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新型远程医疗无人值守睡眠障碍诊断与治疗控制系统的设计方面

Design aspects for novel, telemedical unattended diagnosis and therapy control systems for sleep disorders.

作者信息

Schwaibold M, Schöchlin J, Bolz A

机构信息

FZI Forschungszentrum Informatik, Karlsruhe, Germany.

出版信息

Biomed Tech (Berl). 2002;47 Suppl 1 Pt 1:334-7. doi: 10.1515/bmte.2002.47.s1a.334.

Abstract

Medical research confirmed the relevance of diagnosis and therapy of sleep-related breathing disorders, revealing prevalence and patho-physiological mechanisms [1-10]. Reliable sleep assessment currently demands examinations in the sleep-lab, which is very technical and time-consuming. Thus, expanding the conventional procedure to meet capacity demands does not seem realistic regarding cost aspects. As a solution, the authors present telemetric system concepts for the unattended assessment of a patient's sleep profile and cardio-respiratory parameters. Taking initial experience with home polysomnography into consideration, the presented research work focuses on easily applicable sensors, the corresponding sleep profile assessment rules, wireless data recording, intelligent signal processing algorithms and telemedical information logistics to include sleep-labs in the diagnosis and treatment process as competence centers.

摘要

医学研究证实了睡眠相关呼吸障碍诊断和治疗的相关性,揭示了其患病率和病理生理机制[1-10]。目前,可靠的睡眠评估需要在睡眠实验室进行检查,这一过程技术要求高且耗时。因此,从成本角度来看,扩展传统程序以满足容量需求似乎并不现实。作为解决方案,作者提出了遥测系统概念,用于无人值守地评估患者的睡眠状况和心肺参数。考虑到家庭多导睡眠图的初步经验,本研究工作重点关注易于应用的传感器、相应的睡眠状况评估规则、无线数据记录、智能信号处理算法以及远程医疗信息物流,以便将睡眠实验室作为能力中心纳入诊断和治疗过程。

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