朱元方;王文军;马亦良;吕羽;马良坤;
ZHU Yuan-fang;WANG Wen-jun;MA Yi-liang;LV Yu;MA Liang-kun;Shenzhen Bao' an District Maternity & Child Healthcare Hospital;2018 Lab,Shenzhen Jumper Medical Equipment Co.,Ltd.;Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

• 1:深圳市宝安区妇幼保健院
• 2:深圳京柏医疗科技股份有限公司2018实验室
• 3:中国医学科学院北京协和医学院北京协和医院妇产科

摘要(Abstract)：

近年来,孕妇可穿戴设备产业发展迅速,从胎心监护仪到多功能检查仪,实现了胎心、血糖、血压等指标的院内外监测与管理。孕妇可穿戴设备正以一种前所未有的方式将医院和母胎联系在一起。本文介绍可穿戴设备及其关键技术,探讨面向妊娠期女性可穿戴设备的典型应用及医院产科的监护管理模式,并分析当前国内外孕妇可穿戴设备领域面临的问题和对策。
In recent years,the industry of wearable devices for pregnant women has been developing rapidly. Devices,ranging from fetal monitors to multi-functional health examination instruments,help in monitoring and managing maternal health indicators,such as fetal heart rate,blood glucose,and blood pressure,in and outside the hospital. Hospitals,maternal women and fetuses are bounded together by wearable devices for pregnant women in an unprecedented way. This article introduces wearable devices and their key technologies,and also investigates classical applications of such devices for pregnant women and the monitoring and management modes for the obstetrics department in the hospital. Finally,current major issues have also been analysed,with which we propose the way to deal.

关键词(KeyWords)： 可穿戴设备;胎心监护;健康管理
wearable devices;cardiotocography;health management

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 朱元方;王文军;马亦良;吕羽;马良坤;
ZHU Yuan-fang;WANG Wen-jun;MA Yi-liang;LV Yu;MA Liang-kun;Shenzhen Bao' an District Maternity & Child Healthcare Hospital;2018 Lab,Shenzhen Jumper Medical Equipment Co.,Ltd.;Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences &Peking Union Medical College;

Email:

DOI:

参考文献(References)：

• [1]汪丰.可穿戴技术在医疗中的研究与应用[J].中国医疗设备,2015,30:1-5.
• [2]李健,张天娇,张玉丽,等.基于可穿戴式设备的妊娠期女性健康管理系统的构建及实践[J].中国妇幼卫生杂志,2014,5:1-4.
• [3]崔宏恩,姚绍卫.可穿戴医疗设备关键技术及其质量控制初探[J].中国医疗器械杂志,2015,39:113-117,121.
• [4]李天魁.围产期胎儿实时监测及孕妇保健可穿戴设备设计研究[D].西安交通大学,硕士论文,2017.
• [5]李思君,张伟,卜世俊,等.可穿戴式心电心音联合测量设备的设计与开发[J].大众科技,2014,17:15-17.
• [6]Fanelli A.Tele Fetal Care:development of a wearable system for fetal monitoring during pregnancy[D].Politecnico di Milano,Ph D Thesis,2013.
• [7]Fanelli A,Magenes G,Campanile M,et al.Quantitative assessment of fetal well-being through CTG recordings:a new parameter based on phase-rectified signal average[J].IEEE J Biomed Health Inform,2013,17:959-966.
• [8]Hiyama R,Saito M,Nakanishi Y,et al.Baby bumper:protector/communication wearable device for pregnant women[C].Adjunct proceedings of the 2015 ACM international joint conference on pervasive and ubiquitous computing and proceedings of the 2015 ACM international symposium on wearable computers(Ubi Comp/ISWC’15),2015:173-176.
• [9]Du YC,Wu PW.Novel wearable uterine contractions detection using positive force measurement[C].Proceedings of the 13th international conference on electrical engineering/electronics,computer,telecommunications and information technology(ECTI-CON’16),2016:1-4.
• [10]Bloomlife.研发检测孕妇胎动数据的可穿戴设备[J].家庭服务,2016,9:6.
• [11]Zeng W,Shu L,Li Q,et al.Fiber-based wearable electronics:a review of materials,fabrication,devices,and applications[J].Adv Mater,2014,26:5310-5336.
• [12]Honarvar MG,Latifi M.Overview of wearable electronics and smart textiles[J].J Text I,2017,10:631-652.
• [13]Yapici MK,Alkhidir T,Samad YA,et al.Graphene-clad textile electrodes for electrocardiogram monitoring[J].Sens Actuators B Chem,2015,221:1469-1474.
• [14]王玲,战鹏弘,刘文勇.互联网时代的弄潮儿——可穿戴医疗设备[J].科技导报,2017,35:12-18.
• [15]Salvo P,Raedt R,Carrette E.A 3D printed dry electrode for ECG/EEG recording[J].Sens Actuators A Phys,2012,174:96-102.
• [16]Almusallam A,Luo Z,Komolafe A,et al.Flexible piezoelectric nano-composite films for kinetic energy harvesting from textiles[J].Nano Energy,2017,33:146-156.
• [17]Liang T,Yuan YJ.Wearable medical monitoring systems based on wireless networks:a review[J].IEEE Sensors J,2017,16:8186-8199.
• [18]Pardey J.Sonicaid fetal care:fetal heart rate analysis[J].Br J Midwifery,2003,11:620-624.
• [19]Simpson KR,Knox GE.Risk management and electronic fetal monitoring:decreasing risk of adverse outcomes and liability exposure[J].J Perinat Neonatal Nurs,2000,14:40-52.
• [20]Karvounis EC,Tsipouras MG,Papaloukas C,et al.A noninvasive methodology for fetal monitoring during pregnancy[J].Methods Inf Med,2010,49:238-253.
• [21]徐蕾,陈敏亚.可穿戴设备在医疗监护管理中的应用探索[J].中国数字医学,2016,11:99-101.
• [22]徐蕾,陈敏亚.可穿戴医疗设备在医疗监测系统中的应用[J].中国数字医学,2015,10:23-24,35.
• [23]李春微,于康,马良坤,等.妊娠糖尿病营养相关危险因素病例对照研究[J].协和医学杂志,2015,6:246-250.
• [24]鹿榕.高龄产妇不良妊娠结局相关高危因素的临床研究[J].中国当代医药,2016,23:71-73.
• [25]莫翔.胎心监护异常图形与妊娠高危因素的相关性分析[J].医药前沿,2015,29:87-88.
• [26]杜欣,曾伟杰,李承炜,等.基于移动医疗的孕产妇健康监护系统[J].中国妇幼卫生杂志,2014,5:1-4.
• [27]张晓峰,路鹤晴.基于移动物联网的母胎监护智能设备的优选研究[J].中国医疗设备,2017,32:153-157.
• [28]He Y,Johnson CW,Lu Y,et al.Improving the information security management:an industrial study in the privacy of electronic patient records[C].Proceedings of the 27th IEEE international symposium on computer-based medical systems(CBMS’14),2014:525-526.
• [29]He Y,Johnson CW,Lu Y,et al.Improving the exchange of lessons learned in security incident reports:case studies in the privacy of electronic patient records[J].IFIP Adv Inf Commun Technol,2014,430:109-124.