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CN118766423A - A critical care status alarm method and system based on big data monitoring - Google Patents

A critical care status alarm method and system based on big data monitoring Download PDF

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CN118766423A
CN118766423A CN202410735307.XA CN202410735307A CN118766423A CN 118766423 A CN118766423 A CN 118766423A CN 202410735307 A CN202410735307 A CN 202410735307A CN 118766423 A CN118766423 A CN 118766423A
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卢丽华
吴玲
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Affiliated Hospital of Nantong University
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Abstract

本发明公开了一种基于大数据监测的重症监护状态报警方法及系统,涉及重症监护领域,该基于大数据监测的重症监护状态报警方法包括以下步骤:S1、获取患者参数信息并获取重症监护装置配置需求;S2、对配置重症监护装置组赋权并进行优先排序;S3、获取阈值和影响参数并设置分级警报影响规则;S4、设置报警调整规则并优化调整;S5、预测监护状态演变预测参数和优化监护状态演变预测参数;S6、获取警报演变预测差异参数和警报演变预测调整需求;S7、将进阶监护状态演变预警参数与优化监护状态报警信息输出。本发明通过详细分析患者的参数信息来制定针对性的监护方案,确保每位患者都能接受最适合其病情的监护措施。

The present invention discloses a critical care state alarm method and system based on big data monitoring, which relates to the field of critical care. The critical care state alarm method based on big data monitoring includes the following steps: S1, obtaining patient parameter information and obtaining critical care device configuration requirements; S2, empowering and prioritizing the configuration critical care device group; S3, obtaining thresholds and influencing parameters and setting graded alarm influencing rules; S4, setting alarm adjustment rules and optimizing adjustments; S5, predicting monitoring state evolution prediction parameters and optimizing monitoring state evolution prediction parameters; S6, obtaining alarm evolution prediction difference parameters and alarm evolution prediction adjustment requirements; S7, outputting advanced monitoring state evolution warning parameters and optimized monitoring state alarm information. The present invention formulates targeted monitoring plans by analyzing the patient's parameter information in detail to ensure that each patient can receive the most suitable monitoring measures for their condition.

Description

一种基于大数据监测的重症监护状态报警方法及系统A critical care status alarm method and system based on big data monitoring

技术领域Technical Field

本发明涉及重症监护领域,具体来说,涉及一种基于大数据监测的重症监护状态报警方法及系统。The present invention relates to the field of intensive care, and in particular to an intensive care status alarm method and system based on big data monitoring.

背景技术Background Art

大数据监测在多个领域,尤其是在健康监护、环境监测、金融市场分析等领域扮演着至关重要的角色,大数据监测通过实时收集和分析数据,提供即时洞察,有助于及时发现问题、趋势或异常行为,而在医疗健康领域帮助医疗团队及早识别患者状况的变化,实施预警,从而采取及时干预措施,提高治疗效果和患者安全。Big data monitoring plays a vital role in many fields, especially in health care, environmental monitoring, financial market analysis, etc. Big data monitoring provides instant insights by collecting and analyzing data in real time, which helps to detect problems, trends or abnormal behaviors in a timely manner. In the field of healthcare, it helps medical teams identify changes in patient conditions early, implement early warnings, and take timely intervention measures to improve treatment outcomes and patient safety.

重症监护状态报警系统能够实时监测患者的生命体征和重要医疗指标,如心率、血压、呼吸频率等,当指标超出正常范围,系统便会立即发出警报,使医护人员能够迅速响应,及时进行干预,极大地提高患者的生存率和治疗效果,并通过对患者状态的持续监测和实时报警,使得医护人员在病情恶化之前采取措施,避免严重的健康问题或并发症的发生。The critical care status alarm system can monitor the patient's vital signs and important medical indicators, such as heart rate, blood pressure, respiratory rate, etc. in real time. When the indicators exceed the normal range, the system will immediately issue an alarm, allowing medical staff to respond quickly and intervene in time, greatly improving the patient's survival rate and treatment effect. Through continuous monitoring of the patient's status and real-time alarms, medical staff can take measures before the condition worsens and avoid serious health problems or complications.

但现有的基于大数据监测的重症监护状态报警方法在进行使用时并未对警报进行分级,使得现有基于大数据监测的重症监护状态报警方法在进行使用时无法精确地反映患者的实时状态,同时现有基于大数据监测的重症监护状态报警方法再进行使用时,并未对重症监护装置进行监护优先级排序,使得患者在使用重症监护装置是无法明确监护时的监护重点,影响基于大数据监测的重症监护状态报警方法的使用效率。However, the existing intensive care status alarm method based on big data monitoring does not classify the alarms when it is used, so that the existing intensive care status alarm method based on big data monitoring cannot accurately reflect the real-time status of the patient when it is used. At the same time, the existing intensive care status alarm method based on big data monitoring does not sort the monitoring priorities of the intensive care devices when it is used, so that the patient cannot clearly understand the monitoring focus when using the intensive care device, which affects the efficiency of the use of the intensive care status alarm method based on big data monitoring.

针对相关技术中的问题,目前尚未提出有效的解决方案。Currently, no effective solution has been proposed for the problems in the related technologies.

发明内容Summary of the invention

针对相关技术中的问题,本发明提出一种基于大数据监测的重症监护状态报警方法及系统,以克服现有相关技术所存在的上述技术问题。In view of the problems in the related technology, the present invention proposes an intensive care status alarm method and system based on big data monitoring to overcome the above-mentioned technical problems existing in the existing related technology.

为此,本发明采用的具体技术方案如下:To this end, the specific technical solution adopted by the present invention is as follows:

根据本发明的一个方面,提供了一种基于大数据监测的重症监护状态报警方法,包括以下步骤:According to one aspect of the present invention, a critical care status alarm method based on big data monitoring is provided, comprising the following steps:

S1、获取患者参数信息,分析患者参数信息设置重症监护方案,并基于重症监护方案获取重症监护装置配置需求;S1. Obtain patient parameter information, analyze the patient parameter information to set a critical care plan, and obtain critical care device configuration requirements based on the critical care plan;

S2、根据重症监护装置配置需求配置重症监护装置组,基于重症监护装置组配置结果赋权,并通过重症监护装置组赋权情况生成重症监护装置组中重症监护装置优先排序结果;S2. configuring a critical care device group according to the critical care device configuration requirements, assigning weights based on the critical care device group configuration results, and generating a priority ranking result of critical care devices in the critical care device group according to the assignment of weights to the critical care device group;

S3、基于重症监护方案获取重症监护装置组中重症监护装置的个体装置分级警报阈值和重症监护装置变化影响参数,并基于个体装置分级警报阈值和重症监护装置影响参数设置分级警报影响规则;S3. acquiring, based on the intensive care plan, individual device hierarchical alarm thresholds and intensive care device change impact parameters of the intensive care devices in the intensive care device group, and setting hierarchical alarm impact rules based on the individual device hierarchical alarm thresholds and intensive care device impact parameters;

S4、根据重症监护装置优先排序结果和分级警报影响规则设置报警调整规则,并基于报警调整规则对监护状态报警信息优化调整,获取优化监护状态报警信息;S4. Setting alarm adjustment rules according to the priority ranking results of the intensive care device and the graded alarm impact rules, and optimizing and adjusting the monitoring status alarm information based on the alarm adjustment rules to obtain optimized monitoring status alarm information;

S5、预设警报演变预测规则,通过警报演变预测规则分析监护状态报警信息和优化监护状态报警信息的监护状态演变预测参数和优化监护状态演变预测参数;S5. Preset alarm evolution prediction rules, analyze monitoring state alarm information and optimize monitoring state evolution prediction parameters of monitoring state alarm information and optimize monitoring state evolution prediction parameters through alarm evolution prediction rules;

S6、比对监护状态演变预测参数和优化监护状态演变预测参数,获取警报演变预测差异参数,并设置警报演变预测差异参数调整阈值,将警报演变预测差异参数调整阈值与警报演变预测差异参数比对,获取警报演变预测调整需求;S6. Compare the monitoring state evolution prediction parameters and the optimized monitoring state evolution prediction parameters, obtain the alarm evolution prediction difference parameters, and set the alarm evolution prediction difference parameter adjustment threshold, compare the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and obtain the alarm evolution prediction adjustment requirement;

S7、基于警报演变预测调整需求对优化监护状态演变预测参数优化调整,获取进阶监护状态演变预警参数,将进阶监护状态演变预警参数与优化监护状态报警信息输出,并构建报警数据库及预警数据库。S7. Based on the alarm evolution prediction adjustment requirements, optimize and adjust the optimized monitoring state evolution prediction parameters, obtain advanced monitoring state evolution warning parameters, output the advanced monitoring state evolution warning parameters and the optimized monitoring state alarm information, and build an alarm database and a warning database.

作为优选方案,基于重症监护方案获取重症监护装置组中重症监护装置的个体装置分级警报阈值和重症监护装置变化影响参数,并基于个体装置分级警报阈值和重症监护装置影响参数设置分级警报影响规则包括以下步骤:As a preferred solution, obtaining the individual device hierarchical alarm threshold and the intensive care device change influence parameter of the intensive care device in the intensive care device group based on the intensive care plan, and setting the hierarchical alarm influence rule based on the individual device hierarchical alarm threshold and the intensive care device influence parameter includes the following steps:

S31、分析重症监护方案,获取重症监护所需的监护装置,并将监护装置整合获取重症监护装置组;S31. Analyze the critical care plan, obtain the monitoring devices required for the critical care, and integrate the monitoring devices to obtain a critical care device group;

S32、分析重症监护装置组中每个重症监护装置的重症监护指标,并基于重症监护指标设置重症监护装置的个体装置分级警报阈值;S32, analyzing the critical care indicators of each critical care device in the critical care device group, and setting individual device graded alarm thresholds of the critical care devices based on the critical care indicators;

S33、分析重症监护装置组内部重症监护装置的监护装置关联参数,并基于监护装置关联参数计算重症监护装置变化影响参数;S33, analyzing the monitoring device associated parameters of the critical care devices within the critical care device group, and calculating the critical care device change impact parameters based on the monitoring device associated parameters;

S34、将个体装置分级警报阈值和重症监护装置变化影响参数进行整合,基于整合结果制定分级警报影响规则,并对分级警报影响规则进行验证优化。S34. Integrate the individual device graded alarm thresholds and the critical care device change impact parameters, formulate graded alarm impact rules based on the integration results, and verify and optimize the graded alarm impact rules.

作为优选方案,分析重症监护装置组中每个重症监护装置的重症监护指标,并基于重症监护指标设置重症监护装置的个体装置分级警报阈值包括以下步骤:As a preferred solution, analyzing the critical care index of each critical care device in the critical care device group and setting the individual device graded alarm threshold of the critical care device based on the critical care index includes the following steps:

S321、分析重症监护装置的医疗检测参数,通过医疗检测参数设置重症监护健康阈值,并基于重症监护健康阈值设置每个重症监护装置的重症监护指标;S321, analyzing medical detection parameters of the intensive care unit, setting intensive care health thresholds according to the medical detection parameters, and setting intensive care indicators of each intensive care unit based on the intensive care health thresholds;

S322、评估重症监护指标的健康影响情况,通过健康影响情况设置重症监护指标紧急规则,并基于重症监护指标紧急规则设置初始装置分级警报阈值;S322, evaluating the health impact of the critical care indicator, setting the critical care indicator emergency rule according to the health impact, and setting the initial device classification alarm threshold based on the critical care indicator emergency rule;

S323、预设标准个体参数和个体分级调整规则,并根据患者参数信息获取特征个体参数,将标准个体参数与特征个体参数比对,获取个体差异参数;S323, presetting standard individual parameters and individual grading adjustment rules, obtaining characteristic individual parameters according to the patient parameter information, comparing the standard individual parameters with the characteristic individual parameters, and obtaining individual difference parameters;

S324、将个体分级调整规则与个体差异参数匹配,并根据匹配结果对初始装置分级警报阈值优化调整,获取个体装置分级警报阈值。S324: Match the individual classification adjustment rule with the individual difference parameter, and optimize and adjust the initial device classification alarm threshold according to the matching result to obtain the individual device classification alarm threshold.

作为优选方案,分析重症监护装置组内部重症监护装置的监护装置关联参数,并基于监护装置关联参数计算重症监护装置变化影响参数包括以下步骤:As a preferred solution, analyzing the monitoring device associated parameters of the intensive care devices within the intensive care device group, and calculating the intensive care device change influencing parameters based on the monitoring device associated parameters includes the following steps:

S331、获取重症监护装置的历史监护数据,并基于历史监护数据分析重症监护装置的关联参数;S331, obtaining historical monitoring data of the intensive care device, and analyzing related parameters of the intensive care device based on the historical monitoring data;

S332、预设因果规则和时序规则,并基于因果规则和时序规则对关联参数优化调整,获取重症监护装置的监护装置关联参数;S332, presetting causal rules and timing rules, and optimizing and adjusting the associated parameters based on the causal rules and timing rules to obtain the associated parameters of the monitoring device of the intensive care unit;

S333、基于监护装置关联参数构建关联交互模型,验证优化关联交互模型,并采用验证优化后的关联交互模型计算重症监护装置变化影响参数。S333. Construct an association interaction model based on the associated parameters of the monitoring device, verify and optimize the association interaction model, and use the verified and optimized association interaction model to calculate the parameters affecting changes in the intensive care unit.

作为优选方案,基于监护装置关联参数构建关联交互模型,验证优化关联交互模型,并采用验证优化后的关联交互模型计算重症监护装置变化影响参数包括以下步骤:As a preferred solution, building an associated interaction model based on associated parameters of the monitoring device, verifying and optimizing the associated interaction model, and using the verified and optimized associated interaction model to calculate the parameters affecting changes in the intensive care device include the following steps:

S3331、定义关联交互模型所需计算的监护装置参数变化影响,并清洗监护装置关联参数;S3331. Define the impact of changes in monitoring device parameters required to be calculated by the associated interaction model, and clean the associated parameters of the monitoring device;

S3332、通过统计分析获取清洗后监护装置关联参数的特征参数,基于特征参数构建关联交互模型,并对关联交互模型交叉验证;S3332. Obtain characteristic parameters of the post-cleaning monitoring device correlation parameters through statistical analysis, construct a correlation interaction model based on the characteristic parameters, and cross-validate the correlation interaction model;

S3333、采用交叉验证后的关联交互模型计算重症监护装置变化影响参数,并对重症监护装置变化影响参数验证优化。S3333. Use the cross-validated correlation interaction model to calculate the parameters affecting changes in the intensive care unit, and verify and optimize the parameters affecting changes in the intensive care unit.

作为优选方案,通过统计分析获取清洗后监护装置关联参数的特征参数,基于特征参数构建关联交互模型的计算公式为:As a preferred solution, the characteristic parameters of the post-cleaning monitoring device correlation parameters are obtained through statistical analysis, and the calculation formula for constructing the correlation interaction model based on the characteristic parameters is:

其中,S为重症监护装置变化影响值;Among them, S is the impact value of the change of critical care equipment;

N为特征参数的总数;N is the total number of characteristic parameters;

为特征参数中第i个特征的影响值; is the influence value of the i-th feature in the feature parameters;

Fi为特征参数排除第i个特征的影响值。F i is the influence value of the feature parameter excluding the i-th feature.

作为优选方案,比对监护状态演变预测参数和优化监护状态演变预测参数,获取警报演变预测差异参数,并设置警报演变预测差异参数调整阈值,将警报演变预测差异参数调整阈值与警报演变预测差异参数比对,获取警报演变预测调整需求包括以下步骤:As a preferred solution, comparing the monitoring state evolution prediction parameters and optimizing the monitoring state evolution prediction parameters, obtaining the alarm evolution prediction difference parameters, and setting the alarm evolution prediction difference parameter adjustment threshold, comparing the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and obtaining the alarm evolution prediction adjustment requirement includes the following steps:

S61、预设差异分析规则,并通过差异分析规则比对监护状态演变预测参数和优化监护状态演变预测参数,获取差异分析结果;S61, presetting a difference analysis rule, and comparing the monitoring state evolution prediction parameter and optimizing the monitoring state evolution prediction parameter through the difference analysis rule to obtain a difference analysis result;

S62、根据差异分析结果,通过差异参数提取,获取差异分析结果的警报演变预测差异参数;S62, according to the difference analysis result, extracting the difference parameters, and obtaining the alarm evolution prediction difference parameters of the difference analysis result;

S63、根据患者参数信息设置警报演变预测差异参数调整阈值并验证;S63, setting and verifying the alarm evolution prediction difference parameter adjustment threshold according to the patient parameter information;

S64、基于验证后的警报演变预测差异参数调整阈值和警报演变预测差异参数,通过比对分析获取警报演变预测调整需求,并基于警报演变预测调整需求制定调整策略。S64. Adjust the threshold and alarm evolution prediction difference parameters based on the verified alarm evolution prediction difference parameters, obtain the alarm evolution prediction adjustment requirements through comparative analysis, and formulate an adjustment strategy based on the alarm evolution prediction adjustment requirements.

作为优选方案,根据差异分析结果,通过差异参数提取,获取差异分析结果的警报演变预测差异参数包括以下步骤:As a preferred solution, according to the difference analysis results, by extracting the difference parameters, obtaining the alarm evolution prediction difference parameters of the difference analysis results includes the following steps:

S621、根据差异分析结果生成差异参数提取指标,并基于评估差异参数提取指标提取差异分析结果的差异特征参数;S621, generating a difference parameter extraction index according to the difference analysis result, and extracting a difference feature parameter of the difference analysis result based on the evaluation difference parameter extraction index;

S622、根据差异特征参数通过差异影响分析,获取差异特征参数的差异参数影响情况,并基于差异参数影响情况生成差异特征参数调整方案;S622, performing a difference impact analysis according to the difference characteristic parameters to obtain a difference parameter impact of the difference characteristic parameters, and generating a difference characteristic parameter adjustment plan based on the difference parameter impact;

S623、对差异特征参数调整方案验证,并基于验证后的差异特征参数调整方案调整差异特征参数,获取警报演变预测差异参数。S623: verify the difference characteristic parameter adjustment scheme, and adjust the difference characteristic parameters based on the verified difference characteristic parameter adjustment scheme to obtain the alarm evolution prediction difference parameters.

作为优选方案,基于验证后的警报演变预测差异参数调整阈值和警报演变预测差异参数,通过比对分析获取警报演变预测调整需求,并基于警报演变预测调整需求制定调整策略包括以下步骤:As a preferred solution, adjusting the threshold and the alarm evolution prediction difference parameter based on the verified alarm evolution prediction difference parameter, obtaining the alarm evolution prediction adjustment requirement through comparative analysis, and formulating an adjustment strategy based on the alarm evolution prediction adjustment requirement includes the following steps:

S641、将警报演变预测差异参数调整阈值和警报演变预测差异参数比对,并根据比对结果识别比对超范围参数;S641, comparing the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and identifying the comparison out-of-range parameter according to the comparison result;

S642、分析比对超范围参数,获取调整需求,并基于调整需求设置警报演变预测调整需求;S642, analyzing and comparing out-of-range parameters, obtaining adjustment requirements, and setting alarm evolution prediction adjustment requirements based on the adjustment requirements;

S643、基于警报演变预测调整需求制定调整策略,并通过可行性评估对调整策略验证优化。S643. Develop adjustment strategies based on the forecast of alarm evolution and adjustment needs, and verify and optimize the adjustment strategies through feasibility assessment.

根据本发明的另一个方面,提供了一种基于大数据监测的重症监护状态报警系统,该系统包括:According to another aspect of the present invention, there is provided an intensive care status alarm system based on big data monitoring, the system comprising:

参数获取模块,用于获取患者参数信息,分析患者参数信息设置重症监护方案,并基于重症监护方案获取重症监护装置配置需求;A parameter acquisition module is used to acquire patient parameter information, analyze the patient parameter information to set a critical care plan, and acquire critical care device configuration requirements based on the critical care plan;

赋权排序模块,用于根据重症监护装置配置需求配置重症监护装置组,基于重症监护装置组配置结果赋权,并通过重症监护装置组赋权情况生成重症监护装置组中重症监护装置优先排序结果;A weighted ranking module, used to configure a critical care device group according to the critical care device configuration requirements, to grant weights based on the critical care device group configuration results, and to generate a priority ranking result of critical care devices in the critical care device group according to the weighted status of the critical care device group;

分级报警模块,用于基于重症监护方案获取重症监护装置组中重症监护装置的个体装置分级警报阈值和重症监护装置变化影响参数,并基于个体装置分级警报阈值和重症监护装置影响参数设置分级警报影响规则;A hierarchical alarm module, for obtaining, based on the intensive care plan, individual device hierarchical alarm thresholds and intensive care device change impact parameters of intensive care devices in the intensive care device group, and setting hierarchical alarm impact rules based on the individual device hierarchical alarm thresholds and intensive care device impact parameters;

优化调整模块,用于根据重症监护装置优先排序结果和分级警报影响规则设置报警调整规则,并基于报警调整规则对监护状态报警信息优化调整,获取优化监护状态报警信息;An optimization and adjustment module, used to set alarm adjustment rules according to the priority sorting results of the intensive care device and the graded alarm impact rules, and optimize and adjust the monitoring state alarm information based on the alarm adjustment rules to obtain optimized monitoring state alarm information;

预警预测模块,用于预设警报演变预测规则,通过警报演变预测规则分析监护状态报警信息和优化监护状态报警信息的监护状态演变预测参数和优化监护状态演变预测参数;An early warning prediction module is used to preset alarm evolution prediction rules, analyze monitoring state alarm information and optimize monitoring state evolution prediction parameters of monitoring state alarm information and optimize monitoring state evolution prediction parameters through alarm evolution prediction rules;

预警优化模块,用于比对监护状态演变预测参数和优化监护状态演变预测参数,获取警报演变预测差异参数,并设置警报演变预测差异参数调整阈值,将警报演变预测差异参数调整阈值与警报演变预测差异参数比对,获取警报演变预测调整需求;An early warning optimization module is used to compare and optimize monitoring state evolution prediction parameters, obtain alarm evolution prediction difference parameters, set alarm evolution prediction difference parameter adjustment thresholds, compare the alarm evolution prediction difference parameter adjustment thresholds with the alarm evolution prediction difference parameters, and obtain alarm evolution prediction adjustment requirements;

输出警报模块,用于基于警报演变预测调整需求对优化监护状态演变预测参数优化调整,获取进阶监护状态演变预警参数,将进阶监护状态演变预警参数与优化监护状态报警信息输出,并构建报警数据库及预警数据库;Output alarm module, used to optimize and adjust the optimized monitoring state evolution prediction parameters based on the alarm evolution prediction adjustment requirements, obtain advanced monitoring state evolution warning parameters, output advanced monitoring state evolution warning parameters and optimized monitoring state alarm information, and build an alarm database and a warning database;

参数获取模块、赋权排序模块、分级报警模块、优化调整模块、预警预测模块、预警优化模块及输出警报模块依次连接。The parameter acquisition module, the weighted sorting module, the graded alarm module, the optimization and adjustment module, the early warning prediction module, the early warning optimization module and the output alarm module are connected in sequence.

本发明的有益效果为:The beneficial effects of the present invention are:

1、本发明通过详细分析患者的参数信息来制定针对性的监护方案,确保每位患者都能接受最适合其病情的监护措施,并根据患者的参数设定个体装置分级警报阈值,结合重症监护装置的变化影响参数,精确地反映患者的实时状态,降低误报的可能性。1. The present invention formulates targeted monitoring plans by analyzing the patient's parameter information in detail to ensure that each patient can receive the most suitable monitoring measures for his or her condition, and sets the graded alarm thresholds of individual devices according to the patient's parameters, combined with the change-affecting parameters of the intensive care device, accurately reflects the patient's real-time status and reduces the possibility of false alarms.

2、本发明通过对重症监护装置组的优先排序和权重分配,合理地利用医疗资源,确保重症患者能够及时得到必要的监护装置,并通过不断的监控、分析和预测患者的状态演变,动态调整监护策略和资源分配,应对患者状况的变化。2. The present invention rationally utilizes medical resources by prioritizing and weighting the intensive care device group to ensure that critically ill patients can obtain necessary monitoring devices in a timely manner, and dynamically adjusts the monitoring strategy and resource allocation to respond to changes in the patient's condition by continuously monitoring, analyzing and predicting the patient's condition evolution.

3、本发明采用自动化的监控和警报系统减少人为判断的错误,提高监护的准确性和响应速度,并通过预测警报的演变,识别潜在的病情恶化,从而采取预防措施,避免严重并发症的发生,同时构建警报数据库和预警数据库有助于积累重症监护的经验知识,为医护人员提供数据支持,帮助其做出更加精准和有根据的决策,且通过不断的数据分析和模型优化,持续提升监护方案的效果,实现对重症监护流程的持续改进和优化。3. The present invention adopts an automated monitoring and alarm system to reduce errors in human judgment, improve the accuracy and response speed of monitoring, and identify potential deterioration of the disease by predicting the evolution of alarms, so as to take preventive measures and avoid the occurrence of serious complications. At the same time, the construction of an alarm database and an early warning database helps to accumulate experience and knowledge in intensive care, provide data support for medical staff, and help them make more accurate and well-founded decisions. Through continuous data analysis and model optimization, the effectiveness of the monitoring plan is continuously improved, and continuous improvement and optimization of the intensive care process is achieved.

附图说明BRIEF DESCRIPTION OF THE DRAWINGS

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required for use in the embodiments will be briefly introduced below. Obviously, the drawings described below are only some embodiments of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.

图1是根据本发明实施例的一种基于大数据监测的重症监护状态报警方法的方法流程图;FIG1 is a method flow chart of a critical care status alarm method based on big data monitoring according to an embodiment of the present invention;

图2是根据本发明实施例的一种基于大数据监测的重症监护状态报警系统的系统框图。FIG2 is a system block diagram of an intensive care status alarm system based on big data monitoring according to an embodiment of the present invention.

图中:In the figure:

1、参数获取模块;2、赋权排序模块;3、分级报警模块;4、优化调整模块;5、预警预测模块;6、预警优化模块;7、输出警报模块。1. Parameter acquisition module; 2. Weighted sorting module; 3. Grading alarm module; 4. Optimization and adjustment module; 5. Early warning prediction module; 6. Early warning optimization module; 7. Output alarm module.

具体实施方式DETAILED DESCRIPTION

下面结合附图和实施例,对本发明的具体实施方式作进一步详细描述。以下实施例用于说明本发明,但不用来限制本发明的范围。The specific implementation of the present invention is further described in detail below in conjunction with the accompanying drawings and examples. The following examples are used to illustrate the present invention, but are not intended to limit the scope of the present invention.

因此,以下对在附图中提供的本发明的实施例的详细描述并非旨在限制要求保护的本发明的范围,而是仅仅表示本发明的选定实施例。基于本发明中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其他实施例,都属于本发明保护的范围。Therefore, the following detailed description of the embodiments of the present invention provided in the accompanying drawings is not intended to limit the scope of the invention claimed for protection, but merely represents selected embodiments of the present invention. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

根据本发明的实施例,提供了一种基于大数据监测的重症监护状态报警方法及系统。According to an embodiment of the present invention, a critical care status alarm method and system based on big data monitoring are provided.

现结合附图和具体实施方式对本发明进一步说明,根据本发明的一个实施例,如图1所示,根据本发明实施例的基于大数据监测的重症监护状态报警方法,包括以下步骤:The present invention is now further described in conjunction with the accompanying drawings and specific embodiments. According to one embodiment of the present invention, as shown in FIG1 , the intensive care state alarm method based on big data monitoring according to an embodiment of the present invention includes the following steps:

S1、获取患者参数信息,分析患者参数信息设置重症监护方案,并基于重症监护方案获取重症监护装置配置需求;S1. Obtain patient parameter information, analyze the patient parameter information to set a critical care plan, and obtain critical care device configuration requirements based on the critical care plan;

具体的,通过各种医疗检测设备和传感器,如心电图机、血压监测器、脉搏血氧仪等,收集患者的生命体征和其他相关健康数据,并通过患者的电子健康记录获取历史健康数据,包括既往病史、药物过敏史、手术历史等,并收集患者的主观症状描述、生活习惯、家族病史等。Specifically, the patient's vital signs and other relevant health data are collected through various medical testing equipment and sensors, such as electrocardiographs, blood pressure monitors, pulse oximeters, etc., and historical health data is obtained through the patient's electronic health records, including past medical history, drug allergy history, surgical history, etc., and the patient's subjective symptom description, living habits, family medical history, etc. are collected.

将从不同来源收集到的患者数据整合在一起,进行必要的预处理,如数据清洗和格式统一化,再应用统计分析、机器学习或人工智能算法来分析患者的参数信息,识别病情严重程度、疾病模式和可能的风险因素,并通过医生、护士、药师和其他专业人员共同参与病例讨论,综合考虑分析结果和临床经验来设定监护方案,再根据患者的具体情况和分析结果,制定包括监测频率、特定治疗措施和药物治疗在内的个性化重症监护方案,并预见患者病情可能的变化为可能的情况预设应对措施,且基于重症监护方案,确定所需的监护设备类型,如呼吸机、连续性肾脏替代治疗设备、中心静脉压监测设备等,并根据患者病情的严重程度和监护方案的要求,评估每种设备的紧急程度和使用优先级。Patient data collected from different sources are integrated together and necessary preprocessing is performed, such as data cleaning and format unification. Statistical analysis, machine learning, or artificial intelligence algorithms are then used to analyze the patient's parameter information, identify the severity of the disease, disease patterns, and possible risk factors, and have doctors, nurses, pharmacists, and other professionals participate in case discussions. Monitoring plans are set based on comprehensive consideration of analysis results and clinical experience. Based on the patient's specific situation and analysis results, a personalized intensive care plan is formulated, including monitoring frequency, specific treatment measures, and drug therapy. Possible changes in the patient's condition are anticipated, and response measures are preset for possible situations. Based on the intensive care plan, the required type of monitoring equipment is determined, such as ventilators, continuous renal replacement therapy devices, central venous pressure monitoring devices, etc. The urgency and priority of use of each device are evaluated based on the severity of the patient's condition and the requirements of the monitoring plan.

S2、根据重症监护装置配置需求配置重症监护装置组,基于重症监护装置组配置结果赋权,并通过重症监护装置组赋权情况生成重症监护装置组中重症监护装置优先排序结果;S2. configuring a critical care device group according to the critical care device configuration requirements, assigning weights based on the critical care device group configuration results, and generating a priority ranking result of critical care devices in the critical care device group according to the assignment of weights to the critical care device group;

具体的,根据重症监护方案的要求,确定所需的监护装置的类型和数量,如呼吸机、监护仪、输液泵等,且在配置装置组时,需要考虑不同设备之间的兼容性和集成性,以确保监护系统的顺畅运行,对重症监护装置组中的每个装置根据其在患者治疗和监护中的临床重要性赋予相应的权重,如对于呼吸衰竭的患者,呼吸机的权重可能会比其他设备更高。Specifically, according to the requirements of the intensive care plan, the type and quantity of monitoring devices required, such as ventilators, monitors, infusion pumps, etc., are determined. When configuring the device group, the compatibility and integration between different devices need to be considered to ensure the smooth operation of the monitoring system. Each device in the intensive care device group is given a corresponding weight based on its clinical importance in patient treatment and monitoring. For example, for patients with respiratory failure, the weight of the ventilator may be higher than other devices.

设备对患者病情改善的紧迫性也是赋权的一个重要因素,并对紧急程度高的装置应赋予更高的权重,根据赋予的权重和设备的优先级,综合评估每个装置的重要性,生成重症监护装置组中装置的优先排序结果,且优先排序结果应根据患者病情的变化和实际使用情况进行动态调整,如果某个装置出现故障或患者病情发生变化,则需要重新评估装置的优先级,根据优先排序结果,安排重症监护装置的配置和使用,确保重点装置能够优先投入使用。The urgency of the equipment in improving the patient's condition is also an important factor in empowerment, and higher weights should be given to devices with high urgency. Based on the assigned weight and the priority of the equipment, the importance of each device is comprehensively evaluated to generate a priority ranking result for the devices in the intensive care device group. The priority ranking results should be dynamically adjusted according to changes in the patient's condition and actual usage. If a device fails or the patient's condition changes, the priority of the device needs to be re-evaluated. Based on the priority ranking results, the configuration and use of the intensive care device should be arranged to ensure that key devices can be put into use first.

S3、基于重症监护方案获取重症监护装置组中重症监护装置的个体装置分级警报阈值和重症监护装置变化影响参数,并基于个体装置分级警报阈值和重症监护装置影响参数设置分级警报影响规则;S3. acquiring, based on the intensive care plan, individual device hierarchical alarm thresholds and intensive care device change impact parameters of the intensive care devices in the intensive care device group, and setting hierarchical alarm impact rules based on the individual device hierarchical alarm thresholds and intensive care device impact parameters;

具体的,基于重症监护方案获取重症监护装置组中重症监护装置的个体装置分级警报阈值和重症监护装置变化影响参数,并基于个体装置分级警报阈值和重症监护装置影响参数设置分级警报影响规则包括以下步骤:Specifically, obtaining the individual device hierarchical alarm threshold and the intensive care device change influence parameter of the intensive care device in the intensive care device group based on the intensive care plan, and setting the hierarchical alarm influence rule based on the individual device hierarchical alarm threshold and the intensive care device influence parameter includes the following steps:

S31、分析重症监护方案,获取重症监护所需的监护装置,并将监护装置整合获取重症监护装置组;S31. Analyze the critical care plan, obtain the monitoring devices required for the critical care, and integrate the monitoring devices to obtain a critical care device group;

具体的,分析患者的病情、病史、治疗反应以及特定的监护需求,确定所需监护装置的基础,并根据患者的具体情况和治疗目标,明确需要达成的监护目标,如维持稳定的生命体征、监测特定的健康参数等,识别需要密切监测的关键健康参数和指标,如心率、血压、血氧饱和度等。Specifically, analyze the patient's condition, medical history, treatment response, and specific monitoring needs, determine the basis for the required monitoring device, and based on the patient's specific situation and treatment goals, clarify the monitoring goals that need to be achieved, such as maintaining stable vital signs, monitoring specific health parameters, etc., identify key health parameters and indicators that need to be closely monitored, such as heart rate, blood pressure, blood oxygen saturation, etc.

根据分析得出的监护目标和关键参数,确定需要类型的监护装置来满足这些需求,如对于需要监测心脏功能的患者,可能需要心电图监测器,选择性能可靠、用户反馈良好的监护装置,确保监护数据的准确性和设备的稳定性,并选择能够与现有医疗信息系统,如电子健康记录系统集成的装置,将选定的监护装置整合成一个协同工作的系统,确保不同装置之间的数据可以互联互通,为患者提供全面的监护,且根据患者的实际监护需求,为每个装置设定适当的工作参数和警报阈值,确保监护装置组能够提供准确及时的监护和警报。Based on the monitoring objectives and key parameters obtained through analysis, determine the type of monitoring device needed to meet these needs. For example, for patients who need to monitor heart function, an electrocardiogram monitor may be needed. Select monitoring devices with reliable performance and good user feedback to ensure the accuracy of monitoring data and the stability of the equipment. Select devices that can be integrated with existing medical information systems, such as electronic health record systems, and integrate the selected monitoring devices into a collaborative system to ensure that data between different devices can be interconnected to provide comprehensive monitoring for patients. Based on the patient's actual monitoring needs, set appropriate operating parameters and alarm thresholds for each device to ensure that the monitoring device group can provide accurate and timely monitoring and alarms.

S32、分析重症监护装置组中每个重症监护装置的重症监护指标,并基于重症监护指标设置重症监护装置的个体装置分级警报阈值;S32, analyzing the critical care indicators of each critical care device in the critical care device group, and setting individual device graded alarm thresholds of the critical care devices based on the critical care indicators;

具体的,分析重症监护装置组中每个重症监护装置的重症监护指标,并基于重症监护指标设置重症监护装置的个体装置分级警报阈值包括以下步骤:Specifically, analyzing the critical care indicators of each critical care device in the critical care device group and setting the individual device graded alarm threshold of the critical care device based on the critical care indicators includes the following steps:

S321、分析重症监护装置的医疗检测参数,通过医疗检测参数设置重症监护健康阈值,并基于重症监护健康阈值设置每个重症监护装置的重症监护指标;S321, analyzing medical detection parameters of the intensive care unit, setting intensive care health thresholds according to the medical detection parameters, and setting intensive care indicators of each intensive care unit based on the intensive care health thresholds;

具体的,确定医疗检测参数对于监控患者状况至关重要,如心率、血压、血氧饱和度、呼吸频率等,研究每个参数的正常范围及其在不同病状下的变化趋势,理解不同患者,如年龄、性别及基础疾病等对这些参数正常范围的影响。Specifically, determining medical test parameters is crucial for monitoring patient conditions, such as heart rate, blood pressure, blood oxygen saturation, respiratory rate, etc., studying the normal range of each parameter and its changing trends under different conditions, and understanding the impact of different patients, such as age, gender and underlying diseases, on the normal range of these parameters.

基于医学指导原则和患者特定情况,设定每个关键医疗检测参数的健康阈值,判断患者健康状况是否需要特别注意或干预的标准同时根据患者的具体情况,如已有疾病、治疗反应等调整阈值,如对于有心脏病史的患者,心率的阈值可能需要特别设定。Based on medical guidelines and patient-specific conditions, health thresholds are set for each key medical test parameter to determine whether the patient's health condition requires special attention or intervention. At the same time, the thresholds are adjusted according to the patient's specific conditions, such as existing diseases, treatment response, etc. For example, for patients with a history of heart disease, the heart rate threshold may need to be specially set.

将各个医疗检测参数分配给相应的监护装置,如心电监护仪用于监测心率和心律,血压计用于监测血压,并为每个装置设置监控标准,包括何时触发警报,确保所有监护装置能够协同工作,共同监控患者的综合状况。在必要时,装置间应能共享数据和警报。Assign each medical test parameter to the corresponding monitoring device, such as an ECG monitor for monitoring heart rate and rhythm, and a sphygmomanometer for monitoring blood pressure, and set monitoring standards for each device, including when to trigger an alarm, to ensure that all monitoring devices can work together to monitor the patient's comprehensive condition. When necessary, data and alarms should be shared between devices.

S322、评估重症监护指标的健康影响情况,通过健康影响情况设置重症监护指标紧急规则,并基于重症监护指标紧急规则设置初始装置分级警报阈值;S322, evaluating the health impact of the critical care indicator, setting the critical care indicator emergency rule according to the health impact, and setting the initial device classification alarm threshold based on the critical care indicator emergency rule;

具体的,通过监测设备或医疗记录系统收集患者的监护数据,将收集到的数据进行分析,包括对基准范围的比较以及趋势分析,确定是否存在健康影响情况,并根据医疗机构的标准或专业指南,制定重症监护指标的紧急规则,如确定心率过快或过慢、呼吸频率异常等情况下应采取的行动。Specifically, the patient's monitoring data is collected through monitoring equipment or medical record systems, and the collected data is analyzed, including comparison with baseline ranges and trend analysis, to determine whether there are any health impacts. Emergency rules for intensive care indicators are formulated based on the standards or professional guidelines of medical institutions, such as determining what actions to take in cases of too fast or too slow heart rate, abnormal respiratory rate, etc.

并基于医疗机构的政策和专业指南,确定不同重症监护指标的初始装置分级警报阈值,以便在超出正常范围时触发警报并采取适当的行动。And based on the medical institution's policies and professional guidelines, determine the initial device classification alarm thresholds for different critical care indicators so that alarms can be triggered and appropriate actions can be taken when they are outside the normal range.

S323、预设标准个体参数和个体分级调整规则,并根据患者参数信息获取特征个体参数,将标准个体参数与特征个体参数比对,获取个体差异参数;S323, presetting standard individual parameters and individual grading adjustment rules, obtaining characteristic individual parameters according to the patient parameter information, comparing the standard individual parameters with the characteristic individual parameters, and obtaining individual difference parameters;

具体的,通过监测设备或医疗记录系统收集患者的监护数据,将收集到的数据进行分析,包括对基准范围的比较以及趋势分析,确定是否存在健康影响情况,根据医疗机构的标准或专业指南,制定重症监护指标的紧急规则,如确定心率过快或过慢、呼吸频率异常等情况下应采取的行动。Specifically, the patient's monitoring data is collected through monitoring equipment or medical record systems, and the collected data is analyzed, including comparison with baseline ranges and trend analysis, to determine whether there are any health impacts. Emergency rules for intensive care indicators are formulated based on the standards or professional guidelines of medical institutions, such as determining what actions to take in cases of too fast or too slow heart rate, abnormal respiratory rate, etc.

基于医疗机构的政策和专业指南,确定不同重症监护指标的初始装置分级警报阈值,以便在超出正常范围时触发警报并采取适当的行动。Based on institutional policies and professional guidelines, determine initial device classification alarm thresholds for different critical care indicators so that alarms can be triggered and appropriate actions can be taken when they are outside normal ranges.

S324、将个体分级调整规则与个体差异参数匹配,并根据匹配结果对初始装置分级警报阈值优化调整,获取个体装置分级警报阈值。S324: Match the individual classification adjustment rule with the individual difference parameter, and optimize and adjust the initial device classification alarm threshold according to the matching result to obtain the individual device classification alarm threshold.

具体的,使用统计分析方法或机器学习算法,分析个体差异参数与健康影响之间的关系,确定哪些个体差异参数对重症监护指标的影响更为显著,基于分析结果,制定个体分级调整规则,即根据个体差异参数的特征,调整初始装置分级警报阈值,如对于年龄较大的患者,可能需要更宽松的警报阈值,再将制定的个体分级调整规则应用于一定数量的患者数据中,验证其准确性和有效性。Specifically, statistical analysis methods or machine learning algorithms are used to analyze the relationship between individual difference parameters and health impacts, determine which individual difference parameters have a more significant impact on critical care indicators, and formulate individual grading adjustment rules based on the analysis results. That is, according to the characteristics of the individual difference parameters, the initial device grading alarm threshold is adjusted. For example, for older patients, a more relaxed alarm threshold may be required. The formulated individual grading adjustment rules are then applied to a certain number of patient data to verify their accuracy and effectiveness.

S33、分析重症监护装置组内部重症监护装置的监护装置关联参数,并基于监护装置关联参数计算重症监护装置变化影响参数;S33, analyzing the monitoring device associated parameters of the critical care devices within the critical care device group, and calculating the critical care device change impact parameters based on the monitoring device associated parameters;

具体的,分析重症监护装置组内部重症监护装置的监护装置关联参数,并基于监护装置关联参数计算重症监护装置变化影响参数包括以下步骤:Specifically, analyzing the monitoring device associated parameters of the intensive care devices within the intensive care device group, and calculating the intensive care device change impact parameters based on the monitoring device associated parameters includes the following steps:

S331、获取重症监护装置的历史监护数据,并基于历史监护数据分析重症监护装置的关联参数;S331, obtaining historical monitoring data of the intensive care device, and analyzing related parameters of the intensive care device based on the historical monitoring data;

具体的,使用重症监护装置提供的数据导出或连接到医疗记录系统,以获取历史监护数据,包括关键的监护指标,如心率、呼吸频率、血压、体温等,对采集到的历史监护数据进行清理和预处理,包括处理缺失值、异常值和标准化数据格式,确保数据的准确性和一致性,根据医学知识和研究目的,选择与重症监护指标相关的关联参数,包括血氧饱和度、血糖水平、二氧化碳浓度等,使用统计方法或机器学习技术,建立关联模型来分析监护指标与选择的关联参数之间的关系,采用线性回归、决策树等方法,根据数据特征选择适当的模型。Specifically, use the data provided by the intensive care unit to export or connect to the medical record system to obtain historical monitoring data, including key monitoring indicators such as heart rate, respiratory rate, blood pressure, body temperature, etc., clean and preprocess the collected historical monitoring data, including processing missing values, outliers and standardized data formats to ensure data accuracy and consistency, select associated parameters related to intensive care indicators based on medical knowledge and research purposes, including blood oxygen saturation, blood sugar level, carbon dioxide concentration, etc., use statistical methods or machine learning technology to establish an association model to analyze the relationship between monitoring indicators and the selected association parameters, and use linear regression, decision tree and other methods to select an appropriate model based on data characteristics.

针对建立的关联模型进行验证,使用历史监护数据的一部分来评估模型的准确性和泛化能力,并分析关联模型的结果,理解监护指标与关联参数之间的关系,将建立的关联模型应用于实际患者监护中,以提供更全面的信息和更早的干预机会,且定期更新模型,以反映医疗实践和患者特征的变化。The established association model is validated, and a portion of the historical monitoring data is used to evaluate the accuracy and generalization ability of the model. The results of the association model are analyzed to understand the relationship between monitoring indicators and association parameters. The established association model is applied to actual patient monitoring to provide more comprehensive information and earlier intervention opportunities, and the model is updated regularly to reflect changes in medical practice and patient characteristics.

S332、预设因果规则和时序规则,并基于因果规则和时序规则对关联参数优化调整,获取重症监护装置的监护装置关联参数;S332, presetting causal rules and timing rules, and optimizing and adjusting the associated parameters based on the causal rules and timing rules to obtain the associated parameters of the monitoring device of the intensive care unit;

具体的,根据医学知识和临床经验,制定与监护指标之间可能存在的因果关系规则,如某些药物可能影响患者的血压或心率,确定监护指标和关联参数之间的时序关系,即它们之间的时间顺序和影响延迟,如某些生理参数的变化可能在其他参数变化之前出现,使用统计分析或机器学习技术,对制定的因果规则和时序规则进行分析和验证。Specifically, based on medical knowledge and clinical experience, formulate rules for possible causal relationships between monitoring indicators, such as certain drugs may affect patients' blood pressure or heart rate, and determine the temporal relationship between monitoring indicators and related parameters, that is, the time sequence and impact delay between them, such as changes in certain physiological parameters may appear before changes in other parameters. Use statistical analysis or machine learning technology to analyze and verify the formulated causal rules and timing rules.

根据因果规则和时序规则的分析结果,调整关联参数的设置,反映监护指标之间的关系,如根据因果规则调整药物影响的血压参数,或根据时序规则调整时间延迟参数,将优化后的关联参数应用于实际监护数据中,验证其准确性和有效性,并根据验证结果对参数进行调整,提高其适应性和准确性。According to the analysis results of causal rules and timing rules, the settings of associated parameters are adjusted to reflect the relationship between monitoring indicators, such as adjusting blood pressure parameters affected by drugs according to causal rules, or adjusting time delay parameters according to timing rules. The optimized associated parameters are applied to actual monitoring data to verify their accuracy and effectiveness, and the parameters are adjusted according to the verification results to improve their adaptability and accuracy.

S333、基于监护装置关联参数构建关联交互模型,验证优化关联交互模型,并采用验证优化后的关联交互模型计算重症监护装置变化影响参数。S333. Construct an association interaction model based on the associated parameters of the monitoring device, verify and optimize the association interaction model, and use the verified and optimized association interaction model to calculate the parameters affecting changes in the intensive care unit.

具体的,基于监护装置关联参数构建关联交互模型,验证优化关联交互模型,并采用验证优化后的关联交互模型计算重症监护装置变化影响参数包括以下步骤:Specifically, constructing an associated interaction model based on associated parameters of a monitoring device, verifying and optimizing the associated interaction model, and using the verified and optimized associated interaction model to calculate the parameters affecting changes in the intensive care device include the following steps:

S3331、定义关联交互模型所需计算的监护装置参数变化影响,并清洗监护装置关联参数;S3331. Define the impact of changes in monitoring device parameters required to be calculated by the associated interaction model, and clean the associated parameters of the monitoring device;

具体的,选择与监护指标相关的关联参数,包括药物使用、生理状态、治疗干预等,确保选定的参数具有潜在的影响力,根据医学知识和研究目的,建立关联交互模型,描述监护装置参数变化与选定关联参数之间的数学关系,确定每个关联参数对监护指标的影响因子,即参数变化对监护指标变化的程度。Specifically, the associated parameters related to the monitoring indicators are selected, including drug use, physiological status, therapeutic intervention, etc., to ensure that the selected parameters have potential influence. According to medical knowledge and research purposes, an associated interaction model is established to describe the mathematical relationship between the changes in monitoring device parameters and the selected associated parameters, and to determine the influence factor of each associated parameter on the monitoring indicator, that is, the degree to which the parameter change affects the change in the monitoring indicator.

对监护装置关联参数进行数据清洗,包括处理缺失值、异常值和确保数据的一致性,根据建立的关联交互模型,对监护装置关联参数进行标准化,以便比较不同参数对监护指标的影响,通过将参数值映射到相同的尺度上来实现,并使用独立的数据集或交叉验证方法验证建立的关联交互模型,确保其在不同数据集上的适用性和准确性。Data cleaning is performed on the associated parameters of the monitoring device, including processing missing values, outliers and ensuring data consistency. According to the established association interaction model, the associated parameters of the monitoring device are standardized in order to compare the impact of different parameters on the monitoring indicators. This is achieved by mapping the parameter values to the same scale. The established association interaction model is validated using an independent data set or cross-validation method to ensure its applicability and accuracy on different data sets.

S3332、通过统计分析获取清洗后监护装置关联参数的特征参数,基于特征参数构建关联交互模型,并对关联交互模型交叉验证;S3332. Obtain characteristic parameters of the post-cleaning monitoring device correlation parameters through statistical analysis, construct a correlation interaction model based on the characteristic parameters, and cross-validate the correlation interaction model;

具体的,通过统计分析获取清洗后监护装置关联参数的特征参数,基于特征参数构建关联交互模型的计算公式为:Specifically, the characteristic parameters of the post-cleaning monitoring device correlation parameters are obtained through statistical analysis, and the calculation formula for constructing the correlation interaction model based on the characteristic parameters is:

其中,S为重症监护装置变化影响值;Among them, S is the impact value of the change of critical care equipment;

N为特征参数的总数;N is the total number of characteristic parameters;

为特征参数中第i个特征的影响值; is the influence value of the i-th feature in the feature parameters;

Fi为特征参数排除第i个特征的影响值。F i is the influence value of the feature parameter excluding the i-th feature.

S3333、采用交叉验证后的关联交互模型计算重症监护装置变化影响参数,并对重症监护装置变化影响参数验证优化。S3333. Use the cross-validated correlation interaction model to calculate the parameters affecting changes in the intensive care unit, and verify and optimize the parameters affecting changes in the intensive care unit.

具体的,将已经经过交叉验证的关联交互模型应用于实际监护数据,以计算重症监护装置变化影响参数,确保所用数据与模型开发时的数据集不重叠,避免过拟合和验证模型的泛化能力,使用建立的关联交互模型,对实际监护数据中的关联参数进行计算,得出其对重症监护指标的影响参数,将计算得到的重症监护装置变化影响参数与实际观察到的患者数据进行比较,验证模型的准确性和可靠性,使用统计指标如均方误差、相关系数等来评估模型的拟合程度和预测能力。Specifically, the cross-validated association interaction model is applied to the actual monitoring data to calculate the influencing parameters of changes in intensive care units, ensuring that the data used do not overlap with the data set during model development, avoiding overfitting and verifying the generalization ability of the model. The established association interaction model is used to calculate the association parameters in the actual monitoring data to obtain the influencing parameters on intensive care indicators. The calculated influencing parameters of changes in intensive care units are compared with the actual observed patient data to verify the accuracy and reliability of the model. Statistical indicators such as mean square error and correlation coefficient are used to evaluate the model's fit and predictive ability.

根据验证结果,对关联交互模型进行优化调整,提高其对重症监护装置变化影响参数的预测准确性,包括需要调整模型结构、参数设置或使用更加复杂的算法来处理特定情况。Based on the validation results, the correlation interaction model is optimized and adjusted to improve its prediction accuracy for parameters affecting changes in critical care devices, including the need to adjust the model structure, parameter settings, or use more complex algorithms to handle specific situations.

S34、将个体装置分级警报阈值和重症监护装置变化影响参数进行整合,基于整合结果制定分级警报影响规则,并对分级警报影响规则进行验证优化。S34. Integrate the individual device graded alarm thresholds and the critical care device change impact parameters, formulate graded alarm impact rules based on the integration results, and verify and optimize the graded alarm impact rules.

具体的,将个体装置分级警报阈值与重症监护装置变化影响参数整合,确保两者的数据格式和单位一致,基于整合后的数据,制定分级警报影响规则,即定义不同个体分级下,如根据重症监护装置变化影响参数调整警报阈值,包括设定权重、阈值调整比例等规则,使用实际患者数据验证制定的分级警报影响规则,比较应用规则后的警报阈值与实际患者状况是否相符,评估规则在不同情境下的适用性,根据验证结果,对分级警报影响规则进行优化调整,包括需要调整权重、更新规则条件,或者考虑引入更多的个体差异参数以提高规则的准确性。Specifically, the graded alarm thresholds of individual devices are integrated with the parameters affecting changes in intensive care devices to ensure that the data formats and units of the two are consistent. Based on the integrated data, graded alarm impact rules are formulated, that is, different individual grades are defined, such as adjusting the alarm thresholds according to the parameters affecting changes in intensive care devices, including setting weights, threshold adjustment ratios and other rules. The formulated graded alarm impact rules are verified using actual patient data, and the alarm thresholds after applying the rules are compared to see whether they are consistent with the actual patient conditions. The applicability of the rules in different scenarios is evaluated. Based on the verification results, the graded alarm impact rules are optimized and adjusted, including the need to adjust weights, update rule conditions, or consider introducing more individual difference parameters to improve the accuracy of the rules.

S4、根据重症监护装置优先排序结果和分级警报影响规则设置报警调整规则,并基于报警调整规则对监护状态报警信息优化调整,获取优化监护状态报警信息;S4. Setting alarm adjustment rules according to the priority ranking results of the intensive care device and the graded alarm impact rules, and optimizing and adjusting the monitoring status alarm information based on the alarm adjustment rules to obtain optimized monitoring status alarm information;

具体的,明确每个重症监护装置根据其在患者治疗中的重要性所赋予的优先级,将警报分为不同的级别,如低、中、高,根据患者生命体征的变化和潜在风险确定警报的紧急程度,对于高优先级的监护装置,其警报设置更为敏感,确保对患者状况的微小变化能够快速响应,基于警报的级别,为每个级别设定具体的响应措施,如高级别警报可能需要立即通知医生,而低级别警报则记录下来,由护士在例行检查时评估。Specifically, clarify the priority given to each intensive care unit based on its importance in patient treatment, classify alarms into different levels, such as low, medium, and high, and determine the urgency of the alarm based on changes in the patient's vital signs and potential risks. For high-priority monitoring devices, their alarm settings are more sensitive to ensure a rapid response to slight changes in the patient's condition. Based on the level of the alarm, set specific response measures for each level. For example, a high-level alarm may require immediate notification to a doctor, while a low-level alarm is recorded and evaluated by the nurse during routine inspections.

根据实际监护情况和患者反应,细化或调整警报的触发阈值,避免过度警报,警报疲劳或漏报,对来自不同监护装置的警报信息进行整合分析,避免信息孤岛,确保医护人员能够获得患者全面的健康状况,且利用智能算法分析历史警报数据,识别出真正需要紧急响应的模式,从而优化警报系统的反应,通过实时监控系统的运行和收集医护人员的反馈,不断优化报警调整规则,并定期评估警报系统的性能,确保警报信息的准确性和及时性,同时降低不必要的警报。According to the actual monitoring situation and patient response, the alarm trigger threshold is refined or adjusted to avoid excessive alarms, alarm fatigue or missed reports. The alarm information from different monitoring devices is integrated and analyzed to avoid information silos, ensuring that medical staff can obtain the patient's comprehensive health status. The historical alarm data is analyzed using intelligent algorithms to identify patterns that truly require emergency response, thereby optimizing the response of the alarm system. By monitoring the operation of the system in real time and collecting feedback from medical staff, the alarm adjustment rules are continuously optimized, and the performance of the alarm system is regularly evaluated to ensure the accuracy and timeliness of alarm information while reducing unnecessary alarms.

S5、预设警报演变预测规则,通过警报演变预测规则分析监护状态报警信息和优化监护状态报警信息的监护状态演变预测参数和优化监护状态演变预测参数;S5. Preset alarm evolution prediction rules, analyze monitoring state alarm information and optimize monitoring state evolution prediction parameters of monitoring state alarm information and optimize monitoring state evolution prediction parameters through alarm evolution prediction rules;

具体的,分析过往的监护状态报警信息,包括警报的类型、频率、患者的反应和采取的措施,使用统计分析和数据挖掘技术,识别出警报演变的常见模式和趋势,如某些特定警报后常跟随的其他警报类型,并基于识别出的模式和趋势,建立数学或机器学习模型来预测警报的演变路径,考虑到患者的基础健康状况和当前的监护数据。Specifically, analyze past monitoring status alarm information, including the type of alarm, frequency, patient response, and measures taken, use statistical analysis and data mining techniques to identify common patterns and trends in alarm evolution, such as other alarm types that often follow certain specific alarms, and based on the identified patterns and trends, build mathematical or machine learning models to predict the evolution path of alarms, taking into account the patient's underlying health status and current monitoring data.

在监护系统中实时应用警报演变预测规则,分析当前的报警信息,预测可能的演变路径,并根据预测结果,评估后续可能出现的健康风险和紧急程度,及时采取预防或干预措施,基于预测模型的反馈和实际监护效果,对模型中的参数进行优化,提高预测的准确性和可靠性,并将优化后的预测参数应用到警报系统中,实现更为精准的监护状态演变预测。The alarm evolution prediction rules are applied in real time in the monitoring system to analyze the current alarm information, predict the possible evolution path, and evaluate the subsequent health risks and urgency based on the prediction results, so as to take timely preventive or intervention measures. Based on the feedback of the prediction model and the actual monitoring effect, the parameters in the model are optimized to improve the accuracy and reliability of the prediction, and the optimized prediction parameters are applied to the alarm system to achieve more accurate prediction of the evolution of the monitoring status.

结合患者的实时监护数据、历史医疗记录以及外部影响因素,如环境变化等,综合分析以优化预测参数,并利用人工智能和机器学习的最新进展,持续改进预测模型的性能,使其能够更准确地预测监护状态的演变,实施优化后的警报演变预测规则,持续监测其效果,并收集反馈,根据反馈和新的数据分析结果,不断迭代优化预测规则和参数,以应对患者状况和医疗环境的变化。Combined with the patient's real-time monitoring data, historical medical records, and external influencing factors such as environmental changes, comprehensive analysis is performed to optimize the prediction parameters. The latest advances in artificial intelligence and machine learning are used to continuously improve the performance of the prediction model so that it can more accurately predict the evolution of the monitoring status. The optimized alarm evolution prediction rules are implemented, their effects are continuously monitored, and feedback is collected. Based on the feedback and new data analysis results, the prediction rules and parameters are continuously iterated and optimized to respond to changes in patient conditions and medical environment.

S6、比对监护状态演变预测参数和优化监护状态演变预测参数,获取警报演变预测差异参数,并设置警报演变预测差异参数调整阈值,将警报演变预测差异参数调整阈值与警报演变预测差异参数比对,获取警报演变预测调整需求;S6. Compare the monitoring state evolution prediction parameters and the optimized monitoring state evolution prediction parameters, obtain the alarm evolution prediction difference parameters, and set the alarm evolution prediction difference parameter adjustment threshold, compare the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and obtain the alarm evolution prediction adjustment requirement;

具体的,比对监护状态演变预测参数和优化监护状态演变预测参数,获取警报演变预测差异参数,并设置警报演变预测差异参数调整阈值,将警报演变预测差异参数调整阈值与警报演变预测差异参数比对,获取警报演变预测调整需求包括以下步骤:Specifically, comparing the monitoring state evolution prediction parameters and optimizing the monitoring state evolution prediction parameters, obtaining the alarm evolution prediction difference parameters, and setting the alarm evolution prediction difference parameter adjustment threshold, comparing the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and obtaining the alarm evolution prediction adjustment requirement includes the following steps:

S61、预设差异分析规则,并通过差异分析规则比对监护状态演变预测参数和优化监护状态演变预测参数,获取差异分析结果;S61, presetting a difference analysis rule, and comparing the monitoring state evolution prediction parameter and optimizing the monitoring state evolution prediction parameter through the difference analysis rule to obtain a difference analysis result;

具体的,确定要分析的监护状态演变预测参数,如预测患者病情变化的趋势或患者预后的可能性,根据医学知识和临床经验,制定差异分析规则,即定义监护状态演变预测参数之间的差异分析方法,包括比较不同时间点或不同患者之间的数据,准备监护状态演变预测参数的数据,包括历史监护数据、患者基本信息等,确保数据的质量和完整性,保证差异分析的准确性。Specifically, determine the monitoring status evolution prediction parameters to be analyzed, such as predicting the trend of patient condition changes or the possibility of patient prognosis, and formulate differential analysis rules based on medical knowledge and clinical experience, that is, define the differential analysis method between monitoring status evolution prediction parameters, including comparing data at different time points or between different patients, and prepare data for monitoring status evolution prediction parameters, including historical monitoring data, basic patient information, etc., to ensure the quality and integrity of the data and the accuracy of differential analysis.

根据制定的差异分析规则,对监护状态演变预测参数进行比对和分析,使用统计方法、机器学习算法等进行数据处理和分析,根据差异分析结果,优化监护状态演变预测参数的设置或算法,包括调整模型参数、更新模型结构或引入新的特征变量等操作,验证优化后的监护状态演变预测参数是否能够更准确地反映患者的实际病情变化或预后情况,使用历史数据或实际患者数据进行验证。According to the established difference analysis rules, the monitoring status evolution prediction parameters are compared and analyzed, and statistical methods, machine learning algorithms, etc. are used for data processing and analysis. According to the difference analysis results, the settings or algorithms of the monitoring status evolution prediction parameters are optimized, including adjusting model parameters, updating model structure, or introducing new feature variables, etc., to verify whether the optimized monitoring status evolution prediction parameters can more accurately reflect the patient's actual condition changes or prognosis, and use historical data or actual patient data for verification.

S62、根据差异分析结果,通过差异参数提取,获取差异分析结果的警报演变预测差异参数;S62, according to the difference analysis result, extracting the difference parameters, and obtaining the alarm evolution prediction difference parameters of the difference analysis result;

具体的,根据差异分析结果,通过差异参数提取,获取差异分析结果的警报演变预测差异参数包括以下步骤:Specifically, according to the difference analysis result, obtaining the alarm evolution prediction difference parameter of the difference analysis result by difference parameter extraction includes the following steps:

S621、根据差异分析结果生成差异参数提取指标,并基于评估差异参数提取指标提取差异分析结果的差异特征参数;S621, generating a difference parameter extraction index according to the difference analysis result, and extracting a difference feature parameter of the difference analysis result based on the evaluation difference parameter extraction index;

具体的,根据差异分析结果,识别出与监护状态演变预测参数相关的差异特征,包括某些监护指标的突出变化、趋势差异等,基于识别的差异特征,制定差异参数提取指标,即确定如何从监护数据中提取这些差异特征的具体方法,并对设计的差异参数提取指标进行评估,确定其准确性和可靠性,通过与医学专家的讨论、与实际患者数据的比对等方式来进行。Specifically, according to the results of differential analysis, differential features related to the prediction parameters of the monitoring status evolution are identified, including prominent changes and trend differences in certain monitoring indicators. Based on the identified differential features, differential parameter extraction indicators are formulated, that is, the specific method of extracting these differential features from the monitoring data is determined, and the designed differential parameter extraction indicators are evaluated to determine their accuracy and reliability through discussions with medical experts and comparisons with actual patient data.

使用评估通过的差异参数提取指标,从实际监护数据中提取差异特征参数,确保提取的参数能够准确地反映出差异分析结果中的重要特征,对提取的差异特征参数进行分析,深入理解监护状态演变预测参数之间的差异特征。Using the difference parameter extraction indicators that have passed the evaluation, the difference feature parameters are extracted from the actual monitoring data to ensure that the extracted parameters can accurately reflect the important features in the difference analysis results. The extracted difference feature parameters are analyzed to deeply understand the difference characteristics between the monitoring status evolution prediction parameters.

S622、根据差异特征参数通过差异影响分析,获取差异特征参数的差异参数影响情况,并基于差异参数影响情况生成差异特征参数调整方案;S622, performing a difference impact analysis according to the difference characteristic parameters to obtain a difference parameter impact of the difference characteristic parameters, and generating a difference characteristic parameter adjustment plan based on the difference parameter impact;

具体的,使用统计方法或机器学习技术,分析差异特征参数与其他监护指标之间的关系,确定其在监护状态演变预测中的影响情况,根据差异影响分析的结果,获取差异特征参数的差异参数影响情况,即不同参数变化对差异特征参数的影响程度。Specifically, statistical methods or machine learning techniques are used to analyze the relationship between the difference characteristic parameters and other monitoring indicators to determine their influence on the prediction of the evolution of the monitoring status. Based on the results of the difference impact analysis, the difference parameter influence of the difference characteristic parameters is obtained, that is, the degree of influence of different parameter changes on the difference characteristic parameters.

基于差异参数影响情况,制定差异特征参数的调整方案,包括调整监护指标的阈值、优化治疗方案、改变监护策略等措施,改善患者的监护状况,而在制定调整方案时,需要考虑到患者的具体情况、医疗资源的可用性以及医疗团队的意见,确保调整方案的可行性和实用性,将制定的调整方案应用于实际患者数据中,验证其效果和可行性,并通过监测患者状况的变化和治疗结果来评估调整方案的有效性。Based on the impact of differential parameters, an adjustment plan for differential characteristic parameters is formulated, including adjusting the threshold of monitoring indicators, optimizing treatment plans, changing monitoring strategies and other measures to improve the patient's monitoring status. When formulating the adjustment plan, it is necessary to consider the patient's specific situation, the availability of medical resources and the opinions of the medical team to ensure the feasibility and practicality of the adjustment plan. The formulated adjustment plan is applied to actual patient data to verify its effectiveness and feasibility, and the effectiveness of the adjustment plan is evaluated by monitoring changes in patient conditions and treatment outcomes.

S623、对差异特征参数调整方案验证,并基于验证后的差异特征参数调整方案调整差异特征参数,获取警报演变预测差异参数。S623: verify the difference characteristic parameter adjustment scheme, and adjust the difference characteristic parameters based on the verified difference characteristic parameter adjustment scheme to obtain the alarm evolution prediction difference parameters.

S63、根据患者参数信息设置警报演变预测差异参数调整阈值并验证;S63, setting and verifying the alarm evolution prediction difference parameter adjustment threshold according to the patient parameter information;

具体的,获取患者的监护参数、生理指标、病史等相关信息,确保数据的完整性和准确性,根据患者参数信息和差异特征参数的影响情况,确定需要设置调整阈值的具体参数,包括关键监护指标、生理变量等,制定规则,描述如何根据患者参数信息来动态调整差异参数的阈值,规则包括基于患者特征的权重调整、基准值的动态更新等。Specifically, obtain the patient's monitoring parameters, physiological indicators, medical history and other related information to ensure the integrity and accuracy of the data; determine the specific parameters that need to set adjustment thresholds based on the patient's parameter information and the influence of the differential characteristic parameters, including key monitoring indicators, physiological variables, etc.; formulate rules to describe how to dynamically adjust the thresholds of differential parameters based on the patient's parameter information; the rules include weight adjustment based on patient characteristics, dynamic update of baseline values, etc.

将制定的调整阈值规则应用于实际患者数据中,验证其对警报演变预测差异参数的效果,使用实验数据或实际患者情况来评估调整阈值的合理性和适用性,比较应用调整阈值前后的监护状态演变预测效果,包括警报准确性、漏报率等指标,并确保调整阈值的使用能够提升患者监护的准确性和及时性。Apply the formulated adjustment threshold rules to actual patient data to verify their effect on the difference parameters of alarm evolution prediction, use experimental data or actual patient conditions to evaluate the rationality and applicability of the adjustment threshold, compare the prediction effect of monitoring status evolution before and after the application of the adjustment threshold, including indicators such as alarm accuracy and false negative rate, and ensure that the use of the adjustment threshold can improve the accuracy and timeliness of patient monitoring.

S64、基于验证后的警报演变预测差异参数调整阈值和警报演变预测差异参数,通过比对分析获取警报演变预测调整需求,并基于警报演变预测调整需求制定调整策略。S64. Adjust the threshold and alarm evolution prediction difference parameter based on the verified alarm evolution prediction difference parameter, obtain the alarm evolution prediction adjustment requirement through comparison and analysis, and formulate an adjustment strategy based on the alarm evolution prediction adjustment requirement.

具体的,基于验证后的警报演变预测差异参数调整阈值和警报演变预测差异参数,通过比对分析获取警报演变预测调整需求,并基于警报演变预测调整需求制定调整策略包括以下步骤:Specifically, adjusting the threshold and the alarm evolution prediction difference parameter based on the verified alarm evolution prediction difference parameter, obtaining the alarm evolution prediction adjustment requirement through comparison and analysis, and formulating an adjustment strategy based on the alarm evolution prediction adjustment requirement include the following steps:

S641、将警报演变预测差异参数调整阈值和警报演变预测差异参数比对,并根据比对结果识别比对超范围参数;S641, comparing the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and identifying the comparison out-of-range parameter according to the comparison result;

S642、分析比对超范围参数,获取调整需求,并基于调整需求设置警报演变预测调整需求;S642, analyzing and comparing out-of-range parameters, obtaining adjustment requirements, and setting alarm evolution prediction adjustment requirements based on the adjustment requirements;

具体的,识别出监护过程中超出正常范围的参数,包括监测的生理指标、器械参数等,对超范围参数进行分析,理解其可能的原因和影响,且需要结合患者的病史、临床情况以及设备的工作状态进行综合判断,根据分析结果,确定是否需要对监护策略或设备设置进行调整,如果超范围参数反映了患者病情恶化,需要调整治疗方案或增加监护频率。Specifically, identify parameters that exceed the normal range during the monitoring process, including monitored physiological indicators, instrument parameters, etc., analyze the out-of-range parameters, understand their possible causes and impacts, and make a comprehensive judgment based on the patient's medical history, clinical condition, and the working status of the equipment. Based on the analysis results, determine whether it is necessary to adjust the monitoring strategy or equipment settings. If the out-of-range parameters reflect a worsening of the patient's condition, it is necessary to adjust the treatment plan or increase the monitoring frequency.

基于确定的调整需求,制定相应的调整方案,包括调整警报阈值、改变监护策略、调整治疗方案等操作,根据制定的调整方案,设置警报演变预测调整需求,通过更新警报系统的设置、调整监护设备的参数等方式实现,应用设置的警报演变预测调整需求,并监测其在实际临床应用中的效果。Based on the determined adjustment needs, formulate corresponding adjustment plans, including adjusting alarm thresholds, changing monitoring strategies, adjusting treatment plans and other operations; according to the formulated adjustment plan, set alarm evolution prediction adjustment needs, which are achieved by updating the alarm system settings, adjusting the parameters of the monitoring equipment, etc.; apply the set alarm evolution prediction adjustment needs and monitor their effects in actual clinical applications.

S643、基于警报演变预测调整需求制定调整策略,并通过可行性评估对调整策略验证优化。S643. Develop adjustment strategies based on the forecast of alarm evolution and adjustment needs, and verify and optimize the adjustment strategies through feasibility assessment.

具体的,根据警报演变预测调整需求,明确需要进行的调整,包括修改监护参数阈值、调整治疗方案、改变监护频率等,根据识别的调整需求,制定相应的调整策略,确保调整策略能够有效地满足患者监护的需求,并且符合医疗实践的规范和标准。Specifically, predict adjustment needs based on the evolution of alarms and clarify required adjustments, including modifying monitoring parameter thresholds, adjusting treatment plans, changing monitoring frequencies, etc. Based on the identified adjustment needs, formulate corresponding adjustment strategies to ensure that the adjustment strategies can effectively meet the needs of patient monitoring and comply with the norms and standards of medical practice.

对制定的调整策略进行可行性评估,考虑其在实际临床应用中的可操作性、成本效益、安全性等方面,通过与医疗团队的讨论、模拟实验等方式进行评估,将制定的调整策略应用于实际患者中,并监测其效果,根据验证结果,对调整策略进行优化,调整参数设置、改进操作流程或者重新评估可行性,持续监测调整策略的效果,并根据患者反馈和实践经验进行更新和优化,确保调整策略与医疗实践的发展和患者的需求保持一致。Conduct a feasibility assessment on the formulated adjustment strategy, consider its operability, cost-effectiveness, safety and other aspects in actual clinical applications, conduct an evaluation through discussions with the medical team, simulation experiments, etc., apply the formulated adjustment strategy to actual patients, and monitor its effectiveness; based on the verification results, optimize the adjustment strategy, adjust parameter settings, improve operating procedures or re-evaluate feasibility; continuously monitor the effectiveness of the adjustment strategy, and update and optimize it based on patient feedback and practical experience to ensure that the adjustment strategy is consistent with the development of medical practice and patient needs.

S7、基于警报演变预测调整需求对优化监护状态演变预测参数优化调整,获取进阶监护状态演变预警参数,将进阶监护状态演变预警参数与优化监护状态报警信息输出,并构建报警数据库及预警数据库。S7. Based on the alarm evolution prediction adjustment requirements, optimize and adjust the optimized monitoring state evolution prediction parameters, obtain advanced monitoring state evolution warning parameters, output the advanced monitoring state evolution warning parameters and the optimized monitoring state alarm information, and build an alarm database and a warning database.

具体的,评估当前预警系统的性能,识别出需要改进的地方,如减少误报、漏报,或是提高预测的准确性和及时性,深入分析监护数据、历史预警响应和患者的健康结果,以识别参数调整的方向,并根据分析结果,调整预测模型的算法或参数,如改进数据处理流程、引入更高级的机器学习模型,或调整预测阈值,而在安全的测试环境中,使用新的预测参数运行模型,对比性能改进,并确保新参数不会引入意外的副作用,一旦验证无误,将进阶预警参数应用于实际的监护状态演变预警系统中,以提高预警的准确度和效率。Specifically, evaluate the performance of the current early warning system and identify areas for improvement, such as reducing false alarms and missed alarms, or improving the accuracy and timeliness of predictions. In-depth analysis of monitoring data, historical warning responses, and patient health outcomes is performed to identify the direction of parameter adjustment. Based on the analysis results, adjust the algorithm or parameters of the prediction model, such as improving the data processing process, introducing more advanced machine learning models, or adjusting the prediction threshold. In a safe test environment, run the model with new prediction parameters, compare performance improvements, and ensure that the new parameters do not introduce unexpected side effects. Once verified, apply the advanced warning parameters to the actual monitoring status evolution warning system to improve the accuracy and efficiency of the warning.

确保监护系统能够有效地整合来自各监护设备的数据,应用进阶预警参数于实时监测数据中,生成优化的监护状态报警信息,并根据进阶预警参数的预测结果,动态调整报警信息的输出,确保医疗团队能够接收到最相关和紧急的警报,并设计一个高效的数据库架构,用于存储和管理报警信息和预警参数,包括数据的收集、存储、查询和分析机制,将所有生成的报警信息和相关的预警参数存储于数据库中,包括实时数据和历史数据,确保数据的安全性和隐私性,实施严格的数据管理政策和访问控制机制。Ensure that the monitoring system can effectively integrate data from various monitoring devices, apply advanced warning parameters to real-time monitoring data, generate optimized monitoring status alarm information, and dynamically adjust the output of alarm information based on the prediction results of advanced warning parameters to ensure that the medical team can receive the most relevant and urgent alarms, and design an efficient database architecture for storing and managing alarm information and warning parameters, including data collection, storage, query and analysis mechanisms, store all generated alarm information and related warning parameters in the database, including real-time data and historical data, ensure data security and privacy, and implement strict data management policies and access control mechanisms.

定期从数据库中提取数据,进行分析和趋势预测,优化预警参数和报警策略,利用数据库中的信息提供决策支持,帮助医疗团队更好地理解患者的状况演变,制定更有效的治疗和干预措施。Data is regularly extracted from the database for analysis and trend prediction, early warning parameters and alarm strategies are optimized, and information in the database is used to provide decision support, helping the medical team to better understand the evolution of the patient's condition and develop more effective treatments and interventions.

根据本发明另一个实施例,如图2所示一种基于大数据监测的重症监护状态报警系统,该系统包括:According to another embodiment of the present invention, as shown in FIG2 , a critical care status alarm system based on big data monitoring includes:

参数获取模块1,用于获取患者参数信息,分析患者参数信息设置重症监护方案,并基于重症监护方案获取重症监护装置配置需求;Parameter acquisition module 1, used to acquire patient parameter information, analyze the patient parameter information to set a critical care plan, and acquire critical care device configuration requirements based on the critical care plan;

赋权排序模块2,用于根据重症监护装置配置需求配置重症监护装置组,基于重症监护装置组配置结果赋权,并通过重症监护装置组赋权情况生成重症监护装置组中重症监护装置优先排序结果;A weighting and sorting module 2 is used to configure a critical care device group according to the critical care device configuration requirements, weight the critical care device group configuration results, and generate a priority sorting result of the critical care devices in the critical care device group according to the weighting of the critical care device group;

分级报警模块3,用于基于重症监护方案获取重症监护装置组中重症监护装置的个体装置分级警报阈值和重症监护装置变化影响参数,并基于个体装置分级警报阈值和重症监护装置影响参数设置分级警报影响规则;A hierarchical alarm module 3, configured to obtain, based on the intensive care plan, individual device hierarchical alarm thresholds and intensive care device change influencing parameters of the intensive care devices in the intensive care device group, and to set hierarchical alarm influencing rules based on the individual device hierarchical alarm thresholds and intensive care device influencing parameters;

优化调整模块4,用于根据重症监护装置优先排序结果和分级警报影响规则设置报警调整规则,并基于报警调整规则对监护状态报警信息优化调整,获取优化监护状态报警信息;The optimization and adjustment module 4 is used to set alarm adjustment rules according to the priority sorting results of the intensive care device and the graded alarm impact rules, and optimize and adjust the monitoring state alarm information based on the alarm adjustment rules to obtain optimized monitoring state alarm information;

预警预测模块5,用于预设警报演变预测规则,通过警报演变预测规则分析监护状态报警信息和优化监护状态报警信息的监护状态演变预测参数和优化监护状态演变预测参数;Early warning prediction module 5, used for presetting alarm evolution prediction rules, analyzing monitoring state alarm information and optimizing monitoring state evolution prediction parameters of monitoring state alarm information and optimizing monitoring state evolution prediction parameters through alarm evolution prediction rules;

预警优化模块6,用于比对监护状态演变预测参数和优化监护状态演变预测参数,获取警报演变预测差异参数,并设置警报演变预测差异参数调整阈值,将警报演变预测差异参数调整阈值与警报演变预测差异参数比对,获取警报演变预测调整需求;The early warning optimization module 6 is used to compare the monitoring state evolution prediction parameters and optimize the monitoring state evolution prediction parameters, obtain the alarm evolution prediction difference parameters, and set the alarm evolution prediction difference parameter adjustment threshold, compare the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and obtain the alarm evolution prediction adjustment requirement;

输出警报模块7,用于基于警报演变预测调整需求对优化监护状态演变预测参数优化调整,获取进阶监护状态演变预警参数,将进阶监护状态演变预警参数与优化监护状态报警信息输出,并构建报警数据库及预警数据库;Output alarm module 7, used for optimizing and adjusting the optimized monitoring state evolution prediction parameters based on the alarm evolution prediction adjustment requirements, obtaining advanced monitoring state evolution warning parameters, outputting the advanced monitoring state evolution warning parameters and optimized monitoring state alarm information, and building an alarm database and a warning database;

参数获取模块1、赋权排序模块2、分级报警模块3、优化调整模块4、预警预测模块5、预警优化模块6及输出警报模块7依次连接。The parameter acquisition module 1, the weighted ranking module 2, the graded alarm module 3, the optimization and adjustment module 4, the early warning prediction module 5, the early warning optimization module 6 and the output alarm module 7 are connected in sequence.

综上所述,借助于本发明的上述技术方案,本发明通过详细分析患者的参数信息来制定针对性的监护方案,确保每位患者都能接受最适合其病情的监护措施,并根据患者的参数设定个体装置分级警报阈值,结合重症监护装置的变化影响参数,精确地反映患者的实时状态,降低误报的可能性。To sum up, with the help of the above-mentioned technical scheme of the present invention, the present invention formulates a targeted monitoring plan by analyzing the patient's parameter information in detail, ensuring that each patient can receive the monitoring measures that best suit their condition, and sets the graded alarm threshold of the individual device according to the patient's parameters, combined with the change in the intensive care device. The parameters affect the accurate reflection of the patient's real-time status and reduce the possibility of false alarms.

此外,本发明通过对重症监护装置组的优先排序和权重分配,合理地利用医疗资源,确保重症患者能够及时得到必要的监护装置,并通过不断的监控、分析和预测患者的状态演变,动态调整监护策略和资源分配,应对患者状况的变化。In addition, the present invention rationally utilizes medical resources by prioritizing and weighting the intensive care device group, ensuring that critically ill patients can receive necessary monitoring devices in a timely manner, and dynamically adjusts monitoring strategies and resource allocation to respond to changes in patient conditions by continuously monitoring, analyzing and predicting the patient's condition evolution.

此外,本发明采用自动化的监控和警报系统减少人为判断的错误,提高监护的准确性和响应速度,并通过预测警报的演变,识别潜在的病情恶化,从而采取预防措施,避免严重并发症的发生,同时构建警报数据库和预警数据库有助于积累重症监护的经验知识,为医护人员提供数据支持,帮助其做出更加精准和有根据的决策,且通过不断的数据分析和模型优化,持续提升监护方案的效果,实现对重症监护流程的持续改进和优化。In addition, the present invention adopts an automated monitoring and alarm system to reduce errors in human judgment, improve the accuracy and response speed of monitoring, and identify potential deterioration of the disease by predicting the evolution of alarms, so as to take preventive measures and avoid the occurrence of serious complications. At the same time, the construction of an alarm database and an early warning database helps to accumulate experience and knowledge in intensive care, provide data support for medical staff, and help them make more accurate and well-founded decisions. Through continuous data analysis and model optimization, the effectiveness of the monitoring plan is continuously improved, thereby achieving continuous improvement and optimization of the intensive care process.

以上所述仅为本发明的较佳实施例而已,并不用以限制本发明,凡在本发明的精神和原则之内,所作的任何修改、等同替换、改进等,均应包含在本发明的保护范围之内。The above description is only a preferred embodiment of the present invention and is not intended to limit the present invention. Any modifications, equivalent substitutions, improvements, etc. made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims (10)

1. The intensive care state alarm method based on big data monitoring is characterized by comprising the following steps of:
S1, acquiring patient parameter information, analyzing the patient parameter information to set an intensive care scheme, and acquiring an intensive care device configuration requirement based on the intensive care scheme;
S2, configuring an intensive care device group according to the configuration requirement of the intensive care device, giving weight based on the configuration result of the intensive care device group, and generating a priority ordering result of the intensive care devices in the intensive care device group according to the giving weight of the intensive care device group;
s3, acquiring individual device grading alarm thresholds and intensive care device change influence parameters of the intensive care devices in the intensive care device group based on the intensive care scheme, and setting grading alarm influence rules based on the individual device grading alarm thresholds and the intensive care device influence parameters;
S4, setting alarm adjustment rules according to the priority ordering result of the intensive care device and the hierarchical alarm influence rules, and optimizing and adjusting the monitoring state alarm information based on the alarm adjustment rules to acquire optimized monitoring state alarm information;
S5, presetting an alarm evolution prediction rule, and analyzing monitoring state evolution prediction parameters of monitoring state alarm information and optimized monitoring state alarm information and optimizing the monitoring state evolution prediction parameters through the alarm evolution prediction rule;
s6, comparing the monitored state evolution prediction parameters with the optimized monitored state evolution prediction parameters to obtain alarm evolution prediction difference parameters, setting an alarm evolution prediction difference parameter adjustment threshold, and comparing the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameters to obtain alarm evolution prediction adjustment requirements;
and S7, optimizing and adjusting the optimized monitoring state evolution prediction parameters based on the alarm evolution prediction adjustment requirement, acquiring advanced monitoring state evolution early warning parameters, outputting the advanced monitoring state evolution early warning parameters and the optimized monitoring state alarm information, and constructing an alarm database and an early warning database.
2. The intensive care status alert method based on big data monitoring as claimed in claim 1, wherein the acquiring individual device class alert thresholds and intensive care device variation influencing parameters of the intensive care devices in the intensive care device group based on the intensive care scheme and setting the class alert influencing rules based on the individual device class alert thresholds and the intensive care device influencing parameters comprises the steps of:
s31, analyzing an intensive care scheme, acquiring a monitoring device required by intensive care, and integrating the monitoring devices to acquire an intensive care device group;
S32, analyzing the intensive care indexes of each intensive care device in the intensive care device group, and setting individual device grading alarm thresholds of the intensive care devices based on the intensive care indexes;
S33, analyzing monitoring device related parameters of the intensive care devices in the intensive care device group, and calculating intensive care device change influencing parameters based on the monitoring device related parameters;
And S34, integrating the individual device grading alarm threshold value and the intensive care device change influence parameter, formulating a grading alarm influence rule based on the integration result, and verifying and optimizing the grading alarm influence rule.
3. The intensive care status alert method based on big data monitoring as claimed in claim 2, wherein analyzing the intensive care index of each of the intensive care devices in the intensive care device group and setting the individual device class alert threshold of the intensive care device based on the intensive care index comprises the steps of:
S321, analyzing medical detection parameters of the intensive care devices, setting an intensive care health threshold value through the medical detection parameters, and setting an intensive care index of each intensive care device based on the intensive care health threshold value;
s322, evaluating the health influence condition of the intensive care index, setting an emergency rule of the intensive care index according to the health influence condition, and setting an initial device grading alarm threshold value based on the emergency rule of the intensive care index;
S323, presetting standard individual parameters and individual grading adjustment rules, acquiring characteristic individual parameters according to patient parameter information, and comparing the standard individual parameters with the characteristic individual parameters to acquire individual difference parameters;
s324, matching the individual grading adjustment rule with the individual difference parameter, and optimally adjusting the initial device grading alarm threshold according to the matching result to obtain the individual device grading alarm threshold.
4. The intensive care unit status alert method as claimed in claim 3, wherein the analyzing the monitoring unit associated parameters of the intensive care units within the intensive care unit group and calculating the intensive care unit change affecting parameters based on the monitoring unit associated parameters comprises the steps of:
S331, acquiring historical monitoring data of the intensive care device, and analyzing associated parameters of the intensive care device based on the historical monitoring data;
S332, presetting a causal rule and a time sequence rule, and optimizing and adjusting the association parameters based on the causal rule and the time sequence rule to obtain the monitoring device association parameters of the intensive care device;
S333, constructing a correlation interaction model based on the correlation parameters of the monitoring device, verifying and optimizing the correlation interaction model, and calculating the variation influence parameters of the intensive care device by adopting the correlation interaction model after verification and optimization.
5. The intensive care state alarm method based on big data monitoring as set forth in claim 4, wherein the steps of constructing a correlation interaction model based on the correlation parameters of the monitoring device, verifying and optimizing the correlation interaction model, and calculating the variation influence parameters of the intensive care device by using the correlation interaction model after verification and optimization include the steps of:
s3331, defining the monitoring device parameter change influence required to be calculated by the association interaction model, and cleaning the monitoring device association parameters;
s3332, acquiring characteristic parameters of the correlation parameters of the monitoring device after cleaning through statistical analysis, constructing a correlation interaction model based on the characteristic parameters, and carrying out cross verification on the correlation interaction model;
S3333, calculating the change influence parameters of the intensive care device by adopting the cross-validated association interaction model, and verifying and optimizing the change influence parameters of the intensive care device.
6. The method for alarming the intensive care state based on big data monitoring according to claim 5, wherein the calculation formula for obtaining the characteristic parameters of the relevant parameters of the monitoring device after cleaning based on the characteristic parameters and constructing the relevant interaction model is as follows:
S is an influence value of the change of the intensive care unit;
N is the total number of characteristic parameters;
is the ith in the characteristic parameters an influence value of the individual feature;
f i is the influence value of the feature parameter excluding the ith feature.
7. The intensive care state alarm method based on big data monitoring according to claim 1, wherein the comparing the monitored state evolution prediction parameter and the optimized monitored state evolution prediction parameter to obtain an alarm evolution prediction difference parameter, setting an alarm evolution prediction difference parameter adjustment threshold, comparing the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and obtaining an alarm evolution prediction adjustment requirement comprises the following steps:
s61, presetting a difference analysis rule, and comparing the monitoring state evolution prediction parameter with the optimized monitoring state evolution prediction parameter through the difference analysis rule to obtain a difference analysis result;
s62, according to a difference analysis result, acquiring an alarm evolution prediction difference parameter of the difference analysis result through difference parameter extraction;
S63, setting an alarm evolution prediction difference parameter adjustment threshold according to patient parameter information and verifying;
S64, adjusting a threshold value and an alarm evolution prediction difference parameter based on the verified alarm evolution prediction difference parameter, acquiring an alarm evolution prediction adjustment requirement through comparison analysis, and formulating an adjustment strategy based on the alarm evolution prediction adjustment requirement.
8. The intensive care state alarm method as claimed in claim 7, wherein the obtaining the alarm evolution prediction difference parameter of the difference analysis result through the difference parameter extraction according to the difference analysis result comprises the following steps:
s621, generating a difference parameter extraction index according to a difference analysis result, and extracting a difference characteristic parameter of the difference analysis result based on the estimated difference parameter extraction index;
S622, obtaining a difference parameter influence condition of the difference characteristic parameters through difference influence analysis according to the difference characteristic parameters, and generating a difference characteristic parameter adjustment scheme based on the difference parameter influence condition;
s623, verifying the difference characteristic parameter adjustment scheme, and adjusting the difference characteristic parameter based on the verified difference characteristic parameter adjustment scheme to obtain the alarm evolution prediction difference parameter.
9. The intensive care state alarm method as claimed in claim 7, wherein the adjusting of the threshold and the alarm evolution prediction difference parameters based on the verified alarm evolution prediction difference parameters acquires an alarm evolution prediction adjustment requirement through comparison analysis, and the formulating of an adjustment strategy based on the alarm evolution prediction adjustment requirement comprises the steps of:
s641, comparing the alarm evolution prediction difference parameter adjustment threshold with the alarm evolution prediction difference parameter, and identifying and comparing the out-of-range parameter according to the comparison result;
s642, analyzing and comparing the out-of-range parameters, acquiring an adjustment requirement, and setting an alarm evolution prediction adjustment requirement based on the adjustment requirement;
s643, formulating an adjustment strategy based on the alarm evolution prediction adjustment requirement, and verifying optimization of the adjustment strategy through feasibility assessment.
10. An intensive care state alarm system based on big data monitoring for implementing the intensive care state alarm method based on big data monitoring as set forth in any one of claims 1 to 9, characterized in that the system comprises:
the parameter acquisition module is used for acquiring patient parameter information, analyzing the patient parameter information, setting an intensive care scheme, and acquiring the configuration requirement of the intensive care device based on the intensive care scheme;
The weighting ordering module is used for configuring the intensive care device group according to the configuration requirement of the intensive care device, weighting the intensive care device group based on the configuration result of the intensive care device group, and generating a priority ordering result of the intensive care devices in the intensive care device group through the weighting condition of the intensive care device group;
The hierarchical alarm module is used for acquiring individual device hierarchical alarm thresholds and intensive care device change influence parameters of the intensive care devices in the intensive care device group based on the intensive care scheme, and setting hierarchical alarm influence rules based on the individual device hierarchical alarm thresholds and the intensive care device influence parameters;
The optimization adjustment module is used for setting alarm adjustment rules according to the priority ordering result of the intensive care device and the hierarchical alarm influence rules, and optimizing and adjusting the monitoring state alarm information based on the alarm adjustment rules to obtain optimized monitoring state alarm information;
The early warning prediction module is used for presetting an alarm evolution prediction rule, analyzing the monitored state evolution prediction parameters of the monitored state alarm information and the optimized monitored state alarm information through the alarm evolution prediction rule, and optimizing the monitored state evolution prediction parameters;
The early warning optimization module is used for comparing the monitoring state evolution prediction parameters with the optimized monitoring state evolution prediction parameters to obtain alarm evolution prediction difference parameters, setting an alarm evolution prediction difference parameter adjustment threshold value, and comparing the alarm evolution prediction difference parameter adjustment threshold value with the alarm evolution prediction difference parameters to obtain alarm evolution prediction adjustment requirements;
The output alarm module is used for optimizing and adjusting the optimized monitoring state evolution prediction parameters based on the alarm evolution prediction adjustment requirement, acquiring advanced monitoring state evolution early-warning parameters, outputting the advanced monitoring state evolution early-warning parameters and the optimized monitoring state alarm information, and constructing an alarm database and an early-warning database;
The parameter acquisition module, the weighting ordering module, the grading alarm module, the optimization adjustment module, the early warning prediction module, the early warning optimization module and the output alarm module are sequentially connected.
CN202410735307.XA 2024-06-07 2024-06-07 A critical care status alarm method and system based on big data monitoring Pending CN118766423A (en)

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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