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采用容积振荡法非侵入性同步测量血细胞比容、动脉压和弹性的电阻抗袖带。

Electrical admittance cuff for noninvasive and simultaneous measurement of haematocrit, arterial pressure and elasticity using volume-oscillometric method.

作者信息

Yamakoshi K, Tanaka S, Shimazu H

机构信息

Research Institute for Electronic Science, Hokkaido University, Sapporo, Japan.

出版信息

Med Biol Eng Comput. 1994 Jul;32(4 Suppl):S99-107. doi: 10.1007/BF02523335.

Abstract

An improved technique based on the electrical admittance cuff was designed for the non-invasive measurement of haematocrit (Hct), together with blood pressure (BP) and arterial elasticity represented as volume elastic modulus (Ev), in human fingers. This device is made of a rigid annular chamber installed with a surrounding thin-walled tube (cuff), which is filled with electrolyte solution. A tetrapolar method is used to detect the admittance signals, both in the solution and in a finger segment placed through the cuff. With this device, it is theoretically shown that the resistivity of blood flowing into the segment is equal to that of the solution multiplied by the ratio of the admittance variation in the solution to that in the segment. Thus, the blood resistivity and therefore Hct can be non-invasively determined from the electrolyte resistivity and these two admittance variations. On the other hand, BP and Ev are also simultaneously measured from the admittance signals following the gradual change of the chamber pressure based on the volume-oscillometric method. Experiments were successfully made in 14 subjects, showing that the indirect Hct values agreed well with the direct values obtained from sampled blood and that this simple technique was significant for the non-invasive ad simultaneous measurement of these physiological variables.

摘要

基于导纳袖带设计了一种改进技术,用于无创测量人体手指中的血细胞比容(Hct)、血压(BP)以及以体积弹性模量(Ev)表示的动脉弹性。该装置由一个刚性环形腔室组成,腔室中安装有一根周围的薄壁管(袖带),管内充满电解质溶液。采用四极法检测溶液中和穿过袖带放置的手指段中的导纳信号。理论上表明,流入该段的血液电阻率等于溶液电阻率乘以溶液中导纳变化与该段中导纳变化的比值。因此,可以根据电解质电阻率以及这两个导纳变化无创地确定血液电阻率,进而确定Hct。另一方面,基于容积示波法,根据腔室压力的逐渐变化,从导纳信号中同时测量BP和Ev。对14名受试者成功进行了实验,结果表明间接Hct值与从采集的血液中获得的直接值吻合良好,并且这种简单技术对于无创同时测量这些生理变量具有重要意义。

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