Wong Mico Yee-Man, Poon Carmen Chung-Yan, Zhang Yuan-Ting
Joint Research Centre for Biomedical Engineering, Department of Electronic Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong.
Cardiovasc Eng. 2009 Mar;9(1):32-8. doi: 10.1007/s10558-009-9070-7.
In the present study, we investigated the relationship between blood pressure (BP) and pulse transit time (PTT) and evaluated the accuracy of the PTT-based cuffless BP estimation on 14 normotensive subjects. Least-squares regression was used to estimate BP in the first test and a repeatability test carried out half year later. BP in the repeatability test was also estimated using the regression coefficients in the first test. The results illustrated that in the first and repeatability tests (1) arterial BP increased and PTT decreased acutely after the exercises and (2) systolic BP was highly correlated with PTT. In the repeatability test, the estimation differences from the references were 0.0 +/- 5.3 mmHg and 0.0 +/- 2.9 mmHg for systolic and diastolic BPs respectively using least-squares regression. However, the estimation differences increased to 1.4 +/- 10.2 mmHg and 2.1 +/- 7.3 mmHg for systolic and diastolic BPs, respectively when the regression coefficients in the first test were used for prediction. In summary, reasonable BP estimations were given in the first and repeatability tests but not using the regression coefficients obtained 6 months ago for some subjects.
在本研究中,我们调查了血压(BP)与脉搏传输时间(PTT)之间的关系,并评估了基于PTT的无袖带血压估计在14名血压正常受试者中的准确性。在第一次测试中使用最小二乘法回归来估计血压,并在半年后进行重复性测试。重复性测试中的血压也使用第一次测试中的回归系数进行估计。结果表明,在第一次和重复性测试中:(1)运动后动脉血压急性升高,PTT降低;(2)收缩压与PTT高度相关。在重复性测试中,使用最小二乘法回归时,收缩压和舒张压与参考值的估计差异分别为0.0±5.3 mmHg和0.0±2.9 mmHg。然而,当使用第一次测试中的回归系数进行预测时,收缩压和舒张压的估计差异分别增加到1.4±10.2 mmHg和2.1±7.3 mmHg。总之,在第一次和重复性测试中给出了合理的血压估计,但对于一些受试者,未使用6个月前获得的回归系数进行估计。