摘要
目的:针对当前胎儿电子监护(EFM)中诊断主观性强、检测不便捷及检测时程短的问题,设计一种远程胎心监护软件系统。方法:从基本要素和需求分析入手,选择基于心电方式的胎儿和(或)母体心率记录仪作为采集设备,其他硬件要素包括孕妇手持智能设备、服务器及中央监护站;以ython为主编程语言,MySql为数据库,以蓝牙方式进行记录仪与手持设备间的通讯,以HTTP/TCP方式进行远程数据的传输,以模型-视图-控制器(MVC)框架模式组织代码,并在此基础上进行功能实现及测试完善。结果:完成以孕妇监测客户端软件、服务器软件及中央监护站监护软件3部分为主体的系统构建,结合基于心电的胎儿和(或)母体心率记录仪,可以实现20 h的远程实时监护、心率报警及生理参数分析。结论:满足病房-护士站系统或家庭-医院系统场景的胎心监护需求,为临床诊断提供更为客观的依据。
Objective：There are some defects in current electronic fetal monitoring （EFM）, such as strong subjectivity in the diagnosis, inconvenience in detecting and lack of detection time. Methods： The fetal/Maternal heart rate monitor based on ECG was selected as data acquisition equipment, and other hardware elements include smart handheld devices, servers and central monitoring station. Python was the programming language, MySql was the database, bluetooth was the connection between the monitor and the handheld devices, HTTP/TCP was the remote data transmission mode, and MVC （Model View Controller） framework was used to organize code, in order to achieve function implementation and test completion.Results： Here a kind of remote fetal monitoring software system was proposed, including pregnant monitoring client, server software and central monitoring station software. Using the fetal/maternal heart rate recorder which is based on ECG, the system could achieve more than 20 hours of remote real-time monitoring, heart rate alarm detection and physiological parameter analysis.Conclusion： The system could be applied in ward-nurse station or home-doctor scenarios, providing more objective basis for clinical diagnosis.
出处
《中国医学装备》
2016年第5期1-4,共4页
China Medical Equipment
基金
北京市委组织部优秀人才项目(2014000020124G044)"基于物联网技术的妊娠糖尿病远程监护系统研究"
北京市教委项目(PXM2015_014204_500064)"中小学生体育锻炼效果监测与评价系统建设与实践"
北京市教委项目(PXM2016_014204_500079)"中小学生体育运动负荷监测与评价"
关键词
远程医疗
胎心监护
胎儿电子监护
软件系统
Telemedicine
Fetal heart rate monitoring
Electronic fetal monitoring
Software system
