WO2023036272A1

WO2023036272A1 - Monitoring method and monitoring system for postoperative rehabilitation

Info

Publication number: WO2023036272A1
Application number: PCT/CN2022/117964
Authority: WO
Inventors: 刘中华; 冯霞; 罗汉源; 杨崟冰; 李利亚; 王澄
Original assignee: 深圳迈瑞生物医疗电子股份有限公司
Priority date: 2021-09-08
Filing date: 2022-09-08
Publication date: 2023-03-16

Abstract

A monitoring method and monitoring system for postoperative rehabilitation. A patient is continuously monitored (1) by a bedside monitor (20) during a first preset period. After entering a second preset period from the first preset period, a mobile monitoring device (30) works in an interval monitoring mode and wirelessly transmits to a central station (10, 2) monitoring data obtained by interval monitoring; when preset physiological parameters of the monitoring data exceed a corresponding threshold or meet a preset alarm condition of an abnormal physiological event, then a third preset period is entered, said device (30) switches to a continuous monitoring mode, performs continuous monitoring in conjunction with the bedside monitor (20), and wirelessly transmits obtained monitoring data to the central station (10) and/or the bedside monitor (20, 3). The mobile monitoring device (30) can switch working modes under different requirements, facilitating a patient getting out of bed for exercise, which is beneficial to the rapid recovery of the patient after surgery. Furthermore, monitoring can be enhanced when there is danger, and the needs of medical staff in patient monitoring can be adapted to well, thereby increasing the efficiency of medical staff in monitoring postoperative patients.

Description

A monitoring method and monitoring system for postoperative rehabilitation

technical field

The invention relates to the medical field, in particular to a monitoring method and monitoring system for postoperative rehabilitation.

Background technique

Rapid postoperative recovery (ERAS) is a clinical hotspot in recent years, and its main purpose is to encourage postoperative patients to get out of bed as soon as possible to achieve the purpose of rapid recovery.

According to clinical diagnosis and treatment requirements, patients after surgery need to be monitored at the bedside for at least 8 hours to avoid unexpected risks. Constrained by the cables of traditional monitors, patients are confined to the bed after connecting them, which is contrary to the idea of encouraging patients to get out of bed as soon as possible. Due to its cable and wireless data transmission, mobile monitoring solves the problem of patients being bound by cables, and can encourage patients to get out of bed early while maintaining continuous monitoring of patients.

However, the current mobile monitoring mainly focuses on solving the problem of mobility after getting out of bed, without further thinking about how to combine it with the daily usage habits of medical staff. When medical personnel use it, due to different working methods, or because they need to switch monitoring modes according to the patient's condition, the workload is increased.

technical problem

The invention mainly provides a monitoring method and system for postoperative rehabilitation, which improves the efficiency of medical personnel in monitoring postoperative patients.

technical solution

One embodiment provides a monitoring system for postoperative rehabilitation, including a bedside monitor, a central station and a mobile monitoring device;

The bedside monitor is used to monitor the patient and is paired with the mobile monitoring device;

The mobile monitoring device is used to wear on the patient's body to monitor the patient and obtain monitoring data; the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode; the mobile monitoring device is also used to: work at intervals In the monitoring mode, the patient is monitored at intervals, and the monitoring data obtained by the interval monitoring is wirelessly transmitted to the central station; when working in the continuous monitoring mode, it is paired with the bedside monitor to jointly monitor the patient continuously , wirelessly transmitting monitoring data obtained from continuous monitoring to the central station and/or the paired bedside monitor;

During a first preset period, the bedside monitor continuously monitors the patient;

After entering the second preset period from the first preset period, the mobile monitoring device works in the interval monitoring mode; in the monitoring data obtained in the interval monitoring mode, the preset physiological parameters exceed the corresponding threshold or meet the preset The alarm condition of the abnormal physiological event enters a third preset period, and the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode.

One embodiment provides a monitoring system for postoperative rehabilitation, characterized in that it includes a mobile monitoring device and a target monitoring device;

The mobile monitoring device is used to be worn on the patient's body to monitor the patient and obtain monitoring data, and the mobile monitoring device communicates with the target monitoring device; the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode, when the mobile monitoring device works in the interval monitoring mode, it performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the target monitoring device; the mobile monitoring device works in the continuous monitoring mode. In the monitoring mode, continuously monitor the patient together with the target monitoring device, and wirelessly transmit the monitoring data obtained from the continuous monitoring to the target monitoring device;

During a first preset period, the target monitoring device and/or the mobile monitoring device continuously monitors the patient;

During the second preset period, the mobile monitoring device independently works in the interval monitoring mode to perform interval monitoring on the patient; during the third preset period, the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode, wherein the condition of the patient in the first preset period is worse than that in the second preset period, and the condition in the third preset period is worse than that in the second preset period. A predetermined period of serious illness.

One embodiment provides a monitoring system for postoperative rehabilitation, characterized in that it includes a bedside monitor, a central station and a mobile monitoring device;

The mobile monitoring device is used to be worn on the patient's body to monitor the patient and obtain monitoring data, and the mobile monitoring device communicates with the bedside monitor; the working mode of the mobile monitoring device includes continuous monitoring mode and interval In the monitoring mode, when the mobile monitoring device works in the interval monitoring mode, it performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained by the interval monitoring to the central station and/or the bedside monitor; When the mobile monitoring device works in the continuous monitoring mode, it cooperates with the bedside monitor to continuously monitor the patient, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the central station and/or the paired bedside Monitor;

During the second preset period, the mobile monitoring device works in the interval monitoring mode; during the third preset period, the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode.

One embodiment provides a monitoring method for postoperative rehabilitation, comprising:

During the first preset period, the bedside monitor monitors the patient continuously;

After entering the second preset period from the first preset period, the mobile monitoring device works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained by the interval monitoring to the central station;

In the monitoring data obtained in the interval monitoring mode, if the preset physiological parameter exceeds the corresponding threshold value or meets the preset alarm condition of abnormal physiological events, it enters the third preset period, and the mobile monitoring device switches from the interval monitoring mode to In the continuous monitoring mode, it is paired with the bedside monitor to jointly monitor the patient continuously, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the central station and/or the paired bedside monitor.

During the first preset period, the mobile monitoring device works in the continuous monitoring mode, and continuously monitors the patient together with the target monitoring device, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the target monitoring device;

During the second preset period, the mobile monitoring device independently works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the target monitoring device;

During a third preset period, the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode, wherein the condition of the patient during the first preset period is lower than that during the second preset period The condition of the patient is severe, and the condition in the third preset period is more severe than that in the first preset period.

Beneficial effect

According to the monitoring method and monitoring system for postoperative rehabilitation in the above embodiment, the postoperative patients are divided into a first preset period, a second preset period and a possible third preset period. The patient is continuously monitored by the bedside monitor for a first preset period. After entering the second preset period from the first preset period, the mobile monitoring device works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the central station; the monitoring obtained in the interval monitoring mode In the data, if the preset physiological parameters exceed the corresponding threshold or meet the preset alarm conditions of abnormal physiological events, it will enter the third preset period, and the mobile monitoring device will switch from the interval monitoring mode to the continuous monitoring mode, and paired with the bedside monitor , jointly monitor the patient continuously, and wirelessly transmit the monitoring data obtained from the continuous monitoring to the central station and/or the paired bedside monitor. Mobile monitoring equipment can switch working modes under different needs, which is convenient for patients to get out of bed, is conducive to the rapid recovery of patients after surgery, and can strengthen monitoring when there is danger, and can well adapt to the need for medical staff to monitor patients. It improves the efficiency of medical staff in monitoring postoperative patients.

Description of drawings

Fig. 1 is the structural block diagram of an embodiment of the monitoring system for postoperative rehabilitation provided by the present invention;

Fig. 2 is the flowchart of an embodiment of the monitoring method for postoperative rehabilitation provided by the present invention;

Fig. 3 is a schematic flow chart of the monitoring method for postoperative rehabilitation provided by the present invention;

Fig. 4 is the structural block diagram of an embodiment of the monitoring system for postoperative rehabilitation provided by the present invention;

Fig. 5 is a flow chart of an embodiment of the monitoring method for postoperative rehabilitation provided by the present invention.

Embodiments of the present invention

The present invention will be further described in detail below through specific embodiments in conjunction with the accompanying drawings. Wherein, similar elements in different implementations adopt associated similar element numbers. In the following implementation manners, many details are described for better understanding of the present application. However, those skilled in the art can readily recognize that some of the features can be omitted in different situations, or can be replaced by other elements, materials, and methods. In some cases, some operations related to the application are not shown or described in the description, this is to avoid the core part of the application being overwhelmed by too many descriptions, and for those skilled in the art, it is necessary to describe these operations in detail Relevant operations are not necessary, and they can fully understand the relevant operations according to the description in the specification and general technical knowledge in the field.

In addition, the characteristics, operations or characteristics described in the specification can be combined in any appropriate manner to form various embodiments. At the same time, the steps or actions in the method description can also be exchanged or adjusted in a manner obvious to those skilled in the art. Therefore, various sequences in the specification and drawings are only for clearly describing a certain embodiment, and do not mean a necessary sequence, unless otherwise stated that a certain sequence must be followed.

The serial numbers assigned to components in this document, such as "first", "second", etc., are only used to distinguish the described objects, and do not have any sequence or technical meaning. The "connection" and "connection" mentioned in this application include direct and indirect connection (connection) unless otherwise specified.

Aiming at the clinical application scenario of rapid postoperative recovery, the present invention constructs a postoperative ERAS (accelerated postoperative rapid recovery of patients) workflow centered on mobile monitoring equipment, aiming to solve the daily work conflicts between product equipment and medical staff. problems, thereby improving work efficiency.

As shown in FIG. 1 , the monitoring system for postoperative rehabilitation provided by the present invention includes: a bedside monitor 20 , a mobile monitoring device 30 and a central station 10 .

The bedside monitor 20 is used to monitor the patient to obtain monitoring data, and is used to pair with the mobile monitoring device 30 to receive the monitoring data obtained when the mobile monitoring device 30 monitors the patient. The bedside monitor 20 can send its own monitoring data and the monitoring data of the mobile monitoring device 30 to the central station 10 by wired or wireless transmission, so that the central station 10 can summarize and monitor the monitoring data of each patient in the department.

The mobile monitoring device 30 is used to be worn on the patient's body to monitor the patient, obtain monitoring data, and send the monitoring data obtained when monitoring the patient to the bedside monitor 20 and/or the central station 10 . The mobile monitoring device 30 can wirelessly communicate with the bedside monitor 20 and the central station 10 to realize the transmission of monitoring data. The working modes of the mobile monitoring device 30 include continuous monitoring mode and interval monitoring mode. When the mobile monitoring device 30 is worn on the patient and works, it is also bound with the patient's identification information, which is used to uniquely identify the patient and ensure the uniqueness of the ownership of the monitoring data. The identification information may be, for example, a patient ID, a patient bed number, and the like.

The mobile monitoring device 30 is also used for: communicating with the bedside monitor 20, such as a wireless communication connection; when working in the interval monitoring mode, performing interval monitoring on the patient, and wirelessly transmitting the monitoring data obtained by the interval monitoring to the central station 10 and/or Or the bedside monitor 20; when working in the continuous monitoring mode, pair with the bedside monitor to jointly monitor the patient continuously, and wirelessly transmit the monitoring data obtained by the continuous monitoring to the central station 10 and/or the paired bedside monitor 20. In this way, the mobile monitoring device 30 can adopt interval monitoring when the patient's condition is relatively mild, and switch to continuous monitoring when the patient is critically ill, which can reduce the power consumption of the mobile monitoring device 30 .

The mobile monitoring device 30 is paired with the bedside monitor. For example, the mobile monitoring device 30 obtains connection information from the bedside monitor, or sends connection information to the bedside monitor; the mobile monitoring device 30 is paired with the bedside monitor based on the connection information, thereby establishing a communication connection; based on the communication connected, the mobile monitoring device 30 performs data interaction with the bedside monitor.

In some embodiments, the wireless transmission method used by the mobile monitoring device 30 to transmit connection information with the bedside monitor may be different from the wireless transmission method used for data interaction after pairing. Specifically, the mobile monitoring device 30 includes a first wireless communication module and a second wireless communication module. The mobile monitoring device 30 acquires connection information from the bedside monitor through the first wireless communication module in a first wireless transmission manner. The first wireless communication module of the mobile monitoring device 30 can use an NFC module, which is used for non-contact transmission with the bedside monitor, mainly to transmit connection information.

Wherein, the connection information may include any device in the bedside monitor and the mobile monitoring device 30: a device identification code (that is, a device ID) or a serial number (Serial Number, referred to as SN), and may also include: The communication channel identification code, IP address, MAC address, service set identification code (Service Set Identifier, SSID for short), WEP (Wired Equivalent Privacy) protocol, WPA (Wi-Fi Protected Access) protocol, WPA2 protocol, WPA3 protocol, EAP (Extensible Authentication Protocol) protocol and other protocol-related information; it may also include the random pairing code generated by the bedside monitor or the mobile monitoring device 30 .

Of course, the mobile monitoring device 30 can also send connection information to the bedside monitor through the first wireless communication module. For example, the connection information is broadcast through the first wireless communication module.

Based on the connection information, the mobile monitoring device 30 pairs with the bedside monitor through the second wireless communication module, and establishes a communication connection using the second wireless transmission mode; Data interaction, such as transmitting monitoring data to bedside monitors.

The first wireless transmission method may be short-distance communication, such as near-field communication (Near-field communication, NFC for short), and the corresponding first wireless communication module may be an NFC module, and connection information may be written in the NFC module , the mobile monitoring device 30 can transmit the connection information to the bedside monitor when it is close to the bedside monitor. Of course, the bedside monitor can also be equipped with an NFC module to transmit the connection information to the mobile monitoring device 30 . The process is similar to the process of swiping a card with a bus card reader, and the process of swiping a bank card at a POS machine; thereby facilitating the pairing of the mobile monitoring device 30 and the bedside monitor. The operation of the whole process is very simple and efficient, with a high degree of automation.

In other implementations, short-distance communication is not limited to near-field communication (NFC), and may also include passive/active RFID (radio frequency identification), optical, infrared (Infrared, referred to as IR), ultra-wideband (Ultra-wideband, UWB for short), magnetic pairing technology or point-to-point wireless technology, including but not limited to WiFi, Bluetooth, Zigbee or other communication protocols. Correspondingly, the first wireless communication module is, for example, a near-field communication (NFC for short) module, a barcode module, a two-dimensional code module, a passive/active radio frequency identification (Radio Frequency Identification, RFID for short) ) module, optical module, infrared (Infrared, referred to as IR) module, ultra-wideband (Ultra-wideband, referred to as UWB) module, magnetic pairing module or point-to-point wireless module.

In this embodiment, the connection information is a random pairing code generated by the bedside monitor, and the random pairing code may be one code or a pair of codes. Wherein, a code generated by the bedside monitor means that the pairing codes between the bedside monitor and the mobile monitoring device 30 are exactly the same, for example, the code is 1111; The pairing codes between the monitor and the mobile monitoring device 30 are different, but there is a corresponding relationship. For example, the random pairing codes generated by the bedside monitor are 1111 and 2222 (for example, the pairing relationship list is established through an array), and 1111 is transmitted For the mobile monitoring device 30, 2222 is the code paired with 1111, based on this pair of codes, both of them can also establish a communication connection.

The second wireless transmission method can be a transmission method using any one or more of the following wireless technologies: Bluetooth, WiFi, WMTS (wireless medical telemetry services, wireless medical telemetry services). The second wireless communication module can adopt various types of existing wireless communication modules without limitation. For example, the second wireless communication module includes at least one of a Bluetooth module, a WMTS communication module, and a WIFI communication module. The second wireless transmission mode may be different from the first wireless transmission mode.

The central station (central monitoring workstation) 10 is used to process the monitoring data gathered by each terminal, so as to display them according to patients, so that medical staff can see the physiological parameters of each patient in the department.

As shown in Figure 2 and Figure 3, the postoperative recovery process of the monitoring system includes the following steps:

Step 1. During the first preset period, the bedside monitor 20 continuously monitors the patient. The first preset period may be the postoperative critical period of bed rest, and a continuous monitoring mode may be adopted for patients who have just returned to the general ward and are in the critical period of bed rest. Whether it is in the first preset period can be determined based on the user's operation. For example, the user binds the bedside monitor 20 to the patient so that it can monitor the patient at the bedside. At this time, it can be in the first preset period by default. The user may further input relevant content or instructions to the bedside monitor 20 or the central station 10, so that the bedside monitor 20 and the central station 10 determine that the current patient is in the first preset period. Usually in this period, the patient is bedridden and his condition is unstable. The bedside monitor 20 can be used alone to continuously monitor the patient. , respiratory parameters, and sleep parameters are measured to obtain monitoring data. Of course, the mobile monitoring device 30 can also be worn on the patient during the first preset period and paired with the bedside monitor 20 , and the mobile monitoring device 30 and the bedside monitor 20 jointly monitor the patient continuously. After the mobile monitoring device 30 and the bedside monitor 20 are paired, the mobile monitoring device 30 and/or the bedside monitor 20 transmit the pairing information to the central station 10 . After the mobile monitoring device 30 and the bedside monitor 20 are paired, the working mode can be automatically set to the continuous monitoring mode; the mobile monitoring device 30 can also be controlled by the paired bedside monitor 20 so that its working mode is set to the continuous monitoring mode; The mobile monitoring device 30 can also be controlled by the central station 10 to set its working mode as the continuous monitoring mode; it can also be set as the continuous monitoring mode by the medical personnel.

The mobile monitoring device 30 wirelessly transmits monitoring data obtained from continuous monitoring to the central station 10 and/or the paired bedside monitoring device 20 . For example, the mobile monitoring device 30 can directly wirelessly transmit the monitoring data obtained by continuous monitoring to the central station 10, and can also wirelessly transmit the monitoring data obtained by continuous monitoring to the paired bedside monitor 20, and the paired bedside monitor 20 Forwarded to the central station 10. The mobile monitoring device 30 can directly wirelessly transmit the monitoring data obtained from continuous monitoring to the bedside monitor 20 , or wirelessly transmit the monitoring data obtained from continuous monitoring to the central station 10 , and then forwarded to the bedside monitor 20 by the central station 10 . In this way, the mobile monitoring device 30 only needs to transmit data to a target remote device (the central station 10 or the bedside monitor 20), and realizes the data communication between the three devices under the monitoring system, which can reduce the cost of mobile monitoring. The power consumption of the device.

Step 2. After entering the second preset period from the first preset period, the mobile monitoring device 30 works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the central station 10 . The second predetermined period may be an out-of-bed recovery period. Specifically, under the trigger of the first preset condition and/or the instruction for switching the working mode, it is determined that the first preset period enters the second preset period, and the mobile monitoring device 30 switches from the continuous monitoring mode to the interval monitoring mode. model. Under the triggering of the first preset condition and/or the instruction for switching the working mode, the mobile monitoring device 30 can automatically switch from the continuous monitoring mode to the interval monitoring mode, and can also be controlled by the central station 10 or the bedside monitoring device 20. The monitoring device 30 switches from the continuous monitoring mode to the interval monitoring mode. Wherein, the first preset condition can be set according to needs, for example, the first preset condition can be that the duration of the mobile monitoring device 30 working in the continuous monitoring mode exceeds the preset duration, and the preset duration is 8 hours as an example, that is, the first preset condition After a preset period lasts for more than 8 hours, it automatically enters a second preset period; for another example, the first preset condition can be the arrival of a preset time, taking the preset time as an example at 8 o'clock in the morning the next day, that is, the operation on the same day After that, the second preset period will be automatically entered at eight o'clock in the morning of the next day; also for example, the first preset condition may be that the mobile monitoring device 30 is disconnected from the paired bedside monitor 20, and then the second preset period will be entered by default. . In this embodiment, in order to improve safety, the first preset condition further includes that the patient's EWS score is lower than the preset score. The EWS score is lower than the preset score indicating that the patient's condition is stable. On this basis, the duration of the continuous monitoring mode exceeds the preset duration, the preset time arrives, or the paired bedside monitor 20 is disconnected before switching to interval monitoring. model.

The bedside monitor 20 and/or the mobile monitoring device 30 are also used for unpairing the bedside monitor 20 and the mobile monitoring device 30 under the trigger of the first preset condition and/or an instruction for switching the working mode. Further, the mobile monitoring device 30 alone monitors the patient at intervals. Of course, the central station 10 may also control the bedside monitor 20 and/or the mobile monitoring device 30 to unpair them under the trigger of the first preset condition and/or an instruction for switching the working mode.

The monitoring data obtained by the mobile monitoring device 30 monitoring the patient at intervals includes at least one of physiological parameter values, physiological parameter curves and alarm events. Specifically, the mobile monitoring device 30 intermittently detects one or more physiological parameters of the patient to obtain one or more physiological parameter data, for example, the mobile monitoring device 30 intermittently detects the patient's blood oxygen parameters, blood pressure parameters, Detect at least one of pulse rate parameters, body temperature parameters, ECG parameters, breathing parameters, sleep parameters, and exercise parameters to obtain blood oxygen parameter data, blood pressure parameter data, pulse rate parameter data, body temperature parameter data, and ECG parameters data, respiratory parameter data, sleep parameter data, and motion parameter data. The above-mentioned physiological parameter data detected by the mobile monitoring device 30 itself includes the value of the physiological parameter and the corresponding measurement time. The mobile monitoring device 30 may only send these data to the central station 10, or further process them, such as combining the physiological parameters at different measurement times The numerical value is processed into a physiological parameter curve. Another example is to judge whether the physiological parameter data (such as the value of the physiological parameter at each moment) exceeds the corresponding threshold or meets the preset alarm conditions for abnormal physiological events, and if so, generate corresponding alarm information. Alarm information can be text, image or sound etc. The mobile monitoring device 30 can output monitoring data to its own display screen for display, and can also output alarm information to its own speaker for sounding.

The central station 10 receives the monitoring data transmitted by the mobile monitoring device 30, and if the monitoring data is a physiological parameter value, a physiological parameter curve, an alarm event, etc. that have been processed by the mobile monitoring device 30, it directly presses the patient's It only needs to be displayed, or the speaker can make sound to present monitoring data. If the monitoring data is not processed by the mobile monitoring device 30 and is raw data, then the central station 10 processes the received monitoring data to obtain at least one of the physiological parameter value, the physiological parameter curve and the alarm event, and then displays it according to the patient through its own display screen , it can also be fed back to the mobile monitoring device 30, and displayed on the display screen of the mobile monitoring device 30 or sounded by the speaker. When the display screen of the central station 10 displays at least one of the physiological parameter value, the physiological parameter curve and the alarm event, it also displays the source of the corresponding monitoring data, that is, which mobile monitoring device 30 or which bedside monitor 20 it comes from. , it can further display the current period of the patient.

The central station 10 also judges whether one or more physiological parameters in the monitoring data of the mobile monitoring device 30 exceed corresponding thresholds or meet preset alarm conditions for abnormal physiological events, and if so, output corresponding alarm information. The central station 10 outputs the alarm information, which can be displayed or sounded by the patient through its own display screen, or the alarm information can be fed back to the patient's mobile monitoring device 30, and the patient's mobile monitoring device 30 can display the alarm information or vocalize. The above one or more physiological parameters include preset physiological parameters. The preset physiological parameters are more important. If they are abnormal, it means that the patient's condition has become more serious. The specific one or several types can be set by the medical staff. In this embodiment, the preset physiological parameters are ECG parameters. The mobile monitoring device 30 judges whether the electrocardiographic parameters exceed the corresponding threshold or meets the preset alarm conditions for abnormal physiological events. If so, it determines that the patient has a malignant arrhythmia, generates a preset message and transmits it to the central station, and outputs the corresponding alarm information.

Step 3. In the monitoring data obtained in the interval monitoring mode, if the preset physiological parameters exceed the corresponding thresholds or meet the preset alarm conditions of abnormal physiological events, then enter the third preset period. Repeatedly, it is necessary to increase monitoring, and the mobile monitoring device 30 switches from the interval monitoring mode to the continuous monitoring mode. At this time, there are two situations, one is that the patient is outside the ward, and the mobile monitoring device 30 cannot be paired with the bedside monitor 20, then The mobile monitoring device 30 works in the continuous monitoring mode, monitors the patient independently, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the central station 10 . The other is that the patient is in the ward, or after the patient returns to the ward, the mobile monitoring device 30 is paired with the bedside monitor 20 to continuously monitor the patient, and wirelessly transmit the monitoring data obtained by the continuous monitoring to the central station 10 and/or paired bedside monitor 20 .

The mobile monitoring device 30 switches from the interval monitoring mode to the continuous monitoring mode, which can be automatically switched after a preset physiological parameter exceeds a corresponding threshold or meets a preset alarm condition of an abnormal physiological event. Specifically, judging whether a preset physiological parameter exceeds a corresponding threshold or meets a preset alarm condition of an abnormal physiological event may be performed by the mobile monitoring device 30 , bedside monitor or central station. Examples are given below.

For example, the mobile monitoring device 30 judges whether a preset physiological parameter exceeds a corresponding threshold or meets a preset alarm condition of an abnormal physiological event in the monitoring data obtained in the second preset period, and if so, enters the third preset period. That is, the data collected by the mobile monitoring device 30 is processed, and a specific alarm is obtained, indicating that the patient's condition is deteriorating, and thus enters the third preset period by itself.

For another example, the bedside monitor judges whether the preset physiological parameters exceed the corresponding threshold value or meets the preset alarm conditions of abnormal physiological events from the monitoring data obtained in the second preset period, and if so, directly outputs the data for switching the working mode An instruction is given to the mobile monitoring device 30, thereby controlling the mobile monitoring device 30 to enter the third preset period and switch to the continuous monitoring mode. Of course, when the bedside monitor judges that the preset physiological parameters exceed the corresponding threshold or meets the preset alarm conditions of abnormal physiological events, it can also output instructions for switching working modes to the central station, and then forwarded to the mobile monitoring by the central station. device 30. In this way, the mobile monitoring device 30 can only be connected to the central station, which saves power.

For another example, the central station judges whether the preset physiological parameter exceeds the corresponding threshold value or meets the preset alarm condition for abnormal physiological events from the monitoring data obtained in the second preset period, and if so, directly outputs an instruction for switching the working mode to the mobile monitoring device 30, thereby controlling the mobile monitoring device 30 to enter the third preset period and switch to the continuous monitoring mode. Of course, when the central station judges that the preset physiological parameters exceed the corresponding thresholds or meet the preset alarm conditions for abnormal physiological events, it can also output instructions for switching working modes to the bedside monitor, and then the bedside monitor forwards it to the Mobile monitoring device 30 . In this way, the mobile monitoring device 30 can only be connected with the bedside monitor, which saves power.

The mobile monitoring device 30 switches from the interval monitoring mode to the continuous monitoring mode, and can also automatically switch after being paired with the bedside monitoring device 20 . For example, in the second preset period, the mobile monitoring device 30 may be unpaired with the bedside monitor, and then the medical staff feel that the patient's condition is getting worse, and the mobile monitoring device 30 is re-paired with the bedside monitor, and the mobile monitoring device 30 and the bedside monitor are paired again. After re-pairing, the side monitor enters the third preset period, thereby switching to the continuous monitoring mode.

The mobile monitoring device 30 is switched from the interval monitoring mode to the continuous monitoring mode, and can also be switched by medical staff. Specifically, the mobile monitoring device 30 enters the third preset period after receiving the command for switching the working mode during the second preset period; wherein, the command for switching the working mode is issued by the central station or by the bedside monitor sent by the instrument, or input by the user to the mobile monitoring device. For example, the bedside monitor 20 generates an instruction for switching the working mode based on the user's operation, and transmits the instruction to the mobile monitoring device 30, either directly or forwarded by the central station. I won't go into details. For another example, the central station 10 generates an instruction for switching the working mode based on the user's operation, and transmits the instruction to the mobile monitoring device 30, either directly or forwarded by the bedside monitor 20, specifically described in the above content. Explain, not repeat. Also for example, the mobile monitoring device 30 generates and executes an instruction for switching the working mode based on the user's operation. It can be seen that after the medical personnel determine that the patient's condition has deteriorated, they can start the continuous monitoring mode of the mobile monitoring device 30 on the central station 10 , the bedside monitor 20 or the mobile monitoring device 30 .

The monitoring data obtained from the continuous monitoring of the patient by the mobile monitoring device 30 may also include at least one of physiological parameter values, physiological parameter curves and alarm events. Specifically, the mobile monitoring device 30 continuously and in real time detects one or more physiological parameters of the patient, and obtains one or more physiological parameter data. The types of physiological parameters detected by the mobile monitoring device 30 in different working modes may be the same, but the frequency of monitoring is different.

The continuous monitoring mode may mean, for example, that the mobile monitoring device 30 transmits data (such as monitoring data collected by the mobile monitoring device 30 ) to the central station 10 and/or the paired bedside monitor 20 in multiple consecutive transmission cycles. In contrast, the interval monitoring mode may mean, for example, that the mobile monitoring device 30 only transmits data (such as monitoring data collected by the mobile monitoring device 30 ) to the central station 10 in a part of the multiple continuous transmission cycles. As the name implies, the continuous monitoring mode is that the mobile monitoring device 30 monitors the patient continuously and uninterruptedly, and transmits data to the central station 10 and/or the paired bedside monitor 20, for example, setting a transmission period (such as 1 second, etc., wherein the transmission The period may be the time period required to transmit data once), then in each transmission period, the mobile monitoring device 30 will transmit data in the continuous monitoring mode.

Opposite to the continuous monitoring mode is the non-continuous monitoring mode, which includes interval monitoring mode, spot monitoring monitoring mode, etc. in this application.

Interval monitoring mode, for example, can refer to that after the mobile monitoring device 30 collects the patient's monitoring data, it transmits data discontinuously and intermittently, that is, for the aforementioned transmission cycle, not every transmission cycle will transmit data, but Some transmission cycles transmit data, and other transmission cycles do not transmit data.

It should be noted that the continuous monitoring mode and interval monitoring mode referred to in this application are only relative concepts, and the core is that the continuous monitoring mode is used to transmit data to remote devices (such as central stations and/or paired bedside monitors) The frequency is higher than the frequency used to transmit data in the interval monitoring mode. Therefore, the former consumes higher power consumption, so it is usually suitable for more critical patients, and when the patient's condition improves, the data transmission frequency can be used Relatively lower interval monitoring mode with relatively low power consumption.

The mobile monitoring device 30 may also have a spot monitoring mode, and compared with the former two, the spot monitoring mode is a data transmission mode with lower power consumption. When the mobile monitoring device 30 works in the spot monitoring mode, it only collects and sends data (such as the monitoring data collected by the mobile monitoring device 30) to the central station 10 at a preset specific moment, usually only once or several times at a specific moment ( e.g. a failed send).

The mobile monitoring device 30 measures physiological parameters more frequently in the continuous monitoring mode than in the interval monitoring mode; of course, the mobile monitoring device 30 can also transmit monitoring data to the central station 10 and/or paired bedside monitoring device 20 in the continuous monitoring mode The frequency of the monitoring mode is greater than that of the interval monitoring mode; both methods can make the monitoring frequency of the two working modes different. The above-mentioned physiological parameter data detected by the mobile monitoring device 30 itself includes the value of the physiological parameter and its corresponding measurement time. The mobile monitoring device 30 can only send these data to the central station 10 and/or the paired bedside monitor 20, and can also further Processing, such as processing the physiological parameter values at different measurement times into physiological parameter curves, and for example, judging whether the physiological parameter data (such as the physiological parameter values at each time point) exceeds the corresponding threshold or meets the preset alarm conditions for abnormal physiological events, If so, corresponding alarm information is generated. Alarm information can be text, image or sound etc. The mobile monitoring device 30 can output monitoring data to its own display screen for display, and can also output alarm information to its own speaker for sounding.

The central station 10 and/or the paired bedside monitor 20 receives the monitoring data transmitted by the mobile monitoring device 30. If the monitoring data is a physiological parameter value, a physiological parameter curve, and an alarm event, etc. that have been processed by the mobile monitoring device 30, it is directly passed through Its own display screen can be displayed according to the patient, or the speaker can make sound to present the monitoring data. If the monitoring data is not processed by the mobile monitoring device 30 and is raw data, then the central station 10 and/or the paired bedside monitor 20 processes the received monitoring data to obtain at least one of physiological parameter values, physiological parameter curves and alarm events , and then display it according to the patient through its own display screen, and it can also be fed back to the mobile monitoring device 30, which can be displayed through the display screen of the mobile monitoring device 30 or sounded by the speaker. The central station 10 can also send at least one of the physiological parameter value, the physiological parameter curve and the alarm event to the patient's bedside monitor 20 for display or sound through the speaker of the patient's bedside monitor 20 . The bedside monitor 20 can also send at least one of the physiological parameter value, the physiological parameter curve and the alarm event to the central station 10, and display it on the display screen of the central station 10 or make a sound through the speaker.

The central station 10 and/or the paired bedside monitor 20 also judge whether one or more physiological parameters in the monitoring data of the mobile monitoring device 30 exceed the corresponding threshold or meet the preset alarm conditions for abnormal physiological events, and if so, output Corresponding alarm information. The central station 10 outputs alarm information, which can be displayed or sounded by the patient through its own display screen, and the alarm information can also be fed back to the patient's mobile monitoring device 30 and/or bedside monitor 20. The device 30 and/or the bedside monitor 20 displays or sounds the alarm message. The bedside monitor 20 outputs alarm information, which can be displayed or sounded by the patient through its own display screen, or the alarm information can be sent to the patient's mobile monitoring device 30 and/or central station 10, and the patient's mobile monitoring The device 30 and/or the central station 10 display or sound the alarm information.

In the monitoring system, the number of mobile monitoring devices 30 is more than that of bedside monitors 20, and the two do not need to be paired (bound) one by one, and can be paired again when necessary. Some mobile monitoring devices 30 are paired with one bedside monitor 20 and work together, while some mobile monitoring devices 30 are not paired with any bedside monitor 20 when working.

After the first bedside monitor is paired with the first mobile monitoring device and works together, the first bedside monitor is also used to disconnect from the first mobile monitoring device so as to communicate with a second device different from the first mobile monitoring device. Mobile monitoring devices are paired and work together.

The physiological parameters measured by the patient monitored by the mobile monitoring device 30 and the physiological parameters measured by the patient monitored by the bedside monitor 20 are at least partially the same. It can also be monitored by a mobile monitoring device 30 to ensure patient safety.

To sum up, the monitoring system provided by the present invention has monitoring methods and equipment suitable for patients at different stages after surgery, which not only can detect potential risks of patients in time, but also does not affect patients' getting out of bed. For example, for patients who have just returned to the general ward after surgery, bedside monitors or bedside monitors + mobile monitoring devices are used for continuous monitoring. Through the set switching conditions, if the continuous time exceeds 8 hours, or after 8 o'clock in the morning of the second day after surgery, and the patient's condition is stable (such as low EWS score), the system can be switched automatically or manually by the medical staff. Entering the second preset period, the second preset period continues to cover the patient's rehabilitation cycle, and the interval monitoring method of the mobile monitoring device is adopted to measure the patient's physiological parameters at intervals (for example, 2min/time). Among them, if the patient is in a dangerous situation, such as a preset physiological parameter exceeding the threshold or meeting the preset alarm conditions of abnormal physiological events, it can switch to the critical mode (the third preset period), specifically if the patient is at the bedside , then connect the bedside monitor and switch to continuous monitoring mode. If the patient is outside the ward, connect to the central station and switch to continuous monitoring mode. The above-mentioned process can cover the complete rehabilitation cycle of postoperative patients, conforms to the existing workflow of medical staff, can realize the risk management of patients, and improves the efficiency of medical staff in monitoring postoperative patients.

The present invention can also introduce the EWS score to switch the working mode or assist in switching the working mode.

Specifically, when the mobile monitoring device 30 is not paired with the bedside monitor 20 and works alone in the interval monitoring mode, the central station is used to: obtain the patient's current EWS score (early warning score), and when the EWS score is higher than the preset score , control the patient's mobile monitoring device to switch from the interval monitoring mode to the continuous monitoring mode, or output information prompting the user to pair the mobile monitoring device 30 with the bedside monitor 20 to work together and adopt the continuous monitoring mode. The EWS score helps medical staff dynamically monitor changes in conditions and detect potential critical patients early. For example, after the emergency medical personnel receive the patient, or after the patient has undergone surgery, they can score the patient according to the scoring standard of the EWS, and input the EWS score into the central station 10 . The mobile monitoring device 30 may also be worn by the patient. The mobile monitoring device 30 monitors the patient according to the monitoring mode set by the medical personnel or according to the monitoring mode preset by the system. The central station 10 receives the monitoring data transmitted by the mobile monitoring device 30, and obtains the current EWS score of the patient according to the monitoring data. That is, the central station 10 can score the patient according to the preset EWS scoring standard according to multiple physiological parameters of the patient detected by the mobile monitoring device 30 to obtain its current EWS score. Human judgment is not required for medical staff, which reduces the workload of medical staff.

When the mobile monitoring device 30 is not paired with the bedside monitor 20 and works alone in the continuous monitoring mode, the central station 10 is also used to: obtain the patient's current EWS score, and control the mobile monitoring device when the EWS score is lower than the preset score Switch from continuous monitoring mode to interval monitoring mode.

When the mobile monitoring device 30 is paired with the bedside monitor 20 and works together in the continuous monitoring mode, the central station 10 is also used to: obtain the patient's current EWS score, and when the EWS score is lower than the preset score, control the mobile monitoring device from The continuous monitoring mode is switched to the interval monitoring mode, and/or a message prompting the user to disconnect the mobile monitoring device from the paired bedside monitor is output.

The preset score can be set as required, for example, it can be 3 points. Based on the EWS score, the monitoring equipment and monitoring mode for patients are recommended, which improves the work efficiency of medical staff, and the use of mobile monitoring equipment to monitor patients with relatively mild symptoms not only meets the needs of doctors for patient monitoring, but also meets the needs of patients. The demand for free activities, and the number of mobile monitoring devices is usually not easily limited, and the monitoring rate is high. This method is not only suitable for the monitoring of emergency patients, but also suitable for the monitoring of postoperative patients.

An embodiment is shown in FIG. 4 , the monitoring system for postoperative rehabilitation includes the mobile monitoring device 30 and the target monitoring device 50 as described above. The mobile monitoring device 30 is in communication connection with the target monitoring device 50, for example, the two are in wireless communication connection.

The mobile monitoring device 30 is used to be worn on the patient's body to monitor the patient and obtain monitoring data. The working modes of the mobile monitoring device 30 include continuous monitoring mode and interval monitoring mode. The monitoring process of the monitoring system is shown in Figure 5, including the following steps:

Step 1'. During the first preset period, the mobile monitoring device 30 works in the continuous monitoring mode, and continuously monitors the patient together with the target monitoring device, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the target monitoring device. Wherein, the target monitoring device may be the bedside monitor 20 and/or the central station 10 .

When the target monitoring device is the central station, the central station 10 itself may not be able to directly collect and measure the patient's data, and more is to process the data transmitted by the mobile monitoring device 30 and generate corresponding alarm information. Most of them are used as an information platform for data viewing and command issuance.

Step 2', during the second preset period, the mobile monitoring device 30 independently works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the target monitoring device 50.

Step 3', during the third preset period, the mobile monitoring device 30 switches from the interval monitoring mode to the continuous monitoring mode. Wherein, the condition of the patient in the first preset period is more serious than that in the second preset period, and the condition of the patient in the third preset period is worse than that in the first preset period.

In the third preset period, the mobile monitoring device 30 is paired with the target monitoring device 50 to jointly monitor the patient continuously, and wirelessly transmit the monitoring data obtained from the continuous monitoring to the target monitoring device 50 .

The target monitoring device 50 may control the mobile monitoring device to enter the continuous monitoring mode after the target monitoring device is paired with the mobile monitoring device during the third preset period. Of course, the mobile monitoring device 30 can also automatically switch to the continuous monitoring mode after being paired with the target monitoring device during the third preset period.

Under the triggering of the first preset condition and/or the instruction for switching the working mode, the mobile monitoring device 30 switches from the continuous monitoring mode to the interval monitoring mode; wherein, the first preset condition includes: the mobile monitoring device works in the continuous monitoring mode The duration of the mode exceeds the preset duration, and the preset time arrives, or the mobile monitoring device is disconnected from the paired target monitoring device.

The embodiment shown in Figure 1 includes three types of equipment, the central station, the bedside monitor, and the mobile monitoring device, while the embodiment shown in Figure 4 includes the two devices, the central station and the mobile monitoring device, or includes the bedside monitor and the mobile monitoring device. The two types of monitoring equipment are the difference between the two embodiments. Since the specific functions of the mobile monitoring device and the specific functions of the central station or the bedside monitor have been described in detail in the above embodiments, they will not be repeated here.

Those skilled in the art can understand that all or part of the functions of the various methods in the foregoing implementation manners can be realized by means of hardware, or by means of computer programs. When all or part of the functions in the above embodiments are implemented by means of a computer program, the program can be stored in a computer-readable storage medium, and the storage medium can include: read-only memory, random access memory, magnetic disk, optical disk, hard disk, etc., through The computer executes the program to realize the above-mentioned functions. For example, the program is stored in the memory of the device, and when the processor executes the program in the memory, all or part of the above-mentioned functions can be realized. In addition, when all or part of the functions in the above embodiments are realized by means of computer programs, the programs can also be stored in storage media such as a server, another computer, a magnetic disk, an optical disk, a flash disk, or a mobile hard disk, and saved by downloading or copying. To the memory of the local device, or to update the version of the system of the local device, when the program in the memory is executed by the processor, all or part of the functions in the above embodiments can be realized.

This document is described with reference to various exemplary embodiments. However, those skilled in the art will recognize that changes and modifications can be made to the exemplary embodiments without departing from the scope herein. For example, the various operational steps, as well as the components used to perform the operational steps, may be implemented in different ways depending on the particular application or considering any number of cost functions associated with the operation of the system (e.g., one or more steps may be deleted, modified or incorporated into other steps).

In addition, the principles herein may be embodied in a computer program product on a computer-readable storage medium having computer-readable program code preloaded thereon, as understood by those skilled in the art. Any tangible, non-transitory computer-readable storage medium may be used, including magnetic storage devices (hard disks, floppy disks, etc.), optical storage devices (CD-ROM, DVD, Blu Ray discs, etc.), flash memory and/or the like . These computer program instructions can be loaded into a general purpose computer, special purpose computer or other programmable data processing apparatus to form a machine, so that these instructions executed on the computer or other programmable data processing apparatus can generate an apparatus for realizing specified functions. These computer program instructions may also be stored in a computer-readable memory which can instruct 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 Manufactures, including implementing devices for implementing specified functions. Computer program instructions can also be loaded on a computer or other programmable data processing device, thereby performing a series of operational steps on the computer or other programmable device to produce a computer-implemented process, so that the computer or other programmable device Instructions may provide steps for performing specified functions.

While the principles herein have been shown in various embodiments, many modifications in structure, arrangement, proportions, elements, materials and components, particularly suited to particular circumstances and operational requirements may be made without departing from the principles and scope of this disclosure use. The above modifications and other changes or amendments are intended to be included within the scope of this document.

The foregoing detailed description has been described with reference to various embodiments. However, those skilled in the art will recognize that various modifications and changes can be made without departing from the scope of the present disclosure. Accordingly, the disclosure is to be considered in an illustrative rather than a restrictive sense, and all such modifications are intended to be embraced within its scope. Also, advantages, other advantages and solutions to problems have been described above with respect to various embodiments. However, neither benefits, advantages, solutions to problems, nor any elements that lead to these, or make the solutions more definite, should be construed as critical, required, or necessary. As used herein, the term "comprises" and any other variants thereof are non-exclusive, such that a process, method, article, or apparatus that includes a list of elements includes not only those elements, but also elements not expressly listed or not part of the process. , method, system, article or other element of a device. Additionally, the term "coupled" and any other variations thereof, as used herein, refers to a physical connection, an electrical connection, a magnetic connection, an optical connection, a communicative connection, a functional connection, and/or any other connection.

Those skilled in the art will recognize that many changes may be made to the details of the above-described embodiments without departing from the underlying principles of the invention. Accordingly, the scope of the invention should be determined from the following claims.

Claims

A monitoring system for postoperative rehabilitation, characterized in that it includes a bedside monitor, a central station and a mobile monitoring device;

The bedside monitor is used to monitor the patient and is paired with the mobile monitoring device;

The mobile monitoring device is used to wear on the patient's body to monitor the patient and obtain monitoring data; the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode; the mobile monitoring device is also used to: work at intervals In the monitoring mode, the patient is monitored at intervals, and the monitoring data obtained by the interval monitoring is wirelessly transmitted to the central station; when working in the continuous monitoring mode, it is paired with the bedside monitor to jointly monitor the patient continuously , wirelessly transmitting monitoring data obtained from continuous monitoring to the central station and/or the paired bedside monitor;

During a first preset period, the bedside monitor continuously monitors the patient;

After entering the second preset period from the first preset period, the mobile monitoring device works in the interval monitoring mode; in the monitoring data obtained in the interval monitoring mode, the preset physiological parameters exceed the corresponding threshold or meet the preset The alarm condition of the abnormal physiological event enters a third preset period, and the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode.
The monitoring system according to claim 1, characterized in that, in the third preset period, the mobile monitoring device is paired with the bedside monitor to jointly monitor the patient continuously, and the monitoring obtained from the continuous monitoring Data is transmitted wirelessly to the central station and/or paired bedside monitors.
The monitoring system according to claim 1, wherein,

The central station and/or the bedside monitor is used to control the mobile monitor to enter the continuous monitoring mode after the bedside monitor is paired with the mobile monitor during a third preset period ;or,

The mobile monitoring device is configured to automatically switch to the continuous monitoring mode after being paired with the bedside monitor during a third preset period.
The monitoring system according to claim 1, wherein the central station is used for:

Receive the monitoring data transmitted by the mobile monitoring device, process the received monitoring data to obtain at least one of physiological parameter values, physiological parameter curves and alarm events, and display them according to the patient; and/or,

Judging whether one or more physiological parameters in the monitoring data exceed corresponding thresholds or meet preset alarm conditions for abnormal physiological events, and if so, output corresponding alarm information.
The monitoring system according to any one of claims 1-4, characterized in that, under the trigger of the first preset condition and/or the instruction for switching the working mode, the mobile monitoring device starts from the continuous monitoring The mode is switched to the interval monitoring mode; wherein, the first preset condition includes: the duration of the mobile monitoring device working in the continuous monitoring mode exceeds a preset duration, the preset time arrives, or the mobile monitoring device is paired with the Bedside monitor disconnected.
The monitoring system according to claim 5, wherein the bedside monitor and/or the mobile monitoring device are also used for:

Under the trigger of the first preset condition and/or the instruction for switching the working mode, release the pairing between the bedside monitor and the mobile monitoring device;

Alternatively, the central station is further configured to control the bedside monitor and/or the mobile monitoring device to unpair them when triggered by the first preset condition and/or an instruction for switching working modes.
The monitoring system according to claim 5, wherein,

The bedside monitor is used to generate an instruction for switching the working mode and send it to the mobile monitoring device; or,

The bedside monitor is used to generate an instruction for switching the working mode, and send it to the central station, so that the central station forwards the instruction for switching the working mode to the mobile monitoring device; or,

The central station is used to generate an instruction for switching working modes and send it to the mobile monitoring device; or,

The central station is used to generate an instruction for switching the working mode and send it to the bedside monitor, so that the bedside monitor forwards the instruction for switching the working mode to the mobile monitoring device.
The monitoring system according to any one of claims 1 to 7, wherein when the mobile monitoring device is not paired with the bedside monitor and works independently in the interval monitoring mode, the central station It is also used for: obtaining the current EWS score of the patient, and when the EWS score is higher than a preset score, controlling the patient's mobile monitoring device to switch from the interval monitoring mode to the continuous monitoring mode, or output a prompt Information that the user is pairing the mobile monitoring device with the bedside monitor to work together and adopt the continuous monitoring mode; and/or

When the mobile monitoring device is not paired with the bedside monitor and works independently in the continuous monitoring mode, the central station is also used to: obtain the current EWS score of the patient, and when the EWS score is lower than When the preset score, control the mobile monitoring device to switch from the continuous monitoring mode to the interval monitoring mode; and/or

When the mobile monitoring device is paired with the bedside monitor and work together in the continuous monitoring mode, the central station is also used to: obtain the current EWS score of the patient, and when the EWS score is lower than the specified When the preset score is reached, control the mobile monitoring device to switch from the continuous monitoring mode to the interval monitoring mode, and/or output a prompt to the user to disconnect the mobile monitoring device from the paired bedside monitor Information.
The monitoring system according to any one of claims 1 to 8, wherein the number of the mobile monitoring devices in the monitoring system is greater than the number of the bedside monitors, and a part of the mobile monitoring devices When working, they are respectively paired with one of the bedside monitors and work together, and a part of the mobile monitoring devices are not paired with any bedside monitor when working.
The monitoring system according to any one of claims 1 to 9, wherein the preset physiological parameters are electrocardiographic parameters; the mobile monitoring device is also used for:

Judging whether the electrocardiographic parameters exceed the corresponding threshold or meet the preset alarm conditions for abnormal physiological events, if so, determine that the patient has a malignant arrhythmia, generate the preset message and transmit it to the central station, and output the corresponding alarm information.
The monitoring system according to claim 4, wherein said central station comprises a display device for displaying at least one of said physiological parameter value, physiological parameter curve and alarm event; also for displaying said physiological parameter The source of monitoring data corresponding to at least one of value, physiological parameter curve and alarm event, and/or display the current period of the patient.
The monitoring system according to any one of claims 1 to 11, characterized in that,

The mobile monitoring device measures physiological parameters more frequently in the continuous monitoring mode than in the interval monitoring mode; or,

The mobile monitoring device transmits monitoring data to the central station and/or paired bedside monitor more frequently in continuous monitoring mode than in interval monitoring mode.
A monitoring system for postoperative rehabilitation, characterized in that it includes a mobile monitoring device and a target monitoring device;

The mobile monitoring device is used to be worn on the patient's body to monitor the patient and obtain monitoring data, and the mobile monitoring device communicates with the target monitoring device; the working mode of the mobile monitoring device includes continuous monitoring mode and interval monitoring mode, when the mobile monitoring device works in the interval monitoring mode, it performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the target monitoring device; the mobile monitoring device works in the continuous monitoring mode. In the monitoring mode, continuously monitor the patient together with the target monitoring device, and wirelessly transmit the monitoring data obtained from the continuous monitoring to the target monitoring device;

During a first preset period, the target monitoring device and/or the mobile monitoring device continuously monitors the patient;

During the second preset period, the mobile monitoring device independently works in the interval monitoring mode to perform interval monitoring on the patient; during the third preset period, the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode, wherein the condition of the patient in the first preset period is worse than that in the second preset period, and the condition in the third preset period is worse than that in the second preset period. A predetermined period of serious illness.
The monitoring system of claim 13, wherein,

The target monitoring device is used to control the mobile monitoring device to enter the continuous monitoring mode after the target monitoring device is paired with the mobile monitoring device during a third preset period; or,

The mobile monitoring device is configured to automatically switch to the continuous monitoring mode after being paired with the target monitoring device during a third preset period.
The monitoring system according to claim 13, wherein the mobile monitoring device switches from the continuous monitoring mode to the interval monitoring mode triggered by a first preset condition and/or an instruction for switching the working mode Monitoring mode; wherein, the first preset condition includes: the duration of the mobile monitoring device working in the continuous monitoring mode exceeds a preset duration, the preset time arrives, or the mobile monitoring device is disconnected from the paired target monitoring device .
The monitoring system of claim 13, wherein,

When the mobile monitoring device is not paired with the target monitoring device and works independently in the interval monitoring mode, the target monitoring device is also used to: obtain the current EWS score of the patient, and when the EWS score is higher than When the score is preset, control the patient's mobile monitoring device to switch from the interval monitoring mode to the continuous monitoring mode, or output prompts to the user to pair the mobile monitoring device with the target monitoring device to work together and adopt information about the continuous monitoring mode; and/or,

When the mobile monitoring device is not paired with the target monitoring device and works independently in the continuous monitoring mode, the target monitoring device is also used to: acquire the current EWS score of the patient, and when the EWS score is lower than When the preset score, control the mobile monitoring device to switch from the continuous monitoring mode to the interval monitoring mode; and/or

When the mobile monitoring device is paired with the target monitoring device and working together in the continuous monitoring mode, the target monitoring device is also used to: acquire the current EWS score of the patient, and when the EWS score is lower than the specified When the preset score is reached, control the mobile monitoring device to switch from the continuous monitoring mode to the interval monitoring mode, and/or output a message prompting the user to disconnect the mobile monitoring device from the paired target monitoring device information.
A monitoring system for postoperative rehabilitation, characterized in that it includes a bedside monitor, a central station and a mobile monitoring device;

The mobile monitoring device is used to be worn on the patient's body to monitor the patient and obtain monitoring data, and the mobile monitoring device communicates with the bedside monitor; the working mode of the mobile monitoring device includes continuous monitoring mode and interval In the monitoring mode, when the mobile monitoring device works in the interval monitoring mode, it performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained by the interval monitoring to the central station and/or the bedside monitor; When the mobile monitoring device works in the continuous monitoring mode, it cooperates with the bedside monitor to continuously monitor the patient, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the central station and/or the paired bedside Monitor;

During a first preset period, the bedside monitor continuously monitors the patient;

During the second preset period, the mobile monitoring device works in the interval monitoring mode; during the third preset period, the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode.
The monitoring system according to claim 17, wherein when the mobile monitoring device works in the continuous monitoring mode, it wirelessly transmits the monitoring data obtained from the continuous monitoring to the central station and/or the bedside monitor, include:

When the mobile monitoring device works in the continuous monitoring mode, wirelessly transmit the monitoring data obtained by continuous monitoring to the central station, so that the central station transmits the monitoring data to the bedside monitor; or,

When the mobile monitoring device works in the continuous monitoring mode, it wirelessly transmits monitoring data obtained from continuous monitoring to the bedside monitor, so that the bedside monitor transmits the monitoring data to the central station.
The monitoring system according to claim 17, wherein the mobile monitoring device is also used for:

In the monitoring data obtained in the second preset period, it is judged whether the preset physiological parameters exceed the corresponding threshold or meet the preset alarm conditions of abnormal physiological events, and if so, enter the third preset period; and/or,

During the second preset period, paired with the bedside monitor to enter the third preset period; and/or,

In the second preset period, after receiving the command for switching the working mode, it enters the third preset period; wherein, the command for switching the working mode is issued by the central station, or issued by the bedside monitor, or input by the user to mobile monitoring devices.
A monitoring method for postoperative rehabilitation, characterized in that it comprises:

During the first preset period, the bedside monitor monitors the patient continuously;

After entering the second preset period from the first preset period, the mobile monitoring device works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained by the interval monitoring to the central station;

In the monitoring data obtained in the interval monitoring mode, if the preset physiological parameter exceeds the corresponding threshold value or meets the preset alarm condition of abnormal physiological events, it enters the third preset period, and the mobile monitoring device switches from the interval monitoring mode to In the continuous monitoring mode, it is paired with the bedside monitor to jointly monitor the patient continuously, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the central station and/or the paired bedside monitor.
The method according to claim 20, characterized in that, in the third preset period, the mobile monitoring device is paired with the bedside monitor to jointly monitor the patient continuously, and the monitoring data obtained from the continuous monitoring Wireless transmission to the central station and/or paired bedside monitor.
The method according to claim 20, wherein the switching of the mobile monitoring device from the interval monitoring mode to the continuous monitoring mode comprises:

The central station and/or the bedside monitor controls the mobile monitoring device to enter the continuous monitoring mode after the bedside monitor is paired with the mobile monitoring device during a third preset period; or ,

The mobile monitoring device automatically switches to the continuous monitoring mode after being paired with the bedside monitor during a third preset period.
The method of claim 20, further comprising:

The central station receives the monitoring data transmitted by the mobile monitoring device, processes the received monitoring data to obtain at least one of a physiological parameter value, a physiological parameter curve, and an alarm event, and displays it according to the patient; and/or,

Judging whether one or more physiological parameters in the monitoring data exceed corresponding thresholds or meet preset alarm conditions for abnormal physiological events, and if so, output corresponding alarm information.
The method according to any one of claims 20-23, further comprising: triggered by the first preset condition and/or an instruction for switching the working mode, the mobile monitoring device from the The continuous monitoring mode is switched to the interval monitoring mode; wherein, the first preset condition includes: the duration of the mobile monitoring device working in the continuous monitoring mode exceeds a preset duration, the preset time arrives, or the mobile monitoring device and the paired The bedside monitor is disconnected.
The method of claim 24, further comprising:

The bedside monitor and/or the mobile monitoring device are triggered by the first preset condition and/or an instruction for switching working modes, unpairing the bedside monitor and the mobile monitoring device; or,

Triggered by a first preset condition and/or an instruction for switching working modes, the central station controls the bedside monitor and/or the mobile monitoring device to unpair them.
The method of claim 24, further comprising:

The bedside monitor generates an instruction for switching working modes and sends it to the mobile monitoring device; or,

The bedside monitor generates an instruction for switching the working mode and sends it to the central station, so that the central station forwards the instruction for switching the working mode to the mobile monitoring device; or,

The central station generates an instruction for switching working modes and sends it to the mobile monitoring device; or,

The central station generates an instruction for switching the working mode and sends it to the bedside monitor, so that the bedside monitor forwards the instruction for switching the working mode to the mobile monitoring device.
The method according to any one of claims 20 to 26, further comprising:

When the mobile monitoring device is not paired with the bedside monitor and works alone in the interval monitoring mode, the central station obtains the patient's current EWS score, and when the EWS score is higher than a preset score , controlling the patient's mobile monitoring device to switch from the interval monitoring mode to the continuous monitoring mode, or outputting prompts for the user to pair the mobile monitoring device with the bedside monitor to work together and adopt the continuous monitoring mode information on guardianship mode; and/or

When the mobile monitoring device is not paired with the bedside monitor and works alone in the continuous monitoring mode, the central station obtains the current EWS score of the patient, and when the EWS score is lower than the preset When the score is low, control the mobile monitoring device to switch from the continuous monitoring mode to the interval monitoring mode; and/or

When the mobile monitoring device is paired with the bedside monitor and work together in the continuous monitoring mode, the central station obtains the current EWS score of the patient, and when the EWS score is lower than the preset score control the mobile monitoring device to switch from the continuous monitoring mode to the interval monitoring mode, and/or prompt the user to disconnect the mobile monitoring device from the paired bedside monitor.
The method according to claims 20 to 27, wherein the number of the mobile monitoring devices is greater than the number of the bedside monitors, and a part of the mobile monitoring devices are respectively connected to one of the bedside monitors during work. The monitors are paired and work together, and some of the mobile monitoring devices are not paired with any bedside monitors during operation.
The method according to any one of claims 20 to 28, wherein the preset physiological parameters are electrocardiographic parameters; the method also includes:

The mobile monitoring device judges whether the ECG parameter exceeds the corresponding threshold or meets the preset alarm conditions for abnormal physiological events, and if so, determines that the patient has a malignant arrhythmia, generates the preset message and transmits it to the central station, and outputs Corresponding alarm information.
The method of claim 23, further comprising:

The central station displays at least one of the physiological parameter values, physiological parameter curves and alarm events;

The source of monitoring data corresponding to at least one of the physiological parameter value, physiological parameter curve and alarm event is also displayed, and/or the current period of the patient is displayed.
A method according to any one of claims 20 to 30, wherein,

The mobile monitoring device measures physiological parameters more frequently in the continuous monitoring mode than in the interval monitoring mode; or,

The mobile monitoring device transmits monitoring data to the central station and/or paired bedside monitor more frequently in continuous monitoring mode than in interval monitoring mode.
A monitoring method for postoperative rehabilitation, characterized in that it comprises:

During the first preset period, the mobile monitoring device works in the continuous monitoring mode, and continuously monitors the patient together with the target monitoring device, and wirelessly transmits the monitoring data obtained from the continuous monitoring to the target monitoring device;

During the second preset period, the mobile monitoring device independently works in the interval monitoring mode, performs interval monitoring on the patient, and wirelessly transmits the monitoring data obtained from the interval monitoring to the target monitoring device;

During a third preset period, the mobile monitoring device switches from the interval monitoring mode to the continuous monitoring mode, wherein the condition of the patient during the first preset period is lower than that during the second preset period The condition of the patient is severe, and the condition in the third preset period is more severe than that in the first preset period.