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用于实践心血管生物物理学教育的新型实验装置的开发。

Development of novel experimental setup for hands-on cardiovascular biophysics education.

作者信息

Ilić Ljubica, Žikić Katarina, Nestorović Zorica, Smiljković Biljana, Žikić Dejan

机构信息

Institute of Radiology, Military Medical Academy, University of Defence, Belgrade, Serbia.

Institute of Applied Physics, University of Bern, Bern, Switzerland.

出版信息

Eur Biophys J. 2025 Jul 15. doi: 10.1007/s00249-025-01781-9.

Abstract

A foundational understanding of biophysics and fluid dynamics is critical for comprehending cardiovascular physiological phenomena, yet medical students often struggle with the mathematical complexity. Traditional teaching methods, including in vivo and in vitro experiments, are increasingly being replaced due to ethical concerns, leading to the adoption of in silico models. This study developed a biophysical model simulating the vascular tree using pumps and silicone vessels. Central to the model is a silicone aorta with pressure sensors, immersed in water, and connected to rubber and peristaltic pumps to generate pulse waves. Transparent silicone tubes, decreasing in diameter, mimic the vascular system, while one-way valves regulate flow. Pressure was measured via sensors at key points, with data digitized and visualized in real-time. A 40% ethyl alcohol solution, mimicking blood viscosity, was used. The exercise aimed to teach wave propagation, pressure waveform analysis, pulse wave velocity calculation, and the effects of resistance on wave propagation. Pulse wave propagation was demonstrated with manual compression of the rubber pump generating the input signal. Time delays between pressure waveforms at different sensors were used to calculate pulse wave velocity. Wave reflections were observed as the forward wave traveled to the aortic bifurcation, reflected backward, and then reflected again upon reaching a valve. Reflections were further analyzed with constrictions and added resistance in the system, with careful observation needed to discern the superimposed waves.

摘要

对生物物理学和流体动力学的基本理解对于理解心血管生理现象至关重要,但医学生常常在数学复杂性方面感到困难。由于伦理问题,包括体内和体外实验在内的传统教学方法正越来越多地被取代,从而导致了计算机模拟模型的采用。本研究开发了一种使用泵和硅胶血管模拟血管树的生物物理模型。该模型的核心是一个带有压力传感器的硅胶主动脉,浸于水中,并连接到橡胶泵和蠕动泵以产生脉搏波。直径逐渐减小的透明硅胶管模拟血管系统,同时单向阀调节血流。通过关键部位的传感器测量压力,数据被数字化并实时可视化。使用了模拟血液粘度的40%乙醇溶液。该练习旨在教授波传播、压力波形分析、脉搏波速度计算以及阻力对波传播的影响。通过手动挤压橡胶泵产生输入信号来演示脉搏波传播。利用不同传感器处压力波形之间的时间延迟来计算脉搏波速度。当正向波传播到主动脉分叉处、向后反射,然后在到达瓣膜时再次反射时,可以观察到波反射。通过在系统中设置狭窄和增加阻力来进一步分析反射,需要仔细观察才能辨别叠加波。

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