簡易檢索 / 詳目顯示

研究生: 鄭乃銘
Cheng, Nai-Ming
論文名稱: 利用PPG波形技術建構連續的血壓監測系統
Development of a Continuous Blood Pressure Assessment System by PPG Waveform Techniques
指導教授: 陳天送
Chen, Tain-Song
學位類別: 碩士
Master
系所名稱: 工學院 - 生物醫學工程學系
Department of BioMedical Engineering
論文出版年: 2016
畢業學年度: 104
語文別: 英文
論文頁數: 43
中文關鍵詞: 光體積描述法特徵參數平均血壓非侵入式量測
外文關鍵詞: Photoplethysmography, Mean blood pressure, Non-invasive measurement
相關次數: 點閱:106下載:5
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 血壓可以作為判斷心血管狀況與生命穩定度的指標;在臨床上通常使用連續的侵入式血壓監測得到準確的血壓值,但是這容易造成血栓與感染的危險,而一般居家血壓計則無法測得連續的精準血壓值,故本研究希望結合兩種方式的優點,建構一套「連續非侵入式血壓量測系統」。
    本實驗使用光體積變化信號(PPG)的非侵入感測方式,藉由市售儀器Nellcor OxiMax N-600x收取PPG訊號,再使用Matlab截取出PPG的特徵參數與OMRON MX-3收取的血壓值做回歸分析得到回歸方程式,並且透過此方程式進行血壓的推估,最後與實際血壓值進行相關性分析。
    研究結果顯示所取的PPG特徵參數較能代表血管作用效應下的結果,所以與舒張壓(DBP),平均血壓(MBP)具有高相關性,故系統以平均血壓作為預測的指標。並且經由實驗發現藉著將0度,90度,180度的實驗結果結合進行分析,能得到更佳的預測血壓值,因此,利用PPG的特徵參數發展連續非侵入式的血壓量測系統,此一方式具有相當高的可行性。

    Blood pressure (BP) can be used as an index to determine cardiovascular health and stability of life. However, measuring BP accurately often necessitates the use of invasive clinical procedures that may lead to vascular thrombosis and infection. Although commercial sphygmomanometers do not bear risks of vascular thrombosis and infection, they cannot be used to measure BP continuously. Thus, to exploit the advantages of both invasive and non-invasive methods, we developed a continuous non-invasive BP assessment system.
    To construct an algorithm for estimating BP, regression analyses of characteristic parameters in photoplethysmography (PPG) using the Nellcor OxiMax N-600x instrument and BP measured using the OMRON MX-3 instrument were used; PPG parameters were then substituted into this algorithm. In addition, the estimated BP was correlated with the accurately measured BP.
    The results indicate that PPG parameters are closely related to vascular effects and are highly correlated with diastolic BP (DBP) and mean BP (MBP). Therefore, MBP was used as an index in the system. However, MBP was more accurately estimated using combinations of measurements made at shoulder flexion angles of 0゚, 90゚, and 180゚. Thus, we conclude that the current continuous non-invasive BP assessment system using PPG parameters is clinically feasible.

    摘要 I Abstract II 致謝 III Contents IV List of Tables VI List of Figures VII Chpater 1 Introduction 1 1.1 Background 1 1.2 Blood pressure 2 1.3 The common types of sphygmomanometer 3 1.4 Motivation and Objectives 6 Chpater 2 Theoretical Development 7 2.1 Introduction of PPG 7 2.2 The principle of PPG 9 2.3 Assess BP by PPG signal Technology 11 Chpater 3 Materials and Methods 17 3.1 Research Framework 17 3.1.1 Physiological signals measurement system 18 3.1.2 Signal processing 21 3.2 Experimental Methods 24 Chpater 4 Results and Discussion 30 4.1 The Results of Experiments 30 4.2 Discussion 35 Chpater 5 Conclusions 40 Reference 41

    [1] Ministry of Health and Welfare. Available: http://www.mohw.gov.tw/CHT/Ministry/Index.aspx
    [2] T. P. Carmody, J. W. Senner, M. R. Malinow, and J. D. Matarazzo, "Physical exercise rehabilitation: Long-term dropout rate in cardiac patients," Journal of Behavioral Medicine, vol. 3, pp. 163-168, 1980.
    [3] S. Patel, H. Park, P. Bonato, L. Chan, and M. Rodgers, "A review of wearable sensors and systems with application in rehabilitation," Journal of neuroengineering and rehabilitation, vol. 9, p. 1, 2012.
    [4] M. Fioravanti, D. Nacca, B. Golfieri, P. Lucia, and P. Cugini, "The relevance of continuous blood pressure monitoring in examining the relationship of memory efficiency with blood pressure characteristics," Physiology & behavior, vol. 59, pp. 1077-1084, 1996.
    [5] K. Kario, N. Yasui, and H. Yokoi, "Ambulatory blood pressure monitoring for cardiovascular medicine," Engineering in Medicine and Biology Magazine, IEEE, vol. 22, pp. 81-88, 2003.
    [6] 紀志凱, "應用於動脈硬化程度檢測之脈波特徵點定位系統設計," 2004.
    [7] 陳韋中, "光體積變化描記器量測人體末梢血管體積變化與血管硬化之關係," 屏東科技大學生物機電工程系所學位論文, pp. 1-65, 2008.
    [8] A. J. Vander and D. JH Luciano, "Humanphysiology: the mechanisms of body function," 1980.
    [9] P. I. Aaronson, J. P. Ward, and M. J. Connolly, The cardiovascular system at a glance: John Wiley & Sons, 2012.
    [10] A. Marinković, "Reconstructing the blood pressure waveform using a wearable photoplethysmograph sensor and hydrostatic pressure variations measured by accelerometers," Massachusetts Institute of Technology, 2007.
    [11] 黃. 蕭名秀, 邱馥嘉, "利用PPG探討末梢自主神經," 2004.
    [12] 柯佳伶, "利用脈衝傳導技術發展一套連續血壓估算系統," 2014.
    [13] J. Webster, Medical instrumentation: application and design: John Wiley & Sons, 2009.
    [14] A. Ur and M. Gordon, "Origin of Korotkoff sounds," American Journal of Physiology--Legacy Content, vol. 218, pp. 524-529, 1970.
    [15] 王相堯, "光體積變化描述波形在連續收縮壓量測之研究," 2004.
    [16] S. Song, J. Cho, H. Oh, J. Lee, and I. Kim, "Estimation of blood pressure using photoplethysmography on the wrist," in Computers in Cardiology, 2009, 2009, pp. 741-744.
    [17] P. Bonnafoux, "Auscultatory and oscillometric methods of ambulatory blood pressure monitoring, advantages and limits: a technical point of view," Blood pressure monitoring, vol. 1, pp. 181-185, 1996.
    [18] J. Bhattacharya and P. P. Kanjilal, "Assessing determinism of photo-plethysmographic signal," Systems, Man and Cybernetics, Part A: Systems and Humans, IEEE Transactions on, vol. 29, pp. 406-410, 1999.
    [19] I. C. Jeong, J. I. Ko, S. O. Hwang, and H. R. Yoon, "A new method to estimate arterial blood pressure using photoplethysmographic signal," in Engineering in Medicine and Biology Society, 2006. EMBS'06. 28th Annual International Conference of the IEEE, 2006, pp. 4667-4670.
    [20] 陳耀勳, "心率, PPG 和非侵入脈搏波信號之相關性研究," 逢甲大學自動控制工程學系碩士班碩士論文, 九十四年六月, 2005.
    [21] K. Fuwa and B. Valle, "The Physical Basis of Analytical Atomic Absorption Spectrometry. The Pertinence of the Beer-Lambert Law," Analytical Chemistry, vol. 35, pp. 942-946, 1963.
    [22] J. Allen, "Photoplethysmography and its application in clinical physiological measurement," Physiological measurement, vol. 28, p. R1, 2007.
    [23] 詹皓羽, "光體積變化描記圖之心血管功能診斷應用," 中原大學電機工程研究所學位論文, pp. 1-71, 2004.
    [24] H. H. Asada, P. Shaltis, A. Reisner, S. Rhee, and R. C. Hutchinson, "Mobile monitoring with wearable photoplethysmographic biosensors," Engineering in Medicine and Biology Magazine, IEEE, vol. 22, pp. 28-40, 2003.
    [25] A. A. Awad, M. A. M. Ghobashy, R. G. Stout, D. G. Silverman, and K. H. Shelley, "How does the plethysmogram derived from the pulse oximeter relate to arterial blood pressure in coronary artery bypass graft patients?," Anesthesia & Analgesia, vol. 93, pp. 1466-1471, 2001.
    [26] H. J. Baek, J. S. Kim, Y. S. Kim, H. B. Lee, and K. S. Park, "Second derivative of photoplethysmography for estimating vascular aging," in Information Technology Applications in Biomedicine, 2007. ITAB 2007. 6th International Special Topic Conference on, 2007, pp. 70-72.
    [27] R. Mohamad Rozi, S. Usman, M. Ali, and M. B. I. Reaz, "Second derivatives of photoplethysmography (PPG) for estimating vascular aging of atherosclerotic patients," in Biomedical Engineering and Sciences (IECBES), 2012 IEEE EMBS Conference on, 2012, pp. 256-259.
    [28] S. B. Usman, M. A. b. M. Ali, M. M. B. I. Reaz, and K. Chellapan, "Second derivative of photoplethysmogram in estimating vascular aging among diabetic patients," in Technical Postgraduates (TECHPOS), 2009 International Conference for, 2009, pp. 1-3.
    [29] I. Imanaga, H. Hara, S. Koyanagi, and K. Tanaka, "Correlation between wave components of the second derivative of plethysmogram and arterial distensibility," Japanese heart journal, vol. 39, pp. 775-784, 1998.
    [30] J. S. Kim, K. K. Kim, H. J. Baek, and K. S. Park, "Effect of confounding factors on blood pressure estimation using pulse arrival time," Physiological measurement, vol. 29, p. 615, 2008.

    下載圖示 校內:2021-01-01公開
    校外:2021-01-01公開
    QR CODE