CN102688027A - Ambulatory blood pressure monitor - Google Patents
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- CN102688027A CN102688027A CN2012101570395A CN201210157039A CN102688027A CN 102688027 A CN102688027 A CN 102688027A CN 2012101570395 A CN2012101570395 A CN 2012101570395A CN 201210157039 A CN201210157039 A CN 201210157039A CN 102688027 A CN102688027 A CN 102688027A
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- 230000036772 blood pressure Effects 0.000 title claims abstract description 139
- 238000004458 analytical method Methods 0.000 claims abstract description 45
- 230000004075 alteration Effects 0.000 claims abstract description 25
- 238000000034 method Methods 0.000 claims description 9
- 230000035487 diastolic blood pressure Effects 0.000 claims description 6
- 230000035488 systolic blood pressure Effects 0.000 claims description 6
- 238000007405 data analysis Methods 0.000 claims description 2
- 206010010164 Hypertension complications Diseases 0.000 abstract description 6
- 230000009286 beneficial effect Effects 0.000 abstract description 3
- 238000007619 statistical method Methods 0.000 abstract description 3
- 238000011282 treatment Methods 0.000 abstract description 2
- 206010020772 Hypertension Diseases 0.000 description 4
- 208000007177 Left Ventricular Hypertrophy Diseases 0.000 description 4
- 230000004872 arterial blood pressure Effects 0.000 description 4
- 230000001225 therapeutic effect Effects 0.000 description 4
- 230000002354 daily effect Effects 0.000 description 3
- 238000005259 measurement Methods 0.000 description 3
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- 238000011160 research Methods 0.000 description 3
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- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 2
- 238000011156 evaluation Methods 0.000 description 2
- 230000001631 hypertensive effect Effects 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
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- 230000006793 arrhythmia Effects 0.000 description 1
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Abstract
The invention relates to a medical appliance for detecting blood pressure, in particular to an ambulatory blood pressure monitor. Due to a blood pressure aberration rate analysis module arranged on a traditional blood pressure monitor, the ambulatory blood pressure monitor can perform statistical analysis on blood pressure value to obtain the fluctuation of the blood pressure so as to provide the blood pressure aberration parameter within a time space (24h), so that the blood pressure monitor is beneficial for doctors to adopt the most optimized treatment solution and evaluate the risk of hypertension complications.
Description
Technical field
The present invention relates to detect the armarium of blood pressure, relate in particular to a kind of ambulatory blood pressure appearance.
Background technology
At present; Owing between blood pressure level, circadian rhythm and the heart of ambulatory blood pressure monitoring reflection, brain, the kidney target organ damage degree dependency is preferably arranged; Followed up a case by regular visits to 1076 routine hypertensive patients like people such as external Perloff, in the time in 5 years, found that the average dynamic blood pressure is high more at average out to; The probability that lethal and non-lethality cardiovascular event take place is just big more, and this proves absolutely that the ambulatory blood pressure value is a significant effects factor for the clinical consequences of hypertension.In addition, also have ambulatory blood pressure that the scholar finds the hypertensive patient and left ventricular hypertrophy degree of correlation obviously and greater than even measuring blood pressure, the average daily high person's of ambulatory blood pressure left ventricular hypertrophy ponderal index obviously hangs down person's ventricular weight index greater than average daily ambulatory blood pressure.The average dynamic blood pressure at night and left ventricular mass index; The average daily ambulatory blood pressure value of LPWT and IVSTd has higher dependency; The more even measuring blood pressure of ambulatory blood pressure that one day (24 hours) are described can forecast the generation of left ventricular hypertrophy more accurately; And the circadian rhythm of blood pressure can be used as the predictor of left ventricular hypertrophy, the generation of prediction of hypertension intercurrent disease and dead aspect also be an independently key factor, and measure the value of ambulatory blood pressure through the ambulatory blood pressure appearance.
The ambulatory blood pressure appearance be a kind ofly be used for detecting dynamically, the armarium of continuous blood pressure, through data relevant such as areal survey, record systolic pressure, diastolic pressure, mean arterial pressure, heart rate within a certain period of time, carry out the analysis of pathology for the healthcare givers with blood pressure.
At present, the ambulatory blood pressure appearance on the market is divided into cuff formula and finger cot type; Wherein, The ambulatory blood pressure appearance of cuff formula is made up of transducer, miniature recording box and recovery system; Through regularly charging and discharging gas to cuff, with the measurement brachial arterial pressure, and storing data automatically; Can store more than 200 pressure value at most in one day (24 hours), print pressure value in full machine recovery system analysis then.The ambulatory blood pressure appearance of finger cot type is divided into two kinds: a kind of is that a pressure transducer is installed on fingerstall, with the arterial pressure of measurement of left finger; Another kind of for then measuring the pulse conduction time, calculate systolic pressure, diastolic pressure and mean arterial pressure after data are imported computer, can measure pressure value more than 2000 times every day.
And in recent research; The blood pressure aberration rate more and more causes people's attention; Parati etc. discover that blood pressure aberration rate (BPV) can be used as one of index of assessment hypertension complication, and Ohasama research finds that also the blood pressure aberration rate can be used as one of individual index of assessment stroke risk, has report blood pressure aberration rate and ARR incidence rate to be negative correlation in addition; When the blood pressure aberration rate increased, incidence of arrhythmia increased thereupon.So the blood pressure aberration rate is accurate for the doctor, the fluctuation situation of objective appraisal patient blood pressure, effectively formulates therapeutic scheme, drug evaluation, and the prophylaxis of hypertension complication has improved new reference frame.
But; The function that existing ambulatory blood pressure appearance (cuff formula and finger cot type) does not all have blood pressure variation (BPV) to analyze; Can not provide one day (24h) interior blood pressure variability parameter; Thereby influence the control situation of comprehensive objective evaluation blood pressure, be unfavorable for that the doctor takes optimized therapeutic scheme to reach the risk assessment to the hypertension complication incidence rate.
Summary of the invention
The invention discloses a kind of ambulatory blood pressure appearance, comprise the ambulatory blood pressure appearance, wherein, be provided with blood pressure aberration rate analysis module in the data analysis module on the said ambulatory blood pressure appearance.
Above-mentioned ambulatory blood pressure appearance, wherein, said ambulatory blood pressure appearance is cuff formula ambulatory blood pressure appearance or finger cot type ambulatory blood pressure appearance.
Above-mentioned ambulatory blood pressure appearance, wherein, said blood pressure aberration rate analysis module comprises standard deviation analysis module, coefficient of variation analysis module and VIM analysis module.
Above-mentioned ambulatory blood pressure appearance; Wherein, said standard deviation analysis module is through adopting formula:
carries out the analysis of blood pressure standard deviation; Wherein, S is the blood pressure standard deviation; The pressure value of x for measuring;
is the meansigma methods of blood pressure, and n is the number of times of measuring altogether.
Above-mentioned ambulatory blood pressure appearance; Wherein, the coefficient of variation
in the said coefficient of variation analysis module; Wherein, S is the blood pressure standard deviation, and
is the mediodespidine average.
Above-mentioned ambulatory blood pressure appearance; Wherein,
in the said VIM analysis module; Wherein, S is the blood pressure standard deviation, and BP is a pressure value, and x is a constant 1.78.
Above-mentioned ambulatory blood pressure appearance, wherein, said blood pressure aberration rate analysis module is mainly analyzed the diastolic pressure of blood pressure and the aberration rate of systolic pressure.
Above-mentioned ambulatory blood pressure appearance, wherein, said ambulatory blood pressure appearance also comprises data acquisition module, creates data module, curve plotting module and provides reporting modules.
In sum; Owing to adopted technique scheme; The present invention proposes a kind of ambulatory blood pressure appearance, through blood pressure aberration rate analysis module is set on traditional blood pressure instrument, pressure value is carried out draw behind the statistical analysis fluctuation situation of blood pressure; Thereby interior blood pressure variability parameter of a period of time (24h) is provided, is beneficial to the doctor and takes optimized therapeutic scheme to reach risk assessment the hypertension complication incidence rate.
Description of drawings
Fig. 1 is an ambulatory blood pressure appearance modular structure sketch map of the present invention;
Fig. 2 is the structural representation of blood pressure aberration rate analysis module in the ambulatory blood pressure appearance of the present invention;
Fig. 3 is the workflow sketch map of ambulatory blood pressure appearance of the present invention;
Fig. 4 is blood pressure dynamic monitoring (variation) the report sketch map of ambulatory blood pressure appearance output of the present invention.
The specific embodiment
Be further described below in conjunction with the accompanying drawing specific embodiments of the invention:
Fig. 1 is an ambulatory blood pressure appearance modular structure sketch map of the present invention;
Fig. 2 is the structural representation of blood pressure aberration rate analysis module in the ambulatory blood pressure appearance of the present invention;
Shown in Fig. 1-2; On the ambulatory blood pressure appearance of the present invention (like cuff formula ambulatory blood pressure appearance or finger cot type ambulatory blood pressure appearance) 1; Be provided with data acquisition module 2, create data module 3, analysis module 4, curve plotting module 5 and provide reporting modules 6, analysis module 4 comprises blood pressure aberration rate analysis module 41 and conventional analysis of blood pressure module 42; Wherein, blood pressure aberration rate analysis module 41 is made up of standard deviation analysis module 411, coefficient of variation analysis module 412 and VIM analysis module 413, to be used for analyzing the parameter value that aberration rate was comprised of blood pressure; Conventional analysis of blood pressure module 42 is the automatic analysis module of conventional dynamic blood pressure instrument, as analyzing maximum, minima or the average etc. of blood pressure in a period of time.
Fig. 3 is the workflow sketch map of ambulatory blood pressure appearance of the present invention; Fig. 4 is blood pressure dynamic monitoring (variation) the report sketch map of ambulatory blood pressure appearance output of the present invention.
Concrete shown in Fig. 1-4; At first, the conventional parameter of ambulatory blood pressure appearance 1 is set, as blanking time of setting measurement blood pressure be 10 minutes; And regulation 06:00-20:00 is daytime, and sets relevant information such as name, sex, age and the disease etc. of measured object.
Secondly; The ambulatory blood pressure appearance 1 that employing configures begins measured object is carried out the blood pressure test of a day (24 hours), and the data acquisition module 2 on the ambulatory blood pressure appearance 1 is record and each numerical information such as time, SBP (diastolic pressure), DBP (systolic pressure), MAP (average arteritis) and the HR heart rate etc. measured of storage automatically.
Then, create data module 3, begin the classification that data are carried out is again created, comprise the SBP value according to the data of data acquisition module 2 collections and the time period of setting; The DBP value, daytime the SBP value, evening the SBP value, daytime the DBP value; Evening the DBP value, the ASV-SBP value, the ASV-DBP value, daytime the ASV-SBP value; Evening the ASV-SBP value, daytime the ASV-DBP value, evening, the ASV-DBP value waited each association; Wherein, ASV is the absolute value of adjacent blood pressure (SBP value and DBP value) reading difference.
Afterwards; Standard deviation analysis module 411 in the analysis module 4 carries out the analysis of blood pressure standard deviation according to standard deviation formula
; Through getting rid of the influence of meansigma methods; Calculate the standard difference of the Various types of data of creating data module 3 establishments, thereby express the degree that changes; Wherein, S is the blood pressure standard deviation; The pressure value of x for measuring;
is the meansigma methods of blood pressure, and n is the number of times of measuring altogether.Coefficient of variation analysis module 412 is according to the coefficient of variation
; Calculate the coefficient of variation of the Various types of data of creating data module 3 establishments, with the intensity of variation of reflection variation; Wherein, S is the blood pressure standard deviation, and
is the mediodespidine average.VIM analysis module 413 is calculated the VIM value of the Various types of data of creating data module 3 establishments according to formula
; Wherein, X value in the formula is the relational index between blood pressure level and the standard deviation, can estimate that the x value is different in different crowd through curve-fitting method; In the crowd of ASCOT-BPLA (Scandinavia, big belly lattice Shandong heart terminal point test-blood pressure lowering treatment branch) research; The x value is 1.78, and S is the blood pressure standard deviation, and BP is a pressure value.42 of conventional analysis of blood pressure modules analyze maximum, minima and the average etc. of the Various types of data of creating data module 3 establishments.
At last; Because blood pressure aberration rate (BPV) can carry out integrating representation by standard deviation, the coefficient of variation and VIM value; Curve plotting module 5 includes blood pressure aberration rate curve chart, diastolic pressure curve chart, systolic pressure curve chart and ASV map discrete curve etc. according to employing curve-fitting methods such as standard deviation, the coefficient of variation and the VIM value output of the Various types of data of analysis module 4 outputs, provides reporting modules 6 according to above-mentioned Various types of data and curve chart output blood pressure dynamic analysis (variation) report as shown in Figure 4.
In sum; Owing to adopted technique scheme; The present invention proposes a kind of ambulatory blood pressure appearance and method thereof, through blood pressure aberration rate analysis module is set on traditional blood pressure instrument, pressure value is carried out draw behind the statistical analysis fluctuation situation of blood pressure; Thereby interior blood pressure variability parameter of a period of time (24h) is provided, is beneficial to the doctor and takes optimized therapeutic scheme to reach risk assessment the hypertension complication incidence rate.
Through explanation and accompanying drawing, provided the exemplary embodiments of the ad hoc structure of the specific embodiment, based on the present invention's spirit, also can do other conversion.Although foregoing invention has proposed existing preferred embodiment, yet these contents are not as limitation.
For a person skilled in the art, read above-mentioned explanation after, various variations and revise undoubtedly will be obvious.Therefore, appending claims should be regarded whole variations and the correction of containing true intention of the present invention and scope as.Any and all scope of equal value and contents all should be thought still to belong in the intent of the present invention and the scope in claims scope.
Claims (8)
1. an ambulatory blood pressure appearance comprises the ambulatory blood pressure appearance, it is characterized in that, is provided with blood pressure aberration rate analysis module in the data analysis module on the said ambulatory blood pressure appearance.
2. ambulatory blood pressure appearance according to claim 1 is characterized in that, said ambulatory blood pressure appearance is cuff formula ambulatory blood pressure appearance or finger cot type ambulatory blood pressure appearance.
3. ambulatory blood pressure appearance according to claim 1 is characterized in that, said blood pressure aberration rate analysis module comprises standard deviation analysis module, coefficient of variation analysis module and VIM analysis module.
4. ambulatory blood pressure appearance according to claim 3; It is characterized in that said standard deviation analysis module is through adopting formula:
carries out the analysis of blood pressure standard deviation; Wherein, S is the blood pressure standard deviation; The pressure value of x for measuring;
is the meansigma methods of blood pressure, and n is the number of times of measuring altogether.
5. ambulatory blood pressure appearance according to claim 3; It is characterized in that the coefficient of variation in the said coefficient of variation analysis module
; Wherein, S is the blood pressure standard deviation, and
is the mediodespidine average.
6. ambulatory blood pressure appearance according to claim 3; It is characterized in that, in the said VIM analysis module
; Wherein, S is the blood pressure standard deviation, and BP is a pressure value, and x is a constant 1.78.
7. ambulatory blood pressure appearance according to claim 1 is characterized in that, said blood pressure aberration rate analysis module is mainly analyzed the diastolic pressure of blood pressure and the aberration rate of systolic pressure.
8. according to any described ambulatory blood pressure appearance among the claim 1-7, it is characterized in that said ambulatory blood pressure appearance also comprises data acquisition module, creates data module, curve plotting module and provides reporting modules.
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| CN2012101570395A CN102688027B (en) | 2012-05-21 | 2012-05-21 | Ambulatory blood pressure monitor |
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| CN2012101570395A CN102688027B (en) | 2012-05-21 | 2012-05-21 | Ambulatory blood pressure monitor |
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Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103705226A (en) * | 2013-12-23 | 2014-04-09 | 苏州亿通在线网络科技有限公司 | Sphygmomanometer with blood pressure evaluation function |
| CN104027100A (en) * | 2014-06-12 | 2014-09-10 | 山东中弘信息科技有限公司 | Abnormal blood pressure data processing method based on latest historical values |
| CN106037700A (en) * | 2016-07-21 | 2016-10-26 | 柳州首光科技有限公司 | Portable electronic blood pressure instrument with characteristic of long-acting usage |
| CN106037708A (en) * | 2016-07-21 | 2016-10-26 | 柳州首光科技有限公司 | Portable electronic blood pressure instrument with energy-saving display characteristic |
| CN106037709A (en) * | 2016-07-21 | 2016-10-26 | 柳州首光科技有限公司 | Portable electronic blood pressure instrument |
| CN107495947A (en) * | 2017-09-19 | 2017-12-22 | 广东乐心医疗电子股份有限公司 | Blood pressure dynamic analysis method and blood pressure measuring device |
| CN108281169A (en) * | 2018-01-17 | 2018-07-13 | 北京康康盛世信息技术有限公司 | A kind of Circadian blood pressure profile report-generating method and its system with prompting function |
| CN110742595A (en) * | 2019-11-12 | 2020-02-04 | 中润普达(十堰)大数据中心有限公司 | Abnormal blood pressure monitoring system based on cognitive cloud system |
| CN116403736A (en) * | 2023-06-07 | 2023-07-07 | 云天智能信息(深圳)有限公司 | Remote medical monitoring system based on Internet of things technology |
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2012
- 2012-05-21 CN CN2012101570395A patent/CN102688027B/en not_active Expired - Fee Related
Patent Citations (4)
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| CN1698535A (en) * | 2004-05-18 | 2005-11-23 | 香港中文大学 | Method for measuring blood pressure change rate |
| US20060058590A1 (en) * | 2004-08-24 | 2006-03-16 | Shaw Geoffrey M | Method and system for assaying agitation |
| DE102010009044A1 (en) * | 2009-02-23 | 2011-01-05 | Niels Wessel | Device for determining blow-to-blow blood pressure variability and/or heart frequency variability for e.g. determining cardiovascular variability, has evaluation unit containing program that calibrates blood flow continuous measuring values |
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Cited By (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN103705226A (en) * | 2013-12-23 | 2014-04-09 | 苏州亿通在线网络科技有限公司 | Sphygmomanometer with blood pressure evaluation function |
| CN104027100A (en) * | 2014-06-12 | 2014-09-10 | 山东中弘信息科技有限公司 | Abnormal blood pressure data processing method based on latest historical values |
| CN106037700A (en) * | 2016-07-21 | 2016-10-26 | 柳州首光科技有限公司 | Portable electronic blood pressure instrument with characteristic of long-acting usage |
| CN106037708A (en) * | 2016-07-21 | 2016-10-26 | 柳州首光科技有限公司 | Portable electronic blood pressure instrument with energy-saving display characteristic |
| CN106037709A (en) * | 2016-07-21 | 2016-10-26 | 柳州首光科技有限公司 | Portable electronic blood pressure instrument |
| CN107495947A (en) * | 2017-09-19 | 2017-12-22 | 广东乐心医疗电子股份有限公司 | Blood pressure dynamic analysis method and blood pressure measuring device |
| CN108281169A (en) * | 2018-01-17 | 2018-07-13 | 北京康康盛世信息技术有限公司 | A kind of Circadian blood pressure profile report-generating method and its system with prompting function |
| CN110742595A (en) * | 2019-11-12 | 2020-02-04 | 中润普达(十堰)大数据中心有限公司 | Abnormal blood pressure monitoring system based on cognitive cloud system |
| CN116403736A (en) * | 2023-06-07 | 2023-07-07 | 云天智能信息(深圳)有限公司 | Remote medical monitoring system based on Internet of things technology |
| CN116403736B (en) * | 2023-06-07 | 2023-09-22 | 云天智能信息(深圳)有限公司 | Remote medical monitoring system based on Internet of things technology |
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