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Method and instrument for evaluating ventricular fibrillation signal quality and defibrillation success rate in real time

A signal quality and signal quality evaluation technology, applied in sensors, diagnostic recording/measurement, medical science, etc., can solve the problem of low calculation accuracy of defibrillation success rate, inability to automatically judge whether there is interference in ECG signals, and inability to accurately evaluate Ventricular fibrillation signal quality and other issues

Pending Publication Date: 2020-10-23
ARMY MEDICAL UNIV
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  • Abstract
  • Description
  • Claims
  • Application Information

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Problems solved by technology

[0004] Aiming at the deficiencies in the prior art, the present invention provides a method and instrument for real-time evaluation of ventricular fibrillation signal quality and defibrillation success rate, so as to solve the problem existing in the prior art that the existing evaluation method cannot automatically judge Whether there is interference in the ECG signal, the quality of the ventricular fibrillation signal cannot be accurately evaluated, and the accuracy of the defibrillation success rate calculation is not high.

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  • Method and instrument for evaluating ventricular fibrillation signal quality and defibrillation success rate in real time
  • Method and instrument for evaluating ventricular fibrillation signal quality and defibrillation success rate in real time
  • Method and instrument for evaluating ventricular fibrillation signal quality and defibrillation success rate in real time

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Embodiment 1

[0047] Such as figure 1 As shown, the present invention provides a method for real-time evaluation of ventricular fibrillation signal quality and defibrillation success rate, comprising the following steps:

[0048] Step 1. Collect ECG signals according to the interval Δt, and the collection time is T;

[0049] Step 2, preprocessing the collected ECG signals;

[0050] Step 3, performing rhythm analysis on the preprocessed ECG signal to determine the type of the ECG signal;

[0051] Step 4. According to the judgment result of ECG signal type, start the calculation of ventricular fibrillation signal quality index; by calculating the autocorrelation coefficient sequence of the preprocessed ECG signal, combined with the peak / trough distribution characteristics extracted from the autocorrelation coefficient sequence , get the ventricular fibrillation signal quality index;

[0052] Step 5. Comparing the ventricular fibrillation signal quality index with a set threshold to evaluat...

Embodiment 2

[0085] In clinical practice, there will be interference signals generated by chest compressions, making the evaluation result of ventricular fibrillation signal quality low-quality ventricular fibrillation signals. At this time, chest compressions are generally carried out continuously. Interference signals, ventricular fibrillation signal quality evaluation results will always be low-quality ventricular fibrillation signals, but the electric shock defibrillation operation cannot be performed just because the evaluation result is low-quality ventricular fibrillation signals, which will endanger the life safety of patients. Therefore, even if the evaluation result is a continuous low-quality ventricular fibrillation signal, it is necessary to select a time period with a relatively high success rate of electric shock defibrillation for electric shock defibrillation. In order to solve the above technical problems, further optimization on the basis of embodiment 1, the following te...

Embodiment 2

[0087] The working principle of Embodiment 2 is described in detail below:

[0088] The manner of filtering the noise of the electrocardiographic signal is not limited, and any one or more implementable manners in the prior art may be adopted, and an example is used in this embodiment. For example: ECG denoising based on minimum square root error, ECG signal denoising based on wavelet threshold method, ECG signal denoising based on dual-tree complex wavelet transform, and so on. After the filtering process, the waveform feature extraction and the calculation and analysis of the probability of successful defibrillation are performed on the ECG signal.

[0089] In this embodiment, when performing filtering processing, the ECG signal preprocessed in Embodiment 1 can be filtered again, or the collected ECG signal can be directly filtered without preprocessing deal with. When the ventricular fibrillation signal is a low-quality ventricular fibrillation signal, the value of the ve...

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Abstract

The invention provides a method for evaluating ventricular fibrillation signal quality and defibrillation success rate in real time. The method comprises the following steps: collecting electrocardiosignal according to interval time; carrying out preprocessing and rhythm analysis on the electrocardiosignal, and judging the type of the electrocardiosignal; obtaining a ventricular fibrillation signal quality index by calculating an autocorrelation coefficient sequence of the preprocessed electrocardiosignal according to an electrocardiosignal type judgment result in combination with wave crest / wave trough distribution characteristics extracted from the autocorrelation coefficient sequence; comparing the ventricular fibrillation signal quality index with a set threshold value, and evaluatingthe ventricular fibrillation signal quality; and starting calculation of a defibrillation success rate according to an evaluation result, and extracting ventricular fibrillation characteristic parameters to obtain the defibrillation success rate. The invention further provides an instrument for evaluating the ventricular fibrillation signal quality and the defibrillation success rate in real time.The invention can solve the technical problems that in the cardio-pulmonary resuscitation process, existing evaluation methods cannot automatically judge whether interference exists in electrocardiosignals or not, the quality of ventricular fibrillation signals cannot be accurately evaluated, and the accuracy of evaluating the success rate of defibrillation is not high.

Description

technical field [0001] The invention relates to the technical field of cardiopulmonary resuscitation, in particular to a method and an instrument for real-time evaluation of ventricular fibrillation signal quality and defibrillation success rate. Background technique [0002] Cardiopulmonary resuscitation is a series of first aid measures for patients with cardiac arrest, including chest compressions, artificial ventilation and electric shock defibrillation. Electric shock defibrillation is a very important link in the process of cardiopulmonary resuscitation. It refers to the method of shocking the heart with a certain amount of electric current to terminate ventricular fibrillation and restore its spontaneous beating. The success of electric shock defibrillation is directly related to the survival of patients with ventricular fibrillation, and it is the most effective method to treat ventricular fibrillation. However, excessive or inappropriate electric shock defibrillatio...

Claims

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Application Information

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IPC IPC(8): A61B5/0402A61B5/046A61B5/361
CPCA61B5/7203A61B5/7225A61B5/7221A61B5/7275
Inventor 李永勤谢佳玲魏良龚渝顺王建杰戴晨曦
Owner ARMY MEDICAL UNIV