WO2023024826A1 - Control method and system for patient controlled analgesia apparatus - Google Patents

Control method and system for patient controlled analgesia apparatus Download PDF

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WO2023024826A1
WO2023024826A1 PCT/CN2022/108806 CN2022108806W WO2023024826A1 WO 2023024826 A1 WO2023024826 A1 WO 2023024826A1 CN 2022108806 W CN2022108806 W CN 2022108806W WO 2023024826 A1 WO2023024826 A1 WO 2023024826A1
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single dose
pca
patient
dose
module
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PCT/CN2022/108806
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French (fr)
Chinese (zh)
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毛健
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巨翊科技(上海)有限公司
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/20Automatic syringes, e.g. with automatically actuated piston rod, with automatic needle injection, filling automatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31565Administration mechanisms, i.e. constructional features, modes of administering a dose
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/178Syringes
    • A61M5/31Details
    • A61M5/315Pistons; Piston-rods; Guiding, blocking or restricting the movement of the rod or piston; Appliances on the rod for facilitating dosing ; Dosing mechanisms
    • A61M5/31565Administration mechanisms, i.e. constructional features, modes of administering a dose
    • A61M5/31566Means improving security or handling thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/142Pressure infusion, e.g. using pumps
    • A61M2005/14208Pressure infusion, e.g. using pumps with a programmable infusion control system, characterised by the infusion program
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/33Controlling, regulating or measuring

Definitions

  • the invention relates to the technical field of medical devices, in particular to a control method and system for a patient-controlled analgesia device.
  • PCA Principal Controlled Analgesia, patient-controlled analgesia
  • This function only activates the PCA component when the patient feels pain to achieve a single infusion. It is used to alleviate the insufficient analgesia caused by individual differences.
  • the single infusion volume of each activation of the PCA by the patient is set and often fixed.
  • the patient's demand for a single infusion volume in different time periods changes, which may increase or decrease relative to the initial value; in addition, due to the effectiveness of the drug It takes a certain amount of time.
  • the drug takes effect, although the PCA infusion drug has been activated, the patient will continue to activate the PCA system due to pain because the drug has not yet taken effect, which will cause the patient to be dangerous due to overdose of drug infusion within a certain period of time.
  • the present invention provides a control method and system of a patient-controlled analgesia device.
  • the first aspect of the present invention provides a control method of a patient-controlled analgesia device, including:
  • R 1 and R 2 were compared and analyzed with the preset dose adjustment thresholds, and the PCA single dose was adjusted or not adjusted according to the comparison results.
  • the second aspect of the present invention provides a control method of a patient-controlled analgesia device, including:
  • Step S1 obtaining the initial single dose of PCA, the total dose of PCA and the single locking time;
  • Step S2 obtaining the setting parameters of single dose fixed cycle, single dose adjustment upper limit, single dose increase threshold, single dose increase rate, single dose decrease threshold, single dose decrease rate, analysis and calculation interval time;
  • Step S3 receiving an analgesic command signal from the user
  • Step S6 comparing and analyzing the values of R1 and R2 with the single dose increase threshold and the single dose decrease threshold respectively:
  • step S4 If it is not the case of (i) (ii), no adjustment is made, and after analyzing and calculating the interval time, repeat step S4, step S5, and step S6.
  • it also includes uploading, displaying and storing the adjustment records in each single dose fixed period in the terminal.
  • the single locking time is shorter than the single dose fixed period.
  • a third aspect of the present invention provides a control system for a patient-controlled analgesia device, including:
  • a preset module used to preset PCA dose and dose adjustment parameters
  • An information receiving module configured to receive an analgesic instruction signal from a user
  • the information processing module is used to process the user's analgesic command signal, compare the processing result with the preset PCA dose adjustment parameter, and adjust or not adjust the single PCA dose according to the comparison result;
  • the medicine delivery module is used for delivering medicine to the patient.
  • a fourth aspect of the present invention provides a control system for a patient-controlled analgesia device, including:
  • the first preset module is used to set the initial single dose of PCA, the total dose of PCA and the single locking time;
  • the second preset module is used to set a single dose fixed cycle, a single dose adjustment upper limit, a single dose increase threshold, a single dose increase rate, a single dose decrease threshold, a single dose decrease rate, and an analysis and calculation interval module;
  • An information receiving module configured to receive an analgesic instruction signal from a user
  • the drug delivery module is used to deliver the drug to the patient
  • the first information processing module is used to process the received analgesic command signal, and divide the user's analgesic command signal into a valid signal and an invalid signal;
  • the second information processing module is used to count the number of effective signals N 1 and the number of invalid signals N 2 in a single dose fixed period, and calculate the theoretical maximum effective number N 3 in a single dose fixed period, and then according to N 1 , N 2 , N 3 calculate the invalid signal rate R 1 and the effective signal rate R 2 , and conduct a comparative analysis with the single dose increase threshold and single dose decrease threshold, and adjust or not adjust the PCA single dose according to the comparison results.
  • control system further includes a user terminal module for receiving, displaying, and storing the adjustment records of each single dose within a fixed period.
  • the control method of the patient self-controlled analgesia device of the present invention calculates the theoretical maximum effective number N 3 by counting the number of effective signals N 1 and the number of invalid signals N 2 in the analgesic command signal; calculates the rate of invalid signals R 1 and effective rate signal rate R 2 , compare and analyze the values of R 1 and R 2 with the preset dose adjustment thresholds, and automatically adjust or not adjust the PCA single dose according to the comparison results. Thereby satisfying the change of the single infusion amount of the patient for different time periods.
  • the control system of the patient-controlled analgesic device of the present invention can set the word lock time, which ensures that the patient decides whether to press the button to request the drug after the drug takes effect, and avoids the patient feeling pain because the drug does not take effect and thus repeatedly pressing
  • the PCA dosing button requests dosing with the risk of overdose of the drug infused into the patient within a short period of time.
  • FIG. 1 is a schematic diagram of a control method of a patient-controlled analgesia device in an embodiment of the present invention.
  • a control system of a patient-controlled analgesia device in this embodiment includes a preset module, an information receiving module, an information processing module, and a drug delivery module.
  • the preset module is used for the medical staff to set the single dose of medicine infused by the patient-controlled analgesia device each time; and set the parameters for controlling and adjusting the single dose of medicine.
  • the information receiving module is used to receive the user's analgesic instruction signal; the input method of the patient's analgesic instruction signal can be a pressing method or a voice control method.
  • the information processing module is used to process the user's analgesic instruction signal received by the information receiving module, and compare the processing result with the preset parameters for controlling and adjusting the single dose of the drug, and adjust or not adjust the PCA follow-up according to the comparison result. A single dose administered.
  • the medicine delivery module is used for delivering medicine to the patient.
  • a control system of a patient-controlled analgesia device in this embodiment includes a first preset module, a second preset module, an information receiving module, a first information processing module, a second information processing module, and a drug delivery module.
  • the first preset module includes a PCA initial single dose setting module, a PCA total dose setting module, and a single locking time setting module.
  • the PCA initial single dose setting module is used for medical personnel to set a single dose of medicine for each infusion
  • the PCA total dose setting module is used for medical personnel to set the upper limit of the total dose of medicine required by the patient during the entire treatment process, so that the total dose of medicine delivered by the medicine delivery module will not exceed the upper limit of the total dose of medicine that the patient can bear, thereby avoiding the upper limit of the total dose of medicine that the patient can bear during the entire treatment process. Risk of drug overdose during treatment.
  • the single locking time setting module is used for medical personnel to set a single locking time. Since the medicine takes a certain amount of time to take effect after being infused into the human body, before the medicine takes effect, the patient may feel pain because the medicine does not take effect and thus often A single press of the PCA dosing button to request a dose poses a risk of overdose being infused into the patient shortly before the drug takes effect.
  • the single locking time is set by the medical staff according to the effective time of the drug, which is generally not less than the effective time of the drug. In a single lock time period, only the patient presses the drug delivery button for the first time, the drug delivery module will deliver the drug, and the patient's second and subsequent multiple presses of the drug delivery button will not cause the drug delivery module to deliver the drug to the patient.
  • the patient presses the drug delivery button again to make the drug delivery module deliver the medicine to the patient, thereby entering the next single lock time period. Pressing the dosing button a few times will not cause the drug delivery module to deliver the drug to the patient. and so on.
  • the setting of a single lock time ensures that the patient decides whether to press the button to request the drug after the drug takes effect, and avoids the short time caused by pressing the PCA drug delivery button multiple times to request the drug because the patient feels pain because the drug does not take effect Risk of overdose of the drug infused into the patient.
  • the second preset module includes a single dose fixed period setting module, a single dose adjustment upper limit setting module, a single dose increase threshold setting module, a single dose increase rate setting module, a single dose reduction threshold setting module, a single dose Dose reduction rate setting module, analysis and calculation interval module.
  • the single dose fixed cycle setting module is used for medical personnel to set a single dose fixed cycle.
  • the PCA initial single dose setting module of the first preset module can set an initial single administration dose.
  • the present invention sets a single dose fixed cycle through a single dose fixed cycle setting module, and every time the time of a single dose fixed cycle is passed, the single dose in the next single dose fixed cycle is performed. auto-adjust.
  • the single-dose fixed period is longer than the single-lock time, that is, a single-dose fixed period includes at least one single-lock time period.
  • the single dose adjustment upper limit setting module is used for medical staff to set the single dose adjustment upper limit, so as to ensure that the single dose in the next single dose fixed cycle does not exceed an upper limit value and ensure the safety of patients.
  • the single dose increase threshold setting module is used for medical personnel to set a single dose increase threshold, and the single dose increase threshold is used to compare with the analysis results of the second information processing module, so as to determine the next single dose fixed cycle Single dose adjustment method within.
  • the single dose increase rate setting module is used for medical personnel to set the single dose increase rate, and the single dose increase rate is used to calculate the single dose in the next single dose fixed period, that is, if the next single dose If a single dose needs to be increased in a fixed dose cycle, the increased amount of a single dose is obtained by multiplying the single dose in the last fixed cycle of a single dose by the set single dose increase rate.
  • the single dose reduction threshold setting module is used for medical personnel to set a single dose increase threshold, and the single dose reduction threshold is used to compare with the analysis results of the second information processing module, so as to determine the next single dose fixed cycle Single dose adjustment method within.
  • the single dose reduction rate setting module is used for medical staff to set the single dose reduction rate, and the single dose reduction rate is used to calculate the single dose in the next single dose fixed cycle, that is: if the next single dose If the single dose in the dose fixed cycle needs to be reduced, the reduction of the single dose is obtained by multiplying the single dose in the previous single dose fixed cycle by the set single dose reduction rate.
  • the analysis and calculation interval module is used to set the interval time for the second information processing module to statistically process the analgesic instruction signal.
  • the setting of the interval time can enable the system to respond to the analgesic command signal in time and make timely adjustments to meet the needs of patients. It also avoids the continuous calculation of the system and avoids unnecessary waste.
  • the information receiving module is used for receiving the patient's analgesia instruction signal.
  • the input mode of the patient's analgesic command signal can be a pressing mode or a voice control mode.
  • the drug delivery module is used to deliver drugs to a patient.
  • the first information processing module is used to process the received analgesic instruction signal, judge whether the analgesic instruction signal is a valid signal or an invalid signal, and if it is a valid signal, control the drug delivery module to deliver the drug; if it is an invalid signal, Then the drug delivery module does not deliver the drug;
  • the effective signal refers to the analgesic command signal received for the first time, and the first analgesic command signal received again after a single lock-in time since receiving the last valid signal; other accepted analgesic command signals
  • the signals are all invalid signals.
  • the second information processing module is used to count the number of effective signals N 1 and the number of invalid signals N 2 within a fixed period of a single dose, and calculate the theoretical maximum effective number N 3 within a fixed period of a single dose.
  • Theoretical maximum effective times N 3 single dose fixed period/single locking time.
  • step S5 If it is not the case of (i) (ii), no adjustment is made, and after analyzing and calculating the interval time, repeat step S5, step S6, and step S7.
  • the variation of the PCA single dose in the next single dose fixed cycle in (i) or (ii) is less than 0.5ml compared with the PCA single dose in the previous single dose fixed cycle, Adjust according to the amount of 0.5ml.
  • control system of a patient-controlled analgesia device in this embodiment further includes a user terminal module, which is used to receive, display, and store the adjustment records of each single dose within a fixed period.
  • a control method of a patient-controlled analgesia device in this embodiment includes:
  • Step S1 obtaining the initial single dose of PCA, the total dose of PCA and the single locking time;
  • Step S2 obtaining the setting parameters of single dose fixed cycle, single dose adjustment upper limit, single dose increase threshold, single dose increase rate, single dose decrease threshold, single dose decrease rate, analysis and calculation interval time;
  • Step S3 receiving an analgesic command signal from the user
  • Step S4 judging whether the user's analgesic instruction signal is a valid signal or an invalid signal; if it is a valid signal, control the drug delivery module to deliver medicine; if it is an invalid signal, the drug delivery module does not deliver medicine;
  • Step S7 comparing and analyzing the values of R1 and R2 with the single dose increase threshold and the single dose decrease threshold respectively:
  • step S5 If it is not the case of (i) (ii), no adjustment is made, and after analyzing and calculating the interval time, repeat step S5, step S6, and step S7.
  • the variation of the PCA single dose in the next single dose fixed cycle in (i) or (ii) compared with the PCA single dose in the previous single dose fixed cycle is less than 0.5ml, Adjust according to the amount of 0.5ml.
  • the medical personnel set the single dose of an anesthetic drug per infusion as 3ml, the upper limit of the total dose of the drug as 80ml, and the single locking time as 10min.
  • the medical personnel set the single dose fixed cycle as 2h, the single dose adjustment upper limit 6ml, the single dose increase threshold 40%, the single dose increase rate 20%, the single dose decrease threshold 40%, and the single dose increase threshold 40%.
  • the dose reduction rate was 20%, and the analysis and calculation interval was 5 minutes.
  • the drug delivery module delivers 3ml of drug to the patient, and at the same time the next 10 minutes Entering a single locking time period, that is, within the next 10 minutes, the analgesic command signals given by the patient pressing the PCA drug delivery button are all invalid signals, and the drug delivery module will not deliver drugs to the patient.
  • the second information processing module After an analysis and calculation interval of 5 minutes, the second information processing module re-counts the number of valid signals within the last 2 hours (that is, the 2 hours from 5 minutes after entering the first single dose fixed cycle to 5 minutes after the end of the first single dose fixed cycle) and the number of invalid signals, further calculate the invalid signal rate R 1 and the effective rate signal rate R 2 , and conduct a comparative analysis with the set single dose increase threshold and single dose decrease threshold, if the adjustment condition (i)(ii) is still not met ), it will not enter the next single dose fixed cycle, and no adjustment will occur.
  • the second information processing module After that, after every 5 minutes of analysis and calculation interval, the second information processing module re-counts the number of valid signals and the number of invalid signals in the last 2 hours, and further calculates the invalid signal rate R 1 and the effective signal rate R 2 , and compares them with the set single
  • the dose increase threshold and the single dose decrease threshold are comparatively analyzed until the whole condition (i)(ii) is met.
  • the second information processing module counts the last 2 hours again (that is, enters the first single-dose fixed cycle).
  • the second information processing module After another 2 hours, the second information processing module starts to count the number of valid signals and invalid signals in the last 2 hours, further calculates the invalid signal rate R 1 and the effective signal rate R 2 , and compares them with the set single dose increase threshold, single dose Do a comparative analysis of the dose reduction threshold, and make corresponding adjustments according to the adjustment conditions (i)(ii)(iii). and so on.
  • the application of the control system of a patient-controlled analgesia device in this embodiment also includes uploading, displaying, and storing the adjustment records in the fixed period of each single dose in the terminal.
  • the application of the control system of a patient-controlled analgesia device in this embodiment, compared with Embodiment 5, is different in that the single dose increase rate is set at 10%, which is adjusted according to the single dose increase rate (10%) If the variation of the single dose of PCA in a fixed cycle of single dose is less than 0.5ml, it is adjusted according to the amount of 0.5ml, that is, the single dose of PCA in the next fixed cycle of single dose is 3.5ml.

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Abstract

A control method for a patient controlled analgesia apparatus. The control method comprises: counting the instances N1 of valid signals from among analgesia instruction signals, and counting the instances N2 of invalid signals from among same; calculating an invalid signal ratio R1 and a valid signal ratio R2; respectively performing comparative analysis on the values of R1 and R2 with a preset dose adjustment threshold value; and according to a comparison result, adjusting or not adjusting a PCA single dose. A control system of a patient controlled analgesia apparatus. The control system comprises: a preset module, an information receiving module, an information processing module and a medicine delivery module. A PCA apparatus is intelligently adjusted according to a PCA situation of a user.

Description

[根据细则37.2由ISA制定的发明名称] 一种病人自控镇痛装置的控制方法及系统[Title of the invention established by the ISA under Rule 37.2] A control method and system for a patient-controlled analgesia device 技术领域technical field
本发明涉及医疗器械技术领域,具体涉及一种病人自控镇痛装置的的控制方法及系统。The invention relates to the technical field of medical devices, in particular to a control method and system for a patient-controlled analgesia device.
背景技术Background technique
目前,用于输注镇痛药物的电子输液泵一般都具有PCA(Patient Controlled Analgesia,病人自控镇痛)功能,该功能仅在病人感觉疼痛时由病人激活PCA组件实现一次单次量输注,用于缓解因个性化差异引起的镇痛不足。At present, electronic infusion pumps used for infusion of analgesic drugs generally have the function of PCA (Patient Controlled Analgesia, patient-controlled analgesia). This function only activates the PCA component when the patient feels pain to achieve a single infusion. It is used to alleviate the insufficient analgesia caused by individual differences.
但现有PCA系统使用过程中,病人每次激活PCA的单次输注量是设置好的,往往是固定不变的。但随着治疗过程的进行或者病人个体的差异,病人对于不同时间段的单次输注量的需求是变化的,可能相对于初始值增加,也可能相对于初始值减少;另外,由于药物生效需要一定时间,在药物生效前,虽然已经激活PCA输注药物,但因药物还未生效病人会因疼痛继续激活PCA系统,从而导致病人一定时间内因药物输注过量而导致危险。However, in the process of using the existing PCA system, the single infusion volume of each activation of the PCA by the patient is set and often fixed. However, with the progress of the treatment process or individual patient differences, the patient's demand for a single infusion volume in different time periods changes, which may increase or decrease relative to the initial value; in addition, due to the effectiveness of the drug It takes a certain amount of time. Before the drug takes effect, although the PCA infusion drug has been activated, the patient will continue to activate the PCA system due to pain because the drug has not yet taken effect, which will cause the patient to be dangerous due to overdose of drug infusion within a certain period of time.
发明内容Contents of the invention
为了解决以上不足,本发明提供了一种病人自控镇痛装置的的控制方法及系统。In order to solve the above disadvantages, the present invention provides a control method and system of a patient-controlled analgesia device.
本发明的具体技术方案如下:Concrete technical scheme of the present invention is as follows:
本发明的第一方面提供了一种病人自控镇痛装置的控制方法,包括:The first aspect of the present invention provides a control method of a patient-controlled analgesia device, including:
接收用户的镇痛指令信号;Receive the user's analgesic instruction signal;
统计镇痛指令信号中的有效信号次数N 1、无效信号次数N 2,并计算理论最大有效次数N 3Count the number of effective signals N 1 and the number of invalid signals N 2 in the analgesic command signal, and calculate the theoretical maximum effective number N 3 ;
计算无效信号率R 1和有效率信号率R 2,所述R 1=N 2/N 1,所述R 2=N 1/N 3Calculating the invalid signal rate R 1 and the effective signal rate R 2 , the R 1 =N 2 /N 1 , the R 2 =N 1 /N 3 ;
将R 1和R 2的值分别与预设的剂量调整阈值进行对比分析,根据对比结果调整或不调整PCA单次剂量。 The values of R 1 and R 2 were compared and analyzed with the preset dose adjustment thresholds, and the PCA single dose was adjusted or not adjusted according to the comparison results.
本发明的第二方面提供了一种病人自控镇痛装置的控制方法,包括:The second aspect of the present invention provides a control method of a patient-controlled analgesia device, including:
步骤S1、获取PCA初始单次剂量、PCA总剂量和单次锁定时间;Step S1, obtaining the initial single dose of PCA, the total dose of PCA and the single locking time;
步骤S2、获取单次剂量固定周期、单次剂量调整上限、单次剂量增加阈值、单次剂量增加率、单次剂量减少阈值、单次剂量减少率的设置参数、分析计算间隔时间;Step S2, obtaining the setting parameters of single dose fixed cycle, single dose adjustment upper limit, single dose increase threshold, single dose increase rate, single dose decrease threshold, single dose decrease rate, analysis and calculation interval time;
步骤S3、接收用户的镇痛指令信号;Step S3, receiving an analgesic command signal from the user;
步骤S4、统计一个单次剂量固定周期内的有效信号次数N 1、无效信号次数N 2,并计算一个单次剂量固定周期内的理论最大有效次数N 3,所述理论最大有效次数N 3=单次剂量固定周期/单次锁定时间; Step S4, counting the number of effective signals N 1 and the number of invalid signals N 2 within a single dose fixed period, and calculating the theoretical maximum effective number N 3 within a single dose fixed period, the theoretical maximum effective number N 3 = Single dose fixed cycle/single lock time;
步骤S5、根据N 1、N 2、N 3计算无效信号率R 1和有效率信号率R 2,所述R 1=N 2/N 1,所述R 2=N 1/N 3Step S5, calculating the invalid signal rate R 1 and the effective signal rate R 2 according to N 1 , N 2 , and N 3 , the R 1 =N 2 /N 1 , the R 2 =N 1 /N 3 ;
步骤S6、将R 1和R 2的值分别与单次剂量增加阈值、单次剂量减少阈值进行对比分析: Step S6, comparing and analyzing the values of R1 and R2 with the single dose increase threshold and the single dose decrease threshold respectively:
(ⅰ)若N 1>0,且R 1>单次剂量增加阈值,R 2>单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量增加率调整下一个单次剂量固定周期内的PCA单次剂量; (i) If N 1 >0, and R 1 >single dose increase threshold, R 2 >single dose decrease threshold, enter the next single dose fixed cycle, and adjust the next single dose according to the single dose increase rate A single dose of PCA within a dose-fixed cycle;
(ⅱ)若R 1<单次剂量增加阈值,有效率R 2<单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量减少率调整下一个单次剂量固定周期内的PCA单次剂量; (ii) If R 1 <single dose increase threshold, effective rate R 2 <single dose reduction threshold, enter the next single dose fixed cycle, and adjust the next single dose fixed cycle according to the single dose reduction rate A single dose of PCA;
(ⅲ)若非(ⅰ)(ⅱ)情况,则不进行调整,经过分析计算间隔时间后,重复步骤S4、步骤S5、步骤S6。(iii) If it is not the case of (i) (ii), no adjustment is made, and after analyzing and calculating the interval time, repeat step S4, step S5, and step S6.
所述(ⅰ)或(ⅱ)中的下一个单次剂量固定周期内的PCA单次剂量相较于前一个单次剂量固定周期内的PCA单次剂量的变化量小于0.5ml,则按0.5ml的量进行调整。If the variation of the PCA single dose in the next single dose fixed cycle in (i) or (ii) is less than 0.5ml compared with the PCA single dose in the previous single dose fixed cycle, then 0.5ml The amount of ml is adjusted.
优选的,还包括将各个单次剂量固定周期内的调整记录上传、显示、储存在终端。Preferably, it also includes uploading, displaying and storing the adjustment records in each single dose fixed period in the terminal.
优选的,所述单次锁定时间小于所述单次剂量固定周期。Preferably, the single locking time is shorter than the single dose fixed period.
本发明的第三方面提供了一种病人自控镇痛装置的控制系统,包括:A third aspect of the present invention provides a control system for a patient-controlled analgesia device, including:
预设模块,用于预设PCA剂量及剂量调整参数;A preset module, used to preset PCA dose and dose adjustment parameters;
信息接收模块,用于接收用户的镇痛指令信号;An information receiving module, configured to receive an analgesic instruction signal from a user;
信息处理模块,用于处理用户的镇痛指令信号,并将处理结果与预设的PCA剂量调整参数对比,跟据对比结果调整或不调整PCA单次剂量;The information processing module is used to process the user's analgesic command signal, compare the processing result with the preset PCA dose adjustment parameter, and adjust or not adjust the single PCA dose according to the comparison result;
药物输送模块,用于给病人输送药物。The medicine delivery module is used for delivering medicine to the patient.
本发明的第四方面提供了一种病人自控镇痛装置的控制系统,包括:A fourth aspect of the present invention provides a control system for a patient-controlled analgesia device, including:
第一预设模块,用于设置PCA初始单次剂量、PCA总剂量和单次锁定时间;The first preset module is used to set the initial single dose of PCA, the total dose of PCA and the single locking time;
第二预设模块,用于设置单次剂量固定周期、单次剂量调整上限、单次剂量增加阈值、单次剂量增加率、单次剂量减少阈值、单次剂量减少率、分析计算间隔模块;The second preset module is used to set a single dose fixed cycle, a single dose adjustment upper limit, a single dose increase threshold, a single dose increase rate, a single dose decrease threshold, a single dose decrease rate, and an analysis and calculation interval module;
信息接收模块,用于接收用户的镇痛指令信号;An information receiving module, configured to receive an analgesic instruction signal from a user;
药物输送模块,用于给病人输送药物;The drug delivery module is used to deliver the drug to the patient;
第一信息处理模块,用于处理接收的镇痛指令信号,将用户的镇痛指令信号分为有效信号和无效信号;The first information processing module is used to process the received analgesic command signal, and divide the user's analgesic command signal into a valid signal and an invalid signal;
第二信息处理模块,用于统计一个单次剂量固定周期内的有效信号次数N 1、无效信号次数N 2,并计算一个单次剂量固定周期内的理论最大有效次数N 3,然 后根据N 1、N 2、N 3计算无效信号率R 1和有效率信号率R 2,并与单次剂量增加阈值、单次剂量减少阈值进行对比分析,根据对比结果调整或不调整PCA单次剂量。 The second information processing module is used to count the number of effective signals N 1 and the number of invalid signals N 2 in a single dose fixed period, and calculate the theoretical maximum effective number N 3 in a single dose fixed period, and then according to N 1 , N 2 , N 3 calculate the invalid signal rate R 1 and the effective signal rate R 2 , and conduct a comparative analysis with the single dose increase threshold and single dose decrease threshold, and adjust or not adjust the PCA single dose according to the comparison results.
优选的,所述控制系统还包括用户终端模块,用于接收、显示、储存各个单次剂量固定周期内调整记录。Preferably, the control system further includes a user terminal module for receiving, displaying, and storing the adjustment records of each single dose within a fixed period.
3.有益效果3. Beneficial effect
采用本发明提供的技术方案,与现有技术相比,具有如下有益效果:Compared with the prior art, the technical solution provided by the invention has the following beneficial effects:
(1)本发明的病人自控镇痛装置的控制方法,通过统计镇痛指令信号中的有效信号次数N 1、无效信号次数N 2,并计算理论最大有效次数N 3;计算无效信号率R 1和有效率信号率R 2,将R 1和R 2的值分别与预设的剂量调整阈值进行对比分析,根据对比结果自动调整或不调整PCA单次剂量。从而满足病人对于不同时间段的单次输注量的变化。 (1) The control method of the patient self-controlled analgesia device of the present invention calculates the theoretical maximum effective number N 3 by counting the number of effective signals N 1 and the number of invalid signals N 2 in the analgesic command signal; calculates the rate of invalid signals R 1 and effective rate signal rate R 2 , compare and analyze the values of R 1 and R 2 with the preset dose adjustment thresholds, and automatically adjust or not adjust the PCA single dose according to the comparison results. Thereby satisfying the change of the single infusion amount of the patient for different time periods.
(2)本发明的病人自控镇痛装置的控制系统可以设置单词锁定时间,保证了病人在药物生效后再决定是否按压按钮请求给药,避免了病人因为药物未生效而感到疼痛从而多次按压PCA给药按钮请求给药带来的短时间内输注到病人的药物过量的风险。(2) The control system of the patient-controlled analgesic device of the present invention can set the word lock time, which ensures that the patient decides whether to press the button to request the drug after the drug takes effect, and avoids the patient feeling pain because the drug does not take effect and thus repeatedly pressing The PCA dosing button requests dosing with the risk of overdose of the drug infused into the patient within a short period of time.
(3)本发明的病人自控镇痛装置的控制系统间隔时间的设置,能够使系统及时的对镇痛指令信号做出反应并作出及时的调整,满足病人的需求。也避免了系统持续不断的进行计算,避免不必要的浪费。(3) The setting of the interval time of the control system of the patient-controlled analgesia device of the present invention enables the system to respond to the analgesic command signal in time and make timely adjustments to meet the needs of the patient. It also avoids the continuous calculation of the system and avoids unnecessary waste.
附图说明Description of drawings
图1为本发明一实施例中的病人自控镇痛装置的控制方法示意图。FIG. 1 is a schematic diagram of a control method of a patient-controlled analgesia device in an embodiment of the present invention.
具体实施方式Detailed ways
为了便于理解本发明,下面将参照相关附图对本发明进行更全面的描述, 附图中给出了本发明的若干实施例,但是,本发明可以以许多不同的形式来实现,并不限于本文所描述的实施例,相反地,提供这些实施例的目的是使对本发明的公开内容更加透彻全面。In order to facilitate understanding of the present invention, the present invention will be described more fully below with reference to the accompanying drawings, in which several embodiments of the present invention are shown, however, the present invention can be realized in many different forms, and is not limited to this text The described embodiments are, on the contrary, provided so that the disclosure of the invention will be thorough.
实施例1Example 1
本实施例的一种病人自控镇痛装置的控制系统,包括预设模块、信息接收模块、信息处理模块、药物输送模块。A control system of a patient-controlled analgesia device in this embodiment includes a preset module, an information receiving module, an information processing module, and a drug delivery module.
所述预设模块用于医务人员设置病人自控镇痛装置每次输注的药物单次剂量;以及设置用于控制调整药物单次剂量的参数。The preset module is used for the medical staff to set the single dose of medicine infused by the patient-controlled analgesia device each time; and set the parameters for controlling and adjusting the single dose of medicine.
信息接收模块,用于接收用户的镇痛指令信号;病人镇痛指令信号的输入方式可以是按压方式,也可以是语音控制方式。The information receiving module is used to receive the user's analgesic instruction signal; the input method of the patient's analgesic instruction signal can be a pressing method or a voice control method.
信息处理模块,用于处理信息接收模块接收到的用户的镇痛指令信号,并将处理结果与预设的用于控制调整药物单次剂量的参数对比,跟据对比结果调整或不调整PCA后续给药的单次剂量。The information processing module is used to process the user's analgesic instruction signal received by the information receiving module, and compare the processing result with the preset parameters for controlling and adjusting the single dose of the drug, and adjust or not adjust the PCA follow-up according to the comparison result. A single dose administered.
药物输送模块,用于给病人输送药物。The medicine delivery module is used for delivering medicine to the patient.
实施例2Example 2
本实施例的一种病人自控镇痛装置的控制系统,包括第一预设模块、第二预设模块、信息接收模块、第一信息处理模块、第二信息处理模块、药物输送模块。A control system of a patient-controlled analgesia device in this embodiment includes a first preset module, a second preset module, an information receiving module, a first information processing module, a second information processing module, and a drug delivery module.
所述第一预设模块包括PCA初始单次剂量设置模块、PCA总剂量设置模块、单次锁定时间设置模块。The first preset module includes a PCA initial single dose setting module, a PCA total dose setting module, and a single locking time setting module.
所述PCA初始单次剂量设置模块用于医务人员设置每次输注的药物单次剂量;The PCA initial single dose setting module is used for medical personnel to set a single dose of medicine for each infusion;
所述PCA总剂量设置模块用于医务人员设置整个治疗过程中病人所需要的 药物总剂量上限,使药物输送模块输送的药物总剂量不会超过病人能够承受的药物总剂量上限,从而避免在整个治疗过程中因药物使用过量带来的风险。The PCA total dose setting module is used for medical personnel to set the upper limit of the total dose of medicine required by the patient during the entire treatment process, so that the total dose of medicine delivered by the medicine delivery module will not exceed the upper limit of the total dose of medicine that the patient can bear, thereby avoiding the upper limit of the total dose of medicine that the patient can bear during the entire treatment process. Risk of drug overdose during treatment.
所述单次锁定时间设置模块用于医务人员设置单次锁定时间,由于药物输注到人体后需要一定的时间才会生效,在药物生效前,病人可能会因为药物未生效而感到疼痛从而多次按压PCA给药按钮请求给药,这会造成药物生效前短时间内输注到病人的药物过量,从而造成风险。单次锁定时间由医务人员根据药物生效时间设定,一般不少于药物生效时间。在一个单次锁定时间周期内,只有病人第一次按压给药按钮,才会使药物输送模块输送药物,病人第二次及之后多次的按压给药按钮都不会使药物输送模块输送药物给病人。超过单次锁定时间后,病人再次按压给药按钮,才会使药物输送模块输送药物给病人,从而进入下一个单次锁定时间周期,在单次锁定时间周期内,病人第二次及之后多次的按压给药按钮都不会使药物输送模块输送药物给病人。以此类推。The single locking time setting module is used for medical personnel to set a single locking time. Since the medicine takes a certain amount of time to take effect after being infused into the human body, before the medicine takes effect, the patient may feel pain because the medicine does not take effect and thus often A single press of the PCA dosing button to request a dose poses a risk of overdose being infused into the patient shortly before the drug takes effect. The single locking time is set by the medical staff according to the effective time of the drug, which is generally not less than the effective time of the drug. In a single lock time period, only the patient presses the drug delivery button for the first time, the drug delivery module will deliver the drug, and the patient's second and subsequent multiple presses of the drug delivery button will not cause the drug delivery module to deliver the drug to the patient. After exceeding the single lock time period, the patient presses the drug delivery button again to make the drug delivery module deliver the medicine to the patient, thereby entering the next single lock time period. Pressing the dosing button a few times will not cause the drug delivery module to deliver the drug to the patient. and so on.
单次锁定时间的设置,保证了病人在药物生效后再决定是否按压按钮请求给药,避免了病人因为药物未生效而感到疼痛从而多次按压PCA给药按钮请求给药带来的短时间内输注到病人的药物过量的风险。The setting of a single lock time ensures that the patient decides whether to press the button to request the drug after the drug takes effect, and avoids the short time caused by pressing the PCA drug delivery button multiple times to request the drug because the patient feels pain because the drug does not take effect Risk of overdose of the drug infused into the patient.
所述第二预设模块包括单次剂量固定周期设置模块、单次剂量调整上限设置模块、单次剂量增加阈值设置模块、单次剂量增加率设置模块、单次剂量减少阈值设置模块、单次剂量减少率设置模块、分析计算间隔模块。The second preset module includes a single dose fixed period setting module, a single dose adjustment upper limit setting module, a single dose increase threshold setting module, a single dose increase rate setting module, a single dose reduction threshold setting module, a single dose Dose reduction rate setting module, analysis and calculation interval module.
所述单次剂量固定周期设置模块用于医务人员设置单次剂量固定周期。第一预设模块的PCA初始单次剂量设置模块可以设置初始的单次给药剂量。但随着治疗过程的进行或者因病人个体的差异,病人对于之后不同时间段的单次输注量的需求是变化的,可能相对于初始值增加,也可能相对于初始值减少。为了解决这一问题,本发明通过单次剂量固定周期设置模块来设置单次剂量固定 周期,每经过一次单次剂量固定周期的时间,则对下一个单次剂量固定周期内的单次剂量进行自动调整。所述单次剂量固定周期大于单次锁定时间,即在一个单次剂量固定周期内,至少包括一个单次锁定时间周期。The single dose fixed cycle setting module is used for medical personnel to set a single dose fixed cycle. The PCA initial single dose setting module of the first preset module can set an initial single administration dose. However, with the progress of the treatment process or due to individual patient differences, the patient's demand for a single infusion volume in different time periods thereafter may change, which may increase or decrease relative to the initial value. In order to solve this problem, the present invention sets a single dose fixed cycle through a single dose fixed cycle setting module, and every time the time of a single dose fixed cycle is passed, the single dose in the next single dose fixed cycle is performed. auto-adjust. The single-dose fixed period is longer than the single-lock time, that is, a single-dose fixed period includes at least one single-lock time period.
所述单次剂量调整上限设置模块用于医务人员设置单次剂量调整上限,从而保证下一个单次剂量固定周期内的单次剂量不超一个上限值,保证病人的安全。The single dose adjustment upper limit setting module is used for medical staff to set the single dose adjustment upper limit, so as to ensure that the single dose in the next single dose fixed cycle does not exceed an upper limit value and ensure the safety of patients.
所述单次剂量增加阈值设置模块用于医务人员设置单次剂量增加阈值,所述单次剂量增加阈值用于与第二信息处理模块的分析结果进行对比,从而决定下一个单次剂量固定周期内的单次剂量调整方式。The single dose increase threshold setting module is used for medical personnel to set a single dose increase threshold, and the single dose increase threshold is used to compare with the analysis results of the second information processing module, so as to determine the next single dose fixed cycle Single dose adjustment method within.
所述单次剂量增加率设置模块用于医务人员设置单次剂量增加率,所述单次剂量增加率用于计算下一个单次剂量固定周期内的单次剂量,即,如果下一个单次剂量固定周期内的单次剂量需要增加,则单次剂量的增加量由上一个单次剂量固定周期内的单次剂量乘以设置的单次剂量增加率得到。The single dose increase rate setting module is used for medical personnel to set the single dose increase rate, and the single dose increase rate is used to calculate the single dose in the next single dose fixed period, that is, if the next single dose If a single dose needs to be increased in a fixed dose cycle, the increased amount of a single dose is obtained by multiplying the single dose in the last fixed cycle of a single dose by the set single dose increase rate.
所述单次剂量减少阈值设置模块用于医务人员设置单次剂量增加阈值,所述单次剂量减少阈值用于与第二信息处理模块的分析结果进行对比,从而决定下一个单次剂量固定周期内的单次剂量调整方式。The single dose reduction threshold setting module is used for medical personnel to set a single dose increase threshold, and the single dose reduction threshold is used to compare with the analysis results of the second information processing module, so as to determine the next single dose fixed cycle Single dose adjustment method within.
所述单次剂量减少率设置模块用于医务人员设置单次剂量减少率,所述单次剂量减少率用于计算下一个单次剂量固定周期内的单次剂量,即:如果下一个单次剂量固定周期内的单次剂量需要减少,则单次剂量的减少量由上一个单次剂量固定周期内的单次剂量乘以设置的单次剂量减少率得到。The single dose reduction rate setting module is used for medical staff to set the single dose reduction rate, and the single dose reduction rate is used to calculate the single dose in the next single dose fixed cycle, that is: if the next single dose If the single dose in the dose fixed cycle needs to be reduced, the reduction of the single dose is obtained by multiplying the single dose in the previous single dose fixed cycle by the set single dose reduction rate.
所述分析计算间隔模块用于设置第二信息处理模块统计处理镇痛指令信号的间隔时间。间隔时间的设置,能够使系统及时的对镇痛指令信号做出反应并作出及时的调整,满足病人的需求。也避免了系统持续不断的进行计算,避免 不必要的浪费。The analysis and calculation interval module is used to set the interval time for the second information processing module to statistically process the analgesic instruction signal. The setting of the interval time can enable the system to respond to the analgesic command signal in time and make timely adjustments to meet the needs of patients. It also avoids the continuous calculation of the system and avoids unnecessary waste.
所述信息接收模块用于接受病人的镇痛指令信号。病人镇痛指令信号的输入方式可以是按压方式,也可以是语音控制方式。The information receiving module is used for receiving the patient's analgesia instruction signal. The input mode of the patient's analgesic command signal can be a pressing mode or a voice control mode.
所述药物输送模块用于给病人输送药物。The drug delivery module is used to deliver drugs to a patient.
所述第一信息处理模块,用于处理接收的镇痛指令信号,判断所述镇痛指令信号是有效信号还是无效信号,若为有效信号,则控制药物输送模块输送药物,若为无效信号,则药物输送模块不输送药物;The first information processing module is used to process the received analgesic instruction signal, judge whether the analgesic instruction signal is a valid signal or an invalid signal, and if it is a valid signal, control the drug delivery module to deliver the drug; if it is an invalid signal, Then the drug delivery module does not deliver the drug;
所述有效信号是指第一次接收到的镇痛指令信号,以及自接受到上一个有效信号起,经过单次锁定时间之后再次接受的第一个镇痛指令信号;其它接受的镇痛指令信号均为无效信号。The effective signal refers to the analgesic command signal received for the first time, and the first analgesic command signal received again after a single lock-in time since receiving the last valid signal; other accepted analgesic command signals The signals are all invalid signals.
所述第二信息处理模块,用于统计一个单次剂量固定周期内的有效信号次数N 1、无效信号次数N 2,并计算一个单次剂量固定周期内的理论最大有效次数N 3,所述理论最大有效次数N 3=单次剂量固定周期/单次锁定时间。 The second information processing module is used to count the number of effective signals N 1 and the number of invalid signals N 2 within a fixed period of a single dose, and calculate the theoretical maximum effective number N 3 within a fixed period of a single dose. Theoretical maximum effective times N 3 =single dose fixed period/single locking time.
然后根据N 1、N 2、N 3计算无效信号率R 1和有效率信号率R 2,所述无效信号率R 1=N 2/N 1,所述有效率信号率R 2=N 1/N 3Then calculate the invalid signal rate R 1 and the effective signal rate R 2 according to N 1 , N 2 , and N 3 , the invalid signal rate R 1 =N 2 /N 1 , the effective signal rate R 2 =N 1 / N 3 .
将R 1和R 2的值分别与单次剂量增加阈值、单次剂量减少阈值进行对比分析: The values of R 1 and R 2 were compared with the single dose increase threshold and the single dose decrease threshold respectively:
(ⅰ)若N 1>0,且R 1>单次剂量增加阈值,R 2>单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量增加率调整下一个单次剂量固定周期内的PCA单次剂量; (i) If N 1 >0, and R 1 >single dose increase threshold, R 2 >single dose decrease threshold, enter the next single dose fixed cycle, and adjust the next single dose according to the single dose increase rate A single dose of PCA within a dose-fixed cycle;
(ⅱ)若R 1<单次剂量增加阈值,有效率R 2<单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量减少率调整下一个单次剂量固定周期内的PCA单次剂量; (ii) If R 1 <single dose increase threshold, effective rate R 2 <single dose reduction threshold, enter the next single dose fixed cycle, and adjust the next single dose fixed cycle according to the single dose reduction rate A single dose of PCA;
(ⅲ)若非(ⅰ)(ⅱ)情况,则不进行调整,经过分析计算间隔时间后,重复步 骤S5、步骤S6、步骤S7。(iii) If it is not the case of (i) (ii), no adjustment is made, and after analyzing and calculating the interval time, repeat step S5, step S6, and step S7.
进一步的,所述(ⅰ)或(ⅱ)中的下一个单次剂量固定周期内的PCA单次剂量相较于前一个单次剂量固定周期内的PCA单次剂量的变化量小于0.5ml,则按0.5ml的量进行调整。Further, the variation of the PCA single dose in the next single dose fixed cycle in (i) or (ii) is less than 0.5ml compared with the PCA single dose in the previous single dose fixed cycle, Adjust according to the amount of 0.5ml.
实施例3Example 3
本实施例的一种病人自控镇痛装置的控制系统,与实施例2相比,还包括用户终端模块,所述用户终端模块用于接收、显示、储存各个单次剂量固定周期内调整记录。Compared with Embodiment 2, the control system of a patient-controlled analgesia device in this embodiment further includes a user terminal module, which is used to receive, display, and store the adjustment records of each single dose within a fixed period.
实施例4Example 4
参照附图1,本实施例的一种病人自控镇痛装置的控制方法,包括:Referring to accompanying drawing 1, a control method of a patient-controlled analgesia device in this embodiment includes:
步骤S1、获取PCA初始单次剂量、PCA总剂量和单次锁定时间;Step S1, obtaining the initial single dose of PCA, the total dose of PCA and the single locking time;
步骤S2、获取单次剂量固定周期、单次剂量调整上限、单次剂量增加阈值、单次剂量增加率、单次剂量减少阈值、单次剂量减少率的设置参数、分析计算间隔时间;Step S2, obtaining the setting parameters of single dose fixed cycle, single dose adjustment upper limit, single dose increase threshold, single dose increase rate, single dose decrease threshold, single dose decrease rate, analysis and calculation interval time;
步骤S3、接收用户的镇痛指令信号;Step S3, receiving an analgesic command signal from the user;
步骤S4、判断用户的镇痛指令信号是有效信号还是无效信号;若为有效信号,则控制药物输送模块输送药物,若为无效信号,则药物输送模块不输送药物;Step S4, judging whether the user's analgesic instruction signal is a valid signal or an invalid signal; if it is a valid signal, control the drug delivery module to deliver medicine; if it is an invalid signal, the drug delivery module does not deliver medicine;
步骤S5、统计一个单次剂量固定周期内的有效信号次数N 1、无效信号次数N 2,并计算一个单次剂量固定周期内的理论最大有效次数N 3,所述理论最大有效次数N 3=单次剂量固定周期/单次锁定时间; Step S5, counting the number of effective signals N 1 and the number of invalid signals N 2 within a single dose fixed period, and calculating the theoretical maximum effective number N 3 within a single dose fixed period, the theoretical maximum effective number N 3 = Single dose fixed cycle/single lock time;
步骤S6、根据N 1、N 2、N 3计算无效信号率R 1和有效率信号率R 2,所述R 1=N 2/N 1,所述R 2=N 1/N 3Step S6, calculate invalid signal rate R 1 and effective signal rate R 2 according to N 1 , N 2 , N 3 , said R 1 =N 2 /N 1 , said R 2 =N 1 /N 3 ;
步骤S7、将R 1和R 2的值分别与单次剂量增加阈值、单次剂量减少阈值进行对比分析: Step S7, comparing and analyzing the values of R1 and R2 with the single dose increase threshold and the single dose decrease threshold respectively:
(ⅰ)若N 1>0,且R 1>单次剂量增加阈值,R 2>单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量增加率调整下一个单次剂量固定周期内的PCA单次剂量; (i) If N 1 >0, and R 1 >single dose increase threshold, R 2 >single dose decrease threshold, enter the next single dose fixed cycle, and adjust the next single dose according to the single dose increase rate A single dose of PCA within a dose-fixed cycle;
(ⅱ)若R 1<单次剂量增加阈值,有效率R 2<单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量减少率调整下一个单次剂量固定周期内的PCA单次剂量; (ii) If R 1 <single dose increase threshold, effective rate R 2 <single dose reduction threshold, enter the next single dose fixed cycle, and adjust the next single dose fixed cycle according to the single dose reduction rate A single dose of PCA;
(ⅲ)若非(ⅰ)(ⅱ)情况,则不进行调整,经过分析计算间隔时间后,重复步骤S5、步骤S6、步骤S7。(iii) If it is not the case of (i) (ii), no adjustment is made, and after analyzing and calculating the interval time, repeat step S5, step S6, and step S7.
优选的,所述(ⅰ)或(ⅱ)中的下一个单次剂量固定周期内的PCA单次剂量相较于前一个单次剂量固定周期内的PCA单次剂量的变化量小于0.5ml,则按0.5ml的量进行调整。Preferably, the variation of the PCA single dose in the next single dose fixed cycle in (i) or (ii) compared with the PCA single dose in the previous single dose fixed cycle is less than 0.5ml, Adjust according to the amount of 0.5ml.
实施例5Example 5
本实施例的一种病人自控镇痛装置的控制系统的应用举例,包括:An application example of a control system of a patient-controlled analgesia device in this embodiment includes:
医务人员在第一预设模块上设置某麻醉药每次输注的药物单次剂量为3ml、药物总剂量上限为80ml和单次锁定时间10min。On the first preset module, the medical personnel set the single dose of an anesthetic drug per infusion as 3ml, the upper limit of the total dose of the drug as 80ml, and the single locking time as 10min.
医务人员在第二预设模块上设置单次剂量固定周期为2h、单次剂量调整上限6ml、单次剂量增加阈值40%、单次剂量增加率20%、单次剂量减少阈值40%、单次剂量减少率20%、分析计算间隔5min。On the second preset module, the medical personnel set the single dose fixed cycle as 2h, the single dose adjustment upper limit 6ml, the single dose increase threshold 40%, the single dose increase rate 20%, the single dose decrease threshold 40%, and the single dose increase threshold 40%. The dose reduction rate was 20%, and the analysis and calculation interval was 5 minutes.
设置好以上参数开始计时,进入第一个单次剂量固定周期,即在之后的2h内,如果病人的镇痛指令信号是有效信号,则药物输送模块给病人输送药物的剂量均为医务人员设置的3ml。After setting the above parameters, start timing and enter the first single dose fixed cycle, that is, within the next 2 hours, if the patient's analgesic command signal is a valid signal, the dose of the drug delivered to the patient by the drug delivery module is set by the medical staff 3ml.
进入第一个单次剂量固定周期20min时,病人按压PCA给药按钮给出第一个镇痛指令信号,此信号为有效信号,此时药物输送模块给病人输送3ml药物,同时接下来的10min进入单次锁定时间周期,即接下来的10min内,病人按压PCA给药按钮给出的镇痛指令信号均为无效信号,药物输送模块不会给病人输送药物。直至10min之后,病人再次按压PCA给药按钮给出的镇痛指令信号,此时为有效信号,药物输送模块将给病人输送3ml药物,同时接下来的10min再次进入单次锁定时间周期,以此类推。At 20 minutes into the first single-dose fixed cycle, the patient presses the PCA administration button to give the first analgesic instruction signal, which is a valid signal. At this time, the drug delivery module delivers 3ml of drug to the patient, and at the same time the next 10 minutes Entering a single locking time period, that is, within the next 10 minutes, the analgesic command signals given by the patient pressing the PCA drug delivery button are all invalid signals, and the drug delivery module will not deliver drugs to the patient. After 10 minutes, the patient presses the PCA drug delivery button again to give an analgesic command signal, which is a valid signal at this time, and the drug delivery module will deliver 3ml of drug to the patient, and at the same time enter the single lock time period again in the next 10 minutes. analogy.
经过第一个单次剂量固定周期2h后,第二信息处理模块开始统计第一个单次剂量固定周期2h内的有效信号次数和无效信号次数,经统计,共有4次有效信号和2次无效信号,同时计算理论最大有效次数12次,即理论最大有效次数=2h/10min。After the first single dose fixed period of 2 hours, the second information processing module starts to count the number of valid signals and invalid signals within the first single dose fixed period of 2 hours. According to the statistics, there are 4 valid signals and 2 invalid signals signal, and calculate the theoretical maximum effective number of times 12 times at the same time, that is, the theoretical maximum effective number = 2h/10min.
进一步计算无效信号率R 1=N 2/N 1=2/4=0.5,有效率信号率R 2=N 1/N 3=4/12=0.33, Further calculate the invalid signal rate R 1 =N 2 /N 1 =2/4=0.5, the effective signal rate R 2 =N 1 /N 3 =4/12=0.33,
将计算的R 1(0.5)和R 2(0.33)的值与设置的单次剂量增加阈值(0.4)、单次剂量减少阈值(0.4)进行对比分析,不满足调整条件(ⅰ)(ⅱ),则不进入下个单次剂量固定周期,也不发生任何调整。此时至5min(分析计算间隔)后,病人发出的有效信号,药物输送模块给病人输送的药物剂量仍为3ml。 Compare and analyze the calculated values of R 1 (0.5) and R 2 (0.33) with the set single dose increase threshold (0.4) and single dose decrease threshold (0.4), and the adjustment conditions (i)(ii) are not satisfied , it will not enter the next single dose fixed cycle, and no adjustment will occur. From now until 5 minutes (interval of analysis and calculation), the effective signal sent by the patient, the dose of medicine delivered to the patient by the medicine delivery module is still 3ml.
经过5min的分析计算间隔后,第二信息处理模块重新统计最近2h(即进入第一个单次剂量固定周期5min开始至第一个单次剂量固定周期结束后5min这2h)内的有效信号次数和无效信号次数,进一步计算无效信号率R 1、有效率信号率R 2,并与设置的单次剂量增加阈值、单次剂量减少阈值进行对比分析,如仍不满足调整条件(ⅰ)(ⅱ),则不进入下个单次剂量固定周期,也不发生任何调整。之后每经过5min的分析计算间隔,第二信息处理模块重新统计最近2h内 的有效信号次数和无效信号次数,并进一步计算无效信号率R 1、有效率信号率R 2,并与设置的单次剂量增加阈值、单次剂量减少阈值进行对比分析,直至满足整条件(ⅰ)(ⅱ)。 After an analysis and calculation interval of 5 minutes, the second information processing module re-counts the number of valid signals within the last 2 hours (that is, the 2 hours from 5 minutes after entering the first single dose fixed cycle to 5 minutes after the end of the first single dose fixed cycle) and the number of invalid signals, further calculate the invalid signal rate R 1 and the effective rate signal rate R 2 , and conduct a comparative analysis with the set single dose increase threshold and single dose decrease threshold, if the adjustment condition (i)(ii) is still not met ), it will not enter the next single dose fixed cycle, and no adjustment will occur. After that, after every 5 minutes of analysis and calculation interval, the second information processing module re-counts the number of valid signals and the number of invalid signals in the last 2 hours, and further calculates the invalid signal rate R 1 and the effective signal rate R 2 , and compares them with the set single The dose increase threshold and the single dose decrease threshold are comparatively analyzed until the whole condition (i)(ii) is met.
从第一个单次剂量固定周期开始后的2.5h,未进入下个单次剂量固定周期,再次经过5min的分析计算间隔后,第二信息处理模块再次统计最近2h(即进入第一个单次剂量固定周期35min开始至第一个单次剂量固定周期结束后35min这2h)内的有效信号次数和无效信号次数,经统计,共有6次有效信号和3次无效信号。2.5 hours after the start of the first single-dose fixed cycle, the next single-dose fixed cycle has not entered, and after an analysis and calculation interval of 5 minutes, the second information processing module counts the last 2 hours again (that is, enters the first single-dose fixed cycle). The number of valid signals and the number of invalid signals within 2h) from the beginning of the 35min of the fixed dose cycle to the 35min after the end of the first single dose fixed cycle, according to the statistics, there are 6 valid signals and 3 invalid signals.
进一步计算无效信号率R 1=N 2/N 1=3/6=0.5,有效率信号率R 2=N 1/N 3=6/12=0.5, Further calculate the invalid signal rate R 1 =N 2 /N 1 =3/6=0.5, the effective signal rate R 2 =N 1 /N 3 =6/12=0.5,
将计算的R 1(0.5)和R 2(0.5)的值与设置的单次剂量增加阈值(0.4)、单次剂量减少阈值(0.4)进行对比分析,满足调整条件(ⅰ),则进入下个单次剂量固定周期,同时按照单次剂量增加率(20%)调整下一个单次剂量固定周期内的PCA单次剂量;即接下来2h单次剂量固定周期内,如果病人的镇痛指令信号是有效信号,则药物输送模块给病人输送药物的剂量调整为3.6ml。再经过2h,第二信息处理模块开始统计最近2h内的有效信号次数和无效信号次数,进一步计算无效信号率R 1、有效率信号率R 2,并与设置的单次剂量增加阈值、单次剂量减少阈值进行对比分析,并根据调整条件(ⅰ)(ⅱ)(ⅲ)做相应的调整。以此类推。 Compare and analyze the calculated values of R 1 (0.5) and R 2 (0.5) with the set single dose increase threshold (0.4) and single dose decrease threshold (0.4), and if the adjustment condition (i) is met, proceed to the next step A single dose fixed cycle, and at the same time adjust the PCA single dose in the next single dose fixed cycle according to the single dose increase rate (20%); that is, in the next 2h single dose fixed cycle, if the patient’s analgesic instruction If the signal is an effective signal, the dosage of the medicine delivered by the medicine delivery module to the patient is adjusted to 3.6ml. After another 2 hours, the second information processing module starts to count the number of valid signals and invalid signals in the last 2 hours, further calculates the invalid signal rate R 1 and the effective signal rate R 2 , and compares them with the set single dose increase threshold, single dose Do a comparative analysis of the dose reduction threshold, and make corresponding adjustments according to the adjustment conditions (i)(ii)(iii). and so on.
实施例6Example 6
本实施例的一种病人自控镇痛装置的控制系统的应用,与实施例5相比,还包括将各个单次剂量固定周期内的调整记录上传、显示、储存在终端。Compared with Embodiment 5, the application of the control system of a patient-controlled analgesia device in this embodiment also includes uploading, displaying, and storing the adjustment records in the fixed period of each single dose in the terminal.
实施例7Example 7
本实施例的一种病人自控镇痛装置的控制系统的应用,与实施例5相比,不同之处在于设置的单次剂量增加率10%,按照单次剂量增加率(10%)调整下一个单次剂量固定周期内的PCA单次剂量的变化量小于0.5ml,则按0.5ml的量进行调整,即下一个单次剂量固定周期内的PCA单次剂量为3.5ml。The application of the control system of a patient-controlled analgesia device in this embodiment, compared with Embodiment 5, is different in that the single dose increase rate is set at 10%, which is adjusted according to the single dose increase rate (10%) If the variation of the single dose of PCA in a fixed cycle of single dose is less than 0.5ml, it is adjusted according to the amount of 0.5ml, that is, the single dose of PCA in the next fixed cycle of single dose is 3.5ml.
以上所述实施例仅表达了本发明的某种实施方式,其描述较为具体和详细,但并不能因此而理解为对本发明专利范围的限制;应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围;因此,本发明专利的保护范围应以所附权利要求为准。The above-described embodiment only expresses a certain implementation mode of the present invention, and its description is relatively specific and detailed, but it should not be interpreted as limiting the patent scope of the present invention; it should be pointed out that for those of ordinary skill in the art That is to say, without departing from the concept of the present invention, several modifications and improvements can be made, which all belong to the protection scope of the present invention; therefore, the protection scope of the patent for the present invention should be based on the appended claims.

Claims (8)

  1. 一种病人自控镇痛装置的控制方法,其特征在于,包括:A control method for a patient-controlled analgesia device, characterized in that it includes:
    接收用户的镇痛指令信号;Receive the user's analgesic instruction signal;
    统计镇痛指令信号中的有效信号次数N 1、无效信号次数N 2,并计算理论最大有效次数N 3Count the number of effective signals N 1 and the number of invalid signals N 2 in the analgesic command signal, and calculate the theoretical maximum effective number N 3 ;
    计算无效信号率R 1和有效率信号率R 2,所述R 1=N 2/N 1,所述R 2=N 1/N 3Calculating the invalid signal rate R 1 and the effective signal rate R 2 , the R 1 =N 2 /N 1 , the R 2 =N 1 /N 3 ;
    将R 1和R 2的值分别与预设的剂量调整阈值进行对比分析,根据对比结果调整或不调整PCA单次剂量。 The values of R 1 and R 2 were compared and analyzed with the preset dose adjustment thresholds, and the PCA single dose was adjusted or not adjusted according to the comparison results.
  2. 一种病人自控镇痛装置的控制方法,其特征在于,包括:A control method for a patient-controlled analgesia device, characterized in that it includes:
    步骤S1、获取PCA初始单次剂量、PCA总剂量和单次锁定时间;Step S1, obtaining the initial single dose of PCA, the total dose of PCA and the single locking time;
    步骤S2、获取单次剂量固定周期、单次剂量调整上限、单次剂量增加阈值、单次剂量增加率、单次剂量减少阈值、单次剂量减少率的设置参数、分析计算间隔时间;Step S2, obtaining the setting parameters of single dose fixed cycle, single dose adjustment upper limit, single dose increase threshold, single dose increase rate, single dose decrease threshold, single dose decrease rate, analysis and calculation interval time;
    步骤S3、接收用户的镇痛指令信号;Step S3, receiving an analgesic command signal from the user;
    步骤S4、统计一个单次剂量固定周期内的有效信号次数N 1、无效信号次数N 2,并计算一个单次剂量固定周期内的理论最大有效次数N 3,所述理论最大有效次数N 3=单次剂量固定周期/单次锁定时间; Step S4, counting the number of effective signals N 1 and the number of invalid signals N 2 within a single dose fixed period, and calculating the theoretical maximum effective number N 3 within a single dose fixed period, the theoretical maximum effective number N 3 = Single dose fixed cycle/single lock time;
    步骤S5、根据N 1、N 2、N 3计算无效信号率R 1和有效率信号率R 2,所述R 1=N 2/N 1,所述R 2=N 1/N 3Step S5, calculating the invalid signal rate R 1 and the effective signal rate R 2 according to N 1 , N 2 , and N 3 , the R 1 =N 2 /N 1 , the R 2 =N 1 /N 3 ;
    步骤S6、将R 1和R 2的值分别与单次剂量增加阈值、单次剂量减少阈值进行对比分析: Step S6, comparing and analyzing the values of R1 and R2 with the single dose increase threshold and the single dose decrease threshold respectively:
    (ⅰ)若N 1>0,且R 1>单次剂量增加阈值,R 2>单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量增加率调整下一个单次剂量固定周期内的PCA单次剂量; (i) If N 1 >0, and R 1 >single dose increase threshold, R 2 >single dose decrease threshold, enter the next single dose fixed cycle, and adjust the next single dose according to the single dose increase rate A single dose of PCA within a dose-fixed cycle;
    (ⅱ)若R 1<单次剂量增加阈值,有效率R 2<单次剂量减少阈值,则进入下一个单次剂量固定周期,且按照单次剂量减少率调整下一个单次剂量固定周期内的PCA单次剂量; (ii) If R 1 <single dose increase threshold, effective rate R 2 <single dose reduction threshold, enter the next single dose fixed cycle, and adjust the next single dose fixed cycle according to the single dose reduction rate A single dose of PCA;
    (ⅲ)若非(ⅰ)(ⅱ)情况,则不进行调整,经过分析计算间隔时间后,重复步骤S4、步骤S5、步骤S6。(iii) If it is not the case of (i) (ii), no adjustment is made, and after analyzing and calculating the interval time, repeat step S4, step S5, and step S6.
  3. 根据权利要求2所述的病人自控镇痛装置的控制方法,其特征在于:所述(ⅰ)或(ⅱ)中的下一个单次剂量固定周期内的PCA单次剂量相较于前一个单次剂量固定周期内的PCA单次剂量的变化量小于0.5ml,则按0.5ml的量进行调整。The control method of the patient-controlled analgesia device according to claim 2, characterized in that: the PCA single dose in the next single dose fixed cycle in (i) or (ii) is compared with the previous single dose If the variation of the single dose of PCA within the fixed period of each dose is less than 0.5ml, it should be adjusted according to the amount of 0.5ml.
  4. 根据权利要求2或3所述的病人自控镇痛装置的控制方法,其特征在于:还包括将各个单次剂量固定周期内的调整记录上传、显示、储存在终端。The control method of the patient-controlled analgesia device according to claim 2 or 3, further comprising uploading, displaying and storing the adjustment records in the fixed period of each single dose in the terminal.
  5. 根据权利要求2或3所述的病人自控镇痛装置的控制方法,其特征在于:所述单次锁定时间小于所述单次剂量固定周期。The control method of the patient-controlled analgesia device according to claim 2 or 3, characterized in that: the single locking time is shorter than the single dose fixed period.
  6. 一种病人自控镇痛装置的控制系统,其特征在于,包括:A control system for a patient-controlled analgesia device, characterized in that it includes:
    预设模块,用于预设PCA剂量及剂量调整参数;A preset module, used to preset PCA dose and dose adjustment parameters;
    信息接收模块,用于接收用户的镇痛指令信号;An information receiving module, configured to receive an analgesic instruction signal from a user;
    信息处理模块,用于处理用户的镇痛指令信号,并将处理结果与预设的PCA剂量调整参数对比,跟据对比结果调整或不调整PCA单次剂量;The information processing module is used to process the user's analgesic command signal, compare the processing result with the preset PCA dose adjustment parameter, and adjust or not adjust the single PCA dose according to the comparison result;
    药物输送模块,用于给病人输送药物。The medicine delivery module is used for delivering medicine to the patient.
  7. 一种病人自控镇痛装置的控制系统,其特征在于,包括:A control system for a patient-controlled analgesia device, characterized in that it includes:
    第一预设模块,用于设置PCA初始单次剂量、PCA总剂量和单次锁定时间;The first preset module is used to set the initial single dose of PCA, the total dose of PCA and the single locking time;
    第二预设模块,用于设置单次剂量固定周期、单次剂量调整上限、单次剂量增加阈值、单次剂量增加率、单次剂量减少阈值、单次剂量减少率、分析计 算间隔模块;The second preset module is used to set a single dose fixed cycle, a single dose adjustment upper limit, a single dose increase threshold, a single dose increase rate, a single dose decrease threshold, a single dose decrease rate, and an analysis and calculation interval module;
    信息接收模块,用于接收用户的镇痛指令信号;An information receiving module, configured to receive an analgesic instruction signal from a user;
    药物输送模块,用于给病人输送药物;The drug delivery module is used to deliver the drug to the patient;
    第一信息处理模块,用于处理接收的镇痛指令信号,将用户的镇痛指令信号分为有效信号和无效信号;The first information processing module is used to process the received analgesic command signal, and divide the user's analgesic command signal into a valid signal and an invalid signal;
    第二信息处理模块,用于统计一个单次剂量固定周期内的有效信号次数N 1、无效信号次数N 2,并计算一个单次剂量固定周期内的理论最大有效次数N 3,然后根据N 1、N 2、N 3计算无效信号率R 1和有效率信号率R 2,并与单次剂量增加阈值、单次剂量减少阈值进行对比分析,根据对比结果调整或不调整PCA单次剂量。 The second information processing module is used to count the number of effective signals N 1 and the number of invalid signals N 2 in a single dose fixed period, and calculate the theoretical maximum effective number N 3 in a single dose fixed period, and then according to N 1 , N 2 , N 3 calculate the invalid signal rate R 1 and the effective signal rate R 2 , and conduct a comparative analysis with the single dose increase threshold and single dose decrease threshold, and adjust or not adjust the PCA single dose according to the comparison results.
  8. 根据权利要求6所述的病人自控镇痛装置的控制系统,其特征在于:还包括用户终端模块,用于接收、显示、储存各个单次剂量固定周期内调整记录。The control system of the patient-controlled analgesia device according to claim 6, further comprising a user terminal module for receiving, displaying, and storing each single dose adjustment record within a fixed period.
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