Method for measuring arterial pressure, apparatus and individual correction tech. therefor
A technology of arterial blood pressure and measurement methods, applied in vascular assessment, cardiac catheterization, etc.
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Embodiment 1
[0055] In this example, the method for determining the arterial blood pressure value of a beat is:
[0056] 1. Fix the cuff on the upper arm of the individual under test, and obtain the average blood pressure BP of the subject through the oscillometric method or auscultation method 0 , and measure the pulse wave transit time PWTT at the corresponding moment 0 .
[0057] 2. Obtain a series of Korotkoff sound delay time T and the corresponding cuff pressure P value through the complete deflation process of the cuff, and form the average blood pressure of the testee as BP 0 The function of the delay time of Korotkoff sound under the horizontal cuff pressure T K (P), the quadratic curve fitting is carried out on the discrete data forming the function, and a T that shortens the delay time of the Korotkoff sound as the cuff pressure decreases is obtained. K (P) relationship curve (see Figure 8 ); and according to the function T K (P) Calculate dT for each point K / dP function...
Embodiment 2
[0066] This example is an example of measuring changes in arterial blood pressure beat by beat.
[0067] Figure 7 It is a schematic diagram of the data acquisition and processing process in this example, and the specific process is as follows:
[0068] 1. First use the same method as in Example 1 to obtain a series of Korotkoff sound delay times T and corresponding cuff pressure P values in the complete deflation process of the cuff to form a function T K (P); Carry out quadratic curve fitting to the discrete data forming this function, obtain a Korotkoff sound delay time T K T as a function of cuff pressure P K (P) fitting curve (see Figure 8 ).
[0069] 2. For the above T K(P) Fit the curve to obtain the difference, and obtain the change of the corresponding Korotkoff sound delay time when the unit pressure (1mmHg) changes, and form a new function sequence g(P), see Figure 9 .
[0070] 3. Continuously maintain the cuff pressure at a substantially constant level u...
Embodiment 3
[0080] This example is an example of individualized correction using the data obtained by the method for measuring arterial blood pressure of the present invention.
[0081] The regression equation between PWTT and beat-to-beat arterial blood pressure BP was established for the measured individual:
[0082] BP=a+b*PWTT...(A)
[0083] In the formula, BP is arterial blood pressure, PWTT is pulse wave transit time, and a and b are undetermined regression coefficients;
[0084] The individual correction method for the regression coefficients a and b in the above equation is:
[0085] (1) Fix the cuff and the sensor at the far end of the cuff to the upper arm of the subject, measure the blood pressure of the subject by auscultation, obtain the systolic blood pressure and diastolic blood pressure of the subject, and calculate the average arterial blood pressure through the empirical formula Value BP 0 (A more accurate BP can also be obtained by the oscillometric method 0 ):...
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