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可穿戴压电血压传感器用于连续健康监测的临床验证。

Clinical Validation of a Wearable Piezoelectric Blood-Pressure Sensor for Continuous Health Monitoring.

机构信息

Department of Materials Science and Engineering, Korea Advanced Institute of Science and Technology (KAIST), 291 Daehak-ro, Yuseong-gu, Daejeon, 34141, Republic of Korea.

Safety Measurement Institute, Korea Research Institute of Standards and Science (KRISS), 267 Gajeong-ro, Yuseong-gu, Daejeon, 34113, Republic of Korea.

出版信息

Adv Mater. 2023 Jun;35(26):e2301627. doi: 10.1002/adma.202301627. Epub 2023 May 11.

Abstract

Wearable blood-pressure sensors have recently attracted attention as healthcare devices for continuous non-invasive arterial pressure (CNAP) monitoring. However, the accuracy of wearable blood-pressure (BP) monitoring devices has been controversial due to the low signal quality of sensors, the absence of an accurate transfer function to convert the sensor signals into BP values, and the lack of clinical validation regarding measurement precision. Here, a wearable piezoelectric blood-pressure sensor (WPBPS) is reported, which achieves a high normalized sensitivity (0.062 kPa ), and fast response time (23 ms) for CNAP monitoring. The transfer function of a linear regression model is designed, offering a simple solution to convert the flexible piezoelectric sensor signals into BP values. In order to verify the measurement accuracy of WPBPS, clinical trials are performed on 35 subjects aged from 20 to 80 s after screening. The mean difference between the WPBPS and a commercial sphygmomanometer of 175 BP data pairs is -0.89 ± 6.19 and -0.32 ± 5.28 mmHg for systolic blood pressure (SBP) and diastolic blood pressure (DBP), respectively. By building a WPBPS-embedded wristwatch, the potentially promising use of a convenient, portable, continuous BP monitoring system for cardiovascular disease diagnosis is demonstrated.

摘要

可穿戴血压传感器作为连续无创动脉血压 (CNAP) 监测的医疗设备,最近受到了关注。然而,由于传感器信号质量低、缺乏将传感器信号转换为血压值的精确传递函数以及缺乏关于测量精度的临床验证,可穿戴血压 (BP) 监测设备的准确性一直存在争议。在这里,报告了一种可穿戴压电血压传感器 (WPBPS),它在 CNAP 监测方面实现了高归一化灵敏度 (0.062 kPa) 和快速响应时间 (23 ms)。设计了线性回归模型的传递函数,为将柔性压电传感器信号转换为血压值提供了一种简单的解决方案。为了验证 WPBPS 的测量精度,对 35 名年龄在 20 至 80 岁之间的受试者进行了筛选后的临床试验。WPBPS 与商用血压计的 175 对 BP 数据的平均差值分别为 -0.89 ± 6.19 和 -0.32 ± 5.28 mmHg,用于收缩压 (SBP) 和舒张压 (DBP)。通过构建一个 WPBPS 嵌入式手表,展示了一种方便、便携、连续的 BP 监测系统,用于心血管疾病诊断的潜在有前景的应用。

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