CN108853621A - A kind of haemodialysis monitoring care device - Google Patents

Abstract

The invention discloses a hemodialysis monitoring and nursing device, comprising a hemodialysis detection and nursing system, a patient condition monitoring module, an extracorporeal circulation blood circuit monitoring module, a blood vessel access monitoring module, a dialysis fluid circuit detection module, a cloud platform, a database, and a warning module and smart terminals. The invention can monitor various data in the patient's hemodialysis process to ensure the normal progress of hemodialysis and ensure the safety of the patient; the data can be analyzed and processed, and the normal data of hemodialysis monitoring and nursing can be extracted from the database for comparison. Save the comparison results and send them to the smart terminal; when the monitoring data is abnormal, it can give a warning and remind the doctor, nurse or patient's family; the doctor, nurse and patient's family can check the monitoring data through the smart terminal, which is convenient for monitoring The patient's hemodialysis process is monitored in real time.

Description

A hemodialysis monitoring and nursing device

technical field

The invention relates to the technical field of hemodialysis, in particular to a hemodialysis monitoring and nursing device.

Background technique

Hemodialysis (HD) is one of the renal replacement therapies for patients with acute and chronic renal failure. It drains the blood from the body to the outside of the body, and passes through a dialyzer composed of countless hollow fibers. The whole process of exchanging substances with the principle of convection, removing metabolic waste in the body, maintaining electrolyte and acid-base balance; at the same time removing excess water in the body, and returning the purified blood is called hemodialysis.

Hemodialysis is mainly used for the treatment of: 1. Acute kidney injury, 2. Acute heart failure caused by volume overload or hypertension uncontrollable by drugs; 3. Severe metabolic acidosis and difficult-to-correct hyperkalemia; Calcemia, hypocalcemia and hyperphosphatemia; 4. Chronic renal failure with refractory anemia; uremic neuropathy and encephalopathy; 5. Uremic pleurisy or pericarditis; chronic renal failure with severe malnutrition; 6. . Unexplained organ dysfunction or decline in general condition; 7. Drug or poison poisoning.

Hemodialysis equipment includes hemodialysis machine, water treatment and dialyzer, which together form a hemodialysis system. Hemodialysis machine is the most widely used treatment instrument in blood purification treatment. It is a relatively complex electromechanical integration equipment. Liquid supply monitoring device and extracorporeal circulation monitoring device; water treatment system, tap water needs to be filtered, iron removed, softened, activated carbon, and reverse osmosis treatment in sequence. Only reverse osmosis water can be used as dilution water for concentrated dialysate. The device for serial treatment is the water treatment system; the dialyzer, also known as "artificial kidney", is composed of hollow fibers made of chemical materials, and each hollow fiber is distributed with countless small holes. The total area of the entire hollow fiber is That is to say, the exchange area determines the passage capacity of small molecules, and the size of the membrane pore size determines the passage capacity of medium and large molecules; the dialysate is obtained by diluting the dialysis concentrate containing electrolytes and bases and reverse osmosis water in proportion, and finally forms the same A solution with a blood electrolyte concentration close to maintain normal electrolyte levels, and at the same time provide bases to the body through a higher base concentration to correct the acidosis existing in the patient. The commonly used dialysate base is mainly bicarbonate, and also contains a small amount of acetic acid.

However, most of the existing hemodialysis nursing devices do not have monitoring functions, and some hemodialysis equipment with monitoring capabilities have poor monitoring capabilities, cannot realize intelligent remote monitoring, and do not use doctors, nurses and patients' families to understand monitoring data in real time.

Contents of the invention

The technical problem to be solved by the present invention is to overcome the existing defects and provide a hemodialysis monitoring and nursing device, which can effectively solve the problems in the background technology.

In order to achieve the above object, the present invention provides the following technical solutions: a hemodialysis monitoring and nursing device, including a hemodialysis testing and nursing system, the hemodialysis testing and nursing system includes a patient condition monitoring module, an extracorporeal circulation blood circuit monitoring module , vascular access monitoring module, dialysis fluid circuit detection module, cloud platform, database, warning module and intelligent terminal, the input end of the cloud platform is respectively connected with the patient condition monitoring module, the extracorporeal circulation blood circuit monitoring module, the blood vessel The channel monitoring module, the dialysis fluid circuit detection module, the database are connected to the output terminals of the intelligent terminal, and the output terminals of the cloud platform are respectively connected to the input terminals of the database, the warning module and the intelligent terminal. connected, the output end of the warning module is connected to the input end of the smart terminal, the patient condition monitoring module includes a body temperature monitoring unit, a blood pressure monitoring unit, a pulse monitoring unit and a respiratory monitoring unit, and the extracorporeal circulation blood circuit monitoring module includes a blood A pump monitoring unit, an arteriovenous pressure monitoring unit, an air detection unit and a heparin pump monitoring unit, the vascular access monitoring module includes an arterial puncture monitoring unit, a venous puncture monitoring unit and a deep vein catheterization monitoring unit, the dialysate The road monitoring module includes a dialysate conductivity monitoring unit, a dialysate temperature monitoring unit, a dialysate flow monitoring unit, a dialyzer transmembrane pressure monitoring unit, and a dialyzer blood leakage monitoring unit. The cloud platform includes a central processing unit, an information sending and receiving unit and storage unit.

As a preferred technical solution of the present invention, the intelligent terminal is a smart phone, an electronic computer or other intelligent networking equipment.

As a preferred technical solution of the present invention, the storage unit includes cloud storage and local storage.

As a preferred technical solution of the present invention, the database stores normal data of hemodialysis monitoring and nursing.

A method for using a hemodialysis monitoring and nursing system, comprising the following steps:

S1. Before starting the hemodialysis process for the patient, connect the system to the patient monitoring department and the dialysis equipment, turn on the dialysis equipment and system, and perform hemodialysis and monitoring care;

S2. The patient condition monitoring module can monitor the patient's body temperature, blood pressure, pulse and respiration, and transmit the monitoring data to the cloud platform. The cloud platform extracts the normal monitoring data in the database and communicates with the monitoring Perform comparative analysis and processing on the data, save and send the comparative analysis and processing results to the intelligent terminal;

S3. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module, and the warning module gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal, and according to the monitoring data. The patient should deal with it accordingly. When the monitoring data is abnormal, the blood flow should be slowed down immediately, the ultrafiltration should be stopped, and hypertonic sugar or 0.9% normal saline solution should be infused intravenously from the front side of the blood pump; For severe hypertension, the patient takes captopril and nifedipine sublingually, and the contraction of severe hypertension exceeds 200 mm Hg. When oral antihypertensive drugs do not work, continuous intravenous infusion of sodium nitroprusside is used. Plant dialysis, give oxygen inhalation, and comfort the patient;

S4. The blood circuit monitoring module of extracorporeal circulation can monitor the blood pump, arteriovenous pressure, air in the blood circuit and heparin pump, and send the monitoring data to the cloud platform, and the cloud platform can monitor the normal monitoring data in the database. Extracting and performing comparative analysis and processing with the monitoring data, saving and sending the comparative analysis and processing results to the intelligent terminal;

S5. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module, and the warning module gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal, and according to the monitoring data. The patient is treated accordingly;

S6. The vascular access monitoring module can monitor the patient's arterial puncture site, venous puncture site and deep vein catheterization site, and send the monitoring data to the cloud platform, and the cloud platform uses the normal monitoring data inside the database to monitor Extracting and performing comparative analysis and processing with the monitoring data, saving and sending the comparative analysis and processing results to the intelligent terminal;

S7. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module, and the warning module gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal, and according to the monitoring data. The patient is treated accordingly;

S8. The dialysate circuit monitoring module can monitor the dialysate conductivity, dialysate temperature, dialysate flow, dialyzer transmembrane pressure and dialyzer blood leakage, and send the monitoring data to the cloud platform, the cloud platform Extracting the normal monitoring data inside the database, performing comparative analysis and processing with the monitoring data, saving and sending the comparative analysis and processing results to the intelligent terminal;

S9. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module, and the warning module gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal, and according to the monitoring data. Patients are treated accordingly.

Compared with prior art, the beneficial effect of the present invention is:

1. The present invention can monitor various data in the patient's hemodialysis process by setting the patient's condition monitoring module, extracorporeal circulation blood circuit monitoring module, vascular access monitoring module and dialysis fluid circuit detection module, so as to ensure the normal progress of hemodialysis and ensure patient safety.

2. The present invention can analyze and process the data by setting up the cloud platform and database, and extract the normal data of hemodialysis monitoring and nursing from the database for comparison, and save and send the comparison results to the smart terminal.

3. The present invention sets up a warning module, and when the monitoring data is abnormal, it can give a warning and remind doctors, nurses or family members of patients.

4. By setting the smart terminal in the present invention, doctors, nurses and patient family members can check the monitoring data through the smart terminal, which is convenient for real-time grasp of the patient's hemodialysis process.

Description of drawings

Fig. 1 is a schematic diagram of signal connection of a hemodialysis monitoring and nursing system in the present invention.

In the figure: 1. Patient condition monitoring module; 2. Extracorporeal circulation blood circuit monitoring module; 3. Vascular access monitoring module; 4. Dialysis fluid circuit detection module; 5. Cloud platform; 6. Database; 7. Warning module; 8. Intelligent Terminal; 9. Body temperature monitoring unit; 10. Blood pressure monitoring unit; 11. Pulse monitoring unit; 12. Respiratory monitoring unit; 13. Blood pump monitoring unit; 14. Arteriovenous pressure monitoring unit; 15. Air detection unit; 16. Heparin Pump monitoring unit; 17. Arterial puncture monitoring unit; 18. Venipuncture monitoring unit; 19. Deep vein catheterization monitoring unit; 20. Dialysate conductivity monitoring unit; 21. Dialysate temperature monitoring unit; 22. Dialysis Liquid flow monitoring unit; 23. Dialyzer transmembrane pressure monitoring unit; 24. Dialyzer blood leakage monitoring unit; 25. Central processing unit; 26. Information sending and receiving unit; 27. Storage unit.

Detailed ways

The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only some, not all, embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present invention.

Please refer to Fig. 1, the present invention provides a technical solution: a hemodialysis monitoring and nursing device, including a hemodialysis testing and nursing system, a hemodialysis testing and nursing system including a patient condition monitoring module 1, an extracorporeal circulation blood circuit monitoring module 2. Vascular access monitoring module 3, dialysate fluid circuit detection module 4, cloud platform 5, database 6, warning module 7 and smart terminal 8, the input terminals of cloud platform 5 are respectively connected with patient condition monitoring module 1 and extracorporeal circulation blood circuit monitoring module 2 , vascular access monitoring module 3, dialysis fluid circuit detection module 4, database 6 and the output end of the intelligent terminal 8 are connected, and the output end of the cloud platform 5 is respectively connected with the input end of the database 6, the warning module 7 and the intelligent terminal 8, and the warning module 7. The output terminal is connected to the input terminal of the intelligent terminal 8. The patient condition monitoring module 1 includes a body temperature monitoring unit 9, a blood pressure monitoring unit 10, a pulse monitoring unit 11 and a respiratory monitoring unit 12. The extracorporeal circulation blood circuit monitoring module 2 includes a blood pump monitoring unit 13 , arteriovenous pressure monitoring unit 14, air detection unit 15 and heparin pump monitoring unit 16, vascular access monitoring module 3 includes arterial puncture monitoring unit 17, venipuncture monitoring unit 18 and deep vein catheterization monitoring unit 19, dialysate The road monitoring module 4 includes a dialysate conductivity monitoring unit 20, a dialysate temperature monitoring unit 21, a dialysate flow rate monitoring unit 22, a dialyzer transmembrane pressure monitoring unit 23 and a dialyzer blood leakage monitoring unit 24, and the cloud platform 5 includes a central processing unit. Unit 25, information transceiving unit 26 and storage unit 27.

The intelligent terminal 8 is a smart phone, an electronic computer or other intelligent networking equipment; the storage unit 27 includes cloud storage and local storage; the database 6 stores normal data of hemodialysis monitoring and nursing.

The method for using the system includes the following steps:

S1. Before starting the hemodialysis process for the patient, connect the system to the patient monitoring department and the dialysis equipment, turn on the dialysis equipment and system, and perform hemodialysis and monitoring care;

S2. The patient condition monitoring module 1 can monitor the patient's body temperature, blood pressure, pulse and respiration, and transmit the monitoring data to the cloud platform 5. The cloud platform 5 extracts the normal monitoring data in the database 6, and compares and analyzes the monitoring data Processing, sending the comparative analysis processing result to the intelligent terminal 8;

S3. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module 7, and the warning module 7 gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal 8, and make decisions for the patient according to the monitoring data. Corresponding treatment, when the monitoring data is abnormal, the blood flow should be slowed down immediately, the ultrafiltration should be stopped, and hypertonic sugar or 0.9% normal saline solution should be intravenously infused from the front side of the blood pump; when the patient has mild or moderate hypertension When the patient takes captopril and nifedipine sublingually, and the contraction of severe hypertension exceeds 200 mm Hg, when oral antihypertensive drugs do not work, continuous intravenous infusion of sodium nitroprusside is used, and particularly serious patients are implanted for dialysis. Give oxygen inhalation and comfort the patient;

S4. The extracorporeal circulation blood circuit monitoring module 2 can monitor the blood pump, arteriovenous pressure, air in the blood circuit and heparin pump, and send the monitoring data to the cloud platform 5, and the cloud platform 5 extracts the normal monitoring data in the database 6, and communicates with the The monitoring data is subjected to comparative analysis and processing, and the comparative analysis and processing results are sent to the smart terminal 8;

S5. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module 7, and the warning module 7 gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal 8, and make decisions for the patient according to the monitoring data. Corresponding treatment;

S6. The vascular access monitoring module 3 can monitor the patient's arterial puncture site, venipuncture site and deep vein catheterization site, and send the monitoring data to the cloud platform 5, and the cloud platform 5 extracts the normal monitoring data through the database 6, and communicates with the The monitoring data is subjected to comparative analysis and processing, and the comparative analysis and processing results are sent to the smart terminal 8;

S7. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module 7, and the warning module 7 gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal 8, and make decisions for the patient according to the monitoring data. Corresponding treatment;

S8. The dialysate circuit monitoring module 4 can monitor the conductivity of the dialysate, the temperature of the dialysate, the flow rate of the dialysate, the transmembrane pressure of the dialyzer and the blood leakage of the dialyzer, and send the monitoring data to the cloud platform 5, and the cloud platform 5 passes through the database 6 The internal normal monitoring data is extracted, and compared with the monitoring data for analysis and processing, and the results of the comparison analysis and processing are sent to the smart terminal 8;

S9. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module 7, and the warning module 7 gives a warning. Doctors, nurses or family members of patients can directly check the monitoring data through the smart terminal 8, and make decisions for the patient according to the monitoring data. Treat accordingly.

The present invention can monitor various data in the patient's hemodialysis process by setting the patient's condition monitoring module, the extracorporeal circulation blood circuit monitoring module, the vascular access monitoring module and the dialysis fluid circuit detection module, so as to ensure the normal progress of hemodialysis and the patient's health. Safety; by setting up the cloud platform and database, the data can be analyzed and processed, and the normal data of hemodialysis monitoring and nursing can be extracted from the database for comparison, and the comparison results can be saved and sent to the smart terminal; by setting the warning module, when the monitoring data appears When there is an abnormality, it can give a warning and remind the doctor, nurse or patient's family; by setting up the smart terminal, the doctor, nurse and patient's family can check the monitoring data through the smart terminal, which is convenient for real-time grasp of the patient's hemodialysis process.

Although the embodiments of the present invention have been shown and described, those skilled in the art can understand that various changes, modifications and substitutions can be made to these embodiments without departing from the principle and spirit of the present invention. and modifications, the scope of the invention is defined by the appended claims and their equivalents.

Claims (5)

1. A hemodialysis monitoring and nursing device, including a hemodialysis testing and nursing system, characterized in that: the hemodialysis testing and nursing system includes a patient condition monitoring module (1), an extracorporeal circulation blood circuit monitoring module (2) , vascular access monitoring module (3), dialysis fluid circuit detection module (4), cloud platform (5), database (6), warning module (7) and intelligent terminal (8), the input of the cloud platform (5) The terminal is respectively connected with the patient condition monitoring module (1), the extracorporeal circulation blood circuit monitoring module (2), the vascular access monitoring module (3), the dialysate fluid circuit detection module (4), the database (6 ) is connected to the output terminal of the intelligent terminal (8), and the output terminal of the cloud platform (5) is respectively connected to the input of the database (6), the warning module (7) and the intelligent terminal (8) The output terminal of the warning module (7) is connected to the input terminal of the intelligent terminal (8). The patient condition monitoring module (1) includes a body temperature monitoring unit (9), a blood pressure monitoring unit (10), a pulse A monitoring unit (11) and a respiratory monitoring unit (12), the extracorporeal circulation blood circuit monitoring module (2) includes a blood pump monitoring unit (13), an arteriovenous pressure monitoring unit (14), an air detection unit (15) and a heparin pump A monitoring unit (16), the vascular access monitoring module (3) includes an arterial puncture site monitoring unit (17), a venous puncture site monitoring unit (18) and a deep vein catheterization site monitoring unit (19), the dialysate channel The monitoring module (4) includes a dialysate conductivity monitoring unit (20), a dialysate temperature monitoring unit (21), a dialysate flow monitoring unit (22), a dialyzer transmembrane pressure monitoring unit (23) and a dialyzer blood leakage monitoring unit A unit (24), the cloud platform (5) includes a central processing unit (25), an information transceiving unit (26) and a storage unit (27). 2. A hemodialysis monitoring and nursing device according to claim 1, characterized in that: the intelligent terminal (8) is a smart phone, a computer or other intelligent networking equipment. 3. The hemodialysis monitoring and nursing device according to claim 1, characterized in that: the storage unit (27) includes cloud storage and local storage. 4. The hemodialysis monitoring and nursing device according to claim 1, characterized in that: the database (6) stores normal data of hemodialysis monitoring and nursing inside. 5. the using method of a kind of hemodialysis monitoring nursing system according to claim 1, is characterized in that: comprise the following steps: S1. Before starting the hemodialysis process for the patient, connect the system to the patient monitoring department and the dialysis equipment, turn on the dialysis equipment and system, and perform hemodialysis and monitoring care; S2. The patient condition monitoring module (1) can monitor the patient's body temperature, blood pressure, pulse and respiration, and transmit the monitoring data to the cloud platform (5), and the cloud platform (5) passes through the database (6 ) to extract the internal normal monitoring data, and perform comparative analysis and processing with the monitoring data, and save and send the comparative analysis and processing results to the smart terminal (8); S3. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module (7), and the warning module (7) gives a warning, and doctors, nurses or family members of patients can directly use the smart terminal (8) Check the monitoring data, and make corresponding treatment to the patient according to the monitoring data. When the monitoring data is abnormal, the blood flow should be slowed down immediately, the ultrafiltration should be stopped, and hypertonic sugar or 0.9% normal saline solution should be used to drain the blood from the front side of the blood pump. Infusion; when the patient has mild or moderate hypertension, the patient takes captopril and nifedipine sublingually; for severe hypertension, the contraction exceeds 200 mm Hg, and sodium nitroprusside is used when oral antihypertensive drugs do not work Continuous intravenous infusion, implant dialysis for particularly severe patients, give oxygen inhalation, comfort patients; S4. The extracorporeal circulation blood circuit monitoring module (2) can monitor the blood pump, arterial and venous pressure, the air in the blood circuit and the heparin pump, and send the monitoring data to the cloud platform (5), and the cloud platform (5) passes The normal monitoring data inside the database (6) is extracted and compared with the monitoring data for analysis and processing, and the results of the comparison analysis and processing are saved and sent to the smart terminal (8); S5. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module (7), and the warning module (7) gives a warning, and doctors, nurses or family members of patients can directly use the smart terminal (8) Check the monitoring data, and make corresponding treatment for patients according to the monitoring data; S6. The vascular access monitoring module (3) can monitor the patient's arterial puncture site, venipuncture site and deep vein catheterization site, and send the monitoring data to the cloud platform (5), and the cloud platform (5) passes The normal monitoring data inside the database (6) is extracted and compared with the monitoring data for analysis and processing, and the results of the comparison analysis and processing are saved and sent to the smart terminal (8); S7. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module (7), and the warning module (7) gives a warning, and doctors, nurses or family members of patients can directly use the smart terminal (8) Check the monitoring data, and make corresponding treatment for patients according to the monitoring data; S8. The dialysate circuit monitoring module (4) can monitor the conductivity of the dialysate, the temperature of the dialysate, the flow rate of the dialysate, the transmembrane pressure of the dialyzer and the blood leakage of the dialyzer, and send the monitoring data to the cloud platform (5 ), the cloud platform (5) extracts the normal monitoring data inside the database (6), performs comparative analysis and processing with the monitoring data, saves the comparative analysis and processing results and sends them to the smart terminal (8); S9. When the analysis and processing results show that the monitoring data deviates from the normal data range, a warning instruction is issued to the warning module (7), and the warning module (7) gives a warning, and doctors, nurses or family members of patients can directly use the smart terminal (8) Check the monitoring data and make corresponding treatment to the patients according to the monitoring data.