CN114569098A - Monitoring system, monitoring equipment and atrial fibrillation presenting method thereof - Google Patents
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Abstract
本发明提供的监护系统、监护设备及其房颤呈现方法,通过获取心率分析结果和房颤分析结果,并根据心率分析结果和房颤分析结果显示房颤综合视图。房颤综合视图中包括:预设房颤监测期内的心率信息及其目标心率标识,以及预设房颤监测期内的房颤信息;其中房颤信息包括房颤负荷、房颤发生次数和房颤持续时间中的至少一个;目标心率标识用于标识预设的目标心率。通过房颤与心率的联合呈现,通过图形化的方式,可以全面、直观地为医护人员呈现房颤事件和心率的量化分析结果,进而有助于医护人员了解房颤患者心率控制目标的达成情况,提高了房颤管理的效率。
The monitoring system, monitoring equipment and atrial fibrillation presentation method provided by the present invention obtain a heart rate analysis result and atrial fibrillation analysis result, and display a comprehensive view of atrial fibrillation according to the heart rate analysis result and the atrial fibrillation analysis result. The comprehensive view of atrial fibrillation includes: heart rate information and its target heart rate identifier within the preset monitoring period of atrial fibrillation, and information of atrial fibrillation within the predetermined monitoring period of atrial fibrillation; the atrial fibrillation information includes the load of atrial fibrillation, the number of occurrences of atrial fibrillation, and the number of occurrences of atrial fibrillation. At least one of the duration of atrial fibrillation; the target heart rate identifier is used to identify a preset target heart rate. Through the joint presentation of atrial fibrillation and heart rate, the quantitative analysis results of atrial fibrillation events and heart rate can be comprehensively and intuitively presented to medical staff in a graphical way, thereby helping medical staff to understand the achievement of heart rate control goals in patients with atrial fibrillation , improve the efficiency of atrial fibrillation management.
Description
技术领域technical field
本发明涉及医疗器械领域,具体涉及一种监护系统、监护设备及其房颤呈现方法。The invention relates to the field of medical devices, in particular to a monitoring system, a monitoring device and a method for presenting atrial fibrillation.
背景技术Background technique
心房颤动(atrial fibrillation,AF),简称房颤,是心内科最为常见的心律失常之一。房颤的发病率随年龄增长逐步增加,在80岁以上人群中高达7.5%。房颤在心脏重症监护中极为常见,例如,重症心衰患者的房颤发生率高达55%。为及时发现和评估房颤,医护人员常使用床边监护仪对病人进行实时连续监测。现有监护系统通常只是检测房颤并报警,例如当监护仪通过后台算法检测到心电图上有房颤发生时,便会在报警区自动弹出“房颤”字符串,并通过声光提示提醒医护人员关注,当房颤结束而恢复窦性节律时,便会在报警区自动弹出“房颤停止”字符串;除了上述实时报警外,医护人员还可通过回顾界面的事件列表翻看历史报警数据。然而,医护人员光靠房颤报警以及房颤发生时的心电波形无法对患者有个综合判断,故医护人员管理房颤的效率较低。Atrial fibrillation (AF), referred to as atrial fibrillation, is one of the most common cardiac arrhythmias. The incidence of atrial fibrillation gradually increases with age, reaching as high as 7.5% in people over 80 years old. Atrial fibrillation is extremely common in cardiac intensive care, for example, in patients with severe heart failure, the incidence of atrial fibrillation is as high as 55%. In order to detect and evaluate atrial fibrillation in time, medical staff often use bedside monitors to monitor patients continuously in real time. The existing monitoring system usually only detects atrial fibrillation and alarms. For example, when the monitor detects atrial fibrillation on the ECG through the background algorithm, it will automatically pop up the "atrial fibrillation" string in the alarm area, and remind the medical care through sound and light prompts. When the atrial fibrillation is over and the sinus rhythm is restored, the "atrial fibrillation stop" string will automatically pop up in the alarm area; in addition to the above real-time alarms, medical staff can also view historical alarm data through the event list on the review interface . However, medical staff cannot make a comprehensive judgment on patients by relying on atrial fibrillation alarms and ECG waveforms when atrial fibrillation occurs, so the efficiency of medical staff in managing atrial fibrillation is low.
心率(heart rate,HR)控制是目前房颤管理的主要策略,也是房颤治疗的基本目标之一。房颤患者心率控制对改善症状、提高生活质量以及减少心衰发生率等方面有良好的效果。监测和控制心率对于房颤患者具备必要性,房颤发生和停止时段的心率变化对于房颤治疗和管理具有重要意义。目前,诊断和监测装置都具备房颤自动检测和心率连续计算的功能,二者结果常常孤立呈现,很少专门将房颤检测及其量化分析的结果同心率变化情况结合在一起的工具。此外,针对房颤患者的心率控制,尚无工具可以辅助医护人员进行控制目标达成与否的定量评估。Heart rate (HR) control is currently the main strategy for atrial fibrillation management and one of the basic goals of atrial fibrillation treatment. Heart rate control in patients with atrial fibrillation has good effects on improving symptoms, improving quality of life, and reducing the incidence of heart failure. Monitoring and control of heart rate is necessary for patients with atrial fibrillation, and heart rate changes during the onset and cessation of atrial fibrillation are of great significance for the treatment and management of atrial fibrillation. At present, both diagnostic and monitoring devices have the functions of automatic detection of atrial fibrillation and continuous calculation of heart rate. The results of the two are often presented in isolation, and there are few tools that specifically combine the results of atrial fibrillation detection and its quantitative analysis with heart rate changes. In addition, for heart rate control in patients with atrial fibrillation, there is no tool that can assist medical staff in quantitative assessment of whether the control goal is achieved or not.
发明内容SUMMARY OF THE INVENTION
本发明主要提供一种监护系统、监护设备及其房颤呈现方法,以提高房颤管理的效率。The present invention mainly provides a monitoring system, monitoring equipment and atrial fibrillation presentation method thereof, so as to improve the efficiency of atrial fibrillation management.
一实施例提供一种房颤呈现方法,包括:An embodiment provides a method for presenting atrial fibrillation, comprising:
获取心率分析结果和房颤分析结果;Obtain heart rate analysis results and atrial fibrillation analysis results;
根据所述心率分析结果和所述房颤分析结果显示房颤综合视图,所述房颤综合视图中包括:预设房颤监测期内的心率信息和预设房颤监测期内的房颤信息;A comprehensive view of atrial fibrillation is displayed according to the heart rate analysis result and the atrial fibrillation analysis result, and the comprehensive view of atrial fibrillation includes: heart rate information within a preset monitoring period of atrial fibrillation and information of atrial fibrillation within a preset monitoring period of atrial fibrillation ;
响应于用户选择目标分时段的操作,进一步显示房颤分时段视图,所述房颤分时段视图中包括:所述目标分时段内的心率信息和所述目标分时段内的房颤信息中的至少一个,其中,所述目标分时段为多个最小单位时间段中的任一个,或者包括连续的多个最小单位时间段。In response to the user's operation of selecting the target sub-period, an atrial fibrillation sub-period view is further displayed, and the atrial fibrillation sub-period view includes: the heart rate information in the target sub-period and the atrial fibrillation information in the target sub-period. At least one, wherein the target sub-period is any one of multiple minimum unit time periods, or includes multiple consecutive minimum unit time periods.
一实施例提供的方法中,在所述获取心率分析结果和房颤分析结果的步骤之前,所述方法还包括:In the method provided by an embodiment, before the step of acquiring the heart rate analysis result and the atrial fibrillation analysis result, the method further includes:
获取患者的包括心电参数在内的至少一项生命体征参数的监护数据;Obtain monitoring data of at least one vital sign parameter including ECG parameters of the patient;
根据所述监护数据,进行心率检测得到心率分析结果;和/或,According to the monitoring data, heart rate detection is performed to obtain a heart rate analysis result; and/or,
根据所述监护数据,进行房颤检测得到房颤分析结果。According to the monitoring data, atrial fibrillation detection is performed to obtain an atrial fibrillation analysis result.
一实施例提供的方法中,所述心率信息包括以下至少一个:心率趋势信息、心率统计信息和典型心率事件统计信息;和/或,所述房颤信息包括以下至少一个:房颤趋势信息、房颤统计信息和典型房颤事件统计信息。In the method provided by an embodiment, the heart rate information includes at least one of the following: heart rate trend information, heart rate statistics, and typical heart rate event statistics; and/or, the atrial fibrillation information includes at least one of the following: atrial fibrillation trend information, Atrial fibrillation statistics and typical atrial fibrillation event statistics.
一实施例提供的方法中,所述房颤分时段视图中,所述心率信息中的至少一部分和所述房颤信息中的至少一部分用同一时间坐标轴进行显示。In the method provided in an embodiment, in the atrial fibrillation time-based view, at least a part of the heart rate information and at least a part of the atrial fibrillation information are displayed on the same time axis.
一实施例提供的方法中,所述方法还包括:In the method provided in an embodiment, the method further includes:
响应于用户选择目标分时段的操作,在所述房颤综合视图中,对所述目标分时段对应的心率信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,对所述目标分时段对应的房颤信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示。In response to the user's operation of selecting a target sub-period, in the comprehensive view of atrial fibrillation, at least a part of the heart rate information corresponding to the target sub-period is displayed in a different manner from that of other time periods, and the display mode is different for the said target sub-period. At least a part of the atrial fibrillation information corresponding to the target sub-periods is displayed in a different manner from that of other time periods.
一实施例提供的方法中,所述心率趋势信息中包括以下至少一个:心率趋势图、心率量化信息以及目标心率标识,其中,所述目标心率标识用于标识预设的目标心率。In the method provided in an embodiment, the heart rate trend information includes at least one of the following: a heart rate trend graph, heart rate quantification information, and a target heart rate identifier, where the target heart rate identifier is used to identify a preset target heart rate.
一实施例提供的方法中,所述心率趋势图包括曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一或其组合。In the method provided by an embodiment, the heart rate trend graph includes one of a curve graph, a histogram, a bar graph, a boxplot, a scatter graph, a line graph, a pie graph, a donut graph, or a combination thereof.
一实施例提供的方法中,所述目标心率标识为表征目标心率值的目标线;所述目标线包括两条,分别表征目标心率值的上限和目标心率值的下限;或者所述目标线为一条,表征目标心率值的上限或目标心率值的下限。In the method provided in an embodiment, the target heart rate is identified as a target line representing the target heart rate value; the target line includes two, which respectively represent the upper limit of the target heart rate value and the lower limit of the target heart rate value; or the target line is One, representing the upper limit of the target heart rate value or the lower limit of the target heart rate value.
一实施例提供的方法中,所述心率统计信息中包括以下至少一个:有房颤发生型心率在不同数值范围的持续时间和/或持续时间占比、有房颤发生型心率的总持续时间和/或持续时间占比、无房颤发生型心率在不同数值范围的持续时间和/或持续时间占比、无房颤发生型心率的总持续时间和/或事件占比、目标心率标识;其中,所述目标心率标识用于标识预设的目标心率。In the method provided by an embodiment, the heart rate statistical information includes at least one of the following: duration and/or duration ratio of heart rate with atrial fibrillation in different value ranges, total duration of heart rate with atrial fibrillation and/or duration ratio, duration and/or duration ratio of heart rate without atrial fibrillation in different value ranges, total duration and/or event ratio of heart rate without atrial fibrillation, target heart rate identification; The target heart rate identifier is used to identify a preset target heart rate.
一实施例提供的方法中,所述房颤趋势信息中包括以下至少一个:房颤趋势图、房颤发生次数趋势、房颤持续时间趋势、房颤负荷趋势。In the method provided by an embodiment, the atrial fibrillation trend information includes at least one of the following: atrial fibrillation trend graph, atrial fibrillation frequency trend, atrial fibrillation duration trend, and atrial fibrillation load trend.
一实施例提供的方法中,所述房颤综合视图的房颤统计信息中包括以下至少一个:预设房颤监测期内的房颤总发生次数、预设房颤监测期内的房颤总持续时间、预设房颤监测期内的房颤总负荷、房颤持续时间分段统计信息和目标房颤负荷标识,其中,所述目标房颤负荷标识用于标识预设的目标房颤负荷值;所述房颤分时段视图的房颤统计信息中包括以下至少一个:目标分时段内的房颤总发生次数、目标分时段内的房颤总持续时间、目标分时段内的房颤总负荷、房颤持续时间分段统计信息、目标房颤负荷标识和目标分时段信息。In the method provided by an embodiment, the statistical information of atrial fibrillation in the comprehensive view of atrial fibrillation includes at least one of the following: the total number of occurrences of atrial fibrillation in the preset monitoring period of atrial fibrillation, the total number of atrial fibrillation in the preset monitoring period of atrial fibrillation Duration, the total load of atrial fibrillation in the preset monitoring period of atrial fibrillation, the segmented statistical information of the duration of atrial fibrillation, and the target atrial fibrillation load identifier, wherein the target atrial fibrillation load identifier is used to identify the preset target atrial fibrillation load value; the atrial fibrillation statistics information of the atrial fibrillation sub-period view includes at least one of the following: the total number of atrial fibrillation occurrences in the target sub-period, the total duration of atrial fibrillation in the target sub-period, the total atrial fibrillation in the target sub-period Stress, atrial fibrillation duration segment statistics, target atrial fibrillation load identifier, and target segment information.
一实施例提供的方法中,所述房颤趋势图包括曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一或其组合;并且/或者,所述目标房颤负荷标识为表征目标房颤负荷值的目标线。In the method provided in an embodiment, the atrial fibrillation trend graph includes one of a curve graph, a histogram, a bar graph, a boxplot, a scatter graph, a line graph, a pie graph, a donut graph, or a combination thereof; and/or , the target atrial fibrillation load is identified as a target line representing the target atrial fibrillation load value.
一实施例提供的方法中,所述典型心率事件统计信息和/或所述典型房颤事件统计信息包括以下至少一个事件的发生起始时刻、发生终止时刻、发生次数、持续时间或对应的房颤负荷中的一个或多个:房颤伴快速心率、房颤伴RR长间歇、心动过速、心动过缓、极度心动过速、极度心动过缓、首发房颤、最大心率房颤、持续时间最长房颤、房颤伴慢速心率、心率极值。In the method provided by an embodiment, the statistical information of the typical heart rate events and/or the statistical information of the typical atrial fibrillation events includes the occurrence start time, the occurrence end time, the number of occurrences, the duration, or the corresponding atrial fibrillation event of at least one of the following events. One or more of fibrillation burdens: atrial fibrillation with rapid heart rate, atrial fibrillation with RR long interval, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, first-episode atrial fibrillation, maximum heart rate atrial fibrillation, sustained Longest time atrial fibrillation, atrial fibrillation with slow heart rate, heart rate extreme.
一实施例提供的方法中,所述房颤综合视图和所述房颤分时段视图在不同区域进行显示;或者,所述房颤综合视图和所述房颤分时段视图至少部分重合地进行显示;或者,所述房颤分时段视图以浮窗的形式进行显示;或者,在固定区域中进行显示。In the method provided by an embodiment, the comprehensive view of atrial fibrillation and the view of atrial fibrillation by time periods are displayed in different regions; or, the comprehensive view of atrial fibrillation and the view of atrial fibrillation by time periods are at least partially overlapped and displayed. ; or, the atrial fibrillation view by time period is displayed in the form of a floating window; or, it is displayed in a fixed area.
一实施例提供一种房颤和心率的呈现方法,包括:An embodiment provides a method for presenting atrial fibrillation and heart rate, including:
获取心率分析结果和房颤分析结果;Obtain heart rate analysis results and atrial fibrillation analysis results;
根据所述心率分析结果和所述房颤分析结果显示房颤综合视图,所述房颤综合视图中包括:预设房颤监测期内的心率信息及其目标心率标识,以及预设房颤监测期内的房颤信息;所述房颤信息包括房颤负荷、房颤发生次数和房颤持续时间中的至少一个;其中,所述目标心率标识用于标识预设的目标心率。A comprehensive view of atrial fibrillation is displayed according to the heart rate analysis result and the atrial fibrillation analysis result, and the comprehensive view of atrial fibrillation includes: heart rate information and target heart rate identification within a preset atrial fibrillation monitoring period, and preset atrial fibrillation monitoring Atrial fibrillation information within a period; the atrial fibrillation information includes at least one of atrial fibrillation load, atrial fibrillation occurrence times, and atrial fibrillation duration; wherein, the target heart rate identifier is used to identify a preset target heart rate.
一实施例提供的方法中,在所述获取心率分析结果和房颤分析结果的步骤之前,所述方法还包括:In the method provided by an embodiment, before the step of acquiring the heart rate analysis result and the atrial fibrillation analysis result, the method further includes:
获取患者的包括心电参数在内的至少一项生命体征参数的监护数据;Obtain monitoring data of at least one vital sign parameter including ECG parameters of the patient;
根据所述监护数据,进行心率检测得到心率分析结果;和/或,According to the monitoring data, heart rate detection is performed to obtain a heart rate analysis result; and/or,
根据所述监护数据,进行房颤检测得到房颤分析结果。According to the monitoring data, atrial fibrillation detection is performed to obtain an atrial fibrillation analysis result.
一实施例提供的方法中,所述房颤综合视图中还包括:In the method provided in an embodiment, the comprehensive view of atrial fibrillation further includes:
预设房颤监测期内心率超过所述目标心率的总持续时间和/或总持续时间占比。The total duration and/or the proportion of the total duration during which the heart rate exceeds the target heart rate during the preset atrial fibrillation monitoring period.
一实施例提供的方法中,所述心率信息包括:In the method provided by an embodiment, the heart rate information includes:
用于体现预设房颤监测期内不同时刻的心率值的散点图;或者,A scatter plot used to reflect the heart rate values at different times during the preset atrial fibrillation monitoring period; or,
用于体现预设房颤监测期内不同时刻的心率值的曲线图或折线图;或者,A graph or line graph used to reflect the heart rate values at different times during the preset atrial fibrillation monitoring period; or,
用于体现预设房颤监测期内不同预设时间段内心率的极值、均值、中值和分位数中的至少一个的箱线图。A boxplot for representing at least one of the extreme value, mean value, median value and quantile of the heart rate in different preset time periods within the preset atrial fibrillation monitoring period.
一实施例提供的方法中,所述心率信息和房颤信息中的至少一部分共用时间坐标轴。In the method provided in an embodiment, at least a part of the heart rate information and the atrial fibrillation information share a time coordinate axis.
一实施例提供的方法中,还包括:In the method provided by an embodiment, it also includes:
在所述房颤综合视图中,对用户选择的目标分时段对应的心率信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,对用户选择的目标分时段对应的房颤信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示;和/或,In the comprehensive view of atrial fibrillation, at least a part of the heart rate information corresponding to the target sub-period selected by the user is displayed in a different manner from that of other time periods, and the atrial fibrillation information corresponding to the target sub-period selected by the user is displayed in a different manner. At least a part of the display is displayed differently from the display in other time periods; and/or,
对第一时间段的心率信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,对第一时间段的房颤信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,其中,所述第一时间段为:心率超过所述目标心率的持续时间,并且其中,所述持续时间大于预设阈值时间、所述持续时间内发生了房颤。Differential display is performed on at least a part of the heart rate information in the first time period that is different from that in other time periods, and at least a part of the atrial fibrillation information in the first time period is displayed in a different way from other time periods. The first time period is: the duration of the heart rate exceeding the target heart rate, and wherein the duration is greater than a preset threshold time, and atrial fibrillation occurs within the duration.
一实施例提供的方法中,所述房颤综合视图中还包括:用于体现预设房颤监测期内不同时间段的房颤信息的曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一或其组合;或者,预设房颤监测期内的典型房颤事件统计信息和/或典型心率事件统计信息。In the method provided in an embodiment, the comprehensive view of atrial fibrillation further includes: a graph, a histogram, a bar graph, a boxplot, a graph, a histogram, a bar graph, a boxplot, a graph, a graph, a histogram, a bar graph, a boxplot, One or a combination of a scatter chart, a line chart, a pie chart, and a donut chart; or, the statistical information of typical atrial fibrillation events and/or the statistical information of typical heart rate events within a preset monitoring period of atrial fibrillation.
一实施例提供的方法中,所述典型房颤事件统计信息和/或典型心率事件统计信息包括以下至少一个典型事件的发生起始时刻、发生终止时刻、发生次数、持续时间或对应的房颤负荷中的一个或多个:房颤伴快速心率、房颤伴RR长间歇、心动过速、心动过缓、极度心动过速、极度心动过缓、房颤伴慢速心率、首发房颤、最大心率房颤、持续时间最长房颤、心率极值;和/或,心率超过所述目标心率的总持续时间内房颤发生的次数、心率超过所述目标心率的总持续时间内每次房颤的持续时间。In the method provided by an embodiment, the statistical information of typical atrial fibrillation events and/or the statistical information of typical heart rate events includes the starting time, the ending time, the number of occurrences, the duration or the corresponding atrial fibrillation at least one of the following typical events One or more of the stress: AF with fast heart rate, AF with RR long interval, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, AF with slow heart rate, first-episode AF, Maximum heart rate atrial fibrillation, longest duration atrial fibrillation, heart rate extreme value; and/or, the number of occurrences of atrial fibrillation within the total duration of the heart rate exceeding the target heart rate, each time within the total duration of the heart rate exceeding the target heart rate Duration of atrial fibrillation.
一实施例提供的方法中,所述房颤综合视图中还包括:预设房颤监测期内的典型波形信息;所述典型波形信息包括以下至少一种波形的至少一个片段:患者首发房颤的心电波形、包含心率最高值的一段心电波形、包含心率最低值的一段心电波形、包含房颤伴最大心率的一段心电波形、持续时间最长的房颤对应的心电波形。In the method provided in an embodiment, the comprehensive view of atrial fibrillation further includes: typical waveform information within a preset monitoring period of atrial fibrillation; the typical waveform information includes at least one segment of at least one of the following waveforms: the patient's first-episode atrial fibrillation The ECG waveform contains the highest heart rate value, the ECG waveform contains the lowest heart rate value, the ECG waveform contains atrial fibrillation with the maximum heart rate, and the ECG waveform corresponding to the longest duration of atrial fibrillation.
一实施例提供的方法中,所述房颤综合视图中还包括:预设房颤监测期内的心率统计图;所述心率统计图用于显示:有房颤发生型心率在不同数值范围的持续时间或持续时间占比、无房颤发生型心率在不同数值范围的持续时间或持续时间占比、以及目标心率标识。In the method provided by an embodiment, the comprehensive view of atrial fibrillation further includes: a heart rate statistical chart within a preset monitoring period of atrial fibrillation; the heart rate statistical chart is used to display: atrial fibrillation-type heart rate in different numerical ranges Duration or duration proportion, duration or duration proportion of heart rate without atrial fibrillation in different value ranges, and target heart rate identification.
一实施例提供一种监护设备,包括:An embodiment provides a monitoring device, including:
显示器、输入装置处理器,所述处理器用于获取心率分析结果和房颤分析结果;根据所述心率分析结果和所述房颤分析结果,控制所述显示器显示房颤综合视图,所述房颤综合视图中包括:预设房颤监测期内的心率信息和预设房颤监测期内的房颤信息;响应于输入装置接收的用于选择目标分时段的操作,进一步显示房颤分时段视图,所述房颤分时段视图中包括:所述目标分时段内的心率信息和所述目标分时段内的房颤信息中的至少一个,其中,所述目标分时段为多个最小单位时间段中的任一个,或者包括连续的多个最小单位时间段。A display and an input device processor, the processor is used for acquiring heart rate analysis results and atrial fibrillation analysis results; according to the heart rate analysis results and the atrial fibrillation analysis results, the display is controlled to display a comprehensive view of atrial fibrillation, the atrial fibrillation The comprehensive view includes: heart rate information within the preset atrial fibrillation monitoring period and atrial fibrillation information within the preset atrial fibrillation monitoring period; in response to the operation for selecting the target sub-period received by the input device, the atrial fibrillation sub-period view is further displayed , the atrial fibrillation sub-period view includes: at least one of heart rate information in the target sub-period and atrial fibrillation information in the target sub-period, wherein the target sub-period is a plurality of minimum unit time periods Any one of, or including multiple consecutive minimum unit time periods.
一实施例提供的监护设备中,所述监护设备还包括信号采集器,所述信号采集器用于获取患者的包括心电参数在内的至少一项生命体征参数的监护数据;In the monitoring device provided in an embodiment, the monitoring device further includes a signal collector, and the signal collector is configured to acquire monitoring data of at least one vital sign parameter including an electrocardiogram parameter of a patient;
所述处理器具体用于根据所述监护数据,进行心率检测得到所述心率分析结果;和/或,The processor is specifically configured to perform heart rate detection according to the monitoring data to obtain the heart rate analysis result; and/or,
根据所述监护数据,进行房颤检测得到房颤分析结果。According to the monitoring data, atrial fibrillation detection is performed to obtain an atrial fibrillation analysis result.
一实施例提供的监护设备中,所述心率信息包括以下至少一个:心率趋势信息、心率统计信息和典型心率事件统计信息;和/或,所述房颤信息包括以下至少一个:房颤趋势信息、房颤统计信息和典型房颤事件统计信息。In the monitoring device provided in an embodiment, the heart rate information includes at least one of the following: heart rate trend information, heart rate statistical information, and typical heart rate event statistical information; and/or, the atrial fibrillation information includes at least one of the following: atrial fibrillation trend information , atrial fibrillation statistics, and typical atrial fibrillation event statistics.
一实施例提供的监护设备中,所述房颤分时段视图中,所述心率信息中的至少一部分和所述房颤信息中的至少一部分用同一时间坐标轴进行显示。In the monitoring device provided in an embodiment, in the atrial fibrillation time-segmented view, at least a part of the heart rate information and at least a part of the atrial fibrillation information are displayed on the same time axis.
一实施例提供一种监护设备,包括:An embodiment provides a monitoring device, including:
显示器和处理器,所述处理器用于获取心率分析结果和房颤分析结果;根据所述心率分析结果和所述房颤分析结果,控制所述显示器显示房颤综合视图,所述房颤综合视图中包括:预设房颤监测期内的心率信息及其目标心率标识,以及预设房颤监测期内的房颤信息;所述房颤信息包括房颤负荷、房颤发生次数和房颤持续时间中的至少一个;其中,所述目标心率标识用于标识预设的目标心率。A display and a processor, the processor is configured to acquire the heart rate analysis result and the atrial fibrillation analysis result; according to the heart rate analysis result and the atrial fibrillation analysis result, control the display to display a comprehensive view of atrial fibrillation, and the comprehensive view of the atrial fibrillation It includes: heart rate information and its target heart rate identifier within the preset atrial fibrillation monitoring period, and atrial fibrillation information within the preset atrial fibrillation monitoring period; the atrial fibrillation information includes atrial fibrillation load, the number of atrial fibrillation occurrences, and the duration of atrial fibrillation at least one of the time; wherein, the target heart rate identifier is used to identify a preset target heart rate.
一实施例提供的监护设备中,所述房颤综合视图中还包括:In the monitoring device provided by an embodiment, the comprehensive view of atrial fibrillation further includes:
预设房颤监测期内心率超过所述目标心率的总持续时间和/或总持续时间占比。The total duration and/or the proportion of the total duration during which the heart rate exceeds the target heart rate during the preset atrial fibrillation monitoring period.
一实施例提供的监护设备中,所述心率信息包括:In the monitoring device provided by an embodiment, the heart rate information includes:
用于体现预设房颤监测期内不同时刻的心率值的散点图;或者,A scatter plot used to reflect the heart rate values at different times during the preset atrial fibrillation monitoring period; or,
用于体现预设房颤监测期内不同时刻的心率值的曲线图或折线图;或者,A graph or line graph used to reflect the heart rate values at different times during the preset atrial fibrillation monitoring period; or,
用于体现预设房颤监测期内不同预设时间段内心率的极值、均值、中值和分位数中的至少一个的箱线图。A boxplot for representing at least one of the extreme value, mean value, median value and quantile of the heart rate in different preset time periods within the preset atrial fibrillation monitoring period.
一实施例提供的监护设备中,所述监护设备包括监护仪或中央站。In an embodiment of the monitoring device provided, the monitoring device includes a monitor or a central station.
一实施例提供一种监护系统,包括:An embodiment provides a monitoring system, including:
第一设备,用于对患者进行监护;采集患者的包括心电参数在内的至少一项生命体征参数的监护数据;根据所述监护数据,进行心率检测得到心率分析结果;和/或,根据所述监护数据,进行房颤检测得到房颤分析结果;将所述心率分析结果和房颤分析结果发送给第二设备;a first device, used for monitoring a patient; collecting monitoring data of at least one vital sign parameter including an electrocardiogram parameter of the patient; performing heart rate detection according to the monitoring data to obtain a heart rate analysis result; and/or, according to For the monitoring data, perform atrial fibrillation detection to obtain the atrial fibrillation analysis result; send the heart rate analysis result and the atrial fibrillation analysis result to the second device;
第二设备,用于根据接收的心率分析结果和房颤分析结果显示房颤综合视图,所述房颤综合视图中包括:预设房颤监测期内的心率信息和预设房颤监测期内的房颤信息;响应于用户选择目标分时段的操作,进一步显示房颤分时段视图,所述房颤分时段视图中包括:所述目标分时段内的心率信息和所述目标分时段内的房颤信息中的至少一个。The second device is configured to display a comprehensive view of atrial fibrillation according to the received heart rate analysis result and atrial fibrillation analysis result, where the comprehensive atrial fibrillation view includes: heart rate information within a preset monitoring period of atrial fibrillation and a predetermined monitoring period of atrial fibrillation the atrial fibrillation information; in response to the user's operation of selecting the target sub-period, the atrial fibrillation sub-period view is further displayed, and the atrial fibrillation sub-period view includes: the heart rate information in the target sub-period and the target sub-period At least one of the atrial fibrillation information.
一实施例提供的监护系统中,所述房颤分时段视图中,所述心率信息中的至少一部分和所述房颤信息中的至少一部分用同一时间坐标轴进行显示。In the monitoring system provided in an embodiment, in the view of the atrial fibrillation by time period, at least a part of the heart rate information and at least a part of the atrial fibrillation information are displayed on the same time axis.
一实施例提供一种监护系统,包括:An embodiment provides a monitoring system, including:
第一设备,用于对患者进行监护;采集患者的包括心电参数在内的至少一项生命体征参数的监护数据;根据所述监护数据,进行心率检测得到心率分析结果;和/或,根据所述监护数据,进行房颤检测得到房颤分析结果;将所述心率分析结果和房颤分析结果发送给第二设备;a first device, used for monitoring a patient; collecting monitoring data of at least one vital sign parameter including an electrocardiogram parameter of the patient; performing heart rate detection according to the monitoring data to obtain a heart rate analysis result; and/or, according to For the monitoring data, perform atrial fibrillation detection to obtain the atrial fibrillation analysis result; send the heart rate analysis result and the atrial fibrillation analysis result to the second device;
第二设备,用于根据所述心率分析结果和所述房颤分析结果显示房颤综合视图,所述房颤综合视图中包括:预设房颤监测期内的心率信息及其目标心率标识,以及预设房颤监测期内的房颤信息;所述房颤信息包括房颤负荷、房颤发生次数和房颤持续时间中的至少一个;其中,所述目标心率标识用于标识预设的目标心率。The second device is configured to display a comprehensive view of atrial fibrillation according to the heart rate analysis result and the atrial fibrillation analysis result, where the comprehensive view of atrial fibrillation includes: heart rate information within a preset monitoring period of atrial fibrillation and a target heart rate identifier thereof, and atrial fibrillation information within a preset atrial fibrillation monitoring period; the atrial fibrillation information includes at least one of atrial fibrillation load, atrial fibrillation occurrence times, and atrial fibrillation duration; wherein, the target heart rate identifier is used to identify a preset target heart rate.
一实施例提供的监护系统中,所述房颤综合视图中还包括:In the monitoring system provided by an embodiment, the comprehensive view of atrial fibrillation further includes:
预设房颤监测期内心率超过所述目标心率的总持续时间和/或总持续时间占比。The total duration and/or the proportion of the total duration during which the heart rate exceeds the target heart rate during the preset atrial fibrillation monitoring period.
一实施例提供的监护系统中,所述心率信息包括:In the monitoring system provided by an embodiment, the heart rate information includes:
用于体现预设房颤监测期内不同时刻的心率值的散点图;或者,A scatter plot used to reflect the heart rate values at different times during the preset atrial fibrillation monitoring period; or,
用于体现预设房颤监测期内不同时刻的心率值的曲线图或折线图;或者,A graph or line graph used to reflect the heart rate values at different times during the preset atrial fibrillation monitoring period; or,
用于体现预设房颤监测期内不同预设时间段内心率的极值、均值、中值和分位数中的至少一个的箱线图。A boxplot for representing at least one of the extreme value, mean value, median value and quantile of the heart rate in different preset time periods within the preset atrial fibrillation monitoring period.
一实施例提供的监护系统中,所述第一设备包括监护仪,所述第二设备包括中央站。In the monitoring system provided in an embodiment, the first device includes a monitor, and the second device includes a central station.
一实施例提供一种计算机可读存储介质,包括程序,所述程序能够被处理器执行以实现如上所述的方法。An embodiment provides a computer-readable storage medium including a program executable by a processor to implement the method as described above.
依据上述实施例的监护系统、监护设备及其房颤呈现方法,通过获取心率分析结果和房颤分析结果,并根据心率分析结果和房颤分析结果显示房颤综合视图。房颤综合视图中包括:预设房颤监测期内的心率信息及其目标心率标识,以及预设房颤监测期内的房颤信息;其中房颤信息包括房颤负荷、房颤发生次数和房颤持续时间中的至少一个;目标心率标识用于标识预设的目标心率。通过房颤与心率的联合呈现,通过图形化的方式,可以全面、直观地为医护人员呈现房颤事件和心率的量化分析结果,进而有助于医护人员了解房颤患者心率控制目标的达成情况,提高了房颤管理的效率。According to the monitoring system, monitoring device and atrial fibrillation presentation method of the above embodiments, the heart rate analysis result and the atrial fibrillation analysis result are acquired, and the comprehensive view of atrial fibrillation is displayed according to the heart rate analysis result and the atrial fibrillation analysis result. The comprehensive view of atrial fibrillation includes: heart rate information and its target heart rate identifier within the preset monitoring period of atrial fibrillation, and information of atrial fibrillation within the preset monitoring period of atrial fibrillation; the atrial fibrillation information includes the load of atrial fibrillation, the number of occurrences of atrial fibrillation, and the At least one of the duration of atrial fibrillation; the target heart rate identifier is used to identify a preset target heart rate. Through the joint presentation of atrial fibrillation and heart rate, the quantitative analysis results of atrial fibrillation events and heart rate can be comprehensively and intuitively presented to medical staff in a graphical way, thereby helping medical staff to understand the achievement of heart rate control goals in patients with atrial fibrillation , improve the efficiency of atrial fibrillation management.
附图说明Description of drawings
图1为本发明提供的监护设备一实施例的结构框图;1 is a structural block diagram of an embodiment of a monitoring device provided by the present invention;
图2为本发明提供的监护设备中,房颤综合视图和房颤分时段视图一实施例的示意图;2 is a schematic diagram of an embodiment of a comprehensive view of atrial fibrillation and a view of atrial fibrillation by time periods in the monitoring device provided by the present invention;
图3为本发明提供的监护设备中,房颤综合视图和房颤分时段视图一实施例的示意图;3 is a schematic diagram of an embodiment of a comprehensive view of atrial fibrillation and a view of atrial fibrillation by time periods in the monitoring device provided by the present invention;
图4为本发明提供的监护设备中,处理器一实施例的结构框图;4 is a structural block diagram of an embodiment of a processor in the monitoring device provided by the present invention;
图5为本发明提供的房颤呈现方法一实施例的流程图;5 is a flowchart of an embodiment of a method for presenting atrial fibrillation provided by the present invention;
图6为本发明提供的监护设备中,房颤综合视图一实施例的示意图。FIG. 6 is a schematic diagram of an embodiment of a comprehensive view of atrial fibrillation in the monitoring device provided by the present invention.
具体实施方式Detailed ways
下面通过具体实施方式结合附图对本发明作进一步详细说明。其中不同实施方式中类似元件采用了相关联的类似的元件标号。在以下的实施方式中,很多细节描述是为了使得本申请能被更好的理解。然而,本领域技术人员可以毫不费力的认识到,其中部分特征在不同情况下是可以省略的,或者可以由其他元件、材料、方法所替代。在某些情况下,本申请相关的一些操作并没有在说明书中显示或者描述,这是为了避免本申请的核心部分被过多的描述所淹没,而对于本领域技术人员而言,详细描述这些相关操作并不是必要的,他们根据说明书中的描述以及本领域的一般技术知识即可完整了解相关操作。The present invention will be further described in detail below through specific embodiments in conjunction with the accompanying drawings. Wherein similar elements in different embodiments have used associated similar element numbers. In the following embodiments, many details are described so that the present application can be better understood. However, those skilled in the art will readily recognize that some of the features may be omitted under different circumstances, or may be replaced by other elements, materials, and methods. In some cases, some operations related to the present application are not shown or described in the specification, in order to avoid the core part of the present application from being overwhelmed by excessive description, and for those skilled in the art, these are described in detail. The relevant operations are not necessary, and they can fully understand the relevant operations according to the descriptions in the specification and general technical knowledge in the field.
另外,说明书中所描述的特点、操作或者特征可以以任意适当的方式结合形成各种实施方式。同时,方法描述中的各步骤或者动作也可以按照本领域技术人员所能显而易见的方式进行顺序调换或调整。因此,说明书和附图中的各种顺序只是为了清楚描述某一个实施例,并不意味着是必须的顺序,除非另有说明其中某个顺序是必须遵循的。Additionally, the features, acts, or characteristics described in the specification may be combined in any suitable manner to form various embodiments. At the same time, the steps or actions in the method description can also be exchanged or adjusted in order in a manner obvious to those skilled in the art. Therefore, the various sequences in the specification and drawings are only for the purpose of clearly describing a certain embodiment and are not meant to be a necessary order unless otherwise stated, a certain order must be followed.
本文中为部件所编序号本身,例如“第一”、“第二”等,仅用于区分所描述的对象,不具有任何顺序或技术含义。而本申请所说“连接”、“联接”,如无特别说明,均包括直接和间接连接(联接)。The serial numbers themselves, such as "first", "second", etc., for the components herein are only used to distinguish the described objects, and do not have any order or technical meaning. The "connection" and "connection" mentioned in this application, unless otherwise specified, include both direct and indirect connections (connections).
本发明提供的监护系统、监护设备及其房颤呈现方法,通过图形化方式全面直观地为医护人员呈现房颤事件和心率的量化分析结果,同时呈现出房颤患者心率控制目标的达成情况,为房颤管理提供了一种高效而便捷的辅助工具。具体而言,医生可以去看房颤负荷高低对于心率的影响,看高心率是否与房颤负荷高低是相关的,如果相关性一般,医生直接开一些控制心率的药物即可;如果非常相关,而患者心率又比较高,症状比较明显,医生可能会调整药物类型,除了单纯控制心率外,还会直接进行药物复律,例如使用胺碘酮类药物,使房颤转复为窦性心律,从而彻底控制心率;此外,医生可能不仅仅是开药,还会下决定去做房颤消融手术,解决源头问题。可见,两者联合呈现有利于医生对患者病情做出准确判断,并采取进一步的措施。The monitoring system, monitoring equipment and atrial fibrillation presentation method provided by the present invention can comprehensively and intuitively present the quantitative analysis results of atrial fibrillation events and heart rate for medical staff in a graphical manner, and at the same time show the achievement of the heart rate control target of atrial fibrillation patients, It provides an efficient and convenient auxiliary tool for the management of atrial fibrillation. Specifically, the doctor can look at the impact of atrial fibrillation load on the heart rate, and see whether the high heart rate is related to the atrial fibrillation load. If the correlation is general, the doctor can directly prescribe some drugs to control the heart rate; The patient's heart rate is relatively high and the symptoms are more obvious. The doctor may adjust the type of drug. In addition to simply controlling the heart rate, he will also directly perform drug cardioversion, such as the use of amiodarone to convert atrial fibrillation to sinus rhythm. In order to completely control the heart rate; in addition, the doctor may not only prescribe medicine, but also decide to do atrial fibrillation ablation to solve the source problem. It can be seen that the combined presentation of the two is helpful for doctors to make accurate judgments on the patient's condition and take further measures.
如图1所示,本发明提供的监护设备,包括信号采集器10、处理器20、显示器30和输入装置40。As shown in FIG. 1 , the monitoring equipment provided by the present invention includes a
输入装置40构造为用于接收用户(通常是操作者)的输入,例如,可以采用鼠标、键盘、触控显示器、轨迹球和操纵杆中的一个或多个等,以接收用户输入的指令等。用户通过输入装置40可进行输入操作。The
显示器30构造为用于输出信息,例如输出可视化信息。显示器30可以采用只具备显示功能的显示器,也可以采用触控显示器。可见,显示器30和输入装置40为监护设备的人机交互装置,人机交互装置既能接收用户输入的指令,又能显示可视化信息。The
信号采集器10用于获取数据,如获取监护数据,具体的,获取患者的至少一项生命体征参数的监护数据,其中,所述至少一项生命体征参数中包括心电参数(心电信号);当然,也可以获取心率分析结果和房颤分析结果等。The
监护设备可以是监护仪、本地中央站、远程中央站、云端服务系统、移动终端中的任一个,相应的信号采集器10获取监护数据的方式也是不同的。例如,监护设备是监护仪,则信号采集器10可采用传感器,传感器用于监护患者的生命体征参数,得到生命体征参数的监护数据。生命体征参数的监护数据可以包括生命体征参数种类(如心电、呼吸、无创血压、血氧饱和度、脉搏、体温、有创血压、呼吸末二氧化碳、呼吸力学、麻醉气体、心输出量、脑电双频指数中的一种或多种等)、生命体征参数数值、生命体征参数数值的变化趋势中的至少一种。又例如,监护设备可以是本地中央站、远程中央站、云端服务系统或移动终端,则信号采集器10为通信装置或通信接口,用于与监护仪通信连接,从监护仪中获取上述监护数据。The monitoring device may be any one of a monitor, a local central station, a remote central station, a cloud service system, and a mobile terminal, and the
处理器20可以构造为用于对信号采集器10获取的心电参数的监护数据进行心率检测得到心率分析结果,从心率分析结果中可以得到显示房颤综合视图所需的心率信息。心率信息包括以下至少一个:心率趋势信息、心率统计信息和典型心率事件统计信息,本实施例以包括这三者为例进行说明。The
处理器20对信号采集器10获取的监护数据进行房颤检测,得到房颤分析结果,从房颤分析结果中可以得到显示房颤综合视图所需的房颤信息。房颤信息包括以下至少一个:房颤趋势信息、房颤统计信息和典型房颤事件统计信息,本实施例以包括这三者为例进行说明。The
处理器20还用于根据心率分析结果和房颤分析结果,通过与处理器20通信连接的显示器30显示房颤综合视图(AF View),如图2和图3所示。房颤综合视图中包括:预设房颤监测期内的心率信息和预设房颤监测期内的房颤信息。医生可以在房颤综合视图中进行相应的操作,例如通过输入装置40选择目标分时段,目标分时段在房颤监测期内。处理器20响应于输入装置40接收的用于选择目标分时段的操作,进一步显示房颤分时段视图840,房颤分时段视图840中包括:目标分时段内的心率信息和目标分时段内的房颤信息中的至少一个。医生通过房颤综合视图能看到房颤监测期内患者的心率和房颤情况,并且可以通过操作进一步看到分时段内患者的心率和房颤情况,即,房颤和心率信息不仅同时呈现,而且能方便的选取并呈现分时段对应的心率和房颤,提高了房颤管理的效率。The
房颤综合视图中还包括:预设房颤监测期内的心率信息及其目标心率标识,以及预设房颤监测期内的房颤信息;目标心率标识用于标识预设的目标心率。通过房颤与心率的联合呈现,通过图形化的方式,可以全面、直观地为医护人员呈现房颤事件和心率的量化分析结果,进而有助于医护人员了解房颤患者心率控制目标的达成情况,提高了房颤管理的效率。The comprehensive view of atrial fibrillation also includes: heart rate information and a target heart rate identifier within the preset atrial fibrillation monitoring period, and atrial fibrillation information within the preset atrial fibrillation monitoring period; the target heart rate identifier is used to identify the preset target heart rate. Through the joint presentation of atrial fibrillation and heart rate, the quantitative analysis results of atrial fibrillation events and heart rate can be comprehensively and intuitively presented to medical staff in a graphical way, thereby helping medical staff to understand the achievement of heart rate control goals in patients with atrial fibrillation , improve the efficiency of atrial fibrillation management.
请参阅图4,处理器20包括:心率分析单元210,房颤分析单元220和统计单元230。处理器20的各个单元进行房颤呈现的过程如图5所示,包括如下步骤:Referring to FIG. 4 , the
步骤1、处理器20获取心率分析结果和房颤分析结果,例如通过信号采集器10直接从监护仪中获取心率分析结果和房颤分析结果,又例如通过信号采集器10获取患者的包括心电参数在内的至少一项生命体征参数的监护数据,进而根据所述监护数据,进行心率检测得到心率分析结果;和/或,根据所述监护数据,进行房颤检测得到房颤分析结果,本实施例以后者为例进行说明。应理解地是,获取心率分析结果和房颤分析结果的步骤可以在同一执行主体上实现,也可以在不同执行主体上实现。例如,可以在信号采集器10上完成监护数据的采集和分析,得到心率分析结果,处理器20直接从信号采集器10获取该心率分析结果;同时,信号采集器10不进行房颤检测,直接将用于房颤检测的监护数据发送给处理器20,在处理器20上完成房颤检测,得到房颤分析结果。又例如,信号采集器10可以仅完成监护数据的采集,处理器20获取信号采集器10采集的监护数据后,在处理器20上完成心率检测和房颤检测,得到心率分析结果和房颤分析结果。其他可能的情况,不在此赘述。
具体的,心率分析单元210通过信号采集器10获取患者的至少一项生命体征参数的监护数据,获取的生命体征参数的监护数据中包括心电参数的监护数据。获取生命体征参数的监护数据可以有多种方式,例如方式一:获取实时的监护数据,方式二:获取预设房颤监测期内的监护数据,下面具体说明。Specifically, the heart
方式一中,心率分析单元210通过信号采集器10实时获取患者的至少一项生命体征参数的监护数据。以信号采集器10为传感器为例,传感器收集和预处理患者的生命体征参数的监护数据,其中就包括一个导联的心电参数,得到对应的实时监护数据。以信号采集器10为通信装置或通信接口为例,心率分析单元210通过通信装置或通信接口,从监护仪中实时获取生命体征参数的监护数据。通过持续不断的获取实时监护数据,最终使得房颤综合视图能呈现预设房颤监测期内的各项数据。In the first mode, the heart
方式二中,心率分析单元210通过信号采集器10获取预设房颤监测期内患者的至少一项生命体征参数的监护数据。同样的,以信号采集器10为传感器为例,传感器收集和预处理了预设房颤监测期内患者的生命体征参数的监护数据。以信号采集器10为通信装置或通信接口为例,心率分析单元210通过通信装置或通信接口,从监护仪中获取预设房颤监测期内患者的生命体征参数的监护数据。通过一次性获取房颤监测期内各项生命体征参数的监护数据,最终使得房颤综合视图能呈现预设房颤监测期内的各项数据。预设房颤监测期可以是系统自动预设的,也可以是用户输入或更改的,例如,通过显示器提供一设置界面,用户在设置界面中通过输入装置输入或更改房颤监测期,则处理器20得到新的房颤监测期,进而,处理器20采用新的房颤监测期更新房颤综合视图。房颤监测期可以以小时计、以天计等,本实施例中房颤监测期以24小时为例进行说明。In the second manner, the heart
当然,方式一和方式二仅用于举例说明,还可以有其他方式,本发明对获取生命体征参数的监护数据不作限制,只要能提供房颤综合视图所需的数据即可。Of course, the first way and the second way are only used for illustration, and there may be other ways. The present invention does not limit the acquisition of monitoring data of vital sign parameters, as long as the data required for the comprehensive view of atrial fibrillation can be provided.
心率分析单元210根据心电参数的监护数据,进行心率检测得到心率分析结果,例如得到房颤监测期内各个时刻的心率,从而得到了心率趋势信息。心率包括但不限于心室率,本实施例以心室率为例进行说明。The heart
房颤分析单元220通过信号采集器10获取房颤分析结果。具体可以有多种方式,例如,心率分析单元210获取的是实时监护数据,则房颤分析单元220基于获取的实时监护数据进行房颤检测,得到房颤分析结果,房颤分析结果中至少包括患者发生的房颤事件的信息。具体的,房颤事件可以根据心电参数的监护数据进行房颤检测得到,也可以根据其他参数例如血氧参数、有创血压和/或无创血压的监护数据进行房颤检测得到,本实施例以前者为例进行说明。房颤分析单元220通过信号采集器10实时获取患者的心电参数的监护数据,房颤分析单元220对实时的心电参数的监护数据进行房颤检测,若发生房颤则生成房颤事件的信息和房颤的持续时间段。例如,房颤分析单元220对实时的心电参数的监护数据进行噪声处理;进行P波分析得到P波的有无、P波的起止点、峰值点等;进行f颤动波分析得到f颤动波的有无;进行RR间期不规则度分析,具体的,基于相邻R波计算RR间期长短,其倒数就是心率,对预设的一段时间内,RR间期组成的序列进行不规则度分析,判断得到当前段落心率是否绝对不匀齐;进行心搏分类,得到心搏分类结果,心搏分类结果有:窦性、房性、室性以及其它类别这4种;通过上述的一种或多种分析,得到患者发生的房颤事件的信息,例如房颤事件发生的起始时刻与停止时刻等,并存储房颤事件的信息。The atrial
房颤分析单元220还基于房颤起始与停止时刻计算得到房颤的持续时间段,根据房颤的持续时间段以及预设的更新周期计算得到实时房颤负荷,定义房颤负荷的方法很多,如预设的更新周期(一个预设的时间段)内房颤发生最长的持续时间、房颤发生的数量或房颤持续时间段所占的百分比,本实施例中,将房颤的持续时间段在更新周期中所占的百分比作为房颤负荷(AF Burden)。预设的更新周期可以是系统自动预设的,也可以是用户输入或更改的,其可以以分钟计、以小时计等,本实施例中更新周期为最小单位时间段。The atrial
又例如,心率分析单元210获取的是预设房颤监测期内的监护数据,则房颤分析单元220基于获取的监护数据进行房颤检测,得到房颤事件,本实施例中,房颤分析单元220对预设房颤监测期内心电参数的监护数据进行房颤检测,得到房颤分析结果。具体过程同上述实时房颤检测,在此不做赘述。For another example, if the heart
在有的实施例中,房颤分析单元220还可以通过信号采集器10从监护仪中直接获取实时的房颤事件的信息,或者通过信号采集器10从监护仪中直接获取在预设房颤监测期内患者发生的房颤事件的信息。In some embodiments, the atrial
房颤分析单元220根据房颤事件和/或房颤负荷,得到房颤趋势信息,房颤趋势信息可以包括:房颤发生次数趋势(例如每个最小单位时间段内房颤发生次数的趋势)、房颤持续时间趋势(例如每个最小单位时间段内房颤持续时间的趋势)、房颤负荷趋势。The atrial
统计单元230从心率分析单元210中获取心率,从房颤分析单元220中获取房颤事件、房颤负荷等,进而进行分析统计,得到心率统计信息、房颤统计信息、典型心率事件及其统计信息、典型房颤事件及其统计信息、预设房颤监测期内心率超过目标心率的总持续时间和/或总持续时间占比。其中,心率统计信息中包括以下至少一个:有房颤发生型心率在不同数值范围的持续时间和/或持续时间占比、有房颤发生型心率的总持续时间和/或持续时间占比、无房颤发生型心率在不同数值范围的持续时间和/或持续时间占比、无房颤发生型心率的总持续时间和/或事件占比、目标心率标识;其中,所述目标心率标识用于标识预设的目标心率。房颤统计信息中包括以下至少一个:房颤总发生次数、房颤总持续时间、房颤总负荷、房颤持续时间分段统计信息、目标分时段信息和目标房颤负荷标识,其中,目标房颤负荷标识用于标识预设的目标房颤负荷值。典型心率事件和/或典型房颤事件包括以下至少一个事件:房颤伴快速心率、房颤伴RR长间歇、心动过速、心动过缓、极度心动过速、极度心动过缓、首发房颤、最大心率房颤、持续时间最长房颤、房颤伴慢速心率、心率极值。例如,统计单元230判断房颤发生时心率是否超过一对应的阈值,若是则确定发生房颤伴快速心率事件;判断房颤发生时RR间歇是否超过一对应的阈值,若是则确定发生房颤伴RR长间歇事件;判断心率与预设的极低限、低限、高限、极高限之间的大小,以确定是否发生对应的心动过缓、极度心动过缓、心动过速、极度心动过速等典型事件;判断发生的房颤是否为首发房颤,若是则确定发生首发房颤事件;判断心率最大时是否发生房颤,若是则确定发生最大心率房颤事件;比较各个房颤事件的持续时间,得到持续时间最长房颤;判断发生房颤时心率是否低于一对应的阈值,若是则确定发生了房颤伴慢速心率事件;比较各个心率的大小得到心率极值等。典型心率事件统计信息和/或典型房颤事件统计信息包括典型心率事件和/或典型房颤事件的发生起始时刻、发生终止时刻、发生次数、持续时间或对应的房颤负荷中的一个或多个。典型心率事件和典型房颤事件通常都属于报警事件,故统计单元230还在显示器上显示对应的报警提示信息。The
房颤监测期包括多个最小单位时间段,最小单位时间段例如采用1小时,统计单元230统计每个最小单位时间段内心率的极值、均值、中值、分位数等数值;还基于目标心率标识,统计房颤监测期内心率超过目标心率的总持续时长及其占比。心率超过目标心率的持续时间,对于只存在目标心率上限或目标心率下限的情况,可以是心率超过目标心率上限的持续时间、或心率超过(低于)目标心率下限的持续时间;对于即存在目标心率上限又存在目标心率下限的情况,可以包括心率超过目标心率上限的持续时间、心率超过(低于)目标心率下限的持续时间、和/或这两个持续时间之和等。The atrial fibrillation monitoring period includes multiple minimum unit time periods, and the minimum unit time period is, for example, 1 hour, and the
步骤2、处理器20根据心率分析结果和房颤分析结果显示房颤综合视图。房颤综合视图中包括:预设房颤监测期内的心率信息和预设房颤监测期内的房颤信息。房颤综合视图中,心率趋势信息中包括以下至少一个:心率趋势图、心率量化信息以及目标心率标识,其中,目标心率标识用于标识预设的目标心率,本实施例以包括心率趋势图和目标心率标识为例进行说明。心率量化信息可以是心率的具体数值,能对心率进行量化呈现即可。可见,心率趋势信息可以以图形、文字、数值等形式呈现。类似的,房颤趋势信息也可以以图形、文字、数值等形式呈现。本实施例中如图6所示,心率趋势信息采用心率趋势图810的形式呈现。房颤综合视图中,预设房颤监测期内不同时间段的房颤信息可以用曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一或其组合来体现。例如,房颤趋势信息可以采用房颤趋势图820和/或房颤负荷图830的形式呈现。其中房颤趋势图820体现的是房颤事件的趋势,其具体可以是各个最小单位时间段中房颤发生次数的趋势、各个最小单位时间段中房颤持续时间的趋势等。换而言之,房颤信息包括房颤负荷、房颤发生次数和房颤持续时间中的至少一个。Step 2: The
处理器20还可能获取了其他生命体征参数的监护数据,故房颤综合视图还可以包括其他生命体征参数(如脉率、血氧、无创血压、有创血压、呼吸、体温、每搏心输出量、心排量、心电图ST段、心电图QT间期、血糖、脑氧、尿量等)的趋势图(如图6中的ST-II、ART等曲线)。趋势图用以反映时间与数量之间的关系,例如,趋势图是以时间为横轴,观察变量为纵轴,观察变量变化发展的趋势及偏差的统计图。纵轴的观察变量可以是绝对量、平均值、发生率等。The
心率趋势图以及其他生命体征参数的趋势图反映生命体征参数的变化趋势即可,其可以是曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一,也可以是曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图中的各种组合。以心率的趋势图为例,心率的趋势图不仅可以呈现心率与时间的变化关系,还可以呈现至少各个最小单位时间段内心率的极值、均值、中值、分位数等数值,这些数值可以通过散点来显示,即心率信息包括:用于体现预设房颤监测期内不同时刻的心率值、心率的极值、均值、中值和/或分位数的散点图。当然,也可以将各个时间段的极值、均值、中值、分位数分别通过折线或曲线进行连接,即心率信息包括:用于体现预设房颤监测期内不同时刻的心率值、心率的极值、均值、中值和/或分位数的曲线图或折线图。当然,还可以将各个时间段的极值、均值、中值、分位数作为一组,形成箱线图(盒形图)的一个单元,即,心率信息包括:用于体现预设房颤监测期内不同预设时间段内心率的极值、均值、中值和分位数中的至少一个的箱线图。The trend graph of heart rate and other vital sign parameters can reflect the changing trend of vital sign parameters, which can be curve graph, histogram, bar graph, boxplot, scatter plot, line graph, pie chart, ring graph It can also be a line graph, a histogram, a bar graph, a boxplot, a scatter graph, a line graph, a pie graph, or a variety of combinations in a donut graph. Taking the trend graph of heart rate as an example, the trend graph of heart rate can not only show the relationship between heart rate and time, but also show the extreme value, mean, median, quantile and other values of heart rate at least in each minimum unit time period. It can be displayed by scatter, that is, the heart rate information includes: a scatter diagram used to represent the heart rate value, the extreme value, mean, median and/or quantile of the heart rate at different times within the preset atrial fibrillation monitoring period. Of course, the extreme values, mean values, median values, and quantiles of each time period can also be connected by polylines or curves, that is, the heart rate information includes: A graph or line graph of extreme values, mean, median, and/or quantiles. Of course, the extreme value, mean, median, and quantile of each time period can also be used as a group to form a unit of a boxplot (box plot), that is, the heart rate information includes: Boxplots of at least one of the extreme, mean, median and quantiles of the heart rate at different preset time periods within the monitoring period.
目标心率标识可以设置在心率趋势图上,如图6所示,本实施例中目标心率标识为表征目标心率值的目标线811。目标线811可以为一条,表征目标心率值的上限或目标心率值的下限,图6中为上限。目标线811也可以包括两条,如图2和图3所示,分别表征目标心率值的上限和目标心率值的下限。医生根据心率曲线810和目标线811可以对预设房颤监测期内心率超过目标心率的总持续时间和总持续时间占比有一个定性的了解。为了便于定量分析,房颤综合视图中还包括:预设房颤监测期内心率超过所述目标心率的总持续时间和/或总持续时间占比,例如在房颤综合视图中直接呈现心率超过目标心率的总持续时间和总持续时间占比的数值。目标线的具体数值可以预设,也可以在房颤综合视图上进行现场更改(拖动或点击后设置);例如,输入装置接收用户拖动或点击目标心率标识的指令,处理器响应于该指令更新目标心率标识对应的目标心率以及跟目标心率相关的其他数据(如上述的总持续时间和总持续时间占比等)。The target heart rate indicator can be set on the heart rate trend graph. As shown in FIG. 6 , in this embodiment, the target heart rate indicator is the
通过在心率趋势图中设定目标线,并量化分析心率在各时段的超限情况,便于医护人员对房颤患者进行个性化心率控制,分析手术、药物等治疗效果,为房颤管理提供更加切实高效的帮助。By setting the target line in the heart rate trend chart, and quantitatively analyzing the heart rate exceeding the limit in each period, it is convenient for medical staff to carry out personalized heart rate control for patients with atrial fibrillation, analyze the treatment effects of surgery and drugs, and provide more information for the management of atrial fibrillation. Practical and efficient help.
房颤综合视图中的心率统计信息,包括预设房颤监测期内的以下至少一个:有房颤发生型心率在不同数值范围的持续时间和/或持续时间占比、有房颤发生型心率的总持续时间和/或持续时间占比、无房颤发生型心率在不同数值范围的持续时间和/或持续时间占比、无房颤发生型心率的总持续时间和/或事件占比、目标心率标识;其中,所述目标心率标识用于标识预设的目标心率。其可以以预设房颤监测期内的心率统计图的方式来呈现。本实施例中,心率统计图用于显示房颤监测期内:有房颤发生型心率在不同数值范围的持续时间或持续时间占比、无房颤发生型心率在不同数值范围的持续时间或持续时间占比、以及目标心率标识。通过心率统计图,医生可以了解心率与房颤之间的关系,便于对患者的心率、房颤进行干预等。The heart rate statistics in the comprehensive view of atrial fibrillation, including at least one of the following within the preset monitoring period of atrial fibrillation: the duration and/or the proportion of the duration of the heart rate with atrial fibrillation in different value ranges, the heart rate with atrial fibrillation The total duration and/or the proportion of durations, the duration and/or duration proportion of heart rate without atrial fibrillation in different value ranges, the proportion of total duration and/or events of heart rate without atrial fibrillation, A target heart rate identifier; wherein, the target heart rate identifier is used to identify a preset target heart rate. It can be presented in the form of a heart rate graph within a preset atrial fibrillation monitoring period. In this embodiment, the heart rate statistic chart is used to display the duration or proportion of the heart rate with atrial fibrillation in different value ranges, the duration or the duration of the heart rate without atrial fibrillation in different value ranges during the monitoring period of atrial fibrillation. Duration ratio, and target heart rate indicator. Through the heart rate chart, doctors can understand the relationship between heart rate and atrial fibrillation, which is convenient for intervening on the patient's heart rate and atrial fibrillation.
房颤趋势图820用于呈现在预设房颤监测期内患者发生的房颤事件,例如,呈现房颤事件次数和/或频率在预设房颤监测期内的变化。房颤趋势图820反映房颤事件的变化趋势即可,其可以是曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一,也可以是曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图中的各种组合。通过房颤趋势图820,医生可以看到想要关注的时间段内是否发生了房颤,房颤事件的分布(发生次数、持续时间)情况,房颤发生的有和无等,非常方便。The atrial
房颤负荷图830用于呈现预设房颤监测期内至少一个最小单位时间段内的房颤负荷。通过房颤负荷图830,可以直接定量的给出每个最小单位时间段之间的负荷变化,医生可以看到房颤累积程度的多与少,负荷的高于低,非常方便。最小单位时间段可以是系统自动预设的,也可以是用户输入的或用户更改的。图2、3所示的实施例中,最小单位时间段为1小时。最小单位时间段可以与更新周期相同,也可以不同,本实施例以前者为例进行说明。图2、3和6列举了一种房颤负荷图830,其为统计直方图,其中直方图的每一个条形块的高度或长度代表每个最小单位时间段内的房颤负荷,最大值100%意味着患者在这个最小单位时间段内一直持续发生房颤,条形块的宽度即为最小单位时间段的时长,可由用户设定。如图2和图3所示,其中直方图上边沿拟合了一条连续曲线,代表了房颤监测期内整个房颤负荷的变化分布。房颤负荷图830上还设置有目标房颤负荷标识,目标房颤负荷标识用于标识预设的目标房颤负荷值,本实施例中同样采用表征目标房颤负荷值的目标线。通过在房颤负荷图830中设定目标线,便于医护人员对房颤患者进行个性化房颤负荷控制,分析手术、药物等治疗效果,为房颤管理提供更加切实高效的帮助。The atrial
在房颤综合视图中,对第一时间段的心率信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,对第一时间段的房颤信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,其中,第一时间段为:心率超过目标心率的持续时间,并且,所述持续时间大于预设阈值时间、所述持续时间内发生了房颤。例如,在心率趋势图810上,对第一时间段对应的区域进行差异化显示,如将该区域标粗、标颜色等,从而与其他时间段对应的区域不同,有利于醒目的提示医生;在房颤趋势图820和/或房颤负荷图830上,对第一时间段对应的区域进行差异化显示,如将该区域标出、标颜色等,从而与其他时间段对应的区域不同,有利于醒目的提示医生。阈值时间根据需要进行设置,例如阈值时间为所述持续时间的一半,即,若心率超过目标线的时间≥50%,且该时段下有房颤事件发生(只要房颤负荷图830的相应时段出现了一定高度的直方图,就说明肯定有房颤发生了),则对心率趋势图810、房颤趋势图820和/或房颤负荷图830上相应的区域进行颜色区分,以突出呈现,如此,能快速的让医生判断心率超过目标线是否由房颤引起。In the comprehensive view of atrial fibrillation, at least a part of the heart rate information of the first time period is displayed in a different manner from that of other time periods, and at least a part of the atrial fibrillation information of the first time period is displayed in a different way from that of other time periods. Differential display with different display modes of segments, wherein the first time segment is: the duration of the heart rate exceeding the target heart rate, and the duration is greater than the preset threshold time, and atrial fibrillation occurs within the duration. For example, on the heart
房颤分析单元220还在显示器的显示界面显示实时房颤负荷,可以将实时房颤负荷显示在房颤综合视图中,即房颤综合视图还包括实时的房颤负荷信息,也可以将实时房颤负荷显示在其他显示界面。实时房颤负荷中所谓的“实时”是基于一定秒数、分钟或小时进行刷新,即基于更新周期进行刷新,用户可配置更新周期,当然也可依据房颤事件的出现时刻进行数值刷新。The atrial
房颤综合视图中还包括:预设房颤监测期内的典型波形信息,如图6的典型波形区所示。典型波形信息包括以下至少一种波形的至少一个片段:患者首发房颤的心电波形、包含心率最高值的一段心电波形、包含心率最低值的一段心电波形、包含房颤伴最大心率的一段心电波形、持续时间最长的房颤对应的心电波形。首发房颤,意味着临床在此之前从未发现过该病人有房颤事件,即第一次发现,有诊断价值,对未来的房颤进一步明细确诊和管理有时间位点的价值。由于“心率控制是房颤管理的主要策略,也是房颤治疗的基本目标之一”,故心率的最大值、最小值等最值能够一定程度上反映心率控制的效果,具有临床意义。The comprehensive view of atrial fibrillation also includes: typical waveform information during the preset monitoring period of atrial fibrillation, as shown in the typical waveform area in Figure 6 . The typical waveform information includes at least one segment of at least one of the following waveforms: the ECG waveform of the patient's first atrial fibrillation, a segment of ECG waveforms including the highest heart rate, a segment of ECG waveforms including the lowest heart rate, and an ECG waveform including atrial fibrillation with a maximum heart rate. An ECG waveform corresponding to the longest duration of atrial fibrillation. First-episode atrial fibrillation means that the patient has never been found to have atrial fibrillation events before, that is, the first discovery, which has diagnostic value, and has time-site value for further diagnosis and management of future atrial fibrillation. Since "heart rate control is the main strategy of atrial fibrillation management and one of the basic goals of atrial fibrillation treatment", the maximum and minimum values of heart rate can reflect the effect of heart rate control to a certain extent, which is of clinical significance.
房颤综合视图中还包括预设房颤监测期内的:房颤统计信息、典型房颤事件统计信息、典型心率事件统计信息、心率超过目标心率的总持续时间内房颤发生的次数,和/或心率超过目标心率的总持续时间内每次房颤的持续时间。房颤综合视图的房颤统计信息中包括以下至少一个:预设房颤监测期内的房颤总发生次数、预设房颤监测期内的房颤总持续时间、预设房颤监测期内的房颤总负荷、房颤持续时间分段统计信息和目标房颤负荷标识,其中,目标房颤负荷标识用于标识预设的目标房颤负荷值。典型心率事件统计信息和/或典型房颤事件统计信息包括以下至少一个事件的发生起始时刻、发生终止时刻、发生次数、持续时间或对应的房颤负荷中的一个或多个:房颤伴快速心率、房颤伴RR长间歇、心动过速、心动过缓、极度心动过速、极度心动过缓、首发房颤、最大心率房颤、持续时间最长房颤、房颤伴慢速心率、心率极值。通过典型事件的统计信息,医生能快速了解房颤监测期内患者的心率、房颤等情况。Also included in the AF comprehensive view during the preset AF monitoring period: AF statistics, typical atrial fibrillation event statistics, typical heart rate event statistics, the number of atrial fibrillation occurrences within the total duration for which the heart rate exceeds the target heart rate, and The duration of each atrial fibrillation for the total duration for which the heart rate exceeds the target heart rate. The atrial fibrillation statistics in the comprehensive view of atrial fibrillation include at least one of the following: the total number of atrial fibrillation occurrences within the preset atrial fibrillation monitoring period, the total duration of atrial fibrillation within the preset atrial fibrillation monitoring period, and the preset atrial fibrillation monitoring period The total load of atrial fibrillation, the segmented statistical information of the duration of atrial fibrillation, and the target atrial fibrillation load identifier, wherein the target atrial fibrillation load identifier is used to identify a preset target atrial fibrillation load value. The typical heart rate event statistics and/or the typical atrial fibrillation event statistics include one or more of the following at least one of the occurrence start time, the occurrence end time, the number of occurrences, the duration, or the corresponding atrial fibrillation load: atrial fibrillation with Rapid heart rate, atrial fibrillation with RR long interval, tachycardia, bradycardia, extreme tachycardia, extreme bradycardia, first-episode atrial fibrillation, maximum heart rate atrial fibrillation, longest duration atrial fibrillation, atrial fibrillation with slow heart rate , heart rate extreme. Through the statistical information of typical events, doctors can quickly understand the patient's heart rate and atrial fibrillation during the monitoring period of atrial fibrillation.
房颤综合视图中,心率分析单元210、房颤分析单元220和统计单元230获取、处理得到的上述数据,可以显示在三个独立的显示区域,例如上、中、下三块平铺的矩形中。也可以将心率分析单元210和房颤分析单元220得到的上述数据进行叠加,横轴代表时间轴,两侧纵轴分别代表房颤负荷(0~100%)与心率(如0~150bpm),即心率信息中的至少一部分和房颤信息中的至少一部分用同一时间坐标轴进行显示,例如,心率信息中的心率趋势图和房颤信息中的房颤趋势图、房颤负荷图用同一时间坐标轴进行显示,如图6所示,三者并列显示;当然,有的实施例中,房颤负荷图830可以和心率趋势图810和/或房颤趋势图820叠加显示,如此,便于医生直观的比较三者之间的相关性。还可以将心率统计信息、典型心率事件统计信息、房颤统计信息和典型房颤事件统计信息等全局性统计结果,集中显示在一个区域(如图6的信息统计区)。全局性统计结果是指“对心率异常事件、房颤事件的联合显示”。In the comprehensive view of atrial fibrillation, the above-mentioned data obtained and processed by the heart
步骤3、用户(例如医生)可通过输入装置在房颤综合视图上进行操作,例如进行选择目标分时段的操作。处理器20响应于用户选择目标分时段的操作,通过显示器进一步显示房颤分时段视图840,即,心率分析单元210、房颤分析单元220和统计单元230共同根据心率信息和房颤信息显示房颤分时段视图840。用户选择目标分时段可以有多种形式,例如,通过输入装置直接输入目标分时段,也可以通过输入装置在心率趋势图810、其他生命体征参数的趋势图、房颤事件趋势图820或房颤负荷图830上选择目标分时段。目标分时段可以为所述多个最小单位时间段中的任一个,如图2和图3所示,用户操作输入装置在房颤负荷图830上点击,点击的位置对应的最小单位时间段为目标分时段,当然,目标分时段也可以包括连续的多个最小单位时间段,用户可以操作输入装置在房颤负荷图830上滑动选择一段距离,这段距离对应的多个最小单位时间段为目标分时段;可见,随着用户点击的时间区间不同,房颤分时段视图840所呈现的内容是会随之变化的。用户可以在查看房颤综合视图时选取自己感兴趣的时间段从而呈现房颤分时段视图840,信息显示非常快捷。
响应于用户选择目标分时段的操作,处理器20还在房颤综合视图中,对目标分时段对应的心率信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,对目标分时段对应的房颤信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示。例如,在房颤综合视图的心率趋势图810上,对目标分时段对应的区域进行差异化显示,如将该区域标粗、标颜色等,从而与其他时间段对应的区域不同,有利于醒目的提示医生;在房颤综合视图的房颤趋势图820和/或房颤负荷图830上,对目标分时段对应的区域进行差异化显示,如将该区域标出、标颜色、用a、b虚线显示等,从而与其他时间段对应的区域不同,有利于醒目的提示医生。In response to the user's operation of selecting the target sub-period, the
如图2所示,房颤综合视图800和房颤分时段视图840在不同区域进行显示,例如,房颤分时段视图840可以显示在房颤综合视图800周围。当然,如图3所示,房颤综合视图800和房颤分时段视图840至少部分重合地进行显示,房颤分时段视图840位于房颤综合视图800的上层。房颤分时段视图840也可以以浮窗的形式进行显示,即房颤分时段视图840作为浮动窗口显示在房颤综合视图800上,用户取消目标分时段的操作时浮窗消失或停留几秒后消失。房颤分时段视图840还可以在固定区域中进行显示,即房颤分时段视图840始终保留在某个固定区域,只是用户在选择不同的目标分时段时,该区域中的内容会相应变化。当然,房颤分时段视图840还可以在一个单独的显示界面进行显示等。As shown in FIG. 2 , the AF
房颤分时段视图840中包括:目标分时段内的心率信息和目标分时段内的房颤信息中的至少一个,本实施例以包括上述两者为例进行说明。同样的,房颤分时段视图840中的心率信息包括以下至少一个:心率趋势信息、心率统计信息和典型心率事件统计信息;房颤分时段视图840中的房颤信息包括以下至少一个:房颤趋势信息、房颤统计信息和典型房颤事件统计信息。房颤分时段视图840可以相当于房颤综合视图800的一个局部视图,医生可以在目标分时段内看到心率、房颤的综合信息,便于准确的研判患者的病情。The atrial fibrillation
房颤分时段视图840中,心率趋势信息中包括以下至少一个:心率趋势图、心率量化信息以及目标心率标识,其中,目标心率标识用于标识预设的目标心率,本实施例以包括心率趋势图和目标心率标识为例进行说明。心率量化信息可以是心率的具体数值,能对心率进行量化呈现即可。可见,房颤分时段视图840中心率趋势信息可以以图形、文字、数值等形式呈现。类似的,房颤趋势信息也可以以图形、文字、数值等形式呈现。本实施例中如图2和3所示,心率趋势信息和心率统计信息显示在心率分段趋势区。房颤分时段视图840中心率趋势信息采用心率趋势图810’的形式呈现,医生可以看到目标分时段内具体的心率趋势,便于进一步掌握患者的心率情况。房颤分时段视图840中,目标分时段内不同时间段的房颤信息可以用曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一或其组合来体现。例如,房颤趋势信息可以采用房颤趋势图和/或房颤负荷图的形式呈现。图2和图3所示的实施例中,房颤分时段视图840包括的房颤信息主要是房颤统计信息和典型房颤事件统计信息,显示在房颤分段统计区。In the atrial fibrillation time-by-
房颤分时段视图840还可以包括其他生命体征参数在目标分时段内的趋势图。Atrial fibrillation
同样的,房颤分时段视图840中的心率趋势图810’以及其他生命体征参数的趋势图,可以是曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一或其组合。同样的,以心率趋势图810’为例,其不仅可以呈现目标分时段内心率的变化情况,还可以呈现各个最小单位时间段内心率的极值、均值、中值、分位数等数值,这些数值可以通过散点来显示,即心率信息包括:用于体现目标分时段内不同时刻的心率值、心率的极值、均值、中值和/或分位数的散点图。当然,也可以将各个最小单位时间段的极值、均值、中值、分位数分别通过折线或曲线进行连接,即心率信息包括:用于体现目标分时段内不同时刻的心率值、心率的极值、均值、中值和/或分位数的曲线图或折线图。当然,还可以将各个最小单位时间段的极值、均值、中值、分位数作为一组,形成箱线图(盒形图)的一个单元,即,心率信息包括:用于体现目标分时段内不同预设时间段内心率的极值、均值、中值和分位数中的至少一个的箱线图。Similarly, the heart
目标心率标识可以设置在心率趋势图810’上,如图2/3所示,本实施例中目标心率标识为表征目标心率值的目标线811。与房颤综合视图中的目标线一样,房颤分时段视图840的心率趋势图810’中的目标线811可以为一条也可以包括两条,在此不做赘述。同样的,房颤分时段视图840中还可以包括:目标分时段内心率超过目标心率的总持续时间和/或总持续时间占比。同样的,目标线的具体数值也可以在房颤分时段视图840上进行现场更改(拖动或点击后设置);例如,输入装置接收用户拖动或点击目标心率标识的指令,处理器响应于该指令更新目标心率标识对应的目标心率以及跟目标心率相关的其他数据(如上述的总持续时间和总持续时间占比等)。The target heart rate identifier can be set on the heart rate trend graph 810'. As shown in Figure 2/3, the target heart rate identifier in this embodiment is the
房颤分时段视图840中的心率统计信息,可以以目标分时段内的心率统计图842的方式来呈现。心率统计图842用于显示目标分时段内:有房颤发生型心率在不同数值范围的持续时间或持续时间占比、无房颤发生型心率在不同数值范围的持续时间或持续时间占比、以及目标心率标识811。其中,不同类型(有房颤发生型和无房颤发生型)的心率在心率统计图842中差异化显示,例如用不同的颜色或纹理标记。本发明在定量统计不同数值范围内的心率的持续时间及其占比的基础上,综合考量了房颤对于患者心血管系统的实质影响,更为直接而有效地为医护呈现出对房颤患者进行心率控制的效果,为医护评估房颤预后以及危险性事件的发生风险等提供临床参考意义。The heart rate statistics in the atrial
房颤分时段视图840中的房颤趋势图(图中未示出)用于呈现目标分时段内患者发生的房颤事件,例如,呈现房颤事件次数和/或频率在预设房颤监测期内的变化。同样的,房颤分时段视图840中的房颤趋势图可以是曲线图、直方图、条形图、箱线图、散点图、折线图、饼图、环形图之一或其组合。The atrial fibrillation trend graph (not shown) in the atrial fibrillation
房颤分时段视图840中的房颤负荷图(图中未示出)用于呈现目标分时段内至少一个最小单位时间段内的房颤负荷。同样的,房颤分时段视图840中的房颤负荷图可以为统计直方图,其中直方图的每一个条形块的高度代表每个最小单位时间段内的房颤负荷,其中直方图上边沿可以拟合一条连续曲线,代表了目标分时段内整个房颤负荷的变化分布。房颤分时段视图840中的房颤负荷图上还可以设置目标房颤负荷标识。The atrial fibrillation stress map (not shown) in the atrial fibrillation
在房颤分时段视图840中,对第二时间段的心率信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,对第二时间段的房颤信息中的至少一部分进行与其他时间段的显示方式不同的差异化显示,其中,第二时间段为:目标分时段内心率超过目标心率的持续时间,并且,所述持续时间大于预设阈值时间、所述持续时间内发生了房颤。例如,在房颤分时段视图840的心率趋势图上,对第二时间段对应的区域进行差异化显示,如将该区域标粗、标颜色等,从而与其他时间段对应的区域不同,有利于醒目的提示医生;在房颤分时段视图840的房颤趋势图和/或房颤负荷图上,对第二时间段对应的区域进行差异化显示,如将该区域标出、标颜色等,从而与其他时间段对应的区域不同,有利于醒目的提示医生。In the atrial fibrillation period-by-
房颤分时段视图840中还可以包括:目标分时段内的典型波形信息。典型波形信息包括以下至少一种波形的至少一个片段:患者首发房颤的心电波形、包含心率最高值的一段心电波形、包含心率最低值的一段心电波形、包含房颤伴最大心率的一段心电波形、持续时间最长的房颤对应的心电波形。典型波形信息可以呈现给医生一段典型的心电波形,具有临床意义。The atrial fibrillation
房颤分时段视图840中还可以包括目标分时段内的:房颤统计信息、典型房颤事件统计信息、典型心率事件统计信息、心率超过目标心率的总持续时间内房颤发生的次数、和/或目标分时段内心率超过目标心率的总持续时间内每次房颤的持续时间。房颤分时段视图840的房颤统计信息如图2/3所示,其包括以下至少一个:目标分时段内的房颤总发生次数、目标分时段内的房颤总持续时间、目标分时段内的房颤总负荷、房颤持续时间分段统计信息、目标房颤负荷标识和目标分时段信息。通过呈现目标分时段的房颤事件、典型事件的统计信息,医生能快速了解目标分时段内患者的心率、房颤等具体情况。Atrial fibrillation
房颤分时段视图840中,心率信息中的至少一部分和房颤信息中的至少一部分可以用同一时间坐标轴进行显示,例如,房颤分时段视图840的心率趋势图和房颤分时段视图840的房颤趋势图、房颤负荷图用同一时间坐标轴进行显示,三者可以并列显示,当然,有的实施例中,房颤负荷图可以和心率趋势图和/或房颤趋势图可以重叠显示。如此,便于医生直观的比较三者在目标分时段内的相关性。In the atrial fibrillation
综上,本发明提供的监护设备及其房颤呈现方法,通过图形、文字和数值等元素相结合的方式集中呈现房颤和心率的量化分析结果,使得房颤与心率两个维度信息有机结合。此外,本发明特别提出针对心率设定目标线,并量化分析心率在各时段的超限情况,便于医护人员对房颤患者进行个性化心率控制,分析手术、药物等治疗效果,为房颤管理提供更加切实高效的帮助。To sum up, the monitoring device and the atrial fibrillation presentation method provided by the present invention centrally present the quantitative analysis results of atrial fibrillation and heart rate by combining elements such as graphics, text, and numerical values, so that the two-dimensional information of atrial fibrillation and heart rate is organically combined. . In addition, the present invention specifically proposes to set a target line for the heart rate, and quantitatively analyze the excess of the heart rate in each time period, so as to facilitate the medical staff to carry out personalized heart rate control for patients with atrial fibrillation, analyze the therapeutic effects of surgery, drugs, etc., for the management of atrial fibrillation. Provide more effective and efficient assistance.
在有些实施例中,例如在没有心电信号的情况下,可以用脉率代替上述实施例中的心率,除了脉率与心率属于不同的生命体征参数以外,其他内容同上述实施例,故在此不做赘述。In some embodiments, for example, when there is no ECG signal, the heart rate in the above embodiment can be replaced by the pulse rate. Except that the pulse rate and the heart rate belong to different vital sign parameters, the other contents are the same as those in the above-mentioned embodiments. This will not be repeated.
上述实施例中,房颤呈现方法由一个监护设备实施,而本发明还提供一种监护系统,其房颤呈现方法由两个设备配合完成。例如,监护系统包括第一设备和第二设备。第一设备和第二设备通信连接。In the above-mentioned embodiment, the method for presenting atrial fibrillation is implemented by one monitoring device, but the present invention also provides a monitoring system in which the method for presenting atrial fibrillation is completed by cooperation of two devices. For example, the monitoring system includes a first device and a second device. The first device and the second device are communicatively connected.
第一设备用于对患者进行监护;采集患者的包括心电参数在内的至少一项生命体征参数的监护数据;根据监护数据进行心率检测得到心率分析结果;和/或,根据监护数据进行房颤检测得到房颤分析结果;将心率分析结果和房颤分析结果发送给第二设备。即,图5中的步骤1由第一设备实施,第一设备可以包括监护仪等。第一设备执行图5中的步骤1的具体过程,在上述监护设备的实施例中已详细阐述,在此不做赘述。The first device is used for monitoring a patient; collecting monitoring data of at least one vital sign parameter including an ECG parameter of the patient; performing heart rate detection according to the monitoring data to obtain a heart rate analysis result; The fibrillation detection obtains the atrial fibrillation analysis result; the heart rate analysis result and the atrial fibrillation analysis result are sent to the second device. That is,
第二设备用于根据接收的心率分析结果和房颤分析结果显示房颤综合视图,房颤综合视图中包括:预设房颤监测期内的心率信息及其目标心率标识,以及预设房颤监测期内的房颤信息;房颤信息包括房颤负荷、房颤发生次数和房颤持续时间中的至少一个;其中,目标心率标识用于标识预设的目标心率;还响应于用户选择目标分时段的操作,进一步显示房颤分时段视图,房颤分时段视图中包括:目标分时段内的心率信息和目标分时段内的房颤信息中的至少一个。即,图5中的步骤2和3由第二设备实施,第二设备可以包括中央站等。第二设备执行图5中的步骤2和3的具体过程,在上述监护设备的实施例中已详细阐述,在此不做赘述。The second device is configured to display a comprehensive view of atrial fibrillation according to the received heart rate analysis result and atrial fibrillation analysis result. The comprehensive view of atrial fibrillation includes: heart rate information within a preset monitoring period of atrial fibrillation and its target heart rate identifier, and preset atrial fibrillation Atrial fibrillation information during the monitoring period; the atrial fibrillation information includes at least one of atrial fibrillation load, the number of atrial fibrillation occurrences and the duration of atrial fibrillation; wherein the target heart rate identifier is used to identify a preset target heart rate; and the target heart rate is also selected in response to the user The sub-period operation further displays the atrial fibrillation sub-period view, and the atrial fibrillation sub-period view includes: at least one of heart rate information in the target sub-period and atrial fibrillation information in the target sub-period. That is, steps 2 and 3 in FIG. 5 are implemented by a second device, which may include a central station or the like. The specific process for the second device to perform
本文参照了各种示范实施例进行说明。然而,本领域的技术人员将认识到,在不脱离本文范围的情况下,可以对示范性实施例做出改变和修正。例如,各种操作步骤以及用于执行操作步骤的组件,可以根据特定的应用或考虑与系统的操作相关联的任何数量的成本函数以不同的方式实现(例如一个或多个步骤可以被删除、修改或结合到其他步骤中)。Descriptions are made herein with reference to various exemplary embodiments. However, those skilled in the art will recognize that changes and modifications may be made to the exemplary embodiments without departing from the scope of this document. For example, various operational steps, and components for performing operational steps, may be implemented in different ways depending on the particular application or considering any number of cost functions associated with the operation of the system (eg, one or more steps may be deleted, modified or incorporated into other steps).
另外,如本领域技术人员所理解的,本文的原理可以反映在计算机可读存储介质上的计算机程序产品中,该可读存储介质预装有计算机可读程序代码。任何有形的、非暂时性的计算机可读存储介质皆可被使用,包括磁存储设备(硬盘、软盘等)、光学存储设备(CD-ROM、DVD、Blu Ray盘等)、闪存和/或诸如此类。这些计算机程序指令可被加载到通用计算机、专用计算机或其他可编程数据处理设备上以形成机器,使得这些在计算机上或其他可编程数据处理装置上执行的指令可以生成实现指定的功能的装置。这些计算机程序指令也可以存储在计算机可读存储器中,该计算机可读存储器可以指示计算机或其他可编程数据处理设备以特定的方式运行,这样存储在计算机可读存储器中的指令就可以形成一件制造品,包括实现指定功能的实现装置。计算机程序指令也可以加载到计算机或其他可编程数据处理设备上,从而在计算机或其他可编程设备上执行一系列操作步骤以产生一个计算机实现的进程,使得在计算机或其他可编程设备上执行的指令可以提供用于实现指定功能的步骤。Additionally, as understood by those skilled in the art, the principles herein may be reflected in a computer program product on a computer-readable storage medium preloaded with computer-readable program code. Any tangible, non-transitory computer-readable storage medium may be used, including magnetic storage devices (hard disks, floppy disks, etc.), optical storage devices (CD-ROMs, DVDs, Blu Ray disks, etc.), flash memory, and/or the like . These computer program instructions may be loaded on a general purpose computer, special purpose computer or other programmable data processing apparatus to form a machine such that execution of the instructions on the computer or other programmable data processing apparatus may generate means for implementing the specified functions. These computer program instructions may also be stored in a computer-readable memory that instructs a computer or other programmable data processing device to operate in a particular manner, such that the instructions stored in the computer-readable memory form a piece of Articles of manufacture, including implementing means for implementing specified functions. Computer program instructions may also be loaded on a computer or other programmable data processing device to perform a series of operational steps on the computer or other programmable device to produce a computer-implemented process such that a process executed on the computer or other programmable device Instructions may provide steps for implementing specified functions.
虽然在各种实施例中已经示出了本文的原理,但是许多特别适用于特定环境和操作要求的结构、布置、比例、元件、材料和部件的修改可以在不脱离本披露的原则和范围内使用。以上修改和其他改变或修正将被包含在本文的范围之内。Although the principles herein have been shown in various embodiments, many modifications may be made in structure, arrangement, proportions, elements, materials and components as are particularly suited to particular environmental and operating requirements without departing from the principles and scope of the present disclosure use. The above modifications and other changes or corrections are intended to be included within the scope of this document.
前述具体说明已参照各种实施例进行了描述。然而,本领域技术人员将认识到,可以在不脱离本披露的范围的情况下进行各种修正和改变。因此,对于本披露的考虑将是说明性的而非限制性的意义上的,并且所有这些修改都将被包含在其范围内。同样,有关于各种实施例的优点、其他优点和问题的解决方案已如上所述。然而,益处、优点、问题的解决方案以及任何能产生这些的要素,或使其变得更明确的解决方案都不应被解释为关键的、必需的或必要的。本文中所用的术语“包括”和其任何其他变体,皆属于非排他性包含,这样包括要素列表的过程、方法、文章或设备不仅包括这些要素,还包括未明确列出的或不属于该过程、方法、系统、文章或设备的其他要素。此外,本文中所使用的术语“耦合”和其任何其他变体都是指物理连接、电连接、磁连接、光连接、通信连接、功能连接和/或任何其他连接。The foregoing Detailed Description has been described with reference to various embodiments. However, those skilled in the art will recognize that various modifications and changes can be made without departing from the scope of the present disclosure. Accordingly, this disclosure is to be considered in an illustrative rather than a restrictive sense, and all such modifications are intended to be included within its scope. Likewise, the advantages, other advantages, and solutions to problems of the various embodiments have been described above. However, the benefits, advantages, solutions to the problems, and any elements that give rise to them, or make them more explicit, should not be construed as critical, necessary, or essential. As used herein, the term "comprising" and any other variations thereof are non-exclusive inclusion, such that a process, method, article or device including a list of elements includes not only those elements, but also not expressly listed or included in the process , method, system, article or other elements of a device. Furthermore, as used herein, the term "coupled" and any other variations thereof refer to physical connections, electrical connections, magnetic connections, optical connections, communication connections, functional connections, and/or any other connection.
具有本领域技术的人将认识到,在不脱离本发明的基本原理的情况下,可以对上述实施例的细节进行许多改变。因此,本发明的范围应根据以下权利要求确定。Those skilled in the art will recognize that many changes may be made to the details of the above-described embodiments without departing from the underlying principles of the invention. Accordingly, the scope of the invention should be determined in accordance with the following claims.
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