Postoperative illness condition monitoring device for anorectal patient in traditional Chinese medicine

Abstract

The invention discloses a postoperative illness condition monitoring device for a patient in the anorectal department of traditional Chinese medicine, and relates to the technical field of postoperative nursing, the postoperative illness condition monitoring device comprises a drug administration monitoring device and an illness condition monitoring system, and the drug administration monitoring device comprises a drug administration barrel and a retention part; the illness state monitoring system comprises a sensor integration unit, an abnormity analysis unit, an alarm prompting unit and a drug administration suggestion unit; various post-operation data information of a patient is collected through the sensor integration unit, abnormity reminding signals are generated after abnormity judgment is carried out on the different data information, the patient and family members of the patient are reminded through the prompter arranged in a ward, meanwhile, reminding is sent to the remote medical terminal in a nurse station through the remote transmission module, and the patient is reminded through the remote transmission module. And the corresponding nursing suggestions are output to the remote medical terminal in the nurse station or the mobile terminal of the patient, so that the effect of monitoring the postoperative illness state in real time is achieved, negligence of manual observation is avoided, the corresponding suggestions can be quickly given, and effective measures are provided for medical staff and the patient.

Description

Technical Field

[0001] The present invention relates to the technical field of traditional Chinese medicine diagnosis and treatment, and in particular to a device for monitoring the postoperative condition of patients in anorectal medicine. Background Art

[0002] The anorectal department is a department that specializes in the research and treatment of constipation, anal fissure, anal fistula, anal abscess, anal stenosis, anal papilla hypertrophy, perianal eczema, mixed hemorrhoids, internal hemorrhoids, and external hemorrhoids. The disease range of its research mainly focuses on diseases occurring in the organs at the end of the digestive system, between 8-12 cm from the anus to the rectum; anal surgery generally refers to surgery in the anal area, usually including anal fissure resection, anal stenosis dilation, anal fistula resection, hemorrhoidectomy, rectal polypectomy, etc.

[0003] The following discomfort reactions may occur after anorectal surgery: 1. Postoperative nausea and vomiting. Nausea and vomiting are common postoperative reactions, which usually stop naturally after the anesthesia wears off. Patients undergoing spinal anesthesia need to lie flat without a pillow for 6 hours after surgery and abstain from food and water. They can get out of bed and move around after 6 hours.

[0004] 2. Postoperative wound pain. Mild postoperative pain can be left untreated, and the pain will gradually subside as the wound heals. For patients with severe pain, oral analgesics can be taken before defecation, before changing the dressing, or before going to bed, and anti-inflammatory suppositories or warm water baths can be used in the anus. Those with dry stools should use enema to assist defecation and adjust their diet before defecation, or use laxatives.

[0005] 3. Edema at the wound edge. Excessive bowel movements, thin stools, or prolonged squatting can lead to edema and severe pain at the wound. Mild edema can be gradually relieved by oral medication, external washing with medication, or sitz baths. If the flap edema is severe and difficult to absorb, it should be removed under local anesthesia.

[0006] 4. Postoperative fever. 2-3 days after surgery, the body temperature rises above 37℃~38℃, which is a common absorption fever and can be reduced by itself. If the body temperature persists or exceeds 38℃, the possibility of postoperative infection should be considered and should be taken seriously. Fever caused by local wound infection, suppuration and excessive secretions can be flushed locally with hydrogen peroxide or metronidazole solution while cooperating with systemic antibiotics.

[0007] 5. Postoperative bleeding. Due to the presence of the wound at the anus, blood will adhere to the feces during bowel movements. Patients with larger wounds will sometimes have light red blood seeping out of the dressings. This is a normal phenomenon after surgery and there is no need to be too nervous. However, if blood permeates the outer dressing within a short period of time, or blood is seen flowing out of the wound or anus, family members need to notify the doctor in time to stop the bleeding. Postoperative massive bleeding is one of the more serious complications of anorectal surgery, and usually occurs in cases with complex conditions and deep wounds. Most of the triggering factors for postoperative massive bleeding are forceful defecation. Therefore, patients should control the time spent squatting on the toilet, and use laxatives in time when they obviously feel difficulty in defecation to avoid excessive force.

[0008] Therefore, there are many nursing precautions for patients after anorectal surgery. However, problems are usually discovered through nurses' ward rounds or family members' presence. Failure to discover problems in time may lead to poor recovery.

[0009] In view of the above technical defects, a solution is now proposed. Summary of the invention

[0010] The purpose of the present invention is to collect various postoperative data information of the patient through a sensor integrated unit, generate an abnormal reminder signal after abnormal identification of different data information, remind the patient and his family through a reminder set in the ward, and at the same time send a reminder to the telemedicine terminal in the nurse station through a remote transmission module, and output corresponding nursing suggestions to the telemedicine terminal in the nurse station or the patient's mobile terminal.

[0011] In order to achieve the above-mentioned purpose, the present invention adopts the following technical scheme: a device for monitoring the postoperative condition of patients in the anorectal department of traditional Chinese medicine, comprising a drug administration monitoring device and a condition monitoring system, wherein the drug administration monitoring device comprises a drug administration cylinder and a retention part, wherein the front end of the drug administration cylinder is fixedly provided with a flexible insertion end, the rear end of the drug administration cylinder is fixedly provided with a clamping part, the retention part is fixedly provided on the terminal surface of the clamping part, the interior of the drug administration cylinder is fixedly provided with a drug administration component, and the outer surface of the drug administration cylinder is evenly distributed with drug guide holes. When in use, the drug administration cylinder is filled with medicine, and then the flexible insertion end is aligned with the anus, and the drug administration cylinder is slowly pushed into the inner wall of the anus until the drug guide hole reaches the wound, and the clamping part is tightened by the natural contraction of the sphincter, and the outer side of the retention part contacts the anus; The disease monitoring system includes a sensor integration unit, an abnormality analysis unit, an alarm prompt unit and a medication suggestion unit; The sensor integration unit is fixed on the outer surface of the drug delivery cylinder. The sensor integration unit includes a temperature sensor, a humidity sensor, a pressure sensor and a height sensor, which are used to collect various postoperative data information of the patient, integrate them into a data set and send them to the abnormality analysis unit; The abnormality analysis unit performs abnormality identification on different data information in the data set and generates an abnormality reminder signal which is sent to the alarm prompt unit; After receiving the abnormal reminder signal, the alarm prompt unit reminds the patient and his / her family members through the reminder device installed in the ward, and sends a reminder to the remote medical terminal in the nurse station through the remote transmission module; The medication recommendation unit obtains and processes the abnormal reminder signal, including an abnormal item classification module and a data storage module, wherein the data storage module is used to store nursing suggestions corresponding to different abnormal items. The abnormal item classification unit identifies the corresponding abnormal item category according to the abnormal reminder signal, and searches for the corresponding nursing suggestions in the data storage module based on the abnormal item category and outputs them to the remote medical terminal in the nurse station or the patient's mobile terminal.

[0012] Furthermore, the retention part is a truncated cone structure with one end thick and the other end thin, the outer surface of the retention part is covered with sterile cotton, and the humidity sensor is fixed between the sterile cotton and the retention part, and the sterile cotton is used to avoid anal contamination and prevent body fluids or drugs from flowing out.

[0013] Furthermore, the drug delivery component includes a push rod, a push groove is provided inside the positioning portion, the end of the push groove extends to the outer surface of the retention portion, the push rod is movably connected to the inner wall of the push groove, one end of the push rod extends to the interior of the drug delivery cylinder and is connected to an extrusion block, the extrusion block is movably contacted with the inner wall of the drug delivery cylinder, the other end of the push rod extends to the outside of the retention portion and is connected to the push block, the height sensor is fixed on the outer surface of the push block, the drug delivery cylinder is fixed and the push block is pushed, the push block drives the push rod to move into the drug delivery cylinder, and then the medicine inside the drug delivery cylinder is squeezed out by the extrusion block, introduced into the anus and intestine through the drug guide hole, the wound is anti-inflammatory and hemostatic by the action of the medicine, and wound healing is promoted, and at the same time, excess medicine and body fluids are absorbed by the blood-absorbing cotton to avoid discomfort caused by leakage.

[0014] Furthermore, the outer surface of the dosing cylinder is evenly distributed with embedding grooves, the inner wall of the embedding groove is fixed with blood-absorbing cotton, a plurality of the pressure sensors are evenly distributed on the outer surface of the dosing cylinder, and the temperature sensor is fixed on the outer surface of the flexible insertion end.

[0015] Furthermore, the data set includes horizontal height data of the dosing cylinder detected by a height sensor, body temperature data inside the patient's anus detected by a temperature sensor, squeezing pressure data between the patient's anus wall and the surface of the dosing cylinder detected by a pressure sensor, and humidity data on the surface of the disinfection cotton detected by a humidity sensor.

[0016] Further, the abnormality analysis unit includes a height abnormality analysis module, a temperature abnormality analysis module, a bleeding abnormality analysis module and an edema abnormality analysis module, wherein: The height abnormality analysis module is used to obtain the horizontal height data of the drug delivery cylinder from the data set, and judge the patient's body position according to the preset limited height threshold. When the horizontal height data is less than or equal to the limited height threshold, no signal is generated. When the horizontal height data is greater than the limited height threshold, a first abnormality reminder signal is generated and sent to the alarm prompt unit; The temperature anomaly analysis module is used to obtain the patient's anal temperature data detected by the temperature sensor from the data set, and judge the patient's temperature status according to the preset temperature threshold. When the temperature data is less than or equal to the temperature threshold, no signal is generated. When the temperature data is greater than the temperature threshold, a second abnormal reminder signal is generated and sent to the alarm prompt unit. The bleeding abnormality analysis module is used to obtain the humidity data of the disinfection cotton surface detected by the humidity sensor from the data set, and judge the abnormal bleeding state of the patient according to the preset humidity threshold. When the humidity data is less than or equal to the humidity threshold, no signal is generated. When the humidity data is greater than the humidity threshold, a third abnormal reminder signal is generated and sent to the alarm prompt unit; The edema abnormality analysis module is used to obtain the extrusion pressure data of the patient's anal wall and the surface of the medication cylinder detected by the pressure sensor from the data set, perform pressure balance analysis, and calculate the pressure abnormal fluctuation value based on the pressure balance analysis result, and judge the pressure abnormal fluctuation value according to the preset fluctuation threshold to generate a fourth abnormal reminder signal and send it to the alarm prompt unit.

[0017] Furthermore, the height abnormality analysis module is connected to a timing module, which starts timing after the patient's operation and presets a timing period according to the patient's surgical condition. During the timing period, the height abnormality analysis module judges the horizontal height data. After the timing period is exceeded, the height abnormality analysis module is in a dormant state.

[0018] After anorectal surgery, patients need to stay in bed and reduce exercise to avoid bleeding and rupture of the wound. The bed rest time, i.e., the timing period, is set according to the surgical situation and the patient's physiological state, generally 6-24 hours. The height limit threshold is set based on the sum of the height data of the bed and the patient's turning height. The height data of the dosing cylinder is obtained through the height sensor, and the height data of the dosing cylinder can reflect the patient's height. When the height data is greater than the height limit threshold, it means that the patient stands up and does not comply with the doctor's advice. At this time, a first abnormal reminder signal is generated to remind; After the timing period is over, the patient can get out of bed and walk around normally, and there is no need for a standing warning; Furthermore, the specific process of generating the fourth abnormality reminder signal is as follows: S101, the time after the drug delivery cylinder is inserted into place is used as the monitoring start time, and each pressure sensor is marked as K in sequence, and the pressure data of the pressure sensor is obtained at the monitoring start time, and the initial pressure set A is obtained by integration, and each element in the set A, i.e., the initial pressure data, is arranged in sequence according to the marking order; S102, presetting a basic pressure threshold, performing pressure distribution analysis in the initial pressure set A according to the basic pressure threshold, marking pressure data greater than or equal to the basic pressure threshold as a risk pressure value F1, and marking pressure data less than the basic pressure threshold as a risk-free pressure value F2; The wound on the inner wall of the anus causes edema due to the wound surface, so the wound is not flat, and the pressure data of the inner wall of the anus at the wound on the drug delivery cylinder is the risk pressure value; S103, obtaining real-time updated pressure data to obtain a real-time pressure set B. Each element in set B, i.e., real-time pressure data, is still arranged in sequence according to the marking order. Therefore, there is a dynamic correlation between set B and set A. The pressure abnormal fluctuation value Gi is calculated for the risk pressure value; , where F1′ is the real-time pressure data, i=1, 2, 3, …, n, and n is the number of risk pressure values; Obtain the preset fluctuation threshold G1. If the abnormal pressure fluctuation value is less than or equal to G1, no signal is generated. If the abnormal pressure fluctuation value Gi is greater than G1, it indicates that the pressure fluctuation at the wound is abnormal, and severe edema occurs in the wound or around the wound, and a fourth abnormal reminder signal is generated and sent to the alarm reminder unit; S104. Calculate the abnormal pressure fluctuation value Gj for the risk-free pressure value: , where F2′ is the real-time pressure data, j=1, 2, 3, …, m, and m is the number of risk-free pressure values; Obtaining a preset fluctuation threshold G2, if the abnormal pressure fluctuation value Gj is less than or equal to the fluctuation threshold G2, no signal is generated; If the abnormal pressure fluctuation value Gj is greater than the fluctuation threshold value G2, it means that the position of the dosing cylinder has shifted, and a fifth abnormal prompt signal is generated and sent to the alarm prompt unit.

[0019] Furthermore, the first abnormal reminder signal in the data storage module corresponds to the patient's abnormal movement, that is, the wound may rupture and cause bleeding, and the nursing suggestion is that human persuasion and observation of the wound are required. The second abnormal reminder signal corresponds to an abnormal increase in the patient's body temperature, which means that an infection may have occurred and caused a high fever. The nursing advice is to take cooling measures; The third abnormal reminder signal corresponds to the patient's abnormal bleeding, the amount of bleeding is higher than expected, and wound rupture may occur. The nursing suggestion is to stop the bleeding. The fourth abnormal warning signal corresponds to excessive edema of the patient's wound, and the nursing advice is to take oral medication or wash with medication or take a sitz bath; The fifth abnormal reminder signal corresponds to a prompt that the position of the drug delivery cylinder is offset, and the nursing suggestion is to observe the wound or re-dose the drug.

[0020] In summary, due to the adoption of the above technical solution, the beneficial effects of the present invention are: 1. This postoperative condition monitoring system for patients in the Department of Anorectal Surgery of Traditional Chinese Medicine pushes the drug delivery cylinder into the inner wall of the anus until the drug guide hole reaches the wound, tightens the positioning part through the natural contraction of the sphincter, and contacts the outside of the retention part with the anus. The disinfectant cotton is used to avoid anal contamination and prevent the outflow of body fluids or drugs. The propulsion block drives the propulsion rod to move into the drug delivery cylinder, and then the extrusion block squeezes out the medicine in the drug delivery cylinder, and introduces it into the anus and intestine through the drug guide hole. The drug action can reduce inflammation and stop bleeding on the wound, promote wound healing, and absorb excess drugs and body fluids through the blood-absorbing cotton to avoid discomfort caused by leakage.

[0021] 2. The postoperative condition monitoring system for patients in the Department of Anorectal Medicine of Traditional Chinese Medicine collects various postoperative data information of patients through the sensor integrated unit, generates abnormal reminder signals after abnormal identification of different data information, reminds patients and their families through the reminder device installed in the ward, and sends reminders to the telemedicine terminal in the nurse station through the remote transmission module, and outputs corresponding nursing suggestions to the telemedicine terminal in the nurse station or the patient's mobile terminal, which has the effect of real-time monitoring of postoperative conditions, avoids negligence of human observation, and can quickly give corresponding suggestions, providing effective measures for medical staff and patients themselves. BRIEF DESCRIPTION OF THE DRAWINGS

[0022] Figure 1 The overall external structure schematic diagram of the present invention is shown; Figure 2 Another schematic diagram of the overall external structure of the present invention is shown; Figure 3 The overall internal structure schematic diagram of the present invention is shown; Figure 4 A schematic diagram of the structure of the disease monitoring system of the present invention is shown; Legend: 1. Dosing cylinder; 2. Flexible insertion end; 3. Positioning part; 4. Retention part; 5. Drug guide hole; 6. Push rod; 7. Extrusion block; 8. Push block; 9. Height sensor; 10. Blood-absorbing cotton; 11. Pressure sensor; 12. Temperature sensor; 13. Humidity sensor; 14. Disinfection cotton. DETAILED DESCRIPTION

[0023] The following will be combined with the drawings in the embodiments of the present invention to clearly and completely describe the technical solutions in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0024] Embodiment 1: like Figure 1-3 As shown, a device for monitoring the postoperative condition of patients in the anorectal department of traditional Chinese medicine comprises a drug administration monitoring device and a condition monitoring system. The drug administration monitoring device comprises a drug administration cylinder 1 and a retention portion 4. A flexible insertion end 2 is fixedly arranged at the front end of the drug administration cylinder 1, a clamping portion 3 is fixedly arranged at the rear end of the drug administration cylinder 1, and the retention portion 4 is fixedly arranged on the end surface of the clamping portion 3. A drug administration component is fixedly arranged inside the drug administration cylinder 1, and drug guide holes 5 are evenly distributed on the outer surface of the drug administration cylinder 1. When in use, medicine is poured into the drug administration cylinder 1, and then the flexible insertion end 2 is aligned with the anus, and the drug administration cylinder 1 is slowly pushed into the inner wall of the anus until the drug guide hole 5 reaches the wound, and the clamping portion 3 is tightened by the natural contraction of the sphincter, and the outer side of the retention portion 4 contacts the anus; The retention part 4 is a truncated cone structure with one end thick and the other end thin. The outer surface of the retention part 4 is covered with a sterilizing cotton 14. The humidity sensor 13 is fixed between the sterilizing cotton 14 and the retention part 4. The sterilizing cotton 14 prevents anal contamination and prevents body fluids or drugs from flowing out.

[0025] The drug administration component includes a push rod 6, a push groove is provided inside the positioning part 3, the end of the push groove extends to the outer surface of the retention part 4, the push rod 6 is movably connected to the inner wall of the push groove, one end of the push rod 6 extends to the inside of the drug administration cylinder 1 and is connected to an extrusion block 7, the extrusion block 7 is in active contact with the inner wall of the drug administration cylinder 1, the other end of the push rod 6 extends to the outside of the retention part 4 and is connected to a push block 8, a height sensor 9 is fixed on the outer surface of the push block 8, the drug administration cylinder 1 is fixed and the push block 8 is pushed, the push rod 6 is driven by the push block 8 to move into the drug administration cylinder 1, and then the medicine inside the drug administration cylinder 1 is squeezed out by the extrusion block 7, and introduced into the anus and intestines through the drug guide hole 5, the wound is anti-inflammatory and hemostatic by the action of the medicine, and the wound healing is promoted, and at the same time, the excess medicine and body fluid are absorbed by the blood-absorbing cotton 10 to avoid discomfort caused by leakage.

[0026] Embedding grooves are evenly distributed on the outer surface of the dosing cylinder 1, and blood-absorbing cotton 10 is fixed on the inner wall of the embedding groove. Several pressure sensors 11 are evenly distributed on the outer surface of the dosing cylinder 1, and a temperature sensor 12 is fixed on the outer surface of the flexible insertion end 2.

[0027] The working principle is as follows: when in use, the medicine is poured into the inside of the drug delivery cylinder 1, and then the flexible insertion end 2 is aimed at the anus, and the drug delivery cylinder 1 is slowly pushed into the inner wall of the anus until the drug guide hole 5 reaches the wound, and the clamping part 3 is tightened by the natural contraction of the sphincter, and the outer side of the retention part 4 contacts the anus, and the anus is prevented from being contaminated by the disinfection cotton 14 and the body fluid or drug is prevented from flowing out; After fixing the dosing cylinder 1, the propulsion block 8 is pushed, and the propulsion block 8 drives the propulsion rod 6 to move into the dosing cylinder 1, and then the medicine inside the dosing cylinder 1 is squeezed out by the squeezing block 7, and introduced into the anus and intestine through the medicine guide hole 5. The wound is anti-inflammatory and hemostatic through the action of the medicine, and the wound healing is promoted. At the same time, the blood-absorbing cotton 10 absorbs excess medicine and body fluids to avoid discomfort caused by leakage.

[0028] Embodiment 2: like Figure 4 As shown, a device for monitoring the postoperative condition of patients in the anorectal department of traditional Chinese medicine includes a medication monitoring device and a condition monitoring system. The condition monitoring system includes a sensor integration unit, an abnormality analysis unit, an alarm prompt unit, and a medication suggestion unit; The sensor integration unit is fixed on the outer surface of the drug delivery cylinder 1. The sensor integration unit includes a temperature sensor 12, a humidity sensor 13, a pressure sensor 11 and a height sensor 9, which are used to collect various postoperative data information of the patient, integrate them into a data set and send them to the abnormality analysis unit; The data set includes the horizontal height data of the dosing cylinder 1 detected by the height sensor 9, the body temperature data in the patient's anus detected by the temperature sensor 12, the squeezing pressure data between the patient's anus wall and the surface of the dosing cylinder 1 detected by the pressure sensor 11, and the surface humidity data of the disinfection cotton 14 detected by the humidity sensor 13.

[0029] The abnormality analysis unit performs abnormality identification on different data information in the data set and generates an abnormality reminder signal which is sent to the alarm prompt unit; The abnormality analysis unit includes a height abnormality analysis module, a temperature abnormality analysis module, a bleeding abnormality analysis module and an edema abnormality analysis module, wherein: The height abnormality analysis module is used to obtain the horizontal height data of the medication cylinder 1 from the data set, and judge the patient's body position according to the preset limited height threshold. When the horizontal height data is less than or equal to the limited height threshold, no signal is generated. When the horizontal height data is greater than the limited height threshold, a first abnormality reminder signal is generated and sent to the alarm prompt unit; The height abnormality analysis module is connected to the timing module. The timing module starts timing after the patient's operation. The timing period is preset according to the patient's surgical condition. During the timing period, the height abnormality analysis module is used to judge the horizontal height data. After the timing period is exceeded, the height abnormality analysis module is in a dormant state.

[0030] After anorectal surgery, patients need to stay in bed and reduce exercise to avoid bleeding and rupture of the wound. The bed rest time, i.e., the timing period, is set according to the surgical situation and the patient's physiological state, generally 6-24 hours. The height limit threshold is set based on the sum of the height data of the bed and the patient's turning height. The height data of the dosing cylinder 1 is obtained by the height sensor 9. The height data of the dosing cylinder 1 can reflect the patient's height. When the height data is greater than the height limit threshold, it means that the patient stands up and does not comply with the doctor's advice. At this time, a first abnormal reminder signal is generated to remind the patient. The temperature anomaly analysis module is used to obtain the patient's anal temperature data detected by the temperature sensor 12 from the data set, and judge the patient's temperature state according to the preset temperature threshold. When the temperature data is less than or equal to the temperature threshold, no signal is generated. When the temperature data is greater than the temperature threshold, a second abnormal reminder signal is generated and sent to the alarm prompt unit. The bleeding abnormality analysis module is used to obtain the surface humidity data of the disinfection cotton 14 detected by the humidity sensor 13 from the data set, and judge the abnormal bleeding state of the patient according to the preset humidity threshold. When the humidity data is less than or equal to the humidity threshold, no signal is generated. When the humidity data is greater than the humidity threshold, a third abnormal reminder signal is generated and sent to the alarm prompt unit; The edema abnormality analysis module is used to obtain the extrusion pressure data of the patient's anal wall and the surface of the medication cylinder 1 detected by the pressure sensor 11 from the data set, perform pressure balance analysis, and calculate the pressure abnormality fluctuation value based on the pressure balance analysis result, and judge the pressure abnormality fluctuation value according to the preset fluctuation threshold to generate a fourth abnormal reminder signal and send it to the alarm prompt unit.

[0031] After the timing period is over, the patient can get out of bed and walk around normally, and there is no need for a standing warning; The specific process of generating the fourth abnormality reminder signal is as follows: S101, inserting the dosing cylinder 1 into place is used as the monitoring start time, and marking each pressure sensor 11 as K in sequence, obtaining the pressure data of the pressure sensor 11 at the monitoring start time, integrating to obtain an initial pressure set A, and the elements in the set A, i.e., the initial pressure data, are arranged in sequence according to the marking order; S102, presetting a basic pressure threshold, performing pressure distribution analysis in the initial pressure set A according to the basic pressure threshold, marking pressure data greater than or equal to the basic pressure threshold as a risk pressure value F1, and marking pressure data less than the basic pressure threshold as a risk-free pressure value F2; The wound on the inner wall of the anus causes edema due to the wound surface, so the wound is not flat, and the pressure data of the inner wall of the anus at the wound on the drug delivery cylinder 1 is the risk pressure value; S103, obtaining real-time updated pressure data to obtain a real-time pressure set B. Each element in set B, i.e., real-time pressure data, is still arranged in sequence according to the marking order. Therefore, there is a dynamic correlation between set B and set A. The pressure abnormal fluctuation value Gi is calculated for the risk pressure value; , where F1′ is the real-time pressure data, i=1, 2, 3, …, n, and n is the number of risk pressure values; Obtain the preset fluctuation threshold G1. If the abnormal pressure fluctuation value is less than or equal to G1, no signal is generated. If the abnormal pressure fluctuation value Gi is greater than G1, it indicates that the pressure fluctuation at the wound is abnormal, and severe edema occurs in the wound or around the wound, and a fourth abnormal reminder signal is generated and sent to the alarm reminder unit; S104. Calculate the abnormal pressure fluctuation value Gj for the risk-free pressure value: , where F2′ is the real-time pressure data, j=1, 2, 3, …, m, and m is the number of risk-free pressure values; Obtaining a preset fluctuation threshold G2, if the abnormal pressure fluctuation value Gj is less than or equal to the fluctuation threshold G2, no signal is generated; If the abnormal pressure fluctuation value Gj is greater than the fluctuation threshold value G2, it means that the position of the medication cylinder 1 has shifted, and a fifth abnormal prompt signal is generated and sent to the alarm prompt unit.

[0032] After receiving the abnormal reminder signal, the alarm prompt unit reminds the patient and his / her family members through the reminder device installed in the ward, and sends a reminder to the remote medical terminal in the nurse station through the remote transmission module; The medication recommendation unit obtains and processes the abnormal reminder signal, including an abnormal item classification module and a data storage module, wherein the data storage module is used to store nursing suggestions corresponding to different abnormal items. The abnormal item classification unit identifies the corresponding abnormal item category according to the abnormal reminder signal, and searches for the corresponding nursing suggestions in the data storage module based on the abnormal item category and outputs them to the remote medical terminal in the nurse station or the patient's mobile terminal.

[0033] The first abnormal reminder signal in the data storage module corresponds to the patient's abnormal movement, which means that the wound may rupture and cause bleeding. The nursing advice is to provide human persuasion and observe the wound. The second abnormal reminder signal corresponds to an abnormal increase in the patient's body temperature, which means that an infection may have occurred and caused a high fever. The nursing advice is to take cooling measures; The third abnormal reminder signal corresponds to the patient's abnormal bleeding, the amount of bleeding is higher than expected, and wound rupture may occur. The nursing suggestion is to stop the bleeding. The fourth abnormal warning signal corresponds to excessive edema of the patient's wound, and the nursing advice is to take oral medication or wash with medication or take a sitz bath; The fifth abnormal reminder signal corresponds to a prompt that the position of the medication cylinder 1 is offset, and the nursing suggestion is to observe the wound or re-administer the medication.

[0034] The present invention collects various postoperative data information of the patient through a sensor integrated unit, generates an abnormal reminder signal after abnormal identification of different data information, reminds the patient and his / her family through a reminder set in the ward, and simultaneously sends a reminder to the telemedicine terminal in the nurse station through a remote transmission module, and outputs corresponding nursing suggestions to the telemedicine terminal in the nurse station or the patient's mobile terminal, thereby achieving the effect of real-time monitoring of the postoperative condition, avoiding negligence of human observation, and being able to quickly give corresponding suggestions, providing effective measures for medical staff and patients themselves.

[0035] The threshold is set to facilitate comparison. The size of the threshold depends on the amount of sample data and the number of bases set by technicians in this field for each group of sample data; as long as it does not affect the proportional relationship between the parameter and the quantized value.

[0036] The above formulas are all dimensionless and numerical calculations. The formula is a formula obtained by collecting a large amount of data and performing software simulation to obtain the most recent real situation. The preset parameters in the formula are set by technicians in this field according to actual conditions. In the two embodiments provided in the present application, it should be understood that the disclosed devices and systems can be implemented in other ways; for example, the device embodiments described above are only schematic, for example, the division of the modules is only a logical function division, and there may be other division methods in actual implementation, such as multiple modules or components can be combined or integrated into another system, or some features can be ignored or not executed; another point, the mutual coupling or direct coupling or communication connection shown or discussed can be through some interfaces, the indirect coupling or communication connection of devices or modules can be electrical, mechanical or other forms; The above description is only a preferred specific implementation manner of the present invention, but the protection scope of the present invention is not limited thereto. Any technician familiar with the technical field can make equivalent replacements or changes according to the technical scheme and inventive concept of the present invention within the technical scope disclosed by the present invention, which should be covered by the protection scope of the present invention.

Claims

1. A device for monitoring the postoperative condition of patients in the anorectal department of traditional Chinese medicine, comprising a drug administration monitoring device and a condition monitoring system, characterized in that: The drug administration monitoring device comprises a drug administration cylinder (1) and a retention portion (4); a flexible insertion end (2) is fixedly provided at the front end of the drug administration cylinder (1); a retaining portion (3) is fixedly provided at the rear end of the drug administration cylinder (1); the retaining portion (4) is fixedly provided on the end surface of the retaining portion (3); a drug administration component is fixedly provided inside the drug administration cylinder (1); and drug guide holes (5) are evenly distributed on the outer surface of the drug administration cylinder (1); The disease monitoring system includes a sensor integration unit, an abnormality analysis unit, an alarm prompt unit and a medication suggestion unit; The sensor integration unit is fixedly mounted on the outer surface of the drug delivery cylinder (1), and comprises a temperature sensor (12), a humidity sensor (13), a pressure sensor (11), and a height sensor (9), and is used to collect various postoperative data information of the patient, integrate them into a data set, and then send them to the abnormality analysis unit; The abnormality analysis unit performs abnormality identification on different data information in the data set and generates an abnormality reminder signal which is sent to the alarm prompt unit; After receiving the abnormal reminder signal, the alarm prompt unit reminds the patient and his / her family members through the reminder device installed in the ward, and sends a reminder to the remote medical terminal in the nurse station through the remote transmission module; The medication recommendation unit obtains and processes the abnormal reminder signal, including an abnormal item classification module and a data storage module, wherein the data storage module is used to store nursing suggestions corresponding to different abnormal items. The abnormal item classification unit identifies the corresponding abnormal item category according to the abnormal reminder signal, and searches for the corresponding nursing suggestions in the data storage module based on the abnormal item category and outputs them to the remote medical terminal in the nurse station or the patient's mobile terminal.

2. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 1 is characterized in that: The retention portion (4) is a truncated cone-shaped structure with one end being thicker and the other end being thinner. The outer surface of the retention portion (4) is sleeved with sterilizing cotton (14), and the humidity sensor (13) is fixedly arranged between the sterilizing cotton (14) and the retention portion (4).

3. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 1 is characterized in that: The drug delivery assembly comprises a push rod (6), a push groove is provided inside the locking portion (3), the end of the push groove extends to the outer surface of the retention portion (4), the push rod (6) is movably connected to the inner wall of the push groove, one end of the push rod (6) extends to the inside of the drug delivery cylinder (1) and is connected to an extrusion block (7), the extrusion block (7) is in movably contact with the inner wall of the drug delivery cylinder (1), the other end of the push rod (6) extends to the outside of the retention portion (4) and is connected to a push block (8), and the height sensor (9) is fixedly arranged on the outer surface of the push block (8).

4. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 1 is characterized in that: The outer surface of the drug delivery cylinder (1) is evenly distributed with embedding grooves, and the inner wall of the embedding groove is fixedly provided with blood-absorbing cotton (10). A plurality of pressure sensors (11) are evenly distributed on the outer surface of the drug delivery cylinder (1), and the temperature sensor (12) is fixedly arranged on the outer surface of the flexible insertion end (2).

5. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 1 is characterized in that: The data set includes data on the horizontal height of the drug delivery cylinder (1) detected by a height sensor (9), data on the body temperature in the patient's anus detected by a temperature sensor (12), data on the squeezing force between the patient's anus wall and the surface of the drug delivery cylinder (1) detected by a pressure sensor (11), and data on the surface humidity of the disinfection cotton (14) detected by a humidity sensor (13).

6. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 1 is characterized in that: The abnormality analysis unit includes a height abnormality analysis module, a temperature abnormality analysis module, a bleeding abnormality analysis module and an edema abnormality analysis module, wherein: The height abnormality analysis module is used to obtain the horizontal height data of the drug delivery cylinder (1) from the data set, and judge the patient's body position according to a preset limited height threshold, and when the horizontal height data is less than or equal to the limited height threshold, no signal is generated, and when the horizontal height data is greater than the limited height threshold, a first abnormality reminder signal is generated and sent to the alarm reminder unit; The temperature anomaly analysis module is used to obtain the patient's anal temperature data detected by the temperature sensor (12) from the data set, and judge the patient's temperature status according to a preset temperature threshold, and when the temperature data is less than or equal to the temperature threshold, no signal is generated, and when the temperature data is greater than the temperature threshold, a second abnormality reminder signal is generated and sent to the alarm reminder unit; The bleeding abnormality analysis module is used to obtain surface humidity data of the disinfection cotton (14) detected by the humidity sensor (13) from the data set, and judge the abnormal bleeding state of the patient according to a preset humidity threshold value, and when the humidity data is less than or equal to the humidity threshold value, no signal is generated, and when the humidity data is greater than the humidity threshold value, a third abnormality reminder signal is generated and sent to the alarm prompt unit; The edema abnormality analysis module is used to obtain the squeezing pressure data between the patient's anal wall and the surface of the drug delivery cylinder (1) detected by the pressure sensor (11) from the data set, perform pressure balance analysis, and calculate the pressure abnormality fluctuation value based on the pressure balance analysis result, and judge the pressure abnormality fluctuation value according to a preset fluctuation threshold value to generate a fourth abnormality reminder signal and send it to the alarm prompt unit.

7. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 6 is characterized in that: The height abnormality analysis module is connected to a timing module, which starts timing after the patient's surgery and presets a timing period according to the patient's surgical condition. The height abnormality analysis module judges the horizontal height data within the timing period, and the height abnormality analysis module is in a dormant state after the timing period is exceeded.

8. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 6 is characterized in that: The specific process of generating the fourth abnormality reminder signal is as follows: S101, inserting the dosing cylinder (1) into place is used as the monitoring start time, and marking each pressure sensor (11) as K in sequence, obtaining pressure data of the pressure sensor (11) at the monitoring start time, integrating to obtain an initial pressure set A, and arranging each element in the set A, i.e., the initial pressure data, in sequence according to the marking order; S102, presetting a basic pressure threshold, performing pressure distribution analysis in the initial pressure set A according to the basic pressure threshold, marking pressure data greater than or equal to the basic pressure threshold as a risk pressure value F1, and marking pressure data less than the basic pressure threshold as a risk-free pressure value F2; S103, obtaining real-time updated pressure data to obtain a real-time pressure set B. Each element in set B, i.e., real-time pressure data, is still arranged in sequence according to the marking order. Therefore, there is a dynamic correlation between set B and set A. The pressure abnormal fluctuation value Gi is calculated for the risk pressure value; , where F1′ is the real-time pressure data, i=1, 2, 3, …, n, and n is the number of risk pressure values; Obtain the preset fluctuation threshold G1. If the abnormal pressure fluctuation value is less than or equal to G1, no signal is generated. If the abnormal pressure fluctuation value Gi is greater than G1, it indicates that the pressure fluctuation at the wound is abnormal, and severe edema occurs in the wound or around the wound, and a fourth abnormal reminder signal is generated and sent to the alarm reminder unit; S104. Calculate the abnormal pressure fluctuation value Gj for the risk-free pressure value: , where F2′ is the real-time pressure data, j=1, 2, 3, …, m, and m is the number of risk-free pressure values; Obtaining a preset fluctuation threshold G2, if the abnormal pressure fluctuation value Gj is less than or equal to the fluctuation threshold G2, no signal is generated; If the abnormal pressure fluctuation value Gj is greater than the fluctuation threshold value G2, it means that the position of the dosing cylinder (1) has shifted, and a fifth abnormal prompt signal is generated and sent to the alarm prompt unit.

9. The postoperative condition monitoring system for patients with anorectal disease in traditional Chinese medicine according to claim 1 is characterized in that: The first abnormal reminder signal in the data storage module corresponds to an abnormal movement of the patient, which means that the wound may rupture and cause bleeding, and the nursing suggestion is that human persuasion and observation of the wound are required. The second abnormal reminder signal corresponds to an abnormal increase in the patient's body temperature, which means that an infection may have occurred and caused a high fever. The nursing advice is to take cooling measures; The third abnormal reminder signal corresponds to the patient's abnormal bleeding, the amount of bleeding is higher than expected, and wound rupture may occur. The nursing suggestion is to stop the bleeding. The fourth abnormal warning signal corresponds to excessive edema of the patient's wound, and the nursing advice is to take oral medication or wash with medication or take a sitz bath; The fifth abnormal warning signal corresponds to a prompt that the position of the drug delivery cylinder (1) is shifted, and the nursing advice is to observe the wound or re-dose the drug.

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