CN108670232A - A kind of Circadian blood pressure profile method and its Circadian blood pressure profile device - Google Patents
A kind of Circadian blood pressure profile method and its Circadian blood pressure profile device Download PDFInfo
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- 230000002040 relaxant effect Effects 0.000 claims 1
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- 208000005434 White Coat Hypertension Diseases 0.000 abstract description 6
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- A—HUMAN NECESSITIES
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- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, 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
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- A61M21/00—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis
- A61M2021/0005—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis by the use of a particular sense, or stimulus
- A61M2021/0027—Other devices or methods to cause a change in the state of consciousness; Devices for producing or ending sleep by mechanical, optical, or acoustical means, e.g. for hypnosis by the use of a particular sense, or stimulus by the hearing sense
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Abstract
The invention discloses a kind of Circadian blood pressure profile method and its Circadian blood pressure profile devices, it is related to blood pressure detecting technical field, the interference of " white coat hypertension " to blood pressure detecting is can effectively avoid, the influence that " white coat hypertension " judges doctor patients' blood is eliminated.Wherein method includes：S1：Heart rate and blood pressure are measured simultaneously, which includes systolic pressure and diastolic pressure；S2：Preserve the heart rate and blood pressure of certain period of time；S3:Whether the heart rate of period is normal in judgment step S2, if so, judge blood pressure to be normotensive, if it is not, judge blood pressure for abnormal blood pressure, and when blood pressure is abnormal blood pressure, return to step S1；S4：Show normal arterial pressure.
Description
Technical field
The present invention relates to blood pressure detecting technical field, more particularly to a kind of Circadian blood pressure profile method and its ambulatory blood pressure inspection
Survey device.
Background technology
Blood pressure refers to the lateral pressure that unit area vascular wall is acted on when blood flows in the blood vessels, it is that blood is pushed to exist
The power of intravascular flow.Arterial pressure, capillary pressure and venous pressure are hereinafter referred to as in different blood vessel, it is usually said
Blood pressure refer to body circulation arterial pressure.
The measurement method of blood pressure includes the direct method of measurement and the indirect method of measurement：1. the direct method of measurement is will be dissolved with anti-coagulants
Long duct, percutaneous puncture send conduit to aorta, and conduit is connect with pressure sensor, directly displays blood pressure.This law is invasive
Mode is only applicable to certain special circumstances.2. the indirect method of measurement, that is, cuff pressurization, is measured with sphygmomanometer.Blood pressure is in respect of mercury column
Formula, spring and electronic sphygmomanometer.The indirect method of measurement is simple and easy to do, is current clinically widely applied method.
Blood pressure range under normal adult's rest state is relatively stablized, normal range (NR) 90~139mmHg of systolic pressure, diastolic pressure 60
~89mmHg, 30~40mmHg of pulse pressure.
（1）Hypertension：Be not used antihypertensive under the premise of, 18 years old or more adult systolic pressure >=140mmHg and（Or）
Diastolic pressure >=90mmHg.
（2）Low blood pressure：Blood pressure is less than 90/60mmHg.
But when measuring blood pressure, can be influenced by white coat hypertension, lead to mistaken diagnosis of the doctor to patient.Overcoat is high
Blood pressure refers to some patients when the doctor's office measures blood pressure blood pressure increases, but blood pressure self-monitoring or 24 h ABPs at home
Monitoring（By the self-contained pressure measuring unit of patient, no medical worker is on the scene）When blood pressure it is normal.This may be to be worn since patient sees
It is nervous after the doctor of white frock, there is excessive catecholamine in blood, makes palpitating speed, while also peripheral blood vessel being made to receive
Contracting, resistance increase, and generate so-called " White coat effect ", rise so as to cause blood pressure.
Invention content
The object of the present invention is to provide a kind of Circadian blood pressure profile method and its blood pressure detector, can eliminate " white big
Influence of the clothing effect " to blood pressure measurement.
In a first aspect, the embodiment provides a kind of Circadian blood pressure profile method, the method includes the steps：
S1：Heart rate and blood pressure are measured simultaneously, which includes systolic pressure and diastolic pressure；S2：Preserve the heart rate and blood pressure of certain period of time；
S3:Whether the heart rate of period is normal in judgment step S2, if so, blood pressure is judged to be normotensive, if it is not, judging that blood pressure is
Abnormal blood pressure, when blood pressure is abnormal blood pressure, return to step S1；S4：Show normal arterial pressure.
With reference to first aspect, in the first possible implementation, further include step after judging blood pressure for abnormal blood pressure
Rapid S301:The cumulative continuous period for abnormal blood pressure occur is abnormal time summation, judges whether the abnormal time summation surpasses
Preset time dimension is crossed, if it is not, then return to step S1, if so, thening follow the steps S302:Send out the sound for relieving mood
Sound, the step S1 being then back to.
With reference to first aspect, in the first possible implementation, after executing step S302 for the first time, step S1 is returned again to
It executes to step S3, when judging blood pressure for abnormal blood pressure, does not execute step S301, directly execute step SSO2.
With reference to first aspect, in the first possible implementation, just whether the heart rate of period in judgment step S2
Normal method is：Compare whether heart rate is more than 100bpm, if so, it is abnormal, if it is not, then normal.
With reference to first aspect, in the first possible implementation, after step S4, step S5 is executed, is judged normal
Whether the systolic pressure of blood pressure is higher than 140mmHg and/or whether diastolic pressure is higher than 90mmHg, if so, being judged as hypertension, judges
Whether normotensive systolic pressure is less than 90mmHg and/or whether diastolic pressure is less than 60mmHg, if so, being judged as low blood pressure.
Second aspect, an embodiment of the present invention provides a kind of Circadian blood pressure profile devices, including：Heart rate detection unit is used
In measurement heart rate；Blood pressure detecting unit, for measuring blood pressure；Storage unit, for preserving heart rate detection unit and blood pressure detecting
The heart rate and blood pressure measured in unit certain period of time；Processing unit, the data for calling storage unit to store, judges to store
Whether the heart rate of the certain period of time of unit storage is normal, if so, blood pressure is judged to be normotensive, if it is not, judging that blood pressure is
Abnormal blood pressure continues through heart rate detection unit and measures heart rate and blood pressure detecting unit measurement blood when blood pressure is abnormal blood pressure
Pressure;Display unit is connect with processing unit, for showing normal arterial pressure.
In conjunction with second aspect, in the first possible implementation, processing unit is additionally operable to judging blood pressure for exception
After blood pressure, the cumulative continuous period for abnormal blood pressure occur is abnormal time summation, judges whether the abnormal time summation surpasses
Preset time dimension is crossed, if it is not, then continuing through, heart rate detection unit measures heart rate and blood pressure detecting unit measures blood pressure, if
It is that the sound for relieving mood is then sent out by phonation unit, next proceeds through heart rate detection unit and measure heart rate and blood
Detection unit is pressed to measure blood pressure.
In conjunction with second aspect, in the first possible implementation, first passage heart rate detection unit measure heart rate and
After blood pressure detecting unit measures blood pressure, continues through heart rate detection unit and measure heart rate and blood pressure detecting unit measurement blood pressure, if
Processing unit judges the heart rate of the certain period of time of storage unit storage still for abnormal blood pressure, then it is total no longer to calculate abnormal time
With directly measure heart rate and blood pressure detecting unit again by heart rate detection unit and measure blood pressure.
In conjunction with second aspect, in the first possible implementation, processing unit compares whether heart rate is more than 100bpm,
If so, it is abnormal, if it is not, then normal.
In conjunction with second aspect, in the first possible implementation, after showing normal arterial pressure, processing unit judges just
The systolic pressure of normal blood pressure whether is higher than 140mmHg and/or whether diastolic pressure is sentenced higher than 90mmHg if so, being judged as hypertension
Whether normotensive systolic pressure of breaking is less than 90mmHg and/or whether diastolic pressure is less than 60mmHg, if so, being judged as low blood
Pressure.
In conclusion the invention has the advantages that：Heart rate is measured while measuring blood pressure, by detecting heart rate
Whether normally judge whether patient is in " white coat hypertension " state, the display of blood pressure again when heart rate is normal, to effectively
Avoid the influence of " White coat effect " to blood pressure detecting.
Description of the drawings
Fig. 1 is a kind of flow chart of Circadian blood pressure profile method and step S1~S4 of the embodiment of the present invention；
Fig. 2 is a kind of flow chart of Circadian blood pressure profile method and step S4~S5 of the embodiment of the present invention；
Fig. 3 is a kind of Circadian blood pressure profile apparatus structure schematic diagram of the embodiment of the present invention.
In figure, 1, heart rate detection unit；2, blood pressure detecting unit；3, storage unit；4, processing unit；5, display unit；
6, phonation unit.
Specific implementation mode
Below in conjunction with attached drawing, invention is further described in detail.
This specific embodiment is only explanation of the invention, is not limitation of the present invention, people in the art
Member can as needed make the present embodiment the modification of not creative contribution after reading this specification, but as long as at this
It is all protected by Patent Law in the protection domain of invention.
In an embodiment of the present invention, " abnormal blood pressure " refers to the blood pressure abnormal in heart rate." normal blood
Pressure " refers to the blood pressure normal in heart rate.Adult normal heart rate is 60~100bpm, it is contemplated that under " White coat effect "
The heart rate of people is raised, therefore judges heart rate normal situation whether here, does not consider the case where heart rate is less than 60bpm,
Only judge whether heart rate is higher than 100bpm, if so, heart rate is abnormal.
Fig. 1 is a kind of Circadian blood pressure profile method of the embodiment of the present invention, and this method includes：
S1：Heart rate and blood pressure are measured simultaneously, which includes systolic pressure and diastolic pressure.
Specifically, in order to obtain the corresponding heart rate of blood pressure in certain period of time, therefore need to measure blood pressure simultaneously while, surveys
Heart rate is measured, the mode for measuring heart rate and blood pressure is identical as existing electronics cardiotachometer and the measurement method of electronic sphygmomanometer.
S2:Preserve the heart rate and blood pressure of certain period of time；
Specifically:The heart rate and blood pressure for preserving certain period of time are called for next step.
S3:Whether the heart rate of period is normal in judgment step S2, if so, blood pressure is judged to be normotensive, if it is not, sentencing
Disconnected blood pressure is abnormal blood pressure, when blood pressure is abnormal blood pressure, return to step S1;
Specifically：When heart rate is abnormal, then illustrate that patient is in " white coat hypertension " state, the blood pressure under the state cannot
As reference as the blood pressure of patient usually, it is therefore desirable to which return to step S1 is remeasured.The whether normal method of heart rate is：Than
Whether it is more than 100bpm compared with heart rate, if so, it is abnormal, if it is not, then normal.
Further include step S301 after judging blood pressure for abnormal blood pressure:The cumulative continuous period for abnormal blood pressure occur is
Abnormal time summation judges whether the abnormal time summation is more than preset time dimension, if it is not, then return to step S1, if
It is to then follow the steps S302:The sound for relieving mood is sent out, the step S1 being then back to.
Specifically：If patient is in " white coat hypertension " state for a long time, need to carry out it is psychological dredge,
The nervous psychology of patient is alleviated by sending out the sound for relieving mood in the present embodiment, and sends out and is used for
This condition of the sound of relieving mood is：Judge whether abnormal time summation is more than preset time dimension, if so, triggering.
It, can be with music or voice that order popular feeling feelings are loosened for the sound of relieving mood.
In an embodiment of the present invention, step S302 is executed:The sound for relieving mood is sent out, the step of being then back to
S1, there are two ways.Mode one：After executing step S302 for the first time, returns again to step S1 and execute to step S3, judge that blood pressure is
When abnormal blood pressure, step S301 is not executed, directly executes step SSO2.Mode two：After executing step S302 for the first time, step is returned again to
Rapid S1 is executed to step S3, when judging blood pressure for abnormal blood pressure, still executes step S301, then execute step S302.Due to
If S3 still judges that heart rate is abnormal after executing step S302, abnormal time summation is naturally larger than time dimension, therefore mode
One can reduce calculating step, improve judging efficiency.And mode two is simpler in the software programming for realizing overall step.
S4：Show normal arterial pressure.
Specifically, when judging to obtain normal arterial pressure, you can shown, as reference as the blood pressure of patient usually.
As shown in Fig. 2, S5：Judge whether normotensive systolic pressure is higher than 140mmHg and/or whether diastolic pressure is higher than
90mmHg, if so, be judged as hypertension, judge normotensive systolic pressure whether less than 90mmHg and/or diastolic pressure whether
Less than 60mmHg, if so, being judged as low blood pressure.
Specifically：National medical field Uniform provisions：（1）Hypertension：Under the premise of antihypertensive is not used, 18 years old or more
Be grown up systolic pressure >=140mmHg and（Or）Diastolic pressure >=90mmHg.（2）Low blood pressure：Blood pressure is less than 90/60mmHg.
Fig. 3 is a kind of Circadian blood pressure profile device of the embodiment of the present invention, including：
Heart rate detection unit 1, for measuring heart rate；
The heart rate detection unit 1, may be used existing heart rate monitor.
Blood pressure detecting unit 2, for measuring blood pressure；
Existing Circadian blood pressure profile instrument may be used in the blood pressure detecting unit 2.
Storage unit 3, for preserving the heart rate measured in 2 certain period of time of heart rate detection unit 1 and blood pressure detecting unit
And blood pressure；
The storage unit 3, may be used read-only memory or random access memory, and in an embodiment of the present invention, storage unit 3 is used
In the heart rate and blood pressure that are measured in storage certain period of time.
Processing unit 4, the data for calling storage unit 3 to store, judges the certain period of time that storage unit 3 stores
Whether heart rate is normal, if so, blood pressure is judged to be normotensive, if it is not, judging blood pressure for abnormal blood pressure, when blood pressure is abnormal blood
When pressure, continues through heart rate detection unit 1 and measure heart rate and the measurement blood pressure of blood pressure detecting unit 2;
Digital signal processing chip may be used in the processing unit 4.
Display unit 5 is connect with processing unit 4, for showing normal arterial pressure.
Display may be used in the display unit 5.
Processing unit 4 is additionally operable to after judging blood pressure for abnormal blood pressure, and the cumulative continuous period for abnormal blood pressure occur is
Abnormal time summation judges whether the abnormal time summation is more than preset time dimension, if it is not, then continuing through heart rate inspection
It surveys unit 1 and measures heart rate and the measurement blood pressure of blood pressure detecting unit 2, if so, being sent out for relieving mood by phonation unit 6
Sound next proceeds through heart rate detection unit 1 and measures heart rate and the measurement blood pressure of blood pressure detecting unit 2.
After first passage heart rate detection unit 1 measures heart rate and the measurement blood pressure of blood pressure detecting unit 2, heart rate inspection is continued through
It surveys unit 1 and measures heart rate and the measurement blood pressure of blood pressure detecting unit 2, if processing unit 4 judges the certain time that storage unit 3 stores
The heart rate of section is still abnormal blood pressure, then no longer calculates abnormal time summation, directly measures heart rate again by heart rate detection unit 1
Blood pressure is measured with blood pressure detecting unit 2.
Processing unit 4 is additionally operable to compare whether heart rate is more than 100bpm, if so, it is abnormal, if it is not, then normal.
After showing normal arterial pressure, processing unit 4 judges whether normotensive systolic pressure is higher than 140mmHg and/or relaxes
Whether pressure is higher than 90mmHg, if so, be judged as hypertension, judge normotensive systolic pressure whether less than 90mmHg and/
Or whether diastolic pressure is less than 60mmHg, if so, being judged as low blood pressure.The judging result of the hypertension and low blood pressure can shown
It is shown on unit 5.
Claims (10)
1. a kind of Circadian blood pressure profile method, which is characterized in that the method includes the steps：
S1：Heart rate and blood pressure are measured simultaneously, which includes systolic pressure and diastolic pressure；
S2：Preserve the heart rate and blood pressure of certain period of time；
S3:Whether the heart rate of period is normal in judgment step S2, if so, blood pressure is judged to be normotensive, if it is not, judging blood
Pressure is abnormal blood pressure, when blood pressure is abnormal blood pressure, return to step S1；
S4：Show normal arterial pressure.
2. a kind of Circadian blood pressure profile method according to claim 1, it is characterised in that judging blood pressure for abnormal blood
Further include step S301 after pressure:The cumulative continuous period for abnormal blood pressure occur is abnormal time summation, when judging the exception
Between summation whether be more than preset time dimension, if it is not, then return to step S1, if so, thening follow the steps S302:It sends out for relaxing
The sound of slow mood, the step S1 being then back to.
3. a kind of Circadian blood pressure profile method according to claim 2, it is characterised in that：After executing step S302 for the first time,
It returns again to step S1 to execute to step S3, when judging blood pressure for abnormal blood pressure, does not execute step S301, directly execute step
SSO2。
4. a kind of Circadian blood pressure profile method according to claim 1, which is characterized in that the period in judgment step S2
The whether normal method of heart rate is：Compare whether heart rate is more than 100bpm, if so, it is abnormal, if it is not, then normal.
5. time dimension according to claim 1, which is characterized in that after step S4, execute step S5, judge normal blood
Whether the systolic pressure of pressure is higher than 140mmHg and/or whether diastolic pressure is higher than 90mmHg, if so, being judged as hypertension, judges just
Whether the systolic pressure of normal blood pressure is less than 90mmHg and/or whether diastolic pressure is less than 60mmHg, if so, being judged as low blood pressure.
6. a kind of Circadian blood pressure profile device, which is characterized in that including：
Heart rate detection unit (1), for measuring heart rate；
Blood pressure detecting unit (2), for measuring blood pressure；
Storage unit (3), for preserving the heart measured in heart rate detection unit (1) and blood pressure detecting unit (2) certain period of time
Rate and blood pressure；
Processing unit (4), the data for calling storage unit (3) to store, judges the certain period of time of storage unit (3) storage
Heart rate it is whether normal, if so, judge blood pressure to be normotensive, if it is not, judging blood pressure for abnormal blood pressure, when blood pressure is abnormal
When blood pressure, continues through heart rate detection unit (1) and measure heart rate and blood pressure detecting unit (2) measurement blood pressure;
Display unit (5) is connect with processing unit (4), for showing normal arterial pressure.
7. a kind of Circadian blood pressure profile device according to claim 6, which is characterized in that processing unit (4) is additionally operable to
After judging blood pressure for abnormal blood pressure, the cumulative continuous period for abnormal blood pressure occur is abnormal time summation, judges the exception
Whether temporal summation is more than preset time dimension, if it is not, then continuing through heart rate detection unit (1) measures heart rate and blood pressure inspection
It surveys unit (2) measurement blood pressure and next proceeds through the heart if so, sending out the sound for relieving mood by phonation unit (6)
Rate detection unit (1) measures heart rate and blood pressure detecting unit (2) measures blood pressure.
8. a kind of Circadian blood pressure profile device according to claim 7, which is characterized in that first passage heart rate detection unit
(1) it after measuring heart rate and blood pressure detecting unit (2) measurement blood pressure, continues through heart rate detection unit (1) and measures heart rate and blood pressure
Detection unit (2) measures blood pressure, if processing unit (4) judges the heart rate of the certain period of time of storage unit (3) storage still to be different
Normal blood pressure then no longer calculates abnormal time summation, directly measures heart rate and blood pressure detecting list again by heart rate detection unit (1)
First (2) measure blood pressure.
9. a kind of Circadian blood pressure profile device according to claim 6, which is characterized in that processing unit (4) compares heart rate
Whether 100bpm is more than, if so, it is abnormal, if it is not, then normal.
10. a kind of Circadian blood pressure profile device according to claim 1, which is characterized in that after showing normal arterial pressure, place
Reason unit (4) judges whether normotensive systolic pressure is higher than 140mmHg and/or whether diastolic pressure is higher than 90mmHg, if so,
It is judged as hypertension, judges whether normotensive systolic pressure is less than 90mmHg and/or whether diastolic pressure is less than 60mmHg, if
It is then to be judged as low blood pressure.
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Cited By (2)
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| CN111839717A (en) * | 2020-07-27 | 2020-10-30 | 哈尔滨医科大学 | System for real-time display of trans-aortic valve pressure in room interval ablation |
| WO2021203921A1 (en) * | 2020-04-07 | 2021-10-14 | 华为技术有限公司 | Blood pressure monitoring method and apparatus, and electronic device and storage medium |
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