A method, system and storage medium for monitoring hypertension using combined traditional Chinese and western medicine
Through the combined monitoring method of traditional Chinese and Western medicine, combined with systolic blood pressure, diastolic blood pressure and heart rate data, the blood pressure change characteristics are analyzed, and the problem of insufficient accuracy and accuracy in traditional blood pressure monitoring methods is solved, achieving more efficient hypertension monitoring.
Patent Information
- Application Number
- CN202510240599.4
- Authority / Receiving Office
- CN · China
- Patent Type
- Patents(China)
- Current Assignee / Owner
- Filing Date
- 2025-03-03
- Publication Date
- 2025-05-13
- Estimated Expiration
- 2045-03-03
AI Technical Summary
Traditional blood pressure monitoring methods are difficult to combine the changing relationship between systolic blood pressure and diastolic blood pressure to conduct a detailed analysis of the hypertension monitoring results, resulting in a decrease in monitoring accuracy and accuracy.
The combined monitoring method of traditional Chinese and Western medicine was adopted to collect systolic blood pressure, diastolic blood pressure and heart rate data at each moment of the day, and analyze the amplitude of blood pressure increase, behavioral activity, cycle significance and blood pressure correlation degree, and comprehensively calculate the blood pressure excellentness and hypertension warning value.
It improves the accuracy and reliability of blood pressure monitoring, enhances the accuracy and effect of hypertension monitoring, and solves the problem of insufficient error and accuracy in traditional methods.
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Figure CN119700056B_ABST
Abstract
Description
Technical Field
[0001] The present application relates to the technical field of medical data information processing, and in particular to a method, system and storage medium for monitoring hypertension using a combination of traditional Chinese and Western medicine. Background Art
[0002] The combination of Chinese and Western medicine in monitoring hypertension not only makes use of the scientific and technological advances of modern Western medicine, but also incorporates the traditional Chinese medicine's holistic concepts and individualized treatment methods, providing patients with hypertension with a diverse and comprehensive monitoring program. Because the heart has two states, contraction and relaxation, traditional blood pressure monitoring requires monitoring both systolic and diastolic pressures as a basis for determining hypertension.
[0003] However, human blood pressure has normal physiological changes. For example, blood pressure is lower when sleeping at night, while blood circulation speeds up and blood pressure rises during exercise. Different levels of blood pressure monitoring and analysis should be performed for different human behavioral activities. As a result, the traditional blood pressure monitoring method that only analyzes the blood pressure amplitude is insufficient in monitoring accuracy. At the same time, hypertension may cause the elasticity of the blood vessel wall to deteriorate, thereby weakening the correlation between the changes in systolic and diastolic blood pressure. If the traditional blood pressure monitoring method is used, it is impossible to conduct a more detailed analysis of the monitoring results based on the changing relationship between systolic and diastolic blood pressure, which interferes with the accuracy of blood pressure data processing, further leading to a reduction in the accuracy of blood pressure monitoring and affecting the monitoring effect of hypertension. Summary of the invention
[0004] In order to solve the above technical problems, the purpose of this application is to provide a method, system and storage medium for monitoring hypertension with the combination of traditional Chinese and Western medicine. The technical solutions adopted are as follows:
[0005] In a first aspect, an embodiment of the present application provides a method for monitoring hypertension using a combination of traditional Chinese and Western medicine, the method comprising the following steps:
[0006] Collect the systolic blood pressure, diastolic blood pressure, and heart rate of the monitored subjects at each time of the day during the blood pressure monitoring period;
[0007] Based on the prominence of systolic blood pressure at each time of the day, determine the blood pressure increase amplitude at each time of the day; analyze the change amplitude of the heart rate at each time of the day and in the local time period, and determine the behavioral activity at each time of the day; combine the blood pressure increase amplitude with the behavioral activity to obtain the degree of blood pressure increase at each time of the day;
[0008] Analyze the periodic changes in the degree of the high blood pressure performance at the same time of each day and other days to determine the periodic significance at each time of each day; analyze the systolic blood pressure at each time of each day and the volatility of the related systolic blood pressure, and determine the excellence of the systolic blood pressure performance at each time of each day by combining the periodic significance and the high blood pressure performance;
[0009] Accordingly, based on the diastolic pressure, the diastolic pressure performance excellence at each time of the day is determined, and the systolic pressure performance excellence at all times of the day and the diastolic pressure performance excellence are combined to obtain the comprehensive blood pressure excellence of each day;
[0010] Based on the difference between the systolic and diastolic pressures at each time of the day, the pulse pressure difference at each time of the day is obtained, the difference between the pulse pressure difference at all times of the day and the average pulse pressure difference is analyzed, the blood pressure correlation degree of each day is determined, and the correlation excellence degree of each day is obtained in combination with the comprehensive blood pressure excellence degree;
[0011] The changing trend of the correlation excellence degree on all days in the blood pressure monitoring period is analyzed to obtain the hypertension warning value of the monitored object, and the hypertension monitoring of the monitored object is performed.
[0012] In one embodiment, the determination of the magnitude of the blood pressure increase includes:
[0013] The inverse of the difference between the preset hypertension threshold and the systolic blood pressure at each time of the day is calculated, and the inverse is used as the exponent of an exponential function with a natural constant as the base. The blood pressure increase amplitude is the normalized value of the calculation result of the exponential function.
[0014] In one embodiment, the process of determining the activity of the behavior is as follows:
[0015] According to the difference between the heart rate at each time of the day and the average heart rate, the heart rate activity reflection degree at each time of the day is determined;
[0016] Calculate the mean of the change rate of the heart rate at each time of the day and its adjacent times, obtain the maximum and minimum values of the change rate of the heart rate at all times of the day, calculate the difference between the maximum and the minimum, record it as a first difference, calculate the difference between the mean and the minimum, record it as a second difference, calculate the ratio of the second difference to the first difference, record it as a heart rate change ratio;
[0017] The behavioral activity is the product of the heart rate activity reflection degree and the heart rate change ratio at each time of the day.
[0018] In one embodiment, the degree of high blood pressure is a normalized value of the product of the inverse of the behavioral activity at each time of the day and the amplitude of the high blood pressure.
[0019] In one embodiment, the determination of the period significance includes:
[0020] The average value of the difference between the degree of blood pressure increase at each time of each day and the degree of blood pressure increase at the same time on all other days in the blood pressure monitoring cycle is calculated, and the normalized result of the reciprocal of the average value is determined as the cycle significance.
[0021] In one embodiment, the determination of the excellence of the systolic blood pressure performance comprises:
[0022] Clustering the systolic blood pressure at all times of the day, calculating the dispersion of all systolic blood pressures in the clusters where the systolic blood pressure at each time of the day is located, and determining the normalized value of the inverse of the dispersion as the blood pressure stability at each time of the day;
[0023] The systolic blood pressure performance excellence is the product of the inverse of the blood pressure high performance degree at each time of the day, the blood pressure stability, and the period significance.
[0024] In one embodiment, the blood pressure correlation degree is the reciprocal of the mean of the difference between the pulse pressure difference at all times of the day and the mean of the pulse pressure difference at all times of the day.
[0025] In one embodiment, the determination of the hypertension warning value includes:
[0026] A fitting straight line of the correlation excellence for all days in the blood pressure monitoring period is obtained, and the slope of the fitting straight line is calculated. The hypertension warning value is negatively correlated with the slope, as well as the average value of the correlation excellence for all days in the blood pressure monitoring period.
[0027] In a second aspect, an embodiment of the present application provides a storage medium for monitoring hypertension using combined traditional Chinese and Western medicine, wherein the medium stores a computer program, and when the computer program is executed by a processor, the method for monitoring hypertension using combined traditional Chinese and Western medicine as described in any one of the above is implemented.
[0028] In a third aspect, an embodiment of the present application also provides a system for monitoring hypertension using a combination of Chinese and Western medicine, comprising a memory, a processor, and a computer program stored in the memory and running on the processor, wherein the processor implements the steps of any one of the above methods when executing the computer program.
[0029] This application has at least the following beneficial effects:
[0030] The present application collects the systolic blood pressure, diastolic blood pressure and heart rate of the monitored object at each moment of each day during the blood pressure monitoring cycle; determines the blood pressure increase amplitude at each moment of each day based on the prominence of the systolic blood pressure at each moment of each day; analyzes the variation amplitude of the heart rate in the local time period at each moment of each day to determine the behavioral activity at each moment of each day; the behavioral activity reflects the activity of the heart rate of the monitored object at each moment of each day, reflects the possibility of behavioral exercise of the monitored object; reflects the intensity of the exercise of the monitored object, and indirectly reflects the unreliability of the blood pressure increase amplitude at this moment, thereby improving the reliability of the blood pressure monitoring of the monitored object; combines the blood pressure increase amplitude with the behavioral activity to obtain the blood pressure increase performance degree at each moment of each day; the blood pressure increase performance degree improves the credibility of the blood pressure monitoring of the monitored object; analyzes the periodic changes of the blood pressure increase performance degree at the same time of each day and other days, and determines the periodic significance at each moment of each day; the periodic significance reflects the periodic regularity of the blood pressure changes of the monitored object at each moment of each day, and comprehensively analyzes the blood pressure changes of the monitored object; analyzes the volatility of the systolic blood pressure at each moment of each day and its related systolic blood pressure, combines the periodic significance, the blood pressure increase performance degree The systolic blood pressure performance excellence at each moment of each day is determined; the systolic blood pressure performance excellence reflects the normal degree of blood pressure monitoring of the monitored object and improves the accuracy of blood pressure monitoring of the monitored object; correspondingly, based on the diastolic blood pressure, the diastolic blood pressure performance excellence at each moment of each day is determined, and the systolic blood pressure performance excellence at all moments of each day and the diastolic blood pressure performance excellence are combined to obtain the comprehensive blood pressure excellence for each day; the comprehensive blood pressure excellence reflects the standard degree of blood pressure monitoring of the monitored object every day, more comprehensively reflects the possibility that the monitored object has hypertension, and improves the accuracy of hypertension monitoring of the monitored object; based on the difference between the systolic blood pressure and the diastolic blood pressure at each moment of each day, the pulse pressure difference at each moment of each day is obtained, the difference between the pulse pressure difference at all moments of each day and the average pulse pressure difference is analyzed, the blood pressure correlation degree of each day is determined, and the correlation excellence of each day is obtained in combination with the comprehensive blood pressure excellence; the changing trend of the correlation excellence of all days in the blood pressure monitoring cycle is analyzed to obtain the hypertension warning value of the monitored object, and the monitored object is monitored for hypertension, which solves the problem of errors in traditional blood pressure monitoring, improves the accuracy of blood pressure monitoring, further improves the accuracy of hypertension monitoring, and improves the effect of hypertension monitoring. BRIEF DESCRIPTION OF THE DRAWINGS
[0031] In order to more clearly illustrate the technical solutions and advantages in the embodiments of the present application or the prior art, the drawings required for use in the embodiments or the prior art descriptions are briefly introduced below. Obviously, the drawings described below are only some embodiments of the present application. For ordinary technicians in this field, other drawings can be obtained based on these drawings without creative work.
[0032] Figure 1A flowchart of a method for monitoring hypertension using a combination of traditional Chinese and Western medicine provided in one embodiment of the present application;
[0033] Figure 2 Flowchart for determining warning values for hypertension. DETAILED DESCRIPTION
[0034] In order to further explain the technical means and effects adopted by the present application to achieve the predetermined invention purpose, the following is a detailed description of the method, system and storage medium for monitoring hypertension by combining traditional Chinese and Western medicine proposed in the present application, its specific implementation method, structure, features and effects, in combination with the accompanying drawings and preferred embodiments. In the following description, different "one embodiment" or "another embodiment" does not necessarily refer to the same embodiment. In addition, specific features, structures or characteristics in one or more embodiments may be combined in any suitable form.
[0035] Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this application belongs.
[0036] The following is a detailed description of the specific scheme of a method, system and storage medium for monitoring hypertension using a combination of traditional Chinese and Western medicine provided by the present application in conjunction with the accompanying drawings.
[0037] See also Figure 1 , which shows a flowchart of a method for monitoring hypertension using a combination of traditional Chinese and Western medicine provided by an embodiment of the present application, the method comprising the following steps:
[0038] S1, collect the systolic blood pressure, diastolic blood pressure and heart rate of the monitored object at each time of the day during the blood pressure monitoring period.
[0039] In the process of standardized monitoring of hypertension by combined Chinese and Western medicine, the medical team must first conduct pre-monitoring analysis based on the recent blood pressure performance of the monitored subject, and then formulate an appropriate combined Chinese and Western medicine monitoring strategy based on the blood pressure monitoring results.
[0040] The object of blood pressure monitoring is the systolic and diastolic pressures in the arterial blood of patients with hypertension, which refer to the pressure exerted on the vascular wall of the brachial artery of the upper limb by the blood flow during the contraction and relaxation of the heart, respectively, and also correspond to the high and low pressures during the blood pressure monitoring process of the monitored subject.
[0041] Traditional blood pressure monitoring methods often set high and low thresholds for the systolic and diastolic blood pressure of the monitored object. When either the systolic or diastolic blood pressure is higher than the threshold, the monitored object is determined to have a high warning level of hypertension. The accuracy of hypertension monitoring by traditional methods is low. Therefore, this embodiment combines the scenario to perform more accurate hypertension monitoring of the monitored object, and then the medical team formulates a more appropriate standardized hypertension monitoring strategy combining traditional Chinese and Western medicine.
[0042] First, a blood pressure monitoring cycle is preset. In this embodiment, the blood pressure monitoring cycle is one week. The implementer can set it according to the actual situation, and this embodiment does not limit it here. The systolic and diastolic blood pressure data of the monitored object at each time of the day during the blood pressure monitoring cycle are read by the dynamic blood pressure monitor, and the heart rate data of the monitored object at each time of the day during the blood pressure monitoring cycle is read by the heart rate monitor. In this embodiment, the collection time intervals of the systolic and diastolic blood pressure data and the heart rate data are all 1s. The implementer can set it according to the actual situation, and this embodiment does not limit it here.
[0043] S2, based on the prominence of systolic blood pressure at each time of the day, determine the extent of blood pressure increase at each time of the day; analyze the difference between the heart rate at each time of the day and the average heart rate to determine the heart rate activity reflection at each time of the day.
[0044] The higher the blood pressure amplitude of the monitored subject, the more significant the hypertension of the monitored subject. Considering that the behavioral activity of the monitored subject is related to the confidence of the blood pressure amplitude in reflecting the hypertension, for example, when sleeping at night, the human body's behavioral activity is low, and the confidence of the blood pressure level at this time is higher; while during daytime exercise, the human body's behavior is more active, blood circulation is accelerated, and blood pressure may rise. At this time, the confidence of the normal physiological increase in blood pressure in reflecting the hypertension is low. Therefore, the degree of high blood pressure of the monitored subject is evaluated based on the behavioral activity reflected by the heart rate data and the blood pressure amplitude.
[0045] First, the systolic and diastolic blood pressures of the monitored subjects at each time of the day during the blood pressure monitoring cycle are analyzed. Taking systolic blood pressure as an example, if the blood pressure amplitude at a certain moment is closer to the hypertension threshold or larger than the hypertension threshold, the more significant the characteristic of the blood pressure tending to hypertension at that moment is. Therefore, the blood pressure tendency amplitude at each time of the day during the blood pressure monitoring cycle of the monitored subjects is calculated. The specific calculation method is:
[0046] ; In the formula, is the blood pressure increase amplitude of the monitored object at the jth moment on the i-th day during the blood pressure monitoring period, is the systolic blood pressure amplitude at the jth moment on the i-th day during the blood pressure monitoring cycle of the monitored object, represents the hypertension threshold of systolic blood pressure, norm[] is the normalization function, and e is a natural constant.
[0047] It should be understood that the hypertension threshold can be obtained from common knowledge. ; It is the difference between the preset hypertension threshold and the systolic blood pressure amplitude at the jth moment on the i-th day. The difference represents the degree of difference between the two variables. It can be calculated by difference, absolute value of difference, square of difference, ratio, etc. This embodiment does not limit this.
[0048] Secondly, if the monitored subject's heart rate is more active, it means that the increase in blood pressure is more likely to come from normal physiological activities rather than pathological causes, so we continue to analyze the degree of behavioral activity reflected by the monitored subject's heart rate. Calculate the degree of heart rate activity reflection of the monitored subject at each time of the day. The specific calculation method is:
[0049] ; In the formula, is the heart rate activity reflection degree of the monitored object at the jth moment on the i-th day during the blood pressure monitoring cycle, is the heart rate of the monitored object at the jth moment on the i-th day during the blood pressure monitoring cycle, is the mean heart rate of the monitored subject at all times on the i-th day during the blood pressure monitoring period.
[0050] It should be understood that if the heart rate amplitude of the monitored object at the jth moment is higher than the average level, the monitored object at the jth moment is more likely to be in a state with a certain degree of activity, and the heart rate activity reflection degree at the jth moment is greater.
[0051] S3, analyzing the variation of the heart rate in the local time period at each time of the day, and combining the heart rate activity reflection degree to determine the behavioral activity at each time of the day; combining the blood pressure increase amplitude with the behavioral activity degree to obtain the degree of blood pressure increase at each time of the day.
[0052] In this embodiment, all moments within 1 minute before each moment are taken as adjacent moments of each moment and recorded as the local time period of each moment. The implementer can set the adjacent moments of each moment according to the actual situation, and this embodiment does not limit this.
[0053] The least squares method is used to obtain the fitting curve of the heart rate of the monitored object at all times of the day during the blood pressure monitoring period, and the slope of the heart rate at each time of the day corresponding to the fitting curve, that is, the rate of change, is calculated to calculate the behavioral activity of the monitored object at each time of the day. The specific calculation method is:
[0054] ; In the formula, is the behavioral activity of the monitored subject at the jth moment on the i-th day during the blood pressure monitoring period, is the mean value of the slope at the jth moment and its adjacent moments on the i-th day in the blood pressure monitoring cycle of the monitored subject, is the minimum value of the slope at all times of the i-th day in the blood pressure monitoring cycle of the monitored subject, is the maximum value of the slope at all times of the i-th day in the blood pressure monitoring cycle of the monitored subject, is the heart rate activity reflection degree at the jth moment on the i-th day in the blood pressure monitoring cycle of the monitored object. Among them, the least square method is a well-known technology, and the implementer can choose other feasible curve fitting algorithms according to the actual situation, and this embodiment is not limited here. Recorded as the first difference, Recorded as the second difference, Recorded as heart rate change ratio.
[0055] It should be noted that, when the average slope level of the monitored object's heart rate at each moment and its adjacent moments is greater, it means that the monitored object's heart rate rises faster and the monitored object's heart rate activity reflection is higher, indicating that the monitored object is more likely to have more intense behavioral activities at this time and the greater the behavioral activity.
[0056] Furthermore, the higher the behavioral activity of the monitored subject at a certain moment, the more the increase in blood pressure at that moment is affected by normal physiological activities, and the higher the blood pressure at that moment is. The confidence level reflecting the characteristics of hypertension is reduced. Therefore, the degree of high blood pressure trend of the monitored object at each time of the day is calculated. The specific calculation method is:
[0057] ; In the formula, is the degree of high blood pressure at the jth moment on the i-th day during the blood pressure monitoring period of the monitored object, is the behavioral activity of the monitored subject at the jth moment on the i-th day during the blood pressure monitoring period, is the blood pressure increase amplitude of the monitored object at the jth moment on the ith day during the blood pressure monitoring period, and norm() is the normalization function.
[0058] It should be understood that the greater the degree of high blood pressure, the more obvious the hypertension characteristics of the monitored subject are, and the greater the need for hypertension monitoring.
[0059] S4, analyzing the periodic changes in the degree of the high blood pressure trend at the same time of each day compared with other days, and determining the periodic significance at each time of each day; analyzing the systolic blood pressure at each time of each day and the distribution of its related systolic blood pressure, and determining the excellence of the systolic blood pressure at each time of each day in combination with the periodic significance and the degree of the high blood pressure trend.
[0060] Considering that human life activities have periodic regularity in similar time periods every day, blood pressure data will show similar patterns in similar time periods every day. At the same time, hypertension will make blood pressure changes sensitive, that is, the local fluctuation characteristics of blood pressure are more significant every day. Therefore, the collected systolic blood pressure data are analyzed according to the stable fluctuations of blood pressure within each day and the periodic characteristics of blood pressure over multiple days. Furthermore, hypertension will weaken the correlation between systolic and diastolic blood pressure, so the analysis is combined with the correlation characteristics of systolic and diastolic blood pressure.
[0061] First, for the degree of blood pressure increase at each moment of the monitored object every day, the degree of blood pressure increase at the same moment of all days in the blood pressure monitoring period is extracted. If the degree of blood pressure increase at a certain moment is more similar to that at the same moment of other days, it means that the blood pressure periodicity at that moment is good. Therefore, the period significance of the monitored object at each moment of every day is calculated. The specific calculation method is:
[0062] ; In the formula, is the cycle significance at the jth moment on the i-th day during the blood pressure monitoring cycle of the monitored object, is the degree of high blood pressure at the jth moment on the i-th day during the blood pressure monitoring period of the monitored object, is the degree of high blood pressure at the jth moment on the rth day excluding the i-th day during the blood pressure monitoring period of the monitored object, M is the number of days in the blood pressure monitoring period, and norm() is the normalization function.
[0063] The better the periodicity of the blood pressure of the monitored object at each moment and the greater the significance of the period, the greater the possibility that the blood pressure of the monitored object is normal and the more accurate the monitoring of hypertension is.
[0064] At the same time, sensitivity to changes in blood pressure is also a significant manifestation of hypertension, so the degree of change in the systolic blood pressure of the monitored object can be analyzed in combination with the stable characteristics of blood pressure fluctuations throughout the day. Specifically: the systolic blood pressure data of the monitored object at all times of the day are clustered using the K-means clustering algorithm, wherein the number of clusters K is determined by the elbow method, and the systolic blood pressure data of the monitored object at all times of the day are divided into clusters. The K-means clustering algorithm and the elbow method are both existing public technologies, and the specific process will not be repeated here. The implementer can choose other existing feasible clustering algorithms according to actual conditions, and this embodiment is not limited here. Calculate the blood pressure stability of the monitored object at each time of the day, and the specific calculation method is:
[0065] ; In the formula, is the blood pressure stability of the monitored object at the jth moment on the i-th day during the blood pressure monitoring cycle, is the degree of dispersion of all systolic blood pressure data in the cluster where the systolic blood pressure at the jth moment on the i-th day during the blood pressure monitoring period of the monitored object is located, and norm() is the normalization function.
[0066] It should be noted that the degree of dispersion can be specifically calculated by using variance, standard deviation, coefficient of variation, etc., and this embodiment uses standard deviation as the calculation method for the degree of dispersion. The smaller the degree of dispersion, the more concentrated and stable the systolic blood pressure distribution of the monitored object at the jth moment is, the smaller the fluctuation is, and the greater the blood pressure stability is.
[0067] Furthermore, if the blood pressure stability at a certain moment is greater, the blood pressure cycle significance is higher, and the blood pressure trend is lower, it means that the blood pressure performance at that moment is better and the blood pressure of the monitored object is more normal. Therefore, the systolic blood pressure performance excellence of the monitored object at each moment of the day is calculated. The specific calculation method is:
[0068] ; In the formula, is the systolic blood pressure performance excellence of the monitored object at the jth moment on the i-th day during the blood pressure monitoring period, is the blood pressure stability of the monitored object at the jth moment on the i-th day during the blood pressure monitoring cycle, is the cycle significance at the jth moment on the i-th day during the blood pressure monitoring cycle of the monitored object, It is the degree of high blood pressure trend at the jth moment on the i-th day during the blood pressure monitoring period of the monitored object.
[0069] S5, based on the diastolic pressure, determine the diastolic pressure performance excellence at each time of the day, and combine the systolic pressure performance excellence at all times of the day with the diastolic pressure performance excellence to obtain a comprehensive blood pressure excellence for each day.
[0070] The diastolic blood pressure of the monitored object at each time of the day is calculated using the same calculation method as the systolic blood pressure to obtain the diastolic blood pressure performance excellence of the monitored object at each time of the day during the blood pressure monitoring period.
[0071] The average of the systolic blood pressure performance excellence at all times of the day and the diastolic blood pressure performance excellence at all times of the day during the blood pressure monitoring period of the monitored subject is taken as the comprehensive blood pressure excellence of the monitored subject every day during the blood pressure monitoring period.
[0072] The greater the comprehensive blood pressure excellence, the more normal the daily blood pressure of the monitored subject is, and the higher the accuracy of hypertension monitoring is.
[0073] S6, based on the difference between systolic and diastolic blood pressure at each time of the day, obtain the pulse pressure difference at each time of the day, analyze the difference between the pulse pressure difference at all times of the day and the average pulse pressure difference, determine the blood pressure correlation degree of each day, and combine the comprehensive blood pressure excellence to obtain the correlation excellence of each day.
[0074] Furthermore, the systolic and diastolic blood pressures of the monitored subjects at each time of the day during the blood pressure monitoring cycle are subtracted to obtain the pulse pressure difference at each time of the day. Since high blood pressure may cause the elasticity of the blood vessel wall to deteriorate, thereby weakening the correlation between the changes in systolic and diastolic blood pressures, the correlation between the systolic and diastolic blood pressures of the monitored subjects is analyzed, and the correlation degree of the monitored subjects' blood pressures is calculated. The specific calculation method is:
[0075] ; In the formula, is the blood pressure correlation degree of the monitored object on the i-th day during the blood pressure monitoring period, is the pulse pressure difference at the cth moment on the ith day during the blood pressure monitoring cycle of the monitored object, is the mean pulse pressure difference at all times during the i-th day of the blood pressure monitoring cycle of the monitored object, and N is the number of collection times during the i-th day of the blood pressure monitoring cycle of the monitored object.
[0076] It should be understood that if the pulse pressure difference data at each time of the day are more discrete compared to the mean level, it means that the pulse pressure difference fluctuation of the monitored object is more significant, which means that the correlation between the changes in systolic and diastolic blood pressure is worse, and the blood pressure correlation degree is lower.
[0077] Finally, if the correlation between systolic and diastolic blood pressure is higher, and the comprehensive blood pressure excellence is greater, it means that the correlation excellence of blood pressure obtained based on the blood pressure correlation relationship is better. Therefore, the correlation excellence of the monitored object is calculated every day. The specific calculation method is:
[0078] ; In the formula, is the correlation excellence of the i-th day in the blood pressure monitoring period of the monitored object, is the blood pressure correlation degree of the monitored object on the i-th day during the blood pressure monitoring period, It is the comprehensive blood pressure excellence of the monitored object on the i-th day during the blood pressure monitoring period.
[0079] If the correlation excellence of the monitored object is greater every day and the change is more stable, it means that the blood pressure of the monitored object is more normal.
[0080] S7, analyzing the changing trend of the correlation excellence of all days in the blood pressure monitoring period, obtaining the hypertension warning value of the monitored object, and performing hypertension monitoring on the monitored object.
[0081] The hypertension warning value of the monitored object is obtained based on the time domain change trend of the correlation excellence of the monitored object every day. If the correlation excellence of the monitored object shows a sharp decreasing trend in the time domain during the blood pressure monitoring period, it means that the hypertension monitoring warning level at this time is higher, and the hypertension warning value is set accordingly.
[0082] First, with the number of days as the horizontal axis and the daily correlation excellence of the monitored object as the vertical axis, the least squares method is used to perform straight-line fitting on the correlation excellence of all days in the blood pressure monitoring period of the monitored object to obtain the slope of the fitting line.
[0083] If the slope of the fitting straight line is smaller, it means that the downward trend of the correlation excellence is more obvious. At the same time, the smaller the mean value of the correlation excellence is, the higher the degree of hypertension monitoring warning is. Therefore, the hypertension warning value of the monitored object is calculated as follows:
[0084] ; In the formula, is the hypertension warning value of the monitored object, is the slope of the fitting line, is the correlation excellence of the i-th day in the blood pressure monitoring cycle of the monitored object, M is the number of days in the blood pressure monitoring cycle, and norm() is the normalization function. The flowchart for determining the hypertension warning value is as follows: Figure 2 shown.
[0085] Based on the hypertension warning value of the monitored object, a reference basis is provided for the joint monitoring of hypertension by Chinese and Western medicine, and the hypertension monitoring of the monitored object is completed.
[0086] Based on the same inventive concept as the above method, an embodiment of the present application provides a storage medium for monitoring hypertension with combined traditional Chinese and Western medicine, wherein the medium stores a computer program, and when the computer program is executed by a processor, the method for monitoring hypertension with combined traditional Chinese and Western medicine as described in any one of the above items is implemented.
[0087] Based on the same inventive concept as the above method, an embodiment of the present application also provides a system for monitoring hypertension using combined traditional Chinese and Western medicine, comprising a memory, a processor, and a computer program stored in the memory and running on the processor, wherein when the processor executes the computer program, the steps of any one of the above methods for monitoring hypertension using combined traditional Chinese and Western medicine are implemented.
[0088] It should be noted that the above sequence of the embodiments of the present application is for description only and does not represent the advantages and disadvantages of the embodiments. The above is a description of a specific embodiment of this specification. In addition, the processes depicted in the accompanying drawings do not necessarily require the specific order or continuous order shown to achieve the desired results. In some embodiments, multitasking and parallel processing are also possible or may be advantageous.
[0089] The various embodiments in this specification are described in a progressive manner, and the same or similar parts between the various embodiments can be referenced to each other, and each embodiment focuses on the differences from other embodiments.
[0090] The above description is only a preferred embodiment of the present application and is not intended to limit the present application. Any modifications, equivalent substitutions, improvements, etc. made within the principles of the present application should be included in the protection scope of the present application.
Claims
1. A system for monitoring hypertension, comprising a memory, a processor, and a computer program stored in the memory and running on the processor, characterized in that: The computer program is used to enable a system for monitoring hypertension to execute a method for monitoring hypertension, which specifically includes: S1, collecting the systolic blood pressure, diastolic blood pressure and heart rate of the monitored subject at each time of the day during the blood pressure monitoring period; S2, calculating the inverse of the difference between the preset hypertension threshold and the systolic blood pressure at each time of the day, taking the inverse as the exponent of an exponential function with a natural constant as the base, and determining the normalized value of the calculation result of the exponential function as the blood pressure increase amplitude at each time of the day; obtaining the heart rate activity reflection degree of the monitored object at each time of the day; S3, obtaining a fitting curve of the heart rate of the monitored object at all times of the day, calculating the slope of the heart rate at each time of the day on the fitting curve, and the behavioral activity of the monitored object at the jth time on the i-th day The expression is: ; In the formula, is the mean of the slopes at the jth moment of the i-th day of the monitoring object and its adjacent moments, , are the minimum and maximum values of the slope at all times of the monitored object on the i-th day, is the heart rate activity response of the monitored object at the jth moment on the i-th day; the calculation method of the heart rate activity response is: Calculate the ratio of the heart rate of the monitored subject at each time of the day to the average of the heart rate of all times of the day as the heart rate activity reflection degree of the monitored subject at each time of the day; The normalized value of the product of the inverse of the behavioral activity and the amplitude of the blood pressure increase is used as the degree of blood pressure increase at each time of the day; S4, the cycle significance at the jth moment on the i-th day during the blood pressure monitoring cycle of the monitored subject The calculation method is: ; In the formula, is the degree of high blood pressure of the monitored subject at the jth moment on the i-th day, is the degree of high blood pressure at the jth moment on the rth day excluding the ith day in the blood pressure monitoring period of the monitored object, M is the number of days in the blood pressure monitoring period, and norm() is the normalization function; Clustering the systolic blood pressure at all times of the day, calculating the degree of dispersion of all systolic blood pressures in the clusters where the systolic blood pressure at each time of the day is located, determining the normalized value of the reciprocal of the dispersion degree as the blood pressure stability degree at each time of the day, and determining the product of the reciprocal of the blood pressure trend at each time of the day, the blood pressure stability degree, and the cycle significance as the systolic blood pressure performance excellence degree at each time of the day; S5, accordingly, based on the diastolic blood pressure, determining the diastolic blood pressure performance excellence at each time of the day, and taking the average of the systolic blood pressure performance excellence at all times of the day and the diastolic blood pressure performance excellence at all times of the day as the comprehensive blood pressure excellence for each day; S6, based on the difference between the systolic pressure and the diastolic pressure at each time of the day, the pulse pressure difference at each time of the day is obtained, the reciprocal of the average of the absolute values of the differences between the pulse pressure differences at all times of the day and the average of the pulse pressure differences at all times of the day is determined as the blood pressure correlation degree of each day, and the normalized value of the product of the blood pressure correlation degree and the comprehensive blood pressure excellence degree is used as the correlation excellence degree of each day; S7, analyzing the changing trend of the correlation excellence of all days in the blood pressure monitoring period, obtaining the hypertension warning value of the monitored object, and performing hypertension monitoring on the monitored object.
2. A system for monitoring hypertension as claimed in claim 1, characterized in that: The calculation method of the hypertension warning value is: ; In the formula, is the hypertension warning value of the monitored object, is the slope of the fitted straight line of the correlation excellence for all days in the blood pressure monitoring period, is the correlation excellence of the i-th day in the blood pressure monitoring period of the monitored object, M is the number of days in the blood pressure monitoring period, and norm() is the normalization function.
3. A storage medium for monitoring hypertension, wherein a computer program is stored in the medium, characterized in that: The computer program is executed by a processor of a system for monitoring hypertension using a combination of traditional Chinese and western medicine as described in any one of claims 1-2.
Citation Information
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