants;

The alarm configuration information stored in the storage includes: the parameter name of the vital sign monitoring parameter and the alarm threshold corresponding to the vital sign monitoring parameter;

For the same vital sign monitoring parameters, the alarm threshold corresponding to the gestational age range of the preterm infant is inconsistent with the alarm threshold value of the gestational age range of the full-term infant and the gestational age range of the overdue infant.
The medical monitoring device of claim 22, wherein

The preterm gestational age range, the term gestational age range, and the extended gestational age range stored in the memory each include a plurality of different gestational age subranges; wherein:

For the same vital sign monitoring parameter, the alarm thresholds corresponding to the multiple different gestational age sub-ranges included in the gestational age range of the preterm infant are inconsistent;

For the same vital sign monitoring parameter, the alarm thresholds corresponding to the multiple different gestational age sub-ranges included in the full-term gestational age range are inconsistent;

For the same vital sign monitoring parameter, the alarm thresholds corresponding to the multiple different gestational age sub-ranges included in the gestational age range of the overdue infant are inconsistent.
The medical monitoring device of claim 22, further comprising an alarm unit;

An alarm unit, configured to issue an alarm if the monitored parameter value of the vital sign parameter of the newborn reaches the alarm threshold.
The medical monitoring device of claim 19, wherein:

The processor is also used to receive the alarm gestational age range, alarm configuration information and the corresponding relationship between the alarm gestational age range and the alarm configuration information input by the operator, and send the alarm gestational age range, alarm configuration information and alarm gestational age. The correspondence between the range and the alarm configuration information is stored in the memory.
The medical monitoring device of claim 19, wherein:

The processor is further configured to obtain alarm configuration information set by the gestational age information of a plurality of newborns, perform statistical analysis on the alarm configuration information of the gestational age information of the plurality of newborns, and obtain at least one alarm gestational age range and The alarm configuration information corresponding to the alarm gestational age range is stored, and the obtained alarm gestational age range and the alarm configuration information corresponding to the alarm gestational age range are stored in the memory.
A medical monitoring device, characterized in that it includes:

a memory for storing a preset correspondence between at least one set of monitoring conditions and monitoring configuration information, where the corresponding relationship is used to indicate which monitoring condition can trigger the monitoring method obtained from what kind of monitoring configuration information;

a processor for obtaining feature information of at least one dimension of the monitoring object; determining target monitoring conditions corresponding to the feature information; target monitoring configuration information corresponding to a condition; and loading the target monitoring configuration information to obtain a target monitoring mode about the monitoring object.
The medical monitoring device according to claim 27, wherein the characteristic information comprises: patient information and/or vital sign monitoring parameters.
The medical monitoring device according to claim 27, wherein the monitoring conditions stored in the memory include alarm conditions, the monitoring configuration information includes alarm configuration information, and the corresponding relationship between the alarm conditions and the alarm configuration information is determined by It is used to indicate which alarm condition can trigger the alarm monitoring method obtained from which alarm configuration information.
The medical monitoring device according to claim 29, wherein the feature information obtained by the feature information obtaining device comprises: age, gender, height, weight, body fat percentage, standard body mass index, medical history, family history, Any one or more of biochemical monitoring items, vital sign measurements, diagnostic information, treatment information, and abnormal events.
The medical monitoring device according to claim 29, wherein the alarm configuration information stored in the memory comprises: monitoring items and alarm settings corresponding to the monitoring items.
The medical monitoring device of claim 31, wherein

The alarm conditions stored in the memory include hypertensive patients, and the alarm configuration information corresponding to the hypertensive patients includes: an alarm threshold corresponding to systolic blood pressure, an alarm threshold corresponding to diastolic blood pressure, and an alarm threshold corresponding to average pressure;

The alarm conditions stored in the memory include normal blood pressure patients, and the alarm configuration information corresponding to the normal blood pressure patients includes: an alarm threshold value corresponding to systolic blood pressure, an alarm threshold value corresponding to diastolic blood pressure, and an alarm threshold value corresponding to average pressure;

The alarm conditions stored in the memory include hypotensive patients, and the alarm configuration information corresponding to the hypotensive patients includes: an alarm threshold corresponding to systolic blood pressure, an alarm threshold corresponding to diastolic blood pressure, and an alarm threshold corresponding to mean pressure;

Wherein, regarding at least one of the same monitoring items, the high-line threshold in the alarm thresholds of hypertensive patients is higher than the high-line threshold in the alarm thresholds of normotensive patients, and the low-line threshold in the alarm thresholds of hypotensive patients is lower than the normal blood pressure The low-line threshold in the patient's alarm thresholds.
The medical monitoring device of claim 31, wherein

The alarm conditions stored in the memory include myocardial infarction events, and the alarm configuration information corresponding to the myocardial infarction events includes: enabling a first number of arrhythmia alarms and setting a prompt level of arrhythmia alarms;

The alarm conditions stored in the memory include no myocardial infarction event, and the alarm configuration information corresponding to the no myocardial infarction event includes: enabling a second number of arrhythmia alarms and setting a prompt level of arrhythmia alarms;

The prompt levels of the arrhythmia alarms corresponding to the myocardial infarction event and the no-myocardial infarction event are different, and the first number is greater than the second number.
The medical monitoring device of claim 31, wherein

The alarm conditions stored in the memory include patients with problems in the blood circulation system, and the alarm configuration information corresponding to the patients with problems in the blood circulation system includes: an alarm corresponding to the central venous pressure, an intermediate alarm corresponding to the fluctuation amplitude of the central venous pressure, and the central venous pressure. The advanced alarm corresponding to the fluctuation range;

The alarm conditions stored in the memory include a patient with no problem in the blood circulation system, and the alarm configuration information corresponding to the patient with no problem in the blood circulation system includes an alarm corresponding to the central venous pressure.
The medical monitoring device according to claim 27, wherein the monitoring conditions stored in the memory include preset events of interest, the monitoring configuration information includes interface configuration information, and the preset events of interest and the interface configuration information The corresponding relationship of is used to indicate what kind of preset attention event can trigger the monitoring interface obtained from what kind of interface configuration information.
The medical monitoring device of claim 27, wherein:

The processor is further configured to receive the monitoring conditions, monitoring configuration information, and the corresponding relationship between the monitoring conditions and the monitoring configuration information input by the operator, and convert the monitoring conditions, the monitoring configuration information, and the corresponding relationship between the monitoring conditions and the monitoring configuration information. stored in memory; or,

The processor is further configured to obtain the monitoring configuration information of the monitoring condition settings of a plurality of monitoring objects, perform statistical analysis on the monitoring configuration information of the plurality of monitoring conditions, obtain the corresponding relationship between the monitoring conditions and the monitoring configuration information, and convert the monitoring conditions to the monitoring configuration information. The obtained correspondence between the monitoring conditions and the monitoring configuration information is stored in the memory.
A readable storage medium on which a computer program is stored, characterized in that, when the computer program is loaded and executed by a processor, the method for setting a medical monitoring mode according to any one of claims 1 to 18 is implemented.