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无创血压测量——为何我们应查看血压波形而非听取柯氏音。

Non-Invasive measurement of blood pressure - Why we should look at BP traces rather than listen to Korotkoff sounds.

作者信息

Celler Branko G, Basilakis Jim, Goozee Kathryn, Ambikairajah Eliathamby

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2015;2015:5964-7. doi: 10.1109/EMBC.2015.7319750.

DOI:10.1109/EMBC.2015.7319750
PMID:26737650
Abstract

Accurate non-invasive measurement of blood pressure in unsupervised environments continues to be a challenge, particularly in the presence of movement artefact, electrical noise and most importantly cardiac arrhythmia which are common in those aged over 65 suffering from a range of chronic conditions. Large intra personal variability in signal morphometry and amplitudes further complicates the development of reliable signal processing algorithms for NIBP measurement. In this paper we demonstrate the effect of this variability and propose that the traditional methods of human blood pressure determination by sphygmomanometry should no longer be considered a gold standard for the calibration of NIBP devices.

摘要

在无人监督的环境中准确进行无创血压测量仍然是一项挑战,尤其是存在运动伪影、电噪声,最重要的是存在心律失常时,而心律失常在65岁以上患有一系列慢性疾病的人群中很常见。信号形态和幅度存在较大的个体内差异,这进一步使用于无创血压测量的可靠信号处理算法的开发变得复杂。在本文中,我们展示了这种差异的影响,并提出传统的通过血压计测定人体血压的方法不应再被视为校准无创血压测量设备的金标准。

相似文献

1
Non-Invasive measurement of blood pressure - Why we should look at BP traces rather than listen to Korotkoff sounds.无创血压测量——为何我们应查看血压波形而非听取柯氏音。
Annu Int Conf IEEE Eng Med Biol Soc. 2015;2015:5964-7. doi: 10.1109/EMBC.2015.7319750.
2
Improving the quality and accuracy of non-invasive blood pressure measurement by visual inspection and automated signal processing of the Korotkoff sounds.通过对柯氏音进行视觉检查和自动信号处理来提高无创血压测量的质量和准确性。
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Comparison of cuff inflation and cuff deflation brachial sphygmomanometry with intra-arterial blood pressure as reference.与动脉血压作为参考相比,袖带充气和袖带放气肱动脉血压测量法。
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Comparison of systolic blood pressure values obtained by photoplethysmography and by Korotkoff sounds.比较光容积脉搏波描记法和柯氏音法测量的收缩压值。
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New Perspectives on Non-invasive Blood Pressure Measurement.非侵入式血压测量的新视角。
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Variation of the Korotkoff Stethoscope Sounds During Blood Pressure Measurement: Analysis Using a Convolutional Neural Network.血压测量过程中柯氏音的变化:卷积神经网络分析。
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Signal quality measures for unsupervised blood pressure measurement.用于无监督血压测量的信号质量测量。
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Digital recording system of sphygmomanometry.血压计数字记录系统
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Blood pressure measurement in noise intensive environments using adaptive interference cancellation.在噪声密集环境中使用自适应干扰消除技术进行血压测量。
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引用本文的文献

1
Estimation of Physiologic Pressures: Invasive and Non-Invasive Techniques, AI Models, and Future Perspectives.生理压力估计:有创和无创技术、人工智能模型以及未来展望。
Sensors (Basel). 2023 Jun 20;23(12):5744. doi: 10.3390/s23125744.
2
Novel methods of testing and calibration of oscillometric blood pressure monitors.新型振荡血压计测试和校准方法。
PLoS One. 2018 Aug 6;13(8):e0201123. doi: 10.1371/journal.pone.0201123. eCollection 2018.