首页|基于物联网技术的血液透析治疗中血压监控及异常警报系统

基于物联网技术的血液透析治疗中血压监控及异常警报系统

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目的 血液透析治疗中血压异常不但给患者带来巨大痛苦,也与血管通路衰竭、心血管事件和全因死亡率密切相关,因此优化透析中血压异常预防策略十分必要。本文设计并开发的基于物联网技术的血透治疗患者血压动态实时监测及血压异常警报系统,以避免传统手动定时测量血压所带来的监测频率低、人工负担重、发现异常滞后等一系列临床困境。方法 采用MQTT物联网传输协议和EMQX消息服务器,实现可穿戴设备与Web服务器之间的数据传输;采用Vue+Djan-go 的前后端Web框架开发融合血压监测的血液透析治疗系统。结果 本系统面向患者治疗过程的实际状况提供了无感、无痛的动态血压监测,将动态监测模块融合到血透治疗管理系统业务逻辑,实现医护端的数据可视化,同时提供了默认频率为0。25 HM的血压实时监控和异常情况警报。结论 将物联网技术赋能现行的医疗管理软件,能够为患者降低治疗风险、为医护人员减轻负担,从而优化血液透析治疗策略,降低血压异常并发症的发生率,提升患者生存率。
Blood pressure monitoring and abnormal alarm system during hemodialysis treatment based on internet of things technology
Objective Hypotension during hemodialysis treatment not only brings great pain to patients,but is also closely related to vascular access failure,cardiovascular events and all-cause mortality.Therefore,it is nec-essary to optimize the prevention strategy of abnormal blood pressure during dialysis.This paper designed and de-veloped a dynamic real-time monitoring system of blood pressure and abnormal blood pressure alarm system for hemodialysis patients based on Internet of Things technology to avoid a series of clinical difficulties brought about by traditional manual timed blood pressure measurement,such as low monitoring frequency,heavy manual bur-den,and delayed detection of abnormalities.Methods MQTT IoT transmission protocol and EMQX message server was used to realize data transmission between wearable devices and Web servers;The Web framework Vue+Django's was used to develop hemodialysis treatment systems that integrate blood pressure monitoring.Results This system provided a non-sensitive and painless dynamic blood pressure monitoring module for the actual situa-tion of the patient's treatment process,which was integrated into the business logic of the hemodialysis treatment management system,realized data visualization on the medical side,and provided real-time blood pressure moni-toring and abnormal situation alarms with a minimum frequency of 0.25 HM.Conclusion Empowering current medical management software with IoT technology can reduce treatment risks for patients and ease the burden on medical staff,thereby optimizing hemodialysis treatment strategies,reducing the incidence of complications from abnormal blood pressure,and improving patient survival rates.

hemodialysisabnormal blood pressurereal-time monitoringabnormal alarm systeminternet of things technology

侯洁、田晶、金博、丘文英、邹沁雪、易梓豪、吴应江

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广东医科大学生物医学工程学院,广东东莞 523808

东莞市医学电子与医学影像设备重点实验室,广东东莞 523808

广东医科大学健康医疗大数据工程中心,广东东莞 523808

广东医科大学附属东莞第一医院,广东东莞 523808

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血液透析 血压异常 实时监测 异常警报系统 物联网技术

广东医科大学校级青年科研培育项目中国高校产学研创新基金广东医科大学松山湖医工融合创新中心项目

GDMUQ20230062022IT1194SG22304P

2024

遵义医科大学学报
遵义医科大学

遵义医科大学学报

CSTPCD
ISSN:2096-8159
年,卷(期):2024.47(10)