Golberg Mark, Ruiz-Rivas Joaquin, Polani Sagi, Beiderman Yevgeny, Zalevsky Zeev
Appl Opt. 2018 Mar 1;57(7):B45-B51. doi: 10.1364/AO.57.000B45.
Blood pressure (BP) is usually measured either invasively, by an intra-arterial catheter, or noninvasively, by a cuff-based sphygmomanometer. While the invasive method is continuous and more accurate, it has the risk of infection and generally is not comfortable for the patient. On the other hand, the cuff-based measurement is safer but less reliable and infrequent. Therefore, a reliable continuous noninvasive BP measurement is highly desirable. In this work, we propose a remote optical system, based on temporal analysis of secondary reflected speckle patterns, for computing a subject's pulse transit time (PTT). Afterward, a model is proposed and clinically validated for converting the PTT value into systolic and diastolic blood pressure. A full statistical analysis is performed over a comparison to a reference device (SOMNOtouch).
血压(BP)通常通过有创方式测量,即使用动脉内导管,或者通过基于袖带的血压计进行无创测量。虽然有创方法能够持续且更准确地测量,但存在感染风险,并且一般来说患者会感觉不舒服。另一方面,基于袖带的测量更安全,但可靠性较低且测量次数较少。因此,非常需要一种可靠的连续无创血压测量方法。在这项工作中,我们提出了一种基于二次反射散斑图案的时间分析的远程光学系统,用于计算受试者的脉搏传输时间(PTT)。随后,提出了一个模型并进行了临床验证,以将PTT值转换为收缩压和舒张压。与参考设备(SOMNOtouch)进行比较时进行了全面的统计分析。