CN101548883A - Method for measuring blood pressure - Google Patents
Method for measuring blood pressure Download PDFInfo
- Publication number
- CN101548883A CN101548883A CNA2009100519811A CN200910051981A CN101548883A CN 101548883 A CN101548883 A CN 101548883A CN A2009100519811 A CNA2009100519811 A CN A2009100519811A CN 200910051981 A CN200910051981 A CN 200910051981A CN 101548883 A CN101548883 A CN 101548883A
- Authority
- CN
- China
- Prior art keywords
- pressure
- pulse
- systolic
- pulse wave
- inflation
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Images
Abstract
The invention provides a method for measuring blood pressure, specifically comprising steps of automatically pumping an oversleeve with a gas pump, 10-20mmHg for pumping each time, detecting to identify maximal value of pulse wave, the pressure is mean pressure; going on pumping to measure pulse, when pulse wave intensity is 50% of the maximal value of pulse wave, the pressure is systolic pressure; calculating diastolic pressure according to the oscillogram obtained by measuring; pumping until the pressure is 10-20mmHg higher than the systolic pressure, then gradually discharging gas to measure systolic pressure, 13-5mmHg for discharging each time, during the discharging process, using an optical pulse detecting device and a sonic pulse detecting device to correct the systolic pressure, when the optical pulse detecting device has detected optical signals and the sonic pulse detecting device has detected sound signals, the pressure is the corrected systolic pressure. Advantage of the method lies in that noninvasive blood pressure measurement is more accurate, and measuring precision and consistency are improved.
Description
Technical field
The present invention relates to a kind of blood pressure measuring method, can use at automatic sphygmomanometer, monitor and other to relate in the instrument that human blood-pressure measures, belong to the blood pressure measurement technical field.
Background technology
The method of no-invasive measurement of blood pressure mainly contains at present:
1. auscultation-Ke Shi sound the method that changes based on the blood vessel wall vibration melodies;
2. based on multispectral ultrasonic method of reining in ultrasonic principle;
3. based on the succusion (oscillographic method) of pulse pressure vibration.
Present widely used method will be calculated Ke Shi sound method, secondly is the succusion of using in recent years.The advantage that non-invasive blood pressure is measured is a no pain, measures simple and convenient.But also there are a lot of shortcomings:
1. measurement result is inaccurate.
2. can only measure arterial pressure.
3. in particular cases can not use at some, can only be used in routine examination.
Summary of the invention
The purpose of this invention is to provide a kind of high accuracy, can measure systolic pressure, diastolic pressure and mean pressure simultaneously, and widely used blood pressure measuring method.
In order to achieve the above object, technical scheme of the present invention provides a kind of blood pressure measuring method, it is characterized in that, concrete steps are:
The first step: oversleeve is inflated automatically, and each inflation makes pressure increase 10-40mmHg, detects the maximum of identification pulse wave, and the pressure of this moment is mean pressure; Continue inflation and detect pulse, when pulse intensity is that pulse wave is peaked 50% the time, the pressure of this moment is systolic pressure; Finish inflation and measure for the first time, calculate diastolic pressure according to the waveform figure that measures, wherein, the value of diastolic pressure be pressure less than mean pressure, and pulse intensity is the pressure at 60% place of maximum pulse intensity;
Second step: carry out the inflation and measure second time, be inflated to atmospheric pressure value than the high 10-20mmHg of systolic pressure, progressively the pulse wave detection is carried out in venting afterwards, each venting makes pressure reduce 3-5mmHg, in deflation course, make with light pulse detection equipment and sound pulse detection equipment correction systolic pressure, when optical signal was arrived in the Equipment Inspection of light pulse detection and the while, acoustical signal was arrived in the Equipment Inspection of sound pulse detection, the pressure of this moment was revised systolic pressure.
Principle of the present invention is:
(1) judgement of mean pressure: mean pressure is the integral mean of systolic pressure and diastolic pressure, the trend that its reaction systolic pressure and diastolic pressure change.According to present medical knowledge, when pulse wave was the strongest, corresponding oversleeve force value and human body mean pressure were quite approaching.Therefore, will vibrate the corresponding oversleeve force value of the amplitude peak point of pulse wave in the present invention as mean pressure.
(2) judgement of diastolic pressure: the method that the present invention uses is, the diastolic pressure the most of the pairing force value of 60% maximum pulse intensity in the trailing edge that vibrates.
(3) judgement of systolic pressure: systolic pressure reaction be the oversleeve pressure of blood vessel when just having opened, detected pulse wave amplitude is very little, be difficult to accurately determine, so the present invention uses the bonded method of several different methods to judge.The present invention mainly uses two kinds of methods in conjunction with judgement.Wherein a kind of method is pairing force value during 50% amplitude peak in the pulse wave rising edge, and another kind of method is to use auxiliary facilities, and two kinds of analytical calculations that method combines can improve certainty of measurement.Will use auxiliary facilities to detect pulse simultaneously in measuring process, auxiliary facilities places the side of oversleeve away from heart.Since blood flow be flow to from heart acral, so when oversleeve pressure blocking-up blood vessel, just detect in the auxiliary facilities less than pulse, in auxiliary facilities, detect pulse, illustrate that blood vessel opens, the oversleeve pressure of this moment can be thought systolic pressure, and the systolic pressure comparative analysis of obtaining according to these two methods draws reliable systolic pressure value.
(4) described auxiliary facilities has two kinds, i.e. light pulse detection equipment and sound pulse detection equipment.
(5) described smooth pulse wave checkout equipment uses blood of human body to have the principle of bigger trap to detect pulse wave to infrared light.Equipment receives two parts with infrared light emission and infrared signal to be formed, and the infrared light transmitting terminal uses the infrared light diode, and wavelength of light emitted is 920nm.Infrared diode is in luminance with the electric current of 10mA always.The infrared light receiving terminal uses the infrared light audion, and its conducting electric current is according to the Strength Changes of the infrared light that receives, and the conducting electric current that system detects infrared audion just can detect current infrared light intensity.Transmitting terminal and receiving terminal are packed in (fingerstall figure) in the fingerstall, lay respectively at the both sides of fingerstall.Light pulse detection equipment is sandwiched in the end of extremity, just on finger and the toe.During measurement, finger or toe are put into fingerstall, finger just separates transmitting and receiving end, and infrared transmission is crossed the finger back to infrared audion.Because the blood of finger in the tremulous pulse is different in pulse cycle, also just different to the absorption of infrared light, the signal that so infrared audion receives changes along with pulse, so interimly in pulse can detect pulse wave.
(6) described pulse sound detection checkout equipment is positioned over below the oversleeve.Equipment uses pick up, is similar to mike, can detect acoustical signal.Because blood flow has slight sound when crossing blood vessel, so can be positioned over checkout equipment near arterial vascular place, acoustical signal is carried out amplification detection, detect pulse wave.In pulse cycle,,, so just can detect pulse wave so intensity of sound also is different owing to the blood that flows through blood vessel is different.
Advantage of the present invention is, auscultation and succusion are attached in the electronic measurement technique, makes accuracy and the concordance measured effectively improve.
Description of drawings
Fig. 1 is the sketch map of pressure and waveform.
The specific embodiment
As shown in Figure 1, be the sketch map of pressure and waveform, wherein, the P coordinate shows the size of force value, and the T coordinate is the time, and the curve among the figure is the pulse wave waveform and is meant pulse wave size under the different pressures situation.When the pressure in the oversleeve during greater than systolic pressure, blood vessel is blocked, and detects less than pulse wave in the oversleeve.When pressure descends, near systolic pressure, because arteries is opened, waveform is that the peak value of pulse wave intensity begins to increase, and the pressure of this point is systolic pressure SP.Along with oversleeve pressure descends, blood vessel is further opened, and pulse wave intensity continues to increase, and the oversleeve pressure when reaching peak-peak is thought mean pressure MP clinically.Pressure continues to descend afterwards, and oversleeve is to the blocking-up complete opening of tremulous pulse, and the wave of oscillation reduces the effect of oversleeve, and detected pulse wave also reduces.Until detected pulse wave minimum, diastolic pressure DP is present in the middle of this minimum pulse wave.The invention will be further described below in conjunction with embodiment.
Embodiment 1
The measuring method of blood pressure is as follows:
The first step: adopt gas pump equipment, oversleeve is inflated automatically, each inflation makes pressure increase 15mmHg, detects the maximum of identification pulse wave, and the pressure of this moment is mean pressure; Continue inflation and detect pulse, when pulse intensity is that pulse wave is peaked 50% the time, the pressure of this moment is systolic pressure; Finish inflation and measure for the first time, calculate diastolic pressure according to the waveform figure that measures, wherein, the value of diastolic pressure be pressure less than mean pressure, and pulse intensity is the pressure at 60% place of maximum pulse intensity;
Second step: carry out the inflation and measure second time, be inflated to atmospheric pressure value than the high 15mmHg of systolic pressure, progressively the pulse wave detection is carried out in venting afterwards, each venting makes pressure reduce 5mmHg, in deflation course, make with light pulse detection equipment and sound pulse detection equipment correction systolic pressure, when optical signal was arrived in the Equipment Inspection of light pulse detection and the while, acoustical signal was arrived in the Equipment Inspection of sound pulse detection, the pressure of this moment was revised systolic pressure.
The systolic pressure that records, mean pressure and diastolic pressure are respectively 59mmHg, 39mmHg and 29mmHg.
Because blood flow is to flow to acrally from heart, so in measuring process, blocked acral blood flow when being inflated to certain pressure, just detects less than pulse in the auxiliary facilities.In deflation course slowly, blood vessel is slowly opened, and blood begins and can flow through, and auxiliary facilities also just can detect pulse wave, when being exactly to be systolic pressure from not detecting pulse to this pressure that can detect pulse.Can draw reliable systolic pressure value according to these two method comparative analysiss.
Embodiment 2
The measuring method of blood pressure is as follows:
The first step: adopt gas pump equipment, oversleeve is inflated automatically, each inflation makes pressure increase 10mmHg, detects the maximum of identification pulse wave, and the pressure of this moment is mean pressure; Continue inflation and detect pulse, when pulse intensity is that pulse wave is peaked 50% the time, the pressure of this moment is systolic pressure; Finish inflation and measure for the first time, calculate diastolic pressure according to the waveform figure that measures, wherein, the value of diastolic pressure be pressure less than mean pressure, and pulse intensity is the pressure at 60% place of maximum pulse intensity;
Second step: carry out the inflation and measure second time, be inflated to atmospheric pressure value than the high 10mmHg of systolic pressure, progressively the pulse wave detection is carried out in venting afterwards, each venting makes pressure reduce 3mmHg, in deflation course, make with light pulse detection equipment and sound pulse detection equipment correction systolic pressure, when optical signal was arrived in the Equipment Inspection of light pulse detection and the while, acoustical signal was arrived in the Equipment Inspection of sound pulse detection, the pressure of this moment was revised systolic pressure.
The systolic pressure that records, mean pressure and diastolic pressure are respectively 78mmHg, 58mmHg and 48mmHg.
Embodiment 3
The measuring method of blood pressure is as follows:
The first step: adopt gas pump equipment, oversleeve is inflated automatically, each inflation makes pressure increase 40mmHg, detects the maximum of identification pulse wave, and the pressure of this moment is mean pressure; Continue inflation and detect pulse, when pulse intensity is that pulse wave is peaked 50% the time, the pressure of this moment is systolic pressure; Finish inflation and measure for the first time, calculate diastolic pressure according to the waveform figure that measures, wherein, the value of diastolic pressure be pressure less than mean pressure, and pulse intensity is the pressure at 60% place of maximum pulse intensity;
Second step: carry out the inflation and measure second time, be inflated to atmospheric pressure value than the high 20mmHg of systolic pressure, progressively the pulse wave detection is carried out in venting afterwards, each venting makes pressure reduce 5mmHg, in deflation course, make with light pulse detection equipment and sound pulse detection equipment correction systolic pressure, when optical signal was arrived in the Equipment Inspection of light pulse detection and the while, acoustical signal was arrived in the Equipment Inspection of sound pulse detection, the pressure of this moment was revised systolic pressure.
The systolic pressure that records, mean pressure and diastolic pressure are respectively 99mmHg, 75mmHg and 59mmHg.
Compare with traditional method, the present invention has higher accuracy, proves as follows:
In the clinical experiment of instrument, 80 people to be tested, auscultation is measured by sophisticated doctor, can think the result of relative standard.Traditional method uses traditional monitor to measure.Comparison sheet according to the auscultation result as standard.Test result such as following table:
| Auscultation | Traditional method | This programme | |
| Systolic pressure/mean pressure/diastolic pressure | Systolic pressure/mean pressure/diastolic pressure | Systolic pressure/mean pressure/diastolic pressure | |
| Average pressure | 118/91/78 | 122/94/81 | 120/93/80 |
| Mean error | 0/0/0 | 4/3/3 | 2/2/2 |
| Standard error | 0/0/0 | 6/5/5 | 4/4/3 |
Claims (1)
1, a kind of blood pressure measuring method is characterized in that, concrete steps are:
The first step: oversleeve is inflated automatically, and each inflation makes pressure increase 10-40mmHg, detects the maximum of identification pulse wave, and the pressure of this moment is mean pressure; Continue inflation and detect pulse, when pulse intensity is that pulse wave is peaked 50% the time, the pressure of this moment is systolic pressure; Finish inflation and measure for the first time, calculate diastolic pressure according to the waveform figure that measures, wherein, the value of diastolic pressure be pressure less than mean pressure, and pulse intensity is the pressure at 60% place of maximum pulse intensity;
Second step: carry out the inflation and measure second time, be inflated to atmospheric pressure value than the high 10-20mmHg of systolic pressure, progressively the pulse wave detection is carried out in venting afterwards, each venting makes pressure reduce 3-5mmHg, in deflation course, make with light pulse detection equipment and sound pulse detection equipment correction systolic pressure, when optical signal was arrived in the Equipment Inspection of light pulse detection and the while, acoustical signal was arrived in the Equipment Inspection of sound pulse detection, the pressure of this moment was revised systolic pressure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNA2009100519811A CN101548883A (en) | 2009-05-26 | 2009-05-26 | Method for measuring blood pressure |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CNA2009100519811A CN101548883A (en) | 2009-05-26 | 2009-05-26 | Method for measuring blood pressure |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101548883A true CN101548883A (en) | 2009-10-07 |
Family
ID=41153544
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CNA2009100519811A Pending CN101548883A (en) | 2009-05-26 | 2009-05-26 | Method for measuring blood pressure |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN101548883A (en) |
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101810475A (en) * | 2010-04-27 | 2010-08-25 | 哈尔滨工业大学 | Electronic auscultation sphygmomanometer based on combination of Korotkoff sound method and oscillometric method |
| CN102198000A (en) * | 2010-03-25 | 2011-09-28 | 吉易高科股份有限公司 | High-precision blood-pressure meter and blood-pressure measuring method |
| CN103648376A (en) * | 2011-04-28 | 2014-03-19 | 德尔格医疗系统有限公司 | Oscillometric non-invasive blood pressure measurements in patients experiencing abnormal heartbeats |
| CN104337507A (en) * | 2013-07-23 | 2015-02-11 | 陈秀美 | Pressure vibration type sphygmomanometer for measuring characteristics of pressure pulse belt |
| CN107174229A (en) * | 2017-05-16 | 2017-09-19 | 深圳金亿帝医疗设备股份有限公司 | Pulse pressure conducting structure, portable blood pressure detection module and Intelligent worn device |
| US10568528B2 (en) | 2016-10-20 | 2020-02-25 | Boe Technology Group Co., Ltd. | Blood pressure detection method and sphygmomanometer |
| CN113017579A (en) * | 2021-03-18 | 2021-06-25 | 湖南翰坤实业有限公司 | Intelligent pulse taking inquiry instrument |
| CN113633841A (en) * | 2021-08-05 | 2021-11-12 | 北京健帆医疗设备有限公司 | Pressure detection method for blood purification apparatus, and storage medium |
-
2009
- 2009-05-26 CN CNA2009100519811A patent/CN101548883A/en active Pending
Cited By (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102198000A (en) * | 2010-03-25 | 2011-09-28 | 吉易高科股份有限公司 | High-precision blood-pressure meter and blood-pressure measuring method |
| CN102198000B (en) * | 2010-03-25 | 2013-08-28 | 吉易高科股份有限公司 | High-precision blood-pressure meter and blood-pressure measuring method |
| CN101810475A (en) * | 2010-04-27 | 2010-08-25 | 哈尔滨工业大学 | Electronic auscultation sphygmomanometer based on combination of Korotkoff sound method and oscillometric method |
| CN103648376A (en) * | 2011-04-28 | 2014-03-19 | 德尔格医疗系统有限公司 | Oscillometric non-invasive blood pressure measurements in patients experiencing abnormal heartbeats |
| CN104337507A (en) * | 2013-07-23 | 2015-02-11 | 陈秀美 | Pressure vibration type sphygmomanometer for measuring characteristics of pressure pulse belt |
| CN104337507B (en) * | 2013-07-23 | 2016-12-07 | 陈秀美 | Pressure vibration type sphygmomanometer for measuring characteristics of pressure pulse belt |
| US10568528B2 (en) | 2016-10-20 | 2020-02-25 | Boe Technology Group Co., Ltd. | Blood pressure detection method and sphygmomanometer |
| CN107174229A (en) * | 2017-05-16 | 2017-09-19 | 深圳金亿帝医疗设备股份有限公司 | Pulse pressure conducting structure, portable blood pressure detection module and Intelligent worn device |
| CN113017579A (en) * | 2021-03-18 | 2021-06-25 | 湖南翰坤实业有限公司 | Intelligent pulse taking inquiry instrument |
| CN113633841A (en) * | 2021-08-05 | 2021-11-12 | 北京健帆医疗设备有限公司 | Pressure detection method for blood purification apparatus, and storage medium |
| CN113633841B (en) * | 2021-08-05 | 2024-03-19 | 北京健帆医疗设备有限公司 | Pressure detection method for blood purification device, and storage medium |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| USRE49055E1 (en) | Venous pressure measurement apparatus | |
| CN101548883A (en) | Method for measuring blood pressure | |
| EP2601885B1 (en) | Non-invasive blood pressure measuring apparatus and measuring method thereof | |
| EP2912996B1 (en) | Blood pressure measuring apparatus and method | |
| CN100421616C (en) | Blood pressure measuring system and method | |
| JP5504477B2 (en) | Fingertip pulse wave analyzer and vascular endothelial function evaluation system using the same | |
| CN102100552A (en) | Adaptive pump control during non-invasive blood pressure measurement | |
| CN105595979A (en) | Noninvasive and continuous blood pressure monitoring method and device based on pulse wave propagation time | |
| CN201213789Y (en) | System for simultaneously detecting and displaying human upper, lower limbs and aorta PWV values | |
| CN104042200B (en) | A kind of non-invasive monitoring devices and methods therefor of arteriotony by shooting | |
| US7097621B2 (en) | Filter for use with pulse-wave sensor and pulse wave analyzing apparatus | |
| CN105167764A (en) | Blood pressure measuring device and method | |
| JP2001008909A (en) | Electric sphygmomanometer | |
| WO2021126615A1 (en) | Continuous non-invasive blood pressure measurement device | |
| WO2020176206A1 (en) | Continuous non-invasive blood pressure measurement device | |
| CN203828915U (en) | Device for measuring blood pressure | |
| JP2010207344A (en) | Blood pressure/blood velocity state determination device and method for determining the same | |
| KR101223454B1 (en) | Blood pressure measurement system having embedded microphone and blood pressure measurement method using embedded microphone | |
| WO2017193593A1 (en) | Method and apparatus for measuring blood pressure | |
| CN205054204U (en) | Blood pressure measuring device | |
| Vazquez et al. | Sensor fused blood pressure measuring device capable of recording Korotkoff sounds in inflationary curves | |
| CN201431455Y (en) | Artery positioner | |
| CN101940468B (en) | Artery positioner | |
| JP2019058653A (en) | Pulse wave velocity measurement apparatus | |
| JP6430161B2 (en) | Central blood pressure measuring device and central blood pressure measuring method |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C02 | Deemed withdrawal of patent application after publication (patent law 2001) | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Open date: 20091007 |