血压估计基于动脉反射波的时间由振荡计脉冲波分解
IEEE journal of biomedical and health informatics
|September 5, 2024
概括
一种新的单一传感器方法通过分析波组件,使用脉冲传输时间 (PTT) 准确估计血压 (BP). 这种创新方法简化了BP测量,提供与多传感器技术相比的精确结果.
科学领域:
- 生物医学工程 生物医学工程
- 心血管生理学心血管生理学
- 医疗器械 医疗器械
背景情况:
- 传统的振荡计血压 (BP) 估计可能受到脉冲振幅损害的限制.
- 现有的脉冲过渡时间 (PTT) 方法用于BP估计,通常需要多个传感器,增加复杂性.
- 基于PTT的BP估计的创新为提高准确性提供了潜力,特别是在具有挑战性的生理条件下.
研究的目的:
- 引入和验证一种新的单传感器方法,用于使用脉冲过渡时间 (PTT) 估计振荡计血压 (BP).
- 通过将振荡计脉冲分解为向前和反射波组件来简化PTT测量.
- 根据既定标准和数据集,评估拟议的单传感器PTT方法的准确性和精度.
主要方法:
- 开发了一种使用单个传感器进行振荡计血压估计的新方法.
- 通过分析振荡计脉冲中前进和反射波之间的时间间隔来简化PTT测量.
- 使用两个数据集验证了该方法:150个手臂振荡计记录和425个健康个体的手腕振荡计记录.
主要成果:
- 该研究确定了与缩压和腹缩压相关的特定波间.
- 达到最小标准偏差误差:手臂7.03 mmHg (心缩) 和5.96 mmHg (心径缩),手腕7.98 mmHg (心缩) 和5.39 mmHg (心径缩).
- 在数据集中表现出0.01 mmHg的缩和腹缩血压的平均误差,符合ANSI/AAMI/ISO81060-2标准.
结论:
- 新的单传感器PTT方法提供了准确和精确的振荡计血压估计.
- 这种简化方法与既定方法相比显示出更高的性能,并符合国际标准.
- 建议对各种人群进行进一步验证,包括那些患有肥胖,动脉硬或心房动的人群.
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