Chai Rui, Xu Li-Sheng, Yao Yang, Hao Li-Ling, Qi Lin
Sino-Dutch Biomedical and Information Engineering School, Northeastern University, Shenyang, China.
Stud Health Technol Inform. 2017;245:573-577.
This study analyzed ascending branch slope (A_slope), dicrotic notch height (Hn), diastolic area (Ad) and systolic area (As) diastolic blood pressure (DBP), systolic blood pressure (SBP), pulse pressure (PP), subendocardial viability ratio (SEVR), waveform parameter (k), stroke volume (SV), cardiac output (CO), and peripheral resistance (RS) of central pulse wave invasively and non-invasively measured. Invasively measured parameters were compared with parameters measured from brachial pulse waves by regression model and transfer function model. Accuracy of parameters estimated by regression and transfer function model, was compared too. Findings showed that k value, central pulse wave and brachial pulse wave parameters invasively measured, correlated positively. Regression model parameters including A_slope, DBP, SEVR, and transfer function model parameters had good consistency with parameters invasively measured. They had same effect of consistency. SBP, PP, SV, and CO could be calculated through the regression model, but their accuracies were worse than that of transfer function model.
本研究对有创和无创测量的中心脉搏波的上升支斜率(A_slope)、重搏波切迹高度(Hn)、舒张期面积(Ad)和收缩期面积(As)、舒张压(DBP)、收缩压(SBP)、脉压(PP)、心内膜下活力比(SEVR)、波形参数(k)、每搏输出量(SV)、心输出量(CO)和外周阻力(RS)进行了分析。将有创测量的参数通过回归模型和传递函数模型与从肱动脉脉搏波测量的参数进行比较。还比较了回归模型和传递函数模型估计参数的准确性。结果表明,有创测量的k值、中心脉搏波和肱动脉脉搏波参数呈正相关。回归模型参数包括A_slope、DBP、SEVR,传递函数模型参数与有创测量的参数具有良好的一致性。它们具有相同的一致性效果。SBP、PP、SV和CO可通过回归模型计算,但其准确性低于传递函数模型。