CN106821332A - Multifunctional diabetic foot detector - Google Patents
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- 208000008960 Diabetic foot Diseases 0.000 title abstract description 54
- 238000012545 processing Methods 0.000 claims abstract description 54
- 206010012601 diabetes mellitus Diseases 0.000 claims abstract description 21
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 claims abstract description 17
- 229910052760 oxygen Inorganic materials 0.000 claims abstract description 17
- 239000001301 oxygen Substances 0.000 claims abstract description 17
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
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- A61B5/441—Skin evaluation, e.g. for skin disorder diagnosis
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Abstract
本发明公开了一种多功能糖尿病足检测仪,包括多功能测量平板,多功能测量平板作为鞋底,其上与带充气袖套靴面和带充气袖套靴筒连接,形成长筒靴的结构,在多功能测量平板下表面设有中央处理器;还包括大号足趾袖套、小号足趾袖套、带充气肱动脉袖套、经皮氧分压电极片。通过测量足背动脉、踝肱指数、趾肱指数、经皮氧分压、足部温度评估糖尿病足患者外周循环状态,通过分析触(痛)觉、排汗功能、振动觉评估患者外周神经病变程度,输出糖尿病患者的基础代谢率、足底压力分布情况,作为糖尿病足患者病变程度的客观依据,可以为糖尿病足患者精准治疗起到指导作用,还可以通过云端分析数据为糖尿病足治疗方案的制订起到巨大的作用。
The invention discloses a multi-functional diabetic foot detector, which comprises a multi-functional measuring flat plate, which is used as a shoe sole, on which it is connected with a boot with an inflatable cuff and a boot shaft with an inflatable cuff to form a boot structure , there is a central processing unit on the lower surface of the multi-functional measuring tablet; it also includes a large toe cuff, a small toe cuff, an inflatable brachial artery cuff, and a percutaneous oxygen partial pressure electrode piece. By measuring dorsalis pedis artery, ankle-brachial index, toe-brachial index, transcutaneous oxygen partial pressure, and foot temperature, evaluate the peripheral circulation status of diabetic foot patients, and evaluate peripheral neuropathy in patients by analyzing touch (pain) sensation, sweating function, and vibration sensation Degree, output the basal metabolic rate and plantar pressure distribution of diabetic patients, as an objective basis for the degree of disease of diabetic foot patients, can play a guiding role in the precise treatment of diabetic foot patients, and can also analyze data through the cloud for the development of diabetic foot treatment programs formulation plays a huge role.
Description
技术领域technical field
本发明涉及医疗器械领域,尤其是一种主要用于糖尿病患者足部外周循环及外周神经病变筛查的多功能糖尿病足检测仪。The invention relates to the field of medical devices, in particular to a multi-functional diabetic foot detector mainly used for the peripheral circulation of the feet of diabetic patients and the screening of peripheral neuropathy.
背景技术Background technique
糖尿病是常见的一种代谢性疾病,仅在我国就有将近1.5亿人口罹患糖尿病,其中约有5-10%的患者出现不同程度的足部溃疡或者坏疽,而糖尿病足患者中又有15%的患者最后不得不接受截肢手术。糖尿病足的高发病率、高截肢率、高死亡率对整个社会以及患者家庭造成了沉重的负担。早期判断糖尿病患者足部病变以及病变程度就显得非常重要。一方面早期诊断可以为减缓糖尿病足进展的治疗提供精确的依据,进而早期干预;另一方面早期诊断糖尿病足,形成数据库可以将糖尿病足的发病率以及发病特点进行分析,为糖尿病足治疗指南的建立提供大数据支持。Diabetes is a common metabolic disease. In my country alone, there are nearly 150 million people suffering from diabetes, and about 5-10% of them have different degrees of foot ulcers or gangrene, and 15% of diabetic foot patients of patients end up having to undergo amputation. The high morbidity, high amputation rate, and high mortality of diabetic foot have caused a heavy burden on the whole society and the patient's family. It is very important to judge the foot lesions and the degree of lesions in diabetic patients early. On the one hand, early diagnosis can provide accurate basis for the treatment of slowing down the progression of diabetic foot, and then early intervention; on the other hand, early diagnosis of diabetic foot, the formation of a database can analyze the incidence and characteristics of diabetic foot, and provide guidance for the treatment of diabetic foot. Established to provide big data support.
糖尿病足的发病机制主要是由于糖尿病患者长期高血糖导致外周循环以及外周神经病变的结果。目前国内外存在着大量测量糖尿病足外周神经病变和外周循环病变的设备,但这些设备有些以下不足:①目前糖尿病足的分型有血管病变型、外周神经病变型和血管-神经病变混合型三种,而现有的检测设备只局限于血管或神经病变一种检测,缺乏将二者病变结合于一体的检测设备;②测量精度不够,绝大多数仪器在测量糖尿病足触觉与痛觉是仍以患者的主观感觉为主,导致客观性低、难以量化;③检测设备指标依然是旧标准的指标,随着目前糖尿病足诊断与治疗指南的更新,当前设备普遍缺乏更具代表性的指标,在诊断糖尿病足过程中缺乏最新和全面的数据;④糖尿病的发病率在世界范围内呈持续升高的趋势,糖尿病足已经成为涉及到国计民生的重大健康问题,以往的设备都是针对单个患者的测量,没有建立一个完备的数据库,使得在对糖尿病足流行病学与治疗指南制订方面缺少数据支持。在目前的文献中尚未看到有将以上问题解决的报道。The pathogenesis of diabetic foot is mainly the result of peripheral circulation and peripheral neuropathy caused by long-term hyperglycemia in diabetic patients. At present, there are a large number of equipment for measuring peripheral neuropathy and peripheral circulation lesions in diabetic feet at home and abroad, but these equipments have the following deficiencies: ① Currently, there are three types of diabetic foot: vascular lesion type, peripheral neuropathy type and vascular-neuropathy mixed type , and the existing detection equipment is limited to the detection of vascular or neuropathy, and lacks the detection equipment that combines the two lesions into one; ②The measurement accuracy is not enough, most of the instruments are still based on the patient's The subjective feeling of the diabetic foot is mainly based on the subjective feeling, which leads to low objectivity and is difficult to quantify; ③The indicators of testing equipment are still the indicators of the old standard. With the update of the current guidelines for the diagnosis and treatment of diabetic foot, the current equipment generally lacks more representative indicators. There is a lack of latest and comprehensive data in the process of diabetic foot; ④The incidence of diabetes continues to rise around the world. Diabetic foot has become a major health problem involving the national economy and people's livelihood. The previous equipment was for the measurement of a single patient. A complete database has not been established, resulting in a lack of data support for the formulation of diabetic foot epidemiology and treatment guidelines. In the current literature, there are no reports to solve the above problems.
发明内容Contents of the invention
本发明要解决的技术问题是提供一种多功能糖尿病足检测仪,该检测仪通过测量足背动脉、踝肱指数、趾肱指数、经皮氧分压、足部温度评估糖尿病足患者外周循环状态,通过分析触(痛)觉、排汗功能、振动觉评估糖尿病足患者外周神经病变程度,输出糖尿病患者的基础代谢率、足底压力分布(动静态)情况,以数据的形式反映到显示设备,作为糖尿病足患者病变程度的客观依据,可以为糖尿病足患者精准治疗起到指导作用,还可以通过云端分析数据为糖尿病足治疗方案的制订起到巨大的作用。The technical problem to be solved by the present invention is to provide a multifunctional diabetic foot detector, which can evaluate the peripheral circulation of diabetic foot patients by measuring dorsalis pedis artery, ankle-brachial index, toe-brachial index, transcutaneous oxygen partial pressure, and foot temperature. State, through the analysis of touch (pain) sensation, sweating function, and vibration sensation to evaluate the degree of peripheral neuropathy in diabetic foot patients, and output the basal metabolic rate and plantar pressure distribution (dynamic and static) of diabetic patients, which are reflected in the display in the form of data Equipment, as an objective basis for the degree of disease of diabetic foot patients, can play a guiding role in the precise treatment of diabetic foot patients, and can also play a huge role in the formulation of diabetic foot treatment plans through cloud analysis data.
为解决上述技术问题,本发明所采取的技术方案是:一种多功能糖尿病足检测仪,其特征在于包括多功能测量平板,多功能测量平板作为鞋底,其上表面与带充气袖套靴面和带充气袖套靴筒连接,形成长筒靴的结构,在多功能测量平板下表面设有中央处理器;还包括大号足趾袖套、小号足趾袖套、带充气肱动脉袖套、经皮氧分压电极片,其中大号足趾袖套套设于大拇指上,小号足趾袖套为数据线连接的3-5个环,该环分别套设与其余脚趾上,带充气肱动脉袖套套设于胳膊的肱动脉处;多功能测量平板、带充气袖套靴面、带充气袖套靴筒、大号足趾袖套、小号足趾袖套分别与中央处理器和触摸调控显示屏连接,经皮氧分压电极片直接与连接中央处理器;中央处理器连接数据存储硬件;数据存储硬件把数据反馈至触摸调控显示屏。In order to solve the above-mentioned technical problems, the technical solution adopted by the present invention is: a multi-functional diabetic foot detector, which is characterized in that it comprises a multi-functional measuring flat plate, the multi-functional measuring flat plate is used as the sole, and its upper surface and the upper surface of the boot with an inflatable cuff It is connected with the boot shaft with inflatable cuff to form the structure of a boot, and a central processing unit is arranged on the lower surface of the multi-functional measurement flat panel; it also includes a large toe cuff, a small toe cuff, and an inflatable brachial artery cuff Sleeves, percutaneous oxygen partial pressure electrodes, in which the large toe cuff is set on the thumb, and the small toe cuff is 3-5 rings connected to the data line, and the rings are respectively set on the other toes. The inflatable brachial artery cuff is set on the brachial artery of the arm; the multifunctional measuring flat panel, the boot surface with the inflatable cuff, the boot shaft with the inflatable cuff, the large toe cuff and the small toe cuff are respectively connected with the central processing The device is connected to the touch control display screen, and the transcutaneous oxygen partial pressure electrode sheet is directly connected to the central processing unit; the central processing unit is connected to the data storage hardware; the data storage hardware feeds back the data to the touch control display screen.
对上述方案作进一步的补充,所述的多功能测量平板上表面与脚趾接触的部分设有触觉感受装置,检测长筒靴内脚趾的触觉与痛觉,在多功能测量平板靠近脚后跟的端面上设有身高测量装置,多功能测量平板下表面贴附有加热装置、振动频率产生装置、体重检测装置,温度感受器、湿度感受器和压力感受器,其中温度感受器位于底层并贴敷于多功能测量平板整个上表面,依次是位于中部的加热装置和振动频率产生装置,位于脚趾部位的湿度感受器、位于脚后跟部位的力感受器以及位于多功能测量平板两个侧面的体重检测装置;其中体重检测装置、温度感受器、湿度感受器和压力感受器均通过中央处理器、数据存储硬件与触摸调控显示屏无线连接,触觉感受装置、身高测量装置、加热装置和振动频率产生装置均是通过中央处理器连接至触摸调控显示屏。As a further supplement to the above scheme, the part of the upper surface of the multifunctional measuring flat panel in contact with the toes is provided with a tactile sensory device to detect the tactile and pain sensations of the toes in the boots, and the end surface of the multifunctional measuring flat panel near the heel is provided with a tactile sensory device. There is a height measuring device, and a heating device, a vibration frequency generating device, a weight detection device, a temperature sensor, a humidity sensor and a pressure sensor are attached to the lower surface of the multi-function measuring plate, and the temperature sensor is located on the bottom layer and is attached to the whole of the multi-function measuring plate The surface is in turn a heating device and a vibration frequency generating device located in the middle, a humidity sensor located at the toe, a force receptor located at the heel, and a body weight detection device located on both sides of the multifunctional measuring flat panel; wherein the body weight detection device, temperature sensor, The humidity sensor and the pressure sensor are wirelessly connected to the touch control display screen through the central processing unit, data storage hardware, and the tactile sensory device, height measuring device, heating device and vibration frequency generating device are all connected to the touch control display screen through the central processing unit.
对上述方案作进一步的补充,所述的带充气袖套靴面、带充气袖套靴筒、大号足趾袖套、小号足趾袖套、带充气肱动脉袖套和经皮氧分压电极片均通过触摸调控显示屏与之连接,再通过中央处理器、数据存储硬件与触摸调控显示屏无线连接。As a further supplement to the above-mentioned scheme, the described boots with inflatable cuff, boot shaft with inflatable cuff, large toe cuff, small toe cuff, brachial artery cuff with inflatable and percutaneous oxygen The piezoelectric electrodes are all connected with the touch control display screen, and then wirelessly connected with the touch control display screen through the central processing unit and data storage hardware.
对上述方案作进一步的补充,所述的触摸调控显示屏与数据云端连接。As a further supplement to the above solution, the touch control display screen is connected to the data cloud.
对上述方案作进一步的补充,所述的中央处理器的个数为两个,均贴附于多功能测量平板的底部,分别位于脚趾和脚后跟部位,每个中央处理器通过硬质外壳包围并固定。As a further supplement to the above scheme, the number of the central processing units is two, all of which are attached to the bottom of the multifunctional measuring flat panel and are respectively located at the toes and heels. Each central processing unit is surrounded by a hard shell and fixed.
对上述方案作进一步的补充,所述的触觉感受装置位于脚趾部分接触的多个半球形凸起,在凸起内设有压力传感器,检测人体脚趾接触凸起的压力,并转化为描述触痛感的模拟参数,提供至中央处理器。As a further supplement to the above scheme, the tactile sensory device is located at a plurality of hemispherical protrusions in contact with the toes, and a pressure sensor is provided inside the protrusions to detect the pressure of the human body's toes touching the protrusions, and convert it into a description of tactile pain The simulation parameters of are provided to the central processing unit.
对上述方案作进一步的补充,所述的体重检测装置为一种采用电阻应变传感器采集人体体重的计量装置,该计量装置铺设于多功能测量平板整个下表面。As a further supplement to the above solution, the weight detection device is a measuring device that uses a resistance strain sensor to collect body weight, and the measuring device is laid on the entire lower surface of the multi-functional measuring plate.
对上述方案作进一步的补充,所述的身高测量装置为一种采用红外线测量身高的设备,其红外线发射头置于多功能测量平板的侧面,并垂直多功能测量平板发射红外光,并把测量的数值传至中央处理器。As a further supplement to the above scheme, the height measuring device is a device that uses infrared rays to measure height, and its infrared emitting head is placed on the side of the multifunctional measuring flat panel, and the infrared light is emitted vertically from the multifunctional measuring flat panel, and the measuring The value is sent to the central processing unit.
对上述方案作进一步的补充,所述的加热装置为一种大电阻电加热片,其加热温度为25~42℃,加热片贴附于脚掌中部,并与中央处理器电连接,中央处理器控制加热片温度的升降。As a further supplement to the above scheme, the heating device is a large-resistance electric heating sheet with a heating temperature of 25-42°C. The heating sheet is attached to the middle of the sole of the foot and is electrically connected to the central processing unit. Control the rise and fall of the heating plate temperature.
对上述方案作进一步的补充,所述的振动频率产生装置为一种高频电动马达,马达置于多功能测量平板内部,并通过粘胶密封,马达与中央处理器电连接,中央处理器控制马达的运转速度。As a further supplement to the above scheme, the vibration frequency generating device is a high-frequency electric motor, the motor is placed inside the multi-functional measuring panel, and is sealed by glue, the motor is electrically connected to the central processing unit, and the central processing unit controls The operating speed of the motor.
采用上述技术方案所产生的有益效果在于:The beneficial effects produced by adopting the above-mentioned technical scheme are:
(1)本发明采用长筒靴的结构,将靴面和靴筒部分采用带充气袖套的形式,配合多功能测量平板,实现了将外周血管病变与外周神经病变测量结合为一体,对于糖尿病足的诊断提供更完备的数据支持;(1) The present invention adopts the structure of boots, adopts the form of inflatable cuffs on the upper part and the boot tube part, and cooperates with the multi-functional measuring plate to realize the integration of peripheral vascular disease and peripheral neuropathy measurement. Provide more complete data support for adequate diagnosis;
(2)本发明对量化测量指标进行数据化,通过测量足背动脉、踝肱指数、趾肱指数、经皮氧分压、足部温度评估糖尿病足患者外周循环状态,糖尿病患者的基础代谢率、足底压力分布(动静态)状态,尤其是针对糖尿病足神经病变引起的触觉、痛觉等诊断可以获得可靠的量化数据,并及时经中央处理器,反映至触摸调控显示屏,能够及时的观察糖尿病人的身体状况,为精准治疗提供依据;(2) The present invention digitizes the quantitative measurement indicators, and evaluates the peripheral circulation state of diabetic foot patients by measuring the dorsalis pedis artery, ankle-brachial index, toe-brachial index, transcutaneous oxygen partial pressure, and foot temperature, and the basal metabolic rate of diabetic patients. , Plantar pressure distribution (dynamic and static) state, especially for the diagnosis of touch and pain caused by diabetic foot neuropathy, reliable quantitative data can be obtained, and timely reflected by the central processing unit to the touch control display screen, which can be observed in time The physical condition of diabetic patients provides the basis for precise treatment;
(3)本发明在多功能测量平板上,增加了身高测量装置、触觉感受装置、加热装置、振动频率产生装置、体重检测装置、温度感受器、湿度感受器和压力感受器,实现了对糖尿病足患者排汗反射、温凉觉、痛觉、触觉、足部压力及步态分析等指标的综合采集,将更全面分析患者足部病变的程度,为精准治疗糖尿病足提供指导;(3) The present invention adds a height measuring device, a tactile sensory device, a heating device, a vibration frequency generating device, a weight detecting device, a temperature sensor, a humidity sensor and a pressure sensor to the multi-function measuring plate, and realizes the discharge of diabetic foot patients. The comprehensive collection of indicators such as sweat reflex, temperature and cool sensation, pain sensation, touch, foot pressure and gait analysis will more comprehensively analyze the degree of foot lesions of patients and provide guidance for accurate treatment of diabetic feet;
(4)本发明中为疗糖尿病足患者建立了数据库,将及时统计并分析糖尿病足患者的发病率,及时反馈各种治疗的效果评价,并通过云端数据分析为糖尿病足治疗指南提供更准确的数据支持。(4) In this invention, a database is established for the treatment of diabetic foot patients, and the incidence rate of diabetic foot patients will be counted and analyzed in time, and the effect evaluation of various treatments will be fed back in time, and more accurate guidelines for diabetic foot treatment will be provided through cloud data analysis. data support.
附图说明Description of drawings
图1是本发明的结构示意图;Fig. 1 is a structural representation of the present invention;
图2是多功能测量平板的结构图;Fig. 2 is a structural diagram of a multifunctional measuring panel;
图3是功能测量平板的使用状态参考图;Fig. 3 is a reference diagram of the use state of the functional measurement panel;
图4是带充气袖套靴面与带充气袖套靴筒的配合结构图;Fig. 4 is the matching structure diagram of the upper with the inflatable cuff and the boot with the inflatable cuff;
图5是大号足趾袖套的使用状态参考图;Fig. 5 is a reference diagram of the use state of the large toe cuff;
图6是小号足趾袖套的结构图;Fig. 6 is the structural diagram of small size toe cuff;
图7是带充气肱动脉袖套的结构图;Fig. 7 is the structural diagram of band inflation brachial artery cuff;
图8是经皮氧分压电极片的结构图;Fig. 8 is a structural diagram of a transcutaneous oxygen partial pressure electrode sheet;
图中:1、多功能测量平板;2、带充气袖套靴面;3、带充气袖套靴筒;4、大号足趾袖套;5、小号足趾袖套;6、带充气肱动脉袖套;7、经皮氧分压电极片;8、中央处理器;9、数据存储硬件;10、触摸调控显示屏;11、数据云端;12、身高测量装置;13、触觉感受装置;14、加热装置;15、振动频率产生装置;16、体重检测装置;17、温度感受器;18、湿度感受器;19、压力感受器。In the picture: 1. Multifunctional measuring flat panel; 2. Boot surface with inflatable cuff; 3. Boot shaft with inflatable cuff; 4. Large toe cuff; 5. Small toe cuff; 6. Inflatable Brachial artery cuff; 7. Transcutaneous oxygen partial pressure electrode sheet; 8. Central processing unit; 9. Data storage hardware; 10. Touch control display screen; 11. Data cloud; 12. Height measuring device; 13. Tactile sensory device 14. Heating device; 15. Vibration frequency generating device; 16. Body weight detection device; 17. Temperature sensor; 18. Humidity sensor; 19. Pressure sensor.
具体实施方式detailed description
下面结合附图和具体实施方式对本发明作进一步详细的说明。The present invention will be further described in detail below in conjunction with the accompanying drawings and specific embodiments.
实施例:如附图1~8所示,本发明具体涉及一种多功能糖尿病足检测仪,用于对糖尿病足外周神经与外周血管病变进行检查,具体包括多功能测量平板1、带充气袖套靴面2和带充气袖套靴筒3组成的测量主体;其中多功能测量平板1作为鞋底,其上表面与带充气袖套靴面2和带充气袖套靴筒3连接,形成长筒靴的结构。糖尿病足患者把脚及小腿部分置于长筒靴内,利用多功能测量平板1上的检测单元,配合外部的检测器,为糖尿病人进行足底检测。本发明采用长筒靴的结构,将靴面和靴筒部分采用带充气袖套的形式,配合多功能测量平板,实现了将外周血管病变与外周神经病变测量结合为一体,对于糖尿病足的诊断提供更完备的数据支持。Embodiment: As shown in accompanying drawings 1 to 8, the present invention specifically relates to a multifunctional diabetic foot detector, which is used to detect peripheral nerves and peripheral vascular lesions of diabetic feet, and specifically includes a multifunctional measuring flat panel 1, an inflatable cuff The measurement body consisting of the boot upper 2 and the boot shaft 3 with inflatable sleeves; wherein the multifunctional measuring flat plate 1 is used as the sole, and its upper surface is connected with the boot upper 2 with inflatable sleeves and the boot shaft 3 with inflatable sleeves to form a long tube The structure of the boot. Diabetic foot patients place their feet and calves in boots, and use the detection unit on the multi-function measuring panel 1 to cooperate with external detectors to detect the soles of their feet. The present invention adopts the structure of boots, adopts the form of inflatable cuffs on the upper part and the boot shaft part, cooperates with the multifunctional measuring plate, and realizes the combination of peripheral vascular lesion and peripheral neuropathy measurement as a whole, for the diagnosis of diabetic foot Provide more complete data support.
本发明中,与多功能测量平板1配合的外部检测单元,主要有大号足趾袖套4、小号足趾袖套5、带充气肱动脉袖套6、经皮氧分压电极片7,以及设于其下表面的中央处理器8。其中大号足趾袖套4套设于大拇指上,小号足趾袖套5为数据线连接的3-5个环,该环分别套设与其余脚趾上,带充气肱动脉袖套6套设于胳膊的肱动脉处;多功能测量平板1、带充气袖套靴面2、带充气袖套靴筒3、大号足趾袖套4、小号足趾袖套5分别与中央处理器8和触摸调控显示屏10连接,经皮氧分压电极片7直接与连接中央处理器8;中央处理器8连接数据存储硬件9;数据存储硬件9把数据反馈至触摸调控显示屏10。In the present invention, the external detection unit that cooperates with the multifunctional measuring panel 1 mainly includes a large toe cuff 4, a small toe cuff 5, an inflatable brachial artery cuff 6, and a percutaneous oxygen partial pressure electrode sheet 7 , and the central processing unit 8 located on its lower surface. Among them, the large toe cuff 4 is set on the thumb, and the small toe cuff 5 is 3-5 rings connected by data lines. The rings are respectively set on the remaining toes, with an inflatable brachial artery cuff 6 Sleeved at the brachial artery of the arm; multi-functional measuring flat panel 1, boot surface with inflatable cuff 2, boot shaft with inflatable cuff 3, large toe cuff 4, small toe cuff 5 and central processing respectively The device 8 is connected to the touch control display screen 10, and the transcutaneous oxygen partial pressure electrode sheet 7 is directly connected to the central processing unit 8; the central processing unit 8 is connected to the data storage hardware 9; the data storage hardware 9 feeds back data to the touch control display screen 10.
在本发明中的多功能检测平板1上的检测单元包括:设于多功能检测平板1上表面,且与脚趾接触的部分设有触觉感受装置13,检测长筒靴内脚趾的触觉与痛觉;在多功能测量平板1靠近脚后跟的端面上设有身高测量装置12,多功能测量平板1下表面贴附有加热装置14、振动频率产生装置15、体重检测装置16,温度感受器17、湿度感受器18和压力感受器19,其中温度感受器17位于底层并贴敷于多功能测量平板1整个上表面,依次是位于中部的加热装置14和振动频率产生装置15,位于脚趾部位的湿度感受器18、位于脚后跟部位的力感受器19以及位于多功能测量平板1两个侧面的体重检测装置16;其中体重检测装置16、温度感受器17、、湿度感受器18和压力感受器19均通过中央处理器8、数据存储硬件8与触摸调控显示屏10无线连接,触觉感受装置13、身高测量装置12、加热装置14和振动频率产生装置15均是通过中央处理器8连接至触摸调控显示屏10。The detection unit on the multifunctional detection flat panel 1 in the present invention includes: the upper surface of the multifunctional detection flat panel 1, and the part in contact with the toes is provided with a tactile sensory device 13 to detect the tactile and pain sensation of the toes in the boots; A height measuring device 12 is arranged on the end face of the multifunctional measuring flat panel 1 near the heel, and a heating device 14, a vibration frequency generating device 15, a weight detecting device 16, a temperature sensor 17, and a humidity sensor 18 are attached to the lower surface of the multifunctional measuring flat panel 1. And pressure receptors 19, wherein temperature receptors 17 are positioned at the bottom layer and are attached to the entire upper surface of the multifunctional measuring panel 1, followed by the heating device 14 and the vibration frequency generating device 15 positioned at the middle, the humidity receptors 18 positioned at the toes, and the heels positioned at the heels. force receptor 19 and body weight detection device 16 positioned at both sides of the multifunctional measuring panel 1; wherein the body weight detection device 16, temperature sensor 17, humidity sensor 18 and pressure sensor 19 are all connected by central processing unit 8, data storage hardware 8 and The touch control display screen 10 is wirelessly connected, and the tactile sensing device 13 , the height measuring device 12 , the heating device 14 and the vibration frequency generating device 15 are all connected to the touch control display screen 10 through the central processing unit 8 .
在上述组成中,多功能糖尿病足检测仪通过触摸调控显示屏10对带充气袖套靴面2、带充气袖套靴筒3、大号足趾袖套4、小号足趾袖套5、带充气肱动脉袖套6进行控制,通过加压泵启动各种袖套,病利用中央处理器8采集每个袖套的压力值,采集的数据经过中央处理器8连接数据存储硬件9,数据存储硬件9再连接触摸调控显示屏10;经皮氧分压电极片7经过中央处理器8连接数据存储硬件9,数据存储硬件9再连接触摸调控显示屏10;通过触摸调控显示屏10连接中央处理器8,再连接多功能平板1上的身高测量装置12、触觉感受装置13、加热装置14、振动频率产生装置15;通过体重检测装置16、温度感受器17、湿度感受器18、压力感受器19,经过中央处理器8连接数据存储硬件9,数据存储硬件9再连接触摸调控显示屏10。In the above composition, the multi-functional diabetic foot detector controls the display screen 10 pairs with inflatable cuff boots 2, with inflatable cuff boots 3, large toe cuffs 4, small toe cuffs 5, Control with inflatable brachial artery cuff 6, start various cuffs by booster pump, use central processing unit 8 to collect the pressure value of each cuff, the collected data is connected to data storage hardware 9 through central processing unit 8, data The storage hardware 9 is connected to the touch control display screen 10; the transcutaneous oxygen partial pressure electrode sheet 7 is connected to the data storage hardware 9 through the central processor 8, and the data storage hardware 9 is connected to the touch control display screen 10; the touch control display screen 10 is connected to the central Processor 8 is connected to height measuring device 12, tactile sensing device 13, heating device 14, vibration frequency generating device 15 on the multifunctional flat panel 1; The central processing unit 8 is connected to the data storage hardware 9 , and the data storage hardware 9 is then connected to the touch control display screen 10 .
在本发明中,由于整套设备需要在患者步行状态下进行检测,为了方便患者在多中环境下进行使用,所涉及的检测单元配备无线发射器,中央处理器8配置无线发射和接收器,利用无线传输数据。具体情况为带充气袖套靴面2、带充气袖套靴筒3、大号足趾袖套4、小号足趾袖套5、带充气肱动脉袖套6和经皮氧分压电极片7均通过触摸调控显示屏10与之连接,再通过中央处理器8、数据存储硬件9与触摸调控显示屏10无线连接,并把触摸调控显示屏10与数据云端11连接。为疗糖尿病足患者建立了数据库,将及时统计并分析糖尿病足患者的发病率,及时反馈各种治疗的效果评价,并通过云端数据分析为糖尿病足治疗指南提供更准确的数据支持。In the present invention, since the entire set of equipment needs to be detected under the patient's walking state, in order to facilitate the use of the patient in multiple environments, the detection unit involved is equipped with a wireless transmitter, and the central processing unit 8 is configured with a wireless transmitter and receiver. Transfer data wirelessly. The specific conditions are boots with inflatable cuffs 2, boots with inflatable cuffs 3, large toe cuffs 4, small toe cuffs 5, inflatable brachial artery cuffs 6 and percutaneous oxygen partial pressure electrodes 7 are all connected to it through the touch control display 10, and then wirelessly connected to the touch control display 10 through the central processing unit 8 and data storage hardware 9, and the touch control display 10 is connected to the data cloud 11. A database has been established for the treatment of diabetic foot patients, and the incidence rate of diabetic foot patients will be counted and analyzed in a timely manner, and the evaluation of the effects of various treatments will be fed back in time, and more accurate data support will be provided for diabetic foot treatment guidelines through cloud data analysis.
本多功能糖尿病足检测仪,在具体设计时,把中央处理器8的个数为两个,均贴附于多功能测量平板1的底部,分别位于脚趾和脚后跟部位,两个中央处理器8之间进行并联设置,每个中央处理器8与不同的检测单元连接,一方面加快处理速度,另一方面可以方便本发明的功能扩展。另外,为了保护中央处理器8的安全,每个中央处理器8通过硬质外壳包围并固定。This multi-functional diabetic foot detector, when specifically designed, the number of central processing units 8 is two, all attached to the bottom of the multi-functional measuring flat panel 1, located at the toes and heel positions respectively, two central processing units 8 Parallel arrangement between them, each central processing unit 8 is connected with different detection units, on the one hand to speed up the processing speed, on the other hand can facilitate the function expansion of the present invention. In addition, in order to protect the safety of the central processing unit 8, each central processing unit 8 is surrounded and fixed by a hard shell.
本发明中,增设了触觉感受装置13,触觉感受装置13为生物感受本身特别是体表的机械接触(接触刺激)的感觉,是由压力和牵引力作用于触感受器而引起的。当作为适宜刺激的外力持续作用或强力的和达到比较深层的情况下,则称为压觉。若以神经放电的记录作明确的区分时,对持续性刺激神经放电则称为压觉,而非持续性的少量放电称为触觉。压觉放电的适应慢,触觉适应快。触觉从进化上被认为比压觉更高,一般神经纤维的直径也粗。触觉感受装置13位于脚趾部分接触的多个凸起,在凸起内设有压力传感器,检测人体脚趾接触凸起的压力,并转化为描述触痛感的模拟参数,提供至中央处理器8。In the present invention, a tactile sensory device 13 is added. The tactile sensory device 13 is the biological sensation itself, especially the mechanical contact (contact stimulation) of the body surface, which is caused by the pressure and traction acting on the tactile receptor. When the external force acting as a suitable stimulus continues to act or is strong and reaches a relatively deep level, it is called a pressure sensation. If a clear distinction is made by the recording of nerve discharges, the continuous stimulation of nerve discharges is called pressure sensation, while a small amount of non-sustained discharge is called tactile sensation. The adaptation of pressure discharge is slow, while the adaptation of touch is fast. The sense of touch is considered to be higher than the sense of pressure in evolution, and the diameter of general nerve fibers is also thick. The tactile sensory device 13 is located on a plurality of bumps touched by the toes, and a pressure sensor is provided inside the bumps to detect the pressure of the human body's toes touching the bumps, and convert them into analog parameters describing the touch pain, which are provided to the central processing unit 8 .
本发明中的体重检测装置16为一种采用电阻应变传感器采集人体体重的计量装置,该计量装置铺设于多功能测量平板1整个下表面,用于采集患者每个脚所承载的重量变化,分析某段时间内足步压力改变。身高测量装置12为一种采用红外线测量身高的设备,其红外线发射头置于多功能测量平板10的侧面,并垂直多功能测量平板10发射红外光,并把测量的数值传至中央处理器8。把体重检测装置16和身高测量装置12采集的数据整体进行分析,获得患者足底压力及步态分布指标。Body weight detection device 16 in the present invention is a kind of measurement device that adopts resistance strain sensor to gather body weight, and this measurement device is laid on the whole lower surface of multi-functional measuring flat panel 1, is used for collecting the weight variation that each foot of patient carries, and analyzes Footstep pressure changes over time. Height measuring device 12 is a kind of equipment that adopts infrared ray to measure height, and its infrared emitting head is placed on the side of multifunctional measuring flat panel 10, and vertical multifunctional measuring flat panel 10 emits infrared light, and transmits the measured value to central processing unit 8 . The data collected by the weight detection device 16 and the height measurement device 12 are analyzed as a whole to obtain the patient's plantar pressure and gait distribution indexes.
本发明中的加热装置14为一种大电阻电加热片,其加热温度为25~42℃,加热片贴附于脚掌中部,并与中央处理器8电连接,中央处理器8控制加热片温度的升降,主要用于糖尿病足患者对温凉的感知以及排汗反射进行检测,获得患者足底温凉觉参数和汗腺检测参数。The heating device 14 in the present invention is a large resistance electric heating sheet, and its heating temperature is 25~42 ℃, and the heating sheet is attached to the middle part of the sole of the foot, and is electrically connected with the central processing unit 8, and the central processing unit 8 controls the temperature of the heating sheet The rise and fall is mainly used to detect the perception of temperature and coolness and sweating reflex of diabetic foot patients, and obtain the temperature and coolness sensation parameters of the patient's plantar feet and the detection parameters of sweat glands.
本发明中的振动频率产生装置15为一种高频电动马达,马达置于多功能测量平板1内部,并通过粘胶密封,马达与中央处理器8电连接,中央处理器8控制马达的运转速度,用于检测糖尿病足患者足底触觉的感知。The vibration frequency generating device 15 among the present invention is a kind of high-frequency electric motor, and the motor is placed inside the multifunctional measuring panel 1, and is sealed by viscose, and the motor is electrically connected with the central processing unit 8, and the central processing unit 8 controls the operation of the motor Velocity, used to detect plantar tactile perception in diabetic foot patients.
利用上述的触觉感受装置13、体重检测装置16、身高测量装置12、加热装置14和振动频率产生装置15,对糖尿病足患者排汗反射、温凉觉、痛觉、触觉、足部压力及步态分析等指标进行检测,将更全面分析患者足部病变的程度,为精准治疗糖尿病足提供指导。Utilize above-mentioned tactile feeling device 13, body weight detecting device 16, height measuring device 12, heating device 14 and vibration frequency generating device 15, to diabetic foot patient's perspiration reflex, warm and cool sensation, pain, touch, foot pressure and gait The detection of indicators such as analysis will more comprehensively analyze the degree of foot lesions of patients, and provide guidance for the precise treatment of diabetic feet.
综上所述,本发明通过测量足背动脉、踝肱指数、趾肱指数、经皮氧分压、足部温度评估糖尿病足患者外周循环状态,通过分析触(痛)觉、排汗功能、振动觉评估糖尿病足患者外周神经病变程度。另外本装置的数据输出还把包括糖尿病患者的基础代谢率、足底压力分布(动静态)情况,作为糖尿病足患者病变程度的客观依据。本多功能糖尿病足检测仪的检测结果通过触摸调控显示屏显示,检测数据通过有线或者无线方式上传至云端保存。在指导糖尿病足患者精准治疗,和通过云端分析数据为糖尿病足指南的制订方面起到巨大的作用。In summary, the present invention evaluates the peripheral circulation state of diabetic foot patients by measuring the dorsalis pedis artery, ankle-brachial index, toe-brachial index, transcutaneous oxygen partial pressure, and foot temperature, and by analyzing touch (pain) sensation, sweating function, Vibration sense assessment of peripheral neuropathy in diabetic foot patients. In addition, the data output of this device also includes the basal metabolic rate and plantar pressure distribution (dynamic and static) of diabetic patients as the objective basis for the degree of disease of diabetic foot patients. The detection results of this multifunctional diabetic foot detector are displayed on the touch control display screen, and the detection data are uploaded to the cloud for storage through wired or wireless means. It plays a huge role in guiding the precise treatment of diabetic foot patients and formulating guidelines for diabetic foot through cloud analysis data.
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Application publication date: 20170613 |