WO2020133541A1 - 病人状态监测***及方法 - Google Patents
病人状态监测***及方法 Download PDFInfo
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- WO2020133541A1 WO2020133541A1 PCT/CN2018/125892 CN2018125892W WO2020133541A1 WO 2020133541 A1 WO2020133541 A1 WO 2020133541A1 CN 2018125892 W CN2018125892 W CN 2018125892W WO 2020133541 A1 WO2020133541 A1 WO 2020133541A1
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- 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
- A61B5/0205—Simultaneously evaluating both cardiovascular conditions and different types of body conditions, e.g. heart and respiratory condition
- A61B5/02055—Simultaneously evaluating both cardiovascular condition and temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/318—Heart-related electrical modalities, e.g. electrocardiography [ECG]
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
- G16H10/65—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records stored on portable record carriers, e.g. on smartcards, RFID tags or CD
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/40—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management of medical equipment or devices, e.g. scheduling maintenance or upgrades
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
- G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/30—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- 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
- A61B5/021—Measuring pressure in heart or blood vessels
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/08—Detecting, measuring or recording devices for evaluating the respiratory organs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
- A61B5/14542—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring blood gases
Definitions
- This application relates to the field of electronic technology, in particular to a patient state monitoring system and method.
- the patients in the sub-critical transitional wards need to pay more attention than the patients in the general wards, and they pay less attention than the patients in the intensive care wards.
- the purpose is to accelerate the rehabilitation of the patients and ensure that the patients have accidents during the rehabilitation process.
- the monitoring equipment in the prior art has a single monitoring mode, which cannot meet the needs of the patients in the transitional ward of the Asia China Syndrome during the rehabilitation process.
- real-time monitoring is still adopted during the patient's rehabilitation exercise, and a large amount of invalid data is collected, resulting in Unnecessary waste of resources. Therefore, it is necessary to provide a new type of physiological monitoring system to meet the needs of sub-severe transitional wards.
- the embodiments of the present application provide a patient state monitoring system and method.
- the continuous monitoring mode and the intermittent monitoring mode can be set, and the collected patient monitoring related data can be used in these two monitoring modes as needed. Switching between, so that while the patient is adequately monitored, the electronic system can reduce the processing of redundant data and improve the efficiency and quality of monitoring.
- an embodiment of the present application provides a patient condition monitoring system, including a monitoring device and a monitoring module communicatively connected to the monitoring device; the monitoring module is worn on the patient's body and includes a processor for acquiring parameters, And set the working mode of the monitoring module according to the obtained parameters; wherein, the working mode of the monitoring module includes a continuous monitoring module and an intermittent monitoring mode.
- an embodiment of the present application provides a patient condition monitoring method, which is applied to a patient condition monitoring system including a monitoring device and a monitoring module in communication with the monitoring device.
- the monitoring module is worn on the patient's body and includes processing The method includes:
- the processor obtains parameters and sets the working mode of the monitoring module according to the obtained parameters; wherein, the working mode of the monitoring module includes a continuous monitoring module and an intermittent monitoring mode.
- an embodiment of the present application provides a computer-readable storage medium, which stores a plurality of program instructions, characterized in that the plurality of program instructions are used by a processor to execute any one of the foregoing Kinds of methods.
- the patient state monitoring system, method and computer-readable storage medium disclosed by the present invention acquire the parameters, and then set the working mode of the monitoring module according to the acquired parameters. Because the working mode of the monitoring module includes continuous monitoring mode and intermittent monitoring mode, and the frequency of continuous monitoring mode is greater than the frequency of intermittent monitoring mode, then the patient status monitoring system can adjust the monitoring mode in real time according to the patient's monitoring related data. Provide better monitoring quality, while the system can reduce the processing of redundant data and improve the efficiency of monitoring.
- FIG. 1 is a structural diagram of a patient state monitoring system provided by an embodiment of the present application.
- FIG. 2 is a system framework diagram of a monitoring device or a monitoring module provided by an embodiment of this application;
- FIG. 3 is a monitor networking system used in a hospital according to an embodiment of the application
- FIG. 5 is a schematic structural diagram of a monitoring module provided by the application.
- FIG. 6 is a schematic structural diagram of a patient state monitoring system provided by an embodiment of the present application.
- FIG. 7 is a schematic structural diagram of another patient state monitoring system provided by an embodiment of the present application.
- FIG. 9 is a wireless topology diagram of a receiving box WMTS provided by an embodiment of the present application.
- FIG. 10 is a schematic structural diagram of another patient state monitoring system provided by an embodiment of the present application.
- FIG. 11 is a schematic structural diagram of another patient state monitoring system provided by an embodiment of the present application.
- FIG. 12 is a schematic diagram of an accelerometer coordinate axis of a patient's body provided by an embodiment of the present application.
- FIG. 13 is a schematic diagram of a correspondence relationship between a space storage amount and a monitoring mode provided by an embodiment of the present application.
- FIG. 14 is a schematic diagram of a correspondence relationship between battery power and monitoring mode provided by an embodiment of the present application.
- 15 is a schematic flowchart of a patient state monitoring method provided by an embodiment of the present application.
- FIG. 1 is a structural diagram of a patient state monitoring system provided by an embodiment of the present application, including a monitoring device and a monitoring module communicatively connected to the monitoring device; the monitoring module is worn on a patient’s body and includes a processor for acquiring Parameters, and set the working mode of the monitoring module according to the obtained parameters; wherein, the working mode of the monitoring module includes a continuous monitoring module and an intermittent monitoring mode.
- the frequency of the continuous monitoring mode is greater than the frequency of the intermittent monitoring mode, wherein the frequency includes the measurement frequency of the monitoring module and/or the data transmission frequency between the monitoring device and the monitoring module, and the frequency of the continuous monitoring mode is greater than the intermittent monitoring
- the frequency of the mode includes at least one of the following two conditions: the measurement frequency of the monitoring module in the continuous monitoring mode is greater than the measurement frequency of the monitoring module in the intermittent monitoring mode, and the data transmission frequency in the continuous monitoring mode is greater than that of the intermittent monitoring mode Data transmission frequency.
- this application provides a system framework diagram of a monitoring device or a monitoring module.
- the monitoring device or module assembly includes at least the parameter measurement circuit 112.
- the parameter measurement circuit 112 includes at least one parameter measurement circuit corresponding to physiological parameters.
- the parameter measurement circuit includes at least an ECG signal measurement circuit, a respiratory parameter RESP measurement circuit, a body temperature parameter TEMP measurement circuit, a blood oxygen parameter SpO 2 measurement circuit, a noninvasive blood pressure At least one parameter measurement circuit among the parameter NIBP measurement circuit, the invasive blood pressure parameter measurement circuit, etc., and each parameter measurement circuit is respectively connected to the externally inserted sensor accessory 111 through a corresponding sensor interface.
- the sensor accessory 111 includes a detection accessory corresponding to the detection of physiological parameters such as electrocardiographic respiration, blood oxygen, blood pressure, and body temperature.
- the parameter measurement circuit 112 is mainly used to connect the sensor accessory 111 to obtain the collected physiological parameter signals, and may include at least two or more physiological parameter measurement circuits.
- the parameter measurement circuit may be, but not limited to, a physiological parameter measurement circuit (module), a human body
- the physiological parameter measurement circuit (module) or sensor collects human physiological parameters, etc.
- the parameter measurement circuit obtains an external physiological parameter sensor accessory through an extended interface to obtain physiological sampling signals about the patient, and obtains physiological data after processing for alarming and displaying.
- the extended interface can also be used to output the control signal about how to collect physiological parameters output by the main control circuit to the external physiological parameter monitoring accessory through the corresponding interface to realize the monitoring and control of the patient's physiological parameters.
- the monitoring equipment or monitoring module may further include a main control circuit 113, which needs to include at least one processor and at least one memory.
- the main control circuit 113 may also include a power management management module, a power IP module, and an interface conversion circuit, etc. At least one of them.
- the power management module is used to control the power on/off of the whole machine, the power-on sequence of each power domain inside the board, and battery charging and discharging.
- the power IP module refers to correlating the schematic diagram of the power circuit unit that is frequently called repeatedly and the PCB layout, and curing into a separate power module, that is, converting an input voltage into an output voltage through a predetermined circuit, wherein the input voltage and The output voltage is different.
- the power IP module may be single-channel or multi-channel.
- the power IP module can convert an input voltage to an output voltage.
- the power IP module can convert one input voltage to multiple output voltages, and the voltage values of the multiple output voltages can be the same or different, so as to meet the needs of multiple electronic components at the same time. Voltage demand, and the module has few external interfaces, working in the system is a black box decoupled from the external hardware system, improving the reliability of the entire power system.
- the interface conversion circuit is used to convert the signal output by the main control minimum system module (that is, at least one processor and at least one memory in the main control circuit) into the input standard signal required by the actual external device, for example, supporting external VGA display
- the function is to convert the RGB digital signal output from the main control CPU to a VGA analog signal, support external network functions, and convert the RMII signal to a standard network differential signal.
- the monitoring device or monitoring module may also include one or more of a local display 114, an alarm circuit 116, an input interface circuit 117, an external communication, and a power interface 115.
- the main control circuit 113 is used for coordinating and controlling various boards, circuits and devices in the multi-monitoring device or monitoring module.
- the main control circuit 113 is used to control the data interaction between the parameter measurement circuit 112 and the communication interface circuit, as well as the transmission of control signals, and send the physiological data to the display 114 for display, or it can be received from the touch screen Or user control commands input by physical input interface circuits such as keyboards and keys, of course, can also output control signals on how to collect physiological parameters.
- the alarm circuit 116 may be an audible and visual alarm circuit.
- the main control circuit 113 completes the calculation of physiological parameters, and can send the calculation results and waveforms of the parameters to the host (such as the host with a display, PC, central station, etc.) through external communication and power interface 115
- external communication and power interface 115 may be one or a combination of LAN interfaces composed of Ethernet, Token Ring, Token Bus, and FDDI, which are the backbone networks of the three networks. It can also be one or a combination of wireless interfaces such as infrared, Bluetooth, wifi, and WMTS communication, or one or a combination of wired data connection interfaces such as RS232 and USB.
- the external communication and power interface 115 may also be one or a combination of two of a wireless data transmission interface and a wired data transmission interface.
- the host computer can be any computer equipment such as the host computer of the monitor, the electrocardiograph, the ultrasound diagnostic apparatus, and the computer. By installing the matched software, a monitor device can be formed.
- the host can also be a communication device, such as a mobile phone, a multi-parameter monitor, or a module component, which sends data to a mobile phone that supports Bluetooth communication through a Bluetooth interface, so as to realize remote transmission of data.
- a monitoring system used in the hospital is provided.
- the data of the monitoring equipment can be stored as a whole, and the patient information and care information can be centrally managed. The two are stored in association to facilitate the storage of historical data. And associated alarms.
- the monitoring device is a bedside monitor 212
- the monitoring module is a portable monitoring device 213.
- a bedside monitor 212 can be provided for each hospital bed.
- the bedside monitor 212 can be the aforementioned multi-parameter monitor or a plug-in monitor.
- each bedside monitor 212 can also be paired with a portable monitoring device 213.
- the portable monitoring device 213 provides a simple and portable multi-parameter monitor or module component that can be worn on the patient's body to move the patient Monitoring, after wireless communication with the bedside monitor 212 through the portable monitoring device 213, the physiological data generated by the mobile monitoring can be transmitted to the bedside monitor 212 for display, or transmitted through the bedside monitor 212 to the central station 211 for The doctor or nurse can view it, or transmit it to the data server 215 through the bedside monitor 212 for storage.
- the portable monitoring device 213 can also directly transmit the physiological data generated by the mobile monitoring to the central station 211 through the wireless network node 214 installed in the hospital for storage and display, or can transmit the mobile monitoring through the wireless network node 214 installed in the hospital
- the generated physiological data is transmitted to the data server 215 for storage. It can be seen that the data corresponding to the physiological parameters displayed on the bedside monitor 212 may be derived from the sensor accessory directly connected to the monitoring, or from the portable monitoring device 213, or from the data server.
- Patient monitoring parameters include at least one of the following three types of parameters:
- Exercise-related parameters such as exercise steps, cadence, movement distance, calories, etc.
- Physiological parameters such as blood oxygen, blood pressure, pulse rate, body temperature, electrocardiogram, respiration and other parameters, as well as related statistics and rate of change of these parameters;
- Human body state time parameters for example, motion-related or sleep-related time parameters characterizing the human body state, such as sleep time and exercise time.
- Specific patient recovery state parameters are not limited in the embodiments of the present invention.
- FIG. 4 is a patient condition monitoring system 10 provided by an embodiment of the present application.
- the patient condition monitoring system includes a monitoring device 103, a monitoring module 100, and a processor 104 inside the monitoring module 100.
- the monitoring module 100 is used To obtain the monitoring parameters of the patient, and transmit the monitoring-related data to the monitoring device 103 through wireless communication to complete the monitoring, the processor 104 is used to set the monitoring mode of the monitoring module according to the monitoring-related data of the monitoring module.
- wireless communication can be wireless medical telemetry service (WMTS, wireless medical telemetry services) communication, short-range wireless communication (NFC, Near Field Communication), wireless network (WIFI, Wireless-Fidelity) communication, Bluetooth communication, etc.
- WMTS communication mode is dedicated It is used for patient status monitoring and has high reliability in obtaining information, but at the same time, it has high energy consumption and is suitable for the case where the patient is close to the monitoring equipment.
- the WIFI communication mode has low energy consumption and high coverage, which is suitable for the situation where the patient is far away from the monitoring equipment.
- NFC communication mode has a short transmission distance, but it does not require additional network coverage, which is convenient and fast.
- the monitoring module 100 may include at least one POD mobile monitoring module, attached to the patient, and used to directly obtain the patient's status parameters.
- the monitoring device 103 When the monitoring module is in the continuous monitoring mode, the monitoring device 103 is a ward-level monitoring device, and the monitoring module 100 communicates with the ward-level monitoring device; when the monitoring module 100 is in the continuous monitoring mode, the monitoring device 103 is a department Level monitoring equipment, the monitoring module 100 communicates with the department level monitoring equipment.
- the processor 104 is used to set the monitoring mode of the monitoring module according to the monitoring-related data of the monitoring module, which specifically includes:
- the working mode of the monitoring module is switched between the continuous monitoring mode and the intermittent monitoring mode.
- the communication mode includes at least one of the following: wireless medical telemetry service WMTS mode, Bluetooth wireless mode and WIFI mode.
- the processor 104 is used to set the monitoring mode of the monitoring module according to the monitoring-related data of the monitoring module. Specifically, when the monitoring device communicates with the monitoring module using wireless medical telemetry service WMTS mode or Bluetooth wireless mode, the monitoring device is In ward-level monitoring equipment, the monitoring module communicates with ward-level monitoring equipment; when WIFI mode is used for communication between the monitoring device and the monitoring module, the monitoring device is a department-level monitoring device, and the monitoring module is Communication between department-level monitoring equipment.
- the monitoring module 100 in FIG. 4 includes two sub-modules, namely a first monitoring sub-module 101 and a second monitoring sub-module 102, wherein the first monitoring sub-module is an electrocardiogram monitoring module ECG-POD, and the second monitoring sub-module
- the module is a non-invasive blood pressure monitoring module NIBP-POD.
- FIG. 5 is a schematic structural diagram of a monitoring module provided by this application.
- ECG-POD includes NFC, Bit Stream (BT, Bit Torrent), WMTS Four communication modules with WIFI, and two micro-control units MCU1 and MCU2,
- NIBP-POD includes two communication modules NFC and BT, and a micro-control unit MCU.
- ECG-POD and NIBP-POD can perform NFC pairing and then perform BT transmission.
- ECG-POD is the main control module and is used to receive patient monitoring related data collected by NIBP-POD.
- ECG-POD also includes a WMTS communication module and a WIFI communication module. You can choose to communicate with the monitoring device 103 in WMTS or WIFI mode, and MCU1 and MCU2 in ECG-POD can be used as the processor 104 in FIG. 4, The patient monitoring related data collected by the monitoring module is processed.
- FIG. 6 is a schematic structural diagram of a patient condition monitoring system provided by an embodiment of the present application.
- the monitoring device may be hard-wired by the receiving box 105 and the monitor 106 through a parameter slot Composition
- the receiving box 105 includes WMTS and NFC communication modules, and also includes a micro control unit MCU4 and a digital signal processing module (DSP, Digital Signal Processing), the receiving box 105 also through field programmable gate array (FPGA, Field-Programmable Gate Array ) Make circuit connection with the monitor 106.
- the monitor 106 includes a main control unit for reprocessing or displaying the data transmitted by the receiving box 105.
- the ECG-POD and the monitor realize the one-to-one interconnection through WMTS.
- the ECG-POD transmits the data to the receiving box 105 through WMTS.
- the receiving box 105 calculates the data, the data is transferred to the main control unit for display by means of the hard connection of the parameter slot.
- the heart rate equivalent value calculated by the receiving box 105 will also be transmitted to the ECG-POD through WMTS for synchronous display.
- the receiving box 105 is an expansion box with a communication module.
- the expansion box can be detachably fixed on the monitor host.
- the expansion box can also be connected to other monitoring modules through NFC communication, such as the ear temperature measurement module 107.
- the expansion box also includes storage space for storing and placing mobile monitoring modules such as ECG-POD.
- the main control module ECG-POD can be hung on the charging pile of the bedside device to perform real-time transmission of medical data while detecting while charging. Then, at this time, the expansion box and the ECG-POD can realize the transmission of real-time detection data through a wired or wireless near-field communication channel. For example, ECG-POD can be inserted into the slot of the plug-in box for charging while achieving data transmission.
- the ECG-POD monitoring module may have two separate parts, where the front-end collection and communication sending module of vital signs parameters, and the back-end information processing module and the communication receiving module are physically separated, then the back-end information processing module And communication receiving module can be inserted into the plug-in box as an independent expansion module to achieve charging, data transmission, etc.
- FIG. 7 is a schematic structural diagram of another patient status monitoring system provided by an embodiment of the present application.
- the monitoring device is a bedside DOCK station 108, which may be a bedside belt
- the plug-in box structure with multiple expansion module slots can be hung next to the bed, or it can be located on the bed, wall or centralized station near the bed.
- Its internal structure includes NFC and WMTS communication modules, and MCU5.
- the communication module can Built-in, can also be external, can also be made into an independent expansion module.
- Communication with the main control module ECG-POD in the monitoring module is achieved by inserting an expansion module with communication function at the DOCK station beside the bed, and other expansion modules, such as the ear temperature measurement module 109, can also be added.
- the bedside DOCK station can transmit the additional expansion module data to the ECG-POD for data processing and display, and can also transmit the additional expansion module data to the remote device through ECG-POD for data processing and feed back the results to ECG-POD for display, or no feedback to ECG-POD.
- the local display of ECG-POD will play the main display role.
- the processor of ECG-POD concentrates the data of the monitoring module 100 and the centralized analysis processing of the data collected by the ear temperature measurement module 109.
- ECG-POD when the ECG-POD and the monitoring device are connected through WMTS, please refer to FIG. 8 and FIG. 9, an ECG-POD transmitter WMTS wireless topology diagram provided in FIG. 8 and a receiving box WMTS wireless provided in FIG. 9 Topology diagram, ECG-POD only uses one chip to send and receive, but in order to improve the reliability of the upstream, two chips are used for receiving at the receiving box, each time MO+ selects the correct data received in the two chips; when receiving When the box was delivered, only one chip worked. A half-duplex working mode is maintained between the ECG-POD and the receiving box to achieve two-way communication. After one upstream packet, the next downstream packet. A radio frequency chip is reserved at the end of the receiving box, which is mainly used as the signal strength of the scanning space. It is expected to study the feasibility of free frequency modulation.
- WMTS communication is a special medical frequency band, it has the advantage of good privacy, and WMTS can be used for the communication connection between ECG-POD and monitoring equipment. But at the same time, when using WMTS communication, anti-interference between multiple pairs of devices needs to be considered.
- WMTS technology with frequency division multiplexing is used.
- the principles of using frequency division multiplexing include: the same area or the same department adopts a specific set of frequency points; the same area or the same department adopts different frequency points for different configurations, and the frequency point selects non-intermodulation interference Frequency points; in different areas or different departments, if the distance is greater than the first distance threshold, the same frequency point group can be used; otherwise, different non-intermodulation frequency point groups are used; in order to prevent the equipment previously deployed in different areas from being used together, causing interference , Causing more devices to fail to transmit data normally. When the device is turned on, it performs a full channel scan to confirm that the device is in the correct frequency group.
- the devices between point-to-point communications need to regenerate a unique pairing code when connecting, and check the pairing code between the transmission gaps to prevent the wrong device from connecting in, resulting in Data error or data crosstalk.
- the patient status monitoring system can switch the WIFI connection mode.
- FIG. 10 is a schematic structural diagram of another patient state monitoring system provided by an embodiment of the present application.
- ECG-POD is connected to a wireless access point (AP, Wireless Access Point) through WIFI.
- the AP then sends the data to the central station.
- the central station can communicate with the monitoring equipment through WIFI communication, or through wired network communication with the monitoring equipment to complete the state monitoring of the patient.
- ECG-POD can also be directly connected to the monitoring equipment through WIFI, so that the patient can be connected to the ward even if it is outside the ward
- the monitoring device communicates and sends data to the monitoring device.
- an additional 3G ⁇ 4G ⁇ 5G network communication module can be configured for the mobile monitoring module 100, and a 3G ⁇ 4G ⁇ 5G network communication module can be configured for the DOCK station on the ambulance.
- the DOCK station and the mobile monitoring module 100 pass 3G ⁇ 4G ⁇ 5G network for communication transmission, the DOCK station can also upload data to the hospital-level central station in real time through the 3G ⁇ 4G ⁇ 5G network.
- the module is integrated with the main control module in the mobile monitoring module 100.
- the data collected by the mobile monitoring module can be uploaded to the hospital-level central station in real time through the 3G ⁇ 4G ⁇ 5G network communication module. Understandably, it may also be other mobile communication networks, not limited to the above-mentioned communication networks, as long as it can perform data transmission through these mobile communication networks.
- the monitoring module and the monitoring device or other devices can be connected through a wireless communication mode.
- the available wireless communication modes include WMTS, WIFI, Bluetooth, or NFC.
- the parameters include patient monitoring parameters and device status parameters.
- the patient state monitoring system obtains the monitoring parameters of the patient through the monitoring module, including the monitoring time, the physiological parameters of the patient, or the display of the monitoring image, etc.; or obtains the state parameters of the device through the monitoring module, where the state parameters of the device may be those of the monitoring device
- the status parameter, or the status parameter of the monitoring module may be the device's power, storage space, or communication mode.
- the monitoring module further includes: a parameter measurement unit, configured to detect the physiological parameters of the patient; the monitoring parameters of the patient include the physiological parameters.
- the processor When the processor acquires the monitoring parameters of the patient, it can acquire the physiological parameters of the patient.
- the monitoring module may include a parameter measurement unit for directly obtaining the physiological parameters of the patient and then transmitting them to the processor; or the sensor attached to the patient by the processor may be directly connected to obtain the physiological parameters of the patient.
- the patient's physiological parameters include blood pressure, blood oxygen, or heart rate.
- the processor is specifically configured to: obtain physiological parameters from the parameter measurement unit, the physiological parameters including electrocardiogram ECG, blood oxygen SPO2, body temperature TEMP and/or Blood pressure NIBP; determine the patient's condition according to physiological parameters, including good or severe; when the condition is good, set the monitoring module's working mode to continuous monitoring mode; when the condition is serious, set the monitoring module's working mode For intermittent monitoring mode.
- the patient's physiological parameters are used to reflect the patient's physical condition, and the physiological data obtained by the monitoring module can be analyzed to determine the patient's condition.
- the parameter electrocardiogram is a graph that records the periodic fluctuations of the heart. The normal value of the heart rate is 60-100. If it is too fast or too slow, it means that the patient's health is not good.
- Blood oxygen SPO2 means blood oxygen saturation, which is not lower than normal. 94%, SpO2 ⁇ 90% is set as the standard of hypoxemia, hypoxemia indicates that the patient is critical, respiratory failure; blood pressure higher than 130 is hypertension, and blood pressure region 70 is hypotension.
- a danger threshold is set for each physiological parameter, when a physiological parameter reaches the danger threshold, the patient's condition is judged to be serious, or a weight is set for each physiological parameter, and when the risk threshold is reached, the weight of the physiological parameter exceeds the When setting the weight, judge the patient's condition is serious, otherwise judge it as good.
- the monitoring of the patient can be appropriately relaxed, so the monitoring mode that can be used at this time is the intermittent monitoring mode.
- the monitoring of the patient needs to be more rigorous. Use continuous monitoring mode.
- the monitoring module further includes: a motion sensor, configured to detect a patient's motion parameters; the patient's monitoring parameters include the motion parameters.
- the motion sensor can sensitively sense the patient's motion and convert the motion signal into an electrical signal to obtain the patient's motion parameters, which can be used as the patient's monitoring parameters to determine the working mode of the monitoring module.
- the motion sensor can be set in the monitoring module, or it can be used as a separate device and communicated with the monitoring module to transfer the obtained motion parameters to the monitoring module.
- the processor is specifically used to: acquire the patient's motion parameters from the motion sensor, and obtain the patient's motion signal duration according to the motion parameters; convert the motion signal Compare the duration with the first preset duration to obtain a comparison result; when the duration of the motion signal is greater than or equal to the first preset duration, set the working mode of the monitoring module to intermittent monitoring mode; when the duration of the motion signal is less than the first For a preset duration, set the working mode of the monitoring module to continuous monitoring mode.
- Obtaining the patient's motion parameters from the motion sensor can obtain the motion duration, motion amplitude, motion direction, or intensity of motion, etc., and the duration of the patient's motion signal can be obtained based on these motion parameters.
- the patient When the patient is in good health, he can walk in or out of the ward, and the movement signal lasts for a long time; if the patient's physical condition deteriorates, he can only lie in the bed, or turn over on the bed slightly, and the movement signal duration is short. Compare the duration of the patient's motion signal with the first preset duration.
- the first preset duration may be 5 minutes (minutes), 10 minutes, or 30 minutes.
- the amplitude of the patient's movement is different, for too slight movement, it can be considered that the patient is not exercising, and only the signal with the larger movement amplitude is counted as the movement signal, and then the duration of the patient's movement signal is counted.
- the interval between the motion signals is greater than the first interval threshold, the two motion signals are considered to be discontinuous, so the duration of the motion signal refers to the duration of the motion signal whose time interval is less than the first interval threshold.
- the working mode of the monitoring module is set to the intermittent monitoring mode; when the duration of the motion signal is shorter than the first preset duration, it indicates the physical condition of the patient Deterioration or serious illness, set the working mode of the monitoring module to continuous monitoring mode.
- the motion sensor is a three-axis accelerometer, and the motion parameter is acceleration; before acquiring the patient's motion signal duration, the processor is also used to determine that the patient is in an outdoor upright motion state, specifically used to: determine the communication mode of the monitoring module It is WIFI mode; according to the acceleration, it is determined that the movement amplitude of the patient is greater than the first preset amplitude; the angle between the acceleration direction of the accelerometer and the positive direction of the Z axis is smaller than the first preset angle, and the positive direction of the Z axis is the direction perpendicular to the horizontal surface downward ; Make sure that the patient is in an upright outdoor motion.
- the acceleration sensor determines that the patient is in motion according to the acceleration change, but in fact the patient is not moving by himself. Therefore, before obtaining the duration of the patient's motion signal, it is necessary to determine that the patient is in motion, in fact, to confirm that the patient is in good health.
- the communication mode of the monitoring module is WIFI mode
- this is to determine that the patient is outside the ward; then according to the data collected by the accelerometer worn by the patient, determine that the patient's movement amplitude is greater than the first preset amplitude; finally determine the acceleration direction of the accelerometer
- the angle with the positive direction of the Z-axis is less than the first preset angle, and the positive direction of the Z-axis is the direction perpendicular to the horizontal face downward; it is determined that the patient is in an autonomous upright motion state, thereby determining that the patient is in good health at this time.
- FIG. 12 is a schematic diagram of an accelerometer coordinate axis of a patient’s body provided by an embodiment of the present application.
- the positive direction of the X axis is perpendicular to the forward direction of the human coronal plane
- the positive direction of the Y axis The direction is the direction perpendicular to the sagittal face of the human body
- the positive direction of the Z axis is the direction perpendicular to the horizontal face downward.
- A is the motion amplitude
- x, y, and z are the accelerations of the accelerometers in the X, Y, and Z axis directions, respectively.
- ⁇ x , ⁇ y , and ⁇ z respectively represent the angle between the acceleration direction and the positive directions of X, Y, and Z axes.
- the angle between the acceleration direction and the positive direction of the Z axis is less than the first preset angle, the patient is considered to be upright, and when the angle between the acceleration direction and the positive direction of the X axis is less than the second preset angle, the patient is considered to be lying down
- the angle between the acceleration direction and the positive direction of the Y-axis is less than the third preset angle, the patient is considered to be lying on the side.
- the motion range is greater than the first preset range, and is in an upright state.
- the first preset amplitude is an acceleration value, which may be a value of 15m/s 2 or 20m/s 2 .
- the first preset angle is a very small angle, such as 5°, 10°, etc.
- the state parameters of the device include communication characteristics of the monitoring device and the monitoring module.
- the communication characteristics include at least one of the following: communication mode, communication signal strength, and packet loss rate.
- the present application provides the following method for setting a monitoring mode according to communication characteristics. When the communication mode is the wireless medical telemetry service WMTS mode, the working mode of the monitoring module is set to continuous monitoring mode; when the communication mode is the wireless network WIFI mode, the working mode of the monitoring module is set to intermittent Monitoring mode.
- the working mode of the monitoring module is set to a continuous monitoring mode; when the communication signal strength is less than the first signal threshold, the packet loss rate is greater than the first
- the working mode of the monitoring module is set to the intermittent monitoring mode. Understandably, the monitoring mode can also be determined according to other communication characteristics and other methods, which is not limited herein.
- the state parameter of the device includes the distance between the monitoring device and the monitoring module.
- the state parameters of the device include the attribute parameters and operating parameters of a single device, and also include the associated parameters between the devices.
- the distance between the monitoring device and the monitoring module is the correlation parameter between the device and the device. The distance between the two can be obtained through the built-in sensor in the monitoring device or the monitoring module, or the distance between the two can be obtained indirectly from other parameters, such as two The communication mode or signal strength between the two.
- the processor is specifically used to: obtain a communication mode between the monitoring module and the monitoring device, and the communication mode includes a wireless medical telemetry service WMTS mode or a WIFI mode; Use the communication mode as judgment data.
- the distance between the monitoring device and the monitoring module is determined according to the communication mode between the monitoring device and the monitoring module.
- the communication mode is the WMTS mode
- the distance between the monitoring device and the monitoring module is short, and the working mode of the monitoring module is set to the continuous monitoring mode
- the communication When the mode is WIFI mode the distance between the monitoring device and the monitoring module is far, and the working mode of the monitoring module is set to the intermittent monitoring mode.
- the distance between the monitoring module and the monitoring device can be embodied through the communication mode between the two.
- the communication mode between the monitoring module and the monitoring device is WMTS mode
- the close distance between the monitoring module and the monitoring device indicates that the patient may be in the ward and the physical condition is not good, and stricter monitoring is required, so the working mode of the monitoring module is set to continuous Monitoring mode;
- the communication mode between the monitoring module and the monitoring device is WMTS mode
- the distance between the monitoring module and the monitoring device is far, indicating that the patient may be outside the ward and in good physical condition, and the working mode of the monitoring module can be set to the intermittent monitoring mode .
- the monitoring module further includes a storage unit for storing the acquired patient physiological data within a preset time period; the state parameter of the device includes the total storage space capacity of the monitoring module.
- the processor is specifically used to: obtain the total storage space capacity from the storage unit; determine the first continuous mode of work that the total storage space capacity can support Duration and the first intermittent mode working duration, the sum of the amount of data obtained by the first continuous mode working duration and the data amount obtained by the first intermittent mode working duration is equal to the total storage space capacity; to obtain the continuous mode working duration T1,
- the first size comparison result is T1 greater than or equal to the first continuous mode working time
- set the monitoring module to work in intermittent monitoring mode
- the first size comparison result is T1 less than the first continuous mode working time
- set monitoring The working mode of the module is continuous monitoring mode.
- the monitoring module is used to obtain parameters, and the parameters are passed to the monitoring device for analysis and display.
- the data needs to be stored in the monitoring module for a period of time.
- the amount of data stored in continuous monitoring mode is much larger than the data stored in intermittent monitoring mode.
- FIG. 13 is a schematic diagram of a correspondence relationship between a space storage amount and a monitoring mode provided by an embodiment of the present application.
- the monitoring module is in the continuous monitoring mode, and the acquired data
- the amount of storage space occupied is R1.
- the monitoring module is in intermittent monitoring mode.
- the acquired data amount occupies storage space of R2, and the sum of R1 and R2 is the total space capacity R.
- T1 continuous mode working time
- the intermittent monitoring mode needs to be used. Therefore, set the monitoring module's The working mode is intermittent monitoring mode.
- T1 ⁇ first continuous mode working time it means that the storage space can also support continuous monitoring mode, then, set the working mode of the monitoring module to continuous monitoring mode.
- the monitoring device or monitoring module further includes a power supply unit, and the state parameter of the device includes the total available power of the monitoring device or monitoring module.
- the processor is specifically used to: obtain the total available power of the corresponding device from the monitoring device or the monitoring module; determine the second that the total available power can support Continuous mode operating time and second intermittent mode operating time, the sum of the power consumed by the second continuous mode operating time and the second intermittent mode operating time is equal to the total available power; obtain the continuous mode operating time T2, When the second size comparison result is T2 is greater than or equal to the second continuous mode working time, set the monitoring module to work in intermittent monitoring mode; when the second size comparison result is T2 less than the second continuous mode working time, set monitoring The working mode of the module is continuous monitoring mode.
- the monitoring device or the monitoring module when monitoring the patient, there may be a case where one of the monitoring device or the monitoring module is powered by the battery, or both are powered by the battery, or to save power.
- the power consumption of continuous monitoring mode and discontinuous monitoring mode is different. The former consumes much more power than the latter.
- the less available power in the two devices should be obtained as the available total power.
- FIG. 14 is a schematic diagram of the correspondence between battery power and monitoring mode provided by an embodiment of the present application.
- the monitoring module is in continuous monitoring mode, and the power consumed is E1, during the working time of the second intermittent mode, the monitoring module is in the intermittent monitoring mode, the power consumption is E2, and the sum of E1 and E2 is the total battery power E.
- T2 continuous mode working time
- the intermittent monitoring mode needs to be adopted.
- the working mode is intermittent monitoring mode.
- T2 ⁇ the second continuous mode working time it means that the battery power can also support the continuous monitoring mode. Then, the working mode of the monitoring device can be set to the continuous monitoring mode.
- the monitoring module further includes: a parameter acquisition module for acquiring patient monitoring parameters; a classification module connected to the parameter acquisition module for determining the parameter types to which the patient's monitoring parameters belong, wherein the parameter types include continuous measurement Parameter class and intermittent measurement parameter class; processor, connected to the classification module, used to determine the working mode of the monitoring module according to the parameter type.
- the continuous measurement parameter class includes an electrocardiogram ECG, blood pressure NIBP, and/or exercise parameters;
- the intermittent measurement parameter class includes respiratory RESP, blood oxygen SPO2, and/or body temperature TEMP;
- the processor is specifically configured to: when it is determined that the monitoring parameters of the patient belong to the continuous measurement parameter class, set the working mode of the monitoring module to the continuous monitoring mode; when determining the patient When the monitoring parameters belong to the intermittent measurement parameter category, the working mode of the monitoring module is set to the intermittent monitoring mode.
- the continuous measurement parameter class and the intermittent measurement parameter class are set, and the working mode of the monitoring module is determined according to the parameter type.
- Parameters such as ECG, NIBP, or sports parameters are important parameters, which have great reference significance to the patient's physical condition, and need to be obtained in real time in order to strictly monitor the patient's physical condition, and set these parameters as continuous measurement parameters; RESP, SPO2
- the parameters such as and TEMP have little reference value to the patient's physical condition, so they can be acquired by spot measurement. For example, they can be acquired at a certain time interval. The interval can be 2min or 5min. Set these parameters as intermittent measurement parameters.
- the working mode of the monitoring module is set to continuous monitoring mode, and when acquiring intermittent measurement parameters, the working mode of the monitoring module is set to intermittent monitoring mode.
- the processor is also used to obtain the signal strength of the monitoring module, and determine the communication mode of the monitoring module according to the signal strength.
- the communication mode of the monitoring module can be used to determine the working mode of the monitoring module, it is also crucial to determine the communication mode of the monitoring module.
- the working mode of the monitoring module is determined by the signal strength of the monitoring module, which can ensure that the monitoring module maintains good communication and reduces data delay or data loss caused by unsmooth network.
- the signal strength of the monitoring module is acquired, and the communication mode of the monitoring module is determined according to the signal strength.
- the processor is specifically configured to: acquire the signal strength of the monitoring module.
- the signal strength includes the WMTS signal strength and the WIFI signal strength;
- the communication mode of the monitoring module is determined as the WMTS mode;
- the communication mode of the monitoring module is determined as the WIFI mode.
- the monitoring module can switch the WMTS and WIFI communication modes according to whether the patient is in the ward or outside the ward, in fact because the monitoring equipment is located beside the bed, when the patient is in the ward, the WMTS signal strength is large The WIFI signal strength is small. When the patient is outside the ward, the WMTS signal strength is small and the WIFI signal strength is large. Priority is given to adopting the WMTS mode.
- the communication mode of the monitoring module is determined to be the WMTS mode; when the WMTS signal strength is less than the first preset threshold, the communication mode of the monitoring module is determined WIFI mode. In this way, the method of determining the communication mode based only on the signal strength can also exclude interference inside or outside the ward.
- the processor is further configured to: when it is determined that the communication mode of the monitoring module is the WMTS mode, obtain the first packet loss rate of the monitoring module and determine whether the first packet loss rate is less than the second preset threshold, and according to the determination result Determine the communication mode of the monitoring module.
- the processor is further configured to: when the first packet loss rate is less than the second preset threshold, maintain the WMTS mode; when the first packet loss rate is greater than or equal to the At the second preset threshold, the communication mode of the monitoring module is switched to the WIFI mode.
- the communication mode of the monitoring module is also related to the packet loss rate.
- the packet loss rate is a ratio value that can be set to 0.05%, 0.02%, or 0.01%.
- the processor is further configured to set the communication mode of the monitoring module according to the working mode of the monitoring module.
- the processor is also used to set the communication mode of the monitoring module according to the working mode of the monitoring module includes: when the working mode of the monitoring module is intermittent monitoring mode, setting the communication mode of the monitoring module to WIFI mode; when the monitoring module When the working mode is continuous monitoring mode, set the communication mode of the monitoring module to WMTS mode.
- the working mode of the monitoring module is closely related to the communication mode.
- the working mode of the monitoring module can be determined by the communication mode of the monitoring module, and conversely, the communication mode can also be determined by the working mode of the monitoring module.
- the working mode of the monitoring module is a continuous working mode, it means that good communication quality and high reliability network are needed at this time, so that the efficiency and accuracy of the patient's physical parameters obtained are higher, and the WMTS mode is adopted at this time; when monitoring When the working mode of the module is intermittent working mode, the requirements for communication quality and network reliability are low, so the WIFI mode can be used.
- the monitoring module includes a first monitoring submodule and a second monitoring submodule.
- the continuous monitoring mode specifically includes: the first monitoring submodule continuously obtains the first type of parameters in real time, and the first type of parameters includes electrocardiogram ECG, respiratory RESP, blood Oxygen SPO2 and/or body temperature TEMP; the second monitoring sub-module continuously obtains the second type of parameters in real time.
- the second type of parameters includes blood pressure NIBP and/or exercise signals; the second monitoring sub-module sends the second type of parameters to the first monitoring in real time Submodule; the first monitoring submodule continuously sends the first type parameter and the second type parameter to the first monitoring device in real time, and the first monitoring device updates the parameter waveform and/or parameter value in real time on the interface.
- the continuous monitoring mode indicates that the parameters are continuously acquired without interruption and the patient's physical condition is monitored in real time.
- This monitoring mode is aimed at the state where the patient's physical condition is poor and strict monitoring is required.
- the first monitoring sub-module can be ECG-POD, which can obtain real-time, continuous and uninterrupted physical parameters such as ECG, RESP, SPO2 and TEMP.
- the second monitoring sub-module can be NIBP-POD, which can be real-time 1. Continuously and uninterrupted collection of body parameters such as NIBP and motion signals. Because ECG-POD is the main control module and is responsible for external communication, NIBP-POD sends the collected body parameters to ECG-POD. ECG-POD communicates wirelessly In this way, the body parameters collected by itself and the body parameters collected by the received NIBP-POD are sent to the monitoring device together.
- the monitoring module includes a third monitoring sub-module, a fourth monitoring sub-module, and the intermittent monitoring mode specifically includes: the third monitoring module continuously obtains the third type of parameters in real time, and the third type of parameters includes the electrocardiogram ECG, while being preset The fourth type of physical parameters are obtained by frequency.
- the fourth type of physical parameters include respiratory RESP, blood oxygen SPO2 and/or body temperature TEMP; the fourth monitoring module continuously obtains the fifth type of physical parameters in real time, and the fifth type of physical parameters includes blood pressure NIBP and/or Movement signal; the fourth monitoring module sends the fifth type of physical parameters to the first monitoring submodule in real time; the first monitoring submodule sends the third type of physical parameters, the fourth type of physical parameters and the fifth type of physical parameters in real time Sent to the central station, the central station forwards the body parameters to the second monitoring device, and the second monitoring device updates the parameter waveform and/or parameter value on the interface.
- the preset frequency is greater than or equal to zero.
- the preset frequency refers to collecting parameters of a fixed duration at fixed time intervals, and then sending the collected parameters to the monitoring mode of the monitoring device in real time.
- the fixed time interval is 2 minutes and the fixed duration is 15 seconds
- the monitoring module can collect all the body parameters of 15 seconds every 2 minutes and send them to the monitoring device; it can also collect part of the body parameters of 15 seconds every 2 minutes and the rest
- the body parameters are continuously obtained without interruption, and all body parameters are collected and sent to the monitoring device in real time and synchronously.
- the monitoring device analyzes and displays the body parameters, including text display or image display, which is reflected in the monitoring device updating the parameter waveform or Parameter value, or update both.
- the preset frequency is zero.
- the working mode of the monitoring module is set by parameters such as the communication mode of the monitoring module, the patient's condition, the duration of the patient's motion signal, the storage space capacity, or the available power.
- the monitoring mode in the process of monitoring the patient, it can not only meet the strict monitoring of the user's physical condition, but also reduce the processing of redundant data, improve the monitoring efficiency and monitoring quality.
- FIG. 15 is a schematic flowchart of a patient state monitoring method provided by an embodiment of the present application. It is applied to a patient state monitoring system including a monitoring device and a monitoring module in communication with the monitoring device.
- the monitoring module is worn on the patient's body and includes a processor.
- the patient state monitoring method includes:
- the processor obtains parameters
- the working mode of the monitoring module includes a continuous monitoring module and an intermittent monitoring mode.
- the frequency of the continuous monitoring mode is greater than the frequency of the intermittent monitoring mode, wherein the frequency includes the measurement frequency of the monitoring module and the data transmission frequency between the monitoring device and the monitoring module, and the frequency of the continuous monitoring mode is greater than the frequency of the intermittent monitoring mode.
- the frequency includes at least one of the following two conditions: the measurement frequency of the monitoring module in the continuous monitoring mode is greater than the measurement frequency of the monitoring module in the intermittent monitoring mode, and the data transmission frequency in the continuous monitoring mode is greater than the data transmission in the intermittent monitoring mode frequency.
- the monitoring module further includes: a parameter measurement unit, configured to detect the physiological parameters of the patient; the monitoring parameters of the patient include the physiological parameters.
- the acquiring parameters and setting the working mode of the monitoring module according to the acquired parameters include:
- the physiological parameters of the patient including electrocardiogram ECG, blood oxygen SPO2, body temperature TEMP and/or blood pressure NIBP;
- the working mode of the monitoring module is set to a continuous monitoring mode
- the working mode of the monitoring module is set to the intermittent monitoring mode.
- the monitoring module further includes: a motion sensor, configured to detect a patient's motion parameters; the patient's monitoring parameters include the motion parameters.
- the acquiring parameters and setting the working mode of the monitoring module according to the acquired parameters include:
- the working mode of the monitoring module is set to an intermittent monitoring mode
- the working mode of the monitoring module is set to a continuous monitoring mode.
- the motion sensor is a three-axis accelerometer, and the motion parameter is acceleration.
- the method further includes determining that the patient is in an outdoor upright motion state, specifically include:
- the acceleration it is determined that the movement amplitude of the patient is greater than the first preset amplitude
- the state parameter of the device includes the distance between the monitoring device and the monitoring module.
- the obtaining parameters from the monitoring device and/or the monitoring module, and setting the working mode of the monitoring module according to the obtained parameters include:
- the distance can be determined according to the communication mode of the monitoring module, when the communication mode is wireless medical telemetry When serving the WMTS mode, the monitoring device is close to the monitoring module, and when the communication mode is the wireless network WIFI mode, the monitoring device is far from the monitoring module;
- the working mode of the monitoring module is set to an intermittent monitoring mode
- the monitoring module is set to a continuous monitoring mode.
- the obtaining parameters from the monitoring device and/or the monitoring module, and setting the working mode of the monitoring module according to the obtained parameters include:
- the distance between the monitoring device and the monitoring module is short, and the working mode of the monitoring module is set to continuous monitoring mode
- the distance between the monitoring device and the monitoring module is far, and the working mode of the monitoring module is set to the intermittent monitoring mode.
- the state parameters of the device include the total storage space capacity of the monitoring device and/or the monitoring module, and the parameters are obtained from the monitoring device and/or the monitoring module, And setting the working mode of the monitoring module according to the obtained parameters, including:
- the working mode of the monitoring module is set to the continuous monitoring mode.
- the state parameters of the device include the total available power of the monitoring device or the monitoring module, the parameters are obtained from the monitoring device and/or the monitoring module, and Parameters set the working mode of the monitoring module, including:
- the first monitoring mode is a continuous monitoring mode, and if not, the working mode of the monitoring module is switched .
- the monitoring module further includes: a parameter acquisition module for acquiring patient monitoring parameters and a classification module connected to the parameter acquisition module for determining the patient monitoring parameters Attribution parameter category, where the parameter category includes continuous measurement parameter category and intermittent measurement parameter category; the processor, connected to the classification module, is used to determine the operation of the monitoring module according to the parameter category mode.
- the continuous measurement parameter class includes electrocardiogram ECG, blood pressure NIBP and/or exercise signal;
- the intermittent measurement parameter class includes respiratory RESP, blood oxygen SPO2 and/or body temperature TEMP;
- the setting the working mode of the monitoring module according to the obtained parameters includes:
- the working mode of the monitoring module is set to the continuous monitoring mode
- the working mode of the monitoring module is set to the intermittent monitoring mode.
- the method before obtaining the distance between the monitoring device and the monitoring module from the monitoring device and/or the monitoring module, the method further includes determining a communication mode of the monitoring module , Including:
- the signal strength includes WMTS signal strength and WIFI signal strength
- the WIFI signal strength is greater than the second preset threshold, and if so, it is determined that the wireless communication mode of the monitoring module is the WIFI mode.
- the method further includes:
- the determining the wireless communication mode of the monitoring module according to the determination result includes:
- the WMTS mode is maintained
- the wireless communication mode of the monitoring module is switched to the WIFI mode.
- the method further includes setting the communication mode of the monitoring module according to the working mode of the monitoring module .
- setting the communication mode of the monitoring module according to the working mode of the monitoring module includes:
- the working mode of the monitoring module is intermittent monitoring mode
- set the communication mode of the monitoring module to WIFI mode
- the communication mode of the monitoring module is set to the WMTS mode.
- An embodiment of the present application further provides a computer storage medium, where the computer storage medium may store a program, and when the program is executed, it includes some or all steps of any one of the obstacle avoidance methods described in the foregoing method embodiments.
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Abstract
一种病人状态监测***(10)及方法,应用于包括监护设备(103)和与监护设备(103)通信相连的监测模块(100)的病人状态监测***(10),监测模块(100)佩戴在病人的身体上,并包括处理器(104),其中方法包括:处理器(104)获取参数(S501),并根据获得的参数设置监测模块(100)的工作模式;其中,监测模块(100)的工作模式包括连续监护模块和断续监护模式(S502)。采用病人状态监测***(10)及方法能够使得在对病人进行监护的过程中,既能满足对用户身体状况的严格监护,又能减少对冗余数据的处理,提升了监护效率和监护质量。
Description
本申请涉及电子技术领域,尤其涉及一种病人状态监测***及方法。
随着互联网逐步的深入人心,并且遍布到各行各业中,特别是在医疗领域。当下各大医院一直致力于康复科的建设,目的在于衔接重症病人和普通病人的中间环节,也就是所谓的亚重症过渡病房。华中科技大学同济医学院附属同济医院康复科的王敏发表论文表示,自建立亚重症过渡病房共收治149例患者,136例(95.8%)达到转出至普通康复病房标准,入住时间1~112d,平均58.0d;13例(4.2%)转至其他科室治疗。52例气管切开患者中,49例(94.2%)成功拔除气管套管;136例患者ADL评分由入病房时的16.6分上升至16.9分;患者家属能掌握为患者穿脱衣、擦洗、修饰、进餐、皮肤护理、翻身方法、留置管道的护理、大小便的护理、轮椅和平车转换、协助患者行走和上下楼梯等方法。入住期间148例留置胃管患者中3例(2.0%)发生意外拔管,无坠床、跌倒、烫伤、走失、***等意外事件、差错事故及纠纷发生,患者满意率为95.8%。
针对亚重症过渡病房中的病人需要比普通病房的病人有更多的关注度,而比重症病房的病人少一些关注度,目的在于能加速病人的康复,并保证病人在康复过程中出现意外。现有技术中的监护设备监护模式单一,不能够适应亚中证过渡病房中的病人在康复过程中的各项需求,且在病人康复运动时,仍采取实时监测,采集到大量无效数据,造成不必要的资源浪费。因此,有必要提供一种新型的生理监护***来满足亚重症过渡病房的需求。
发明内容
本申请实施例提供一种病人状态监测***及方法,采用本申请实施例能够通过设置连续监护模式和断续监护模式,并通过采集到的病人的监护相关数据,根据需要在这两种监护模式之间切换,从而使得病人在得到足够的监护的同时, 电子***能够减少对冗余数据的处理,提升监护效率和质量。
第一方面,本申请实施例提供一种病人状态监测***,包括监护设备和与监护设备通信相连的监测模块;所述监测模块佩戴在病人的身体上,包括:处理器,用于获取参数,并根据获得的参数设置所述监测模块的工作模式;其中,所述监测模块的工作模式包括连续监护模块和断续监护模式。
第二方面,本申请实施例提供一种病人状态监测方法,应用于包括监护设备和与监护设备通信相连的监测模块的病人状态监测***,所述监测模块佩戴在病人的身体上,并包括处理器,所述方法包括:
所述处理器获取参数,并根据获得的参数设置所述监测模块的工作模式;其中,所述监测模块的工作模式包括连续监护模块和断续监护模式。
第三方面,本申请实施例提供一种计算机可读存储介质,其存储有多条程序指令,其特征在于,所述多条程序指令用于被处理器调用后执行如前所述的任意一种方法。
本发明公开的病人状态监测***、方法及计算机可读存储介质,通过获取参数,然后根据获取的参数设置监测模块的工作模式。因为监测模块的工作模式包括连续监护模式和断续监护模式,且连续监护模式的频率大于断续监护模式的频率,那么该病人状态监测***能够根据病人的监护相关数据实时调整监护模式,为病人提供更好的监护质量,同时***能够减少对冗余数据的处理,提升监护有效率。
为了更清楚地说明本申请实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本申请的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。
图1为本申请实施例提供的一种病人状态监测***结构图;
图2为本申请实施例提供的一种监护设备或监测模块的***框架图;
图3为本申请实施例提供的一种院内使用的监护仪联网***;
图4为本申请实施例提供的一种病人状态监测***;
图5为本申请提供的一种监测模块结构示意图;
图6为本申请实施例提供的一种病人状态监测***结构示意图;
图7为本申请实施例提供的另一种病人状态监测***结构示意图;
图8为本申请实施例提供的一种ECG-POD发射端WMTS无线拓扑图;
图9为本申请实施例提供的一种接收箱WMTS无线拓扑图;
图10为本申请实施例提供的另一种病人状态监测***结构示意图;
图11为本申请实施例提供的另一种病人状态监测***结构示意图;
图12为本申请实施例提供的一种病人身体的加速度计坐标轴示意图;
图13为本申请实施例提供的一种空间存储量与监护模式对应关系示意图;
图14为本申请实施例提供的一种电池电量与监护模式对应关系示意图;
图15为本申请实施例提供的一种病人状态监测方法的流程示意图。
下面将结合本发明实施例中的附图,对本发明实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅是本发明一部分实施例,而不是全部的实施例。基于本发明中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。
图1为本申请实施例提供的一种病人状态监测***结构图,包括监护设备和与监护设备通信相连的监测模块;所述监测模块佩戴在病人的身体上,包括:处理器,用于获取参数,并根据获得的参数设置所述监测模块的工作模式;其中,所述监测模块的工作模式包括连续监护模块和断续监护模式。连续监护模式的频率大于所述断续监护模式的频率,其中,频率包括监测模块的测量频率和/或监护设备与监测模块之间的数据传输频率,连续监护模式的频率大于所述断续监护模式的频率至少包括以下两种条件之一:连续监护模式下的监测模块的的测量频率大于断续监护模式下的监测模块的测量频率,连续监护模式下的数据传输频率大于断续监护模式的数据传输频率。
如图2所示,本申请提供了一种监护设备或监测模块的***框架图。监护设备或模块组件至少包括参数测量电路112。参数测量电路112至少包括一个生理参数对应的参数测量电路,参数测量电路至少包含心电信号ECG参数测量 电路、呼吸参数RESP测量电路、体温参数TEMP测量电路、血氧参数SpO
2测量电路、无创血压参数NIBP测量电路、有创血压参数测量电路等等中的至少一个参数测量电路,每个参数测量电路分别通过相应的传感器接口与外部***的传感器附件111连接。传感器附件111包括用于心电呼吸、血氧、血压、体温等生理参数检测所对应的检测附件。参数测量电路112主要是用来连接传感器附件111获得采集的生理参数信号的,可以包括至少两种以上生理参数的测量电路,参数测量电路可以是但不局限于生理参数测量电路(模块),人体生理参数测量电路(模块)或传感器采集人体生理参数等。具体的,参数测量电路通过扩展接口获得外部生理参数传感器附件获得有关病人的生理采样信号,并经过处理后得到生理数据,用以报警和显示。扩展接口还可用于将主控电路输出的关于如何采集生理参数的控制信号通过相应接口输出至外部生理参数监测附件,实现对病人生理参数的监测控制。
监护设备或监测模块还可以包括主控电路113,主控电路113需要包括至少一个处理器和至少一个存储器,当然,主控电路113还可以包括电源管理管理模块、电源IP模块和接口转换电路等中的至少之一。电源管理模块用于控制整机开关机、板卡内部各电源域上电时序和电池充放电等。电源IP模块是指把经常重复调用的电源电路单元的原理图和PCB版图相关联,固化成单独的电源模块,即,将一输入电压通过预定的电路转换为一输出电压,其中,输入电压和输出电压不同。例如,将15V的电压转换为1.8V、3.3V或3.8V等。可以理解的是,电源IP模块可以是单路的,还可以是多路的。当电源IP模块为单路时,电源IP模块可以将一个输入电压转换为一个输出电压。当电源IP模块为多路时,电源IP模块可以将一个输入电压转换为多个输出电压,且多个输出电压的电压值可以相同,也可以不相同,从而能够同时满足多个电子元件的不同电压需求,并且模块对外接口少,在***中工作呈黑盒与外界硬件***解耦,提高了整个电源***的可靠性。接口转换电路用于将主控最小***模块(即主控电路中的至少一个处理器和至少一个存储器)输出的信号,转换为实际外部设备所要求接收的输入标准信号,例如,支持外接VGA显示功能,是将主控CPU输出的RGB数字信号转换为VGA模拟信号,支持对外网络功能,是将RMII信号转换为标准的网络差分信号。
此外,监护设备或监测模块还可以包括本地显示器114、报警电路116、输入接口电路117、对外通讯和电源接口115中的一个或多个。主控电路113用于协调、控制多监护设备或监测模块中的各板卡、各电路和设备。在本实施例中,主控电路113用于控制参数测量电路112和通讯接口电路之间的数据交互、以及控制信号的传输,并将生理数据输送到显示器114上进行显示,也可以接收来自触摸屏或者键盘、按键等物理输入接口电路输入的用户控制指令,当然还可以输出的关于如何采集生理参数的控制信号。报警电路116可以是声光报警电路。主控电路113完成生理参数的计算,并通过对外通讯和电源接口115可将参数的计算结果和波形发送到主机(如带显示器的主机、PC机、中央站等等),对外通讯和电源接口115可以是以太网(Ethernet)、令牌环(Token Ring)、令牌总线(Token Bus)以及作为这三种网的骨干网光纤分布数据接口(FDDI)构成的局域网接口中的一个或其组合,还可以是红外、蓝牙、wifi、WMTS通讯等无线接口中的一个或其组合,或者还可以是RS232、USB等有线数据连接接口中的一个或其组合。对外通讯和电源接口115也可以是无线数据传输接口和有线数据传输接口中的一种或两种的组合。主机可以是监护仪的主机、心电图机,超声诊断仪,计算机等任何一个计算机设备,安装配合的软件,就能够组成一个监护设备。主机还可以是通讯设备,例如手机,多参数监护仪或模块组件通过蓝牙接口将数据发送到支持蓝牙通讯的手机上,实现数据的远程传输。
如图3所示,提供一种院内使用的监护仪联网***,利用该***可以将监护设备的数据进行整体保存,集中管理病人信息和看护信息,两者进行关联存储,便于进行历史数据的保存和关联报警。在图3所示的***中,监护设备为床边监护仪212,监测模块为便携式监护设备213。针对病床均可以提供一个床边监护仪212,该床边监护仪212可以是前述多参数监护仪或者插件式监护仪。另外,每个床边监护仪212还可以与一个便携式监护设备213进行配对传输,便携式监护设备213提供简便、可携带的多参数监护仪或模块组件,可穿戴在病人身体上对应病人进行移动式监护,通过便携式监护设备213与床边监护仪212进行无线通讯后可以将移动式监护产生的生理数据传输到床边监护仪212上进行显示,或通过床边监护仪212传输到中央站211供医生或护士查 看,或通过床边监护仪212传输到数据服务器215进行存储。另外,便携式监护设备213还可以直接通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到中央站211进行存储和显示,或者通过设置在院内的无线网络节点214将移动式监护产生的生理数据传输到数据服务器215进行存储。可见,床边监护仪212上显示的生理参数对应的数据可以是源自直接连接到监护以上的传感器附件,或者源自便携式监护设备213,或者源自数据服务器。
病人的监护参数包含以下三种类型的参数至少之一:
运动量相关参数,例如,运动步数、步频、运动距离、卡路里等;
生理参数,例如,血氧、血压、脉率、体温、心电、呼吸等参数,以及这这些参数的相关统计量和变化率;
人体状态时间参数,例如,与运动相关或睡眠相关的表征人体状态的时间参数,例如睡眠时间、运动时间。具体的病人恢复状态参数本发明实施例不作限定。
请参阅图4,图4为本申请实施例提供的一种病人状态监测***10,病人状态监测***包括监护设备103,监测模块100,以及位于监测模块100内部的处理器104,监测模块100用于获取病人的监护参数,并通过无线通信方式将监护相关数据传输给监护设备103,完成监护,处理器104用于根据监测模块的监护相关数据设置监测模块的监护模式。其中无线通信可以是无线医疗遥测服务(WMTS,wireless medical telemetry services)通信,近距离无线通信(NFC,Near Field Communication),无线网(WIFI,Wireless-Fidelity)通信,蓝牙通信等,WMTS通信模式专门用于病人状态监护,获取信息可靠性高,但同时能耗较高,适用于病人与监护设备距离近的情况。WIFI通信模式能耗低,可覆盖率高,适用于病人与监护设备距离远的情况。NFC通信模式传输距离近,但不需要额外的网络覆盖,方便快捷。监测模块100可以包含至少一个POD移动监测模块,贴服在病人身上,用于直接获取病人的状态参数。
监测模块位于所述连续监护模式下时,所述监护设备103为病房级监护设备,监测模块100与病房级监护设备之间进行通信;监测模块100位于连续监护模式下时,监护设备103为科室级监护设备,监测模块100与科室级监护设备之间进行通信。
处理器104用于根据监测模块的监护相关数据设置监测模块的监护模式具体包括:
获取所述监护设备与所述监测模块之间的通信模式,
根据通信模式的变化在连续监护模式和断续监护模式之间切换所述监测模块的工作模式。
其中,通信模式至少包括以下之一:无线医疗遥测服务WMTS模式、蓝牙无线模式和WIFI模式。
处理器104用于根据监测模块的监护相关数据设置监测模块的监护模式具体包括:监护设备与所述监测模块之间采用无线医疗遥测服务WMTS模式或蓝牙无线模式进行通讯时,所述监护设备为病房级监护设备,所述监测模块与病房级监护设备之间进行通信;监护设备与所述监测模块之间采用WIFI模式进行通讯时,所述监护设备为科室级监护设备,所述监测模块与科室级监护设备之间进行通信。
可选的,图4中的监测模块100包括2个子模块,分别为第一监测子模块101和第二监测子模块102,其中第一监测子模块为心电图监测模块ECG-POD,第二监测子模块为无创血压监测模块NIBP-POD,请参阅图5,图5为本申请提供的一种监测模块结构示意图,如图5所,ECG-POD包括NFC,比特流(BT,Bit Torrent),WMTS和WIFI四个通信模块,以及MCU1和MCU2两个微控制单元,NIBP-POD包括NFC和BT两个通信模块,以及MCU一个微控制单元。ECG-POD和NIBP-POD可以进行NFC配对,然后进行BT传输,其中ECG-POD为主控制模块,用于接收NIBP-POD采集的病人监护相关数据。另外,ECG-POD还包括WMTS通信模块和WIFI通信模块,可以选择用WMTS或者WIFI方式与监护设备103进行通信,而ECG-POD中的MCU1和MCU2可以作为图4中的处理器104使用,对监护模块采集到的病人监护相关数据进行处理。
另外,请参阅图6,图6为本申请实施例提供的一种病人状态监测***结构示意图,如图6所示,监护设备可以由接收箱105和监护仪106通过参数插槽的硬连接方式组成,接收箱105中包括WMTS和NFC通信模块,还包括微控制单元MCU4和数字信号处理模块(DSP,Digital Signal Processing),接收箱105还通过现场可编程门阵列(FPGA,Field-Programmable Gate Array) 与监护仪106进行电路连接,监护仪106包括主控单元,用于对接收箱105传输的数据进行再处理或展示。
借助接收箱105,ECG-POD和监护仪通过WMTS实现1对1的互联。ECG-POD通过WMTS将数据传输给接收箱105,接收箱105对数据进行计算后,利用参数插槽的硬连接的方式,将数据传递给主控单元进行显示。接收箱105计算的心率等值也会通过WMTS传输到ECG-POD,做同步显示。接收箱105是具有通讯模块的扩展箱,该扩展箱可以可拆卸固定在监护仪主机上,除此之外,该扩展箱还能够通过NFC通信与其他监护模块连接,例如耳温测量模块107。扩展箱还包括收纳空间,用于收纳放置ECG-POD等移动监护模块。
在另一种可选的实施例中,主控制模块ECG-POD可以挂置于床旁设备的充电桩上在边充电边检测的同时,实现医疗数据的实时传输。那么,此时扩展箱与ECG-POD可以通过有线或无线近场通讯通道实现实时检测数据的传输。例如,ECG-POD可以***到插件箱槽内进行充电的同时实现数据传输。又或者,ECG-POD监护模块可以存在两个分离的部分,其中,生命体征参数的前端采集和通信发送模块、与后端信息处理模块和通讯接收模块之间物理分离,则后端信息处理模块和通讯接收模块可以作为独立的扩展模块***到插件箱中,实现充电、数据传输等。
可选的,请参阅图7,图7为本申请实施例提供的另一种病人状态监测***结构示意图,如图7所示,监护设备为床旁DOCK站108,它可以是一个床旁带有多个扩展模块槽位的插件箱结构,可以挂在床旁,也可以位于床体上、墙体或者床旁集中站上,其内部结构包括NFC和WMTS通信模块,以及MCU5,通信模块可以内置,也可以外置,也可以做成独立扩展的模块。通过在床旁DOCK站***具有通讯功能的扩展模块来实现与监测模块中的主控制模块ECG-POD的通讯,还可以附加其他扩展模块,例如耳温测量模块109。床旁DOCK站可以将附加的扩展模块数据传输到ECG-POD,由其进行数据处理和显示,也可以通过ECG-POD将附加的扩展模块数据传输到远程设备上进行数据处理后将结果反馈到ECG-POD进行显示,或者不反馈回ECG-POD。在此种情况下,ECG-POD的本地显示器将起到的主要的显示作用,ECG-POD的处理器集中了监测模块100的数据和耳温测量模块109采集数据的集中分析处理。
可选的,ECG-POD和监护设备通过WMTS连接时,请参阅图8和图9,如图8提供的一种ECG-POD发射端WMTS无线拓扑图和图9提供的一种接收箱WMTS无线拓扑图,ECG-POD只用一个芯片做收发,但是为了提高上行的可靠性,在接收箱端用了两个芯片作接收,每次MO+选择两个芯片中收到的正确的数据;当接收箱做下发的时候,只有一个芯片工作。ECG-POD和接收箱之间维持一个半双工的工作模式,实现双向通信。一个上行包后,接下来一个下行包。在接收箱一端预留了一路射频芯片,主要是作为扫描空间信号强度使用,预期是研究自由调频的可行性。
另外,当病人处于病房内时,由于WMTS通信是一种医用特殊频段,存在私密性好的优点,可以采用WMTS进行ECG-POD和监护设备通过的通信连接。但同时,采用WMTS通信时需要考虑多对配对设备间抗干扰问题。
可选的,采用频分复用的WMTS技术。具体地,采用频分复用的原则包括:同一个区域或同一个科室采用一组特定的频点;同一个区域或同一个科室不同设配采用不同的频点,频点选择非互调干扰频点;不同区域或不同科室,如果距离大于第一距离阈值,则可以采用相同频点组;否则采用不同的非互调频点组;为了防止先前部署在不同区域的设备混在一起使用,造成干扰,导致更多的设备无法正常的传输数据,设备开机的时候,进行全信道的扫描,确认该设备是不是在正确的频点组。如果该设备在正确的频点组,则正常进行数据传输;如果不在正确的频点组,则不进行数据传输。为了解决同一个时刻设备连接的唯一性,点对点通信之间的设备,连接的时候需要重新生成唯一的配对码,并且在传输的间隙之间对配对码进行检查,防止错误的设备连接进来,造成数据错误或者数据的串扰。
在另一个可选的实施例中,当病人处于病房外时,WMTS信号覆盖不到,则病人状态监护***可以切换WIFI连接模式。请参阅图10,图10为本申请实施例提供的另一种病人状态监测***结构示意图,如图10所示,ECG-POD通过WIFI连接到无线访问接入点(AP,Wireless Access Point),AP再将数据发送到中央站,中央站可以与监护设备通过WIFI通信进行数据传输,也可以通过有线网络通信与监护设备进行数据传输,进而完成对病人的状态监护。或者,请参阅图11提供的另一种病人状态监测***结构示意图,如图11所示, ECG-POD也可以通过WIFI直接与监护设备连接,使得病人即使在病房外,也能够与病房内的监护设备进行通信,并将数据发送到监护设备。
可选的,还可以为移动监测模块100配置附加的3G\4G\5G网络通讯模块,同时为救护车上的DOCK站配置3G\4G\5G网络通讯模块,DOCK站与移动监测模块100通过3G\4G\5G网络进行通讯传输,DOCK站还可以通过3G\4G\5G网络将数据实时上传至院级中央站。
可选的,在为移动监测模块配置附加的3G\4G\5G网络通讯模块的同时,为救护车配置附加的3G\4G\5G网络通讯模块,将救护车附加的3G\4G\5G网络通讯模块作为独立配件,与移动监护模块100中的主控制模块进行集成设置。移动监护模块采集到的数据可以通过3G\4G\5G网络通讯模块将数据实时上传至院级中央站。可以理解地,还可以为其他移动通讯网络,而不限于上述通讯网络,只要其可以通过这些移动通讯网络进行数据传输即可。
根据上述实施例可知,在病人状态监测***中,监测模块与监护设备或者其他设备可以通过无线通信模式进行连接,可采用的无线通信模式包括WMTS、WIFI、蓝牙或NFC等,在进行无线通信的过程中,由于病人与病床的距离变化,病人身体状况变化或者病人运动状态等变化,使得对于病人身体状况的监护模式也需要进行切换,以便更好地对病人进行监护。
可选的,参数包括病人的监护参数和设备的状态参数。
具体地,病人状态监测***通过监测模块获取病人的监护参数,包括监护时长、病人的生理参数或监护图像显示等;或者通过监测模块获取设备的状态参数,其中设备的状态参数可以是监护设备的状态参数,或者是监测模块的状态参数,可以是设备的电量、存储空间或通信模式等。
可选的,监测模块还包括:参数测量单元,用于检测病人的生理参数;所述病人的监护参数包括所述生理参数。
处理器在获取病人的监护参数时,可以获取病人的生理参数。并且,监测模块可以包括参数测量单元,用于直接获得病人的生理参数,然后传递给处理器;或者可以由处理器与病人贴合的传感器直接连接进而获得病人的生理参数。病人的生理参数包括血压、血氧或心率等。
可选的,在获取参数,并根据获得的参数设置监测模块的工作模式方面, 处理器具体用于:从参数测量单元获取生理参数,生理参数包括心电图ECG,血氧SPO2,体温TEMP和/或血压NIBP;根据生理参数确定病人的病情状态,病情状态包括良好或严重;当病情状态良好时,将监测模块的工作模式设置为连续监测模式;当病情状态严重时,将监测模块的工作模式设置为断续监测模式。
具体地,病人的生理参数都用于反映病人的身体状况,对监测模块获取到的生理数据进行分析,即可确定病人的病情状态。例如,参数心电图是记录心脏周期性波动的图形,心率的正常值为60-100,过快或过慢都表示病人健康状况不好,血氧SPO2表示血氧饱和度,正常情况下不低于94%,SpO2<90%被定为低氧血症的标准,低氧血症表明病人危重,呼吸衰竭;血压高于130为高血压,血压地域70为低血压。因为,为每一个生理参数设置一个危险阈值,当有生理参数达到危险阈值时,则判断病人的病情状态为严重,或者,为每一个生理参数设置权重,当达到危险阈值的生理参数权重超过预设权重时,判断病人的病情状态为严重,否则判断为良好。当病情状态为良好时,对于病人的监测可以适当放宽松,因此此时可以采用的监护模式为断续监护模式,当病人的病情状态为严重时,对于病人的监测需要更严密,此时需要采用连续监护模式。
可选的,监测模块还包括:运动传感器,用于检测病人的运动参数;所述病人的监护参数包括所述运动参数。
运动传感器可以灵敏地感知病人的运动,并将运动信号转化为电信号,进而获得病人的运动参数,可以作为病人的监护参数用于确定监测模块的工作模式。另外,运动传感器可以设置在监测模块中,也可以作为单独的设备,并与监测模块通信连接,将获得的运动参数传递给监测模块。
可选的,在获取参数,并根据获得的参数设置监测模块的工作模式方面,处理器具体用于:从运动传感器获取病人的运动参数,根据运动参数获取病人的运动信号持续时长;将运动信号持续时长与第一预设时长进行大小对比,获得对比结果;当运动信号持续时长大于或等于第一预设时长时,设置监测模块的工作模式为断续监护模式;当运动信号持续时长小于第一预设时长,设置监测模块的工作模式为连续监护模式。
从运动传感器获取病人的运动参数,可以获取运动时长、运动幅度、运动方向或运动激烈程度等,根据这些运动参数可以获取病人的运动信号持续时长。病人身体状况良好的时候,可以在病房内或病房外行走,运动信号持续时间长;如果病人身体状况恶化,则只能躺在床上,或者在床上小幅度翻身,运动信号持续时间短。将病人的运动信号持续时长与第一预设时长进行大小对比,第一预设时长可以是5min(分钟),10min或者30min。因为病人运动时幅度大小不同,对于过于轻微的运动,可以认为病人未运动,只统计运动幅度较大的信号为运动信号,然后统计病人的运动信号持续时长。运动信号之间的间隔大于第一间隔阈值时,认为两个运动信号不连续,因此运动信号持续时长是指时间间隔小于第一间隔阈值的运动信号持续时长。当运动信号持续时长大于或等于第一预设时长时,说明病人身体状况良好,设置监测模块的工作模式为断续监护模式;当运动信号持续时长小于第一预设时长时,说明病人身体状况恶化或病情严重,设置监测模块的工作模式为连续监护模式。
可选的,运动传感器为三轴加速度计,运动参数为加速度;在获取病人的运动信号持续时长之前,处理器还用于确定病人处于室外直立运动状态,具体用于:确定监测模块的通信模式为WIFI模式;根据加速度确定病人的运动幅度大于第一预设幅度;确定加速度计的加速度方向与Z轴正方向夹角小于第一预设角度,Z轴正方向为垂直于水平面向下的方向;确定病人处于室外直立运动状态。
具体地,根据上述实施例可知,检测病人是否处于运动状态是为了确认病人的身体状态良好。在一些情况下,病人处于病房内时,即使在运动,运动幅度也很小,并不能表明病人身体状态良好。另外,如果病人病情恶化,可能需要将病人抬出病房,此时加速度传感器根据加速度变化确定病人处于运动状态,但实际上病人并不是自己本身在运动。因此,在获取病人的运动信号持续时长之前,还需要确定病人处于运动状态,实际上是确认病人身体状态良好。首先确定监测模块的通信模式为WIFI模式,这样是为了确定病人处于病房外;然后根据病人佩戴的加速度计采集的数据,确定病人的运动幅度大于第一预设幅度;最后确定加速度计的加速度方向与Z轴正方向夹角小于第一预设角度,Z轴正方向为垂直于水平面向下的方向;确定病人处于自主的直立运动状态,从 而确定病人此时身体状态良好。
请参阅图12,图12为本申请实施例提供的一种病人身体的加速度计坐标轴示意图,如图12所示,X轴的正方向为垂直于人体冠状面向前的方向,Y轴的正方向为垂直于人体矢状面向右的方向,Z轴的正方向为垂直于水平面向下的方向。对病人的运动幅度进行计算,公式如下:
其中A表示运动幅值,x,y,z分别是加速度计X,Y,Z三个轴方向的加速度大小。
同时根据公式(2)可以计算出加速度计的加速度方向与三个轴向的夹角,公式(2)如下:
其中θ
x,θ
y,θ
z分别表示加速度方向与X,Y,Z轴正方向的夹角。当加速度方向与Z轴正方向的夹角小于第一预设角度时,认为病人处于直立状态,当加速度方向与X轴正方向的夹角小于第二预设角度时,认为病人处于平躺状态,当加速度方向与Y轴正方向的夹角小于第三预设角度时,认为病人处于侧躺状态。
在本实施例中,认为只有病人处于病房外,运动幅度大于第一预设幅度,且处于直立状态时,才确定病人处于运动状态。其中,第一预设幅度为一个加速度值,可以是15m/s
2或20m/s
2等数值。第一预设角度是一个很小的角度,例如5°,10°等。
可选的,设备的状态参数包括监护设备与监测模块的通信特征。在一实施例中,通信特征至少包括以下之一:通信模式、通信信号强度和丢包率。具体地,本申请提供了以下根据通信特征设置监护模式的方法。当所述通信模式为无线医疗遥测服务WMTS模式时,设置所述监测模块的工作模式为连续监护模式;当所述通信模式为无线网WIFI模式时,设置所述监测模块的工作模式为 断续监护模式。当通信信号强度大于第一信号阈值,丢包率小于第一预设阈值时,设置所述监测模块的工作模式为连续监护模式;当通信信号强度小于第一信号阈值,丢包率大于第一预设阈值时,设置所述监测模块的工作模式为断续监护模式。可以理解地,还可以根据其他通信特征和其他方法确定监护模式,在此不做限定。
可选的,设备的状态参数包括监护设备与监测模块的距离。
设备的状态参数包括单个设备的属性参数和运行参数,还包括设备与设备间之间的关联参数。监护设备与监测模块之间的距离即为设备与设备之间的关联参数,可以通过监护设备或监测模块中内置传感器获取两者的距离,也可以由其他参数间接获取两者的距离,例如两者之间的通信模式或信号强度等。
可选的,在获取参数,并根据获得的参数设置监测模块的工作模式方面,处理器具体用于:获取监测模块与监护设备的通信模式,通信模式包括无线医疗遥测服务WMTS模式或WIFI模式;将通信模式作为判断数据。根据监护设备与监测模块之间的通信模式确定监护设备与监测模块的距离,当通信模式为WMTS模式时,监护设备与监测模块的距离近,设置监测模块的工作模式为连续监护模式;当通信模式为WIFI模式时,监护设备与监测模块的距离远,设置监测模块的工作模式为断续监护模式。
具体地,根据上述实施例可知,监测模块与监护设备之间的距离可以通过两者之间的通信模式来体现。当监测模块与监护设备的通信模式为WMTS模式时,监测模块与监护设备的距离近,表明病人可能处于病房内,身体状况不佳,需要更严格的监护,因此设置监测模块的工作模式为连续监护模式;当监测模块与监护设备的通信模式为WMTS模式时,监测模块与监护设备的距离远,表明病人可能处于病房外,身体状况良好,可以将监测模块的工作模式设置为断续监护模式。
可选的,监测模块还包括存储单元,用于存储预设时间段内的获取到的病人生理数据;设备的状态参数包括监测模块的存储空间总容量。
可选的,在获取参数,并根据获得的参数设置监测模块的工作模式方面,处理器具体用于:从存储单元中获取存储空间总容量;确定存储空间总容量能够支持的第一连续模式工作时长和第一断续模式工作时长,第一连续模式工作 时长获取的数据量与第一断续模式工作时长获取的数据量之和与存储空间总容量相等;获取已支持连续模式工作时长T1,当第一大小对比结果为T1大于或等于第一连续模式工作时长时,设置监测模块的工作模式为断续监护模式;当第一大小对比结果为T1小于第一连续模式工作时长时,设置监测模块的工作模式为连续监护模式。
具体地,监测模块用于获取参数,参数传递到监护设备并进行分析和显示,在这个过程中,数据需要在监测模块中进行一段时间的存储。在保证数据保存时长和存储空间有限的情况下,就必须控制数据获取。连续监护模式下存储的数据量远大于断续监护模式下存储的数据。在存储空间有限的情况下,需要考虑如何优化连续监护模式和断续监护模式的时间分配,以使得在对病人进行严格监护的情况下,不使得监护相关数据的数据量超过存储空间的总容量。
请参阅图13,图13为本申请实施例提供的一种空间存储量与监护模式对应关系示意图,如图13所示,第一连续模式工作时长内,监测模块为连续监护模式,获取的数据量占用存储空间为R1,第一断续模式工作时长内,监测模块为断续监护模式,获取的数据量占用存储空间为R2,R1与R2之和为空间总容量R。获取病人状态监测***当前已经支持的连续模式工作时长T1,当T1≥第一连续模式工作时长时,说明存储空间已经不能再支持连续监护模式,需要采用断续监护模式,因此,设置监测模块的工作模式为断续监护模式。同样的,当T1<第一连续模式工作时长时,说明存储空间还能支持连续监护模式,那么,设置监测模块的工作模式为连续监护模式。
可选的,监护设备或监测模块还包括供电单元,设备的状态参数包括监护设备或监测模块的可用总电量。
可选的,在获取参数,并根据获得的参数设置监测模块的工作模式方面,处理器具体用于:从监护设备或监测模块获取对应设备的可用总电量;确定可用总电量能够支持的第二连续模式工作时长和第二断续模式工作时长,第二连续模式工作时长消耗的电量与第二断续模式工作时长消耗的电量之和与可用总电量相等;获取已支持连续模式工作时长T2,当第二大小对比结果为T2大于或等于第二连续模式工作时长时,设置监测模块的工作模式为断续监护模式;当第二大小对比结果为T2小于第二连续模式工作时长时,设置监测模块的工 作模式为连续监护模式。
具体地,在对病人进行监护的时候,可能存在监护设备或监测模块其中一个设备由电池供能,或者两者都由电池功能的情况,或者为了节约用电等。这种电量受限的情况下,连续监护模式和断续监护模式的功耗不同,前者功耗远大于后者,为了让受限的电量满足一定的续航时间,就需要考虑如何优化连续监护模式和断续监护模式的时间分配。在获取可用总电量时,为了保证监测模块和监护设备都能正常工作,应该获取两个设备中可用电量更少的作为可用总电量。
请参阅图14,图14为本申请实施例提供的一种电池电量与监护模式对应关系示意图,如图14所示,第二连续模式工作时长内,监测模块为连续监护模式,消耗的电量为E1,第二断续模式工作时长内,监测模块为断续监护模式,消耗的电量为E2,E1与E2之和为电池总电量E。获取病人状态监测***当前已经支持的连续模式工作时长T2,当T2≥第二连续模式工作时长时,说明电池电量已经不能再支持连续监护模式,需要采用断续监护模式,因此,设置监测模块的工作模式为断续监护模式。同样的,当T2<第二连续模式工作时长时,说明电池电量还能支持连续监护模式,那么,设置监护设备的工作模式可以设置为连续监护模式。
可选的,监测模块还包括:参数获取模块,用于获取病人的监护参数;归类模块,与参数获取模块相连,用于判定病人的监护参数归属的参数种类,其中,参数种类包括连续测量参数类和断续测量参数类;处理器,与归类模块相连,用于根据参数种类确定监测模块的工作模式。
所述连续测量参数类包括心电图ECG、血压NIBP和/或运动参数;所述断续测量参数类包括呼吸RESP,血氧SPO2和/或体温TEMP;在所述获得参数,根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:当确定所述病人的监护参数归属于连续测量参数类时,设置所述监测模块的工作模式为连续监护模式;当确定所述病人的监护参数归属于断续测量参数类时,设置所述监测模块的工作模式为断续监护模式。
具体地,设置连续测量参数类和断续测量参数类,并根据参数种类确定监测模块的工作模式,这种方式能够更高效快速地确定监测模块的工作模式。ECG、 NIBP或运动参数等参数属于重要参数,对病人的身体状况有较大参考意义,需要进行实时获取,以便对病人的身体状况进行严格监护,将这些参数设置为连续测量参数;RESP,SPO2和或TEMP等参数与病人的身体状况的参考价值较小,因此可以点测获取,例如间隔一定时长进行获取,间隔时长可以是2min或5min等,将这些参数设置为断续测量参数。在获取连续测量参数时,设置监测模块的工作模式为连续监护模式,在获取断续测量参数时,设置监测模块的工作模式为断续监护模式。
可选的,处理器还用于获取监测模块的信号强度,根据信号强度确定监测模块的通信模式。
因为监测模块的通信模式可用于确定监测模块的工作模式,因此确定监测模块的通信模式也至关重要。通过监测模块的信号强度确定监测模块的工作模式,能够保证监测模块保持良好的通信,减少因为网络不畅通带来的数据延后或数据丢失。
可选的,获取所述监测模块的信号强度,根据信号强度确定所述监测模块的通信模式方面,处理器具体用于:获取监测模块的信号强度,信号强度包括WMTS信号强度和WIFI信号强度;当WMTS信号强度大于或等于第一预设阈值时,确定监测模块的通信模式为WMTS模式;当WMTS信号强度小于第一预设阈值时,确定监测模块的通信模式为WIFI模式。
具体地,通过上述实施例可以看出,监测模块可以根据病人在病房内或病房外切换WMTS和WIFI通信模式,实际上是因为监护设备位于床边,当病人在病房内时,WMTS信号强度大,WIFI信号强度小,当病人在病房外时,WMTS信号强度小,WIFI信号强度大。优先考虑采用WMTS模式,当WMTS信号强度大于或等于第一预设阈值时,确定监测模块的通信模式为WMTS模式;当所述WMTS信号强度小于第一预设阈值时,确定监测模块的通信模式为WIFI模式。这样只根据信号强度确定通信模式的方法,还能够排除病房内或病房外的干扰。
可选的,处理器还用于:当确定监测模块的通信模式为WMTS模式时,获取监测模块的第一丢包率并判定第一丢包率是否小于第二预设阈值,并根据判定结果确定监测模块的通信模式。
可选的,在根据判定结果确定监测模块的通信模式方面,处理器还用于: 当第一丢包率小于第二预设阈值时,保持WMTS模式;当第一丢包率大于或等于第二预设阈值时,将监测模块的通信模式切换为WIFI模式。
具体地,监测模块的通信模式除了与信号强度有关之外,与丢包率也有关,在监测模块为WMTS模式时,需要进一步确定当前通信模式对应的丢包率,如果丢包率过大,说明通信质量不佳,需要切换监测模块的通信模式为WIFI模式,如果丢包率小于第二预设阈值,则说明当前通信质量良好,保持WMTS模式。丢包率是一个比率值,可以设置为0.05%,0.02%或0.01%等。
可选的,获取参数,并根据获得的参数设置监测模块的工作模式之后,处理器还用于根据监测模块的工作模式设置监测模块的通信模式。
可选的,处理器还用于根据监测模块的工作模式设置监测模块的通信模式包括:当监测模块的工作方式为断续监护模式时,设置监测模块的通信模式为WIFI模式;当监测模块的工作方式为连续监护模式时,设置监测模块的通信模式为WMTS模式。
具体地,监测模块的工作模式与通信模式息息相关,可以通过监测模块的通信模式确定其工作模式,反之,也可以通过监测模块的工作模式确定其通信模式。例如当监测模块的工作模式为连续工作模式时,说明此时需要良好的通信质量以及高可靠性网络,以便获取的病人的身体参数的效率和准确率更高,此时采用WMTS模式;当监测模块的工作模式为断续工作模式时,对通信质量和网络可靠性的要求较低,那么可以采用WIFI模式。
可选的,监测模块包括第一监测子模块和第二监测子模块,连续监护模式具体包括:第一监测子模块实时连续获取第一类参数,第一类参数包括心电图ECG,呼吸RESP,血氧SPO2和/或体温TEMP;第二监测子模块实时连续获取第二类参数,第二类参数包括血压NIBP和/或运动信号;第二监测子模块将第二类参数实时发送给第一监测子模块;第一监测子模块将第一类参数和第二类参数实时连续发送给第一监护设备,第一监护设备在界面实时更新参数波形和/或参数值。
具体地,连续监护模式表示连续不间断地获取参数,对病人的身体状况进行实时监护,这种监护模式针对的是病人身体状况不佳,需要严格监护的状态。监测模块的结构图4,第一监测子模块可以为ECG-POD,能够实时、连续不间 断地获取ECG,RESP,SPO2以及TEMP等身体参数,第二监测子模块可以是NIBP-POD,能够实时、连续不间断地采集NIBP和运动信号等身体参数,因为ECG-POD为主控制模块,负责对外通信,那么NIBP-POD将采集到的身体参数发送给ECG-POD,ECG-POD通过无线通信的方式,将自身采集的身体参数和接收到的NIBP-POD采集的身体参数一起发送给监护设备。
可选的,监测模块包括第三监测子模块,第四监测子模块,断续监护模式具体包括:第三监测模块实时连续获取第三类参数,第三类参数包括心电图ECG,同时按照预设频率获取第四类身体参数,第四类身体参数包括呼吸RESP,血氧SPO2和/或体温TEMP;第四监测模块实时连续获取第五类身体参数,第五类身体参数包括血压NIBP和/或运动信号;第四监测模块将第五类身体参数实时发送给第一监测子模块;第一监测子模块将第三类身体参数、第四类身体参数和第五类身体参数组成的身体参数实时发送给中央站,中央站将身体参数转发给第二监护设备,第二监护设备在界面更新参数波形和/或参数值。预设频率大于等于零。
具体地,在一实施例中,当预设频率是指按照固定时间间隔采集固定时长的参数,然后将采集到的参数实时发送到监护设备的监护模式。例如固定时间间隔为2分钟,固定时长为15秒,那么监测模块可以每隔2分钟采集15秒所有的身体参数并发送给监护设备;也可以每隔2分钟采集15秒部分身体参数,剩余部分的身体参数连续不间断地获取,所有的身体参数采集到后实时同步地发送给监护设备,监护设备对身体参数进行分析展示,包括文字展示或图像展示,体现为监护设备在界面更新参数波形或参数值,或同时对两者进行更新。还可以在病人自主直立运动时,关闭呼吸RESP,血氧SPO2和/或体温TEMP的测量,进一步抑制或取消有关呼吸RESP,血氧SPO2和/或体温TEMP的报警,此时,预设频率为零。
可以看出,在本申请实施例中,通过监测模块的通信模式、病人的病情状态、病人的运动信号持续时长、存储空间容量或可用电量等参数设置监测模块的工作模式。在这个过程中,通过切换监护模式,使得在对病人进行监护的过程中,既能满足对用户身体状况的严格监护,又能减少对冗余数据的处理,提升了监护效率和监护质量。
参见图15,图15为本申请实施例提供的一种病人状态监测方法的流程示意图。应用于包括监护设备和与监护设备通信相连的监测模块的病人状态监测***,所述监测模块佩戴在病人的身体上,并包括处理器,如图15所示,病人状态监测方法包括:
S501、所述处理器获取参数;
S502、根据获得的参数设置所述监测模块的工作模式;其中,所述监测模块的工作模式包括连续监护模块和断续监护模式。连续监护模式的频率大于所述断续监护模式的频率,其中,频率包括监测模块的测量频率和监护设备与监测模块之间的数据传输频率,连续监护模式的频率大于所述断续监护模式的频率至少包括以下两种条件之一:连续监护模式下的监测模块的的测量频率大于断续监护模式下的监测模块的测量频率,连续监护模式下的数据传输频率大于断续监护模式的数据传输频率。
在一种可能的实施例中,监测模块还包括:参数测量单元,用于检测病人的生理参数;所述病人的监护参数包括所述生理参数。
在一种可能的实施例中,所述获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:
从所述参数测量单元获取病人的生理参数,所述生理参数包括心电图ECG,血氧SPO2,体温TEMP和/或血压NIBP;
根据所述生理参数确定病人的病情状态,所述病情状态包括良好或严重;
当所述病情状态良好时,将所述监测模块的工作模式设置为连续监测模式;
当所述病情状态严重时,将所述监测模块的工作模式设置为断续监测模式。
在一种可能的实施例中,所述监测模块还包括:运动传感器,用于检测病人的运动参数;所述病人的监护参数包括所述运动参数。
在一种可能的实施例中,所述获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:
从所述运动传感器获取病人的运动参数,根据所述运动参数获取病人的运动信号持续时长;
当所述运动信号持续时长大于或等于所述第一预设时长时,设置所述监测模块的工作模式为断续监护模式;
当所述运动信号持续时长小于所述第一预设时长,设置所述监测模块的工作模式为连续监护模式。
在一种可能的实施例中,所述运动传感器为三轴加速度计,所述运动参数为加速度,在获取病人的运动信号持续时长之前,所述方法还包括确定病人处于室外直立运动状态,具体包括:
确定所述监测模块的通信模式为WIFI模式;
根据所述加速度,确定病人的运动幅度大于第一预设幅度;
确定所述加速度计的加速度方向与Z轴正方向夹角小于第一预设角度,所述Z轴正方向为垂直于水平面向下的方向;
确定病人处于室外直立运动状态。
在一种可能的实施例中,所述设备的状态参数包括所述监护设备与所述监测模块的距离。
在一种可能的实施例中,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:
从所述监护设备和/或所述监测模块获取所述监护设备与所述监测模块的距离远近,所述距离远近可以根据所述监测模块的通信模式确定,当所述通信模式为无线医疗遥测服务WMTS模式时,所述监护设备与所述监测模块的距离近,当所述通信模式为无线网WIFI模式时,所述监护设备与所述监测模块的距离远;
若确定所述监护设备与所述监测模块的距离远,设置所述监测模块的工作模式为断续监护模式;
若确定所述监护设备与所述监测模块的距离近,则设置所述监测模块的工作模式为连续监护模式。
在一种可能的实施例中,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:
获取所述监护设备与所述监测模块之间的通信信号强度和丢包率;
根据所述通信信号强度和丢包率确定所述监护设备与所述监测模块的距离;
当通信信号强度大于第一信号阈值,丢包率小于第一预设阈值时,所述监 护设备与所述监测模块的距离近,设置所述监测模块的工作模式为连续监护模式;
当通信信号强度小于第一信号阈值,丢包率大于第一预设阈值时,所述监护设备与所述监测模块的距离远,设置所述监测模块的工作模式为断续监护模式。
在一种可能的实施例中,所述设备的状态参数包括所述监护设备和/或所述监测模块的存储空间总容量,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:
从所述监护设备和/或所述监测模块获取所述监护设备和/或所述监测模块的存储空间总容量;
确定所述存储空间总容量能够支持的第一连续模式工作时长和第一断续模式工作时长,所述第一连续模式工作时长获取的数据量与所述第一断续模式工作时长获取的数据量之和与所述存储空间总容量相等;
获取已支持连续模式工作时长T1,当所述第一大小对比结果为所述T1大于或等于所述第一连续模式工作时长时,设置所述监测模块的工作模式为断续监护模式;
当所述第一大小对比结果为所述T1小于所述第一连续模式工作时长时,设置所述监测模块的工作模式为连续监护模式。
在一种可能的实施例中,所述设备的状态参数包括所述监护设备或所述监测模块的可用总电量,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:
从所述监护设备或所述监测模块获取对应设备的可用总电量;
确定所述可用总电量能够支持的第二连续模式工作时长和第二断续模式工作时长,所述第二连续模式工作时长消耗的电量与所述第二断续模式工作时长消耗的电量之和与所述可用总电量相等;
获取已支持连续模式工作时长T2,当所述第二大小对比结果为所述T2不小于所述第二连续模式工作时长时,设置所述第一监护模式为断续监护模式;
若所述第二大小对比结果为所述T2小于所述第二连续模式工作时长,则判定所述第一监护模式是否为连续监护模式,若否,则对所述监测模块的工作 模式进行切换。
在一种可能的实施例中,所述监测模块还包括:参数获取模块,用于获取病人的监护参数和;归类模块,与所述参数获取模块相连,用于判定所述病人的监护参数归属的参数种类,其中,所述参数种类包括连续测量参数类和断续测量参数类;所述处理器,与所述归类模块相连,用于根据所述参数种类确定所述监测模块的工作模式。
在一种可能的实施例中,所述连续测量参数类包括心电图ECG、血压NIBP和/或运动信号;所述断续测量参数类包括呼吸RESP,血氧SPO2和/或体温TEMP;
所述根据获得的参数设置所述监测模块的工作模式包括:
当确定所述病人的监护参数归属于连续测量参数类时,设置所述监测模块的工作模式为连续监护模式;
当确定所述病人的监护参数归属于断续测量参数类时,设置所述监测模块的工作模式为断续监护模式。
在一种可能的实施例中,在从所述监护设备和/或所述监测模块获取所述监护设备与所述监测模块的距离远近之前,所述方法还包括确定所述监测模块的通信模式,具体包括:
获取所述监测模块的信号强度,所述信号强度包括WMTS信号强度和WIFI信号强度;
检测所述WMTS信号强度是否大于第一预设阈值,若是,则确定所述监测模块的无线通信模式为WMTS模式;
若否,则检测所述WIFI信号强度是否大于第二预设阈值,若是,则确定所述监测模块的无线通信模式为WIFI模式。
在一种可能的实施例中,在确定所述监测模块的无线通信模式为WMTS模式之后,所述方法还包括:
获取所述监测模块的第一丢包率并判定所述第一丢包率是否小于第二预设阈值,并根据判定结果确定所述监测模块的无线通信模式。
在一种可能的实施例中,所述根据判定结果确定所述监测模块的无线通信模式包括:
当所述第一丢包率小于所述第二预设阈值时,保持所述WMTS模式;
当所述第一丢包率大于或等于所述第二预设阈值时,将所述监测模块的无线通信模式切换为WIFI模式。
在一种可能的实施例中,所述获取参数,并根据获得的参数设置所述监测模块的工作模式之后,所述方法还包括根据所述监测模块的工作模式设置所述监测模块的通信模式。
在一种可能的实施例中,根据所述监测模块的工作模式设置所述监测模块的通信模式包括:
当所述监测模块的工作方式为断续监护模式时,设置所述监测模块的通信模式为WIFI模式;
当所述监测模块的工作方式为连续监护模式时,设置所述监测模块的通信模式为WMTS模式。
在此需要说明的是,上述步骤对应方法的具体描述可参见上述图1-图13所示实施例的相关描述,在此不再叙述。
本申请实施例还提供一种计算机存储介质,其中,该计算机存储介质可存储有程序,该程序执行时包括上述方法实施例中记载的任何一种避障方法的部分或全部步骤。
以上对本申请实施例进行了详细介绍,本文中应用了具体个例对本申请的原理及实施方式进行了阐述,以上实施例的说明只是用于帮助理解本申请的方法及其核心思想;同时,对于本领域的一般技术人员,依据本申请的思想,在具体实施方式及应用范围上均会有改变之处,综上上述,本说明书内容不应理解为对本申请的限制。
Claims (55)
- 一种病人状态监测***,其特征在于,包括监护设备和与监护设备通信相连的监测模块;所述监测模块佩戴在病人的身体上,包括:处理器,用于获取参数,并根据获得的参数设置所述监测模块的工作模式;其中,所述监测模块的工作模式包括连续监护模块和断续监护模式。
- 根据权利要求1所述的病人状态监测***,其特征在于,所述参数包括病人的监护参数和设备的状态参数。
- 根据权利要求1所述的病人状态监测***,其特征在于,连续监护模式的频率大于所述断续监护模式的频率,其中,频率包括监测模块的测量频率和/或监护设备与监测模块之间的数据传输频率,连续监护模式的频率大于所述断续监护模式的频率至少包括以下两种条件之一:连续监护模式下的监测模块的的测量频率大于断续监护模式下的监测模块的测量频率,连续监护模式下的数据传输频率大于断续监护模式的数据传输频率。
- 根据权利要求1所述的病人状态监测***,其特征在于,所述监测模块位于所述连续监护模式下时,所述监护设备为病房级监护设备,所述监测模块与病房级监护设备之间进行通信;所述监测模块位于所述连续监护模式下时,所述监护设备为科室级监护设备,所述监测模块与科室级监护设备之间进行通信。
- 根据权利要求1所述的病人状态监测***,其特征在于,所述根据获得的参数设置所述监测模块的工作模式包括:获取所述监护设备与所述监测模块之间的通信模式,根据通信模式的变化在连续监护模式和断续监护模式之间切换所述监测模块的工作模式。
- 根据权利要求5所述的病人状态监测***,其特征在于,所述通信模式至少包括以下之一:无线医疗遥测服务WMTS模式、蓝牙无线模式和WIFI模式。
- 根据权利要求4或6所述的病人状态监测***,其特征在于,所述根据获得的参数设置所述监测模块的工作模式包括:所述监护设备与所述监测模块之间采用无线医疗遥测服务WMTS模式或蓝牙无线模式进行通讯时,所述监护设备为病房级监护设备,所述监测模块与病房级监护设备之间进行通信;所述监护设备与所述监测模块之间采用WIFI模式进行通讯时,所述监护设备为科室级监护设备,所述监测模块与科室级监护设备之间进行通信。
- 根据权利要求2所述的病人状态监测***,其特征在于,所述病人的监护参数包括所述生理参数;监测模块还包括:参数测量单元,用于检测病人的生理参数。
- 根据权利要求8所述的病人状态监测***,其特征在于,在所述获取参数,并根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:从所述参数测量单元获取所述生理参数,所述生理参数包括心电图ECG,血氧SPO2,体温TEMP和/或血压NIBP;根据所述生理参数确定病人的病情状态,所述病情状态包括良好或严重;当所述病情状态良好时,将所述监测模块的工作模式设置为断续监测模式;当所述病情状态严重时,将所述监测模块的工作模式设置为连续监测模式。
- 根据权利要求2所述的病人状态监护***,其特征在于,所述病人的监护参数包括所述运动参数;监测模块还包括:运动传感器,用于检测病人的运动参数。
- 根据权利要求10所述的病人状态监护***,其特征在于,在所述获取参数,并根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:从所述运动传感器获取病人的运动参数,根据所述运动参数获取病人的运动信号持续时长;将所述运动信号持续时长与第一预设时长进行大小对比,获得对比结果;当所述运动信号持续时长大于或等于所述第一预设时长时,设置所述监测模块的工作模式为断续监护模式;当所述运动信号持续时长小于所述第一预设时长,设置所述监测模块的工作模式为连续监护模式。
- 根据权利要求10所述的病人状态监护***,其特征在于,所述运动传感器为三轴加速度计,所述运动参数为加速度;在获取病人的运动信号持续时长之前,所述处理器还用于确定病人处于室外直立运动状态,具体用于:确定所述监测模块的通信模式为无线网WIFI模式;根据所述加速度,确定病人的运动幅度大于第一预设幅度;确定所述加速度的方向与Z轴正方向夹角小于第一预设角度,所述Z轴正方向为垂直于水平面向下的方向;确定病人处于室外直立运动状态。
- 根据权利要求2所述的病人状态监测***,其特征在于,所述设备的状态参数包括:所述监护设备与所述监测模块的通信特征。
- 根据权利要求13所述的病人状态监测***,其特征在于,在所述获取参数,并根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:获取所述监护设备与所述监测模块之间的通信模式,所述通信模式包括无线医疗遥测服务WMTS模式或WIFI模式;当所述通信模式为所述WMTS模式时,设置所述监测模块的工作模式为连续监护模式;当所述通信模式为所述WIFI模式时,设置所述监测模块的工作模式为断续监护模式。
- 根据权利要求13所述的病人状态监测***,其特征在于,在所述获取参数,并根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:获取所述监护设备与所述监测模块之间的通信信号强度或丢包率;根据所述通信信号强度和丢包率确定所述监护设备与所述监测模块的距离;当通信信号强度大于第一信号阈值,丢包率小于第一预设阈值时,设置所述监测模块的工作模式为连续监护模式;当通信信号强度小于第一信号阈值,丢包率大于第一预设阈值时,设置所述监测模块的工作模式为断续监护模式。
- 根据权利要求2所述的病人状态监护***,其特征在于,所述监测模块还包括存储单元,用于存储预设时间段内的获取到的病人生理数据;所述设备的状态参数包括所述监测模块的存储空间总容量。
- 根据权利要求16所述的病人状态监护***,其特征在于,在获取参数,并根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:从所述存储单元中获取所述存储空间总容量;确定所述存储空间总容量能够支持的第一连续模式工作时长和第一断续模式工作时长,所述第一连续模式工作时长获取的数据量与所述第一断续模式工作时长获取的数据量之和与所述存储空间总容量相等;获取已支持连续模式工作时长T1,当所述第一大小对比结果为所述T1大于或等于所述第一连续模式工作时长时,设置所述监测模块的工作模式为断续监护模式;当所述第一大小对比结果为所述T1小于所述第一连续模式工作时长时,设置所述监测模块的工作模式为连续监护模式。
- 根据权利要求2所述的病人状态监护***,其特征在于,所述监护设备或所述监测模块还包括供电单元,所述设备的状态参数包括所述监护设备或所述监测模块的可用总电量。
- 根据权利要求18所述的病人状态监护***,其特征在于,在所述获取参数,并根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:从所述监护设备或所述监测模块获取对应设备的可用总电量;确定所述可用总电量能够支持的第二连续模式工作时长和第二断续模式工作时长,所述第二连续模式工作时长消耗的电量与所述第二断续模式工作时长消耗的电量之和与所述可用总电量相等;获取已支持连续模式工作时长T2,当所述第二大小对比结果为所述T2大于或等于所述第二连续模式工作时长时,设置所述监测模块的工作模式为断续监护模式;当所述第二大小对比结果为所述T2小于所述第二连续模式工作时长时, 设置所述监测模块的工作模式为连续监护模式。
- 根据权利要求1所述的病人状态监测***,其特征在于,所述监测模块还包括:参数获取模块,用于获取病人的监护参数;归类模块,与所述参数获取模块相连,用于判定所述病人的监护参数归属的参数种类,其中,所述参数种类包括连续测量参数类和断续测量参数类;所述处理器,与所述归类模块相连,用于根据所述参数种类确定所述监测模块的工作模式。
- 根据权利要求20所述的病人状态监测***,其特征在于,所述连续测量参数类包括心电图ECG、血压NIBP和/或运动参数;所述断续测量参数类包括呼吸RESP,血氧SPO2和/或体温TEMP;在所述获得参数,根据获得的参数设置所述监测模块的工作模式方面,所述处理器具体用于:当确定所述病人的监护参数归属于连续测量参数类时,设置所述监测模块的工作模式为连续监护模式;当确定所述病人的监护参数归属于断续测量参数类时,设置所述监测模块的工作模式为断续监护模式。
- 根据权利要求1所述的病人状态监测***,其特征在于,所述处理器还用于获取所述监测模块的信号强度,根据所述信号强度确定所述监测模块的通信模式。
- 根据权利要求22所述的病人状态监测***,其特征在于,所述获取所述监测模块的信号强度,根据所述信号强度确定所述监测模块的通信模式方面,所述处理器具体用于:获取所述监测模块的信号强度,所述信号强度包括WMTS信号强度和WIFI信号强度;当所述WMTS信号强度大于或等于第一预设阈值时,确定所述监测模块的通信模式为WMTS模式;当所述WMTS信号强度小于第一预设阈值时,确定所述监测模块的通信模式为WIFI模式。
- 根据权利要求23所述的病人状态监测***,其特征在于,所述处理器还用于:当确定所述监测模块的通信模式为WMTS模式时,获取所述监测模块的第一丢包率并判定所述第一丢包率是否小于第二预设阈值,并根据判定结果确定所述监测模块的通信模式。
- 根据权利要求24所述的病人状态监测***,在所述根据判定结果确定所述监测模块的通信模式方面,所述处理器还用于:当所述第一丢包率小于所述第二预设阈值时,保持所述WMTS模式;当所述第一丢包率大于或等于所述第二预设阈值时,将所述监测模块的通信模式切换为WIFI模式。
- 根据权利要求1所述的病人状态监测***,其特征在于,所述获取参数,并根据获得的参数设置所述监测模块的工作模式之后,所述处理器还用于根据所述监测模块的工作模式设置所述监测模块的通信模式。
- 根据权利要求26所述的病人状态监测***,其特征在于,处理器还用于根据所述监测模块的工作模式设置所述监测模块的通信模式包括:当所述监测模块的工作方式为断续监护模式时,设置所述监测模块的通信模式为WIFI模式;当所述监测模块的工作方式为连续监护模式时,设置所述监测模块的通信模式为WMTS模式。
- 根据权利要求1所述的***,其特征在于,所述监测模块包括第一监测子模块和第二监测子模块,所述连续监护模式具体包括:所述第一监测子模块实时连续获取第一类身体参数,所述第一类身体参数包括心电图ECG,呼吸RESP,血氧SPO2和/或体温TEMP;所述第二监测子模块实时连续获取第二类身体参数,所述第二类身体参数包括血压NIBP和/或运动信号;所述第二监测子模块将所述第二类身体参数实时发送给所述第一监测子模块;所述第一监测子模块将所述第一类身体参数和所述第二类身体参数实时连续发送给所述监护设备。
- 根据权利要求1或28所述的***,其特征在于,所述监测模块包括第三监测子模块,第四监测子模块,所述断续监护模式具体包括:所述第一监测模块实时连续获取第三类身体参数,所述第三类身体参数包 括心电图ECG,同时按照预设频率获取第四类身体参数,所述第四类身体参数包括呼吸RESP,血氧SPO2和/或体温TEMP;所述预设频率大于等于零。所述第四监测模块实时连续获取第五类身体参数,所述第五类身体参数包括血压NIBP和/或运动信号;所述第四监测模块将所述第五类身体参数实时发送给所述第一监测子模块;所述第一监测子模块将所述第三类身体参数、所述第四类身体参数和所述第五类身体参数组成的身体参数实时发送给所述监护设备。
- 一种病人状态监测方法,其特征在于,应用于包括监护设备和与监护设备通信相连的监测模块的病人状态监测***,所述监测模块佩戴在病人的身体上,并包括处理器,所述方法包括:所述处理器获取参数,并根据获得的参数设置所述监测模块的工作模式;其中,所述监测模块的工作模式包括连续监护模块和断续监护模式。
- 根据权利要求30所述的病人状态监测方法,其特征在于,所述参数包括病人的监护参数和设备的状态参数。
- 根据权利要求30所述的病人状态监测方法,其特征在于,连续监护模式的频率大于所述断续监护模式的频率,其中,频率包括监测模块的测量频率和/或监护设备与监测模块之间的数据传输频率,连续监护模式的频率大于所述断续监护模式的频率至少包括以下两种条件之一:连续监护模式下的监测模块的的测量频率大于断续监护模式下的监测模块的测量频率,连续监护模式下的数据传输频率大于断续监护模式的数据传输频率。
- 根据权利要求30所述的病人状态监测***,其特征在于,所述监测模块位于所述连续监护模式下时,所述监护设备为病房级监护设备,所述监测模块与病房级监护设备之间进行通信;所述监测模块位于所述连续监护模式下时,所述监护设备为科室级监护设备,所述监测模块与科室级监护设备之间进行通信。
- 根据权利要求30所述的病人状态监测***,其特征在于,所述根据获得的参数设置所述监测模块的工作模式包括:获取所述监护设备与所述监测模块之间的通信模式,根据通信模式的变化在连续监护模式和断续监护模式之间切换所述监测 模块的工作模式。
- 根据权利要求34所述的病人状态监测***,其特征在于,所述通信模式至少包括以下之一:无线医疗遥测服务WMTS模式、蓝牙无线模式和WIFI模式。
- 根据权利要求33或35所述的病人状态监测***,其特征在于,所述根据获得的参数设置所述监测模块的工作模式包括:所述监护设备与所述监测模块之间采用无线医疗遥测服务WMTS模式或蓝牙无线模式进行通讯时,所述监护设备为病房级监护设备,所述监测模块与病房级监护设备之间进行通信;所述监护设备与所述监测模块之间采用WIFI模式进行通讯时,所述监护设备为科室级监护设备,所述监测模块与科室级监护设备之间进行通信。
- 根据权利要求31所述的病人状态监测方法,其特征在于,监测模块还包括:参数测量单元,用于检测病人的生理参数;所述病人的监护参数包括所述生理参数。
- 根据权利要求37所述的病人状态监测方法,其特征在于,所述获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:从所述参数测量单元获取病人的生理参数,所述生理参数包括心电图ECG,血氧SPO2,体温TEMP和/或血压NIBP;根据所述生理参数确定病人的病情状态,所述病情状态包括良好或严重;当所述病情状态良好时,将所述监测模块的工作模式设置为断续监测模式;当所述病情状态严重时,将所述监测模块的工作模式设置为连续监测模式。
- 根据权利要求31所述的病人状态监护方法,其特征在于,所述监测模块还包括:运动传感器,用于检测病人的运动参数;所述病人的监护参数包括所述运动参数。
- 根据权利要求39所述的病人状态监护方法,其特征在于,所述获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:从所述运动传感器获取病人的运动参数,根据所述运动参数获取病人的运动信号持续时长;将所述运动信号持续时长与第一预设时长进行大小对比,获得对比结果;当所述运动信号持续时长大于或等于所述第一预设时长时,设置所述监测模块的工作模式为断续监护模式;当所述运动信号持续时长小于所述第一预设时长,设置所述监测模块的工作模式为连续监护模式。
- 根据权利要求39所述的病人状态监护方法,其特征在于,所述运动传感器为三轴加速度计,所述运动参数为加速度,在获取病人的运动信号持续时长之前,所述方法还包括确定病人处于室外直立运动状态,具体包括:确定所述监测模块的通信模式为WIFI模式;根据所述加速度,确定病人的运动幅度大于第一预设幅度;确定所述加速度计的加速度方向与Z轴正方向夹角小于第一预设角度,所述Z轴正方向为垂直于水平面向下的方向;确定病人处于室外直立运动状态。
- 根据权利要求31所述的病人状态监护方法,其特征在于,所述设备的状态参数包括所述监护设备与所述监测模块的通信特征。
- 根据权利要求42所述的病人状态监护方法,其特征在于,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:从所述监护设备和/或所述监测模块获取所述监护设备与所述监测模块的之间的通信模式,当所述通信模式为无线医疗遥测服务WMTS模式时,设置所述监测模块的工作模式为连续监护模式;当所述通信模式为无线网WIFI模式时,设置所述监测模块的工作模式为断续监护模式。
- 根据权利要求42所述的病人状态监护方法,其特征在于,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:获取所述监护设备与所述监测模块之间的通信信号强度和丢包率;当通信信号强度大于第一信号阈值,丢包率小于第一预设阈值时,设置所述监测模块的工作模式为连续监护模式;当通信信号强度小于第一信号阈值,丢包率大于第一预设阈值时,设置所 述监测模块的工作模式为断续监护模式。
- 根据权利要求31所述的病人状态监护方法,其特征在于,所述设备的状态参数包括所述监护设备和/或所述监测模块的存储空间总容量。
- 根据权利要求45所述的病人状态监护方法,其特征在于,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:从所述监护设备和/或所述监测模块获取所述监护设备和/或所述监测模块的存储空间总容量;确定所述存储空间总容量能够支持的第一连续模式工作时长和第一断续模式工作时长,所述第一连续模式工作时长获取的数据量与所述第一断续模式工作时长获取的数据量之和与所述存储空间总容量相等;获取已支持连续模式工作时长T1,当所述第一大小对比结果为所述T1大于或等于所述第一连续模式工作时长时,设置所述监测模块的工作模式为断续监护模式;当所述第一大小对比结果为所述T1小于所述第一连续模式工作时长时,设置所述监测模块的工作模式为连续监护模式。
- 根据权利要求31所述的病人状态监护方法,其特征在于,所述设备的状态参数包括所述监护设备或所述监测模块的可用总电量。
- 根据权利要求47所述的病人状态监护方法,其特征在于,所述从所述监护设备和/或所述监测模块获取参数,并根据获得的参数设置所述监测模块的工作模式,包括:从所述监护设备或所述监测模块获取对应设备的可用总电量;确定所述可用总电量能够支持的第二连续模式工作时长和第二断续模式工作时长,所述第二连续模式工作时长消耗的电量与所述第二断续模式工作时长消耗的电量之和与所述可用总电量相等;获取已支持连续模式工作时长T2,当所述第二大小对比结果为所述T2不小于所述第二连续模式工作时长时,设置所述第一监护模式为断续监护模式;若所述第二大小对比结果为所述T2小于所述第二连续模式工作时长,则判定所述第一监护模式是否为连续监护模式,若否,则对所述监测模块的工作 模式进行切换。
- 根据权利要求30所述的病人状态监测方法,其特征在于,所述监测模块还包括:参数获取模块,用于获取病人的监护参数和;归类模块,与所述参数获取模块相连,用于判定所述病人的监护参数归属的参数种类,其中,所述参数种类包括连续测量参数类和断续测量参数类;所述处理器,与所述归类模块相连,用于根据所述参数种类确定所述监测模块的工作模式。
- 根据权利要求49所述的病人状态监测方法,其特征在于,所述连续测量参数类包括心电图ECG、血压NIBP和/或运动信号;所述断续测量参数类包括呼吸RESP,血氧SPO2和/或体温TEMP;所述根据获得的参数设置所述监测模块的工作模式包括:当确定所述病人的监护参数归属于连续测量参数类时,设置所述监测模块的工作模式为连续监护模式;当确定所述病人的监护参数归属于断续测量参数类时,设置所述监测模块的工作模式为断续监护模式。
- 根据权利要求30所述的病人状态监测方法,其特征在于,在从所述监护设备和/或所述监测模块获取所述监测模块的信号强度,根据所述信号强度确定所述监测模块的通信模式,具体包括:获取所述监测模块的信号强度,所述信号强度包括WMTS信号强度和WIFI信号强度;检测所述WMTS信号强度是否大于第一预设阈值,若是,则确定所述监测模块的无线通信模式为WMTS模式;若否,则检测所述WIFI信号强度是否大于第二预设阈值,若是,则确定所述监测模块的无线通信模式为WIFI模式。
- 根据权利要求51所述的病人状态监测方法,其特征在于,在确定所述监测模块的无线通信模式为WMTS模式之后,所述方法还包括:获取所述监测模块的第一丢包率并判定所述第一丢包率是否小于第二预设阈值,并根据判定结果确定所述监测模块的无线通信模式。
- 根据权利要求52所述的病人状态监测方法,其特征在于,所述根据判定结果确定所述监测模块的无线通信模式包括:当所述第一丢包率小于所述第二预设阈值时,保持所述WMTS模式;当所述第一丢包率大于或等于所述第二预设阈值时,将所述监测模块的无线通信模式切换为WIFI模式。
- 根据权利要求30所述的病人状态监测方法,其特征在于,所述获取参数,并根据获得的参数设置所述监测模块的工作模式之后,所述方法还包括根据所述监测模块的工作模式设置所述监测模块的通信模式。
- 根据权利要求54所述的病人状态监测方法,其特征在于,根据所述监测模块的工作模式设置所述监测模块的通信模式包括:当所述监测模块的工作方式为断续监护模式时,设置所述监测模块的通信模式为WIFI模式;当所述监测模块的工作方式为连续监护模式时,设置所述监测模块的通信模式为WMTS模式。
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