CN103211585A - Multiparameter monitoring and analyzing system - Google Patents
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Abstract
The invention discloses a multiparameter monitoring and analyzing system, comprising a monitoring terminal and a central working station, wherein the monitoring terminal is used for monitoring and transmitting acquired physiological data information to the central working station; and the central working station is used for receiving the physiological data information sent by the monitoring terminal and carrying out displaying and dynamic analysis. The central working station also comprises an electrocardio analysis module, a blood pressure analysis module, a sleep-breathing analysis module and a multiparameter comprehensive analysis module. The multiparameter monitoring and analyzing system disclosed by the invention has the advantages that the problems that vital sign parameters of a patient can not be synchronously acquired and recorded and overall and multi-directional comprehensive analysis can not be carried out on the acquired physiological data information are solved, the purposes of clearly observing the state information in the aspects of heart, blood pressure and sleep breathing on the same time axis and observing the relation of relevance and targeting among the heart, the blood pressure and the sleep breathing can be achieved, and comprehensive and long-term dynamic observation and management for chronic diseases such as cardiovascular and cerebrovascular diseases can be realized.
Description
Technical Field
The invention relates to the field of medical information engineering, in particular to a multi-parameter monitoring and analyzing system.
Background
In the prior art, the monitoring technology for patients in the technical field of medical engineering mainly relates to a dynamic electrocardiogram monitoring technology, a dynamic blood pressure monitoring technology and a sleep respiration monitoring technology.
The main process adopting the monitoring technology comprises the following steps:
firstly, acquiring data information such as electrocardiogram information, blood pressure value information, sleep respiration data information and the like of 24-hour multi-lead (including single lead, 3 lead, 12 lead and the like) of a human body through a monitoring terminal;
then, storing the acquired data information in a FLASH or SD card;
and finally, uploading the data to a computer, and respectively carrying out corresponding analysis through dynamic electrocardiogram analysis software, dynamic blood pressure analysis software and sleep respiration analysis software installed in the computer to finally determine the diagnosis and treatment scheme of the corresponding disease.
However, in the prior art, the dynamic electrocardiogram product only collects and records electrocardiogram parameters, the dynamic blood pressure product only collects and records blood pressure parameters, and the sleep respiration monitoring product only collects and records sleep-related parameters, so that the cardiovascular overall state of a human body cannot be integrally evaluated at one time. For a wide range of cardiovascular and cerebrovascular patients and chronic disease groups, the systemic integral disorder and aging are caused, and the complications of multiple disease types are usually presented; meanwhile, the targeting and the correlation of heart diseases, hypertension and sleep diseases are very close.
The 2009 hypertension guidelines in the united states clearly stipulate that secondary hypertension is the first factor to be excluded and is therefore essential to achieve simultaneous acquisition of multiple parameters and overall unified analysis. Moreover, the existing monitor can only analyze the data recorded by the recorder, and cannot be compatible with other monitoring devices for analyzing, such as: real-time multi-parameter monitor. Therefore, the original real-time monitor can give an alarm in real time, but is lack of professional dynamic analysis; the existing dynamic recording equipment has strong professional analysis capability but does not have a real-time alarm function.
Therefore, how to solve the existing technical problems that the physiological data information of the patient cannot be synchronously acquired and recorded and the acquired physiological data information cannot be comprehensively analyzed in a whole multi-direction manner becomes an urgent need to be solved.
Disclosure of Invention
The technical problem to be solved by the invention is to provide a multi-parameter monitoring and analyzing system to solve the problems that the physiological data information of a patient cannot be synchronously acquired and recorded and the acquired physiological data information cannot be comprehensively analyzed in a multi-aspect mode.
In order to solve the above technical problems, the present invention provides a multi-parameter monitoring and analyzing system, comprising: a monitoring terminal and a central workstation; wherein,
the monitoring terminal is coupled with the central workstation and is used for monitoring and transmitting the acquired physiological data information to the central workstation;
and the central workstation is coupled with the monitoring terminal and used for receiving the physiological data information sent by the monitoring terminal to display and dynamically analyze.
Further, the central workstation further comprises: the device comprises an electrocardio analysis module, a blood pressure analysis module, a sleep respiration analysis module and a multi-parameter comprehensive analysis module; wherein,
the electrocardio analysis module is coupled with the monitoring terminal and the multi-parameter comprehensive analysis module and is used for receiving electrocardio data information transmitted by the monitoring terminal for analysis and diagnosis, giving out at least one judgment result and sending the judgment result to the multi-parameter comprehensive analysis module;
the blood pressure analysis module is coupled with the monitoring terminal and the multi-parameter comprehensive analysis module and is used for receiving blood pressure data information transmitted by the monitoring terminal for analysis and diagnosis, giving out at least one judgment result and sending the judgment result to the multi-parameter comprehensive analysis module;
the sleep respiration analysis module is coupled with the monitoring terminal and the multi-parameter comprehensive analysis module and is used for receiving sleep respiration data information transmitted by the monitoring terminal for analysis and diagnosis, giving out at least one judgment result and sending the judgment result to the multi-parameter comprehensive analysis module;
the multi-parameter comprehensive analysis module is respectively coupled with the electrocardio analysis module, the blood pressure analysis module and the sleep respiration analysis module and is used for comprehensively sorting, analyzing and displaying the received judgment results sent by the electrocardio analysis module, the blood pressure analysis module and the sleep respiration analysis module.
Further, the sleep breathing data information further includes: blood oxygen data information, electrocardiogram data information and respiration data information.
Compared with the prior art, the multi-parameter monitoring and analyzing system achieves the following effects:
1) the multi-parameter monitoring and analyzing system solves the problems that the prior system can not synchronously acquire and record physiological data information of patients and can not carry out overall multi-directional comprehensive analysis on the acquired physiological data information, can synchronously acquire and record various physiological data information, can clearly observe the disease state of the heart, the disease state of the blood pressure and the state of the sleep breathing on the same time axis, can observe the relationship and the targeted relationship among the three, and can better determine the relationship between the cardiovascular disease state or other disease states of chronic patients and the cause and effect of disease; in addition, 24-hour dynamic electrocardiogram analysis, 24-hour dynamic blood pressure analysis, sleep breathing analysis and the like can be performed, and comprehensive cardiovascular evaluation and analysis are integrally performed on the basis of the result parameters of the three analyses, so that comprehensive long-term dynamic management on cardiovascular and cerebrovascular diseases and the like can be realized, and the centralized monitoring effect on chronic disease patients is good;
2) by adopting the multi-parameter monitoring and analyzing system, good effects can be obtained only by monitoring cardiovascular patients with multiple diseases once, the effect which can be achieved by monitoring for a plurality of times in the past is replaced, and the burden of chronic patients and doctors is greatly relieved;
for a plurality of patients under in-hospital monitoring, the comprehensive evaluation of cardiovascular diseases can be completed simultaneously while the patients are monitored in real time, so that the common monitoring has the functions of a monitor, a dynamic electrocardiogram analyzer, a dynamic blood pressure analyzer and a sleep respiration analyzer, and the use value of the equipment is greatly improved;
3) the multi-parameter monitoring and analyzing system not only can analyze multi-parameter data, but also can analyze and extract the multi-parameter monitoring data in real time, and can effectively combine the real-time monitoring with the specialty of dynamic analysis;
4) the multi-parameter monitoring and analyzing system is suitable for long-term observation and management of chronic diseases and can monitor sleep breathing.
Drawings
FIG. 1 is a block diagram of a multi-parameter monitoring and analyzing system according to an embodiment of the present invention;
fig. 2 is a block diagram showing a specific structure of the central workstation 20 in the multi-parameter monitoring and analyzing system of fig. 1.
Detailed Description
As used in the specification and in the claims, certain terms are used to refer to particular components. As one skilled in the art will appreciate, manufacturers may refer to a component by different names. This specification and claims do not intend to distinguish between components that differ in name but not function. In the following description and in the claims, the terms "include" and "comprise" are used in an open-ended fashion, and thus should be interpreted to mean "include, but not limited to. "substantially" means within an acceptable error range, within which a person skilled in the art can solve the technical problem to substantially achieve the technical result. Furthermore, the term "coupled" is intended to encompass any direct or indirect electrical coupling. Thus, if a first device couples to a second device, that connection may be through a direct electrical coupling or through an indirect electrical coupling via other devices and couplings. The following description is of the preferred embodiment for carrying out the invention, and is made for the purpose of illustrating the general principles of the invention and not for the purpose of limiting the scope of the invention. The scope of the present invention is defined by the appended claims.
The present invention will be described in further detail below with reference to the accompanying drawings, but the present invention is not limited thereto.
As shown in fig. 1, the multi-parameter monitoring and analyzing system of the present invention comprises: a monitoring terminal 10 and a central workstation 20; wherein,
the monitoring terminal 10 is coupled to the central workstation 20, and is configured to monitor and transmit the acquired physiological data information to the central workstation 20.
In a specific embodiment, the monitoring terminal 10 can monitor and synchronously acquire physiological data of a patient, such as a multi-lead electrocardiogram waveform, a respiration waveform, a blood pressure value, a blood oxygen value, a pulse wave, a body temperature value, and the like. The monitoring terminal 10 can transmit the collected physiological data information to the central workstation 20 in various ways, such as: the system comprises a real-time 3G wireless remote transmission mode, a real-time wireless remote measurement transmission mode, a TCP/IP wide area network limited data non-real-time transmission mode, and a mode of storing data in an SD card and uploading the data to a computer through a USB interface. The above is not limited in detail.
The central workstation 20 is coupled to the monitoring terminal 10, and is configured to receive the physiological data information sent by the monitoring terminal 10, and perform display and dynamic analysis.
Wherein, the display content comprises: waveform and digital information, real-time alarm information, data playback information, and data management information.
Specifically, as shown in fig. 2, for a specific structure of the central workstation 20 in the multi-parameter monitoring and analyzing system according to the embodiment, the central workstation 20 includes: an electrocardio analysis module 201, a blood pressure analysis module 202, a sleep respiration analysis module 203 and a multi-parameter comprehensive analysis module 204; wherein,
the electrocardiograph analysis module 201 is coupled to the monitoring terminal 10 and the multi-parameter comprehensive analysis module 204, and configured to receive electrocardiograph data information transmitted by the monitoring terminal 10, perform analysis and diagnosis, provide at least one determination result, and send the determination result to the multi-parameter comprehensive analysis module 204.
Specifically, the electrocardiographic analysis module 201 performs dynamic analysis on the received electrocardiographic data information, and the main content of the analysis includes: statistics of at least 20 arrhythmia templates, trend graph of ischemia load of multi-lead synchronous ST segment, editing ischemia event, calculation according with myocardial ischemia and heart rate variability, then the electrocardio analysis module 201 gives out at least one judgment result by combining the analysis content and sends the judgment result to the multi-parameter comprehensive analysis module 204, and a dynamic electrocardiogram analysis report can be given out by the electrocardio analysis module.
The blood pressure analysis module 202 is coupled to the monitoring terminal 10 and the multi-parameter comprehensive analysis module 204, and configured to receive blood pressure data information transmitted by the monitoring terminal 10 for analysis and diagnosis, provide at least one determination result, and send the determination result to the multi-parameter comprehensive analysis module 204.
Specifically, the blood pressure analysis module 202 performs dynamic analysis on the received blood pressure data information, and the main content of the analysis includes: the blood pressure analysis module 202 will give at least one decision result in combination with the analysis content and send to the multi-parameter comprehensive analysis module 204, which itself may also give a dynamic blood pressure analysis report.
The sleep respiration analysis module 203 is coupled to the monitoring terminal 10 and the multi-parameter comprehensive analysis module 204, and configured to receive sleep respiration data information transmitted by the monitoring terminal 10, perform analysis and diagnosis, give at least one determination result, and send the determination result to the multi-parameter comprehensive analysis module 204.
In a specific embodiment, the sleep breathing data information includes: blood oxygen data information, electrocardiogram data information and respiration data information. Specifically, the sleep respiration analysis module 203 may perform dynamic analysis on the received sleep respiration data all night, where the time from going to bed to going to bed is a calculation cycle, and the main content of the analysis includes: first, classification detection and statistics of sleep respiratory events throughout the night, such as: obstructive respiratory events, hypopnea, central respiratory events, mixed respiratory events, and the like; structural analysis of sleep throughout the night, such as waking, light sleep, deep sleep, REM rapid eye movement period and the like; the sleep respiration analysis module 203 then gives at least one decision result in combination with the analysis content and sends the decision result to the multi-parameter comprehensive analysis module 204, which itself can also give a sleep respiration prescreening analysis report of the whole night.
The multi-parameter comprehensive analysis module 204 is coupled to the electrocardiogram analysis module 201, the blood pressure analysis module 202, and the sleep respiration analysis module 203, and is configured to comprehensively sort, analyze, and display the received determination results sent by the electrocardiogram analysis module 201, the blood pressure analysis module 202, and the sleep respiration analysis module 203.
Specifically, the multi-parameter comprehensive analysis module 204 performs an overall data statistics and evaluation on the received determination results sent by the electrocardiogram analysis module 201, the blood pressure analysis module 202, and the sleep respiration analysis module 203, displays the results, and then provides a complete summarized comprehensive report with quantified graphical states, so that the doctor can have an overall evaluation and understanding on the patient's condition.
The following is an application example of the multi-parameter monitoring and analyzing system according to the present invention.
First, the monitoring terminal 10 of the multi-parameter monitoring and analyzing system in this embodiment is a small-sized mobile monitor, which is carried by the patient. The mobile monitor adopts a high-degree miniaturization integration technology, all circuit devices such as physiological parameter acquisition, data processing, data display, communication transmission and the like are integrated on a circuit board with the size of a palm, and the mobile monitor is small in size and convenient to carry. The mobile monitor is mainly used for acquisition of physiological parameters and transmission of data, wherein elements used for acquisition of the physiological parameters generally comprise a multi-lead cardiac wire, a blood pressure cuff, a blood oxygen nail sleeve and a body temperature line. The specific connection mode of the medical device and the human body is as follows:
1) the patient uses the multi-lead electrocardio wire, one end with the electrode buckle is connected with the electrocardio electrode slice and is attached to the corresponding part of the human body surface, and the other end of the plug is inserted into the electrocardio socket of the mobile monitor;
2) the blood pressure cuff is used for being pushed to the upper arm (the position which is horizontally level with the heart part) of a person, and the plug at the other end is inserted into the blood pressure socket of the mobile monitor;
3) using a blood oxygen wire to sleeve the blood oxygen nail on the finger of a person, and inserting the plug at the other end into the blood oxygen socket of the mobile monitor;
4) the body temperature probe is fixed under the armpit of the human body by an adhesive tape by using a body temperature line, and the plug at the other end is inserted into the body temperature socket of the mobile monitor.
After the mobile monitor is connected with a human body, a switch of the mobile monitor is turned on, and at the moment, each analog signal of the mobile monitor passes through an analog amplifying circuit and a filter circuit matched with the analog amplifying circuit and is finally input into a main control CPU of the mobile monitor. Therefore, the mobile monitor can synchronously acquire and record the physiological data information of the patient and store the physiological data information.
Secondly, when data transmission is required, the mobile monitor can transmit the acquired physiological data information to each analysis module of the central workstation 20 in a real-time manner, such as: data is transmitted in a wireless telemetering mode through a built-in wireless telemetering communication module, and data is transmitted in a wireless remote mode through a built-in 3G communication module; the mobile monitor can also transmit the collected physiological data information to each analysis module of the central workstation 20 in a non-real-time transmission manner, such as: the recorded and stored 24-hour physiological data information of the patient is stored in the SD card, and then the physiological data information in the SD card is imported into a computer of the central workstation 20 through a card reader, or the physiological data information is uploaded to the central workstation 20 directly through an RJ45 wide area network.
Finally, after the electrocardiographic analysis module 201, the blood pressure analysis module 202, and the sleep respiration analysis module 203 in the central workstation 20 respectively receive the physiological electrocardiographic data information, the blood pressure data information, and the sleep respiration data information sent by the mobile monitors carried by the patients in various places and places remote from outside the hospital, they are analyzed and diagnosed one by one, which is specifically represented as follows:
firstly, the electrocardiograph analysis module 201 dynamically analyzes the received electrocardiograph data information, and the main content of the analysis includes: editing and analyzing arrhythmia templates, counting and classifying 20 arrhythmia events, performing trend graph analysis on ischemic load of a multi-lead synchronous ST segment, editing ischemic events, calculating myocardial ischemic load and analyzing heart rate variability, and then combining the analysis to give at least one judgment result and sending the judgment result to the multi-parameter comprehensive analysis module 204.
The blood pressure analysis module 202 performs dynamic analysis on the received blood pressure data information, and the main contents of the dynamic analysis include: blood pressure list changes, statistical display of diurnal trend graphs of blood pressure, statistical display of diurnal histograms of blood pressure, statistical display of diurnal pie graphs of blood pressure, statistical display of blood pressure fitted lines, and display of electrocardiograms in association with blood pressure, and then gives at least one decision result in conjunction with the analysis to the multi-parameter comprehensive analysis module 204.
The sleep respiration analysis module 203 can perform dynamic analysis on the received information of sleep respiration data (including electrocardiographic data, blood pressure data, blood oxygen data and respiration data) all night, and the main content of the analysis includes: classified detection and statistics of sleep respiratory events throughout the night (e.g., obstructive respiratory events, hypopneas, central respiratory events, and mixed respiratory events); structural analysis of the sleep of the whole night (such as wake, light sleep, deep sleep, REM rapid eye movement period, etc.), and then at least one determination result is given in combination with the analysis and sent to the multi-parameter comprehensive analysis module 204.
Fourthly, the multi-parameter comprehensive analysis module 204 performs integral data statistics and evaluation on the received judgment results sent by the electrocardio analysis module 201, the blood pressure analysis module 202 and the sleep respiration analysis module 203, and then provides a complete charting and state quantification summarized comprehensive report.
Thus, through the detailed analysis of the analysis modules of the electrocardio analysis module 201, the blood pressure analysis module 202 and the sleep respiration analysis module 203 and the overall summary of the multi-parameter comprehensive analysis module 204, a doctor can integrally know the cardiovascular disease condition or other disease conditions of a certain patient, so as to timely remind and diagnose the patient in the dangerous period.
Compared with the prior art, the multi-parameter monitoring and analyzing system provided by the invention achieves the following effects:
1) the multi-parameter monitoring and analyzing system solves the problems that the prior system can not synchronously acquire and record physiological data information of patients and can not carry out overall multi-directional comprehensive analysis on the acquired physiological data information, can synchronously acquire and record various physiological data information, can clearly observe the disease state of the heart, the disease state of the blood pressure and the state of the sleep breathing on the same time axis, can observe the relationship and the targeted relationship among the three, and can better determine the relationship between the cardiovascular disease state or other disease states of chronic patients and the cause and effect of disease; in addition, 24-hour dynamic electrocardiogram analysis, 24-hour dynamic blood pressure analysis, sleep breathing analysis and the like can be performed, and comprehensive cardiovascular evaluation and analysis are integrally performed on the basis of the result parameters of the three analyses, so that comprehensive long-term dynamic management on cardiovascular and cerebrovascular diseases and the like can be realized, and the centralized monitoring effect on chronic disease patients is good;
2) by adopting the multi-parameter monitoring and analyzing system, good effects can be obtained only by monitoring cardiovascular patients with multiple diseases once, the effect which can be achieved by monitoring for a plurality of times in the past is replaced, and the burden of chronic patients and doctors is greatly relieved;
for a plurality of patients under in-hospital monitoring, the comprehensive evaluation of cardiovascular diseases can be completed simultaneously while the patients are monitored in real time, so that the common monitoring has the functions of a monitor, a dynamic electrocardiogram analyzer, a dynamic blood pressure analyzer and a sleep respiration analyzer, and the use value of the equipment is greatly improved;
3) the multi-parameter monitoring and analyzing system not only can analyze multi-parameter data, but also can analyze and extract the multi-parameter monitoring data in real time, and can effectively combine the real-time monitoring with the specialty of dynamic analysis;
4) the multi-parameter monitoring and analyzing system is suitable for long-term observation and management of chronic diseases and can monitor sleep breathing.
The foregoing description shows and describes several preferred embodiments of the invention, but as aforementioned, it is to be understood that the invention is not limited to the forms disclosed herein, but is not to be construed as excluding other embodiments and is capable of use in various other combinations, modifications, and environments and is capable of changes within the scope of the inventive concept as expressed herein, commensurate with the above teachings, or the skill or knowledge of the relevant art. And that modifications and variations may be effected by those skilled in the art without departing from the spirit and scope of the invention as defined by the appended claims.
Claims (3)
1. A multi-parameter monitoring analysis system, comprising: a monitoring terminal and a central workstation; wherein,
the monitoring terminal is coupled with the central workstation and is used for monitoring and transmitting the acquired physiological data information to the central workstation;
and the central workstation is coupled with the monitoring terminal and used for receiving the physiological data information sent by the monitoring terminal to display and dynamically analyze.
2. The multi-parameter care analysis system of claim 1, wherein said central workstation further comprises: the device comprises an electrocardio analysis module, a blood pressure analysis module, a sleep respiration analysis module and a multi-parameter comprehensive analysis module; wherein,
the electrocardio analysis module is coupled with the monitoring terminal and the multi-parameter comprehensive analysis module and is used for receiving electrocardio data information transmitted by the monitoring terminal for analysis and diagnosis, giving out at least one judgment result and sending the judgment result to the multi-parameter comprehensive analysis module;
the blood pressure analysis module is coupled with the monitoring terminal and the multi-parameter comprehensive analysis module and is used for receiving blood pressure data information transmitted by the monitoring terminal for analysis and diagnosis, giving out at least one judgment result and sending the judgment result to the multi-parameter comprehensive analysis module;
the sleep respiration analysis module is coupled with the monitoring terminal and the multi-parameter comprehensive analysis module and is used for receiving sleep respiration data information transmitted by the monitoring terminal for analysis and diagnosis, giving out at least one judgment result and sending the judgment result to the multi-parameter comprehensive analysis module;
the multi-parameter comprehensive analysis module is respectively coupled with the electrocardio analysis module, the blood pressure analysis module and the sleep respiration analysis module and is used for comprehensively sorting, analyzing and displaying the received judgment results sent by the electrocardio analysis module, the blood pressure analysis module and the sleep respiration analysis module.
3. The system of claim 2, wherein the sleep breathing data information further comprises: blood oxygen data information, electrocardiogram data information and respiration data information.
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| CN103400332A (en) * | 2013-08-14 | 2013-11-20 | 宁波天瑞医疗器械有限公司 | Health service platform system based on real-time monitoring |
| CN104188651A (en) * | 2014-08-20 | 2014-12-10 | 南京贺普检测仪器有限公司 | Electrocardiogram monitoring device and control method of electrocardiogram monitoring device |
| CN107822597A (en) * | 2017-10-17 | 2018-03-23 | 四川长虹电器股份有限公司 | Based on the calculating of intelligent platform heart vitality index and image conversion display system and method |
| CN108403103A (en) * | 2018-04-23 | 2018-08-17 | 武汉市意念云科技有限公司 | A kind of high-timeliness cardiovascular disease monitoring system and its monitoring method |
| CN108471953A (en) * | 2016-02-18 | 2018-08-31 | 深圳迈瑞生物医疗电子股份有限公司 | A kind of physiological parameter signals method for amalgamation processing, apparatus and system |
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| CN114334050A (en) * | 2020-09-30 | 2022-04-12 | 北京优理医疗器械有限公司 | Physiological data collection, management, display device and method |
| CN115691723A (en) * | 2021-07-30 | 2023-02-03 | 北京优理医疗器械有限公司 | Physiological data processing method and device and application thereof |
| WO2024032810A1 (en) * | 2022-08-12 | 2024-02-15 | 深圳迈瑞生物医疗电子股份有限公司 | Life information processing system and life information processing method |
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