| 研究生: |
劉昇奇 Liou, Sheng-Ci |
|---|---|
| 論文名稱: |
以末稍血流及心率變異率來評估精神壓力程度之研究 Evaluation of Mental Stress Levels Using the Peripherial Blood Flow and the Heart Rate Variability |
| 指導教授: |
楊明興
Young, Ming-Shing |
| 學位類別: |
碩士 Master |
| 系所名稱: |
電機資訊學院 - 電機工程學系 Department of Electrical Engineering |
| 論文出版年: | 2009 |
| 畢業學年度: | 97 |
| 語文別: | 中文 |
| 論文頁數: | 88 |
| 中文關鍵詞: | LabVIEW 、末梢血流 、心率變異率 、壓力 |
| 外文關鍵詞: | Mental Stress, Peripheral Blood Flow, Heart Rate Variability, LabVIEW |
| 相關次數: | 點閱:64 下載:16 |
| 分享至: |
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在今日這種高速遽變性、高競爭性的大環境下,鮮少有人不被壓力所苦。根據美國醫學學會(American Medical Association, AMA)的估計,約有75%的疾病是由壓力(stress)所引起。因此當一個現代人,學習對於壓力的管理,如預測、避免與減少壓力源,是日常生活中不可或缺的知識。
本研究目的為利用末梢血流(PPG) 與心率變異率(HRV)來評估潛在的心理壓力程度。利用壓力量表將十五位健康的受測者初步分成無壓力族群、中間可疑族群及有壓力族群。實驗結果顯示有壓力的族群有比較高的心率及較高的超低頻變異率(VLF)與較低的第五諧波頻譜,而健康族群在接受刺激後所有的生理參數都可以在十分鐘後恢復到刺激前的程度。
Few people do not suffer from mental stress in this high variant and competitive environment of the present day. About 75% diseases are caused by the mental stress from the American Medical Association (AMA) estimated statistics. Thus, learning how to forecast, avoid and reduce the stress source for the modern people is an indispensable technique in daily life.
The purpose of this study was to evaluate the potential mental stress level using the harmonic spectra of the peripherial blood flow and the heart rate variability (HRV). Fifteen healthy participants were classified into three groups: highly stressed (HS) individuals, moderately stressed (MS) individuals, and healthy controls based on the stress forms. The HS individuals showed higher heart-beat rate, higher VLF (very low-frequency power) values of the HRV and lower 5th (C5) pulse harmonic than the control. The results also showed that all physiological signals of the control recovered to nearly the same values as before the mental stress test over a ten-minute rest.
[1] http://www.ama-assn.org
[2] 王唯工,“氣的樂章”,大塊文化,台北市,2002.
[3] Akselrod S, Gordon D, Ubel FA, Shannon DC, Barger AC, Cohen RJ,“Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control”, Science, vol.213, No.10, pp.220-222, 1981.
[4] Selye, H. ,“The Stress of Life”, New York:McGraw Hill Book Company,1956.
[5] Cohen,S.,& Williamson, G. M. ,“Stress and infectious disease in humans”. Psychological Bulletin, 109,5-24, 1991.
[6] Yaylayan S, Viesselman JO, Weller EB, Weller RA,“Depressive Mood Disorders in Adolescents”,Adolesc Med;3(1):41-50 ,1992 Feb.
[7] Geeraerts B, Vandenberghe J, Van Oudenhove L et al. “Influence of experimentally induced anxiety on gastric sensorimotor function in humans”. Gastroenterology; 129: 1437–44, 2005.
[8] Y.Y. Wang Lin, C.C. Chang, J.C. Chen, H. Hsiu, W.K. Wang,“Pressure Wave Propagation in Arteries – A Model with Radial Dilatation for Simulating the Behavior of a Real Artery”, IEEE Engineering in Medicine and Biology,16, pp.51-56,1997.
[9] O’Rourke MF, Avolio A.,“Pulsatile flow and pressure in human systemic arteries. Studies in man and in a multibranched model of the human systemic arterial tree”, Circ Res ,46:363–372,1980.
[10] M.G. Taylor, “ An Approach to the Analysis of the Arterial Pulse Wave II. Fluid Oscillations in an Elastic Tube”,Phys,Med.Biol. 1,pp.321-329,1966.
[11] A.C. Burton, “The range and variability of the blood flow in the human fingers and the vasomotor regulation by body temperature ”, American Physiological Society, vol.127, pp. 473-453, 1939.
[12] S.T. Young, W.K. Wang, L.S. Chang, T.S. Kuo, “The Spectrum Study of Blood Pressure during the Disturbance of Organic Vascular Beds and Their Explanations”, Journal of the Chinese Institute of Engineers.Vol.12,No.5,pp. 651-657, 1989.
[13] S.T. Young, W.K. Wang, L.S. Chang, T.S. Kuo, “The Filter Properties of Arterial Bed of Organ in Rats”,Acta Physiological Scandinavica,145,pp.401-406, 1992.
[14] Y.Y. Wang Lin, S.L. Chang, Y.E. Wu, T.L. Hsu, W.K. Wang,“Resonance: the Missing Phenomenon in Hemodynamics”,Circulation Research, edited by W.K. Wang,69,pp.246-249, 1991.
[15] W.K. Wang, Y.Y. Lao, T.L. Hsu, Y. Chiang, Y.Y. Wang Lin,“Resonance of Organs with Heart”, Biomedical Engineering: An International Symposium edited by W.J. Wang. (Washington, DC: Hemisphere),pp.259-268,1989.
[16] S.T. Young, W.K. Wang, L.S. Chang, T.S. Kuo, “Specific Frequency Properties of Renal and Superior Mesenteric Arterial Beds in Rats”, Cardiovascular Research,23, pp.465-467,1989.
[17] W.K. Wang, Y.Y. Wang Lin, T.L. Hsu, Y. Chiang, “Some Foundations of Pulse Feeling in Chinese Medicine”, In Biomedical Engineering: An International Symposium, edited by W.J. Wang. (Washington, DC: Hemisphere),pp.268-297,1989.
[18] Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology,“Heart rate variability, Standards of measurement, physiological interpretation and clinical use”, European Heart Journal, 17:pp.354-381, 1996.
[19] J. P. Saul, “Beat-to-beat variations of heart rate reflect modulation of cardiac autonomic outflow”, News Physiol. Sci., Vol. 5, pp. 32-37,1990 .
[20] Suzuki S, Matsui T, Imuta H et al ,“A novel autonomic activation measurement method for stress monitoring: non-contact measurement of heart rate variability using a compact microwave radar ”, Med Biol Eng Comput 46(7):709–714,2008.
[21] Mariana N. Castro et al. “Heart rate variability response to mental arithmetic stress in patients with schizophrenia Autonomic response to stress in schizophrenia.” Schizophrenia Research 99 294–303 (2008).
[22] V. Shusterman, O. Barnea, “Sympathetic nervous system activity in stress and biofeedback relaxation”, IEEE Engineering in Medicine and Biology Magazine, pp. 52-57, March/April, 2005.
[23] Kosuke Narita et al., “Interactions among higher trait anxiety, sympathetic activity, and endothelial function in the elderly,” Journal of Psychiatric Research, pp. 418-427, January, 2007.
[24] 李朝陽,“基於PPG信號的Windkessel模型修正及參數估計,”浙江大學生物醫學工程2007年5月
[25] Cohn JN, Finkelstein S, McVeigh G, et al. ,“Noninvasive pulse wave analysis for the early detection of vascular disease”,Hypertension.;26(3):503–508, 1995.
[26] K. Mustafa,“A System for Analysis of Arterial Blood PressureWaveforms in Humans”, Computers and Biomedical Research Volume: 30, Issue: 3, pp. 244-255, June, 1997.
[27] J.G. Webster, “Design of Pulse Oximeters”,IOP, 1997.
[28] John R. Hampton , “The ECG MADE EASY”, 2003, 6th ed.
[29] Dale Dubin,“Rapid interpretation of ECG's: a programmed course”, 2000, 5th ed.
[30] Saul, J.P., Arai, Y., Berger, R.D., Lilly, L.S., Colucci, W.S. and Cohen, R.J.,“Assessment of autonomic regulation in chronic congestive heart failure by heart rate spectral analysis,” Am J Cardiol, vol. 61, pp. 1292-1299, 1988.
[31] Malliani, A., Pagani, M., Lombardi, F., Furlan, R., Guzzetti, S. and Cerutti, S., “Spectral analysis to asssess increased sympathetic tone in arterial hypertension,” Hypertension, vol. 17, no. 4, pp. 36-41, 1991.
[32] Diana E. McMillan,“Interpreting heart rate variability sleep/wake patterns in cardiac patient,” Journal of Cardiovascular Nursing, vol.17, pp. 69-81, 2002.
[33] J. McNames and M. Aboy,“Reliability and accuracy of heart rate variability metrics versus ECG segment duration,” Medical & Biological Engineering & Computing, vol. 44, pp. 747-756, Sep 2006.
[34] E. S. Michel, B. Athanase,“The shape of the blood pressure curve and genetic hypertension”, Trends in Cardiovascular Medicine Volume: 5, Issue: 3, pp. 96-102, May 6, 1995.
[35] Nora Goldshlager、Mervin J. Goldman,編譯廖述朗,,“臨床心電圖學”,藝軒圖書出版社,1996.
[36] http://www.medis-de.com/en/ppg.html
[37] http://www.vishay.com/
[38] http://www.analog.com/en/other/
militaryaerospace/ad620/products/-
product.html
[39] Medical Electronics Laboratory,Basic Theory of Bio-amplifiers,Tampere University of Technology
[40] D. Wobschall,“ Circuit Design for Electronic Instrumentation: Analog and Digital Devices from Sensor to Display”, New York: McGraw-Hill, 1979.
[41] http://sine.ni.com/nips/cds/view/p/
lang/zht/nid/14605
[42] 惠汝生,“LabVIEW 8.X圖控程式應用”,全華, 台北市, 2006.
[43] 李宇皓,“靜坐過程中以自我暗示來影響生理參數之初步探討,”國立成功大學電機工程系2005年.
[44] So,H.H & Chan, K.L. “,Development of QRS detection method for real-time ambulatory cardiac monitor,” Proceedings of the 19th Annual International Conference of the IEEE in Engineering in Medicine and Biology society, Vol.1, pp.289-292, Oct.1997.
[45] Tan,K.F.; Chan,K.L. & Choi,K. ,“Detection of the QRS complex, P wave and T wave in electrocardiogram,” Processing of 2000 IEEE Conference on Advances in Medical Signal and Information Processing, pp.41-47, 2000.
[46] Holmes T.H., Rahe R.H.,“The Social Readjustment Rating Scale”, J Psychosom Res ;11:213–8,1967.
[47] Cohen S., Kamarck T., & Mermelstein, R.,“A global measure of perceived stress”, Journal of Health and Social Behavior. 24, 385-396,1983.
[48] K.B. Koh, J.K. Park, C.H. Kim, and S. Cho,“Development of the Stress Response Inventory and Its Application in Clinical Practice,”American Psychosomatic Society, Psychosomatic Medicine 63:668-678,2001.
[49] Zigmond A.S., Snaith R.P.,“The Hospital Anxiety and Depression Scale”,Acta Psychiatr Scand ;67:361–70,1983.