CN115153577A - Monitoring method and system for heart rehabilitation exercise based on medical intelligent interactive equipment - Google Patents
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Abstract
Description
技术领域technical field
本发明涉及心脏康复锻炼技术领域,具体来说,涉及基于医用智能互动设备的心脏康复锻炼的监护方法及系统。The present invention relates to the technical field of cardiac rehabilitation exercise, in particular, to a monitoring method and system for cardiac rehabilitation exercise based on medical intelligent interactive equipment.
背景技术Background technique
心脏康复运动可降低术后患者复发率和再梗死率,有助于心脏病患者恢复健康。《心脏康复:心血管疾病二级预防的标准治疗》认为,心脏康复/二级预防(CR/SP)存在时间窗,不同时间窗内患者要进行不同强度的运动,即进行不同程度的心脏康复训练。Cardiac rehabilitation exercises can reduce the recurrence rate and reinfarction rate of postoperative patients, and help patients with heart disease to recover. "Cardiac Rehabilitation: Standard Treatment for Secondary Prevention of Cardiovascular Diseases" believes that there is a time window for cardiac rehabilitation/secondary prevention (CR/SP), and patients in different time windows need to perform different intensities of exercise, that is, different degrees of cardiac rehabilitation. train.
有效的心脏康复训练,有利于患者术后的病情恢复。但是,在训练的时候一定要严格地控制活动量,一定要循序渐进的来进行。心脏康复训练可以分为几个阶段,一般在早期康复,主要的就是在医生的监护下,进行一些有氧运动。运动一定要避免剧烈,避免长时间的运动,可以密切监控,逐渐地增加活动量。Effective cardiac rehabilitation training is beneficial to the recovery of patients after surgery. However, when training, you must strictly control the amount of activity, and you must do it step by step. Cardiac rehabilitation training can be divided into several stages, generally in the early stage of rehabilitation, the main thing is to do some aerobic exercise under the supervision of a doctor. Exercise must be avoided strenuous, avoid prolonged exercise, can be closely monitored, and gradually increase the amount of activity.
然后就是恢复中期,也就是在半年到一年的时间之内,进行一些有氧体育锻炼项目,这样可以控制身体的体重增长,而且也有利于病情的恢复。平常还要注意加强营养,保证各种营养元素的摄入。Then there is the middle period of recovery, that is, within half a year to a year, some aerobic physical exercise programs can be carried out, which can control the weight gain of the body, and is also conducive to the recovery of the disease. Usually also pay attention to strengthen nutrition, to ensure the intake of various nutrients.
运动处方是由康复医师、康复治疗师或者体育教师、社会体育指导员、私人健身教练等,根据患者或者体育健身者的年龄、性别、一般医学检查、康复医学检查、运动试验、身体素质/体适能测试等结果,按其年龄、性别、健康状况、身体素质、以及心血管、运动器官的功能状况,结合主客观条件,用处方的形式制订对患者或者体育健身者适合的运动内容、运动强度、运动时间及频率,并指出运动中的注意事项,以达到科学地、有计划地进行康复治疗或预防健身的目的。Exercise prescriptions are prescribed by rehabilitation physicians, rehabilitation therapists or physical education teachers, social sports instructors, personal fitness trainers, etc., according to the age, gender, general medical examination, rehabilitation medical examination, exercise test, physical fitness/fitness of the patient or physical fitness person. Can test and other results, according to their age, gender, health status, physical fitness, as well as the functional status of cardiovascular and sports organs, combined with subjective and objective conditions, formulate the appropriate exercise content and exercise intensity for patients or fitness practitioners in the form of prescriptions , exercise time and frequency, and point out the precautions in exercise, so as to achieve the purpose of scientific and planned rehabilitation or preventive fitness.
为把心脏康复运动风险降到最低,效率提到最高,患者应严格按照运动处方进行运动。因此,在日常心脏康复锻炼过程中,利用医用智能互动设备进行实时监护成为了如今发展方向。In order to minimize the risk of cardiac rehabilitation exercise and maximize the efficiency, patients should exercise strictly in accordance with the exercise prescription. Therefore, in the process of daily cardiac rehabilitation exercise, the use of medical intelligent interactive equipment for real-time monitoring has become the current development direction.
如专利号CN110782991B公开了一种辅助心脏病患者康复运动的实时评价方法,该方法确定患者运动中心率、血压的稳定阈值范围。患者选择运动种类开始运动;检测患者心率及血压,判断患者心率及血压是否小于所述阈值上限,并计算运动契合度分值,根据运动契合度分值来对患者进行针对性建议。但是该方法存在一定的缺陷性,例如其采用足底传感器、惯性传感器来进行患者步态特征的检测,来判断患者的运动状态,然而患者可进行多种类型的运动,导致其传感器检测的适用性不足,并且该方法仅判断患者运动是否达标,功能性也存在一定的局限性,在智能化程度日益增长的今天,不能够满足更人性化更全面的监护需求,需要进行进一步的丰富与改进。For example, Patent No. CN110782991B discloses a real-time evaluation method for assisting the rehabilitation exercise of heart disease patients, and the method determines the stable threshold range of the patient's exercise center rate and blood pressure. The patient selects the type of exercise to start exercising; detects the patient's heart rate and blood pressure, determines whether the patient's heart rate and blood pressure are lower than the upper threshold limit, calculates the exercise fit score, and makes targeted recommendations to the patient according to the exercise fit score. However, this method has certain defects. For example, it uses foot sensors and inertial sensors to detect the patient's gait characteristics to judge the patient's movement state. However, the patient can perform various types of movement, which leads to the application of sensor detection. In addition, this method only judges whether the patient's movement meets the standard, and there are certain limitations in functionality. Today, with the increasing degree of intelligence, it cannot meet the needs of more humanized and comprehensive monitoring, and needs to be further enriched and improved. .
针对相关技术中的问题,目前尚未提出有效的解决方案。For the problems in the related technologies, no effective solutions have been proposed so far.
发明内容SUMMARY OF THE INVENTION
针对相关技术中的问题,本发明提出基于医用智能互动设备的心脏康复锻炼的监护方法及系统,以克服现有相关技术所存在的上述技术问题。In view of the problems in the related art, the present invention proposes a cardiac rehabilitation exercise monitoring method and system based on a medical intelligent interactive device, so as to overcome the above-mentioned technical problems existing in the related art.
为此,本发明采用的具体技术方案如下:For this reason, the concrete technical scheme that the present invention adopts is as follows:
根据本发明的一个方面,提供了基于医用智能互动设备的心脏康复锻炼的监护方法,该方法包括以下步骤:According to one aspect of the present invention, a monitoring method for cardiac rehabilitation exercise based on a medical intelligent interactive device is provided, the method comprising the following steps:
S1、通过可穿戴设备获取用户锻炼过程中实时监测得到的健康数据;S1. Obtain the health data obtained by real-time monitoring during the user's exercise process through the wearable device;
S2、根据用户身体状态设定安全阈值,并与所述健康数据进行对比;S2. Set a safety threshold according to the user's physical state, and compare it with the health data;
S3、根据对比结果,结合大数据分析确定下一步康复锻炼方案;S3. According to the comparison results, combined with big data analysis, determine the next rehabilitation exercise plan;
S4、通过智能互动方式将所述康复锻炼方案推送给用户与医疗工作者。S4. Push the rehabilitation exercise program to the user and the medical worker in an intelligent interactive manner.
进一步的,所述健康数据包括心音、心电信号、心率、血压、呼吸频率及血氧;Further, the health data includes heart sound, ECG signal, heart rate, blood pressure, respiratory rate and blood oxygen;
所述用户身体状态包括性别、年龄、身高、体重及疾病情况。The physical state of the user includes gender, age, height, weight and disease condition.
进一步的,所述根据对比结果,结合大数据分析确定下一步康复锻炼方案,包括以下步骤:Further, according to the comparison results, combined with big data analysis to determine the next step of the rehabilitation exercise plan, including the following steps:
S31、若所述健康数据中存在大于安全阈值的数据,则通过智能互动方式提醒用户进行预警,并根据数据类型提供相应的诊断护理建议;S31. If there is data in the health data that is greater than the safety threshold, remind the user to give an early warning through intelligent interaction, and provide corresponding diagnosis and nursing suggestions according to the data type;
S32、若所述健康数据均不大于安全阈值,则分析计算用户当前运动强度,并通过大数据分析用户当前运动程度,制定用户下一步康复锻炼方案。S32. If the health data is not greater than the safety threshold, analyze and calculate the user's current exercise intensity, and analyze the user's current exercise degree through big data, and formulate a next-step rehabilitation exercise plan for the user.
进一步的,所述分析计算用户当前运动强度,并通过大数据分析用户当前运动程度,制定用户下一步康复锻炼方案,包括以下步骤:Further, the analysis calculates the user's current exercise intensity, and analyzes the user's current exercise degree through big data, and formulates the user's next rehabilitation exercise plan, including the following steps:
S321、利用小波包分解频带能量熵的方法对所述心音、心电信号进行分析,并将频带能量熵作为用户当前的运动强度;S321, utilize the method of wavelet packet decomposition frequency band energy entropy to analyze the heart sound and electrocardiogram signal, and use the frequency band energy entropy as the current exercise intensity of the user;
S322、根据所述用户身体状态在大数据平台进行匹配,筛分出同类型人群,查询该人群康复锻炼过程的运动强度与项目类型,作为参考标准集;S322, performing matching on the big data platform according to the physical state of the user, screening out the same type of crowd, and querying the exercise intensity and item type of the crowd's rehabilitation exercise process as a reference standard set;
S323、将用户当前的运动强度与所述参考标准集进行分析比较,判断用户当前的运动强度是否达标;S323, analyzing and comparing the current exercise intensity of the user with the reference standard set, to determine whether the current exercise intensity of the user meets the standard;
S324、若用户当前的运动强度不低于所述参考标准集,则通过智能互动方式提醒用户适量运动并进行称赞鼓励;S324. If the current exercise intensity of the user is not lower than the reference standard set, remind the user to exercise in moderation and praise and encourage them through intelligent interaction;
S325、若用户当前的运动强度低于所述参考标准集,则通过智能互动方式对用户进行鼓励加大运动量,并询问是否需要智能化推荐,改变当前的运动模式。S325. If the current exercise intensity of the user is lower than the reference standard set, the user is encouraged to increase the amount of exercise through intelligent interaction, and the user is asked whether intelligent recommendation is required to change the current exercise mode.
进一步的,所述利用小波包分解频带能量熵的方法对所述心音、心电信号进行分析,并将频带能量熵作为用户当前的运动强度,包括以下步骤:Further, the method of utilizing the wavelet packet to decompose the frequency band energy entropy analyzes the heart sound and the ECG signal, and uses the frequency band energy entropy as the current exercise intensity of the user, including the following steps:
S3211、将所述心音、心电信号进行小波包分解;S3211, performing wavelet packet decomposition on the heart sound and the ECG signal;
S3212、分析低频分量的能量占信号总能量的比值,判断心脏的健康程度;S3212, analyze the ratio of the energy of the low frequency component to the total energy of the signal, and judge the health of the heart;
S3213、利用能量熵计算公式计算,并将计算结果作为运动强度的指标。S3213. Calculate by using the energy entropy calculation formula, and use the calculation result as an index of exercise intensity.
进一步的,所述能量熵计算公式的表达式为:Further, the expression of the energy entropy calculation formula is:
式中,R表示能量熵的值;In the formula, R represents the value of energy entropy;
E(i)表示某频带归一化能量,且满足E(i)=|gi(k)|2;E(i) represents the normalized energy of a certain frequency band, and satisfies E(i)=|g i (k)| 2 ;
E表示某层频带能量总和,且满足E=|gn(k)|2;E represents the sum of the band energy of a certain layer, and satisfies E=|g n (k)| 2 ;
gi(k)表示第i频带的小波函数对应的高通滤波器;g i (k) represents the high-pass filter corresponding to the wavelet function of the i-th frequency band;
gn(k)表示某层频带的小波函数对应的高通滤波器;g n (k) represents the high-pass filter corresponding to the wavelet function of a certain layer of frequency bands;
n表示频带序号;n represents the frequency band number;
i表示第i个频带序号。i represents the ith frequency band sequence number.
进一步的,所述智能化推荐采用基于遗传学的支持向量机算法,包括以下步骤:Further, the intelligent recommendation adopts a genetics-based support vector machine algorithm, including the following steps:
S3251、确定遗传算法的染色体,包括支持向量机参数及用户疾病情况特征值;S3251. Determine the chromosome of the genetic algorithm, including the support vector machine parameters and the characteristic value of the user's disease condition;
S3252、确定遗传算子及适应度函数;S3252. Determine the genetic operator and the fitness function;
S3253、使用轮盘赌和加权深度优先搜索方法产生遗传算法的初始种群,并以自适应、启发式的初始化方法保证群体分布的均匀性;S3253, using the roulette wheel and weighted depth-first search method to generate the initial population of the genetic algorithm, and using the adaptive and heuristic initialization method to ensure the uniformity of the population distribution;
S3254、对交叉概率和变异概率进行优化,实现不同进化带书的自适应调整,保留有用遗传信息的同时实现全局搜索。S3254: Optimizing the crossover probability and mutation probability to realize self-adaptive adjustment of different evolutionary bands, and to realize global search while retaining useful genetic information.
进一步的,所述遗传算子包括选择算子、交叉算子和变异算子;Further, the genetic operator includes a selection operator, a crossover operator and a mutation operator;
所述适应度函数的表达式为:The expression of the fitness function is:
f(x)=f1(x)-η·f2(x)f(x)=f 1 (x)-η·f 2 (x)
式中,f1(x)表示疾病情况分类准确度;In the formula, f 1 (x) represents the classification accuracy of disease conditions;
f2(x)表示选择特征值的数目;f 2 (x) represents the number of selected eigenvalues;
η表示调节权重参数。η represents the adjustment weight parameter.
进一步的,所述智能互动方式包括人工语音聊天与应用界面推送,且苏搜狐人工语音聊天具备智能问答功能。Further, the intelligent interaction method includes artificial voice chat and application interface push, and Su Sohu artificial voice chat has an intelligent question and answer function.
根据本发明的另一个方面,基于医用智能互动设备的心脏康复锻炼的监护系统,该系统包括以下模块组成:According to another aspect of the present invention, a monitoring system for cardiac rehabilitation exercise based on medical intelligent interactive equipment, the system comprises the following modules:
可穿戴设备监测模块,用于实时监测并获取用户的健康状态;The wearable device monitoring module is used to monitor and obtain the user's health status in real time;
智能互动模块,用于提供人工语音聊天功能,为用户提供语音播报与进行智能问答;Intelligent interactive module, used to provide artificial voice chat function, provide users with voice broadcast and intelligent question and answer;
医疗数据库模块,用于储备专业的医疗护理知识;The medical database module is used to reserve professional medical care knowledge;
智能分析处理模块,用于识别计算用户健康数据与运动强度,并对用户提供智能化推荐与建议;The intelligent analysis and processing module is used to identify and calculate the user's health data and exercise intensity, and provide users with intelligent recommendations and suggestions;
大数据平台,用于提供用户共享与医疗大数据并实时进行更新;Big data platform, used to provide user sharing and medical big data and update it in real time;
移动终端,用于作为智能终端为各模块提供搭载及应用平台。The mobile terminal is used as an intelligent terminal to provide a mounting and application platform for each module.
本发明的有益效果为:通过实时监测用户康复锻炼过程,获取精确的健康数据信息,再通过大数据分析结合用户健康数据与身体状态,避免用户过度运动造成心脏负载,且在运动未达标时为用户针对性制定下一步康复锻炼方案,有效保证足够的运动强度,进而满足用户不同状态下的健康需求,显著提高心脏康复锻炼的水平;此外,通过加入智能化互动系统,能够在实时监测过程中,提供人性化预警提醒与专业的医疗护理建议,进而对用户进行鼓励,有效带动用户进行锻炼,提高用户锻炼的效果与黏性。The beneficial effects of the invention are as follows: by monitoring the user's rehabilitation exercise process in real time, accurate health data information is obtained, and then the user's health data and physical state are combined through big data analysis, so as to avoid excessive exercise caused by the user's heart load, and when the exercise does not meet the standard Users can formulate the next rehabilitation exercise program in a targeted manner to effectively ensure sufficient exercise intensity, thereby meeting the health needs of users in different states, and significantly improving the level of cardiac rehabilitation exercise; , provides humanized early warning reminders and professional medical care suggestions, and then encourages users, effectively drives users to exercise, and improves the effect and stickiness of users' exercise.
附图说明Description of drawings
为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the accompanying drawings required in the embodiments will be briefly introduced below. Obviously, the drawings in the following description are only some of the present invention. In the embodiments, for those of ordinary skill in the art, other drawings can also be obtained according to these drawings without any creative effort.
图1是根据本发明实施例的基于医用智能互动设备的心脏康复锻炼的监护方法的流程图;1 is a flowchart of a monitoring method for cardiac rehabilitation exercise based on a medical intelligent interactive device according to an embodiment of the present invention;
图2是根据本发明实施例的基于医用智能互动设备的心脏康复锻炼的监护系统的系统框图。2 is a system block diagram of a monitoring system for cardiac rehabilitation exercise based on a medical intelligent interactive device according to an embodiment of the present invention.
图中:In the picture:
1、可穿戴设备监测模块;2、智能互动模块;3、医疗数据库模块;4、智能分析处理模块;5、大数据平台;6、移动终端。1. Wearable device monitoring module; 2. Intelligent interactive module; 3. Medical database module; 4. Intelligent analysis and processing module; 5. Big data platform; 6. Mobile terminal.
具体实施方式Detailed ways
根据本发明的实施例,提供了基于医用智能互动设备的心脏康复锻炼的监护方法。According to an embodiment of the present invention, a monitoring method for cardiac rehabilitation exercise based on a medical intelligent interactive device is provided.
现结合附图和具体实施方式对本发明进一步说明,如图1所示,根据本发明实施例的基于医用智能互动设备的心脏康复锻炼的监护方法,该方法包括以下步骤:The present invention will now be further described with reference to the accompanying drawings and specific embodiments. As shown in FIG. 1 , according to an embodiment of the present invention, a method for monitoring cardiac rehabilitation exercise based on a medical intelligent interactive device, the method includes the following steps:
S1、通过可穿戴设备获取用户锻炼过程中实时监测得到的健康数据;S1. Obtain the health data obtained by real-time monitoring during the user's exercise process through the wearable device;
S2、根据用户身体状态设定安全阈值,并与所述健康数据进行对比;S2. Set a safety threshold according to the user's physical state, and compare it with the health data;
其中,所述健康数据包括心音、心电信号、心率、血压、呼吸频率及血氧;Wherein, the health data includes heart sound, ECG signal, heart rate, blood pressure, respiratory rate and blood oxygen;
心音、心电信号作为人体最重要的两个生理信号,含有大量关于人体心脏和血管的生理、病理信息。二者既可以很好地反映心脏收缩力和心力储备情况,还具有特异性高、能重复采用和客观量化、无创性及敏感性等特点。因此,对心音、心电信号的检测和分析是了解人体心脏健康与否的一种必不可少的方法。以上两种生理信号的特性可以运用到各种运动场所,从而对人体进行体质评价和运动强度的判断。Heart sounds and ECG signals, as the two most important physiological signals in the human body, contain a lot of physiological and pathological information about the human heart and blood vessels. The two can not only reflect the cardiac contractility and cardiac reserve, but also have the characteristics of high specificity, repeatability and objective quantification, non-invasiveness and sensitivity. Therefore, the detection and analysis of heart sounds and ECG signals is an essential method to understand whether the human heart is healthy or not. The characteristics of the above two physiological signals can be applied to various sports venues, so as to evaluate the physical fitness of the human body and judge the intensity of exercise.
而心率、血压、血氧是重要的生命体征,三者正常范围具体如下:Heart rate, blood pressure, and blood oxygen are important vital signs. The normal ranges of the three are as follows:
1、心率:指心脏跳动的频率,正常范围在60-100次/分钟。如果心率过快叫做心动过速,心率过慢就叫做心动过缓;1. Heart rate: refers to the frequency of the heart beating, the normal range is 60-100 beats/min. If the heart rate is too fast, it is called tachycardia, and if the heart rate is too slow, it is called bradycardia.
2、血压:指动脉血的压力,分为高压和低压,高压在90-140mmHg,低压60-90mmHg。如果高压>140mmHg,低压>90mmHg称之为高血压。高压<90mmHg,低压<60mmHg称之为低血压;2. Blood pressure: refers to the pressure of arterial blood, divided into high pressure and low pressure, the high pressure is 90-140mmHg, and the low pressure is 60-90mmHg. If the high pressure>140mmHg, the low pressure>90mmHg is called high blood pressure. High pressure <90mmHg, low pressure <60mmHg is called hypotension;
3、血氧饱和度:指动脉血中血红蛋白氧化的比例,即动脉血中氧气的浓度,通常在95%以上,不可以低于90%。血氧饱和度如果过低,提示体内的氧气不足,有可能存在心脏疾患导致的肺水肿、呼吸系统疾病,比如慢阻肺、肺部感染、呼吸衰竭等。3. Blood oxygen saturation: refers to the ratio of hemoglobin oxidation in arterial blood, that is, the concentration of oxygen in arterial blood, which is usually above 95% and cannot be lower than 90%. If the blood oxygen saturation is too low, it indicates that the oxygen in the body is insufficient, and there may be pulmonary edema caused by heart disease, respiratory system diseases, such as chronic obstructive pulmonary disease, pulmonary infection, respiratory failure, etc.
所述用户身体状态包括性别、年龄、身高、体重及疾病情况。The physical state of the user includes gender, age, height, weight and disease condition.
针对不同性别、年龄、身高及体重的用户,其对运动的接受程度均不同,因此需要对此进行分类,对不同类型的人群进行不同程度的监护。Users of different genders, ages, heights and weights have different degrees of acceptance of exercise. Therefore, it is necessary to classify them and provide different degrees of monitoring for different types of people.
S3、根据对比结果,结合大数据分析确定下一步康复锻炼方案,包括以下步骤:S3. According to the comparison results, combined with big data analysis, determine the next rehabilitation exercise plan, including the following steps:
S31、若所述健康数据中存在大于安全阈值的数据,则通过智能互动方式提醒用户进行预警,并根据数据类型提供相应的诊断护理建议;S31. If there is data in the health data that is greater than the safety threshold, remind the user to give an early warning through intelligent interaction, and provide corresponding diagnosis and nursing suggestions according to the data type;
例如在检测到血压、血氧过高时,可通过语音播报的形式向用户传达信息,并提供相关的医疗建议,及时帮助用户进行诊断与治疗。For example, when high blood pressure and blood oxygen are detected, the information can be conveyed to the user in the form of voice broadcast, and relevant medical advice can be provided to help the user diagnose and treat in a timely manner.
S32、若所述健康数据均不大于安全阈值,则分析计算用户当前运动强度,并通过大数据分析用户当前运动程度,制定用户下一步康复锻炼方案,包括以下步骤:S32, if the health data is not greater than the safety threshold, then analyze and calculate the user's current exercise intensity, and analyze the user's current exercise degree through big data, and formulate the user's next rehabilitation exercise plan, including the following steps:
S321、利用小波包分解频带能量熵的方法对所述心音、心电信号进行分析,并将频带能量熵作为用户当前的运动强度,包括以下步骤:S321, utilize the method of wavelet packet decomposition frequency band energy entropy to analyze the heart sound and electrocardiogram signal, and use the frequency band energy entropy as the current exercise intensity of the user, comprising the following steps:
S3211、将所述心音、心电信号进行小波包分解;S3211, performing wavelet packet decomposition on the heart sound and the ECG signal;
心电信号是一种非线性、非平稳的微弱信号,频率范围为0.05~100Hz,90%的心电信号能量都集中在35Hz以内。正常的心电信号包括P波.QRS波群、T波、U波J结合点等,获取心电信号各个成分波的频率分布,便可以对心电信号进行定性以及定量的分析。The ECG signal is a nonlinear, non-stationary weak signal with a frequency range of 0.05-100Hz, and 90% of the ECG signal energy is concentrated within 35Hz. The normal ECG signal includes P wave, QRS complex, T wave, U wave J junction, etc. By obtaining the frequency distribution of each component wave of the ECG signal, the ECG signal can be analyzed qualitatively and quantitatively.
心音、心电信号都存在着各种杂音。杂音存在于正常人及心脏疾病患者。良性杂音频率与正常心音频率相仿,属于中低频,心脏病患者杂音一般频率较高。所以,将信号进行小波包分解,分析其低频分量的能量占信号总能量的比值,就能够判断出心脏的健康程度,而心脏健康与否直接关系到运动强度的大小。There are various murmurs in heart sounds and ECG signals. Murmurs exist in normal people and patients with heart disease. The frequency of benign murmurs is similar to that of normal heart sounds, and belongs to the middle and low frequencies. The murmurs in patients with heart disease generally have a higher frequency. Therefore, by decomposing the signal by wavelet packet and analyzing the ratio of the energy of its low-frequency components to the total energy of the signal, the health of the heart can be judged, and the health of the heart is directly related to the intensity of exercise.
小波包分解的实质是对小波分析后没有分解的高频细节信号作进一步的分解。相比较小波分解在高频部分分辨率差的缺点,小波包分解达到了提高时频分辨率的目的,因此小波包具有更广泛的应用价值。由于小波包是正交分解,每个频带分解后两两不相交叠,输出频带带宽减半,因此采样率虽减半但信息保存完好。The essence of wavelet packet decomposition is to further decompose the high-frequency detail signals that are not decomposed after wavelet analysis. Compared with the disadvantage of poor resolution in the high-frequency part of the wavelet packet decomposition, the wavelet packet decomposition achieves the purpose of improving the time-frequency resolution, so the wavelet packet has a wider application value. Since the wavelet packet is orthogonally decomposed, each frequency band is decomposed without overlapping, and the bandwidth of the output frequency band is halved, so the sampling rate is halved but the information is well preserved.
S3212、分析低频分量的能量占信号总能量的比值,判断心脏的健康程度;S3212, analyze the ratio of the energy of the low frequency component to the total energy of the signal, and judge the health of the heart;
S3213、利用能量熵计算公式计算,并将计算结果作为运动强度的指标。S3213. Calculate by using the energy entropy calculation formula, and use the calculation result as an index of exercise intensity.
其中,所述能量熵计算公式的表达式为:Wherein, the expression of the energy entropy calculation formula is:
式中,R表示能量熵的值;In the formula, R represents the value of energy entropy;
E(i)表示某频带归一化能量,且满足E(i)=|gi(k)|2;E(i) represents the normalized energy of a certain frequency band, and satisfies E(i)=|g i (k)| 2 ;
E表示某层频带能量总和,且满足E=|gn(k)|2;E represents the sum of the band energy of a certain layer, and satisfies E=|g n (k)| 2 ;
gi(k)表示第i频带的小波函数对应的高通滤波器;g i (k) represents the high-pass filter corresponding to the wavelet function of the i-th frequency band;
gn(k)表示某层频带的小波函数对应的高通滤波器;g n (k) represents the high-pass filter corresponding to the wavelet function of a certain layer of frequency bands;
n表示频带序号;n represents the frequency band number;
i表示第i个频带序号。i represents the ith frequency band sequence number.
S322、根据所述用户身体状态在大数据平台进行匹配,筛分出同类型人群,查询该人群康复锻炼过程的运动强度与项目类型,作为参考标准集;S322, performing matching on the big data platform according to the physical state of the user, screening out the same type of crowd, and querying the exercise intensity and item type of the crowd's rehabilitation exercise process as a reference standard set;
在进行大数据匹配筛分过程中,对用户的身体状态进行匹配,即筛选出年龄、性别、体重、身高及疾病情况类似的对比人群,选取条件可上下波动一定范围,同类型的患者具有更高更有效的对比性,能够起到好的参考效果。而参考标准集中将选中的用户运动强度进行均值计算,得到相应的参考标准,更加能加强对比效果,而在安全阈值范围内,超过参考标准,则能够说明运动强度达标,并且能够起到有效的治疗效果。In the process of big data matching and screening, the physical status of users is matched, that is, comparison groups with similar age, gender, weight, height and disease conditions are screened out. The selection conditions can fluctuate within a certain range, and patients of the same type have more Higher and more effective contrast can play a good reference effect. In the reference standard set, the average value of the selected user's exercise intensity is calculated, and the corresponding reference standard is obtained, which can further strengthen the comparison effect. Within the range of the safety threshold, if the exercise intensity exceeds the reference standard, it can indicate that the exercise intensity meets the standard and can play an effective role. treatment effect.
S323、将用户当前的运动强度与所述参考标准集进行分析比较,判断用户当前的运动强度是否达标;S323, analyzing and comparing the current exercise intensity of the user with the reference standard set, to determine whether the current exercise intensity of the user meets the standard;
S324、若用户当前的运动强度不低于所述参考标准集,则通过智能互动方式提醒用户适量运动并进行称赞鼓励;S324. If the current exercise intensity of the user is not lower than the reference standard set, remind the user to exercise in moderation and praise and encourage them through intelligent interaction;
S325、若用户当前的运动强度低于所述参考标准集,则通过智能互动方式对用户进行鼓励加大运动量,并询问是否需要智能化推荐,改变当前的运动模式。S325. If the current exercise intensity of the user is lower than the reference standard set, the user is encouraged to increase the amount of exercise through intelligent interaction, and the user is asked whether intelligent recommendation is required to change the current exercise mode.
其中,所述智能化推荐采用基于遗传学的支持向量机算法,包括以下步骤:Wherein, the intelligent recommendation adopts the support vector machine algorithm based on genetics, including the following steps:
S3251、确定遗传算法的染色体,包括支持向量机参数及用户疾病情况特征值;S3251. Determine the chromosome of the genetic algorithm, including the support vector machine parameters and the characteristic value of the user's disease condition;
S3252、确定遗传算子及适应度函数;S3252. Determine the genetic operator and the fitness function;
其中,所述遗传算子包括选择算子、交叉算子和变异算子;Wherein, the genetic operator includes a selection operator, a crossover operator and a mutation operator;
适应度函数是遗传算法指引搜索的惟一信息,用于评价各码串对问题的适应程度,需遵循的原则包括:选用的特征子集尽可能少;应可实现通用;有利于提高分类准确性。遗传算子主要包括选择算子、交叉算子和变异算子,选择算子将父代中适应度值高的染色体复制到子代中,同时淘汰适应度值低的个体,一般使用轮盘赌法进行选择运算,该方法可有效避免算法陷入局部最优解;交叉算子是随机选择种群中的一对个体,互相交换染色体部分数字串形成新的个体,本发明使用单点交叉法,染色体间随机选择4个数字串进行交叉,;变异算子是以很小概率即变异概率改变遗传基因,即将染色体中数字串的值取反,从而提高种群多样性并防止搜索停滞。The fitness function is the only information searched by the genetic algorithm, which is used to evaluate the adaptability of each code string to the problem. The principles to be followed include: select as few feature subsets as possible; it should be universal; it is beneficial to improve the classification accuracy . Genetic operators mainly include selection operators, crossover operators and mutation operators. The selection operator copies chromosomes with high fitness values from the parent to the offspring, and at the same time eliminates individuals with low fitness values, generally using roulette. This method can effectively avoid the algorithm from falling into the local optimal solution; the crossover operator is to randomly select a pair of individuals in the population, and exchange part of the chromosome number strings to form a new individual. Randomly select 4 number strings for crossover between them; the mutation operator changes the genetic gene with a small probability, that is, the mutation probability, that is, the value of the number string in the chromosome is reversed, thereby improving the diversity of the population and preventing the search stagnation.
所述适应度函数的表达式为:The expression of the fitness function is:
f(x)=f1(x)-η·f2(x)f(x)=f 1 (x)-η·f 2 (x)
式中,f1(x)表示疾病情况分类准确度;In the formula, f 1 (x) represents the classification accuracy of disease conditions;
f2(x)表示选择特征值的数目;f 2 (x) represents the number of selected eigenvalues;
η表示调节权重参数。η represents the adjustment weight parameter.
S3253、使用轮盘赌和加权深度优先搜索方法产生遗传算法的初始种群,并以自适应、启发式的初始化方法保证群体分布的均匀性;S3253, using the roulette wheel and weighted depth-first search method to generate the initial population of the genetic algorithm, and using the adaptive and heuristic initialization method to ensure the uniformity of the population distribution;
S3254、对交叉概率和变异概率进行优化,实现不同进化带书的自适应调整,保留有用遗传信息的同时实现全局搜索。S3254: Optimizing the crossover probability and mutation probability to realize self-adaptive adjustment of different evolutionary bands, and to realize global search while retaining useful genetic information.
S4、通过智能互动方式将所述康复锻炼方案推送给用户与医疗工作者。S4. Push the rehabilitation exercise program to the user and the medical worker in an intelligent interactive manner.
即通过智能推荐算法,根据用户当前的疾病情况等数据,在大数据中匹配出该情况下,最有效的锻炼方式或运动类型,通过对用户进行建议,帮助其在有效的时间内获得更有效的锻炼效果,能够避免长时间单一的运动模式下,造成用户的疲劳与无趣。That is, through the intelligent recommendation algorithm, according to the user's current disease situation and other data, the most effective exercise method or exercise type in the situation is matched in the big data, and by recommending the user, it can help him get more effective in the effective time. The excellent exercise effect can avoid the fatigue and boredom of the user caused by a single exercise mode for a long time.
其中,所述智能互动方式包括人工语音聊天与应用界面推送,且苏搜狐人工语音聊天具备智能问答功能。Wherein, the intelligent interaction method includes artificial voice chat and application interface push, and Su Sohu artificial voice chat has the function of intelligent question and answer.
根据本发明的另一个实施例,如图2所示,还提供了基于医用智能互动设备的心脏康复锻炼的监护系统,该系统包括以下模块组成:According to another embodiment of the present invention, as shown in FIG. 2, a monitoring system for cardiac rehabilitation exercise based on medical intelligent interactive equipment is also provided, and the system includes the following modules:
可穿戴设备监测模块1,用于实时监测并获取用户的健康状态;Wearable device monitoring module 1, used for real-time monitoring and acquisition of the user's health status;
智能互动模块2,用于提供人工语音聊天功能,为用户提供语音播报与进行智能问答;Intelligent
医疗数据库模块3,用于储备专业的医疗护理知识;Medical database module 3, used to reserve professional medical care knowledge;
智能分析处理模块4,用于识别计算用户健康数据与运动强度,并对用户提供智能化推荐与建议;The intelligent analysis and processing module 4 is used to identify and calculate the user's health data and exercise intensity, and provide intelligent recommendations and suggestions to the user;
大数据平台5,用于提供用户共享与医疗大数据并实时进行更新;
移动终端6,用于作为智能终端为各模块提供搭载及应用平台。The
综上所述,借助于本发明的上述技术方案,通过实时监测用户康复锻炼过程,获取精确的健康数据信息,再通过大数据分析结合用户健康数据与身体状态,避免用户过度运动造成心脏负载,且在运动未达标时为用户针对性制定下一步康复锻炼方案,有效保证足够的运动强度,进而满足用户不同状态下的健康需求,显著提高心脏康复锻炼的水平;此外,通过加入智能化互动系统,能够在实时监测过程中,提供人性化预警提醒与专业的医疗护理建议,进而对用户进行鼓励,有效带动用户进行锻炼,提高用户锻炼的效果与黏性。To sum up, with the help of the above technical solutions of the present invention, accurate health data information can be obtained by monitoring the user's rehabilitation exercise process in real time, and then combined with the user's health data and physical state through big data analysis, so as to avoid excessive exercise caused by the user's heart load, And when the exercise does not meet the standard, the next step of rehabilitation exercise plan is formulated for the user to effectively ensure sufficient exercise intensity, thereby meeting the user's health needs in different states, and significantly improving the level of cardiac rehabilitation exercise; in addition, by adding an intelligent interactive system , which can provide humanized early warning reminders and professional medical care suggestions in the process of real-time monitoring, and then encourage users, effectively drive users to exercise, and improve the effect and stickiness of users' exercise.
以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above descriptions are only preferred embodiments of the present invention, and are not intended to limit the present invention. Any modifications, equivalent replacements, improvements, etc. made within the spirit and principles of the present invention shall be included in the scope of the present invention. within the scope of protection.
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CN118737445A (en) * | 2024-06-03 | 2024-10-01 | 广东省人民医院 | Intelligent rehabilitation method, device and medium for patients receiving left ventricular assist device |
CN118737445B (en) * | 2024-06-03 | 2025-01-07 | 广东省人民医院 | Intelligent rehabilitation method, device and medium for receiving left ventricle auxiliary device |
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