CN114983355A - Heart failure monitoring system - Google Patents

Abstract

Translated fromChinese

本发明公开了一种心衰监测系统，该心衰监测系统中的信号采集模块采集目标用户的至少一种心衰生理信号，心衰监测系统中的处理器根据至少一种心衰生理信号以及各心衰生理信号对应的预设指标计算规则计算出目标用户的心衰指标，实现了对用户的心衰状态的监测，能够实时检测到用户的心衰程度，解决了不能及时发现患者心衰病情恶化的技术问题，并且，该心衰指标还可以作为医生判断病情的辅助信息，如决定是否调整用药或前往医院就诊。

The invention discloses a heart failure monitoring system. A signal acquisition module in the heart failure monitoring system collects at least one heart failure physiological signal of a target user, and a processor in the heart failure monitoring system collects at least one heart failure physiological signal according to the at least one heart failure physiological signal and The preset index calculation rule corresponding to each heart failure physiological signal calculates the heart failure index of the target user, realizes the monitoring of the user's heart failure state, can detect the user's heart failure degree in real time, and solves the problem that the patient's heart failure cannot be detected in time. The technical problem of the deterioration of the condition, and the heart failure index can also be used as auxiliary information for doctors to judge the condition, such as deciding whether to adjust the medication or go to the hospital for treatment.

Description

Translated fromChinese

一种心衰监测系统A heart failure monitoring system

技术领域technical field

本发明涉及医疗设备技术领域，尤其涉及一种心衰监测系统。The invention relates to the technical field of medical equipment, in particular to a heart failure monitoring system.

背景技术Background technique

心衰作为一种退行性慢性病，不能完全治愈，心衰病人在治疗后，病情也往往会出现反复恶化。在心衰急性恶化之初，由于心脏内没有神经系统去感知恶化，只有等到病人出现严重症状如呼吸困难等时才被发现，而这时心肌已经严重受损。Heart failure, as a degenerative chronic disease, cannot be completely cured, and patients with heart failure often experience repeated deterioration after treatment. At the beginning of acute exacerbation of heart failure, because there is no nervous system in the heart to sense the deterioration, it is only discovered when the patient has severe symptoms such as dyspnea, at which time the myocardium has been severely damaged.

因此，及早发现病情急性恶化的信号，及时调整治疗方案及用药是延长患者生存周期的重要方法。然而，在实现本发明的过程中，发现现有技术中至少存在以下技术问题：现有技术不能尽早地发现患者的心衰病情恶化，进而难以预先对患者的情况做出预警以及调整治疗防止心衰恶化。Therefore, early detection of the signs of acute deterioration of the disease and timely adjustment of the treatment plan and medication are important methods to prolong the life cycle of patients. However, in the process of realizing the present invention, it is found that there are at least the following technical problems in the prior art: the prior art cannot detect the deterioration of the patient's heart failure condition as early as possible, and then it is difficult to pre-warn the patient's condition and adjust the treatment to prevent heart failure. Deterioration.

发明内容SUMMARY OF THE INVENTION

本发明提供了一种心衰监测系统，以实现对用户的心衰状态的监测，解决不能及时发现患者心衰病情恶化的技术问题。The invention provides a heart failure monitoring system to monitor the user's heart failure state and solve the technical problem that the deterioration of the patient's heart failure condition cannot be detected in time.

根据本发明的一方面，提供了一种心衰监测系统，其特征在于，所述心衰监测系统包括心脏监视器，所述心脏监视器包括信号采集模块和处理器；其中，According to an aspect of the present invention, a heart failure monitoring system is provided, wherein the heart failure monitoring system includes a heart monitor, and the heart monitor includes a signal acquisition module and a processor; wherein,

所述信号采集模块，与所述处理器连接，用于获取目标用户的至少一种心衰生理信号，并将至少一种所述心衰生理信号发送至所述处理器；the signal acquisition module, connected to the processor, for acquiring at least one physiological signal of heart failure of the target user, and sending the at least one physiological signal of heart failure to the processor;

所述处理器，用于根据接收到的至少一种所述心衰生理信号以及所述心衰生理信号对应的预设指标计算规则确定所述目标用户的心衰指标。The processor is configured to determine the heart failure index of the target user according to the received at least one physiological signal of heart failure and a preset index calculation rule corresponding to the physiological signal of heart failure.

可选的，所述信号采集模块包括心音监测单元、心电监测单元、肺音监测单元、血氧监测单元、呼吸监测单元、阻抗监测单元和睡眠倾角监测单元中的至少一种，其中，Optionally, the signal acquisition module includes at least one of a heart sound monitoring unit, an electrocardiogram monitoring unit, a lung sound monitoring unit, a blood oxygen monitoring unit, a breathing monitoring unit, an impedance monitoring unit, and a sleep inclination monitoring unit, wherein,

所述心音监测单元，用于获取目标用户的心音信号；The heart sound monitoring unit is used to obtain the heart sound signal of the target user;

所述心电监测单元，用于获取目标用户的心电信号；The ECG monitoring unit is used to obtain the ECG signal of the target user;

所述肺音监测单元，用于获取目标用户的肺音信号；The lung sound monitoring unit is used to obtain the lung sound signal of the target user;

所述血氧监测单元，用于获取目标用户的血氧信号；The blood oxygen monitoring unit is used to obtain the blood oxygen signal of the target user;

所述呼吸监测单元，用于获取目标用户的呼吸信号；the respiration monitoring unit for acquiring the respiration signal of the target user;

所述阻抗监测单元，用于获取目标用户的阻抗信号；the impedance monitoring unit, configured to acquire the impedance signal of the target user;

所述睡眠倾角监测单元，用于获取目标用户的睡眠倾角信号。The sleep inclination monitoring unit is used for acquiring the sleep inclination signal of the target user.

可选的，所述处理器，具体用于根据接收到的至少一种所述心衰生理信号以及所述心衰生理信号对应的预设指标计算规则确定所述心衰生理信号对应的信号参考指标，基于至少一种所述心衰生理信号对应的信号参考指标以及所述心衰生理信号对应的预设权重确定所述目标用户的心衰指标。Optionally, the processor is specifically configured to determine the signal reference corresponding to the heart failure physiological signal according to the received at least one kind of the heart failure physiological signal and the preset index calculation rule corresponding to the heart failure physiological signal. index, the heart failure index of the target user is determined based on at least one signal reference index corresponding to the heart failure physiological signal and a preset weight corresponding to the heart failure physiological signal.

可选的，所述处理器，还用于执行下述操作中的至少一项：Optionally, the processor is further configured to perform at least one of the following operations:

若接收到所述心音信号，且检测到所述心音信号中存在第三心音，则基于所述第三心音的强度确定所述心音信号对应的信号参考指标；If the heart sound signal is received and a third heart sound is detected in the heart sound signal, determining a signal reference index corresponding to the heart sound signal based on the intensity of the third heart sound;

若接收到所述心电信号，则基于所述心电信号确定所述目标用户对应的实际心率，以及所述实际心率以及预设平稳心率确定所述心电信号对应的信号参考指标；If the ECG signal is received, the actual heart rate corresponding to the target user is determined based on the ECG signal, and the signal reference index corresponding to the ECG signal is determined from the actual heart rate and the preset steady heart rate;

若接收到所述肺音信号，且检测到所述肺音信号中存在啰音信号，则基于所述啰音信号的强度确定所述肺音信号对应的信号参考指标；If the lung sound signal is received and it is detected that there is a rales signal in the lung sound signal, determining a signal reference index corresponding to the lung sound signal based on the intensity of the rales signal;

若接收到所述血氧信号，则基于所述血氧信号中的实际血氧饱和度以及预设参考饱和度确定所述血氧信号对应的信号参考指标；If the blood oxygen signal is received, the signal reference index corresponding to the blood oxygen signal is determined based on the actual blood oxygen saturation in the blood oxygen signal and the preset reference saturation;

若接收到所述呼吸信号，则基于所述呼吸信号对应的当前呼吸频率以及历史呼吸频率确定所述呼吸信号对应的信号参考指标；If the respiration signal is received, the signal reference index corresponding to the respiration signal is determined based on the current respiration frequency and the historical respiration frequency corresponding to the respiration signal;

若接收到所述生物阻抗信号，则基于所述生物阻抗信号中的当前生物阻抗以及预设平稳阻抗确定所述生物阻抗信号对应的信号参考指标；If the bio-impedance signal is received, the signal reference index corresponding to the bio-impedance signal is determined based on the current bio-impedance and the preset stationary impedance in the bio-impedance signal;

若接收到所述睡眠倾角信号，则基于所述睡眠倾角信号确定所述目标用户在当前预设时间段内的平均睡眠倾角，基于所述当前预设时间段内的平均睡眠倾角以及上一预设时间段内的平均睡眠倾角确定所述睡眠倾角信号对应的信号参考指标。If the sleep inclination angle signal is received, the average sleep inclination angle of the target user in the current preset time period is determined based on the sleep inclination angle signal, based on the average sleep inclination angle in the current preset time period and the previous preset time period. The signal reference index corresponding to the sleep inclination signal is determined by the average sleep inclination in the time period.

可选的，所述系统还包括穿戴式心脏除颤器，所述心脏监视器还包括第一通信模块，所述信号采集模块至少包括所述心电监测单元；Optionally, the system further includes a wearable cardiac defibrillator, the heart monitor further includes a first communication module, and the signal acquisition module at least includes the ECG monitoring unit;

所述处理器，还用于根据所述心电信号检测所述目标用户是否发生心脏事件，若是，则通过所述第一通信模块向所述穿戴式心脏除颤器发送除颤指令；The processor is further configured to detect whether the target user has a cardiac event according to the ECG signal, and if so, send a defibrillation instruction to the wearable cardiac defibrillator through the first communication module;

所述穿戴式心脏除颤器，用于根据所述除颤指令对所述目标用户进行除颤操作，并在除颤操作完成后向所述处理器反馈除颤完成信号。The wearable cardiac defibrillator is configured to perform a defibrillation operation on the target user according to the defibrillation instruction, and feed back a defibrillation completion signal to the processor after the defibrillation operation is completed.

可选的，所述信号采集模块还包括加速度计；Optionally, the signal acquisition module further includes an accelerometer;

所述加速度计，用于采集所述目标用户的加速度信号，将所述加速度信号发送至所述处理器；the accelerometer, for collecting the acceleration signal of the target user, and sending the acceleration signal to the processor;

所述处理器，还用于基于所述加速度信号和所述心电信号检测所述目标用户是否发生心脏事件。The processor is further configured to detect whether the target user has a cardiac event based on the acceleration signal and the ECG signal.

可选的，所述信号采集模块还包括所述心音监测单元；Optionally, the signal acquisition module further includes the heart sound monitoring unit;

所述处理器，还用于根据所述心电信号计算第一心率，根据所述心音信号计算第二心率，基于所述第一心率和所述第二心率确定所述目标用户是否发生心脏事件。The processor is further configured to calculate a first heart rate according to the ECG signal, calculate a second heart rate according to the heart sound signal, and determine whether a cardiac event occurs to the target user based on the first heart rate and the second heart rate .

可选的，所述穿戴式心脏除颤器包括心电模块和感知电极；其中，Optionally, the wearable cardiac defibrillator includes an ECG module and sensing electrodes; wherein,

所述心电模块，用于根据所述感知电极采集的心电信号计算所述目标用户的第三心率，基于所述第三心率确定所述目标用户是否发生心脏事件；the ECG module, configured to calculate the third heart rate of the target user according to the ECG signal collected by the sensing electrodes, and determine whether the target user has a cardiac event based on the third heart rate;

所述穿戴式心脏除颤器，还用于若接收所述处理器发送的除颤指令，且所述心电模块确定所述目标用户发生心脏事件，则对所述目标用户进行除颤操作。The wearable cardiac defibrillator is further configured to perform a defibrillation operation on the target user if a defibrillation instruction sent by the processor is received and the ECG module determines that a cardiac event occurs in the target user.

可选的，所述穿戴式心脏除颤器，还用于当接收到包含所述心脏事件对应的事件程度的除颤指令时，根据所述事件程度确定所述目标用户对应的除颤能量，基于所述除颤能量对所述目标用户进行除颤操作。Optionally, the wearable cardiac defibrillator is further configured to determine the defibrillation energy corresponding to the target user according to the event degree when receiving a defibrillation instruction that includes an event degree corresponding to the cardiac event, The target user is defibrillated based on the defibrillation energy.

可选的，所述系统还包括体外心脏除颤器，所述体外心脏除颤器包括第二通信模块和指示器；其中，Optionally, the system further includes an external cardiac defibrillator, and the external cardiac defibrillator includes a second communication module and an indicator; wherein,

所述处理器，还用于在检测到所述目标用户发生心脏事件时，通过所述第一通信模块向所述体外心脏除颤器的所述第二通信模块发送事件处理信号；The processor is further configured to send an event processing signal to the second communication module of the external cardiac defibrillator through the first communication module when detecting that the target user has a cardiac event;

所述体外心脏除颤器，用于在接收到所述事件处理信号时，控制所述指示器播放或显示报警信号。The external cardiac defibrillator is used for controlling the indicator to play or display an alarm signal when receiving the event processing signal.

可选的，所述处理器，还用于在检测到所述目标用户发生心脏事件时，通过所述第一通信模块向与所述目标用户关联的关联用户的终端设备发送事件提示信号；或者，Optionally, the processor is further configured to send an event prompt signal to the terminal device of the associated user associated with the target user through the first communication module when detecting that the target user has a cardiac event; or ,

所述体外心脏除颤器，还用于在接收到所述事件处理信号时，通过所述第二通信模块向所述关联用户的终端设备发送事件提示信号。The external cardiac defibrillator is further configured to send an event prompt signal to the terminal device of the associated user through the second communication module when receiving the event processing signal.

可选的，所述体外心脏除颤器还包括麦克风和扬声器；其中，Optionally, the external cardiac defibrillator also includes a microphone and a speaker; wherein,

所述第二通信模块，还用于接收所述关联用户的终端设备发送的语音信号，以及，向所述关联用户的终端设备发送语音信号；The second communication module is further configured to receive a voice signal sent by the terminal device of the associated user, and send the voice signal to the terminal device of the associated user;

所述体外心脏除颤器，还用于控制所述扬声器播放通过所述第二通信模块接收的语音信号，以及，控制所述麦克风采集语音信号，将所述语音信号通过所述第二通信模块发送至所述关联用户的终端设备。The external cardiac defibrillator is also used to control the speaker to play the voice signal received through the second communication module, and to control the microphone to collect the voice signal and pass the voice signal through the second communication module sent to the terminal device of the associated user.

可选的，所述第二通信模块包括蓝牙通信单元和网络通信单元；其中，Optionally, the second communication module includes a Bluetooth communication unit and a network communication unit; wherein,

所述第二通信模块，还用于获取所述关联用户的当前位置，若所述当前位置与所述体外心脏除颤器的位置之间的距离不超过预设距离阈值，则通过所述蓝牙通信单元向所述关联用户的终端设备发送事件提示信号，若所述距离超过所述预设距离阈值，则通过所述网络通信单元向所述终端设备发送事件提示信号。The second communication module is further configured to obtain the current position of the associated user, and if the distance between the current position and the position of the external cardiac defibrillator does not exceed a preset distance threshold, the Bluetooth The communication unit sends an event prompt signal to the terminal device of the associated user, and if the distance exceeds the preset distance threshold, sends an event prompt signal to the terminal device through the network communication unit.

可选的，所述体外心脏除颤器还包括心电模块，其中，所述体外心脏除颤器，还用于在接收到所述事件处理信号时，若根据所述心电模块确定所述目标用户发生心脏事件，则对所述目标用户执行除颤操作。Optionally, the external cardiac defibrillator further includes an ECG module, wherein the external cardiac defibrillator is further configured to, when the event processing signal is received, determine the ECG module according to the ECG module. When a cardiac event occurs to the target user, a defibrillation operation is performed on the target user.

可选的，所述体外心脏除颤器，还用于在检测到用户教育模式被激活时，展示或播放所述体外心脏除颤器的基本信息，或者，通过所述第二通信模块将所述基本信息发送至所述目标用户的终端设备或与所述目标用户关联的关联用户的终端设备，其中，所述基本信息包括设备当前状态、电极片更换周期、电池状态、故障处理信息以及联系方式信息。Optionally, the external cardiac defibrillator is also used to display or play the basic information of the external cardiac defibrillator when it is detected that the user education mode is activated, or, through the second communication module The basic information is sent to the terminal device of the target user or the terminal device of the associated user associated with the target user, wherein the basic information includes the current status of the device, electrode replacement cycle, battery status, troubleshooting information, and contact information method information.

可选的，所述体外心脏除颤器还包括除颤交互学习模块、麦克风和显示界面，其中，Optionally, the external cardiac defibrillator also includes a defibrillation interactive learning module, a microphone and a display interface, wherein,

所述除颤交互学习模块，用于在显示界面上展示互动学习资源，获取学习用户响应于所述互动学习资源在所述显示界面上执行的模拟操作以及在所述麦克风上录入的模拟操作，基于所述模拟操作确定所述学习用户对应的互动学习效果。The defibrillation interactive learning module is used to display the interactive learning resources on the display interface, and acquire the simulated operations performed by the learning user on the display interface in response to the interactive learning resources and the simulated operations entered on the microphone, The interactive learning effect corresponding to the learning user is determined based on the simulated operation.

可选的，所述体外心脏除颤器还包括激活模块，其中，Optionally, the external cardiac defibrillator also includes an activation module, wherein,

所述激活模块，用于根据所述互动学习效果，确定所述除颤交互学习模块所展示的所述互动学习资源的资源内容和/或展示所述互动学习资源的时间。The activation module is configured to determine, according to the interactive learning effect, the resource content of the interactive learning resource displayed by the defibrillation interactive learning module and/or the time for displaying the interactive learning resource.

可选的，所述处理器，还用于将所述心衰指标发送至所述激活模块；Optionally, the processor is further configured to send the heart failure index to the activation module;

所述激活模块，还用于根据所述互动学习效果和所述心衰指标，确定所述资源内容和/或展示所述互动学习资源的时间。The activation module is further configured to determine the content of the resource and/or the time for displaying the interactive learning resource according to the interactive learning effect and the heart failure index.

可选的，所述除颤交互学习模块，还用于获取所述学习用户响应于所述互动学习资源在所述显示界面上执行的治疗预处理模拟操作、治疗模拟操作以及急救模拟操作，并获取所述学习用户响应于所述互动学习资源在所述麦克风上录入的人工呼吸模拟操作，基于所述治疗预处理模拟操作、所述治疗模拟操作、所述急救模拟操作以及所述人工呼吸模拟操作确定所述学习用户对应的互动学习效果。Optionally, the defibrillation interactive learning module is further configured to acquire the treatment preprocessing simulation operation, the treatment simulation operation and the first aid simulation operation performed by the learning user on the display interface in response to the interactive learning resource, and Obtain the artificial respiration simulation operation entered by the learning user on the microphone in response to the interactive learning resource, based on the treatment preprocessing simulation operation, the treatment simulation operation, the first aid simulation operation and the artificial respiration simulation The operation determines the interactive learning effect corresponding to the learning user.

本发明实施例提供的心衰监测系统，根据信号采集模块采集目标用户的至少一种心衰生理信号，并通过处理器根据至少一种心衰生理信号以及各心衰生理信号对应的预设指标计算规则计算出目标用户的心衰指标，实现了对用户的心衰状态的监测，能够实时检测到用户的心衰程度，解决了不能及时发现患者心衰病情恶化的技术问题，并且，该心衰指标还可以作为医生判断病情的辅助信息，如决定是否调整用药或前往医院就诊。The heart failure monitoring system provided by the embodiment of the present invention collects at least one heart failure physiological signal of a target user according to the signal acquisition module, and uses the processor according to the at least one heart failure physiological signal and the preset index corresponding to each heart failure physiological signal. The calculation rule calculates the target user's heart failure index, realizes the monitoring of the user's heart failure state, can detect the user's heart failure degree in real time, and solves the technical problem of not being able to detect the deterioration of the patient's heart failure condition in time. The decline index can also be used as auxiliary information for doctors to judge the condition, such as deciding whether to adjust medication or go to the hospital for treatment.

应当理解，本部分所描述的内容并非旨在标识本发明的实施例的关键或重要特征，也不用于限制本发明的范围。本发明的其它特征将通过以下的说明书而变得容易理解。It should be understood that the content described in this section is not intended to identify key or critical features of the embodiments of the invention, nor is it intended to limit the scope of the invention. Other features of the present invention will become readily understood from the following description.

附图说明Description of drawings

为了更清楚地说明本发明实施例中的技术方案，下面将对实施例描述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 illustrate the technical solutions in the embodiments of the present invention more clearly, the following briefly introduces the accompanying drawings used in the description of the embodiments. Obviously, the accompanying drawings in the following description are only some embodiments of the present invention. For those of ordinary skill in the art, other drawings can also be obtained from these drawings without creative effort.

图1A是本发明实施例一提供的一种心衰监测系统的结构示意图；1A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 1 of the present invention;

图1B是本发明实施例一提供的一种心电监测单元示意图；1B is a schematic diagram of an ECG monitoring unit according to Embodiment 1 of the present invention;

图1C是本发明实施例一提供的一种心脏监视器的结构示意图；1C is a schematic structural diagram of a heart monitor according to Embodiment 1 of the present invention;

图2A是本发明实施例二提供的一种心衰监测系统的结构示意图；2A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 2 of the present invention;

图2B是本发明实施例二提供的一种穿戴式心脏除颤器的示意图；2B is a schematic diagram of a wearable cardiac defibrillator provided in Embodiment 2 of the present invention;

图2C是本发明实施例二提供的一种基于心音信号和心电信号的心脏事件的确定过程示意图；2C is a schematic diagram of a process for determining a cardiac event based on a heart sound signal and an ECG signal according to Embodiment 2 of the present invention;

图2D是本发明实施例二提供的一种基于穿戴式心脏除颤器和心脏监视器的心脏事件确定过程示意图；2D is a schematic diagram of a cardiac event determination process based on a wearable cardiac defibrillator and a cardiac monitor according to Embodiment 2 of the present invention;

图3A是本发明实施例三提供的一种心衰监测系统的结构示意图；3A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 3 of the present invention;

图3B是本发明实施例三提供的一种事件处理信号的发送过程示意图；3B is a schematic diagram of a sending process of an event processing signal according to Embodiment 3 of the present invention;

图4A是本发明实施例四提供的一种心衰监测系统的结构示意图；4A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 4 of the present invention;

图4B是本发明实施例四提供的一种互动学习效果的确定过程示意图；4B is a schematic diagram of a process for determining an interactive learning effect according to Embodiment 4 of the present invention;

图4C是本发明实施例四提供的一种体外心脏除颤器启动用户教育模式的过程示意图；4C is a schematic diagram of a process for starting a user education mode of an external cardiac defibrillator according to Embodiment 4 of the present invention;

图4D是本发明实施例四提供的一种体外心脏除颤器的放置示意图；4D is a schematic diagram of placement of an external cardiac defibrillator provided in Embodiment 4 of the present invention;

图4E是本发明实施例四提供的一种体外心脏除颤器和基座的示意图；4E is a schematic diagram of an external cardiac defibrillator and a base provided in Embodiment 4 of the present invention;

图4F是本发明实施例四提供的一种互动学习模块的示意图。FIG. 4F is a schematic diagram of an interactive learning module according to Embodiment 4 of the present invention.

具体实施方式Detailed ways

为了使本技术领域的人员更好地理解本发明方案，下面将结合本发明实施例中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本发明一部分的实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都应当属于本发明保护的范围。In order to make those skilled in the art better understand the solutions of the present invention, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only Embodiments are part of the present invention, but not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

需要说明的是，本发明的说明书和权利要求书及上述附图中的术语“第一”、“第二”等是用于区别类似的对象，而不必用于描述特定的顺序或先后次序。应该理解这样使用的数据在适当情况下可以互换，以便这里描述的本发明的实施例能够以除了在这里图示或描述的那些以外的顺序实施。此外，术语“包括”和“具有”以及他们的任何变形，意图在于覆盖不排他的包含，例如，包含了一系列步骤或单元的过程、方法、系统、产品或设备不必限于清楚地列出的那些步骤或单元，而是可包括没有清楚地列出的或对于这些过程、方法、产品或设备固有的其它步骤或单元。It should be noted that the terms "first", "second" and the like in the description and claims of the present invention and the above drawings are used to distinguish similar objects, and are not necessarily used to describe a specific sequence or sequence. It is to be understood that the data so used may be interchanged under appropriate circumstances such that the embodiments of the invention described herein can be practiced in sequences other than those illustrated or described herein. Furthermore, the terms "comprising" and "having" and any variations thereof, are intended to cover non-exclusive inclusion, for example, a process, method, system, product or device comprising a series of steps or units is not necessarily limited to those expressly listed Rather, those steps or units may include other steps or units not expressly listed or inherent to these processes, methods, products or devices.

实施例一Example 1

图1A是本发明实施例一提供的一种心衰监测系统的结构示意图，心衰监测系统包括心脏监视器10，心脏监视器10包括信号采集模块101和处理器102；其中，信号采集模块101，与处理器102连接，用于获取目标用户的至少一种心衰生理信号，并将至少一种心衰生理信号发送至处理器102；处理器102，用于根据接收到的至少一种心衰生理信号以及心衰生理信号对应的预设指标计算规则确定目标用户的心衰指标。1A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 1 of the present invention. The heart failure monitoring system includes aheart monitor 10, and theheart monitor 10 includes asignal acquisition module 101 and aprocessor 102; wherein, thesignal acquisition module 101 , connected to theprocessor 102 for acquiring at least one heart failure physiological signal of the target user, and sending the at least one heart failure physiological signal to theprocessor 102; theprocessor 102 is used for receiving at least one heart failure physiological signal according to the received The heart failure index of the target user is determined according to the physiological signal of failure and the preset index calculation rule corresponding to the physiological signal of heart failure.

其中，心衰生理信号可以是反映心衰病情的生理信号。具体的，在心衰状态恶化的初期，心脏和人体会释放多种信号，比如心音改变、静息心率增加、肺部啰音、血氧降低、呼吸急促、水肿及睡眠倾角的变化；因此，可以监测用户的心音信号、心电信号、肺音信号、血氧信号或呼吸信号等心衰生理信号。The heart failure physiological signal may be a physiological signal reflecting the condition of heart failure. Specifically, in the early stage of the deterioration of the heart failure state, the heart and the human body will release a variety of signals, such as changes in heart sounds, increased resting heart rate, lung rales, decreased blood oxygen, shortness of breath, edema, and changes in sleep inclination; therefore, It can monitor the physiological signals of heart failure such as the user's heart sound signal, ECG signal, lung sound signal, blood oxygen signal or respiratory signal.

示例性的，信号采集模块101包括心音监测单元、心电监测单元、肺音监测单元、血氧监测单元、呼吸监测单元、阻抗监测单元和睡眠倾角监测单元中的至少一种，其中，心音监测单元，用于获取目标用户的心音信号；心电监测单元，用于获取目标用户的心电信号；肺音监测单元，用于获取目标用户的肺音信号；血氧监测单元，用于获取目标用户的血氧信号；呼吸监测单元，用于获取目标用户的呼吸信号；阻抗监测单元，用于获取目标用户的阻抗信号；睡眠倾角监测单元，用于获取目标用户的睡眠倾角信号。Exemplarily, thesignal acquisition module 101 includes at least one of a heart sound monitoring unit, an electrocardiogram monitoring unit, a lung sound monitoring unit, a blood oxygen monitoring unit, a breathing monitoring unit, an impedance monitoring unit, and a sleep inclination monitoring unit, wherein the heart sound monitoring unit unit, used to obtain the target user's heart sound signal; ECG monitoring unit, used to obtain the target user's ECG signal; lung sound monitoring unit, used to obtain the target user's lung sound signal; blood oxygen monitoring unit, used to obtain the target user The blood oxygen signal of the user; the respiration monitoring unit is used to obtain the breathing signal of the target user; the impedance monitoring unit is used to obtain the impedance signal of the target user; the sleep inclination monitoring unit is used to obtain the sleep inclination signal of the target user.

其中，心音监测单元可以是心音传感器。心电监测单元可以是光学心率传感器或电极贴片传感器。肺音监测单元可以是肺音传感器。血氧监测单元可以是血氧传感器；例如，可以使用光学传感器，根据氧合血红蛋白和血红蛋白对不同波长光线吸收量的差异，确定血红蛋白的氧合程度，得到血氧信号。呼吸监测单元可以是呼吸传感器。阻抗监测单元可以是生物阻抗传感器。睡眠倾角监测单元可以是睡眠倾角传感器。上述各监测单元可以是专用硬件模块、通用硬件模块或软件模块等实施方式。Wherein, the heart sound monitoring unit may be a heart sound sensor. The ECG monitoring unit can be an optical heart rate sensor or an electrode patch sensor. The lung sound monitoring unit may be a lung sound sensor. The blood oxygen monitoring unit can be a blood oxygen sensor; for example, an optical sensor can be used to determine the oxygenation degree of hemoglobin according to the difference in oxyhemoglobin and hemoglobin absorption of light of different wavelengths, and obtain a blood oxygen signal. The respiration monitoring unit may be a respiration sensor. The impedance monitoring unit may be a bioimpedance sensor. The sleep inclination monitoring unit may be a sleep inclination sensor. Each of the above monitoring units may be implemented as dedicated hardware modules, general hardware modules, or software modules.

具体的，信号采集模块101可以是贴片式的采集装置，即通过贴放在目标用户的体表采集相应的心衰生理信号。示例性的，若信号采集模块包括心电监测单元，则心电监测单元可以是贴片式装置，如图1B所示，展示了一种心电监测单元示意图，心电监测单元可以设置于用户的胸部皮肤表面；心电监测单元可以包括第一电极和第二电极，第一电极和第二电极与处理器102连接，将监测的心电信号发送至处理器102。Specifically, thesignal collection module 101 may be a patch-type collection device, that is, the corresponding heart failure physiological signal is collected by being placed on the body surface of the target user. Exemplarily, if the signal acquisition module includes an ECG monitoring unit, the ECG monitoring unit may be a patch-type device. As shown in FIG. 1B , a schematic diagram of an ECG monitoring unit is shown. The skin surface of the chest; the ECG monitoring unit may include a first electrode and a second electrode, the first electrode and the second electrode are connected to theprocessor 102 and send the monitored ECG signal to theprocessor 102 .

信号采集模块101也可以是穿戴式的采集装置，如戒指、手环、臂环、头部束带或胸腹部束带等可被用户穿戴的装置。当然，信号采集模块101还可以是贴片式与穿戴式结合的信号采集装置，即同时包括体表贴片和穿戴式装置，可以根据需要采集的心衰生理信号的种类对信号采集模块101所包括的各监听单元进行增减，或者，还可以根据穿戴方式对信号采集模块101所包括的各监听单元进行增减。Thesignal acquisition module 101 may also be a wearable acquisition device, such as a ring, a wristband, an armband, a head strap, or a chest and abdomen strap, and other devices that can be worn by the user. Of course, thesignal acquisition module 101 can also be a combination of a patch type and a wearable type signal acquisition device, that is, it includes both a body surface patch and a wearable device. The included monitoring units are increased or decreased, or each monitoring unit included in thesignal acquisition module 101 can be increased or decreased according to the wearing method.

例如针对戒指、手环等穿戴式的信号采集模块101，只需要在信号采集模块101中设计心电监测单元和血氧监测单元即可；针对头部束带或胸腹部束带等穿戴式的信号采集模块101，只需要在信号采集模块101中设计心音监测单元或心电监测单元即可。贴片式或穿戴式的信号采集模块101可以实现对目标用户的长期连续监控，多种传感器的使用可以提供更全面的临床数据，进而便于对目标用户的心衰状态进行综合评价。For example, for wearablesignal acquisition modules 101 such as rings and wristbands, it is only necessary to design an ECG monitoring unit and a blood oxygen monitoring unit in thesignal acquisition module 101; Thesignal acquisition module 101 only needs to design a heart sound monitoring unit or an ECG monitoring unit in thesignal acquisition module 101 . The patch type or wearablesignal acquisition module 101 can realize long-term continuous monitoring of the target user, and the use of various sensors can provide more comprehensive clinical data, thereby facilitating comprehensive evaluation of the target user's heart failure state.

可选的，若信号采集模块101为贴片式的采集装置，则信号采集模块101可以同时包括心音监测单元、心电监测单元、肺音监测单元、血氧监测单元、呼吸监测单元、阻抗监测单元和睡眠倾角监测单元。Optionally, if thesignal acquisition module 101 is a patch-type acquisition device, thesignal acquisition module 101 may simultaneously include a heart sound monitoring unit, an ECG monitoring unit, a lung sound monitoring unit, a blood oxygen monitoring unit, a respiration monitoring unit, and an impedance monitoring unit. unit and sleep inclination monitoring unit.

示例性的，如图1C所示，展示了一种心脏监视器的结构示意图，该心脏监视器包括处理器110、心音监测单元111、心电监测单元112、肺音监测单元113、血氧监测单元114、呼吸监测单元115、阻抗监测单元116和睡眠倾角监测单元117。Exemplarily, as shown in FIG. 1C, a schematic structural diagram of a heart monitor is shown, the heart monitor includes aprocessor 110, a heartsound monitoring unit 111, anelectrocardiogram monitoring unit 112, a lungsound monitoring unit 113, and a blood oxygen monitoring unit.unit 114 ,respiration monitoring unit 115 ,impedance monitoring unit 116 and sleeptilt monitoring unit 117 .

进一步的，信号采集模块101在获取到目标用户的至少一种心衰生理信号后，信号采集模块101可以将至少一种心衰生理信号发送给处理器102，以使处理器102根据至少一种心衰生理信号确定目标用户的心衰指标。Further, after thesignal acquisition module 101 acquires at least one physiological signal of heart failure of the target user, thesignal acquisition module 101 can send the at least one physiological signal of heart failure to theprocessor 102, so that theprocessor 102 can make the signal according to the at least one physiological signal. Heart failure physiological signals determine the target user's heart failure indicators.

具体的，处理器102可以根据每一个心衰生理信号对应的预设指标规则，计算出目标用户的心衰指标。其中，预设指标计算规则可以是预先设置的对心衰生理信号进行分析以确定心衰程度的规则；不同的心衰生理信号所对应的预设指标计算规则不同。Specifically, theprocessor 102 may calculate the heart failure index of the target user according to the preset index rule corresponding to each heart failure physiological signal. The preset index calculation rule may be a preset rule for analyzing the heart failure physiological signal to determine the degree of heart failure; the preset index calculation rules corresponding to different heart failure physiological signals are different.

例如，心音信号对应的预设指标计算规则可以是根据心音信号中第三心音的强度与第一心音的强度之间的比例计算心音信号对应的参考指标。心电信号对应的预设指标计算规则可以是根据心电信号中的当前心率以及预设平稳心率之间的差值计算心电信号对应的参考指标。肺音信号对应的预设指标计算规则可以是根据肺音信号中是否检测到肺部啰音，以及肺部啰音的强度计算肺音信号对应的参考指标。血氧信号对应的预设指标计算规则可以是根据血氧信号中血红蛋白的氧合程度计算血氧信号对应的参考指标。呼吸信号对应的预设指标计算规则可以是根据呼吸信号中的单位时间呼吸次数计算呼吸信号对应的参考指标。阻抗信号对应的预设指标计算规则可以是根据阻抗信号中的生物阻抗计算阻抗信号对应的参考指标。睡眠倾角信号对应的预设指标计算规则可以是根据睡眠倾角信号中的睡眠倾角的变化值计算睡眠倾角信号对应的参考指标。For example, the preset index calculation rule corresponding to the heart sound signal may be to calculate the reference index corresponding to the heart sound signal according to the ratio between the intensity of the third heart sound and the intensity of the first heart sound in the heart sound signal. The preset index calculation rule corresponding to the ECG signal may be to calculate the reference index corresponding to the ECG signal according to the difference between the current heart rate in the ECG signal and the preset steady heart rate. The preset index calculation rule corresponding to the lung sound signal may be to calculate the reference index corresponding to the lung sound signal according to whether lung rales are detected in the lung sound signal and the intensity of the lung rales. The preset index calculation rule corresponding to the blood oxygen signal may be to calculate the reference index corresponding to the blood oxygen signal according to the oxygenation degree of hemoglobin in the blood oxygen signal. The preset index calculation rule corresponding to the breathing signal may be to calculate the reference index corresponding to the breathing signal according to the number of breaths per unit time in the breathing signal. The preset index calculation rule corresponding to the impedance signal may be to calculate the reference index corresponding to the impedance signal according to the biological impedance in the impedance signal. The preset index calculation rule corresponding to the sleep inclination signal may be to calculate the reference index corresponding to the sleep inclination signal according to the change value of the sleep inclination in the sleep inclination signal.

可选的，处理器102，具体用于根据接收到的至少一种心衰生理信号以及心衰生理信号对应的预设指标计算规则确定心衰生理信号对应的信号参考指标，基于至少一种心衰生理信号对应的信号参考指标以及心衰生理信号对应的预设权重确定目标用户的心衰指标。Optionally, theprocessor 102 is specifically configured to determine the signal reference index corresponding to the heart failure physiological signal according to the received at least one heart failure physiological signal and the preset index calculation rule corresponding to the heart failure physiological signal, based on the at least one heart failure physiological signal. The signal reference index corresponding to the physiological signal of heart failure and the preset weight corresponding to the physiological signal of heart failure determine the heart failure index of the target user.

即，可以根据每一个心衰生理信号对应的预设指标计算规则计算出各心衰生理信号对应的信号参考指标，进一步的，通过各心衰生理信号对应的预设权重，将各信号参考指标进行综合得到心衰指标。其中，各心衰生理信号对应的预设权重可以根据监测的心衰生理信号的数量和/或心衰生理信号的重要程度确定。That is, the signal reference index corresponding to each heart failure physiological signal can be calculated according to the preset index calculation rule corresponding to each heart failure physiological signal, and further, according to the preset weight corresponding to each heart failure physiological signal, each signal reference index The index of heart failure was obtained by synthesis. The preset weight corresponding to each heart failure physiological signal may be determined according to the number of monitored heart failure physiological signals and/or the importance of the heart failure physiological signals.

如，若心衰生理信号包括心音信号、心电信号、肺音信号、血氧信号、呼吸信号、阻抗信号以及睡眠倾角信号；心衰指标＝a*心音信号+b*心电信号+c*肺音信号+d*血氧信号+e*呼吸信号+f*阻抗信号+g*睡眠倾角信号。For example, if the physiological signals of heart failure include heart sound signal, ECG signal, lung sound signal, blood oxygen signal, respiratory signal, impedance signal and sleep inclination signal; heart failure index=a*heart sound signal+b*ECG signal+c* Lung sound signal+d*blood oxygen signal+e*respiration signal+f*impedance signal+g*sleep tilt signal.

通过各心衰生理信号和其对应的预设指标计算规则，计算出各心衰生理信号对应的信号参考指标，进而根据各心衰生理信号对应的预设权重计算出综合各信号参考指标的心衰指标，实现了心衰指标的准确确定。Through the calculation rules of each heart failure physiological signal and its corresponding preset index, the signal reference index corresponding to each heart failure physiological signal is calculated, and then according to the preset weight corresponding to each heart failure physiological signal, the heart rate that integrates each signal reference index is calculated. Accurate determination of heart failure indicators.

示例性的，对根据预设指标计算规则计算信号参考指标的过程进行举例说明。即，可选的，处理器102，还用于执行下述操作中的至少一项：Exemplarily, the process of calculating the signal reference index according to the preset index calculation rule is exemplified. That is, optionally, theprocessor 102 is further configured to perform at least one of the following operations:

若接收到心音信号，且检测到心音信号中存在第三心音，则基于第三心音的强度确定心音信号对应的信号参考指标；若接收到心电信号，则基于心电信号确定目标用户对应的实际心率，以及实际心率以及预设平稳心率确定心电信号对应的信号参考指标；若接收到肺音信号，且检测到肺音信号中存在啰音信号，则基于啰音信号的强度确定肺音信号对应的信号参考指标；若接收到血氧信号，则基于血氧信号中的实际血氧饱和度以及预设参考饱和度确定血氧信号对应的信号参考指标；若接收到呼吸信号，则基于呼吸信号对应的当前呼吸频率以及历史呼吸频率确定呼吸信号对应的信号参考指标；若接收到生物阻抗信号，则基于生物阻抗信号中的当前生物阻抗以及预设平稳阻抗确定生物阻抗信号对应的信号参考指标；若接收到睡眠倾角信号，则基于睡眠倾角信号确定目标用户在当前预设时间段内的平均睡眠倾角，基于当前预设时间段内的平均睡眠倾角以及上一预设时间段内的平均睡眠倾角确定睡眠倾角信号对应的信号参考指标。If a heart sound signal is received and a third heart sound is detected in the heart sound signal, the signal reference index corresponding to the heart sound signal is determined based on the intensity of the third heart sound; if an ECG signal is received, the target user is determined based on the ECG signal. The actual heart rate, the actual heart rate and the preset stable heart rate determine the signal reference index corresponding to the ECG signal; if a lung sound signal is received and a rales signal is detected in the lung sound signal, the lung sound is determined based on the intensity of the rales signal The signal reference index corresponding to the signal; if the blood oxygen signal is received, the signal reference index corresponding to the blood oxygen signal is determined based on the actual blood oxygen saturation in the blood oxygen signal and the preset reference saturation; if the breathing signal is received, based on The current respiratory frequency corresponding to the respiratory signal and the historical respiratory frequency determine the signal reference index corresponding to the respiratory signal; if the bioimpedance signal is received, the signal reference corresponding to the bioimpedance signal is determined based on the current bioimpedance and the preset stationary impedance in the bioimpedance signal indicator; if a sleep inclination signal is received, the average sleep inclination of the target user in the current preset time period is determined based on the sleep inclination signal, based on the average sleep inclination in the current preset time period and the average sleep inclination in the previous preset time period The sleep inclination determines the signal reference index corresponding to the sleep inclination signal.

其中，在心音信号中，第三心音是收缩性心衰的典型症状，第三心音与左室充盈压力相关，左室充盈压力越高则第三心音越强，一般肺水肿患者的左室冲压压力升高，相应地肺水肿患者的第三心音高于正常水平。因此，可以使用心音信号中第三心音的强度变化趋势计算目标用户的心衰指标，也可以使用心音信号中第三心音的强度与第一心音的强度的比例，或第三心音的强度与第一心音的强度的乘积，计算心音信号对应的信号参考指标，或者，还可以根据预先采集的不同患者的心音波形训练预测模型，将目标用户的心电信号输入至预测模型中，得到预测模型所输出的预测波形，根据预测波形计算心音信号对应的信号参考指标。示例性的，若第三心音与第一心音的强度的比例每达到5％，则在心音信号对应的信号参考指标中累加一分。Among them, in the heart sound signal, the third heart sound is a typical symptom of systolic heart failure, and the third heart sound is related to the filling pressure of the left ventricle. The higher the filling pressure of the left ventricle, the stronger the third heart sound. The pressure is elevated, and the third heart sound is correspondingly higher than normal in patients with pulmonary edema. Therefore, the change trend of the intensity of the third heart sound in the heart sound signal can be used to calculate the heart failure index of the target user, or the ratio of the intensity of the third heart sound in the heart sound signal to the intensity of the first heart sound, or the intensity of the third heart sound and the intensity of the first heart sound can be used. The product of the intensity of the first heart sound is used to calculate the signal reference index corresponding to the heart sound signal. Alternatively, a prediction model can also be trained according to the pre-collected heart sound waveforms of different patients, and the target user's ECG signal is input into the prediction model to obtain a prediction. Based on the predicted waveform output by the model, the signal reference index corresponding to the heart sound signal is calculated according to the predicted waveform. Exemplarily, if the ratio of the intensity of the third heart sound to the intensity of the first heart sound reaches 5%, one point is accumulated in the signal reference index corresponding to the heart sound signal.

心电信号可以包括目标用户的心率信息。心衰的早期表现之一是心率增加。因此，可以将目标用户病情稳定时的平均心率设置为预设平稳心率，或者将目标用户在历史时间段内的平均心率设置为预设平稳心率。通过心电信号中的实际心率以及预设平稳心率之间的差值确定心电信号对应的信号参考指标；如，实际心率以及预设平稳心率之间的差值每达到10次，则在心电信号对应的信号参考指标中累加一分。或者，还可以根据心电信号获取目标用户的一次心率恢复事件，心率恢复事件可以是目标用户从高心率恢复到低心率的过程，根据心率恢复事件中恢复到基数心率的时长和/或基数心率与预设平稳心率之间的差值，计算心电信号对应的信号参考指标。The ECG signal may include heart rate information of the target user. One of the early manifestations of heart failure is an increased heart rate. Therefore, the average heart rate of the target user when the condition is stable may be set as the preset stable heart rate, or the average heart rate of the target user in the historical time period may be set as the preset stable heart rate. The signal reference index corresponding to the ECG signal is determined by the difference between the actual heart rate in the ECG signal and the preset stable heart rate; for example, every time the difference between the actual heart rate and the preset stable heart rate reaches 10 times, the One point is accumulated in the signal reference indicator corresponding to the signal. Alternatively, a heart rate recovery event of the target user can also be obtained according to the ECG signal. The heart rate recovery event can be the process of the target user recovering from a high heart rate to a low heart rate, and the duration and/or the base heart rate in the heart rate recovery event to recover to the base heart rate. Calculate the signal reference index corresponding to the ECG signal based on the difference between the preset steady heart rate and the preset steady heart rate.

考虑到心衰恶化会导致肺部水肿，因此，可以在检测到肺音信号中存在啰音信号时，根据啰音信号的强度计算肺音信号对应的信号参考指标。Considering that the worsening of heart failure can lead to pulmonary edema, when the presence of rales in the lung sound signal is detected, the signal reference index corresponding to the lung sound signal can be calculated according to the intensity of the rales signal.

考虑到患者发生心衰时心脏的供血能力下降，以及心衰导致的肺水肿使得肺泡和血管气体交换能力下降共同导致血氧饱和度下降，血压饱和度可以使用特定值或范围指示患者的心衰程度，例如，动脉血氧饱和度高于94％-98％时认为其心脏正常，否则认为其存在心衰的可能性。因此，可以将预设参考饱和度设置为94％-98％中的任意值，如94％。根据实际血氧饱和度以及预设参考饱和度时间的差值计算血氧信号对应的信号参考指标。示例性的，实际血氧饱和度以及预设参考饱和度时间的差值每达到2％，则在血氧信号对应的信号参考指标中累加一分。Considering that the blood supply capacity of the heart is reduced in patients with heart failure, and the pulmonary edema caused by heart failure causes the reduction of alveolar and vascular gas exchange capacity, which together lead to a decrease in blood oxygen saturation, blood pressure saturation can use a specific value or range to indicate the patient's heart failure. For example, when the arterial oxygen saturation is higher than 94%-98%, the heart is considered to be normal, otherwise it is considered to have the possibility of heart failure. Therefore, the preset reference saturation can be set to any value between 94%-98%, such as 94%. The signal reference index corresponding to the blood oxygen signal is calculated according to the difference between the actual blood oxygen saturation and the preset reference saturation time. Exemplarily, every time the difference between the actual blood oxygen saturation and the preset reference saturation time reaches 2%, one point is accumulated in the signal reference index corresponding to the blood oxygen signal.

考虑到心衰患者单位时间内的呼吸次数会随着心衰严重程度的增加而增加。因此，可以从呼吸信号中确定目标用户的当前呼吸频率，根据当前呼吸频率与历史呼吸频率之间的差距计算呼吸信号对应的信号参考指标。示例性的，呼吸频率与历史呼吸频率之间的差距每达到10％，则在呼吸信号对应的信号参考指标中累加一分；或者，呼吸频率与历史呼吸频率之间的相差次数每达到6次/分，则在呼吸信号对应的信号参考指标中累加一分。其中，历史呼吸频率可以是目标用户在历史时间段内的平均呼吸频率。Considering that the number of breaths per unit time in patients with heart failure increases with the severity of heart failure. Therefore, the current breathing frequency of the target user can be determined from the breathing signal, and the signal reference index corresponding to the breathing signal can be calculated according to the difference between the current breathing frequency and the historical breathing frequency. Exemplarily, every time the difference between the breathing frequency and the historical breathing frequency reaches 10%, one point is accumulated in the signal reference index corresponding to the breathing signal; or, every time the difference between the breathing frequency and the historical breathing frequency reaches 6 times /min, then add 1 point to the signal reference index corresponding to the breathing signal. The historical breathing frequency may be the average breathing frequency of the target user in a historical time period.

考虑到心衰的临床表现之一是水肿，在水肿形成的过程中，患者的生物阻抗是逐渐变小的，因此，可以根据生物阻抗的变化确定患者水肿的程度，进而确定心衰程度。具体的，可以通过optivol方法实时测量目标用户的当前生物阻抗，即通过发射脉冲的方式测量竞雄阻抗，进而通过当前生物阻抗与预设平稳阻抗之间的差距计算生物阻抗信号对应的信号参考指标。例如，与预设平稳阻抗相比，当前生物阻抗每减少5％，则在生物阻抗信号对应的信号参考指标中累加一分。其中，预设平稳阻抗可以是目标用户病情稳定时的基线生物阻抗。Considering that one of the clinical manifestations of heart failure is edema, in the process of edema formation, the bioimpedance of the patient gradually decreases. Therefore, the degree of edema in the patient can be determined according to the change of bioimpedance, and then the degree of heart failure can be determined. Specifically, the current bioimpedance of the target user can be measured in real time by the optivol method, that is, the competitive impedance is measured by transmitting pulses, and then the signal reference index corresponding to the bioimpedance signal is calculated by the difference between the current bioimpedance and the preset stable impedance. . For example, when the current bioimpedance decreases by 5% compared with the preset stable impedance, one point is accumulated in the signal reference index corresponding to the bioimpedance signal. The preset stable impedance may be the baseline bioimpedance of the target user when the condition is stable.

考虑到心衰的另一个表现是睡眠倾角增大。因此，还可以计算目标用户在当前预设时间段内的平均睡眠倾角，根据当前预设时间段内的平均睡眠倾角和上一预设时间段内的平均睡眠倾角之间的差值计算睡眠倾角信号对应的信号参考指标。例如，与上一预设时间段内的平均睡眠倾角相比，当前预设时间段内的平均睡眠倾角每增加5度，则在睡眠倾角信号对应的信号参考指标中累加一分。其中，当前预设时间段可以是预先设置的固定睡眠时间段，如0-6点，或者，还可以是通过加速度计实时测量出的睡眠时间段。上一预设时间段内的平均睡眠倾角可以是前一天的睡眠时间段内的平均睡眠倾角，或者，前一个星期的睡眠时间段内的平均睡眠倾角，等。Considering another manifestation of heart failure is increased sleep inclination. Therefore, the average sleep inclination angle of the target user in the current preset time period can also be calculated, and the sleep inclination angle is calculated according to the difference between the average sleep inclination angle in the current preset time period and the average sleep inclination angle in the previous preset time period The signal reference indicator corresponding to the signal. For example, compared with the average sleep inclination in the previous preset time period, every time the average sleep inclination in the current preset time period increases by 5 degrees, one point is accumulated in the signal reference index corresponding to the sleep inclination signal. The current preset time period may be a preset fixed sleep time period, such as 0-6 o'clock, or may also be a sleep time period measured in real time by an accelerometer. The average sleep inclination angle in the last preset time period may be the average sleep inclination angle in the previous day's sleep time period, or the average sleep inclination angle in the previous week's sleep time period, and the like.

在上述示例中，实现了对各种心衰生理信号对应的信号参考指标的准确计算，进而得到能够准确表征目标用户心衰状态的心衰指标。In the above example, accurate calculation of the signal reference indexes corresponding to various heart failure physiological signals is achieved, thereby obtaining a heart failure index that can accurately represent the target user's heart failure state.

进一步的，在得到目标用户的心衰指标后，可以根据预先设置的各指标范围以及各指标范围对应的心衰程度，确定目标用户对应的实际心衰程度。若实际心衰程度到达预设报警程度，则可以向与该目标用户关联的医生的终端设备发送提示信息。或者，还可以在实际心衰程度到达预设报警程度时，向所述目标用户的终端设备发送就诊提示信息。或者，还可以在实际心衰程度到达预设报警程度时，控制体外心脏除颤器处于待机状态，以便于及时通过体外心脏除颤器对目标用户进行除颤。Further, after obtaining the heart failure index of the target user, the actual heart failure degree corresponding to the target user may be determined according to the preset range of each index and the degree of heart failure corresponding to each index range. If the actual degree of heart failure reaches the preset alarm degree, prompt information may be sent to the terminal device of the doctor associated with the target user. Alternatively, when the actual degree of heart failure reaches a preset alarm degree, prompt information for medical treatment may be sent to the terminal device of the target user. Alternatively, when the actual degree of heart failure reaches the preset alarm level, the external cardiac defibrillator can be controlled to be in a standby state, so that the target user can be defibrillated by the external cardiac defibrillator in time.

本实施例提供的心衰监测系统，根据信号采集模块采集目标用户的至少一种心衰生理信号，并通过处理器根据至少一种心衰生理信号以及各心衰生理信号对应的预设指标计算规则计算出目标用户的心衰指标，实现了对用户的心衰状态的监测，能够实时检测到用户的心衰程度，解决了不能及时发现患者心衰病情恶化的技术问题，并且，该心衰指标还可以作为医生判断病情的辅助信息，如决定是否调整用药或前往医院就诊。The heart failure monitoring system provided in this embodiment collects at least one heart failure physiological signal of the target user according to the signal acquisition module, and calculates by the processor according to the at least one heart failure physiological signal and the preset index corresponding to each heart failure physiological signal The rule calculates the target user's heart failure index, realizes the monitoring of the user's heart failure state, can detect the user's heart failure degree in real time, and solves the technical problem of not being able to detect the deterioration of the patient's heart failure condition in time. Indicators can also be used as auxiliary information for doctors to judge the condition, such as deciding whether to adjust medication or go to the hospital.

实施例二Embodiment 2

图2A是本发明实施例二提供的一种心衰监测系统的结构示意图，本实施例在上述各实施例的基础上，还包括穿戴式心脏除颤器。如图2A所示，本实施例提供的心衰监测系统包括心脏监视器20和穿戴式心脏除颤器21，心脏监视器20包括信号采集模块201、处理器202和第一通信模块203，信号采集模块201至少包括心电监测单元2010。2A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 2 of the present invention. On the basis of the foregoing embodiments, this embodiment further includes a wearable cardiac defibrillator. As shown in FIG. 2A , the heart failure monitoring system provided in this embodiment includes aheart monitor 20 and a wearablecardiac defibrillator 21 , and theheart monitor 20 includes asignal acquisition module 201 , aprocessor 202 and afirst communication module 203 . Theacquisition module 201 includes at least anECG monitoring unit 2010 .

其中，处理器202，还用于根据心电信号检测目标用户是否发生心脏事件，若是，则通过第一通信模块203向穿戴式心脏除颤器21发送除颤指令；穿戴式心脏除颤器21，用于根据除颤指令对目标用户进行除颤操作，并在除颤操作完成后向处理器202反馈除颤完成信号。Theprocessor 202 is further configured to detect whether the target user has a cardiac event according to the ECG signal, and if so, send a defibrillation instruction to the wearablecardiac defibrillator 21 through thefirst communication module 203; the wearablecardiac defibrillator 21 , which is used to perform a defibrillation operation on the target user according to the defibrillation instruction, and feed back a defibrillation completion signal to theprocessor 202 after the defibrillation operation is completed.

具体的，处理器202可以根据信号采集模块201中的心电监测单元2010所采集的心电信号，判断目标用户是否发生心脏事件；其中，心脏事件可以是室颤或恶性心率失常。示例性的，处理器202可以根据概率计数法以及心电信号检测目标用户是否发生心脏事件，即可以确定心电信号中落入到室速/室颤分区范围内的心跳的比例，基于该比例判断目标用户是否发生心脏事件。比如，在24跳的心电信号中检测到18跳心率落入到室速/室颤分区范围内，则可以确定目标用户发生心脏事件，需要对目标用户进行电击。Specifically, theprocessor 202 can determine whether the target user has a cardiac event according to the ECG signal collected by theECG monitoring unit 2010 in thesignal acquisition module 201 , wherein the cardiac event may be ventricular fibrillation or malignant arrhythmia. Exemplarily, theprocessor 202 may detect whether the target user has a cardiac event according to the probability counting method and the ECG signal, that is, to determine the proportion of the heartbeats in the ECG signal that fall within the VT/ventricular fibrillation zone, based on the proportion Determine whether the target user has a cardiac event. For example, if the heart rate of 18 beats is detected in the ECG signal of 24 beats and falls within the ventricular tachycardia/ventricular fibrillation zone, it can be determined that the target user has a cardiac event, and the target user needs to be shocked.

在本实施例中，处理器202可以在检测到目标用户发生心脏事件时，通过第一通信模块203向穿戴式心脏除颤器21发送除颤指令；穿戴式心脏除颤器21在接收到该除颤指令后，通过除颤电极对目标用户进行除颤操作，并在除颤操作完成后将处理器202反馈除颤完成信号。进一步的，处理器202可以在接收到该除颤完成信号后，继续根据心电信号判断目标用户是否仍然存在心脏事件，若是，则处理器202可以继续向穿戴式心脏除颤器穿戴式心脏除颤器21发送除颤指令。In this embodiment, theprocessor 202 may send a defibrillation instruction to the wearablecardiac defibrillator 21 through thefirst communication module 203 when detecting that the target user has a cardiac event; the wearablecardiac defibrillator 21 receives the After the defibrillation command, a defibrillation operation is performed on the target user through the defibrillation electrodes, and a defibrillation completion signal is fed back to theprocessor 202 after the defibrillation operation is completed. Further, after receiving the defibrillation completion signal, theprocessor 202 can continue to determine whether the target user still has a cardiac event according to the ECG signal, and if so, theprocessor 202 can continue to send the wearable cardiac defibrillator to the wearable cardiac defibrillator. Thefibrillator 21 sends a defibrillation command.

一般而言，在目标用户发生心脏事件时，可以通过上述方式为目标用户除颤六次，即处理器202可以检测穿戴式心脏除颤器21完成除颤操作的次数，若除颤六次后目标用户仍然存在心脏事件，则可以停止除颤操作，处理器202可以通过第一通信模块203向医生的终端发送报警信息或拨打预设告警号码。Generally speaking, when a cardiac event occurs to the target user, the target user can be defibrillated six times by the above method, that is, theprocessor 202 can detect the number of times the wearablecardiac defibrillator 21 has completed the defibrillation operation. If the target user still has a cardiac event, the defibrillation operation can be stopped, and theprocessor 202 can send alarm information to the doctor's terminal through thefirst communication module 203 or dial a preset alarm number.

示例性的，如图2B所示，展示了一种穿戴式心脏除颤器的示意图。穿戴式心脏除颤器21至少包括第一除颤电极和第二除颤电极，第一除颤电极和第二除颤电极之间可以形成除颤向量，该除颤向量能够覆盖目标用户的心脏组织，以对目标用户进行除颤操作。Exemplarily, as shown in FIG. 2B , a schematic diagram of a wearable cardiac defibrillator is shown. The wearablecardiac defibrillator 21 at least includes a first defibrillation electrode and a second defibrillation electrode, and a defibrillation vector can be formed between the first defibrillation electrode and the second defibrillation electrode, and the defibrillation vector can cover the heart of the target user organization to defibrillate the target user.

可选的，穿戴式心脏除颤器21，还用于当接收到包含心脏事件对应的事件程度的除颤指令时，根据事件程度确定目标用户对应的除颤能量，基于除颤能量对目标用户进行除颤操作。Optionally, the wearablecardiac defibrillator 21 is also used to determine the defibrillation energy corresponding to the target user according to the event degree when receiving a defibrillation instruction that includes an event degree corresponding to a cardiac event, and based on the defibrillation energy to the target user. Perform defibrillation.

即，处理器202可以在检测到目标用户发生心脏事件时，确定心脏事件对应的事件程度，进而向穿戴式心脏除颤器21发送包括事件程度的除颤指令，穿戴式心脏除颤器21根据事件程度确定相应的除颤能量，通过该除颤能量对目标用户执行除颤。通过该方式，可以根据目标用户发生心脏事件时的事件程度准确的确定出除颤能量，使得穿戴式心脏除颤器的除颤操作更符合患者实际需求。That is, theprocessor 202 can determine the event degree corresponding to the cardiac event when detecting that the target user has a cardiac event, and then send a defibrillation instruction including the event degree to the wearablecardiac defibrillator 21, and the wearablecardiac defibrillator 21 can send the defibrillation instruction including the event degree to the wearablecardiac defibrillator 21 according to The magnitude of the event determines the corresponding defibrillation energy by which defibrillation is performed on the target user. In this way, the defibrillation energy can be accurately determined according to the event degree of the target user when the cardiac event occurs, so that the defibrillation operation of the wearable cardiac defibrillator is more in line with the actual needs of the patient.

在本实施例中，处理器202可以直接根据心电信号判断是否存在心脏事件。除此之外，为了防止心电信号受到干扰所导致的对心脏事件的误判，还可以在信号采集模块201中设置加速度计，通过加速度计所采集的目标用户的加速度验证心脏事件。In this embodiment, theprocessor 202 may directly determine whether there is a cardiac event according to the ECG signal. In addition, in order to prevent misjudgment of cardiac events caused by interference of the ECG signal, an accelerometer may also be set in thesignal acquisition module 201, and the cardiac event is verified by the acceleration of the target user collected by the accelerometer.

即，可选的，信号采集模块201还包括加速度计；加速度计，用于采集目标用户的加速度信号，将加速度信号发送至处理器202；处理器202，还用于基于加速度信号和心电信号检测目标用户是否发生心脏事件。That is, optionally, thesignal acquisition module 201 further includes an accelerometer; the accelerometer is used to collect the acceleration signal of the target user, and send the acceleration signal to theprocessor 202; theprocessor 202 is also used to base on the acceleration signal and the ECG signal Detects whether the target user has a cardiac event.

具体的，处理器202可以根据加速度信号判断目标用户是否倒下，若是，则进一步根据心电信号判断是否存在心脏事件。或者，处理器202也可以先根据心电信号判断是否可能存在心脏事件，若是，则进一步根据加速度信号判断目标用户是否倒下，若判断出目标用户倒下，则确定目标用户发生心脏事件。通过该方式，实现了对心脏事件的校验，避免了由于心电信号收到干扰所导致的误判心脏事件的情形。Specifically, theprocessor 202 may determine whether the target user falls down according to the acceleration signal, and if so, further determine whether there is a cardiac event according to the electrocardiogram signal. Alternatively, theprocessor 202 may first determine whether there may be a cardiac event according to the ECG signal, and if so, further determine whether the target user has fallen down according to the acceleration signal. In this way, the verification of the cardiac event is realized, and the misjudgment of the cardiac event caused by the interference of the ECG signal is avoided.

在本实施例中，除了可以基于加速度信号验证心脏事件之外，还可以通过在信号采集模块201中设置心音监测单元，通过心音监测单元采集的心音信号和心电监测单元采集的心电信号双向验证目标用户是否发生心脏事件。In this embodiment, in addition to verifying the cardiac event based on the acceleration signal, a heart sound monitoring unit can also be set in thesignal acquisition module 201, and the heart sound signal collected by the heart sound monitoring unit and the ECG signal collected by the ECG monitoring unit can be bidirectional Verify that the target user has a cardiac event.

即，可选的，信号采集模块201还包括心音监测单元；处理器202，还用于根据心电信号计算第一心率，根据心音信号计算第二心率，基于第一心率和第二心率确定目标用户是否发生心脏事件。That is, optionally, thesignal acquisition module 201 further includes a heart sound monitoring unit; theprocessor 202 is further configured to calculate the first heart rate according to the ECG signal, calculate the second heart rate according to the heart sound signal, and determine the target based on the first heart rate and the second heart rate Whether the user has had a cardiac event.

具体的，可以判断心电信号的第一心率中落入到室速/室颤分区范围内的心跳的比例是否大于预设分区比例，若是，则表明目标用户可能存在心脏事件，进一步的，可以判断第一心率和第二心率之间的差值是否小于设定差值，若是，则可以确定第一心率可靠，目标用户存在心脏事件。或者，还可以先判断第一心率和第二心率之间的差值是否小于设定差值，若是，则在判断出心电信号的第一心率中落入到室速/室颤分区范围内的心跳的比例大于预设分区比例，或者，判断出心音信号的第二心率中落入到室速/室颤分区范围内的心跳的比例大于预设分区比例时，确定目标用户存在心脏事件。通过该方式，实现了基于心音信号和心电信号的心脏事件的确定，避免了由于心电信号收到干扰所导致的误判心脏事件的情形。Specifically, it can be determined whether the proportion of heartbeats falling within the ventricular tachycardia/ventricular fibrillation zone in the first heart rate of the ECG signal is greater than the preset zone ratio, and if so, it indicates that the target user may have a cardiac event. It is judged whether the difference between the first heart rate and the second heart rate is smaller than the set difference, and if so, it can be determined that the first heart rate is reliable and the target user has a heart event. Alternatively, it is also possible to first determine whether the difference between the first heart rate and the second heart rate is smaller than the set difference, and if so, then it is determined that the first heart rate of the ECG signal falls within the ventricular tachycardia/ventricular fibrillation zone range. The proportion of heartbeats of the target user is greater than the preset partition proportion, or, when it is determined that the second heart rate of the heart sound signal falls within the ventricular tachycardia/ventricular fibrillation partition ratio is greater than the preset partition proportion, it is determined that the target user has a cardiac event. In this way, the determination of the cardiac event based on the heart sound signal and the ECG signal is realized, and the misjudgment of the cardiac event caused by the interference of the ECG signal is avoided.

示例性的，如图2C所示，展示了一种基于心音信号和心电信号的心脏事件的确定过程示意图。具体的，根据心电信号计算第一心率，根据心音信号计算第二心率，判断第一心率是否发生室颤，若是，则继续判断第二心率是否发生室颤，若第二心率也发生室颤，则发出报警信号，并判断是否取消报警信号，若否，则执行除颤操作，若是，则返回继续监测心电信号和心率信号。若第一心率或第二心率未发生室颤，则返回继续监测心电信号和心率信号。该过程可以由心脏监视器中的处理器202执行。Exemplarily, as shown in FIG. 2C , a schematic diagram of a determination process of a cardiac event based on a heart sound signal and an ECG signal is shown. Specifically, the first heart rate is calculated according to the ECG signal, the second heart rate is calculated according to the heart sound signal, and it is determined whether ventricular fibrillation occurs in the first heart rate. If yes, continue to determine whether ventricular fibrillation occurs in the second heart rate. , then send out an alarm signal, and judge whether to cancel the alarm signal, if not, execute the defibrillation operation, if so, return to continue monitoring the ECG signal and the heart rate signal. If no ventricular fibrillation occurs in the first heart rate or the second heart rate, return to continue monitoring the ECG signal and the heart rate signal. This process may be performed by theprocessor 202 in the heart monitor.

在另一种可选的实施方式中，穿戴式心脏除颤器21包括心电模块和感知电极；其中，心电模块，用于根据感知电极采集的心电信号计算目标用户的第三心率，基于第三心率确定目标用户是否发生心脏事件；穿戴式心脏除颤器21，还用于若接收处理器202发送的除颤指令，且心电模块确定目标用户发生心脏事件，则对目标用户进行除颤操作。其中，感知电极可以是与除颤电极共用的电极，也可以是独立的电极。In another optional embodiment, the wearablecardiac defibrillator 21 includes an ECG module and sensing electrodes; wherein, the ECG module is used to calculate the third heart rate of the target user according to the ECG signals collected by the sensing electrodes, Determine whether the target user has a cardiac event based on the third heart rate; the wearablecardiac defibrillator 21 is also used for receiving the defibrillation instruction sent by theprocessor 202 and the ECG module determines that the target user has a cardiac event, then perform Defibrillation operation. The sensing electrodes may be electrodes shared with the defibrillation electrodes, or may be independent electrodes.

即，还可以通过穿戴式心脏除颤器21内部的心电模块和感知电极，验证目标用户是否发生心脏事件。具体的，穿戴式心脏除颤器21的心电模块可以针对感知电极采集的心电信号计算出第三心率。若处理器202发送除颤指令，则表明处理器202根据心电监测单元的心电信号确定出发生心脏事件，或者处理器202根据心电监测单元的心电信号和心音监测单元的心音信号确定出发生心脏时间，此时，穿戴式心脏除颤器21的心电模块可以根据第三心率确定是否发生心脏事件，若心电模块也确定出发生心脏事件，则穿戴式心脏除颤器21可以对目标用户执行除颤。通过该方式，实现了对心脏事件的进一步验证，避免了由于心电信号收到干扰所导致的误判心脏事件的情形。That is, whether the target user has a cardiac event can also be verified through the ECG module and sensing electrodes inside the wearablecardiac defibrillator 21 . Specifically, the ECG module of the wearablecardiac defibrillator 21 can calculate the third heart rate according to the ECG signals collected by the sensing electrodes. If theprocessor 202 sends a defibrillation instruction, it means that theprocessor 202 determines that a cardiac event occurs according to the ECG signal of the ECG monitoring unit, or theprocessor 202 determines that a cardiac event occurs according to the ECG signal of the ECG monitoring unit and the heart sound signal of the heart sound monitoring unit At this time, the ECG module of the wearablecardiac defibrillator 21 can determine whether a cardiac event occurs according to the third heart rate. If the ECG module also determines that a cardiac event occurs, the wearablecardiac defibrillator 21 can Defibrillate the target user. In this way, the further verification of the cardiac event is realized, and the misjudgment of the cardiac event caused by the interference of the electrocardiographic signal is avoided.

示例性的，如图2D所示，展示了一种基于穿戴式心脏除颤器和心脏监视器的心脏事件确定过程示意图。其中，心脏监视器通过其内部的心电监测单元和心音监测单元分别采集心电信号和心音信号，根据心电信号和心音信号分别计算第一心率和第二心率，根据第一心率和第二心率将是否发生室颤的判断结果发送至穿戴式心脏除颤器。穿戴式心脏除颤器根据感知电极采集心电信号，根据心电信号计算第三心率，判断第三心率是否发生室颤，若是，则根据心脏监视器发送的判断结果确定该判断结果是否为发生室颤，若是，则控制发出报警信号，并判断是否取消报警信号，若否，则执行除颤操作，若是，则返回继续监测心电信号和心率信号。若第三心率不存在室颤，或心脏监视器发送的判断结果为未发生室颤，则返回继续监测心电信号。Exemplarily, as shown in FIG. 2D , a schematic diagram of a cardiac event determination process based on a wearable cardiac defibrillator and a cardiac monitor is shown. Among them, the heart monitor collects the ECG signal and the heart sound signal respectively through its internal ECG monitoring unit and the heart sound monitoring unit, calculates the first heart rate and the second heart rate respectively according to the ECG signal and the heart sound signal, and calculates the first heart rate and the second heart rate according to the first heart rate and the second heart rate. The heart rate sends the judgment result of ventricular fibrillation to the wearable cardiac defibrillator. The wearable cardiac defibrillator collects the ECG signal according to the sensing electrodes, calculates the third heart rate according to the ECG signal, and judges whether the third heart rate has ventricular fibrillation. Ventricular fibrillation, if it is, the control will send out an alarm signal, and judge whether to cancel the alarm signal, if not, execute the defibrillation operation, if so, return to continue monitoring the ECG signal and the heart rate signal. If there is no ventricular fibrillation in the third heart rate, or the judgment result sent by the heart monitor is that ventricular fibrillation does not occur, the process returns to continue monitoring the ECG signal.

在本实施例提供的心衰监测系统中，处理器还可以根据信号采集模块中的心电监测单元检测的心电信号判断目标用户是否发生心脏事件，并在目标用户发生心脏事件时，向系统中的穿戴式心脏除颤器发送除颤指令，以使穿戴式心脏除颤器在目标用户发生心脏事件时对其进行除颤操作，实现了对用户的心脏事件的监控，并且，在用户发生心脏事件时通过穿戴式心脏除颤器对用户进行除颤以对用户进行急救。In the heart failure monitoring system provided in this embodiment, the processor can also determine whether the target user has a cardiac event according to the ECG signal detected by the ECG monitoring unit in the signal acquisition module, and when the target user has a cardiac event, report to the system The wearable cardiac defibrillator in the device sends a defibrillation command, so that the wearable cardiac defibrillator can defibrillate the target user when a cardiac event occurs, which realizes the monitoring of the user's cardiac event. The user is defibrillated by a wearable cardiac defibrillator to give first aid to the user during a cardiac event.

实施例三Embodiment 3

图3A是本发明实施例三提供的一种心衰监测系统的结构示意图，本实施例在上述各实施例的基础上，还包括体外心脏除颤器。如图3A所示，本实施例提供的心衰监测系统包括心脏监视器30、穿戴式心脏除颤器31和体外心脏除颤器32，心脏监视器30包括信号采集模块301、处理器302和第一通信模块303，信号采集模块301至少包括心电监测单元3010；体外心脏除颤器32包括第二通信模块320和指示器321。3A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 3 of the present invention. On the basis of the foregoing embodiments, this embodiment further includes an external cardiac defibrillator. As shown in FIG. 3A , the heart failure monitoring system provided in this embodiment includes aheart monitor 30 , a wearablecardiac defibrillator 31 and an externalcardiac defibrillator 32 , and theheart monitor 30 includes asignal acquisition module 301 , aprocessor 302 and Thefirst communication module 303 and thesignal acquisition module 301 include at least anECG monitoring unit 3010 ; the externalcardiac defibrillator 32 includes asecond communication module 320 and anindicator 321 .

其中，处理器302，还用于在检测到目标用户发生心脏事件时，通过第一通信模块303向体外心脏除颤器32的第二通信模块320发送事件处理信号；体外心脏除颤器32，用于在接收到事件处理信号时，控制指示器321播放或显示报警信号。Wherein, theprocessor 302 is further configured to send an event processing signal to thesecond communication module 320 of the externalcardiac defibrillator 32 through thefirst communication module 303 when detecting that the target user has a cardiac event; the externalcardiac defibrillator 32, It is used to control theindicator 321 to play or display an alarm signal when an event processing signal is received.

在本实施例中，处理器302还可以在检测到目标用户发生心脏事件时，通过第一通信模块303将事件处理信号发送至体外心脏除颤器32中的第二通信模块320。进一步的，体外心脏除颤器32可以控制指示器321播放或显示报警信号。其中，指示器321若是电子屏幕或信号灯的形式，则体外心脏除颤器32可以控制指示器321显示报警信号；指示器321若是语音播放设备的形式，如扬声器。则体外心脏除颤器32可以控制指示器321播放报警信号。In this embodiment, theprocessor 302 may also send the event processing signal to thesecond communication module 320 in the externalcardiac defibrillator 32 through thefirst communication module 303 when detecting that the target user has a cardiac event. Further, the externalcardiac defibrillator 32 can control theindicator 321 to play or display an alarm signal. Wherein, if theindicator 321 is in the form of an electronic screen or a signal light, the externalcardiac defibrillator 32 can control theindicator 321 to display an alarm signal; if theindicator 321 is in the form of a voice playing device, such as a speaker. Then the externalcardiac defibrillator 32 can control theindicator 321 to play an alarm signal.

需要说明的是，体外心脏除颤器32控制指示器321播放或显示报警信号的目的在于：通过播放或显示报警信号，可以及时提醒目标用户或者目标用户的家人目标用户存在心脏事件，需要及时对目标用户进行急救操作。It should be noted that the purpose of controlling theindicator 321 of the externalcardiac defibrillator 32 to play or display the alarm signal is: by playing or displaying the alarm signal, the target user or the family member of the target user can be reminded in time that the target user has a cardiac event and needs to be corrected in time. Target users perform first aid operations.

在本实施例中，除了体外心脏除颤器32控制显示或播放报警信号之外，还可以向目标用户的家人或医生发送提示信息。如，处理器302，还用于在检测到目标用户发生心脏事件时，通过第一通信模块303向与目标用户关联的关联用户的终端设备发送事件提示信号；或者，体外心脏除颤器32，还用于在接收到事件处理信号时，通过第二通信模块320向关联用户的终端设备发送事件提示信号。In this embodiment, in addition to the control of the externalcardiac defibrillator 32 to display or play an alarm signal, prompt information can also be sent to the target user's family members or doctors. For example, theprocessor 302 is further configured to send an event prompt signal to the terminal device of the associated user associated with the target user through thefirst communication module 303 when a cardiac event is detected in the target user; or, the externalcardiac defibrillator 32, It is also used for sending an event prompt signal to the terminal device of the associated user through thesecond communication module 320 when the event processing signal is received.

其中，目标用户关联的关联用户包括但不限于目标用户的家人和目标用户的负责医生。具体的，处理器302可以在检测到心脏事件时，通过第一通信模块303向关联用户的终端设备发送事件提示信号。或者，处理器302在检测到心脏事件时，向体外心脏除颤器32发送事件提示信号，进一步的，体外心脏除颤器32通过第二通信模块320向关联用户的终端设备发送事件提示信号。终端设备包括但不限于手机、计算机、智能手表或平板电脑等具备通信功能的电子设备，事件提示信号可以以短信、电话、语音、邮件或微信消息等方式展现。The associated users associated with the target user include but are not limited to the target user's family members and the target user's doctor in charge. Specifically, when detecting a cardiac event, theprocessor 302 may send an event prompt signal to the terminal device of the associated user through thefirst communication module 303 . Alternatively, when detecting a cardiac event, theprocessor 302 sends an event prompt signal to the externalcardiac defibrillator 32, and further, the externalcardiac defibrillator 32 sends an event prompt signal to the terminal device associated with the user through thesecond communication module 320. Terminal devices include, but are not limited to, electronic devices with communication functions such as mobile phones, computers, smart watches, or tablet computers. Event prompt signals can be displayed in the form of text messages, phone calls, voice messages, emails, or WeChat messages.

通过该方式，可以通过处理器或体外心脏除颤器，在目标用户发生心脏事件时，向目标用户的家人或负责医生发送提示信号，以提醒目标用户的家人或负责医生该目标用户存在心脏事件，需要及时对目标用户进行急救操作。In this way, when a cardiac event occurs in the target user, the processor or the external cardiac defibrillator can send a prompt signal to the target user's family or the doctor in charge to remind the family or the doctor in charge of the target user that the target user has a cardiac event , it is necessary to perform emergency operations on the target users in time.

在一种可选的实施方式中，第二通信模块320包括蓝牙通信单元和网络通信单元；其中，第二通信模块320，还用于获取关联用户的当前位置，若当前位置与体外心脏除颤器32的位置之间的距离不超过预设距离阈值，则通过蓝牙通信单元向关联用户的终端设备发送事件提示信号，若距离超过预设距离阈值，则通过网络通信单元向终端设备发送事件提示信号。In an optional implementation manner, thesecond communication module 320 includes a Bluetooth communication unit and a network communication unit; wherein, thesecond communication module 320 is further configured to obtain the current position of the associated user, if the current position is related to external defibrillation If the distance between the positions of thedevice 32 does not exceed the preset distance threshold, an event prompt signal is sent to the terminal device of the associated user through the Bluetooth communication unit, and if the distance exceeds the preset distance threshold, an event prompt is sent to the terminal device through the network communication unit Signal.

即，体外心脏除颤器32的第二通信模块320，可以根据关联用户的当前位置，选择蓝牙通信单元或网络通信单元发送事件提示信号。具体的，可以是在关联用户的当前位置与体外心脏除颤器32的位置之间的距离不超过预设距离阈值时，选择蓝牙通信单元向关联用户的终端设备发送事件提示信号，在两者事件的距离超过预设距离阈值时，选择网络通信单元向终端设备发送事件提示信号。That is, thesecond communication module 320 of the externalcardiac defibrillator 32 can select the Bluetooth communication unit or the network communication unit to send the event prompt signal according to the current location of the associated user. Specifically, when the distance between the current position of the associated user and the position of the externalcardiac defibrillator 32 does not exceed a preset distance threshold, the Bluetooth communication unit may be selected to send an event prompt signal to the terminal device of the associated user, and between the two When the distance of the event exceeds the preset distance threshold, the network communication unit is selected to send an event prompt signal to the terminal device.

在该可选的实施方式中，可以通过关联用户的当前位置与体外心脏除颤器32的位置之间的距离确定关联用户处于居家状态或外出状态，在关联用户为居家状态时，通过蓝牙通信单元发送信号；在关联用户为外出状态时，通过网络通信单元发送信号，确保了关联用户能够接收到表示目标用户存在心脏事件的事件提示信号，进而及时对目标用户进行救助。In this optional embodiment, the distance between the current position of the associated user and the position of the externalcardiac defibrillator 32 can be used to determine whether the associated user is in the home state or the out-of-home state, and when the associated user is in the home state, communication is performed through Bluetooth The unit sends a signal; when the associated user is out of the country, the network communication unit sends a signal to ensure that the associated user can receive an event prompt signal indicating that the target user has a cardiac event, and then rescue the target user in time.

当然，体外心脏除颤器32也可以先通过蓝牙通信单元向关联用户的终端设备发送事件提示信号，再通过网络通信单元将事件提示信号发送至云端，以使云端将该事件提示信息转发至关联用户的终端设备。通过该方式，可以先通过进场信号向关联用户的终端设备发送提示信号，再通过网络通信单元和云端形成通信冗余方案，进一步的确保了关联用户能够接收到事件提示信号，进而确保了目标用户发生心脏事件后能够获得及时救助。Of course, the externalcardiac defibrillator 32 can also first send an event prompt signal to the terminal device of the associated user through the Bluetooth communication unit, and then send the event prompt signal to the cloud through the network communication unit, so that the cloud can forward the event prompt information to the associated user. User's terminal device. In this way, a prompt signal can be sent to the terminal equipment of the associated user through the entry signal, and then a communication redundancy scheme is formed through the network communication unit and the cloud, which further ensures that the associated user can receive the event prompt signal, thereby ensuring the target Users can get timely assistance after a cardiac event occurs.

当然，体外心脏除颤器32还可以在接收到事件处理信号时，若检测到目标用户已穿戴体外心脏除颤器，则对目标用户进行除颤操作。可选的，体外心脏除颤器32还包括心电模块，其中，体外心脏除颤器32，还用于在接收到事件处理信号时，若根据心电模块确定目标用户发生心脏事件，则对目标用户执行除颤操作。即，体外心脏除颤器32可以通过其内部的心电模块对处理器302确定的心脏事件进行验证，避免了由于心电信号受到干扰所导致的对心脏事件的误判。Of course, the externalcardiac defibrillator 32 may also perform a defibrillation operation on the target user if it is detected that the target user has worn the external cardiac defibrillator when receiving the event processing signal. Optionally, the externalcardiac defibrillator 32 further includes an electrocardiographic module, wherein the externalcardiac defibrillator 32 is also used to, when receiving an event processing signal, if it is determined according to the electrocardiographic module that the target user has a cardiac event, the The target user performs a defibrillation operation. That is, the externalcardiac defibrillator 32 can verify the cardiac event determined by theprocessor 302 through its internal ECG module, so as to avoid misjudgment of the cardiac event caused by the interference of the ECG signal.

可选的，体外心脏除颤器32还包括麦克风和扬声器；其中，第二通信模块320，还用于接收关联用户的终端设备发送的语音信号，以及，向关联用户的终端设备发送语音信号；体外心脏除颤器32，还用于控制扬声器播放通过第二通信模块320接收的语音信号，以及，控制麦克风采集语音信号，将语音信号通过第二通信模块320发送至关联用户的终端设备。Optionally, the externalcardiac defibrillator 32 also includes a microphone and a speaker; wherein, thesecond communication module 320 is also used to receive the voice signal sent by the terminal device of the associated user, and to send the voice signal to the terminal device of the associated user; The externalcardiac defibrillator 32 is also used to control the speaker to play the voice signal received through thesecond communication module 320 , and to control the microphone to collect the voice signal and send the voice signal to the terminal device of the associated user through thesecond communication module 320 .

具体的，体外心脏除颤器32可以控制扬声器播放关联用户发送的语音信号，并且，将麦克风采集语音信号发送至关联用户的终端设备。通过该方式，可以实现关联医生与目标用户之间的问答，或者，关联医生与目标用户的家人之间的问答，或者，目标用户与家人之间的问答，以通知目标用户的家人对目标用户进行及时的救助，或者，指导目标用户的家人对目标用户的救助操作。Specifically, the externalcardiac defibrillator 32 can control the speaker to play the voice signal sent by the associated user, and send the voice signal collected by the microphone to the terminal device of the associated user. In this way, the question and answer between the doctor and the target user, or the question and answer between the doctor and the family member of the target user, or the question and answer between the target user and the family member can be related, so as to notify the family member of the target user to the target user. Carry out timely rescue, or guide the family members of the target user to rescue the target user.

当然，关联用户的终端设备若在设定时间内未接收到第二通信模块320反馈的语音信号，则表明在设定时间内目标用户没有被救治，或者目标用户发生了恶性心率失常事件无法应答，此时，关联用户的终端设备可以通过电话网络呼叫其它关联用户的终端设备，或者自动拨打预设急救电话。Of course, if the terminal device of the associated user does not receive the voice signal fed back by thesecond communication module 320 within the set time, it means that the target user has not been rescued within the set time, or the target user cannot respond due to a malignant arrhythmia event. , at this time, the terminal equipment of the associated user can call the terminal equipment of other associated users through the telephone network, or automatically dial the preset emergency call.

示例性的，参见图3B，展示了一种事件处理信号的发送过程示意图。其中，心脏监视器可以在检测到心脏事件后，向体外心脏除颤器发送事件提示信号，并通过第一通信模块向关联用户的终端设备发送事件提示信号。体外心脏除颤器在接收到事件提示信号后，可以通过第二通信模块向云端发送事件提示信号，云端基于接收到的事件提示信号向体外心脏除颤器发出呼叫消息。体外心脏除颤器还可以在产生救治事件后，向云端发送救治事件信号，云端根据救治事件信号向关联用户的终端设备发起呼叫消息。Illustratively, referring to FIG. 3B , a schematic diagram of a sending process of an event processing signal is shown. The heart monitor can send an event prompt signal to the external cardiac defibrillator after detecting a heart event, and send an event prompt signal to the terminal device associated with the user through the first communication module. After receiving the event prompt signal, the external cardiac defibrillator can send the event prompt signal to the cloud through the second communication module, and the cloud sends a call message to the external cardiac defibrillator based on the received event prompt signal. The external cardiac defibrillator can also send a rescue event signal to the cloud after a rescue event occurs, and the cloud initiates a call message to the terminal device associated with the user according to the rescue event signal.

本实施例提供的心衰监测系统，处理器在检测到目标用户发生心脏事件时，通过第一通信模块向体外心脏除颤器的第二通信模块发送事件处理信号，进而体外心脏除颤器可以控制指示器播放或显示报警信号，实现了目标用户发生心脏事件的提醒，以提示用户的家属及时为用户除颤。In the heart failure monitoring system provided by this embodiment, when the processor detects that a cardiac event occurs in the target user, the processor sends an event processing signal to the second communication module of the external cardiac defibrillator through the first communication module, so that the external cardiac defibrillator can Control the indicator to play or display the alarm signal, realize the reminder of the cardiac event of the target user, and prompt the family member of the user to defibrillate the user in time.

实施例四Embodiment 4

图4A是本发明实施例四提供的一种心衰监测系统的结构示意图，本实施例在上述各实施例的基础上，体外心脏除颤器还包括除颤交互学习模块、麦克风和显示界面。如图4A所示，本实施例提供的心衰监测系统包括心脏监视器40、穿戴式心脏除颤器41和体外心脏除颤器42，心脏监视器40包括信号采集模块401、处理器402和第一通信模块403，信号采集模块401至少包括心电监测单元4010；体外心脏除颤器42包括第二通信模块420、指示器421、除颤交互学习模块422、麦克风423和显示界面424。4A is a schematic structural diagram of a heart failure monitoring system according to Embodiment 4 of the present invention. In this embodiment, based on the above embodiments, the external cardiac defibrillator further includes a defibrillation interactive learning module, a microphone and a display interface. As shown in FIG. 4A , the heart failure monitoring system provided by this embodiment includes aheart monitor 40 , a wearablecardiac defibrillator 41 and an externalcardiac defibrillator 42 , and theheart monitor 40 includes asignal acquisition module 401 , aprocessor 402 and Thefirst communication module 403 , thesignal acquisition module 401 includes at least anECG monitoring unit 4010 ; the externalcardiac defibrillator 42 includes asecond communication module 420 , anindicator 421 , a defibrillationinteractive learning module 422 , amicrophone 423 and adisplay interface 424 .

其中，除颤交互学习模块422，用于在显示界面上展示互动学习资源，获取学习用户响应于互动学习资源在显示界面424上执行的模拟操作以及在麦克风423上录入的模拟操作，基于模拟操作确定学习用户对应的互动学习效果。Among them, the defibrillationinteractive learning module 422 is used to display the interactive learning resources on the display interface, acquire the simulated operations performed by the learning user on thedisplay interface 424 in response to the interactive learning resources and the simulated operations entered on themicrophone 423, based on the simulated operations Determine the interactive learning effect corresponding to the learning user.

在本实施例中，除颤交互学习模块422可以通过其内部的处理单元控制显示界面424展示互动学习资源，其中，互动学习资源可以是模拟急救过程的动画。具体的，在展示互动学习资源的过程中，学习用户可以根据互动学习资源的内容，在显示界面424上执行模拟救治过程的模拟操作，或者，在麦克风423上录入模拟救治过程的模拟操作。如在显示界面424上执行的模拟除去患者衣物的操作、模拟患者除颤位置处贴放电极的操作、或模拟心脏按摩的操作，又或者，在麦克风423上录入的模拟人工呼吸的操作。In this embodiment, the defibrillationinteractive learning module 422 can control thedisplay interface 424 through its internal processing unit to display interactive learning resources, wherein the interactive learning resources can be animations simulating emergency procedures. Specifically, in the process of displaying the interactive learning resources, the learning user can perform a simulation operation of simulating the treatment process on thedisplay interface 424 according to the content of the interactive learning resource, or input the simulation operation of simulating the treatment process on themicrophone 423 . For example, the operation of simulating removing the patient's clothing, simulating the operation of placing electrodes at the defibrillation position of the patient, or simulating heart massage performed on thedisplay interface 424 , or simulating artificial respiration recorded on themicrophone 423 .

进一步的，除颤交互学习模块422可以根据所获取到的学习用户响应于互动学习资源在显示界面424上执行的模拟操作以及在麦克风423上录入的模拟操作，确定学习用户对应的互动学习效果。具体的，除颤交互学习模块422可以针对每一项模拟操作的操作内容、操作时机和操作时长确定每一项模拟操作对应的互动学习评分，进而基于每一项模拟操作对应的互动学习评分确定学习用户对应的互动学习效果。Further, the defibrillationinteractive learning module 422 can determine the interactive learning effect corresponding to the learning user according to the acquired simulated operation performed by the learning user on thedisplay interface 424 in response to the interactive learning resource and the simulated operation entered on themicrophone 423 . Specifically, the defibrillationinteractive learning module 422 can determine the interactive learning score corresponding to each simulated operation according to the operation content, operation timing and operation duration of each simulated operation, and then determine the interactive learning score corresponding to each simulated operation based on the Learn the interactive learning effect corresponding to the user.

示例性的，除颤交互学习模块422，还用于获取学习用户响应于互动学习资源在显示界面424上执行的治疗预处理模拟操作、治疗模拟操作以及急救模拟操作，并获取学习用户响应于互动学习资源在麦克风423上录入的人工呼吸模拟操作，基于治疗预处理模拟操作、治疗模拟操作、急救模拟操作以及人工呼吸模拟操作确定学习用户对应的互动学习效果。Exemplarily, the defibrillationinteractive learning module 422 is further configured to acquire and learn the treatment preprocessing simulation operations, treatment simulation operations, and first aid simulation operations performed on thedisplay interface 424 by the learning user in response to the interactive learning resources, and acquire the learning user response to the interactive learning resources. The artificial respiration simulation operation entered by the learning resource on themicrophone 423 determines the interactive learning effect corresponding to the learning user based on the treatment preprocessing simulation operation, the treatment simulation operation, the first aid simulation operation and the artificial respiration simulation operation.

其中，治疗预处理模拟操作包括但不限于模拟去除衣物和模拟贴放电极，治疗模拟操作可以是模拟自动诊断和模拟除颤，急救模拟操作可以是模拟心脏按摩，人工呼吸模拟操作可以是模拟人工呼吸。除颤交互学习模块422可以在显示界面424上展示用于指导上述各项模拟操作的互动学习资源，还可以通过麦克风423播放用于指导上述各项模拟操作的提示语音。Among them, the treatment pretreatment simulation operation includes but is not limited to the simulation of removing clothing and the simulation of the placement of electrodes, the treatment simulation operation may be simulated automatic diagnosis and simulated defibrillation, the emergency simulation operation may be simulated heart massage, and the artificial respiration simulation operation may be simulated artificial breathe. The defibrillationinteractive learning module 422 can display interactive learning resources for guiding the above simulation operations on thedisplay interface 424, and can also play the prompt voice for guiding the above simulation operations through themicrophone 423.

具体的，可以根据模拟去除衣物操作中学习用户模拟去除的衣物位置以及预设衣物位置确定模拟去除衣物操作对应的互动学习评分，并根据模拟去除衣物操作中去除衣物的时间点以及去除衣物的时长确定模拟去除衣物操作对应的互动学习评分。还可以根据模拟贴放电极操作中学习用户模拟贴放电极的位置以及预设电极位置确定模拟贴放电极操作对应的互动学习评分，并根据模拟贴放电极操作中贴放电极的时长以及贴放电极的时间点确定模拟贴放电极操作对应的互动学习评分。Specifically, the interactive learning score corresponding to the simulated clothing removal operation can be determined according to the position of the clothing simulated by the user and the preset clothing position in the simulated clothing removal operation, and the time point of the clothing removal and the duration of the clothing removal during the simulated clothing removal operation can be determined. Determine the interactive learning score corresponding to the simulated laundry removal operation. The interactive learning score corresponding to the simulated electrode placement operation can also be determined according to the position of the user's simulated electrode placement and the preset electrode position in the simulated electrode placement operation, and the duration and placement of the electrode placement in the simulated electrode placement operation can also be determined. The time point of the electrodes determines the interactive learning score corresponding to the simulated placement of the electrodes.

当然，还可以根据模拟自动诊断操作的时间点和时长确定模拟自动诊断操作对应的互动学习评分。或者，根据模拟除颤操作中学习用户是否远离除颤对象确定模拟除颤操作对应的互动学习评分。本实施例还可以根人工呼吸模拟操作中的模拟动作以及模拟时长确定人工呼吸模拟操作对应的互动学习评分；根据急救模拟操作中学习用户按摩心脏的节律以及时间确定急救模拟操作对应的互动学习评分。Of course, the interactive learning score corresponding to the simulated automatic diagnosis operation may also be determined according to the time point and duration of the simulated automatic diagnosis operation. Alternatively, the interactive learning score corresponding to the simulated defibrillation operation is determined according to whether the learning user is far away from the defibrillation object in the simulated defibrillation operation. In this embodiment, the interactive learning score corresponding to the artificial respiration simulation operation can also be determined based on the simulated action and the simulation duration in the artificial respiration simulation operation; the interactive learning score corresponding to the emergency simulation operation can be determined according to the rhythm and time of learning the user's heart massage in the emergency simulation operation. .

进一步的，除颤交互学习模块422可以根据各项模拟操作对应的互动学习评分确定出学习用户对应的互动学习效果。如，根据各项模拟操作对应的预设权重对各项模拟操作对应的互动学习评分进行加权计算，确定学习用户对应的互动学习效果。其中，互动学习效果可以是分值的形式，也可以是等级的形式，如，低级、中级、高级等。通过该方式，实现了对学习用户的模拟救治学习过程的准确评价，当然，除颤交互学习模块422还可以在显示界面424上展示学习用户的互动学习效果，或者，展示学习用户的每一项模拟操作分别对应的互动学习评分，以便学习用户清楚得知各项模拟操作的学习成果。Further, the defibrillationinteractive learning module 422 may determine the interactive learning effect corresponding to the learning user according to the interactive learning score corresponding to each simulated operation. For example, the interactive learning score corresponding to each simulation operation is weighted and calculated according to the preset weight corresponding to each simulation operation, and the interactive learning effect corresponding to the learning user is determined. The interactive learning effect can be in the form of scores or grades, such as low-level, intermediate-level, and advanced. In this way, the accurate evaluation of the learning process of the learning user's simulated treatment is realized. Of course, the defibrillationinteractive learning module 422 can also display the interactive learning effect of the learning user on thedisplay interface 424, or display each item of the learning user. The interactive learning scores corresponding to the simulated operations, so that the learning user can clearly know the learning results of each simulated operation.

在本实施例中，除颤交互学习模块422还可以在学习用户的各项模拟操作完成后，根据学习用户的互动学习效果在显示界面424上显示学习建议，如学习建议可以包括互动学习评分低于预设值的模拟操作。除颤交互学习模块422还可以在学习用户完成模拟操作后，模拟除颤对象苏醒，并在显示界面424上显示用于提醒学习用户将除颤对象送往医院的信息。In this embodiment, the defibrillationinteractive learning module 422 can also display learning suggestions on thedisplay interface 424 according to the interactive learning effect of the learning user after each simulated operation of the learning user is completed. For example, the learning suggestion may include a low interactive learning score. Simulate operation at the default value. The defibrillationinteraction learning module 422 can also simulate the awakening of the defibrillation object after the learning user completes the simulated operation, and display information on thedisplay interface 424 for reminding the learning user to send the defibrillation object to the hospital.

需要说明的是，学习用户响应于互动学习资源所执行的各项模拟操作，可以是在体外心脏除颤器42的显示界面424或麦克风423上录入的，也可以是在学习用户的终端设备录入的。It should be noted that the various simulated operations performed by the learning user in response to the interactive learning resources may be entered on thedisplay interface 424 or themicrophone 423 of the externalcardiac defibrillator 42, or may be entered on the terminal device of the learning user. of.

示例性的，如图4B所示，展示了一种互动学习效果的确定过程示意图，首先，展示互动学习资源，然后获取学习用户执行的模拟除颤操作，并获取学习用户通过点击屏幕或按键所执行的模拟胸部按压操作，获取学习用户通过向麦克风吹气的模拟人工呼吸操作，根据模拟操作判断是否模拟救治对象苏醒，若否，则继续返回获取学习用户执行的模拟除颤操作，若是，则结束本次互动学习，并确定学习用户的互动学习效果。Exemplarily, as shown in FIG. 4B , a schematic diagram of a process of determining an interactive learning effect is shown. First, interactive learning resources are displayed, and then the simulated defibrillation operation performed by the learning user is acquired, and the information obtained by the learning user by clicking on the screen or buttons is acquired. The simulated chest compression operation performed is obtained, and the simulated artificial respiration operation performed by the learning user by blowing air into the microphone is obtained, and whether the simulated rescue object is awake is determined according to the simulated operation. If not, continue to return to obtain the simulated defibrillation operation performed by the learning user. End this interactive learning, and determine the interactive learning effect of the learning user.

在本实施例中，学习用户的互动学习效果不仅可以用于提醒学习用户的本次学习成果，还可以作为激活参数，以确定学习用户下一次需要学习的内容，或者，确定学习用户下一次学习的时间。In this embodiment, the interactive learning effect of the learning user can not only be used to remind the learning user of the current learning achievement, but also can be used as an activation parameter to determine the content that the learning user needs to learn next time, or to determine the learning user's next learning time.

例如，可选的，体外心脏除颤器42还包括激活模块，其中，激活模块，用于根据互动学习效果，确定除颤交互学习模块所展示的互动学习资源的资源内容和/或展示互动学习资源的时间。For example, optionally, the externalcardiac defibrillator 42 further includes an activation module, wherein the activation module is used to determine the resource content of the interactive learning resources displayed by the defibrillation interactive learning module and/or display the interactive learning according to the interactive learning effect resource time.

示例性的，互动学习效果越差，则激活模块所确定的互动学习资源的资源内容越多，展示互动学习资源的时间越接近当前时间，即学习用户的下一次学习的内容越多，下一次学习的时间间隔越短。Exemplarily, the worse the interactive learning effect is, the more resource content of the interactive learning resource determined by the activation module, and the closer the time of displaying the interactive learning resource is to the current time, that is, the more content the learning user will learn next time, the more the next time the learning user will learn. The shorter the learning interval.

具体的，激活模块可以根据所确定的互动学习资源的内容和时间，激活除颤交互学习模块422在该时间展示该互动学习资源的内容。Specifically, the activation module may activate the defibrillationinteractive learning module 422 to display the content of the interactive learning resource at the time according to the determined content and time of the interactive learning resource.

可选的，处理器402，还用于将心衰指标发送至激活模块；激活模块，还用于根据互动学习效果和心衰指标，确定资源内容和/或展示互动学习资源的时间。即，心脏监视器40中的处理器402所生成的心衰指标，还可以用于确定学习用户下一次学习的互动学习资源的资源内容，或者，确定学习用户下一次学习互动学习资源的时间，或者，确定下一次学习的资源内容和时间。Optionally, theprocessor 402 is further configured to send the heart failure index to the activation module; the activation module is further configured to determine the content of the resource and/or the time to display the interactive learning resource according to the interactive learning effect and the heart failure index. That is, the heart failure index generated by theprocessor 402 in theheart monitor 40 can also be used to determine the resource content of the interactive learning resource that the learning user will learn next, or to determine the next time the learning user will learn the interactive learning resource, Or, determine what and when to learn about the next resource.

示例性的，若心衰指标所反映的心衰程度较小，则展示的互动学习资源的资源内容可以越少，例如，仅展示模拟急救操作的动画，或，互动学习资源仅为指导一次模拟学习过程的动画。若心衰指标所反映的心衰程度较大，则互动学习资源的展示时间与当前时间越接近，或互动学习资源所包含的模拟学习过程的次数越多，等。通过目标用户的心衰指标和学习用户上一次的互动学习效果，确定学习用户的下一次互动学习资源的资源内容和/或学习时间，实现了结合目标用户的心衰情况和学习用户的历史学习情况的学习内容、学习时间的确定，进而实现了学习内容和学习时间的个性化确定，确保学习用户的学习内容和学习时间更加符合目标用户的需求。Exemplarily, if the degree of heart failure reflected by the heart failure index is small, the resource content of the interactive learning resources displayed may be less, for example, only animations for simulating emergency operations are displayed, or the interactive learning resources are only for guiding one simulation. Animation of the learning process. If the degree of heart failure reflected by the heart failure index is greater, the display time of the interactive learning resource is closer to the current time, or the number of simulated learning processes included in the interactive learning resource is more, etc. Through the target user's heart failure index and the learning user's last interactive learning effect, the resource content and/or learning time of the learning user's next interactive learning resource is determined, which realizes the combination of the target user's heart failure situation and the learning user's historical learning The learning content and learning time of the situation are determined, thereby realizing the personalized determination of learning content and learning time, and ensuring that the learning content and learning time of learning users are more in line with the needs of target users.

示例性地，将心衰指标评分分为多个分值区间，对不同分值区间设置不同的用户学习的内容和/或学习时间间隔。例如，可以预先设置多个区间，每一个区间对应不同的心衰指标评分范围，如，第一区间对应的心衰指标评分范围为0％-30％,第二区间对应的心衰指标评分范围为30％-60％,第三区间对应的心衰指标评分范围为60％-100％。如果用户的心衰指标评分处于第三区间，则仅展示模拟急救操作的动画，将学习的时间间隔设置为每月一次；如果用户的心衰指标评分处于第二区间，则将立即进行互动学习，互动学习资源仅为指导一次模拟学习过程的动画；如果用户的心衰指标评分处于第一区间，则每日进行模拟急救操作的动画和多次模拟学习过程的动画学习。Exemplarily, the heart failure index score is divided into multiple score intervals, and different user learning contents and/or learning time intervals are set for different score intervals. For example, multiple intervals can be preset, and each interval corresponds to a different heart failure index score range. For example, the heart failure index score range corresponding to the first interval is 0%-30%, and the heart failure index score range corresponding to the second interval The heart failure index score corresponding to the third interval ranges from 60% to 100%. If the user's heart failure index score is in the third interval, only the animation simulating emergency operation will be displayed, and the learning interval is set to once a month; if the user's heart failure index score is in the second interval, interactive learning will be performed immediately , the interactive learning resource is only an animation to guide the simulated learning process once; if the user's heart failure index score is in the first range, the animation to simulate the emergency operation and the animation learning to simulate the learning process are performed every day.

可选的，激活模块还可以将互动学习效果、心衰指标、目标用户发生心脏事件的时间、目标用户发生心脏事件的次数、针对目标用户的前一次除颤操作的时间以及关联用户的离家时间占比确定为激活下次学习时间和/或学习内容的参数，根据各参数确定互动学习资源的资源内容和/或展示互动学习资源的时间。示例性的，可以在激活模块中设置决策树，决策树的判断条件是上述各个参数，通过决策树确定互动学习资源的资源内容和/或展示互动学习资源的时间。Optionally, the activation module can also include interactive learning effects, heart failure indicators, the time of cardiac events of the target user, the number of cardiac events of the target user, the time of the previous defibrillation operation for the target user, and the time of leaving home of the associated user. The time ratio is determined as a parameter for activating the next learning time and/or learning content, and the resource content of the interactive learning resource and/or the time for displaying the interactive learning resource is determined according to each parameter. Exemplarily, a decision tree can be set in the activation module, the judgment conditions of the decision tree are the above parameters, and the resource content of the interactive learning resource and/or the time to display the interactive learning resource is determined by the decision tree.

本实施例提供的心衰监测系统，通过体外心脏除颤器中设置的除颤交互学习模块获取学习用户的模拟操作，并根据模拟操作确定学习用户的互动学习效果，实现了对学习用户的学习过程的评价，便于学习用户清楚得知学习效果。The heart failure monitoring system provided in this embodiment acquires the simulated operation of the learning user through the defibrillation interactive learning module set in the external cardiac defibrillator, and determines the interactive learning effect of the learning user according to the simulated operation, thereby realizing the learning of the learning user. The evaluation of the process is convenient for learning users to clearly know the learning effect.

可选的，本实施例中的体外心脏除颤器，还可以用于对目标用户或关联用户进行教育。如，体外心脏除颤器42，还用于在检测到用户教育模式被激活时，展示或播放体外心脏除颤器的基本信息，或者，通过第二通信模块420将基本信息发送至目标用户的终端设备或与目标用户关联的关联用户的终端设备，其中，基本信息包括设备当前状态、电极片更换周期、电池状态、故障处理信息以及联系方式信息。Optionally, the external cardiac defibrillator in this embodiment may also be used to educate target users or associated users. For example, the externalcardiac defibrillator 42 is also used to display or play the basic information of the external cardiac defibrillator when it is detected that the user education mode is activated, or, through thesecond communication module 420, send the basic information to the target user's The terminal device or the terminal device of the associated user associated with the target user, wherein the basic information includes the current state of the device, electrode replacement cycle, battery state, troubleshooting information, and contact information.

其中，体外心脏除颤器42可以在检测到其处于挂置状态时激活用户教育模式。通过启动用户教育模式，展示或播放设备的基本信息，或者，将设备的基本信息通过第二通信模块420发送至目标用户或关联用户的终端设备。当然，体外心脏除颤器42还可以在检测到用户教育模式被激活时，通过显示界面424播放急救过程教程，或关键急救动作的描述。示例性的，如图4C所示，展示了一种体外心脏除颤器启动用户教育模式的过程示意图，当体外心脏除颤器处于挂置状态且外部电源正常时，激活用户教育模式，展示相应的基本信息或教育动画。Among them, theexternal defibrillator 42 can activate the user education mode when it is detected that it is in the hanging state. By starting the user education mode, the basic information of the device is displayed or played, or the basic information of the device is sent to the target user or the terminal device of the associated user through thesecond communication module 420 . Of course, the externalcardiac defibrillator 42 can also play a first aid procedure tutorial or a description of key first aid actions through thedisplay interface 424 when it is detected that the user education mode is activated. Exemplarily, as shown in FIG. 4C , a schematic diagram of the process of initiating the user education mode of an external cardiac defibrillator is shown. When the external cardiac defibrillator is in the hanging state and the external power supply is normal, the user education mode is activated, and the corresponding user education mode is displayed. basic informational or educational animations.

示例性的，参见图4D，图4D展示了一种体外心脏除颤器的放置示意图，其中，体外心脏除颤器可以通过适配器挂置与墙面上。基座不光具有容纳体外心脏除颤器的作用，还可以在基座内部设置充电电路，通过充电电路连接220V电源对体外心脏除颤器进行长期供电。Exemplarily, see FIG. 4D , which shows a schematic diagram of placement of an external cardiac defibrillator, wherein the external cardiac defibrillator can be hung on a wall through an adapter. The base not only has the function of accommodating the external cardiac defibrillator, but also can set a charging circuit inside the base, and connect the 220V power supply to the external cardiac defibrillator for long-term power supply through the charging circuit.

参见图4E，图4E展示了一种体外心脏除颤器和基座的示意图，其中，基座包括输出结构和电源管理设备，电源管理设备将220V电压转换为体外心脏除颤器充电的电流，并通过输出接口与体外心脏除颤器的充电输入接口连接，AED使用内部的电源管理单元对电池进行充电管理。体外心脏除颤器通过基座可以获得长期的店里，能够保持长期的激活状态，从而支持其常态化的屏幕启动以对学习用户进行互动教育。Referring to FIG. 4E, FIG. 4E shows a schematic diagram of an external cardiac defibrillator and a base, wherein the base includes an output structure and a power management device, and the power management device converts the 220V voltage into the current for charging the external cardiac defibrillator, It is connected with the charging input interface of the external cardiac defibrillator through the output interface, and the AED uses the internal power management unit to charge and manage the battery. The external defibrillator can be used in a long-term store through the base and can maintain a long-term activation state, thereby supporting its normalized screen activation to interactively educate learning users.

在图4E中，体外心脏除颤器包括指示器，该指示器可以是指示灯或声音报警器等。体外心脏除颤器还包括感知模块、控制单元(Microcontrol ler Unit，MCU)、开关电路、电池、治疗模块、屏幕、第二通信模块和互动学习模块。其中，通信模块可以以WIFI、蓝牙、5G、进场通信等方式与目标用户的终端设备、关联用户的终端设备以及云端进行通信。感知模块可以获取目标用户的心电信号；互动学习模块可以利用屏幕或指示器等设备为学习用户展示互动学习资源，并确定学习用户的互动学习效果。In Figure 4E, the external cardiac defibrillator includes an indicator, which may be an indicator light, an audible alarm, or the like. The external cardiac defibrillator further includes a sensing module, a control unit (Microcontroller Unit, MCU), a switch circuit, a battery, a treatment module, a screen, a second communication module and an interactive learning module. Among them, the communication module can communicate with the terminal device of the target user, the terminal device of the associated user, and the cloud by means of WIFI, Bluetooth, 5G, and on-site communication. The perception module can acquire the ECG signal of the target user; the interactive learning module can display interactive learning resources for the learning user by using devices such as screens or indicators, and determine the interactive learning effect of the learning user.

需要说明的是，互动学习模块不仅可以用于在目标用户发生心脏事件时引导救治者执行救治操作，还可以用于在体外心脏除颤器被放置在基座上时对学习用户的学习指导。示例性的，如图4F所示，展示了一种互动学习模块的示意图，其中，互动学习模块包括内容模块、评分模块、激活模块、反馈输入模块、控制模块和计时器，其中，控制模块用于在展示互动学习资源的过程中，获取反馈输入模块收集的学习用户的模拟操作，评分模块用于根据模拟操作确定学习用户的互动学习效果。该互动学习效果可以作为参数输入到激活模块中，激活模块将该参数作为激活互动学习模块下一次展示互动学习资源的资源内容和展示时间的条件参数。计时器用于对互动学习过程进行及时，以及对学习用户执行模拟操作的时间进行及时。计时器还可以将计时时间提供给激活模块。激活模块可以根据各种参数作为激活学习用户下一次学习互动学习资源的判断条件，自动启动互动学习资源的学习过程，通过互动学习强化患者家属的急救能力，避免患者发生恶性心率失常时家属慌乱。It should be noted that the interactive learning module can not only be used to guide the rescuer to perform rescue operations when the target user has a cardiac event, but also can be used to provide learning guidance for the learning user when the external cardiac defibrillator is placed on the base. Exemplarily, as shown in FIG. 4F, a schematic diagram of an interactive learning module is shown, wherein the interactive learning module includes a content module, a scoring module, an activation module, a feedback input module, a control module and a timer, wherein the control module uses During the process of displaying the interactive learning resources, the simulated operation of the learning user collected by the feedback input module is obtained, and the scoring module is used to determine the interactive learning effect of the learning user according to the simulated operation. The interactive learning effect can be input into the activation module as a parameter, and the activation module can use the parameter as a condition parameter for the activation of the interactive learning module to display the resource content and display time of the interactive learning resource next time. The timer is used to time the interactive learning process and time when the learning user performs the simulated operation. The timer can also provide timing time to the activation module. The activation module can automatically start the learning process of the interactive learning resources according to various parameters as the judgment conditions for activating the learning user's next learning interactive learning resources, and strengthen the first aid ability of the patient's family members through interactive learning, so as to avoid the family members panic when the patient has a malignant arrhythmia.

上述具体实施方式，并不构成对本发明保护范围的限制。本领域技术人员应该明白的是，根据设计要求和其他因素，可以进行各种修改、组合、子组合和替代。任何在本发明的精神和原则之内所作的修改、等同替换和改进等，均应包含在本发明保护范围之内。The above-mentioned specific embodiments do not constitute a limitation on the protection scope of the present invention. It should be understood by those skilled in the art that various modifications, combinations, sub-combinations and substitutions may occur depending on design requirements and other factors. Any modifications, equivalent replacements and improvements made within the spirit and principle of the present invention shall be included within the protection scope of the present invention.

Claims (19)

Translated fromChinese

1.一种心衰监测系统，其特征在于，所述心衰监测系统包括心脏监视器，所述心脏监视器包括信号采集模块和处理器；其中，1. A heart failure monitoring system, characterized in that the heart failure monitoring system comprises a heart monitor, and the heart monitor comprises a signal acquisition module and a processor; wherein,所述信号采集模块，与所述处理器连接，用于获取目标用户的至少一种心衰生理信号，并将至少一种所述心衰生理信号发送至所述处理器；the signal acquisition module, connected to the processor, for acquiring at least one physiological signal of heart failure of the target user, and sending the at least one physiological signal of heart failure to the processor;所述处理器，用于根据接收到的至少一种所述心衰生理信号以及所述心衰生理信号对应的预设指标计算规则确定所述目标用户的心衰指标。The processor is configured to determine the heart failure index of the target user according to the received at least one physiological signal of heart failure and a preset index calculation rule corresponding to the physiological signal of heart failure.2.根据权利要求1所述的系统，其特征在于，所述信号采集模块包括心音监测单元、心电监测单元、肺音监测单元、血氧监测单元、呼吸监测单元、阻抗监测单元和睡眠倾角监测单元中的至少一种，其中，2. The system according to claim 1, wherein the signal acquisition module comprises a heart sound monitoring unit, an electrocardiogram monitoring unit, a lung sound monitoring unit, a blood oxygen monitoring unit, a respiration monitoring unit, an impedance monitoring unit and a sleep inclination angle at least one of the monitoring units, wherein,所述心音监测单元，用于获取目标用户的心音信号；The heart sound monitoring unit is used to obtain the heart sound signal of the target user;所述心电监测单元，用于获取目标用户的心电信号；The ECG monitoring unit is used to obtain the ECG signal of the target user;所述肺音监测单元，用于获取目标用户的肺音信号；The lung sound monitoring unit is used to obtain the lung sound signal of the target user;所述血氧监测单元，用于获取目标用户的血氧信号；The blood oxygen monitoring unit is used to obtain the blood oxygen signal of the target user;所述呼吸监测单元，用于获取目标用户的呼吸信号；the respiration monitoring unit for acquiring the respiration signal of the target user;所述阻抗监测单元，用于获取目标用户的阻抗信号；the impedance monitoring unit, configured to acquire the impedance signal of the target user;所述睡眠倾角监测单元，用于获取目标用户的睡眠倾角信号。The sleep inclination monitoring unit is used for acquiring the sleep inclination signal of the target user.3.根据权利要求2所述的系统，其特征在于，所述处理器，具体用于根据接收到的至少一种所述心衰生理信号以及所述心衰生理信号对应的预设指标计算规则确定所述心衰生理信号对应的信号参考指标，基于至少一种所述心衰生理信号对应的信号参考指标以及所述心衰生理信号对应的预设权重确定所述目标用户的心衰指标。3 . The system according to claim 2 , wherein the processor is specifically configured to calculate a rule according to the received at least one physiological signal of heart failure and a preset index corresponding to the physiological signal of heart failure. 4 . A signal reference index corresponding to the heart failure physiological signal is determined, and a heart failure index of the target user is determined based on at least one signal reference index corresponding to the heart failure physiological signal and a preset weight corresponding to the heart failure physiological signal.4.根据权利要求3所述的系统，其特征在于，所述处理器，还用于执行下述操作中的至少一项：4. The system according to claim 3, wherein the processor is further configured to perform at least one of the following operations:若接收到所述心音信号，且检测到所述心音信号中存在第三心音，则基于所述第三心音的强度确定所述心音信号对应的信号参考指标；If the heart sound signal is received and a third heart sound is detected in the heart sound signal, determining a signal reference index corresponding to the heart sound signal based on the intensity of the third heart sound;若接收到所述心电信号，则基于所述心电信号确定所述目标用户对应的实际心率，以及所述实际心率以及预设平稳心率确定所述心电信号对应的信号参考指标；If the ECG signal is received, the actual heart rate corresponding to the target user is determined based on the ECG signal, and the signal reference index corresponding to the ECG signal is determined from the actual heart rate and the preset steady heart rate;若接收到所述肺音信号，且检测到所述肺音信号中存在啰音信号，则基于所述啰音信号的强度确定所述肺音信号对应的信号参考指标；If the lung sound signal is received and it is detected that there is a rales signal in the lung sound signal, determining a signal reference index corresponding to the lung sound signal based on the intensity of the rales signal;若接收到所述血氧信号，则基于所述血氧信号中的实际血氧饱和度以及预设参考饱和度确定所述血氧信号对应的信号参考指标；If the blood oxygen signal is received, the signal reference index corresponding to the blood oxygen signal is determined based on the actual blood oxygen saturation in the blood oxygen signal and the preset reference saturation;若接收到所述呼吸信号，则基于所述呼吸信号对应的当前呼吸频率以及历史呼吸频率确定所述呼吸信号对应的信号参考指标；If the respiration signal is received, the signal reference index corresponding to the respiration signal is determined based on the current respiration frequency and the historical respiration frequency corresponding to the respiration signal;若接收到所述生物阻抗信号，则基于所述生物阻抗信号中的当前生物阻抗以及预设平稳阻抗确定所述生物阻抗信号对应的信号参考指标；If the bio-impedance signal is received, the signal reference index corresponding to the bio-impedance signal is determined based on the current bio-impedance and the preset stationary impedance in the bio-impedance signal;若接收到所述睡眠倾角信号，则基于所述睡眠倾角信号确定所述目标用户在当前预设时间段内的平均睡眠倾角，基于所述当前预设时间段内的平均睡眠倾角以及上一预设时间段内的平均睡眠倾角确定所述睡眠倾角信号对应的信号参考指标。If the sleep inclination angle signal is received, the average sleep inclination angle of the target user in the current preset time period is determined based on the sleep inclination angle signal, based on the average sleep inclination angle in the current preset time period and the previous preset time period. The signal reference index corresponding to the sleep inclination signal is determined by the average sleep inclination in the time period.5.根据权利要求2所述的系统，其特征在于，所述系统还包括穿戴式心脏除颤器，所述心脏监视器还包括第一通信模块，所述信号采集模块至少包括所述心电监测单元；5. The system according to claim 2, wherein the system further comprises a wearable cardiac defibrillator, the heart monitor further comprises a first communication module, and the signal acquisition module at least comprises the electrocardiogram monitoring unit;所述处理器，还用于根据所述心电信号检测所述目标用户是否发生心脏事件，若是，则通过所述第一通信模块向所述穿戴式心脏除颤器发送除颤指令；The processor is further configured to detect whether the target user has a cardiac event according to the ECG signal, and if so, send a defibrillation instruction to the wearable cardiac defibrillator through the first communication module;所述穿戴式心脏除颤器，用于根据所述除颤指令对所述目标用户进行除颤操作，并在除颤操作完成后向所述处理器反馈除颤完成信号。The wearable cardiac defibrillator is configured to perform a defibrillation operation on the target user according to the defibrillation instruction, and feed back a defibrillation completion signal to the processor after the defibrillation operation is completed.6.根据权利要求5所述的系统，其特征在于，所述信号采集模块还包括加速度计；6. The system according to claim 5, wherein the signal acquisition module further comprises an accelerometer;所述加速度计，用于采集所述目标用户的加速度信号，将所述加速度信号发送至所述处理器；the accelerometer, for collecting the acceleration signal of the target user, and sending the acceleration signal to the processor;所述处理器，还用于基于所述加速度信号和所述心电信号检测所述目标用户是否发生心脏事件。The processor is further configured to detect whether the target user has a cardiac event based on the acceleration signal and the ECG signal.7.根据权利要求5所述的系统，其特征在于，所述信号采集模块还包括所述心音监测单元；7. The system according to claim 5, wherein the signal acquisition module further comprises the heart sound monitoring unit;所述处理器，还用于根据所述心电信号计算第一心率，根据所述心音信号计算第二心率，基于所述第一心率和所述第二心率确定所述目标用户是否发生心脏事件。The processor is further configured to calculate a first heart rate according to the ECG signal, calculate a second heart rate according to the heart sound signal, and determine whether a cardiac event occurs to the target user based on the first heart rate and the second heart rate .8.根据权利要求7所述的系统，其特征在于，所述穿戴式心脏除颤器包括心电模块和感知电极；其中，8. The system according to claim 7, wherein the wearable cardiac defibrillator comprises an ECG module and sensing electrodes; wherein,所述心电模块，用于根据所述感知电极采集的心电信号计算所述目标用户的第三心率，基于所述第三心率确定所述目标用户是否发生心脏事件；the ECG module, configured to calculate the third heart rate of the target user according to the ECG signal collected by the sensing electrodes, and determine whether the target user has a cardiac event based on the third heart rate;所述穿戴式心脏除颤器，还用于若接收所述处理器发送的除颤指令，且所述心电模块确定所述目标用户发生心脏事件，则对所述目标用户进行除颤操作。The wearable cardiac defibrillator is further configured to perform a defibrillation operation on the target user if a defibrillation instruction sent by the processor is received and the ECG module determines that a cardiac event occurs in the target user.9.根据权利要求5所述的系统，其特征在于，所述穿戴式心脏除颤器，还用于当接收到包含所述心脏事件对应的事件程度的除颤指令时，根据所述事件程度确定所述目标用户对应的除颤能量，基于所述除颤能量对所述目标用户进行除颤操作。9. The system according to claim 5, wherein the wearable cardiac defibrillator is further configured to, when receiving a defibrillation instruction including an event degree corresponding to the cardiac event Defibrillation energy corresponding to the target user is determined, and a defibrillation operation is performed on the target user based on the defibrillation energy.10.根据权利要求5所述的系统，其特征在于，所述系统还包括体外心脏除颤器，所述体外心脏除颤器包括第二通信模块和指示器；其中，10. The system of claim 5, further comprising an external cardiac defibrillator comprising a second communication module and an indicator; wherein,所述处理器，还用于在检测到所述目标用户发生心脏事件时，通过所述第一通信模块向所述体外心脏除颤器的所述第二通信模块发送事件处理信号；The processor is further configured to send an event processing signal to the second communication module of the external cardiac defibrillator through the first communication module when detecting that the target user has a cardiac event;所述体外心脏除颤器，用于在接收到所述事件处理信号时，控制所述指示器播放或显示报警信号。The external cardiac defibrillator is used for controlling the indicator to play or display an alarm signal when receiving the event processing signal.11.根据权利要求10所述的系统，其特征在于，所述处理器，还用于在检测到所述目标用户发生心脏事件时，通过所述第一通信模块向与所述目标用户关联的关联用户的终端设备发送事件提示信号；或者，11. The system according to claim 10, wherein the processor is further configured to, when detecting that the target user has a cardiac event, send a message to the target user associated with the target user through the first communication module. The terminal equipment of the associated user sends an event prompt signal; or,所述体外心脏除颤器，还用于在接收到所述事件处理信号时，通过所述第二通信模块向所述关联用户的终端设备发送事件提示信号。The external cardiac defibrillator is further configured to send an event prompt signal to the terminal device of the associated user through the second communication module when receiving the event processing signal.12.根据权利要求11所述的系统，其特征在于，所述体外心脏除颤器还包括麦克风和扬声器；其中，12. The system of claim 11, wherein the external cardiac defibrillator further comprises a microphone and a speaker; wherein,所述第二通信模块，还用于接收所述关联用户的终端设备发送的语音信号，以及，向所述关联用户的终端设备发送语音信号；The second communication module is further configured to receive a voice signal sent by the terminal device of the associated user, and send the voice signal to the terminal device of the associated user;所述体外心脏除颤器，还用于控制所述扬声器播放通过所述第二通信模块接收的语音信号，以及，控制所述麦克风采集语音信号，将所述语音信号通过所述第二通信模块发送至所述关联用户的终端设备。The external cardiac defibrillator is also used to control the speaker to play the voice signal received through the second communication module, and to control the microphone to collect the voice signal and pass the voice signal through the second communication module sent to the terminal device of the associated user.13.根据权利要求11所述的系统，其特征在于，所述第二通信模块包括蓝牙通信单元和网络通信单元；其中，13. The system according to claim 11, wherein the second communication module comprises a Bluetooth communication unit and a network communication unit; wherein,所述第二通信模块，还用于获取所述关联用户的当前位置，若所述当前位置与所述体外心脏除颤器的位置之间的距离不超过预设距离阈值，则通过所述蓝牙通信单元向所述关联用户的终端设备发送事件提示信号，若所述距离超过所述预设距离阈值，则通过所述网络通信单元向所述终端设备发送事件提示信号。The second communication module is further configured to obtain the current position of the associated user, and if the distance between the current position and the position of the external cardiac defibrillator does not exceed a preset distance threshold, the Bluetooth The communication unit sends an event prompt signal to the terminal device of the associated user, and if the distance exceeds the preset distance threshold, sends an event prompt signal to the terminal device through the network communication unit.14.根据权利要求10所述的系统，其特征在于，所述体外心脏除颤器还包括心电模块，其中，所述体外心脏除颤器，还用于在接收到所述事件处理信号时，若根据所述心电模块确定所述目标用户发生心脏事件，则对所述目标用户执行除颤操作。14. The system according to claim 10, wherein the external cardiac defibrillator further comprises an ECG module, wherein the external cardiac defibrillator is further configured to, when receiving the event processing signal , if it is determined according to the ECG module that a cardiac event occurs in the target user, a defibrillation operation is performed on the target user.15.根据权利要求10所述的系统，其特征在于，所述体外心脏除颤器，还用于在检测到用户教育模式被激活时，展示或播放所述体外心脏除颤器的基本信息，或者，通过所述第二通信模块将所述基本信息发送至所述目标用户的终端设备或与所述目标用户关联的关联用户的终端设备，其中，所述基本信息包括设备当前状态、电极片更换周期、电池状态、故障处理信息以及联系方式信息。15. The system according to claim 10, wherein the external cardiac defibrillator is further configured to display or play basic information of the external cardiac defibrillator when it is detected that the user education mode is activated, Alternatively, the basic information is sent to the terminal device of the target user or the terminal device of an associated user associated with the target user through the second communication module, wherein the basic information includes the current state of the device, electrode pads Replacement intervals, battery status, troubleshooting information, and contact information.16.根据权利要求10所述的系统，其特征在于，所述体外心脏除颤器还包括除颤交互学习模块、麦克风和显示界面，其中，16. The system according to claim 10, wherein the external cardiac defibrillator further comprises a defibrillation interactive learning module, a microphone and a display interface, wherein,所述除颤交互学习模块，用于在显示界面上展示互动学习资源，获取学习用户响应于所述互动学习资源在所述显示界面上执行的模拟操作以及在所述麦克风上录入的模拟操作，基于所述模拟操作确定所述学习用户对应的互动学习效果。The defibrillation interactive learning module is used to display the interactive learning resources on the display interface, and acquire the simulated operations performed by the learning user on the display interface in response to the interactive learning resources and the simulated operations entered on the microphone, The interactive learning effect corresponding to the learning user is determined based on the simulated operation.17.根据权利要求16所述的系统，其特征在于，所述体外心脏除颤器还包括激活模块，其中，17. The system of claim 16, wherein the external cardiac defibrillator further comprises an activation module, wherein,所述激活模块，用于根据所述互动学习效果，确定所述除颤交互学习模块所展示的所述互动学习资源的资源内容和/或展示所述互动学习资源的时间。The activation module is configured to determine, according to the interactive learning effect, the resource content of the interactive learning resource displayed by the defibrillation interactive learning module and/or the time for displaying the interactive learning resource.18.根据权利要求17所述的系统，其特征在于，所述处理器，还用于将所述心衰指标发送至所述激活模块；18. The system according to claim 17, wherein the processor is further configured to send the heart failure index to the activation module;所述激活模块，还用于根据所述互动学习效果和所述心衰指标，确定所述资源内容和/或展示所述互动学习资源的时间。The activation module is further configured to determine the content of the resource and/or the time for displaying the interactive learning resource according to the interactive learning effect and the heart failure index.19.根据权利要求16所述的系统，其特征在于，所述除颤交互学习模块，还用于获取所述学习用户响应于所述互动学习资源在所述显示界面上执行的治疗预处理模拟操作、治疗模拟操作以及急救模拟操作，并获取所述学习用户响应于所述互动学习资源在所述麦克风上录入的人工呼吸模拟操作，基于所述治疗预处理模拟操作、所述治疗模拟操作、所述急救模拟操作以及所述人工呼吸模拟操作确定所述学习用户对应的互动学习效果。19. The system according to claim 16, wherein the defibrillation interactive learning module is further configured to acquire a treatment preprocessing simulation performed by the learning user on the display interface in response to the interactive learning resource operation, treatment simulation operation and first aid simulation operation, and obtain the artificial respiration simulation operation entered by the learning user on the microphone in response to the interactive learning resource, based on the treatment preprocessing simulation operation, the treatment simulation operation, The first aid simulation operation and the artificial respiration simulation operation determine the interactive learning effect corresponding to the learning user.

Images