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  

Blood pressure monitoring and abnormal alarm system during hemodialysis treatment based on internet of things technology

作　　者：侯洁 田晶 金博 丘文英 邹沁雪 易梓豪 吴应江 Hou Jie;Tian Jing;Jin Bo;Qiu Wenying;Zou Qinxue;Yi Zihao;Wu Yingjiang(School of Biomedical Engineering,Guangdong Medical University,Guangdong Dongguan 523808,China;Key Laboratory of Medical Electronics and Medical Imaging Equipment,Guangdong Dongguan 523808,China;Guangdong Medical University Health and Medical Big Data Engineering Center,Guangdong Dongguan 523808,China;The first Dongguan Affiliated Hospital of Guangdong Medical University,Guangdong Dongguan 523808,China)

机构地区：[1]广东医科大学生物医学工程学院,广东东莞523808 [2]东莞市医学电子与医学影像设备重点实验室,广东东莞523808 [3]广东医科大学健康医疗大数据工程中心,广东东莞523808 [4]广东医科大学附属东莞第一医院,广东东莞523808

出　　处：《遵义医科大学学报》2024年第10期984-990,共7页Journal of Zunyi Medical University

基　　金：广东医科大学校级青年科研培育项目(NO:GDMUQ2023006);中国高校产学研创新基金(NO:2022IT119);广东医科大学松山湖医工融合创新中心项目(NO:4SG22304P)。

摘　　要：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+Django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。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 necessary to optimize the prevention strategy of abnormal blood pressure during dialysis.This paper designed and developed 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 burden,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 situation 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 monitoring 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.

关 键 词：血液透析 血压异常 实时监测 异常警报系统 物联网技术 

分 类 号：TP391.4[自动化与计算机技术—计算机应用技术]