Operating room nursing monitoring management method and system

Abstract

The invention relates to the technical field of operation nursing monitoring, and discloses an operating room nursing monitoring management method and system. In the invention, the infusion bottle is divided into four areas, the first area is firstly used for monitoring, the time spent on infusion of the drip liquid in the first area is not much, the influence on a patient is controllable regardless of the result, on the basis, the infusion rate is calculated after the infusion in the first area is completed, and the infusion rate is compared with the infusion rate range threshold value, so that the infusion rate is accurately determined. When the current infusion rate falls into the range threshold value, the current infusion rate is in a suitable range, when the current infusion rate is smaller than the range threshold value, the infusion rate is slower than the suitable range and needs to be increased, and when the current infusion rate is larger than the range threshold value, the infusion rate is faster than the suitable range and needs to be reduced.

Description

Technical Field

[0001] The present invention relates to the technical field of surgical nursing monitoring, and particularly to a method and system for nursing monitoring and management in an operating room. Background Art

[0002] Nursing monitoring in the operating room is a key measure to ensure the safety and stability of patients during the operation. Nursing staff need to monitor the patient's vital signs (such as heart rate, blood pressure, respiratory rate, blood oxygen saturation, and body temperature) in real time, promptly detect abnormal changes, closely observe the anesthesia state and drug infusion situation, and at the same time pay attention to the infusion rate and fluid balance as well as the possible bleeding situation during the operation; in addition, it is necessary to regularly check the operating status of various monitoring instruments, anesthesia machines, ventilators and other equipment to ensure the accuracy and reliability of the data.

[0003] Among them, the monitoring of the infusion rate is very necessary, because in the operating room, the patient's own physical state is relatively fragile, and a suitable infusion rate needs to be selected to ensure that the patient can absorb the drug effect without burdening the body. The monitoring of the infusion rate requires two sources of parameters, one is the infusion time, and the other is the infusion volume. For the infusion time, it can be easily obtained through a timer. For the infusion volume, it is not possible to wait until a bottle of drip is finished before calculating the rate. Therefore, it is necessary to divide the scale of the entire bottle of infusion volume and select a small part of the volume for calculation. Summary of the Invention

[0004] Aiming at the problems existing in the above-mentioned prior art, the purpose of the present invention is to provide a method and system for nursing monitoring and management in an operating room, so as to be able to monitor the infusion rate.

[0005] To achieve the above purpose, the present invention provides the following technical solution: A method for nursing monitoring and management in an operating room, including: Step 1, the hanging drip bottle is evenly divided into four regions from top to bottom. After the drip liquid in the first region is finished, obtain the infusion time and infusion volume of the first region, and divide the infusion volume of the first region by the infusion time of the first region to obtain the infusion rate of the first region; Step 2, determine the infusion rate range suitable for the patient according to the drug parameters, treatment requirements and patient information, and record this suitable range as the infusion rate range threshold; Step 3, compare the infusion rate of the first region with the infusion rate range threshold. If the infusion rate of the first region is within the infusion rate range threshold, it means that after the drip in the first region is finished, the infusion rate is within the suitable range. In this case, for the remaining three regions, maintain the previous infusion rate; if the infusion rate of the first region is greater than the maximum value of the infusion rate range threshold, it means that the infusion rate exceeds the suitable range. In this case, reduce the infusion rate; if the infusion rate of the first region is less than the minimum value of the infusion rate range threshold, it means that the infusion rate is lower than the suitable range. In this case, increase the infusion rate.

[0006] In some embodiments, a second infusion rate threshold greater than the maximum value of the infusion rate range threshold is set. When the infusion rate in the first region is greater than the maximum value of the infusion rate range threshold, the infusion rate in the first region is compared with the second infusion rate threshold, and different responses are obtained according to the comparison result.

[0007] In some embodiments, if the infusion rate in the first region is less than or equal to the second infusion rate threshold, it means that the degree of exceeding the infusion rate is low. In this case, the physical condition of the patient is monitored, and whether to change the infusion rate during the infusion of the drip solution in the remaining three regions is selected according to the physical condition of the patient; if the infusion rate in the first region is greater than the second infusion rate threshold, it means that the degree of exceeding the infusion rate is high. In this case, the infusion rate is reduced during the infusion of the drip solution in the remaining three regions.

[0008] In some embodiments, the method of selecting whether to change the infusion rate is to set a pressure sensor at a position on the infusion tube close to the needle, obtain the pressure of the drip solution in the infusion tube through the pressure sensor, record it as the liquid pressure, and set a liquid pressure range threshold representing the normal range according to the tolerance of the local blood vessel and the surrounding tissue. The liquid pressure is compared with the liquid pressure range threshold, and different responses are obtained according to the comparison result.

[0009] In some embodiments, if the liquid pressure does not exceed the maximum value of the liquid pressure range threshold, it means that the pressure of the drip solution in the infusion tube is less than the normal range. In this case, the infusion rate is not reduced; if the liquid pressure exceeds the maximum value of the liquid pressure range threshold, it means that the pressure of the drip solution in the infusion tube is greater than the normal range. In this case, the infusion rate is reduced.

[0010] In some embodiments, the liquid pressure of the drip solution in the infusion tube after the drip solution in the first region is finished is recorded as the first region liquid pressure. When the degree of exceeding the suitable range of the infusion rate is low and the first region liquid pressure does not exceed the maximum value of the liquid pressure range threshold, the infusion rate is maintained to infuse the drip solution in the second region adjacent to the first region. After the drip solution in the second region is finished, the pressure of the drip solution in the infusion tube at this time is obtained and recorded as the second region liquid pressure. The regional pressure difference is obtained by subtracting the first region liquid pressure from the second region liquid pressure. The regional pressure difference takes a positive value, and a regional pressure difference threshold is set according to the difference in the liquid pressure within the normal fluctuation range allowed for the two regions. The regional pressure difference is compared with the regional pressure difference threshold, and different responses are obtained according to the comparison result.

[0011] In some embodiments, if the regional pressure difference is less than or equal to the regional pressure difference threshold, it means that the difference between the liquid pressure in the first region and the liquid pressure in the second region is small. After the drip liquid in both regions is finished, the liquid pressure remains unchanged. In this case, for the drip liquid in the remaining two regions, when performing subsequent infusion, in addition to maintaining the current infusion rate, the infusion rate range threshold is also dynamically adjusted; if the regional pressure difference is greater than the regional pressure difference threshold, it means that the difference between the liquid pressure in the first region and the liquid pressure in the second region is large. In this case, the magnitudes of the liquid pressure in the first region and the liquid pressure in the second region are judged, and different responses are made according to their magnitudes.

[0012] In some embodiments, the specific process of dynamic adjustment is to replace the minimum value of the infusion rate range threshold with the maximum value, and replace the maximum value of the infusion rate range threshold with the second infusion rate threshold.

[0013] The present invention also provides the following technical solutions: The present invention further provides an operating room nursing monitoring and management system, which is used to execute the above-mentioned operating room nursing monitoring and management method, and includes the following modules: an acquisition module, which is used to evenly divide the hanging drip bottle into four regions from top to bottom. After the drip liquid in the first region is finished, the infusion time and infusion volume of the first region are acquired, and the infusion rate of the first region is obtained by dividing the infusion volume of the first region by the infusion time of the first region; a setting module, which is used to determine the infusion rate range suitable for the patient according to the drug parameters, treatment requirements and patient information, and record this suitable range as the infusion rate range threshold; a comparison module, which is used to compare the infusion rate of the first region with the infusion rate range threshold. If the infusion rate of the first region is within the infusion rate range threshold, it means that after the drip in the first region is finished, the infusion rate is within the suitable range. In this case, for the remaining three regions, the previous infusion rate is maintained; if the infusion rate of the first region is greater than the maximum value of the infusion rate range threshold, it means that the infusion rate exceeds the suitable range. In this case, the infusion rate is reduced; if the infusion rate of the first region is less than the minimum value of the infusion rate range threshold, it means that the infusion rate is lower than the suitable range. In this case, the infusion rate is increased.

[0014] The present invention further provides a computer-readable storage medium, which stores a computer program, and the computer program is executed by a processor to implement the above-mentioned operating room nursing monitoring and management method.

[0015] The technical solutions provided by the present invention have the following beneficial effects compared with the prior art: First, in the present invention, the infusion bottle is divided into four regions. First, the first region is used for monitoring. The time taken for the drip solution in the first region to finish is not very long. Whether the result is good or bad, the impact on the patient is controllable. On this basis, after the first region is finished, the infusion rate is calculated. The calculated infusion rate is compared with the infusion rate range threshold. When it falls within the range threshold, it means that the current infusion rate is within the suitable range. When it is less than the range threshold, it means that the infusion rate is slower than the suitable range and needs to be increased. When it is greater than the range threshold, it means that the infusion rate is faster than the suitable range and needs to be decreased.

[0016] Second, in the present invention, the second threshold of the infusion rate is used to define the situation where the infusion rate is faster than the suitable range but not by a large degree. Under this condition, the liquid pressure in the infusion tube is judged. If the liquid pressure does not exceed the normal range, it indicates that although the infusion rate is a bit faster, there is no burden on the patient. Therefore, this infusion rate can be maintained. If it exceeds the normal range, it means that there is a burden on the patient. At this time, the infusion rate needs to be decreased.

[0017] Third, in the present invention, on the premise that the infusion rate is faster than the suitable range but not by a large degree and the liquid pressure does not exceed the normal range, this infusion rate is maintained to infuse the second region, thereby obtaining the liquid pressure in the second region. The positive value of the difference between it and the liquid pressure in the first region is taken to obtain the regional pressure difference. If the regional pressure difference is less than the regional pressure difference, it means that after maintaining this infusion rate to infuse the second region, the liquid pressure fluctuation is very small. Therefore, it can be continued to be maintained, and the infusion rate range threshold can be appropriately increased. If it is greater than the regional pressure difference, it means that the liquid pressure fluctuation is large. Then it is necessary to analyze whether the liquid pressure in the first region is large or the liquid pressure in the second region is large, so as to judge whether the large liquid pressure fluctuation is a positive effect or a negative effect, and thus make corresponding responses. BRIEF DESCRIPTION OF THE DRAWINGS

[0018] Figure 1 is a schematic diagram of the step flow of the present invention; Figure 2 is a schematic diagram of the module structure of the present invention. DETAILED DESCRIPTION OF THE INVENTION

[0019] Next, the technical solutions in the embodiments of the present invention will be clearly and completely described in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative efforts shall fall within the protection scope of the present invention.

[0020] It will be understood that the term "a" should be construed as "at least one" or "one or more". That is, in one embodiment, the number of an element may be one, while in other embodiments, the number of the element may be multiple. The term "a" should not be construed as a limitation on the number.

[0021] The operating room nursing monitoring and management method provided by the present invention, as Figure 1 and Figure 2 shown, includes: In the first step, the drip bottle is evenly divided into four regions from top to bottom, and the amount of the drip liquid in each region is the same. It is worth mentioning that since the drip bottle is in an inverted state during drip infusion and the drip bottle is usually not completely full, the starting point of the first region is a certain distance downward from the bottom of the drip bottle. After dividing the regions, start timing from the beginning of the drip. When the amount of the drip liquid in the drip bottle reaches the end of the first region, stop timing, and obtain the time when the first region of the drip liquid is finished dripping, which is recorded as the first region infusion time. In addition, obtain the amount of the drip liquid in the first region according to the total amount of the drip liquid in the drip bottle, which is recorded as the first region infusion volume, and divide the first region infusion volume by the first region infusion time to obtain the first region infusion rate. For example, assume that the total amount of the drip liquid in the drip bottle is 200 ml. After being evenly divided into four regions, the first region infusion volume is equal to one-fourth of the total amount of the drip liquid in the drip bottle, that is, 50 ml. Assume that the first region infusion time is 20 minutes, then the first region infusion rate is 2.5 ml / min.

[0022] In the second step, comprehensively consider the types, concentrations of the drugs added to the drip liquid and the treatment purposes, and at the same time combine information such as the current physiological conditions, age, weight, underlying diseases and circulatory status of the patient. After evaluation, determine a suitable infusion rate range for the patient. Specifically, first, consult relevant drug instructions and clinical guidelines to understand the optimal infusion rate and sensitive indicators of the drugs, and then combine factors such as the patient's blood flow and fluid balance status, and refer to the established hospital standards and past experience to formulate a rate range that can not only ensure the efficacy of the drug but also will not cause a burden to the patient. This range is represented by a minimum value and a maximum value, which is used as a reference for initially determining whether the patient is in a safe infusion state. Record the infusion rate range represented by this range as the infusion rate range threshold.

[0023] The third step is to compare the infusion rate of the first area in the first step with the infusion rate range threshold, and obtain different responses based on the comparison results. If the infusion rate of the first area falls within the infusion rate range threshold, it means that when the amount of the first area is completed by drip infusion, the infusion rate is within the appropriate range. In this case, when the drip solution of the remaining three areas is infused, the infusion rate continues to maintain the previous rate. If the infusion rate of the first area is greater than the maximum value of the infusion rate range threshold, it means that when the amount of the first area is completed by drip infusion, the infusion rate exceeds the appropriate range. In this case, when the drip solution of the remaining three areas is infused, the infusion rate needs to be reduced. If the infusion rate of the first area is less than the minimum value of the infusion rate range threshold, it means that when the amount of the first area is completed by drip infusion, the infusion rate is lower than the appropriate range. In this case, when the drip solution of the remaining three areas is infused, the infusion rate needs to be increased. The reason for monitoring the infusion rate is to ensure that the entire infusion process meets both the standards of medical treatment and the individual needs of patients, thereby ensuring that the efficacy of the drug is fully exerted while avoiding adverse reactions. Because drug or fluid infusion has strict dosage and rate requirements, a too fast rate may cause the drug concentration to rise instantly, causing an increased burden on the cardiovascular system, while a too slow rate may prevent the expected treatment effect from being achieved in time. Therefore, by monitoring the infusion rate, the actual infusion situation can be accurately grasped to ensure that it strictly falls within the safe and effective range. In addition, the patient's physiological state in the operating room is relatively fragile. Hemodynamic changes, abnormal fluid balance, anesthesia or other factors during surgery may affect the distribution of fluid in the body. Real-time monitoring of the infusion rate allows medical staff to promptly detect these unstable factors that may pose a threat to patients, and then dynamically adjust the infusion speed according to the monitoring data to prevent fluid overload or shortage. In addition, equipment errors, dropper placement, and drug mixing problems may all affect the infusion rate. Monitoring the rate helps to detect and correct these potential problems in a timely manner, further ensuring the continuity and safety of drug delivery during the infusion process.

[0024] When the infusion rate in the first area is greater than the maximum value of the infusion rate range threshold, set the second infusion rate threshold, which is slightly greater than the maximum value of the infusion rate range threshold. For example, if the infusion rate range threshold is 2.5 - 3 ml / min, the second infusion rate threshold is 3.5 ml / min. This second infusion rate threshold represents that the infusion rate exceeds the appropriate range, but the degree of exceeding the appropriate range is not high. Under this condition, compare the infusion rate in the first area that is greater than the maximum value of the infusion rate range threshold with the second infusion rate threshold, and different responses can be obtained according to the comparison results. If the infusion rate in the first area is less than or equal to the second infusion rate threshold, it indicates that when infusing the drip solution in the first area, the degree of the infusion rate exceeding the appropriate range is not high. In this case, monitor the patient's physical condition and choose whether to change the infusion rate during the infusion of the drip solutions in the remaining three areas according to the patient's physical condition. If the infusion rate in the first area is greater than the second infusion rate threshold, it indicates that when infusing the drip solution in the first area, the degree of the infusion rate exceeding the appropriate range is high. In this case, reduce the infusion rate during the infusion of the drip solutions in the remaining three areas. The specific method of choosing whether to change the infusion rate during the infusion of the drip solutions in the remaining three areas according to the patient's physical condition is as follows: Set the pressure sensor at a position on the infusion tube close to the needle, and obtain the pressure of the drip solution in the infusion tube through the pressure sensor, which is recorded as the liquid pressure. Setting the pressure sensor at a position on the infusion tube close to the needle is mainly for accurately monitoring the actual pressure change when the liquid enters the patient's body. First of all, this position is the entrance where the liquid directly contacts the local blood vessels and surrounding tissues, and can most intuitively reflect the local pressure increase caused by too fast infusion rate. If the infusion rate exceeds the local tolerance, the resistance and pressure change generated when the liquid enters through the needle can be captured at this position first. Secondly, the data feedback here is relatively timely and accurate, which helps medical staff to quickly intervene and adjust the infusion rate before finding an abnormal increase in pressure, and prevent adverse reactions such as local stabbing pain, inflammation or tissue damage caused by too fast infusion. In addition, set the liquid pressure range threshold according to the tolerance of the local blood vessels and surrounding tissues. This liquid pressure range threshold represents the normal range of the tolerance of the local blood vessels and surrounding tissues. Based on the above, compare the liquid pressure with the liquid pressure range threshold, and different responses can be obtained according to the comparison results. If the liquid pressure falls within the liquid pressure range threshold, it represents that the pressure of the drip solution in the infusion tube is within the normal range. In this case, the infusion rate is not reduced. If the liquid pressure is less than the minimum value of the liquid pressure range threshold, it represents that the pressure of the drip solution in the infusion tube is less than the normal range. In this case, the infusion rate is not reduced. If the liquid pressure is greater than the maximum value of the liquid pressure range threshold, it represents that the pressure of the drip solution in the infusion tube is greater than the normal range. In this case, reduce the infusion rate.Generally speaking, as long as the liquid pressure does not exceed the maximum value of the liquid pressure range threshold, the infusion rate of the drip solution in the remaining three regions will not be reduced. Only when the liquid pressure exceeds the maximum value of the liquid pressure range threshold, the infusion rate of the drip solution in the remaining three regions will be reduced. For example, assume that the liquid pressure range threshold is 20 - 30 mmHg. If the pressure of the drip solution in the infusion tube is less than or equal to 30 mmHg, it means that the pressure of the drip solution in the infusion tube is within the normal range. In this case, the infusion rate of the drip solution in the remaining three regions will not be reduced. If the pressure of the drip solution in the infusion tube is greater than 30 mmHg, it means that the pressure of the drip solution in the infusion tube exceeds the normal range. In this case, the infusion rate of the drip solution in the remaining three regions will be reduced. Because when the infusion rate is too fast, the patient often feels obvious stinging pain at the infusion site. This is mainly because the liquid enters the vein at too high a speed, far exceeding the normal tolerance of the local blood vessels and surrounding tissues, causing these tissues to be unable to expand in time to adapt to the rapidly increasing liquid volume, resulting in a sharp increase in the resistance in the infusion tube and generating an abnormally high pressure value. In this high-pressure state, the liquid cannot be evenly and quickly mixed with the blood, and the local blood vessels and their surrounding tissues are violently impacted, not only stimulating the nerve endings to cause strong discomfort, but also possibly damaging the vascular endothelium, increasing the risk of liquid extravasation, local inflammation or infection. Because the infusion rate range is a theoretically suitable range obtained based on the patient's current condition and drug information, etc., this theoretically suitable range does not completely match the actual situation. As the drip solution is gradually infused, the patient's physical condition may gradually improve. In this case, the tolerance of the patient's local blood vessels and surrounding tissues will also increase to a certain extent. Therefore, when the degree to which the infusion rate exceeds the suitable range is not high, the infusion rate can be maintained on the premise that the local blood vessels and surrounding tissues can tolerate it.

[0025] The liquid pressure mentioned above is the pressure of the drip liquid in the infusion tube after the drip liquid in the first region has been completely infused, and this liquid pressure is denoted as the liquid pressure in the first region. When the degree to which the infusion rate exceeds the appropriate range is not high and the liquid pressure in the first region does not exceed the maximum value of the liquid pressure range threshold, the infusion rate is maintained to infuse the drip liquid in the second region adjacent to the first region. After the drip liquid in the second region has been completely infused, the pressure of the drip liquid in the infusion tube at this time is obtained, denoted as the liquid pressure in the second region, and the regional pressure difference is obtained by subtracting the liquid pressure in the first region from the liquid pressure in the second region, and the regional pressure difference takes a positive value. At the same time, the regional pressure difference threshold is set according to the difference in the liquid pressure within the normal fluctuation range allowed for the two regions. The regional pressure difference is compared with the regional pressure difference threshold, and different responses are obtained according to the comparison results. If the regional pressure difference is less than or equal to the regional pressure difference threshold, it means that the difference between the liquid pressure in the first region and the liquid pressure in the second region is small, which is equivalent to almost no change in the liquid pressure after the drip liquid in the two regions has been completely infused. In this case, for the drip liquid in the remaining two regions, when subsequent infusion is carried out, in addition to maintaining the current infusion rate, the infusion rate range threshold is also dynamically adjusted. The specific process of dynamic adjustment is: replace the minimum value of the infusion rate range threshold with the maximum value, and replace the maximum value of the infusion rate range threshold with the second infusion rate threshold. Based on the above example, when monitoring the infusion of the drip liquid in the first region and the second region, the infusion rate range threshold is 2.5 - 3 ml / min, and the second infusion rate threshold is 3.5 ml / min. Now the infusion rate range threshold is adjusted to 3 - 3.5 ml / min to monitor the infusion of the drip liquid in the remaining two regions, that is, the third region and the fourth region. If the regional pressure difference is greater than the regional pressure difference threshold, it means that the difference between the liquid pressure in the first region and the liquid pressure in the second region is large, and the difference in the liquid pressure before and after the two regions is large after the drip liquid in the two regions has been completely infused. In this case, the magnitudes of the liquid pressure in the first region and the liquid pressure in the second region are judged, and different responses are made according to the magnitudes of the two. If the liquid pressure in the first region is less than the liquid pressure in the second region, it means that when the degree to which the infusion rate exceeds the appropriate range is not high and the liquid pressure in the first region does not exceed the maximum value of the liquid pressure range threshold, after maintaining the infusion rate to infuse the drip liquid in the second region adjacent to the first region, the liquid pressure in the infusion tube rises relatively high. In this case, for the infusion of the drip liquid in the remaining third region and fourth region, the infusion rate is not maintained, but is reduced to within the appropriate range.If the liquid pressure in the first region is greater than the liquid pressure in the second region, it indicates that when the infusion rate exceeds the appropriate range to a low degree and the liquid pressure in the first region does not exceed the maximum value of the liquid pressure range threshold, after maintaining the infusion rate for the infusion of the drip solution in the second region adjacent to the first region, the liquid pressure in the infusion tube has decreased significantly. In this case, for the infusion of the drip solution in the remaining third and fourth regions, maintain the current infusion rate and dynamically adjust the infusion rate range threshold. Based on the above example, assume that the liquid pressure in the first region is 22 mmHg and the liquid pressure in the second region is 23 mmHg, then the regional pressure difference is 1 mmHg. Assume that the regional pressure difference threshold is 2 mmHg, and 1 mmHg < 2 mmHg. After the infusion of the drip solution in the two regions, the liquid pressure hardly changes. In this case, maintain the current infusion rate. Assume that the current infusion rate is 3.4 ml / min, which is greater than the maximum value of the infusion rate range threshold of 3 ml / min but less than the second infusion rate threshold of 3.5 ml / min. And dynamically adjust the infusion rate range threshold, adjusting the infusion rate range threshold of 2.5 - 3 ml / min to 3 - 3.5 ml / min. If the liquid pressure in the first region is 22 mmHg and the liquid pressure in the second region is 28 mmHg, the regional pressure difference is 6 mmHg, and 6 mmHg > 2 mmHg. Moreover, since the liquid pressure in the second region is greater than the liquid pressure in the first region, after the infusion of the drip solution in the second region, the liquid pressure has increased significantly. In this case, reduce the current infusion rate of 3.4 ml / min to within 2.5 - 3 ml / min. If the liquid pressure in the first region is 28 mmHg and the liquid pressure in the second region is 22 mmHg, the regional pressure difference is also 6 mmHg, and 6 mmHg > 2 mmHg. However, since the liquid pressure in the first region is greater than the liquid pressure in the second region, after the infusion of the drip solution in the second region, the liquid pressure has decreased significantly. In this case, also maintain the current infusion rate of 3.4 ml / min and adjust the infusion rate range threshold of 2.5 - 3 ml / min to 3 - 3.5 ml / min.

[0026] Embodiments disclosed in the present invention, the processes described above with reference to the flowcharts can be implemented as computer software programs. Embodiments disclosed in the present invention include a computer program product, which includes a computer program carried on a computer-readable medium, and the computer program contains program codes for executing the methods shown in the flowcharts. In such an embodiment, the computer program can be downloaded and installed from the network through the communication part, and / or installed from a removable medium. When the computer program is executed by the central processing unit, the above functions defined in the methods of the present application are executed. It should be noted that the computer-readable medium in the present application can be a computer-readable signal medium or a computer-readable storage medium or any combination of the two. A computer-readable storage medium can be, for example, but not limited to, an electrical, magnetic, optical, electromagnetic, infrared, or semiconductor system, apparatus, or device, or any combination of the above. More specific examples of the computer-readable storage medium can include, but are not limited to: an electrical connection having one or more wire segments, a portable computer disk, a hard disk, a random access memory, a read-only memory, an erasable programmable read-only memory, an optical fiber, a portable compact disk read-only memory, an optical storage device, a magnetic storage device, or any suitable combination of the above. In the present application, the computer-readable storage medium can be any tangible medium that contains or stores a program, and the program can be used by or in combination with an instruction execution system, apparatus, or device. In the present application, a computer-readable signal medium can include a data signal propagated in a baseband or as part of a carrier wave, which carries the computer-readable program code. Such a propagated data signal can take various forms, including but not limited to electromagnetic signals, optical signals, or any suitable combination of the above. A computer-readable signal medium can also be any computer-readable medium other than a computer-readable storage medium, and the computer-readable medium can send, propagate, or transmit a program for use by or in combination with an instruction execution system, apparatus, or device. The program code contained on the computer-readable medium can be transmitted by any suitable medium, including but not limited to: wireless segments, wire segments, optical cables, RF, etc., or any suitable combination of the above.

[0027] The flowcharts and block diagrams in the accompanying drawings illustrate the possible architectures, functions, and operations of systems, methods, and computer program products according to various embodiments of the present invention. In this regard, each block in the flowchart or block diagram may represent a module, a segment of a program, or a portion of code that contains one or more executable instructions for implementing a specified logical function. It should also be noted that in some alternative implementations, the functions noted in the blocks may occur in a different order than that noted in the accompanying drawings. For example, two consecutive blocks shown may actually be executed substantially in parallel, or they may sometimes be executed in the reverse order, depending on the functions involved. It should also be noted that each block in the block diagram and / or flowchart, and combinations of blocks in the block diagram and / or flowchart, can be implemented by a dedicated hardware-based system that performs the specified functions or operations, or can be implemented by a combination of dedicated hardware and computer instructions.

[0028] Those skilled in the art should understand that the above description is only a specific implementation of the present application, but the protection scope of the present application is not limited thereto. Any changes or substitutions that can be easily thought of by those skilled in the art within the technical scope disclosed in the present application should be covered within the protection scope of the present application.

Claims

1. A method for nursing monitoring and management in the operating room, characterized in that, Including: Step 1: The hanging drip bottle is evenly divided into four regions from top to bottom. After the drip liquid in the first region is finished, obtain the infusion time and infusion volume of the first region, and divide the infusion volume of the first region by the infusion time of the first region to obtain the infusion rate of the first region; Step 2: Determine the suitable infusion rate range for the patient according to the drug parameters, treatment requirements and patient information, and record this suitable range as the infusion rate range threshold; Step 3: Compare the infusion rate of the first region with the infusion rate range threshold. If the infusion rate of the first region is within the infusion rate range threshold, it means that after the drip in the first region is finished, the infusion rate is within the suitable range. In this case, for the remaining three regions, maintain the previous infusion rate; if the infusion rate of the first region is greater than the maximum value of the infusion rate range threshold, it means that the infusion rate exceeds the suitable range. In this case, reduce the infusion rate; if the infusion rate of the first region is less than the minimum value of the infusion rate range threshold, it means that the infusion rate is lower than the suitable range. In this case, increase the infusion rate.

2. The operating room nursing monitoring and management method according to claim 1, wherein Set an infusion rate second threshold greater than the maximum value of the infusion rate range threshold. When the infusion rate of the first region is greater than the maximum value of the infusion rate range threshold, compare the infusion rate of the first region with the infusion rate second threshold, and obtain different responses according to the comparison results.

3. The operating room nursing monitoring and management method according to claim 2, wherein, If the infusion rate of the first region is less than or equal to the infusion rate second threshold, it means that the degree of exceeding the infusion rate is low. In this case, monitor the patient's physical condition, and select whether to change the infusion rate during the infusion of the drip liquid in the remaining three regions according to the patient's physical condition; If the infusion rate of the first region is greater than the infusion rate second threshold, it means that the degree of exceeding the infusion rate is high. In this case, reduce the infusion rate during the infusion of the drip liquid in the remaining three regions.

4. The surgical nursing monitoring and management method according to claim 3, wherein The method of selecting whether to change the infusion rate is to set a pressure sensor at a position on the infusion tube close to the needle, obtain the pressure of the drip liquid in the infusion tube through the pressure sensor, record it as the liquid pressure, and set a liquid pressure range threshold representing the normal range according to the tolerance of the local blood vessel and surrounding tissue. Compare the liquid pressure with the liquid pressure range threshold, and obtain different responses according to the comparison results.

5. The operating room nursing monitoring and management method according to claim 4, wherein If the liquid pressure does not exceed the maximum value of the liquid pressure range threshold, it means that the pressure of the drip liquid in the infusion tube is less than the normal range. In this case, the infusion rate is not reduced; if the liquid pressure exceeds the maximum value of the liquid pressure range threshold, it means that the pressure of the drip liquid in the infusion tube is greater than the normal range. In this case, reduce the infusion rate.

6. The operating room nursing monitoring and management method according to claim 5, characterized in that After the drip solution in the first area is completely infused, the liquid pressure of the drip solution in the infusion tube is recorded as the liquid pressure in the first area. When the degree to which the infusion rate exceeds the appropriate range is low and the liquid pressure in the first area does not exceed the maximum value of the liquid pressure range threshold, the infusion rate is maintained to infuse the drip solution in the second area adjacent to the first area. After the drip solution in the second area is completely infused, the pressure of the drip solution in the infusion tube at this time is obtained and recorded as the liquid pressure in the second area. The regional pressure difference is obtained by subtracting the liquid pressure in the first area from the liquid pressure in the second area. The regional pressure difference takes a positive value, and the regional pressure difference threshold is set according to the difference in the liquid pressure within the normal fluctuation range allowed for the two regions. The regional pressure difference is compared with the regional pressure difference threshold, and different responses are obtained based on the comparison result.

7. The operating room nursing monitoring and management method according to claim 6, wherein If the regional pressure difference is less than or equal to the regional pressure difference threshold, it means that the difference between the liquid pressure in the first area and the liquid pressure in the second area is small, and after the drip solutions in the two areas are completely infused, the liquid pressure remains unchanged. In this case, for the drip solutions in the remaining two areas, when subsequent infusion is carried out, in addition to maintaining the current infusion rate, the infusion rate range threshold is also dynamically adjusted; if the regional pressure difference is greater than the regional pressure difference threshold, it means that the difference between the liquid pressure in the first area and the liquid pressure in the second area is large. In this case, the magnitudes of the liquid pressure in the first area and the liquid pressure in the second area are judged, and different responses are made according to the magnitudes of the two.

8. The operating room nursing monitoring and management method according to claim 7, wherein The specific process of dynamic adjustment is to replace the minimum value of the infusion rate range threshold with the maximum value, and replace the maximum value of the infusion rate range threshold with the second infusion rate threshold.

9. An operating room nursing monitoring and management system, which is used to execute the operating room nursing monitoring and management method described in any one of claims 1-8, and is characterized in that, It includes the following modules: An acquisition module, which is used to evenly divide the suspended drip bottle into four areas from top to bottom. After the drip solution in the first area is completely infused, the infusion time in the first area and the infusion volume in the first area are obtained, and the infusion rate in the first area is obtained by dividing the infusion volume in the first area by the infusion time in the first area; A setting module, which is used to determine the infusion rate range suitable for the patient according to the drug parameters, treatment requirements, and patient information, and record this suitable range as the infusion rate range threshold; A comparison module, which is used to compare the infusion rate in the first area with the infusion rate range threshold. If the infusion rate in the first area is within the infusion rate range threshold, it means that after the drip solution in the first area is completely infused, the infusion rate is within the suitable range. In this case, for the remaining three areas, the previous infusion rate is maintained; if the infusion rate in the first area is greater than the maximum value of the infusion rate range threshold, it means that the infusion rate exceeds the suitable range. In this case, the infusion rate is reduced; if the infusion rate in the first area is less than the minimum value of the infusion rate range threshold, it means that the infusion rate is lower than the suitable range. In this case, the infusion rate is increased.

10. A computer-readable storage medium, characterized in that, The computer-readable storage medium stores a computer program, and the computer program is executed by a processor to implement a method for monitoring and managing operating room nursing as described in any one of claims 1-8 above.

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