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CN103815966A - Physiological parameter processing device and method - Google Patents

Physiological parameter processing device and method Download PDF

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CN103815966A
CN103815966A CN201210468544.1A CN201210468544A CN103815966A CN 103815966 A CN103815966 A CN 103815966A CN 201210468544 A CN201210468544 A CN 201210468544A CN 103815966 A CN103815966 A CN 103815966A
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physiological parameter
physiological parameters
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physiological
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王澄
陈亮
邓卓敏
邵珊鸣
杨志刚
李玲华
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Abstract

一种生理参数处理装置,包括:数据获取模块,用于根据预设处理要求中的生理参数种类获取生理参数;数据处理模块,与所述数据获取模块相连,根据所述预设处理要求对所述生理参数进行处理;输出模块,与所述数据处理模块相连,输出所述生理参数的处理结果。上述生理参数处理系统,通过根据预设处理要求中的生理参数种类获取生理参数,根据所述预设处理要求对所述生理参数进行处理,然后输出所述生理参数的处理结果减少了医护人员的劳动,协助医护人员快速掌握病人情况。此外,还提供一种生理参数处理方法。

A physiological parameter processing device, comprising: a data acquisition module, configured to acquire physiological parameters according to the types of physiological parameters in preset processing requirements; a data processing module, connected to the data acquisition module, and processing all The physiological parameters are processed; the output module is connected with the data processing module and outputs the processing results of the physiological parameters. The above-mentioned physiological parameter processing system obtains physiological parameters according to the types of physiological parameters in the preset processing requirements, processes the physiological parameters according to the preset processing requirements, and then outputs the processing results of the physiological parameters, which reduces the workload of medical staff. Labor, assisting medical staff to quickly grasp the patient's situation. In addition, a physiological parameter processing method is also provided.

Description

生理参数处理装置和方法Physiological parameter processing device and method

技术领域technical field

本发明涉及医疗设备领域,特别是涉及一种生理参数处理装置和方法。The invention relates to the field of medical equipment, in particular to a physiological parameter processing device and method.

背景技术Background technique

监护设备是用来检测病人生理参数的设备,如心电监护设备、血压监护设备、血糖分析仪、血气分析仪等监测和检测设备。Monitoring equipment is equipment used to detect physiological parameters of patients, such as ECG monitoring equipment, blood pressure monitoring equipment, blood glucose analyzer, blood gas analyzer and other monitoring and testing equipment.

监护设备的标准6个参数为心电、呼吸、无创血压、血氧饱和度、脉搏、体温。此外可选的参数包含:有创血压、呼吸末二氧化碳、呼吸力学、麻醉气体、心输出量(有创和无创)、脑电双频指数等等。监护设备在手术中和手术后都有应用。The six standard parameters of the monitoring equipment are ECG, respiration, non-invasive blood pressure, blood oxygen saturation, pulse, and body temperature. In addition, optional parameters include: invasive blood pressure, end-tidal carbon dioxide, respiratory mechanics, anesthetic gas, cardiac output (invasive and non-invasive), EEG bispectral index, etc. Monitoring devices have applications during and after surgery.

传统的监护设备通常依据检测到的物理、化学参数计算出生理参数,通过24小时连续监护病人的生理参数,检出变化趋势,指出临危情况,供医生应急处理和进行治疗的依据。监护设备的用途除测量和监护生理参数外,还包括监视和处理用药及手术前后的状况。然而,仅依靠检测到的物理、化学参数直接获得的生理参数已经无法满足监护的需求。Traditional monitoring equipment usually calculates the physiological parameters based on the detected physical and chemical parameters, and continuously monitors the patient's physiological parameters for 24 hours, detects the change trend, points out the critical situation, and provides the basis for the doctor's emergency treatment and treatment. In addition to measuring and monitoring physiological parameters, the use of monitoring equipment also includes monitoring and processing medication and conditions before and after surgery. However, the physiological parameters directly obtained only relying on the detected physical and chemical parameters can no longer meet the needs of monitoring.

发明内容Contents of the invention

基于此,有必要针对监护设备依靠检测到的物理、化学参数直接获得的生理参数已经无法满足监护的需求的问题,提供一种生理参数处理装置。Based on this, it is necessary to provide a physiological parameter processing device for the problem that the physiological parameters directly obtained by the monitoring equipment relying on the detected physical and chemical parameters cannot meet the monitoring requirements.

一种生理参数处理装置,包括:A physiological parameter processing device, comprising:

数据获取模块,用于根据预设处理要求中的生理参数种类获取生理参数;A data acquisition module, configured to acquire physiological parameters according to the types of physiological parameters in the preset processing requirements;

数据处理模块,与所述数据获取模块相连,根据所述预设处理要求对所述生理参数进行处理;A data processing module, connected to the data acquisition module, processes the physiological parameters according to the preset processing requirements;

输出模块,与所述数据处理模块相连,输出所述生理参数的处理结果。The output module is connected with the data processing module and outputs the processing results of the physiological parameters.

在其中一个实施例中,所述系统还包括设置模块,用于根据用户的输入指令设置所述预设处理要求。In one of the embodiments, the system further includes a setting module, configured to set the preset processing requirements according to user input instructions.

在其中一个实施例中,所述预设处理要求为预设的处理公式。In one of the embodiments, the preset processing requirement is a preset processing formula.

在其中一个实施例中,所述数据获取模块还用于根据自定义的生理参数来源获取生理参数或接收用户输入的生理参数。In one of the embodiments, the data acquisition module is further configured to acquire physiological parameters according to a user-defined source of physiological parameters or receive physiological parameters input by a user.

在其中一个实施例中,所述输出模块还用于输出所述生理参数的处理结果随时间的变化趋势。In one of the embodiments, the output module is further configured to output a time-varying trend of the processing result of the physiological parameter.

在其中一个实施例中,所述系统还包括报警模块,用于判断所述生理参数的处理结果出现异常且满足预定要求时,对所述处理结果进行报警提示。In one of the embodiments, the system further includes an alarm module, configured to give an alarm prompt to the processing result when it is judged that the processing result of the physiological parameter is abnormal and meets predetermined requirements.

在其中一个实施例中,所述数据处理模块处理生理参数的频率根据所述生理参数的数据的波动情况进行适应性变化。In one of the embodiments, the frequency of processing the physiological parameters by the data processing module is adaptively changed according to the fluctuation of the data of the physiological parameters.

一种生理参数处理方法,包括如下步骤:A method for processing physiological parameters, comprising the steps of:

根据预设处理要求中的生理参数种类获取生理参数;Acquire physiological parameters according to the types of physiological parameters in the preset processing requirements;

根据所述预设处理要求对所述生理参数进行处理;Processing the physiological parameters according to the preset processing requirements;

输出所述生理参数的处理结果。A processing result of the physiological parameter is output.

在其中一个实施例中,还包括根据用户的输入指令设置所述预设处理要求的步骤。In one of the embodiments, it further includes a step of setting the preset processing requirements according to user input instructions.

在其中一个实施例中,所述根据预设处理要求中的生理参数种类获取生理参数的步骤为:In one of the embodiments, the step of acquiring physiological parameters according to the types of physiological parameters in the preset processing requirements is:

根据自定义的生理参数来源获取生理参数或接收用户输入的生理参数。Acquire physiological parameters according to a user-defined source of physiological parameters or receive physiological parameters input by a user.

上述生理参数处理方法和系统,通过根据预设处理要求中的生理参数种类获取生理参数,根据所述预设处理要求对所述生理参数进行处理,然后输出所述生理参数的处理结果减少了医护人员的劳动,协助医护人员快速掌握病人情况。The above physiological parameter processing method and system obtain physiological parameters according to the types of physiological parameters in the preset processing requirements, process the physiological parameters according to the preset processing requirements, and then output the processing results of the physiological parameters, which reduces the need for medical care. The labor of the staff helps the medical staff to quickly grasp the patient's condition.

附图说明Description of drawings

图1为一个实施例中一种生理参数处理装置的结构示意图;Fig. 1 is a schematic structural diagram of a physiological parameter processing device in an embodiment;

图2为另一个实施例中一种生理参数处理装置的结构示意图;Fig. 2 is a schematic structural diagram of a physiological parameter processing device in another embodiment;

图3为又一个实施例中一种生理参数处理装置的结构示意图;Fig. 3 is a schematic structural diagram of a physiological parameter processing device in yet another embodiment;

图4为一个实施例中一种生理参数处理方法流程图。Fig. 4 is a flowchart of a physiological parameter processing method in an embodiment.

具体实施方式Detailed ways

如图1所示,在一个实施例中,一种生理参数处理装置,包括数据获取模块110、数据处理模块130和输出模块150。As shown in FIG. 1 , in one embodiment, a physiological parameter processing device includes a data acquisition module 110 , a data processing module 130 and an output module 150 .

数据获取模块110根据预设处理要求中的生理参数种类获取生理参数。这里的生理参数是指已经通过探测人体或从人体取得的样本获得的具有生理意义的测量结果,例如血压等,数据获取模块110通过与血压计等测血压的仪器连接获得血压。也就是说,生理参数处理装置不是直接对人体或人体样本中获得物理、化学信息进行处理,而是对已经获得的生理参数进行二次处理。The data acquisition module 110 acquires physiological parameters according to the types of physiological parameters in the preset processing requirements. Physiological parameters here refer to physiologically meaningful measurement results obtained by detecting the human body or samples obtained from the human body, such as blood pressure. That is to say, the physiological parameter processing device does not directly process the physical and chemical information obtained from the human body or human body samples, but performs secondary processing on the obtained physiological parameters.

这些生理参数可以从监测单机(包括监护设备、血糖分析仪、血气分析仪等监护、监测和检测设备)、信息系统(连接了检测单机)或者其他第三方含有所需生理参数的设备获取,如通过HL7(Health Level 7,医疗信息交换第七层协定)或CMS(Central Monitoring System,中央监护系统)协议等。下面以监护设备为例,进行说明。通过与监护设备之间建立的通信连接获取实时检测的生理参数,通信连接可以是有线连接或者无线连接,网络环境可以是局域网或者广域网。例如,监护设备之间可以遵守TCP/IP协议(Transmission ControlProtocol/Internet Protocol,传输控制协议/因特网互联协议,又名网络通讯协议),通过TCP/IP协议建立基本的通信连接和定义基本的数据交换方式。网络设备之间还遵守HL7或CMS协议,通过HL7协议或CMS协议进行电子数据交换,可以规范临床医学和管理信息格式,降低医院信息系统互连的成本,提高医院信息系统之间数据信息共享的程度,可以对各种资料的内容进行了统一管理,实现资料内容的有效利用。These physiological parameters can be obtained from the monitoring stand-alone (including monitoring equipment, blood glucose analyzer, blood gas analyzer and other monitoring, monitoring and testing equipment), information system (connected to the testing stand-alone), or other third-party equipment containing the required physiological parameters, such as Through HL7 (Health Level 7, medical information exchange layer seven protocol) or CMS (Central Monitoring System, central monitoring system) protocol, etc. The monitoring device is taken as an example below for description. The real-time detected physiological parameters are obtained through the communication connection established with the monitoring equipment, the communication connection can be a wired connection or a wireless connection, and the network environment can be a local area network or a wide area network. For example, monitoring devices can abide by the TCP/IP protocol (Transmission Control Protocol/Internet Protocol, Transmission Control Protocol/Internet Internet Protocol, also known as network communication protocol), establish basic communication connections and define basic data exchange through the TCP/IP protocol Way. The network devices also comply with the HL7 or CMS protocol, and the electronic data exchange through the HL7 protocol or the CMS protocol can standardize the format of clinical medicine and management information, reduce the cost of hospital information system interconnection, and improve the efficiency of data information sharing between hospital information systems. To a certain extent, the content of various materials can be managed in a unified manner, and the effective use of data content can be realized.

根据预设处理要求中的生理参数种类对生理参数进行调用,监护设备检测的生理参数可以本地进行调用,也可以被其他设备调用,不同的生理参数种类以不同的变量符号表示,如冠状动脉灌注压CPP、舒张压DBP、左室舒张末期压力LVEDP、心律HR、收缩压SBP、肺小动脉楔压PAWP等,通过在预设处理要求中直接调用变量符号或者名称即可对变量的数值进行调用和处理。Call the physiological parameters according to the types of physiological parameters in the preset processing requirements. The physiological parameters detected by the monitoring equipment can be called locally or by other devices. Different types of physiological parameters are represented by different variable symbols, such as coronary artery perfusion Pressure CPP, diastolic blood pressure DBP, left ventricular end-diastolic pressure LVEDP, heart rate HR, systolic blood pressure SBP, pulmonary arteriolar wedge pressure PAWP, etc., by directly calling the variable symbol or name in the preset processing requirements to call the value of the variable and processing.

预设处理要求可以是预设的处理公式,处理公式中包含有计算符号和预设系数等,通过计算符号、预设系数可以对变量数值进行处理,计算得出人体生理指标的相关数据,如下列处理公式为部分预设处理公式:The preset processing requirements can be preset processing formulas, which include calculation symbols and preset coefficients, etc., through calculation symbols and preset coefficients, variable values can be processed, and relevant data of human physiological indicators can be calculated, such as The following processing formulas are some preset processing formulas:

休克指数=脉搏/收缩压(0.5为正常;=1为轻度休克,说明失血20%~30%;大于1为休克;大于1.5为严重休克,说明失血30%~50%;大于2为重度休克,说明失血大于50%。脉搏单位为次/分,收缩压单位为mmHg);Shock index=pulse/systolic blood pressure (0.5 is normal; =1 is mild shock, indicating blood loss of 20%~30%; greater than 1 is shock; greater than 1.5 is severe shock, indicating blood loss of 30%~50%; greater than 2 is severe Shock, indicating that the blood loss is greater than 50%. The pulse unit is beat/minute, and the systolic blood pressure unit is mmHg);

冠状动脉灌注压:CPP=DBP-LVEDP,其中DBP表示舒张压,LVEDP表示左室舒张末期压力);Coronary perfusion pressure: CPP=DBP-LVEDP, where DBP represents diastolic pressure and LVEDP represents left ventricular end-diastolic pressure);

心律-收缩压乘积:RPP=HR*SBP,正常小于12000,大于该值说明氧耗增加;Heart rate-systolic blood pressure product: RPP=HR*SBP, normally less than 12000, greater than this value indicates increased oxygen consumption;

心肌氧平衡指标三重指数:TI=RPP*PAWP=HR*SBP*PAWP,正常小于150000,三者中任何一项增加均可致心肌氧耗增加,其中PAWP表示肺小动脉楔压;Myocardial oxygen balance index triple index: TI=RPP*PAWP=HR*SBP*PAWP, normally less than 150,000, any increase in any of the three can lead to increased myocardial oxygen consumption, where PAWP means pulmonary arteriole wedge pressure;

舒张压时间指数DRTI=(主动脉舒张期均压-LAP(或者PAWP))*舒张时间。Diastolic blood pressure time index DRTI = (average aortic diastolic pressure - LAP (or PAWP)) * diastolic time.

数据获取模块110中的生理参数来源可以固定,另外,数据获取模块110中的生理参数来源可以根据需要进行自定义,即数据获取模块110可以根据自定义的生理参数来源获取生理参数或接收用户输入的生理参数。本实施例中,在有多个生理参数来源的情况下,可以根据用户自定义生理参数来源获取生理参数,因为部分监护设备之间可能有功能重复,使得获取的生理参数是同一类型,通过自定义生理参数可以避免调用重复数据;并且有时同样的生理参数来自不同的部位,预设处理要求对部位来源可能有要求。生理参数来源可以是监测单机或者信息系统,检测单机可以是监护设备、血糖分析仪或者血气分析仪等监测或者检测设备,信息系统是连接了检测单机的设备。某个预设处理要求中的生理参数可以是来自于同一设备或者不同的设备。监护设备发送广播数据包,广播包数据中包含有监护设备的设备名称、物理地址或者IP地址等标识,根据监护设备的标识可以识别不同的监护设备,以调用不同监护设备中的生理参数。当然,也可以直接获取用户输入的生理参数,例如直接输入预设处理要求中的生理参数中的脉搏和收缩压等。直接获取用户输入的生理参数使对生理参数的处理变得更灵活方便。The source of the physiological parameters in the data acquisition module 110 can be fixed. In addition, the source of the physiological parameters in the data acquisition module 110 can be customized according to needs, that is, the data acquisition module 110 can acquire physiological parameters or receive user input physiological parameters. In this embodiment, when there are multiple sources of physiological parameters, the physiological parameters can be obtained according to the source of the user-defined physiological parameters, because there may be functional duplication between some monitoring devices, so that the obtained physiological parameters are of the same type. Defining physiological parameters can avoid calling repeated data; and sometimes the same physiological parameters come from different parts, and the preset processing requirements may have requirements on the source of parts. The source of physiological parameters can be a monitoring stand-alone machine or an information system. The testing stand-alone machine can be a monitoring or testing device such as a monitoring device, a blood glucose analyzer, or a blood gas analyzer. The information system is a device connected to a testing stand-alone machine. The physiological parameters in a preset processing request may come from the same device or different devices. The monitoring device sends a broadcast data packet. The broadcast packet data includes the device name, physical address or IP address of the monitoring device. According to the identification of the monitoring device, different monitoring devices can be identified to call the physiological parameters in different monitoring devices. Of course, the physiological parameters input by the user may also be directly obtained, for example, the pulse and systolic blood pressure among the physiological parameters in the preset processing requirements are directly input. The direct acquisition of the physiological parameters input by the user makes the processing of the physiological parameters more flexible and convenient.

数据处理模块130与数据获取模块110相连,根据预设处理要求对生理参数进行处理。预设处理要求可以是用户自定义的处理要求,例如用户可以自定义生理参数的种类,对这些生理参数的处理公式等;也可以是用户选择的默认处理要求。默认处理要求如休克指数处理公式、心肌氧平衡指标处理公式等,根据预设的处理要求对生理参数进行计算,按照预设频率调用监护设备的实时参数进行计算。另外,获取和处理生理参数的频率可以根据生理参数的数据的波动情况进行适应性变化,先按照预设频率调用监护设备的实时参数进行计算,数据波动频繁时可以相应提高获取和处理生理参数的频率,数据波动平缓时则计算频率相应降低。从而可以减少计算量,节约计算资源。The data processing module 130 is connected to the data acquisition module 110, and processes the physiological parameters according to preset processing requirements. The preset processing requirements may be user-defined processing requirements, for example, the user may define types of physiological parameters, processing formulas for these physiological parameters, etc.; they may also be default processing requirements selected by the user. The default processing requirements, such as the shock index processing formula, the myocardial oxygen balance index processing formula, etc., calculate the physiological parameters according to the preset processing requirements, and call the real-time parameters of the monitoring equipment according to the preset frequency for calculation. In addition, the frequency of obtaining and processing physiological parameters can be adaptively changed according to the fluctuation of physiological parameter data. First, the real-time parameters of the monitoring device are called for calculation according to the preset frequency. When the data fluctuates frequently, the frequency of obtaining and processing physiological parameters can be correspondingly improved. When the data fluctuates smoothly, the calculation frequency will be reduced accordingly. Therefore, the calculation amount can be reduced, and the calculation resources can be saved.

输出模块150与数据处理模块130相连,输出生理参数的处理结果。本实施例中,根据病人信息,如姓名、年龄、性别、床号、病历号等显示相应病人的生理参数的处理结果。并且,还可以支持多病人的信息同时查看。当数据来源于同一人时,处理结果可以单独显示,综合分析;当数据来源于多个人时,则可以区别显示。可以是实时地显示数值,根据监护设备的生理参数变化而变化,也可以是以固定的频率显示。显示频率可以根据数值的波动大小自动调整,当数值波动范围小时,减小显示频率,当波动范围大时,增加显示频率,从而减少设备的功耗。可以根据用户的定义显示数据的正常值范围,用来及时进行对比显示,方便查看。显示所述处理结果的设备可以是监护设备或者PC机,还可以是平板电脑、掌上电脑或者手机等手持设备,显示的结果可以隐藏到后台,根据用户需要显示出来。另外,还支持本地存储或者导出生理参数的处理结果,包括电子的导出方式和纸质的导出方式,如电子打印、纸质打印或者电子数据发送等。The output module 150 is connected with the data processing module 130, and outputs the processing results of physiological parameters. In this embodiment, the processing results of the corresponding patient's physiological parameters are displayed according to the patient information, such as name, age, gender, bed number, and medical record number. Moreover, it can also support simultaneous viewing of multiple patient information. When the data comes from the same person, the processing results can be displayed separately for comprehensive analysis; when the data comes from multiple people, they can be displayed differently. Values can be displayed in real time, changed according to changes in physiological parameters of the monitoring device, or displayed at a fixed frequency. The display frequency can be automatically adjusted according to the fluctuation of the value. When the fluctuation range of the value is small, the display frequency is reduced. When the fluctuation range is large, the display frequency is increased, thereby reducing the power consumption of the device. The normal value range of the data can be displayed according to the user's definition, which can be used for timely comparison and display for easy viewing. The device displaying the processing result can be a monitoring device or a PC, and can also be a handheld device such as a tablet computer, a palmtop computer or a mobile phone, and the displayed result can be hidden in the background and displayed according to user needs. In addition, it also supports local storage or export of processing results of physiological parameters, including electronic and paper export methods, such as electronic printing, paper printing, or electronic data transmission.

上述生理参数处理装置,通过根据预设处理要求中的生理参数种类获取生理参数,根据所述预设处理要求对所述生理参数进行处理,然后输出所述生理参数的处理结果减少了医护人员的劳动,协助医护人员快速掌握病人情况。The above-mentioned physiological parameter processing device obtains physiological parameters according to the types of physiological parameters in the preset processing requirements, processes the physiological parameters according to the preset processing requirements, and then outputs the processing results of the physiological parameters, which reduces the workload of medical staff. Labor, assisting medical staff to quickly grasp the patient's situation.

进一步的,输出模块150还可以输出生理参数的处理结果随时间的变化趋势。本实施例中,根据用户预设的时间范围或者默认时间范围,显示生理参数的处理结果的变化趋势。变化趋势可以是变化趋势图,如条形统计图、扇形统计图、折线统计图、网状统计图、直方图,变化趋势图根据实时的处理结果实时更新显示。趋势图可根据用户的定义标示参数正常范围以及时间范围。在其他实施例中,也可以只输出当前的处理结果,而不输出变化趋势。Further, the output module 150 may also output the trend of the processing results of the physiological parameters over time. In this embodiment, according to the time range preset by the user or the default time range, the change trend of the processing results of the physiological parameters is displayed. The change trend can be a change trend chart, such as a bar chart, a sector chart, a line chart, a network chart, and a histogram. The change trend chart is updated and displayed in real time according to the real-time processing results. The trend chart can mark the normal range and time range of parameters according to the user's definition. In other embodiments, it is also possible to only output the current processing result without outputting the change trend.

如图2所示,上述生理参数处理装置还包括报警模块170。报警模块170与数据处理模块130相连,判断所述生理参数的处理结果出现异常且满足预定要求时,对所述处理结果进行报警提示。本实施例中,对生理参数的处理结果进行实时判断,判断处理结果的数值是否出现异常;该预设要求可以是出现异常的时间要求或是次数要求。满足预设要求才报警,可以对极个别的异常不进行报警处理,如果异常情况超过预设的时间或者次数,也就是说只有持续异常,才说明是真正的异常,避免对偶然因素出现的误测进行报警。如,人的休克指数0.5为正常,1为轻度休克,大于1为休克,大于1.5为严重休克,大于2为重度休克,可以根据不同的异常等级进行相应的报警提示。报警提示的可以是通过声音提示,也可以是通过画面闪烁提示,或者二者的结合。当然,也可以省略报警模块170不进行报警提示,只输出处理结果。As shown in FIG. 2 , the above-mentioned physiological parameter processing device further includes an alarm module 170 . The alarm module 170 is connected to the data processing module 130, and when it is judged that the processing result of the physiological parameters is abnormal and meets the predetermined requirements, it will give an alarm prompt to the processing result. In this embodiment, the processing result of the physiological parameter is judged in real time to judge whether the numerical value of the processing result is abnormal; the preset requirement may be the time requirement or the frequency requirement of the abnormality. Only when the preset requirements are met will the alarm be issued. It is possible to not perform alarm processing for very individual abnormalities. If the abnormal situation exceeds the preset time or frequency, that is to say, only if the abnormality persists, it means that it is a real abnormality, so as to avoid misunderstandings caused by accidental factors. alarm. For example, a person's shock index of 0.5 is normal, 1 is mild shock, greater than 1 is shock, greater than 1.5 is severe shock, and greater than 2 is severe shock. Corresponding alarms can be given according to different abnormal levels. The alarm prompt can be prompted by sound, flashing on the screen, or a combination of the two. Of course, the alarm module 170 can also be omitted without giving an alarm prompt, and only outputting the processing result.

如图3所示,上述生理参数处理装置还包括设置模块190。设置模块190根据用户的输入指令设置预设处理要求。本实施例中,用户预设的输入指令包括用户编辑的处理公式、用户定义变量类型、变量范围和/或来源等,用户编辑的处理公式可以包括对生理参数进行调用的变量、计算符号、计算系数、计算单位以及对生理参数进行计算的公式等,计算符号可以是字母或者字母与数字的组合形成的函数符号、加、减、乘、除、大括号、小括号或者等于等符号。可以根据用户选择的默认处理要求或者选择用户输入的处理要求获取生理参数。用户输入的处理要求可以保存下来,用于下次选用。对用户输入的处理要求也可以进行多次编辑和保存。As shown in FIG. 3 , the above-mentioned physiological parameter processing apparatus further includes a setting module 190 . The setting module 190 sets preset processing requirements according to user input instructions. In this embodiment, the input instructions preset by the user include user-edited processing formulas, user-defined variable types, variable ranges, and/or sources, etc., and the user-edited processing formulas may include variables that call physiological parameters, calculation symbols, calculation Coefficients, calculation units, and formulas for calculating physiological parameters, etc., calculation symbols can be letters or a combination of letters and numbers formed by function symbols, addition, subtraction, multiplication, division, braces, parentheses, or equal symbols. Physiological parameters may be acquired according to user-selected default treatment requirements or selected user-input treatment requirements. The processing requirements input by the user can be saved for next selection. The processing requirements entered by the user can also be edited and saved multiple times.

上述生理参数处理装置可以用专用的硬件设备来实现,也可以以计算机程序的形式安装在具有处理能力的设备中来实现,例如安装在监护设备、检测设备甚至是普通的计算机、智能手机中等。The above-mentioned physiological parameter processing device can be implemented by dedicated hardware equipment, or installed in equipment with processing capabilities in the form of computer programs, such as monitoring equipment, detection equipment, or even ordinary computers and smart phones.

此外,还提供一种生理参数处理方法,如图4所示,包括如下步骤:In addition, a physiological parameter processing method is also provided, as shown in Figure 4, including the following steps:

步骤S110,根据预设处理要求中的生理参数种类获取生理参数。这里的生理参数是指已经通过探测人体或从人体取得的样本获得的具有生理意义的测量结果,例如血压等。也就是说,生理参数处理方法不是直接对人体或人体样本中获得物理、化学信息进行处理,而是对已经获得的生理参数进行二次处理。Step S110, acquiring physiological parameters according to the types of physiological parameters in the preset processing requirements. Physiological parameters here refer to measurement results with physiological significance that have been obtained by probing the human body or samples obtained from the human body, such as blood pressure and the like. That is to say, the physiological parameter processing method does not directly process the physical and chemical information obtained from the human body or human body samples, but performs secondary processing on the obtained physiological parameters.

这些生理参数可以从监测单机(包括监护设备、血糖分析仪、血气分析仪等监护、监测和检测设备)、信息系统(连接了检测单机)或者其他第三方含有所需生理参数的设备获取,如通过HL7(Health Level 7,医疗信息交换第七层协定)或CMS(Central Monitoring System,中央监护系统)协议等。下面以监护设备为例,进行说明。通过与监护设备之间建立的通信连接获取实时检测的生理参数,通信连接可以是有线连接或者无线连接,网络环境可以是局域网或者广域网。例如,监护设备之间可以遵守TCP/IP协议(Transmission ControlProtocol/Internet Protocol,传输控制协议/因特网互联协议,又名网络通讯协议),通过TCP/IP协议建立基本的通信连接和定义基本的数据交换方式。网络设备之间还遵守HL7或CMS协议,通过HL7协议或CMS协议进行电子数据交换,可以规范临床医学和管理信息格式,降低医院信息系统互连的成本,提高医院信息系统之间数据信息共享的程度,可以对各种资料的内容进行了统一管理,实现资料内容的有效利用。These physiological parameters can be obtained from the monitoring stand-alone (including monitoring equipment, blood glucose analyzer, blood gas analyzer and other monitoring, monitoring and testing equipment), information system (connected to the testing stand-alone), or other third-party equipment containing the required physiological parameters, such as Through HL7 (Health Level 7, medical information exchange layer seven protocol) or CMS (Central Monitoring System, central monitoring system) protocol, etc. The monitoring device is taken as an example below for description. The real-time detected physiological parameters are obtained through the communication connection established with the monitoring equipment, the communication connection can be a wired connection or a wireless connection, and the network environment can be a local area network or a wide area network. For example, monitoring devices can abide by the TCP/IP protocol (Transmission Control Protocol/Internet Protocol, Transmission Control Protocol/Internet Internet Protocol, also known as network communication protocol), establish basic communication connections and define basic data exchange through the TCP/IP protocol Way. The network devices also comply with the HL7 or CMS protocol, and the electronic data exchange through the HL7 protocol or the CMS protocol can standardize the format of clinical medicine and management information, reduce the cost of hospital information system interconnection, and improve the efficiency of data information sharing between hospital information systems. To a certain extent, the content of various materials can be managed in a unified manner, and the effective use of data content can be realized.

根据预设处理要求中的生理参数种类对生理参数进行调用,监护设备检测的生理参数可以本地进行调用,也可以被其他设备调用,不同的生理参数种类以不同的变量符号表示,如冠状动脉灌注压CPP、舒张压DBP、左室舒张末期压力LVEDP、心律HR、收缩压SBP、肺小动脉楔压PAWP等,通过在预设处理要求中直接调用变量符号或者名称即可对变量的数值进行调用和处理。Call the physiological parameters according to the types of physiological parameters in the preset processing requirements. The physiological parameters detected by the monitoring equipment can be called locally or by other devices. Different types of physiological parameters are represented by different variable symbols, such as coronary artery perfusion Pressure CPP, diastolic blood pressure DBP, left ventricular end-diastolic pressure LVEDP, heart rate HR, systolic blood pressure SBP, pulmonary arteriolar wedge pressure PAWP, etc., by directly calling the variable symbol or name in the preset processing requirements to call the value of the variable and processing.

预设处理要求可以是预设的处理公式,处理公式中包含有计算符号和预设系数等,通过计算符号、预设系数可以对变量数值进行处理,计算得出人体生理指标的相关数据,如下列处理公式为部分预设处理公式:The preset processing requirements can be preset processing formulas, which include calculation symbols and preset coefficients, etc., through calculation symbols and preset coefficients, variable values can be processed, and relevant data of human physiological indicators can be calculated, such as The following processing formulas are some preset processing formulas:

休克指数=脉搏/收缩压(0.5为正常;=1为轻度休克,说明失血20%~30%;大于1为休克;大于1.5为严重休克,说明失血30%~50%;大于2为重度休克,说明失血大于50%。脉搏单位为次/分,收缩压单位为mmHg);Shock index=pulse/systolic blood pressure (0.5 is normal; =1 is mild shock, indicating blood loss of 20%~30%; greater than 1 is shock; greater than 1.5 is severe shock, indicating blood loss of 30%~50%; greater than 2 is severe Shock, indicating that the blood loss is greater than 50%. The pulse unit is beat/minute, and the systolic blood pressure unit is mmHg);

冠状动脉灌注压:CPP=DBP-LVEDP,其中DBP表示舒张压,LVEDP表示左室舒张末期压力);Coronary perfusion pressure: CPP=DBP-LVEDP, where DBP represents diastolic pressure and LVEDP represents left ventricular end-diastolic pressure);

心律-收缩压乘积:RPP=HR*SBP,正常小于12000,大于该值说明氧耗增加;Heart rate-systolic blood pressure product: RPP=HR*SBP, normally less than 12000, greater than this value indicates increased oxygen consumption;

心肌氧平衡指标三重指数:TI=RPP*PAWP=HR*SBP*PAWP,正常小于150000,三者中任何一项增加均可致心肌氧耗增加,其中PAWP表示肺小动脉楔压;Myocardial oxygen balance index triple index: TI=RPP*PAWP=HR*SBP*PAWP, normally less than 150,000, any increase in any of the three can lead to increased myocardial oxygen consumption, where PAWP means pulmonary arteriole wedge pressure;

舒张压时间指数DRTI=(主动脉舒张期均压-LAP(或者PAWP))*舒张时间。Diastolic blood pressure time index DRTI = (average aortic diastolic pressure - LAP (or PAWP)) * diastolic time.

上述步骤S110中的生理参数来源可以固定,另外,上述步骤S110中的生理参数来源可以根据需要进行自定义,即上述步骤S110为根据自定义的生理参数来源获取生理参数或接收用户输入的生理参数。本实施例中,在有多个生理参数来源的情况下,可以根据用户自定义生理参数来源获取生理参数,因为部分监护设备之间可能有功能重复,使得获取的生理参数是同一类型,通过自定义生理参数可以避免调用重复数据;并且有时同样的生理参数来自不同的部位,预设处理要求对部位来源可能有要求。生理参数来源可以是监测单机或者信息系统,检测单机可以是监护设备、血糖分析仪或者血气分析仪等监测或者检测设备,信息系统是连接了检测单机的设备。某个预设处理要求中的生理参数可以是来自于同一设备或者不同的设备。监护设备发送广播数据包,广播包数据中包含有监护设备的设备名称、物理地址或者IP地址等标识,根据监护设备的标识可以识别不同的监护设备,以调用不同监护设备中的生理参数。当然,也可以直接获取用户输入的生理参数,例如直接输入预设处理要求中的生理参数中的脉搏和收缩压等。直接获取用户输入的生理参数使对生理参数的处理变得更灵活方便。The source of the physiological parameter in the above step S110 can be fixed. In addition, the source of the physiological parameter in the above step S110 can be customized according to the needs, that is, the above step S110 is to obtain the physiological parameter according to the user-defined source of the physiological parameter or receive the physiological parameter input by the user. . In this embodiment, when there are multiple sources of physiological parameters, the physiological parameters can be obtained according to the source of the user-defined physiological parameters, because there may be functional duplication between some monitoring devices, so that the obtained physiological parameters are of the same type. Defining physiological parameters can avoid calling repeated data; and sometimes the same physiological parameters come from different parts, and the preset processing requirements may have requirements on the source of parts. The source of physiological parameters can be a monitoring stand-alone machine or an information system. The testing stand-alone machine can be a monitoring or testing device such as a monitoring device, a blood glucose analyzer, or a blood gas analyzer. The information system is a device connected to a testing stand-alone machine. The physiological parameters in a preset processing request may come from the same device or different devices. The monitoring device sends a broadcast data packet. The broadcast packet data includes the device name, physical address or IP address of the monitoring device. According to the identification of the monitoring device, different monitoring devices can be identified to call the physiological parameters in different monitoring devices. Of course, the physiological parameters input by the user may also be directly obtained, for example, the pulse and systolic blood pressure among the physiological parameters in the preset processing requirements are directly input. The direct acquisition of the physiological parameters input by the user makes the processing of the physiological parameters more flexible and convenient.

步骤S130,根据预设处理要求对生理参数进行处理。预设处理要求可以是用户自定义的处理要求,例如用户可以自定义生理参数的种类,对这些生理参数的处理公式等;也可以是用户选择的默认处理要求。默认处理要求如休克指数处理公式、心肌氧平衡指标处理公式等,根据预设的处理要求对生理参数进行计算,按照预设频率调用监护设备的实时参数进行计算。另外,获取和处理生理参数的频率可以根据生理参数的数据的波动情况进行适应性变化,先按照预设频率调用监护设备的实时参数进行计算,数据波动频繁时可以相应提高获取和处理生理参数的频率,数据波动平缓时则计算频率相应降低。从而可以减少计算量,节约计算资源。In step S130, the physiological parameters are processed according to preset processing requirements. The preset processing requirements may be user-defined processing requirements, for example, the user may define types of physiological parameters, processing formulas for these physiological parameters, etc.; they may also be default processing requirements selected by the user. The default processing requirements, such as the shock index processing formula, the myocardial oxygen balance index processing formula, etc., calculate the physiological parameters according to the preset processing requirements, and call the real-time parameters of the monitoring equipment according to the preset frequency for calculation. In addition, the frequency of obtaining and processing physiological parameters can be adaptively changed according to the fluctuation of physiological parameter data. First, the real-time parameters of the monitoring device are called for calculation according to the preset frequency. When the data fluctuates frequently, the frequency of obtaining and processing physiological parameters can be correspondingly improved. When the data fluctuates smoothly, the calculation frequency will be reduced accordingly. Therefore, the calculation amount can be reduced, and the calculation resources can be saved.

步骤S150,输出生理参数的处理结果。本实施例中,根据病人信息,如姓名、年龄、性别、床号、病历号等显示相应病人的生理参数的处理结果。并且,还可以支持多病人的信息同时查看。当数据来源于同一人时,处理结果可以单独显示,综合分析;当数据来源于多个人时,则可以区别显示。可以是实时地显示数值,根据监护设备的生理参数变化而变化,也可以是以固定的频率显示。显示频率可以根据数值的波动大小自动调整,当数值波动范围小时,减小显示频率,当波动范围大时,增加显示频率,从而减少设备的功耗。可以根据用户的定义显示数据的正常值范围,用来及时进行对比显示,方便查看。显示所述处理结果的设备可以是监护设备或者PC机,还可以是平板电脑、掌上电脑或者手机等手持设备,显示的结果可以隐藏到后台,根据用户需要显示出来。另外,还支持本地存储或者导出生理参数的处理结果,包括电子的导出方式和纸质的导出方式,如电子打印、纸质打印或者电子数据发送等。Step S150, outputting the processing results of the physiological parameters. In this embodiment, the processing results of the corresponding patient's physiological parameters are displayed according to the patient information, such as name, age, gender, bed number, and medical record number. Moreover, it can also support simultaneous viewing of multiple patient information. When the data comes from the same person, the processing results can be displayed separately for comprehensive analysis; when the data comes from multiple people, they can be displayed differently. Values can be displayed in real time, changed according to changes in physiological parameters of the monitoring device, or displayed at a fixed frequency. The display frequency can be automatically adjusted according to the fluctuation of the value. When the fluctuation range of the value is small, the display frequency is reduced. When the fluctuation range is large, the display frequency is increased, thereby reducing the power consumption of the device. The normal value range of the data can be displayed according to the user's definition, which can be used for timely comparison and display for easy viewing. The device displaying the processing result can be a monitoring device or a PC, and can also be a handheld device such as a tablet computer, a palmtop computer or a mobile phone, and the displayed result can be hidden in the background and displayed according to user needs. In addition, it also supports local storage or export of processing results of physiological parameters, including electronic and paper export methods, such as electronic printing, paper printing, or electronic data transmission.

上述生理参数处理方法,通过根据预设处理要求中的生理参数种类获取生理参数,根据所述预设处理要求对所述生理参数进行处理,然后输出所述生理参数的处理结果减少了医护人员的劳动,协助医护人员快速掌握病人情况。The above physiological parameter processing method obtains the physiological parameters according to the types of physiological parameters in the preset processing requirements, processes the physiological parameters according to the preset processing requirements, and then outputs the processing results of the physiological parameters, which reduces the workload of medical staff. Labor, assisting medical staff to quickly grasp the patient's situation.

进一步的,上述步骤S150为输出生理参数的处理结果随时间的变化趋势。本实施例中,根据用户预设的时间范围或者默认时间范围,显示生理参数的处理结果的变化趋势。变化趋势可以是变化趋势图,如条形统计图、扇形统计图、折线统计图、网状统计图、直方图,变化趋势图根据实时的处理结果实时更新显示。趋势图可根据用户的定义标示参数正常范围以及时间范围。在其他实施例中,也可以只输出当前的处理结果,而不输出变化趋势。Further, the above step S150 is to output the variation trend of the processing results of the physiological parameters over time. In this embodiment, according to the time range preset by the user or the default time range, the change trend of the processing results of the physiological parameters is displayed. The change trend can be a change trend chart, such as a bar chart, a sector chart, a line chart, a network chart, and a histogram. The change trend chart is updated and displayed in real time according to the real-time processing results. The trend chart can mark the normal range and time range of parameters according to the user's definition. In other embodiments, it is also possible to only output the current processing result without outputting the change trend.

另外,上述步骤S150之后还包括判断所述生理参数的处理结果出现异常且满足预定要求时,对所述处理结果进行报警提示。本实施例中,对生理参数的处理结果进行实时判断,判断处理结果的数值是否出现异常;该预设要求可以是出现异常的时间要求或是次数要求。满足预设要求才报警,可以对极个别的异常不进行报警处理,如果异常情况超过预设的时间或者次数,也就是说只有持续异常,才说明是真正的异常,避免对偶然因素出现的误测进行报警。如,人的休克指数0.5为正常,1为轻度休克,大于1为休克,大于1.5为严重休克,大于2为重度休克,可以根据不同的异常等级进行相应的报警提示。报警提示的可以是通过声音提示,也可以是通过画面闪烁提示,或者二者的结合。当然,也可以不进行报警提示,只输出处理结果。In addition, after the above step S150, it is also included that when it is judged that the processing result of the physiological parameter is abnormal and meets the predetermined requirements, an alarm is given to the processing result. In this embodiment, the processing result of the physiological parameter is judged in real time to judge whether the numerical value of the processing result is abnormal; the preset requirement may be the time requirement or the frequency requirement of the abnormality. Only when the preset requirements are met will the alarm be issued. It is possible to not perform alarm processing for very individual abnormalities. If the abnormal situation exceeds the preset time or frequency, that is to say, only if the abnormality persists, it means that it is a real abnormality, so as to avoid misunderstandings caused by accidental factors. alarm. For example, a person's shock index of 0.5 is normal, 1 is mild shock, greater than 1 is shock, greater than 1.5 is severe shock, and greater than 2 is severe shock. Corresponding alarms can be given according to different abnormal levels. The alarm prompt can be prompted by sound, flashing on the screen, or a combination of the two. Of course, it is also possible to output only the processing result without an alarm prompt.

在另一个实施例中,上述的生理参数处理方法,在步骤S110之前还包括根据用户的输入指令设置预设处理要求的步骤。本实施例中,用户预设的输入指令包括用户编辑的处理公式、用户定义变量类型或者变量范围等,用户编辑的处理公式可以包括对生理参数进行调用的变量、计算符号、计算系数、计算单位以及对生理参数进行计算的公式等,计算符号可以是字母或者字母与数字的组合形成的函数符号、加、减、乘、除、大括号、小括号或者等于等符号。可以根据用户选择的默认处理要求或者选择用户输入的处理要求获取生理参数。用户输入的处理要求可以保存下来,用于下次选用。对用户输入的处理要求也可以进行多次编辑和保存。In another embodiment, the above-mentioned physiological parameter processing method further includes a step of setting preset processing requirements according to user input instructions before step S110. In this embodiment, the input instructions preset by the user include user-edited processing formulas, user-defined variable types or variable ranges, etc., and the user-edited processing formulas may include variables for calling physiological parameters, calculation symbols, calculation coefficients, and calculation units. As well as formulas for calculating physiological parameters, etc., the calculation symbols can be letters or a combination of letters and numbers formed by function symbols, addition, subtraction, multiplication, division, braces, parentheses, or equal symbols. Physiological parameters may be acquired according to user-selected default treatment requirements or selected user-input treatment requirements. The processing requirements input by the user can be saved for next selection. The processing requirements entered by the user can also be edited and saved multiple times.

本领域普通技术人员可以理解实现上述实施例方法中的全部或部分流程,是可以通过计算机程序来指令相关的硬件来完成,所述的程序可存储于一计算机可读取存储介质中,该程序在执行时,可包括如上述各方法的实施例的流程。其中,所述的存储介质可为磁碟、光盘、只读存储记忆体(Read-Only Memory,ROM)或随机存储记忆体(Random Access Memory,RAM)等。Those of ordinary skill in the art can understand that all or part of the processes in the methods of the above embodiments can be implemented through computer programs to instruct related hardware, and the programs can be stored in a computer-readable storage medium. During execution, it may include the processes of the embodiments of the above-mentioned methods. Wherein, the storage medium may be a magnetic disk, an optical disk, a read-only memory (Read-Only Memory, ROM) or a random access memory (Random Access Memory, RAM), etc.

以上所述实施例仅表达了本发明的几种实施方式,其描述较为具体和详细,但并不能因此而理解为对本发明专利范围的限制。应当指出的是,对于本领域的普通技术人员来说,在不脱离本发明构思的前提下,还可以做出若干变形和改进,这些都属于本发明的保护范围。因此,本发明专利的保护范围应以所附权利要求为准。The above-mentioned embodiments only express several implementation modes of the present invention, and the description thereof is relatively specific and detailed, but should not be construed as limiting the patent scope of the present invention. It should be pointed out that those skilled in the art can make several modifications and improvements without departing from the concept of the present invention, and these all belong to the protection scope of the present invention. Therefore, the protection scope of the patent for the present invention should be based on the appended claims.

Claims (10)

1. a physiological parameter blood processor, comprising:
Data acquisition module, for obtaining physiological parameter according to the physiological parameter kind of default processing requirements;
Data processing module, is connected with described data acquisition module, according to described default processing requirements, described physiological parameter is processed;
Output module, is connected with described data processing module, exports the result of described physiological parameter.
2. physiological parameter blood processor according to claim 1, is characterized in that, described system also comprises module is set, for described default processing requirements being set according to user's input instruction.
3. physiological parameter blood processor according to claim 1 and 2, is characterized in that, described default processing requirements is the processing formula of presetting.
4. physiological parameter blood processor according to claim 1, is characterized in that, described data acquisition module is also for obtaining physiological parameter or receive the physiological parameter that user inputs according to self-defining physiological parameter source.
5. physiological parameter blood processor according to claim 1, is characterized in that, described output module is also for exporting the result trend over time of described physiological parameter.
6. physiological parameter blood processor according to claim 1, is characterized in that, described system also comprises alarm module, abnormal and while meeting pre-provisioning request for judging that the result of described physiological parameter occurs, described result is carried out to alarm.
7. physiological parameter blood processor according to claim 1, is characterized in that, described data processing module is processed the frequency of physiological parameter and carried out adaptations according to the fluctuation situation of the data of described physiological parameter.
8. a physiological parameter processing method, comprises the steps:
Obtain physiological parameter according to the physiological parameter kind in default processing requirements;
According to described default processing requirements, described physiological parameter is processed;
Export the result of described physiological parameter.
9. physiological parameter processing method according to claim 8, is characterized in that, also comprises the step that described default processing requirements is set according to user's input instruction.
10. physiological parameter processing method according to claim 8, is characterized in that, the step that the physiological parameter kind in the default processing requirements of described basis is obtained physiological parameter is:
Obtain physiological parameter or receive the physiological parameter that user inputs according to self-defining physiological parameter source.
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