Background
Pain is one of the most common clinical complaints, such as migraine, arthralgia, cancer pain, postoperative pain, childbirth pain, female physiological pain, and the like, and both chronic pain and acute pain cause discomfort and pain to patients and seriously affect the quality of life of the patients. Since 1/2001, pain was identified as "human fifth leading vital sign" following respiration, pulse, body temperature and blood pressure. The international society for pain in 2004 identified day 10 and day 11 each year as "global pain conquering days"; the Chinese pain society sets the 10 months and 11 days to 17 days each year as the 'Chinese pain relieving week', proposes to relieve pain, and is the basic right of patients. According to incomplete statistics, the incidence rate of the world pain is about 35-45%, and the incidence rate of the old people is higher, about 75-90%. The chronic pain survey of six cities in China finds that: the incidence of chronic pain in adults is 40%; the incidence of chronic pain of the old is 65-80%.
The wrist and ankle acupuncture therapy belongs to one of the traditional Chinese medicine acupuncture methods, and is the traditional acupuncture method initiated by the second army medical university subsidiary long-sea hospital in the last 70 th century. The wrist and ankle acupuncture therapy is mainly inspired by ear acupuncture therapy and holographic medicine of traditional Chinese medicine, and different points can be punctured to treat diseases far away from the body. The wrist and ankle acupuncture therapy only needs to insert needles at acupuncture points at the wrist and ankle parts, has wide treatment range for various diseases of the body, and has particularly remarkable effect on analgesia of various systemic diseases. However, this method requires a specialist to operate, the patient needs to go out to see a doctor, the treatment effect depends on the manipulation and skill of the specialist, and the acupuncture causes discomfort to the patient.
In summary, there is a need for a medical apparatus which can be conveniently used by a patient, has strong treatment pertinence and reliable effect and can replace a wrist and ankle acupuncture therapy, but because the area of the treatment part of the wrist and ankle is small, the treatment part is not a regular plane and the acupuncture points are distributed and concentrated, the apparatus is not convenient to accurately control the treatment process, the treatment is not accurate and the effect is not good, so that no report of related medical apparatus is found in the aspect, and the technical personnel in the field still adopt the traditional acupuncture therapy, thereby seriously hindering the further popularization and promotion of the wrist and ankle acupuncture therapy.
Chinese patent document CN201420475426.8, bulletin No. 2014.12.31, discloses a portable wrist and ankle acupuncture point compression treatment device, the device is equipped with annular fixed band and oppression part, be equipped with four fore-and-aft location lines and through-hole on the fixed band, be equipped with fixture nut in the through-hole, oppression part threaded connection is on running through the bolt in fixture nut, its advantage performance: the traditional wrist and ankle acupuncture therapy can be replaced, the purposes of pure physical therapy, no wound, no pain, no toxic or side effect, environmental protection, low carbon and recycling can be achieved, the deformation is not easy, the good fixing effect is achieved, and the compression strength can be adjusted according to the requirement. However, the above schemes still do not overcome the defects that the treatment process cannot be accurately controlled and the effect is not clear.
Disclosure of Invention
The invention aims to provide a wearable intelligent traditional Chinese medicine wrist ankle needle electrical stimulation instrument aiming at the defects in the prior art.
In order to achieve the purpose, the invention adopts the technical scheme that:
a wearable traditional Chinese medicine wrist ankle acupuncture electric intelligent stimulator comprises a mobile terminal, an electric stimulation wearing end, electrodes and a wrist ankle belt; the mobile terminal and the electric stimulation wearing end control the electric stimulation output and stop of the electric stimulation wearing end through low-power consumption Bluetooth BLE data communication; the electric stimulation wearing end is electrically connected with the metal electrode; the electrodes are mounted on the wrist ankle strap.
The mobile terminal is a mobile phone or a tablet intelligent mobile device, and the electrical stimulation amplitude, frequency and time parameters are set through the mobile terminal app.
The electric stimulation wearing end comprises a main control chip, a booster circuit, a feedback circuit, a bipolar conversion output circuit, a Bluetooth module, a lithium battery, a power management module, an indicator light and a button; the main control chip is used for generating PWM waves of the booster circuit and the bipolar conversion output circuit, receiving, sending and processing data of the Bluetooth module, processing button operation and controlling the display of the indicator lamp.
The Boost circuit is designed by adopting the Boost circuit principle.
The bipolar conversion output circuit adopts two PWM wave control circuits with the same frequency and pulse width and 180-degree phase difference to generate bipolar treatment pulses.
The feedback circuit collects the treatment voltage through the sampling circuit, and the treatment voltage is adjusted after being compared with the set amplitude value to form closed-loop control.
The electrode is a dry and washing-free metal electrode.
The wrist ankle belt is made of elastic textile fabric and is bonded through positive and negative bonding strips.
The invention has the advantages that:
the inventor of the application overcomes the existing inertial thinking in the field, attempts to convert the wrist-ankle needle therapy into wearable equipment, and carries out full research, demonstration and attempt across the field to prepare the wearable traditional Chinese medicine wrist-ankle needle intelligent electrical stimulator. When in use, the wrist and ankle strap is only worn on the wrist and ankle part of a human body, and an electric stimulation pulse mode is adopted, so that a wrist and ankle needle does not need to be inserted into the skin, and the pain is avoided; the electric stimulation is carried out at the wrist and ankle part, so that the disease of the viscera at the far end of the body can be treated, the treatment parts are definite and concentrated, the treatment process is accurate and controllable, and the effect is obvious; the electric stimulation wearing end can be controlled in a short-distance wireless mode through the mobile terminal, the use is convenient, the intelligence is achieved, and the user is not restrained in activities during treatment.
Detailed Description
The following detailed description of the present invention will be made with reference to the accompanying drawings.
The reference numerals and components referred to in the drawings are as follows:
1. mobile terminal 2. electric stimulation wearing end
3. Electrode 4. wrist and ankle belt
Embodiment 1 the wearable intelligent electrical stimulator for wrist and ankle acupuncture of traditional Chinese medicine of the present invention
Referring to fig. 1, fig. 1 is an integral framework of the wearable intelligent traditional Chinese medicine wrist ankle needle electrical stimulator. Wearable traditional chinese medical science wrist ankle needle intelligence electro photoluminescence appearance include: the mobile terminal 1, the electric stimulation wearing end 2, the electrode 3 and the wrist ankle strap 4. Wherein, mobile terminal 1 includes the mobile intelligent equipment that has bluetooth communication function such as cell-phone and flat board, and mobile terminal 1 carries out the bluetooth accordant connection back with electro photoluminescence wearing end 2, can carry out both-way communication, and is through bluetooth low energy BLE data communication. Through the mobile terminal app, after the amplitude, the frequency and the time of a therapeutic pulse are set in an electrical stimulation control interface of the mobile terminal 1, a starting control is clicked, the mobile terminal 1 sends electrical stimulation parameters and operation instructions to an electrical stimulation wearing end 2, and after the electrical stimulation wearing end 2 receives the electrical stimulation parameters and the operation instructions of the mobile terminal 1, corresponding parameters and instruction responses are configured, so that electrical stimulation is output or stopped. The electric stimulation wearing end 2 is electrically connected with the metal electrode 3. The electrodes 3 are arranged on the wrist ankle belts 4 and are in direct contact with the wrist ankle belts 4 and the skin of a human body, and the wrist ankle belts 4 are made of elastic textile fabric with good air permeability and are bonded through positive and negative bonding strips.
Referring to fig. 2, fig. 2 is a block diagram of a hardware structure of an electrical stimulation wearing end. The electric stimulation wearing end 2 comprises a main control chip, a booster circuit, a feedback circuit, a bipolar conversion output circuit, a Bluetooth module, a lithium battery, a power management module, an indicator light and a button. The lithium battery is connected with the power management module and provides power for the Bluetooth module, the main control chip and the booster circuit through the power management module; the main control chip is mainly used for generating PWM waves of the booster circuit and the bipolar conversion output circuit, receiving, sending and processing data of the Bluetooth module, processing button operation and controlling the display of the indicator lamp.
Referring to fig. 3, fig. 3 is a voltage boosting and sampling circuit. The Boost circuit is designed according to the Boost circuit principle, a PWM wave with certain frequency and adjustable pulse width is generated by a main control chip to control the switch of a triode Q3, and a capacitor C1 is charged through the inductance effect of an inductor L1 and the follow current effect of a diode D2, so that the Boost effect is achieved, wherein the diode D1 is a one-way instantaneous suppression diode and plays a role in protecting circuit components. The NPN type triode Q1 and the PNP type triode Q2 control the switch of the power supply required by the booster circuit and play the role of an enabling end. The resistors R4 and R5 form a sampling circuit, the sampling circuit is compared with a set voltage value after the A/D conversion and the conversion of the main control chip, when the sampled voltage value is smaller than the set value after the conversion, the pulse width of the PWM wave is increased, and therefore the output voltage of the booster circuit is increased, otherwise, closed-loop control is formed.
Referring to fig. 4, fig. 4 is a bipolar conversion output circuit. The main control chip provides two paths of PWM waves with the same and adjustable frequency, the same pulse width and 180-degree phase difference, so that the bipolar conversion output circuit outputs bipolar pulse voltage, and the bipolar pulse voltage acts on the skin of a human body through the electrode 3.
The electrode 3 is a dry, wash-free metal electrode, and has the advantages of convenient use and long service life. The electrodes 3 can be arranged in different subareas of the ankle according to 24 subareas of the wrist and ankle needle to treat diseases corresponding to different visceral organs. The ankle belt 4 is made of elastic textile fabric with good air permeability, and is bonded by the positive and negative bonding blocks, so that the electrode 3 is tightly attached to the skin, the wearing is more comfortable, the acting point is adjustable, and the ankle belt is suitable for different patients. The mobile terminal app is conventional software. The power management module comprises a voltage conversion chip MCP1700T and a power management chip TP4056, the voltage conversion chip MCP1700T outputs the voltage of the lithium battery to be 3.3V, power is supplied to the main control chip, the Bluetooth module and the booster circuit, and the power management chip TP4056 carries out charging management on the lithium battery. The power management module adopts a lithium battery for power supply, and can charge the lithium battery through the USB interface when the electric quantity of the lithium battery is insufficient. The lithium battery is a rechargeable lithium battery. The main control chip adopts STM32L152RCT6 with low power consumption to provide PWM waves required by the booster circuit and the bipolar conversion output circuit, and the PWM waves required by the booster circuit are fixed in frequency and adjustable in pulse width; the PWM wave required by the bipolar conversion output circuit is two paths of PWM waves with the same and adjustable frequency, the same pulse width and 180-degree phase difference. The buttons comprise keys and knobs, when the mobile terminal 1 is not provided, electrical stimulation operation can be carried out, electrical stimulation time and output control are selected through the keys, and electrical stimulation pulse amplitude and frequency are configured through the two knobs respectively. The feedback circuit collects treatment voltage through the sampling circuit, the treatment voltage is compared with a set voltage value after being subjected to A/D conversion by the main control chip, and the pulse width of the PWM wave required by the booster circuit is dynamically adjusted to form closed-loop control, so that the output treatment voltage is more accurately close to the set voltage, and the accuracy and the safety of electrical stimulation are improved. The Boost circuit is designed by adopting the Boost circuit principle, a transformer with larger volume is abandoned, the volume of an electric stimulation wearing end is greatly reduced, and the realization of wearing is facilitated. The invention adopts a bipolar conversion output circuit to output positive and negative bipolar electrical stimulation pulses, can effectively reduce skin damage, and outputs treatment voltage as bipolar electrical stimulation pulses through two paths of PWM waves with the same and adjustable frequency, the same pulse width and 180-degree phase difference.
The use method of the wearable intelligent traditional Chinese medicine wrist ankle needle electrical stimulation instrument comprises the following steps: the wrist and ankle belt 4 with the electrode 3 is worn on the ankle part of the human body, the position of the electrode 3 is attached to the corresponding subarea of the wrist and ankle part, and the electrode 3 is tightly attached to the skin of the human body through the adhesion of the adhesion block; when the electric stimulation is started, the electric stimulation wearing end 2 generates treatment voltage, and then the bipolar conversion output circuit generates bipolar treatment pulses which act on a human body through the electrode 3. This wearing formula traditional chinese medical science wrist ankle needle intelligence electrostimulation appearance only needs to dress in human wrist ankle portion, and the treatment position is clear and definite concentrated and accurate, and the treatment process is accurate controllable, and the effect is showing definitely, and convenient to use, need not take off the clothing under cold weather and treat, does not obstruct patient's normal activity, does not receive the restriction of time occasion.
Embodiment 2 clinical test of the wearable intelligent electrical stimulator for wrist and ankle acupuncture of traditional Chinese medicine of the present invention
1 general data
150 patients treated in the pain department of the hospital were collected on a voluntary basis during the period of 2 months to 2016 and 1 month, with the age distribution ranging from 18 to 76 years.
2 grouping
The 150 patients collected were randomized into 2 groups of 75, each group being comparable in age, course, and degree of pain.
3 methods of treatment
The electrical stimulator group: the wearable intelligent electrical stimulator for the traditional Chinese medical wrist-ankle needles of example 1 was used for ankle treatment.
Acupuncture and moxibustion groups: treatment was given by a clinician using traditional wrist ankle acupuncture.
The above groups are treated 1 time per day for 60 min, and 1 treatment course lasts for 1 week.
4 criteria for efficacy assessment
No relief is less than 25% pain relief, mild relief is 25% -49% pain relief, moderate relief is 50% -74% pain relief, significant relief is 75% -99% pain relief, and complete relief is 100% pain relief.
The total effective cases are mild, moderate, obvious and complete.
5 therapeutic results
After 1 treatment course, the statistical data of the total effective rate of two groups are shown in table 1. The results showed that the electric stimulation apparatus group had a more significant effect on pain treatment than the acupuncture group, with statistical differences (P < 0.05).
TABLE 1 Total effective rates of two groups
The above description is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, several modifications and additions can be made without departing from the method of the present invention, and these modifications and additions should also be regarded as the protection scope of the present invention.