CN110327197A - Lack the external counterpulsation apparatus of disease for preventing and treating flesh - Google Patents
Lack the external counterpulsation apparatus of disease for preventing and treating flesh Download PDFInfo
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H23/00—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms
- A61H23/02—Percussion or vibration massage, e.g. using supersonic vibration; Suction-vibration massage; Massage with moving diaphragms with electric or magnetic drive
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- A61H9/00—Pneumatic or hydraulic massage
- A61H9/005—Pneumatic massage
- A61H9/0078—Pneumatic massage with intermittent or alternately inflated bladders or cuffs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/01—Constructive details
- A61H2201/0107—Constructive details modular
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/16—Physical interface with patient
- A61H2201/1602—Physical interface with patient kind of interface, e.g. head rest, knee support or lumbar support
- A61H2201/164—Feet or leg, e.g. pedal
- A61H2201/1642—Holding means therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2201/00—Characteristics of apparatus not provided for in the preceding codes
- A61H2201/50—Control means thereof
- A61H2201/5058—Sensors or detectors
- A61H2201/5071—Pressure sensors
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
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- A—HUMAN NECESSITIES
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- A61H—PHYSICAL THERAPY APPARATUS, e.g. DEVICES FOR LOCATING OR STIMULATING REFLEX POINTS IN THE BODY; ARTIFICIAL RESPIRATION; MASSAGE; BATHING DEVICES FOR SPECIAL THERAPEUTIC OR HYGIENIC PURPOSES OR SPECIFIC PARTS OF THE BODY
- A61H2205/00—Devices for specific parts of the body
- A61H2205/10—Leg
- A61H2205/108—Leg for the upper legs
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Abstract
本发明提出一种用于防治肌少症的体外反搏装置。本发明技术方案要点为:包括心电信号采集模块、中控模块、气源模块及分体式囊套,分体式囊套包括分体式囊套一及分体式囊套二,分体式囊套一及分体式囊套二均包括多个节段的气囊单元,每个节段的气囊单元至少包括压力感应装置和多个气囊,压力感应装置至少包括可变型触板。本发明采用了节段式和压力自适应技术,将大腿和小腿囊套各分成了多个节段,每个节段有独立的压力感应装置,每个节段需要达到的目标压力有各节段对应的压力感应装置实时测量和调整,既保证了囊套与肢体组织的完全贴合,又便于精准控制气囊压力,从而提高体外反搏的效率,将体外反搏技术用于改善外周微循环,可用于防治肌少症。
The invention provides an external counterpulsation device for preventing and treating sarcopenia. The key points of the technical solution of the present invention are: including an electrocardiographic signal acquisition module, a central control module, a gas source module and a split-type bag cover, the split-type bag cover includes a split-type bag cover one and a split-type bag cover two, split-type bag cover one and The two split-type bag covers each include a plurality of segments of air bag units, and each segment of the air bag unit includes at least a pressure sensing device and a plurality of air bags, and the pressure sensing device includes at least a variable touch panel. The present invention adopts the segmental type and pressure self-adaptive technology, and divides the thigh and calf cuffs into multiple segments, each segment has an independent pressure sensing device, and the target pressure to be achieved by each segment has a number of segments. Real-time measurement and adjustment of the pressure sensing device corresponding to the segment, which not only ensures the complete fit between the cuff and the limb tissue, but also facilitates precise control of the air bag pressure, thereby improving the efficiency of external counterpulsation, and using external counterpulsation technology to improve peripheral microcirculation , can be used to prevent and treat sarcopenia.
Description
技术领域technical field
本发明涉及肌少症防治技术,特别涉及利用体外反搏装置防治肌少症的技术。The invention relates to sarcopenia prevention technology, in particular to the technology of using an external counterpulsation device to prevent sarcopenia.
背景技术Background technique
肌少症(sarcopenia)是以肌容积、肌力和躯体功能下降为特征的疾病。2016年肌少症获得了世界卫生组织提供的国际疾病分类(ICD-10)编码(M62.84),这标志着肌少症被认定为一种新的疾病。肌少症在社区老年人群中患病率约10%,在80岁以上高龄老人中患病率高达50%,在住院老人中患病率高达30-50%。肌少症使老年人行走、坐立等各种日常活动完成困难,增加跌倒风险、失能率和死亡率。Sarcopenia is a disease characterized by decreased muscle volume, muscle strength, and physical function. In 2016, sarcopenia obtained the International Classification of Diseases (ICD-10) code (M62.84) provided by the World Health Organization, which indicated that sarcopenia was identified as a new disease. The prevalence of sarcopenia is about 10% in the elderly population in the community, as high as 50% in the elderly over 80 years old, and as high as 30-50% in the hospitalized elderly. Sarcopenia makes walking, sitting and other daily activities difficult for the elderly, increasing the risk of falls, disability and mortality.
目前肌少症的防治方法有限,主要是营养干预+阻抗运动,没有疗效确切的防治药物。然而对大多数老年人,尤其是高龄老人、养老院和住院老年人而言阻抗运动难以实施。全身振动防治(WBV)用于防治肌少症是新进发展起来的新技术,但该技术需要老年人持续站立才能实施,因此对于重度的老年肌少症患者而言同样难以实施。At present, the prevention and treatment methods for sarcopenia are limited, mainly nutritional intervention + resistance exercise, and there are no effective prevention and treatment drugs. However, resistance exercise is difficult to implement for most elderly people, especially the elderly, nursing homes and hospitalized elderly. Whole body vibration (WBV) is a newly developed new technology for the prevention and treatment of sarcopenia, but this technology requires the elderly to stand continuously, so it is also difficult to implement for severe sarcopenia patients.
另一方面,体外反搏(ECP)是一种临床已经使用40多年的技术,已经有多种体外反搏装置面世,但是以往应用主要是防治冠心病、心绞痛、充血性心衰和缺血性卒中的补充防治。但近年来研究发现ECP后1h平均胫后动脉血流量增加至基础状态下的(133±3.4)%,有改善外周血液循环的作用。而骨骼肌的生长、修复、做功都需要毛细血管网络的供血供氧,研究表明肌少症时毛细血管网稀疏,微循环障碍,改善微循环可能改善肌少症患者的肌肉功能。On the other hand, external counterpulsation (ECP) is a technology that has been used clinically for more than 40 years. There are many external counterpulsation devices available, but the past applications are mainly for the prevention and treatment of coronary heart disease, angina pectoris, congestive heart failure and ischemic heart failure. Complementary prevention and treatment of stroke. However, in recent years, studies have found that the average posterior tibial artery blood flow increased to (133±3.4)% of the base state 1h after ECP, which has the effect of improving peripheral blood circulation. The growth, repair, and work of skeletal muscle require the blood and oxygen supply of the capillary network. Studies have shown that the capillary network is sparse in sarcopenia and the microcirculation is impaired. Improving microcirculation may improve the muscle function of sarcopenia patients.
发明内容Contents of the invention
本发明的目的是提供一种用于防治肌少症的体外反搏装置,能够自适应调整不同部位的囊套内压,保证囊套与肢体充分接触的同时精准调控囊套内的适当压力,从微循环的途径对肌少症进行干预。The purpose of the present invention is to provide an external counterpulsation device for preventing and treating sarcopenia, which can self-adaptively adjust the internal pressure of the cuff in different parts, ensure that the cuff is in full contact with the limbs, and at the same time precisely control the appropriate pressure in the cuff, Intervention on sarcopenia through microcirculation.
本发明解决其技术问题,采用的技术方案是:用于防治肌少症的体外反搏装置,包括心电信号采集模块、中控模块、气源模块及分体式囊套,所述分体式囊套包括分体式囊套一及分体式囊套二,分体式囊套一及分体式囊套二均包括多个节段的气囊单元,每个节段的气囊单元至少包括压力感应装置和多个气囊,压力感应装置至少包括可变型触板;The present invention solves the technical problem, and adopts the technical scheme as follows: an external counterpulsation device for preventing and treating sarcopenia, including an electrocardiographic signal acquisition module, a central control module, a gas source module and a split bag, the split bag The cover includes a split-type bag cover 1 and a split-type bag cover 2, and the split-type bag cover 1 and the split-type bag cover 2 each include a plurality of segments of air bag units, and each segment of the air bag unit includes at least a pressure sensing device and a plurality of The airbag, the pressure sensing device includes at least a variable touch panel;
所述分体式囊套一及分体式囊套二用于分别包裹在用户的大腿和小腿的相应位置;The first split bag and the second split bag are used to respectively wrap the user's thigh and calf at corresponding positions;
所述心电信号采集模块,用于采集心电信号,通过心电信号计算出用户的心电R波,并传输至中控模块;The electrocardiographic signal collection module is used to collect electrocardiographic signals, calculate the user's electrocardiographic R wave through the electrocardiographic signals, and transmit them to the central control module;
所述压力感应装置,用于检测对应节段的气囊单元与用户下肢接触处的压力信号,并传出至中控模块;The pressure sensing device is used to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the lower limb of the user, and transmit it to the central control module;
所述可变形触板,用于在启动时以一定的速率向下肢肌群释放一个轻柔的冲击;The deformable touch panel is used to release a gentle impact on the muscles of the lower limbs at a certain rate when activated;
所述中控模块,用于接收所述心电R波及压力信号,并在可变形触板以一定的速率向下肢肌群释放一个轻柔的冲击时,测量可变形触板回弹的速率和强度,计算肌肉组织弹性,根据计算结果控制气源模块向气囊内送气,此时压力感应装置会持续检测对应节段的气囊单元与用户下肢接触处的压力信号,直到设定阈值;The central control module is used to receive the ECG R-wave and pressure signals, and measure the rebound rate and strength of the deformable touch panel when the deformable touch panel releases a gentle impact on the muscles of the lower limbs at a certain rate , calculate the muscle tissue elasticity, and control the air source module to send air into the airbag according to the calculation result. At this time, the pressure sensing device will continue to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the lower limb of the user until the threshold is set;
所述中控模块,还用于根据所述心电R波实时推算心脏的收缩期和舒张期,并控制气源模块对各节段气囊顺序进行充气和排气过程。The central control module is also used to calculate the systolic and diastolic periods of the heart in real time according to the R-wave of the ECG, and control the gas source module to inflate and deflate the airbags of each segment sequentially.
具体的是,所述分体式囊套一及分体式囊套二均包括十六个节段的气囊单元。Specifically, the split-type bag cover 1 and the split-type bag cover 2 both include 16-segment airbag units.
进一步的是,所述气囊的在未充气时的形状为正六边形。Further, the shape of the airbag when not inflated is a regular hexagon.
具体的是,所述气源模块包括电磁阀、气压泵、储气罐、导气管、排气阀和消音阀,所述电磁阀用于接收中控模块的控制信号,并实时将控制信号传递给气压泵,所述控制信号包括充气信号、保持信号和释放信号,所述消音阀用于减少排气过程中的空气噪音;Specifically, the air source module includes a solenoid valve, an air pump, an air storage tank, an air guide pipe, an exhaust valve and a silencer valve, and the solenoid valve is used to receive control signals from the central control module and transmit the control signals in real time For an air pump, the control signal includes an inflation signal, a hold signal and a release signal, and the silencer valve is used to reduce air noise during the exhaust process;
当接收到充气信号时,气压泵将储气罐内的压缩空气压缩至导气管;When the inflation signal is received, the air pump compresses the compressed air in the air storage tank to the air guide tube;
当接收到保持信号时,气压泵停止充气;When the hold signal is received, the air pump stops inflating;
当接收到释放信号时,排气阀启动排气。When a release signal is received, the exhaust valve activates exhaust.
进一步的是,所述中控模块控制气源模块对各节段气囊顺序进行充气和排气过程时,具体为:在心脏舒张期,各段气囊由远而近地以大约50ms的时差序贯充气,在收缩期,气囊迅速同步排气。Further, when the central control module controls the air source module to sequentially inflate and deflate the airbags of each segment, specifically: during the diastolic period, the airbags of each segment are sequenced from far to near with a time difference of about 50 ms. Inflated, during the systole, the airbags are rapidly and synchronously deflated.
具体的是,还包括数据处理模块,所述数据处理模块,用于对采集的心电R波及压力信号进行滤波去噪,并将滤波并去噪后的心电R波及压力信号传输至中控模块。Specifically, it also includes a data processing module, the data processing module is used to filter and denoise the collected ECG R wave and pressure signal, and transmit the filtered and denoised ECG R wave and pressure signal to the central control module.
进一步的是,还包括显示模块,所述显示模块包括实时监测面板,所述实时监测面板,用于显示开始时间、设定防治时间、结束时间、各节段实时压力变化数据和动态曲线及II导联心电图波形。Further, it also includes a display module, the display module includes a real-time monitoring panel, the real-time monitoring panel is used to display the start time, set prevention time, end time, real-time pressure change data and dynamic curves of each segment and II Lead ECG waveform.
具体的是,还包括参数设置模块和振动控制模块,每个节段的气囊单元还包括振动发生装置;Specifically, it also includes a parameter setting module and a vibration control module, and the airbag unit of each segment also includes a vibration generating device;
所述参数设置模块调整相关参数,所述相关参数包括:防治时长、振动频率范围、振幅范围、压力范围、防治模式及调节按键,所述调节按键至少包括应急停止按键,按下应急停止按键,能够即刻断电所有振动发生装置停止工作;The parameter setting module adjusts related parameters, and the related parameters include: prevention and treatment duration, vibration frequency range, amplitude range, pressure range, prevention mode and adjustment buttons, and the adjustment buttons include at least an emergency stop button. Press the emergency stop button, All vibration generating devices can be powered off immediately to stop working;
所述中控模块,用于根据计算出的肌肉组织弹性及所述相关参数,设置振动发生装置的振动幅度范围,并在需要振动时向振动控制模块发送振动控制信号;The central control module is used to set the vibration amplitude range of the vibration generating device according to the calculated muscle tissue elasticity and the related parameters, and send a vibration control signal to the vibration control module when vibration is required;
所述振动控制模块,用于当接收到所述振动控制信号时,计算出实时的振动幅度控制信号,并发送给振动发生装置;The vibration control module is used to calculate a real-time vibration amplitude control signal when receiving the vibration control signal, and send it to the vibration generating device;
所述振动发生装置,用于根据接收的实时的振动幅度控制信号,控制发出相应振动幅度及相应频率的垂直机械振动。The vibration generating device is used to control and send out vertical mechanical vibrations with corresponding vibration amplitudes and corresponding frequencies according to the received real-time vibration amplitude control signals.
进一步的是,所述显示模块还包括参数设置面板,所述参数设置面板的显示信息包括各振动发生装置的实时振幅、频率及持续时间。Further, the display module further includes a parameter setting panel, and the display information on the parameter setting panel includes the real-time amplitude, frequency and duration of each vibration generating device.
具体的是,所述相应振动频率的范围为:30-45Hz,相应振动幅度的范围为:1.0-2mm。Specifically, the range of the corresponding vibration frequency is 30-45 Hz, and the range of the corresponding vibration amplitude is 1.0-2 mm.
本发明的有益效果是,通过上述用于防治肌少症的体外反搏装置,对患者体位无要求,无需患者主动配合,可以在重度衰弱或卧床的老年肌少症患者中实施;从微循环的途径对肌少症进行干预;能够根据用户下肢肌群的体积和骨骼肌弹性自适应地调整气囊大小和空气波压力至合适的水平。The beneficial effect of the present invention is that, through the above-mentioned external counterpulsation device for preventing and treating sarcopenia, there is no requirement for the patient's position, and no active cooperation of the patient is required, and it can be implemented in severely debilitated or bedridden elderly patients with sarcopenia; It can intervene in sarcopenia through a new approach; it can adaptively adjust the size of the airbag and the pressure of the air wave to an appropriate level according to the volume of the user's lower limb muscle group and the elasticity of the skeletal muscle.
并且,本申请首次将体外反搏技术用于改善外周微循环,从而用于防治肌少症;也是首次将体外反搏和局部振动防治相结合,从而在一个设备上同时实现体外反搏和局部振动防治,节约了防治时间和费用。Moreover, this application is the first to use external counterpulsation technology to improve peripheral microcirculation, so as to prevent and treat sarcopenia; it is also the first time to combine external counterpulsation and local vibration prevention and treatment, so as to realize both external counterpulsation and local vibration on one device Vibration prevention and control saves time and cost of prevention and control.
另外,既往体外反搏技术均采用大气囊式囊套设计,囊套对肢体产生的压力为固定值。事实上,由于不同患者肢体的骨骼肌和脂肪组织的比例不一,组织弹性的变异也很大,采用固定压力不能适应不同组织局部的压力需求,从而降低效果。而本申请采用了节段式设计和压力自适应技术,将大腿和小腿囊套各分成了多个节段,每个节段有独立的压力感应装置,每个节段需要达到的目标压力有各节段对应的压力感应装置实时测量和调整。既保证了囊套与肢体组织的完全贴合,又便于精准控制气囊压力,从而提高体外反搏的效率。In addition, the previous external counterpulsation techniques all adopted the design of the large-bag cuff, and the pressure generated by the cuff on the limb was a fixed value. In fact, due to the different proportions of skeletal muscle and adipose tissue in different limbs of patients, the variation of tissue elasticity is also great. The use of fixed pressure cannot adapt to the local pressure requirements of different tissues, thereby reducing the effect. However, this application adopts segmental design and pressure self-adaptive technology, and divides the thigh and calf sleeves into multiple segments, each segment has an independent pressure sensing device, and the target pressure that each segment needs to achieve is as follows: The pressure sensing device corresponding to each segment measures and adjusts in real time. It not only ensures the complete fit of the cuff and the limb tissue, but also facilitates precise control of the pressure of the air bag, thereby improving the efficiency of external counterpulsation.
附图说明Description of drawings
图1为本发明实施例2用于防治肌少症的体外反搏装置的各模块之间的关联图。Fig. 1 is a diagram showing the relationship between modules of the external counterpulsation device used to prevent and treat sarcopenia in Example 2 of the present invention.
具体实施方式Detailed ways
下面结合实施例及附图,详细描述本发明的技术方案。The technical solution of the present invention will be described in detail below in combination with the embodiments and the accompanying drawings.
本发明所述用于防治肌少症的体外反搏装置,包括心电信号采集模块、中控模块、气源模块及分体式囊套,其中,分体式囊套包括分体式囊套一及分体式囊套二,分体式囊套一及分体式囊套二均包括多个节段的气囊单元,每个节段的气囊单元至少包括压力感应装置和多个气囊,压力感应装置至少包括可变型触板;The external counterpulsation device for preventing and treating sarcopenia according to the present invention includes an electrocardiographic signal acquisition module, a central control module, a gas source module and a split bag, wherein the split bag includes a split bag one and a split bag. The body type bag cover 2, the split type bag cover 1 and the split type bag cover 2 all include a plurality of segmental air bag units, and each segment air bag unit includes at least a pressure sensing device and a plurality of air bags, and the pressure sensing device includes at least a variable type touch panel;
分体式囊套一及分体式囊套二用于分别包裹在用户的大腿和小腿的相应位置;Split-type bag 1 and split-type bag 2 are used to wrap the corresponding positions of the user's thigh and calf respectively;
心电信号采集模块,用于采集心电信号,通过心电信号计算出用户的心电R波,并传输至中控模块;The electrocardiographic signal acquisition module is used to collect electrocardiographic signals, calculate the user's electrocardiographic R wave through the electrocardiographic signals, and transmit them to the central control module;
压力感应装置,用于检测对应节段的气囊单元与用户下肢接触处的压力信号,并传出至中控模块;The pressure sensing device is used to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the lower limb of the user, and transmit it to the central control module;
可变形触板,用于在启动时以一定的速率向下肢肌群释放一个轻柔的冲击;The deformable touch pad is used to release a gentle impact on the lower limb muscles at a certain rate when starting;
中控模块,用于接收心电R波及压力信号,并在可变形触板以一定的速率向下肢肌群释放一个轻柔的冲击时,测量可变形触板回弹的速率和强度,计算肌肉组织弹性,根据计算结果控制气源模块向气囊内送气,此时压力感应装置会持续检测对应节段的气囊单元与用户下肢接触处的压力信号,直到设定阈值;The central control module is used to receive ECG R wave and pressure signals, and when the deformable touch panel releases a gentle impact on the lower limb muscles at a certain rate, measure the rebound rate and strength of the deformable touch panel, and calculate the muscle tissue Elasticity, according to the calculation result, the air source module is controlled to send air into the airbag. At this time, the pressure sensing device will continue to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the user's lower limbs until the threshold is set;
中控模块,还用于根据心电R波实时推算心脏的收缩期和舒张期,并控制气源模块对各节段气囊顺序进行充气和排气过程。The central control module is also used to calculate the systolic and diastolic periods of the heart in real time according to the ECG R wave, and controls the air source module to inflate and deflate the airbags of each segment sequentially.
上述系统中,分体式囊套一及分体式囊套二均优选包括十六个节段的气囊单元;气囊的在未充气时的形状优选为正六边形。In the above-mentioned system, both the split-type bag cover 1 and the split-type bag cover 2 preferably include sixteen-segment airbag units; the shape of the airbag when it is not inflated is preferably a regular hexagon.
气源模块可以包括电磁阀、气压泵、储气罐、导气管、排气阀和消音阀,电磁阀用于接收中控模块的控制信号,并实时将控制信号传递给气压泵,控制信号包括充气信号、保持信号和释放信号,消音阀用于减少排气过程中的空气噪音;The air source module can include a solenoid valve, an air pump, an air storage tank, an air guide pipe, an exhaust valve and a silencer valve. The solenoid valve is used to receive the control signal from the central control module and transmit the control signal to the air pump in real time. The control signal includes Inflate signal, hold signal and release signal, the silencer valve is used to reduce the air noise during the exhaust process;
当接收到充气信号时,气压泵将储气罐内的压缩空气压缩至导气管;When the inflation signal is received, the air pump compresses the compressed air in the air storage tank to the air guide tube;
当接收到保持信号时,气压泵停止充气;When the hold signal is received, the air pump stops inflating;
当接收到释放信号时,排气阀启动排气。When a release signal is received, the exhaust valve activates exhaust.
中控模块控制气源模块对各节段气囊顺序进行充气和排气过程时,具体为:在心脏舒张期,各段气囊由远而近地以50ms的时差序贯充气,在收缩期,气囊迅速同步排气。When the central control module controls the air source module to inflate and deflate the airbags of each segment in sequence, the specific is: in the diastolic period, the airbags in each segment are inflated sequentially with a time difference of 50ms from far to near; in the systolic period, the airbags Rapid and synchronized exhaust.
该系统还可包括数据处理模块,数据处理模块,用于对采集的心电R波及压力信号进行滤波去噪,并将滤波并去噪后的心电R波及压力信号传输至中控模块。The system may also include a data processing module, which is used for filtering and denoising the collected ECG R-wave and pressure signals, and transmitting the filtered and de-noised ECG R-wave and pressure signals to the central control module.
该系统还可包括显示模块,显示模块包括实时监测面板,实时监测面板,用于显示开始时间、设定防治时间、结束时间、各节段实时压力变化数据和动态曲线及II导联心电图波形等。The system can also include a display module, which includes a real-time monitoring panel, which is used to display the start time, set prevention time, end time, real-time pressure change data and dynamic curves of each segment, and II-lead ECG waveforms, etc. .
该系统还可包括参数设置模块和振动控制模块,每个节段的气囊单元还包括振动发生装置;The system can also include a parameter setting module and a vibration control module, and the airbag unit of each segment also includes a vibration generating device;
参数设置模块调整相关参数,相关参数包括:防治时长、振动频率范围、振幅范围、压力范围、防治模式及调节按键等,调节按键至少包括应急停止按键,按下应急停止按键,能够即刻断电所有振动发生装置停止工作;The parameter setting module adjusts relevant parameters. The relevant parameters include: prevention and treatment duration, vibration frequency range, amplitude range, pressure range, prevention mode and adjustment buttons, etc. The adjustment buttons include at least the emergency stop button. Press the emergency stop button to immediately power off all The vibration generating device stops working;
中控模块,用于根据计算出的肌肉组织弹性及相关参数,设置振动发生装置的振动幅度范围,并在需要振动时向振动控制模块发送振动控制信号;The central control module is used to set the vibration amplitude range of the vibration generating device according to the calculated muscle tissue elasticity and related parameters, and send a vibration control signal to the vibration control module when vibration is required;
振动控制模块,用于当接收到振动控制信号时,计算出实时的振动幅度控制信号,并发送给振动发生装置;The vibration control module is used to calculate the real-time vibration amplitude control signal and send it to the vibration generating device when the vibration control signal is received;
振动发生装置,用于根据接收的实时的振动幅度控制信号,控制发出相应振动幅度及相应频率的垂直机械振动。The vibration generating device is used to control and send out vertical mechanical vibration with corresponding vibration amplitude and corresponding frequency according to the received real-time vibration amplitude control signal.
进一步的是,显示模块还包括参数设置面板,参数设置面板的显示信息包括各振动发生装置的实时振幅、频率及持续时间。Further, the display module also includes a parameter setting panel, and the display information of the parameter setting panel includes the real-time amplitude, frequency and duration of each vibration generating device.
具体的是,相应振动频率的范围为:30-45Hz,最佳振动频率范围为:35-40Hz,相应振动幅度的范围为:1.0-2mm,最佳振动幅度范围为:1.1-1.5mm。Specifically, the corresponding vibration frequency range is 30-45 Hz, the optimal vibration frequency range is 35-40 Hz, the corresponding vibration amplitude range is 1.0-2 mm, and the optimal vibration amplitude range is 1.1-1.5 mm.
实施例1Example 1
本实施例用于防治肌少症的体外反搏装置,包括心电信号采集模块、数据处理模块、显示模块、中控模块、气源模块及分体式囊套,其中,分体式囊套包括分体式囊套一及分体式囊套二,分体式囊套一及分体式囊套二均包括多个节段的气囊单元,每个节段的气囊单元至少包括压力感应装置和多个气囊,压力感应装置至少包括可变型触板;The external counterpulsation device used in the prevention and treatment of sarcopenia in this embodiment includes an ECG signal acquisition module, a data processing module, a display module, a central control module, a gas source module and a split bag, wherein the split bag includes a split The one-piece sleeve and the second split sleeve, both of the first split sleeve and the second split sleeve include a plurality of segmental airbag units, and each segmental airbag unit includes at least a pressure sensing device and a plurality of airbags. The sensing device includes at least a variable touch panel;
分体式囊套一及分体式囊套二用于分别包裹在用户的大腿和小腿的相应位置;Split-type bag 1 and split-type bag 2 are used to wrap the corresponding positions of the user's thigh and calf respectively;
心电信号采集模块,用于采集心电信号,通过心电信号计算出用户的心电R波,并传输至中控模块;The electrocardiographic signal acquisition module is used to collect electrocardiographic signals, calculate the user's electrocardiographic R wave through the electrocardiographic signals, and transmit them to the central control module;
压力感应装置,用于检测对应节段的气囊单元与用户下肢接触处的压力信号,并传出至中控模块;The pressure sensing device is used to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the lower limb of the user, and transmit it to the central control module;
可变形触板,用于在启动时以一定的速率向下肢肌群释放一个轻柔的冲击;The deformable touch pad is used to release a gentle impact on the lower limb muscles at a certain rate when starting;
数据处理模块,用于对采集的心电R波及压力信号进行滤波去噪,并将滤波并去噪后的心电R波及压力信号传输至中控模块;The data processing module is used to filter and denoise the collected ECG R wave and pressure signal, and transmit the filtered and denoised ECG R wave and pressure signal to the central control module;
显示模块包括实时监测面板,实时监测面板,用于显示开始时间、设定防治时间、结束时间、各节段实时压力变化数据和动态曲线及II导联心电图波形;The display module includes a real-time monitoring panel, which is used to display the start time, set prevention time, end time, real-time pressure change data and dynamic curves of each segment, and lead II electrocardiogram waveform;
中控模块,用于接收心电R波及压力信号,并在可变形触板以一定的速率向下肢肌群释放一个轻柔的冲击时,测量可变形触板回弹的速率和强度,计算肌肉组织弹性,根据计算结果控制气源模块向气囊内送气,此时压力感应装置会持续检测对应节段的气囊单元与用户下肢接触处的压力信号,直到设定阈值;The central control module is used to receive ECG R wave and pressure signals, and when the deformable touch panel releases a gentle impact on the lower limb muscles at a certain rate, measure the rebound rate and strength of the deformable touch panel, and calculate the muscle tissue Elasticity, according to the calculation result, the air source module is controlled to send air into the airbag. At this time, the pressure sensing device will continue to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the user's lower limbs until the threshold is set;
中控模块,还用于根据心电R波实时推算心脏的收缩期和舒张期,并控制气源模块对各节段气囊顺序进行充气和排气过程。The central control module is also used to calculate the systolic and diastolic periods of the heart in real time according to the ECG R wave, and controls the air source module to inflate and deflate the airbags of each segment sequentially.
本例中,分体式囊套一及分体式囊套二均包括十六个节段的气囊单元;气囊的在未充气时的形状为正六边形。In this example, the split-type bag cover 1 and the split-type bag cover 2 both include 16-segment airbag units; the shape of the airbag is a regular hexagon when it is not inflated.
气源模块包括电磁阀、气压泵、储气罐、导气管、排气阀和消音阀,电磁阀用于接收中控模块的控制信号,并实时将控制信号传递给气压泵,控制信号包括充气信号、保持信号和释放信号,消音阀用于减少排气过程中的空气噪音;The air source module includes a solenoid valve, an air pump, an air storage tank, an air guide pipe, an exhaust valve and a silencer valve. The solenoid valve is used to receive the control signal from the central control module and transmit the control signal to the air pump in real time. The control signal includes inflation Signal, hold signal and release signal, the silencer valve is used to reduce the air noise during the exhaust process;
当接收到充气信号时,气压泵将储气罐内的压缩空气压缩至导气管;When the inflation signal is received, the air pump compresses the compressed air in the air storage tank to the air guide tube;
当接收到保持信号时,气压泵停止充气;When the hold signal is received, the air pump stops inflating;
当接收到释放信号时,排气阀启动排气。When a release signal is received, the exhaust valve activates exhaust.
中控模块控制气源模块对各节段气囊顺序进行充气和排气过程时,具体为:在心脏舒张期,各段气囊由远而近地以大约50ms的时差序贯充气,在收缩期,气囊迅速同步排气。When the central control module controls the air source module to inflate and deflate the airbags of each segment in sequence, the details are as follows: during the diastolic period, each segment of the airbags is inflated sequentially with a time difference of about 50 ms from far to near; during systole, The airbags deflate quickly and synchronously.
实际应用时,在患者的小腿和大腿段包裹特制的带有压力感应装置的气囊套。使用者大腿和小腿固定好囊套后,使用者按压“控制面板”的“准备”键,囊套内壁的带有压力感应装置的可变形触板会以一定的速率向下肢肌群释放一个轻柔的冲击,中控模块测量触板回弹的速率和强度,计算肌肉组织弹性,根据计算结果控制气源系统向囊袋内送气,此时可变形触板上的压力感应装置会持续检查接触面压力,直到设定阈值。本实施例的气囊套采用节段式设计,大腿和小腿囊套分别包含十六个节段;每个节段由数百个六边形立方体小气囊和1个压力传感器组成,每个节段的充气量由该节段所属的压力传感器测定的组织弹性决定。In actual application, the patient's calf and thigh are wrapped with a special air bag cover with a pressure sensing device. After the user's thigh and calf are fixed, the user presses the "ready" button on the "control panel", and the deformable touch panel with a pressure sensing device on the inner wall of the bag will release a soft force at a certain rate to the muscles of the lower limbs. The central control module measures the rebound rate and strength of the touch panel, calculates the elasticity of the muscle tissue, and controls the air source system to send air into the pouch according to the calculation results. At this time, the pressure sensing device on the deformable touch panel will continue to check the contact surface pressure until the set threshold. The air bag cover of this embodiment adopts a segmental design, and the thigh and calf bag covers respectively contain sixteen segments; each segment is composed of hundreds of small hexagonal cube air cells and one pressure sensor, and each segment The amount of inflation is determined by the tissue elasticity measured by the pressure sensor to which the segment belongs.
通过由心电信号采集系统检出患者的心电图R波,通过中控模块实时推算心脏的收缩期和舒张期,据此指令气源系统对各段气囊顺序进行充气和排气过程。在心脏舒张期,各段气囊由远而近地以大约50ms的时差序贯充气,提高舒张压,增加回心血流;在收缩期气囊迅速同步排气,下肢减压后,动脉舒张,接纳来自主动脉的血液,从而达到改善下肢肌肉组织微循环的目的。The R wave of the patient's ECG is detected by the ECG signal acquisition system, and the systolic and diastolic phases of the heart are calculated in real time through the central control module, and the gas source system is instructed to inflate and deflate each segment of the air bag sequentially. During the diastolic period, the airbags of each segment are inflated sequentially from far to near with a time difference of about 50ms, increasing the diastolic blood pressure and increasing blood flow back to the heart; Blood from the aorta, so as to achieve the purpose of improving the microcirculation of lower extremity muscle tissue.
本实施例首次将体外反搏技术用于改善外周微循环,从而用于防治肌少症,既往体外反搏技术均采用大气囊式囊套设计,囊套对肢体产生的压力为固定值。事实上,由于不同患者肢体的骨骼肌和脂肪组织的比例不一,组织弹性的变异也很大,采用固定压力不能适应不同组织局部的压力需求,从而降低效果。本实施例采用了节段式设计和压力自适应技术,将大腿和小腿囊套各分成了十六个节段,每个节段有独立的压力感应装置,每个节段需要达到的目标压力有各节段对应的压力感应装置实时测量和调整。既保证了囊套与肢体组织的完全贴合,又便于精准控制气囊压力,从而提高体外反搏的效率。In this example, for the first time, external counterpulsation technology is used to improve peripheral microcirculation, thereby preventing and treating sarcopenia. The previous external counterpulsation technology used a large-sac sleeve design, and the pressure generated by the sleeve on the limbs was a fixed value. In fact, due to the different proportions of skeletal muscle and adipose tissue in different limbs of patients, the variation of tissue elasticity is also great. The use of fixed pressure cannot adapt to the local pressure requirements of different tissues, thereby reducing the effect. This embodiment adopts segmental design and pressure adaptive technology, and divides the thigh and calf cuffs into sixteen segments, each segment has an independent pressure sensing device, and the target pressure to be achieved by each segment There are pressure sensing devices corresponding to each segment for real-time measurement and adjustment. It not only ensures the complete fit of the cuff and the limb tissue, but also facilitates precise control of the pressure of the air bag, thereby improving the efficiency of external counterpulsation.
实施例2Example 2
本发明实施例用于防治肌少症的体外反搏装置,各模块之间的关联图参见图1,其中,该系统包括心电信号采集模块、中控模块、数据处理模块、显示模块、参数设置模块、振动控制模块、气源模块及分体式囊套,其中,分体式囊套包括分体式囊套一及分体式囊套二,分体式囊套一及分体式囊套二均包括多个节段的气囊单元,每个节段的气囊单元至少包括压力感应装置和多个气囊,压力感应装置至少包括可变型触板,每个节段的气囊单元包括振动发生装置。The embodiment of the present invention is used to prevent and treat sarcopenia. For the external counterpulsation device used to prevent and treat sarcopenia, see Figure 1 for the correlation diagram between the modules, wherein the system includes an ECG signal acquisition module, a central control module, a data processing module, a display module, and a parameter A setting module, a vibration control module, an air source module and a split bag, wherein the split bag includes split bag 1 and split bag 2, and both split bag 1 and split bag 2 include multiple Segmental airbag units, each segmental airbag unit at least includes a pressure sensing device and a plurality of airbags, the pressure sensing device at least includes a variable touch panel, and each segmental airbag unit includes a vibration generating device.
本例的用于防治肌少症的体外反搏装置中:In the external counterpulsation device used to prevent and treat sarcopenia in this example:
参数设置模块调整相关参数,相关参数包括:防治时长、振动频率范围、振幅范围、压力范围、防治模式及调节按键等,调节按键至少包括应急停止按键,按下应急停止按键,能够即刻断电所有振动发生装置停止工作,应急停止的优先级高于所有振动发生器中的预设的工作程序。The parameter setting module adjusts relevant parameters. The relevant parameters include: prevention and treatment duration, vibration frequency range, amplitude range, pressure range, prevention mode and adjustment buttons, etc. The adjustment buttons include at least the emergency stop button. Press the emergency stop button to immediately power off all The vibration generating device stops working, and the priority of emergency stop is higher than the preset working procedures in all vibration generators.
振动控制模块,用于当接收到振动控制信号时,计算出实时的振动幅度控制信号,并发送给振动发生装置。The vibration control module is used to calculate the real-time vibration amplitude control signal and send it to the vibration generating device when the vibration control signal is received.
振动发生装置,用于根据接收的实时的振动幅度控制信号,控制发出相应振动幅度及相应频率的垂直机械振动。The vibration generating device is used to control and send out vertical mechanical vibration with corresponding vibration amplitude and corresponding frequency according to the received real-time vibration amplitude control signal.
分体式囊套一及分体式囊套二用于分别包裹在用户的大腿和小腿的相应位置。The split bag cover 1 and the split bag cover 2 are used to respectively wrap the user's thigh and calf at the corresponding positions.
心电信号采集模块,用于采集心电信号,通过心电信号计算出用户的心电R波,并传输至中控模块。The electrocardiographic signal collection module is used to collect electrocardiographic signals, calculate the user's electrocardiographic R wave through the electrocardiographic signals, and transmit them to the central control module.
压力感应装置,用于检测对应节段的气囊单元与用户下肢接触处的压力信号,并传出至中控模块。The pressure sensing device is used to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the lower limb of the user, and transmit it to the central control module.
气源模块括电磁阀、气压泵、储气罐、导气管、排气阀和消音阀,电磁阀用于接收中控模块的控制信号,并实时将控制信号传递给气压泵,控制信号包括充气信号、保持信号和释放信号,消音阀用于减少排气过程中的空气噪音;当接收到充气信号时,气压泵将储气罐内的压缩空气压缩至导气管;当接收到保持信号时,气压泵停止充气;当接收到释放信号时,排气阀启动排气。The air source module includes solenoid valve, air pump, air storage tank, air guide pipe, exhaust valve and silencer valve. The solenoid valve is used to receive the control signal from the central control module and transmit the control signal to the air pump in real time. The control signal includes inflation signal, hold signal and release signal, the silencer valve is used to reduce the air noise during the exhaust process; when receiving the inflation signal, the air pump will compress the compressed air in the air storage tank to the air duct; when receiving the hold signal, The air pump stops inflating; when a release signal is received, the exhaust valve starts to exhaust.
可变形触板,用于在启动时以一定的速率向下肢肌群释放一个轻柔的冲击。The deformable touchpad is used to deliver a gentle impact to the lower body muscles at a certain rate when activated.
数据处理模块,用于对采集的心电R波及压力信号进行滤波去噪,并将滤波并去噪后的心电R波及压力信号传输至中控模块。The data processing module is used to filter and denoise the collected ECG R wave and pressure signal, and transmit the filtered and denoised ECG R wave and pressure signal to the central control module.
显示模块包括实时监测面板,实时监测面板,用于显示开始时间、设定防治时间、结束时间、各节段实时压力变化数据和动态曲线及II导联心电图波形,显示模块还包括参数设置面板,参数设置面板的显示信息包括各振动发生装置的实时振幅、频率及持续时间。The display module includes a real-time monitoring panel. The real-time monitoring panel is used to display the start time, set prevention time, end time, real-time pressure change data and dynamic curves of each segment, and the II-lead ECG waveform. The display module also includes a parameter setting panel. The display information of the parameter setting panel includes the real-time amplitude, frequency and duration of each vibration generating device.
中控模块,用于接收心电R波及压力信号,并在可变形触板以一定的速率向下肢肌群释放一个轻柔的冲击时,测量可变形触板回弹的速率和强度,计算肌肉组织弹性,根据计算结果控制气源模块向气囊内送气,此时压力感应装置会持续检测对应节段的气囊单元与用户下肢接触处的压力信号,直到设定阈值。The central control module is used to receive ECG R-wave and pressure signals, and when the deformable touch panel releases a gentle impact on the lower limb muscles at a certain rate, measure the rebound rate and strength of the deformable touch panel, and calculate the muscle tissue Elasticity, according to the calculation result, the air source module is controlled to send air into the airbag. At this time, the pressure sensing device will continue to detect the pressure signal at the contact point between the airbag unit of the corresponding segment and the user's lower limbs until the threshold is set.
中控模块,用于根据计算出的肌肉组织弹性及相关参数,设置振动发生装置的振动幅度范围,并在需要振动时向振动控制模块发送振动控制信号。The central control module is used to set the vibration amplitude range of the vibration generating device according to the calculated muscle tissue elasticity and related parameters, and send a vibration control signal to the vibration control module when vibration is required.
中控模块,还用于根据心电R波实时推算心脏的收缩期和舒张期,并控制气源模块对各节段气囊顺序进行充气和排气过程,中控模块控制气源模块对各节段气囊顺序进行充气和排气过程时,具体为:在心脏舒张期,各段气囊由远而近地以大约50ms的时差序贯充气,在收缩期,气囊迅速同步排气。The central control module is also used to calculate the systolic and diastolic periods of the heart in real time according to the ECG R wave, and controls the air source module to inflate and deflate the airbags of each segment sequentially. When the segmental airbags are inflated and deflated sequentially, the specific steps are as follows: during diastole, the airbags of each segment are inflated sequentially from far to near with a time difference of about 50 ms, and during systole, the airbags are rapidly and synchronously exhausted.
本例中,分体式囊套一及分体式囊套二均包括十六个节段的气囊单元;气囊的在未充气时的形状为正六边形。In this example, the split-type bag cover 1 and the split-type bag cover 2 both include 16-segment airbag units; the shape of the airbag is a regular hexagon when it is not inflated.
实际应用时,在患者的小腿和大腿段包裹特制的带有振动和压力感应装置的气囊套。使用者大腿和小腿固定好囊套后,使用者按压“控制面板”的“准备”键,囊套内壁的带有压力感应装置的可变形触板会以一定的速率向下肢肌群释放一个轻柔的冲击,中控模块测量触板回弹的速率和强度,计算肌肉组织弹性,根据计算结果控制气源系统向囊袋内送气,此时可变形触板上的压力感应装置会持续检查接触面压力,直到设定阈值。本申请的充气囊套采用节段式设计,大腿和小腿囊套分别包含十六个节段;每个节段由数百个六边形立方体小气囊和1个压力传感器和振动发生器组成,每个节段的充气量由该节段所属的压力传感器测定的组织弹性决定。In actual application, the patient's calf and thigh are wrapped with a special airbag cover with vibration and pressure sensing devices. After the user's thigh and calf are fixed, the user presses the "ready" button on the "control panel", and the deformable touch panel with a pressure sensing device on the inner wall of the bag will release a soft force at a certain rate to the muscles of the lower limbs. The central control module measures the rebound rate and strength of the touch panel, calculates the elasticity of the muscle tissue, and controls the air source system to send air into the pouch according to the calculation results. At this time, the pressure sensing device on the deformable touch panel will continuously check the contact surface pressure until the set threshold. The inflatable bag cover of the present application adopts a segmental design, and the thigh and calf bag covers respectively contain sixteen segments; each segment is composed of hundreds of small hexagonal cube airbags, a pressure sensor and a vibration generator, The amount of inflation for each segment is determined by the tissue elasticity measured by the pressure sensor to which that segment belongs.
通过由心电信号采集系统检出患者的心电图R波,通过中控模块实时推算心脏的收缩期和舒张期,据此指令气源系统对各段气囊顺序进行充气和排气过程。在心脏舒张期,各段气囊由远而近地以大约50ms的时差序贯充气,提高舒张压,增加回心血流;在收缩期气囊迅速同步排气,下肢减压后,动脉舒张,接纳来自主动脉的血液,从而达到改善下肢肌肉组织微循环的目的。The R wave of the patient's ECG is detected by the ECG signal acquisition system, and the systolic and diastolic phases of the heart are calculated in real time through the central control module, and the gas source system is instructed to inflate and deflate each segment of the air bag sequentially. During the diastolic period, the airbags of each segment are inflated sequentially from far to near with a time difference of about 50ms, increasing the diastolic blood pressure and increasing blood flow back to the heart; Blood from the aorta, so as to achieve the purpose of improving the microcirculation of lower extremity muscle tissue.
同时,通过位于囊套内的振动发生器发出低强度高频率的垂直机械振动,振动频率范围:30-45Hz,最佳频率35-40Hz;振幅范围:1.0-2mm,最佳振幅1.1-1.5mm。振幅大小由中控模块根据传感器测定的骨骼肌弹性在设定的范围内自动调节,骨骼肌弹性越大则振幅越大,骨骼肌弹性越小则振幅越小。At the same time, the vertical mechanical vibration with low intensity and high frequency is emitted by the vibration generator located in the capsule, the vibration frequency range: 30-45Hz, the best frequency is 35-40Hz; the amplitude range: 1.0-2mm, the best amplitude is 1.1-1.5mm . The amplitude is automatically adjusted by the central control module within the set range according to the skeletal muscle elasticity measured by the sensor. The greater the skeletal muscle elasticity, the larger the amplitude, and the smaller the skeletal muscle elasticity, the smaller the amplitude.
本实施例中,振动频率和防治时长可以由医务人员设定,振动幅度可以由医务人员设定范围,根据中控模块计算得出的肌肉组织弹性值,实时在设定的范围内自动调节振幅。In this embodiment, the vibration frequency and the duration of prevention and treatment can be set by the medical staff, and the vibration amplitude can be set by the medical staff. According to the muscle tissue elasticity value calculated by the central control module, the amplitude can be automatically adjusted in real time within the set range .
现有体外反搏技术主要用于防治冠心病、心绞痛、充血性心衰和缺血性卒中。本实施例首次将体外反搏技术用于改善外周微循环,从而用于防治肌少症;也是首次将体外反搏和局部振动防治相结合,从而在一个设备上同时实现体外反搏和局部振动防治,节约了防治时间和费用。The existing external counterpulsation technology is mainly used to prevent and treat coronary heart disease, angina pectoris, congestive heart failure and ischemic stroke. This example is the first time that external counterpulsation technology is used to improve peripheral microcirculation, so as to prevent and treat sarcopenia; it is also the first time that external counterpulsation and local vibration prevention and treatment are combined, so that external counterpulsation and local vibration can be realized on one device at the same time Prevention and treatment saves time and cost of prevention and treatment.
既往体外反搏技术均采用大气囊式囊套设计,囊套对肢体产生的压力为固定值。事实上,由于不同患者肢体的骨骼肌和脂肪组织的比例不一,组织弹性的变异也很大,采用固定压力不能适应不同组织局部的压力需求,从而降低效果。本申请采用了节段式设计和压力自适应技术,将大腿和小腿囊套各分成了十六个节段,每个节段有独立的压力感受器,每个节段需要达到的目标压力有各节段对应的压力感受器实施测量和调整。既保证了囊套与肢体组织的完全贴合,又便于精准控制气囊压力,从而提高体外反搏的效率。The previous external counterpulsation techniques all adopted the design of the large-bag cuff, and the pressure generated by the cuff on the limb was a fixed value. In fact, due to the different proportions of skeletal muscle and adipose tissue in different limbs of patients, the variation of tissue elasticity is also great. The use of fixed pressure cannot adapt to the local pressure requirements of different tissues, thereby reducing the effect. This application adopts segmental design and pressure adaptive technology, and divides the thigh and calf cuffs into sixteen segments, each segment has an independent baroreceptor, and the target pressure to be achieved by each segment has its own Segment-corresponding baroreceptors perform measurements and adjustments. It not only ensures the complete fit of the cuff and the limb tissue, but also facilitates precise control of the pressure of the air bag, thereby improving the efficiency of external counterpulsation.
局部振动发生装置的振动幅度由中控模块根据传感器测定的骨骼肌弹性在设定的范围内自动调节,骨骼肌弹性越大则振幅越大,骨骼肌弹性越小则振幅越小。既避免振幅过大造成肌肉软组织损伤,又保证深层骨骼肌收到充分的振动刺激。The vibration amplitude of the local vibration generating device is automatically adjusted by the central control module within the set range according to the skeletal muscle elasticity measured by the sensor. The greater the skeletal muscle elasticity, the larger the amplitude, and the smaller the skeletal muscle elasticity, the smaller the amplitude. It not only avoids muscle and soft tissue damage caused by excessive amplitude, but also ensures that deep skeletal muscles receive sufficient vibration stimulation.
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