CN101779952B - Method and device for controlling blood pressure measurement interval and monitor - Google Patents
Method and device for controlling blood pressure measurement interval and monitor Download PDFInfo
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- 238000000034 method Methods 0.000 title claims abstract description 41
- 238000009530 blood pressure measurement Methods 0.000 title claims abstract description 34
- 238000005259 measurement Methods 0.000 claims abstract description 228
- 230000036772 blood pressure Effects 0.000 claims abstract description 66
- 230000035488 systolic blood pressure Effects 0.000 claims description 7
- 230000035487 diastolic blood pressure Effects 0.000 claims description 6
- 238000000926 separation method Methods 0.000 claims description 5
- 238000012544 monitoring process Methods 0.000 abstract description 4
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Abstract
The invention discloses a method and device for controlling blood pressure measurement interval and a monitor. The method comprises the following steps: obtaining the blood pressure value of the patient; and determining the valid subsequent measurement interval according to the blood pressure value of the patient. The blood pressure measurement interval is automatically adjusted according to the previous value of blood pressure measurement of the patient, when the blood pressure of the patient is too high or too low, the measurement interval is shortened and monitoring is strengthened, and when the blood pressure of the patient is steady, the measurement interval is lengthened, thus avoiding the patient from discomfort and even arm congestion due to too frequent measurement. Frequency of carrying out the operation on the functions by the medical workers is reduced by the method of automatic adjustment and the ease of use of the monitor is improved.
Description
[technical field]
The present invention relates to a kind of blood pressure measurement interval control method, device and monitor.
[background technology]
By using oversleeve inflation venting, monitor can be measured patient's blood pressure.Blood pressure measuring method this and similar non-intrusion type is called NIBP (Non-invasive measurementof blood pressure, non-invasive blood pressure measurement), and is very commonly used on when participating in the cintest.Different from other measuring method, this method does not belong to seriality and measures (not being the blood pressure values of continuously obtaining patient).Clinically, when the long-time Monitoring of blood pressure of client need, can use the method for setting an interval time of measurement.
For different occasions, different patient and patient's different phase, the setting of this blanking time is different.The inventor finds that because adapting to various situations, the doctor can carry out frequent operation to this setting option, has increased doctor's workload in actual clinical.Even set in advance several measurement sequences, each sequence has fixing interval time of measurement and carries out number of times, but due to illness people's change of illness state might not be carried out according to the mode of anticipation fully, so the method can not address the above problem.
[summary of the invention]
The main technical problem to be solved in the present invention is to provide a kind of blood pressure measurement interval control method, device and monitor, according to patient's state change blood pressure interval time of measurement.
For solving the problems of the technologies described above, the invention provides a kind of blood pressure measurement interval control method, comprising:
Obtain patient's pressure value;
Determine effective interval time of measurement of follow-up measurement according to described patient's pressure value.
On the other hand, the present invention also provides a kind of blood pressure measurement Separation control device, comprising: the pressure acquisition module is used for obtaining patient's pressure value; Measure the interval determination module, be used for determining according to described patient's pressure value effective interval time of measurement of follow-up measurement.
Another aspect, the present invention also provides a kind of blood pressure measurement interval control method, the measurement Separation control when being used for carrying out simultaneously non-invasive blood pressure measurement and invasive blood pressure measurement, described method comprises:
The first result who adopts the invasive blood pressure measuring method to measure and the second result who adopts non-invasive blood pressure measuring method to measure are compared;
If the first result and the second result's difference exceeds set point, then determine the effective interval time of measurement of adjacent twice non-invasive blood pressure between measuring according to above-described method.
If the first result and the second result's difference in set point, is then controlled the 4th interval time of measurement that the interval time of measurement of non-invasive blood pressure measurement switches to setting.
In addition, the present invention also provides a kind of monitor of using said method or device.
[description of drawings]
Fig. 1 is the structure principle chart of an embodiment of the present invention;
Fig. 2 is the flow chart of an embodiment of the present invention;
Fig. 3 is that description figure is set at the measurement interval in an embodiment of the present invention;
Fig. 4 is the measurement interval setting table in an embodiment of the present invention;
Fig. 5 is the flow chart of a kind of embodiment of interval time of measurement switching;
Fig. 6 is the flow chart of a kind of embodiment of definite interval time of measurement;
The flow chart of a kind of embodiment when Fig. 7 measures for increasing invasive blood pressure.
[specific embodiment]
By reference to the accompanying drawings the present invention is described in further detail below by the specific embodiment.
Blood pressure measurement is divided into the invasive blood pressure measurement and non-invasive blood pressure is measured, and the invasive blood pressure measurement is generally continuous measurement, and measures the measurement that (being NIBP) is generally discontinuous by the automatic non-invasive blood pressure that armarium carries out.
The embodiment of the invention has proposed method, device and the monitor according to patient's state change blood pressure interval time of measurement, in a kind of basic embodiment, we think that patient's blood pressure has characterized patient's state, so we at first measure patient's blood pressure, then determine follow-up measurement interlude according to the patient's who sets in advance pressure value with the relation of measuring the interval.
This corresponding relation of above embodiment can be to calculate by default formula, also can be to obtain by searching the synopsis that sets in advance, and for example formula can be: " interval=the first coefficient * pressure value
2+ the second coefficient * pressure value+the 3rd coefficient "; thus can certainly think that interval becomes non-binomial relation to adopt other formula with pressure value; and setting principle is when making patient's pressure value within normal range; interval time of measurement is longer; when patient's pressure value is too high or excessively low; interval time of measurement is shorter, and binomial is one of better simply formula that satisfies this principle; Because people's blood pressure is just in certain scope usually, so also can use the mode of searching synopsis, for example pressure value can be divided into several intervals, then each interval corresponding certain measuring intervals of TIME just can be determined follow-up measurement interlude after having known pressure value.
These above embodiment adopt the pressure value of single measurement to determine follow-up measurement interlude, the normally the last pressure value of measuring determines the next time interval of measurement, but the pressure value that also can be set in some cases certain measurement determines secondary measuring intervals of TIME thereafter, certainly can be for the third time or more, each embodiment of the present invention be not limited to the interval that the pressure value that only has up-to-date measurement just determines measurement following closely.
These above embodiment adopt the pressure value of single measurement to determine follow-up measurement interlude, it can be the interval that determines follow-up one-shot measurement, for example this is measured and the interval of measurement next time, changes next measuring intervals of TIME after then measuring next time again; The pressure value that also can be one-shot measurement determines the interval that follow-up repeatedly (for example 3 times) measure, after fixed number of times (for example 3 times) determine again the interval of repeatedly (for example 3 times) measurement of next fixed number of times according to the pressure value of measuring; Can also be to adopt the same interval in the set time (for example 60 minutes), after each set time finishes, change the repeatedly interval of measurement in the next set time according to the blood pressure measurement first time after finishing.
These above embodiment adopt take the pressure value of single measurement and determine that follow-up measurement interlude is illustrated as example, in fact also can adopt the meansigma methods of repeatedly measuring to decide follow-up measurement interval, for example can adopt nearest three times averaged blood pressure measurements to determine follow-up measurement interval.Meansigma methods can also further be the meansigma methods of weighted mean or process Filtering Processing.
These above embodiment think that the pressure value of single measurement or the pressure value of repeatedly measuring have characterized patient condition, in fact can think that the difference of difference between the pressure value of continuous measurement or the mediodespidine average in the set time section also can characterize patient's state, if for example although twice continuous blood pressure measurement is substantially all within normal range, but respectively near upper and lower bound, patient's blood pressure is larger, need to pay close attention to, should diminish measuring intervals of TIME this moment, so the pressure value among these above embodiment also can be thought the difference of pressure value.Here said difference can be the difference of single measurement, also can be repeatedly the difference of average value measured, can also be the value of single measurement and the difference of average value measured repeatedly.
These above embodiment adopt and obtain first patient's pressure value or the meansigma methods directly related with pressure value, difference, then the blanking time that obtains to measure according to the value that obtains and the corresponding relation of blanking time, in fact, when obtaining these pressure values or meansigma methods, after the difference, also can determine in conjunction with other factors the blanking time of measurement, the value that the IBP that for example mentions in the following examples measures, so the present invention should be interpreted as " effective interval time of measurement of determining follow-up measurement according to patient's pressure value ", rather than can only be by unique the tabling look-up or calculate interval time of measurement of patient's pressure value or correlation.
Above basis adopts the mode of independent explanation to sketch the various factors that basic embodiment of the present invention and other embodiment may change substantially; because practical situation varies; the applicant can not enumerate one by one; so based on above these explanation, will be understood that choice, combination, the equivalent variations that these contents are carried out and increase on this basis the various application that fresh content produces all should be included within protection scope of the present invention.
Except above of the present invention basic embodiment and other embodiment were described, the below illustrated the embodiment that may more often use in some reality.
Please refer to Fig. 1, in one embodiment, blood pressure measurement Separation control device is used for the setting of the interval time of measurement of control non-invasive blood pressure measurement, comprise the pressure acquisition module and measure the interval determination module, the pressure acquisition module is used for obtaining patient's pressure value, measures effective interval time of measurement that the interval determination module is used for determining according to described patient's pressure value follow-up measurement.Effectively interval time of measurement is a time variable of setting, effectively the value of interval time of measurement can change as requested, its value is the blanking time between final adjacent twice blood pressure measurement that adopts of armarium, armarium is controlled measurement opportunity of non-invasive blood pressure according to effective interval time of measurement, and namely the time that need to wait for when carrying out blood pressure measurement next time after this blood pressure measurement is complete of armarium is the value of effective interval time of measurement.
In one embodiment, measure the interval determination module and can comprise first module, second unit and Unit the 3rd.First module is used for patient's pressure value and predefined pressure range are compared, and determines the pressure range that described patient's pressure value is affiliated; Second unit is used for obtaining affiliated corresponding the first interval time of measurement of pressure range of described patient's pressure value; Unit the 3rd is used for determining effective interval time of measurement based on the first interval time of measurement.In certain embodiments, Unit the 3rd compares the first interval time of measurement and the second currently used interval time of measurement; When the first interval time of measurement equals the second interval time of measurement, keep current interval time of measurement constant, namely the second interval time of measurement still is effective interval time of measurement, and this measures after measuring and needing to wait for the second interval time of measurement after complete next time; When the first interval time of measurement during less than the second interval time of measurement, current interval time of measurement is switched to the first interval time of measurement, be about to the first interval time of measurement as effective interval time of measurement; When the first interval time of measurement during greater than the second interval time of measurement, beginning timing or counting, when the first interval time of measurement is less than or equal to the second interval time of measurement, then stop timing or counting, timing or counting are made zero, otherwise continue timing or counting, when timing (namely the first interval time of measurement is greater than the continuous time of the second interval time of measurement) surpasses the first setting threshold or counting (namely the first interval time of measurement is greater than the read-around ratio of the second interval time of measurement) and surpasses the second setting threshold, in default interval time of measurement, select than described the second interval time of measurement large and with the immediate interval time of measurement of described the second interval time of measurement as effective interval time of measurement.
In one embodiment, the pressure acquisition module can comprise Unit the 4th and Unit the 5th.Unit the 4th is used for the difference of the second pressure value of the last the first pressure value one-shot measurement front with it of measuring of calculating; Patient's pressure value be used for to be determined in Unit the 5th, when it is less than or equal to the 3rd setting threshold in described difference, with the first pressure value as patient's pressure value; During greater than the 3rd setting threshold, obtain the 3rd pressure value through recording after the 3rd interval time of measurement in described difference, and in the first pressure value and the 3rd pressure value, select value closer to the second pressure value as patient's pressure value.
Based on above device, the blood pressure measurement interval control method may further comprise the steps as shown in Figure 2:
In step 102, obtain patient's pressure value, then execution in step 104.The predetermined pressure kind is selected from least one in systolic pressure, diastolic pressure and the mean pressure, can select simultaneously two or three as the predetermined pressure kind, in such cases, need to consider respectively systolic pressure, diastolic pressure and mean pressure.Patient's pressure value can be the patient's that records nearest Measure blood pressure value, the nearest Measure blood pressure value pressure value that can record for the last time, the meansigma methods of the pressure value that also can record for nearest several times, meansigma methods can also further be weighted mean or the meansigma methods of passing through Filtering Processing.
In step 104, determine the interval time of measurement that patient's pressure value is corresponding.
The corresponding interval time of measurement of patient's pressure value can obtain by looking into pressure-interval schedule.In a kind of specific embodiment, pressure can be divided into several intervals, three to five intervals for example, or more interval, interval interval can be set as required, each interval corresponding interval time of measurement, as shown in Figure 3, pressure is divided into five intervals, namely greater than the interval of a, less than or equal to a greater than the interval of b, less than or equal to b greater than the interval of c, less than or equal to c greater than the interval of d with less than or equal to the interval of d.Each interval corresponding interval time of measurement, interval time of measurement E correspondence is greater than the interval of a, interval time of measurement D correspondence is less than or equal to the interval of a greater than b, interval time of measurement A correspondence is less than or equal to the interval of b greater than c, interval time of measurement B correspondence is less than or equal to the interval of c greater than d, and interval time of measurement C correspondence is less than or equal to the interval of d.
The corresponding interval time of measurement of patient's pressure value also can obtain by formula, for example stipulates the relational expression of an interval time of measurement and gaging pressure.
When the user defines the border of pressure range, following restriction is arranged:
Pressure value: a>b>c>d
The user has following restriction when defining corresponding measurement interval for each pressure range:
Interval time of measurement: A>B>C; A>D>E.
A kind of setting as shown in Figure 4, the user can select to participate in the pressure of interval customization.As: only use systolic pressure to measure the foundation at interval as change, then only choose at systolic pressure, mean pressure and diastolic pressure are all cancelled and being chosen.Judge the pressure range that patient's pressure value is affiliated, determine the first corresponding interval time of measurement according to the interval.
When predetermined pressure kind during more than, determine its each self-corresponding interval time of measurement according to every kind of patient's pressure value, to a plurality of measurements interval relatively, select conduct the first interval time of measurement minimum in these interval time of measurement.
Determining the corresponding interval time of measurement of patient's pressure value can also adopt, the difference of the value of patient's pressure value and previous measured value is determined next time interval time of measurement, or adopt the value of patient's pressure value and front several times the difference of meansigma methods of measured value are determined next time interval time of measurement.
In step 106, determine effective interval time of measurement according to the interval time of measurement that obtains in the step 104, make armarium after waiting for effective interval time of measurement, carry out next time non-invasive blood pressure measurement.
In clinical observation, the inventor finds: when higher or low when patient's blood pressure, need to be adjusted to the measurement interval of NIBP less, when Blood of Patients be pressed onto reach normal range after, need to the measurement interval adjustment of NIBP is larger, along with stablizing of patient's state of an illness, measure the interval and also should strengthen gradually.Present embodiment is by measuring in real time patient's blood pressure, adjust blanking time according to adjacent twice blood pressure measurement of patient's real-time blood pressure automatic phasing, blood pressure measurement blanking time is changed according to patient's situation, make the blood pressure measurement time more meet the needs of patient's state of an illness.When patient's dysarteriotony, can shorten interval time of measurement according to setting, strengthen the monitoring to patient, behind patient's blood pressure stabilization, can lengthen interval time of measurement according to setting, reduce the interference to patient.
More than cycle of said adjustment can be all to adjust after each the measurement, also can be to add up the set time and adjust.
According to the setting of adjustment cycle, the interval time of measurement after the change can just be applicable to measurement next time, also can be to be applicable to until the measurement between adjusting next time.
In another embodiment, based on above-described embodiment, when interval variation has occured in Measure blood pressure, according to above-described embodiment, interval time of measurement needs to adjust, carrying out can directly the interval time of measurement that adopts being switched to new interval time of measurement when interval time of measurement is switched, also can be through switching again after a period of stabilisation.
Among the embodiment as shown in Figure 5, when carrying out the interval time of measurement switching, when the measurement interval is whole to ditty, carry out fast; When measuring the interval to large adjustment, progressively carry out, specifically may further comprise the steps:
In step 202, determine the interval time of measurement T2 that it is corresponding according to patient's pressure value, and read the current interval time of measurement T1 that adopts that then execution in step 204.
In step 204, up-to-date definite interval time of measurement T2 and the current interval time of measurement T1 that adopts are compared, if T2=T1, then execution in step 216, if T2>T1, then execution in step 206, if T2<T1, then execution in step 218.
In step 206, the number of times of record T2>T1 can be set a variable n, the situation of a T2>T1 of every generation, it is cumulative 1 to be about to variable n, i.e. n=n+1, n is cumulative after execution in step 208.
In step 208, whether the value of judgment variable n is greater than the threshold value of setting, and threshold value can be an empirical value, for example 5 or 8 or 10, if the value of variable n greater than the threshold value of setting, then execution in step 210, otherwise execution in step 214, T is constant for the interval time of measurement of remaining valid, and still equals T1.
In step 210, effective interval time of measurement T is switched, make effective interval time of measurement T from T1 switch to than T1 large, the interval of setting with T1 immediate blanking time, for example with reference to Fig. 4, if T1=3 minute, when switching to larger interval time of measurement, interval time of measurement T switched to 5 minutes from 3 minutes.When namely measuring the interval to large adjustment, progressively carry out.Execution in step 212 after interval time of measurement T switches is with variable n zero clearing.
In step 216, the interval time of measurement of remaining valid is constant, and namely effectively interval time of measurement T still equals T1.
In step 218, effective interval time of measurement T is directly switched to T2 from T1.
After step 216 and 218 all to variable n zero clearing.
In the present embodiment, when the measurement interval is whole to ditty, carry out fast; When measuring the interval to large adjustment, effective interval time of measurement T is switched, and be to carry out step by step through the measurement of continuous a period of time, and twice interval time of measurement differs greatly before and after can not making.Can reduce like this patient's risk, temporarily stable but may exist in the unusual situation at patient's blood pressure, adopt the in time dysarteriotony of Discover the patients of present embodiment.
In other embodiment, when interval time of measurement during to large adjustment, effective interval time of measurement T is switched after also can adding up continuous a period of time.
In clinical, sometimes patient's action of producing a burst may cause the sudden change of blood pressure, if determine effective interval time of measurement according to the blood pressure that measure this moment, effective interval time of measurement is produced to be switched, change between generating region, for preventing this situation, in further improved embodiment, on the basis of above-described embodiment, patient's pressure value of determining effective interval time of measurement is gone pseudo-the processing, get rid of the interference that the single measurement mistake causes, for example, within very short time, carry out twice or three times and measure, may be that the measurement result of disturbing is removed during twice or three times are measured, and with other measurement result or its meansigma methods as patient's pressure value.In a kind of embodiment shown in Figure 6, when certain measurement result and a front measurement result differ larger, can again start NIBP measurements very soon and confirm, the maloperation that causes with the minimizing single measurement.Specifically may further comprise the steps:
In step 302, after starting automatically measurement, can at first carry out a NIBP in step 304 measures, judge in step 306 whether this time measurement measures first, if it is (this time can be less than default interval time of measurement waiting for very short time, for example 30 seconds) carry out afterwards the 2nd time NIBP measurement in step 308, determine basic blood pressure according to this twice measurement, and according to basic blood pressure NIBP is measured the interval and determine.
After measurement was not to measure first, namely execution in step 310, each measurement result N2 and its previous measurement result N1 are compared, if both differences, have illustrated the blood pressure sudden change greater than setting threshold, may be to disturb, and then execution in step 314.If both differences are less than or equal to setting threshold, illustrating does not have the blood pressure sudden change, and then execution in step 312.
In step 314, the very fast one-shot measurement that carries out again for example can carry out one-shot measurement after waiting for 30 seconds, and measurement result is N3, and then execution in step 318.
In step 318, twice measurement result N2, N3 that the interval is very short compare with measurement result N1 respectively, select and measurement result (N2 or N3) that measurement result N1 gap is less as patient's pressure value, determine that according to patient's pressure value new NIBP measures the interval, then execution in step 320, the interval time of measurement of wait for setting to after measure next time.
In step 312, directly with this measurement result as patient's pressure value, determine new interval time of measurement according to this patient's pressure value, then execution in step 320.
Whether the interval time of measurement as for current employing switches, and can adopt different control methods, can directly switch, and also can adopt control method shown in Figure 5.After having determined interval time of measurement, namely execution in step 320, the interval time of measurement of waiting for new settings to after measure next time.
When Measure blood pressure, usually all can obtain three pressure values, be diastolic pressure, systolic pressure and mean pressure, for example measurement result N1, N2, N3 also comprise respectively the Three pressures value, when twice measurement result compares, can only compare predetermined pressure kind selected in pressure-interval schedule, also can be to the comparison of classifying of three kinds of pressure.When selecting patient's pressure value, be the Three pressures value of having selected this time measurement in fact, then determine that according to predetermined pressure kind selected in pressure-interval schedule in employing diastolic pressure, systolic pressure and three kinds of pressure of mean pressure which determine interval time of measurement.Can determine according to the method for step 104 when determining interval time of measurement.
Present embodiment goes pseudo-the processing by the blood pressure to real-time measurement, reduced interference, it is more accurate to make as the patient's pressure value that switches effective interval time of measurement foundation, thereby effective interval time of measurement is also adjusted according to patient's real time status more accurately.
When patient has blood pressure aspect medical history or measured value obviously higher or on the low side, can consider to increase invasive blood pressure and measure (being that IBP measures), patient's blood pressure is carried out continuous measurement.After having increased the IBP measurement, NIBP measures the interval can be set to bigger numerical as required.
In an embodiment of the present invention, carry out invasive blood pressure when measuring when detecting, its handling process may further comprise the steps as shown in Figure 7:
In step 402, obtain effective blood pressure N4 that IBP records, and in step 404, obtain effective blood pressure N5 that NIBP records, then execution in step 406.
In step 406, judge that whether blood pressure N4 and blood pressure N5 approach, in the scope of setting, for example both differ 10% to the difference of namely judging both.If blood pressure N4 and blood pressure N5 are more approaching, then execution in step 412, otherwise execution in step 408.
In step 412, the number of times that statistics blood pressure N4 and blood pressure N5 approach, for example set a variable m, when the comparative result in the step 406 when being, m adds up to variable, then execution in step 414, whether judgment variable m surpasses setting threshold, and threshold value can be 3 or 5, if, then execution in step 416, otherwise execution in step 408.
In step 416, control NIBP measures the interval and measures according to a larger setting-up time interval, in Fig. 4, set the wound artery measurement is arranged the time, NIBP measures the interval and is adjusted into 15 minutes, certainly, also can be set as the case may be other setting-up time.
In step 408, control NIBP measures the interval and carries out according to former interval, also can control the NIBP interval time of measurement according to the method that provides in above-described embodiment.Then execution in step 410, and variable m is carried out zero clearing.
Equally, when Measure blood pressure N4 and N5, also can obtain three pressure values, when relatively blood pressure N4 and N5, can be to the comparison of classifying of three kinds of pressure.
In the present embodiment, step 402 and 404 order interchangeable.
In the present embodiment, the number of times that the value that the value that also the statistics invasive blood pressure can be measured and non-invasive blood pressure are measured approaches is transformed to timing statistics.
In the present embodiment, the value continuous several times that the value of measuring when invasive blood pressure and non-invasive blood pressure are measured or continuously when a period of time is close is measured the interval with NIBP and is tuned up, and can reduce like this interference to patient, alleviates patient's sense of discomfort.
Said apparatus and method may be used on the various monitors with blood pressure measuring function, and monitor can be the monitor of single function single-use, also can be the monitor of multifunctional and multipurpose.
In sum, the present invention adjusts the blanking time of blood pressure measurement automatically by the history value of patient's blood pressure measurement, when patient's blood pressure is too high or too low, shortens and measures the interval, strengthens monitoring; When patient's blood pressure stabilization, the interval is measured in growth, avoid measuring too frequently causing patient uncomfortable, even arm is congested.Reduce the frequent degree of medical personnel to this feature operation by self-adjusting method, improved the ease for use of monitor.
Above content is the further description of the present invention being done in conjunction with concrete preferred implementation, can not assert that implementation of the present invention is confined to these explanations.For the general technical staff of the technical field of the invention, without departing from the inventive concept of the premise, can also make some simple deduction or replace, all should be considered as belonging to protection scope of the present invention.
Claims (6)
1. blood pressure measurement Separation control device is characterized in that comprising:
The pressure acquisition module is used for obtaining patient's pressure value;
Measure the interval determination module, be used for determining according to described patient's pressure value effective interval time of measurement of follow-up measurement;
Described measurement interval determination module comprises,
First module is used for patient's pressure value and predefined pressure range are compared, and determines the pressure range that described patient's pressure value is affiliated;
Second unit is used for obtaining affiliated corresponding the first interval time of measurement of pressure range of described patient's pressure value;
Unit the 3rd is used for determining effective interval time of measurement based on the first interval time of measurement, is specially, and the first interval time of measurement and the second interval time of measurement are compared, and described the second interval time of measurement is current effective interval time of measurement; When the first interval time of measurement equals the second interval time of measurement, keep the second interval time of measurement still to be effective interval time of measurement; When the first interval time of measurement during less than the second interval time of measurement, with the first interval time of measurement as effective interval time of measurement; When the first interval time of measurement during greater than the second interval time of measurement, in the first interval time of measurement when surpassing continuous time of the second interval time of measurement the first setting threshold or read-around ratio and surpass the second setting threshold, in default interval time of measurement, select larger than described the second interval time of measurement and with the immediate interval time of measurement of described the second interval time of measurement as effective interval time of measurement.
2. device as claimed in claim 1 is characterized in that, the pressure value that described pressure acquisition module obtains comprises mediodespidine average or the weighted mean that is calculated by the pressure value of repeatedly measuring acquisition.
3. device as claimed in claim 1, it is characterized in that: described patient's pressure value is selected from least one in systolic pressure, diastolic pressure and the mean pressure; When patient's pressure value during more than, described measurement interval determination module is determined its each self-corresponding interval time of measurement according to every kind of patient's pressure value, selects conduct the first interval time of measurement minimum in these interval time of measurement.
4. such as each described device of claims 1 to 3, it is characterized in that: described pressure acquisition module comprises:
Unit the 4th is for the difference of the second pressure value that calculates the last the first pressure value one-shot measurement front with it of measuring;
Unit the 5th is used for when described difference is less than or equal to the 3rd setting threshold, then with the first pressure value as patient's pressure value; During greater than the 3rd setting threshold, then obtain the 3rd pressure value through recording after the 3rd interval time of measurement in described difference, and in the first pressure value and the 3rd pressure value, select value closer to the second pressure value as patient's pressure value.
5. device as claimed in claim 1 is characterized in that: carry out also comprising when invasive blood pressure is measured when detecting:
Comparison module is used for adopting invasive blood pressure measuring method the first result who measures and the second result who adopts non-invasive blood pressure measuring method to measure to compare;
Control module is used for when the first result and the second result's difference exceeds set point, and the control non-invasive blood pressure is measured and determined effective interval time of measurement according to described patient's pressure value; When the first result and the second result's difference was in set point, the interval time of measurement that the control non-invasive blood pressure is measured switched to the 4th interval time of measurement of setting.
6. a monitor comprises blood pressure measuring device, it is characterized in that: described blood pressure measuring device comprises each described blood pressure measurement Separation control device in the claim 1 to 5.
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|---|---|---|---|---|
| JP6019592B2 (en) * | 2012-01-23 | 2016-11-02 | オムロンヘルスケア株式会社 | Blood pressure measurement device |
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| CN105380764A (en) * | 2015-10-26 | 2016-03-09 | 中国人民解放军第306医院 | Novel movable nursing system |
| JP7115034B2 (en) * | 2018-05-24 | 2022-08-09 | オムロンヘルスケア株式会社 | Blood pressure control device and blood pressure control method |
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| JP7127571B2 (en) * | 2019-02-18 | 2022-08-30 | オムロンヘルスケア株式会社 | Blood pressure level change detection device, blood pressure level change detection method, and program |
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| JP7354792B2 (en) * | 2019-11-26 | 2023-10-03 | オムロンヘルスケア株式会社 | Blood pressure monitor, blood pressure measurement method, and program |
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