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新型Complior传感器用于无创记录压力信号的验证。

Validation of the new Complior sensor to record pressure signals non-invasively.

作者信息

Sztrymf Benjamin, Jacobs Frédéric, Chemla Denis, Richard Christian, Millasseau Sandrine C

机构信息

Réanimation Médicale, Hôpital Antoine Béclère, Université Paris Sud, Assistance Publique-Hôpitaux de Paris, Paris, France.

出版信息

J Clin Monit Comput. 2013 Dec;27(6):613-9. doi: 10.1007/s10877-013-9477-y. Epub 2013 May 17.

Abstract

The Complior device (Alam Medical, France) has contributed to the rise of arterial stiffness as a measure of cardiovascular risk. In its latest version (Complior Analyse) the sensor records pressure instead of distension waveforms thus allowing the measurement of central pressure and pulse wave analysis. The aim of our study was to verify that the new sensor measures pressure waveforms accurately in both time and frequency domain. Invasive and non-invasive signals were recorded simultaneously at the radial artery and compared in the frequency and time domain in haemodynamically stable intensive care unit patients. Twelve patients entered the study (8 men, 4 women, mean age 69 ± 17 years). Heart rate was 90 ± 15 bpm, systolic blood pressure 133 ± 19 mmHg and diastolic blood pressure 68 ± 15 mmHg. There was no statistical difference in the amplitude of harmonics between the invasive signal and Complior signal. When superimposing waveforms in the time domain, there was a small difference in the form factor (4.2 ± 2.8 %) and in the absolute area between the 2 waveforms (3.3 ± 1.7 mmHg·s(-1)). These differences were of the same magnitude as the beat-to-beat variation of the form factor (3.3 %) and of the absolute area (3.1 mmHg·s(-1)), respectively. The second systolic peak was detectable in 4 subjects, with no statistical difference between invasive and non-invasive values. The new pressure sensor of the Complior Analyse device recorded pressure waveforms accurately and could be used to perform pressure wave analysis.

摘要

Complior设备(法国阿拉姆医疗公司)推动了动脉僵硬度作为心血管风险衡量指标的兴起。在其最新版本(Complior Analyse)中,传感器记录压力而非扩张波形,从而能够测量中心压力并进行脉搏波分析。我们研究的目的是验证新传感器在时域和频域中对压力波形的测量是否准确。在血流动力学稳定的重症监护病房患者中,同时在桡动脉记录有创和无创信号,并在频域和时域进行比较。12名患者进入研究(8名男性,4名女性,平均年龄69±17岁)。心率为90±15次/分,收缩压133±19mmHg,舒张压68±15mmHg。有创信号与Complior信号之间谐波幅度无统计学差异。在时域叠加波形时,形状因子存在微小差异(4.2±2.8%),两个波形之间的绝对面积也存在微小差异(3.3±1.7mmHg·s⁻¹)。这些差异分别与形状因子的逐搏变化(3.3%)和绝对面积的逐搏变化(3.1mmHg·s⁻¹)幅度相同。4名受试者可检测到第二个收缩峰,有创和无创值之间无统计学差异。Complior Analyse设备的新型压力传感器能够准确记录压力波形,可用于进行压力波分析。

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