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CN-121122636-B - Fluid replacement monitoring system and method

CN121122636BCN 121122636 BCN121122636 BCN 121122636BCN-121122636-B

Abstract

The invention relates to a fluid replacement monitoring system and method, wherein the system comprises a urine control module and a doctor end which is in communication connection with a hospital management cloud end, the urine control module comprises a urine volume detection assembly, a urinary tube opening and closing assembly and a urinary bladder pressure detection assembly, the urine control module is used for intelligently opening and closing the urinary tube opening and closing assembly based on urinary bladder pressure acquired by the urinary bladder pressure detection assembly, the urine volume detection assembly of the urine control module is used for detecting the urine volume in a urine bag in real time, the hospital management cloud end can be used for generating a first threshold value and a second threshold value by combining the real-time urine volume of a patient and sending judgment references related to the first threshold value and the second threshold value to the urine control module, and when the urinary bladder pressure detected by the urinary bladder pressure detection assembly is in a range taking the first threshold value and the second threshold value as critical points, the urine control module is used for controlling urination of the patient by taking the urinary tube opening and closing assembly of the urine control module as a program of a first priority level through a personal control terminal.

Inventors

  • ZHAO NAN
  • OuYang Hanqiang
  • ZHANG YANPING
  • FAN PING

Assignees

  • 北京大学第三医院（北京大学第三临床医学院）

Dates

Publication Date
20260512
Application Date
20240531

Claims (9)

  1. 1. A fluid replacement monitoring system comprising: A urine control module (100) for switching control states under the influence of the detected bladder pressure; A doctor end (400) which is in communication connection with the hospital management cloud end (300) and can adjust the program of the urine control module (100) for automatically controlling the urination behavior of the patient, A physiological detection module (600); It is characterized in that the method comprises the steps of, The urine control module (100) comprises a urine volume detection component (1104), a urine tube opening and closing component (1105) and a bladder pressure detection component (720) for detecting the volume of urine in the urine bag (700); the urine control module (100) intelligently switches the opening and closing assembly (1105) of the urinary tract based on the urinary bladder pressure acquired by the urinary bladder pressure detection assembly (720); The hospital management cloud (300) can generate a first threshold value and a second threshold value by combining the real-time urine volume of a patient and send judgment references related to the first threshold value and the second threshold value to the urine control module (100); when the bladder pressure detected by the bladder pressure detection component (720) is in the range of taking the first threshold value and the second threshold value as critical points, the urine control module (100) takes a procedure of controlling urination of a patient by taking a urine tube opening and closing component (1105) of the urine control module (100) manually switched by the patient through the personal control terminal (500) as a first priority; A doctor end (400) held by medical staff responsible for a patient sends a rehabilitation process of the patient to a hospital management cloud (300); when the urine volume collected by the urine volume detection component (1104) of the urine control module (100) exceeds the preset range of the doctor end (400) and the doctor end (400) receiving the data sent by the physiological detection module confirms that the patient is not unexpected, the hospital management cloud end (300) promotes the urine volume in a mode of improving the injection volume of the patient at the initial stage of operation, when the urine volume collected by the urine volume detection component (1104) of the urine control module (100) exceeds the preset range of the doctor end (400) and the doctor end (400) receiving the data sent by the physiological detection module confirms that the patient is not unexpected, the hospital management cloud end (300) promotes the urine volume in a mode of improving the mouth intake volume and/or the injection volume of the patient at the middle stage of operation in a mode of increasing the mouth intake volume of the patient at the end of operation, and when the urine volume collected by the urine volume detection component (1104) of the urine control module (100) exceeds the preset range of the doctor end (400) and the doctor end (400) receiving the data sent by the physiological detection module confirms that the patient is not unexpected.
  2. 2. The fluid replacement monitoring system of claim 1, wherein, The doctor end (400) plans the condition that the urine control module (100) switches the state of the urinary catheter (710) when in an automatic control program according to the circadian rhythm of the patient; When the patient is in a comatose state, the urinary tract opening and closing component (1105) of the urine control module (100) can take the urination frequency in the patient history urination data stored in the database of the hospital management cloud (300) as the frequency of automatically opening the urinary tract (710), and when the bladder pressure is higher than a second threshold value, the urinary tract opening and closing component (1105) of the urine control module (100) automatically opens the urinary tract (710); when the patient is awake, the catheter opening and closing assembly (1105) of the urine control module (100) is capable of switching the state of the catheter (710) based on the manner affected by the detected bladder pressure.
  3. 3. The fluid replacement monitoring system of claim 2 wherein, When the time that the bladder pressure acquired by the bladder pressure detection component (720) of the urine control module (100) is lower than a preset first threshold value exceeds a preset range or the urine volume of a patient acquired by the urine volume detection component (1104) of the urine control module (100) is lower than a preset threshold value, the hospital management cloud (300) respectively acquires the injection volume and the oral intake volume of the patient and selectively adjusts the injection volume and/or the oral intake volume of the patient under the authorization of a doctor end (400) based on the physiological data of the patient fed back by the physiological detection module (600).
  4. 4. A fluid replacement monitoring system according to claim 3, wherein, The total fluid replacement amount includes an injection amount generated based on an injection liquid issued by a doctor side (400) and stored in a medical order of a hospital management cloud (300) and an oral intake amount confirmed based on a patient through an oral intake amount detection module (200) or a personal control terminal (500).
  5. 5. The fluid replacement monitoring system of claim 4 wherein, When the urine volume detected by the urine control module (100) is lower than the minimum end value of the range preset by the doctor end (400), and the fluid infusion volume containing the injection volume and the oral intake volume of the patient obtained by the hospital management cloud end (300) is also lower than the minimum end value of the range preset by the doctor end (400), the hospital management cloud end (300) generates a prompting program for improving the oral intake volume of the patient or a program for improving the injection volume of the patient under the condition of authorization of the doctor end (400) through the rehabilitation process of the patient fed back by the doctor end (400).
  6. 6. The fluid replacement monitoring system of claim 5 wherein, The bladder pressure detection assembly (720) comprises a balloon (7201) and a bladder pressure sensor (7202); The Y-shaped pipeline of the urinary catheter (710) is divided into three parts, namely a branch catheter for pressure detection, a diversion branch catheter inserted into the bladder and a main catheter connected with the inlet of the urine bag (700) by the two branch catheters; The bladder pressure sensor (7202) is provided at the proximal end of a pressure detecting branch tube of the urinary catheter (710), and a balloon (7201) is attached to the proximal end of a diversion branch tube inserted into the bladder.
  7. 7. A fluid replacement monitoring method based on the fluid replacement monitoring system of any one of claims 1 to 6, the method comprising: the urine control module (100) intelligently switches the opening and closing assembly (1105) of the urinary tract based on the urinary bladder pressure acquired by the urinary bladder pressure detection assembly (720); The hospital management cloud (300) can generate a first threshold value and a second threshold value by combining the real-time urine volume of a patient and send judgment references related to the first threshold value and the second threshold value to the urine control module (100); When the bladder pressure detected by the bladder pressure detection component (720) is in the range of the first threshold value and the second threshold value as critical points, the urine control module (100) takes a procedure of controlling urination of a patient by taking the patient through a personal control terminal (500) to manually switch a urine tube opening and closing component (1105) of the urine control module (100) as a first priority.
  8. 8. The method of claim 7, wherein the method further comprises: The doctor end (400) plans the condition that the urine control module (100) switches the state of the urinary catheter (710) when in an automatic control program according to the circadian rhythm of the patient; When the patient is in a comatose state, the urinary tract opening and closing component (1105) of the urine control module (100) can take the urination frequency in the patient history urination data stored in the database of the hospital management cloud (300) as the frequency of automatically opening the urinary tract (710), and when the bladder pressure is higher than a second threshold value, the urinary tract opening and closing component (1105) of the urine control module (100) automatically opens the urinary tract (710); when the patient is awake, the catheter opening and closing assembly (1105) of the urine control module (100) is capable of switching the state of the catheter (710) based on the manner affected by the detected bladder pressure.
  9. 9. The method according to claim 7 or 8, characterized in that the method further comprises: When the time that the bladder pressure acquired by the bladder pressure detection component (720) of the urine control module (100) is lower than a preset first threshold value exceeds a preset range or the urine volume of the patient acquired by the urine volume detection component (1104) of the urine control module (100) is lower than a preset threshold value, the hospital management cloud (300) respectively acquires the injection volume and the oral intake volume of the patient and selectively adjusts the injection volume and/or the oral intake volume of the patient under the authorization of the doctor end (400) based on the physiological data of the patient fed back by the physiological detection module (600).

Description

Fluid replacement monitoring system and method The original foundation of the divisional application is a patent application with the application number 202410692156.4, the application date 2024, the 5 th month and 31 th day and the invention name of 'an intelligent remote control system for a post-operation indwelling catheter of the spine'. Technical Field The invention relates to the field of medical equipment, in particular to a fluid replacement monitoring system and method. Background Spinal injuries are usually combined with spinal cord or cauda equina injuries, and the symptoms of the diseases cause dysuria, urinary incontinence and other symptoms of the patients, and simultaneously, paralysis of lower limbs can be accompanied, so that the life quality of the patients is seriously reduced. Therefore, the patient with serious spinal trauma and the spinal surgery are often left with the catheter. Urination mechanisms of spinal injury patients are complex, and spinal injuries at different positions can cause different types of neurogenic bladders. Bladder care methods have been developed in the prior art to assess bladder volume by bladder pressure and thereby assist patients with intermittent catheterization to empty the bladder using a urinary catheter. Shen Gongmei is equal to "application value of bladder pressure volume measurement in bladder rehabilitation of patients with high spinal cord injury" one discusses application value of bladder pressure volume measurement in bladder function rehabilitation of patients with high spinal cord injury, and the relevance between bladder pressure volume and urodynamics is studied, and it is confirmed that urodynamics examination or bladder pressure detection can be used as an index for reflecting urination ability of patients. The result of urine volume detection can indirectly reflect the hemodynamic state of the organism, directly reflect the kidney function and the kidney perfusion condition, the kidney perfusion can comprehensively reflect the hemodynamic, blood volume, heart function and blood vessel clinical states, and simultaneously, the abnormal urine volume clinically prompts the organism to generate diseases, and the clinical significance of the urine volume needs to be judged according to different conditions. Aiming at the prior art of urine volume detection and adjustment, the urine monitoring device for the noninvasive extracorporeal circulation operation, which is related to Chinese patent publication No. CN104116516A, comprises a urine dropper and a urine tube communicated with the lower end of the urine dropper, wherein a dropping speed sensor for measuring the dropping speed of the urine and a red light sensor for measuring the content of hemoglobin in the urine are sequentially arranged on the urine tube, the dropping speed sensor and the red light sensor are respectively connected to a microprocessor, and the microprocessor is connected to monitoring equipment. The device is capable of statically observing urine volume and urine color. Or hydration treatment devices as disclosed in chinese patent publication No. CN116173346 a. The device comprises a shell, wherein a main control module and a peristaltic pump are arranged on the shell, the peristaltic pump is electrically connected with the main control module, a supporting rod is fixedly connected in the shell, weighing sensors are fixedly connected to two sides of the supporting rod, hooks are fixedly connected to weighing ends of the weighing sensors, and a liquid supplementing cylinder, a urine storage cylinder, a balance tank, a liquid storage cylinder and a waste liquid barrel are arranged in the shell. However, in the prior art, the real-time physiological state of the patient after operation or during rehabilitation nursing is not used for assisting a doctor in judging how to balance the urine volume and the fluid replacement volume, so as to ensure that the patient can achieve normal urine volume discharge after operation or during rehabilitation nursing, and especially the oral intake of the patient which cannot be mastered by a patient guardian in different rehabilitation stages is required. Furthermore, since the applicant has studied numerous documents and patents on the one hand, and since the applicant has made the present invention, the text is not to be limited to all details and matters of detail, but this is by no means the present invention does not feature these prior art features, but rather the present invention has features of all prior art, and the applicant has remained in the background art to which this invention pertains. Disclosure of Invention In the prior art, the indwelling catheter is manually operated, a patient in spinal surgery is not easy to control by himself, the patient is often required to accompany the indwelling catheter for operation, the patient is bedridden for a long time due to severe spinal trauma, the indwelling catheter is manually opera