基于体外实验的光电容积脉搏波信号检测及脉率特性研究
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大连理工大学 能源与动力学院

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Photoplethysmography Pulse Wave Signal Detection and Pulse Rate Characteristics based on in Vitro Experiment
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Dalian University of Technology,School of Energy and Power Engineering,Key Laboratory of Ocean Energy Utilization and Energy Conservation of Ministry of Education

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    摘要:

    目的 目前脉率变异性已被广泛用作研究心率变异性的替代指标,然而研究表明,如:呼吸系统和自主神经调节等多种因素可影响到两者的一致性。本研究希望借助体外循环实验系统的可控参数优势,通过系列实验考察血流参数变化是否对脉率产生影响。方法 建立一套搭载腕部体外模型的人体循环系统,通过分别改变心率、腕部流量、压力和系统顺应性等参数,从腕部模型中获取光电容积脉搏波信号并提取脉率变异性的时域和频域指标。结果 心率、压力和系统顺应性的改变会引起脉博波形状的改变,但能够表明脉率变异性的时域指标NN50、PNN50数值为0,其他指标以及频域指标都处在极低值范畴。结论 在未有心率变异性时,心率、腕部流量、血压和系统顺应性等血流动力学变化未产生明显的脉率变异性。本研究可为临床在更便利的腕部采集设备加持下开展更多脉率变异性和心率变异性研究提供参考依据。

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    Objective Pulse rate variability has been widely used as a proxy for heart rate variability. However, studies have shown that a variety of factors, such as respiratory system and autonomic nervous regulation, can affect the consistency of the two. This study hopes to take advantage of the controllable parameters of the experimental system of cardiopulmonary bypass, and investigate whether the changes of blood flow parameters have an effect on pulse rate through a series of experiments. Methods In this study, a set of human circulatory system equipped with an in vitro wrist model was established. By changing the parameters of heart rate, wrist flow, pressure and system compliance, the photoplethysmography pulse wave signal was obtained from the wrist model and the time-domain and frequency domain indexes of pulse rate variability were extracted. Results The change of heart rate, pressure and system compliance will cause the change of pulse shape, but the time domain indexes NN50 and PNN50, which can indicate the pulse rate variability, are 0, and other indexes and frequency domain indexes are in the very low value category. Conclusions In the absence of heart rate variability, hemodynamic changes such as heart rate, wrist flow, blood pressure and system compliance did not produce significant pulse rate variability. This study can provide a reference for more studies on pulse rate variability and heart rate variability with more convenient wrist acquisition equipment.

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  • 收稿日期:2024-02-26
  • 最后修改日期:2024-04-03
  • 录用日期:2024-04-04
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