A kind of long-distance monitoring method, device and equipment of blood purification system
Technical field
The invention belongs to medicine equipment applied technical field, be specifically related to the long-range of a kind of blood purification systemMethod for supervising, device and equipment.
Background technology
Blood purification technology is applied to clinical over half a century, along with biomedical engineering technology and relevantThe development of subject, equipment, the material of blood purification technology are updated, and make blood purification technology clinicalUpper application is more extensive. Existing bedside blood purification pattern mainly contains following several: haemodialysis, bloodLiquid filtration, blood perfusion, plasma exchange etc. Can clinical practice in acute renal failure, chronic renal meritThe treatments such as energy exhaustion, severe pancreatitis.
In prior art, in same ward, may have more than 2 or 2 patient and do blood simultaneouslyPurify, mostly in situation, purification process can be more smooth, and patient's vital sign is steady, in this case itsReal do not need doctor and nurse what does, but also very likely other patients in ward occur suddenlyRespiratory failure or circulatory failure, need doctor and nurse promptly to rescue, and carries out the measures such as CPR. BaseIn above-mentioned situation, existing blood purification system, carries out needing to cure in hemofiltration process each patientRaw or nurse aside observes hemofiltration process, in the time there are special circumstances, and can not be the shortestTime in transfer maximum medical strength and succour there is dangerous patient, once because doctor orPerson nurse leaves, and just cannot learn that whether this patient's hemofiltration situation is normal, occurs on this question essenceIt is the waste to limited medical resource.
Summary of the invention
For this reason, technical problem to be solved by this invention is no matter blood purification system of the prior art isWhen all need special messenger on device side, hemofiltration process to be observed, cause when there being patient to go outExisting dangerous situation Shi doctor or nurse go to support before also cannot leaving current patient.
For solving the problems of the technologies described above, the invention provides following technical scheme:
The long-distance monitoring method that the invention provides a kind of blood purification system, comprises the steps:
Obtain the flow rate information of hemofiltration pipeline;
Obtain sign data information;
Judge that described flow rate information is whether in the first preset range, and described sign data information is secondIn preset range;
If described flow rate information not in described the first preset range or described sign data information notIn two preset range, send alarm message reminding hemofiltration process exception.
Preferably, above-mentioned long-distance monitoring method, also comprises the steps:
Obtain the pressure information of hemofiltration pipeline;
Judge that described pressure information is whether in the 3rd preset range;
If described pressure information, in described the 3rd preset range, does not send alarm message reminding hemofiltration pipeRoad is stopped up.
Preferably, above-mentioned long-distance monitoring method, when described flow rate information is not in described the first preset rangeIn or described sign data information not in the second preset range time, also comprise the steps:
Start voice call function.
Preferably, above-mentioned long-distance monitoring method, when described flow rate information is not in described the first preset rangeIn or described sign data information not in the second preset range time, also comprise the steps:
Start video acquisition function;
The video information that transmission collects.
The present invention also provides a kind of long-distance monitorng device, comprising:
Flow rate information acquiring unit, for obtaining the flow rate information of hemofiltration pipeline;
Sign data information acquisition unit, for obtaining sign data information;
Judging unit, for judging that described flow rate information is whether in the first preset range, and described signData message is in the second preset range;
Alarm unit, if for when described flow rate information is not in described the first preset range or described bodyLevy data message not in the second preset range time, send alarm message reminding hemofiltration process exception.
Preferably, in above-mentioned long-distance monitorng device, also comprise:
Pressure information acquisition unit, for obtaining the pressure information of hemofiltration pipeline;
Described judging unit, also for judging that described pressure information is whether in the 3rd preset range;
Described alarm unit, also in the time that described pressure information is not in described the 3rd preset range, sends outSend alarm message reminding hemofiltration pipeline blockage.
Preferably, in above-mentioned long-distance monitorng device, also comprise:
Voice communication units, in described flow rate information not in described the first preset range or described inSign data information not in the second preset range time, starts voice call function.
Preferably, in above-mentioned long-distance monitorng device, also comprise:
Video acquisition unit, in described flow rate information not in described the first preset range or described inSign data information not in the second preset range time, starts video acquisition unit;
Data transmit-receive unit, sends the video information collecting.
The present invention also provides a kind of remote supervisory and control(ling) equipment, comprises above-mentioned long-distance monitorng device and is matedMobile terminal.
Preferably, in above-mentioned remote supervisory and control(ling) equipment, described mobile terminal is Wearable equipment.
Technique scheme of the present invention has the following advantages compared to existing technology:
(1) long-distance monitoring method of blood purification system of the present invention, device and equipment, whereinSupervising device can obtain the flow rate information of hemofiltration pipeline, the sign data information of proximal part, if described streamSpeed information not in described the first preset range or described sign data information not in the second preset rangeIn, send alarm message reminding hemofiltration process exception to mobile terminal. Mobile terminal is by medical personnelWear. Like this, even if medical personnel are not or not the time carrying out the patient side of hemofiltration, also can be filtered in timeThe message of blood process exception. Adopt such scheme of the present invention, can make medical personnel allocate more flexibly,Patient for hemofiltration process in normal and plateau, can not need medical personnel to superviseControl, emancipated medical care strength can participate in the process such as treatment, rescue of other sufferers, has avoided existingThere is the waste to doctor's financial strength amount in technology.
(2) long-distance monitoring method of blood purification system of the present invention, device and equipment, whereinSupervising device can also obtain the pressure information of hemofiltration pipeline, and described pressure information is not default the described the 3rdIn scope time, send alarm message reminding hemofiltration pipeline blockage to mobile terminal. Adopt of the present invention above-mentionedScheme, even if medical personnel are not in hemofiltration sufferer by the side of, also can find hemofiltration pipeline the very first timeExtremely, can take immediate steps and deal with problems.
(3) long-distance monitoring method of blood purification system of the present invention, device and equipment, whereinSupervising device, can also be in described flow rate information not in described the first preset range or described sign numberWhile it is believed that breath is not in the second preset range, start voice call function and video acquisition function. Pass through languageSound call function, sufferer can be directly be conversed with the medical personnel that wear mobile terminal, by oneselfActual impression is told to medical personnel; By video acquisition function, can directly gather the current shape of suffererState, and the video image of this current state is sent to medical personnel, that is to say that working as medical personnel receivesWhen the warning message of hemofiltration process exception, medical personnel can be directly and sufferer set up call, and logicalCross video acquisition unit and obtain the current state of sufferer, can also according to circumstances tell sufferer some can adoptThe treatment measures of the safety of getting. Adopt such scheme of the present invention, even if medical personnel are not in hemofiltration suffererBy the side of, also can learn the situation of sufferer the very first time, and guide sufferer to take measures, further protectCard hemofiltration patient's safety.
Brief description of the drawings
For content of the present invention is more likely to be clearly understood, below according to specific embodiment of the inventionAlso by reference to the accompanying drawings, the present invention is further detailed explanation for example, wherein:
Fig. 1 is the flow chart of the long-distance monitoring method of blood purification system described in one embodiment of the invention;
Fig. 2 is the flow chart of the long-distance monitoring method of blood purification system described in another embodiment of the present invention;
Fig. 3 is the theory diagram of the long-distance monitorng device of blood purification system described in one embodiment of the invention;
Fig. 4 is the principle frame of the long-distance monitorng device of blood purification system described in another embodiment of the present inventionFigure;
Fig. 5 is the workflow of the remote supervisory and control(ling) equipment of blood purification system described in one embodiment of the inventionFigure.
The implication that Reference numeral wherein represents is as follows:
1-flow rate information acquiring unit, 2-sign data information acquisition unit, 3-judging unit, 4-reports to the police singleUnit, 5-pressure information acquisition unit, 6-voice communication units, 7-video acquisition unit.
Detailed description of the invention
Embodiment 1
The present embodiment provides a kind of long-distance monitoring method of blood purification system, it is characterized in that, comprise asLower step:
S1: the flow rate information of obtaining hemofiltration pipeline. For patient, in the time carrying out hemofiltration treatment, speedDegree must strictly be controlled, and the too fast state that lives crosses slowly and all can cause damage to patient's health, seriousWords also can bring life danger. In the present embodiment, by flow rate information is monitored in real time, avoid suffering fromThe potential safety hazard of person in the time carrying out hemofiltration treatment.
S2: obtain sign data information. Whether patient, carrying out in the process of hemofiltration treatment, occurs abnormalSituation, can draw according to sign data information completely. Sign data information in the present embodiment can be wrappedDraw together: blood pressure, heart rate, respiratory rate, body temperature etc. These sign data information can be entered by professional instrumentRow measures.
S3: judge that described flow rate information is whether in the first preset range, if enter step S4, noEnter step S5. As previously mentioned, the velocity of blood flow in hemofiltration pipeline need to meet some requirements, noCan bring discomfort or even life danger to patient, therefore require flow rate information in the first preset range.The first preset range is herein under the prerequisite that can ensure patient safety, can not make patient not feel wellScope, after can measuring according to actual conditions, draw. Certainly, for blood purification system, may in the time dispatching from the factory, specify higher limit and the lower limit of flow velocity, if blood purification systemProducer provides this numerical value, so just can arrange according to producer's regulation.
S4: judge that described sign data information is in the second preset range, if enter step S6, noEnter step S5. For human body, if in the time carrying out hemofiltration treatment, sign data Information preservationSteadily, illustrate that this hemofiltration therapeutic process is abnormal. It should be noted that described in the present embodimentTwo preset range are to have different scopes according to the difference of sign data. Medically, for peopleThe normal value of body sign data information all has regulation, for example, under normal circumstances, normal body temperature: armpitLower temperature is 36.0 DEG C-37.0 DEG C of scopes; Normal arterial pressure: 90mmHg < systolic pressure < 140mmHg,60mmHg < diastolic pressure < 90mmHg. Therefore described the second preset range only needs basis medically to specifyNormal range value is determined.
S5: send alarm message reminding hemofiltration process exception. As long as the VPV in hemofiltration pipelineWhen any one in patient sign parameter is not in normal range (NR), all can sends warning message and remind doctorProtect personnel.
S6: send described flow rate information and described sign data information. When the VPV in hemofiltration pipelineWith in patient sign parameter all in normal range (NR) time, send these data to medical personnel, make medical care peopleMember understands patient's present case.
Be appreciated that inventive point of the present invention is to make medical personnel remote monitoring to hemofiltration process to beNo normal, in the time that appearance is abnormal, send alarm message reminding medical personnel; When under normal circumstances, canBe not limited to the mode in step S6 in the mode of selecting, also can not send information to medical personnel, orDirectly send and be similar to " normally " this class information to medical personnel.
In addition, in step S1, can also further obtain flow information, be used for that precisely impression flows throughBlood volume, its calculating can obtain by the product of flow velocity and time. Accordingly, can also judge this flow letterWithin the limits prescribed whether breath, if not within the limits prescribed, send warning message and remind medical care peopleMember. Its object is precisely to filter the blood of the required filtration of patient, avoids the deficiency of blood filter amount and excessive.
Adopt the such scheme in the present embodiment, even if medical personnel are not or not the time carrying out the patient side of hemofiltration,Also can obtain in time the message of hemofiltration process exception. Adopt such scheme of the present invention, can make medical carePersonnel allocate more flexibly, and the patient for hemofiltration process in normal and plateau, can be notNeed medical personnel to monitor, emancipated medical care strength can participate in other sufferers treatment, robThe process such as rescue, avoided the waste to doctor's financial strength amount in prior art.
As the preferred embodiment of one, as shown in Figure 2, even if flow rate information and sign data letterBreath is all in range of normal value, and above-mentioned long-distance monitoring method also comprises the steps:
S41: the pressure information of obtaining hemofiltration pipeline.
S42: judge that described pressure information is whether in the 3rd preset range; If enter step S6, noEnter step S7.
S7: send alarm message reminding hemofiltration pipeline blockage.
In the present embodiment, can be the pressure information that obtains the tube wall of the multiple points of hemofiltration pipeline, once becausePipeline stops up, and may cause so the situation that tube wall pressure increases to occur. In order to ensure accuracy,Can select multiple positions on tube wall as sampled point, obtain pressure information. As long as there is the pressure of a pointStrong information, not in preset range, just sends alarm message reminding pipeline blockage. Or, select pipelineOn two positions as sampled value, obtain the pressure difference of these two positions, under normal circumstances, the twoDifference should be for zero or near zero, once and there are pipeline blockage, so two positionsThe value of pressure may change, and not in preset range time, can report to the police. Adopt above-mentioned sideCase, even if medical personnel are not in hemofiltration sufferer by the side of, also can find the different of hemofiltration pipeline the very first timeOften, can take immediate steps and deal with problems.
Further preferably, the long-distance monitoring method in the present embodiment, also comprises the steps:
In described flow rate information not in described the first preset range or described sign data information notIn two preset range time, start voice call function and video acquisition function. By voice call function,Sufferer can directly be conversed with the medical personnel that wear mobile terminal, and the actual impression of oneself is toldGive medical personnel; By video acquisition function, can directly gather the current state of sufferer, and shouldThe video image of front state sends to medical personnel, that is to say that working as medical personnel receives hemofiltration process exceptionWarning message time, medical personnel can be directly and sufferer set up call, and by video acquisition listUnit obtains the current state of sufferer, can also according to circumstances tell locating of some safety that can take of suffererReason measure. Adopt such scheme of the present invention, even if medical personnel are not in hemofiltration sufferer by the side of, also canEnough very first times are learnt the situation of sufferer, and guide sufferer to take measures, and further ensure hemofiltration patient'sSafety.
Embodiment 2
The present embodiment provides a kind of long-distance monitorng device, as shown in Figure 3, comprising:
Flow rate information acquiring unit 1, for obtaining the flow rate information of hemofiltration pipeline; Can select flow-velocity sensingDevice is realized, and for patient, in the time carrying out hemofiltration treatment, speed must strictly be controlled no matterThe too fast state that lives crosses slowly and all can cause damage to patient's health, and serious words also can be brought life danger.In the present embodiment, by flow rate information is monitored in real time, avoid the peace of patient in the time carrying out hemofiltration treatmentFull hidden danger.
Sign data information acquisition unit 2, for obtaining sign data information; Patient is carrying out hemofiltration treatmentProcess in, whether there are abnormal conditions, can draw according to sign data information completely. The present embodimentIn sign data information can comprise: blood pressure, heart rate, respiratory rate, body temperature etc. These sign datasInformation can measure by professional instrument. These professional instruments can be installed long-range transmitter module,Be used for sending data message.
Judging unit 3, for judging that described flow rate information is whether in the first preset range, and described signData message is in the second preset range; As previously mentioned, the velocity of blood flow in hemofiltration pipeline need to meet oneFixed condition, otherwise can bring discomfort or even life danger to patient, therefore require flow rate informationIn one preset range. The first preset range is herein under the prerequisite that can ensure patient safety, can notThe scope that makes patient not feel well, draws after can measuring according to actual conditions. Certainly, rightIn blood purification system, may in the time dispatching from the factory, specify higher limit and the lower limit of flow velocity, asFruit blood purification system producer provides this numerical value, so just can arrange according to producer's regulation.
Alarm unit 4, if for when described flow rate information is not in described the first preset range or described bodyLevy data message not in the second preset range time, send alarm message reminding hemofiltration process exception. OnlyIf any one in the VPV in hemofiltration pipeline and patient sign parameter be not in normal range (NR)Time, all can send warning message and remind medical personnel. For human body, if carrying out hemofiltration treatmentTime, sign data Information preservation is steady, illustrates that this hemofiltration therapeutic process is abnormal. It should be noted that,Described the second preset range in the present embodiment is to have different scopes according to the difference of sign data.Medically, all there is regulation for the normal value of human body physical sign data message, for example, normal conditionUnder, normal body temperature: auxillary temperature is 36.0 DEG C-37.0 DEG C of scopes; Normal arterial pressure: 90mmHg < systolic pressure< 140mmHg, 60mmHg < diastolic pressure < 90mmHg. Therefore described the second preset range only needs rootDetermine according to the normal range value medically specifying.
Whether inventive point of the present invention is to make medical personnel can remote monitoring normal to hemofiltration process, whenThere are sending when abnormal alarm message reminding medical personnel; When under normal circumstances, can select to sendDescribed flow rate information and described sign data information, make medical personnel understand patient's present case. Also canNot send information to medical personnel, or directly transmission is similar to " normally " this class information to doctorProtect personnel.
In addition, all right flow information that further obtains of device in the present embodiment, is used for precisely experiencing and flowingThe blood volume of crossing, its calculating can obtain by the product of flow velocity and time. Accordingly, can also judge this streamWithin the limits prescribed whether amount information, if not within the limits prescribed, send warning message and remind doctorProtect personnel. Its object is precisely to filter the blood of the required filtration of patient, the deficiency of avoiding blood filter amount withExcessive.
Adopt the such scheme in the present embodiment, even if medical personnel are not or not the time carrying out the patient side of hemofiltration,Also can obtain in time the message of hemofiltration process exception. Adopt such scheme of the present invention, can make medical carePersonnel allocate more flexibly, and the patient for hemofiltration process in normal and plateau, can be notNeed medical personnel to monitor, emancipated medical care strength can participate in other sufferers treatment, robThe process such as rescue, avoided the waste to doctor's financial strength amount in prior art.
As the preferred embodiment of one, as shown in Figure 4, above-mentioned long-distance monitorng device also comprises:
Pressure information acquisition unit 5, for obtaining the pressure information of hemofiltration pipeline; Can select pressure sensingDevice is realized.
Described judging unit 3, also for judging that described pressure information is whether in the 3rd preset range;
Described alarm unit 4, also in the time that described pressure information is not in described the 3rd preset range, sends outSend alarm message reminding hemofiltration pipeline blockage.
In the present embodiment, can be the pressure information that obtains the tube wall of the multiple points of hemofiltration pipeline, once becausePipeline stops up, and may cause so the situation that tube wall pressure increases to occur. In order to ensure accuracy,Can select multiple positions on tube wall as sampled point, obtain pressure information. As long as there is the pressure of a pointStrong information, not in preset range, just sends alarm message reminding pipeline blockage. Or, select pipelineOn two positions as sampled value, obtain the pressure difference of these two positions, under normal circumstances, the twoDifference should be for zero or near zero, once and there are pipeline blockage, so two positionsThe value of pressure may change, and not in preset range time, can report to the police. Adopt above-mentioned sideCase, even if medical personnel are not in hemofiltration sufferer by the side of, also can find the different of hemofiltration pipeline the very first timeOften, can take immediate steps and deal with problems.
Further preferably, above-mentioned long-distance monitorng device also comprises:
Voice communication units 6, in described flow rate information not in described the first preset range or described inSign data information not in the second preset range time, starts voice call function. Video acquisition unit 7,For in described flow rate information not in described the first preset range or described sign data information not theIn two preset range time, start video acquisition unit; Data transmit-receive unit 8, sends the video letter collectingBreath.
By voice call function, sufferer can directly be conversed with the medical personnel that wear mobile terminal,The actual impression of oneself is told to medical personnel; By video acquisition function, can directly gather suffererCurrent state, and the video image of this current state is sent to medical personnel, that is to say and work as medical careWhen personnel receive the warning message of hemofiltration process exception, medical personnel can be directly and sufferer set up logicalTalk about, and obtain the current state of sufferer by video acquisition unit, can also according to circumstances tell sufferer oneThe treatment measures of the safety that can take a bit. Adopt such scheme of the present invention, even if medical personnel do not existHemofiltration sufferer by the side of, also can be learnt the situation of sufferer the very first time, and guides sufferer to take measures,Further ensure hemofiltration patient's safety.
Embodiment 3
The present embodiment provides a kind of remote supervisory and control(ling) equipment, as shown in Figure 5, comprises far away described in embodiment 2Range monitoring device and the mobile terminal being mated.
From figure, can obtain, the course of work of this remote supervisory and control(ling) equipment is as follows:
Long-distance monitorng device is monitored hemofiltration process according to the method for supervising described in embodiment 1;
When flow rate information not in the first preset range or sign data information not in the second preset rangeSituation under, send warning message to mobile terminal;
Mobile terminal receives warning message, and medical personnel can receive;
Medical personnel are by the measure of mobile terminal transmission processing;
Long-distance monitorng device receives treatment measures, patient or its family members of hemofiltration device PangReceive this treatment measures;
When flow rate information not in the first preset range or sign data information not in the second preset rangeSituation under, can also start voice call function and video acquisition function;
Medical personnel can carry out voice call by mobile terminal and patient, and receive by mobile terminalVideo image;
Medical personnel, according to dialog context and video image content, can have gained some understanding to patient's situation,And then by the measure of mobile terminal transmission processing;
Accordingly, long-distance monitorng device receives treatment measures, at the patient of hemofiltration device Pang or itsFamily members can receive these treatment measures.
By the such scheme of the present embodiment, before medical personnel reach the spot, patient or family numbers of patientsSet up communication connection with medical personnel, can under medical personnel's guidance, take appropriate measures.
As preferred embodiment, described mobile terminal can be mobile phone, IPAD etc., only needs medical carePersonnel download corresponding APP and can realize in corresponding terminal. Or described mobile terminal is for wearingBelt equipment, for example wrist-watch.
Those skilled in the art should understand, embodiments of the invention can be provided as method, system orComputer program. Therefore, the present invention can adopt complete hardware implementation example, completely implement software example,Or in conjunction with the form of the embodiment of software and hardware aspect. And the present invention can adopt one or moreThe computer-usable storage medium that wherein includes computer usable program code (includes but not limited to diskMemory, CD-ROM, optical memory etc.) form of the upper computer program of implementing.
The present invention is that reference is according to the method for the embodiment of the present invention, equipment (system) and computer programThe flow chart of product and/or block diagram are described. Should understand can be by computer program instructions realization flowEach flow process in figure and/or block diagram and/or the stream in square frame and flow chart and/or block diagramThe combination of journey and/or square frame. Can provide these computer program instructions to all-purpose computer, dedicated computingThe processor of machine, Embedded Processor or other programmable data processing device, to produce a machine, makesThe instruction that must carry out by the processor of computer or other programmable data processing device produces for realIn flow process of flow chart or multiple flow process and/or square frame of block diagram or multiple square frame, specify nowThe device of function.
These computer program instructions also can be stored in can vectoring computer or other programmable data processingIn the computer-readable memory of equipment with ad hoc fashion work, make to be stored in this computer-readable storageInstruction in device produces the manufacture that comprises command device, and this command device is realized in flow process of flow chartOr the function of specifying in multiple flow processs and/or square frame of block diagram or multiple square frame.
These computer program instructions also can be loaded in computer or other programmable data processing device,Make to carry out sequence of operations step to produce computer realization on computer or other programmable devicesProcessing, thereby the instruction of carrying out on computer or other programmable devices be provided for realize in flow processThe function of specifying in flow process of figure or multiple flow process and/or square frame of block diagram or multiple square frameStep.
Although described the preferred embodiments of the present invention, once those skilled in the art obtain cicadaBasic creative concept, can make other change and amendment to these embodiment. So, appended powerProfit requires to be intended to be interpreted as comprising preferred embodiment and fall into all changes and the amendment of the scope of the invention.