WO2023016378A1 - Blood pressure measurement method and apparatus, and electronic device - Google Patents

Blood pressure measurement method and apparatus, and electronic device Download PDF

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Publication number
WO2023016378A1
WO2023016378A1 PCT/CN2022/110645 CN2022110645W WO2023016378A1 WO 2023016378 A1 WO2023016378 A1 WO 2023016378A1 CN 2022110645 W CN2022110645 W CN 2022110645W WO 2023016378 A1 WO2023016378 A1 WO 2023016378A1
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WIPO (PCT)
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pulse wave
blood pressure
user
wave signal
pressure measurement
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PCT/CN2022/110645
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French (fr)
Chinese (zh)
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刘子毅
潘伟潮
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广东乐心医疗电子股份有限公司
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Priority claimed from CN202110904954.5A external-priority patent/CN114176546B/en
Application filed by 广东乐心医疗电子股份有限公司 filed Critical 广东乐心医疗电子股份有限公司
Publication of WO2023016378A1 publication Critical patent/WO2023016378A1/en

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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
    • 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

Definitions

  • the present disclosure relates to the field of medical technology, in particular to a blood pressure measuring method, device and electronic equipment.
  • the electronic sphygmomanometer currently used clinically is mainly based on the oscillometric method to measure the user's blood pressure.
  • the arterial vessel is blocked by pressure from the cuff, and the envelope of the oscillating wave from the vessel wall is sensed during inflation or deflation. Based on the statistical law, the envelope shape and the corresponding relationship between the user's systolic blood pressure and diastolic blood pressure are found, and the blood pressure measurement value is obtained.
  • the purpose of the present disclosure is to provide a blood pressure measurement method, device and electronic equipment, so as to reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
  • An embodiment of the present disclosure provides a method for measuring blood pressure.
  • the method may include: applying pressure to the first part of the user, and acquiring multimodal information of the user's blood pressure; wherein the multimodal information of blood pressure includes information generated by the first part of the user.
  • the above-mentioned step of applying pressure to the first part of the user and obtaining the multimodal information of the user's blood pressure may include: applying pressure to the first part of the user through the first pulse wave detection module ; The first pulse wave signal generated by the first part of the user is detected by the first pulse wave detection module; the second pulse wave signal generated by the second part of the user is detected by the second pulse wave detection module.
  • the above-mentioned first pulse wave detection module and the second pulse wave detection module may be set on the same side arm of the user; the first part of the user may be the proximal artery of the user's arm ; The second part of the user may be the distal artery of the user's arm.
  • the above-mentioned first pulse wave detection module may include an oscillometric-based arm or wrist electronic sphygmomanometer;
  • the second pulse wave detection module may include at least one of the following: photoplethysmography scanning meter, laser radar, optical imager, piezoelectric sensor or capacitive sensor;
  • the step of performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user may include: The processor of the meter performs weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
  • the measurement method of the electronic sphygmomanometer may include inflation measurement and deflation measurement; when the measurement method of the electronic sphygmomanometer is inflation measurement, the pulse wave main wave amplitude and The amplitude of the dicrotic wave can change from large to small over time until the user's arterial blood vessel is blocked and becomes a stable process; when the electronic sphygmomanometer is measured in deflated mode, the amplitude of the main pulse wave of the second pulse wave signal And the dicrotic wave amplitude can be: from a stable process after the user's arterial vessel is blocked, to a process from small to large over time.
  • the step of performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user may include: obtaining the characteristics of the first pulse wave signal and the second pulse wave signal Two features of the pulse wave signal; wherein, the feature can at least include: the main wave starting moment, the main wave peak time, the main wave amplitude, the descending gorge time, the dicrotic wave peak time, the heavy wave Pulse wave amplitude, dicrotic wave end time; based on the characteristics of the first pulse wave signal and the second pulse wave signal, weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
  • the weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal based on the characteristics of the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user
  • the step may include: based on the characteristics of the first pulse wave signal, using the variable amplitude coefficient method to determine the user's average blood pressure measurement value MAP, the first systolic blood pressure measurement value SBP1 and the first diastolic blood pressure measurement value DBP1 ; based on the second The characteristics of the pulse wave signal, the pressure corresponding to the initial moment of the stable process during the inflation type measurement or the end point of the stable process during the deflation type measurement is used as the second systolic blood pressure measurement value SBP 2 ; the second pulse wave signal
  • the characteristics and mean pressure measurement value MAP input the preset second diastolic pressure model, output the second diastolic pressure measurement value DBP2 ; weighted average of the first systolic pressure measurement value SBP1
  • the weighted average calculation of the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure measurement value SBP 2 to obtain the user's systolic blood pressure measurement value SBP may include: The first weight value and the second weight value perform weighted average calculation on the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure measurement value SBP 2 to obtain the user's systolic blood pressure measurement value SBP; for the first diastolic blood pressure measurement value DBP 1
  • the step of performing weighted average calculation with the second diastolic blood pressure measurement DBP 2 to obtain the user's diastolic blood pressure measurement DBP includes: based on the preset third weight value and the fourth weight value, the first diastolic blood pressure measurement value DBP 1 and The weighted average calculation is performed on the second diastolic blood pressure measurement value DBP 2 to obtain the user's diastolic blood
  • the above method may further include: determining invalid first pulse wave signals in the first pulse wave signal and the second pulse wave signal based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal, respectively. Pulse wave and invalid second pulse wave; delete invalid first pulse wave and invalid second pulse wave; count the first proportion of invalid first pulse wave in the first pulse wave signal and the invalid second pulse wave in the second pulse wave The second proportion in the wave signal; calculate the signal quality of the first pulse wave based on the characteristics of the first pulse wave signal and the first proportion; calculate the signal quality of the second pulse wave based on the characteristics of the second pulse wave signal and the second proportion Signal quality; determining the weight of the first pulse wave signal and the weight of the second pulse wave signal based on the signal quality of the first pulse wave and the signal quality of the second pulse wave; for the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure The step of performing weighted average calculation on the measured value SBP 2 to obtain the user's
  • the above step of determining the weight of the first pulse wave signal and the weight of the second pulse wave signal based on the signal quality of the first pulse wave and the signal quality of the second pulse wave may include: if The signal quality of the first pulse wave is less than the preset first threshold, the weight of the first pulse wave signal is 0, and the weight of the second pulse wave signal is 1; if the signal quality of the second pulse wave is less than the preset second threshold , the weight of the second pulse wave signal is 0, and the weight of the first pulse wave signal is 1; if the difference between the signal quality of the first pulse wave and the signal quality of the second pulse wave is greater than the preset threshold, the weight of the first pulse wave The weight is 1, and the weight of the second pulse wave is 0.
  • the above method may further include: if the peak moment of the main wave of the second pulse wave signal is missing at the peak moment of the first main wave signal of the first pulse wave signal, based on the time before and after the peak moment of the first main wave signal
  • the characteristics of multiple second pulse wave signals reconstruct the characteristics of the missing pulse wave corresponding to the first main wave peak moment of the second pulse wave signal; if the first pulse wave is missing at the second main wave peak moment of the second pulse wave signal At the peak time of the main wave, based on the features of the multiple first pulse wave signals before and after the peak time of the second main wave, the characteristics of the missing pulse wave corresponding to the first pulse wave signal at the peak time of the second main wave are reconstructed.
  • the method may further include: acquiring other physiological signals of the user, and the other physiological signals may include at least one of the following: electrocardiogram signal, photoelectric Plethysmography signal, lidar signal, optical imaging signal, piezoelectric sensor signal or capacitive sensor signal; features of the missing first pulse wave signal and features of the missing second pulse wave signal are analyzed by other physiological signals Reconfiguration; after the step of obtaining the user's blood pressure measurement value, the method may further include: compensating the user's blood pressure measurement value through other physiological signals, and obtaining the user's blood pressure measurement value after compensation.
  • An embodiment of the present disclosure also provides a blood pressure measurement device, which may include: a multimodal information acquisition module configured to apply pressure to the first part of the user to acquire multimodal information of the user's blood pressure; wherein, The blood pressure multimodal information includes the first pulse wave signal generated by the first part of the user and the second pulse wave signal generated by the second part of the user; the weighted average calculation module is configured to calculate the first pulse wave signal and the second pulse wave signal The weighted average calculation is performed on the two pulse wave signals to obtain the blood pressure measurement value of the user; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value.
  • the multimodal information acquisition module may be configured to apply pressure to the first part of the user through the first pulse wave detection module; The first pulse wave signal generated by the part; the second pulse wave signal generated by the second part of the user is detected by the second pulse wave detection module.
  • the above-mentioned first pulse wave detection module and the second pulse wave detection module may be set on the same side arm of the user; the first part of the user may be the proximal artery of the user's arm ; The second part of the user may be the distal artery of the user's arm.
  • the above-mentioned first pulse wave detection module may include an oscillometric-based arm or wrist electronic sphygmomanometer;
  • the second pulse wave detection module may include at least one of the following: photoplethysmography scanning meter, laser radar, optical imager, piezoelectric sensor or capacitive sensor;
  • the above weighted average calculation module can be configured to weight the first pulse wave signal and the second pulse wave signal through the processor of the electronic sphygmomanometer Calculate the average to obtain the user's blood pressure measurement value.
  • the measurement method of the electronic sphygmomanometer may include inflation measurement and deflation measurement; when the measurement method of the electronic sphygmomanometer is inflation measurement, the pulse wave main wave amplitude of the second pulse wave signal And the amplitude of the dicrotic wave can change from large to small over time until the user's arterial blood vessel is blocked and evolves into a stable process; The amplitude and the dicrotic wave amplitude can be: from a stable process after the user's arteries are blocked, to a process that changes from small to large over time.
  • An embodiment of the present disclosure also provides an electronic device, including a processor and a memory, the memory stores computer-executable instructions that can be executed by the processor, and when the electronic device is running, the processor executes the computer-executable instructions, In order to realize the above blood pressure measuring method.
  • An embodiment of the present disclosure also provides a computer-readable storage medium, on which computer-executable instructions are stored, and when the computer-executable instructions are invoked and executed by a processor, the processor is prompted to implement the above blood pressure measurement method .
  • An embodiment of the present disclosure also provides a computer program product, including a computer program that, when invoked and executed by a processor, prompts the processor to implement the above blood pressure measurement method.
  • the embodiments of the present disclosure provide a blood pressure measurement method, device, and electronic equipment, which can obtain the first pulse wave signal generated by the first part of the user and the second pulse wave signal generated by the second part of the user after the pressure is applied to the first part of the user.
  • For the second pulse wave signal weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value. In this way, two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
  • FIG. 1 is a flow chart of a method for measuring blood pressure provided by an embodiment of the present disclosure
  • FIG. 2 is a flow chart of another blood pressure measurement method provided by an embodiment of the present disclosure.
  • FIG. 3 is a schematic diagram of a first pulse wave signal and a second pulse wave signal provided by an embodiment of the present disclosure
  • FIG. 4 is a schematic diagram of a blood pressure measurement method provided by an embodiment of the present disclosure.
  • FIG. 5 is a schematic diagram of a blood pressure measurement device provided by an embodiment of the present disclosure.
  • FIG. 6 is a schematic diagram of another blood pressure measuring device provided by an embodiment of the present disclosure.
  • FIG. 7 is a schematic diagram of another blood pressure measurement device provided by an embodiment of the present disclosure.
  • FIG. 8 is a schematic structural diagram of a blood pressure measurement device provided by an embodiment of the present disclosure.
  • FIG. 9 is a schematic structural diagram of an electronic device provided by an embodiment of the present disclosure.
  • Icons 31-the first pulse wave detection module; 32-display screen; 33-user buttons; 34-gas circuit; 35-cuff; 36-second pulse wave detection module; 37-miniature laser source; 38-photodiode ;39-ECG signal detection module; 41-the first pulse wave detection module; 42-display screen; 43-user buttons; 44-gas circuit; 45-cuff; 46-second pulse wave detection module; 48-and photodiode; 49-first pulse wave detection module; 50-display screen; 51-user button; 52-cuff; 53-miniature laser source; 54-photodiode; 55-second pulse wave detection module; 100-memory; 101-processor; 102-bus; 103-communication interface.
  • the embodiments of the present disclosure provide a blood pressure measurement method, device, and electronic equipment, and specifically relate to a blood pressure measurement method and device that integrates multiple pulse wave signals, which can improve the accuracy of the electronic blood pressure monitor, and is used to enhance the Improvement of accuracy when measuring blood pressure with a single pulse wave signal.
  • An embodiment of the present disclosure provides a blood pressure measurement method. Referring to the flowchart of a blood pressure measurement method shown in FIG. 1 , the blood pressure measurement method includes the following steps:
  • Step S102 apply pressure to the first part of the user, and obtain the multimodal information of the user's blood pressure; wherein, the multimodal information of blood pressure includes the first pulse wave signal generated by the first part of the user and the pulse wave signal generated by the second part of the user. Second pulse wave signal.
  • the first part can refer to the brachial artery or radial artery of the user's arm
  • the first pulse wave signal generated by the first part can be obtained.
  • the second part can be any position from the first part to the fingertip on the same arm as the first part, for example: the first part is the brachial artery of the user's arm, then the second part can be any position from the brachial artery to the fingertip One location; the first location is the radial artery of the user's arm, and the second location can be any location from the radial artery to the fingertip.
  • the first part when pressure is applied to the first part of the user, the first part can generate a first pulse wave signal, and the second part can generate a second pulse wave signal, and the above-mentioned first pulse wave signal and second pulse wave signal can be obtained .
  • Step S104 performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the user's blood pressure measurement value; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value.
  • the weighted average calculation can set different weights for the first pulse wave signal and the second pulse wave signal, and calculate according to the set weight, the first pulse wave signal and the second pulse wave signal, and obtain the user's systolic blood pressure measurement value and diastolic blood pressure Measurements.
  • the above weights may be preset by the user, or calculated by the system based on the first pulse wave signal and the second pulse wave signal, for example: the system may calculate the first pulse wave signal and the second pulse wave signal The signal quality of the signal, and then calculate the weights of the first pulse wave signal and the second pulse wave signal according to the above signal quality, and a higher weight can be set for the pulse wave signal with higher signal quality weight.
  • the first pulse wave signal generated by the first part of the user and the second pulse wave signal generated by the second part of the user can be obtained after applying pressure to the first part of the user,
  • the weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value.
  • two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
  • This embodiment also provides another blood pressure measurement method, which is implemented on the basis of the above-mentioned embodiments, as shown in Figure 2, the flow chart of another blood pressure measurement method, the blood pressure measurement method in this embodiment includes the following step:
  • Step S202 apply pressure to the first part of the user through the first pulse wave detection module; detect the first pulse wave signal generated by the first part of the user through the first pulse wave detection module; detect the user's body pressure through the second pulse wave detection module The second pulse wave signal generated by the second part.
  • the first pulse wave detection module and the second pulse wave detection module can be set on the same side arm of the user; the first part of the user can be the proximal artery of the user's arm; the second part of the user can be It is the arterial vessel at the distal end of the user's arm.
  • the first location may be the brachial artery or the radial artery of the user's arm; the second location of the user may include the location from the first location of the user to the fingertip of the user.
  • the first pulse wave detection module may include an arm or wrist electronic sphygmomanometer based on the oscillometric method; the measurement method of the electronic sphygmomanometer may include inflation measurement or deflation measurement; the second pulse wave detection module may at least Can include one of the following: photoplethysmography, lidar, optical imager, piezoelectric sensor, or capacitive sensor. Therefore, the average weighted calculation can be performed by the processor of the electronic sphygmomanometer. For example, the weighted average calculation can be performed on the first pulse wave signal and the second pulse wave signal by the processor of the electronic sphygmomanometer to obtain the blood pressure measurement value of the user.
  • the first pulse wave detection module and the second pulse wave detection module can be designed in one piece or separately.
  • the user wears the cuff of the electronic sphygmomanometer (that is, the first pulse wave detection module), turns on the blood pressure measurement device, and the blood pressure measurement device receives the user's command to start the blood pressure measurement, and starts to collect the user's first pulse wave signal and the second pulse wave signal.
  • the blood pressure measurement device After the blood pressure measurement device receives the blood pressure measurement command, the user needs to press the pad of the finger on the same side on the second pulse wave detection module integrated with the electronic blood pressure monitor. At this time, if the blood pressure measurement device determines that there is real pulse wave information in the collected second pulse wave signal and exceeds the duration threshold, blood pressure measurement may be started.
  • the duration threshold here may be a preset value, for example, 5 seconds. Otherwise, prompt the user to measure in the correct way.
  • the pulse wave amplitude of the first pulse wave signal first decreases and then increases until it becomes stable with the pressure applied to the user.
  • the pulse wave amplitude of the second pulse wave signal changes from large to small over time until the blood vessel is blocked and develops into a stable process; in some possible implementations, the pulse of the second pulse wave signal The wave amplitude changes from a stable process after the blood vessel is blocked to a process of increasing from small to large over time.
  • the main pulse wave amplitude and the dicrotic wave amplitude of the second pulse wave signal change from large to small over time until the user's arterial blood vessel is blocked and become stable.
  • the amplitude of the main pulse wave and the amplitude of the dicrotic wave of the second pulse wave signal are as follows: from a stable process after the user's arterial blood vessel is blocked to by The process of growing from small to large.
  • the first pulse wave signal and the second pulse wave signal are collected simultaneously, and the electronic sphygmomanometer in Figure 3 adopts an inflatable measurement
  • the second pulse wave signal is a PPG (Photoplethysmogram, photoplethysmogram) pulse wave signal. It can be seen that the pulse wave amplitude of the PPG pulse wave signal changes from large to small over time, and finally tends to be stable.
  • Step S204 performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value.
  • first the features of the first pulse wave signal and the features of the second pulse wave signal can be obtained, wherein the features can include but not limited to: The starting time of the main wave, the peak time of the main wave, the amplitude of the main wave, the moment of the descending gorge, the peak time of the dicrotic wave, the amplitude of the dicrotic wave, and the end time of the dicrotic wave of each pulse wave in the pulse wave signal; based on the first pulse The characteristics of the wave signal and the characteristics of the second pulse wave signal perform weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
  • the method for determining the invalid pulse wave further includes: determining the invalid first pulse wave and the invalid second pulse wave in the first pulse wave signal and the second pulse wave signal based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal, respectively. Two pulse waves; delete invalid first pulse wave and invalid second pulse wave.
  • the above-mentioned method for reconstructing the missing information can be performed through the following steps: If the main wave peak time signal of the second pulse wave signal is missing at the time when the first main wave peak time occurs in the first pulse wave signal, based on the first main wave peak The characteristics of multiple second pulse wave signals before and after the first occurrence moment reconstruct the characteristics of the missing pulse wave first occurrence moment corresponding to the first main wave peak moment of the second pulse wave signal; if the second pulse wave signal The main wave peak time signal of the first pulse wave is missing at the second occurrence time of the second main wave peak time, and the first pulse wave signal is reconstructed based on the characteristics of a plurality of first pulse wave signals before and after the second main wave peak time at the second occurrence time time The characteristics of the missing pulse wave second occurrence moment corresponding to the second main wave peak moment of the wave signal.
  • the first pulse wave signal refers to a sequence composed of pulse waves, such as pulse wave 1, pulse wave 2, pulse wave 3...
  • the first pulse wave signal needs to delete the invalid pulse wave first, and reconstruct the missing pulse wave;
  • the reference basis for deletion can include the amplitude, convexity, width, rise and fall time and other characteristics of any pulse wave Whether it is within 3 times the interquartile range of all characteristics.
  • F is the selected feature of the pulse wave, such as the peak amplitude of the main wave
  • QL and QU are the lower and upper quartiles of the distribution formed by the same type of features of all pulse waves
  • IQR is the interquartile range. Further, it may refer to whether multiple features satisfy the above formula at the same time.
  • the reference basis for the absence may be whether there is no pressure pulse wave at the moment corresponding to the non-invalid second pulse wave. If it is determined to be missing, you can refer to but not limited to the following formula to reconstruct the characteristics corresponding to the first pulse wave, taking the reconstruction of the amplitude A(t) at time t as an example:
  • w i is the weight of the pulse wave amplitude variation at time i.
  • the basis for deletion may include the main peak amplitude of any pulse wave, the duration of the descending gorge from the starting point of the pulse wave, the Whether the time length from the gorge to the end point of the pulse wave, the amplitude of the dicrotic wave and other features are within 3 times the interquartile range of all features.
  • the basis for missing can be whether the second pulse wave is missing at the time corresponding to the non-invalid first pulse wave. If the missing is determined, the second pulse wave feature can be reconstructed by referring to the reconstruction method in the first pulse wave.
  • the signal quality of the pulse wave can be calculated according to the invalid pulse wave, for example: statistical invalid first pulse wave in the first pulse wave signal The first proportion of the first proportion and the second proportion of the invalid second pulse wave in the second pulse wave signal; the signal quality of the first pulse wave is calculated based on the characteristics of the first pulse wave signal and the first proportion; based on the second pulse wave The signal quality of the second pulse wave is calculated according to the characteristic of the wave signal and the second proportion.
  • the above ratio refers to the ratio of the number of invalid pulse waves to the total number of pulse waves.
  • the first pulse wave signal after this step refers to the signal after the invalid first pulse wave is deleted
  • the second pulse wave signal refers to the signal after the invalid second pulse wave is deleted.
  • Q is the invalid proportion
  • CV F is the coefficient of variation of selected features such as the peak time of the main wave
  • (F i+1 -F i ) is the interval between adjacent main wave peak times
  • w represents the The interval time between peak moments is used as the reference signal quality. Further, the average value of w calculated with reference to multiple features may be used.
  • the proportion of invalid pulse waves and the coefficient of variation of different features are constructed as feature vectors to output signal quality in a statistical sense.
  • human experts are required to pre-mark the signal quality of the first pulse wave signal and the second pulse wave signal, and construct the first pulse wave signal quality judgment model and the second pulse wave signal quality judgment model according to the assigned marks.
  • Signal quality judgment model is required to pre-mark the signal quality of the first pulse wave signal and the second pulse wave signal, and construct the first pulse wave signal quality judgment model and the second pulse wave signal quality judgment model according to the assigned marks.
  • the user's blood pressure measurement value can be calculated in the following manner: based on the features of the first pulse wave signal, the user's average blood pressure is determined by using the variable amplitude coefficient method.
  • the pressure corresponding to the end moment of the stabilization process is taken as the second systolic blood pressure measurement value SBP 2 ;
  • the characteristics of the second pulse wave signal and the average pressure measurement value MAP are input into the preset second diastolic pressure model, and the second diastolic pressure measurement value is output value DBP 2 ; weighted average calculation is performed on the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure measurement value SBP 2 to obtain the user's systolic blood pressure measurement value SBP; for the first diastolic blood pressure measurement value DBP 1 and the second diastolic blood pressure measurement value The measured value DBP 2 performs weighte
  • the mean pressure MAP of the first pulse wave signal, the first systolic blood pressure SBP 1 and the first diastolic blood pressure DBP 1 can be obtained by using the coefficient of variation method.
  • the amplitude coefficient usually needs to be adapted to the hardware limitations of different electronic sphygmomanometers, such as the width, material, and length of the cuff.
  • the calculation of the second systolic blood pressure SBP 2 of the second pulse wave signal can be referred to FIG. 3 , and the initial moment after the pulse wave amplitude of the second pulse wave signal tends to stabilize is selected, that is, point A in FIG. 3( a ). After that point, no change in amplitude occurs.
  • DBP 2 (MAP-a ⁇ SBP 2 )/b
  • t s (i) is the duration from the starting moment of the main wave of the i-th pulse wave to the moment of descending the middle gorge, which generally indicates the duration of the systolic period, that is, point A (starting moment of the main wave) in Figure 3(b) to The duration of point C (Jiangzhongxia moment).
  • t d (i) is the duration from the moment of descending middle gorge of the i-th pulse wave to the end of dicrotic wave, which generally indicates the duration of the diastolic period, that is, point C (moment of descending middle gorge) to point E (central gorge) in Figure 3(b).
  • N is the number of pulse waves in the second pulse wave signal.
  • weighted average calculation it is necessary to determine the weight of the weighted average calculation.
  • preset the weight for example: based on the preset first weight value and second weight value to measure the first systolic blood pressure
  • the weighted average calculation of the measured systolic blood pressure and the second measured systolic blood pressure is performed to obtain the measured systolic blood pressure of the user; the first diastolic blood pressure measured value and the second diastolic blood pressure measured value are weighted based on the preset third weight value and fourth weight value Calculate the average to get the user's diastolic blood pressure measurement.
  • the first weight value, the second weight value, the third weight value and the fourth weight value may be the same or different, which is not limited here.
  • the above method can perform weighted average calculation according to preset weights, and the calculation speed is fast and the efficiency is high.
  • the other is to calculate the weight of the first pulse wave signal and the weight of the second pulse wave signal according to the above signal quality after determining the signal quality of the first pulse wave and the signal quality of the second pulse wave, for example: based on the first pulse wave
  • the signal quality of the pulse wave and the signal quality of the second pulse wave determine the weight of the first pulse wave signal and the weight of the second pulse wave signal;
  • the measured value and the second systolic blood pressure measured value are weighted and averaged to obtain the user's systolic blood pressure measured value;
  • the first diastolic blood pressure measured value and the second diastolic blood pressure are calculated by the weight of the first pulse wave signal and the weight of the second pulse wave signal
  • the measured values are weighted and averaged to obtain the measured value of the user's diastolic blood pressure.
  • the user is reminded that the measurement failed; if it is confirmed that the difference between the first systolic blood pressure and the second systolic blood pressure exceeds the preset difference threshold, if the first If the difference between the systolic blood pressure and the second systolic blood pressure exceeds the preset difference threshold, the first systolic blood pressure is directly used as the user's systolic blood pressure measurement; if the difference between the first diastolic blood pressure and the second diastolic pressure exceeds the preset difference threshold, the Use the first diastolic pressure as the user's systolic blood pressure measurement; if it is confirmed that the difference between the first diastolic pressure and the second diastolic pressure exceeds a preset difference threshold, directly select the one with better signal quality as the weighted average output.
  • the weight of the first pulse wave signal is 0, and the weight of the second pulse wave signal is 1; if the signal quality of the second pulse wave is less than the preset The second threshold, the weight of the second pulse wave signal is 0, and the weight of the first pulse wave signal is 1; if the difference between the signal quality of the first pulse wave and the signal quality of the second pulse wave is greater than the preset threshold, the first The pulse wave has a weight of 1 and the second pulse wave has a weight of 0.
  • the weighted average can only be used when the difference between SBP 1 and SBP 2 is within the preset difference threshold range.
  • the difference threshold can be set to 15 mmHg. If the difference threshold is exceeded, the first systolic blood pressure can be directly used as the SBP.
  • the method of measuring blood pressure by fusing the first pulse wave signal and the second pulse wave signal may not be able to perform mutual compensation because the first pulse wave and the second pulse wave have invalid pulse waves or missing pulse waves at the same time .
  • the first pulse wave and the second pulse wave have invalid pulse waves or missing pulse waves at the same time .
  • slight jitter during user measurement weak perfusion accompanied by insufficient cuff pressure and other phenomena.
  • other physiological signals collected synchronously can be added.
  • the other physiological signal is a third signal or more signals, and the type of the signal may overlap with the second pulse wave signal.
  • obtaining other physiological signals of the user For example: obtaining other physiological signals of the user; reconstructing the features of the missing first pulse wave signal and the missing second pulse wave signal through other physiological signals; compensating the user's blood pressure measurement value through other physiological signals, The compensated blood pressure measurement of the user.
  • the above-mentioned other physiological signals include at least one of the following: electrocardiogram signals, photoplethysmography signals, lidar signals, optical imaging signals, piezoelectric sensor signals or capacitive sensor signals.
  • the other physiological signal may be an ECG (Electrocardiogram, electrocardiogram) signal or a PPG pulse wave signal at other locations.
  • ECG Electrocardiogram
  • PPG pulse wave signal from other parts can not only be used to further judge the invalid pulse wave or missing pulse wave, but also can calculate the pulse wave transit time (PulseWaveTransitTime, PWTT) with the existing second pulse wave signal, etc. parameter.
  • PWTT pulse wave transit time
  • the newly added parameters can be further incorporated into the calculation of DBP and SBP.
  • the blood pressure can be measured in the following manner:
  • the user first puts his finger on the first pulse wave detection module, it is relatively easy to acquire the second pulse wave. Therefore, the user can start the blood pressure measurement first, and collect the second pulse wave signal at the same time. If it is confirmed that the real second pulse wave is not detected, it will prompt the correct measurement. If it is confirmed that the real second pulse wave is detected, the first pulse wave signal and the second pulse wave signal are collected.
  • the invalid first pulse wave is deleted, the missing first pulse wave is reconstructed, and the signal quality of the first pulse wave is calculated.
  • the invalid second pulse wave is deleted, the missing second pulse wave is reconstructed, and the signal quality of the second pulse wave is calculated. Calculate the first systolic and first diastolic, and calculate the second systolic and second diastolic.
  • the user is prompted that the measurement fails.
  • the first pulse wave detection module 31 and the second pulse wave detection module 36 are discrete, wherein the first pulse wave detection module 31 is separated from the cuff 35 and the host Type electronic sphygmomanometer, the second pulse wave detection module 36 is a smart watch or smart bracelet separated from the first pulse wave detection module 31. Specifically, it also includes a display screen 32 , user buttons 33 , an air circuit 34 , a micro laser source 37 and a photodiode 38 .
  • the second pulse wave signal is collected by a separate second pulse wave detection module 46, and optionally sent to the first pulse wave detection module 41 via Bluetooth connection for further processing. deal with.
  • the first pulse wave detection module 49 is For an electronic sphygmomanometer integrated with the cuff 52 and the host
  • the second pulse wave detection module 55 is located at the edge of the cuff 52 close to the user's palm.
  • it also includes a display screen 50 , user buttons 51 , a micro laser source 53 and a photodiode 54 .
  • the above-mentioned method provided by the embodiments of the present disclosure which integrates multiple pulse wave information, has a blood pressure measurement result that is more accurate than a single information;
  • the blood pressure measurement method is applied to a blood pressure measurement device, and the method includes: obtaining The blood pressure multimodal signal, the blood pressure multimodal signal includes the first pulse wave signal generated by the pressure acting on the first part of the user, and the second pulse wave signal generated by the second part of the user when the pressure acts on the user; Invalid and missing information of the first pulse wave signal and the second pulse wave signal, and implement mutual compensation; obtain the signal quality respectively for the first pulse wave signal and the second pulse wave signal; calculate the average pressure, the first pulse wave signal according to the first pulse wave signal systolic blood pressure and first diastolic blood pressure, and calculate the second systolic blood pressure and second diastolic blood pressure according to the second pulse wave signal; according to the quality of the first pulse wave signal and the second pulse wave signal quality, the The user's sys, the
  • the above method provided by the embodiments of the present disclosure can improve the accuracy of blood pressure measurement, and even if the first pulse wave signal or the second pulse wave signal has a signal quality defect, the user's blood pressure measurement value can be obtained more accurately.
  • the embodiment of the present disclosure also provides a blood pressure measurement device, refer to the schematic structural diagram of a blood pressure measurement device shown in FIG. 8 , the blood pressure measurement device includes:
  • the multimodal information acquisition module 81 is configured to apply pressure to the first part of the user to obtain the multimodal information of the user's blood pressure; wherein the multimodal information of the blood pressure includes the first pulse generated by the first part of the user wave signal and the second pulse wave signal generated by the second part of the user;
  • the weighted average calculation module 82 is configured to perform weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value .
  • An embodiment of the present disclosure provides a blood pressure measurement device, which can obtain a first pulse wave signal generated by the first part of the user and a second pulse wave signal generated by the second part of the user after applying pressure to the first part of the user, The weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value.
  • two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
  • the above-mentioned multimodal information acquisition module is configured to apply pressure to the first part of the user through the first pulse wave detection module; detect the first pulse wave signal generated by the first part of the user through the first pulse wave detection module; The second pulse wave signal generated by the second part of the user is detected by the second pulse wave detection module.
  • the above-mentioned first pulse wave detection module and the second pulse wave detection module are set on the same side arm of the user; the first part of the user is the proximal end artery of the user's arm; the second part of the user is the distal end of the user's arm. Cardiac arteries.
  • the above-mentioned first pulse wave detection module includes an arm-type or wrist-type electronic sphygmomanometer based on the oscillometric method;
  • the second pulse wave detection module includes at least one of the following: photoplethysmography, laser radar, optical imager, piezoelectric Sensor or capacitive sensor;
  • the above weighted average calculation module is configured to perform weighted average calculation on the first pulse wave signal and the second pulse wave signal by the processor of the electronic sphygmomanometer to obtain the blood pressure measurement value of the user.
  • the measurement methods of the electronic sphygmomanometer include inflation measurement and deflation measurement; when the measurement method of the electronic sphygmomanometer is inflation measurement, the pulse wave main wave amplitude and dicrotic wave amplitude of the second pulse wave signal change from large to small over time , until the user's arterial blood vessel is blocked, it evolves into a stable process; when the electronic sphygmomanometer measures deflation, the pulse wave main wave amplitude and dicrotic wave amplitude of the second pulse wave signal are: determined by the user's arterial The stable process after the blood vessel is blocked evolves from small to large over time.
  • the above-mentioned weighted average calculation module is configured to obtain the features of the first pulse wave signal and the features of the second pulse wave signal; wherein, the features may at least include: the starting moment of each main wave in the pulse wave signal, Main wave peak time, main wave amplitude, descending gorge time, dicrotic wave peak time, dicrotic wave amplitude, dicrotic wave end time; based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal
  • the weighted average calculation is performed on the pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
  • the above-mentioned weighted average calculation module is configured to determine the average blood pressure measurement value, the first systolic blood pressure measurement value and the first diastolic blood pressure measurement value of the user based on the characteristics of the first pulse wave signal by using the variable amplitude coefficient method;
  • the characteristics of the pulse wave signal, the pressure corresponding to the initial moment of the stable process during the inflatable measurement or the end moment of the stable process during the deflated measurement is used as the second systolic blood pressure measurement value;
  • the characteristic of the second pulse wave signal The characteristics of the first pulse wave signal corresponding to the average pressure measurement value are input into the preset human blood vessel elastic cavity model, and the second diastolic pressure measurement value is output; weighted average is performed on the first systolic pressure measurement value and the second systolic pressure measurement value Calculate to obtain the measured systolic blood pressure of the user; perform weighted average calculation on the first measured diastolic blood pressure and the second measured dias
  • the above-mentioned weighted average calculation module is configured to perform weighted average calculation on the first systolic blood pressure measurement value and the second systolic blood pressure measurement value based on the preset first weight value and second weight value to obtain the user's systolic blood pressure measurement value ; Based on the preset third weight value and the fourth weight value, the weighted average calculation is performed on the first diastolic blood pressure measurement value and the second diastolic blood pressure measurement value to obtain the diastolic blood pressure measurement value of the user.
  • the above-mentioned weighted average calculation module is further configured to determine the invalid first pulse wave and the invalid The second pulse wave; delete the invalid first pulse wave and the invalid second pulse wave; count the first proportion of the invalid first pulse wave in the first pulse wave signal and the proportion of the invalid second pulse wave in the second pulse wave signal The second proportion; calculate the signal quality of the first pulse wave based on the characteristics of the first pulse wave signal and the first proportion; calculate the signal quality of the second pulse wave based on the characteristics of the second pulse wave signal and the second proportion; The signal quality of the first pulse wave and the signal quality of the second pulse wave determine the weight of the first pulse wave signal and the weight of the second pulse wave signal; the above-mentioned weighted average calculation module is configured to use the weight of the first pulse wave signal The weight and the weight of the second pulse wave signal perform a weighted average calculation on the first systolic blood pressure measurement value and the second systolic blood pressure measurement value to obtain the user's systolic blood pressure measurement value; the above
  • the above-mentioned weighted average calculation module is configured to if the signal quality of the first pulse wave is less than the preset first threshold, the weight of the first pulse wave signal is 0, and the weight of the second pulse wave signal is 1; if the second The signal quality of the pulse wave is less than the preset second threshold, the weight of the second pulse wave signal is 0, and the weight of the first pulse wave signal is 1; if the signal quality of the first pulse wave is equal to the signal quality of the second pulse wave If the difference is greater than the preset threshold, the weight of the first pulse wave is 1, and the weight of the second pulse wave is 0.
  • the above-mentioned weighted average calculation module is configured to, if the main wave peak time of the second pulse wave is missing at the first main wave peak time of the first pulse wave signal, based on a plurality of second pulses before and after the first main wave peak time
  • the feature of the wave signal reconstructs the feature of the missing pulse wave corresponding to the first main wave peak moment of the second pulse wave signal; if the main wave peak of the first pulse wave is missing at the second main wave peak moment of the second pulse wave signal time, based on the features of the multiple first pulse wave signals before and after the peak time of the second main wave, the features of the missing pulse wave corresponding to the peak time of the second main wave of the first pulse wave signal are reconstructed.
  • the above-mentioned weighted average calculation module is also configured to obtain other physiological signals of the user;
  • the above-mentioned other physiological signals include at least one of the following: electrocardiogram signal, photoplethysmography signal, laser radar signal, optical imaging signal, piezoelectric sensor signal or capacitive sensor signal; reconstruct the feature of the missing first pulse wave signal and the feature of the missing second pulse wave signal through other physiological signals;
  • the above-mentioned weighted average calculation module is also configured to use other physiological signals
  • the physiological signal compensates the user's blood pressure measurement value, and obtains the user's blood pressure measurement value after compensation.
  • An embodiment of the present disclosure also provides an electronic device for running the above blood pressure measurement method; refer to the schematic structural diagram of an electronic device shown in FIG.
  • One or more computer instructions are stored, and one or more computer instructions are executed by the processor 101 to implement the above blood pressure measurement method.
  • the electronic device shown in FIG. 9 further includes a bus 102 and a communication interface 103 , and the processor 101 , the communication interface 103 and the memory 100 are connected through the bus 102 .
  • the memory 100 may include a high-speed random access memory (RAM, Random Access Memory), and may also include a non-volatile memory (non-volatile memory), such as at least one disk memory.
  • RAM Random Access Memory
  • non-volatile memory such as at least one disk memory.
  • the communication connection between the system network element and at least one other network element is realized through at least one communication interface 103 (which may be wired or wireless), and the Internet, wide area network, local network, metropolitan area network, etc. can be used.
  • the bus 102 may be an ISA bus, a PCI bus, or an EISA bus, etc.
  • the bus can be divided into address bus, data bus, control bus and so on. For ease of representation, only one double-headed arrow is used in FIG. 9 , but it does not mean that there is only one bus or one type of bus.
  • the processor 101 may be an integrated circuit chip with signal processing capability. In the implementation process, each step of the above method can be completed by an integrated logic circuit of hardware in the processor 101 or instructions in the form of software.
  • processor 101 can be general-purpose processor, comprises central processing unit (Central Processing Unit, be called for short CPU), network processor (Network Processor, be called for short NP) etc.; Can also be digital signal processor (Digital Signal Processor, be called for short DSP), ASIC (Application Specific Integrated Circuit, referred to as ASIC), Field-Programmable Gate Array (Field-Programmable Gate Array, referred to as FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components.
  • CPU central processing unit
  • Network Processor Network Processor
  • NP Network Processor
  • ASIC Application Specific Integrated Circuit
  • FPGA Field-Programmable Gate Array
  • FPGA Field-Programmable Gate Array
  • a general-purpose processor may be a microprocessor, or the processor may be any conventional processor, or the like.
  • the steps of the methods disclosed in the embodiments of the present disclosure may be directly implemented by a hardware decoding processor, or implemented by a combination of hardware and software modules in the decoding processor.
  • the software module can be located in a mature storage medium in the field such as random access memory, flash memory, read-only memory, programmable read-only memory or electrically erasable programmable memory, register.
  • the storage medium is located in the memory 100, and the processor 101 reads the information in the memory 100, and completes the steps of the methods in the foregoing embodiments in combination with its hardware.
  • An embodiment of the present disclosure also provides a computer-readable storage medium, the computer-readable storage medium stores computer-executable instructions, and when the computer-executable instructions are invoked and executed by a processor, the computer-executable instructions cause the processor to implement
  • the computer-readable storage medium stores computer-executable instructions, and when the computer-executable instructions are invoked and executed by a processor, the computer-executable instructions cause the processor to implement
  • the computer program product of the blood pressure measurement method, device, and electronic equipment provided by the embodiments of the present disclosure includes a computer-readable storage medium storing program codes, and the instructions contained in the program codes can be used to execute the methods in the previous method embodiments, and the specific implementation Reference may be made to the method embodiments, and details are not repeated here.
  • connection should be interpreted in a broad sense, for example, it can be a fixed connection or a detachable connection , or integrally connected; it may be mechanically connected or electrically connected; it may be directly connected or indirectly connected through an intermediary, and it may be the internal communication of two components.
  • installation e.g., it can be a fixed connection or a detachable connection , or integrally connected; it may be mechanically connected or electrically connected; it may be directly connected or indirectly connected through an intermediary, and it may be the internal communication of two components.
  • the functions described above are realized in the form of software function units and sold or used as independent products, they can be stored in a computer-readable storage medium.
  • the technical solution of the present disclosure is essentially or the part that contributes to the prior art or the part of the technical solution can be embodied in the form of a software product, and the computer software product is stored in a storage medium, including Several instructions are used to make a computer device (which may be a personal computer, a server, or a network device, etc.) execute all or part of the steps of the methods described in various embodiments of the present disclosure.
  • the aforementioned storage medium includes: U disk, mobile hard disk, read-only memory (ROM, Read-OnlyMemory), random access memory (RAM, RandomAccessMemory), magnetic disk or optical disk and other media that can store program codes.
  • the present disclosure provides a blood pressure measurement method, device and electronic equipment, which can obtain the first pulse wave signal generated by the user's first part and the second pulse wave signal generated by the user's second part after the pressure is applied to the user's first part signal, performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value.
  • two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
  • the blood pressure measurement method, apparatus and electronic equipment of the present disclosure are reproducible and can be used in various industrial applications.
  • the blood pressure measuring method, device and electronic equipment disclosed in the present disclosure can be used in the field of medical technology.

Abstract

The present disclosure provides a blood pressure measurement method and apparatus, and an electronic device. The method comprises: applying pressure to a first part of a user, and acquiring blood pressure multi-modal information of the user, the blood pressure multi-modal information comprising a first pulse wave signal generated by the first part of the user and a second pulse wave signal generated by a second part of the user; and performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain a blood pressure measurement value of the user, the blood pressure measurement value comprising a systolic pressure measurement value and a diastolic pressure measurement value. In this mode, two pulse wave signals can be acquired and are subjected to weighted calculation to obtain the blood pressure measurement value of the user, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.

Description

血压测量方法、装置和电子设备Blood pressure measurement method, device and electronic equipment
相关申请的交叉引用Cross References to Related Applications
本公开要求于2021年08月07日提交中国国家知识产权局的申请号为202110904954.5、名称为“血压测量方法、装置和电子设备”的中国专利申请以及于2021年08月07日提交中国国家知识产权局的申请号为202110904953.0、名称为“血压校准方法、装置、系统和电子设备”的中国专利申请的优先权,其全部内容通过引用结合在本公开中。This disclosure requires that the Chinese patent application with the application number 202110904954.5 titled "Blood Pressure Measurement Method, Device and Electronic Equipment" be submitted to the State Intellectual Property Office of China on August 7, 2021, and that the Chinese National Intellectual Property Office be submitted on August 7, 2021. Priority of Chinese Patent Application No. 202110904953.0 entitled "Blood Pressure Calibration Method, Apparatus, System, and Electronic Equipment" from the Intellectual Property Office, the entire contents of which are incorporated by reference in this disclosure.
技术领域technical field
本公开涉及医疗技术领域,尤其是涉及一种血压测量方法、装置和电子设备。The present disclosure relates to the field of medical technology, in particular to a blood pressure measuring method, device and electronic equipment.
背景技术Background technique
当前临床所使用的电子血压计主要是基于示波法测量用户血压。通过袖带施压来阻断动脉血管,并在充气或放气的过程中,感知来自血管壁的振荡波包络线。基于统计规律,找到包络线形态和用户收缩压与舒张压之间的对应关系,并获得血压测量值。The electronic sphygmomanometer currently used clinically is mainly based on the oscillometric method to measure the user's blood pressure. The arterial vessel is blocked by pressure from the cuff, and the envelope of the oscillating wave from the vessel wall is sensed during inflation or deflation. Based on the statistical law, the envelope shape and the corresponding relationship between the user's systolic blood pressure and diastolic blood pressure are found, and the blood pressure measurement value is obtained.
然而,这种单一使用示波法测量的手段,容易受到统计规律的牵制,即统计规律并不一定满足小部分用户中的个体性特异性。与此同时,还可能受到信号质量的影响,导致测量精度不高。However, this method of single-use oscillometric measurement is easily constrained by statistical laws, that is, statistical laws do not necessarily satisfy the individual specificity of a small number of users. At the same time, it may also be affected by the signal quality, resulting in low measurement accuracy.
发明内容Contents of the invention
有鉴于此,本公开的目的在于提供一种血压测量方法、装置和电子设备,以降低信号质量的影响,提高血压测量的精度。In view of this, the purpose of the present disclosure is to provide a blood pressure measurement method, device and electronic equipment, so as to reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
本公开实施例提供了一种血压测量方法,该方法可以包括:将压力作用于用户的第一部位,获取用户的血压多模态信息;其中,血压多模态信息包括用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号;对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值;其中,血压测量值包括收缩压测量值和舒张压测量值。An embodiment of the present disclosure provides a method for measuring blood pressure. The method may include: applying pressure to the first part of the user, and acquiring multimodal information of the user's blood pressure; wherein the multimodal information of blood pressure includes information generated by the first part of the user. The first pulse wave signal of the user and the second pulse wave signal generated by the second part of the user; the weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user; wherein, the blood pressure measurement value includes Systolic and diastolic measurements.
在本公开的可选实施例中,上述将压力作用于用户的第一部位,获取用户的血压多模态信息的步骤,可以包括:通过第一脉搏波检测模块向用户的第一部位施加压力;通过第一脉搏波检测模块检测用户的第一部位产生的第一脉搏波信号;通过第二脉搏波检测模块检测用户的第二部位产生的第二脉搏波信号。In an optional embodiment of the present disclosure, the above-mentioned step of applying pressure to the first part of the user and obtaining the multimodal information of the user's blood pressure may include: applying pressure to the first part of the user through the first pulse wave detection module ; The first pulse wave signal generated by the first part of the user is detected by the first pulse wave detection module; the second pulse wave signal generated by the second part of the user is detected by the second pulse wave detection module.
在本公开的可选实施例中,上述第一脉搏波检测模块和第二脉搏波检测模块可以设置于用户的同侧手臂;用户的第一部位可以为用户的手臂的近心端动脉血管处;用户的第二部位可以为用户的手臂的远心端动脉血管处。In an optional embodiment of the present disclosure, the above-mentioned first pulse wave detection module and the second pulse wave detection module may be set on the same side arm of the user; the first part of the user may be the proximal artery of the user's arm ; The second part of the user may be the distal artery of the user's arm.
在本公开的可选实施例中,上述第一脉搏波检测模块可以包括基于示波法的臂式或腕式电子血压计;第二脉搏波检测模块至少可以包括以下之一:光电容积脉搏波描计、激光雷达、光学成像仪、压电传感器或电容式传感器;对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值的步骤,可以包括:通过电子血压计的处理器对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值。In an optional embodiment of the present disclosure, the above-mentioned first pulse wave detection module may include an oscillometric-based arm or wrist electronic sphygmomanometer; the second pulse wave detection module may include at least one of the following: photoplethysmography scanning meter, laser radar, optical imager, piezoelectric sensor or capacitive sensor; the step of performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user may include: The processor of the meter performs weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
在本公开的公开实施例中,电子血压计的测量方式可以包括充气式测量和放气式测量;当电子血压计的测量方式为充气式测量,第二脉搏波信号的脉搏波主波振幅和重搏波振幅可以随时间由大变小,直至用户的动脉血管被阻断后演变为稳定过程;当电子血压计的测量方式为放气式测量,第二脉搏波信号的脉搏波主波振幅和重搏波振幅可以为:由用户的动脉血管被阻断后的稳定过程演变为随时间由小变大的过程。In the disclosed embodiment of the present disclosure, the measurement method of the electronic sphygmomanometer may include inflation measurement and deflation measurement; when the measurement method of the electronic sphygmomanometer is inflation measurement, the pulse wave main wave amplitude and The amplitude of the dicrotic wave can change from large to small over time until the user's arterial blood vessel is blocked and becomes a stable process; when the electronic sphygmomanometer is measured in deflated mode, the amplitude of the main pulse wave of the second pulse wave signal And the dicrotic wave amplitude can be: from a stable process after the user's arterial vessel is blocked, to a process from small to large over time.
在本公开的可选实施例中,上述对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值的步骤,可以包括:获取第一脉搏波信号的特征和第二脉搏波信号的特征;其中,特征至少可以包括:脉搏波信号中每一个脉搏波的主波起始时刻、主波波峰时刻、主波振幅、降中峡时刻、重搏波波峰时刻、重搏波振幅、重搏波结束时刻;基于第一脉搏波信号的特征和第二脉搏波信号的特征对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值。In an optional embodiment of the present disclosure, the step of performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user may include: obtaining the characteristics of the first pulse wave signal and the second pulse wave signal Two features of the pulse wave signal; wherein, the feature can at least include: the main wave starting moment, the main wave peak time, the main wave amplitude, the descending gorge time, the dicrotic wave peak time, the heavy wave Pulse wave amplitude, dicrotic wave end time; based on the characteristics of the first pulse wave signal and the second pulse wave signal, weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
在本公开的可选实施例中,上述基于第一脉搏波信号的特征和第二脉搏波信号的特征对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值的步骤,可以包括:基于第一脉搏波信号的特征,采用变幅度系数法确定用户的平均压测量值MAP、第一收缩压测量值SBP 1和第一舒张压测量值DBP 1;基于第二脉搏波信号的特征,将进行充气式测量时的稳定过程的起始时刻或者放气式测量时的稳定过程的结束时刻对应的压力作为第二收缩压测量值SBP 2;将第二脉搏波信号的特征和平均压测量值MAP,输入预设的第二舒张压模型,输出第二舒张压测量值DBP 2;对第一收缩压测量值SBP 1和第二收缩压测量值SBP 2进行加权平均计算,得到用户的收缩压测量值SBP;对第一舒张压测量值DBP 1和第二舒张压测量值DBP 2进行加权平均计算,得到用户的舒张压测量值DBP。 In an optional embodiment of the present disclosure, the weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal based on the characteristics of the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user The step may include: based on the characteristics of the first pulse wave signal, using the variable amplitude coefficient method to determine the user's average blood pressure measurement value MAP, the first systolic blood pressure measurement value SBP1 and the first diastolic blood pressure measurement value DBP1 ; based on the second The characteristics of the pulse wave signal, the pressure corresponding to the initial moment of the stable process during the inflation type measurement or the end point of the stable process during the deflation type measurement is used as the second systolic blood pressure measurement value SBP 2 ; the second pulse wave signal The characteristics and mean pressure measurement value MAP, input the preset second diastolic pressure model, output the second diastolic pressure measurement value DBP2 ; weighted average of the first systolic pressure measurement value SBP1 and the second systolic pressure measurement value SBP2 Calculate to obtain the user's systolic blood pressure measurement value SBP; perform weighted average calculation on the first diastolic blood pressure measurement value DBP 1 and the second diastolic blood pressure measurement value DBP 2 to obtain the user's diastolic blood pressure measurement value DBP.
在本公开的可选实施例中,上述对第一收缩压测量值SBP 1和第二收缩压测量值SBP 2进行加权平均计算,得到用户的收缩压测量值SBP,可以包括:基于预设的第一权重值和第二权重值对第一收缩压测量值SBP 1和第二收缩压测量值SBP 2进行加权平均计算,得到用户的收缩压测量值SBP;对第一舒张压测量值DBP 1和第二舒张压测量值DBP 2进行加权平均计算,得到用户的舒张压测量值DBP的步骤,包括:基于预设的第三权重值和第四权重值对第一舒张压测量值DBP 1和第二舒张压测量值DBP 2进行加权平均计算,得到用户的舒张压测量值DBP。 In an optional embodiment of the present disclosure, the weighted average calculation of the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure measurement value SBP 2 to obtain the user's systolic blood pressure measurement value SBP may include: The first weight value and the second weight value perform weighted average calculation on the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure measurement value SBP 2 to obtain the user's systolic blood pressure measurement value SBP; for the first diastolic blood pressure measurement value DBP 1 The step of performing weighted average calculation with the second diastolic blood pressure measurement DBP 2 to obtain the user's diastolic blood pressure measurement DBP includes: based on the preset third weight value and the fourth weight value, the first diastolic blood pressure measurement value DBP 1 and The weighted average calculation is performed on the second diastolic blood pressure measurement value DBP 2 to obtain the user's diastolic blood pressure measurement value DBP.
在本公开的可选实施例中,上述方法还可以包括:基于第一脉搏波信号的特征和第二脉搏波信号的特征分别确定第一脉搏波信号和第二脉搏波信号中的无效第一脉搏波和无效第二脉搏波;删除无效第一脉搏波和无效第二脉搏波;统计无效第一脉搏波在第一脉搏波信号中的第一占比和无效第二脉搏波在第二脉搏波信号中的第二占比;基于第一脉搏波信号的特征和第一占比计算第一脉搏波的信号质量;基于第二脉搏波信号的特征和第二占比计算第二脉搏波的信号质量;基于第一脉搏波的信号质量和第二脉搏波的信号质量确定第一脉搏波信号的权重和第二脉搏波信号的权重;对第一收缩压测量值SBP 1和第二收缩压测量值SBP 2进行加权平均计算,得到用户的收缩压测量值SBP的步骤,可以包括:通过第一脉搏波信号的权重和第二脉搏波信号的权重对第一收缩压测量值SBP 1和第二收缩压测量值SBP 2进行加权平均计算,得到用户的收缩压测量值SBP;对第一舒张压测量值DBP 1和第二舒张压测量值DBP 2进行加权平均计算,得到用户的舒张压测量值DBP的步骤,可以包括:通过第一脉搏波信号的权重和第二脉搏波信号的权重对第一舒张压测量值和第二舒张压测量值进行加权平均计算,得到用户的舒张压测量值。 In an optional embodiment of the present disclosure, the above method may further include: determining invalid first pulse wave signals in the first pulse wave signal and the second pulse wave signal based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal, respectively. Pulse wave and invalid second pulse wave; delete invalid first pulse wave and invalid second pulse wave; count the first proportion of invalid first pulse wave in the first pulse wave signal and the invalid second pulse wave in the second pulse wave The second proportion in the wave signal; calculate the signal quality of the first pulse wave based on the characteristics of the first pulse wave signal and the first proportion; calculate the signal quality of the second pulse wave based on the characteristics of the second pulse wave signal and the second proportion Signal quality; determining the weight of the first pulse wave signal and the weight of the second pulse wave signal based on the signal quality of the first pulse wave and the signal quality of the second pulse wave; for the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure The step of performing weighted average calculation on the measured value SBP 2 to obtain the user's systolic blood pressure measured value SBP may include: calculating the first systolic blood pressure measured value SBP 1 and the second pulse wave signal through the weight of the first pulse wave signal and the weight of the second pulse wave signal Perform weighted average calculation on the two systolic blood pressure measurement values SBP 2 to obtain the user's systolic blood pressure measurement value SBP; perform weighted average calculation on the first diastolic blood pressure measurement value DBP 1 and the second diastolic blood pressure measurement value DBP 2 to obtain the user's diastolic blood pressure measurement value The step of calculating the DBP may include: performing weighted average calculation on the first diastolic pressure measurement value and the second diastolic pressure measurement value through the weight of the first pulse wave signal and the weight of the second pulse wave signal to obtain the user's diastolic pressure measurement value .
在本公开的可选实施例中,上述基于第一脉搏波的信号质量和第二脉搏波的信号质量确定第一脉搏波信号的权重和第二脉搏波信号的权重的步骤,可以包括:如果第一脉搏波的信号质量小于预设的第一阈值,第一脉搏波信号的权重为0,第二脉搏波信号的权重为1;如果第二脉搏波的信号质量小于预设的第二阈值,第二脉搏波信号的权重为0,第一脉搏波信号的权重为1;如果第一脉搏波的信号质量与第二脉搏波的信号质量的差大于预设的阈值,第一脉搏波的权重为1,第二脉搏波的权重为0。In an optional embodiment of the present disclosure, the above step of determining the weight of the first pulse wave signal and the weight of the second pulse wave signal based on the signal quality of the first pulse wave and the signal quality of the second pulse wave may include: if The signal quality of the first pulse wave is less than the preset first threshold, the weight of the first pulse wave signal is 0, and the weight of the second pulse wave signal is 1; if the signal quality of the second pulse wave is less than the preset second threshold , the weight of the second pulse wave signal is 0, and the weight of the first pulse wave signal is 1; if the difference between the signal quality of the first pulse wave and the signal quality of the second pulse wave is greater than the preset threshold, the weight of the first pulse wave The weight is 1, and the weight of the second pulse wave is 0.
在本公开的可选实施例中,上述方法还可以包括:如果在第一脉搏波信号的第一主波 波峰时刻缺失第二脉搏波的主波波峰时刻,基于第一主波波峰时刻前后的多个第二脉搏波信号的特征重构第二脉搏波信号在第一主波波峰时刻所对应的缺失脉搏波的特征;如果在第二脉搏波信号的第二主波波峰时刻缺失第一脉搏波的主波波峰时刻,基于第二主波波峰时刻前后的多个第一脉搏波信号的特征重构第一脉搏波信号在第二主波波峰时刻所对应的缺失脉搏波的特征。In an optional embodiment of the present disclosure, the above method may further include: if the peak moment of the main wave of the second pulse wave signal is missing at the peak moment of the first main wave signal of the first pulse wave signal, based on the time before and after the peak moment of the first main wave signal The characteristics of multiple second pulse wave signals reconstruct the characteristics of the missing pulse wave corresponding to the first main wave peak moment of the second pulse wave signal; if the first pulse wave is missing at the second main wave peak moment of the second pulse wave signal At the peak time of the main wave, based on the features of the multiple first pulse wave signals before and after the peak time of the second main wave, the characteristics of the missing pulse wave corresponding to the first pulse wave signal at the peak time of the second main wave are reconstructed.
在本公开的可选实施例中,上述将压力作用于用户的第一部位的步骤之后,方法还可以包括:获取用户的其它生理信号,其它生理信号至少可以包括以下之一:心电图信号、光电容积脉搏波描计信号、激光雷达信号、光学成像信号、压电传感器信号或电容式传感器信号;通过其它生理信号对缺失的第一脉搏波信号的特征和缺失的第二脉搏波信号的特征进行重构;得到用户的血压测量值的步骤之后,方法还可以包括:通过其它生理信号对用户的血压测量值进行补偿,得到补偿后的用户的血压测量值。In an optional embodiment of the present disclosure, after the above-mentioned step of applying pressure to the first part of the user, the method may further include: acquiring other physiological signals of the user, and the other physiological signals may include at least one of the following: electrocardiogram signal, photoelectric Plethysmography signal, lidar signal, optical imaging signal, piezoelectric sensor signal or capacitive sensor signal; features of the missing first pulse wave signal and features of the missing second pulse wave signal are analyzed by other physiological signals Reconfiguration; after the step of obtaining the user's blood pressure measurement value, the method may further include: compensating the user's blood pressure measurement value through other physiological signals, and obtaining the user's blood pressure measurement value after compensation.
本公开实施例还提供一种血压测量装置,该装置可以包括:多模态信息获取模块,被配置成用于将压力作用于用户的第一部位,获取用户的血压多模态信息;其中,血压多模态信息包括用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号;加权平均计算模块,被配置成用于对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值;其中,血压测量值包括收缩压测量值和舒张压测量值。An embodiment of the present disclosure also provides a blood pressure measurement device, which may include: a multimodal information acquisition module configured to apply pressure to the first part of the user to acquire multimodal information of the user's blood pressure; wherein, The blood pressure multimodal information includes the first pulse wave signal generated by the first part of the user and the second pulse wave signal generated by the second part of the user; the weighted average calculation module is configured to calculate the first pulse wave signal and the second pulse wave signal The weighted average calculation is performed on the two pulse wave signals to obtain the blood pressure measurement value of the user; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value.
在本公开的可选实施例中,多模态信息获取模块可以被配置成用于通过第一脉搏波检测模块向用户的第一部位施加压力;通过第一脉搏波检测模块检测用户的第一部位产生的第一脉搏波信号;通过第二脉搏波检测模块检测用户的第二部位产生的第二脉搏波信号。In an optional embodiment of the present disclosure, the multimodal information acquisition module may be configured to apply pressure to the first part of the user through the first pulse wave detection module; The first pulse wave signal generated by the part; the second pulse wave signal generated by the second part of the user is detected by the second pulse wave detection module.
在本公开的可选实施例中,上述第一脉搏波检测模块和第二脉搏波检测模块可以设置于用户的同侧手臂;用户的第一部位可以为用户的手臂的近心端动脉血管处;用户的第二部位可以为用户的手臂的远心端动脉血管处。In an optional embodiment of the present disclosure, the above-mentioned first pulse wave detection module and the second pulse wave detection module may be set on the same side arm of the user; the first part of the user may be the proximal artery of the user's arm ; The second part of the user may be the distal artery of the user's arm.
在本公开的可选实施例中,上述第一脉搏波检测模块可以包括基于示波法的臂式或腕式电子血压计;第二脉搏波检测模块至少可以包括以下之一:光电容积脉搏波描计、激光雷达、光学成像仪、压电传感器或电容式传感器;上述加权平均计算模块可以被配置成用于通过电子血压计的处理器对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值。In an optional embodiment of the present disclosure, the above-mentioned first pulse wave detection module may include an oscillometric-based arm or wrist electronic sphygmomanometer; the second pulse wave detection module may include at least one of the following: photoplethysmography scanning meter, laser radar, optical imager, piezoelectric sensor or capacitive sensor; the above weighted average calculation module can be configured to weight the first pulse wave signal and the second pulse wave signal through the processor of the electronic sphygmomanometer Calculate the average to obtain the user's blood pressure measurement value.
在本公开的可选实施例中,电子血压计的测量方式可以包括充气式测量和放气式测量;当电子血压计的测量方式为充气式测量,第二脉搏波信号的脉搏波主波振幅和重搏波振幅可以随时间由大变小,直至用户的动脉血管被阻断后演变为稳定过程;当电子血压计的测量方式为放气式测量,第二脉搏波信号的脉搏波主波振幅和重搏波振幅可以为:由用户的动脉血管被阻断后的稳定过程演变为随时间由小变大的过程。In an optional embodiment of the present disclosure, the measurement method of the electronic sphygmomanometer may include inflation measurement and deflation measurement; when the measurement method of the electronic sphygmomanometer is inflation measurement, the pulse wave main wave amplitude of the second pulse wave signal And the amplitude of the dicrotic wave can change from large to small over time until the user's arterial blood vessel is blocked and evolves into a stable process; The amplitude and the dicrotic wave amplitude can be: from a stable process after the user's arteries are blocked, to a process that changes from small to large over time.
本公开实施例还提供了一种电子设备,包括处理器和存储器,该存储器存储有能够被该处理器执行的计算机可执行指令,当电子设备运行时,该处理器执行该计算机可执行指令,以实现上述血压测量方法。An embodiment of the present disclosure also provides an electronic device, including a processor and a memory, the memory stores computer-executable instructions that can be executed by the processor, and when the electronic device is running, the processor executes the computer-executable instructions, In order to realize the above blood pressure measuring method.
本公开实施例还提供了一种计算机可读存储介质,该计算机可读存储介质上存储有计算机可执行指令,该计算机可执行指令在被处理器调用和执行时促使处理器实现上述血压测量方法。An embodiment of the present disclosure also provides a computer-readable storage medium, on which computer-executable instructions are stored, and when the computer-executable instructions are invoked and executed by a processor, the processor is prompted to implement the above blood pressure measurement method .
本公开实施例还提供了一种计算机程序产品,包括计算机程序,该计算机程序在被处理器调用和执行时促使处理器实现上述血压测量方法。An embodiment of the present disclosure also provides a computer program product, including a computer program that, when invoked and executed by a processor, prompts the processor to implement the above blood pressure measurement method.
本公开实施例带来了以下有益效果:Embodiments of the present disclosure bring the following beneficial effects:
本公开实施例提供的一种血压测量方法、装置和电子设备,将压力作用于用户的第一 部位后可以获得用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号,对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的收缩压测量值和舒张压测量值。该方式中可以获取两个脉搏波信号并进行加权计算得到用户的血压测量值,可以降低信号质量的影响,提高血压测量的精度。The embodiments of the present disclosure provide a blood pressure measurement method, device, and electronic equipment, which can obtain the first pulse wave signal generated by the first part of the user and the second pulse wave signal generated by the second part of the user after the pressure is applied to the first part of the user. For the second pulse wave signal, weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value. In this way, two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
本公开的其他特征和优点将在随后的说明书中阐述,或者,部分特征和优点可以从说明书推知或毫无疑义地确定,或者通过实施本公开的上述技术即可得知。Other features and advantages of the present disclosure will be set forth in the following description, or some of the features and advantages can be inferred or unambiguously determined from the description, or can be known by implementing the above-mentioned techniques of the present disclosure.
为使本公开的上述目的、特征和优点能更明显易懂,下文特举较佳实施例,并配合所附附图,作详细说明如下。In order to make the above-mentioned objects, features and advantages of the present disclosure more comprehensible, preferred embodiments will be described in detail below together with the accompanying drawings.
附图说明Description of drawings
为了更清楚地说明本公开具体实施方式或现有技术中的技术方案,下面将对具体实施方式或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图是本公开的一些实施方式,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the specific embodiments of the present disclosure or the technical solutions in the prior art, the following will briefly introduce the drawings that need to be used in the description of the specific embodiments or the prior art. Obviously, the accompanying drawings in the following description The drawings are some implementations of the present disclosure, and those skilled in the art can also obtain other drawings according to these drawings without creative work.
图1为本公开实施例提供的一种血压测量方法的流程图;FIG. 1 is a flow chart of a method for measuring blood pressure provided by an embodiment of the present disclosure;
图2为本公开实施例提供的另一种血压测量方法的流程图;FIG. 2 is a flow chart of another blood pressure measurement method provided by an embodiment of the present disclosure;
图3为本公开实施例提供的一种第一脉搏波信号和第二脉搏波信号的示意图;FIG. 3 is a schematic diagram of a first pulse wave signal and a second pulse wave signal provided by an embodiment of the present disclosure;
图4为本公开实施例提供的一种血压测量方法的示意图;FIG. 4 is a schematic diagram of a blood pressure measurement method provided by an embodiment of the present disclosure;
图5为本公开实施例提供的一种血压测量装置的示意图;FIG. 5 is a schematic diagram of a blood pressure measurement device provided by an embodiment of the present disclosure;
图6为本公开实施例提供的另一种血压测量装置的示意图;FIG. 6 is a schematic diagram of another blood pressure measuring device provided by an embodiment of the present disclosure;
图7为本公开实施例提供的另一种血压测量装置的示意图;FIG. 7 is a schematic diagram of another blood pressure measurement device provided by an embodiment of the present disclosure;
图8为本公开实施例提供的一种血压测量装置的结构示意图;FIG. 8 is a schematic structural diagram of a blood pressure measurement device provided by an embodiment of the present disclosure;
图9为本公开实施例提供的一种电子设备的结构示意图。FIG. 9 is a schematic structural diagram of an electronic device provided by an embodiment of the present disclosure.
图标:31-第一脉搏波检测模块;32-显示屏;33-用户按键;34-气路;35-袖带;36-第二脉搏波检测模块;37-微型激光源;38-光电二极管;39-ECG信号检测模块;41-第一脉搏波检测模块;42-显示屏;43-用户按键;44-气路;45-袖带;46-第二脉搏波检测模块;47-微型激光源;48-和光电二极管;49-第一脉搏波检测模块;50-显示屏;51-用户按键;52-袖带;53-微型激光源;54-光电二极管;55-第二脉搏波检测模块;100-存储器;101-处理器;102-总线;103-通信接口。Icons: 31-the first pulse wave detection module; 32-display screen; 33-user buttons; 34-gas circuit; 35-cuff; 36-second pulse wave detection module; 37-miniature laser source; 38-photodiode ;39-ECG signal detection module; 41-the first pulse wave detection module; 42-display screen; 43-user buttons; 44-gas circuit; 45-cuff; 46-second pulse wave detection module; 48-and photodiode; 49-first pulse wave detection module; 50-display screen; 51-user button; 52-cuff; 53-miniature laser source; 54-photodiode; 55-second pulse wave detection module; 100-memory; 101-processor; 102-bus; 103-communication interface.
具体实施方式Detailed ways
为使本公开实施例的目的、技术方案和优点更加清楚,下面将结合附图对本公开的技术方案进行清楚、完整地描述,显然,所描述的实施例是本公开一部分实施例,而不是全部的实施例。基于本公开中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本公开保护的范围。In order to make the purpose, technical solutions and advantages of the embodiments of the present disclosure clearer, the technical solutions of the present disclosure will be clearly and completely described below in conjunction with the accompanying drawings. Apparently, the described embodiments are part of the embodiments of the present disclosure, not all of them. the embodiment. Based on the embodiments in the present disclosure, all other embodiments obtained by persons of ordinary skill in the art without making creative efforts belong to the protection scope of the present disclosure.
目前,单一地使用示波法测量血压容易收到信号质量影响,导致测量精度不高。基于此,本公开实施例提供的一种血压测量方法、装置和电子设备,具体涉及一种融合多种脉搏波信号的血压测量方法和装置,具有提升电子血压计精度的作用,用以增强基于单一脉搏波信号测量血压时的精度提升。At present, only using the oscillometric method to measure blood pressure is easily affected by the signal quality, resulting in low measurement accuracy. Based on this, the embodiments of the present disclosure provide a blood pressure measurement method, device, and electronic equipment, and specifically relate to a blood pressure measurement method and device that integrates multiple pulse wave signals, which can improve the accuracy of the electronic blood pressure monitor, and is used to enhance the Improvement of accuracy when measuring blood pressure with a single pulse wave signal.
为便于对本实施例进行理解,首先对本公开实施例所公开的一种血压测量方法进行详细介绍。In order to facilitate understanding of this embodiment, a method for measuring blood pressure disclosed in an embodiment of the present disclosure is firstly introduced in detail.
本公开实施例提供一种血压测量方法,参见图1所示的一种血压测量方法的流程图,该血压测量方法包括如下步骤:An embodiment of the present disclosure provides a blood pressure measurement method. Referring to the flowchart of a blood pressure measurement method shown in FIG. 1 , the blood pressure measurement method includes the following steps:
步骤S102,将压力作用于用户的第一部位,获取用户的血压多模态信息;其中,血压多模态信息包括用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号。Step S102, apply pressure to the first part of the user, and obtain the multimodal information of the user's blood pressure; wherein, the multimodal information of blood pressure includes the first pulse wave signal generated by the first part of the user and the pulse wave signal generated by the second part of the user. Second pulse wave signal.
为了进行血压测量,首先需要将压力作用于用户的第一部位,其中,第一部位可以指用户手臂的肱动脉或桡动脉处,而后可以获取第一部位产生的第一脉搏波信号。第二部位可以为与第一部位处于同一侧手臂的第一部位至指尖的任一位置,例如:第一部位为用户手臂的肱动脉,则第二部位可以为肱动脉至指尖的任一位置;第一部位为用户手臂的桡动脉,则第二部位可以为桡动脉至指尖的任一位置。In order to measure blood pressure, it is first necessary to apply pressure to the first part of the user, wherein the first part can refer to the brachial artery or radial artery of the user's arm, and then the first pulse wave signal generated by the first part can be obtained. The second part can be any position from the first part to the fingertip on the same arm as the first part, for example: the first part is the brachial artery of the user's arm, then the second part can be any position from the brachial artery to the fingertip One location; the first location is the radial artery of the user's arm, and the second location can be any location from the radial artery to the fingertip.
也即,将压力作用于用户的第一部位,第一部位可以产生第一脉搏波信号,第二部位可以产生第二脉搏波信号,可以获取上述的第一脉搏波信号和第二脉搏波信号。That is, when pressure is applied to the first part of the user, the first part can generate a first pulse wave signal, and the second part can generate a second pulse wave signal, and the above-mentioned first pulse wave signal and second pulse wave signal can be obtained .
步骤S104,对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值;其中,血压测量值包括收缩压测量值和舒张压测量值。Step S104, performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the user's blood pressure measurement value; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value.
加权平均计算可以为对第一脉搏波信号和第二脉搏波信号设置不同权重,根据设置的权重、第一脉搏波信号和第二脉搏波信号进行计算,得到用户的收缩压测量值和舒张压测量值。The weighted average calculation can set different weights for the first pulse wave signal and the second pulse wave signal, and calculate according to the set weight, the first pulse wave signal and the second pulse wave signal, and obtain the user's systolic blood pressure measurement value and diastolic blood pressure Measurements.
可选地,上述权重可以是用户预先设定的,也可以是系统根据第一脉搏波信号和第二脉搏波信号进行计算得到的,例如:系统可以计算第一脉搏波信号和第二脉搏波信号的信号质量,然后根据上述信号质量计算第一脉搏波信号和第二脉搏波信号的权重,对信号质量权高的脉搏波信号可以设置更高的权重。Optionally, the above weights may be preset by the user, or calculated by the system based on the first pulse wave signal and the second pulse wave signal, for example: the system may calculate the first pulse wave signal and the second pulse wave signal The signal quality of the signal, and then calculate the weights of the first pulse wave signal and the second pulse wave signal according to the above signal quality, and a higher weight can be set for the pulse wave signal with higher signal quality weight.
通过上述方式,如果一个脉搏波信号的信号质量差,则对信号质量差的脉搏波信号设置较低的权重,从而降低信号质量对血压测量精度的影响,即使一个脉搏波信号的信号质量差也具有较高的血压测量精度。Through the above method, if the signal quality of a pulse wave signal is poor, a lower weight is set for the pulse wave signal with poor signal quality, thereby reducing the influence of signal quality on the blood pressure measurement accuracy, even if the signal quality of a pulse wave signal is poor It has high blood pressure measurement accuracy.
本公开实施例提供的一种血压测量方法,将压力作用于用户的第一部位后可以获得用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号,对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的收缩压测量值和舒张压测量值。该方式中可以获取两个脉搏波信号并进行加权计算得到用户的血压测量值,可以降低信号质量的影响,提高血压测量的精度。In the blood pressure measurement method provided by an embodiment of the present disclosure, the first pulse wave signal generated by the first part of the user and the second pulse wave signal generated by the second part of the user can be obtained after applying pressure to the first part of the user, The weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value. In this way, two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
本实施例还提供了另一种血压测量方法,该方法在上述实施例的基础上实现,如图2所示的另一种血压测量方法的流程图,本实施例中的血压测量方法包括如下步骤:This embodiment also provides another blood pressure measurement method, which is implemented on the basis of the above-mentioned embodiments, as shown in Figure 2, the flow chart of another blood pressure measurement method, the blood pressure measurement method in this embodiment includes the following step:
步骤S202,通过第一脉搏波检测模块向用户的第一部位施加压力;通过第一脉搏波检测模块检测用户的第一部位产生的第一脉搏波信号;通过第二脉搏波检测模块检测用户的第二部位产生的第二脉搏波信号。Step S202, apply pressure to the first part of the user through the first pulse wave detection module; detect the first pulse wave signal generated by the first part of the user through the first pulse wave detection module; detect the user's body pressure through the second pulse wave detection module The second pulse wave signal generated by the second part.
可选地,第一脉搏波检测模块和第二脉搏波检测模块可以设置于用户的同侧手臂;用户的第一部位可以为用户的手臂的近心端动脉血管处;用户的第二部位可以为用户的手臂的远心端动脉血管处。例如:第一部位可以为用户的手臂的肱动脉或桡动脉处;用户的第二部位可以包括用户的第一部位至用户的指尖的位置。Optionally, the first pulse wave detection module and the second pulse wave detection module can be set on the same side arm of the user; the first part of the user can be the proximal artery of the user's arm; the second part of the user can be It is the arterial vessel at the distal end of the user's arm. For example: the first location may be the brachial artery or the radial artery of the user's arm; the second location of the user may include the location from the first location of the user to the fingertip of the user.
可选地,第一脉搏波检测模块可以包括基于示波法的臂式或腕式电子血压计;电子血压计的测量方式可以包括充气式测量或放气式测量;第二脉搏波检测模块至少可以包括以下之一:光电容积脉搏波描计、激光雷达、光学成像仪、压电传感器或电容式传感器。因此,可以通过电子血压计的处理器进行平均加权计算,例如:可以通过电子血压计的处理器对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值。Optionally, the first pulse wave detection module may include an arm or wrist electronic sphygmomanometer based on the oscillometric method; the measurement method of the electronic sphygmomanometer may include inflation measurement or deflation measurement; the second pulse wave detection module may at least Can include one of the following: photoplethysmography, lidar, optical imager, piezoelectric sensor, or capacitive sensor. Therefore, the average weighted calculation can be performed by the processor of the electronic sphygmomanometer. For example, the weighted average calculation can be performed on the first pulse wave signal and the second pulse wave signal by the processor of the electronic sphygmomanometer to obtain the blood pressure measurement value of the user.
可选地,第一脉搏波检测模块和第二脉搏波检测模块可以一体化设计,也可以分体化设计。以一体化设计为例,用户佩戴好电子血压计(即第一脉搏波检测模块)的袖带,开启血压测量装置,血压测量装置接收用户开启血压测量命令,开始采集用户的第一脉搏波信号和第二脉搏波信号。Optionally, the first pulse wave detection module and the second pulse wave detection module can be designed in one piece or separately. Taking the integrated design as an example, the user wears the cuff of the electronic sphygmomanometer (that is, the first pulse wave detection module), turns on the blood pressure measurement device, and the blood pressure measurement device receives the user's command to start the blood pressure measurement, and starts to collect the user's first pulse wave signal and the second pulse wave signal.
血压测量装置接收到血压测量命令之后,需要用户将同侧手指指肚按压在与电子血压计一体化的第二脉搏波检测模块上。此时,若血压测量装置确定采集到的第二脉搏波信号中存在真实的脉搏波信息且超过时长阈值,则可以开启血压测量。这里的时长阈值可以是预设值,例如5秒。否则,提示用户按照正确方式测量。After the blood pressure measurement device receives the blood pressure measurement command, the user needs to press the pad of the finger on the same side on the second pulse wave detection module integrated with the electronic blood pressure monitor. At this time, if the blood pressure measurement device determines that there is real pulse wave information in the collected second pulse wave signal and exceeds the duration threshold, blood pressure measurement may be started. The duration threshold here may be a preset value, for example, 5 seconds. Otherwise, prompt the user to measure in the correct way.
其中,第一脉搏波信号的脉搏波振幅随施加于用户的压力先减小后增大直至稳定。Wherein, the pulse wave amplitude of the first pulse wave signal first decreases and then increases until it becomes stable with the pressure applied to the user.
在一些可能的实现方式中,第二脉搏波信号的脉搏波振幅随时间从大变小,直至血管被阻断后演变为稳定过程;在一些可能的实现方式中,第二脉搏波信号的脉搏波振幅随时间由血管被阻断后的稳定过程,演变为从小变大过程。In some possible implementations, the pulse wave amplitude of the second pulse wave signal changes from large to small over time until the blood vessel is blocked and develops into a stable process; in some possible implementations, the pulse of the second pulse wave signal The wave amplitude changes from a stable process after the blood vessel is blocked to a process of increasing from small to large over time.
具体来说,当电子血压计的测量方式为充气式测量,第二脉搏波信号的脉搏主波振幅和重搏波振幅随时间由大变小,直至用户的动脉血管被阻断后演变为稳定过程;当电子血压计的测量方式为放气式测量,第二脉搏波信号的脉搏波主波振幅和重搏波振幅为:由用户的动脉血管被阻断后的稳定过程演变为随时间由小变大的过程。Specifically, when the measurement method of the electronic sphygmomanometer is inflatable measurement, the main pulse wave amplitude and the dicrotic wave amplitude of the second pulse wave signal change from large to small over time until the user's arterial blood vessel is blocked and become stable. process; when the measurement method of the electronic sphygmomanometer is deflated measurement, the amplitude of the main pulse wave and the amplitude of the dicrotic wave of the second pulse wave signal are as follows: from a stable process after the user's arterial blood vessel is blocked to by The process of growing from small to large.
例如,参见图3所示的一种第一脉搏波信号和第二脉搏波信号的示意图,第一脉搏波信号和第二脉搏波信号同时采集,图3中的电子血压计采用了充气式测量,第二脉搏波信号为PPG(Photoplethysmogram,光电容积脉搏波描计)脉搏波信号。可以看出PPG脉搏波信号的脉搏波振幅随时间从大变小,并最终趋于稳定。For example, referring to a schematic diagram of a first pulse wave signal and a second pulse wave signal shown in Figure 3, the first pulse wave signal and the second pulse wave signal are collected simultaneously, and the electronic sphygmomanometer in Figure 3 adopts an inflatable measurement , the second pulse wave signal is a PPG (Photoplethysmogram, photoplethysmogram) pulse wave signal. It can be seen that the pulse wave amplitude of the PPG pulse wave signal changes from large to small over time, and finally tends to be stable.
步骤S204,对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值;其中,血压测量值包括收缩压测量值和舒张压测量值。Step S204, performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value.
可选地,在第一脉搏波信号和第二脉搏波信号进行加权平均计算时,首先可以获取第一脉搏波信号的特征和第二脉搏波信号的特征,其中,特征可以包括但不限于:脉搏波信号中每一个脉搏波的主波起始时刻、主波波峰时刻、主波振幅、降中峡时刻、重搏波波峰时刻、重搏波振幅、重搏波结束时刻;基于第一脉搏波信号的特征和第二脉搏波信号的特征对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值。Optionally, when the weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal, first the features of the first pulse wave signal and the features of the second pulse wave signal can be obtained, wherein the features can include but not limited to: The starting time of the main wave, the peak time of the main wave, the amplitude of the main wave, the moment of the descending gorge, the peak time of the dicrotic wave, the amplitude of the dicrotic wave, and the end time of the dicrotic wave of each pulse wave in the pulse wave signal; based on the first pulse The characteristics of the wave signal and the characteristics of the second pulse wave signal perform weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
可以根据第一脉搏波信号的特征和第二脉搏波信号的特征,确定第一脉搏波信号和第二脉搏波信号的无效脉搏波,以及重构第一脉搏波信号和第二脉搏波信号的缺失信息。其中,确定无效脉搏波的方法还包括:基于第一脉搏波信号的特征和第二脉搏波信号的特征分别确定第一脉搏波信号和第二脉搏波信号中的无效第一脉搏波和无效第二脉搏波;删除无效第一脉搏波和无效第二脉搏波。According to the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal, it is possible to determine the invalid pulse wave of the first pulse wave signal and the second pulse wave signal, and reconstruct the pulse wave of the first pulse wave signal and the second pulse wave signal missing information. Wherein, the method for determining the invalid pulse wave further includes: determining the invalid first pulse wave and the invalid second pulse wave in the first pulse wave signal and the second pulse wave signal based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal, respectively. Two pulse waves; delete invalid first pulse wave and invalid second pulse wave.
其中,上述重构缺失信息的方法可以通过下述步骤执行:如果在第一脉搏波信号的第一主波波峰时刻发生时刻缺失第二脉搏波的主波波峰时刻信号,基于第一主波波峰时刻第一发生时刻前后的多个第二脉搏波信号的特征重构第二脉搏波信号在第一主波波峰时刻所对应的缺失脉搏波第一发生时刻的特征;如果在第二脉搏波信号的第二主波波峰时刻第二发生时刻缺失第一脉搏波的主波波峰时刻信号,基于第二主波波峰时刻第二发生时刻前后的多个第一脉搏波信号的特征重构第一脉搏波信号在第二主波波峰时刻所对应的缺失脉搏波第二发生时刻的特征。Wherein, the above-mentioned method for reconstructing the missing information can be performed through the following steps: If the main wave peak time signal of the second pulse wave signal is missing at the time when the first main wave peak time occurs in the first pulse wave signal, based on the first main wave peak The characteristics of multiple second pulse wave signals before and after the first occurrence moment reconstruct the characteristics of the missing pulse wave first occurrence moment corresponding to the first main wave peak moment of the second pulse wave signal; if the second pulse wave signal The main wave peak time signal of the first pulse wave is missing at the second occurrence time of the second main wave peak time, and the first pulse wave signal is reconstructed based on the characteristics of a plurality of first pulse wave signals before and after the second main wave peak time at the second occurrence time time The characteristics of the missing pulse wave second occurrence moment corresponding to the second main wave peak moment of the wave signal.
其中,第一脉搏波信号是指脉搏波组成的序列,如脉搏波1、脉搏波2、脉搏波3……Wherein, the first pulse wave signal refers to a sequence composed of pulse waves, such as pulse wave 1, pulse wave 2, pulse wave 3...
第一脉搏波信号需要先对无效的脉搏波进行删除,并对缺失的脉搏波进行重构;删除所参考的依据可以包括任一脉搏波的振幅,凸度,宽度,上升和下降时间等特征是否处于 所有特征的3倍四分位距以内。The first pulse wave signal needs to delete the invalid pulse wave first, and reconstruct the missing pulse wave; the reference basis for deletion can include the amplitude, convexity, width, rise and fall time and other characteristics of any pulse wave Whether it is within 3 times the interquartile range of all characteristics.
判定任意一个脉搏波有效的方法,可以参照但不限于如下公式:The method of judging the effectiveness of any pulse wave can refer to but not limited to the following formula:
QL-1.5×IQR≤F≤QU+1.5×IQR;QL-1.5×IQR≤F≤QU+1.5×IQR;
其中,F为该脉搏波的选定特征如主波波峰振幅,QL和QU为所有脉搏波的同类型特征所构成分布的下四分位和上四分位,IQR为四分位距。进一步,可以参考多个特征是否同时满足上述公式。Among them, F is the selected feature of the pulse wave, such as the peak amplitude of the main wave, QL and QU are the lower and upper quartiles of the distribution formed by the same type of features of all pulse waves, and IQR is the interquartile range. Further, it may refer to whether multiple features satisfy the above formula at the same time.
缺失所参考的依据可以是非无效第二脉搏波所对应的时刻是否缺少压力脉搏波。若确定缺失,可以参照但不限于如下公式重构对应第一脉搏波的特征,以重构t时刻振幅A(t)为例:The reference basis for the absence may be whether there is no pressure pulse wave at the moment corresponding to the non-invalid second pulse wave. If it is determined to be missing, you can refer to but not limited to the following formula to reconstruct the characteristics corresponding to the first pulse wave, taking the reconstruction of the amplitude A(t) at time t as an example:
Figure PCTCN2022110645-appb-000001
Figure PCTCN2022110645-appb-000001
Δ i=A(i)-A(i-1); Δi = A(i)-A(i-1);
其中,w i为i时刻脉搏波振幅变化量的权重。 Among them, w i is the weight of the pulse wave amplitude variation at time i.
同样地,对第二脉搏波信号也需要删除无效脉搏波和重构缺失脉搏波;删除所参考的依据可以包括任一脉搏波的主峰振幅,降中峡距离脉搏波起始点的时长,降中峡距离脉搏波结束点的时长,重搏波振幅等特征是否处于所有特征的3倍四分位距以内。缺失所参考的依据可以是非无效第一脉搏波所对应的时刻是否缺少第二脉搏波,若确定缺失,可以参照针对第一脉搏波中的重构方式对第二脉搏波特征进行重构。Similarly, it is also necessary to delete the invalid pulse wave and reconstruct the missing pulse wave for the second pulse wave signal; the basis for deletion may include the main peak amplitude of any pulse wave, the duration of the descending gorge from the starting point of the pulse wave, the Whether the time length from the gorge to the end point of the pulse wave, the amplitude of the dicrotic wave and other features are within 3 times the interquartile range of all features. The basis for missing can be whether the second pulse wave is missing at the time corresponding to the non-invalid first pulse wave. If the missing is determined, the second pulse wave feature can be reconstructed by referring to the reconstruction method in the first pulse wave.
在对第一脉搏波和第二脉搏波删除无效脉搏波和重构缺失脉搏波之后,可以根据无效脉搏波计算脉搏波的信号质量,例如:统计无效第一脉搏波在第一脉搏波信号中的第一占比和无效第二脉搏波在第二脉搏波信号中的第二占比;基于第一脉搏波信号的特征和第一占比计算第一脉搏波的信号质量;基于第二脉搏波信号的特征和第二占比计算第二脉搏波的信号质量。After deleting the invalid pulse wave and reconstructing the missing pulse wave for the first pulse wave and the second pulse wave, the signal quality of the pulse wave can be calculated according to the invalid pulse wave, for example: statistical invalid first pulse wave in the first pulse wave signal The first proportion of the first proportion and the second proportion of the invalid second pulse wave in the second pulse wave signal; the signal quality of the first pulse wave is calculated based on the characteristics of the first pulse wave signal and the first proportion; based on the second pulse wave The signal quality of the second pulse wave is calculated according to the characteristic of the wave signal and the second proportion.
上述占比是指无效脉搏波的数量比上总的脉搏波的数量。其中,此步骤后的第一脉搏波信号是指删除了无效第一脉搏波之后的信号,第二脉搏波信号是指删除了无效第二脉搏波之后的信号。判定第一脉搏波信号或第二脉搏波信号的信号质量,可以参照但不限于如下公式:The above ratio refers to the ratio of the number of invalid pulse waves to the total number of pulse waves. Wherein, the first pulse wave signal after this step refers to the signal after the invalid first pulse wave is deleted, and the second pulse wave signal refers to the signal after the invalid second pulse wave is deleted. To determine the signal quality of the first pulse wave signal or the second pulse wave signal, you can refer to but not limited to the following formula:
ω=Q×CV Fω=Q×CV F ;
Figure PCTCN2022110645-appb-000002
Figure PCTCN2022110645-appb-000002
Figure PCTCN2022110645-appb-000003
Figure PCTCN2022110645-appb-000003
其中,Q为无效占比,CV F为选定特征如主波波峰时刻的变异系数,(F i+1-F i)为相邻主波波峰时刻的间隔时长,w代表以相邻主波波峰时刻的间隔时长作为参考的信号质量。进一步,可以参考多个特征所计算得到的w的平均值。 Among them, Q is the invalid proportion, CV F is the coefficient of variation of selected features such as the peak time of the main wave, (F i+1 -F i ) is the interval between adjacent main wave peak times, and w represents the The interval time between peak moments is used as the reference signal quality. Further, the average value of w calculated with reference to multiple features may be used.
又或者,基于机器学习模型如决策树将无效脉搏波占比,不同特征的变异系数构建为特征向量,从统计意义上来输出信号质量。在这种方式中,需要人工专家对第一脉搏波信号和第二脉搏波信号作预先的信号质量赋分标记,并根据赋分标记分别构建第一脉搏波信号质量判断模型和第二脉搏波信号质量判断模型。Or, based on a machine learning model such as a decision tree, the proportion of invalid pulse waves and the coefficient of variation of different features are constructed as feature vectors to output signal quality in a statistical sense. In this way, human experts are required to pre-mark the signal quality of the first pulse wave signal and the second pulse wave signal, and construct the first pulse wave signal quality judgment model and the second pulse wave signal quality judgment model according to the assigned marks. Signal quality judgment model.
在获取第一脉搏波信号的特征和第二脉搏波信号的特征之后,可以通过下述方式计算用户的血压测量值:基于第一脉搏波信号的特征,采用变幅度系数法确定用户的平均压测量值MAP、第一收缩压测量值SBP 1和第一舒张压测量值DBP 1;基于第二脉搏波信号的特征,将进行充气式测量时的稳定过程的起始时刻或者放气式测量时的稳定过程的结束时刻 对应的压力作为第二收缩压测量值SBP 2;将第二脉搏波信号的特征和平均压测量值MAP,输入预设的第二舒张压模型,输出第二舒张压测量值DBP 2;对第一收缩压测量值SBP 1和第二收缩压测量值SBP 2进行加权平均计算,得到用户的收缩压测量值SBP;对第一舒张压测量值DBP 1和第二舒张压测量值DBP 2进行加权平均计算,得到用户的舒张压测量值DBP。 After acquiring the features of the first pulse wave signal and the features of the second pulse wave signal, the user's blood pressure measurement value can be calculated in the following manner: based on the features of the first pulse wave signal, the user's average blood pressure is determined by using the variable amplitude coefficient method. The measured value MAP, the first systolic blood pressure measured value SBP 1 and the first diastolic blood pressure measured value DBP 1 ; based on the characteristics of the second pulse wave signal, the initial moment of the stabilization process when the inflation type measurement is performed or when the deflation type measurement The pressure corresponding to the end moment of the stabilization process is taken as the second systolic blood pressure measurement value SBP 2 ; the characteristics of the second pulse wave signal and the average pressure measurement value MAP are input into the preset second diastolic pressure model, and the second diastolic pressure measurement value is output value DBP 2 ; weighted average calculation is performed on the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure measurement value SBP 2 to obtain the user's systolic blood pressure measurement value SBP; for the first diastolic blood pressure measurement value DBP 1 and the second diastolic blood pressure measurement value The measured value DBP 2 performs weighted average calculation to obtain the user's diastolic blood pressure measured value DBP.
第一脉搏波信号的平均压MAP,第一收缩压SBP 1和第一舒张压DBP 1,可以采用变幅度系数法获得。但是,该幅度系数通常需要针对不同电子血压计的硬件限制,如袖带的宽度、材料、长度进行适配。 The mean pressure MAP of the first pulse wave signal, the first systolic blood pressure SBP 1 and the first diastolic blood pressure DBP 1 can be obtained by using the coefficient of variation method. However, the amplitude coefficient usually needs to be adapted to the hardware limitations of different electronic sphygmomanometers, such as the width, material, and length of the cuff.
第二脉搏波信号的第二收缩压SBP 2的计算,可以参见图3,选择第二脉搏波信号的脉搏波振幅趋于稳定后的起始时刻,即图3(a)中的A点。在该点之后,振幅不再出现变化。对于振幅不再变化的判定,可以参考但不限于相邻4个振幅均满足小于等于过去所有振幅的0.1倍。 The calculation of the second systolic blood pressure SBP 2 of the second pulse wave signal can be referred to FIG. 3 , and the initial moment after the pulse wave amplitude of the second pulse wave signal tends to stabilize is selected, that is, point A in FIG. 3( a ). After that point, no change in amplitude occurs. For the determination that the amplitude no longer changes, reference may be made, but not limited to, that all four adjacent amplitudes are less than or equal to 0.1 times of all previous amplitudes.
第二脉搏波信号的第二舒张压DBP 2的计算,采用如下公式: The calculation of the second diastolic pressure DBP 2 of the second pulse wave signal adopts the following formula:
DBP 2=(MAP-a×SBP 2)/b; DBP 2 =(MAP-a×SBP 2 )/b;
Figure PCTCN2022110645-appb-000004
Figure PCTCN2022110645-appb-000004
Figure PCTCN2022110645-appb-000005
Figure PCTCN2022110645-appb-000005
其中,t s(i)为第i个脉搏波的主波起始时刻至降中峡时刻的时长,一般表示收缩期持续时长,即图3(b)A点(主波起始时刻)至C点(降中峡时刻)的时长。t d(i)为第i个脉搏波的降中峡时刻至重搏波结束时刻的时长,一般表示舒张期时长,即图3(b)C点(降中峡时刻)至E点(重搏波结束时刻)的时长。N为第二脉搏波信号中的脉搏波数量。 Among them, t s (i) is the duration from the starting moment of the main wave of the i-th pulse wave to the moment of descending the middle gorge, which generally indicates the duration of the systolic period, that is, point A (starting moment of the main wave) in Figure 3(b) to The duration of point C (Jiangzhongxia moment). t d (i) is the duration from the moment of descending middle gorge of the i-th pulse wave to the end of dicrotic wave, which generally indicates the duration of the diastolic period, that is, point C (moment of descending middle gorge) to point E (central gorge) in Figure 3(b). The duration of the wave at the end of the wave). N is the number of pulse waves in the second pulse wave signal.
在进行加权平均计算时,需要确定加权平均计算的权重,有两种方式,一种是提前预设好权重,例如:基于预设的第一权重值和第二权重值对第一收缩压测量值和第二收缩压测量值进行加权平均计算,得到用户的收缩压测量值;基于预设的第三权重值和第四权重值对第一舒张压测量值和第二舒张压测量值进行加权平均计算,得到用户的舒张压测量值。When performing weighted average calculation, it is necessary to determine the weight of the weighted average calculation. There are two ways, one is to preset the weight in advance, for example: based on the preset first weight value and second weight value to measure the first systolic blood pressure The weighted average calculation of the measured systolic blood pressure and the second measured systolic blood pressure is performed to obtain the measured systolic blood pressure of the user; the first diastolic blood pressure measured value and the second diastolic blood pressure measured value are weighted based on the preset third weight value and fourth weight value Calculate the average to get the user's diastolic blood pressure measurement.
可选地,第一权重值、第二权重值、第三权重值和第四权重值可以相同,也可以不同,这里不做限定。上述方式可以根据预设好的权重进行加权平均计算,计算的速度快,效率较高。Optionally, the first weight value, the second weight value, the third weight value and the fourth weight value may be the same or different, which is not limited here. The above method can perform weighted average calculation according to preset weights, and the calculation speed is fast and the efficiency is high.
另外一种是在确定第一脉搏波的信号质量和第二脉搏波的信号质量之后,根据上述信号质量计算第一脉搏波信号的权重和第二脉搏波信号的权重,例如:基于第一脉搏波的信号质量和第二脉搏波的信号质量确定第一脉搏波信号的权重和第二脉搏波信号的权重;通过第一脉搏波信号的权重和第二脉搏波信号的权重对第一收缩压测量值和第二收缩压测量值进行加权平均计算,得到用户的收缩压测量值;通过第一脉搏波信号的权重和第二脉搏波信号的权重对第一舒张压测量值和第二舒张压测量值进行加权平均计算,得到用户的舒张压测量值。The other is to calculate the weight of the first pulse wave signal and the weight of the second pulse wave signal according to the above signal quality after determining the signal quality of the first pulse wave and the signal quality of the second pulse wave, for example: based on the first pulse wave The signal quality of the pulse wave and the signal quality of the second pulse wave determine the weight of the first pulse wave signal and the weight of the second pulse wave signal; The measured value and the second systolic blood pressure measured value are weighted and averaged to obtain the user's systolic blood pressure measured value; the first diastolic blood pressure measured value and the second diastolic blood pressure are calculated by the weight of the first pulse wave signal and the weight of the second pulse wave signal The measured values are weighted and averaged to obtain the measured value of the user's diastolic blood pressure.
其中,若确认第一脉搏波信号或第二脉搏波信号不满足预设信号质量,则提醒用户测量失败;若确认第一收缩压和第二收缩压的差异超过预设差异阈值,如果第一收缩压和第二收缩压的差异超过预设差异阈值,则直接使用第一收缩压作为用户的收缩压测量值;如果第一舒张压和第二舒张压的差异超过预设差异阈值,则直接使用第一舒张压作为用户的收缩压测量值;若确认第一舒张压和第二舒张压的差异超过预设差异阈值,则直接选择信号质量更优者作为加权平均输出。Wherein, if it is confirmed that the first pulse wave signal or the second pulse wave signal does not meet the preset signal quality, the user is reminded that the measurement failed; if it is confirmed that the difference between the first systolic blood pressure and the second systolic blood pressure exceeds the preset difference threshold, if the first If the difference between the systolic blood pressure and the second systolic blood pressure exceeds the preset difference threshold, the first systolic blood pressure is directly used as the user's systolic blood pressure measurement; if the difference between the first diastolic blood pressure and the second diastolic pressure exceeds the preset difference threshold, the Use the first diastolic pressure as the user's systolic blood pressure measurement; if it is confirmed that the difference between the first diastolic pressure and the second diastolic pressure exceeds a preset difference threshold, directly select the one with better signal quality as the weighted average output.
例如:如果第一脉搏波的信号质量小于预设的第一阈值,第一脉搏波信号的权重为0,第二脉搏波信号的权重为1;如果第二脉搏波的信号质量小于预设的第二阈值,第二脉搏 波信号的权重为0,第一脉搏波信号的权重为1;如果第一脉搏波的信号质量与第二脉搏波的信号质量的差大于预设的阈值,第一脉搏波的权重为1,第二脉搏波的权重为0。For example: if the signal quality of the first pulse wave is less than the preset first threshold, the weight of the first pulse wave signal is 0, and the weight of the second pulse wave signal is 1; if the signal quality of the second pulse wave is less than the preset The second threshold, the weight of the second pulse wave signal is 0, and the weight of the first pulse wave signal is 1; if the difference between the signal quality of the first pulse wave and the signal quality of the second pulse wave is greater than the preset threshold, the first The pulse wave has a weight of 1 and the second pulse wave has a weight of 0.
用户测量收缩压SBP的加权平均可以但不限于如下计算:SBP=w 1×SBP 1+w 2×SBP 2;w 1+w 2=1;其中,权重w 1、w 2可直接通过预设获得,也可以通过信号质量实时调整。 The weighted average of the systolic blood pressure SBP measured by the user can be calculated as follows, but not limited to: SBP=w 1 ×SBP 1 +w 2 ×SBP 2 ; w 1 +w 2 =1; where, the weights w 1 and w 2 can be directly set by preset can also be adjusted in real time through signal quality.
需要注意,加权平均需要在SBP 1和SBP 2的差异处于预设差异阈值范围内时,才可以采用。本实施例中,该差异阈值可以设置为15mmHg。若超过该差异阈值,可以直接使用第一收缩压作为SBP。 It should be noted that the weighted average can only be used when the difference between SBP 1 and SBP 2 is within the preset difference threshold range. In this embodiment, the difference threshold can be set to 15 mmHg. If the difference threshold is exceeded, the first systolic blood pressure can be directly used as the SBP.
用户测量舒张压DBP的加权平均可以参考SBP的过程,权重w3、w4可直接通过预设获得,也可以通过信号质量实时调整,例如:DBP=w 3×DBP 1+w 4×DBP 2Users can refer to the process of SBP for measuring the weighted average of diastolic blood pressure DBP. The weights w3 and w4 can be directly obtained by preset or adjusted in real time by signal quality, for example: DBP=w 3 ×DBP 1 +w 4 ×DBP 2 .
在另外一种场景下,融合第一脉搏波信号和第二脉搏波信号测量血压的方法,可能会因为第一脉搏波和第二脉搏波同时出现无效脉搏波或缺失脉搏波而无法进行互补偿。例如用户测量时的轻微抖动,弱灌注伴随袖带压力加压不足等现象。可选地,可以加入同步采集到的其它生理信号。可选地,其它生理信号是第三路信号或者更多路信号,信号的类型可以和第二脉搏波信号有重叠。In another scenario, the method of measuring blood pressure by fusing the first pulse wave signal and the second pulse wave signal may not be able to perform mutual compensation because the first pulse wave and the second pulse wave have invalid pulse waves or missing pulse waves at the same time . For example, slight jitter during user measurement, weak perfusion accompanied by insufficient cuff pressure and other phenomena. Optionally, other physiological signals collected synchronously can be added. Optionally, the other physiological signal is a third signal or more signals, and the type of the signal may overlap with the second pulse wave signal.
例如:获取用户的其它生理信号;通过其它生理信号对缺失的第一脉搏波信号的特征和缺失的第二脉搏波信号的特征进行重构;通过其它生理信号对用户的血压测量值进行补偿,得到补偿后的用户的血压测量值。For example: obtaining other physiological signals of the user; reconstructing the features of the missing first pulse wave signal and the missing second pulse wave signal through other physiological signals; compensating the user's blood pressure measurement value through other physiological signals, The compensated blood pressure measurement of the user.
具体的,上述其它生理信号至少包括以下之一:心电图信号、光电容积脉搏波描计信号、激光雷达信号、光学成像信号、压电传感器信号或电容式传感器信号。Specifically, the above-mentioned other physiological signals include at least one of the following: electrocardiogram signals, photoplethysmography signals, lidar signals, optical imaging signals, piezoelectric sensor signals or capacitive sensor signals.
例如,其它生理信号可以为处于其它部位的ECG(Electrocardiogram,心电图)信号或PPG脉搏波信号。其它部位的ECG信号或PPG脉搏波信号,不仅可以用于进一步对无效脉搏波或缺失脉搏波进行判断,同时也可以配合已有的第二脉搏波信号计算脉搏波传导时间(PulseWaveTransitTime,PWTT)等参数。新增加的参数可以进一步纳入DBP和SBP的计算。For example, the other physiological signal may be an ECG (Electrocardiogram, electrocardiogram) signal or a PPG pulse wave signal at other locations. The ECG signal or PPG pulse wave signal from other parts can not only be used to further judge the invalid pulse wave or missing pulse wave, but also can calculate the pulse wave transit time (PulseWaveTransitTime, PWTT) with the existing second pulse wave signal, etc. parameter. The newly added parameters can be further incorporated into the calculation of DBP and SBP.
举例来说,参见图4所示的一种血压测量方法的示意图,可以通过下述方式测量血压:For example, referring to the schematic diagram of a blood pressure measurement method shown in FIG. 4, the blood pressure can be measured in the following manner:
由于用户先将手指放在第一脉搏波检测模块上,第二脉搏波的获取也比较容易。因此用户可以先开启血压测量,同时采集第二脉搏波信号,若确认未检测到真实的第二脉搏波,提示正确测量。若确认检测到真实的第二脉搏波,采集第一脉搏波信号和第二脉搏波信号。Because the user first puts his finger on the first pulse wave detection module, it is relatively easy to acquire the second pulse wave. Therefore, the user can start the blood pressure measurement first, and collect the second pulse wave signal at the same time. If it is confirmed that the real second pulse wave is not detected, it will prompt the correct measurement. If it is confirmed that the real second pulse wave is detected, the first pulse wave signal and the second pulse wave signal are collected.
删除无效第一脉搏波,重构缺失第一脉搏波,计算第一脉搏波信号质量。删除无效第二脉搏波,重构缺失第二脉搏波,计算第二脉搏波信号质量。计算第一收缩压和第一舒张压,计算第二收缩压和第二舒张压。The invalid first pulse wave is deleted, the missing first pulse wave is reconstructed, and the signal quality of the first pulse wave is calculated. The invalid second pulse wave is deleted, the missing second pulse wave is reconstructed, and the signal quality of the second pulse wave is calculated. Calculate the first systolic and first diastolic, and calculate the second systolic and second diastolic.
若确认第一脉搏波信号质量和第二信号质量均不满足信号质量条件,提示用户测量失败。计算第一收缩压和第二收缩压差异,第二收缩压和第二舒张压差异;加权平均第一和第二收缩压,若存在一路脉搏波信号质量不满足信号质量条件,调整加权权重为零,仅输出满足信号质量条件的一路脉搏波信号所对应的收缩压和舒张压。If it is confirmed that neither the first pulse wave signal quality nor the second signal quality meets the signal quality condition, the user is prompted that the measurement fails. Calculate the difference between the first systolic blood pressure and the second systolic blood pressure, the difference between the second systolic blood pressure and the second diastolic blood pressure; the weighted average of the first and second systolic blood pressure, if there is a pulse wave signal quality that does not meet the signal quality conditions, adjust the weighted weight to Zero, only output the systolic and diastolic blood pressure corresponding to one pulse wave signal that meets the signal quality conditions.
参见图5所示的一种血压测量装置的示意图,第一脉搏波检测模块31和第二脉搏波检测模块36为分立式,其中第一脉搏波检测模块31为袖带35和主机分立式的电子血压计,第二脉搏波检测模块36为分立于第一脉搏波检测模块31的智能手表或智能手环。具体还包括显示屏32、用户按键33、气路34、微型激光源37和光电二极管38。Referring to the schematic diagram of a blood pressure measuring device shown in FIG. 5, the first pulse wave detection module 31 and the second pulse wave detection module 36 are discrete, wherein the first pulse wave detection module 31 is separated from the cuff 35 and the host Type electronic sphygmomanometer, the second pulse wave detection module 36 is a smart watch or smart bracelet separated from the first pulse wave detection module 31. Specifically, it also includes a display screen 32 , user buttons 33 , an air circuit 34 , a micro laser source 37 and a photodiode 38 .
参见图6所示的另一种血压测量装置的示意图,第二脉搏波信号由分立的第二脉搏波检测模块46采集,并可选地以蓝牙连接方式发送至第一脉搏波检测模块41进行处理。Referring to the schematic diagram of another blood pressure measuring device shown in FIG. 6, the second pulse wave signal is collected by a separate second pulse wave detection module 46, and optionally sent to the first pulse wave detection module 41 via Bluetooth connection for further processing. deal with.
参见图7所示的另一种血压测量装置的示意图,第一脉搏波检测模块49和第二脉搏波检测模块55一体化的另一种可选的实现,其中第一脉搏波检测模块49为袖带52和主机一体式的电子血压计,第二脉搏波检测模块55位于袖带52靠近用户手掌端的边缘处。具体还包括显示屏50、用户按键51、微型激光源53和光电二极管54。Referring to the schematic diagram of another blood pressure measuring device shown in FIG. 7, another optional implementation of the integration of the first pulse wave detection module 49 and the second pulse wave detection module 55, wherein the first pulse wave detection module 49 is For an electronic sphygmomanometer integrated with the cuff 52 and the host, the second pulse wave detection module 55 is located at the edge of the cuff 52 close to the user's palm. Specifically, it also includes a display screen 50 , user buttons 51 , a micro laser source 53 and a photodiode 54 .
综上,本公开实施例提供的上述方法,该方法融合多种脉搏波信息,具有相对单一信息更为准确的血压测量结果;该血压测量方法应用于一种血压测量装置,该方法包括:获取血压多模态信号,血压多模态信号包括压力作用于用户第一部位所产生的第一脉搏波信号,和压力作用于用户时,用户第二部位所产生的第二脉搏波信号;检测第一脉搏波信号和第二脉搏波信号的无效和缺失信息,并实施互补偿;针对第一脉搏波信号和第二脉搏波信号分别获得信号质量;根据第一脉搏波信号计算平均压、第一收缩压和第一舒张压,并根据第二脉搏波信号计算第二收缩压和第二舒张压;根据第一脉搏波信号质量和第二脉搏波信号质量,对第一收缩压和第二收缩压融合获得用户收缩压测量值,对第一舒张压和第二舒张压融合获得用户舒张压测量值。To sum up, the above-mentioned method provided by the embodiments of the present disclosure, which integrates multiple pulse wave information, has a blood pressure measurement result that is more accurate than a single information; the blood pressure measurement method is applied to a blood pressure measurement device, and the method includes: obtaining The blood pressure multimodal signal, the blood pressure multimodal signal includes the first pulse wave signal generated by the pressure acting on the first part of the user, and the second pulse wave signal generated by the second part of the user when the pressure acts on the user; Invalid and missing information of the first pulse wave signal and the second pulse wave signal, and implement mutual compensation; obtain the signal quality respectively for the first pulse wave signal and the second pulse wave signal; calculate the average pressure, the first pulse wave signal according to the first pulse wave signal systolic blood pressure and first diastolic blood pressure, and calculate the second systolic blood pressure and second diastolic blood pressure according to the second pulse wave signal; according to the quality of the first pulse wave signal and the second pulse wave signal quality, the The user's systolic blood pressure measurement is obtained by fusion, and the user's diastolic blood pressure measurement is obtained by fusion of the first diastolic pressure and the second diastolic pressure.
本公开实施例提供的上述方法,能够提升血压测量精度,即使第一脉搏波信号或第二脉搏波信号存在信号质量缺陷,也能够较为准确获得用户血压测量值。The above method provided by the embodiments of the present disclosure can improve the accuracy of blood pressure measurement, and even if the first pulse wave signal or the second pulse wave signal has a signal quality defect, the user's blood pressure measurement value can be obtained more accurately.
对应于上述方法实施例,本公开实施例还提供了一种血压测量装置,参见图8所示的一种血压测量装置的结构示意图,该血压测量装置包括:Corresponding to the above method embodiment, the embodiment of the present disclosure also provides a blood pressure measurement device, refer to the schematic structural diagram of a blood pressure measurement device shown in FIG. 8 , the blood pressure measurement device includes:
多模态信息获取模块81,被配置成用于将压力作用于用户的第一部位,获取用户的血压多模态信息;其中,血压多模态信息包括用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号;The multimodal information acquisition module 81 is configured to apply pressure to the first part of the user to obtain the multimodal information of the user's blood pressure; wherein the multimodal information of the blood pressure includes the first pulse generated by the first part of the user wave signal and the second pulse wave signal generated by the second part of the user;
加权平均计算模块82,被配置成用于对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值;其中,血压测量值包括收缩压测量值和舒张压测量值。The weighted average calculation module 82 is configured to perform weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user; wherein, the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value .
本公开实施例提供的一种血压测量装置,将压力作用于用户的第一部位后可以获得用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号,对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的收缩压测量值和舒张压测量值。该方式中可以获取两个脉搏波信号并进行加权计算得到用户的血压测量值,可以降低信号质量的影响,提高血压测量的精度。An embodiment of the present disclosure provides a blood pressure measurement device, which can obtain a first pulse wave signal generated by the first part of the user and a second pulse wave signal generated by the second part of the user after applying pressure to the first part of the user, The weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value. In this way, two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
上述多模态信息获取模块,被配置成用于通过第一脉搏波检测模块向用户的第一部位施加压力;通过第一脉搏波检测模块检测用户的第一部位产生的第一脉搏波信号;通过第二脉搏波检测模块检测用户的第二部位产生的第二脉搏波信号。The above-mentioned multimodal information acquisition module is configured to apply pressure to the first part of the user through the first pulse wave detection module; detect the first pulse wave signal generated by the first part of the user through the first pulse wave detection module; The second pulse wave signal generated by the second part of the user is detected by the second pulse wave detection module.
上述第一脉搏波检测模块和第二脉搏波检测模块设置于用户的同侧手臂;用户的第一部位为用户的手臂的近心端动脉血管处;用户的第二部位为用户的手臂的远心端动脉血管处。The above-mentioned first pulse wave detection module and the second pulse wave detection module are set on the same side arm of the user; the first part of the user is the proximal end artery of the user's arm; the second part of the user is the distal end of the user's arm. Cardiac arteries.
上述第一脉搏波检测模块包括基于示波法的臂式或腕式电子血压计;第二脉搏波检测模块至少包括以下之一:光电容积脉搏波描计、激光雷达、光学成像仪、压电传感器或电容式传感器;上述加权平均计算模块,被配置成用于通过电子血压计的处理器对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值。The above-mentioned first pulse wave detection module includes an arm-type or wrist-type electronic sphygmomanometer based on the oscillometric method; the second pulse wave detection module includes at least one of the following: photoplethysmography, laser radar, optical imager, piezoelectric Sensor or capacitive sensor; the above weighted average calculation module is configured to perform weighted average calculation on the first pulse wave signal and the second pulse wave signal by the processor of the electronic sphygmomanometer to obtain the blood pressure measurement value of the user.
电子血压计的测量方式包括充气式测量和放气式测量;当电子血压计的测量方式为充气式测量,第二脉搏波信号的脉搏波主波振幅和重搏波振幅随时间由大变小,直至用户的动脉血管被阻断后演变为稳定过程;当电子血压计的测量方式为放气式测量,第二脉搏波信号的脉搏波主波振幅和重搏波振幅为:由用户的动脉血管被阻断后的稳定过程演变为随 时间由小变大的过程。The measurement methods of the electronic sphygmomanometer include inflation measurement and deflation measurement; when the measurement method of the electronic sphygmomanometer is inflation measurement, the pulse wave main wave amplitude and dicrotic wave amplitude of the second pulse wave signal change from large to small over time , until the user's arterial blood vessel is blocked, it evolves into a stable process; when the electronic sphygmomanometer measures deflation, the pulse wave main wave amplitude and dicrotic wave amplitude of the second pulse wave signal are: determined by the user's arterial The stable process after the blood vessel is blocked evolves from small to large over time.
上述加权平均计算模块,被配置成用于获取第一脉搏波信号的特征和第二脉搏波信号的特征;其中,特征至少可以包括:脉搏波信号中每一个脉搏波的主波起始时刻、主波波峰时刻、主波振幅、降中峡时刻、重搏波波峰时刻、重搏波振幅、重搏波结束时刻;基于第一脉搏波信号的特征和第二脉搏波信号的特征对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的血压测量值。The above-mentioned weighted average calculation module is configured to obtain the features of the first pulse wave signal and the features of the second pulse wave signal; wherein, the features may at least include: the starting moment of each main wave in the pulse wave signal, Main wave peak time, main wave amplitude, descending gorge time, dicrotic wave peak time, dicrotic wave amplitude, dicrotic wave end time; based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal The weighted average calculation is performed on the pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
上述加权平均计算模块,被配置成用于基于第一脉搏波信号的特征,采用变幅度系数法确定用户的平均压测量值、第一收缩压测量值和第一舒张压测量值;基于第二脉搏波信号的特征,将进行充气式测量时的稳定过程的起始时刻或者放气式测量时的稳定过程的结束时刻对应的压力作为第二收缩压测量值;将第二脉搏波信号的特征和平均压测量值对应的第一脉搏波信号的特征,输入预设的人体血管弹性腔模型,输出第二舒张压测量值;对第一收缩压测量值和第二收缩压测量值进行加权平均计算,得到用户的收缩压测量值;对第一舒张压测量值和第二舒张压测量值进行加权平均计算,得到用户的舒张压测量值。The above-mentioned weighted average calculation module is configured to determine the average blood pressure measurement value, the first systolic blood pressure measurement value and the first diastolic blood pressure measurement value of the user based on the characteristics of the first pulse wave signal by using the variable amplitude coefficient method; The characteristics of the pulse wave signal, the pressure corresponding to the initial moment of the stable process during the inflatable measurement or the end moment of the stable process during the deflated measurement is used as the second systolic blood pressure measurement value; the characteristic of the second pulse wave signal The characteristics of the first pulse wave signal corresponding to the average pressure measurement value are input into the preset human blood vessel elastic cavity model, and the second diastolic pressure measurement value is output; weighted average is performed on the first systolic pressure measurement value and the second systolic pressure measurement value Calculate to obtain the measured systolic blood pressure of the user; perform weighted average calculation on the first measured diastolic blood pressure and the second measured diastolic blood pressure to obtain the measured diastolic blood pressure of the user.
上述加权平均计算模块,被配置成用于基于预设的第一权重值和第二权重值对第一收缩压测量值和第二收缩压测量值进行加权平均计算,得到用户的收缩压测量值;基于预设的第三权重值和第四权重值对第一舒张压测量值和第二舒张压测量值进行加权平均计算,得到用户的舒张压测量值。The above-mentioned weighted average calculation module is configured to perform weighted average calculation on the first systolic blood pressure measurement value and the second systolic blood pressure measurement value based on the preset first weight value and second weight value to obtain the user's systolic blood pressure measurement value ; Based on the preset third weight value and the fourth weight value, the weighted average calculation is performed on the first diastolic blood pressure measurement value and the second diastolic blood pressure measurement value to obtain the diastolic blood pressure measurement value of the user.
上述加权平均计算模块,还被配置成用于基于第一脉搏波信号的特征和第二脉搏波信号的特征分别确定第一脉搏波信号和第二脉搏波信号中的无效第一脉搏波和无效第二脉搏波;删除无效第一脉搏波和无效第二脉搏波;统计无效第一脉搏波在第一脉搏波信号中的第一占比和无效第二脉搏波在第二脉搏波信号中的第二占比;基于第一脉搏波信号的特征和第一占比计算第一脉搏波的信号质量;基于第二脉搏波信号的特征和第二占比计算第二脉搏波的信号质量;基于第一脉搏波的信号质量和第二脉搏波的信号质量确定第一脉搏波信号的权重和第二脉搏波信号的权重;上述加权平均计算模块,被配置成用于通过第一脉搏波信号的权重和第二脉搏波信号的权重对第一收缩压测量值和第二收缩压测量值进行加权平均计算,得到用户的收缩压测量值;上述加权平均计算模块,被配置成用于通过第一脉搏波信号的权重和第二脉搏波信号的权重对第一舒张压测量值和第二舒张压测量值进行加权平均计算,得到用户的舒张压测量值。The above-mentioned weighted average calculation module is further configured to determine the invalid first pulse wave and the invalid The second pulse wave; delete the invalid first pulse wave and the invalid second pulse wave; count the first proportion of the invalid first pulse wave in the first pulse wave signal and the proportion of the invalid second pulse wave in the second pulse wave signal The second proportion; calculate the signal quality of the first pulse wave based on the characteristics of the first pulse wave signal and the first proportion; calculate the signal quality of the second pulse wave based on the characteristics of the second pulse wave signal and the second proportion; The signal quality of the first pulse wave and the signal quality of the second pulse wave determine the weight of the first pulse wave signal and the weight of the second pulse wave signal; the above-mentioned weighted average calculation module is configured to use the weight of the first pulse wave signal The weight and the weight of the second pulse wave signal perform a weighted average calculation on the first systolic blood pressure measurement value and the second systolic blood pressure measurement value to obtain the user's systolic blood pressure measurement value; the above weighted average calculation module is configured to use the first The weight of the pulse wave signal and the weight of the second pulse wave signal perform weighted average calculation on the first measured value of diastolic pressure and the second measured value of diastolic pressure to obtain the measured value of the user's diastolic pressure.
上述加权平均计算模块,被配置成用于如果第一脉搏波的信号质量小于预设的第一阈值,第一脉搏波信号的权重为0,第二脉搏波信号的权重为1;如果第二脉搏波的信号质量小于预设的第二阈值,第二脉搏波信号的权重为0,第一脉搏波信号的权重为1;如果第一脉搏波的信号质量与第二脉搏波的信号质量的差大于预设的阈值,第一脉搏波的权重为1,第二脉搏波的权重为0。The above-mentioned weighted average calculation module is configured to if the signal quality of the first pulse wave is less than the preset first threshold, the weight of the first pulse wave signal is 0, and the weight of the second pulse wave signal is 1; if the second The signal quality of the pulse wave is less than the preset second threshold, the weight of the second pulse wave signal is 0, and the weight of the first pulse wave signal is 1; if the signal quality of the first pulse wave is equal to the signal quality of the second pulse wave If the difference is greater than the preset threshold, the weight of the first pulse wave is 1, and the weight of the second pulse wave is 0.
上述加权平均计算模块,被配置成用于如果在第一脉搏波信号的第一主波波峰时刻缺失第二脉搏波的主波波峰时刻,基于第一主波波峰时刻前后的多个第二脉搏波信号的特征重构第二脉搏波信号在第一主波波峰时刻所对应的缺失脉搏波的特征;如果在第二脉搏波信号的第二主波波峰时刻缺失第一脉搏波的主波波峰时刻,基于第二主波波峰时刻前后的多个第一脉搏波信号的特征重构第一脉搏波信号在第二主波波峰时刻所对应的缺失脉搏波的特征。The above-mentioned weighted average calculation module is configured to, if the main wave peak time of the second pulse wave is missing at the first main wave peak time of the first pulse wave signal, based on a plurality of second pulses before and after the first main wave peak time The feature of the wave signal reconstructs the feature of the missing pulse wave corresponding to the first main wave peak moment of the second pulse wave signal; if the main wave peak of the first pulse wave is missing at the second main wave peak moment of the second pulse wave signal time, based on the features of the multiple first pulse wave signals before and after the peak time of the second main wave, the features of the missing pulse wave corresponding to the peak time of the second main wave of the first pulse wave signal are reconstructed.
上述加权平均计算模块,还被配置成用于获取用户的其它生理信号;上述其它生理信号至少包括以下之一:心电图信号、光电容积脉搏波描计信号、激光雷达信号、光学成像信号、压电传感器信号或电容式传感器信号;通过其它生理信号对缺失的第一脉搏波信号 的特征和缺失的第二脉搏波信号的特征进行重构;上述加权平均计算模块,还被配置成用于通过其它生理信号对用户的血压测量值进行补偿,得到补偿后的用户的血压测量值。The above-mentioned weighted average calculation module is also configured to obtain other physiological signals of the user; the above-mentioned other physiological signals include at least one of the following: electrocardiogram signal, photoplethysmography signal, laser radar signal, optical imaging signal, piezoelectric sensor signal or capacitive sensor signal; reconstruct the feature of the missing first pulse wave signal and the feature of the missing second pulse wave signal through other physiological signals; the above-mentioned weighted average calculation module is also configured to use other physiological signals The physiological signal compensates the user's blood pressure measurement value, and obtains the user's blood pressure measurement value after compensation.
所属领域的技术人员可以清楚地了解到,为描述的方便和简洁,上述描述的血压测量装置的具体工作过程,可以参考前述血压测量方法的实施例中的对应过程,在此不再赘述。Those skilled in the art can clearly understand that for the convenience and brevity of description, the specific working process of the blood pressure measuring device described above can refer to the corresponding process in the embodiment of the aforementioned blood pressure measuring method, which will not be repeated here.
本公开实施例还提供了一种电子设备,用于运行上述血压测量方法;参见图9所示的一种电子设备的结构示意图,该电子设备包括存储器100和处理器101,其中,存储器100用于存储一条或多条计算机指令,一条或多条计算机指令被处理器101执行,以实现上述血压测量方法。An embodiment of the present disclosure also provides an electronic device for running the above blood pressure measurement method; refer to the schematic structural diagram of an electronic device shown in FIG. One or more computer instructions are stored, and one or more computer instructions are executed by the processor 101 to implement the above blood pressure measurement method.
可选地,图9所示的电子设备还包括总线102和通信接口103,处理器101、通信接口103和存储器100通过总线102连接。Optionally, the electronic device shown in FIG. 9 further includes a bus 102 and a communication interface 103 , and the processor 101 , the communication interface 103 and the memory 100 are connected through the bus 102 .
其中,存储器100可能包含高速随机存取存储器(RAM,RandomAccessMemory),也可能还包括非不稳定的存储器(non-volatilememory),例如至少一个磁盘存储器。通过至少一个通信接口103(可以是有线或者无线)实现该系统网元与至少一个其他网元之间的通信连接,可以使用互联网,广域网,本地网,城域网等。总线102可以是ISA总线、PCI总线或EISA总线等。总线可以分为地址总线、数据总线、控制总线等。为便于表示,图9中仅用一个双向箭头表示,但并不表示仅有一根总线或一种类型的总线。Wherein, the memory 100 may include a high-speed random access memory (RAM, Random Access Memory), and may also include a non-volatile memory (non-volatile memory), such as at least one disk memory. The communication connection between the system network element and at least one other network element is realized through at least one communication interface 103 (which may be wired or wireless), and the Internet, wide area network, local network, metropolitan area network, etc. can be used. The bus 102 may be an ISA bus, a PCI bus, or an EISA bus, etc. The bus can be divided into address bus, data bus, control bus and so on. For ease of representation, only one double-headed arrow is used in FIG. 9 , but it does not mean that there is only one bus or one type of bus.
处理器101可能是一种集成电路芯片,具有信号的处理能力。在实现过程中,上述方法的各步骤可以通过处理器101中的硬件的集成逻辑电路或者软件形式的指令完成。上述的处理器101可以是通用处理器,包括中央处理器(CentralProcessingUnit,简称CPU)、网络处理器(NetworkProcessor,简称NP)等;还可以是数字信号处理器(DigitalSignalProcessor,简称DSP)、专用集成电路(ApplicationSpecificIntegratedCircuit,简称ASIC)、现场可编程门阵列(Field-ProgrammableGateArray,简称FPGA)或者其他可编程逻辑器件、分立门或者晶体管逻辑器件、分立硬件组件。可以实现或者执行本公开实施例中的公开的各方法、步骤及逻辑框图。通用处理器可以是微处理器或者该处理器也可以是任何常规的处理器等。结合本公开实施例所公开的方法的步骤可以直接体现为硬件译码处理器执行完成,或者用译码处理器中的硬件及软件模块组合执行完成。软件模块可以位于随机存储器,闪存、只读存储器,可编程只读存储器或者电可擦写可编程存储器、寄存器等本领域成熟的存储介质中。该存储介质位于存储器100,处理器101读取存储器100中的信息,结合其硬件完成前述实施例的方法的步骤。The processor 101 may be an integrated circuit chip with signal processing capability. In the implementation process, each step of the above method can be completed by an integrated logic circuit of hardware in the processor 101 or instructions in the form of software. Above-mentioned processor 101 can be general-purpose processor, comprises central processing unit (Central Processing Unit, be called for short CPU), network processor (Network Processor, be called for short NP) etc.; Can also be digital signal processor (Digital Signal Processor, be called for short DSP), ASIC (Application Specific Integrated Circuit, referred to as ASIC), Field-Programmable Gate Array (Field-Programmable Gate Array, referred to as FPGA) or other programmable logic devices, discrete gate or transistor logic devices, discrete hardware components. Various methods, steps and logic block diagrams disclosed in the embodiments of the present disclosure may be implemented or executed. A general-purpose processor may be a microprocessor, or the processor may be any conventional processor, or the like. The steps of the methods disclosed in the embodiments of the present disclosure may be directly implemented by a hardware decoding processor, or implemented by a combination of hardware and software modules in the decoding processor. The software module can be located in a mature storage medium in the field such as random access memory, flash memory, read-only memory, programmable read-only memory or electrically erasable programmable memory, register. The storage medium is located in the memory 100, and the processor 101 reads the information in the memory 100, and completes the steps of the methods in the foregoing embodiments in combination with its hardware.
本公开实施例还提供了一种计算机可读存储介质,该计算机可读存储介质存储有计算机可执行指令,该计算机可执行指令在被处理器调用和执行时,计算机可执行指令促使处理器实现上述血压测量方法,具体实现可参见方法实施例,在此不再赘述。An embodiment of the present disclosure also provides a computer-readable storage medium, the computer-readable storage medium stores computer-executable instructions, and when the computer-executable instructions are invoked and executed by a processor, the computer-executable instructions cause the processor to implement For the specific implementation of the above blood pressure measurement method, refer to the method embodiments, which will not be repeated here.
本公开实施例所提供的血压测量方法、装置和电子设备的计算机程序产品,包括存储了程序代码的计算机可读存储介质,程序代码包括的指令可用于执行前面方法实施例中的方法,具体实现可参见方法实施例,在此不再赘述。The computer program product of the blood pressure measurement method, device, and electronic equipment provided by the embodiments of the present disclosure includes a computer-readable storage medium storing program codes, and the instructions contained in the program codes can be used to execute the methods in the previous method embodiments, and the specific implementation Reference may be made to the method embodiments, and details are not repeated here.
所属领域的技术人员可以清楚地了解到,为描述的方便和简洁,上述描述的系统和/或装置的具体工作过程,可以参考前述方法实施例中的对应过程,在此不再赘述。Those skilled in the art can clearly understand that for the convenience and brevity of description, the specific working process of the system and/or device described above can refer to the corresponding process in the foregoing method embodiment, and details are not repeated here.
另外,在本公开实施例的描述中,除非另有明确的规定和限定,术语“安装”、“相连”、“连接”应做广义理解,例如,可以是固定连接,也可以是可拆卸连接,或一体地连接;可以是机械连接,也可以是电连接;可以是直接相连,也可以通过中间媒介间接相连,可以是两个元件内部的连通。对于本领域的普通技术人员而言,可以具体情况理解上述术语 在本公开中的具体含义。In addition, in the description of the embodiments of the present disclosure, unless otherwise specified and limited, the terms "installation", "connection" and "connection" should be interpreted in a broad sense, for example, it can be a fixed connection or a detachable connection , or integrally connected; it may be mechanically connected or electrically connected; it may be directly connected or indirectly connected through an intermediary, and it may be the internal communication of two components. Those of ordinary skill in the art can understand the specific meanings of the above terms in the present disclosure in specific situations.
所述功能如果以软件功能单元的形式实现并作为独立的产品销售或使用时,可以存储在一个计算机可读取存储介质中。基于这样的理解,本公开的技术方案本质上或者说对现有技术做出贡献的部分或者该技术方案的部分可以以软件产品的形式体现出来,该计算机软件产品存储在一个存储介质中,包括若干指令用以使得一台计算机设备(可以是个人计算机,服务器,或者网络设备等)执行本公开各个实施例所述方法的全部或部分步骤。而前述的存储介质包括:U盘、移动硬盘、只读存储器(ROM,Read-OnlyMemory)、随机存取存储器(RAM,RandomAccessMemory)、磁碟或者光盘等各种可以存储程序代码的介质。If the functions described above are realized in the form of software function units and sold or used as independent products, they can be stored in a computer-readable storage medium. Based on this understanding, the technical solution of the present disclosure is essentially or the part that contributes to the prior art or the part of the technical solution can be embodied in the form of a software product, and the computer software product is stored in a storage medium, including Several instructions are used to make a computer device (which may be a personal computer, a server, or a network device, etc.) execute all or part of the steps of the methods described in various embodiments of the present disclosure. The aforementioned storage medium includes: U disk, mobile hard disk, read-only memory (ROM, Read-OnlyMemory), random access memory (RAM, RandomAccessMemory), magnetic disk or optical disk and other media that can store program codes.
在本公开的描述中,需要说明的是,术语“中心”、“上”、“下”、“左”、“右”、“竖直”、“水平”、“内”、“外”等指示的方位或位置关系为基于附图所示的方位或位置关系,仅是为了便于描述本公开和简化描述,而不是指示或暗示所指的装置或元件必须具有特定的方位、以特定的方位构造和操作,因此不能理解为对本公开的限制。此外,术语“第一”、“第二”、“第三”仅用于描述目的,而不能理解为指示或暗示相对重要性。In the description of the present disclosure, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer" etc. The indicated orientations or positional relationships are based on the orientations or positional relationships shown in the drawings, and are only for the convenience of describing the present disclosure and simplifying the description, rather than indicating or implying that the referred device or element must have a specific orientation or be in a specific orientation. construction and operation are therefore not to be construed as limitations on the present disclosure. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and should not be construed as indicating or implying relative importance.
最后应说明的是:以上所述实施例,仅为本公开的具体实施方式,用以说明本公开的技术方案,而非对其限制,本公开的保护范围并不局限于此,尽管参照前述实施例对本公开进行了详细的说明,本领域的普通技术人员应当理解:任何熟悉本技术领域的技术人员在本公开揭露的技术范围内,其依然可以对前述实施例所记载的技术方案进行修改或可轻易想到变化,或者对其中部分技术特征进行等同替换;而这些修改、变化或者替换,并不使相应技术方案的本质脱离本公开实施例技术方案的精神和范围,都应涵盖在本公开的保护范围之内。因此,本公开的保护范围应所述以权利要求的保护范围为准。Finally, it should be noted that: the above-mentioned embodiments are only specific implementations of the present disclosure, and are used to illustrate the technical solutions of the present disclosure, rather than limit them, and the protection scope of the present disclosure is not limited thereto, although referring to the aforementioned The embodiments have described the present disclosure in detail, and those skilled in the art should understand that any person familiar with the technical field can still modify the technical solutions described in the foregoing embodiments within the technical scope disclosed in the present disclosure Changes can be easily imagined, or equivalent replacements can be made to some of the technical features; and these modifications, changes or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of the embodiments of the present disclosure, and should be included in this disclosure. within the scope of protection. Therefore, the protection scope of the present disclosure should be defined by the protection scope of the claims.
工业实用性Industrial Applicability
本公开提供了种血压测量方法、装置和电子设备,将压力作用于用户的第一部位后可以获得用户的第一部位产生的第一脉搏波信号和用户的第二部位产生的第二脉搏波信号,对第一脉搏波信号和第二脉搏波信号进行加权平均计算,得到用户的收缩压测量值和舒张压测量值。该方式中可以获取两个脉搏波信号并进行加权计算得到用户的血压测量值,可以降低信号质量的影响,提高血压测量的精度。The present disclosure provides a blood pressure measurement method, device and electronic equipment, which can obtain the first pulse wave signal generated by the user's first part and the second pulse wave signal generated by the user's second part after the pressure is applied to the user's first part signal, performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the user's systolic blood pressure measurement value and diastolic blood pressure measurement value. In this way, two pulse wave signals can be obtained and weighted to calculate the user's blood pressure measurement value, which can reduce the influence of signal quality and improve the accuracy of blood pressure measurement.
此外,可以理解的是,本公开的血压测量方法、装置和电子设备是可以重现的,并且可以用在多种工业应用中。例如,本公开的血压测量方法、装置和电子设备可以用于医疗技术领域。Furthermore, it is understood that the blood pressure measurement method, apparatus and electronic equipment of the present disclosure are reproducible and can be used in various industrial applications. For example, the blood pressure measuring method, device and electronic equipment disclosed in the present disclosure can be used in the field of medical technology.

Claims (20)

  1. 一种血压测量方法,其特征在于,所述方法包括:A method for measuring blood pressure, characterized in that the method comprises:
    将压力作用于用户的第一部位,获取所述用户的血压多模态信息;其中,所述血压多模态信息包括所述用户的第一部位产生的第一脉搏波信号和所述用户的第二部位产生的第二脉搏波信号;applying pressure to the first part of the user to obtain multimodal blood pressure information of the user; wherein the multimodal blood pressure information includes the first pulse wave signal generated by the first part of the user and the user's the second pulse wave signal generated by the second part;
    对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值;其中,所述血压测量值包括收缩压测量值和舒张压测量值。A weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain a blood pressure measurement value of the user; wherein the blood pressure measurement value includes a systolic blood pressure measurement value and a diastolic blood pressure measurement value.
  2. 根据权利要求1所述的方法,其特征在于,将压力作用于用户的第一部位,获取所述用户的血压多模态信息的步骤,包括:The method according to claim 1, wherein the step of applying pressure to the first part of the user and obtaining the multimodal information of the user's blood pressure comprises:
    通过第一脉搏波检测模块向用户的第一部位施加压力;applying pressure to the first part of the user through the first pulse wave detection module;
    通过所述第一脉搏波检测模块检测所述用户的第一部位产生的第一脉搏波信号;Detecting the first pulse wave signal generated by the first part of the user through the first pulse wave detection module;
    通过第二脉搏波检测模块检测所述用户的第二部位产生的第二脉搏波信号。The second pulse wave signal generated by the second part of the user is detected by the second pulse wave detection module.
  3. 根据权利要求2所述的方法,其特征在于,所述第一脉搏波检测模块和所述第二脉搏波检测模块设置于所述用户的同侧手臂;所述用户的第一部位为所述用户的手臂的近心端动脉血管处;所述用户的第二部位为所述用户的手臂的远心端动脉血管处。The method according to claim 2, wherein the first pulse wave detection module and the second pulse wave detection module are arranged on the same side arm of the user; the first part of the user is the The proximal artery of the user's arm; the second location of the user is the distal artery of the user's arm.
  4. 根据权利要求2或3所述的方法,其特征在于,所述第一脉搏波检测模块包括基于示波法的臂式或腕式电子血压计;所述第二脉搏波检测模块至少包括以下之一:光电容积脉搏波描计、激光雷达、光学成像仪、压电传感器或电容式传感器;The method according to claim 2 or 3, wherein the first pulse wave detection module includes an oscillometric arm or wrist electronic sphygmomanometer; the second pulse wave detection module includes at least one of the following One: photoplethysmography, lidar, optical imager, piezoelectric sensor or capacitive sensor;
    对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值的步骤,包括:The step of performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user includes:
    通过所述电子血压计的处理器对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值。The processor of the electronic sphygmomanometer performs weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
  5. 根据权利要求4所述的方法,其特征在于,所述电子血压计的测量方式包括充气式测量和放气式测量;The method according to claim 4, characterized in that the measurement methods of the electronic sphygmomanometer include inflation measurement and deflation measurement;
    当所述电子血压计的测量方式为所述充气式测量,所述第二脉搏波信号的脉搏波主波振幅和重搏波振幅随时间由大变小,直至所述用户的动脉血管被阻断后演变为稳定过程;When the measurement method of the electronic sphygmomanometer is the inflation type measurement, the main pulse wave amplitude and the dicrotic wave amplitude of the second pulse wave signal change from large to small over time until the user's arterial blood vessel is blocked. Evolves into a stable process after breaking;
    当所述电子血压计的测量方式为所述放气式测量,所述第二脉搏波信号的脉搏波主波振幅和重搏波振幅为:由所述用户的动脉血管被阻断后的稳定过程演变为随时间由小变大的过程。When the measurement method of the electronic sphygmomanometer is the deflation type measurement, the pulse wave main wave amplitude and the dicrotic wave amplitude of the second pulse wave signal are: the stable pulse wave amplitude after the user's arterial blood vessel is blocked A process evolves from small to large over time.
  6. 根据权利要求1至5中任一项所述的方法,其特征在于,对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值的步骤,包括:The method according to any one of claims 1 to 5, characterized in that, the step of performing weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user ,include:
    获取所述第一脉搏波信号的特征和所述第二脉搏波信号的特征;其中,所述特征至少包括:脉搏波信号中每一个脉搏波的主波起始时刻、主波波峰时刻、主波振幅、降中峡时刻、重搏波波峰时刻、重搏波振幅、重搏波结束时刻;Obtaining the features of the first pulse wave signal and the features of the second pulse wave signal; wherein, the features at least include: the start time of the main wave, the peak time of the main wave, and the main wave of each pulse wave in the pulse wave signal. Amplitude of wave, time of descending middle gorge, peak moment of dicrotic wave, amplitude of dicrotic wave, end time of dicrotic wave;
    基于所述第一脉搏波信号的特征和所述第二脉搏波信号的特征对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值。Based on the features of the first pulse wave signal and the features of the second pulse wave signal, weighted average calculation is performed on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user.
  7. 根据权利要求6所述的方法,其特征在于,基于所述第一脉搏波信号的特征和所述第二脉搏波信号的特征对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值,包括:The method according to claim 6, wherein the first pulse wave signal and the second pulse wave signal are performed based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal. Weighted average calculation to obtain the blood pressure measurement value of the user, including:
    基于所述第一脉搏波信号的特征,采用变幅度系数法确定所述用户的平均压测量值MAP、第一收缩压测量值SBP 1和第一舒张压测量值DBP 1Based on the characteristics of the first pulse wave signal, the user's average blood pressure measurement value MAP, the first systolic blood pressure measurement value SBP1 and the first diastolic blood pressure measurement value DBP1 are determined by using the variable amplitude coefficient method;
    基于所述第二脉搏波信号的特征,将进行充气式测量时的稳定过程的起始时刻或者放气式测量时的稳定过程的结束时刻对应的压力作为第二收缩压测量值SBP 2Based on the characteristics of the second pulse wave signal, the pressure corresponding to the start moment of the stabilization process during inflation-type measurement or the end moment of the stabilization process during deflation-type measurement is taken as the second systolic blood pressure measurement value SBP 2 ;
    将所述第二脉搏波信号的特征和所述平均压测量值MAP,输入预设的第二舒张压模型,输出第二舒张压测量值DBP 2Inputting the characteristics of the second pulse wave signal and the measured mean pressure value MAP into a preset second diastolic pressure model, and outputting a second measured value DBP 2 of diastolic pressure;
    对所述第一收缩压测量值SBP 1和所述第二收缩压测量值SBP 2进行加权平均计算,得到所述用户的收缩压测量值SBP; performing weighted average calculation on the first measured systolic blood pressure SBP 1 and the second measured systolic blood pressure SBP 2 to obtain the measured systolic blood pressure SBP of the user;
    对所述第一舒张压测量值DBP 1和所述第二舒张压测量值DBP 2进行加权平均计算,得到所述用户的舒张压测量值DBP。 A weighted average calculation is performed on the first measured diastolic blood pressure DBP1 and the second measured diastolic blood pressure DBP2 to obtain the user's diastolic blood pressure measured DBP.
  8. 根据权利要求7所述的方法,其特征在于,对所述第一收缩压测量值SBP 1和所述第二收缩压测量值SBP 2进行加权平均计算,得到所述用户的收缩压测量值SBP,包括: The method according to claim 7, wherein the weighted average calculation is performed on the first measured systolic blood pressure SBP 1 and the second measured systolic blood pressure SBP 2 to obtain the measured systolic blood pressure SBP of the user ,include:
    基于预设的第一权重值和第二权重值对所述第一收缩压测量值SBP 1和所述第二收缩压测量值SBP 2进行加权平均计算,得到所述用户的收缩压测量值SBP; Perform weighted average calculation on the first systolic blood pressure measurement value SBP 1 and the second systolic blood pressure measurement value SBP 2 based on the preset first weight value and second weight value to obtain the systolic blood pressure measurement value SBP of the user ;
    对所述第一舒张压测量值DBP 1和所述第二舒张压测量值DBP 2进行加权平均计算,得到所述用户的舒张压测量值DBP的步骤,包括: The step of performing weighted average calculation on the first diastolic blood pressure measurement value DBP 1 and the second diastolic blood pressure measurement value DBP 2 to obtain the user's diastolic blood pressure measurement value DBP includes:
    基于预设的第三权重值和第四权重值对所述第一舒张压测量值DBP 1和所述第二舒张压测量值DBP 2进行加权平均计算,得到所述用户的舒张压测量值DBP。 Perform weighted average calculation on the first diastolic blood pressure measurement value DBP 1 and the second diastolic blood pressure measurement value DBP 2 based on the preset third weight value and fourth weight value to obtain the user's diastolic blood pressure measurement value DBP .
  9. 根据权利要求7所述的方法,其特征在于,所述方法还包括:The method according to claim 7, wherein the method further comprises:
    基于所述第一脉搏波信号的特征和所述第二脉搏波信号的特征分别确定所述第一脉搏波信号和所述第二脉搏波信号中的无效第一脉搏波和无效第二脉搏波;Determining an invalid first pulse wave and an invalid second pulse wave in the first pulse wave signal and the second pulse wave signal based on the characteristics of the first pulse wave signal and the characteristics of the second pulse wave signal, respectively ;
    删除所述无效第一脉搏波和所述无效第二脉搏波;deleting the invalid first pulse wave and the invalid second pulse wave;
    统计所述无效第一脉搏波在所述第一脉搏波信号中的第一占比和所述无效第二脉搏波在所述第二脉搏波信号中的第二占比;counting the first proportion of the invalid first pulse wave in the first pulse wave signal and the second proportion of the invalid second pulse wave in the second pulse wave signal;
    基于所述第一脉搏波信号的特征和所述第一占比计算所述第一脉搏波的信号质量;calculating the signal quality of the first pulse wave based on the characteristics of the first pulse wave signal and the first ratio;
    基于所述第二脉搏波信号的特征和所述第二占比计算所述第二脉搏波的信号质量;calculating the signal quality of the second pulse wave based on the characteristics of the second pulse wave signal and the second proportion;
    基于所述第一脉搏波的信号质量和所述第二脉搏波的信号质量确定所述第一脉搏波信号的权重和所述第二脉搏波信号的权重;determining the weight of the first pulse wave signal and the weight of the second pulse wave signal based on the signal quality of the first pulse wave and the signal quality of the second pulse wave;
    对所述第一收缩压测量值SBP 1和所述第二收缩压测量值SBP 2进行加权平均计算,得到所述用户的收缩压测量值SBP的步骤,包括: The step of performing weighted average calculation on the first measured systolic blood pressure SBP 1 and the second measured systolic blood pressure SBP 2 to obtain the measured systolic blood pressure SBP of the user includes:
    通过所述第一脉搏波信号的权重和所述第二脉搏波信号的权重对所述第一收缩压测量值SBP 1和所述第二收缩压测量值SBP 2进行加权平均计算,得到所述用户的收缩压测量值SBP; The weighted average calculation of the first systolic blood pressure measurement value SBP1 and the second systolic blood pressure measurement value SBP2 is performed by using the weight of the first pulse wave signal and the weight of the second pulse wave signal to obtain the User's systolic blood pressure measurement SBP;
    对所述第一舒张压测量值DBP 1和所述第二舒张压测量值DBP 2进行加权平均计算,得到所述用户的舒张压测量值DBP的步骤,包括: The step of performing weighted average calculation on the first diastolic blood pressure measurement value DBP 1 and the second diastolic blood pressure measurement value DBP 2 to obtain the user's diastolic blood pressure measurement value DBP includes:
    通过所述第一脉搏波信号的权重和所述第二脉搏波信号的权重对所述第一舒张压测量值和所述第二舒张压测量值进行加权平均计算,得到所述用户的舒张压测量值。Perform weighted average calculation on the first diastolic blood pressure measurement value and the second diastolic blood pressure measurement value by using the weight of the first pulse wave signal and the weight of the second pulse wave signal to obtain the diastolic blood pressure of the user Measurements.
  10. 根据权利要求9所述的方法,其特征在于,基于所述第一脉搏波的信号质量和所述第二脉搏波的信号质量确定所述第一脉搏波信号的权重和所述第二脉搏波信号的权重的步骤,包括:The method according to claim 9, wherein the weight of the first pulse wave signal and the weight of the second pulse wave signal are determined based on the signal quality of the first pulse wave and the signal quality of the second pulse wave. The steps of signal weighting include:
    如果所述第一脉搏波的信号质量小于预设的第一阈值,所述第一脉搏波信号的权重为0,所述第二脉搏波信号的权重为1;If the signal quality of the first pulse wave is less than the preset first threshold, the weight of the first pulse wave signal is 0, and the weight of the second pulse wave signal is 1;
    如果所述第二脉搏波的信号质量小于预设的第二阈值,所述第二脉搏波信号的权重为0,所述第一脉搏波信号的权重为1;If the signal quality of the second pulse wave is less than the preset second threshold, the weight of the second pulse wave signal is 0, and the weight of the first pulse wave signal is 1;
    如果所述第一脉搏波的信号质量与所述第二脉搏波的信号质量的差大于预设的阈值,所述第一脉搏波的权重为1,所述第二脉搏波的权重为0。If the difference between the signal quality of the first pulse wave and the signal quality of the second pulse wave is greater than a preset threshold, the weight of the first pulse wave is 1, and the weight of the second pulse wave is 0.
  11. 根据权利要求6至10中任一项所述的方法,其特征在于,所述方法还包括:The method according to any one of claims 6 to 10, further comprising:
    如果在所述第一脉搏波信号的第一主波波峰时刻缺失所述第二脉搏波的主波波峰时刻,基于所述第一主波波峰时刻前后的多个第二脉搏波信号的特征重构所述第二脉搏波信号在所述第一主波波峰时刻所对应的缺失脉搏波的特征;If the main wave peak time of the second pulse wave signal is missing at the first main wave peak time of the first pulse wave signal, based on the feature re- Constructing the characteristics of the missing pulse wave corresponding to the peak moment of the first main wave of the second pulse wave signal;
    如果在所述第二脉搏波信号的第二主波波峰时刻缺失所述第一脉搏波的主波波峰时刻,基于所述第二主波波峰时刻前后的多个第一脉搏波信号的特征重构所述第一脉搏波信号在所述第二主波波峰时刻所对应的缺失脉搏波的特征。If the main wave peak time of the first pulse wave signal is missing at the second main wave peak time of the second pulse wave signal, based on the feature re- The feature of the missing pulse wave corresponding to the peak moment of the second main wave of the first pulse wave signal is constructed.
  12. 根据权利要求6至11中任一项所述的方法,其特征在于,将压力作用于用户的第一部位的步骤之后,所述方法还包括:The method according to any one of claims 6 to 11, wherein after the step of applying pressure to the first part of the user, the method further comprises:
    获取所述用户的其它生理信号,所述其它生理信号至少包括以下之一:心电图信号、 光电容积脉搏波描计信号、激光雷达信号、光学成像信号、压电传感器信号或电容式传感器信号;Acquiring other physiological signals of the user, the other physiological signals include at least one of the following: electrocardiogram signal, photoplethysmography signal, lidar signal, optical imaging signal, piezoelectric sensor signal or capacitive sensor signal;
    通过所述其它生理信号对缺失的第一脉搏波信号的特征和缺失的第二脉搏波信号的特征进行重构;reconstructing the missing features of the first pulse wave signal and the missing features of the second pulse wave signal from the other physiological signals;
    得到所述用户的血压测量值的步骤之后,所述方法还包括:After the step of obtaining the blood pressure measurement value of the user, the method further includes:
    通过所述其它生理信号对所述用户的血压测量值进行补偿,得到补偿后的所述用户的血压测量值。The blood pressure measurement value of the user is compensated by using the other physiological signals, and the compensated blood pressure measurement value of the user is obtained.
  13. 一种血压测量装置,其特征在于,所述装置包括:A blood pressure measuring device, characterized in that the device comprises:
    多模态信息获取模块,被配置成用于将压力作用于用户的第一部位,获取所述用户的血压多模态信息;其中,所述血压多模态信息包括所述用户的第一部位产生的第一脉搏波信号和所述用户的第二部位产生的第二脉搏波信号;The multimodal information acquisition module is configured to apply pressure to the first part of the user to obtain multimodal blood pressure information of the user; wherein the multimodal information of blood pressure includes the first part of the user a first pulse wave signal generated and a second pulse wave signal generated by a second part of the user;
    加权平均计算模块,被配置成用于对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值;其中,所述血压测量值包括收缩压测量值和舒张压测量值。The weighted average calculation module is configured to perform weighted average calculation on the first pulse wave signal and the second pulse wave signal to obtain the blood pressure measurement value of the user; wherein the blood pressure measurement value includes systolic blood pressure measurements and diastolic measurements.
  14. 根据权利要求13所述的血压测量装置,其特征在于,所述多模态信息获取模块被配置成用于通过第一脉搏波检测模块向所述用户的第一部位施加压力;通过所述第一脉搏波检测模块检测所述用户的第一部位产生的第一脉搏波信号;通过第二脉搏波检测模块检测所述用户的第二部位产生的第二脉搏波信号。The blood pressure measurement device according to claim 13, wherein the multimodal information acquisition module is configured to apply pressure to the user's first part through the first pulse wave detection module; A pulse wave detection module detects a first pulse wave signal generated by a first part of the user; a second pulse wave signal generated by a second part of the user is detected by a second pulse wave detection module.
  15. 根据权利要求14所述的血压测量装置,其特征在于,所述第一脉搏波检测模块和所述第二脉搏波检测模块设置于所述用户的同侧手臂;所述用户的第一部位所述用户的手臂的近心端动脉血管处;所述用户的第二部位为所述用户的手臂的远心端动脉血管处。The blood pressure measuring device according to claim 14, wherein the first pulse wave detection module and the second pulse wave detection module are arranged on the same side arm of the user; The arterial vessel at the proximal end of the arm of the user; the second location of the user is the arterial vessel at the distal end of the arm of the user.
  16. 根据权利要求14或15所述的血压测量装置,其特征在于,所述第一脉搏波检测模块包括基于示波法的臂式或腕式电子血压计;所述第二脉搏波检测模块至少包括以下之一:光电容积脉搏波描计、激光雷达、光学成像仪、压电传感器或电容式传感器;The blood pressure measuring device according to claim 14 or 15, wherein the first pulse wave detection module includes an oscillometric arm or wrist electronic sphygmomanometer; the second pulse wave detection module at least includes One of the following: photoplethysmography, lidar, optical imager, piezoelectric sensor, or capacitive sensor;
    所述加权平均计算模块被配置成用于通过所述电子血压计的处理器对所述第一脉搏波信号和所述第二脉搏波信号进行加权平均计算,得到所述用户的血压测量值。The weighted average calculation module is configured to perform weighted average calculation on the first pulse wave signal and the second pulse wave signal by the processor of the electronic sphygmomanometer to obtain the blood pressure measurement value of the user.
  17. 根据权利要求16所述的血压测量装置,其特征在于,所述电子血压计的测量方式包括充气式测量和放气式测量;当所述电子血压计的测量方式为所述充气式测量,所述第二脉搏波信号的脉搏波主波振幅和重搏波振幅随时间由大变小,直至所述用户的动脉血管被阻断后演变为稳定过程;当所述电子血压计的测量方式为所述放气式测量,所述第二脉搏波信号的脉搏波主波振幅和重搏波振幅为:由所述用户的动脉血管被阻断后的稳定过程演变为随时间由小变大的过程。The blood pressure measuring device according to claim 16, characterized in that, the measurement method of the electronic sphygmomanometer includes inflation measurement and deflation measurement; when the measurement method of the electronic sphygmomanometer is the inflation measurement, the The pulse wave main wave amplitude and the dicrotic wave amplitude of the second pulse wave signal change from large to small over time until the user's arterial blood vessel is blocked and evolve into a stable process; when the electronic sphygmomanometer is measured by In the deflated measurement, the amplitude of the main pulse wave and the amplitude of the dicrotic wave of the second pulse wave signal are: from a stable process after the user's arterial vessel is blocked, to a change from small to large over time process.
  18. 一种电子设备,其特征在于,包括处理器和存储器,所述存储器存储有能够被所述处理器执行的计算机可执行指令,当所述电子设备运行时,所述处理器执行所述计算机可执行指令,以实现根据权利要求1至12中任一项所述的血压测量方法。An electronic device is characterized in that it includes a processor and a memory, the memory stores computer-executable instructions that can be executed by the processor, and when the electronic device is running, the processor executes the computer-executable instructions. Executing instructions to realize the blood pressure measuring method according to any one of claims 1 to 12.
  19. 一种计算机可读存储介质,其特征在于,所述计算机可读存储介质上存储有计算机可执行指令,所述计算机可执行指令在被处理器调用和执行时促使所述处理器实现根据权利要求1至12中任一项所述的血压测量方法。A computer-readable storage medium, characterized in that computer-executable instructions are stored on the computer-readable storage medium, and when called and executed by a processor, the computer-executable instructions cause the processor to realize the The blood pressure measurement method described in any one of 1 to 12.
  20. 一种计算机程序产品,其特征在于,包括计算机程序,所述计算机程序在被处理器调用和执行时促使所述处理器实现根据权利要求1至12中任一项所述的血压测量方法。A computer program product, characterized by comprising a computer program, which when called and executed by a processor causes the processor to implement the blood pressure measurement method according to any one of claims 1 to 12.
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