Aziz O, Atallah L, Lo B, Elhelw M, Wang L, Yang G Z, Darzi A
Department of Biosurgery and Surgical Technology, Imperial College of Science, Technology, and Medicine, London, United Kingdom.
Surg Innov. 2007 Jun;14(2):83-90. doi: 10.1177/1553350607302326.
Patients going home following major surgery are susceptible to complications such as wound infection, abscess formation, malnutrition, poor analgesia, and depression, all of which can develop after the fifth postoperative day and slow recovery. Although current hospital recovery monitoring systems are effective during perioperative and early postoperative periods, they cannot be used when the patient is at home. Measuring and quantifying home recovery is currently a subjective and labor-intensive process. This case report highlights the development and piloting of a wireless body sensor network to monitor postoperative recovery at home in patients undergoing abdominal surgery. The device consists of wearable sensors (vital signs, motion) combined with miniaturized computers wirelessly linked to each other, thus allowing continuous monitoring of patients in a pervasive (unobtrusive) manner in any environment. Initial pilot work with results in both the simulated (with volunteers) and the real home environment (with patients) is presented.
接受大手术后回家的患者易患者回家的患者易发生伤口感染、脓肿形成、营养不良、镇痛效果差和抑郁等并发症，所有这些并发症都可能在术后第五天之后出现，并延缓康复。尽管当前的医院康复监测系统在围手术期和术后早期有效，但患者在家时却无法使用。目前，衡量和量化家庭康复情况是一个主观且耗费人力的过程。本病例报告重点介绍了一种无线身体传感器网络的开发及试点情况，该网络用于监测腹部手术患者在家中的术后康复情况。该设备由可穿戴传感器（生命体征、运动）与相互无线连接的小型计算机组成，从而能够在任何环境中以普遍（不引人注意）的方式持续监测患者。本文展示了在模拟环境（志愿者参与）和真实家庭环境（患者参与）中开展的初步试点工作及结果。
