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无袖带测量收缩压和舒张压的可行性。

Feasibility of cuff-free measurement of systolic and diastolic arterial blood pressure.

作者信息

Masè Michela, Mattei Walter, Cucino Roberta, Faes Luca, Nollo Giandomenico

机构信息

BIOtech and Department of Physics, University of Trento, Trento, Italy.

出版信息

J Electrocardiol. 2011 Mar-Apr;44(2):201-7. doi: 10.1016/j.jelectrocard.2010.11.019.

Abstract

We validated a prototype cuff-free device for noninvasive estimation of blood pressure (BP). The system assumed a linear relation between BP values and the inverse of arterial blood pulse transit time, measured as time interval between the R wave on the electrocardiograph and the onset of the peripheral pulse wave on a finger plethysmogram. Thirty-three healthy subjects were analyzed at rest and during increasing stress exercise. To estimate subject-specific linear model parameters, the system was calibrated ad personam with reference to BP measures obtained by a cuff sphygmomanometer. High correlation values (R(2) = 0.89 and 0.78 for systolic and diastolic BP, respectively) and differences consistent with clinical requirements (mean discrepancy of -0.058 and -0.25 mm Hg; 95% confidence interval of -13.0 to +12.9 mm Hg and -11.3 to +10.8 mm Hg, for systolic and diastolic BP, respectively) were observed between device and reference measurements. Calibration parameter stability and accuracy level were confirmed in a midterm evaluation, 30 days after calibration. These findings suggest the suitability of the device for noninvasive BP monitoring and its potentiality for clinical applications. Improvements can be achieved by further investigation of the calibration procedure and sensor placement.

摘要

我们验证了一种用于无创估计血压(BP)的无袖带原型设备。该系统假定血压值与动脉血脉搏传播时间的倒数之间存在线性关系,脉搏传播时间通过心电图上的R波与手指体积描记图上外周脉搏波起始点之间的时间间隔来测量。对33名健康受试者在静息状态和递增应激运动期间进行了分析。为了估计受试者特定的线性模型参数,该系统参照通过袖带血压计获得的血压测量值进行了个体化校准。在设备测量值与参考测量值之间观察到了较高的相关性值(收缩压和舒张压的R²分别为0.89和0.78)以及符合临床要求的差异(收缩压和舒张压的平均差异分别为-0.058和-0.25 mmHg;95%置信区间分别为-13.0至+12.9 mmHg和-11.3至+10.8 mmHg)。在校准30天后的中期评估中证实了校准参数的稳定性和准确度水平。这些发现表明该设备适用于无创血压监测及其临床应用潜力。通过进一步研究校准程序和传感器放置可以实现改进。

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