CN113450550A - Alarming method and device in blood transfusion process - Google Patents
Alarming method and device in blood transfusion process Download PDFInfo
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- CN113450550A CN113450550A CN202110703426.3A CN202110703426A CN113450550A CN 113450550 A CN113450550 A CN 113450550A CN 202110703426 A CN202110703426 A CN 202110703426A CN 113450550 A CN113450550 A CN 113450550A
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- G—PHYSICS
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- G08B25/00—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems
- G08B25/01—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium
- G08B25/08—Alarm systems in which the location of the alarm condition is signalled to a central station, e.g. fire or police telegraphic systems characterised by the transmission medium using communication transmission lines
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/168—Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
- A61M5/16831—Monitoring, detecting, signalling or eliminating infusion flow anomalies
- A61M5/1684—Monitoring, detecting, signalling or eliminating infusion flow anomalies by detecting the amount of infusate remaining, e.g. signalling end of infusion
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- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/02—Alarms for ensuring the safety of persons
- G08B21/04—Alarms for ensuring the safety of persons responsive to non-activity, e.g. of elderly persons
- G08B21/0438—Sensor means for detecting
- G08B21/0453—Sensor means for detecting worn on the body to detect health condition by physiological monitoring, e.g. electrocardiogram, temperature, breathing
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- G—PHYSICS
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- G08B21/00—Alarms responsive to a single specified undesired or abnormal condition and not otherwise provided for
- G08B21/18—Status alarms
- G08B21/182—Level alarms, e.g. alarms responsive to variables exceeding a threshold
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- A—HUMAN NECESSITIES
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- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
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Abstract
The application discloses alarm method and equipment in a blood transfusion process, comprising the following steps: acquiring a change in skin current of a patient within a period in units of the period by a skin current sensor worn on the patient who is transfusing blood; the skin current sensor sends parameter information of skin current change; the server generates a first curve according to the received skin current change of the period; the server compares the first curve with a plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, the value of N is added by 1; the historical curve is a curve generated by parameters of skin current change in other periods before the period; and the server sends alarm information to the gateway under the condition that the N is greater than the threshold value. Through this application, the problem that needs medical personnel blood transfusion control to lead to among the prior art has been solved, has increased other blood transfusion control means, has improved the security of blood transfusion to a certain extent.
Description
Technical Field
The application relates to the field of medical care, in particular to an alarming method and equipment in a blood transfusion process.
Background
Transfusion reaction refers to an adverse reaction caused by transfusion of blood or its products or the transfusion tool used during or after transfusion. Several common transfusion reactions are described below.
1. And (4) generating heat for reaction.
Fever reaction is the most common reaction in blood transfusion, mostly occurs in blood transfusion or within 1 to 2 hours after blood transfusion, has chills or shivering and fever, has the body temperature of 40 ℃, is accompanied by flushing, headache, nausea, vomiting and the like of skin, and is relieved after the symptoms last for 1 to 2 hours.
2. And (4) allergic reaction.
Mild patients with skin pruritus and urticaria and moderate angioedema, severe patients with dyspnea due to edema of larynx, and severe patients with asthma and shock by smelling the two lungs, even anaphylactic shock.
3. And (4) hemolysis reaction.
Hemolytic reactions are the most severe reactions in blood transfusions. Typical symptoms occur after 10-20ml of blood is infused, and worsen as the volume of blood infused increases. Can cause distending pain of head, numbness of limbs, severe pain of waist and back, chest distress, jaundice and hemoglobinuria. Accompanied by chills, high fever, rapid respiration and blood pressure drop.
At present, blood transfusion monitoring is basically monitored by regular patrol of medical staff. This can cause a relatively large amount of work to the medical staff and in addition requires that the medical staff be able to discover these reactions in a timely manner.
Disclosure of Invention
The embodiment of the application provides an alarm method and device in a blood transfusion process, and aims to at least solve the problem caused by the need of blood transfusion monitoring of medical staff in the prior art.
According to one aspect of the application, an alarming method in a blood transfusion process is provided, which comprises the following steps: acquiring a change in skin current of a patient in a period in units of the period by a skin current sensor worn on the patient who is transfusing blood; the skin current sensor sends the parameter information of the skin current change to a gateway, wherein the skin current sensor is wirelessly connected with the gateway; the gateway sends the parameter information of the skin current change to a server, wherein the server stores the parameter information of the skin current change of the patient in each period; the server generates a first curve according to the received skin current change of the period; the server compares the first curve with the plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, the value of N is added with 1, wherein the initial value of N is 0, and N is a positive integer; the historical curve is a curve generated by parameters of skin current changes in other periods before the period; and the server sends alarm information to the gateway under the condition that N is greater than a threshold value, wherein the alarm information is used for indicating that transfusion abnormity occurs.
Further, still include: the gateway forwards the alarm information to a mobile terminal or intelligent equipment worn by medical personnel; and the gateway receives a confirmation message from the mobile terminal or the intelligent device, wherein the confirmation message is used for indicating that the medical staff receives the alarm information.
Further, still include: and after the gateway does not receive the confirmation message after the preset time, the gateway forwards the alarm information to a mobile terminal or intelligent equipment worn by the medical staff again.
Further, the period is 1 to 10 minutes.
According to one aspect of the application, there is provided an alarm device in a blood transfusion process, comprising: the system comprises a skin current sensor, a gateway and a server, wherein the skin current sensor worn on a patient undergoing transfusion is used for acquiring the skin current change of the patient in a period unit; the skin current sensor is used for sending parameter information of the skin current change to a gateway, wherein the skin current sensor is wirelessly connected with the gateway; the gateway is used for sending the parameter information of the skin current change to a server, wherein the server stores the parameter information of the skin current change of the patient in each period; the server is used for generating a first curve according to the received skin current change of the period; the server is used for comparing the first curve with the plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, adding 1 to the value N, wherein the initial value N is 0, and N is a positive integer; the historical curve is a curve generated by parameters of skin current changes in other periods before the period; the server is used for sending alarm information to the gateway under the condition that N is larger than a threshold value, wherein the alarm information is used for indicating that transfusion abnormity occurs.
Further, the gateway is also used for forwarding the alarm information to a mobile terminal or intelligent equipment worn by medical staff; the gateway is further configured to receive a confirmation message from the mobile terminal or the smart device, where the confirmation message is used to indicate that the medical staff has received the alarm information.
Further, after the gateway does not receive the confirmation message for more than a preset time, the gateway is further configured to forward the alarm information to a mobile terminal or an intelligent device worn by the medical staff again.
Further, the period is 1 to 10 minutes.
According to one aspect of the application, a memory is provided for storing software for performing the above-described method.
According to one aspect of the application, a processor is provided for executing software for performing the above-described method.
In the embodiment of the application, the method comprises the steps of acquiring the skin current change of a patient in a period by a skin current sensor worn on the patient who is transfusing blood in the period; the skin current sensor sends the parameter information of the skin current change to a gateway, wherein the skin current sensor is wirelessly connected with the gateway; the gateway sends the parameter information of the skin current change to a server, wherein the server stores the parameter information of the skin current change of the patient in each period; the server generates a first curve according to the received skin current change of the period; the server compares the first curve with the plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, the value of N is added with 1, wherein the initial value of N is 0, and N is a positive integer; the historical curve is a curve generated by parameters of skin current changes in other periods before the period; and the server sends alarm information to the gateway under the condition that N is greater than a threshold value, wherein the alarm information is used for indicating that transfusion abnormity occurs. Through this application, the problem that needs medical personnel blood transfusion control to lead to among the prior art has been solved, has increased other blood transfusion control means, has improved the security of blood transfusion to a certain extent.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the application and, together with the description, serve to explain the application and are not intended to limit the application. In the drawings:
fig. 1 is a flow chart of a method of alarming during a blood transfusion according to an embodiment of the application.
Detailed Description
It should be noted that the embodiments and features of the embodiments in the present application may be combined with each other without conflict. The present application will be described in detail below with reference to the embodiments with reference to the attached drawings.
It should be noted that the steps illustrated in the flowcharts of the figures may be performed in a computer system such as a set of computer-executable instructions and that, although a logical order is illustrated in the flowcharts, in some cases, the steps illustrated or described may be performed in an order different than presented herein.
The skin current sensor, GSR, is an abbreviation of GalvanicSkinResponse, and when human emotion or state changes, the skin changes differently, the most significant point of the change is that sweat on the skin increases, so that the conductivity of the skin increases, and such characteristics can be utilized to realize the function of human-computer interaction. Galvanic skin responses may be acquired by a skin current sensor. In the case of blood transfusion, when the transfusion reaction occurs, the skin is caused to change differently, and this principle is used for alarming in the following examples.
In this embodiment, a method for alarming during blood transfusion is provided, and fig. 1 is a flow chart of the method for alarming during blood transfusion according to the embodiment of the present application, as shown in fig. 1, the flow chart includes the following steps:
step S102, acquiring the skin current change of a patient in a period by taking the skin current sensor worn on the patient in transfusion as a unit of the period;
step S104, the skin current sensor sends the parameter information of the skin current change to a gateway, wherein the skin current sensor is wirelessly connected with the gateway;
step S106, the gateway sends the parameter information of the skin current change to a server, wherein the server stores the parameter information of the skin current change of the patient in each period;
step S108, the server generates a first curve according to the received skin current change of the period;
step S110, the server compares the first curve with the plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, the value of N is added with 1, wherein the initial value of N is 0, and N is a positive integer; the historical curve is a curve generated by parameters of skin current changes in other periods before the period;
as an optional implementation, the server comparing the first curve with the historical curve includes: the server trains to obtain a first model, wherein the first model is a neural network model, the neural network model is obtained by performing machine learning training on a plurality of groups of training data, each group of training data in the plurality of groups of training data comprises input data used for training and output data used for training, the input data used for training is two curves, the output data used for training is a numerical value, the numerical value is used for representing the similarity degree of the two curves used as the input data used for training, and the numerical value used as the output data used for training in each group of training data represents the similarity degree of the two curves used as the input data used for training; the server inputs the first curve and a historical curve into a first model, and first output data are obtained from the first model, wherein the first output data are numerical values used for representing the similarity degree of the first curve and the input historical curve; and the server judges whether the numerical value in the first output data is in the preset range, and if the numerical value is not in the preset range, the N value is added with 1.
As another optional embodiment, the server comparing the first curve with the historical curve includes: the server places the first curve and a historical curve in the same coordinate system; the server selects 100 points with the same abscissa from the first curve and the historical curve, wherein the 100 points are uniformly distributed on the first curve and the historical curve; the server judges whether the difference of the longitudinal coordinates of the 100 points on the respective curves is within a preset range, and if the difference of the longitudinal coordinates corresponding to the respective curves is larger than the preset range, the server determines that the points of which the difference of the longitudinal coordinates corresponding to the respective curves is larger than the preset range are difference points; and the server acquires the number of the difference points, and if the number of the difference points exceeds the preset range, the N value is added with 1.
As an alternative, it may be added that the cycle is two minutes, i.e. one curve is saved for each two minutes, the current two minute curve is compared with the previous historical multiple two minute curves, and if there is a significant change, it indicates that the patient's state has changed. To make the comparison quicker, it is more obvious to compare the curves of the first four two minutes of the current cycle, i.e. the change of state within the last ten minutes. The data of two minutes of the current period and the data of the previous four minutes and two minutes are stored in the memory of the server, so that the calculation speed is increased by using the data in the memory for calculation.
As another alternative, the skin current sensor and the gateway are connected through a bluetooth connection or a wireless local area network.
And step S112, the server sends alarm information to the gateway under the condition that N is greater than a threshold value, wherein the alarm information is used for indicating that transfusion abnormity occurs.
Through the steps, an additional blood transfusion monitoring means is added, and the safety of blood transfusion is improved to a certain extent.
In another embodiment, an ultrasonic sensor may also be provided, ultrasonic generally referring to sound waves having a frequency above the human hearing range (20Hz to 20kHz), i.e. a frequency "above" the sound waves. It is a vibration wave having an electromagnetic frequency function. The frequency of such vibration waves is higher than 20 kHz. Because it occurs in density, it can be transmitted by displacement of elements in the medium. Thus, almost any elastic material can emit ultrasonic waves. The ultrasonic sensor is used for detecting the fluctuation of the thoracic cavity and the abdominal cavity when a patient breathes. The ultrasonic sensor is adopted to detect the fluctuation of the chest or the abdomen in the breathing process, the breathing frequency and the vital signs of a patient are analyzed, and once the breathing frequency is too low, the alarm information is triggered when the detected or sensed breathing frequency signal is reduced to a set lower limit.
Preferably, the method further comprises the following steps: the gateway forwards the alarm information to a mobile terminal or intelligent equipment worn by medical personnel; and the gateway receives a confirmation message from the mobile terminal or the intelligent device, wherein the confirmation message is used for indicating that the medical staff receives the alarm information.
Preferably, the method further comprises the following steps: and after the gateway does not receive the confirmation message after the preset time, the gateway forwards the alarm information to a mobile terminal or intelligent equipment worn by the medical staff again.
Preferably, the period is 1 to 10 minutes.
In this embodiment, there is provided an alarm device in a blood transfusion process, comprising: the system comprises a skin current sensor, a gateway and a server, wherein the skin current sensor worn on a patient undergoing transfusion is used for acquiring the skin current change of the patient in a period unit; the skin current sensor is used for sending parameter information of the skin current change to a gateway, wherein the skin current sensor is wirelessly connected with the gateway; the gateway is used for sending the parameter information of the skin current change to a server, wherein the server stores the parameter information of the skin current change of the patient in each period; the server is used for generating a first curve according to the received skin current change of the period; the server is used for comparing the first curve with the plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, adding 1 to the value N, wherein the initial value N is 0, and N is a positive integer; the historical curve is a curve generated by parameters of skin current changes in other periods before the period; the server is used for sending alarm information to the gateway under the condition that N is larger than a threshold value, wherein the alarm information is used for indicating that transfusion abnormity occurs.
Preferably, the gateway is further configured to forward the alarm information to a mobile terminal or an intelligent device worn by the medical staff; the gateway is further configured to receive a confirmation message from the mobile terminal or the smart device, where the confirmation message is used to indicate that the medical staff has received the alarm information.
Preferably, after the gateway does not receive the confirmation message for more than a predetermined time, the gateway is further configured to forward the alarm information to a mobile terminal or an intelligent device worn by the medical staff again.
Preferably, the period is 1 to 10 minutes.
As another optional embodiment, the server may also periodically acquire images through a camera in a room where the patient is located, detect red in the transfusion bag from the acquired images, and send another warning message to the gateway when the red ratio is lower than a threshold value, where the warning message indicates that transfusion is to be completed; the gateway can send the alarm information to the mobile terminal or the intelligent terminal of the medical care worker.
In this embodiment, an electronic device is provided, comprising a memory in which a computer program is stored and a processor configured to run the computer program to perform the method in the above embodiments.
The electronic device may further include a device or system formed by software modules, and the modules in the device or system correspond to the steps in the above embodiments.
These computer programs may also be loaded onto a computer or other programmable data processing apparatus to cause a series of operational steps to be performed on the computer or other programmable apparatus to produce a computer implemented process such that the instructions which execute on the computer or other programmable apparatus provide steps for implementing the functions specified in the flowchart flow or flows and/or block diagram block or blocks, and corresponding steps may be implemented by different modules.
The programs described above may be run on a processor or may also be stored in memory (or referred to as computer-readable media), which includes both non-transitory and non-transitory, removable and non-removable media, that implement information storage by any method or technology. The information may be computer readable instructions, data structures, modules of a program, or other data. Examples of computer storage media include, but are not limited to, phase change memory (PRAM), Static Random Access Memory (SRAM), Dynamic Random Access Memory (DRAM), other types of Random Access Memory (RAM), Read Only Memory (ROM), Electrically Erasable Programmable Read Only Memory (EEPROM), flash memory or other memory technology, compact disc read only memory (CD-ROM), Digital Versatile Discs (DVD) or other optical storage, magnetic cassettes, magnetic tape magnetic disk storage or other magnetic storage devices, or any other non-transmission medium that can be used to store information that can be accessed by a computing device. As defined herein, a computer readable medium does not include a transitory computer readable medium such as a modulated data signal and a carrier wave.
The above are merely examples of the present application and are not intended to limit the present application. Various modifications and changes may occur to those skilled in the art. Any modification, equivalent replacement, improvement, etc. made within the spirit and principle of the present application should be included in the scope of the claims of the present application.
Claims (10)
1. An alarm method in a blood transfusion process is characterized by comprising the following steps:
acquiring a change in skin current of a patient in a period in units of the period by a skin current sensor worn on the patient who is transfusing blood;
the skin current sensor sends the parameter information of the skin current change to a gateway, wherein the skin current sensor is wirelessly connected with the gateway;
the gateway sends the parameter information of the skin current change to a server, wherein the server stores the parameter information of the skin current change of the patient in each period;
the server generates a first curve according to the received skin current change of the period;
the server compares the first curve with the plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, the value of N is added with 1, wherein the initial value of N is 0, and N is a positive integer; the historical curve is a curve generated by parameters of skin current changes in other periods before the period;
and the server sends alarm information to the gateway under the condition that N is greater than a threshold value, wherein the alarm information is used for indicating that transfusion abnormity occurs.
2. The method of claim 1, further comprising:
the gateway forwards the alarm information to a mobile terminal or intelligent equipment worn by medical personnel;
and the gateway receives a confirmation message from the mobile terminal or the intelligent device, wherein the confirmation message is used for indicating that the medical staff receives the alarm information.
3. The method of claim 2, further comprising:
and after the gateway does not receive the confirmation message after the preset time, the gateway forwards the alarm information to a mobile terminal or intelligent equipment worn by the medical staff again.
4. A method according to any one of claims 1 to 3, wherein the period is from 1 to 10 minutes.
5. An alarm device in a blood transfusion process, comprising: skin current sensor, gateway and server, wherein,
acquiring changes in skin current of a patient in a period by a skin current sensor worn on the patient who is transfusing blood;
the skin current sensor is used for sending parameter information of the skin current change to a gateway, wherein the skin current sensor is wirelessly connected with the gateway;
the gateway is used for sending the parameter information of the skin current change to a server, wherein the server stores the parameter information of the skin current change of the patient in each period;
the server is used for generating a first curve according to the received skin current change of the period;
the server is used for comparing the first curve with the plurality of historical curves one by one, and when the difference between the first curve and the historical curves reaches a preset range, adding 1 to the value N, wherein the initial value N is 0, and N is a positive integer; the historical curve is a curve generated by parameters of skin current changes in other periods before the period;
the server is used for sending alarm information to the gateway under the condition that N is larger than a threshold value, wherein the alarm information is used for indicating that transfusion abnormity occurs.
6. The apparatus of claim 5,
the gateway is also used for forwarding the alarm information to a mobile terminal or intelligent equipment worn by medical personnel;
the gateway is further configured to receive a confirmation message from the mobile terminal or the smart device, where the confirmation message is used to indicate that the medical staff has received the alarm information.
7. The apparatus of claim 6,
and after the gateway does not receive the confirmation message after the preset time, the gateway is further used for forwarding the alarm information to a mobile terminal or intelligent equipment worn by the medical staff again.
8. The apparatus according to any one of claims 5 to 7, wherein the period is 1 to 10 minutes.
9. Memory for storing software for performing the method of any one of claims 1 to 4.
10. A processor configured to execute software configured to perform the method of any one of claims 1 to 4.
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