CN113180620A - Intensive care unit telemonitoring system - Google Patents
Intensive care unit telemonitoring system Download PDFInfo
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- CN113180620A CN113180620A CN202110598236.XA CN202110598236A CN113180620A CN 113180620 A CN113180620 A CN 113180620A CN 202110598236 A CN202110598236 A CN 202110598236A CN 113180620 A CN113180620 A CN 113180620A
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- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
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Abstract
The invention provides a remote monitoring system of an intensive care unit, which comprises a sign monitoring module, a replenishment module, a gateway and a terminal processing module, wherein wireless communication units are arranged in the sign monitoring module and the replenishment module, the sign monitoring module and the replenishment module are connected with a gateway network through the wireless communication units, the gateway is connected with the terminal processing module through the network, and the terminal processing module is connected with a medical care terminal and an operation and control terminal in a wireless communication manner.
Description
Technical Field
The invention relates to the technical field of medical monitoring, in particular to a remote monitoring system for an intensive care unit.
Background
Intensive care therapy means that various advanced medical technologies and modern monitoring and rescuing equipment are applied to various critical patients for receiving and treating to intensively treat and nurse the critical patients. In order to ensure the survival and the subsequent quality of life of the patient to the maximum extent, the treated subjects in intensive care units are in principle various critical acute reversible diseases. Such as patients who need to be monitored after major operations, anesthesia accidents, severe compound wounds, acute circulatory failure, acute respiratory failure, patients who suffer from cardiac arrest and respiratory arrest, electric shocks, drowned patients, various poisoned patients, various shock patients, septicemia, amniotic fluid embolism, severe pregnancy toxemia and the like.
Because the patient of intensive care therapy is usually in very critical state, need personnel to incessantly monitor, among the prior art, intensive care therapy all needs medical personnel to adjust the supply volume that needs for the patient according to each item monitoring data of guardianship equipment, but when monitoring some patients that possess the strong infectivity, medical personnel itself will have certain infection risk, this problem is hardly solved to current monitoring system, need the manual adjustment supply volume of doctor according to the guardianship data, medical personnel's work load and danger have been increased.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a remote monitoring system for an intensive care unit, which can process the monitored data to obtain the due supply amount, automatically supply the data through a supply module, and set a medical care terminal and an operation terminal to remotely monitor and adjust the supply data so as to solve the problems that the existing intensive care system has single function and needs medical care personnel to keep close-range monitoring all the time.
In order to achieve the purpose, the invention is realized by the following technical scheme: a remote monitoring system of an intensive care unit comprises a sign monitoring module, a replenishment module, a gateway and a terminal processing module, wherein wireless communication units are arranged in the sign monitoring module and the replenishment module, the sign monitoring module and the replenishment module are connected with a gateway network through the wireless communication units, the gateway is connected with the terminal processing module through the network, the terminal processing module is connected with a medical care terminal and a control terminal in a wireless communication manner, the sign monitoring module is used for acquiring vital sign parameters of a patient, the replenishment module is used for replenishing medicines and nutrients for the patient, and the terminal processing module is used for processing the received vital sign parameters and adjusting the replenishment amount of the replenishment module;
the physical sign monitoring module comprises a body temperature monitor, a heart pulse monitor, a respiration monitor and a blood pressure monitor, wherein the body temperature monitor is used for acquiring a body temperature value of a patient, the heart pulse monitor is used for acquiring a heart rate value and a pulse rate value of the patient, the respiration monitor is used for acquiring a respiration rate and a respiration volume of the patient, and the blood pressure monitor is used for acquiring a systolic pressure and a diastolic pressure of the patient;
the supply module comprises a blood supply device, a nutrient supply device, an oxygen supply device and a liquid medicine supply device;
the terminal processing module comprises a physical sign processing unit, a replenishment control unit, a storage unit and an output unit, wherein the weight and the age of a patient are stored in the storage unit;
the physical sign processing unit is configured with a first processing strategy, a second processing strategy, a third processing strategy, a fourth processing strategy and a comprehensive processing strategy; the first processing strategy is used for processing the obtained body temperature risk value according to the body temperature value, the body weight and the age; the second processing strategy is used for processing according to the heart rate value, the pulse rate value, the weight and the age to obtain a heart pulse risk value; the third processing strategy is used for processing according to the breathing frequency, the breathing volume, the weight and the age to obtain a breathing risk value; the fourth processing strategy is used for processing according to systolic pressure, diastolic pressure, weight and age to obtain a blood pressure risk value; the comprehensive processing strategy is used for processing according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the weight and the age to obtain a comprehensive risk value;
the replenishment control unit is configured with a replenishment strategy, and the replenishment strategy comprises: processing according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the body weight to respectively obtain the blood supply amount of the blood supply device, the nutrient supply amount of the nutrient supply device, the oxygen supply amount of the oxygen supply device and the liquid medicine supply amount of the liquid medicine supply device;
the output unit is used for transmitting the processing result of the physical sign processing unit and the supply result of the supply control unit to the medical care terminal and the control terminal;
the control terminal and the medical care terminal module are respectively provided with a supply amount adjusting unit, the supply amount adjusting unit is used for manually inputting supply amount parameters to adjust the supply amount, and the supply amount parameters comprise blood supply amount, nutrient supply amount, oxygen supply amount and liquid medicine supply amount.
Further, the first processing strategy is configured with a first algorithm for calculating a risk to body temperature value based on a body temperature value, a weight, and an age, the first processing strategy further comprising: when the body temperature risk value is smaller than or equal to a first temperature threshold value, outputting a first temperature risk instruction; when the body temperature risk value is larger than the first temperature threshold value and smaller than or equal to the second temperature threshold value, outputting a normal temperature instruction; when the body temperature risk value is greater than or equal to a second temperature threshold value, outputting a second temperature risk instruction;
the second processing strategy is configured with a second algorithm, the second algorithm calculates a heart pulse risk value according to a heart pulse rate value, a weight and an age, the second processing strategy further comprises: when the heart pulse risk value is smaller than or equal to the first heart pulse threshold value, outputting a first heart pulse risk instruction; when the heart pulse risk value is larger than the first heart pulse threshold value and smaller than or equal to the second heart pulse threshold value, outputting a heart pulse normal instruction; when the heart pulse risk value is larger than or equal to the second heart pulse threshold value, outputting a second heart pulse risk instruction;
the third processing strategy is configured with a third algorithm that calculates a respiratory risk value based on respiratory rate, respiratory volume, weight, and age, the third processing strategy further comprising: when the respiratory risk value is smaller than or equal to a first respiratory threshold value, outputting a first respiratory risk instruction; when the respiration risk value is larger than the first respiration threshold value and smaller than or equal to the second respiration threshold value, outputting a respiration normal instruction; when the respiration risk value is greater than or equal to a second respiration threshold value, outputting a second respiration risk instruction;
the fourth processing strategy is configured with a fourth algorithm, the fourth algorithm calculates a blood pressure risk value according to the systolic pressure, the diastolic pressure, the weight and the age, and the fourth processing strategy further comprises: when the blood pressure risk value is smaller than or equal to the first blood pressure threshold value, outputting a first blood pressure risk instruction; when the blood pressure risk value is larger than the first blood pressure threshold value and smaller than or equal to the second blood pressure threshold value, outputting a blood pressure normal instruction; when the blood pressure risk value is larger than or equal to the second blood pressure threshold value, outputting a second blood pressure risk instruction;
the comprehensive processing strategy is configured with a fifth algorithm, the fifth algorithm calculates a comprehensive risk value according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the weight and the age, and the fifth processing strategy further comprises: when the comprehensive risk value is smaller than or equal to a first comprehensive threshold value, outputting a first comprehensive risk instruction; when the comprehensive risk value is larger than the first comprehensive threshold value and smaller than or equal to the second comprehensive threshold value, outputting a comprehensive normal instruction; when the comprehensive risk value is larger than or equal to a second comprehensive threshold value, outputting a second comprehensive risk instruction;
the output unit is used for outputting the first temperature risk instruction, the second temperature risk instruction, the first blood vessel risk instruction, the second blood vessel risk instruction, the first respiration risk instruction, the second respiration risk instruction, the first blood pressure risk instruction, the second blood pressure risk instruction, the first comprehensive risk instruction and the second comprehensive risk instruction to the medical care terminal and the control terminal.
Further, the first algorithm is configured to:
the second algorithm is configured to:
the third algorithm is configured to:
the fourth algorithm is configured to:
the fifth algorithm is configured to:
wherein Tf is a body temperature risk value, XMf is a heart pulse risk value, Hf is a respiration risk value, Xf is a blood pressure risk value, Zf is a comprehensive risk value, Tw is a body temperature value, Xl is a heart rate value, Ml is a pulse rate value, Hp is a respiratory frequency valueWhere Hl is respiratory volume, Xs1 is systolic pressure, Xs2 is diastolic pressure, Tz is body weight, Nl is age, a1 to a5 are first to fifth weighting values, respectively, α is a first scale factor, β is a second scale factor, λ is a third scale factor, δ is a fourth scale factor, and k1 to k14 are first to fourteenth conversion coefficients, respectively.
Further, the replenishment strategy is also provided with a sixth algorithm, a seventh algorithm, an eighth algorithm and a ninth algorithm, wherein the sixth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the blood replenishment quantity; the seventh algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the nutrient supplement amount; the eighth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the oxygen supply amount; and the ninth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the liquid medicine replenishment amount.
Further, the sixth algorithm is configured to:
the seventh algorithm is configured to:
the eighth algorithm is configured to:
the ninth algorithm is configured to:
wherein Xb is a blood supply amount, Yb is a nutrient supply amount, YQb is an oxygen supply amount, YYb is a liquid medicine supply amount, A6 to A9 are sixth weight values to ninth weight values respectively, and k15 to k18 are fifteenth conversion coefficient to eighteenth conversion coefficient respectively.
Furthermore, the physical sign monitoring module further comprises a consciousness monitor, the consciousness monitor comprises a camera and a voice broadcaster, the camera is used for monitoring human face dynamic, and the human face dynamic comprises blinking times and pupil area;
an awareness detection strategy is configured in the awareness monitor, and the awareness detection strategy comprises: playing voices enabling the patient to blink ten times through a voice broadcaster, capturing blinking times through a camera, recording the blinking times, and capturing the pupil area of the patient;
the physical sign processing unit is further configured with a fifth processing strategy, which includes: and processing according to the blinking times and the pupil area to obtain an consciousness risk value.
Further, the fifth processing strategy is configured with a tenth algorithm, the tenth algorithm calculates an consciousness risk value according to the blinking number and the pupil area, and the fifth processing strategy further includes: when the consciousness risk value is smaller than or equal to a first consciousness threshold value, outputting a first consciousness risk instruction; when the consciousness risk value is larger than the first consciousness threshold value and smaller than or equal to the second consciousness threshold value, outputting a consciousness normal instruction; when the consciousness risk value is larger than or equal to a second consciousness threshold value, outputting a second consciousness risk instruction;
the output unit is used for outputting the first consciousness risk instruction and the second consciousness risk instruction to the medical care terminal and the control terminal.
Further, the tenth algorithm is configured to: y isf＝k19×(P1-P)+k20And (S-3), wherein Yf is an consciousness risk value, P1 is a preset blink value, P blinking times, S is a pupil area, k19 is a nineteenth conversion coefficient, and k20 is a twentieth conversion coefficient.
Further, the replenishment module further comprises a cardiotonic supply;
the replenishment strategy is further configured with an eleventh algorithm for calculating a cardiac replenishment amount of the cardiac supply based on the body temperature risk value, the cardiac risk value, the respiration risk value, the blood pressure risk value, the consciousness risk value, the age, and the weight.
Further, the eleventh algorithm is configured to:
where Qb is the cardiac stimulant supply amount, k21 is the twenty-first conversion coefficient, and a10 is the tenth weight value.
The invention has the beneficial effects that: according to the invention, the body temperature value, the heart rate value, the pulse rate value, the breathing frequency, the breathing volume, the systolic pressure and the diastolic pressure of the patient are monitored, the vital signs of the patient can be known in time, the body temperature risk value, the heart pulse risk value, the breathing risk value, the blood pressure risk value and the comprehensive risk value can be respectively obtained by setting the sign processing module to process the sign parameters, the weight and the age, and the terminal processing module is connected with the medical care terminal and the control terminal through a network, so that the supply module can be remotely controlled.
The invention can obtain the blood supply amount of the blood supply device, the nutrient supply amount of the nutrient supply device, the oxygen supply amount of the oxygen supply device and the liquid medicine supply amount of the liquid medicine supply device by arranging the supply control unit and processing the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight, thereby remotely supplying patients.
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Other features, objects and advantages of the invention will become more apparent upon reading of the detailed description of non-limiting embodiments with reference to the following drawings:
FIG. 1 is a schematic connection diagram of a first embodiment of the present invention;
FIG. 2 is a schematic block diagram of a first embodiment of the present invention;
FIG. 3 is a schematic block diagram of a characterization monitoring module according to a second embodiment of the present invention;
fig. 4 is a schematic block diagram of a replenishment module according to a second embodiment of the present invention.
In the figure: 1. a terminal processing module; 11. a physical sign processing unit; 12. a replenishment control unit; 13. a storage unit; 14. an output unit; 2. a gateway; 3. a physical sign monitoring module; 31. a body temperature monitor; 32. a heart vessel monitor; 33. a respiration monitor; 34. a blood pressure monitor; 35. an consciousness monitor; 351. a camera; 352. a voice broadcaster; 4. a replenishment module; 41. a blood supply; 42. a nutrient supply; 43. an oxygen supply; 44. a medicinal liquid supply device; 45. a cardiotonic supply; 5. a medical care terminal; 6. and (5) operating the terminal.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.
An embodiment I, please refer to fig. 1 and fig. 2, an intensive care unit telemonitoring system, including sign monitoring module 3, replenishment module 4, gateway 2 and terminal processing module 1, be provided with wireless communication unit in sign monitoring module 3 and the replenishment module 4, sign monitoring module 3 and replenishment module 4 pass through wireless communication unit and wireless gateway 2 internet access, gateway 2 and 1 internet access of terminal processing module, 1 wireless communication of terminal processing module is connected with medical care terminal 5 and controls terminal 6, sign monitoring module 3 is used for obtaining patient's vital sign parameter, replenishment module 4 is used for carrying out the replenishment of medicine and nutrient for the patient, terminal processing module 1 is used for handling the vital sign parameter of receiving to adjust the replenishment volume of replenishment module 4.
Can remote control sign monitoring module 3 and supply module 4 function through terminal processing module 1, realize when monitoring patient's vital sign, according to vital sign, each item supply volume of adjustment supply module 4 to convenient long-range guardianship, and can conveniently carry out manual supply volume adjustment through medical care terminal 5 and control terminal 6.
The physical sign monitoring module 3 comprises a body temperature monitor 31, a heart pulse monitor 32, a respiration monitor 33 and a blood pressure monitor 34, wherein the body temperature monitor 31 is used for acquiring the body temperature value of a patient, the heart pulse monitor 32 is used for acquiring the heart rate value and the pulse rate value of the patient, the respiration monitor 33 is used for acquiring the respiratory frequency and the respiratory volume of the patient, the blood pressure monitor 34 is used for acquiring the systolic pressure and the diastolic pressure of the patient, and the conventional vital signs of the patient can be monitored through the physical sign monitoring module 3.
The replenishment module 4 includes a blood supply 41, a nutrient supply 42, an oxygen supply 43, and a chemical supply 44, and the replenishment module 4 can adjust the replenishment amounts according to the instruction of the terminal processing module 1.
The terminal processing module 1 comprises a physical sign processing unit 11, a replenishment control unit 12, a storage unit 13 and an output unit 14, wherein the weight and the age of a patient are stored in the storage unit 13;
the physical sign processing unit 11 is configured with a first processing strategy, a second processing strategy, a third processing strategy, a fourth processing strategy and a comprehensive processing strategy; the first processing strategy is used for processing the obtained body temperature risk value according to the body temperature value, the body weight and the age; the second processing strategy is used for processing according to the heart rate value, the pulse rate value, the weight and the age to obtain a heart pulse risk value; the third processing strategy is used for processing according to the breathing frequency, the breathing volume, the weight and the age to obtain a breathing risk value; the fourth processing strategy is used for processing according to systolic pressure, diastolic pressure, weight and age to obtain a blood pressure risk value; the comprehensive processing strategy is used for processing according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the weight and the age to obtain a comprehensive risk value;
the replenishment control unit 12 is configured with a replenishment strategy comprising: processing the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the body weight to obtain a blood supply amount of the blood supply 41, a nutrient supply amount of the nutrient supply 42, an oxygen supply amount of the oxygen supply 43 and a chemical supply amount of the chemical supply 44;
the output unit 14 is used for transmitting the processing result of the physical sign processing unit 11 and the replenishment result of the replenishment control unit 12 to the medical care terminal 5 and the control terminal 6;
the control terminal 6 and the medical care terminal 5 are respectively provided with a supply amount adjusting unit, the supply amount adjusting unit is used for manually inputting supply amount parameters to adjust the supply amount, and the supply amount parameters comprise blood supply amount, nutrient supply amount, oxygen supply amount and liquid medicine supply amount.
The first processing strategy is configured with a first algorithm for calculating a risk to body temperature value based on a body temperature value, a weight, and an age, the first processing strategy further comprising: when the body temperature risk value is smaller than or equal to a first temperature threshold value, outputting a first temperature risk instruction; when the body temperature risk value is larger than the first temperature threshold value and smaller than or equal to the second temperature threshold value, outputting a normal temperature instruction; when the body temperature risk value is greater than or equal to a second temperature threshold value, outputting a second temperature risk instruction;
the second processing strategy is configured with a second algorithm, the second algorithm calculates a heart pulse risk value according to a heart pulse rate value, a weight and an age, the second processing strategy further comprises: when the heart pulse risk value is smaller than or equal to the first heart pulse threshold value, outputting a first heart pulse risk instruction; when the heart pulse risk value is larger than the first heart pulse threshold value and smaller than or equal to the second heart pulse threshold value, outputting a heart pulse normal instruction; when the heart pulse risk value is larger than or equal to the second heart pulse threshold value, outputting a second heart pulse risk instruction;
the third processing strategy is configured with a third algorithm that calculates a respiratory risk value based on respiratory rate, respiratory volume, weight, and age, the third processing strategy further comprising: when the respiratory risk value is smaller than or equal to a first respiratory threshold value, outputting a first respiratory risk instruction; when the respiration risk value is larger than the first respiration threshold value and smaller than or equal to the second respiration threshold value, outputting a respiration normal instruction; when the respiration risk value is greater than or equal to a second respiration threshold value, outputting a second respiration risk instruction;
the fourth processing strategy is configured with a fourth algorithm, the fourth algorithm calculates a blood pressure risk value according to the systolic pressure, the diastolic pressure, the weight and the age, and the fourth processing strategy further comprises: when the blood pressure risk value is smaller than or equal to the first blood pressure threshold value, outputting a first blood pressure risk instruction; when the blood pressure risk value is larger than the first blood pressure threshold value and smaller than or equal to the second blood pressure threshold value, outputting a blood pressure normal instruction; when the blood pressure risk value is larger than or equal to the second blood pressure threshold value, outputting a second blood pressure risk instruction;
the comprehensive processing strategy is configured with a fifth algorithm, the fifth algorithm calculates a comprehensive risk value according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the weight and the age, and the fifth processing strategy further comprises: when the comprehensive risk value is smaller than or equal to a first comprehensive threshold value, outputting a first comprehensive risk instruction; when the comprehensive risk value is larger than the first comprehensive threshold value and smaller than or equal to the second comprehensive threshold value, outputting a comprehensive normal instruction; when the comprehensive risk value is larger than or equal to a second comprehensive threshold value, outputting a second comprehensive risk instruction;
the output unit 14 is configured to output the first temperature risk instruction, the second temperature risk instruction, the first blood vessel risk instruction, the second blood vessel risk instruction, the first respiration risk instruction, the second respiration risk instruction, the first blood pressure risk instruction, the second blood pressure risk instruction, the first comprehensive risk instruction, and the second comprehensive risk instruction to the medical care terminal 5 and the control terminal 6.
The first algorithm is configured to:
the second algorithm is configured to:
the third algorithm is configured to:
the fourth algorithm is configured to:
the fifth algorithm is configured to:
wherein Tf is a body temperature risk value, XMf is a heart pulse risk value, Hf is a respiration risk value, and Xf is bloodThe pressure risk value, Zf is a comprehensive risk value, Tw is a body temperature value, Xl is a heart rate value, Ml is a pulse rate value, Hp is a respiratory frequency, Hl is a respiratory volume, Xs1 is a systolic pressure, Xs2 is a diastolic pressure, Tz is a body weight, Nl is an age, a1 to a5 are respectively a first weight value to a fifth weight value, α is a first scale factor, β is a second scale factor, λ is a third scale factor, δ is a fourth scale factor, and k1 to k14 are respectively a first conversion coefficient to a fourteenth conversion coefficient.
The replenishment strategy is also provided with a sixth algorithm, a seventh algorithm, an eighth algorithm and a ninth algorithm, wherein the sixth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the blood replenishment quantity; the seventh algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the nutrient supplement amount; the eighth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the oxygen supply amount; and the ninth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the liquid medicine replenishment amount.
The sixth algorithm is configured to:
the seventh algorithm is configured to:
the eighth algorithm is configured to:
the ninth algorithm is configured to:
wherein Xb is blood supply amount, Yb is nutrient supply amount, YQb is oxygen supply amount, YYb is liquid medicine supply amount, A6 to A9 are sixth weight value to ninth weight value respectively, and k15 to k18 are fifteenth conversion coefficients respectivelyTo an eighteenth conversion coefficient.
In the second embodiment, referring to fig. 3 and 4, in the second embodiment, a consciousness monitor 35 and a cardiotonic supply 45 are added, so as to monitor the emergency state of the patient and perform emergency replenishment in the emergency state, the sign monitoring module 3 further includes a consciousness monitor 35, the consciousness monitor 35 includes a camera 351 and a voice broadcaster 352, the camera 351 is used for monitoring the human face dynamic state, the human face dynamic state includes the blinking times and the pupil area, and by adding the consciousness monitor 35, when the basic vital signs of the patient have large fluctuation, the consciousness of the patient can be timely detected, so as to determine whether the patient is in the emergency state.
An awareness detection strategy is configured in the awareness monitor 35, and the awareness detection strategy comprises: broadcast the pronunciation of letting the patient ten times blink through voice broadcast ware 352 to carry out the seizure of number of times of blinking through camera 351, record the number of times of blinking, then catch patient's pupil area, when the number of times of blinking unsatisfied instruction, the consciousness that the accessible was reacted the patient and is possessed or not through the size of monitoring pupil.
The vital signs processing unit 11 is further configured with a fifth processing strategy, which includes: and processing according to the blinking times and the pupil area to obtain an consciousness risk value.
The fifth processing strategy is configured with a tenth algorithm, the tenth algorithm calculates an consciousness risk value according to the blinking number and the pupil area, and the fifth processing strategy further comprises: when the consciousness risk value is smaller than or equal to a first consciousness threshold value, outputting a first consciousness risk instruction; when the consciousness risk value is larger than the first consciousness threshold value and smaller than or equal to the second consciousness threshold value, outputting a consciousness normal instruction; when the consciousness risk value is larger than or equal to a second consciousness threshold value, outputting a second consciousness risk instruction;
the output unit 14 is used for outputting the first consciousness risk instruction and the second consciousness risk instruction to the medical care terminal 5 and the control terminal 6.
The tenth algorithm is configured to: y isf＝k19×(P1-P)+k20X (S-3), wherein Yf is consciousnessThe risk value P1 is a preset blink value, P blinking times, S is a pupil area, k19 is a nineteenth conversion coefficient, and k20 is a twentieth conversion coefficient.
The replenishment module 4 further comprises a cardiotonic supply 45;
the replenishment strategy is further provided with an eleventh algorithm for calculating a cardiac replenishment amount of the cardiac supply 45 from the body temperature risk value, the cardiac risk value, the respiration risk value, the blood pressure risk value, the consciousness risk value, the age, and the weight, and by adding the cardiac supply 45, the patient can be emergently treated at an emergency.
The eleventh algorithm is configured to:
where Qb is the cardiac stimulant supply amount, k21 is the twenty-first conversion coefficient, and a10 is the tenth weight value.
The working principle is as follows: in carrying out the guardianship process, sign monitoring module 3 can be to patient's body temperature value, the heart rate value, the pulse rate value, respiratory rate, respiratory volume, systolic pressure and diastolic pressure are monitored, can handle these sign parameters through terminal processing module 1, and obtain each item supply volume that supply module 4 corresponds, monitoring result and supply result can be sent to medical care terminal 5 and control terminal 6, can remote control supply module 4's supply volume through medical care terminal 5 and control terminal 6, and monitoring result and the supply result that calculates through terminal processing module 1 can supply medical personnel to refer to, the comprehensive timely validity of guardianship has been improved.
Finally, it should be noted that: the above-mentioned embodiments are only specific embodiments of the present invention, which are used for illustrating the technical solutions of the present invention and not for limiting the same, and the protection scope of the present invention is not limited thereto, although the present invention is described in detail with reference to the foregoing embodiments, those skilled in the art should understand that: any person skilled in the art can modify or easily conceive the technical solutions described in the foregoing embodiments or equivalent substitutes for some technical features within the technical scope of the present disclosure; such modifications, changes or substitutions do not depart from the spirit and scope of the embodiments of the present invention, and they should be construed as being included therein. Therefore, the protection scope of the present invention shall be subject to the protection scope of the appended claims.
Claims (10)
1. The remote monitoring system for the intensive care unit is characterized by comprising a sign monitoring module (3), a replenishment module (4), a gateway (2) and a terminal processing module (1), wherein wireless communication units are arranged in the sign monitoring module (3) and the replenishment module (4), the sign monitoring module (3) and the replenishment module (4) are in network connection with the gateway (2) through the wireless communication units, the gateway (2) is in network connection with the terminal processing module (1), the terminal processing module (1) is in wireless communication connection with a medical care terminal (5) and a control terminal (6), the sign monitoring module (3) is used for acquiring vital sign parameters of a patient, the replenishment module (4) is used for replenishing medicines and nutrients for the patient, the terminal processing module (1) is used for processing the received vital sign parameters, the supply amount of the supply module (4) is adjusted;
the physical sign monitoring module (3) comprises a body temperature monitor (31), a heart pulse monitor (32), a respiration monitor (33) and a blood pressure monitor (34), wherein the body temperature monitor (31) is used for acquiring a body temperature value of a patient, the heart pulse monitor (32) is used for acquiring a heart rate value and a pulse rate value of the patient, the respiration monitor (33) is used for acquiring a respiratory frequency and a respiratory volume of the patient, and the blood pressure monitor (34) is used for acquiring a systolic pressure and a diastolic pressure of the patient;
the supply module (4) comprises a blood supply device (41), a nutrient supply device (42), an oxygen supply device (43) and a liquid medicine supply device (44);
the terminal processing module (1) comprises a physical sign processing unit (11), a replenishment control unit (12), a storage unit (13) and an output unit (14), wherein the weight and the age of a patient are stored in the storage unit (13);
the physical sign processing unit (11) is configured with a first processing strategy, a second processing strategy, a third processing strategy, a fourth processing strategy and a comprehensive processing strategy; the first processing strategy is used for processing the obtained body temperature risk value according to the body temperature value, the body weight and the age; the second processing strategy is used for processing according to the heart rate value, the pulse rate value, the weight and the age to obtain a heart pulse risk value; the third processing strategy is used for processing according to the breathing frequency, the breathing volume, the weight and the age to obtain a breathing risk value; the fourth processing strategy is used for processing according to systolic pressure, diastolic pressure, weight and age to obtain a blood pressure risk value; the comprehensive processing strategy is used for processing according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the weight and the age to obtain a comprehensive risk value;
the replenishment control unit (12) is configured with a replenishment strategy comprising: processing according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight, and respectively obtaining the blood supply amount of the blood supply device (41), the nutrient supply amount of the nutrient supply device (42), the oxygen supply amount of the oxygen supply device (43) and the liquid medicine supply amount of the liquid medicine supply device (44);
the output unit (14) is used for transmitting the processing result of the physical sign processing unit (11) and the replenishment result of the replenishment control unit (12) to the medical care terminal (5) and the control terminal (6);
the control terminal (6) and the medical care terminal (5) are respectively provided with a supply amount adjusting unit, the supply amount adjusting unit is used for manually inputting supply amount parameters to adjust the supply amount, and the supply amount parameters comprise blood supply amount, nutrient supply amount, oxygen supply amount and liquid medicine supply amount.
2. An intensive care unit telemonitoring system according to claim 1, wherein the first processing strategy is configured with a first algorithm for calculating a risk to body temperature value based on body temperature value, body weight and age, the first processing strategy further comprising: when the body temperature risk value is smaller than or equal to a first temperature threshold value, outputting a first temperature risk instruction; when the body temperature risk value is larger than the first temperature threshold value and smaller than or equal to the second temperature threshold value, outputting a normal temperature instruction; when the body temperature risk value is greater than or equal to a second temperature threshold value, outputting a second temperature risk instruction;
the second processing strategy is configured with a second algorithm, the second algorithm calculates a heart pulse risk value according to a heart pulse rate value, a weight and an age, the second processing strategy further comprises: when the heart pulse risk value is smaller than or equal to the first heart pulse threshold value, outputting a first heart pulse risk instruction; when the heart pulse risk value is larger than the first heart pulse threshold value and smaller than or equal to the second heart pulse threshold value, outputting a heart pulse normal instruction; when the heart pulse risk value is larger than or equal to the second heart pulse threshold value, outputting a second heart pulse risk instruction;
the third processing strategy is configured with a third algorithm that calculates a respiratory risk value based on respiratory rate, respiratory volume, weight, and age, the third processing strategy further comprising: when the respiratory risk value is smaller than or equal to a first respiratory threshold value, outputting a first respiratory risk instruction; when the respiration risk value is larger than the first respiration threshold value and smaller than or equal to the second respiration threshold value, outputting a respiration normal instruction; when the respiration risk value is greater than or equal to a second respiration threshold value, outputting a second respiration risk instruction;
the fourth processing strategy is configured with a fourth algorithm, the fourth algorithm calculates a blood pressure risk value according to the systolic pressure, the diastolic pressure, the weight and the age, and the fourth processing strategy further comprises: when the blood pressure risk value is smaller than or equal to the first blood pressure threshold value, outputting a first blood pressure risk instruction; when the blood pressure risk value is larger than the first blood pressure threshold value and smaller than or equal to the second blood pressure threshold value, outputting a blood pressure normal instruction; when the blood pressure risk value is larger than or equal to the second blood pressure threshold value, outputting a second blood pressure risk instruction;
the comprehensive processing strategy is configured with a fifth algorithm, the fifth algorithm calculates a comprehensive risk value according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the weight and the age, and the fifth processing strategy further comprises: when the comprehensive risk value is smaller than or equal to a first comprehensive threshold value, outputting a first comprehensive risk instruction; when the comprehensive risk value is larger than the first comprehensive threshold value and smaller than or equal to the second comprehensive threshold value, outputting a comprehensive normal instruction; when the comprehensive risk value is larger than or equal to a second comprehensive threshold value, outputting a second comprehensive risk instruction;
the output unit (14) is used for outputting the first temperature risk instruction, the second temperature risk instruction, the first blood vessel risk instruction, the second blood vessel risk instruction, the first respiration risk instruction, the second respiration risk instruction, the first blood pressure risk instruction, the second blood pressure risk instruction, the first comprehensive risk instruction and the second comprehensive risk instruction to the medical care terminal (5) and the control terminal (6).
3. An intensive care unit telemonitoring system according to claim 2, wherein the first algorithm is configured to:
the second algorithm is configured to:
the third algorithm is configured to:
the fourth algorithm is configured to:
the fifth algorithm is configured to:
wherein Tf is a body temperature risk value, XMf is a heart pulse risk value, Hf is a respiratory risk value, Xf is a blood pressure risk value, Zf is a comprehensive risk value, Tw is a body temperature value, Xl is a heart rate value, Ml is a pulse rate value, Hp is a respiratory frequency, Hl is a respiratory volume, Xs1 is a systolic pressure, Xs2 is a diastolic pressure, Tz is a body weight, Nl is an age, Al to a5 are first to fifth weight values, α is a first scale factor, β is a second scale factor, λ is a third scale factor, δ is a fourth scale factor, and k1 to k14 are first to fourteenth conversion coefficients, respectively.
4. The intensive care unit telemonitoring system according to claim 3, wherein the replenishment strategy is further configured with a sixth algorithm, a seventh algorithm, an eighth algorithm and a ninth algorithm, the sixth algorithm is used for calculating blood replenishment amount according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight; the seventh algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the nutrient supplement amount; the eighth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the oxygen supply amount; and the ninth algorithm is used for calculating according to the body temperature risk value, the heart pulse risk value, the respiration risk value, the blood pressure risk value, the age and the weight to obtain the liquid medicine replenishment amount.
5. The intensive care unit telemonitoring system of claim 4, wherein the sixth algorithm is configured to:
the seventh algorithm is configured to:
the eighth algorithm is configured to:
the ninth algorithm is configured to:
wherein Xb is a blood supply amount, Yb is a nutrient supply amount, YQb is an oxygen supply amount, YYb is a liquid medicine supply amount, A6 to A9 are sixth weight values to ninth weight values respectively, and k15 to k18 are fifteenth conversion coefficient to eighteenth conversion coefficient respectively.
6. Intensive care unit telemonitoring system according to claim 5, characterized in that the vital signs monitoring module (3) further comprises an awareness monitor (35), the awareness monitor (35) comprising a camera (351) and a voice announcer (352), the camera (351) being configured to monitor the human face dynamics, the human face dynamics comprising the number of blinks and the pupil area;
an awareness detection policy is configured within the awareness monitor (35), the awareness detection policy comprising: playing voice for enabling the patient to blink ten times through a voice broadcaster (352), capturing the blinking times through a camera (351), recording the blinking times, and capturing the pupil area of the patient;
the vital signs processing unit (11) is further configured with a fifth processing strategy comprising: and processing according to the blinking times and the pupil area to obtain an consciousness risk value.
7. An intensive care unit telemonitoring system according to claim 6, characterized in that the fifth processing strategy is configured with a tenth algorithm calculating an consciousness risk value from blink times and pupil area, the fifth processing strategy further comprising: when the consciousness risk value is smaller than or equal to a first consciousness threshold value, outputting a first consciousness risk instruction; when the consciousness risk value is larger than the first consciousness threshold value and smaller than or equal to the second consciousness threshold value, outputting a consciousness normal instruction; when the consciousness risk value is larger than or equal to a second consciousness threshold value, outputting a second consciousness risk instruction;
the output unit (14) is used for outputting the first consciousness risk instruction and the second consciousness risk instruction to the medical care terminal (5) and the control terminal (6).
8. An intensive care unit telemonitoring system according to claim 7, wherein the tenth algorithm is configured to: y isf＝k19×(P1-P)+k20X (S-3), wherein Yf is an consciousness risk value, P1 is a preset blink value, P blink times, S is a pupil area, k19 is a nineteenth conversion coefficient, and k20 is a secondTen transform coefficients.
9. Intensive care unit telemonitoring system according to claim 8, characterized in that the replenishment module (4) further comprises a cardiotonic supply (45);
the replenishment strategy is further configured with an eleventh algorithm for calculating a cardiac replenishment amount of the cardiac supply (45) based on the body temperature risk value, the cardiac risk value, the respiration risk value, the blood pressure risk value, the consciousness risk value, the age, and the weight.
10. The intensive care unit telemonitoring system of claim 9, wherein the eleventh algorithm is configured to:
where Qb is the cardiac stimulant supply amount, k21 is the twenty-first conversion coefficient, and a10 is the tenth weight value.
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