本文關(guān)鍵詞： 3G網(wǎng)絡(luò) 遠(yuǎn)程監(jiān)護(hù) 互聯(lián)網(wǎng) 嵌入式系統(tǒng)　出處：《第四軍醫(yī)大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：便攜式遠(yuǎn)程心電監(jiān)護(hù)系統(tǒng)是一種以無線移動(dòng)通信網(wǎng)絡(luò)為框架的新型監(jiān)護(hù)系統(tǒng)，一般由若干便攜式監(jiān)護(hù)終端設(shè)備、無線移動(dòng)通信網(wǎng)絡(luò)、醫(yī)院監(jiān)護(hù)中心系統(tǒng)組成。經(jīng)過多年的研發(fā)，便攜式遠(yuǎn)程監(jiān)護(hù)系統(tǒng)取得一定進(jìn)展，，但是傳統(tǒng)的遠(yuǎn)程監(jiān)護(hù)系統(tǒng)大多是以GPRS或者CMDA1x網(wǎng)絡(luò)作為移動(dòng)通信網(wǎng)絡(luò)，普遍存在著傳輸速度低、信號(hào)穩(wěn)定性差等問題。隨著網(wǎng)絡(luò)技術(shù)和軟硬件技術(shù)的不斷進(jìn)步，遠(yuǎn)程心電監(jiān)護(hù)系統(tǒng)也需要不斷發(fā)展和改進(jìn)。 本文的研究工作主要是在總結(jié)國內(nèi)外研究成果的基礎(chǔ)上，以3G移動(dòng)通信網(wǎng)絡(luò)為技術(shù)框架，研制開發(fā)遠(yuǎn)程心電監(jiān)護(hù)系統(tǒng)的便攜式監(jiān)護(hù)終端部分和醫(yī)院監(jiān)護(hù)中心系統(tǒng)。便攜式監(jiān)護(hù)終端使用發(fā)射功率低、傳輸穩(wěn)定的SIM5216模塊作為3G無線通信模塊。配置必要的外圍電路并且植入嵌入式操作系統(tǒng)，實(shí)現(xiàn)心電信號(hào)的采集、存儲(chǔ)、發(fā)送、醫(yī)囑信息的接收以及人機(jī)交互等功能。醫(yī)院監(jiān)護(hù)中心系統(tǒng)采用網(wǎng)絡(luò)技術(shù)、數(shù)據(jù)庫技術(shù)實(shí)現(xiàn)信號(hào)的接收、存儲(chǔ)、分析、回放以及醫(yī)囑信息發(fā)送等功能。 本研究主要完成以下幾個(gè)方面的工作： 1、完成便攜式監(jiān)護(hù)終端的硬件設(shè)計(jì)，采用性能先進(jìn)的SIM5216模塊作為3G無線網(wǎng)絡(luò)通信模塊，該模塊以半串口方式連接到CPU，在命令和數(shù)據(jù)兩種狀態(tài)下和CPU通訊。監(jiān)護(hù)終端包括心電信號(hào)預(yù)處理系統(tǒng)和嵌入式硬件系統(tǒng)，預(yù)處理系統(tǒng)采用放大、濾波等方法處理心電信號(hào)，將放大1000倍的心電信號(hào)送入采樣電路。嵌入式的硬件系統(tǒng)以S3C2440為中央處理單元，配置了RAM、 ROM、液晶顯示屏、觸摸屏等外圍設(shè)備。 2、完成便攜式監(jiān)護(hù)終端的軟件設(shè)計(jì)，為實(shí)現(xiàn)監(jiān)護(hù)終端的3G無線移動(dòng)網(wǎng)絡(luò)通信功能，配置內(nèi)核支持PPP協(xié)議，在根文件系統(tǒng)中添加3G撥號(hào)程序和腳本文件，確保開機(jī)后自動(dòng)撥號(hào)上網(wǎng)，在掉線后自動(dòng)重?fù)�，�?yīng)用程序設(shè)計(jì)中采用TCP協(xié)議來實(shí)現(xiàn)數(shù)據(jù)交互。此外，監(jiān)護(hù)終端還具備信號(hào)采集、醫(yī)囑管理等功能。 3、完成醫(yī)院監(jiān)護(hù)中心系統(tǒng)的軟件設(shè)計(jì)，建立TCP服務(wù)器線程監(jiān)聽來自3G網(wǎng)絡(luò)端口的連接請(qǐng)求，收到請(qǐng)求以后建立連接并接收數(shù)據(jù)。監(jiān)護(hù)中心系統(tǒng)采用SqlServer數(shù)據(jù)庫驅(qū)動(dòng)，分別建立患者信息表、心電信息表、醫(yī)囑信息表、報(bào)警信息表，統(tǒng)一管理數(shù)據(jù)信息。醫(yī)院監(jiān)護(hù)中心系統(tǒng)具備一定的診斷功能，主要是通過分析RR間期來計(jì)算患者的心率，判斷心動(dòng)過速、早搏、停搏等病情。醫(yī)生在做出診斷以后，通過數(shù)據(jù)通信方式將醫(yī)囑信息發(fā)送到便攜式監(jiān)護(hù)終端。 本研究主要?jiǎng)?chuàng)新點(diǎn)在于： 1、將3G移動(dòng)通信技術(shù)引入到移動(dòng)監(jiān)護(hù)系統(tǒng)，設(shè)計(jì)了一種適合3G移動(dòng)通信網(wǎng)絡(luò)的遠(yuǎn)程監(jiān)護(hù)終端，提供一種實(shí)時(shí)無線的監(jiān)測(cè)手段，保證系統(tǒng)能夠在移動(dòng)通信網(wǎng)絡(luò)覆蓋的范圍內(nèi)使用。 2、建立了與3G網(wǎng)絡(luò)相適應(yīng)的醫(yī)院監(jiān)護(hù)中心系統(tǒng)，監(jiān)聽來自便攜式終端的連接請(qǐng)求，實(shí)現(xiàn)數(shù)據(jù)交互。探討了中心監(jiān)護(hù)系統(tǒng)心電數(shù)據(jù)的存儲(chǔ)方法，以數(shù)據(jù)庫和文件系統(tǒng)相結(jié)合的形式，實(shí)現(xiàn)心電信號(hào)的存儲(chǔ)和讀取功能。 3G移動(dòng)網(wǎng)絡(luò)通信技術(shù)可應(yīng)用于多種心臟病如各種心律失常、心肌缺血、傳導(dǎo)障礙的監(jiān)護(hù)，各科病人的手術(shù)中監(jiān)護(hù)和術(shù)后觀察的各項(xiàng)監(jiān)測(cè)。也可以用于危重患者在長(zhǎng)短途轉(zhuǎn)運(yùn)過程中的監(jiān)護(hù)，緩解ICU資源緊張的局面。3G技術(shù)的臨床應(yīng)用在改善醫(yī)療條件，為醫(yī)療安全提供新保障方面具有重要意義。
[Abstract]:A portable remote ECG monitoring system is a new type of monitoring system based on wireless mobile communication network is generally composed of several portable monitoring terminal equipment, wireless mobile communication network, composed of hospital monitoring center system. After years of development, the portable remote monitoring system has made certain progress, but most of the traditional remote monitoring system is based on GPRS or CMDA1x network is a mobile communication network, widespread transmission speed is low, the problem of signal and poor stability. With the development of network technology and software technology, the remote ECG monitoring system also requires the continuous development and improvement.
The main research work of this paper is based on summarizing the domestic and foreign research results, to the 3G mobile communication network technology framework, research and development of remote ECG monitoring system of portable monitoring terminal and monitoring center in hospital system. Low power portable monitoring terminal, SIM5216 transmission module stable as 3G wireless communication module. The peripheral circuit configuration the necessary and embedded operating system, to achieve the ECG signal acquisition, storage, transmission, reception and human-computer interaction function order information. Hospital monitoring center system based on network technology, analyzes the received signal, database technology, storage, playback and other functions to send orders information.
The main work of this study is to complete the following aspects:
1, the completion of the hardware design of portable monitoring terminal, using advanced SIM5216 module performance as 3G wireless network communication module, the module is connected to the CPU in serial mode, command and data in two states and CPU communications. The monitoring terminal system and embedded hardware system including ECG signal pretreatment, pretreatment system using amplification filtering methods of processing ECG signals, the ECG signal will be amplified 1000 times into the sampling circuit. The hardware system embedded with S3C2440 as the central processing unit, the configuration of the RAM, ROM, LCD display, touch screen and other peripheral equipment.
2, complete the software design of portable monitoring terminal, to achieve monitoring terminal 3G wireless mobile network, configure the kernel to support PPP protocol, add 3G dialer and script files in the root file system, ensure the boot after the automatic dial-up, when disconnected after the automatic dial, uses the TCP protocol to realize data exchange application in the design. In addition, the monitoring terminal also includes a signal acquisition, order management and other functions.
3, complete the software design of hospital monitoring center system, the establishment of the TCP server thread monitor from the 3G network port connection request, receives the request to connect and receive the data. The monitoring center system based on SqlServer database driven, respectively establish the patient information table, ECG information table, ordering information table, alarm information table, the unified management of data information. Hospital monitoring center system has diagnosis function, mainly through the analysis of the RR interval to calculate the heart rate, judge tachycardia, premature arrest, etc. disease. Doctors in making a diagnosis to, will be ordering information sent to the portable monitoring terminal by means of data communication.
The main innovation of this study is:
1, 3G mobile communication technology is introduced into mobile monitoring system. A remote monitoring terminal suitable for 3G mobile communication network is designed, providing a real-time wireless monitoring means to ensure that the system can be used in the coverage of mobile communication network.
2, establish the hospital monitoring center system compatible with 3G network, monitor from the portable terminal connection request, to achieve data exchange. To investigate the storage method of the central monitoring system of ECG data, combined with database and file system in the form of ECG signal storage and read functions.
3G mobile network communication technology can be applied to a variety of heart diseases such as arrhythmia, myocardial ischemia, monitoring conduction disorders, the monitoring of the monitoring and observation of patients after surgery. Of all the patients can also be used for the care of critically ill patients in the short and long distance transport in the process of clinical application of.3G technology, ease the situation of resource of ICU in the improvement of medical conditions, is of great significance to provide a new guarantee for the safety of medical services.

【學(xué)位授予單位】：第四軍醫(yī)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：TN929.53;R-05


本文編號(hào)：1517533