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新型脉搏听诊系统的研究

A study of new pulse auscultation system.

作者信息

Chen Ying-Yun, Chang Rong-Seng

机构信息

Department of Optics and Photonics, National Central University, No. 300, Jhongda Rd, Taoyuan 32001, Taiwan.

出版信息

Sensors (Basel). 2015 Apr 14;15(4):8712-31. doi: 10.3390/s150408712.

Abstract

This study presents a new type of pulse auscultation system, which uses a condenser microphone to measure pulse sound waves on the wrist, captures the microphone signal for filtering, amplifies the useful signal and outputs it to an oscilloscope in analog form for waveform display and storage and delivers it to a computer to perform a Fast Fourier Transform (FFT) and convert the pulse sound waveform into a heartbeat frequency. Furthermore, it also uses an audio signal amplifier to deliver the pulse sound by speaker. The study observed the principles of Traditional Chinese Medicine's pulsing techniques, where pulse signals at places called "cun", "guan" and "chi" of the left hand were measured during lifting (100 g), searching (125 g) and pressing (150 g) actions. Because the system collects the vibration sound caused by the pulse, the sensor itself is not affected by the applied pressure, unlike current pulse piezoelectric sensing instruments, therefore, under any kind of pulsing pressure, it displays pulse changes and waveforms with the same accuracy. We provide an acquired pulse and waveform signal suitable for Chinese Medicine practitioners' objective pulse diagnosis, thus providing a scientific basis for this Traditional Chinese Medicine practice. This study also presents a novel circuit design using an active filtering method. An operational amplifier with its differential features eliminates the interference from external signals, including the instant high-frequency noise. In addition, the system has the advantages of simple circuitry, cheap cost and high precision.

摘要

本研究提出了一种新型的脉搏听诊系统,该系统使用电容式麦克风测量手腕上的脉搏声波,采集麦克风信号进行滤波,放大有用信号并以模拟形式输出到示波器进行波形显示和存储,然后传送到计算机进行快速傅里叶变换(FFT),将脉搏声音波形转换为心跳频率。此外,它还使用音频信号放大器通过扬声器发出脉搏声音。该研究观察了中医脉诊技术的原理,在举(100克)、寻(125克)和按(150克)的动作过程中测量左手“寸”“关”“尺”部位的脉搏信号。由于该系统采集的是由脉搏引起的振动声音,传感器本身不受施加压力的影响,这与当前的脉搏压电传感仪器不同,因此,在任何一种脉诊压力下,它都能以相同的精度显示脉搏变化和波形。我们提供了适合中医从业者进行客观脉诊的采集到的脉搏和波形信号,从而为这种中医实践提供了科学依据。本研究还提出了一种采用有源滤波方法的新颖电路设计。具有差分特性的运算放大器消除了包括即时高频噪声在内的外部信号干扰。此外,该系统具有电路简单、成本低廉和精度高的优点。

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