术后健康监控过程能够保障在生命体征出现异常情况时可以进行及时处理，同时术后康复训练及效果评估也需要有效的工具进行支持，可穿戴技术的出现和发展，为这些需求的实现提供了相应的技术保障。本文利用国内外学术数据库，对可穿戴技术在术后监控、术后康复训练方面的研究和应用相关文献进行了收集和整理，综述了可穿戴技术在各类外科领域的应用情况，包括基本功能、技术原理、使用方法及对其进行效果评价。结果表明，可穿戴技术在术后的应用已涉及显微外科、矫形外科、普通外科、心胸外科、神经外科等外科方向，但其应用尚处于研究探索阶段。未来需要更多关于可穿戴技术用于术后健康监控和康复训练评估的可行方法和临床验证工作的研究，以使它真正满足病人术后在医院和家庭进行健康监控和康复训练的需要。
With the emergence and development of the wearable technology, the health monitoring to handle abnormal situations can be realized and the effective tools to guide and evaluate the postoperative rehabilitation training can be found. This paper reviews the development of the wearable technology applied in the postoperative monitoring and the postoperative rehabilitation training, based on domestic and abroad studies, as well as the applications in various surgical fields, such as the basic functions, the technical principles, the methodologies and the effectiveness evaluations. It is shown that the wearable technology in the postoperative application is just in its infancy stage, in spite of its wide application areas of the micro-surgery, the orthopaedics, the general surgery, the cardiothoracic surgery, the neurosurgery and so on. To fulfill the requirements of the postoperative healthy monitoring and the rehabilitation in hospital or at home, more studies are needed in the future to explore the feasible methods and clinic validations.
[1] 蒋小梅, 张俊然, 赵斌, 等. 可穿戴式设备分类及其相关技术进展[J]. 生物医学工程学杂志, 2016, 33(1):42-48. Jiang Xiaomei, Zhang Junran, Zhao Bin, et al. Classification and correla-tive technology development of wearable devices[J]. Journal of Biomedi-cal Engineering, 2016, 33(1):42-48.
[2] 颜延, 邹浩, 周林, 等. 可穿戴技术的发展[J]. 中国生物医学工程学报, 2015, 34(6):644-653. Yan Yan, Zou Hao, Zhou Lin, et al. The development of wearable tech-nologies[J]. Chinese Journal of Biomedical Engineering, 2015, 34(6):644-653.
[3] 许媛. 可穿戴设备市场现状与趋势分析[J]. 无线互联科技, 2014(7):190-190. Xu Yuan. Market status and trend analysis of wearable devices[J]. Wire-less Internet Technology, 2014(7):190-190.
[4] 黄海诚, 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):1-5. Huang Haicheng, Wang Feng. A review of wearable technology in medi-cal research and application[J]. China Medical Devices, 2015, 30(1):1-5.
[5] 封顺天. 可穿戴设备在医疗健康领域的关键技术及应用场景分析[J]. 电信技术, 2016, 8(5):32. Feng Shuntian. Analysis of key technologies and application scenarios of wearable devices in medical health[J]. Telecommunications Technolo-gy, 2016, 8(5):32.
[6] Patel S, Park H, Bonato P, et al. A review of wearable sensors and sys-tems with application in rehabilitation[J]. Journal of NeuroEngineering and Rehabilitation, 2012, 9(1):1.
[7] Atallah L, Jones G G, Ali R, et al. Observing recovery from knee-re-placement surgery by using wearable sensors[C]. 2011 International Conference on Body Sensor Networks. IEEE, 2011:29-34.
[8] Rajanna V, Vo P, Barth J, et al. KinoHaptics:An automated, wearable, Haptic assisted, physio-therapeutic system for post-surgery rehabilita-tion and self-care[J]. Journal of Medical Systems, 2016, 40(3):1-12.
[9] Lo B, Atallah L, Aziz O, et al. Real-time pervasive monitoring for post-operative care[C]. 4th international workshop on wearable and implant-able body sensor networks (BSN 2007). Springer Berlin Heidelberg, 2007:122-127.
[10] Aziz O, Lo B, King R, et al. Pervasive body sensor network:An ap-proach to monitoring the post-operative surgical patient[C]. Interna-tional Workshop on Wearable and Implantable Body Sensor Networks (BSN'06). Cambridge Massachusetts, United States:IEEE, 2006:4-18.
[11] Kaneshiro M, Kaiser W, Pourmorady J, et al. Postoperative gastrointes-tinal telemetry with an acoustic biosensor predicts ileus vs. uneventful GI recovery[J]. Journal of Gastrointestinal Surgery, 2016, 20(1):132-139.
[12] Inouez Y, Kimura T, Fujita S, et al. A new parameter for assessing postoperative recovery of physical activity using an accelerometer[J]. Surgery Today, 2003, 33(9):645-650.
[13] Van Laerhoven K, Lo B, Ng J, et al. Medical healthcare monitoring with wearable and implantable sensors[C]. Nottingham, England:Ubiq-uitous Computing, 2004.
[14] ElSayed M, Alsebai A, Salaheldin A, et al. Ambient and wearable sensing for gait classification in pervasive healthcare environments[C]. 12th IEEE International Conference on e-Health Networking Applica-tions and Services. Lyon, France:IEEE, 2010:240-245.
[15] Zhu Y, Nakamura M, Horiuchi T, et al. New wearable walking-type continuous passive motion device for postsurgery walking rehabilitation[J]. Proceedings of the Institution of Mechanical Engineers, Part H:Journal of Engineering in Medicine, 2013:0954411913481557.
[16] Chen P C, Huang C N, Chen I C, et al. A rehabilitation exercise as-sessment system based on wearable sensors for knee osteoarthritis[C]. International Conference on Smart Homes and Health Telematics. Springer Berlin Heidelberg, 2013:267-272.
[17] Aminian K, Rezakhanlou K, De Andres E, et al. Temporal feature esti-mation during walking using miniature accelerometers:An analysis of gait improvement after hip arthroplasty[J]. Medical &Biological Engi-neering &Computing, 1999, 37(6):686-691.
[18] Rawe I M, Lowenstein A, Barcelo C R, et al. Control of postoperative pain with a wearable continuously operating pulsed radiofrequency en-ergy device:A preliminary study[J]. Aesthetic Plastic Surgery, 2012, 36(2):458-463.
[19] Cook D J, Thompson J E, Prinsen S K, et al. Functional recovery in the elderly after major surgery:Assessment of mobility recovery using wireless technology[J]. The Annals of Thoracic Surgery, 2013, 96(3):1057-1061.
[20] Kyrylova A. Development of a wearable mechatronic elbow brace for postoperative motion rehabilitation[D]. Ontario:The University of Western Ontario, 2015.
[21] Appelboom G, Taylor B E, Bruce E, et al. Mobile phone-connected wearable motion sensors to assess postoperative mobilization[J]. JMIR MHealthand UHealth, 2015, 3(3):e78.
