CN110200763A - A kind of medical suspension bed weighing system and method - Google Patents

A kind of medical suspension bed weighing system and method Download PDF

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CN110200763A
CN110200763A CN201910345138.8A CN201910345138A CN110200763A CN 110200763 A CN110200763 A CN 110200763A CN 201910345138 A CN201910345138 A CN 201910345138A CN 110200763 A CN110200763 A CN 110200763A
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tension
weighing
bed
foot
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叶建平
华海平
钟祖爱
王志康
褚永华
吴明光
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Zhejiang University ZJU
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61GTRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G7/00Beds specially adapted for nursing; Devices for lifting patients or disabled persons
    • A61G7/05Parts, details or accessories of beds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M5/00Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
    • A61M5/14Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
    • A61M5/168Means for controlling media flow to the body or for metering media to the body, e.g. drip meters, counters ; Monitoring media flow to the body
    • A61M5/16831Monitoring, detecting, signalling or eliminating infusion flow anomalies
    • A61M5/1684Monitoring, detecting, signalling or eliminating infusion flow anomalies by detecting the amount of infusate remaining, e.g. signalling end of infusion
    • A61M5/16845Monitoring, detecting, signalling or eliminating infusion flow anomalies by detecting the amount of infusate remaining, e.g. signalling end of infusion by weight
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01GWEIGHING
    • G01G19/00Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups
    • G01G19/44Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups for weighing persons
    • G01G19/445Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups for weighing persons in a horizontal position
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01GWEIGHING
    • G01G19/00Weighing apparatus or methods adapted for special purposes not provided for in the preceding groups
    • G01G19/52Weighing apparatus combined with other objects, e.g. furniture
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2205/00General characteristics of the apparatus
    • A61M2205/18General characteristics of the apparatus with alarm

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  • Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • General Physics & Mathematics (AREA)
  • Physics & Mathematics (AREA)
  • Nursing (AREA)
  • Vascular Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)

Abstract

本发明公开一种医用悬浮床的称重系统和方法,系统由床底座单元、拉压传感器支架单元、矽沙支撑单元、矽沙储存仓、主控模块和通信模块组成。拉压传感器支架单元采用六个高精度拉压传感器,置于同一水平面且均匀分布于悬浮床承重点,实时采集称重数据。称重数据应用样条小波分析的方法处理,消除其中的噪声,输出能辅助临床的称重数据。根据临床需求,在设定的时间范围内,记录存储患者体重的增、减量,给出相应的声光报警。护理员参照内设专家系统的建议,进行补液或调整补液速度。得益于高精度的称重系统及内设的专家系统,可辅助护理人员及时补液,有效防止患者失液过多休克,同时降低护理人员的工作强度。

The invention discloses a weighing system and method for a medical suspension bed. The system is composed of a bed base unit, a tension and pressure sensor support unit, a silicon sand support unit, a silicon sand storage bin, a main control module and a communication module. The tension and pressure sensor bracket unit adopts six high-precision tension and pressure sensors, which are placed on the same horizontal plane and evenly distributed on the bearing points of the suspended bed to collect weighing data in real time. Weighing data should be processed by spline wavelet analysis to eliminate the noise and output weighing data that can assist clinic. According to clinical needs, within the set time range, record and store the patient's weight gain and loss, and give corresponding sound and light alarms. Nurses perform rehydration or adjust rehydration speed according to the recommendations of the built-in expert system. Thanks to the high-precision weighing system and the built-in expert system, it can assist nursing staff to replenish fluids in time, effectively prevent patients from excessive fluid loss and shock, and reduce the work intensity of nursing staff.

Description

一种医用悬浮床的称重系统和方法A weighing system and method for a medical suspension bed

技术领域technical field

本发明属医用悬浮床的技术范畴。特指采用六个拉压力传感器,应用样条小波理论滤除噪声;专家系统处理体重信号,辅助患者补液的医用悬浮床。The invention belongs to the technical category of medical suspended beds. In particular, it refers to a medical suspended bed that uses six tension and pressure sensors, applies spline wavelet theory to filter out noise, and uses an expert system to process weight signals to assist patients in rehydration.

背景技术Background technique

感染是烧伤外科重要课题,烧伤患者的创面为细菌生长提供良好培养基,适宜温湿度更有利于细菌在创面上的大量繁殖。医用悬浮床的使用可以有效降低创面感染率和加速创面修复。医用悬浮床包括控制系统、冷却系统、高温加热消毒系统、称重系统,以及包含高效进风过滤器、加温干燥器、高压风机、微孔透气扩散板(PE材质)、矽沙、专用滤单的悬浮流体系统。运用流体力学原理,预处理的洁净压缩空气,通过床体底部含有大量微孔(直径4-25μm),且与床底等面积的透气扩散板均匀的向上喷射,穿过并托起上床体内盛有的大量细小矽沙(直径70-140μm,矽沙的总质量≈600Kg),在其表面形成类似水“沸腾”的状态,大量的“沙泡”不停向上翻滚,向上产生浮力。这些矽沙表面覆盖有网孔直径为35μm的专用滤单,以阻止矽沙穿过,患者躺于其上接受治疗。悬浮床内矽沙流化形成的浮力可减轻患者床单位体表面积和创面所承受的压力;干热的空气可透过滤单倾泻到创面上,使滤单上微生物细胞干燥失活,同时加速患者创面干燥结痂;患者的渗液被矽沙吸收后凝为结块,下沉到床底的筛网上,阻止了细菌和患者体表的进一步接触,为烧伤创面的愈合提供良好的条件。Infection is an important topic in burn surgery. The wound surface of burn patients provides a good medium for bacterial growth, and suitable temperature and humidity are more conducive to the massive reproduction of bacteria on the wound surface. The use of medical suspended bed can effectively reduce the wound infection rate and accelerate wound repair. Medical suspended bed includes control system, cooling system, high temperature heating and disinfection system, weighing system, and includes high-efficiency air inlet filter, heating dryer, high-pressure fan, microporous breathable diffusion plate (PE material), silica sand, special filter Single suspension fluid system. Using the principle of fluid mechanics, the pre-treated clean compressed air is sprayed upwards evenly through the breathable diffusion plate with a large number of micropores (diameter 4-25μm) at the bottom of the bed, passing through and holding up the air in the upper bed. A large amount of fine silica sand (diameter 70-140μm, total mass of silica sand ≈600Kg) forms a state similar to water "boiling" on its surface, and a large number of "sand bubbles" keep rolling upwards to generate buoyancy. The surface of the silica sand is covered with a special filter sheet with a mesh diameter of 35 μm to prevent the silica sand from passing through, and the patient lies on it for treatment. The buoyancy formed by the fluidization of silica sand in the suspended bed can reduce the pressure on the surface area of the patient bed unit and the wound surface; the dry and hot air can be poured onto the wound surface through the filter sheet, drying and inactivating the microbial cells on the filter sheet, and at the same time accelerating the wound surface of the patient. Dry scabs; the patient's exudate is absorbed by the silica sand and coagulates into agglomerates, sinking to the screen at the bottom of the bed, preventing further contact between bacteria and the patient's body surface, and providing good conditions for the healing of burn wounds.

医用悬浮床基本分为两类:一类为砂流体悬浮床;一类为多方位气动悬浮床。两者比较,前者核心部件需消耗大量原材料,加工工艺复杂,技术难度低;后者不需要用固体颗粒,加工工艺相对简单,但技术门槛高,以美国为首的主要生产制造商开发多方位气动悬浮床属该类产品。根据我国国情,医用悬浮床研发晚、技术难度较低的砂流体悬浮床较适合我国以及中等水平国家推广应用。进口产品有美国HILLROM生产的ClinitronⅡ型流体悬浮治疗仪,美国KCL生产的空气射流悬浮床,以及荷兰的Redactron悬浮烧伤治疗床;国内宁波登煌医疗器材有限公司生产的医用悬浮床市场占有率较高,采用砂流体。Medical suspended beds are basically divided into two categories: one is sand fluid suspended bed; the other is multi-directional pneumatic suspended bed. Compared with the two, the core components of the former need to consume a large amount of raw materials, the processing technology is complicated, and the technical difficulty is low; the latter does not need to use solid particles, and the processing technology is relatively simple, but the technical threshold is high. Major manufacturers led by the United States have developed multi-directional pneumatic Suspended bed belongs to this kind of products. According to my country's national conditions, the sand fluid suspended bed with low technical difficulty is more suitable for promotion and application in my country and middle-level countries. Imported products include the Clinitron II fluid suspension therapy device produced by HILLROM in the United States, the air jet suspension bed produced by KCL in the United States, and the Redactron suspension burn treatment bed from the Netherlands; domestic medical suspension beds produced by Ningbo Denghuang Medical Equipment Co., Ltd. have a relatively high market share , using sand fluid.

一般医用悬浮床设有称重装置,包括四个称重传感器,安装在支架四个角下方,用来采集支架、槽体和病人的重量,重量信号经A/D转换,送CPU处理并显示,可以测得患者的体重值。基于人体工学理论,应用《人体工程学图解》数据,人体卧床时,只采样头部和脚部设的4个称重传感器信号,测力点远离人体主要重量的施力点,导致测量精度下降,故需在此增设2个称重传感器。鉴于一般医用悬浮床有各种扰动因素,导致称重数据有较大的误差。护理人员对烧伤患者补液时,不敢用误差较大的称重数据。但患者体重改变需及时补液,导致护理人员必须長时间的密切关注。烧伤患者长时间躺在持续高热气流和干燥滤单上,机体水分被大量蒸发,正常的生理如厕则进一步加剧水分丢失。群体性烧伤事件中,医护人员数量不够,大量的清创工作,易发生补液不及时;患者的水电解质不平衡,将引发患者高渗性脱水,危急生命。因此,需要精确到毫升补液的患者,躺在动态的悬浮床上,精确的体重变化显示和及时的补液报警,显得尤为必要。Generally, the medical suspension bed is equipped with a weighing device, including four load cells, which are installed under the four corners of the bracket to collect the weight of the bracket, the tank and the patient. The weight signal is converted by A/D and sent to the CPU for processing and display. , the patient's weight can be measured. Based on the theory of ergonomics and applying the data of "Ergonomic Diagrams", when the human body is lying in bed, only the signals of the four weighing sensors on the head and feet are sampled. Need to add 2 load cells here. In view of the various disturbance factors of the general medical suspended bed, the weighing data has a large error. Nurses dare not use weighing data with large errors when rehydrating burn patients. However, the patient's weight changes need to be replenished in time, so the nursing staff must pay close attention to it for a long time. Burn patients lie on the continuous high-heat airflow and dry filter sheets for a long time, and the water in the body is evaporated in large quantities, and the normal physiological toilet will further aggravate the water loss. In mass burn incidents, the number of medical staff is insufficient, and a large amount of debridement work is likely to cause untimely rehydration; the patient's water and electrolyte imbalance will lead to hypertonic dehydration of the patient, which is life-threatening. Therefore, it is particularly necessary for patients who need to be accurately rehydrated to milliliters to lie on a dynamic suspension bed, display accurate weight changes and timely rehydration alarms.

悬浮床称重时夹杂着各种扰动,大致可分为:(1)烧伤患者体液的丢失和挥发引起体重变化。这种变化过程极为缓慢,表征为低频信号。动态称重硬件平台中传感器、A/D转换电路等存在各种电子元件,产生高频信号。有用的低频信号和干扰的高频信号夹杂,不易获取准确称重信号。为满足临床需求,需消除称重信号中高频噪声。信号消噪处理实际上是一个信号滤波处理。小波分析优于Fourier分析,它在时域和频域同时具有良好的局部化性质。其原理,设{Vj}j∈z是L2(R)的一个多分辨分析,Wj是Vj在Vj+1中的正交补空间。令Pj和Qj分别是L2(R)到Vj和Wj上的正交投影。设有信号f(t)∈L2(R),经仪器测得的含有噪声的信号为Pjf∈Vj,则有There are various disturbances in the weighing of the suspended bed, which can be roughly divided into: (1) Loss and volatilization of body fluids in burn patients cause body weight changes. This change process is extremely slow and is characterized by a low frequency signal. There are various electronic components such as sensors and A/D conversion circuits in the dynamic weighing hardware platform, which generate high-frequency signals. Useful low-frequency signals and interfering high-frequency signals are mixed, making it difficult to obtain accurate weighing signals. In order to meet the clinical needs, it is necessary to eliminate the high-frequency noise in the weighing signal. Signal denoising processing is actually a signal filtering process. Wavelet analysis is superior to Fourier analysis, and it has good localization properties in both time domain and frequency domain. The principle is that {V j } j∈z is a multiresolution analysis of L 2 (R), and W j is the orthogonal complement space of V j in V j+1 . Let Pj and Qj be the orthogonal projections of L2 ( R) onto Vj and Wj , respectively. Suppose the signal f(t)∈L 2 (R), the signal containing noise measured by the instrument is P j f∈V j , then there is

用小波变换对信号进行分解的过程,就是依次把信号中的各种频率成分从高向低逐步分离为不同的频带的过程。对B样条尺度函数和小波函数ψ而言,其频带分别近似为[-π,π]和[-2π,-π]U[π,2π],因此,Qjf频带范围近似为[-2j+1π,-2jπ]U[2jπ,2j+1π]。如果要滤掉噪声的频率位于Qjf频带方位,则只需在信号重构过程中将Qjf设为零。根据需要,还可用小波包分解,将Qjf进一步分解。(2)承重支架形变、患者浮动和砂体流动产生的干扰。一般医用悬浮床体、矽砂和患者总重较重,约1吨,长2.25m,特别是患者的臀部和床体中间处承重压力大,仅有四个角有支点,支架中间处易变形、下凹;患者还会随着流化的砂产生一定幅度的运动;床的整体水平度、气流方向、病人重心等都有一定的扰动。各种干扰导致现有称重系统的误差较大。The process of decomposing the signal with wavelet transform is the process of gradually separating various frequency components in the signal into different frequency bands from high to low. For B-spline scaling functions As far as the wavelet function ψ is concerned, its frequency bands are approximately [-π, π] and [-2π, -π]U[π, 2π] respectively, therefore, the frequency range of Q j f is approximately [-2 j+1 π, -2 j π]U[2 j π,2 j+1 π]. If the frequency to filter the noise is located in the Q j f frequency band orientation, it is only necessary to set Q j f to zero during the signal reconstruction process. According to needs, Q j f can be further decomposed by wavelet packet decomposition. (2) Interference caused by deformation of load-bearing bracket, patient floating and sand body flow. Generally, the total weight of the medical suspension bed, silica sand and the patient is heavy, about 1 ton, and the length is 2.25m. Especially, the patient’s buttocks and the middle of the bed bear a lot of pressure. Only four corners have fulcrums, and the middle of the bracket is easily deformed. , concave; the patient will also produce a certain range of movement with the fluidized sand; the overall level of the bed, the direction of the airflow, and the patient's center of gravity all have certain disturbances. Various disturbances lead to large errors in the existing weighing system.

烧伤总面积大于30%体表面积或Ⅲ度烧伤面积大于10%体表面积。或总面积不足31%,但有下列情况之一者:全身情况严重或有休克者;有复合伤或合并伤(如严重创伤、化学中毒等);中、重度吸入性损伤的患者。婴幼儿头面烧伤超过5%。临床上诊断为重度烧伤。降低重度烧伤患者医疗事故发生概率的三点举措:立足现有悬浮床结构,增设患者臀部两个高精度拉压力传感器,实时采集原始数据。运用样条小波分析的方法,消除原始数据的噪声,输出满足临床要求的、误差在允许范围内的称重信号。根据临床需求,临床辅助单元能在设定的时间范围内,判断患者体重增、减量,给出相应的声光报警,以及内设的专家系统,判断补液或调整补液速度。医用悬浮床的称重系统和方法较有代表性的知识产权成果综述如下:The total burn area is greater than 30% of the body surface area or the third-degree burn area is greater than 10% of the body surface area. Or the total area is less than 31%, but one of the following conditions: severe general condition or shock; compound injury or combined injury (such as severe trauma, chemical poisoning, etc.); moderate or severe inhalation injury. More than 5% of the head and face burns of infants and young children. Clinically diagnosed as severe burns. Three measures to reduce the probability of medical accidents in patients with severe burns: Based on the existing structure of the suspended bed, add two high-precision tension and pressure sensors on the patient's buttocks to collect raw data in real time. Using the spline wavelet analysis method, the noise of the original data is eliminated, and the weighing signal that meets the clinical requirements and the error is within the allowable range is output. According to clinical needs, the clinical auxiliary unit can judge the patient's weight gain and loss within the set time range, give corresponding sound and light alarms, and the built-in expert system can judge the fluid replacement or adjust the fluid replacement speed. The representative intellectual property achievements of the weighing system and method of the medical suspension bed are summarized as follows:

·发明专利“医用悬浮床高精度称重装置”(CN201120215066.4),提出一种降低称重误差的医用悬浮床高精度称重装置,采用四个称重传感器,安装在支架与称台之间,用来承受秤台、槽体和病人的重量,将所测信号送CPU单独处理,分别把模拟量数字化,可以测量病人体重。·Invention patent "high-precision weighing device for medical suspension bed" (CN201120215066.4), which proposes a high-precision weighing device for medical suspension bed that reduces weighing errors. Four weighing sensors are installed between the bracket and the weighing platform The space is used to bear the weight of the weighing platform, the tank body and the patient, and the measured signal is sent to the CPU for separate processing, and the analog quantity is digitized respectively, so that the patient's weight can be measured.

·发明专利“双恒层流医用悬浮床”(CN201410598290.4),提出一种双恒层流医用悬浮床,能够提供恒温恒湿环境的封闭仓体和能够自下而上提供恒温恒湿环境,保证病人的背面和正面适宜治疗环境的湿度、温度,且具备移动功能的独立疗养空间。装有杀菌组件,保证了病人在洁净环境下治疗。·Invention patent "double constant laminar flow medical suspension bed" (CN201410598290.4), which proposes a double constant laminar flow medical suspension bed, which can provide a closed chamber with constant temperature and humidity environment and a constant temperature and humidity environment from bottom to top , to ensure that the back and front of the patient are suitable for the humidity and temperature of the treatment environment, and it is an independent recuperation space with mobile functions. Equipped with sterilizing components to ensure that patients are treated in a clean environment.

上述有益探索,有一定的参考价值,但探索成果仍存局限。因此,有必要立足现有研究成果、在医用悬浮床的称重系统和可用性上作深入的研究。The above-mentioned beneficial exploration has certain reference value, but the exploration results are still limited. Therefore, it is necessary to conduct in-depth research on the weighing system and usability of the medical suspended bed based on the existing research results.

发明内容Contents of the invention

本发明的目的是克服现有技术的不足,提供一种医用悬浮床的称重系统和方法。The purpose of the present invention is to overcome the deficiencies of the prior art and provide a weighing system and method for a medical suspended bed.

系统由床底座单元、拉压传感器支架单元、矽沙支撑系统、矽沙储存仓、主控模块和通信模块组成;拉压传感器支架单元包括毎组2个拉压传感器、三组共6个拉压传感器的原始重量数据采集点;矽沙储存仓附设隔绝矽砂和患者直接接触的滤单,滤单借助硅胶压条进行固定;The system consists of bed base unit, tension and pressure sensor bracket unit, silicon sand support system, silicon sand storage bin, main control module and communication module; tension and pressure sensor bracket unit includes 2 tension and pressure sensors in each group, 6 tension and pressure sensors in three groups The original weight data collection point of the pressure sensor; the silica sand storage warehouse is equipped with a filter sheet that isolates the silica sand from direct contact with the patient, and the filter sheet is fixed by means of a silicone bead;

拉压传感器支架单元包括6个拉压传感器,型号YP-L1/200Kg,以及固定传感器的支架组成,其中一个拉压传感器固定在床头右侧支架的支点处、一个拉压传感器固定在床中右侧支架的支点处、一个拉压传感器固定在床尾右侧支架的支点处、一个拉压传感器固定在床尾左侧支架的支点处、一个拉压传感器固定在床中左侧支架的支点处、一个拉压传感器固定在床头左侧支架的支点处,且6个拉压传感器处于同一水平面;The tension and pressure sensor bracket unit consists of 6 tension and pressure sensors, model YP-L1/200Kg, and a bracket for fixing the sensors, one of which is fixed at the fulcrum of the bracket on the right side of the head of the bed, and one tension and pressure sensor is fixed in the bed At the fulcrum of the right bracket, a tension and pressure sensor is fixed at the fulcrum of the right bracket at the end of the bed, a tension and pressure sensor is fixed at the fulcrum of the left bracket at the end of the bed, a tension and pressure sensor is fixed at the fulcrum of the left bracket in the bed, A tension-compression sensor is fixed at the fulcrum of the left bracket of the head of the bed, and the 6 tension-compression sensors are at the same level;

悬浮床沿袭现有的主流悬浮床结构,增设了床体中间2个拉压传感器。获得因支架中间变形而丢失的数据,得到称重数据更全面、更准确。The suspended bed follows the existing mainstream suspended bed structure, adding two tension and pressure sensors in the middle of the bed body. Obtain the data lost due to the deformation in the middle of the bracket, and obtain more comprehensive and accurate weighing data.

所述的拉压传感器模拟信号处理以24位A/D转换器HX711芯片为核心,电源与HX711脚1、脚16相连;三极管Q1基极与HX711脚2相连,Q1发射极与电容C1一端相连,C1的另一端与地相连;Q1集电极、拉压传感器脚1、R1的一端、C2的一端与HX711脚3相连;R1的另一端、R2的一端与HX711脚4相连;R2另一端、C2的另一端、C3的一端与HX711脚5相连且接地;C3的另一端与HX711脚6相连;C4一端、R3一端与HX711脚7相连,R3的另一端与拉压传感器脚3相连;R4的一端、C4的另一端与HX711脚8相连,R4的另一端与拉压传感器脚4相连;端子DI201与HX711脚12相连,相应接入主控单元ATmega128脚60;端子DO201与HX711脚11相连,相应接入主控单元ATmega128脚36。为便于叙述,其余传感器在主控单元输入端为DI202、DI203、DI204、DI205、DI206;输出端为DO202、DO203、DO204、DO205、DO206,亦采用24位A/D转换器HX711芯片,外围电路类同。The analog signal processing of the tension and pressure sensor uses the 24-bit A/D converter HX711 chip as the core, the power supply is connected to pin 1 and pin 16 of HX711; the base of transistor Q1 is connected to pin 2 of HX711, and the emitter of Q1 is connected to one end of capacitor C1 , the other end of C1 is connected to the ground; the collector of Q1, pin 1 of the pull-pressure sensor, one end of R1, and one end of C2 are connected to pin 3 of HX711; the other end of R1 and one end of R2 are connected to pin 4 of HX711; the other end of R2, The other end of C2 and one end of C3 are connected to pin 5 of HX711 and grounded; the other end of C3 is connected to pin 6 of HX711; one end of C4 and one end of R3 are connected to pin 7 of HX711, and the other end of R3 is connected to pin 3 of the tension and pressure sensor; R4 One end of C4 and the other end of C4 are connected to pin 8 of HX711, and the other end of R4 is connected to pin 4 of the tension and pressure sensor; terminal DI201 is connected to pin 12 of HX711, and connected to the main control unit ATmega128 pin 60; terminal DO201 is connected to pin 11 of HX711 , Correspondingly access the main control unit ATmega128 pin 36. For the convenience of description, the other sensors are DI202, DI203, DI204, DI205, DI206 at the input end of the main control unit; DO202, DO203, DO204, DO205, DO206 at the output end, also adopt 24-bit A/D converter HX711 chip, peripheral circuit Similar.

所述的主控模块以ATmega128芯片为核心,ATmega128脚60、59、58、57、56、55分别与端子DI201、DI202、DI203、DI204、DI205、DI206相连;ATmega128脚36、37、38、39、40、41分别与端子DO201、DO202、DO203、DO204、DO205、DO206相连;主控模块经通信模块与监控中心相连。Described main control module is core with ATmega128 chip, and ATmega128 pin 60,59,58,57,56,55 are connected with terminal DI 201 , DI 202 , DI 203 , DI 204 , DI 205 , DI 206 respectively; ATmega128 pin 36 , 37, 38, 39, 40, 41 are respectively connected with terminals DO 201 , DO 202 , DO 203 , DO 204 , DO 205 , DO 206 ; the main control module is connected with the monitoring center through the communication module.

所述的拉压传感器将原始的重量数据传入MCU,采用基于样条小波去噪的悬浮床称重分析法,包括以下步骤:The tension and pressure sensor transmits the original weight data into the MCU, and adopts the suspended bed weighing analysis method based on spline wavelet denoising, including the following steps:

(1)采集悬浮床称重信号;(1) collecting the weighing signal of the suspended bed;

(2)存储悬浮床称重信号;(2) Store the weighing signal of the suspended bed;

(3)采集的称重数据去噪处理后提取悬浮床称重数据;(3) extract the suspended bed weighing data after denoising processing of the weighing data collected;

(4)对t分钟和t+15分钟时刻悬浮床称重信号提取,差值送MCU处理。(4) Extract the weighing signal of the suspended bed at t minutes and t+15 minutes, and send the difference to the MCU for processing.

所述步骤(3)包括以下步骤:Described step (3) comprises the following steps:

(3-1)对原始悬浮床称重信号以层数为4层进行小波分解,得到小波高频层和小波低频层;(3-1) Carry out wavelet decomposition to the original suspended bed weighing signal with the number of layers as 4 layers to obtain wavelet high frequency layer and wavelet low frequency layer;

(3-2)在第2层小波低频层利用通用阈值对原始悬浮床称重信号进行滤除:(3-2) In the second wavelet low-frequency layer, the general threshold is used to filter the original suspended bed weighing signal:

对待处理的信号点S,选择k步长的领域范围;For the signal point S to be processed, select the domain range of k steps;

以S点为基准点制k个模式,分别计算各个模式的领域范围内数据绝对值的算术平均值,选出其中的最大平均值作为S点特征值,以S点特征值替代S点的原始幅值;Create k patterns with point S as the reference point, calculate the arithmetic mean value of the absolute value of the data within the range of each pattern, select the maximum average value as the characteristic value of point S, and replace the original point S with the characteristic value of point S amplitude;

将替代后的S点特征值与通用阈值进行比较,当S点特征值大于通用阈值时,信号点全部保留原始幅值;当S点特征值小于或等于通用阈值时,对信号点进行置零;Compare the eigenvalue of point S after replacement with the general threshold, when the eigenvalue of point S is greater than the general threshold, all the signal points retain the original amplitude; when the eigenvalue of point S is less than or equal to the general threshold, zero the signal point ;

k为自然数,k的最大值取值为信号脉宽的一半;k is a natural number, and the maximum value of k is half of the signal pulse width;

通用阈值σ的计算公式为:The formula for calculating the general threshold σ is:

σ为噪声标准方差,n为信号的长度; σ is the noise standard deviation, n is the length of the signal;

算术平均值计算公式为: The arithmetic mean calculation formula is:

(3-3)将小波高频层直清零,对高频噪声和50hz工频噪声进行滤除;(3-3) Clear the wavelet high-frequency layer to zero, and filter out high-frequency noise and 50hz power frequency noise;

(3-4)重构得到提取的原始悬浮床称重信号,作为下一步原始悬浮床称重信号的输入信号。(3-4) Reconstruct to obtain the extracted original suspended bed weighing signal, which is used as the input signal of the original suspended bed weighing signal in the next step.

所述医用悬浮床称重系统的称重数据辅助临床补液的应用方法,其特征在于包括如下步骤:The application method of the weighing data of the medical suspended bed weighing system to assist clinical infusion is characterized in that it comprises the following steps:

1)接通悬浮床电源,核查悬浮床专家系统的运行记录,称重系统实时显示未悬浮状态的重量,包括上床体、颗粒料重量,开启风机系统,称重系统实时显示悬浮状态的重量,该状态下对称重系统清零后,把患者放到悬浮床上,称重系统显示患者、部分输液皮管以及所缚纱布重量,设该时间点为t0,重量为G0;经Δt后至t0+Δt(临床一般设定Δt为15分钟),重量增至G0+ΔG(临床一般设定ΔG为500克);1) Turn on the power supply of the suspended bed, check the operation records of the expert system of the suspended bed, the weighing system will display the weight of the unsuspended state in real time, including the weight of the upper bed body and granular material, turn on the fan system, and the weighing system will display the weight of the suspended state in real time, In this state, after the weighing system is cleared, the patient is placed on the suspension bed, and the weighing system displays the weight of the patient, part of the infusion tube and the gauze bound. Let this time point be t 0 and the weight be G 0 ; t 0 +Δt (the general clinical setting of Δt is 15 minutes), and the weight increases to G 0 +ΔG (the clinical general setting of ΔG is 500 grams);

2)称重系统读G0,设定Δt和ΔG值;2) The weighing system reads G 0 , and sets Δt and ΔG values;

3)判断ΔG正负;3) Judge whether ΔG is positive or negative;

3-1)判断ΔG为正时;3-1) Judging that ΔG is positive;

3-1-1)输液增加,是,绿灯亮,返回3);否,进入3-1-2;3-1-1) Increase infusion, yes, the green light is on, return to 3); no, enter 3-1-2;

3-1-2)鼻饲增加,是,绿灯亮,返回3);否,进入3-1-3;3-1-2) Increase nasal feeding, yes, the green light is on, return to 3); no, enter 3-1-3;

3-1-3)进食,是,绿灯亮,返回3);否,进入3-1-4;3-1-3) eat, yes, the green light is on, return to 3); no, enter 3-1-4;

3-1-4)进水,是,绿灯亮,返回3);3-1-4) water in, yes, the green light is on, return to 3);

3-2)判断ΔG为负时;3-2) When it is judged that ΔG is negative;

3-2-1)创面蒸发,是,报警,红灯亮,进入4);否,返回3);3-2-1) The wound evaporates, yes, alarm, red light is on, enter 4); no, return to 3);

创面渗血,是,报警,红灯亮,进入4);否,返回3);Wound oozing blood, yes, alarm, red light on, enter 4); no, return to 3);

创面渗液,是,报警,红灯亮,进入4);否,返回3);Wound exudate, yes, alarm, red light on, enter 4); no, return to 3);

呕吐,是,报警,红灯亮,进入4);否,返回3);Vomiting, yes, alarm, red light on, enter 4); no, return 3);

大便,是,报警,红灯亮,进入4);否,返回3);Stool, yes, alarm, red light on, enter 4); no, return to 3);

小便,是,报警,红灯亮,进入4);否,返回3);Urinate, yes, alarm, red light on, enter 4); no, return to 3);

出汗,是,报警,红灯亮,进入4);否,返回3);Sweating, yes, alarm, red light on, enter 4); no, return to 3);

气切蒸发,是,报警,红灯亮,进入4);否,返回3);Tracheal evaporation, yes, alarm, red light on, enter 4); no, return to 3);

VSD引流,是,报警,红灯亮,进入4);否,返回3);VSD drainage, yes, alarm, red light on, enter 4); no, return to 3);

透析,是,报警,红灯亮,进入4);否,返回3);Dialysis, yes, alarm, red light on, enter 4); no, return 3);

4)医护人员确认,报警有效,补液;返回3)。4) Confirmed by the medical staff, the alarm is valid, and the fluid is replenished; return to 3).

本发明与背景技术相比,具有的有益效果是:Compared with the background technology, the present invention has the beneficial effects of:

本系统在患者的臀部,即床体中间处增设两个高精度拉压传感器,避免失去占据人体主要重量的中间位臀部的信号。原始采样重量数据,通过样条小波分析方法处理,进一步消除其中的噪声与干扰,输出满足临床要求的、误差在允许范围内的称重信号。专家系统则根据临床需求,能在设定的时间范围内,判断患者体重增、减量,给出相应的声光报警。医护人员根据内设的流程,判断补液或调整补液速度。得益于高精度的称重系统和悬浮床专家系统,能有效协助医护人员及时补液,防止患者失液过多休克死亡,降低医护人员的工作强度和工作压力,消除医疗事故的隐患。This system adds two high-precision tension and pressure sensors on the patient's buttocks, that is, in the middle of the bed body, to avoid losing the signal of the middle buttocks, which occupy the main weight of the human body. The original sampling weight data is processed by the spline wavelet analysis method to further eliminate the noise and interference, and output the weighing signal that meets the clinical requirements and the error is within the allowable range. According to the clinical needs, the expert system can judge the patient's weight gain and loss within the set time range, and give corresponding sound and light alarms. According to the built-in process, the medical staff judges the rehydration or adjusts the rehydration speed. Thanks to the high-precision weighing system and the suspended bed expert system, it can effectively assist medical staff to replenish fluids in a timely manner, prevent patients from dying of shock due to excessive fluid loss, reduce the work intensity and pressure of medical staff, and eliminate the hidden danger of medical accidents.

附图说明Description of drawings

图1是医用悬浮床的主视图与俯视图;Fig. 1 is a front view and a top view of a medical suspended bed;

图2是高精度拉压传感器A/D转换电路图;Fig. 2 is the A/D conversion circuit diagram of the high-precision tension and pressure sensor;

图3是主控单元电路图;Fig. 3 is a main control unit circuit diagram;

图4是未经样条小波去噪的信号图;Fig. 4 is the signal diagram without spline wavelet denoising;

图5是经样条小波去噪的信号图;Fig. 5 is the signal diagram through spline wavelet denoising;

图6是称重信号流程图;Fig. 6 is a weighing signal flow chart;

图7是悬浮床专家系统的工作模式流程图。Fig. 7 is a flow chart of the working mode of the suspended bed expert system.

图中,床底座单元100、拉压传感器支架单元200、全砂支撑系统300、储存砂仓400,硅胶压条500;主控模块600和通信模块700,第1个拉压传感器201和其支点21、第2个拉压传感器202和其支点22、第3个拉压传感器203和其支点23、第4个拉压传感器204和其支点24、第5个拉压传感器205和其支点25、第6个拉压传感器206和其支点26;第1个拉压传感器输入主控单元信号端DI201、第2个拉压传感器输入主控单元信号端DI202第3个拉压传感器输入主控单元信号端DI203、第4个拉压传感器输入主控单元信号端DI204、第5个拉压传感器输入主控单信号端DI205、第6个拉压传感器输入主控单元信号端DI206;主控单元输给第1个拉压传感器信号端为DO201、主控单元输给第2个拉压传感器信号端为DO202、主控单元输给第3个拉压传感器信号端DO203、主控单元输给第4个拉压传感器信号端DO204、主控单元输给第5个拉压传感器信号端DO205、主控单元输给第6个拉压传感器信号端DO206In the figure, the bed base unit 100, tension and pressure sensor bracket unit 200, full sand support system 300, sand storage bin 400, silicone layer 500; main control module 600 and communication module 700, the first tension and pressure sensor 201 and its fulcrum 21 , the second tension and pressure sensor 202 and its fulcrum 22, the third tension and pressure sensor 203 and its fulcrum 23, the fourth tension and pressure sensor 204 and its fulcrum 24, the fifth tension and pressure sensor 205 and its fulcrum 25, the first 6 tension and pressure sensors 206 and their fulcrums 26; the first tension and pressure sensor is input to the signal terminal DI 201 of the main control unit, the second tension and pressure sensor is input to the signal terminal DI 202 of the main control unit, and the third tension and pressure sensor is input to the main control unit Signal terminal DI 203 , the fourth tension and pressure sensor input main control unit signal terminal DI 204 , the fifth tension and pressure sensor input main control single signal terminal DI 205 , the sixth tension and pressure sensor input main control unit signal terminal DI 206 ; The signal terminal of the main control unit to the first tension and pressure sensor is DO 201 , the signal terminal of the main control unit to the second tension and pressure sensor is DO 202 , and the signal terminal of the main control unit to the third tension and pressure sensor is DO 203 , The main control unit outputs to the fourth tension and pressure sensor signal terminal DO 204 , the main control unit outputs to the fifth tension and pressure sensor signal terminal DO 205 , and the main control unit outputs to the sixth tension and pressure sensor signal terminal DO 206 .

具体实施方式Detailed ways

如图1所示,系统由床底座单元100、拉压传感器支架单元200、矽沙支撑单元300、矽沙储存仓400、主控模块600和通信模块700组成;拉压传感器支架单元200包括毎组2个拉压传感器、三组共6个拉压传感器的原始重量数据采集点;矽沙储存仓400附设隔绝矽砂和患者直接接触的滤单,滤单借助硅胶压条500进行固定;As shown in Figure 1, the system is made up of bed base unit 100, tension and pressure sensor bracket unit 200, silicon sand support unit 300, silicon sand storage bin 400, main control module 600 and communication module 700; tension and pressure sensor bracket unit 200 includes each 2 tension and pressure sensors in one group, and 6 tension and pressure sensors in three groups for raw weight data collection points; the silica sand storage bin 400 is equipped with a filter sheet that isolates the silica sand from direct contact with the patient, and the filter sheet is fixed with the help of a silicone bead 500;

拉压传感器支架单元200包括6个拉压传感器,型号YP-L1/200Kg,以及固定传感器的支架组成,其中拉压传感器201固定在床头右侧支架的支点21处、拉压传感器202固定在床中右侧支架的支点22处、拉压传感器203固定在床尾右侧支架的支点23处、拉压传感器204固定在床尾左侧支架的支点24处、拉压传感器205固定在床中左侧支架的支点25处、拉压传感器206固定在床头左侧支架的支点26处,且拉压传感器201、拉压传感器202、拉压传感器203、拉压传感器204、拉压传感器205和拉压传感器206处于同一水平面;The tension and pressure sensor bracket unit 200 includes 6 tension and pressure sensors, model YP-L1/200Kg, and a bracket for fixing the sensors, wherein the tension and pressure sensor 201 is fixed at the fulcrum 21 of the bracket on the right side of the head of the bed, and the tension and pressure sensor 202 is fixed on the The fulcrum 22 of the right bracket in the bed, the tension and pressure sensor 203 is fixed at the fulcrum 23 of the right bracket at the end of the bed, the tension and pressure sensor 204 is fixed at the fulcrum 24 of the left bracket at the end of the bed, and the tension and pressure sensor 205 is fixed on the left side of the bed The fulcrum 25 places of support, tension and pressure sensor 206 are fixed on the fulcrum 26 places of bedside left side bracket, and tension and pressure sensor 201, tension and pressure sensor 202, tension and pressure sensor 203, tension and pressure sensor 204, tension and pressure sensor 205 and tension and pressure Sensors 206 are in the same horizontal plane;

悬浮床沿袭现有的主流悬浮床结构,增设了床体中间拉压传感器202和床体中间拉压传感器205。借助增设床体中间拉压传感器,获得占据人体主要重量的中间位臀部的信号,得到称重数据更全面、更准确。The suspension bed follows the existing mainstream suspension bed structure, and adds a tension-pressure sensor 202 in the middle of the bed body and a tension-pressure sensor 205 in the middle of the bed body. With the addition of tension and pressure sensors in the middle of the bed body, the signal of the middle buttocks, which occupies the main weight of the human body, is obtained, and the weighing data is more comprehensive and accurate.

2、如图2所示,所述的拉压传感器201模拟信号处理以24位A/D转换器HX711芯片为核心,电源与HX711脚1、脚16相连;三极管Q1基极与HX711脚2相连,Q1发射极与电容C1一端相连,C1的另一端与地相连;Q1集电极、拉压传感器201脚1、R1的一端、C2的一端与HX711脚3相连;R1的另一端、R2的一端与HX711脚4相连;R2另一端、C2的另一端、C3的一端与HX711脚5相连且接地;C3的另一端与HX711脚6相连;C4一端、R3一端与HX711脚7相连,R3的另一端与拉压传感器201脚3相连;R4的一端、C4的另一端与HX711脚8相连,R4的另一端与拉压传感器201脚4相连;端子DI201与HX711脚12相连,相应接入主控单元ATmega128脚60;端子DO201与HX711脚11相连,相应接入主控单元ATmega128脚36。为便于叙述,其余传感器在主控单元输入端为DI202、DI203、DI204、DI205、DI206;输出端为DO202、DO203、DO204、DO205、DO206,亦采用24位A/D转换器HX711芯片,外围电路与拉压传感器201类同。2. As shown in Figure 2, the analog signal processing of the tension and pressure sensor 201 is based on the 24-bit A/D converter HX711 chip, and the power supply is connected to pin 1 and pin 16 of HX711; the base of triode Q1 is connected to pin 2 of HX711 , The emitter of Q1 is connected to one end of capacitor C1, and the other end of C1 is connected to the ground; the collector of Q1, pin 1 of pull-pressure sensor 201, one end of R1, and one end of C2 are connected to pin 3 of HX711; the other end of R1 and one end of R2 Connect to pin 4 of HX711; the other end of R2, the other end of C2, and one end of C3 are connected to pin 5 of HX711 and grounded; the other end of C3 is connected to pin 6 of HX711; one end of C4 and one end of R3 are connected to pin 7 of HX711, and the other end of R3 One end is connected to pin 3 of tension and pressure sensor 201; one end of R4 and the other end of C4 are connected to pin 8 of HX711, and the other end of R4 is connected to pin 4 of tension and pressure sensor 201; terminal DI201 is connected to pin 12 of HX711, and connected to the main control The unit ATmega128 pin 60; the terminal DO201 is connected to the HX711 pin 11, which is correspondingly connected to the main control unit ATmega128 pin 36. For the convenience of description, the other sensors are DI202, DI203, DI204, DI205, DI206 at the input end of the main control unit; DO202, DO203, DO204, DO205, DO206 at the output end, also adopt 24-bit A/D converter HX711 chip, peripheral circuit It is similar to the tension and pressure sensor 201.

3、如图3所示,主控模块600以ATmega128芯片为核心,ATmega128脚60、59、58、57、56、55分别与端子DI201、DI202、DI203、DI204、DI205、DI206相连;ATmega128脚36、37、38、39、40、41分别与端子DO201、DO202、DO203、DO204、DO205、DO206相连;主控模块600经通信模块700与监控中心相连。3. As shown in Figure 3, the main control module 600 uses the ATmega128 chip as the core. 206 ; ATmega128 pins 36, 37, 38, 39, 40, 41 are respectively connected to terminals DO 201 , DO 202 , DO 203 , DO 204 , DO 205 , DO 206 ; the main control module 600 is connected to the monitoring center via the communication module 700 .

4、如图4、图5所示,拉压传感器将原始的重量数据传入MCU,采用基于样条小波去噪的悬浮床称重分析法,包括以下步骤:4. As shown in Figure 4 and Figure 5, the tension and pressure sensor transmits the original weight data to the MCU, and adopts the suspended bed weighing analysis method based on spline wavelet denoising, including the following steps:

(1)采集悬浮床称重信号;(1) collecting the weighing signal of the suspended bed;

(2)存储悬浮床称重信号;(2) Store the weighing signal of the suspended bed;

(3)对原始悬浮床称重信号进行去噪处理后提取悬浮床称重信号;(3) extracting the suspended bed weighing signal after denoising the original suspended bed weighing signal;

(4)对t分钟和t+15分钟时刻悬浮床称重信号提取,差值送MCU处理。(4) Extract the weighing signal of the suspended bed at t minutes and t+15 minutes, and send the difference to the MCU for processing.

所述步骤(3)包括以下步骤:Described step (3) comprises the following steps:

(3-1)对原始悬浮床称重信号以层数为4层进行小波分解,得到小波高频层和小波低频层;(3-1) Carry out wavelet decomposition to the original suspended bed weighing signal with the number of layers as 4 layers to obtain wavelet high frequency layer and wavelet low frequency layer;

(3-2)在第2层小波低频层利用通用阈值对原始悬浮床称重信号进行滤除:(3-2) In the second wavelet low-frequency layer, the general threshold is used to filter the original suspended bed weighing signal:

对待处理的信号点S,选择k步长的领域范围;For the signal point S to be processed, select the domain range of k steps;

以S点为基准点制k个模式,分别计算各个模式的领域范围内数据绝对值的算术平均值,选出其中的最大平均值作为S点特征值,以S点特征值替代S点的原始幅值;Create k patterns with point S as the reference point, calculate the arithmetic mean value of the absolute value of the data within the range of each pattern, select the maximum average value as the characteristic value of point S, and replace the original point S with the characteristic value of point S amplitude;

将替代后的S点特征值与通用阈值进行比较,当S点特征值大于通用阈值时,信号点全部保留原始幅值;当S点特征值小于或等于通用阈值时,对信号点进行置零;Compare the eigenvalue of point S after replacement with the general threshold, when the eigenvalue of point S is greater than the general threshold, all the signal points retain the original amplitude; when the eigenvalue of point S is less than or equal to the general threshold, zero the signal point ;

k为自然数,k的最大值取值为信号脉宽的一半;k is a natural number, and the maximum value of k is half of the signal pulse width;

通用阈值σ的计算公式为:The formula for calculating the general threshold σ is:

σ为噪声标准方差,n为信号的长度; σ is the noise standard deviation, n is the length of the signal;

算术平均值计算公式为: The arithmetic mean calculation formula is:

(3-3)将小波高频层直清零,对高频噪声和50hz工频噪声进行滤除;(3-3) Clear the wavelet high-frequency layer to zero, and filter out high-frequency noise and 50hz power frequency noise;

(3-4)重构得到提取的原始悬浮床称重信号,作为下一步原始悬浮床称重信号的输入信号。(3-4) Reconstruct to obtain the extracted original suspended bed weighing signal, which is used as the input signal of the original suspended bed weighing signal in the next step.

5、如图6、图7所示,一种使用医用悬浮床称重系统的称重数据辅助临床补液的应用方法,包括如下步骤:5. As shown in Fig. 6 and Fig. 7, an application method of using the weighing data of the medical suspension bed weighing system to assist clinical infusion, comprising the following steps:

1)接通悬浮床电源,核查悬浮床专家系统的运行记录,称重系统实时显示未悬浮状态的重量,包括上床体、颗粒料重量,开启风机系统,称重系统实时显示悬浮状态的重量,该状态下对称重系统清零后,把患者放到悬浮床上,称重系统显示患者、部分输液皮管以及所缚纱布重量,设该时间点为t0,重量为G0;经Δt后至t0+Δt(临床一般设定Δt为15分钟),重量增至G0+ΔG(临床一般设定ΔG为500克);1) Turn on the power supply of the suspended bed, check the operation records of the expert system of the suspended bed, the weighing system will display the weight of the unsuspended state in real time, including the weight of the upper bed body and granular material, turn on the fan system, and the weighing system will display the weight of the suspended state in real time, In this state, after the weighing system is cleared, the patient is placed on the suspension bed, and the weighing system displays the weight of the patient, part of the infusion tube and the gauze bound. Let this time point be t 0 and the weight be G 0 ; t 0 +Δt (the general clinical setting of Δt is 15 minutes), and the weight increases to G 0 +ΔG (the clinical general setting of ΔG is 500 grams);

2)称重系统读G0,设定Δt和ΔG值;2) The weighing system reads G 0 , and sets Δt and ΔG values;

3)判断ΔG正负;3) Judge whether ΔG is positive or negative;

3-1)判断ΔG为正时;3-1) Judging that ΔG is positive;

3-1-1)输液增加,是,绿灯亮,返回3);否,进入3-1-2;3-1-1) Increase infusion, yes, the green light is on, return to 3); no, enter 3-1-2;

3-1-2)鼻饲增加,是,绿灯亮,返回3);否,进入3-1-3;3-1-2) Increase nasal feeding, yes, the green light is on, return to 3); no, enter 3-1-3;

3-1-3)进食,是,绿灯亮,返回3);否,进入3-1-4;3-1-3) eat, yes, the green light is on, return to 3); no, enter 3-1-4;

3-1-4)进水,是,绿灯亮,返回3);3-1-4) water in, yes, the green light is on, return to 3);

3-2)判断ΔG为负时;3-2) When it is judged that ΔG is negative;

3-2-1)创面蒸发,是,报警,红灯亮,进入4);否,返回3);3-2-1) The wound evaporates, yes, alarm, red light is on, enter 4); no, return to 3);

创面渗血,是,报警,红灯亮,进入4);否,返回3);Wound oozing blood, yes, alarm, red light on, enter 4); no, return to 3);

创面渗液,是,报警,红灯亮,进入4);否,返回3);Wound exudate, yes, alarm, red light on, enter 4); no, return to 3);

呕吐,是,报警,红灯亮,进入4);否,返回3);Vomiting, yes, alarm, red light on, enter 4); no, return 3);

大便,是,报警,红灯亮,进入4);否,返回3);Stool, yes, alarm, red light on, enter 4); no, return to 3);

小便,是,报警,红灯亮,进入4);否,返回3);Urinate, yes, alarm, red light on, enter 4); no, return to 3);

出汗,是,报警,红灯亮,进入4);否,返回3);Sweating, yes, alarm, red light on, enter 4); no, return to 3);

气切蒸发,是,报警,红灯亮,进入4);否,返回3);Tracheal evaporation, yes, alarm, red light on, enter 4); no, return to 3);

VSD引流,是,报警,红灯亮,进入4);否,返回3);VSD drainage, yes, alarm, red light on, enter 4); no, return to 3);

透析,是,报警,红灯亮,进入4);否,返回3);Dialysis, yes, alarm, red light on, enter 4); no, return 3);

4)医护人员确认,报警有效,补液;返回3)。4) Confirmed by the medical staff, the alarm is valid, and the fluid is replenished; return to 3).

Claims (5)

1. a kind of medical suspension bed weighing system, which is characterized in that system is by bed base unit (100), tension-compression sensor branch Frame unit (200), silicon sand support unit (300), silicon sand storage warehouse (400), silica gel press strip (500), main control module (600) and logical Believe module (700) composition;Tension-compression sensor carrier unit (200) include every group of 2 tension-compression sensors, three groups totally 6 tension and compression pass The weight data collection point of sensor;Silicon sand storage warehouse (400) sets up isolation silicon sand and the filter list that directly contacts of patient, filter it is single by Silica gel press strip (500) is fixed;
Tension-compression sensor carrier unit (200) further includes 6 tension-compression sensors, model YP-L1/200Kg, and fixed sensor Bracket;6 tension-compression sensors make axial symmetry distribution using the length axis of bed as symmetry axis;Tension-compression sensor one (201) is drawn Pressure sensor two (202), tension-compression sensor three (203) are separately fixed at the fulcrum one (21) of bracket on the right side of the head of a bed, right side in bed At the fulcrum two (22) of bracket, the fulcrum three (23) of tailstock right side bracket, tension-compression sensor four (204), tension-compression sensor five (205), tension-compression sensor six (206) is similar, and 6 tension-compression sensors are located on same level mounting surface;Tension-compression sensor two (202) it is located among bed body with tension-compression sensor five (205).
2. the medical suspension bed weighing system of one kind according to claim 1, which is characterized in that the tension-compression sensor (201) using 24 A/D converter HX711 chips as core, power supply is connected analog signal processing with HX711 foot 1, foot 16;Three poles Pipe Q1 base stage is connected with HX711 foot 2, Q1 emitter and capacitor C1One end is connected, C1The other end be connected to the ground;Q1Collector, drawing Pressure sensor (201) foot 1, R1One end, C2One end be connected with HX711 foot 3;R1The other end, R2One end and HX711 foot 4 It is connected;R2The other end, C2The other end, C3One end be connected and be grounded with HX711 foot 5;C3The other end and 6 phase of HX711 foot Even;C4One end, R3One end is connected with HX711 foot 7, R3The other end be connected with tension-compression sensor (201) foot 3;R4One end, C4's The other end is connected with HX711 foot 8, R4The other end be connected with tension-compression sensor (201) foot 4;Terminal DI201With 12 phase of HX711 foot Even, corresponding to access main control unit ATmega128 foot 60;Terminal DO201It is connected with HX711 foot 11, accordingly accesses main control unit ATmega128 foot 36;Remaining sensor is DI in main control unit input terminal202、DI203、DI204、DI205、DI206;Output end is DO202、DO203、DO204、DO205、DO206, also use 24 A/D converter HX711 chips, peripheral circuit and tension-compression sensor (201) similar.
3. the medical suspension bed weighing system of one kind according to claim 2, which is characterized in that the main control module (600) using ATmega128 chip as core, ATmega128 foot 60,59,58,57,56,55 respectively with terminal DI201、DI202、 DI203、DI204、DI205、DI206It is connected;ATmega128 foot 36,37,38,39,40,41 respectively with terminal DO201、DO202、DO203、 DO204、DO205、DO206It is connected;Main control module (600) is connected through communication module (700) with monitoring center.
4. a kind of weighing method using medical suspension bed weighing system as described in claim 1, which is characterized in that described The weight data of acquisition is passed to MCU by tension-compression sensor, using the suspension bed weighing analytic approach denoised based on spline wavelets, including Following steps:
(1) suspension bed weighing-up wave is acquired;
(2) suspension bed weighing-up wave is stored;
(3) suspension bed weighing data is extracted after the weighing data denoising acquired;
(4) t minutes and t+15 minutes moment suspension bed weighing-up wave are extracted, difference send MCU to handle;
The step (3) the following steps are included:
(3-1) obtains small echo high frequency layer and wavelet low frequency to suspension bed weighing-up wave is acquired with the number of plies as 4 layers of progress wavelet decomposition Layer;
(3-2) filters out acquisition suspension bed weighing-up wave using generic threshold value in the 2nd layer of wavelet low frequency layer:
To signaling point S to be processed, the territory of k step-length is selected;
K mode processed is put on the basis of S point, calculates separately the arithmetic average of data absolute value in the territory of each mode Value selects maximum average value therein as S point feature value, with the acquisition amplitude of S point feature value substitution S point;
S point feature value after substitution is compared with generic threshold value, when S point feature value is greater than generic threshold value, signaling point is complete Portion retains acquisition amplitude;When S point feature value is less than or equal to generic threshold value, zero setting is carried out to signaling point;
Wherein, k is natural number, and the maximum value value of k is the half of signal pulsewidth;
The calculation formula of generic threshold value σ are as follows:
σ is noise criteria variance, and n is the length of signal;
Arithmetic mean of instantaneous value calculation formula are as follows:
(3-3) directly resets small echo high frequency layer, filters out to high-frequency noise and 50hz industrial frequency noise;
(3-4) reconstructs the original suspension bed weighing-up wave extracted, the input as next step original suspension bed weighing-up wave Signal.
5. a kind of method of the weighing data adjuvant clinical fluid infusion using medical suspension bed weighing system as described in claim 1, It is characterized by comprising the following steps:
1) suspension bed power supply is connected, the log of suspension bed expert system, the non-suspended state of weighing system real-time display are verified Weight, including upper bed body, particulate material weight open blower fan system, the weight of weighing system real-time display suspended state, the shape After weighing system is reset under state, patient is put on suspension bed, weighing system shows patient, infusion segment leather hose and tied up Gauze weight, if the time point is t0, weight G0;To t after Δ t0+ Δ t, weight increase to G0+ΔG;
2) weighing system reads G0, set Δ t and Δ G value, Δ t=15 minutes, Δ G=500g;
3) judge that Δ G is positive and negative;
3-1) when Δ G is timing;
3-1-1) judge whether it is infusion to increase, if it is, 3) green light, returns;It is no, into 3-1-2;
Nasal feeding increase 3-1-2) is judged whether it is, if it is, 3) green light, returns;It is no, into 3-1-3;
Feed 3-1-3) is judged whether it is, if it is, 3) green light, returns;It is no, into 3-1-4;
3-1-4) judge whether it is into water, if it is, 3) green light, returns;
3-2) when Δ G is negative;
3-2-1) judge whether it is surface of a wound evaporation, if it is, alarm, red light is bright, into 4);It is no, it returns 3);
Judge whether it is blood oozing from the wound surface, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is wound exudate, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is vomiting, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is stool, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is urine, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is perspiration, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is autogenous cutting evaporation, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is VSD drainage, be, alarms, red light is bright, into 4);It is no, it returns 3);
Judge whether it is dialysis, be, alarms, red light is bright, into 4);It is no, it returns 3);4) medical staff confirms, alarm effectively, is mended Liquid;It returns 3).
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Application publication date: 20190906