容积脉搏波(PPG)的检测方法及其在评价心血管功能方面的应用

26200724BeijingBiomediealEngineeringVol.26APINo.220()7.,(photlethysmography,PPG)PPGt,;;;R318.04Atl0()23208(2(X)7)02022005Me..ure..e.tofvolu.epuwavede.ppllc.Uev..oftllecadlovul.r.cUuZNGJonli,anyangenHSPalAttachedoCalUnrsiofaIScnce:,Bel29l^^vaetyorteohnqoes,e,ntlyemployedtoevua*theeardiovaseularfunetion.Analtemativetechniqueulili:esavolumelsewave.Trouithasnotbeenwidelyused,thisteehniquedeserveofurthereonoideotionbeeauoeofitssimplieityandeaseoPeration.Forevalua*ingtheeardiovaseularfunetion,themetodofphotoelee6vevolumepulsewave15definedasbasedonthepulsatilevariaionOflocalbloodvolumeoftheperipheralmierovoeareausedhebeatandbeingmeouredbyphotopletysmophy(pPG)whieh15ereatedbypholectrieityandeandeteetthevolumePuloewaveof6eralmieovaseularnoninv,ively.ThisparintrodueesthoprineipleofPPG,photoeleeesensor,theexeionmethodofpolsewaveformearacteristieinformationandsomoapPlieaUonofvolumepulsewaveineardiovaseularfunctionmonitoring.IK,ord.pho*oelectivevolumepulsewave;ph000plethysmography;potoeleetriesensor;eardiovaseularfunetion,,,;,,,.,,,,t.1i(ptopleth,smo.raphy,p)ppG,PPG,,tA/D,,PPG:,(111):(129):(l,81),,1,1.1PPG.,,,.bertBeer,A,,o.IIoec,v,e.;c.;v.F.,I,I+IIoeC,+v),2221=(l(nj,3[1,,,_J,,,l[,1,10I,.:,,2,]3Fig3MeasurementwayoftransmissionsensorlFig1Statepictureoflighzpassingbodytissue,],,,1.2.2,,,,,41!,L1.2,[4Fig4Measurementwayofrenexionsensor2Fig2Intensityoflightosci110grmOfpholoelectrievolumepulseware1.2.1,,,,,1.2.3,,,,A/D,,,,,,,,,22226,.,,,,,,,,,,,.]D,1.3,,:f,,(),K1.].K,,,,,,,!1,,,(WT),,,,t,],,,1.12.1,,I,,RLCR;L;C,,(Rouge-Kutta),,,2.2,(eardiacourput,CO)(eiacinde:,Cl)(trokevolumeindex,51)(peripheralv.eularsistanee,PvR)],,201,K,zl]t,,2,_,Q.ilUL~-----.,U__.l+KPdt2223ACK,K1,rd,,,,,,,P.,dK,,m,,o(:)d:.n;,(:omiSV=Q.T:=ro,!csvsI=;CC0(BSA).D,R,COSV,,APD,,;,,SwanGanZ,SwanGan:,cocIsI,,,,,2.319,,!J,,(pulsewavevelocitv,PWV),24j,,HsienTsaiWu[,,,,,,,,PwvL/T,,(pulsetransittime,PTT)pwv,FooJYA6],(P),,PTT,2.4,,,PPG.,PPG,20,,3,,,:22426,,{z,],t,,,,,,1],.J].,2l,8(10):827828[2]SherinMH.dSherebrinRz.FncyanalysisOfteripheralpulwavedetectedinte6ngerwi.aphotOPlethy.mo.IEEETransBME,1990,37(3):3133,,,[J].,2.2(5):33354,...J..1999,23(4):l%2005],,,.tJ].,2.23(3)20921261,.,J].,2003,13(15):76-787],,,.tJ]..1999,22(4):30348,,.MI.:,2(X9,,,.[J.,20()5,23(l):129130,19010,...J].,2.21(l):14,.2003J].,2,6(2):106100[12]ill.sseausdrinoC,GuiiF,ekG.KellyR.anP,dalNooiovoive.~menlofthedigilalvolumePul,:Co6.withope6pp,upulse[J].Hrtension,2,36(6):952956[3]eoldnRM,waTB.^ripressupulseoonury,1.viaaae.anemodelforthecliniealquanti6eatiofhumascuproPertieS.IEEET6on.onBio.edieEneering.1967,14(l):111714,,..J.,2001,20(2):j020515].fJ],,2,(1):4550[16]^ldm,EL,BraA.SandorW,ezal,Evaluationofthepulseeontourmethofdermininstrokeueiom[J].Ciulation,1972.46:546558[7]Ju0RAD,0.bomJJ.CioutPUt1..byPueo.toormethod.,Vaidityofeirusefor.iringtheeriUeally111p.tienr[J].5e,1973,74:35836918.,,.J].,2001,20(2):9810119],,,.J].,2001,7(5):68201,,,.J]..2,25(2):148150,19221]^llenJ,Mu,y^.Mellingth:tiipbeeenriperalblIpsuandbloodvolmepu5usinglinearandneune*worksmiden6cati.techni,.[J].Phy.iolMeas,1999,20(3):28730122,,,.S,-G.:J].,25,18(7):68[23]illaaseau.5.neCA,RittetJ~MA,etal.Con*ouranysisofhePpleysmoPhicpuLudatthe6n,rtJ].J.1ofHert..ion.2,24(8):1449145624.J].,2002,10(,):29229525]WuH.ieoTi,HoChinShan,w.ngMinChen.etal.ABioSalProc.ingSyt.mforPulseWaveVelOCityDetectio.9Inte,Uon.lC.fereneoonEnnEdueatio.,2,July2328,.1M3F:1417[26]FooJYA,.Cs.Dualeaonel.m,pbytoonitorlocalehin,ascolar..[J.JourualOfClinicaiMoniriogandC.p.ting,2,20(3):22122727.,,.J].,2l,20(3):185188,177281,,,..,1994,13(3):25,25929]M.iwaYYo.i,EIokT.Este11.tofN,MicalInfo.onbyDeveloPentofAccelera0.Pley.mog..dCAnsy:tenWindo,.05.Pof10In111ntSy..5.iu,2.163166(27-2)