CN104337507B - Pressure vibration type sphygmomanometer for measuring characteristics of pressure pulse belt - Google Patents

Pressure vibration type sphygmomanometer for measuring characteristics of pressure pulse belt Download PDF

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CN104337507B
CN104337507B CN201410042423.XA CN201410042423A CN104337507B CN 104337507 B CN104337507 B CN 104337507B CN 201410042423 A CN201410042423 A CN 201410042423A CN 104337507 B CN104337507 B CN 104337507B
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pressure
arm
rest belt
characteristic
value
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CN104337507A (en
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刘省宏
王明义
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/021Measuring pressure in heart or blood vessels
    • A61B5/022Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers
    • A61B5/0225Measuring pressure in heart or blood vessels by applying pressure to close blood vessels, e.g. against the skin; Ophthalmodynamometers the pressure being controlled by electric signals, e.g. derived from Korotkoff sounds
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/02Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
    • A61B5/026Measuring blood flow
    • A61B5/0295Measuring blood flow using plethysmography, i.e. measuring the variations in the volume of a body part as modified by the circulation of blood therethrough, e.g. impedance plethysmography

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  • Life Sciences & Earth Sciences (AREA)
  • Cardiology (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Vascular Medicine (AREA)
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  • Engineering & Computer Science (AREA)
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  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)

Abstract

The invention relates to a pressure vibration type sphygmomanometer for measuring the characteristics of a pressure pulse band, which comprises the pressure pulse band, an inflation motor, a flowmeter, an air release magnetic valve, a pressure sensor and a microcontroller, wherein the microcontroller is internally provided with a blood pressure calculation part, converts a pressure pulse band inflation flow value measured by the flowmeter in the inflation process into a volume value, detects and records a pressure value in the pressure pulse band by the pressure sensor to construct the characteristics of the pressure pulse band, finds parameters for adjusting a systolic pressure ratio and a diastolic pressure ratio through the characteristics of the pressure pulse band, finds a systolic pressure amplitude and a diastolic pressure amplitude through calculation, finds a time point in an envelope curve according to the systolic pressure amplitude and the diastolic pressure amplitude, and finds corresponding pressure in the pressure pulse band at the time point, namely, the systolic pressure and the diastolic pressure of an artery.

Description

Measure the pressing-vibrating type sphygomanometer of arm-rest belt characteristic
Technical field
The present invention is a kind of pressing-vibrating type sphygomanometer, espespecially a kind of construction arm-rest belt characteristic shrinks pressure ratio value and diastolic pressure ratio to adjust, and according to the contraction pressure ratio value after adjusting and diastolic pressure ratio, find the pressing-vibrating type sphygomanometer measuring arm-rest belt characteristic of systolic arterial pressure and auterial diastole pressure.
Background technology
1733, British scientist Stephen Hales inserts the tremulous pulse of horses with the vertical brass pipe of both ends open, glass window from copper pipe is watched blood and is climbed raw height and measure mean pressure again, within 1828, Poiseuille instead of the long copper pipe of inconvenience with mercury column, the tremulous pulse mean pressure of horses can be measured through the hydrargyrum pillars of 20 centimeters, and this kind inserts the internal mode measuring blood pressure, it is referred to as intrusive mood blood pressure (Invasive Blood Pressure, it is called for short IBP), this kind of IBP measures mode and extensively applied for about halfth century, but, owing to this kind of blood pressure measuring method is the most inconvenient, therefore, medical circles thirsted for having a kind of non-intrusion type and the convenient blood pressure measuring method used always at that time.
Until late nineteenth century, Riva Rocci and Branard invention simultaneously is in terms of the non-invasion blood pressure that cuff (cuff) is made (Sphygmomanometer), the mercurial sphygmomanometer that namely we are used at present, and defined pulse tone and the relation shunk between pressure and diastolic pressure by N.S.Korotkoff in 1905.
At present in non-invasion blood pressure meter, there is a kind of pressing-vibrating type sphygomanometer, its principle is: brachial artery belongs to deep artery, its caliber about 3~4mm, but the diameter of upper arm about 7~15cm, when the blood pressure ripple (shrink pressure and diastolic pressure) in brachial artery changes out corresponding change in volume through the elasticity of tremulous pulse, and this change in volume passes through upper arm muscles, tissue etc., inwall material at the arm-rest belt through sphygomanometer reaches in arm-rest belt, according to elastic characteristicVolume change and pressure variety are proportional relations, therefore the volume change of blood vessel, and the pressure in arm-rest belt can be caused to change, and the change of this pressure is referred to as pressure and shakes ripple.
Arm-rest belt is in pressure leak process, the intrinsic pressure of arm-rest belt can diminish always, if the most endarterial blood pressure keeps constant, then transmission pressure can taper into along with pressure leak process, when transmitting pressure and being 0, represent the mean blood pressure equal to tremulous pulse of the external pressure suffered by tremulous pulse, according to the relation of arterial pressure-volume, now tremulous pulse has a volume change of maximum, corresponding also can produce a maximum pressure in arm-rest belt and shakes ripple.
Find in the pressure of bleeding process shakes ripple and shrink pressure and the feature of diastolic pressure, it is based on maximum pressure shakes wave-amplitude (Ampmax), its corresponding arm-rest belt pressure is tremulous pulse mean blood pressure (MAP), according to contraction pressure ratio value (Ratiosys) set and diastolic pressure ratio (Ratiodia), find in the pressure higher than mean blood pressure shakes ripple and shrink pressure amplitude (Ampsys), its corresponding arm-rest belt pressure is systolic arterial pressure (SysP), diastolic pressure amplitude (Ampdia) is found in the pressure lower than mean blood pressure shakes ripple, its corresponding arm-rest belt pressure is auterial diastole pressure (DiaP), wherein, this contraction pressure amplitude (Ampsys) and this diastolic pressure amplitude (Ampdia) are defined as follows:
Contraction pressure amplitude (Ampsys)=press wave-amplitude (Ampmax) * that shakes to shrink pressure ratio value (Ratiosys)
Diastolic pressure amplitude (Ampdia)=pressure is shaken wave-amplitude (Ampmax) * diastolic pressure ratio (Ratiodia)
Arm-rest belt characteristic includes arm-rest belt inwall material characteristic and arm muscles and the characteristic of tissue, although the inwall material characteristic of arm-rest belt is fixing, but the characteristic of everyone arm muscles and tissue is different, therefore, the gas of arm-rest belt loses heart speed can be different from muscle and tissue characteristics and have different disappointing speed according to everyone thickness of arm, it can thus be appreciated that in arm-rest belt bleeding process, pressure in arm-rest belt wave envelope mark characteristic of shaking is inherently different with people, cause shrinking pressure ratio value and diastolic pressure ratio is affected by arm-rest belt characteristic and produces change, now, if pressing-vibrating type sphygomanometer uses fixing contraction pressure ratio value and diastolic pressure ratio, its pressure value measured necessarily is forbidden.
Summary of the invention
The purpose of the present invention is to provide a kind of pressing-vibrating type sphygomanometer measuring arm-rest belt characteristic that can really measure systolic arterial pressure and auterial diastole pressure.
The secondary objective of the present invention is the arm-rest belt characteristic according to construction, obtain to adjust and shrink pressure ratio value and the parameter of diastolic pressure ratio, and with adjustments shrink pressure ratio value and diastolic pressure ratio finds the pressing-vibrating type sphygomanometer of measurement arm-rest belt characteristic of systolic arterial pressure and auterial diastole pressure.
A kind of pressing-vibrating type sphygomanometer measuring arm-rest belt characteristic of the present invention, including a, arm-rest belt, an inflation motor, flow meters, one lose heart magnet valve, a pressure transducer and a microcontroller, this arm-rest belt is connected on sphygomanometer, arm-rest belt is inflated by this inflation motor, this effusion meter be measure arm-rest belt inflation or disappointing time fill, air leakage amount, this disappointing magnet valve is air in eliminating arm-rest belt, and this pressure transducer is pressure in detecting arm-rest belt, has a blood pressure calculating part in this microcontroller;The pressing-vibrating type sphygomanometer of this measurement arm-rest belt characteristic passes through effusion meter and pressure transducer, filling, in pressure leak process, in microcontroller, the arm-rest belt measured by effusion meter is filled by the blood pressure calculating part of setting, pressure release flow value is converted to bulking value, and with the force value in pressure sensor senses record arm-rest belt, construction arm-rest belt characteristic, find through arm-rest belt characteristic and can adjust contraction pressure ratio value and the parameter of diastolic pressure ratio, shrink pressure ratio value and diastolic pressure ratio to adjust, get final product accurate measurement to aortic systolic pressure values and auterial diastole pressure value.
Compared with prior art, the beneficial effects of the present invention is:
1. the pressing-vibrating type sphygomanometer measuring arm-rest belt characteristic of the present invention, through effusion meter and pressure transducer, filling, in pressure leak process, in microcontroller, the arm-rest belt measured by effusion meter is filled by the blood pressure calculating part of setting, pressure release flow value is converted to bulking value, and with the force value in pressure sensor senses record arm-rest belt, construction arm-rest belt characteristic, finds through arm-rest belt characteristic and can adjust contraction pressure ratio value and the parameter of diastolic pressure ratio, shrinks pressure ratio value and diastolic pressure ratio to adjust.
2. the pressing-vibrating type sphygomanometer measuring arm-rest belt characteristic of the present invention, according to shrinking the time point pressing amplitude and diastolic pressure amplitude to find generation in the envelope curve pressing the ripple that shakes, further according to this time point at the intrinsic pressure pressure finding correspondence of arm-rest belt, it is systolic arterial pressure and auterial diastole pressure.
Accompanying drawing explanation
Fig. 1 is arterial volumes-pressure dependence figure;
Fig. 2 is volume during arm-rest belt inflation and stress reaction figure;
Fig. 3 is the arm-rest belt DE performance figure at different pressures;
Fig. 4 is the Organization Chart of the present invention;
Fig. 5 is the flow chart that the present invention inflates action;And
Fig. 6 is the flow chart of pressure release action of the present invention.
Detailed description of the invention
The elastic characteristic of tremulous pulse can be according to transmission pressure (Pt) difference and change, can describe with exponential function, V is at PtTime arterial volumes, VoIt is the arterial volumes when zero presses with passing, VmaxIt is the fully deployed volume of tremulous pulse, CmaxIt it is the DE of tremulous pulse maximum, transmission pressure is the pressure difference value that tremulous pulse is external Yu inherent, the change of arterial volumes and the graph of a relation of transmission pressure, as shown in Figure 1, can be seen that intra-arterial blood pressure ripple identical (figure in Y-axis), but due to different transmission pressure, the amplitude size causing the volume ripple that tremulous pulse reflected can different (figure in X-axis).
The pressing-vibrating type sphygomanometer of measurement arm-rest belt characteristic provided by the present invention, it it is critical only that and utilizes flow meters and a pressure transducer, in arm-rest belt Plenum Process, first calibration arm-rest belt characteristic, arm-rest belt characteristic is made up of the characteristic of arm-rest belt inwall and arm muscles tissue.Residual volume in the original hypothesis arm-rest belt of pressurising is 0, Plenum Process, the integration amount of effusion meter is the volume that arm-rest belt is increased, in corresponding arm-rest belt, pressure also can increase, the volume-pressure characteristic of arm-rest belt, as shown in Figure 2, it is respectively directed to the people of three different pressure values, under the situation using identical arm-rest belt, set up " the volume-pressure characteristic of arm-rest belt ", corresponding with it " elasticity-pressure characteristic of arm-rest belt ", as shown in Figure 3, can be seen that characteristic each other has the difference of highly significant, therefore contraction pressure ratio value and the diastolic pressure ratio of blood pressure measurement is to need to adjust according to " the volume-pressure characteristic of arm-rest belt " and " elasticity-pressure characteristic of arm-rest belt ".
Refer to Fig. 4, a kind of pressing-vibrating type sphygomanometer measuring arm-rest belt characteristic of system of the present invention, including an arm-rest belt 1, one inflation motor 2, flow meters 3, one loses heart magnet valve 4, one pressure transducer 5 and a microcontroller 6, this arm-rest belt 1 is for can be placed on human body upper arm, arm-rest belt 1 can be inflated by this inflation motor 2, this effusion meter 3 is detecting aeration quantity when inflating motor 2 and inflating arm-rest belt 1, this disappointing magnet valve 4 is for can get rid of air in arm-rest belt 1, this pressure transducer 5 is pressure in detecting arm-rest belt 1, this microcontroller 6 controls disappointing magnet valve 4 with drive circuit 61 and drives motor 2 to inflate arm-rest belt 1 or lose heart, to carry out auterial diastole pressure and systolic arterial pressure measurement, and there is in this microcontroller 6 a blood pressure calculating part 62.
nullRefer to Fig. 5,When the pressing-vibrating type sphygomanometer of measurement arm-rest belt characteristic provided by the present invention inflates (step 701),First effusion meter 3 and pressure transducer 5 are carried out initialization of calibration (step 702),Driven inflation motor 2 that arm-rest belt 1 is inflated (step 703) by microcontroller 6 through drive circuit 61,Now,Through the effusion meter 3 detecting inflation motor 2 flow value to arm-rest belt 1 inflation,And utilize pressure transducer 5 detecting inflation motor 2 to be filled with the force value (step 704) in arm-rest belt 1,Then the flow value (step 705) effusion meter 3 detected,And the force value of pressure transducer 5 detecting,It is sent to microcontroller 6 through analog/digital (A/D) conversion data,Judged that the intrinsic pressure pressurising the most of arm-rest belt 1 reaches setting value (step 706) by microcontroller 6,When arm-rest belt 1 is intrinsic pressure pressurising reaches setting value time,Microcontroller 6 controls inflation motor 2 and stops inflation (step 707),Now,The flow value of record is converted to volume (step 708) by blood pressure calculating part 62,Again with the force value of record," the arm-rest belt volume-pressure characteristic " and " arm-rest belt elasticity-pressure characteristic " (step 709) of construction arm-rest belt 1.
nullRefer to Fig. 6,During pressing-vibrating type sphygomanometer pressure release (step 801) of measurement arm-rest belt characteristic provided by the present invention,Microcontroller 6 shakes wave-amplitude (step 802) in the intrinsic pressure middle extraction pressure of arm-rest belt 1,Find maximum pressure simultaneously and shake wave-amplitude and pressure is shaken the time that wave-amplitude occurs,And the pressure in corresponding arm-rest belt is found according to this time point,It is tremulous pulse mean blood pressure (step 803),In microcontroller 6 judges arm-rest belt 1, whether pressure reaches pressure release setting value (step 804),If arm-rest belt 1 is intrinsic pressure reaches pressure release setting value,Then pressure in arm-rest belt 1 is all released by the disappointing magnet valve 4 of microcontroller 6 control,Microcontroller 6 shakes wave-amplitude according to the pressure of extraction,Construction pressure is shaken wave envelope curve (step 805),And according to arm-rest belt 1 characteristic,Find and can adjust contraction pressure ratio value and the parameter of diastolic pressure ratio,For adjusting contraction pressure ratio value and diastolic pressure ratio (step 806),Contraction pressure amplitude and diastolic pressure amplitude (step 807) is found again through calculating,Amplitude and diastolic pressure amplitude is pressed to find its time point occurred in envelope curve according to shrinking,And according to this time point at the intrinsic pressure pressure finding correspondence of arm-rest belt 1,It is systolic arterial pressure (step 808) and auterial diastole pressure (step 809).
Therefore, the pressing-vibrating type sphygomanometer of measurement arm-rest belt characteristic provided by the present invention, not shrink pressure ratio value and diastolic pressure ratio such as known simple utilization, systolic arterial pressure and auterial diastole pressure are learnt in calculating, but through construction arm-rest belt characteristic, then adjustment is found to shrink pressure ratio value and the parameter of diastolic pressure ratio by arm-rest belt characteristic, contraction pressure amplitude and diastolic pressure amplitude is calculated again according to the contraction pressure ratio value after adjusting and diastolic pressure ratio meter, and find systolic arterial pressure and auterial diastole pressure with this, therefore the pressing-vibrating type sphygomanometer of measurement arm-rest belt characteristic provided by the present invention, the systolic arterial pressure measured and auterial diastole pressure are accurate numerical value.
nullAdditionally,The pressing-vibrating type sphygomanometer of measurement arm-rest belt characteristic provided by the present invention,Contraction pressure and the diastolic pressure of tremulous pulse can also be measured in gas replenishment process,Arm-rest belt characteristic is measured in bleeding process,Its principle is all same with above-mentioned,Simply operational approach is contrary,In Plenum Process,Pressure in record arm-rest belt is shaken ripple,With its envelope trace curve,In pressure leak process,Arm-rest belt pressure release flow value measured by effusion meter is converted to bulking value,And with the force value in pressure sensor senses record arm-rest belt,Construction arm-rest belt volume-pressure characteristic and arm-rest belt elasticity-pressure characteristic,Find through arm-rest belt volume-pressure characteristic and arm-rest belt elasticity-pressure characteristic and can adjust contraction pressure ratio value and the parameter of diastolic pressure ratio,Pressure ratio value and diastolic pressure ratio is shunk to adjust,Then pass through calculating and find contraction pressure amplitude and diastolic pressure amplitude,And according to shrinking the time point pressing amplitude and diastolic pressure amplitude to find generation in the envelope curve pressing the ripple that shakes,Further according to this time point at the intrinsic pressure pressure finding correspondence of arm-rest belt,It is systolic arterial pressure and auterial diastole pressure.
Above-listed detailed description is illustrating for one of them possible embodiments of the present invention, but this embodiment is also not used to limit the scope of the claims of the present invention, all equivalences made without departing from skill of the present invention spirit are implemented or change, are intended to be limited solely by the scope of the claims of this case.
[symbol description]
1 arm-rest belt
2 inflation motors
3 effusion meters
4 lose heart magnet valve
5 pressure transducers
6 microcontrollers
61 drive circuits
62 blood pressure calculating parts
701 inflations
702 carry out initialization of calibration
703 pairs of arm-rest belt inflations
The 704 effusion meter detecting inflation motor flow values to arm-rest belt inflation
705 pressure sensor senses inflation motors are filled with the force value in arm-rest belt
706 pressurisings reach setting value
707 inflation motors stop inflation
708 flow values are converted to volume
" the arm-rest belt volume-pressure characteristic " and " arm-rest belt elasticity-pressure characteristic " of 709 construction arm-rest belts
801 pressure releases
802 extraction pressures are shaken wave-amplitude
803 find maximum presses shake wave-amplitude and tremulous pulse mean blood pressure
Whether 804 reach pressure release setting value
805 construction pressures are shaken wave envelope curve
806 adjust contraction pressure ratio value and diastolic pressure ratio according to arm-rest belt characteristic
807 find contraction pressure amplitude and diastolic pressure amplitude
808 find systolic arterial pressure according to shrinking pressure amplitude
809 find auterial diastole pressure according to diastolic pressure amplitude.

Claims (1)

1. the pressing-vibrating type blood measuring the volume-pressure characteristic of arm-rest belt and the elasticity-pressure characteristic of arm-rest belt Pressure meter, including:
One arm-rest belt, this arm-rest belt is placed on human body upper arm;
One inflation motor, arm-rest belt is inflated by this inflation motor;
Flow meters, this effusion meter be measure arm-rest belt inflation or disappointing time fill, air leakage amount;
One loses heart magnet valve, and this disappointing magnet valve is for discharging air in arm-rest belt;
One pressure transducer, this pressure transducer is pressure in detecting arm-rest belt;
One microcontroller, has a blood pressure calculating part in this microcontroller;
The volume-pressure characteristic of this measurement arm-rest belt and the pressing-vibrating type sphygomanometer of the elasticity-pressure characteristic of arm-rest belt Flow value and the inflation horse that arm-rest belt is inflated by inflation motor is detected respectively through effusion meter and pressure transducer Reach the force value being filled with in arm-rest belt, filling, in pressure leak process, the blood pressure calculating part arranged in microcontroller Filled by arm-rest belt measured by effusion meter, pressure release flow value is converted to bulking value, and with pressure sensor senses Force value in record arm-rest belt, the volume-pressure characteristic of construction arm-rest belt and the elasticity of arm-rest belt-pressure are special Property, through volume-pressure characteristic and the elasticity-pressure characteristic of arm-rest belt of construction arm-rest belt, by arm-rest belt Elasticity-the pressure characteristic of volume-pressure characteristic and arm-rest belt finds to adjust and shrinks pressure ratio value and diastolic pressure ratio Parameter, shrinks pressure ratio value and diastolic pressure ratio to adjust, according to the contraction pressure ratio value after adjusting and diastolic pressure ratio Value accurate measurement aortic systolic pressure values and auterial diastole pressure value.
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Publication number Priority date Publication date Assignee Title
US5094245A (en) * 1988-10-17 1992-03-10 Omron Corporation Electronic blood pressure meter
CN1345571A (en) * 2000-09-30 2002-04-24 泰博科技股份有限公司 Hemadynamometry and apparatus thereof
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CN1923133A (en) * 2005-08-31 2007-03-07 深圳迈瑞生物医疗电子股份有限公司 Method and device for calculating blood pressure by using signal transformation
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