CN105232028A - Method and apparatus for monitoring cardiovascular testing data - Google Patents
Method and apparatus for monitoring cardiovascular testing data Download PDFInfo
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- CN105232028A CN105232028A CN201510634391.7A CN201510634391A CN105232028A CN 105232028 A CN105232028 A CN 105232028A CN 201510634391 A CN201510634391 A CN 201510634391A CN 105232028 A CN105232028 A CN 105232028A
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Abstract
The invention discloses a method and apparatus for monitoring cardiovascular testing data. The method comprises: acquiring electrocardiogram signals and POCT (point-of-care testing) data separately at the same time; integrating the acquired electrocardiogram signals and POCT data so that the POCT data serve as an event base point and the electrocardiogram signals serve as data stream monitoring data; outputting and displaying the integrated monitoring data. Therefore, the method and apparatus help improve the monitoring accuracy of cardiovascular testing data.
Description
Technical field
The present invention relates to human body electrocardio class disease detection field, referring to a kind of method and apparatus detecting data for monitoring cardiovascular especially.
Background technology
At present, suffers from the patient millions of (ACS) of acute coronary syndrome every year, ACS refers to the various clinical symptoms caused by acute myocardial ischemia, the confirmation of ACS patient has huge importance, is because they have higher heart death or the danger of ischemic complications.Guideline for evaluating ACS patient's states comprises the dynamic change and ischemic heart clinical medical history that use electrocardiogram (ECG), concentration of cardiac markers.
And the medical treatment in the middle of prior art, still do not have a kind of method and apparatus can meet the actual use of this guideline simultaneously., only there is single measurement electrocardiogram (electrocardiograph) and the equipment of blood measuring cardiac marker (POCT) in current technological means and scheme.
Summary of the invention
In view of this, in order to solve deficiency of the prior art, the object of the invention is to propose a kind of method and apparatus detecting data for monitoring cardiovascular, can realize improving the monitoring accuracy that cardiovascular detects data.
Based on the above-mentioned purpose method detecting data for monitoring cardiovascular provided by the invention, comprise step:
Obtain electrocardiosignal and POCT detection data respectively;
The electrocardiosignal obtained and POCT being detected Data Integration is detect data for event basic point with POCT, take electrocardiosignal as the Monitoring Data of data flow;
Export and show the Monitoring Data after integrating.
Alternatively, the described Data Integration that the electrocardiosignal obtained and POCT detected is detect data for event basic point with POCT, is that the Monitoring Data of data flow comprises step with electrocardiosignal:
The first step, carries out pretreatment to the electrocardiosignal obtained;
Second step, according to pretreated electrocardiosignal, obtains the ecg wave form also extraction ECG ST segment data wherein of whole electrocardiosignal;
3rd step, the basic point that data time of origin is event is detected with pretreated POCT, obtain the corresponding POCT of this event basic point and detect data, and the ecg wave form obtained at described second step and ecg wave form corresponding to this event of ECG ST segment extracting data and ECG ST segment data.
Further, describedly detect with pretreated POCT the determined event of basic point that data time of origin is event, be this time of origin be starting point, regulation a period of time length, the ecg wave form obtained at described second step and ECG ST segment extracting data in the meantime in ecg wave form and ECG ST segment data; Or be defined in each a period of time before and after this time of origin, be extracted in the ecg wave form in these two periods and ECG ST segment data; Or specify this time of origin for the previous period, be extracted in the ecg wave form in this period and ECG ST segment data.
Further, described 3rd step can extract ecg wave form in whole event and ECG ST segment data, and extracts this time of origin point only ecg wave form fragment at this time point place and ECG ST segment data of this fragment.
Further, also comprise after described 3rd step: early warning limit is set, the early warning limit value of the POCT detection data that the ECG ST segment data then described 3rd step extracted are corresponding with this time of origin point and setting is compared, if exceed early warning limit value, takes to be different from the display of normal value when exporting and show the Monitoring Data after integrating.
Further, Applications of Cardiac Markers kinetic curve can be stored described output in the Monitoring Data after integrating, by selecting the function key pre-set, on Applications of Cardiac Markers kinetic curve, mark the POCT detect data value of the time of origin point of this event.
In addition, present invention also offers a kind of device detecting data for monitoring cardiovascular, comprising
Acquiring unit, for obtaining electrocardiosignal and POCT detection data respectively simultaneously;
Integral unit, being detect data for event basic point with POCT for the electrocardiosignal obtained and POCT being detected Data Integration, take electrocardiosignal as the Monitoring Data of data flow;
Output display unit, for exporting and showing the Monitoring Data after integrating.
Alternatively, described acquiring unit comprises electrocardiosignal acquisition module and POCT acquisition module, and these two modules are connected with described integral unit respectively; Wherein, electrocardiosignal acquisition module is for obtaining original electrocardiosignal, and POCT acquisition module detects data for obtaining POCT.
Further, described integral unit comprises pretreatment module, extraction module and matching module; Wherein, pretreatment module one end is connected with described electrocardiosignal acquisition module, and the other end is connected with described extraction module, and described pretreatment module is carried out pretreatment to the electrocardiosignal obtained from described electrocardiosignal acquisition module and sent to described extraction module; Then, described extraction module, according to pretreated electrocardiosignal, obtains the ecg wave form also extraction ECG ST segment data wherein of whole electrocardiosignal.
In addition, described matching module is connected with described extraction module, described POCT acquisition module simultaneously, and detect with pretreated POCT the basic point that data time of origin is event, obtain the corresponding POCT of this event basic point from POCT acquisition module and detect data, and the ecg wave form obtained from described extraction module and ecg wave form corresponding to this event of ECG ST segment extracting data and ECG ST segment data.
Further, the described device detecting data for monitoring cardiovascular also comprises prewarning unit, this prewarning unit one end is connected with described integral unit, and one end is connected with described output unit, can carry out alarm to the Monitoring Data of described integral unit and export to output unit;
Described prewarning unit comprises and arranges module and contrast module, and described contrast module one end is connected with the described matching module arranging module and described integral unit simultaneously, and the other end is connected with described output unit; Module installation early warning limit is set, then the early warning limit value that POCT corresponding to the ECG ST segment data obtained from described matching module and this time of origin point detects data and setting is compared by described contrast module, if exceed early warning limit value, takes the display being different from normal value in the display of described output unit.
As can be seen from above, the method and apparatus detecting data for monitoring cardiovascular provided by the invention, by obtaining electrocardiosignal and POCT detection data respectively simultaneously; The electrocardiosignal obtained and POCT being detected Data Integration is detect data for event basic point with POCT, take electrocardiosignal as the Monitoring Data of data flow; Finally export and show the Monitoring Data after integrating.Thus, achieve by a kind of therapy and device, electrocardiogram (ECG) that just can be current according to patient, and integrated and show with cardiac marker testing result.
Accompanying drawing explanation
Fig. 1 is the flow chart detecting the method for data in the embodiment of the present invention for monitoring cardiovascular;
Fig. 2 is the flow chart detecting the method for data in another embodiment of the present invention for monitoring cardiovascular;
Fig. 3 is the schematic diagram of monitoring result display in the embodiment of the present invention;
Fig. 4 is the schematic diagram in the embodiment of the present invention after click event query function key;
Fig. 5 is the schematic diagram that in the embodiment of the present invention, ecg wave form fragment amplifies display;
Fig. 6 is the schematic diagram that in the embodiment of the present invention, POCT detection data mark at Applications of Cardiac Markers kinetic curve;
Fig. 7 is the axonometric chart detecting the device of data in the embodiment of the present invention for monitoring cardiovascular;
Fig. 8 is the structured flowchart detecting the device of data in the embodiment of the present invention for monitoring cardiovascular.
Detailed description of the invention
For making the object, technical solutions and advantages of the present invention clearly understand, below in conjunction with specific embodiment, and with reference to accompanying drawing, the present invention is described in more detail.
As one embodiment of the present of invention, consult shown in Fig. 1, for detecting the flow chart of the method for data in the embodiment of the present invention for monitoring cardiovascular.The described method detecting data for monitoring cardiovascular comprises:
Step 101, obtains electrocardiosignal respectively simultaneously and POCT detects data.
Preferably, 3 can be adopted to lead when obtaining electrocardiosignal, 5 to lead, 12 to lead or 18 cardiac diagnosis lead-lines of leading carry out ecg measurement.Obtaining POCT detection data then can adopt immunochromatographic method, colloidal gold method or micro-fluidic chip method to carry out disease markers tests, and described disease label also can be able to be other label for cardiac marker, such as blood glucose, tumor marker etc.
Step 102, the electrocardiosignal obtained and POCT being detected Data Integration is detect data for event basic point with POCT, take electrocardiosignal as the Monitoring Data of data flow.
As embodiment, the basic point being event with the time of origin of POCT detection data, monitors the situation of change at this event center signal of telecommunication, namely monitors the data flow that described electrocardiosignal produces in this event.It should be noted that, the time of origin that described POCT detects data is the initial time of detection instead of the end time of detection.In addition, the time of origin that described POCT detects data is the basic point of event might not be using the starting point of time of origin point as the described ecg signal data stream change of monitoring, also can be the intermediate point or end point etc. in the middle of the described ecg signal data stream change of monitoring.
Step 103, exports the Monitoring Data after integrating.
In an embodiment, the result after electrocardiosignal and POCT detection data can being integrated by step 102 presents on a display screen.Preferably, fixing display screen or moving display screen is adopted.
Preferably, the Monitoring Data of output can comprise the time of origin of POCT detection data, the POCT corresponding to this time of origin detects data, ecg wave form and ECG ST segment data etc.
As an alternative embodiment of the invention, consult shown in Fig. 2, for detecting the schematic flow sheet of the method for data in another embodiment of the present invention for monitoring cardiovascular.The described method detecting data for monitoring cardiovascular comprises:
Step 201, obtains electrocardiosignal respectively simultaneously and POCT detects data.
Step 202, carries out pretreatment to the electrocardiosignal obtained.
As embodiment, wherein the original electro-cardiologic signals obtained is gone to the pretreatment of interference and baseline drift, its specific implementation process comprises: adopt median filter to carry out baseline drift process to original electro-cardiologic signals, then by moving average filter method, the electrocardiosignal after baseline drift is removed to the process of Hz noise.
Step 203, according to pretreated electrocardiosignal, obtains the ecg wave form also extraction ECG ST segment data wherein of whole electrocardiosignal.
Step 204, the basic point that data time of origin is event is detected with pretreated POCT, obtain the corresponding POCT of this event basic point and detect data, and the ecg wave form obtained in described step 203 and ecg wave form corresponding to this event of ECG ST segment extracting data and ECG ST segment data.
Wherein, described POCT detects data and can comprise detection time of origin and detect data etc.
Preferably, the determined event of basic point that data time of origin is event is detected with pretreated POCT, can be this time of origin be starting point, regulation a period of time length, the ecg wave form obtained in described step 203 and ECG ST segment extracting data in the meantime in ecg wave form and ECG ST segment data.Also can be defined in each a period of time before and after this time of origin, be extracted in the ecg wave form in these two periods and ECG ST segment data.Can also be specify this time of origin for the previous period, be extracted in the ecg wave form in this period and ECG ST segment data.
Preferably, not only can extract the ecg wave form in whole event and ECG ST segment data, this time of origin point only ecg wave form fragment at this time point place and ECG ST segment data of this fragment can also be extracted.
Step 205, detects data, ecg wave form and ECG ST segment data by the POCT of this event and exports.
Preferably, the ecg wave form of described output, having 12 road ecg wave forms (as shown in Figure 3), is limb lead waveform (I, II, III, aVR, aVL, aVF) and breast guided wave shape (V1, V2, V3, V4, V5, V6) respectively.Wherein ecg wave form display mode can have following 1*12,2*6,3*4 tri-kinds of modes, and what adopt in Fig. 3 is 2*6 mode.Corresponding per pass waveform, the ST numerical value of its waveform also will show.Wherein, the time of origin that POCT detects data is CTnl:13:05, and it is 21ng/ml that the POCT of this event detects data.
Preferably, when exporting Monitoring Data, can also select to carry out event inquiry, in other words can by arranging " event inquiry " function key, the described time of origin point showing this event is over the display this ecg wave form fragment corresponding to point and ST segment data only, can comprise the overall fragment (as shown in Figure 4) of 12 road waveforms.In addition, be arranged through further and click one of them waveform segment, just can show the figure (as shown in Figure 5) after amplification.Meanwhile, the parameter value of this fragment is also illustrated by " 3-electrocardiogram parameters viewing area " in the diagram.
Preferably, all data obtained can also be stored in step 205.What deserves to be explained is, all data in this event can be stored, can also all events of crossing of stores processor, etc. data message.
In one embodiment of the invention, Applications of Cardiac Markers kinetic curve can be stored in step 205, preferably by the function key selecting to pre-set, on Applications of Cardiac Markers kinetic curve, mark the POCT detect data value (as shown in Figure 6) of the time of origin point of this event.
In another embodiment of the present invention, also be provided with step: early warning limit is set before step 205, the early warning limit value of the POCT detection data that the ECG ST segment data then step 204 extracted are corresponding with this time of origin point and setting is compared, if exceed early warning limit value, in the display of step 205, take the display being different from normal value, the ECG ST segment data and the POCT detection data that such as exceed early warning limit value take The Scarlet Letter to show.Preferably, can also arrange in step 205 and exceed, carry out the prompt facility of alarm sound.Wherein, the early warning limit value of setting can comprise some limit values in ST segment data parameter, and POCT detects limit value of data etc.
Fig. 7 is the axonometric chart detecting the device of data in the embodiment of the present invention for monitoring cardiovascular.As shown in Figure 7, Reference numeral 1 represents cardiac diagnosis lead-line, for connecting human body and this device, carries out Electrocardiographic measurement; Reference numeral 2 represents cardiac marker test strip entrance, and for the test strips that will gather after blood samples of patients, after being inserted into the position of this cardiac marker test strip entrance 2, this device automatically will detect and carries out the output of result; Reference numeral 3 is user display screens, for the output display of testing result.
As an alternative embodiment of the invention, consult shown in Fig. 8, for detecting the structured flowchart of the device of data in the embodiment of the present invention for monitoring cardiovascular.(namely the described device detecting data for monitoring cardiovascular comprises the acquiring unit 701, integral unit 702 and the output display unit 703 that connect successively, user display screen 3 in accompanying drawing 7), wherein acquiring unit 701 obtains electrocardiosignal and POCT detection data respectively simultaneously, it is detect data for event basic point with POCT that the electrocardiosignal obtained and POCT are detected Data Integration by integral unit 702, take electrocardiosignal as the Monitoring Data of data flow.Finally, output display unit 703 exports the Monitoring Data after integrating.
Preferably, described acquiring unit 701 comprises electrocardiosignal acquisition module (not shown) and POCT acquisition module (not shown), and these two modules are connected with integral unit 702 respectively.Wherein, electrocardiosignal acquisition module is used for obtaining original electrocardiosignal via cardiac diagnosis lead-line 1, (namely POCT acquisition module detects data for obtaining POCT, after test strips after the blood samples of patients collected is inserted into the position of this cardiac marker test strip entrance 2, automatically detected by this device and the POCT that obtains detects data).
Preferably, integral unit 702 comprises pretreatment module, extraction module and matching module.Wherein, pretreatment module one end is connected with electrocardiosignal acquisition module, and the other end is connected with extraction module, and described pretreatment module is carried out pretreatment to the electrocardiosignal obtained from electrocardiosignal acquisition module and sent to extraction module.Then, extraction module, according to pretreated electrocardiosignal, obtains the ecg wave form also extraction ECG ST segment data wherein of whole electrocardiosignal.
In addition, matching module is connected with extraction module, POCT acquisition module simultaneously, and can detect with pretreated POCT the basic point that data time of origin is event, obtain the corresponding POCT of this event basic point from POCT acquisition module and detect data, and the ecg wave form obtained from extraction module and ecg wave form corresponding to this event of ECG ST segment extracting data and ECG ST segment data.
As embodiment, described output unit 703 can be connected with the matching module of integral unit 702, the POCT of this event is detected data, ecg wave form and ECG ST segment data and exports.Preferably, output unit 703 can also store Applications of Cardiac Markers kinetic curve, preferably by the function key selecting to pre-set, on Applications of Cardiac Markers kinetic curve, mark the POCT detect data value (as shown in Figure 6) of the time of origin point of this event.Preferably, all data obtained can also store by output unit 703.
In another embodiment of the present invention, the described device detecting data for monitoring cardiovascular also comprises prewarning unit 704, this prewarning unit 704 one end is connected with integral unit 702, one end is connected with output unit 703, can carry out alarm to the Monitoring Data of integral unit 702 and export to output unit 703.Specifically, described prewarning unit 704 can comprise arrange module and contrast module.Wherein, described contrast module one end is connected with the matching module arranging module and integral unit 702 simultaneously, and the other end is connected with output unit 703.Module installation early warning limit is set, then contrast module the early warning limit value that POCT corresponding to the ECG ST segment data obtained from matching module and this time of origin point detects data and setting is compared, if exceed early warning limit value, in the display of output unit 703, take the display being different from normal value.The ECG ST segment data and the POCT detection data that such as exceed early warning limit value take The Scarlet Letter to show.Preferably, can also the prompt facility then carrying out alarm sound arranging in module and exceed early warning limit value be set.
It should be noted that, in the described device for monitoring cardiovascular detection data, some implementation contents are consistent with the description in the described method detecting data for monitoring cardiovascular, and be described in detail in the above methods, therefore do not do repeat specification at this.
In sum, the method and apparatus detecting data for monitoring cardiovascular provided by the invention, creatively can monitor electrocardiosignal by while in same device and POCT detects data, and integrated laggard row shows, operation; Further, creationary electrocardiosignal and POCT can be detected Data Integration to carry out exporting, presenting in the middle of same event; And the situation that the present invention can have the data generation event that electrocardiosignal and POCT detected of extreme efficiency shows; Finally, whole described for monitoring cardiovascular, to detect the method and apparatus of data easy, compact, is easy to realize.
Those of ordinary skill in the field are to be understood that: the foregoing is only specific embodiments of the invention; be not limited to the present invention; within the spirit and principles in the present invention all, any amendment made, equivalent replacement, improvement etc., all should be included within protection scope of the present invention.
Claims (10)
1. detecting a method for data for monitoring cardiovascular, it is characterized in that, comprise step:
Obtain electrocardiosignal and POCT detection data respectively;
The electrocardiosignal obtained and POCT being detected Data Integration is detect data for event basic point with POCT, take electrocardiosignal as the Monitoring Data of data flow;
Export and show the Monitoring Data after integrating.
2. method according to claim 1, is characterized in that, the described Data Integration that the electrocardiosignal obtained and POCT detected is detect data for event basic point with POCT, is that the Monitoring Data of data flow comprises step with electrocardiosignal:
The first step, carries out pretreatment to the electrocardiosignal obtained;
Second step, according to pretreated electrocardiosignal, obtains the ecg wave form also extraction ECG ST segment data wherein of whole electrocardiosignal;
3rd step, the basic point that data time of origin is event is detected with pretreated POCT, obtain the corresponding POCT of this event basic point and detect data, and the ecg wave form obtained at described second step and ecg wave form corresponding to this event of ECG ST segment extracting data and ECG ST segment data.
3. method according to claim 2, it is characterized in that, describedly detect with pretreated POCT the determined event of basic point that data time of origin is event, be this time of origin be starting point, regulation a period of time length, the ecg wave form obtained at described second step and ECG ST segment extracting data in the meantime in ecg wave form and ECG ST segment data; Or be defined in each a period of time before and after this time of origin, be extracted in the ecg wave form in these two periods and ECG ST segment data; Or specify this time of origin for the previous period, be extracted in the ecg wave form in this period and ECG ST segment data.
4. method according to claim 3, it is characterized in that, described 3rd step can extract ecg wave form in whole event and ECG ST segment data, and extracts this time of origin point only ecg wave form fragment at this time point place and ECG ST segment data of this fragment.
5. method according to claim 2, it is characterized in that, also comprise after described 3rd step: early warning limit is set, the early warning limit value of the POCT detection data that the ECG ST segment data then described 3rd step extracted are corresponding with this time of origin point and setting is compared, if exceed early warning limit value, takes to be different from the display of normal value when exporting and show the Monitoring Data after integrating.
6. method according to claim 2, it is characterized in that, Applications of Cardiac Markers kinetic curve can be stored described output in the Monitoring Data after integrating, by selecting the function key pre-set, on Applications of Cardiac Markers kinetic curve, mark the POCT detect data value of the time of origin point of this event.
7. detecting a device for data for monitoring cardiovascular, it is characterized in that, comprise:
Acquiring unit, for obtaining electrocardiosignal and POCT detection data respectively simultaneously;
Integral unit, being detect data for event basic point with POCT for the electrocardiosignal obtained and POCT being detected Data Integration, take electrocardiosignal as the Monitoring Data of data flow;
Output display unit, for exporting and showing the Monitoring Data after integrating.
8. device according to claim 7, is characterized in that, described acquiring unit comprises electrocardiosignal acquisition module and POCT acquisition module, and these two modules are connected with described integral unit respectively; Wherein, electrocardiosignal acquisition module is for obtaining original electrocardiosignal, and POCT acquisition module detects data for obtaining POCT.
9. device according to claim 8, is characterized in that, described integral unit comprises pretreatment module, extraction module and matching module; Wherein, pretreatment module one end is connected with described electrocardiosignal acquisition module, and the other end is connected with described extraction module, and described pretreatment module is carried out pretreatment to the electrocardiosignal obtained from described electrocardiosignal acquisition module and sent to described extraction module; Then, described extraction module, according to pretreated electrocardiosignal, obtains the ecg wave form also extraction ECG ST segment data wherein of whole electrocardiosignal.
In addition, described matching module is connected with described extraction module, described POCT acquisition module simultaneously, and detect with pretreated POCT the basic point that data time of origin is event, obtain the corresponding POCT of this event basic point from POCT acquisition module and detect data, and the ecg wave form obtained from described extraction module and ecg wave form corresponding to this event of ECG ST segment extracting data and ECG ST segment data.
10. device according to claim 9, it is characterized in that, the described device detecting data for monitoring cardiovascular also comprises prewarning unit, this prewarning unit one end is connected with described integral unit, one end is connected with described output unit, can carry out alarm to the Monitoring Data of described integral unit and export to output unit;
Described prewarning unit comprises and arranges module and contrast module, and described contrast module one end is connected with the described matching module arranging module and described integral unit simultaneously, and the other end is connected with described output unit; Module installation early warning limit is set, then the early warning limit value that POCT corresponding to the ECG ST segment data obtained from described matching module and this time of origin point detects data and setting is compared by described contrast module, if exceed early warning limit value, takes the display being different from normal value in the display of described output unit.
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