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基于脉搏波多参数的血压监测方法研究

[Research on the Method of Blood Pressure Monitoring Based on Multiple Parameters of Pulse Wave].

作者信息

Miao Changyun, Mu Dianwei, Zhang Cheng, Miao Chunjiao, Li Hongqiang

出版信息

Sheng Wu Yi Xue Gong Cheng Xue Za Zhi. 2015 Oct;32(5):1113-7.

Abstract

In order to improve the accuracy of blood pressure measurement in wearable devices, this paper presents a method for detecting blood pressure based on multiple parameters of pulse wave. Based on regression analysis between blood pressure and the characteristic parameters of pulse wave, such as the pulse wave transit time (PWTT), cardiac output, coefficient of pulse wave, the average slope of the ascending branch, heart rate, etc. we established a model to calculate blood pressure. For overcoming the application deficiencies caused by measuring ECG in wearable device, such as replacing electrodes and ECG lead sets which are not convenient, we calculated the PWTT with heart sound as reference (PWTT(PCG)). We experimentally verified the detection of blood pressure based on PWTT(PCG) and based on multiple parameters of pulse wave. The experiment results showed that it was feasible to calculate the PWTT from PWTT(PCG). The mean measurement error of the systolic and diastolic blood pressure calculated by the model based on multiple parameters of pulse wave is 1.62 mm Hg and 1.12 mm Hg, increased by 57% and 53% compared to those of the model based on simple parameter. This method has more measurement accuracy.

摘要

为提高可穿戴设备中血压测量的准确性,本文提出一种基于脉搏波多参数的血压检测方法。基于血压与脉搏波特征参数(如脉搏波传播时间(PWTT)、心输出量、脉搏波系数、上升支平均斜率、心率等)之间的回归分析,我们建立了一个计算血压的模型。为克服可穿戴设备中测量心电图所带来的应用缺陷,如更换电极和心电图导联组不方便等问题,我们以心音为参考计算PWTT(PWTT(PCG))。我们通过实验验证了基于PWTT(PCG)和基于脉搏波多参数的血压检测方法。实验结果表明,从PWTT(PCG)计算PWTT是可行的。基于脉搏波多参数模型计算的收缩压和舒张压的平均测量误差分别为1.62 mmHg和1.12 mmHg,与基于简单参数的模型相比分别增加了57%和53%。该方法具有更高的测量精度。

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