使用低壓量測方法之連續血壓量測系統

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姓名

丁蒼毅(Cang-Yi Ding) 查詢紙本館藏

畢業系所

電機工程學系

論文名稱

使用低壓量測方法之連續血壓量測系統
(Continuous Blood Pressure Measurement System Based on Low Cuff Pressure Approach)

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摘要(中)

本論文以長時間連續血壓量測為目的，發展出藉由低度壓力的量測方式加壓於手腕上，以偵測脈搏振幅訊號，進而將此訊號導入本研究當中推導出具有血壓動態追蹤功能之低壓轉換公式，實現低壓連續量測系統。
本系統的量測介面由LabVIEW 7.0規劃完成，並搭配National Instruments USB-6009資料擷取卡，做數位輸出以及類比輸入的工作。壓力感測器的輸出信號包括壓脈袋洩壓過程的信號，以及脈搏振盪的信號，這兩種信號必須透過濾波以及放大電路的設計與之分離，分別傳送到兩個類比輸入通道，以進行血壓參數的計算。
經過實際測試的數據分析，本系統證實了使用低度壓力方式，量測連續血壓的可行性，並且實現了具有血壓動態追蹤功能之低壓連續量測系統。未來可以本系統為基礎，加以改進發展出可攜式二十四小時連續血壓監測儀，以提供更多血壓資訊給學術研究以及臨床醫學上使用。

摘要(英)

The main propose of the thesis is to acquire the continuous pulse vibration at the patient’s radial artery based on low cuff pressure approach. By introducing the pulse vibration to the low pressure translating formula of dynamic blood pressure tracking capability, continuous blood pressure measurement system based on low cuff pressure approach is achieved.
The interface of the system is completed by LabVIEW 7.0. The digital output and the analog input signals are operated by utilizing National Instruments Data Acquisition (USB-6009) Multifunction I/O Card. There are two kinds of signals at the output of the pressure sensor. They are the signal of cuff pressure and the signal of pulse vibration. A filtering and amplifying circuit is introduced to separate the two signals into two analog input channels of USB-6009. Hence, blood pressure can be calculated after acquiring the data.
According to the experimental results, it proves the feasibility of measuring continuous blood pressure by low pressure approach. Moreover, a continuous blood pressure measurement system based on low cuff pressure approach of dynamic blood pressure tacking capability is achieved. 24-hours portable continuous blood pressure measurement instrument could be developed to provide more information for research and medical uses in the future.

關鍵字(中)

★ 低壓量測
★ 血壓
★ 連續

關鍵字(英)

★ continuous
★ low cuff pressure approach
★ blood pressure

論文目次

中文摘要
Abstract
誌謝
目錄...i
圖目錄...iv
表目錄...vii
第一章緒論...1
1.1引言...1
1.2研究動機與目的...2
1.3研究方法...3
1.4論文架構說明...4
第二章血壓量測分類與其工作原理...5
2.1侵入式血壓量測...6
2.2非侵入式血壓量測...7
2.2.1聽診法(Asculation Method)...7
2.2.2振盪法(Oscillation Method)...9
2.3非侵入式連續血壓量測...10
2.3.1脈波傳遞時間(Pulse Transit Time)...10
2.3.2脈波傳遞時間與振盪法間歇性校正...12
2.4低壓連續量測...13
2.4.1恆壓低壓法...13
2.4.2具有血壓動態功能之連續血壓量測...16
第三章系統架構與硬體設計...19
3.1壓力感測器...20
3.2濾波放大電路...22
3.3幫浦及洩壓閥控制...25
3.4NI USB-6009資料擷取卡...26
第四章動態追蹤血壓量測方法...28
4.1第一模式(Mode 1)量測流程...29
4.2第二模式(Mode 2)量測流程...34
第五章系統實測與結果討論...36
5.1硬體測試結果...38
5.1.1壓力感測器...38
5.1.2壓脈袋內維持恆壓性能...40
5.2操作介面...43
5.3系統實測結果...46
5.3.1第一模式振盪法實測...47
5.3.2第二模式低壓量測...50
5.4血壓動態追蹤...54
第六章結論與未來展望...59
6.1結論...59
6.2未來展望...61
參考文獻...63
List of Publications...68

參考文獻

[1] 行政院衛生署統計資料，台灣地區十大死因，http://www.cichb.gov.tw/sta_information/sta_informations.asp
[2] Collins R, MacMahon S. Blood pressure, “Antihypertensive drug treatment and the risks of stroke and of coronary heart disease”, Br Med Bull. vol.50, pp. 272-298, 1994.
[3] Eastern Stroke and Coronary Heart Disease Collaborative Research Group. Blood pressure, cholesterol, and stroke in eastern Asia. Lancet, vol. 352, pp.1801-1807. 1998.
[4] Anderson KM, Wilson PW, Odell PM, Kannel WB. “An updated coronary risk profile. A statement for health professionals”, Circulation, vol. 83, pp 356-362, 1991.
[5] The sixth report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Arch Intern Med, vol. 157, pp. 2413-2446, 1997.
[6] Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report, JAMA, vol. 289, pp. 2560-2572, 2003.
[7] 盧怡旭, 黃耀星, “淺談廿四小時血壓監測”, 第二十卷第六期, 高醫醫訊月刊, 2000.
[8] Karamanoglu, M., “A System for Analysis of Arterial Blood Pressure Waveforms in Humans”, Computers and Biomedical Research, vol. 30, no. 3, pp. 244-255, 1997.
[9] Safar, M.E., and Benetos, A.., “The shape of the blood pressure curve and genetic hypertension”, Trends in Cardiovascular Medicine, vol. 5, no. 3, pp. 96-102, 1995.
[10] 張峰碩, “建構非侵入式連續血壓量測系統以評估血管系統之數學模型”, 中原大學醫學工程學系碩士論文, 2005
[11] 郭建志, “以恆壓低壓量測連續脈壓訊號”,中原大學電機工程學系碩士論文, 2002.
[12] Parry Fung, G. Dumont, C. Ries, C. Mott, M. Ansermino, “Continuous noninvasive blood pressure measurement by pulse transit time”, in Ann. Int. Conf. IEEE Eng. Med. Biol. Soc., vol.1, pp. 738-741, 2004.
[13] 楊坤岳, “以脈波抵達時間與間歇性校正推估連續血壓於姿勢性暈眩之研究”, 中原大學醫學工程學系所碩士論文, 2002.
[14] Geddes, L. A., Handbook of Blood Pressure Measurement, Year Book Medical Publishers, 1970.
[15] 黃俊凱, 血壓量測裝置作業技術規範, 教育部顧問室, 1999.
[16] 陸坤池,“以低壓實現之非侵入式連續血壓量測系統”, 中原大學醫學工程所碩士論文, 2000.
[17] Carr, J.J., Brown, J.M., Introduction to biomedical equipment technology, 4th edition, Prentice hall, fourth edition, 2001.
[18] D. Perloff, C. Grim, J. Flack, ED. Frohlich, M. Hill, M. McDonald and BZ. Morgenstern, “Human blood pressure determination by sphygmomanometry”, Circulation, vol. 88, pp. 2460-2470, 1993.
[19] Webster, J. G., Medical Instrumentation – Application and Design, 3rd edition, John Wiley & Sons, Inc., pp.317-328, 1998.
[20] Geddes, L. A., The Direct and Indirect Measurement of Blood Pressure, Year Book Medical Publishers, 1970.
[21] Wilmer W. N., Michael F. O., McDonald’s Blood Flow in Arteries Theoretical, experimental and clinical principles, 4th edition, Arnold Publishers, 1998.
[22] Moraes J.C. T. B., Cerulli M., Nq P.S.,“A Strategy for Determination of Systolic, Mean and Diastolic Blood Pressures from Oscillometric Pulse Profiles”, Computers in Cardiology 2002, pp. 211-214, 2000.
[23] Tanaka, S., Yamakoshi, K., “Ambulatory Instrument for Monitoring Indirect Beat-to-Beat Blood Pressure in Superficial Temporal Artery Using Volume-Compensation Method”, Medical & Biological Engineering &Computing, vol. 34, pp. 441-447, 1996.
[24] Yamakoshi, K., Kawarada, A., Kamiya, A., Shimazu, H., Ito, H., “Long-term Ambulatory Monitoring of Indirect Arterial Blood Pressure Using a Volume-Oscillometric Method”, Medical & Biological Engineering & Computing, vol. 23, pp. 459-465, 1996.
[25] Kawarada, A., Shimazu, H., Ito, H., Yamakoshi, K., “Ambulatory Monitoring of Indirect Beat-to-Beat Arterial Pressure in Human Fingers by a Volume-Compensation Method”, Medical & Biological Engineering & Computing, vol. 29, pp. 55-62, 1991.
[26] Shimazu, H., Ito, H., Kawarada, A., Kobayashi, H., Hiraiwa, A., Yamakoshi, K., “Vibration Technique for Indirect Measurement of Diastolic Arterial Pressure in Human Fingers”, Medical & Biological Engineering & Computing, vol. 27, pp. 130-136, 1989.
[27] 范振臺, “可攜式低壓腕部脈搏訊號之量測”, 中原大學電機工程學系碩士論文, 2001.
[28] Z. Farooqui, G. Drzewiecki, “Automated tracking of continuous blood pressure using vessel buckling”, in Proc. IEEE 28th Ann. Northeast Bioe. Cof. 2002, pp. 279-280.
[29] 姚景升, “同步量測心電圖和脈波儀器之設計製作和心率變異度與血壓變異度之分析”, 中原大學醫學工程學系碩士論文, 2002.
[30] S. Hales, Statistical Essays: Containing Haemostaticks or an Account of Some Hydraulic and Hydrostatistical Experiments Made on the Blood and Blood Vessels of Animals, etc., vol. 2 London, England: Innys & Manby, 1733.
[31] Freescale Semiconductor, “Integrated Silicon Pressure Sensor On-Chip Signal Conditioned, Temperature Compensated and Calibrated”, 2007.
[32] Freescale Semiconductor, “Digital Blood Pressure Meter”, 2005.
[33] National Instruments, “USB-6008/6009 USER GUIDE AND SPECIFICATIONS”, 2005.
[34] 蕭子健, 王智昱, 儲昭偉, 虛擬儀控程式設計LabVIEW 7X, 高立圖書有限公司, 2004.
[35] Mayer S., “Zur Physiologie des Gefabnervenzentrums.”, European Journal of Physiology, vol. 9, pp. 499-513, 1874.
[36] S.R. Seydnejad, R.I. Kitney, “Modeling of Mayer waves generation mechanisms”, IEEE Eng Med Biol Mag, vol. 20, pp. 92-100, 2001.

指導教授

鍾鴻源(Hung-Yuan Chung)

審核日期

2007-7-3

推文