基于可穿戴PPG的BP估计方法:系统性审查和元分析.
IEEE journal of biomedical and health informatics
|March 3, 2025
概括
无袖式血压 (BP) 监测使用光电血压仪技术显示出每日使用的前景. 使用脉冲波形分析 (PWA) 和脉冲波速度 (PWV) 的可穿戴设备可以提供准确的血压估计,但在高血压患者中需要进一步验证.
科学领域:
- 生物医学工程 生物医学工程
- 心血管技术的心血管技术
- 医疗信息学 医疗信息学
背景情况:
- 传统的血压 (BP) 监测依赖于基于袖子的设备,这对于持续或长期评估可能是繁的.
- 新兴的无袖血压监测技术,特别是那些使用光电脉冲图 (PPG) 信号的技术,为更方便和更频繁的血压跟踪提供了潜力.
- 系统性审查和元分析对于综合这些新型BP监测方法的准确性和可用性的证据至关重要.
研究的目的:
- 系统地审查和元分析无袖血压监测方法的有效性,重点是基于PPG的技术.
- 评估连续BP估计设备和算法对日常和长期监测的准确性,实用性和适用性.
- 评估这些技术在不同人群中的适用性和可用性.
主要方法:
- 按照PRISMA指南进行的系统审查和元分析.
- 在主要数据库 (MEDLINE,PubMed,AMED,Embase,IEEE-Xplore) 中进行全面的文献搜索.
- 包括25项涉及21,142名参与者的研究来分析连续BP估计设备和算法.
主要成果:
- 无袖血压监测的平均差异为静脉血压 (SBP) 4.14 mmHg,静脉血压 (DBP) 2.79 mmHg,与既有方法密切一致.
- 脉冲波形分析 (PWA) 在SBP和DBP中显示出比脉冲波速度 (PWV) 更好的性能趋势,尽管在统计学上并不显著.
- 使用PWA和PWV的可穿戴设备显示出短期血压监测的巨大潜力.
结论:
- 无袖式血压监测技术,特别是基于PPG的可穿戴设备,显示出对方便和持续的血压评估具有重大前景.
- 进一步的研究对于验证这些可穿戴设备的长期有效性和可靠性至关重要,特别是在高血压人群中.
- 这些进展对于确定可穿戴设备在全面和可靠的心血管健康监测中的作用至关重要.
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