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血压追踪系统及其在生物反馈中的应用。

Blood pressure tracking systems and their application to biofeedback.

作者信息

Lee R M, Caldwell J R, Lee J A

出版信息

Biofeedback Self Regul. 1977 Dec;2(4):435-47. doi: 10.1007/BF00998628.

DOI:10.1007/BF00998628
PMID:612355
Abstract

Two automatic electronic systems for tracking diastolic or systolic blood pressure (BP) and their use in biofeedback experiments are described. Both systems are based on the use of an arm cuff and the recording of Korotkoff sounds with a microphone. An electronic control system receives input from the microphone and provides output to several solenoid valves that control compressed airflow to the cuff. For one of the tracking systems we devised, the cuff is alternately inflated for 45 sec and deflated for 45 sec. During inflation, small increments and decrements in cuff pressure, based on the occurrence of Korotkoff sounds, are used to track BP. The other tracking system is slower but provides more continuous measurements: The cuff is alternately inflated to approximately the BP level for 5 sec and then deflated for 5 sec. During each inflation, the number of Korotkoff sounds is recorded by the system and according to this number, the amount of inflation on the next trial is automatically adjusted so that the cuff pressure follows BP. Both systems have been used successfully in biofeedback applications.

摘要

本文描述了两种用于跟踪舒张压或收缩压(BP)的自动电子系统及其在生物反馈实验中的应用。这两种系统均基于使用手臂袖带并通过麦克风记录柯氏音。电子控制系统接收来自麦克风的输入,并向几个电磁阀提供输出,这些电磁阀控制流向袖带的压缩气流。对于我们设计的其中一种跟踪系统,袖带交替充气45秒和放气45秒。在充气过程中,根据柯氏音的出现,袖带压力的小幅度增减用于跟踪血压。另一种跟踪系统速度较慢,但能提供更连续的测量:袖带交替充气至约血压水平5秒,然后放气5秒。在每次充气过程中,系统记录柯氏音的数量,并根据该数量自动调整下一次试验的充气量,以使袖带压力跟踪血压。这两种系统均已成功应用于生物反馈应用中。

相似文献

1
Blood pressure tracking systems and their application to biofeedback.血压追踪系统及其在生物反馈中的应用。
Biofeedback Self Regul. 1977 Dec;2(4):435-47. doi: 10.1007/BF00998628.
2
Semiautomatic blood pressure monitor utilizing an electronic sphygmomanometer.采用电子血压计的半自动血压监测仪。
J Appl Physiol Respir Environ Exerc Physiol. 1977 Aug;43(2):379-81. doi: 10.1152/jappl.1977.43.2.379.
3
Raising the arm before cuff inflation increases the loudness of Korotkoff sounds.在袖带充气前抬高手臂会增加柯氏音的响度。
Blood Press Monit. 2009 Dec;14(6):268-73. doi: 10.1097/MBP.0b013e3283330a67.
4
Effects of cuff inflation on self-recorded blood pressure.
Lancet. 1990 Feb 24;335(8687):451-3. doi: 10.1016/0140-6736(90)90676-v.
5
Variation of the Korotkoff Stethoscope Sounds During Blood Pressure Measurement: Analysis Using a Convolutional Neural Network.血压测量过程中柯氏音的变化:卷积神经网络分析。
IEEE J Biomed Health Inform. 2017 Nov;21(6):1593-1598. doi: 10.1109/JBHI.2017.2703115.
6
Measuring blood pressure from Korotkoff sounds as the brachial cuff inflates on average provides higher values than when the cuff deflates.用柯氏音法测量肱动脉血压,当袖带充气时,血压值平均比袖带放气时高。
Physiol Meas. 2024 Jun 4;45(5). doi: 10.1088/1361-6579/ad39a2.
7
Difference in the nocturnal behaviour of blood pressure between monitorings with the arm-cuff method and with the finger-volume oscillometric method.采用臂带法和指容积示波法进行监测时,夜间血压行为的差异。
J Hypertens Suppl. 1988 Dec;6(4):S61-3. doi: 10.1097/00004872-198812040-00015.
8
Velocity detection of Korotkoff sounds.
Med Instrum. 1983 Mar-Apr;17(2):159-62.
9
Comparison of cuff inflation and cuff deflation brachial sphygmomanometry with intra-arterial blood pressure as reference.与动脉血压作为参考相比,袖带充气和袖带放气肱动脉血压测量法。
J Hypertens. 2024 Jun 1;42(6):968-976. doi: 10.1097/HJH.0000000000003659. Epub 2024 Jan 15.
10
Effect of mechanical behaviour of the brachial artery on blood pressure measurement during both cuff inflation and cuff deflation.肱动脉力学行为在袖带充气和袖带放气过程中对血压测量的影响。
Blood Press Monit. 2013 Oct;18(5):265-71. doi: 10.1097/MBP.0b013e3283651d55.

本文引用的文献

1
An automatic device for recording blood pressure.一种自动血压记录装置。
Aerosp Med. 1971 Feb;42(2):209-10.
2
Learned control of decreases in systolic blood pressure.
Nature. 1970 Jun 13;226(5250):1063-4. doi: 10.1038/2261063a0.
3
Psychological aspects of hypertension. Learned modifications of autonomic functions: a review and some new data.高血压的心理层面。自主神经功能的习得性改变:综述与一些新数据。
Circ Res. 1970 Jul;27(1 Suppl 1):3-11.
4
Automated constant cuff-pressure system to measure average systolic and diastolic blood pressure in man.用于测量人体平均收缩压和舒张压的自动恒定袖带压力系统。
IEEE Trans Biomed Eng. 1972 Jul;19(4):271-6. doi: 10.1109/TBME.1972.324069.
5
Accuracy of an automated ultrasound blood pressure monitor.一款自动超声血压监测仪的准确性。
Curr Ther Res Clin Exp. 1971 Feb;13(2):129-38.