The specific embodiment
Describe the present invention for reaching employed technological means of purpose and effect hereinafter with reference to the accompanying drawing of enclosing, and the cited embodiment of the following drawings only is an aid illustration, in order to your juror understand, but the technological means of this case is not limited to cited accompanying drawing.
See also shown in Figure 1ly, anemia of pregnant woman provided by the present invention is monitoring and communication system in real time at home, and it comprises a sensing apparatus 10, a network terminal machine 20, a CAMS 30 and at least one electronic installation 40.
This sensing apparatus 10 comprises a uterine contraction pressure sensor, a fetal rhythm rate pick off and a fetal movement pick off usually, for example wear in anemia of pregnant woman 11 on one's body or in contactless mode by this sensing apparatus 10, can uterine contraction be pressed in order to detect, the physiological status of relevant this anemia of pregnant woman 11 such as fetal rhythm rate and fetal movement and fetus thereof, and can produce sensing signal.
This network terminal machine 20 is connected with this sensing apparatus 10, required according to circumstances, can wired or wireless mode connect this network terminal machine 20 and this sensing apparatus 10, after receiving and handle the sensing signal that this sensing apparatus 10 produced by this network terminal machine 20, again by this network terminal machine 20 outputs one processing signals to this CAMS 30.
Display mode about this network terminal machine 20, can consult an embodiment shown in Figure 2, picture 21 in this network terminal machine 20 can be provided with most fields 211,212,213,214, represent uterine contraction (Toco) in order to show respectively, the first fetal rhythm rate (FHR1), the numerical value of the second fetal rhythm rate (FHR2) and fetal movement (FM), and the host IP address field 215 that connects this CAMS 30 in order to input, and hospital's bed label field 216 of representing the anemia of pregnant woman, and this network terminal machine 20 and these sensing apparatus 10 banded connectivity port fields 217, and whether carry out simulation test field 218, and begin online button 219 and end key 220 etc.; When host IP address field 215, hospital's bed label field 216 and connectivity port field 217 are imported really, and sensing apparatus 10 wear in anemia of pregnant woman 11 on one's body and the running just often, the numerical value of uterine contraction, the first fetal rhythm rate, the second fetal rhythm rate and fetal movement can be shown in the field 211~214; Mandatory declaration be when anemia of pregnant woman 11 nourishes twins, just can show the second fetal rhythm rate score, otherwise only can show the first fetal rhythm rate score that represent the unit cell tire in field 212 in field 213.
Moreover, the database server 33 that this CAMS 30 comprises a socket platform 31, the web page server 32 that is connected with this socket platform 31, is connected with this web page server 32, and a parsing processor 34; This socket platform 31 can pass through the third generation (3G) system or Asymmetrical Digital Subscriber Line communication patterns such as (ADSL) is connected with this network terminal machine 20, receive the processing signals that this network terminal machine 20 is exported by this socket platform 31, and can set the temporal frequency that receives processing signals, received once, and by this socket platform 31 processing signals was sent to this web page server 32 again in for example per five seconds or ten seconds; Can be as for this database server 33 in order to store the processing signals that this web page server 32 is received; And this database server 33 can connect a data backup server 331 again, can set this data backup server 331 and regularly these database server 33 stored data be backed up automatically, to guarantee Information Security.
As for this parsing processor 34, it is to be connected with this web page server 32, and in order to resolving the processing signals that this web page server 32 is received, and exportable analytic signal is to this web page server 32; Similarly, this parsing processor 34 can be connected with this database server 33, store the processing signals that this parsing processor 34 is resolved by this database server 33, and can regularly back up automatically by this data backup server 331 to the data of this parsing processor 34.
When above-mentioned this parsing processor 34 is finished signal resolution, and after analytic signal is sent to this web page server 32, can download this analytic signal by this CAMS 30 by this electronic installation 40, this electronic installation 40 is and these web page server 32 wireless connections, this electronic installation 40, for example be the individual action electronic installation: mobile phone, mobile computer (Note Book), personal digital assistant PDA, hand-held computer etc., this electronic installation 40 has a display 41, this display 41 can this analytic signal of pictorial display, and this electronic installation 40 can be set the time span that shows this analytic signal, for example, can set the nearest halfhour analytic signal of each demonstration, or 60 minutes, 90 minutes or 120 minutes etc. are looked actual needs and are set up on their own by user 42; And the user 42 of holding this electronic installation 40 can judge whether the physiological status of anemia of pregnant woman 11 and fetus thereof is unusual according to these electronic installation 40 shown analytic signals; Wherein this user can be medical personnel or anemia of pregnant woman family members etc.Mandatory declaration be, which kind of personnel this electronic installation 40 and indefinite are worn on one's body, so based on the demand of remote monitoring anemia of pregnant woman and fetus physiological status thereof, this electronic installation 40 is usually in order to wear in the professional health care personnel, especially on one's body the attending doctor of the responsible anemia of pregnant woman's medical act of finger.
About the image display mode of this display 41, can consult an embodiment shown in Figure 3, in display 41, for example first half is fetal rhythm rate information display area 411, its longitudinal axis shows fetal rhythm rate score, lateral shaft is a time shaft; In addition in display 41, for example Lower Half is uterine contraction information display area 412, its longitudinal axis unit of display is an intra-uterine pressure numerical value, its unit is kPa (mmHg), lateral shaft then is a time shaft.In these uterine contraction display area 412 tops, divide a block again as fetal movement information display area 413.The longitudinal network ruling of these display 41 each viewing areas of visual required setting, for example this fetal rhythm rate information display area 411 was represented it with a solid line in per three minutes, 412 each minutes of this uterine contraction information display area are represented it with a solid line, or Warning Mark 414 is set in below, this fetal rhythm rate information display area 411 bottoms, in order to the label time section, for example illustrate this triangle Warning Mark 414 once, the time period of this shows signal is analyzed to make things convenient for user 42 as doctor or medical care to manage the personnel that protect etc. every 30 minutes marks; Because the normal tire heart rate range is 120~160 times/minute, therefore can represent it with different colours or color range in 120~160 zones of fetal rhythm rate information display area 411, for example the hatched example areas of Fig. 3 is beneficial to user such as doctor and judges fast whether the fetal rhythm rate is unusual; In addition, scroll bar button 415 can be set, open button 416 and leave figures such as button 417 in this display 41, with provide user 42 for example medical personnel according to action required.User 42 can be set this action electronic installation 40 real-time download process signals, also can set the download time frequency, downloads once automatically in for example per 30 minutes.In addition, user also can be set this CAMS 30 and initiatively transmit a unusual news in brief, also be, when after this parsing processor 34 is resolved the physiological status of anemia of pregnant woman and fetus thereof, noting abnormalities situation, user 42 can initiatively and send unusual news in brief in real time, so that can be taked medical action rapidly to the anemia of pregnant woman according to this unusual news in brief to this electronic installation 40.In addition, user 42 can be sent to this CAMS 30 with information by this electronic installation 40, carry out transmitted in both directions with this CAMS 30, also can one network terminal machine 50 be set in these user 42 ends, the web page server 32 that provides user 42 that judged result is inputed to be connected with this socket platform 31 is as record.
In one embodiment, user 42 also can directly enter and go the information such as fetal heart rate-uterine contraction of watching this parsing processor 34 to be resolved in this web page server 32, and for example user 42 can link these web page servers 32 by this network terminal machine 50.In another embodiment, this network terminal machine 20 in anemia of pregnant woman's 11 ends also can show the information such as fetal heart rate-uterine contraction that parsing processor 34 is resolved.
See also another embodiment icon of system of the present invention shown in Figure 4, this system mainly comprises a sensing apparatus 10, one CAMS 30 and at least one electronic installation 40, the characteristics of present embodiment are, for sensing apparatus 10 with screen display and signal transfer functions, can directly spread out of the sensing signal data in wired or wireless mode and give long-range CAMS 30 by this sensing apparatus 10, after carrying out dissection process and produce analytic signal by 30 pairs of sensing signals of this CAMS, can be by this electronic installation 40 by these CAMS 30 download parsing signals, and be shown on this display 41, this network terminal machine 20 as shown in Figure 1 need not be set; Similarly, user 42 can send information to this CAMS 30 by this electronic installation 40.
In one embodiment, user 42 also can directly enter and go the information such as fetal heart rate-uterine contraction of watching this parsing processor 34 to be resolved in this CAMS 30.In another embodiment, this sensing apparatus 10 in anemia of pregnant woman's 11 ends also can show the information such as fetal heart rate-uterine contraction of being resolved via this CAMS 30.What must emphasize is, anemia of pregnant woman provided by the present invention is monitoring in real time and communication system and method thereof at home, be not only to be merely anemia of pregnant woman's physiological status to be informed long-range user for example medical personnel or anemia of pregnant woman family members etc., characteristics of the present invention are to be provided with this CAMS 30, can resolve the signal that this sensing apparatus 10 is detected.
With this process of analysis 700 shown in Figure 5 is illustrative examples:
Step 701: this CAMS 30 begins to resolve;
Step 702: at first dynamically inspect uterine contraction and press information; Usually, the pressure of foundation reading of rule uterine contraction interval is that (0~15mmHg), surpass 2kPa (15mmHg) is that basic value is unusual to 0~2kPa during normal labor.Syst normal peak pressure power is 6.67~9.33kPa (50~70mmHg).Surpassing 9.33kPa (70mmHg) is the high-tension contraction, can obviously reduce the placenta uterina blood flow, and the anemia of pregnant woman must use uterorelaxant immediately; Above-mentioned uterine contraction data setting in this CAMS 30, promptly be can be used as the analysis judgment benchmark of this CAMS 30;
Step 703: judge whether the uterus shrinks, if then enter step 704 and 710; If not, then enter step 706;
Whether step 704: it is normal to inspect the uterine contraction frequency; If then get back to step 702; If not, then enter step 705;
Step 705: undesired uterine contraction frequency is carried out labelling or proposed caution, return step 702;
Step 706: when step 703 is judged uterine contraction, promptly calculate benchmark fetal rhythm rate (B-FHR); Benchmark fetal rhythm rate (B-FHR, Baseline Fetal Heart Rate) is a fetus at the heart rate that is not subjected to factor affecting such as uterine contraction, mainly in order to check the variation of fetal rhythm rate score and baseline, so that step 707 and 708 uses to be provided;
Step 707: whether the benchmark fetal rhythm rate of calculating according to step 706 (B-FHR) is inspected fetal rhythm rate (FHR) variability normal, if not, then enters step 709; If then get back to step 702;
Step 708: whether the benchmark fetal rhythm rate of calculating according to step 706 (B-FHR) is inspected benchmark fetal rhythm rate (B-FHR) normal, if not, then enters step 709; If then get back to step 702;
Step 709: abnormal FHR variability or benchmark fetal rhythm rate are carried out labelling or propose caution, and get back to step 702;
Whether step 710: it is normal dynamically to inspect periodic fetal heart rate (P-FHR); If then get back to step 702; If not, then entering step 711 carries out labelling or proposes caution; Periodic fetal heart rate changes (P-FHR, Periodic Fetal Heart Rate) and is meant that fetus is subjected to the variation of stimulation back hearts rate such as uterine contraction, mainly checks the relation (dynamically) of fetal heart frequency variation tendency and uterine contraction this moment;
Step 711: undesired periodic fetal heart rate is carried out labelling or proposes caution, return step 702.
In sum, anemia of pregnant woman provided by the present invention is monitoring in real time and communication system and method thereof at home, be to utilize uterine contraction, tire sound and fetal movement physiologic monitoring data to be sent to system end, carry out long-term and comprehensive multiparameter by the auxiliary monitor system of intelligent type computer and judge, can significantly promote judgment accuracy.System implementation of the present invention and traditional approach benefit are compared as follows:
One, medical personnel's efficient:
Before system imported, medical personnel need wait at any time in the anemia of pregnant woman side, and manpower can't fully use; And when unusual condition took place, medical personnel were usually by telephone contact doctor verbal communication, and chart were xeroxed fax give doctor, deposit, and are consuming time, take a lot of work, and can't precisely and in real time express real conditions really, and disposal or cause the doctor to judge by accident easily occasions a delay;
After system imports, medical personnel will not need to wait at any time the side in the anemia of pregnant woman, reduce medical personnel and look after manpower; By direct proactive notification medical personnel of system and doctor, the doctor can utilize wireless environment to supervise anemia of pregnant woman's situation at any time, gives correct disposal.
Two, more timely and the pressing close to property of medical care:
Before system imported, no real-time Monitoring Data can't make medical personnel grasp the sufferer actual state;
System presents by real-time Monitoring Data after importing, and effectively promotes the promptness and pressing close to property of medical care.
Three, medical care quality:
Before system imported, the doctor told by nursing staff's mouth to understand the sufferer situation, and not having obvious data can be for reference, is easy to generate mistake;
After system imported, medical personnel can check Monitoring Data by wireless communications environment at any time at any time, promoted medical care service quality.
Four, sufferer satisfaction:
Before system imported, the anemia of pregnant woman only can select the antiabortive observation of being in hospital, labor intensive and resource;
After system imported, light disease anemia of pregnant woman can select to get back to familiar environment and for example carry out from residence that house is antiabortive looks after, and can save hospitalization cost and looked after manpower and waste.And can make the anemia of pregnant woman family members grasp anemia of pregnant woman's situation, reduce the anemia of pregnant woman and keep somewhere uneasiness sense in the family and danger etc. separately by the native system long distance.
Certainly; the present invention also can have other various embodiments; under the situation that does not deviate from spirit of the present invention and essence thereof; those of ordinary skill in the art work as can make various corresponding changes and distortion according to the present invention, but these corresponding changes and distortion all should belong to the protection domain of the appended claim of the present invention.