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CN114343567A - Physiological parameter monitoring method and monitoring equipment - Google Patents

Physiological parameter monitoring method and monitoring equipment
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CN114343567A
CN114343567ACN202011099803.9ACN202011099803ACN114343567ACN 114343567 ACN114343567 ACN 114343567ACN 202011099803 ACN202011099803 ACN 202011099803ACN 114343567 ACN114343567 ACN 114343567A
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information
monitoring
physiological parameter
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杨康
叶文宇
孙泽辉
何先梁
李明
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Shenzhen Mindray Bio Medical Electronics Co Ltd
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Abstract

Translated fromChinese

本申请公开了一种生理参数监测方法及监测设备,监测方法包括:获取监测对象的个体特征信息;分析个体特征信息,生成报警策略信息;基于报警策略信息,为监测设备配置与监测对象相匹配的报警策略;基于报警策略,分析由生理参数传感器采集的监测对象的至少一个生理参数的生理信号,以输出生理参数报警信息;根据生理参数报警信息,进行报警呈现。

Figure 202011099803

The present application discloses a physiological parameter monitoring method and monitoring equipment. The monitoring method includes: acquiring individual characteristic information of a monitoring object; analyzing the individual characteristic information to generate alarm strategy information; and configuring the monitoring equipment to match the monitoring object based on the alarm strategy information Based on the alarm strategy, analyze the physiological signal of at least one physiological parameter of the monitoring object collected by the physiological parameter sensor to output the physiological parameter alarm information; perform alarm presentation according to the physiological parameter alarm information.

Figure 202011099803

Description

Translated fromChinese
生理参数监测方法及监测设备Physiological parameter monitoring method and monitoring equipment

技术领域technical field

本申请属于医疗监测的技术领域,尤其涉及一种生理参数监测方法及监测设备。The present application belongs to the technical field of medical monitoring, and in particular relates to a physiological parameter monitoring method and monitoring equipment.

背景技术Background technique

监测设备作为各种科室相对常用的医疗设备,其可以获取监测对象的生理参数,以根据报警条件来判断监测对象的身体情况是否出现异常。当监测对象的身体出现异常时,监测设备报警以提醒医护人员。Monitoring equipment, as a relatively commonly used medical equipment in various departments, can obtain the physiological parameters of the monitoring object, so as to judge whether the physical condition of the monitoring object is abnormal according to the alarm condition. When the body of the monitoring object is abnormal, the monitoring equipment will alarm to remind the medical staff.

而对于监测设备的不同监测对象而言,由于病症或者所接受的治疗/护理有所不同,所需关注的生理指标和参数报警也不尽相同。例如,对于冠心病患者,一般没有室性早搏,如果此类患者发生室性早搏,需要特别关注并及时治疗;而对于本身室性早搏的患者,一般在监测过程中一直伴随有室性早搏,反倒不用特别关注室性早博的报警,若仍然沿用原有的报警策略,则可能会产生大量无用的室性早搏的报警。再如,对于术后观察期的危重患者,需重点关注其病情变化,对报警输出敏感度要求更高,而对于已经处于康复期的亚重症患者,病情较为稳定,对报警敏感度要求较低。For different monitoring objects of the monitoring device, due to different symptoms or received treatment/nursing, the physiological indicators and parameter alarms that need to be concerned are also different. For example, patients with coronary heart disease generally do not have premature ventricular contractions. If such patients have premature ventricular contractions, special attention and timely treatment are required; for patients with premature ventricular contractions themselves, they are generally accompanied by premature ventricular contractions during the monitoring process. On the contrary, there is no need to pay special attention to the alarm of ventricular premature beats. If the original alarm strategy is still used, a large number of useless premature ventricular beat alarms may be generated. For another example, for critically ill patients in the postoperative observation period, it is necessary to focus on the changes in their condition and require higher sensitivity to alarm output, while for sub-critically ill patients who are already in the recovery period, their condition is relatively stable and the requirements for alarm sensitivity are lower. .

另一方面,如果患者正在进行例如下床、翻身、吃饭等运动,或者正在接受例如吸痰、抽血、拍背等护理,患者的运动本身、电极片的拉扯和传感器的不良佩戴,会引起生理参数的测量信号质量降低、可靠性变差,测试所监测的生理参数值准确性及报警准确性不高,表现为出现误报警或大量无用报警等,产生报警疲劳,影响正常患者监测和医护护理过程。On the other hand, if the patient is doing exercises such as getting out of bed, turning over, eating, or receiving nursing care such as suctioning, drawing blood, and patting the back, the patient's movement itself, the pulling of the electrode pads, and the poor wearing of the sensor will cause The quality of the measurement signal of the physiological parameters is reduced and the reliability is deteriorated. The accuracy of the physiological parameter values monitored by the test and the accuracy of the alarm are not high. It is manifested as false alarms or a large number of useless alarms, etc., resulting in alarm fatigue, affecting normal patient monitoring and medical care. Nursing process.

因此,由于现有监测设备往往不会对患者病情状态和运动状态等个体特征进行检测和区分,用统一的报警策略来监测具有不同个体特征的患者,会导致报警准确性不高、无意义报警及报警疲劳问题。Therefore, since the existing monitoring equipment often does not detect and distinguish individual characteristics such as the patient's disease state and exercise state, using a unified alarm strategy to monitor patients with different individual characteristics will result in inaccurate and meaningless alarms. and alarm fatigue.

发明内容SUMMARY OF THE INVENTION

本申请提供了一种生理参数监测方法及监测设备,针对具有不同个体特征的患者,及时调整或推荐用户采用不同的报警策略,以解决现有的监测设备容易产生不合理的报警的技术问题,实现更精准、合理的报警。The present application provides a physiological parameter monitoring method and monitoring equipment, which can adjust or recommend users to adopt different alarm strategies in time for patients with different individual characteristics, so as to solve the technical problem that the existing monitoring equipment is prone to generate unreasonable alarms, Realize more accurate and reasonable alarm.

为了解决上述的技术问题,本申请提供了一种生理参数监测方法,包括:获取监测对象的个体特征信息;分析所述个体特征信息,生成报警策略信息;基于所述报警策略信息,为监测设备配置与所述监测对象相匹配的报警策略;基于所述报警策略,分析由生理参数传感器采集的所述监测对象的至少一个生理参数的生理信号,以输出生理参数报警信息;根据所述生理参数报警信息,进行报警呈现。In order to solve the above-mentioned technical problems, the present application provides a method for monitoring physiological parameters, including: acquiring individual characteristic information of a monitoring object; analyzing the individual characteristic information to generate alarm strategy information; Configure an alarm strategy matching the monitoring object; based on the alarm strategy, analyze the physiological signal of at least one physiological parameter of the monitoring object collected by the physiological parameter sensor to output physiological parameter alarm information; according to the physiological parameter Alarm information, for alarm presentation.

一些实施例中,所述个体特征信息包括病情状态信息、运动状态信息中的至少一个。所述获取监测对象的个体特征信息,包括:实时或者间隔时间获取所述监测对象的病情状态信息、运动状态信息。In some embodiments, the individual characteristic information includes at least one of disease state information and exercise state information. The acquiring the individual feature information of the monitoring object includes: acquiring disease state information and motion state information of the monitoring object in real time or at intervals.

一些实施例中,所述病情状态信息包括:诊断病症、医嘱用药、手术病程、护理治疗和临床症状;所述运动状态信息包括:主动个体运动信息和被动个体运动信息。In some embodiments, the disease state information includes: diagnosed disease, prescribed medication, surgical course, nursing treatment and clinical symptoms; the exercise state information includes: active individual movement information and passive individual movement information.

一些实施例中,所述分析所述个体特征信息,生成报警策略信息,包括:分析监测对象的所述病情状态信息、运动状态信息中的至少一个得到分析结果,根据所述分析结果选择性地生成第一类报警策略信息、第二类报警策略信息、第三类报警策略信息、第四类报警策略信息、第五类报警策略信息和第六类报警策略信息中的一个、两个或多个。In some embodiments, the analyzing the individual characteristic information to generate the alarm strategy information includes: analyzing at least one of the disease state information and the motion state information of the monitored object to obtain an analysis result, and selectively selecting the information according to the analysis result. Generate one, two or more of the first type of alarm policy information, the second type of alarm policy information, the third type of alarm policy information, the fourth type of alarm policy information, the fifth type of alarm policy information and the sixth type of alarm policy information indivual.

其中,所述第一类报警策略信息包括提高所述监测设备监测的所述至少一个生理参数的报警频次的第一类报警策略;所述第二类报警策略信息包括降低所述监测设备监测的所述至少一个生理参数的报警频次的第二类报警策略;所述第三类报警策略信息包括调整所述监测设备监测的所述至少一个生理参数的类型的第三类报警策略;所述第四类报警策略信息包括延长所述监测设备监测的所述至少一个生理参数的报警输出延迟时间或屏蔽所述监测设备监测的所述至少一个生理参数的报警的第四类报警策略;所述第五类报警策略信息包括缩短所述监测设备监测的所述至少一个生理参数的报警输出延迟时间的第五类报警策略;所述第六类报警策略信息包括调整所述监测设备监测的所述至少一个生理参数的报警等级。The first type of alarm strategy information includes a first type of alarm strategy for increasing the alarm frequency of the at least one physiological parameter monitored by the monitoring device; the second type of alarm strategy information includes a reduction in the alarm frequency of the monitoring device. The second type of alarm strategy for the alarm frequency of the at least one physiological parameter; the third type of alarm strategy information includes a third type of alarm strategy for adjusting the type of the at least one physiological parameter monitored by the monitoring device; the third type of alarm strategy The four types of alarm strategy information include a fourth type of alarm strategy for extending the alarm output delay time of the at least one physiological parameter monitored by the monitoring device or shielding the alarm of the at least one physiological parameter monitored by the monitoring device; The five types of alarm strategy information includes a fifth type of alarm strategy that shortens the alarm output delay time of the at least one physiological parameter monitored by the monitoring device; the sixth type of alarm strategy information includes adjusting the at least one physiological parameter monitored by the monitoring device. An alarm level for a physiological parameter.

一些实施例中,所述基于所述报警策略信息,为监测设备配置与所述监测对象相匹配的报警策略,包括:基于所述第一类报警策略信息,对所述监测设备装载第一类报警策略;根据所述第一类报警策略,提高所述监测设备监测的所述至少一个生理参数的报警频次。In some embodiments, configuring the monitoring device with an alarm policy that matches the monitoring object based on the alarm policy information includes: loading the monitoring device with a first type of alarm policy information based on the first type of alarm policy information. An alarm strategy; according to the first type of alarm strategy, the alarm frequency of the at least one physiological parameter monitored by the monitoring device is increased.

或者,基于所述第二类报警策略信息,对所述监测设备装载第二类报警策略;根据所述第二类报警策略,降低所述监测设备监测的所述至少一个生理参数的报警频次。Alternatively, based on the second type of alarm policy information, the monitoring device is loaded with a second type of alarm policy; according to the second type of alarm policy, the alarm frequency of the at least one physiological parameter monitored by the monitoring device is reduced.

或者,基于所述第三类报警策略信息,对所述监测设备装载第三类报警策略;根据所述第三类报警策略,调整所述监测设备监测的所述至少一个生理参数的类型。Or, based on the third-type alarm policy information, load the monitoring device with a third-type alarm policy; and adjust the type of the at least one physiological parameter monitored by the monitoring device according to the third-type alarm policy.

或者,基于所述第四类报警策略信息,对所述监测设备装载第四类报警策略;根据所述第四类报警策略,延长所述监测设备监测的所述至少一个生理参数的报警输出延迟时间或屏蔽所述监测设备监测的所述至少一个生理参数的报警。Or, based on the fourth type of alarm policy information, load the monitoring device with a fourth type of alarm policy; according to the fourth type of alarm policy, prolong the alarm output delay of the at least one physiological parameter monitored by the monitoring device Time or mask an alarm for the at least one physiological parameter monitored by the monitoring device.

或者,基于所述第五类报警策略信息,对所述监测设备装载第五类报警策略;根据所述第五类报警策略,缩短所述监测设备监测的所述至少一个生理参数的报警输出延迟时间。Or, based on the fifth type of alarm policy information, load the monitoring device with a fifth type of alarm policy; according to the fifth type of alarm policy, shorten the alarm output delay of the at least one physiological parameter monitored by the monitoring device time.

或者,基于所述第六类报警策略信息,对所述监测设备装载第六类报警策略;根据所述第六类报警策略,调整所述监测设备监测的所述至少一个生理参数的报警等级。Alternatively, based on the sixth type of alarm policy information, the monitoring device is loaded with a sixth type of alarm policy; according to the sixth type of alarm policy, the alarm level of the at least one physiological parameter monitored by the monitoring device is adjusted.

一些实施例中,所述基于所述报警策略信息,为监测设备配置与所述监测对象相匹配的报警策略,还包括:在监测对象的所述个体特征信息发生变化后,撤销当前为所述监测设备装载的报警策略。In some embodiments, configuring the monitoring device with an alarm policy that matches the monitoring object based on the alarm policy information further includes: after the individual characteristic information of the monitoring object changes, canceling the current status of the monitoring device. Alarm strategy for monitoring equipment loading.

一些实施例中,所述调整所述监测设备测量的生理参数的类型,包括:增加所述监测设备测量的生理参数的类型;或者,减少所述监测设备测量的生理参数的类型;或者,改变所述监测设备测量的生理参数的类型。In some embodiments, the adjusting the type of the physiological parameter measured by the monitoring device includes: increasing the type of the physiological parameter measured by the monitoring device; or, decreasing the type of the physiological parameter measured by the monitoring device; or, changing The type of physiological parameter measured by the monitoring device.

一些实施例中,提高和/或降低所述监测设备监测的所述至少一个生理参数的报警频次,通过以下方式中的至少一个实现:调整所述至少一个生理参数的报警阈值;调整所述至少一个生理参数的报警条件;或者,调整所述至少一个生理参数的报警不应期。In some embodiments, increasing and/or decreasing the alarm frequency of the at least one physiological parameter monitored by the monitoring device is implemented by at least one of the following methods: adjusting the alarm threshold of the at least one physiological parameter; adjusting the at least one physiological parameter. an alarm condition for one physiological parameter; alternatively, an alarm refractory period for adjusting the at least one physiological parameter.

一些实施例中,所述分析所述个体特征信息,生成报警策略信息,包括:当所述个体特征信息包括监测对象在接受特定动作的信息,生成延长所述监测设备的报警输出延迟时间的报警策略信息;其中,所述特定动作包括日常护理动作和手术动作。In some embodiments, the analyzing the individual characteristic information to generate the alarm policy information includes: when the individual characteristic information includes the information that the monitoring object is receiving a specific action, generating an alarm that prolongs the alarm output delay time of the monitoring device. Policy information; wherein the specific actions include daily nursing actions and surgical actions.

一些实施例中,所述基于所述报警策略信息,为监测设备配置与所述监测对象相匹配的报警策略,包括:延长所述监测设备的报警输出延迟时间,或者,使所述监测设备在监测对象执行特定动作的期间内屏蔽报警。In some embodiments, configuring the monitoring device with an alarm policy that matches the monitoring object based on the alarm policy information includes: extending the alarm output delay time of the monitoring device, or making the monitoring device in The alarm is masked during the period when the monitoring object performs a specific action.

一些实施例中,所述分析所述个体特征信息,生成报警策略信息,包括:当所述个体特征信息包括监测对象处于术后恢复的信息,生成缩短所述监测设备的报警输出延迟时间的报警策略信息。In some embodiments, the analyzing the individual characteristic information to generate the alarm policy information includes: when the individual characteristic information includes information that the monitoring subject is recovering after surgery, generating an alarm that shortens the alarm output delay time of the monitoring device. Policy information.

一些实施例中,所述基于所述报警策略信息,为监测设备配置与所述监测对象相匹配的报警策略,包括:在监测对象处于术后恢复的期间内,缩短所述监测设备的报警输出延迟时间。In some embodiments, configuring the monitoring device with an alarm strategy matching the monitoring object based on the alarm strategy information includes: shortening the alarm output of the monitoring device during the period when the monitoring object is recovering after surgery. delay.

一些实施例中,所述分析所述个体特征信息,生成报警策略信息,包括:当所述个体特征信息包括监测对象室性心律失常并且室性心率失常的报警频发的信息,生成降低所述监测设备基于室性心率失常的报警频次的报警策略信息。In some embodiments, the analyzing the individual characteristic information to generate the alarm policy information includes: when the individual characteristic information includes the information that the monitoring object has ventricular arrhythmia and the alarm of ventricular arrhythmia occurs frequently, generating a lowering of the The monitoring device is based on the alarm strategy information of the alarm frequency of ventricular arrhythmia.

一些实施例中,所述监测方法还包括:在装载或者撤销所述报警策略的过程中,生成对应的提示信息;所述提示信息包括提示装载、完成装载或者撤销装载所述报警策略的信息。In some embodiments, the monitoring method further includes: in the process of loading or revoking the alarm policy, generating corresponding prompt information; the prompt information includes information prompting to load, complete the load, or cancel the load of the alarm policy.

本申请实施例还提供了一种生理参数监测设备,包括:处理器。所述处理器存储有计算机程序;所述计算机程序在被所述处理器执行时实现上述各实施例的生理参数监测方法。The embodiments of the present application also provide a physiological parameter monitoring device, including: a processor. The processor stores a computer program; when executed by the processor, the computer program implements the physiological parameter monitoring methods of the foregoing embodiments.

本申请通过获取和分析监测对象的个体特征信息,得到对应监测对象的报警策略。通过在监测设备中配置报警策略,使得监测设备能够提供与监测对象相匹配的监测体验。监测设备在监测过程中适应性地输出报警信息并进行报警呈现,以在提醒医护人员的同时降低出现报警疲劳等可能。The present application obtains an alarm strategy corresponding to the monitoring object by acquiring and analyzing the individual characteristic information of the monitoring object. By configuring an alarm policy in the monitoring device, the monitoring device can provide a monitoring experience that matches the monitoring object. The monitoring equipment adaptively outputs alarm information and presents the alarm during the monitoring process, so as to remind medical staff and reduce the possibility of alarm fatigue.

附图说明Description of drawings

图1是本申请实施例提供的一种监测方法的流程图。FIG. 1 is a flowchart of a monitoring method provided by an embodiment of the present application.

图2是本申请实施例提供的另一种监测方法的示意图。FIG. 2 is a schematic diagram of another monitoring method provided by an embodiment of the present application.

图3是本申请实施例提供的一种监测设备的示意图。FIG. 3 is a schematic diagram of a monitoring device provided by an embodiment of the present application.

具体实施方式Detailed ways

为了对本申请的技术特征、目的和效果有更加清楚的理解,现对照附图详细说明本申请的具体实施方式。In order to have a clearer understanding of the technical features, purposes and effects of the present application, the specific embodiments of the present application will now be described in detail with reference to the accompanying drawings.

现有的监测设备中,会通过生理参数传感器来采集监测对象的至少一种生理信号,通过对生理信号的分析而得到对应的生理参数。针对得到的每种生理参数,监测设备会设置对应的报警条件,当生理参数满足一定的报警条件时,例如生理参数超过预设报警阈值或者生理参数的波形满足特定的异常波形形态时,监测设备输出对应的报警信息,并通过报警器进行报警呈现。In the existing monitoring equipment, at least one physiological signal of the monitoring object is collected through a physiological parameter sensor, and the corresponding physiological parameter is obtained by analyzing the physiological signal. For each physiological parameter obtained, the monitoring device will set corresponding alarm conditions. When the physiological parameter meets certain alarm conditions, such as when the physiological parameter exceeds the preset alarm threshold or the waveform of the physiological parameter meets a specific abnormal waveform shape, the monitoring device will Output the corresponding alarm information, and display the alarm through the alarm device.

以心率来举例说明,监测设备内部对心率这个生理参数设置的报警条件例如为当测量的心率超过120次/分钟的报警阈值时,产生心率过高报警。基于该报警条件,当监测对象监测心率为125次/分钟超过报警阈值时,监测设备会响应这个心率而产生心率过高的报警信息,并进行报警呈现。再以房颤的报警来举例说明,当获取的心电参数满足对应房颤的参数波形形态时,可以确定,该监测对象发生房颤,监测设备产生房颤的报警信息,并进行报警呈现。Taking heart rate as an example, the alarm condition set for the physiological parameter of heart rate in the monitoring device is, for example, when the measured heart rate exceeds the alarm threshold of 120 beats/min, an alarm of high heart rate is generated. Based on the alarm condition, when the monitored heart rate is 125 beats/min and exceeds the alarm threshold, the monitoring device will respond to the heart rate to generate an alarm message that the heart rate is too high, and display the alarm. Taking the alarm of atrial fibrillation as an example, when the acquired ECG parameters meet the parameter waveform shape corresponding to atrial fibrillation, it can be determined that atrial fibrillation occurs in the monitoring object, and the monitoring device generates alarm information of atrial fibrillation and displays the alarm.

应当理解,以上是监测设备对监测对象进行监测的可能情况,其触发报警的方式简单而清晰。但是,在实际的监测过程中,由于个体特征差异,每个监测对象的病情状况不尽相同。此导致在对不同的监测对象进行监测的过程中,即使是同一型号的监测设备也容易因为监测对象的个体差异而产生一些原本无需关注、不合理的报警。该些报警容易导致报警疲劳,影响医护人员对监测对象的正常护理及监测过程。It should be understood that the above are possible situations in which the monitoring device monitors the monitoring object, and the manner of triggering an alarm is simple and clear. However, in the actual monitoring process, due to differences in individual characteristics, the condition of each monitoring object is not the same. As a result, in the process of monitoring different monitoring objects, even the monitoring equipment of the same type is prone to generate some unreasonable alarms that do not need to be paid attention to because of the individual differences of the monitoring objects. These alarms easily lead to alarm fatigue, which affects the normal nursing and monitoring process of the medical staff to the monitoring object.

承接上面的例子再加说明,当监测对象患有心律失常的疾病,基础心率较高,其心率在一段时间内的波动范围为98次/分钟~121次/分钟。虽然该心率中至少一个超过了监测设备内的报警阈值,但是由于监测对象患有的心律失常的疾病,该波动范围的心率实际上是处于监测对象平常状态的范围内;即,该些心率无需监测也可被医护人员预料。因此,基于该波动范围的心率的报警并不是医护人员需要去重点关注的报警,并且在一定程度上会对医护人员造成干扰,导致报警疲劳。Continuing the above example, it is further explained that when the monitoring object suffers from arrhythmia disease, the basal heart rate is relatively high, and the fluctuation range of its heart rate within a period of time is 98 beats/min to 121 beats/min. Although at least one of the heart rates exceeds the alarm threshold in the monitoring device, due to the arrhythmia disease of the monitoring subject, the heart rate in this fluctuation range is actually within the range of the normal state of the monitoring subject; that is, these heart rates do not need to be Monitoring can also be anticipated by healthcare professionals. Therefore, the alarm based on the heart rate in the fluctuation range is not an alarm that medical staff need to pay attention to, and to a certain extent, it will interfere with the medical staff and cause alarm fatigue.

为了解决以上的问题,以根据不同的监测对象来提供具有针对性的报警策略,本申请的实施例提供了生理参数监测方法和对应各监测方法的监测设备。In order to solve the above problems and provide targeted alarm strategies according to different monitoring objects, the embodiments of the present application provide a physiological parameter monitoring method and a monitoring device corresponding to each monitoring method.

其中,各实施例的监测方法均可以适用于各类型的监测设备中,以通过配置报警策略的方式来使监测设备匹配不同的监测对象,而适应性地进行报警。其中,监测设备可例如为床边监护仪、可穿戴式监护仪、转运监护仪等等。Wherein, the monitoring method of each embodiment can be applied to various types of monitoring equipment, so that the monitoring equipment can be matched with different monitoring objects by configuring the alarm strategy, and the alarm can be adaptively performed. The monitoring device may be, for example, a bedside monitor, a wearable monitor, a transport monitor, and the like.

应当理解,各实施例中提到的生理参数可以是监护数值形态的生理参数,比如:数值形式的心率、呼吸率、收缩压和舒张压等等。此外,各实施例的生理参数也可以是波形形态的生理特征,比如房颤、室颤等心律失常,本申请对生理参数的表现形式不加限制。It should be understood that the physiological parameters mentioned in the various embodiments may be physiological parameters in the form of monitoring numerical values, such as heart rate, respiratory rate, systolic blood pressure, diastolic blood pressure and the like in numerical form. In addition, the physiological parameters in each embodiment may also be physiological characteristics of waveform forms, such as arrhythmias such as atrial fibrillation and ventricular fibrillation, and the present application does not limit the manifestation of the physiological parameters.

应当理解,为简化分析以便于理解本申请的技术方案,各实施例的监测方法和监测设备主要是以相对直观的心率的生理参数来举例说明,但不以此为限。It should be understood that, in order to simplify the analysis and facilitate the understanding of the technical solutions of the present application, the monitoring methods and monitoring devices in each embodiment are mainly illustrated with relatively intuitive physiological parameters of heart rate, but are not limited thereto.

请参考图1,本申请实施例提供的一种生理参数监测方法,包括但不限于以下的步骤:Referring to FIG. 1 , a method for monitoring physiological parameters provided in an embodiment of the present application includes but is not limited to the following steps:

101:获取监测对象的个体特征信息。101: Acquire individual characteristic information of the monitoring object.

应当理解,本申请各实施例提供的监测方法会先获取监测对象的个体特征信息,以根据个体特征信息来给监测对象配置合适的报警策略。It should be understood that, in the monitoring methods provided by the embodiments of the present application, individual characteristic information of the monitoring object is obtained first, so as to configure an appropriate alarm strategy for the monitoring object according to the individual characteristic information.

个体特征信息包括病情状态信息和运动状态信息中的至少一个。即,在步骤101中,可以获取病情状态信息和运动状态信息中的至少一个信息,以便于根据这些信息来生成对应的报警策略信息。The individual characteristic information includes at least one of disease state information and exercise state information. That is, instep 101, at least one of the disease state information and the motion state information may be acquired, so as to generate corresponding alarm policy information according to the information.

一些实施例中,病情状态信息主要是针对监测对象的身体情况的信息。该病情状态信息至少包括:诊断病症、医嘱用药、手术病程、护理治疗和临床症状。应当理解,该些病情状态信息可以通过读取监测对象的电子病历得出、通过医护人员或者监测对象手动输入等方式实现获取,对此不加限制。In some embodiments, the disease state information is mainly information on the physical condition of the monitoring object. The disease state information at least includes: diagnosed disease, doctor's prescribed medication, surgical course, nursing treatment and clinical symptoms. It should be understood that the disease state information can be obtained by reading the electronic medical record of the monitoring object, or being manually input by medical staff or the monitoring object, etc., which is not limited.

一些实施例中,运动状态信息主要是针对监测对象运动的信息。该运动状态信息大致上可以概括为主动个体运动信息和被动个体运动信息。In some embodiments, the motion state information is mainly information about the motion of the monitored object. The motion state information can be roughly summarized as active individual motion information and passive individual motion information.

其中,主动个体运动信息是监测对象主动发起运动所产生的状态信息,比如:翻身、吃饭、上下楼梯或者散步等。被动运动信息是其他人对监测对象进行相关操作而使监测对象被动产生运动的状态信息。Among them, the active individual movement information is the state information generated by the monitoring object actively initiating movement, such as: turning over, eating, going up and down stairs, or walking, etc. Passive motion information is state information that other people perform related operations on the monitored object to passively generate motion for the monitored object.

其中,该被动个体运动信息例如可以包括监测对象接收特定动作的信息;特定动作例如为日常护理动作和手术动作等。比如:医护人员对监测对象的抽血、吸痰等护理动作、对监测对象进行辅助康复的动作或者家属对监测对象的拍背动作等等。Wherein, the passive individual movement information may include, for example, the information that the monitoring object receives a specific action; the specific action is, for example, a daily nursing action, a surgical action, and the like. For example, nursing actions such as blood drawing and sputum suction of the monitoring object by medical staff, assisting rehabilitation of the monitoring object, or family members' slapping the monitoring object on the back, etc.

在通过监测设备进行监测的过程中,有些监测设备是便携、可穿戴式的设备,例如,手环式的监测设备、具有贴片式传感器的监测设备等,监测对象可佩戴该些监测设备,而实现实时监测。该些监测设备例如可通过传感器贴合监测对象的方式来采集监测对象的生理信号,进而通过对生理信号的分析而得到生理参数。但是在监测对象佩戴此类型的监测设备以进行监测的过程中,当监测对象存在主动个体运动或者被动个体运动,该些监测设备的传感器容易被拉扯或者佩戴不良,由此容易产生一些没有意义的报警。而该些报警并不具备供医护人员查阅的价值,在对医护人员造成干扰的同时,也容易引起报警疲劳。In the process of monitoring through monitoring devices, some monitoring devices are portable and wearable devices, such as wristband-type monitoring devices, monitoring devices with patch sensors, etc. The monitoring object can wear these monitoring devices, And realize real-time monitoring. These monitoring devices may, for example, collect the physiological signals of the monitoring object by attaching the sensors to the monitoring object, and then obtain the physiological parameters by analyzing the physiological signals. However, when the monitoring object wears this type of monitoring equipment for monitoring, when the monitoring object has active individual movement or passive individual movement, the sensors of these monitoring equipment are easily pulled or worn poorly, which is prone to some meaningless. Call the police. However, these alarms do not have the value for medical staff to consult, and while causing interference to medical staff, it is also easy to cause alarm fatigue.

此外,在监测对象存在主动个体运动或者被动个体运动、并且传感器贴合良好的情况下,若是监测设备得到的生理参数满足对应的报警条件,产生的报警信息可能是在监测对象受到运动影响的情况下产生的。应当理解,该报警信息虽然是基于监测对象真实的身体变化而产生的,但是可信程度较低;即,医护人员并不需要特别关注这些报警信息。In addition, when the monitoring object has active individual movement or passive individual movement, and the sensor fits well, if the physiological parameters obtained by the monitoring device meet the corresponding alarm conditions, the generated alarm information may be when the monitoring object is affected by movement. generated below. It should be understood that although the alarm information is generated based on the real physical changes of the monitored object, the degree of reliability is low; that is, the medical staff does not need to pay special attention to the alarm information.

例如:医护人员在对监测对象进行吸痰护理的过程中,监测对象受刺激而容易产生抖动。该抖动会使从监测对象上得到的如心率等的生理参数产生较大波动,并容易满足如心律失常等的报警条件。基于此,监测设备也会相对频繁地输出报警信息,并进行报警提醒。但是应当理解,该些报警是由于医护人员对监测对象进行吸痰护理而诱发的,医护人员可以预料到监测对象在吸痰护理过程中所可能产生的一些应激的生理反应,因此并不需要去关注该些报警。For example, in the process of sucking sputum care for the monitoring object by the medical staff, the monitoring object is easily stimulated and shakes easily. The jitter will cause large fluctuations in physiological parameters such as heart rate obtained from the monitoring object, and easily satisfy alarm conditions such as arrhythmia. Based on this, the monitoring equipment will also output alarm information relatively frequently and give an alarm reminder. However, it should be understood that these alarms are induced by the medical staff performing sputum suction nursing care for the monitoring object, and the medical staff can expect some stressful physiological reactions that the monitoring object may produce during the sputum suction nursing process, so it is not necessary to To pay attention to these alarms.

基于此,本申请实施例通过获取监测对象的运动状态信息,可以在监测对象存在运动的期间内,采取相应的报警策略,可以调整在此期间内监测设备产生报警的频次,以降低一些报警对医护人员的干扰及降低出现报警疲劳的可能。Based on this, by acquiring the motion state information of the monitoring object, the embodiment of the present application can adopt a corresponding alarm strategy during the period when the monitoring object is in motion, and can adjust the frequency of alarms generated by the monitoring equipment during this period, so as to reduce the number of alarms on some alarms. Interference from healthcare workers and reduced likelihood of alarm fatigue.

一些实施例中,运动状态信息可以通过视频监测、运动传感分析、电极极化电压分析、电极阻抗状态分析、数据信号质量分析等方式来获取。在其他的一些实施例中,运动状态信息可以是由监测对象或者医护人员输出而生成,对此不加限制。In some embodiments, the motion state information may be acquired by means of video monitoring, motion sensing analysis, electrode polarization voltage analysis, electrode impedance state analysis, data signal quality analysis, and the like. In some other embodiments, the motion state information may be generated by the output of the monitoring object or the medical staff, which is not limited.

102:分析个体特征信息,生成报警策略信息。102: Analyze individual characteristic information to generate alarm policy information.

应当理解,在此步骤中,通过对监测对象的病情状态和/或运动状态的分析,可以确定在监测设备获取的生理参数中,有哪些生理参数是相对重要的以及有哪些生理参数是相对不重要的,以及,确定监测设备产生的报警信息的可信程度,由此可以得到对应该监测对象的分析结果。It should be understood that in this step, by analyzing the disease state and/or exercise state of the monitored object, it can be determined which physiological parameters are relatively important and which are relatively unimportant among the physiological parameters acquired by the monitoring device. It is also important to determine the reliability of the alarm information generated by the monitoring equipment, so that the analysis results corresponding to the monitoring object can be obtained.

基于该分析结果,选择性地生成第一类报警策略信息、第二类报警策略信息、第三类报警策略信息、第四类报警策略信息、第五类报警策略信息和第六类报警策略中的一个、两个或多个。Based on the analysis result, the first type of alarm policy information, the second type of alarm policy information, the third type of alarm policy information, the fourth type of alarm policy information, the fifth type of alarm policy information and the sixth type of alarm policy information are selectively generated. one, two or more of them.

一些实施例中,该生成报警策略信息,可以指监测设备原先没有报警策略信息,通过各实施例的方法给该监测设备增加报警策略信息,以配置相应的报警策略。在其他的一些实施例中,该生成报警策略信息,可以指更换监测设备原先的报警策略信息,以更改配置的报警策略。在其他的一些实施例中,该生成报警策略信息,可以指选择监测设备中的至少一个报警策略信息,以配置对应的报警策略。In some embodiments, the generating alarm policy information may refer to that the monitoring device does not have alarm policy information originally, and the alarm policy information is added to the monitoring device by the method of each embodiment to configure a corresponding alarm policy. In some other embodiments, the generating of the alarm policy information may refer to replacing the original alarm policy information of the monitoring device to change the configured alarm policy. In some other embodiments, the generating alarm policy information may refer to selecting at least one alarm policy information in the monitoring device to configure a corresponding alarm policy.

一些实施例中,第一类报警策略信息包括提高监测设备监测的至少一个生理参数的报警频次的第一类报警策略。应当理解,此类型的报警策略在一定程度上可以使监测设备的报警更为频繁。In some embodiments, the first type of alarm policy information includes a first type of alarm policy for increasing the alarm frequency of at least one physiological parameter monitored by the monitoring device. It will be appreciated that this type of alerting strategy may, to a certain extent, result in more frequent alerting of the monitoring device.

比如:当监测对象的病情状态信息显示该监测对象刚刚做完手术并处于术后恢复的状态,医护人员对此类监测对象会重点关注。对此,通过该第一类的报警策略信息,可以在监测设备中对应配置第一类报警策略。当该监测对象相关的生理参数出现异常波动时,更容易被医护人员注意到,以便于医护人员及时掌握监测对象的相关情况以及适应性进行相关操作。For example, when the condition status information of the monitoring object shows that the monitoring object has just completed an operation and is recovering after surgery, the medical staff will focus on such monitoring objects. In this regard, through the first type of alarm policy information, the first type of alarm policy can be correspondingly configured in the monitoring device. When abnormal fluctuations occur in the physiological parameters related to the monitoring object, it is easier for the medical staff to notice, so that the medical staff can grasp the relevant situation of the monitoring object in time and perform related operations adaptively.

一些实施例中,第二类报警策略信息包括降低监测设备监测的至少一个生理参数的报警频次的第二类报警策略。应当理解,此类型的报警策略在一定程度上可以降低监测设备的报警频次。In some embodiments, the second type of alarm policy information includes a second type of alarm policy that reduces the alarm frequency of at least one physiological parameter monitored by the monitoring device. It should be understood that this type of alarm strategy can reduce the alarm frequency of the monitoring device to a certain extent.

比如:当监测对象的病情状态信息显示该监测对象是处于康复期的亚重症病人,即该监测对象的病情相对稳定。医护人员可以降低对该监测对象的关注程度。对此,通过该第二类的报警策略信息,可以在监测设备中对应配置第二类报警策略。当该监测对象在相关的生理参数出现异常波动时,医护人员可以较少地进行关注,以将时间分配在其他监测对象或者其他事情上。For example, when the disease state information of the monitoring object shows that the monitoring object is a sub-critically ill patient in the convalescent stage, that is, the monitoring object's condition is relatively stable. Medical staff can reduce the level of concern about the monitoring object. In this regard, through the second type of alarm policy information, the second type of alarm policy can be correspondingly configured in the monitoring device. When the monitoring object has abnormal fluctuations in the relevant physiological parameters, the medical staff can pay less attention to allocate time to other monitoring objects or other things.

一些实施例中,提高或者降低监测设备的至少一个生理参数的报警频次,可以通过调整对应的生理参数的报警条件来实现;或者,可以通过调整对应的生理参数的报警阈值来实现;或者,可以通过调整对应的生理参数的报警不应期来实现。In some embodiments, increasing or decreasing the alarm frequency of at least one physiological parameter of the monitoring device can be realized by adjusting the alarm condition of the corresponding physiological parameter; or, it can be realized by adjusting the alarm threshold of the corresponding physiological parameter; This is achieved by adjusting the alarm refractory period of the corresponding physiological parameters.

以下主要通过心率的生理参数来对报警频次的相关方案举例说明。The following mainly uses the physiological parameters of the heart rate to illustrate the related scheme of the alarm frequency.

监测设备例如每秒获取一次监测对象的心率,对应的报警条件为心率超过120次/分钟产生报警。当连续获取监测对象的心率依次为118次/分钟、122次/分钟和121次/分钟时,此三个心率中两个超过了120次/分钟的报警阈值,监测设备相应输出两次心率的报警信息,并进行两次报警呈现。For example, the monitoring device obtains the heart rate of the monitoring object once per second, and the corresponding alarm condition is that the heart rate exceeds 120 beats/min to generate an alarm. When the continuously obtained heart rate of the monitored object is 118 beats/min, 122 beats/min, and 121 beats/min, two of the three heart rates exceed the alarm threshold of 120 beats/min, and the monitoring device outputs two heart rates accordingly. Alarm information, and two alarm presentations are performed.

适用到本申请实施例提供的监测方法中,针对报警条件、报警阈值的方案,在配置第一类或者第二类报警策略后,监测设备可以适应性地改变报警条件或者报警阈值,以调整对应的生理参数的报警频次。应当理解,对于不同的生理参数,其报警条件可能是报警阈值或者特定的异常波形形态或者上述二者的结合;其中,报警阈值属于报警条件的一个分支。Applicable to the monitoring method provided by the embodiment of the present application, for the solution of alarm conditions and alarm thresholds, after configuring the first or second type of alarm policy, the monitoring device can adaptively change the alarm conditions or alarm thresholds to adjust the corresponding alarm conditions or alarm thresholds. The alarm frequency of the physiological parameter. It should be understood that, for different physiological parameters, the alarm condition may be an alarm threshold or a specific abnormal waveform shape or a combination of the above two; wherein, the alarm threshold belongs to a branch of the alarm condition.

基于第一类报警策略信息或者第二类报警策略信息,为监测设备对应配置的第一类报警策略或者第二类报警策略,通过对报警条件或者报警阈值的调整,可以适应性地调整监测设备监测的生理参数的报警频次,以实现更精准、合理的报警。Based on the first type of alarm policy information or the second type of alarm policy information, the first type of alarm policy or the second type of alarm policy correspondingly configured for the monitoring device can be adaptively adjusted by adjusting the alarm conditions or alarm thresholds. Alarm frequency of monitored physiological parameters to achieve more accurate and reasonable alarms.

例如:承接上述的心率的例子,可以将心率的报警阈值改成110次/分钟,则获取的三次心率均超过了报警阈值,监测设备相应输出三次心率的报警信息;或者,可以心率的报警阈值改成130次/分钟,则获取的三次心率均没有超过报警阈值,监测设备也就不会输出心率的报警信息。For example, following the above example of heart rate, the heart rate alarm threshold can be changed to 110 beats/min, then the obtained three heart rates all exceed the alarm threshold, and the monitoring device outputs three heart rate alarm messages accordingly; or, the heart rate alarm threshold can be set If it is changed to 130 beats/min, the heart rate obtained three times does not exceed the alarm threshold, and the monitoring device will not output heart rate alarm information.

一些实施例中,针对报警条件的方案,还可以在报警阈值的基础上,增加生理参数满足报警阈值的持续时间等的限定,以下通过一些例子来举例说明,但不以此为限。In some embodiments, for the solution of the alarm condition, on the basis of the alarm threshold, limits such as the duration of the physiological parameter meeting the alarm threshold may be added, which are illustrated by some examples below, but not limited thereto.

例如:原先的报警条件为心率超过120次/分钟,调整后的报警条件为心率超过120次/分钟并且持续时间大于4秒。当连续4秒内获得的心率均满足报警阈值时,才满足报警条件;监测设备相应输出心率的报警信息,并进行报警呈现。反之,若是连续4秒内获得的心率不能完全满足报警阈值,则不满足报警条件。For example: the original alarm condition is that the heart rate exceeds 120 beats/min, and the adjusted alarm condition is that the heart rate exceeds 120 beats/min and the duration is greater than 4 seconds. Only when the heart rate obtained within 4 consecutive seconds meets the alarm threshold, the alarm condition is met; the monitoring device outputs the alarm information of the heart rate correspondingly, and displays the alarm. Conversely, if the heart rate obtained within 4 consecutive seconds cannot fully satisfy the alarm threshold, the alarm condition is not satisfied.

又例如:对于室性早搏(PVC,Premature Ventricular Contractions)报警,原先的报警条件是出现一个PVC即输出PVC的报警信息,调整后的报警条件为当次心博出现PVC,且当次心博的前面十个心博内同样出现PVC。即,在任意连续的十一个心博内出现两个PVC,则第二个PVC满足了报警条件;监测设备相应输出PVC的报警信息,并进行报警呈现。任意连续的十一个心博内出现多个PVC可以做类比理解,在此不加赘述。Another example: for premature ventricular contractions (PVC, Premature Ventricular Contractions) alarm, the original alarm condition is that a PVC occurs, that is, the alarm information of the PVC is output. PVC also appeared in the first ten hearts. That is, if two PVCs appear in any consecutive eleven heartbeats, the second PVC satisfies the alarm condition; the monitoring device outputs the alarm information of the PVC accordingly, and presents the alarm. The occurrence of multiple PVCs in any consecutive eleven heartbeats can be understood by analogy, and will not be repeated here.

一些实施例中,针对报警不应期的方案,监测设备可以调整生理参数的报警不应期,以此来调整基于该生理参数的报警频率。以心率、报警不应期为30秒为例,在基于心率的报警报出后的30秒内,即使在这30秒内获取的其他心率同样是满足了报警条件,也不再报出基于心率的报警。在30秒后,若获取的心率满足报警条件,则会报出基于心率的报警。此外,针对报警不应期的方案,还可以在报警不应期内,不报出比当前报警的报警等级低的其他报警。In some embodiments, for the solution of the alarm refractory period, the monitoring device can adjust the alarm refractory period of the physiological parameter, so as to adjust the alarm frequency based on the physiological parameter. Taking the heart rate and the alarm refractory period of 30 seconds as an example, within 30 seconds after the heart rate-based alarm is reported, even if other heart rates obtained within these 30 seconds also meet the alarm conditions, the heart rate-based alarm will no longer be reported. 's alarm. After 30 seconds, if the obtained heart rate meets the alarm conditions, an alarm based on heart rate will be reported. In addition, for the scheme of the alarm refractory period, other alarms lower than the alarm level of the current alarm may not be reported during the alarm refractory period.

一些实施例中,针对报警不应期的方案,监测设备还可以改变基于心率的报警输出敏感度,以调整基于心率的报警频率;即,调整心率在满足报警条件后的报警输出次数。在如上述的三个心率中,第二次和第三次的心率均超过了报警阈值,而通过对心率的报警输出敏感度的调整,可以使第二次的心率产生报警,但是第三次的心率不产生报警。In some embodiments, for the alarm refractory period scheme, the monitoring device can also change the heart rate-based alarm output sensitivity to adjust the heart rate-based alarm frequency; that is, adjust the number of alarm output times after the heart rate meets the alarm condition. Among the above three heart rates, the second and third heart rates both exceed the alarm threshold, and by adjusting the sensitivity of the heart rate alarm output, the second heart rate can generate an alarm, but the third heart rate does not generate an alarm.

应当理解,如果在第三次心率之后的第四次心率仍超过报警阈值,基于该第四次心率,监测设备则会产生报警。即在此实施例中,心率的报警输出敏感度例示为每两次获取的心率满足报警条件则产生一次报警,由此来降低基于心率的报警频率。当然,当需要提高基于心率的报警频率时,则可以撤销或者更改配置在监测设备中的报警策略,以使监测设备可以在每次获取的心率超过报警阈值时就产生报警。It should be understood that if the fourth heart rate after the third heart rate still exceeds the alarm threshold, the monitoring device will generate an alarm based on the fourth heart rate. That is, in this embodiment, the alarm output sensitivity of the heart rate is exemplified as an alarm is generated every two acquired heart rates meet the alarm condition, thereby reducing the frequency of heart rate-based alarms. Of course, when the heart rate-based alarm frequency needs to be increased, the alarm policy configured in the monitoring device can be revoked or changed, so that the monitoring device can generate an alarm every time the acquired heart rate exceeds the alarm threshold.

一些实施例中,第三类报警策略信息包括调整监测设备监测的至少一个生理参数的类型的第三类报警策略。应当理解,该调整测量的生理参数的类型可以包括增加、减少或者改变测量的生理参数的类型。比如:原先监测设备测量的生理参数是心率,在配置第三类报警策略后则调整成测量血压;或者,在配置第三类报警策略后调整成测量心率和血压,对此不加限制。In some embodiments, the third type of alarm policy information includes a third type of alarm policy that adjusts the type of at least one physiological parameter monitored by the monitoring device. It should be understood that adjusting the type of the measured physiological parameter may include increasing, decreasing or changing the type of the measured physiological parameter. For example, the original physiological parameter measured by the monitoring equipment is heart rate, and after configuring the third type of alarm strategy, it is adjusted to measure blood pressure; or, after configuring the third type of alarm strategy, it is adjusted to measure heart rate and blood pressure, which is not limited.

一些实施例中,第四类报警策略信息包括延长监测设备监测的至少一个生理参数的报警输出延迟时间,或者,屏蔽监测设备监测的至少一个生理参数的报警的第四类报警策略。即,累计生理参数满足对应报警条件的持续时间,当该持续时间满足报警输出延迟时间时,监测设备才会输出报警信息,并进行报警呈现。In some embodiments, the fourth type of alarm policy information includes extending the alarm output delay time of at least one physiological parameter monitored by the monitoring device, or a fourth type of alarm policy for shielding the alarm of at least one physiological parameter monitored by the monitoring device. That is, the accumulated duration of the physiological parameter satisfying the corresponding alarm condition, when the duration meets the alarm output delay time, the monitoring device will output the alarm information and present the alarm.

类似上面示出的心率的例子,监测设备示例为每秒获取一次心率,将心率的报警输出延迟时间设置为4秒。当监测设备连续四次获取的心率均满足报警条件时,例如连续四次获取的心率依次为121次/分钟、123次/分钟、122次/分钟、125次/分钟,则满足了报警输出延迟时间,监测设备输出心率过高的报警信息,并进行报警呈现。而当监测设备连续三次获取的心率均满足报警条件,但是第四次获取的心率并不能满足报警条件时,则不满足报警输出延迟时间,相应的,监测设备并不会输出报警信息,也就不会进行报警呈现。Similar to the heart rate example shown above, the monitoring device example acquires the heart rate every second, and sets the heart rate alarm output delay time to 4 seconds. When the heart rate obtained by the monitoring device for four consecutive times meets the alarm condition, for example, the heart rate obtained for four consecutive times is 121 beats/min, 123 beats/min, 122 beats/min, 125 beats/min, then the alarm output delay is satisfied. Time, the monitoring device outputs the alarm information of high heart rate and presents the alarm. When the heart rate obtained by the monitoring device for three consecutive times meets the alarm condition, but the heart rate obtained for the fourth time does not meet the alarm condition, the alarm output delay time is not satisfied. Correspondingly, the monitoring device will not output the alarm information. Alarm presentation will not occur.

此外,为了降低医护人员对某些生理参数的报警的关注程度,还可以使监测设备直接屏蔽基于该些生理参数的报警,此也可以理解为将报警输出延迟时间设置成无限大,或者报警的阈值设置的较高;基于此,监测设备即使输出报警信息也不会进行报警呈现,或者监测设备不会产生报警。比如:当家属在给监测对象拍背时,拍背的动作容易引起监测设备的心电传感器松动并产生一些无意义的报警,对此,可以通过配置第四类报警策略,以在拍背的期间内,关闭或者屏蔽基于心电的生理参数的报警。In addition, in order to reduce the attention of medical staff to the alarms of certain physiological parameters, the monitoring device can also directly shield the alarms based on these physiological parameters, which can also be understood as setting the alarm output delay time to be infinite, or the alarm delay The threshold is set higher; based on this, even if the monitoring device outputs alarm information, it will not display the alarm, or the monitoring device will not generate an alarm. For example: when family members are slapping the back of the monitoring object, the action of slapping the back easily causes the ECG sensor of the monitoring equipment to loosen and generate some meaningless alarms. During the period, the alarm based on the physiological parameters of the ECG is turned off or shielded.

应当理解,该第四类报警策略还可以在一段时间内使监测设备屏蔽所有报警,以避免报警对家属或者医护人员的干扰。It should be understood that the fourth type of alarm strategy can also make the monitoring equipment shield all alarms for a period of time, so as to avoid the interference of the alarms to family members or medical staff.

一些实施例中,第五类报警策略信息包括缩短监测设备监测的至少一个生理参数的报警输出延迟时间的第五类报警策略。应当理解,第五类报警策略信息可以对应上述第四类报警策略信息的内容进行理解,在此不加赘述。In some embodiments, the fifth type of alarm policy information includes a fifth type of alarm policy for shortening the alarm output delay time of at least one physiological parameter monitored by the monitoring device. It should be understood that the fifth type of alarm policy information can be understood corresponding to the content of the above-mentioned fourth type of alarm policy information, and details are not described here.

一些实施例中,第六类报警策略信息包括调整监测设备监测的至少一个生理参数的报警等级,以调整医护人员对该些生理参数的关注程度。In some embodiments, the sixth type of alarm policy information includes adjusting the alarm level of at least one physiological parameter monitored by the monitoring device, so as to adjust the degree of concern of the medical staff to these physiological parameters.

例如:监测设备的报警等级包括高级、中级、低级和提示此四个等级,不同报警等级对应的声光呈现方式各不相同。根据监测对象的个体特征信息,例如监测对象患有心律失常等的疾病,则医护人员可以判断该监测对象的房颤报警相对不重要。基于此,可以将房颤的报警等级从中级调到低级,则房颤的报警呈现方式发生改变,以降低医护人员对房颤的报警的关注程度,但房颤的报警次数不一定会有影响。For example, the alarm levels of monitoring equipment include four levels: high, medium, low and prompt, and the sound and light presentation methods corresponding to different alarm levels are different. According to the individual characteristic information of the monitoring object, for example, the monitoring object suffers from diseases such as arrhythmia, the medical staff can judge that the atrial fibrillation alarm of the monitoring object is relatively unimportant. Based on this, the alarm level of atrial fibrillation can be adjusted from medium to low, and the presentation mode of atrial fibrillation alarms is changed, so as to reduce the attention of medical staff to atrial fibrillation alarms, but the number of atrial fibrillation alarms may not necessarily have an impact .

一些实施中,各类的报警策略信息可以单独使用。在其他的一些实施例中,当选择的报警策略信息不互相冲突,各类的报警策略信息也可以组合使用。比如:第一类报警策略信息和第三类报警策略信息组合使用,以给监测设备配置第一类报警策略和第三类报警策略;即,调整监测设备测量的生理参数的类型,并提高监测设备基于调整后的生理参数的报警频次。In some implementations, each type of alert policy information may be used independently. In some other embodiments, when the selected alarm policy information does not conflict with each other, various types of alarm policy information can also be used in combination. For example, the first type of alarm strategy information and the third type of alarm strategy information are used in combination to configure the first type of alarm strategy and the third type of alarm strategy for monitoring equipment; that is, to adjust the types of physiological parameters measured by the monitoring equipment, and to improve monitoring Device alarm frequency based on adjusted physiological parameters.

103:基于报警策略信息,为监测设备配置与监测对象相匹配的报警策略。103: Based on the alarm policy information, configure an alarm policy matching the monitoring object for the monitoring device.

正如上面所分析的,根据不同的报警策略信息,可以给监测设备配置第一类报警策略、第二类报警策略、第三类报警策略、第四类报警策略、第五类报警策略和第六类报警策略中的至少一个报警策略。配置相应报警策略后的监测设备能够与监测对象相匹配,以适应性地进行报警,由此医护人员可以针对性地关注某些生理参数的报警或者对某些监测对象进行重点关注,以更好地实现监测。As analyzed above, according to different alarm strategy information, the monitoring device can be configured with the first type of alarm strategy, the second type of alarm strategy, the third type of alarm strategy, the fourth type of alarm strategy, the fifth type of alarm strategy and the sixth type of alarm strategy. At least one alarm policy in the class alarm policy. After configuring the corresponding alarm strategy, the monitoring equipment can match the monitoring object to make the alarm adaptively, so that the medical staff can pay attention to the alarm of some physiological parameters or focus on some monitoring objects, so as to better to achieve monitoring.

104:基于报警策略,分析由生理参数传感器采集的监测对象的至少一个生理参数的生理信号,以输出生理参数报警信息。104: Based on the alarm strategy, analyze the physiological signal of at least one physiological parameter of the monitoring object collected by the physiological parameter sensor to output physiological parameter alarm information.

应当理解,如上述内容所分析的,在给监测设备配置相关的报警策略后,监测设备测量的生理参数的类型、生理参数的报警条件/报警阈值、生理参数的报警等级等信息中至少有一个发生变化,以与监测对象的实际情况相匹配,监测设备产生的报警也会更具合理性和针对性,以降低出现报警疲劳的可能。基于此,监测设备可以通过生理参数传感器等方式来采集监测对象的相关的生理信号。通过对生理信号进行分析,以获取对应生理信号的生理参数。It should be understood that, as analyzed in the above content, after the monitoring device is configured with the relevant alarm strategy, at least one of the types of physiological parameters measured by the monitoring device, the alarm conditions/alarm thresholds of the physiological parameters, the alarm level of the physiological parameters, etc. Changes occur to match the actual situation of the monitoring object, and the alarms generated by the monitoring equipment will be more reasonable and targeted to reduce the possibility of alarm fatigue. Based on this, the monitoring device can collect relevant physiological signals of the monitored object by means of a physiological parameter sensor or the like. The physiological parameters corresponding to the physiological signals are obtained by analyzing the physiological signals.

105:根据生理参数报警信息,进行报警呈现。105: Perform alarm presentation according to the physiological parameter alarm information.

根据给监测设备配置的报警策略以及监测设备所得到的生理参数,该监测设备适应性地进行报警。According to the alarm strategy configured for the monitoring device and the physiological parameters obtained by the monitoring device, the monitoring device can adaptively alarm.

请参考图2,本申请实施例还提供另一种监测方法,除了包括上述步骤101至步骤105的内容之外,在步骤105之后还包括:Referring to FIG. 2 , an embodiment of the present application further provides another monitoring method, which in addition to the contents of theabove steps 101 to 105, further includes after step 105:

106:当监测对象的个体特征信息发生变化后,撤销当前给监测设备的报警策略。106: When the individual characteristic information of the monitoring object changes, cancel the current alarm strategy for the monitoring device.

比如:监测对象刚做完手术,处于术后恢复的状态。该监测对象的病情相对不稳定,对应为监测设备配置了第一类报警策略,以重点关注监测对象的生理参数变化。之后,医护人员确认该监测对象转为康复期,病情相对稳定,由此可以撤销当前为监测设备装载的第一类报警策略,以降低对该监测对象的关注程度。For example, the monitoring object has just completed surgery and is in a state of recovery after surgery. The condition of the monitoring object is relatively unstable, and correspondingly, a first type of alarm strategy is configured for the monitoring device, so as to focus on changes in the physiological parameters of the monitoring object. Afterwards, the medical staff confirms that the monitoring object is in the convalescent period and the condition is relatively stable, so that the first type of alarm strategy currently loaded for the monitoring equipment can be cancelled, so as to reduce the degree of attention to the monitoring object.

为了便于医护人员完成相关操作,各实施例提供的监测方法还可以包括:在装载或者撤销报警策略的前后过程中,生成对应的提示信息,以进行提示。其中,该提示信息可以是自动生成的或者响应输入而生成。提示信息包括提示装载、完成装载或者撤销装载报警策略的信息。In order to facilitate medical staff to complete related operations, the monitoring method provided by each embodiment may further include: in the process before and after loading or canceling the alarm policy, generating corresponding prompt information for prompting. The prompt information may be automatically generated or generated in response to an input. The prompt information includes information for prompting the loading, completing the loading, or canceling the loading alarm policy.

一些实施例中,该提示信息的呈现方式可以包括声音提示和显示提示中的至少一个,此可以根据设置而有所改变,不加限制。当该提示信息的呈现方式包括显示提示时,提示信息可以显示在监测设备的显示界面上;或者,该提示信息隐藏在后台,在响应调用的操作时被调出,以供查看。In some embodiments, the presentation manner of the prompt information may include at least one of a sound prompt and a display prompt, which may be changed according to settings without limitation. When the presentation mode of the prompt information includes displaying a prompt, the prompt information can be displayed on the display interface of the monitoring device; or, the prompt information is hidden in the background and is called up for viewing in response to the calling operation.

请参考图3,本申请实施例还提供了一种监测设备10。与上述各实施例的监测方法相对应,监测设备10包括处理器,处理器存储有计算机程序。该计算机程序在被处理器执行时实现上述各实施例的监测方法的步骤。基于此,监测设备同样可以配置与监测对象相匹配的报警策略,以实现更精准、合理的报警。Referring to FIG. 3 , an embodiment of the present application further provides amonitoring device 10 . Corresponding to the monitoring methods of the above embodiments, themonitoring device 10 includes a processor, and the processor stores a computer program. The computer program, when executed by the processor, implements the steps of the monitoring methods of the above embodiments. Based on this, the monitoring device can also configure an alarm strategy that matches the monitoring object to achieve more accurate and reasonable alarms.

一些实施例中,该监测设备10还可以包括传感器14,以从患者身上采集信号。传感器14可以是以附件的形式配置在监测设备10上。该些传感器14可例如为血氧传感器(又可称为血氧探头)、心电传感器(又可称为电极片)或者温度传感器等。In some embodiments, themonitoring device 10 may also includesensors 14 to acquire signals from the patient. Thesensor 14 may be provided on themonitoring device 10 in the form of an accessory. Thesensors 14 may be, for example, a blood oxygen sensor (also called a blood oxygen probe), an electrocardiogram sensor (also called an electrode sheet), a temperature sensor, and the like.

一些实施例中,监测设备10还可以包括信号测量通路,该信号测量通路可以对传感器14采集的信号进行分析,以得到对应的生理参数和/或非生理参数。其中,该信号测量通路可以是独立的电路组件;或者,该信号测量通路也可以是集成在处理器12中的电路单元。In some embodiments, themonitoring device 10 may further include a signal measurement path, and the signal measurement path may analyze the signals collected by thesensor 14 to obtain corresponding physiological parameters and/or non-physiological parameters. Wherein, the signal measurement path may be an independent circuit component; or, the signal measurement path may also be a circuit unit integrated in theprocessor 12 .

一些实施例中,该监测设备10还可以包括报警器16。报警器16可以在生理参数满足对应的报警条件后,进行报警呈现。其中,该报警器16可例如为声光报警器。In some embodiments, themonitoring device 10 may also include analarm 16 . Thealarm 16 may present an alarm after the physiological parameter satisfies the corresponding alarm condition. Wherein, thealarm 16 can be, for example, a sound and light alarm.

一些实施例中,该监测设备10还可以包括显示器18。显示器18可以对配置的报警策略信息及报警策略进行显示、以及对报警进行显示等。In some embodiments, themonitoring device 10 may also include adisplay 18 . Thedisplay 18 can display the configured alarm policy information and alarm policies, and display alarms, and the like.

以下将通过一些具体的例子再对上述各实施例的监测方法和监测设备加以说明。The monitoring methods and monitoring devices of the above embodiments will be further described below through some specific examples.

一些实施例中,当监测对象接受特定动作时,由于受到动作的影响,监测对象可能产生应激的生理反应,或者,监测设备的传感器也可能出现被拉扯、佩戴不良的情况等。其中,该特定动作可以包括但不限于是日常护理动作和手术动作。In some embodiments, when the monitoring object accepts a specific action, due to the influence of the action, the monitoring object may have a stressful physiological response, or the sensor of the monitoring device may also be pulled or worn badly. Wherein, the specific action may include, but is not limited to, daily nursing actions and surgical actions.

基于监测对象可能产生应激的生理反应、或者传感器被拉扯、佩戴不良等因素,监测设备获取的生理参数容易产生较大波动。这些波动较大生理参数可能是由信号里面的噪声引起或者是由于监测对象的应激的生理反应引起的;即,该些生理参数并没有供医护人员研究的价值。但是实际上,该些生理参数却容易满足报警条件并产生报警,由此使得监测设备在对监测对象进行监测的过程中,监测设备容易出现一些不合理的报警。Based on factors such as the stressful physiological response of the monitoring object, or the sensor being pulled, or being worn poorly, the physiological parameters obtained by the monitoring device are prone to large fluctuations. These highly fluctuating physiological parameters may be caused by noise in the signal or by the physiological response to the stress of the monitoring subject; that is, these physiological parameters have no value for medical personnel to study. However, in fact, these physiological parameters are easy to meet the alarm conditions and generate an alarm, which makes the monitoring device prone to some unreasonable alarms during the process of monitoring the monitoring object.

基于此,当监测对象的个体特征信息包括其在接受特定动作的信息时,可以生成延长监测设备的报警输出延迟时间的报警策略信息。根据这个报警策略信息,以延长该监测设备的报警输出延迟时间。该监测设备在监测对象执行特定动作的期间内可以尽可能地不产生报警,以便于顺利地完成相关的日常护理动作和手术动作。Based on this, when the individual characteristic information of the monitoring object includes information that it is accepting a specific action, alarm policy information that prolongs the alarm output delay time of the monitoring device can be generated. According to the alarm strategy information, the alarm output delay time of the monitoring device is extended. The monitoring device may not generate an alarm as much as possible during the period when the monitored object performs a specific action, so as to smoothly complete the relevant daily nursing actions and surgical actions.

一些实施例中,延长该监测设备的报警输出延迟时间,也可以是使监测设备在监测对象执行特定动作的期间内屏蔽报警。比如:当监测对象在执行手术时,有些生理参数的报警可能会对主刀医生和相关医护人员造成干扰;另外还有些报警是由于主刀医生正常操作时,该些操作难免对监测对象造成短暂刺激而引起的报警。对此,通过配置的报警策略可以直接在手术的期间内针对性地屏蔽一些报警,以便于主刀医生和相关医护人员集中注意力以进行相关操作。In some embodiments, prolonging the alarm output delay time of the monitoring device may also make the monitoring device shield the alarm during the period when the monitoring object performs a specific action. For example: when the monitoring object is performing an operation, the alarms of some physiological parameters may interfere with the chief surgeon and related medical staff; in addition, some alarms are caused by the normal operation of the chief surgeon, and these operations will inevitably cause short-term stimulation to the monitored object. caused an alarm. In this regard, through the configured alarm strategy, some alarms can be directly shielded during the operation, so that the chief surgeon and related medical staff can concentrate on related operations.

一些实施例中,当监测对象的个体特征信息包括该监测对象处于术后恢复的状态的信息,此状态下的监测对象需要被重点关注。除了给该监测对象的监测设备配置提高报警频次的报警策略外,还可以单独地或者配合地给监测设备配置缩短报警延迟时间的报警策略。In some embodiments, when the individual characteristic information of the monitoring object includes information that the monitoring object is in a state of postoperative recovery, the monitoring object in this state needs to be focused on. In addition to configuring an alarm strategy for increasing the alarm frequency for the monitoring device of the monitoring object, an alarm strategy for shortening the alarm delay time can also be configured for the monitoring device individually or cooperatively.

基于缩短报警延迟时间的报警策略,在监测对象处于术后恢复的期间内,当监测设备获取监测对象的生理参数满足报警条件时可以更快地发出报警,以便于通知医护人员。其中,报警策略在装载前的提示信息可以示例为“术后第x天,监测对象病情严重,建议缩短报警延迟时间”,报警策略在装载后的配置提示信息可以示例为“监测对象病情严重,报警延迟时间已缩短”。Based on the alarm strategy of shortening the alarm delay time, during the period of postoperative recovery of the monitoring object, when the monitoring equipment obtains the physiological parameters of the monitoring object and meets the alarm conditions, an alarm can be issued more quickly, so as to facilitate the notification of medical staff. Among them, the prompt information of the alarm policy before loading can be exemplified as "on the x day after the operation, the monitoring object is in serious condition, it is recommended to shorten the alarm delay time", and the configuration prompt information of the alarm policy after loading can be exemplified as "the monitoring object is in serious condition, Alarm delay time has been shortened".

一些实施例中,当监测对象的个体特征信息包括该监测对象具有室性心率失常的疾病的信息,应当理解,由于受到疾病的影响,该监测对象会较频繁地出现室性心律失常的报警。但是,即使这些室性心律失常的报警不报出,医护人员基于相关的理论知识和临床经验,同样可以预料到。即,对应此类型的监测对象,医护人员并不会过多地关注室性心律失常的报警,该些报警是属于意义较弱的报警。In some embodiments, when the individual characteristic information of the monitoring object includes information that the monitoring object has a disease of ventricular arrhythmia, it should be understood that, due to the influence of the disease, the monitoring object will be alarmed by ventricular arrhythmia more frequently. However, even if these ventricular arrhythmia alarms are not reported, medical staff can expect them based on relevant theoretical knowledge and clinical experience. That is, corresponding to this type of monitoring object, medical staff will not pay too much attention to the alarms of ventricular arrhythmia, and these alarms are less meaningful alarms.

基于此,可以为监测设备配置降低基于室性心律失常的报警频次的报警策略。相较配置前,配置报警策略后的监测设备可以更少地报出室性心律失常的报警,以降低医护人员对室性心律失常的报警的关注程度。其中,报警策略在装载前的提示信息可以示例为“室性心律失常患者,室性报警频发,建议降低报警频次”,报警策略在装载后的配置提示信息可以示例为“室性心律失常患者,室性报警频发,已降低报警频次”。Based on this, the monitoring device can be configured with an alarm strategy that reduces the frequency of ventricular arrhythmia-based alarms. Compared with before the configuration, the monitoring device after the configuration of the alarm strategy can report fewer ventricular arrhythmia alarms, so as to reduce the attention of medical staff to the ventricular arrhythmia alarms. Among them, the prompt information of the alarm policy before loading can be exemplified as "Patients with ventricular arrhythmia, ventricular alarms occur frequently, it is recommended to reduce the frequency of alarms", and the configuration prompt information of the alarm policy after loading can be exemplified as "Patients with ventricular arrhythmia , ventricular alarms occur frequently, and the frequency of alarms has been reduced.”

一些实施例中,当监测对象的个体特征信息包括医护人员给该监测对象进行吸痰护理,应当理解,由于吸痰护理的影响,容易对监测对象造成短暂刺激。该短暂刺激容易引起心率超限报警。对此,可以为监测设备配置短暂屏蔽心率超限报警的报警策略,以屏蔽在吸痰护理期间内所产生的心率超限报警。其中,报警策略在装载前的提示信息可以例示为“吸痰护理操作,建议短暂屏蔽心率超限报警”,报警策略在装载后的配置提示信息可以示例为“吸痰护理操作中,短暂屏蔽心率超限报警”。In some embodiments, when the individual characteristic information of the monitoring object includes the medical staff performing sputum suction nursing for the monitoring object, it should be understood that due to the influence of the sputum suction nursing, it is easy to cause temporary irritation to the monitoring object. This short-lived stimulus is likely to cause a heart rate over-limit alarm. In this regard, the monitoring device can be configured with an alarm strategy of temporarily shielding the heart rate over-limit alarm, so as to shield the heart rate over-limit alarm generated during the suctioning nursing period. Among them, the prompt information of the alarm policy before loading can be exemplified as "suction nursing operation, it is recommended to temporarily shield the heart rate over-limit alarm", and the configuration prompt information of the alarm policy after loading can be exemplified as "during the sputum nursing operation, temporarily shield the heart rate Overrun Alarm".

以上公开的仅为本申请具体的实施例,但是本申请并非局限于此,本领域的技术人员可以对本申请进行各种改动和变型而不脱离本申请的精神和范围。显然这些改动和变型均应属于本申请要求的保护范围保护内。此外,尽管本说明书中使用了一些特定的术语,但这些术语只是为了方便说明,并不对本申请构成任何特殊限制。The above disclosures are only specific embodiments of the present application, but the present application is not limited thereto, and those skilled in the art can make various changes and modifications to the present application without departing from the spirit and scope of the present application. Obviously, these changes and modifications should fall within the protection scope of the present application. In addition, although some specific terms are used in this specification, these terms are only for convenience of description and do not constitute any special limitation to the present application.

Claims (15)

wherein the first type of alarm strategy information comprises a first type of alarm strategy that increases the frequency of alarms for the at least one physiological parameter monitored by the monitoring device; the second type of alarm policy information comprises a second type of alarm policy that reduces the frequency of alarms for the at least one physiological parameter monitored by the monitoring device; the third type of alarm policy information comprises a third type of alarm policy that adjusts a type of the at least one physiological parameter monitored by the monitoring device; the fourth type of alarm strategy information comprises a fourth type of alarm strategy for prolonging the alarm output delay time of the at least one physiological parameter monitored by the monitoring device or shielding the alarm of the at least one physiological parameter monitored by the monitoring device; the fifth type of alarm policy information comprises a fifth type of alarm policy that shortens an alarm output delay time of the at least one physiological parameter monitored by the monitoring device; the sixth category of alarm policy information includes adjusting an alarm level of the at least one physiological parameter monitored by the monitoring device.
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