CN107495942A - Neonate's Apgar score system and method - Google Patents

Abstract

Neonate's Apgar score system, including：Information acquisition module, for detecting every physiologic informations such as collection neonate pulse, breathing, body temperature, sound, Muscle tensility；Data conversion module, data signal is converted to for the neonate's physiology analog signal collected will to be detected, and is handled；Data transmission module, carry out data transmission and receive for the data signal after conversion process to be converted to the data of wifi forms, and according to wifi agreements；Data memory module, for the data storage that spreads out of data transmission module in database；Score calculation display module, for the data in reading database, and scored respectively according to myoelectricity algorithm, pulse/algorithm of heart rate, blood oxygen algorithm, breathing detection algorithm, body temperature algorithm, voice conversion algorithms, by final appraisal result include at PC ends or cell phone application client, it is necessary to when can directly be printed.

Description

Neonate's Apgar score system and method

Technical field

The present invention relates to medical science medical field, and in particular to a kind of method of clinical evaluation asphyxia neonatorum degree, especially It is related to a kind of neonate's Apgar score system and method.

Background technology

Apgar score（Apgar score）It is American physician Virginia-A Pujia（Virginia Apgar）1953 What year proposed first；Apgar is the colour of skin (appearence), heart rate (pulse), the reaction (grimace) to stimulation, Muscle tensility (activity) and breathing (respiration) five English words initial combination, Apgar score（Apgar score） Be Comprehensive Assessment of Health Status in a short time after being born to neonate, mainly diagnose asphyxia neonatorum situation, typically postpartum 1, 5th, respectively comment once within 10 minutes, 1 minute Apgar score represents the connatae situation of neonate, and reaction is in utero lived and passed through in stages of labor The situation gone through, 5 minutes and later scoring then represent the ability that neonate lives on one's own life, close with later Relationship between Quality of Life Cut.

The meaning of Apgar score is to judge that neonate has no asphyxia and the asphyxia order of severity, is with latter minute of being born Interior heart rate, breathing, Muscle tensility, laryngeal reflex（Reaction to stimulation）And 5 signs of skin color are foundation, each is 0-2 Point, full marks 10 divide；Wherein 8-10 belong to normal newborn, and 4-7 points are mild asphyxia, need clearing pneogaster, artificial respiration, The measures such as oxygen uptake, medication could recover, and 0-3 points of anoxics are seriously newborn with heavy asphyxia, need to promptly be rescued；Anoxic is more serious and serious Neonate, should after birth 5 minutes, 10 minutes when score again, until twice in succession scoring >=8 points.

Asphyxia neonatorum refers to during antenatal, production and postpartum various factors makes neonate to establish and normally independently exhale after being born Inhale and cause anoxic, organs function can be caused to be damaged, at present, asphyxia neonatorum is to cause neonatal death and nerveous system One of the main reason for system damage, in the Chinese neonates front three cause of the death (premature labor, asphyxia, pneumonia), asphyxia arranges the 2nd, and very Multiplicity Newborns with Asphyxia leaves serious sequelae, and very big burden is caused for individual, family, society.

Apgar score standard is：

Sign	0 point	1 point	2 points
				Muscle tensility（Muscle Tonicity	It is powerless；It is motionless	Four limbs are slightly in bending	Four limbs bending, action are active
Pulse（Heart rate）	Without heart rate	100 beats/min of ＜	100 beats/min of ＞
				Frown action（Instead Reflex response）	It is reactionless to plugging in nasal tube	Have in pump orifice nasal cavity frown it is dynamic Make	Frowned in pump orifice nasal cavity, Dodge, cough or sneeze
Appearance（The colour of skin）	The whole body of baby is in green grass or young crops Grey, or it is very pale	Body color is normal, but brothers are livid purple	The whole body colour of skin is normal
				Breathing（Breathing is made With）	Apnea	Sob is faint, seems the sound sobbed Sound；Slow respiration, and irregularly	Sob is well loud；Breathing Frequency and dynamics are uniformly, normally

1）The color of skin：Pink whole skin is 2 points, and trunk is pink, and livid purple four limbs are 1 point, and livid purple or pale whole body is 0 Point.

2）Heart rate：It is 2 points that palmic rate, which is more than 100 times per minute, is 1 point less than 100 times per minute, is 0 without heart rate Point.

3）Reaction to stimulation：Flick after baby vola or plug in nasal tube, baby crys, and sneezes or coughs as 2 Point, only frowning, to wait minor response be 1 point, without any reaction for 0 point.

4）Four limbs Muscle tensility：If major beat is actively 2 points, it is 1 point that four limbs, which omit flexing, and four limbs relaxation is 0 point.

5）Breathing：Loud eupnea, sob are 2 points, slow respiration and irregular or sob it is faint be 1 point, without exhaling Inhale for 0 point.

Apgar score result：It is outstanding, pass, fail.

It is outstanding：Illustrate the fitness and nerveous system of baby if Apgar scorings in 1 minute are 8 points or more than 8 points System development basis is pretty good, belongs to normal newborn, without any treatment, accounts for 90 or so the percent of neonate's sum；

Analysis：The first time end-of-term examination of life can be passed through, the effort of mother is performed meritorious deeds never to be obliterated, in order to baby's health in belly into Long, mother needs work and rest rule, nutrition balanced, and father is also required to coordinate, discontinue the habit of smoking and drinking with all strength, often accompanies ready-to-be mother to dissipate Step, returns ready-to-be mother and fetus is told funny stories and listened, and mother is glad, the mood of baby might as well it is serious, everybody makes joint efforts, certainly Proud achievement can be obtained.

Pass：Suffocate if scoring in one minute is 4-7 points for light moderate, it is necessary to which doctor takes some cardio-pulmonary functions The measure of recovery；And a period of time that baby just comes here to this world may be spent in incubator, but mother need not Anxious and worry, these necessary measures are advantageous for baby body and nervous system development in the future；

Analysis：The reason for causing baby to suffocate is more complicated；Amniotic fluid situation, cord around neck, birth when unpredictable unexpected feelings Condition etc., it is likely to cause baby to suffocate, but modern production science and technology is brilliant, and emergency treatment is proper in time, for recovering precious The normal operation of precious body items function, or even baby's life is saved, all have very important significance.

Fail：0-3 points be newborn with heavy asphyxia, it is necessary to organize the rescue work immediately；The scoring of first minute can judge to stop up comprehensively Breath degree, the scoring of the 5th minute can reflect the effect of rescue and help judging prognosis.

Analysis：Newborn baby is occurring to change per a moment, so, father and mother not only will periodically arrive hospital's follow-up, also Promptly all times, necessary early intervention is carried out to baby.

The country is still using Apgar score as the diagnostic criteria of asphyxia neonatorum at present, but the method is to asphyxia neonatorum There is false positive and false negative in diagnosis, be unfavorable for grasp of the clinician to the infant state of an illness, because the result of Apgar scorings is by more Aspect factor influences：

1. subjective factor

There is Clinical Report to show, the main participant of neonate's 1min Apgar scores includes obstetrician, paediatrics is cured Life, department of anesthesia doctor, midwifery personnel and maternity nurse, 5 groups of personnel score conclusions it is consistent only account for 28.2%, obstetrician's group is commented Point highest 8.7 is divided, and pediatrician organizes minimum 8.1 points of scoring, but paediatrics group asphyxia rate minimum 11.9%, midwifery personnel's group Asphyxia rate highest 19.7%, thus it is speculated that reason is that obstetrician will control the connatae asphyxia rate of neonate, and pediatrician is to new Raw youngster more worries, relatively more meticulous, and easily in Muscle tensility, stimulate the reaction aspect is deducted points（A kind of emotion occupational disease）；With Upper research report explanation, during 1min Apgar scores, the subjectivity of people, which accounts for dominate, status, although each is participated in Rating staff receives the training of standards of grading and criterion of giving a mark, and as a result still has very big deviation, has data to show Show that singleton case scoring gap differs 5 points, because standard is the hard and fast rule of character property, but subjectivity of the result from people judged Impression, different people have different impressions, there is the subjective criterion of oneself, and this can not unify（Such as：Sob is loud Degree standard, the ruddy degree standard of the colour of skin, to stimulate the reaction degree of flexibility standard etc.）, it is exactly briefly that Teletext Standard is most Basic reference, each participant have the marking judgment criteria of oneself again（This is unavoidable）.

2. objective factor

Neonate's Birth Situation mainly includes：It is natural labor, Forceps delivery, vacuum suction, Cesarean esction, premature, term infant, expired Youngster, each neonate performance have differences, such as, the neonate that gestational age is different, body weight is different sonority in sob Have differences, it is different to the extent of reaction of stimulation；Puerpera uses the Related Drugs such as arcotic, antalgesic before childbirth and in childbirth Thing, existing on neonatal reaction influences；Puerpera production process occur maternal infuries or intrauterine infection can also influence it is neonatal Reaction.In summary, raw childbirth process, medicine use and pregnant woman's health can all have influence on the result of Apgar score, This from the low danger that can not illustrate neonate and certainly exist asphyxia of side illustration Apgar score, during raw childbirth it is objective because Element and the subjective factor of rating staff affect the result of Apgar score simultaneously.

The content of the invention

Subjective factor can be reduced the invention aims to the one kind for solving the above problems and proposing to comment A Pujia The influence divided, improve neonate's Apgar score system and method for appraisal result authenticity and accuracy.

The present invention solves the technical measures that its technical problem is taken：

Neonate's Apgar score system, including：

Information acquisition module, for detecting every physiologic informations such as collection neonate pulse, breathing, body temperature, sound, Muscle tensility；

Data conversion module, data signal is converted to for the neonate's physiology analog signal collected will to be detected, and is located Reason；

Data transmission module, assisted for the data signal after conversion process to be converted to the data of wifi forms, and according to wifi View carries out data transmission and received；

Data memory module, for the data storage that spreads out of data transmission module in database；

Score calculation display module, for the data in reading database, and according to myoelectricity algorithm, pulse/algorithm of heart rate, blood oxygen Algorithm, breathing detection algorithm, body temperature algorithm, voice conversion algorithms are scored respectively, and final appraisal result is included at PC ends Or cell phone application client, it is necessary to when can directly be printed.

Preferably, described information acquisition module is made up of induction band, and sensor is provided with induction band, is accordingly believed The collection of breath.

Further, described sensor is pulse transducer, blood oxygen transducer, respiration transducer, body temperature transducer, sound Sound sensor, run between the sensor, do not interfere with each other independently of each other.

Preferably, described data conversion module is A/D converter by analog-digital converter（Abbreviation ADC）, data processing （MCU）Form, wherein A/D converter can receive analog signal and be converted into data signal, data processing（MCU）It will can turn Data signal after changing carries out respective handling and exported.

Preferably, described data transmission module is made up of wifi routers, receives the data signal after conversion, and again It is converted into the output of wifi formatted datas.

Preferably, described data memory module is made up of server, stores the data obtained from data transmission module.

Preferably, described score calculation display module is made up of pc client, cell phone application client, pc client, hand Machine APP clients can inquire about data from database, and the data inquired are handled, score, shown.

A kind of neonate's Apgar score method is also provided, it is concretely comprised the following steps：

Step 1, detection sensing apparatus are collected the physiology analog signals such as neonate's pulse, breathing, body temperature, sound, Muscle tensility and passed Go out；

Step 2, convert analog signals into digital information and handle；

Step 3, convert digital signals into wifi data-signals and spread out of；

Step 4, the wifi data-signals of outflow are stored in database；

Step 5, commented by the data in wifi data protocol reading databases and according to the Human Physiology algorithm set Divide and be shown in PC ends or cell phone application end.

Brief description of the drawings

Fig. 1 is the system schematic of the present invention

Fig. 2 is the system architecture schematic flow sheet of the present invention

Fig. 3 is pulse transducer collection transmission schematic diagram

Fig. 4 is pulse transducer internal structure schematic diagram

Fig. 5 is body temperature transducer temperature logs figure

Communication flow diagrams of the Fig. 6 between server and router

Fig. 7 is scoring schematic flow sheet

Fig. 8 cell phone applications end obtains the flow chart of data

Note：P is pressure in Fig. 4, and cantilever beam can produce deformation ε 1, pressure P and deformation relationship as just in the presence of pulse pressure P Ratio is related, when input voltage is 3.3 volts, deformation ε=4* ε 1 caused by deformeter.

Embodiment

The present invention is further described in detail with specific embodiment below in conjunction with the accompanying drawings：

As shown in the figure：Neonate's Apgar score system, including：

Information acquisition module 101, for detecting every physiology letter such as collection neonate pulse, breathing, body temperature, sound, Muscle tensility Breath；

Data conversion module 102, data signal is converted to for the neonate's physiology analog signal collected will to be detected, and carried out Processing；

Data transmission module 103, for the data signal after conversion process to be converted to the data of wifi forms, and according to wifi Agreement carries out data transmission and received；

Data memory module 104, for the data storage that spreads out of data transmission module in database；

Score calculation display module 105, for the data in reading database, and according to myoelectricity algorithm, pulse/algorithm of heart rate, Blood oxygen algorithm, breathing detection algorithm, body temperature algorithm, voice conversion algorithms are scored respectively, and final appraisal result is included PC ends or cell phone application client, it is necessary to when can directly be printed.

Preferably, described information acquisition module 101 is made up of induction band, and sensor is provided with induction band, carries out phase Answer the collection of information.

Further, described sensor is pulse transducer 201, blood oxygen transducer 202, respiration transducer 203, body temperature Sensor 204, sound transducer 205, run between the sensor, do not interfere with each other independently of each other.

Preferably, described pulse transducer 201 selects micropressure sensor, and micropressure sensor is close to measurement point skin Afterwards, the press process of beat pulse can be converted to signal output, trickle process that measuring instrument can be beated with display pulse and Cycle.

Preferably, described blood oxygen transducer 202 is by detecting the portions such as congested human body distal tissues such as finger or ear-lobe The arterial blood oxygen saturation of tissue is extrapolated to the ratio between the absorbance change rate of the feux rouges of different wave length and infrared light (R/IR values) in position Spend (SaO2), according to Beer-Lambert laws, ratio R/IR and arterial oxygen saturation (SaO2) functional relation should be line Sexual intercourse.

Preferably, what the respiration transducer 203 was selected is resistance-type diaphragm pressure sensor, and the frequency sound of sensor exists 10000 hertzs, the speed of breathing is determined by the resistance of exporting change.

Preferably, the body temperature transducer 204 is also radiation temperature measurement using Non-contact Infrared Temperature Measurement, using electrothermic type or Photodetector is as detecting element, it is possible to achieve the temperature of certain point is surveyed on the thermometric or testee of large area Amount.

Preferably, described sensor of sound transducer 205 is to be built-in with a condenser type electret to sound sensitive Microphone, sound wave vibrate the electret film in microphone, cause the change of electric capacity, and produce the small electric for corresponding to change therewith Pressure, this voltage are subsequently converted into 0-5V voltage, received by A/D converter by data acquisition unit, and send calculating to Machine.

Preferably, described data conversion module 102 is A/D converter by analog-digital converter（Abbreviation ADC）301st, data Processing（MCU）302 are formed, and wherein A/D converter 301 can receive analog signal and be converted into data signal, data processing （MCU）Data signal after conversion can be carried out respective handling and exported by 302.

Preferably, the i.e. analog-digital converter, or abbreviation ADC of the A/D converter 301, analog-signal transitions are believed for numeral Number electronic component, be by an input voltage signal be converted to one output data signal, the present invention select A/D converter The minimum 12bit of resolution ratio, switching rate：More than 5.33Msps.

Preferably, the data processing（MCU）302 from STM32L series, and the series is based on operation frequency 80MHz's ARM 32-bit Cortex-M4 processor cores, built-in floating point arithmetic element（FPU, floating-point unit）It can prop up Hold the read-write of DSP instruction and datas.

Preferably, described data transmission module 103 is made up of wifi routers 401, receives the data signal after conversion, And it is again converted into the output of wifi formatted datas.

Preferably, the wifi routers 401 use ESP-07wifi, and core processor ESP8266 is in smaller chi Leading 32 miniature MCU of Tensilica L106 super low-power consumptions are integrated with very little encapsulation, are simplified with 16 Pattern, dominant frequency support 80 MHz and 160 MHz, support RTOS, integrate Wi-Fi MAC/ BB/RF/PA/LNA, onboard day Line, support the IEEE802.11 b/g/n agreements of standard, complete TCP/IP protocol stacks, ESP-07wifi design parameter For：

Preferably, described data memory module 104 is made up of server 501, stores the data obtained from data transmission module.

Further, the server 501 is a management resource and provides the user the computer equipment of service, due to Server needs to respond service request, and is handled, therefore a server possesses the service of undertaking and ensures the ability of service； The composition of server includes processor, hard disk, internal memory, system bus etc., similar with general computer architecture；The property of server Energy demand can be selected：

Computer model:HP E ML10Gen9 desktop computers

Operating system:The R2 Server Standard scaled-down versions 64 (DirectX 11) of Windows 2012

Processor:The cores of Intel Xeon (to strong) E3-1225 [email protected] tetra-

Mainboard:HPE ML10Gen9 (Intel PCI standard host CPU bridge -100 Series/ C230 Series chipset Family-A149)

Internal memory:16 GB (Samsung DDR4 2133MHz/Hynix DDR4 2133MHz)

Primary Hard Drive:Seagate ST1000DM003-1SB102 (1 TB/7200 rev/min)

Video card:Intel HD Graphics P530 (128 MB/Intel)

Display:Hewlett-Packard HWP3229 HP P202 (19.9 inches)

Network interface card:Intel Ethernet Connection I219-LM

Preferably, described score calculation display module 105 is made up of pc client 601, cell phone application client 602, PC client End 601, cell phone application client 602 can inquire about data from database, and the data inquired are handled, score, shown Show.

A kind of neonate's Apgar score method is also provided, it is concretely comprised the following steps：

Step 1, detection sensing apparatus are collected the physiology analog signals such as neonate's pulse, breathing, body temperature, sound, Muscle tensility and passed Go out；

Step 2, convert analog signals into digital information and handle；

Step 3, convert digital signals into wifi data-signals and spread out of；

Step 4, the wifi data-signals of outflow are stored in database；

Step 5, commented by the data in wifi data protocol reading databases and according to the Human Physiology algorithm set Divide and be shown in PC ends or cell phone application end.

The present invention can also have other numerous embodiments, in the case of without departing substantially from spirit of the invention and its essence, this The technical staff in field works as can make various corresponding changes according to the present invention, but these corresponding changes should all belong to this hair Within bright protection domain.

Claims (8)

1. neonate's Apgar score system, it is characterised in that including：

Information acquisition module, for detecting every physiologic informations such as collection neonate pulse, breathing, body temperature, sound, Muscle tensility；

Data conversion module, data signal is converted to for the neonate's physiology analog signal collected will to be detected, and is located Reason；

Data transmission module, assisted for the data signal after conversion process to be converted to the data of wifi forms, and according to wifi View carries out data transmission and received；

Data memory module, for the data storage that spreads out of data transmission module in database；

Score calculation display module, for the data in reading database, and according to myoelectricity algorithm, pulse/algorithm of heart rate, blood oxygen Algorithm, breathing detection algorithm, body temperature algorithm, voice conversion algorithms are scored respectively, and final appraisal result is included at PC ends Or cell phone application client, it is necessary to when can directly be printed.

2. neonate's Apgar score system according to claim 1, it is characterised in that described information acquisition module by Induction band is formed, and is provided with sensor in induction band, is carried out the collection of corresponding information.

3. neonate's Apgar score system according to claim 1 and 2, it is characterised in that described sensor is pulse Sensor, blood oxygen transducer, respiration transducer, body temperature transducer, sound transducer, transport independently of each other between the sensor OK, it does not interfere with each other.

4. neonate's Apgar score system according to claim 1, it is characterised in that described data conversion module by Analog-digital converter is A/D converter（Abbreviation ADC）, data processing（MCU）Form, wherein A/D converter can receive analog signal And data signal is converted into, data processing（MCU）Data signal after conversion can be carried out to respective handling and exported.

5. neonate's Apgar score system according to claim 1, it is characterised in that described data transmission module by Wifi routers are formed, and receive the data signal after conversion, and are again converted into the output of wifi formatted datas.

6. neonate's Apgar score system according to claim 1 and 5, it is characterised in that described data memory module It is made up of server, stores the data obtained from data transmission module.

7. neonate's Apgar score system according to claim 1, it is characterised in that described score calculation shows mould Block is made up of pc client, cell phone application client, and pc client, cell phone application client can inquire about data from database, The data inquired are handled, scored, shown.

8. also providing a kind of neonate's Apgar score method, it is concretely comprised the following steps：

Step 1, detection sensing apparatus are collected the physiology analog signals such as neonate's pulse, breathing, body temperature, sound, Muscle tensility and passed Go out；

Step 2, convert analog signals into digital information and handle；

Step 3, convert digital signals into wifi data-signals and spread out of；

Step 4, the wifi data-signals of outflow are stored in database；

Step 5, commented by the data in wifi data protocol reading databases and according to the Human Physiology algorithm set Divide and be shown in PC ends or cell phone application end.