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无创血压测量的数值模拟

Numerical simulation of noninvasive blood pressure measurement.

作者信息

Hayashi Satoru, Hayase Toshiyuki, Shirai Atsushi, Maruyama Masaru

机构信息

Tohoku University, 15-4 Kitatakamori, Izumi-ku, Sendai 981-3202, Japan.

出版信息

J Biomech Eng. 2006 Oct;128(5):680-7. doi: 10.1115/1.2241592.

Abstract

In this paper, a simulation model based on the partially pressurized collapsible tube model for reproducing noninvasive blood pressure measurement is presented. The model consists of a collapsible tube, which models the pressurized part of the artery, rigid pipes connected to the collapsible tube, which model proximal and distal region far from the pressurized part, and the Windkessel model, which represents the capacitance and the resistance of the distal part of the circulation. The blood flow is simplified to a one-dimensional system. Collapse and expansion of the tube is represented by the change in the cross-sectional area of the tube considering the force balance acting on the tube membrane in the direction normal to the tube axis. They are solved using the Runge-Kutta method. This simple model can easily reproduce the oscillation of inner fluid and corresponding tube collapse typical for the Korotkoff sounds generated by the cuff pressure. The numerical result is compared with the experiment and shows good agreement.

摘要

本文提出了一种基于部分加压可塌陷管模型的模拟模型,用于再现无创血压测量。该模型由一个可塌陷管组成,它模拟动脉的加压部分;连接到可塌陷管的刚性管道,它模拟远离加压部分的近端和远端区域;以及风箱模型,它代表循环远端部分的电容和电阻。血流被简化为一维系统。考虑作用在管膜上垂直于管轴方向的力平衡,通过管横截面积的变化来表示管的塌陷和扩张。使用龙格 - 库塔方法求解这些方程。这个简单的模型可以很容易地再现由袖带压力产生的柯氏音典型的内部流体振荡和相应的管塌陷。数值结果与实验进行了比较,显示出良好的一致性。

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