SUMMERY OF THE UTILITY MODEL
In view of the above, in order to solve the problems in the background art, the present invention is directed to a wearable device for non-invasive blood pressure dynamic tracking monitoring, so as to simplify wearable continuous blood pressure monitoring and solve the technical problem that the existing blood pressure tracking and device system needs to frequently start another reference device for calibration or servo control.
The device can realize non-invasive, portable, dynamic and continuous blood pressure tracking monitoring, improve the comfort experience of the user, does not interfere with the daily activities of the user, and can reflect the blood pressure condition of the user in real time.
The technical scheme adopted by the utility model comprises the following steps:
the blood pressure signal acquisition module is arranged on the skin surface of the artery blood vessel at the wrist of the monitored person and used for acquiring two paths of blood pressure signals of the sampling position at the wrist of the monitored person and then sending the two paths of blood pressure signals to the blood pressure signal processing module;
the blood pressure signal processing module is connected to the blood pressure signal acquisition module and used for filtering, denoising, amplifying and extracting the time difference of the two paths of blood pressure signals received and acquired from the blood pressure signal acquisition module so as to obtain the pulse wave velocity and sending the two paths of blood pressure signals and the pulse wave velocity to the blood pressure signal and blood pressure value conversion module;
and the blood pressure signal and blood pressure value conversion module is connected to the blood pressure signal processing module and is used for converting the change of the two paths of blood pressure signals received from the blood pressure signal and blood pressure value conversion module into the change of the blood pressure value to obtain the blood pressure value, so that the dynamic tracking of the blood pressure is realized.
The device further comprises: and the dynamic blood pressure display module is connected to the blood pressure signal and blood pressure value conversion module and is used for receiving and displaying the blood pressure value obtained by dynamic tracking monitoring from the blood pressure signal and blood pressure value conversion module.
The device further comprises: and the signal transmission module is connected to the blood pressure signal and blood pressure value conversion module, and is used for receiving the blood pressure value obtained by dynamic tracking monitoring of the blood pressure signal and blood pressure value conversion module and transmitting the blood pressure value to a background data management system, such as a health management database.
The blood pressure signal acquisition module is provided with two detection ends, namely a proximal end sampling detection end and a distal end sampling detection end, wherein the proximal end sampling detection end and the distal end sampling detection end are respectively contacted with a proximal end sampling position and a distal end sampling position on a radial artery on the surface of the skin of the wrist of the monitored person.
The device further comprises: the wrist watch wrist strap module comprises a wrist watch body and a wrist strap, wherein the wrist watch body is connected with the wrist strap, a signal processing and transmitting module is arranged on the wrist watch body, and the signal processing and transmitting module mainly comprises a blood pressure signal acquisition module, a blood pressure signal processing module and a blood pressure signal and blood pressure value conversion module.
Meanwhile, the utility model provides a blood pressure signal acquisition module which adopts two blood pressure sensors and can monitor two blood pressure pulse signals at the wrist of a tested person at the same time so as to obtain the pulse wave transmission time difference.
The utility model then does not require frequent initiation of reference measurements within one wear measurement cycle.
The utility model has the beneficial effects that:
the utility model provides a blood pressure signal acquisition module, which adopts two parallel blood pressure signal acquisition channels, can simultaneously acquire blood pressure signals of two different sampling positions of the wrist of a tested person and is convenient for acquiring the transmission time of pulse waves.
After the method is adopted, reference measurement does not need to be started frequently in a one-time wearing measurement period, dynamic blood pressure tracking is realized, and frequent calibration or servo control is not needed.
Detailed Description
The present disclosure is described in further detail below with reference to specific embodiments and with reference to the attached drawings.
As shown in fig. 1, the apparatus 1 comprises:
the blood pressure signal acquisition module 11 is arranged on the skin surface of the artery blood vessel at the wrist of the monitored person, and is used for acquiring two paths of blood pressure signals of the sampling position at the wrist of the monitored person and sending the two paths of blood pressure signals to the blood pressure signal processing module;
the blood pressure signal processing module 12 is connected to the blood pressure signal acquiring module 11, and is configured to filter, denoise, amplify and extract a time difference between the two blood pressure signals received and acquired from the blood pressure signal acquiring module, so as to obtain a pulse wave velocity, that is, a transmission velocity of the pulse wave, and send the two blood pressure signals and the pulse wave velocity to the blood pressure signal and blood pressure value converting module;
and the blood pressure signal and blood pressure value conversion module 13 is connected to the blood pressure signal processing module 12, and is used for converting changes of the two paths of blood pressure signals received from the blood pressure signal and blood pressure value conversion module into changes of blood pressure values, establishing a blood pressure tracking model, tracking the blood pressure changes by combining the pulse wave velocity, obtaining the blood pressure values, and further realizing dynamic tracking of the blood pressure.
The device 1 further comprises: and the dynamic blood pressure display module 14 is connected to the blood pressure signal and blood pressure value conversion module and is used for receiving and displaying the blood pressure value obtained by dynamic tracking monitoring of the blood pressure signal and blood pressure value conversion module.
The device 1 further comprises: and the signal transmission module 15 is connected to the blood pressure signal and blood pressure value conversion module, and is used for receiving the blood pressure value obtained by dynamic tracking monitoring from the blood pressure signal and blood pressure value conversion module and transmitting the blood pressure value to a background data management system, such as a medical health management database.
As shown in fig. 3, the blood pressure signal acquiring module 11 has two detecting ends, namely a proximal end sampling detecting end and a distal end sampling detecting end, and the proximal end sampling detecting end and the distal end sampling detecting end respectively contact a proximal end sampling position 33 and a distal end sampling position 32 on a radial artery 34 on the skin surface of the wrist of the monitored person.
In this embodiment, the blood pressure signal obtaining module 11 adopts two blood pressure sensors to simultaneously detect two blood pressure pulse signals at the wrist of the detected person.
As shown in fig. 2, a wrist watch wrist strap module is further provided, which includes a wrist watch body 21 and a wrist strap 22, the wrist watch body 21 is connected with the wrist strap 22, a signal processing and transmitting module 24 is arranged on the wrist watch body 21, the signal processing and transmitting module 24 is mainly composed of a blood pressure signal acquiring module 11, a blood pressure signal processing module 12 and a blood pressure signal and blood pressure value converting module 13, and may further include a dynamic blood pressure display module 14 and a signal transmitting module 15, so that each function module in the wearable device is positioned and fixed.
The signal transmission method adopted by the signal transmission module 15 includes: wired transmission and wireless transmission. The condition can be applied to the real-time or uploading of the blood pressure data of the monitored person to a medical system or the hands of the monitored person, so that the information sharing degree is improved, and the problem can be found conveniently in time. Of course, the application scenario of the signal transmission module 15 is not limited to the above example, and may be correspondingly configured according to actual needs.
The dynamic blood pressure display module 14 is a tablet computer or a smart phone. The ambulatory blood pressure display module 14 may be implemented in display hardware, including: a display screen, a display terminal, or other display devices, etc., and may also be a software interface for displaying, such as: mobile phone APP, public number applet, etc., or may be various ways of combining software and hardware, and the disclosure is not limited to the embodiments.
The wrist strap in the wrist strap and wrist watch module is a flexible silk strap.
In this embodiment, the blood pressure signal obtaining module 11 employs a flexible pressure sensor to simultaneously detect two blood pressure pulse signals at the wrist of the detected person.
A signal processing and transmission module 24 for processing the blood pressure signal and wirelessly transmitting the blood pressure signal via bluetooth, typically an integrated printed circuit board.
Referring to fig. 3, in a preferred embodiment of the present disclosure, the ambulatory blood pressure tracking and monitoring device is worn on the left wrist of the subject, and the blood pressure signal acquiring module 11 is worn on the radial artery 34 of the left wrist, and simultaneously acquires blood pressure pulse signals of the far-center sampling position 32 and the near-center sampling position 33 of the wrist of the subject.
One process that may be implemented by the present invention is as follows:
step S201: wearing an initial blood pressure calibration process;
after the wrist band wristwatch module is worn, as shown in fig. 4, a blood pressure calibration air bag 41 is used for carrying out wearing initial blood pressure calibration, wherein the blood pressure calibration air bag 41 is externally connected with a controllable air source 42 for inflation and deflation, the blood pressure calibration air bag 41 is in contact joint with a blood pressure signal acquisition module, pressure is additionally applied to a blood pressure sensor of the blood pressure signal acquisition module from low to high by inflating the blood pressure calibration air bag 41, the blood pressure calibration air bag is an additional reference device and is not connected with the blood pressure signal acquisition module, and the blood pressure calibration air bag is in contact joint with the blood pressure signal acquisition module in the calibration process, so that the blood pressure signal acquisition module is externally pressurized to experience calibration of average blood pressure Pcali.meanAnd calibrating the systolic pressure Pcali.sysThe alternating signals of the blood pressure signal acquisition modules corresponding to the two pressure points are respectively maximum amplitude and disappearance of the alternating signals, and the corresponding calibrated average blood pressure P is determined and obtained according to the signal positions of the maximum amplitude and the disappearance of the alternating signalscali.meanAnd calibrating the systolic pressure Pcali.sysDetermining the state of the blood pressure in the arterial duct at the calibration moment, namely the systolic pressure P measured by the blood pressure measuring systems' and diastolic pressure Pd' and blood pressure index KBP。
Then directly determining the blood pressure state by a clinical reference blood pressure measuring device, specifically determining the systolic pressure P by a stethoscopesAnd diastolic pressure PdIn combination with the blood pressure index KBPThe mean blood pressure is determined.
Step S202: establishing a mapping relation between an actual blood pressure value and a signal value;
for wearable blood pressure measurement, due to the characteristics of different wearing positions and tightness and dynamic change of the blood pressure state of a human body every time, a blood pressure calibration process is required for wearing every time, the relation between the output signal of the blood pressure signal acquisition module worn at this time and the actual blood pressure is determined, and the relation is obtained through the calibration process.
Step S203: and extracting the time difference of the blood pressure signals pumped out of the left ventricle of the heart from the obtained blood pressure signals to the proximal end sampling position and the distal end sampling position of the wrist respectively so as to obtain the transmission speed of the pulse wave.
Step S204: determining a variation value of the arterial vessel transmural pressure by checking a Pulse Wave Velocity (PWV);
after the blood pressure calibration is finished, the wrist strap and wrist watch module works in a certain low external pressure state, the external pressure is reflected in a direct current component of a signal of the blood pressure signal acquisition module and should not change in the wearing process (except a false signal generated by human body movement), and the direct current signal can be changed when the blood pressure state changes under the standard measurement condition.
And whether the blood pressure state changes is determined by dynamically monitoring the direct current signal value output by the blood pressure signal acquisition module. The change value of the dc signal value is not directly equal to the average blood pressure change value, and thus the average blood pressure change value cannot be obtained by directly detecting the change value of the dc signal. Under the standard measurement conditions specified by IEEE 2014-1708, the external pressurization is considered to be consistent in certain wearing measurement, and no muscle action additional pressure exists, and under such conditions, the change value delta P of the arterial vessel transmural pressure can be consideredtran=ΔPmean。
Obtaining pulse wave velocity through the time difference of signals of a proximal end sampling position 33 and a distal end sampling position 32, and determining the variation value delta P of arterial blood vessel transmural pressure through checking the pulse wave velocitytranThen using the change value delta P of the arterial blood vessel transmural pressuretranAs the mean blood pressure variation value Δ PmeanThe distance between the two pressure sensors of the blood pressure signal acquisition module is known and is a fixed distance, so the pulse wave propagation speed can be represented by the pulse wave propagation time difference.
Step S205: the blood pressure tracking is realized by combining the arterial blood vessel compliance curve, and the complete blood pressure information is determined;
the arterial blood pressure signal is locally excited for an input interface of the blood pressure signal acquisition module, and the alternating change P of the blood pressuremea.ACIs selected from the blood flow pulse wave signals collected at the proximal end sampling position 33 and the distal end sampling position 32, and is the waveform of the blood flow pulse wave signalAnd the difference value of the maximum peak minus the minimum trough is obtained by conversion.
It can be seen that the individual modulation parameter Kmodi.ACIs the ratio of the blood pressure differential value at the beginning of wearing to the maximum amplitude of the pulse signal obtained by the measuring signal in the process of applying external force, and can be considered as unchanged in the process of wearing and measuring for a certain time.
The above-mentioned embodiments are intended to illustrate the objects, aspects and advantages of the present disclosure in further detail, and it should be understood that the above-mentioned embodiments are only illustrative of the present disclosure and are not intended to limit the present disclosure, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present disclosure should be included in the scope of the present disclosure.