基于物联网和可穿戴技术的智能监护系统研发及其应用模式探索研究  

Development of intelligent monitoring system based on Internet of Things and wearable technology and exploration of its clinical application mode

作　　者：李丽轩 梁洪 范勇 颜伟 晏沐阳 曹德森[3] 张政波[1] LI Lixuan;LIANG Hong;FAN Yong;YAN Wei;YAN Muyang;CAO Desen;ZHANG Zhengbo(Center for Artificial Intelligence in Medicine,Medical Innovation Research Department,Chinese PLA General Hospital,Beijing 100853,P.R.China;Department of Hyperbaric Oxygen,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,P.R.China;Department of Biomedical Engineering,Medical Security Center,Chinese PLA General Hospital,Beijing 100853,P.R.China)

机构地区：[1]中国人民解放军总医院医学创新研究部医学人工智能研究中心,北京100853 [2]中国人民解放军总医院第一医学中心高压氧科,北京100853 [3]中国人民解放军总医院医疗保障中心医学工程科,北京100853

出　　处：《生物医学工程学杂志》2023年第6期1053-1061,共9页Journal of Biomedical Engineering

基　　金：国家自然科学基金面上项目(62171471);首长保健专项(22BJZ42)。

摘　　要：可穿戴技术是一种低生理、心理负荷的监测技术,具有长时间连续监测的优点,代表了未来监护技术的一个发展方向。本文以穿戴式生理参数监测技术为基础,结合物联网和人工智能等技术,研发了基于物联网可穿戴技术的智能监护系统,包括可穿戴硬件、病区物联网平台、连续生理数据分析算法与软件三大部分。基于该系统,经过大量临床实践探索了连续生理数据的临床应用价值,给出了实时监护、病情评估、预测预警和康复训练四大价值方向;依托真实临床应用环境,探索了可穿戴技术在普通病房监护、心肺康复、院内-院外一体化监测等领域的应用模式。研究结果表明,本监护系统能够有效用于院内患者监护、心肺功能评估与训练以及院外患者管理。Wearable monitoring,which has the advantages of continuous monitoring for a long time with low physiological and psychological load,represents a future development direction of monitoring technology.Based on wearable physiological monitoring technology,combined with Internet of Things(IoT)and artificial intelligence technology,this paper has developed an intelligent monitoring system,including wearable hardware,ward Internet of Things platform,continuous physiological data analysis algorithm and software.We explored the clinical value of continuous physiological data using this system through a lot of clinical practices.And four value points were given,namely,real-time monitoring,disease assessment,prediction and early warning,and rehabilitation training.Depending on the real clinical environment,we explored the mode of applying wearable technology in general ward monitoring,cardiopulmonary rehabilitation,and integrated monitoring inside and outside the hospital.The research results show that this monitoring system can be effectively used for monitoring of patients in hospital,evaluation and training of patients’cardiopulmonary function,and management of patients outside hospital.

关 键 词：可穿戴生理监测 病区物联网 住院患者监护 数字化心肺康复 院内-院外一体化监测 

分 类 号：TN911.7[电子电信—通信与信息系统] TP368.33[电子电信—信息与通信工程] R319[自动化与计算机技术—计算机系统结构]