CN102008298B - Method for measuring blood pressure by double-mode electronic sphygmomanometer - Google Patents

Method for measuring blood pressure by double-mode electronic sphygmomanometer Download PDF

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CN102008298B
CN102008298B CN201010601760.XA CN201010601760A CN102008298B CN 102008298 B CN102008298 B CN 102008298B CN 201010601760 A CN201010601760 A CN 201010601760A CN 102008298 B CN102008298 B CN 102008298B
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pressure
processing unit
shi
sound
signal
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CN102008298A (en
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张川
吴光明
刘杰
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Jiangsu Yuyue Medical Equipment and Supply Co Ltd
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Jiangsu Yuyue Medical Equipment and Supply Co Ltd
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Abstract

The invention relates to a double-mode electronic sphygmomanometer measuring system, which is characterized in that the double-mode electronic sphygmomanometer measuring system includes a Korotkoff sound detection circuit and a Korotkoff sensor which detects the Korotkoff sound on a brachial artery above a human body elbow, and transmits the Korotkoff sound to the Korotkoff sound detection circuit via a cable. The Korotkoff sound detection circuit transmits the amplified and filtered Korotkoff sound signal to a processing unit. The processing unit records, processes and judges the Korotkoff sound. A light-emitting unit is controlled to transmit light-emitting blink display ynchronous to the Korotkoff sound of a testee according to the diagnostic medicine requirements. When the Korotkoff sound appears, the light-emitting unit blinks for the first time. When the Korotkoff sound changes, the light-emitting unit blinks for the last time. When the light-emitting unit blinks for the first time with rhythm the display unit displays a reference systolic pressure, and when the light-emitting unit blinks for the last time the display unit displays a reference diastolic blood pressure.

Description

Double-mode electronic sphygmomanometer measuring system
Technical field
The present invention relates to human blood-pressure and measure medical domain, refer more particularly to a kind of bimodulus sphygomanometer that simultaneously adopts oscillographic method and electronics Ke Shi sound method and measure system.
Background technology
Blood pressure is one of physiological parameter of wanting of body weight for humans, is the important evidence that diagnoses the illness clinically, observes therapeutic effect, carries out prognosis judgement.The method of Measure blood pressure is mainly divided into oscillographic method and Ke Shi sound method two classes.
The main process of oscillographic method is first to use cuff interruption artery blood flow, detects the gas pressure wave of oscillation in cuff in deflation course, selects wave of oscillation amplitude maximum as a reference point, differentiates systolic pressure and diastolic pressure according to clinical statistics rule.Because the differentiation of oscillographic method systolic pressure and diastolic pressure obtains based on clinical probability statistical law, do not consider individual variation, when therefore oscillographic method is measured individuality, adaptability is poor, may occur larger difference.
Ke Shi sound method is that then slowly venting is listened to pulse sound with stethoscope simultaneously, can hear powerful pulse sound by stethoscope, waits a moment and lightens slowly, until hear very steady compared with normal pulse sound with cuff interruption artery blood flow.While hearing for the first time pulse sound, corresponding high pressure is exactly systolic pressure; Continue venting, what last pulse sound was corresponding is exactly diastolic pressure.Ke Shi sound method is the actual goldstandard of clinical blood pressure measurement.But there is some problems in the method, operate more complicatedly, mainly depend on people's subjectivity, repeatability is poor.
Summary of the invention
For above-mentioned oscillographic method sphygomanometer measure that result is inaccurate, Ke Shi sound sphygomanometer complicated operation, the poor defect of repeatability, the technical issues that need to address of the present invention have been to provide a kind of bimodulus sphygomanometer that simultaneously adopts oscillographic method and electronics Ke Shi sound method and have measured system, are intended to address the above problem.
In order to address the above problem, the present invention is achieved by the following technical solutions:
A kind of double-mode electronic sphygmomanometer measuring system, it comprises:
Ke Shi tone detection circuit and can be above the human body crook of the arm brachial artery place survey Ke Shi sound and the korotkoff sound sensor to Ke Shi tone detection circuit by cable transfer;
Amplification, filtered Ke Shi tone signal are transferred to processing unit by described Ke Shi tone detection circuit; Described processing unit records, processes, judges Ke Shi sound, sends the light-emitting flash of synchronizeing with measured Ke Shi sound show by diagnosis medical requirement control luminescence unit; When Ke Shi sound occurs, for the first time, when Ke Shi sound " is changed voice ", flicker is last in flicker;
When described luminescence unit has the rhythm and pace of moving things to glimmer for the first time, show with reference to systolic pressure from display unit, glimmer when last and show with reference to diastolic pressure.
[0007]above-mentioned double-mode electronic sphygmomanometer measuring system, it is further characterized in that: described korotkoff sound sensor is made by piezoquartz, the sound wave sensitivity that this crystal is 30-100Hz to frequency.
Above-mentioned double-mode electronic sphygmomanometer measuring system, it is further characterized in that: described processing unit is by built-in A/D convertor circuit, when software recognizes first and is greater than the signal of setting threshold values, confirms first Ke Shi sound, to determine with reference to systolic pressure; Process and read and remember Ke Shi sound the second peak intensity with software mode, and when intensity decreases to the second peak intensity 1/4 time confirm that Ke Shi sound finishes, to determine with reference to diastolic pressure.
Above-mentioned double-mode electronic sphygmomanometer measuring system, it is further characterized in that: it also comprises the pressure transducer that gathers pressure signal; The pressure detection circuit of processing unit will be transferred to after pressure signal amplification filtering; Described processing unit is transferred to display unit by pressure signal and shows; Described processing unit is identified corresponding pulse wave signal, and on display unit with pulse wave simultaneous display information.Described processing unit is processed Ke Shi tone signal and pressure, pulse wave signal simultaneously, and described processing unit adopts oscillographic method and electronics Ke Shi sound method to carry out blood pressure measurement simultaneously; Described processing unit, according to the approximate range of software set oscillographic method parameter identification systolic pressure and diastolic pressure, then carrys out the exact value of calculative determination systolic pressure and diastolic pressure in conjunction with the Ke Shi tone signal gathering.
Compared with prior art, the invention has the beneficial effects as follows:
Realize the automatic identification of Ke Shi sound, can accurately and reliably faint Ke Shi tone signal be transformed into the same rhythm and pace of moving things flash for prompting of luminescence display unit, process Ke Shi tone signal and oscillographic method pressure signal and pulse signal simultaneously, realize the combination of oscillographic method and electronics Ke Shi sound method, measurement result accurately and reliably.
Accompanying drawing explanation
Fig. 1 is that the system of the embodiment of the present invention realizes block diagram.
Fig. 2 is the detailed pie graph of the system of the embodiment of the present invention.
Fig. 3 is the oscillographic method pressure pulse variation diagram of the embodiment of the present invention.
Fig. 4 is the Ke Shi sound intensity map of the embodiment of the present invention.
Fig. 5 is the bimodulus blood pressure differentiation figure of the embodiment of the present invention.
The specific embodiment
Below in conjunction with accompanying drawing and specific embodiment, the present invention is described in further detail.
Double-mode electronic sphygmomanometer measuring system of the present invention, its using method is: with korotkoff sound sensor above the human body crook of the arm brachial artery place survey Ke Shi sound and by cable transfer to Ke Shi tone detection circuit;
Ke Shi tone detection circuit will be transferred to processing unit after Ke Shi tone signal amplification filtering;
Processing unit records, processes, judges Ke Shi sound, sends the luminescence display of synchronizeing with Ke Shi sound by diagnosis medical requirement control luminescence unit;
Pressure transducer obtains the pressure signal changing in cuff, is transferred to pressure detection circuit;
Pressure detection circuit, by after pressure signal amplification filtering, is therefrom isolated pressure signal and pulse signal, is transferred to processing unit;
Processing unit is processed Ke Shi tone signal and pressure, pulse wave signal simultaneously, and processing unit adopts oscillographic method and electronics Ke Shi sound method to carry out blood pressure measurement simultaneously.
Fig. 1 is that system realizes block diagram, and processing unit 5 is controlled inflation/deflation unit 1 cuff 2 is pressurizeed and exceedes measured's systolic pressure, interruption artery blood flow;
Then venting decompression automatically detects Ke Shi sound and pulse wave signal in decompression process, reads pressure signal simultaneously, and current pressure value is shown on display unit 9;
Processing unit 5 is measured while finishing in judgement, controls inflation/deflation unit 1 Rapid degassing, and on display unit 9 display measurement result.
Fig. 2 is the detailed pie graph of system, and wherein inflation/deflation unit 1 comprises inflator pump, electromagnetic valve, steam leak-off valve at a slow speed; Inflator pump is for automatic inflating; Electromagnetic valve is for Rapid degassing; When steam leak-off valve is used for measuring at a slow speed, leak gas at a slow speed;
Wherein pressure detection circuit 4 comprises three amplifier magnifiers, low-pass filter circuit, bandwidth-limited circuit, pulse amplifying circuit;
Pressure transducer obtains cuff pressure signal, is transferred to three amplifier magnifiers, and then a road signal obtains pressure signal by low-pass filter circuit and is transferred to processing unit; Another road signal obtains pulse wave signal by bandwidth-limited circuit and pulse amplifying circuit, is transferred to processing unit;
Ke Shi tone detection circuit comprises amplifying circuit, bandwidth-limited circuit;
Korotkoff sound sensor obtains Ke Shi tone signal, and is transferred to amplifying circuit, through 20Hz high-pass filtering circuit, and then through 200Hz low-pass filter circuit, is transferred to processing unit;
Fig. 3 is oscillographic method pressure pulse variation diagram, it is reference point Vmax that processing unit is got pulse wave amplitude maximum place, find forward the point in KS=V/Vmax=(0.4-0.85) scope, look for wherein pulse wave to change maximum force value corresponding to point and obtain systolic pressure SBP;
It is reference point Vmax that processing unit is got pulse wave amplitude maximum place, finds backward the point in KD=V/Vmax=(0.8-0.4) scope, looks for wherein pulse wave to change maximum force value corresponding to point and obtains diastolic pressure DBP.
Fig. 4 is Ke Shi sound intensity map, and processing unit is according to the threshold values judgement of setting, and first is greater than force value corresponding to Ke Shi tone signal place of setting threshold values and thinks systolic pressure SYS2, and last effective Ke Shi tone signal place corresponding pressure value is diastolic pressure DIA2.
When Fig. 5, bimodulus blood pressure is differentiated figure, chooses KS=0.4-0.85 scope, and within the scope of KD=0.8-0.4, the point of oscillographic method differentiation pulse wave saltus step maximum obtains oscillographic method measured value SYS1, DIA1;
Choose KS=0.4-0.85 scope, within the scope of KD=0.8-0.4, Ke Shi sound is differentiated eligible point and is obtained Ke Shi sound measured value SYS2, DIA2;
Comprehensive oscillographic method measured value and Ke Shi sound side value, obtain measurement result SYS, DIA according to certain fuzzy logic and decision rule.
Although the present invention is with preferred embodiment openly as above, they are not for limiting the present invention, anyly have the knack of this skill person, without departing from the spirit and scope of the invention, and certainly when making various changes or retouch, but equally within protection scope of the present invention.What therefore protection scope of the present invention should be defined with the application's claim protection domain is as the criterion.

Claims (1)

1. a double-mode electronic sphygmomanometer measuring system, it comprises processing unit, display unit, luminescence unit, pressure detection circuit, inflation/deflation unit and cuff, it is characterized in that:
It comprises Ke Shi tone detection circuit and can above the human body crook of the arm, survey Ke Shi sound and the korotkoff sound sensor to Ke Shi tone detection circuit by cable transfer in brachial artery place; Described korotkoff sound sensor is made by piezoquartz, the sound wave sensitivity that this crystal is 30-100Hz to frequency;
The signal of amplification, filtered Ke Shi sound is transferred to processing unit by described Ke Shi tone detection circuit; Described processing unit records, processes, judges Ke Shi sound, sends the light-emitting flash of synchronizeing with measured Ke Shi sound show by diagnosis medical requirement control luminescence unit; When Ke Shi sound occurs, for the first time, when Ke Shi sound " is changed voice ", flicker is last in flicker; Described Ke Shi tone detection circuit comprises amplifying circuit, bandwidth-limited circuit; Described korotkoff sound sensor obtains the signal of Ke Shi sound, and is transferred to amplifying circuit, through the 20Hz high-pass filtering circuit of bandwidth-limited circuit, and then the 200Hz low-pass filter circuit of process bandwidth-limited circuit, be transferred to processing unit;
When described luminescence unit has the rhythm and pace of moving things to glimmer for the first time, display unit shows with reference to systolic pressure, glimmers when last and shows with reference to diastolic pressure;
It also comprises the pressure transducer of the pressure signal that gathers cuff; To after the pressure signal amplification filtering of cuff, be transferred to the pressure detection circuit that is connected to processing unit; Described processing unit is transferred to display unit by cuff pressure signal and shows; Described processing unit is identified corresponding pulse wave signal, and on display unit with pulse wave simultaneous display information;
Described processing unit control inflation/deflation unit pressurizes and exceedes measured's systolic pressure, interruption artery blood flow cuff; Described inflation/deflation unit comprises inflator pump, electromagnetic valve, steam leak-off valve at a slow speed; Inflator pump is for automatic inflating; Electromagnetic valve is for Rapid degassing; When steam leak-off valve is used for measuring at a slow speed, leak gas at a slow speed;
Described pressure detection circuit comprises three amplifier magnifiers, low-pass filter circuit, bandwidth-limited circuit, pulse amplifying circuit; Described pressure transducer obtains the pressure signal of cuff, is transferred to three amplifier magnifiers, and then the pressure signal of a road cuff obtains cuff pressure signal by low-pass filter circuit and is transferred to processing unit; The pressure signal of another road cuff obtains pulse wave signal by bandwidth-limited circuit and pulse amplifying circuit, is transferred to processing unit;
Described processing unit is by built-in A/D convertor circuit, when recognizing first and being greater than the Ke Shi tone signal of setting Ke Shi tone signal threshold values, confirms first Ke Shi sound, to determine with reference to systolic pressure; Described processing unit reads and remembers Ke Shi sound the second peak intensity, and when intensity decreases to the second peak intensity 1/4 time confirm that Ke Shi sound finishes, to determine with reference to diastolic pressure;
It is reference point Vmax that described processing unit is got pulse wave amplitude maximum place, finds forward the point in oscillographic method COEFFICIENT K S=V/Vmax=(0.4-0.85) scope, looks for wherein pulse wave to change maximum force value corresponding to point and obtains oscillographic method systolic pressure; It is reference point Vmax that processing unit is got pulse wave amplitude maximum place, find backward the point in oscillographic method COEFFICIENT K D=V/Vmax=(0.8-0.4) scope, look for wherein pulse wave to change maximum force value corresponding to point and obtain oscillographic method diastolic pressure, wherein, V is pulse wave amplitude value;
Choose KS=0.4-0.85 scope, within the scope of KD=0.8-0.4, Ke Shi sound is differentiated eligible point and is obtained Ke Shi sound systolic pressure, Ke Shi sound diastolic pressure;
Described processing unit is processed Ke Shi tone signal and cuff pressure signal, pulse wave signal simultaneously, and described processing unit adopts oscillographic method and electronics Ke Shi sound method to carry out blood pressure measurement simultaneously; Described processing unit is set the approximate range of oscillographic method parameter identification systolic pressure and diastolic pressure, then carrys out the exact value of calculative determination systolic pressure and diastolic pressure in conjunction with the Ke Shi tone signal gathering.
CN201010601760.XA 2010-12-23 2010-12-23 Method for measuring blood pressure by double-mode electronic sphygmomanometer Active CN102008298B (en)

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CN102415881B (en) * 2011-09-27 2015-02-04 江苏鱼跃信息系统有限公司 Blood pressure measuring method capable of adaptively controlling pulse strength
JP6003487B2 (en) * 2012-09-28 2016-10-05 オムロンヘルスケア株式会社 Blood pressure measuring device, blood pressure measuring method, blood pressure measuring program
WO2014121805A1 (en) * 2013-02-08 2014-08-14 Up-Med Gmbh Blood pressure measuring system comprising a kinking-proof shell
CN104414628A (en) * 2013-08-22 2015-03-18 罗万前 Multi-purpose hematomanometer
WO2016029546A1 (en) * 2014-08-29 2016-03-03 周嘉璐 Blood pressure measuring auxiliary device, blood pressure measuring device, and design method therefor
CN107692993B (en) * 2017-11-08 2021-01-19 深圳市玉成创新科技有限公司 Blood pressure instrument
CN108309270A (en) * 2018-01-27 2018-07-24 上海振道科技有限公司 A kind of intelligent clothing of blood pressure test
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Publication number Priority date Publication date Assignee Title
CN2376863Y (en) * 1997-11-28 2000-05-10 上海上达医用仪表厂 Warning device for measuring Korotkoff's sounds of blood pressure
CN101084827A (en) * 2006-06-07 2007-12-12 上海上达医用仪表厂有限公司 Method for measuring blood pressure with Korotkoff's sounds electronic measuring-aiding sphygmomanometer
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

Patent Citations (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2376863Y (en) * 1997-11-28 2000-05-10 上海上达医用仪表厂 Warning device for measuring Korotkoff's sounds of blood pressure
CN101084827A (en) * 2006-06-07 2007-12-12 上海上达医用仪表厂有限公司 Method for measuring blood pressure with Korotkoff's sounds electronic measuring-aiding sphygmomanometer
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

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Application publication date: 20110413

Assignee: NANJING YUWELL SOFTWARE TECHNOLOGY CO., LTD.

Assignor: Jiangsu Yuyue Medical Equipment Inc.

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Denomination of invention: Method for measuring blood pressure by double-mode electronic sphygmomanometer

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