CN202909061U - In-vitro counter-pulsating device - Google Patents
In-vitro counter-pulsating device Download PDFInfo
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- CN202909061U CN202909061U CN201220462027.9U CN201220462027U CN202909061U CN 202909061 U CN202909061 U CN 202909061U CN 201220462027 U CN201220462027 U CN 201220462027U CN 202909061 U CN202909061 U CN 202909061U
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- 238000001514 detection method Methods 0.000 claims abstract description 33
- 230000036772 blood pressure Effects 0.000 claims abstract description 31
- 230000008753 endothelial function Effects 0.000 claims abstract description 28
- 238000012545 processing Methods 0.000 claims abstract description 18
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Abstract
An in-vitro counter-pulsating device comprises an electrocardiosignal collection module for collecting electrocardiosignals of patients, a finger pulse signal collection module for collecting the finger pulse signals of the patients, a blood pressure detection module for detecting blood pressure of the patients, an endothelial function detection module for detecting the endothelial functions of the patients, a data processing module for processing the electrocardiosignals, the finger pulse signals, the blood pressure signals and the endothelial function data, a counter-pulsating main machine control system for controlling the electrocardiosignals collecting module, the finger pulse signal collecting module, the blood pressure detecting module, the endothelial function detection module and the data processing module, a driving device controlled by the counter-pulsating main machine control system and an executing mechanism driven by the driving device to perform in-vitro counter-pulsating actions.
Description
[technical field]
This utility model relates to medical Instrument field, relates in particular to a kind of external counterpulsation apparatus that can immediately detect the cardiovascular function of human body.
[background technology]
Blood vessel endothelium structure and/or function are impaired, it is cardiovascular disease, initiating and the key link of particularly early atherosclerosis pathological changes generation, development, and increase the weight of gradually with age growth, thereby accumulative total systemic arterial system, finally cause the ischemic lesions of important organ, such as causing coronary heart disease.Early discovery, in time treatment can slow down or prevent the progress of atherosclerotic lesion.
Clinical research for many years confirms, and external counterpulsation treatment plays an important role to the improvement of vascular endothelial function, also can effectively improve the arterial stiffness degree.Acquisition about vascular endothelial function and blood vessel elasticity index need to rely on comparatively expensive doppler ultrasound and blood vessel elasticity checkout equipment clinically.Simultaneously, existing external counterpulsation apparatus can not in time carry out the test of above-mentioned important indicator after the patient is treated, and can not in time obtain the evaluation index of external counterpulsation treatment effect.
In other words, existing external counterpulsation apparatus can't detect vascular endothelial function and blood vessel elasticity index, and then can not in time obtain the evaluation index of external counterpulsation treatment effect.
[utility model content]
The purpose of this utility model is to provide a kind of external counterpulsation apparatus, and it can detect the vascular endothelial function before and after the external counterpulsation treatment immediately, and can reflect the blood flow characteristic of the stiff degree of blood vessel; Thereby can be according to the situation of change of these two important indicators, confirm quantitatively external counterpulsation treatment due course for the treatment of; And different people is when taking the anti-parameter of fighting of difference to treat, and the suitable anti-therapeutic process of fighting is determined in the comparison that is effective with varying with each individual, prevents the blindness operation, utilizes better external counterpulsation apparatus.
For realizing this purpose, this utility model adopts following technical scheme:
A kind of external counterpulsation apparatus comprises: the ecg signal acquiring module that is used for gathering patient's electrocardiosignal, be used for gathering the finger arteries and veins signal acquisition module that the patient refers to the arteries and veins signal, blood pressure detection module for detection of patient's blood pressure, endothelial function detection module for detection of patient's endothelial function, for the electrocardiosignal that above-mentioned modules is collected, refer to the arteries and veins signal, the data processing module that blood pressure signal and endothelial function data are processed, to the ecg signal acquiring module, refer to the arteries and veins signal acquisition module, the blood pressure detection module, the anti-engine control system of fighting that endothelial function detection module and data processing module are controlled, be subjected to the driving device of the described anti-engine control system control of fighting and be subjected to the driving of driving device and the patient carried out the actuator of external counterpulsation action.
Compared with prior art, this utility model possesses following advantage:
The external counterpulsation apparatus that this utility model provides, vascular endothelial function before and after the external counterpulsation treatment can be immediately detected by various modules such as ecg signal acquiring module, the cooperation that refers to arteries and veins signal acquisition module, blood pressure detection module and endothelial function detection module, and the blood flow characteristic of the stiff degree of blood vessel can be reflected; Thereby can be according to the situation of change of these two important indicators, confirm quantitatively external counterpulsation treatment due course for the treatment of; Thereby vascular endothelial function and blood vessel elasticity index are detected, and then in time obtain the evaluation index of external counterpulsation treatment effect.
[description of drawings]
The functional-block diagram of the external counterpulsation apparatus that Fig. 1 provides for this utility model;
Fig. 2 a has showed the oscillogram of the finger pulse wave before patient's forearm blood is blocked;
Fig. 2 b has showed the oscillogram of the finger pulse wave of control arm;
Fig. 3 a has showed the oscillogram of the finger pulse wave after patient's forearm blood is blocked;
Fig. 3 b has showed the oscillogram of the finger pulse wave of control arm;
Fig. 4 has showed patient's electrocardiographic wave figure and has referred to corresponding relation between the oscillogram of pulse wave; And
Fig. 5 has showed patient's electrocardiographic wave figure, upper wall blood pressure waveform figure and the corresponding relation between the ankle blood pressure waveform figure three.
[specific embodiment]
Below in conjunction with drawings and Examples this utility model is further described.
With reference to figure 1, according to an embodiment of the present utility model, a kind of external counterpulsation apparatus 100 comprises for the ecg signal acquiring module 104 that gathers patient's electrocardiosignal, be used for gathering the finger arteries and veins signal acquisition module 106 that the patient refers to the arteries and veins signal, blood pressure detection module 108 for detection of patient's blood pressure, endothelial function detection module 101 for detection of patient's endothelial function, for the electrocardiosignal that above-mentioned modules is collected, refer to the arteries and veins signal, the data processing module 103 that blood pressure signal and endothelial function data are processed, to the ecg signal acquiring module, refer to arteries and veins signal acquisition module 106, blood pressure detection module 108, the anti-engine control system 102 of fighting that endothelial function detection module 101 and data processing module 103 are controlled, be subjected to the driving device 105 of described anti-engine control system 102 control of fighting and be subjected to the driving of driving device 105 and the patient carried out the actuator 107 of external counterpulsation action.
The increase of vessel diameter must cause blood flow to increase, and is to be directly proportional with a vessel diameter square linear sectional area.Peripheral vascular sphygmogram is such as referring to pulse wave, the variation of the just blood volume of reflection, so it can reflect the result that vasodilation produces, and the relative value who changes is larger than the relative value that blood vessel diameter increases, and endothelial function of the present utility model detects has also just used this principle.In carrying out the detection methods of endothelial functions process, reading out data can obtain the endothelial function peak by comparing continuously.Because after operating sequence was set, testing process was carried out automatically, need not operator and control, so test result is more accurate.
Transmit the intravascular pressure Reeb is directly relevant with vessel wall elasticity and structures surrounding situation.Heartthrob injects aorta with blood and then flows to whole body, and the heartthrob situation can be analyzed from electrocardiosignal, and QRS is the left ventricular contraction phase, and wherein the amplitude of R ripple is maximum, and the reliability of detection is the highest.Pulse wave signal is synchronous with heartbeat, its ascent stage, left ventricular contraction was formed just, if measure the R crest to the time of pulse wave ascent stage starting point, so from heart left ventricle, through aorta until the blood pressure of finger tips conduction situation is just very clear.The blood pressure conduction situation of same principle lower limb also can understand.Detect simultaneously carrying out blood pressure, can change gasbag pressure and make real-time record, from the change curve that rises and falls can seek out and electrocardiosignal between relativeness.Wherein interval between systolic pressure rising edge starting point and the R ripple, can be extrapolated spread speed by heart to this test point distance at the reflection pulse wave propagate time.
The ecg signal acquiring module 104 of described external counterpulsation apparatus 100 gathers patient's electrocardiosignal, and sends the anti-engine control system 102 of fighting after the processing of data processing module 103 to.
Described finger arteries and veins signal acquisition module 106 gathers patient's finger arteries and veins signal, and sends the anti-engine control system 102 of fighting after the processing of data processing module 103 to.
Described blood pressure detection module 108 detects patient's blood pressure, and sends the anti-engine control system 102 of fighting after the processing of data processing module 103 to.
Endothelial function detection module 101 detects patient's endothelial function, and sends the anti-engine control system 102 of fighting after the processing of data processing module 103 to.
The described anti-engine control system 102 of fighting with the ecg signal data that sends, refer to that arteries and veins signal data, blood data and endothelium data communication device cross display screen 109 and show, in order to show intuitively patient's various physiological parameters, be beneficial to carry out external counterpulsation treatment.
Be subjected to described anti-engine control system 102 controls of fighting, described driving device 105 drives described actuator 107, thereby so that 107 couples of patients of actuator carry out the external counterpulsation action.
Wherein, the blood pressure detection module 108 of external counterpulsation apparatus 100 detects respectively patient's ankle and the blood systolic pressure of arm, both ratio is commonly referred to arm index (ABI), and this index can be used for the vascular lesion degree that the arteriosclerosis of assess patient causes.Arm index is got the nod in the world, and its normal value is 0.9～1.4.If ABI＜0.9 then have peripheral blood vessel is if ABI＞1.4 then the calcification degree of blood vessel increase.
Fig. 1 a has showed the oscillogram of the finger pulse wave before patient's forearm blood is blocked; Fig. 1 b has showed the oscillogram of the finger pulse wave of control arm.
As can be seen from the figure: before upper arm or the FF blocking-up, the amplitude of two finger pulse waves is consistent.Endothelial function detection module 101 is after determining to refer to the amplitude range of pulse wave, and wherein one tunnel meeting ride gain allows both amplitudes unanimously and after following the tracks of a period of time lock.One of this two paths of signals is made blocking reaction, and reference is done on another road.
Fig. 3 a has showed the oscillogram of the finger pulse wave after patient's forearm blood is blocked; Reach the oscillogram that Fig. 3 b has showed the finger pulse wave of control arm.
After upper arm unclamps with sphygmomanometer cuff blocking blood flow certain hour (approximately five minutes) again, refer to that the amplitude of pulse wave can occur from low to high and surpass contrast referring to tend to gradually more stable process by pulse wave.What show when wherein amplitude reaches maximum is a kind of index of vascular endothelial function, the percentage rate quantitative expression that here can increase with amplitude.Blocking-up method is the inflation cuff that uses sphygomanometer, and with regard to the energy blocking blood flow, Xining is set by endothelial function detection module 101 when the blowing pressure blood pressure peak.This group waveform is made comparisons at any time and with reference to the arm waveform, obtains a series of gain percentage values, and the data when wherein reaching the peak and corresponding time can be embodied at that time vascular endothelial function situation.
Fig. 4 has showed patient's electrocardiographic wave figure and has referred to corresponding relation between the oscillogram of pulse wave.As can be seen from the figure: before and after external counterpulsation, be distinguishing.Reason is that vessel wall elasticity has had variation, and blood volume increases relatively behind the little unobstructed blood vessel of organization internal.What here we will pay close attention to is that the ecg-r wave peak is to the time that refers to pulse wave ascent stage starting point.Be the synchronous analogue signal of two-way among the embodiment, in the digitized processing process, detect their characteristic points separately, then calculate the interval of this point-to-point transmission.
Fig. 5 has showed patient's electrocardiographic wave figure, upper wall blood pressure waveform figure and the corresponding relation between the ankle blood pressure waveform figure three.Here we will pay close attention to be the ecg-r wave peak to the interval of blood pressure ripple rising edge starting point, can extrapolate pulse wave velocity according to test point position and corresponding interval.
Do not carry out external counterpulsation to begin a project in testing process, but should be arranged in detection time before the external counterpulsation treatment and external counterpulsation treatment is complete carries out after taking a quick nap, interval is unsuitable long, otherwise lacks comparability.
Preferably, described external counterpulsation apparatus 100 further comprises the display screen 109 that is subjected to described anti-engine control system 102 controls of fighting, be used for showing various signal datas, such as above-mentioned ecg signal data, refer to arteries and veins signal data, blood pressure data and endothelial function data etc.
Preferably, described display screen 109 can be liquid crystal display, cathode ray tube display or light-emitting diode display, plasma display etc.
Preferably, the endothelial function detection module 101 of described external counterpulsation apparatus 100 also can comprise the Doppler ultrasonic image-forming system with probe.Obtain the variable quantity of brachial artery diameter with described probe, thereby obtain reflecting the brachial artery change percentage in arid index of vascular endothelial function.
Therefore; above-described embodiment is the better embodiment of this utility model; but not merely be restricted to the described embodiments; other any do not deviate from change, the modification done under spirit of the present utility model and the principle, substitutes, combination, simplify; all should be the equivalent replacement mode, all be included within this utility model protection domain.
Claims (4)
1. an external counterpulsation apparatus is characterized in that comprising: the ecg signal acquiring module that is used for gathering patient's electrocardiosignal, be used for gathering the finger arteries and veins signal acquisition module that the patient refers to the arteries and veins signal, blood pressure detection module for detection of patient's blood pressure, endothelial function detection module for detection of patient's endothelial function, for the electrocardiosignal that above-mentioned modules is collected, refer to the arteries and veins signal, the data processing module that blood pressure signal and endothelial function data are processed, to the ecg signal acquiring module, refer to the arteries and veins signal acquisition module, the blood pressure detection module, the anti-engine control system of fighting that endothelial function detection module and data processing module are controlled, be subjected to the driving device of the described anti-engine control system control of fighting and be subjected to the driving of driving device and the patient carried out the actuator of external counterpulsation action.
2. external counterpulsation apparatus according to claim 1 is characterized in that: external counterpulsation apparatus further comprise be subjected to described counter fight engine control system control and be used for showing described ecg signal data, refer to the arteries and veins signal data, the display screen of blood pressure data and endothelial function data.
3. external counterpulsation apparatus according to claim 2, it is characterized in that: described display screen is liquid crystal display, cathode ray tube display, light-emitting diode display or plasma display.
4. external counterpulsation apparatus according to claim 1, it is characterized in that: the endothelial function detection module of external counterpulsation apparatus comprises the Doppler ultrasonic image-forming system with probe.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201220462027.9U CN202909061U (en) | 2012-09-11 | 2012-09-11 | In-vitro counter-pulsating device |
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| CN201220462027.9U CN202909061U (en) | 2012-09-11 | 2012-09-11 | In-vitro counter-pulsating device |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102940569A (en) * | 2012-09-11 | 2013-02-27 | 伍贵富 | External counter-pulsating device |
| EP2896358A1 (en) * | 2014-01-21 | 2015-07-22 | Nihon Kohden Corporation | Apparatus for evaluating vascular endothelial function |
| CN106137699A (en) * | 2015-03-25 | 2016-11-23 | 中国科学院深圳先进技术研究院 | The intelligent Domestic healthy instrument controlled based on external counterpulsation and control method thereof |
| CN109172306A (en) * | 2018-09-17 | 2019-01-11 | 河南道简康复医学研究院有限公司 | A kind of external counterpulsation system based on treating cardiovascular disease rehabilitation |
| CN110650671A (en) * | 2015-11-23 | 2020-01-03 | 梅奥医学教育和研究基金会 | Processing physiological electrical data for analyte evaluation |
-
2012
- 2012-09-11 CN CN201220462027.9U patent/CN202909061U/en not_active Expired - Lifetime
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102940569A (en) * | 2012-09-11 | 2013-02-27 | 伍贵富 | External counter-pulsating device |
| EP2896358A1 (en) * | 2014-01-21 | 2015-07-22 | Nihon Kohden Corporation | Apparatus for evaluating vascular endothelial function |
| CN106137699A (en) * | 2015-03-25 | 2016-11-23 | 中国科学院深圳先进技术研究院 | The intelligent Domestic healthy instrument controlled based on external counterpulsation and control method thereof |
| CN110650671A (en) * | 2015-11-23 | 2020-01-03 | 梅奥医学教育和研究基金会 | Processing physiological electrical data for analyte evaluation |
| CN109172306A (en) * | 2018-09-17 | 2019-01-11 | 河南道简康复医学研究院有限公司 | A kind of external counterpulsation system based on treating cardiovascular disease rehabilitation |
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Granted publication date: 20130501 |