CN105167763A - Health detector - Google Patents
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- CN105167763A CN105167763A CN201510484842.3A CN201510484842A CN105167763A CN 105167763 A CN105167763 A CN 105167763A CN 201510484842 A CN201510484842 A CN 201510484842A CN 105167763 A CN105167763 A CN 105167763A
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Abstract
The invention relates to a health detector. The health detector is used for analyzing health condition of a user and is characterized in that a wristband is connected with a sensor and arranged on an arm, the wristband can accurately measure pulse pressure graph according to the arm of a patient, the sensor can acquire blood flow information of the arm, a wristband pressurizer is connected to the wristband and adjusts comprehensive pressure, on limbs, of the wristband, a processor is connected with the sensor and the wristband pressurizer to enable the wristband to expand for conveniently acquiring the blood flow information, a cloud data collector and the processor are jointly connected to a honeycomb network or a wireless area network to store historical data and current blood flow information, and a server can control hypertension through a lifestyle training program. Compared with the prior art, the health detector has the advantages that a detection function is perfected, the wristband can be made into different sizes for being used by different people, blood pressure measurement is more accurate, and the patient can measure and acquire solutions by self and can compare the measurement data with previous data.
Description
Technical field
The present invention relates to a kind of medical treatment detection device, be specifically related to a kind of health detector.
Background technology
General health care detector is just diagnosed and is followed the tracks of the health status of patient.Most of portable monitoring instrument is all for medical monitoring.Be widely used, many weeks a detector be exactly blood pressure (BP) detector.
But existing detector structure is too simple, function is perfect not, and cuff model is inconsistent causes measurement result inaccuracy, and the blood pressure number of degrees are accurate not, patient can not the self-service measurement self-service scheme that achieves a solution simultaneously, lacks correction data and to support and measurement data can not store.
Summary of the invention
The object of the invention is for deficiency of the prior art, a kind of Measurement accuracy blood pressure is provided, the multifunctional health detector controlling hypertension solution can be provided.
For achieving the above object, the invention discloses following technical scheme:
A kind of health detector, comprise self-service terminal machine and health information server, health information server is connected by wireless or cable network with self-service terminal machine, and described self-service terminal machine comprises
Test interface, test interface connects cuff;
Cuff, cuff is connected to sensor and configuration is connected on the limbs of people, and this cuff can be adjusted to accurately measurement pulse pressure waveform and Ke's formula sound K1-K5 waveform according to the limbs situation of people;
Vibrating sensor, is connected with cuff, for detecting the blood flow in people's tube chamber, comprises the blood pressure waveform of K1 and K5;
Cuff prelum, is connected on cuff, is used for adjusting cuff and acts on comprehensive pressure on limbs;
Processor, connects vibrating sensor and cuff prelum, and after depressor to be added makes cuff expandable pressurized, the sensor that processor connects just can obtain K1-K5 shape information;
Cloud data collection server, is connected with processor, for store historical data and current Ke's formula sound K1-K5 waveform;
Display, for display measurement parameter.
Further, described health detector also comprises
A photoelectron scanner unit, is used for certain position of perception human body;
Computer controls making apparatus, forms customization cuff by the scanner unit connected.
Further, described self-service terminal machine also comprises
High-definition video equipment, for visual telephone communication;
Printer, for including but not limited to printing test result, information material, advertisement, reward voucher;
Sliding seat, sliding seat is removable frame, so that seat can reach test interface and display place, is convenient to people with disability and uses voluntarily.
Further, described sliding seat is provided with scale, and the degree of accuracy of scale is one pound.
Further, described self-service terminal machine also comprises
Pulse blood oxygen instrument, carries out various non-invasive blood analysis for image data;
Camera, for observing skin lesion or any skin appearance;
Auriscope, arranges the auriscope that a visual field is standard auriscope two times, more easily to see auditory meatus and tympanum.
Further, described test interface is 2, carries out the test of left and right arm respectively.
Further, described cuff is
Cloth pad adds the cuff of plug-in type emulsion air pocket, or is
Cloth pad and airbag by nylon nylon or plastic material be integrated into a unit without airbag cuff.
Further, described cuff is provided with the first Room and the second Room, airbag is loaded on the first indoor, and the protective pad as protective pad is loaded on the second Room, and airbag width is less than the width of cuff, protective pad is located at the second indoor under airbag, protective pad and airbag in the vertical center align, in the horizontal, and an edge of protective pad and a justified margin of airbag, airbag is arranged an opening to be inserted into escape pipe
Further, the length of described protective pad is the 60%-80% of cushion length, and protective pad width is the 47%-67% of cushion beam.
Further, the surface of described protective pad is provided with the fixed cell of pocket or other applicable collecting component formations, in order to be fixed on sensor component or the sensing device of cuff adapted.
A kind of health detector disclosed by the invention, compared with prior art, perfect measuring ability, the cuff of many sizes can be made to ensure the use of different crowd, the blood pressure number of degrees are measured more accurate, patient can the self-service measurement self-service scheme that achieves a solution simultaneously, and can contrast according to the data before oneself.
Accompanying drawing explanation
Figure 1A: show analog subscriber and use replaceable and adjustable cuff.
Figure 1B: show the multiple cuff fixing means (1) for daily blood pressure measurement.
Fig. 1 C: show the multiple cuff fixing means (2) for daily blood pressure measurement
Fig. 2: the schematic diagram showing self-service terminal machine.
Fig. 3: show the cloud system of example to blood pressure data process.
Fig. 4: the hypertension evaluating system showing smart mobile phone.
Fig. 5: show hypertensive assessment cloud data.
Fig. 6: show the assessment in Fig. 4, the report of data trend and system.
Fig. 7: the overall process (1) of display assessment.
Fig. 8: the overall process (2) of display assessment
Fig. 9: the contrast (1) showing arm blood pressure measurement and evaluation process.
Figure 10: the contrast (2) showing arm blood pressure measurement and evaluation process.
Figure 11: the contrast (3) showing arm blood pressure measurement and evaluation process.
Figure 12: the preprocessor showing an example JNC7/JNC8 assessment.
Figure 13: show one to process arrhythmia, irregular heart beating, arm is movable, and the simulation program of other workpiece.
Figure 14: show a simulation program that data trend and data statistics are assessed.
Figure 15: show one monitoring morning blood pressure rise and daytime interval assessment.
Figure 16: show example tranquillization heart beating assessment.
Figure 17: the process showing an example body-mass index assessment.
Figure 18: show an example assessment arrhythmia, irregular heart beating, arm activity and other workpiece.
Figure 19: show the program that example forms trendgram and report.
Figure 20: the electronic control system showing example blood pressure device.
Figure 21: the training module showing hypertensive patient.
Figure 22: the program showing the pulse pressure waveform of example surveying record K1-K5.
Figure 23 A: show example blood pressure waveform and show on mobile device/cell phone apparatus.
Figure 23 B: show example cell phone apparatus user to the control at interface or operation.
Figure 23 C: show example trend analysis figure.
Figure 23 D: show exemplary evaluation and instruct user to carry out operation interface.
Detailed description of the invention
Below in conjunction with embodiment, also with reference to accompanying drawing, the invention will be further described.
Refer to Figure 1A, Figure 1B, Fig. 1 C, Fig. 2 and Fig. 3.A kind of health detector, comprise self-service terminal machine 110 and health information server 104, health information server 104 is connected by wireless or cable network with self-service terminal machine 110, and described self-service terminal machine 110 comprises
Test interface 222, test interface connects cuff 11;
Cuff 11, cuff 11 is connected to sensor and configuration is connected on the limbs of people, and this cuff can be adjusted to accurately measurement pulse pressure waveform and Ke's formula sound K1-K5 waveform according to the limbs situation of people;
Vibrating sensor, is connected with cuff 11, for detecting the blood flow in people's tube chamber, comprises the blood pressure waveform of K1 and K5;
Cuff prelum, is connected on cuff 11, is used for adjusting cuff 11 and acts on comprehensive pressure on limbs;
Processor, connects vibrating sensor and cuff prelum, and after depressor to be added makes cuff expandable pressurized, the sensor that processor connects just can obtain K1-K5 shape information;
Cloud data collection server, is connected with processor, for store historical data and current Ke's formula sound K1-K5 waveform;
Display 216, for display measurement parameter.
In the present invention, health detector also comprises
A photoelectron scanner unit, is used for certain position of perception human body;
Computer controls making apparatus, forms customization cuff by the scanner unit connected.
In the present invention, self-service terminal machine also comprises
High-definition video equipment 220, for visual telephone communication;
Printer 218, for including but not limited to printing test result, information material, advertisement, reward voucher;
Sliding seat 224, sliding seat 224 is removable frame, so that seat can reach test interface 222 and display 216 place, is convenient to people with disability and uses voluntarily.
In the present invention, sliding seat 224 is provided with scale, and the degree of accuracy of scale is one pound.
In the present invention, self-service terminal machine also comprises:
Pulse blood oxygen instrument, carries out various non-invasive blood analysis for image data;
Camera, for observing skin lesion or any skin appearance;
Auriscope, arranges the auriscope that a visual field is standard auriscope two times, more easily to see auditory meatus and tympanum.
In the present invention, test interface is 2, carries out the test of left and right arm respectively.
In the present invention, cuff 11 adds the cuff of plug-in type emulsion air pocket for cloth pad, or for cloth pad and airbag by nylon nylon or plastic material be integrated into a unit without airbag cuff.
In the present invention, cuff is provided with the first Room and the second Room, airbag 12 is loaded on the first indoor, protective pad 13 as protective pad is loaded on the second Room, airbag 12 width is less than the width of cuff 11, protective pad 13 is located at the second indoor under airbag 12, protective pad 13 aligns at center in the vertical with airbag 12, in the horizontal, an edge of protective pad 13 and a justified margin of airbag 12, airbag 13 is arranged an opening to be inserted into escape pipe 14, the length of protective pad 13 is the 60%-80% of air cushion 12 length, and protective pad 13 width is the 47%-67% of air cushion 12 width.
Consider actual needs, the surface of protective pad 13 is provided with the fixed cell 15 of pocket or other applicable collecting component formations, in order to be fixed on sensor component or the sensing device of cuff adapted.
With reference to accompanying drawing, accompanying drawing is only for illustration of non-limiting case study on implementation of the present invention, be not used in and be limited, on the one hand to patient with instructional and training, there is provided a kind of auxiliary method performed by computer may suffering from cardiovascular patient in the following manner: the blood pressure pulse waveform collecting patient's in-vivo measurement K1 and K5, and the one or more information in patient behavior information, clinical information or personal information; Cause one or more patterns of one or more cardiovascular events according to the information research of collecting, and exercise uses one or more cardiovascular disease mode discriminator; According to one or more interventions of pattern recognition of acquistion, to prevent or the generation of promotion event; Intervention according to the information of collecting and identification is made a plan; Plan or implement plan is provided to user.
The enforcement of above-mentioned aspect can comprise following one or more.The method comprises and receives and plan relevant feedback and according to feeding back amendment plan.Feedback is one or more behaviors that patient occurs after plan; Amended plan comprises one or more the additional interventions selected according to feedback.One or more behaviors that described patient occurs after plan comprise behaviorism theory.The method comprise determine to identify one or more intervene relevant one or more individuals.The information that the method comprises according to collecting automatically is revised and stores probability, and wherein amended probability is used for determining plan.The method comprises according to the one or more information in machine learning clinical information, behavioural information or personal information, automatically makes one or more deduction.The method comprises the Real-time Feedback providing patient blood glucose or blood pressure level.The method comprises the therapeutic scheme of display patient.The method comprises recommends hypertension therapeutic method.The method comprises the daily record containing recommendation treatment plan generated to the health care provider sending computer of intervening patient.The method provides self management patient training system based on mobile and network and supplier's decision support.The method comprises and automatically generates educational and behavioural information in real time according to individual analysis of blood pressure blood pressure, blood glucose value, diabetic and life style behavior.Patient receives information by mobile phone, and supplier receives the quarterly report gathering patients' blood's control, blood pressure Drug use administration, life style behavior and Evidence-based medicine and select.
According to another in self-service terminal machine, a kind of monitoring system is provided, comprises self-service terminal machine; Be located at the display in self-service terminal machine; The processor be connected with display; The blood pressure instrument (BPU) be connected with processor; Wherein BPU process K1 and K5 blood pressure waveform.
The enforcement of self-service terminal machine aspect can comprise following one or more.Self-service terminal machine is placed in pharmacy, nursing house or hospital.This system is provided with HD video conference system.This system is provided with skin video camera, graduated disc, temperature sensor and auriscope.This system is provided with the customization cuff that size is determined according to patient's arm size.Each user fetches oneself cuff, is tied up on BPU by oversleeve before use.This system has for pharmacist, doctor or medical practitioner generate the computer code of report.This system has the computer code for auxiliary cardiovascular health risks patient.This system has the one or more computer code for collecting in blood flow in patient's tube chamber (comprising K1 and K5 blood pressure waveform) and patient behavior information, clinical information or personal information.This system has for causing one or more patterns of one or more cardiovascular events according to the information learning collected and train the computer code of one or more cardiovascular disease mode discriminator.This system has for according to the pattern recognition of acquistion, one or more are intervened, and prevents or computer code that promotion event occurs.This system has the computer code for making a plan according to the intervention of the information of collecting and identification.This system has for receiving and planning relevant feedback, and according to the computer code that feedback amendment is planned.This system has the computer code for receiving one or more behaviors that patient occurs after plan; Amended plan comprises one or more the additional interventions selected according to feedback.One or more behaviors that described patient occurs after plan comprise behaviorism theory.This system has the computer code for determining to intervene to identified one or more relevant one or more individuals.This system can have for automatically revising according to the information of collecting and store probability, and wherein revised probability is used for determining plan.
This system have according to another about machine measurement arm and make suitable cuff in, a kind of system of Measurement accuracy blood pressure being provided, comprising the scanning device for detecting the region of anatomy; And to be connected with scanning device with make customize cuff by computer-controlled maker.
The enforcement of above-mentioned aspect comprises following one or more.Scanning device can be 3D scanning device.Scanning device comprises camera.Scanning device can be mobile phone camera.User's region of anatomy comprises: upper arm, underarm and wrist.User's region of anatomy comprises thigh, thigh and shank.The cuff of multiple color made by maker.Maker makes cuff according to the customized style selected and color.Maker receives shape or is of a size of the raw material of masculinity and femininity optimization.Maker receives raw material with the cuff size of the predetermined quantity mated with user's region of anatomy.Size comprises arm or thigh size.Size is generated by Body Mass Index, height and body weight.Maker comprises sewing machine.Maker comprises robot or computer numerical control (CNC) machine.
According to one in continuous blood pressure measuring, a kind of system is provided, comprises sensor, for detecting the blood flow (comprising K1 and K5 blood pressure waveform) in people's tube chamber; Cuff, to tie up on upper body clothes with people's extremity and is connected with vibrating sensor; Cuff supercharger, is connected with cuff and for regulating cuff compression stress on tube chamber; Processor, is connected with sensor and cuff supercharger with timing cuff inflation and Measuring Time and blood pressure; And cloud data collection server, with processor communication to store history and current K1 and K5 blood pressure waveform.
According on the other hand, left cuff and right cuff can be used to improve the accuracy of blood pressure measurement.
According on the other hand, provide a kind of diabetes guidance system, comprise and collect the intraluminal blood flow of patient (comprising K1 and K5 blood pressure waveform), blood glucose information, and one or more information in patient behavior information, clinical information or personal information; Cause one or more patterns of one or more cardiovascular events according to the information learning collected, and exercise uses one or more cardiovascular disease mode discriminator; According to one or more interventions of pattern recognition of acquistion, prevent or the generation of promotion event; Intervention according to the information of collecting and identification is made a plan; Plan or implement plan is provided to user.
Enforcement comprises following one or more.The method comprises and receives and plan relevant feedback and according to feeding back amendment plan.Feedback is one or more behaviors that patient occurs after plan; Amended plan comprises one or more the additional interventions selected according to feedback.One or more behaviors that described patient occurs after plan comprise behaviorism theory.This system comprises to be determined to intervene relevant one or more individuals to identified one or more.The information that this system comprises according to collecting automatically is revised and stores probability, and wherein amended probability is used for determining plan.This system comprises according to the one or more information in machine learning clinical information, behavioural information or personal information, automatically makes one or more deduction.This system comprises the Real-time Feedback providing patient blood glucose (BG) level.This system comprises the therapeutic scheme of display patient.This system comprises recommends hypoglycemia and In Treatment of Hyperglycemia method.This system comprises the daily record containing recommended therapy plan generated to the health care provider sending computer of intervening patient.This system provides self management patient training system based on mobile and network and supplier's decision support.This system comprises and automatically generates educational and behavioural information in real time according to individual analysis of blood pressure, blood glucose value, diabetic and life style behavior.Patient receives information by mobile phone, and supplier receives the quarterly report gathering patient blood glucose's control, diabetic management, life style behavior and Evidence-based medicine and select.
According to another aspect, the method comprises use smart mobile phone, panel computer or removable computer, and described smart mobile phone, panel computer or removable computer have and detect the code of blood flow (comprising K1 and K5 blood pressure waveform) sensor device communication in people's tube chamber; Cuff, connects with vibrating sensor and for contacting with the region of anatomy, wherein cuff customizes according to the arm of people and optimizes accurately to detect blood flow; Cuff supercharger, is connected with cuff and for regulating cuff compression stress on tube chamber; Processor, is connected with to cuff inflation and obtain pulse pressure form, K1 and K5 blood pressure with sensor and cuff supercharger; Primer pump and acquisition blood pressure information code; The code of process pulse pressure waveform, K1 and K5 blood pressure.
According on the other hand, provide a kind of application, comprise and the code detecting blood flow (blood pressure waveform) sensor device communication in people's tube chamber; Cuff, connects with vibrating sensor and for contacting with the region of anatomy, wherein cuff customizes according to the arm of people and optimizes accurately to detect blood flow; Cuff supercharger, is connected with cuff and for regulating cuff compression stress on tube chamber; Processor, is connected with to cuff inflation and obtain blood pressure waveform with sensor and cuff supercharger; Detect K1, K4 and K5 blood pressure waveform code.
According on the other hand, provide a kind of K1 of acquisition, K4 and K5 blood pressure to be stored in the equipment of cloud for health analysis subsequently.This equipment comprises sensor, for detecting the related blood stream amount reflecting K1, K4 and K5 blood pressure in blood pressure pulse waveform and people's tube chamber; Cuff, be connected with vibrating sensor and for body contact, wherein cuff customizes according to the arm of people and optimizes accurately to detect pulse wave and relevant K sound blood flow K1, K4 and K5 point; Cuff supercharger, is connected with cuff and for regulating cuff compression stress on tube chamber; Processor, is connected with to cuff inflation and obtain blood pressure waveform with sensor and cuff supercharger; And cloud data collection server, be used for trend and historical analysis with processor communication to store blood pressure waveform.
According on the other hand, provide a kind of hypertension cloud evaluating system, comprise retrieval contraction/relaxation pressure value, heart rate value and blood pressure waveform; Evaluate the waveform of artifact, body movement or irregular heart beating (arrhythmia); Assess with one or more predetermined Hypertension Guidelines; With treatment table display hypertension classification and with the contacting of guide.
The enforcement of hypertension cloud evaluating system comprises following one or more.The method comprises acquisition K1 and K5 data.The method comprises access body weight, height, birthday, sex and gender information.The method comprises retrieval left arm and blood pressure,right arm measurement result.Wherein guide comprises JNC7 or JNC8 guide.The method comprises detection arrhythmia or irregular heart beating.Measure the percentage ratio and the medical instruction carrying out ECG evaluation of display of omitting heart beating.The method comprises according to body weight or height determination body-mass index (BMI) result of calculation, for hypertension and cardiovascular diseases (CVD) assessment.As BMI>=25, the warning of display overweight and hypertension and CVD danger.The method comprises carries out age evaluation to carry out hypertension therapeutic.It is that the patient of more than 60 years old shows the guide recommending Therapeutic Method that the method comprises.The method comprises the heart rate of evaluate patient under quiescent condition, to carry out blood pressure measurement accuracy evaluation.The method comprise when Blood Pressure Classification be prehypertensive or hypertension time, measure white coat hypertension or essential hypertension.The method comprises statistical analysis.The method comprises left arm and blood pressure,right arm measures trend analysis.When contraction poor (K1), short time or long-time meansigma methods, be 15mmHg or more, these system recommendations carry out CVD evaluation.The method comprises carries out blood pressure tended potential analysis, to compare hypertension and CVD and to assess to the value in morning, afternoon and evening.When blood pressure measurement is in hypertension one class, the method comprises the Therapeutic Method recommended according to JNC7 or JNC8 guide.Between arbitrary two groups (morning-afternoon, morning-evening or afternoon-evening) contraction difference meansigma methods be 15mmHg or more, the method suggestion carry out CVD evaluation.
According on the other hand, a kind of exercise is in the following manner provided to use the method performed by computer may suffering from cardiovascular patient: to collect blood pressure, and patient behavior information, clinical information or personal information; Receive one or more diagnosis research, and it is dangerous to apply specialist system deduction hypertension; According to one or more interventions of pattern recognition of acquistion, prevent or the generation of promotion event; Intervention according to the information of collecting and identification is made a plan; Plan or implement plan is provided to user.
The enforcement of cloud training system comprises following one or more.The method comprises and receives and plan relevant feedback and according to feeding back amendment plan.Feedback is one or more behaviors that patient occurs after plan; Amended plan comprises one or more the additional interventions selected according to feedback.The method comprises one or morely to be assessed following: hemoglobin/hematocrit value, blood urea nitrogen (the BUN)/creatinine test of kidney perfusion/function, catecholamine levels, serum potassium, serum calcium, lipid examination (TL, high density lipoprotein (HDL), low density lipoprotein, LDL (LDL), cholesterol, triglyceride, phospholipid), thyroid is studied, serum/urine aldosterone level, urinalysis, creatinine clearance rate, 3-methoxy-4-hydroxymelic acid (VMA) (catecholamine metabolite), uric acid, feritin, urine steroid, intravenous pyelography (IVP), kidney and kidney figure Nuclear receptor co repressor, excretory urography, breast is saturating, computed tomography (CT) scanning and electrocardiogram (ECG).The method comprise measure blood pressure whether exceed threshold value and play easily music, picture or video to reduce blood pressure.Training comprises identification and can change risk factor, comprises obesity; In diet, sodium, saturated fat and cholesterol level are high; Sitting life style; Smoking; Frequent absorption ethanol; Life stress weight.Training comprises identification can reduce the lifestyle change that can change risk factor.Training comprises formulates smoking cessation plan.Training comprises the importance of informing and adhering to Therapeutic Method and observing follow-up agreement.Training comprises generating to be shown medicine time simply and easily.Training comprises provides prescription drug information and ultimate principle, dosage, Expected Results and side effect and specific reaction.Training comprises restriction Ethanol intake.Training comprises the absorption increasing rich potassium food or liquid.Training comprises the S&S checking whether and need to notify health care provider.Sign comprises: headache, blood pressure are unexpected and continue to raise; Chest pain, to breathe hard; Pulse rate is irregular or accelerate; Body weight increase, body surface and abdominal part swelling; Visual disorder; Often uncontrollably epistaxis; Depression or emotional instability; Have a dizzy spell or faint; Muscle weakness or spasm; Nausea/vomiting; Excessive thirst.Train the dietetic therapy comprised in accordance with low sodium, saturated fat and cholesterol.Training comprises identification sodium and takes in source.Training comprises formulates individual workout scheme.Training comprises the support providing the information of community resource aspect and change lifestyles to patient.The method comprises and measures blood pressure whether lower than threshold value with play music, picture or video with raising blood pressure.
This equipment has customization cuff to improve accuracy.Two kinds of cufves: cloth pad add the cuff of plug-in type airbag (latex) and mat and airbag (airbag) nylon or plastic material be integrated into a unit without airbag cuff, these two kinds of cufves are generally used for monitoring of blood pressure or are used as disposable cuff (for the patient of latex allergy, may using without latex cuff) in clinic/hospital.With reference to accompanying drawing, Figure 1A is the cuff (being called 11 generally) with the first Room and the second Room, and the first Room is for filling airbag or airbag 12, second Room for filling the protective pad 13 as mat, and described mat is made up of the material such as cloth, rubber.As shown in the figure, airbag 12 is almost across the whole width of cloth cuff 11.On the other hand, protective pad 13 is located at the indoor of airbag 12 times its oneself, to align at center in the vertical with airbag 12.But in the direction of the width, protective pad 13 is arranged to an edge and is substantially aimed at an edge of airbag 12.Airbag 12 is arranged a suitable opening to be inserted into escape pipe 14.When being rolled on patient's arm, thigh or other limbs, the edge that airbag 12 is aimed at the edge of protective pad 13 is the terminal edge of cuff 11.In good embodiment, the length of protective pad 13 can between the 60%-80% of airbag 12 length, and between the 47%-67% of airbag width.If desired, the surface of protective pad 13 can be arranged the fixed cell 15 that pocket, Velcro component or other suitable collecting components are formed, in order to fix and the sensor component of cuff 11 adapted or sensing device (piezoquartz, piezoelectric strain gauge component etc. of such as mike, applications of ultrasound), obtain sensor signal by it, thus obtain blood pressure or blood flow data.During operation, cuff 11 is wrapped on the limbs such as arm, wrist, thigh, is fixed on end to make protective pad 13.Cuff 11 also receives (as self-service terminal machine) on remote sensing apparatus by trachea, with to cuff 11 supercharging and receive pressure and data on flows.Then, gas pressure is applied on airbag 12 by suitable source of the gas manually or automatically by trachea 14, after airbag 12 is full of, is fixed by the cuff 11 on limbs by protective pad 13, thus by cuff 11 fix in position.Gas continues to flow to airbag 12, until reach required pressure, now stops filling.The balance reached is set with airbag protective pad in cuff 11, pressure distribution in thigh is remained along the length direction substantially constant of cuff 11, to keep the tremulous pulse of quite uniform pressure compressed format compression arm or lower limb, keep the surperficial firm engagement of sensor used and arm or lower limb simultaneously.
The process of Measure blood pressure customization cuff comprises sets up cuff inventory list by preliminary dimension; Receive the size of user's region of anatomy; For user selects best fit cuff; Best fit cuff is received on blood pressure (BP) instrument also with best fit cuff Measure blood pressure.The cuff size for Measurement accuracy blood pressure that personalized cuff can be recommended according to AAFP, selects from four options of adult and three options of child.
According to another embodiment, a kind of cooperation cuff system providing Measurement accuracy blood pressure being provided, comprising the scanning device for detecting the region of anatomy; With computer-controlled maker, be connected on scanning device for making the cuff of customization.After scanning, maker can make cuff and trachea according to the definite bodily form of user and size.
Figure 1B-1C is the exemplary cuff setting of repetitive measurement blood pressure every day.Timing measurement is carried out in the one or both sides that cuff is placed on arm by these embodiments.In the embodiment of Figure 1B, belt or suspender 91 is used to lift cuff 90.In the embodiment of Fig. 1 C, each sleeve place that shirt is inserting arm provides a support chamber for cuff 92A-92B, to carry out Long-distance Control to cuff 92A-92B with automatic inflating with on schedule or by order Measure blood pressure.
With reference to figure 2, pictorial diagram is be connected with health care information system 100 (Fig. 2) the healthcare information self-service terminal machine 110 used.The public can use healthcare information self-service terminal machine 110.Such as, pharmacy or pharmacy are for healthcare information self-service terminal machine 110 provides the good place in space.Other good places comprise retail shop and health care provider (such as doctor's office, clinic, hospital etc.).
Healthcare information self-service terminal machine 110 comprises two test interfaces 222 and a display 216.Display 216 can be configured to touch screen user inputting interface, as being used as the keyboard with touch screen of input equipment.The example of healthcare information self-service terminal machine 110 comprises other and measures interface, as doctor's type scale.Test interface 222 and display 216 are connected on the processor or controller (not shown) that data that patient interface 222 obtains perform diagnostic test operation.In one example, patient interface 222 is the blood pressure cuffs obtaining left arm and blood pressure,right arm measurement result.In other embodiments, arrange an interface 222, therefore patient per measures an arm.Can connecting sensor (as MEM sensor or mike) on blood pressure cuff, in order to measure sound or audio signal.The touch-screen display 216 of user interface or keyboard is used as, for obtaining patient data and other information from user in this configuration.Processor comprises and the communication interface of test interface 222 communication, display 216 and remote terminal, so that healthcare information self-service terminal machine 110 is connected in communication network (not shown).In certain embodiments, health care information system 100 comprises user with it from the secret reception information of health care information system 100 or for times high-definition video equipment of four telephonic communication 220.Some healthcare information self-service terminal machines 110 select the printer 218 comprised for printing test result, information material, advertisement, reward voucher etc.
Illustrative test interface 222 is the one or more pressure transducer (not shown) blood pressure cuffs for obtaining blood pressure waveform from user.Pressure transducer is connected on processor by communication interface, so that pressure waveform data is supplied to processor.Processor performs monitoring of blood pressure and calculates machine algorithm to produce the calculating to contraction and diastolic blood pressure and mean blood pressure pin-point accuracy.Processor also analyzes blood pressure waveform, to detect heart rate information.
According to an embodiment, a kind of report of observing JNC8 is provided, emphasizes as follows:
Blood pressure target value
Recommend 1: in the population of >=60 years old, blood pressure target value is < 150/90mmHg.If this crowd reaches lower systolic pressure (SBP) (i.e. <140mmHg) and therapeutic effect is better after treatment, then treat and do not need to adjust.
The suggestion that the systolic pressure (SBP) of more than 60 years old patient is elevated to 150mmHg is disputed on.This higher SBP desired value is based upon on the basis of existing research by JNC8, even if but admit in JNC8 committee inner, the SBP desired value suggestion for 150mmHg and 140mmHg is also inconsistent.It should be noted that the age qualification that SBP desired value is loosened to 150mmHg by American Society of Hypertension and European Society of Hypertension/ESC's guide is 80 years old, instead of 60 years old.
Recommend 2 and 3: <60 year population in, blood pressure is reduced to <140/90mmHg.
Recommend 4: in the chronic kidney disease of >=18 years old (CKD) crowd, blood pressure is reduced to <140/90mmHg.
Recommend 5: in the diabetic population of >=18 years old, blood pressure is reduced to <140/90mmHg.
Summary sheet:
This system can be measured and recording blood pressure reading, to be shared by the combined network communication modules such as hospital and cloud computing service platform and internist, thus formed a kind of by the hypertensive new management mode of JNC7 and JNC8 guide assessment, to reduce hypertension therapeutic cost and to realize whole health-care management system.
Exemplary measurement interface 222 makes sliding seat 224 to be connected to scale on healthcare information self-service terminal machine 110.The degree of accuracy of seat 224 scale is one pound.In some systems, the seat 224 of healthcare information self-service terminal machine 110 can move, so that wheelchair can reach test interface 222 and display 216, so that people with disability easily uses voluntarily.
For healthcare information self-service terminal machine 110 provides the mechanism in space, by arranging to provide information, service and product with self-service terminal machine provider.Healthcare information self-service terminal machine 110 performs the various function such as Fitness Testing and health assessment.In some systems, healthcare information self-service terminal machine 110 supports Fitness Testing and measurement, health and the operation such as evaluation of physical fitness and health and various care information sources.Support that various detection checks.Common health inspection comprises blood pressure test and heart rate test.Such as, some system supports use pulse blood oxygen instrument collection receipt to carry out various non-invasive blood analysis.Measurement comprises simple or complicated measurement.A common measurement is measured body weight, and measured body weight claims to carry out by the seat be arranged in the seat 224 of healthcare information self-service terminal machine 110.Healthcare information self-service terminal machine 110 comprises the camera that an individual weight claims to observe with skin lesion or any skin appearance.The auriscope that a visual field is standard auriscope two times, amplification is higher is set, more easily to see auditory canal and tympanum.Visually more can provide almost complete tympanum view, clear better boundary mark, contribute to improving information learning, decision-making and patient outcomes, for different ear canal length and hypermetropia focusing, the safety being attached to oto speculum is fixed and ejects the top of folder, and the cold light that optical fiber produces does not reflect and not interrupted.If desired, for providing four times of high definition cameras with the high-resolution meeting/consultation of doctors of medical practitioner.Care information sources comprises medicine encyclopaedia, vitamin and tonic encyclopaedia, electronic health library, health care provider catalogue.
Healthcare information self-service terminal machine 110 connects the servers such as pharmacy's computer system or serves the central server widely managing region.Such as, healthcare information self-service terminal machine 110 square pharmacy or pharmacy's computer joinably.Healthcare information self-service terminal machine 110 or can the health information server 104 of Connection Service comparatively large regions (as the country of in the world).Healthcare information self-service terminal machine 110 generally includes one in conjunction with healthcare information server 104 and highly comprehensively contains prescribed and non prescribed medicine Drug Storage.
It is a widely accepted golden standard in clinical practice that traditional blood pressure measures (Ke's formula sound method K1/K5 contraction/relaxation reading), and the formulation of JNC guide and recommendation are for assessment of hypertension.The waveform that this systematic conservation obtains is used for evaluating " well " blood pressure data and irregular heart beating, because need good blood pressure readings by JNC guide accurate evaluation hypertension.
According to another embodiment, the hemodynamic parameters that central blood pressure value is derived can be used for diagnosing CVD.Blood pressure data is accurately used to assess hypertension and relevant CVD or carry out high level diagnostics to CVD, apoplexy, heart attack, heart failure, diabetes and nephropathy etc.This system can be analyzed with ECG, echocardiography, catheterization, hemodynamics (invasive and Noninvasive), blood count etc. is combined.This system can use 24 h ABP and arterial stiffness and cardiac function monitoring to carry out CVD assessment of risks.
According to an embodiment, for hypertension nursing provide receive and preserve sent by smart machine 111 (Fig. 3) by Mobile solution blood pressure data, contraction, diastole and heart rate waveform.Evaluated data by cloud computing and analysis, to detect any irregular heart beating, thus whether whether it is correct to evaluate blood pressure measurement, without arrhythmia.Contraction (K1) and diastole (K5) are compared with JNC7 hypertension classification guide.This system uses JNC8 to provide JNC to recommend treatment (comprise and changing lifestyles), is supplied to user to hypertensive assessment by App.This system also presses JNC8 according to body weight/height information, the information evaluation BMI such as age, sex of 60 years old or more.By trend analysis or the statistics of blood pressure in a period of time, system help medical practitioner evaluate further to hypertension.
In one embodiment, individual health care information self-service terminating machine 110 generally includes the selected idle software for display shown (namely having the attracting screen of still frame or motion graphics) or play the selected side of publicity (as patronage pharmacy or health care provider) screen editing of display.
Software program in individual health care information self-service terminating machine 110 upgrades by downloading (such as passing through linking Internet) or media delivery (as exchangeable disk is loaded into).
Healthcare information server 104 supports website access usually so that user accesses healthcare information, stores case history information and buy the product cannot bought in healthcare information self-service terminal machine 110 this locality.
With reference to figure 3, schematic block diagram illustrates a network 102 one or more healthcare information self-service terminal machine 110 and healthcare information server 104 are interconnected.Usually, individual health care information self-service terminating machine 110 comprises the memorizer 108 (or internal memory) of processor 106 or controller and preservation local user news file, and described memorizer 108 (or internal memory) stores less new test result, measurement result and other information.Processor 106 performs other that know as software, firmware, control logic or this exercising ordinary skill can the logic (do not show, be generally computer program) that stores of execute form.In exemplary healthcare information's system 100, healthcare information self-service terminal machine 110 adopts additional calculations ability by setting up digital signal processor (DSP) 112, described digital signal processor 112 is combined with processor 106 and runs, and performs the computation-intensive operations such as various Fitness Testing operations.In one embodiment, health care information system 100 collects health parameters with it from patient, then is delivered on patient's smart mobile phone, and smart mobile phone returns and processes with healthcare information server 104 communication.In another embodiment, the information that health care information system 100 obtains is transmitted by smart machine 111 (such as smart mobile phone), and described smart machine 111 is by cellular network, WiFi or other wireless channels and healthcare information server 104 communication.
Local record tracks comprises the healthy readings such as blood pressure, heart rate and body weight.The healthy website of personal user a guy on healthcare information server 104.The information long term archival that healthcare information server 104 is generally used for stored user test result, measurement result and receives from individual health care information self-service terminating machine 110.In one example, local healthcare information self-service terminal machine 110 stores the information of a lot of user, and all information that healthcare information self-service terminal machine 110 generates, such as every day, be automatically loaded in central healthcare information server 104.These results are sent in healthcare information server 104 carries out long term storage and file.Personal information is stored in and is assigned on the personal health website of unique individual user, personally can use existing accurate information per family so that all.
Turn back to now self-service terminal machine embodiment, this healthcare information self-service terminal machine 110 obtains medical services for user.This medical services are generally long-range medical service, and the one or more medical supplier being wherein positioned at remote location provide medical services to using one or more users of self-supporting medical terminating machine.Be understandable that, not remote medical service also can be supplied to the user using self-supporting medical terminating machine.
Fig. 4 is exemplary mobile hypertension evaluating system.Within the system, blood pressure monitor 400 and mobile applications 402 communication run on mobile phone, panel computer or mobile device 404.Blood pressure monitor 400 can with the external equipment such as wrist-watch or desktop computer 410 communication.External equipment 410 can with the communication of server cloud website application program 412.Mobile solution 402 or external equipment 410 or server/cloud/website application program 412 assess cloud (HAC) 418 communication by agreement (as http protocol 416) and hypertension.Described hypertension assessment cloud is assessed etc. according to measurement result and JNC7/JNC8 guide.Described HAC418 carries out trend analysis according to historical data.Described HAC418 stores pulse dynamic waveform.The patent USPN4 of the present inventor, 880,013 (Chio'013 patent) illustrates the method obtaining arterial pulse waveform, and its content is by reference to including in herein.HAC418 can also store historical information (body weight and height).Other are analyzed and comprise central authorities and K sound contraction/relaxation and MAP reading, cardiac function (cardiac output, win output, the maximum rate of change of left indoor pressure, contractility etc.), system vascular compliance and resistance (SVC and SVR) and brachial artery compliance, elasticity and resistance.In addition, HAC418 may have access to the user data stored in the Third party system such as blood sugar level, gait, heart rate, diet, exercise, sleep, and as Samsung Health or Fructus Mali pumilae Healthkit, this type of information can be used for strengthening hypertension analysis.
An embodiment of blood pressure monitor 400 measures by JNC guide and record K sound (K1/K5) blood pressure.By contrast, traditional blood pressure monitor is to whether measuring K1/K5 or K1/K4 contraction/relaxation value and indefinite.The activity of artifact, arm and irregular heart beating can cause blood pressure readings mistake or inaccurate.Blood pressure monitor 400 records original waveform data and can verify blood pressure measurement.Arrhythmia is very common in crowd, about has 10%.The wave energy of blood pressure readings between each heart beating of these people is greater than 30mmHg.When arrhythmia being detected, potential cardiac problems should be checked whether further by ECG.Left arm is different with the blood pressure readings of right arm, but when the difference of two-arm is 15mmHg or higher, American Heart Association recommends to carry out further CVD inspection, has especially checked whether potential blood flow obstruction.In fact, be that sufferers themselves or nurse or doctor or the self-service terminal system of pharmacy all do not have easy-to-use record or comparative feature or means, the blood pressure of monitoring and assessment two-arm.This blood pressure embodiment is assessed in waveform recording to cloud according to blood pressure measurement, and follows the tracks of and analyze left/right arm blood pressure to have determined whether that CVD is dangerous.According to dynamic monitoring in 24 hours, pressure value changed frequently.Blood pressure (if daytime and night or morning are to afternoon etc.) shows cardiovascular (CV) recurrent state and the health status of a people.Record and analyze these information most important to assessment CVD danger.This system can record or otherwise access the relevant information of third party cloud CV health, as body weight, height, age, sex, life style, family history, cholesterol, Drug therapy etc., blood pressure measurement makes to carry out futures analysis to the large data of collecting simultaneously, to assess individual or longitudinal CV health and hypertension pathogeny etc.If collect the information such as geographical position, race and and can be used for blood pressure measurement, can also from the analysis of large data being obtained to level or sociogroup CV health and fitness information.This system can generate hemodynamic parameters according to the waveform of record, make doctor can understand hypertension Producing reason better, and selects correct Therapeutic Method for patient.
This system obtains hemodynamic parameters when doctor needs or specify.This system uses arterial pulse waveform to derive hemodynamic parameters, as diastole flow velocity, Peripheral resistance, tremulous pulse (far-end) and aorta (near-end) compliance and elastic constant.In addition, this system uses Chio waveform to derive cardiac muscle (left ventricle) contractility.Use together with other waveforms that method described in the application also can be derived with Chio method.Such as, when being applied to the waveform of other invasives or the measurement of Noninvasive sensing device, analytical method of the present invention may be very useful.Far-end and proximal arterial compliance all depend on the cross-sectional area of tremulous pulse.But the size of diastole flow velocity and tremulous pulse has nothing to do.Hypertension is directly related with the Peripheral resistance of cardiovascular system, and blood flow rate (VO) and this resistance exist dependency described in equation.
VO=(pressure enter-pressure go out)+Peripheral resistance
Therefore, two relative Peripheral resistance parameters, PR1 and PR2, can be defined as follows:
and
PR1=(systolic pressure-diastolic pressure)/V
0
PR2=(mean arterial pressure-diastolic pressure)/V
0
Wherein (systolic pressure-diastolic pressure)=pulse pressure (PP); V
0equal blood flow rate.
Compared with use compliance measurement result, a certain combination of the measurement result of diastole flow velocity (definition as in this explanation), the opposite outer circumference resistance (PR1 and PR2) of definition or flow velocity and Peripheral resistance can as good hypertension diagnosis index or mark.It is generally acknowledged that these values are being determined essential hypertension and are being particularly useful in the normal case of patient's cardiac output.On-demand system uses other parameter assisted diagnosis hypertension beyond compliance and elasticity to be that the most useful, especially nearest research shows that in hyperpietic, compliance and elasticity may not reduce, and it represents the qualitative leap in this field.The present invention also by opposite outer circumference resistance (as above define) as office hypertension with for determining that hypertension therapeutic method provides mark or the index of guide.US Patent No. 06540687 has been described in detail, and this patent content is by reference to including in herein.
Fig. 5 is exemplary hypertension assessment cloud 430.Described cloud 430 receives the external datas 420 such as pulse wave 422, user profile 424, accounts information 426.360 ° make system close to user, the mental health conditions that monitor user ' is relevant to hypertension.Such as, whether system departs from normal condition monitoring talk times and call mode.Such as, user can phone a specific friend usually, and then a period of time no longer phones this friend suddenly, and system can monitor this change.If system monitoring significantly reduces to body movement and exchange activity, this type of information can be uploaded to the process of hypertension monitor by system.External data 420 is supplied to the hypertension assessment cloud 430 with processor cloud CPU432.Hypertension assessment cloud 430 carries out blood pressure reading, waveform appraisal, blood pressure and age assessment etc. with production leadtime data and report.Processor cloud CPU432 will comprise the data storing of original pulse wave file in cloud storage 434.Store original pulse wave to make to process to detect trend and associate in crowd to these data in the future.Processor cloud CPU432 also usage data storehouse 436 stores the information comprising K1, K5, heart rate, birthday, height, body weight, arm size, account management information.User profile can comprise the log-on message of the application program such as social networks app, communication app, Email app, healthy app and other app.
Fig. 6 is the exemplary evaluation of system in Fig. 4, data trend analysis and report.This system can carry out blood pressure, blood pressure and arm, heart rate, waveform, irregular heart beating and arrhythmia, BMI, body weight and height data trend analysis report.This system can also carry out assessment 502.Described assessment, such as, comprise by JNC7 Assessment of blood pressure, the blood pressure recommended by JNC8 treatment and age assessment, the waveform artifact compared by left arm and blood pressure,right arm by American Heart Association's recommendation, arm are movable to be assessed with arrhythmia, pulse pressure and heart rate, hypertension, CVD, and body-mass index assessment.Report 504 can be generated.
* blood pressure
-day/night
-measurement arm
-etc.
* irregular heart beating and arrhythmia
-frequency
Fig. 7-8 is exemplary evaluation process.Fig. 7 is JNC7/JNC8 assessment.The first step, retrieval user age and blood pressure data 600.Whether this process examines this user is 60 years old or more (602).If so, then this system checks that whether systolic pressure (K1) is 160 or more or check that whether diastolic pressure (K5) is 100 or more (604).If so, train user change lifestyles and start the hypertensive treatment 606 of 2 phases, otherwise whether this process check K1 is 140 or more or check that whether K5 is 90 or more (608).If so, train user change lifestyles and start the hypertensive treatment 610 of 1 phase, otherwise whether this process check K1 is 120 or more or check that whether K5 is 80 or more (612).If so, user is pointed out to change lifestyles 614, otherwise the blood pressure normal 616 of display user.From checking the age (602) of user, if user is less than 60 years old, whether this systems inspection K1 is more than or equal to 140 or check whether K5 is more than or equal to 90 (620), then this process display hypertension point out user to change lifestyles and start to treat 622.From 620, this process check K1 whether be more than or equal to 120 or check K5 whether be more than or equal to 80 (624).If so, show Prehypertensive situation and point out user to change its life style 626, otherwise the blood pressure of display user is in the level 628 of normal health.
An embodiment provides user to carry out the code of following activity:
Lose weight maintenance normal type
Diet wants many fruit, vegetable and low fat milk goods
Sodium is reduced in diet
Carry out regular aerobic body movement
Control is drunk
Get back to Fig. 8 now, Fig. 8 describes the evaluation process of JNC7 in detail, retrieval user blood pressure data 700.Whether this systems inspection systolic pressure (K1) is 160 or more or checks that whether diastolic pressure (K5) is 100 or more (702).If so, train user change lifestyles and start the hypertensive treatment 704 of 2 phases, otherwise whether this process check K1 is 140 or more or check that whether K5 is 90 or more (706).If so, train user change lifestyles and start the hypertensive treatment 708 of 1 phase, otherwise whether this process check K1 is 120 or more or check that whether K5 is 80 or more (710).If so, user is pointed out to change lifestyles 712, otherwise the blood pressure normal 716 of display user.
Fig. 9-11 is exemplary blood pressure comparative evaluation process.Figure 12 is the exemplary preprocessing process of JNC7/JNC8 assessment.Figure 13 is the example process of movable and other artifacts of process arrhythmia, irregular heart beating, arm.Figure 14 is the example process of trend analysis and statistical data assessment.Figure 15 is detect blood pressure rising in morning and is the example process that interval is assessed with sky.Figure 16 is the assessment of exemplary quiescent condition heart rate.Figure 17 is the example process that body-mass index (BMI) is assessed.Figure 18 is the example process of movable and other Artifact Assessment of arrhythmia, irregular heart beating, arm.Figure 19 is the example process generating trendgram and report.Figure 20 is the exemplary electrical sub-control system of blood pressure device.Figure 21 is exemplary hyperpietic's training module.
Figure 22 is the example process of the pulse pressure waveform processing K1-K5 according to record.Analyze five kinds of waveform W-1 to W-5.W-1 be its waveform display relaxing period minimum point or start time negative pressure the first pulse (at the end of relaxing period).This shows have a small amount of blood flow to cross the brachial artery district of cuff constraint, i.e. bernoulli principle effect.This point (W-1) at cuff pressure place is determined as the dynamic systolic pressure of pulse or DynaPulse systolic blood pressure.The central aortic systolic pressure values recorded by branch school, Santiago, University of California medical centre catheterization (146 ± 4 couples of 14S ± SmmHg, n36, r0.94) compares it and verifies, compares and is distributed on other places with the result.At W-1 point place, the blood volume flowing through brachial artery under cuff is little, causes pulse amplitude less, so there is no enough Lik-Sangs and become Ke's formula the 1st phase sound (K1).When cuff pressure reduces further, the constraint of cuff to brachial artery diminishes, and has a large amount of blood flow mistake, and pulse amplitude increases, and make on brachial artery, apply enough power, thus under being placed on cuff, the stethoscope in brachial artery downstream can detect K1.As American National Standards Institute (ANSI)/Used In The Regulation of Medical Device In Usa promotes that described in association (ANSI/AAMI) guide of 1987, K1 is described to " occur suddenly faint rapping clearly or thump during beginning, then intensity increases gradually ".In W3 district, oscillography pulse peak value display amplitude and " V " word shape of pulse below and pulse wave bottom (being called relaxing period) display balance.This some place cuff pressure is used for determining mean arterial pressure (MAP).Insert pressure with center main tremulous pulse place intrusive mood conduit to compare MAP and verify, result is that I00 ± 3 are to 100 ± 3mmHg, r0.9S.In general clinical practice, MAP can shrink according to Ke formula K1 and K4 diastole reading MAPI/3*K1-SBP+2/3*K4-DBP estimates.When Ke's formula the 2nd phase or the 3rd phase sound (as described in the guide of ANSI/AAMI1987) can detect, the pulse around W-3 district is most possible.The second phase: when sound becomes " whiz whiz " noise, the first phase terminates, and the second phase starts.The third phase: when sound is loud clearly knock, the third phase starts.The sound of the 1st phase W-4 that next these sound are not analyzed is strong.Although cuff pressure continues to decline, pulse wave, exactly there is significant change in relaxing period or lower shape.This may change with Ke's formula the 4th phase (K4) diastole sound " tone " described in the guide of ANSI/AAMI1987 or " being depressed " or " swish as cardiac murmur " has substantial connection.The fifth phase: when sound is depressed suddenly and sounds like cardiac murmur or " swish ", the fifth phase starts.Finally see W-5 waveform.Under this cuff pressure, oscillography pulse wave has relaxing period or bottom, reach steady statue and below several pulse remain unchanged.The beginning of this phase is at DynaPulse systolic pressure fixed point place really.According to the research, it most possibly represents Ke formula S phase sound detected, its difference is less than 1mmHg.
Preferably, using forestland recognition technology is measured and is processed sound bag Lip river line and include pattern recognition in, to identify systolic pressure and diastolic pressure.Except kind of the technology of three for quantizing analyzed region, also use pressure sensor signal.Other technologies comprise ascultatory technology.Be combined acoustic filter, measure sound detection Ke formula sound by the mike measured in cuff and start and the end time.Another technology is oscillographic technique common in a lot of low cost blood pressure measurement device.Measure pressure oscillation by pressure cuff and shrink and diastolic pressures ratio, thus identifying contraction and diastolic blood pressure.Pressure oscillation average pressure examination and controlling.
Figure 23 A is the exemplary display of blood pressure waveform on mobile device.Figure 23 B is the example user control inerface of this mobile device.Figure 23 C is exemplary trend analysis figure.Figure 23 D is exemplary evaluation and instructs user to carry out operation interface.
A device analysis blood pressure, comprising:
Cuff is connected to sensor and configuration is connected on the limbs of people, and this cuff can be adjusted to according to the limbs situation of people accurately measure pulse pressure waveform and comprise Korotkoff's Sound K1-K5 waveform blood flow information.
Sensor configuration is used for blood flow waveform and K1-K5 waveform in monitoring human.
Cuff prelum is connected on cuff, is used for adjusting cuff and acts on comprehensive pressure on limbs.
Processor connecting sensor and cuff prelum, after depressor to be added makes cuff expandable pressurized, the sensor that processor connects just can obtain K1-K5 shape information;
Cloud data collection server connection handling device just can store historical data and current Korotkoff's Sound waveform and K1-K5 waveform.
This equipment also comprises and can carry out coding by historical data and current K1-K5 waveform and control hypertension.
This equipment also can be encoded by following information:
By measuring the information of the pulse pressure waveform in K1 and K5 pulse pressure waveform collection patient body, one or more behavioural informations, clinical information or the personal information of patient.
By one or more cardiovascular cases of information research of collecting, and make the Model Identification device of one or more cardiovascular disease;
Specify one or more jamming schedules, stop case to occur or promote that case develops in pattern after deliberation; Show user and perform according to schedule.
This equipment also comprises:
A photoelectron scanner unit, is used for certain position of perception human body;
Computer controls making apparatus, forms customization cuff by the scanner unit connected.
The coding composition of this equipment is to process patient's blood pressure data from left to right, judges that the blood pressure data difference of left and right arm is at 15 millimetress of mercury or more.
The cloud data of the code storage of this equipment wave recording, to assess, are followed the trail of and analyze the blood pressure of left and right arm, and analyze the risk of CVD and Monitoring of blood pressure change, such as daytime and evening contrast, or the morning is to evening.
This equipment comprises the guiding software of at least one computer software,
Identify that adjustable risk factor comprise obesity, diet sodium content is high, saturated fat, cholesterol, the life style that sitting is motionless; Smoking; Regular alcohol consumption; Nervous life style.
Identify which life style of adjustment can lower above risk factor;
Form the plan of smoking cessation;
Understand the importance of adhering to treating, and keep later rule of life;
Make a timetable of taking medicine;
There is provided prescription drug information and ultimate principle, dosage, the adverse side effect of expection and anaphylaxis;
Restriction is drunk;
Increase the intake of high potassium food or liquid food;
Verification sign and various symptom are to health care personnel;
Specify the exercise plan of individual;
Information about community resource is provided, helps patient to formulate good life style;
If pressure value is higher than standard value, music and picture can be play, or play video and to reduce blood pressure value;
The code that this equipment comprises comes from:
Identify adjustable risk factor, comprise obesity; Diet sodium content is high, and saturated fat is high, and cholesterol is high; The life that sitting is motionless
The mode of living; Smoking; Regular alcohol consumption; Nervous life style.
Guidance comprises and checks that S&S needs notifys health care provider, comprising: one or more: have a headache, unexpected
And continue blood pressure raise; Chest pain, to breathe hard; Irregular or pulsation rate increases; Body weight; Periphery and abdominal part swelling; Depending on
Feel obstacle; Frequently, uncontrollable epistaxis; To be in a very depressed state or unstable, dizzy or faint; Muscle weakness or spasm;
Nausea/vomiting; Excessive thirst.
The coding of this equipment comes from:
Fat-reducing is to maintain normal type
Eat fruit, vegetable and low fat milk goods more
Reduce sodium intake
Participate in regular aerobatic exercise
Responsible drinking
The above is only the preferred embodiment of the present invention, it should be pointed out that for those of ordinary skill in the art; under the premise of not departing from the present invention; the some improvement can also made the present invention and supplement, these improve and supplement, also should be considered as protection scope of the present invention.
Claims (10)
1. a health detector, is characterized in that, comprises self-service terminal machine and health information server, and health information server is connected by wireless or cable network with self-service terminal machine, and described self-service terminal machine comprises
Test interface, test interface connects cuff;
Cuff, cuff is connected to sensor and configuration is connected on the limbs of people, and this cuff can be adjusted to accurately measurement pulse pressure waveform and Ke's formula sound K1-K5 waveform according to the limbs situation of people;
Vibrating sensor, is connected with cuff, for detecting the blood flow in people's tube chamber, comprises the blood pressure waveform of K1 and K5;
Cuff prelum, is connected on cuff, is used for adjusting cuff and acts on comprehensive pressure on limbs;
Processor, connects vibrating sensor and cuff prelum, and after depressor to be added makes cuff expandable pressurized, the sensor that processor connects just can obtain K1-K5 shape information;
Cloud data collection server, is connected with processor, for store historical data and current Ke's formula sound K1-K5 waveform;
Display, for display measurement parameter.
2. a kind of health detector according to claim 1, is characterized in that, described health detector also comprises
A photoelectron scanner unit, is used for certain position of perception human body;
Computer controls making apparatus, forms customization cuff by the scanner unit connected.
3. a kind of health detector according to claim 1, is characterized in that, described self-service terminal machine also comprises
High-definition video equipment, for visual telephone communication;
Printer, for including but not limited to printing test result, information material, advertisement, reward voucher;
Sliding seat, sliding seat is removable frame, so that seat can reach test interface and display place, is convenient to people with disability and uses voluntarily.
4. a kind of health detector according to claim 3, is characterized in that, described sliding seat is provided with scale, and the degree of accuracy of scale is one pound.
5. a kind of health detector according to claim 1, is characterized in that, described self-service terminal machine also comprises
Pulse blood oxygen instrument, carries out various non-invasive blood analysis for image data;
Camera, for observing skin lesion or any skin appearance;
Auriscope, arranges the auriscope that a visual field is standard auriscope two times, more easily to see auditory meatus and tympanum.
6. a kind of health detector according to claim 1, is characterized in that, described test interface is 2, carries out the test of left and right arm respectively.
7. a kind of health detector according to claim 1, is characterized in that, described cuff is
Cloth pad adds the cuff of plug-in type emulsion air pocket, or is
Cloth pad and airbag by nylon nylon or plastic material be integrated into a unit without airbag cuff.
8. a kind of health detector according to claim 7, it is characterized in that, described cuff is provided with the first Room and the second Room, and airbag is loaded on the first indoor, and the protective pad as protective pad is loaded on the second Room, airbag width is less than the width of cuff, protective pad is located at the second indoor under airbag, and protective pad and airbag in the vertical center align, in the horizontal, an edge of protective pad and a justified margin of airbag, airbag is arranged an opening to be inserted into escape pipe.
9. a kind of health detector according to claim 8, is characterized in that, the length of described protective pad is the 60%-80% of cushion length, and protective pad width is the 47%-67% of cushion beam.
10. a kind of health detector according to claim 9, is characterized in that, the surface of described protective pad is provided with the fixed cell of pocket or other applicable collecting component formations, in order to be fixed on sensor component or the sensing device of cuff adapted.
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Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN108882850A (en) * | 2016-04-02 | 2018-11-23 | 史蒂芬·R·皮博迪 | Medical diagnostic equipment, system and application method |
| CN108882850B (en) * | 2016-04-02 | 2023-04-07 | 史蒂芬·R·皮博迪 | Medical diagnostic apparatus, system and method of use |
| WO2018086337A1 (en) * | 2016-11-12 | 2018-05-17 | 深圳市易特科信息技术有限公司 | Combined all-in-one health monitor device |
| CN107582038A (en) * | 2017-09-30 | 2018-01-16 | 北京平糖移动互联医疗科技有限公司 | A kind of monitoring of blood pressure artificial intelligence system for prompting and method |
| CN107610769A (en) * | 2017-10-16 | 2018-01-19 | 四川键天使医疗科技有限公司 | A kind of medical resource based on mobile Internet shares solution |
| CN112384156A (en) * | 2018-06-22 | 2021-02-19 | 西方医疗工程有限公司 | Tourniquet with user selectable safety scheme |
| CN109256188A (en) * | 2018-08-30 | 2019-01-22 | 缤刻普达（北京）科技有限责任公司 | Blood pressure monitoring method, system, sphygmomanometer and mobile terminal |
| EP3821797A4 (en) * | 2018-11-29 | 2022-04-06 | Dongguan Kangzhu Medical Technology Co., Ltd. | Arterial stiffness display method, system, and apparatus |
| CN109770882A (en) * | 2019-01-29 | 2019-05-21 | 晟光科技股份有限公司 | A kind of blood pressure and blood sugar instrument and its detection system |
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