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不同采樣頻率對脈搏波形參數(shù)計算的準(zhǔn)確性研究

Accuracy study of using different sampling frequencyfor the calculation of pulse contour parameter

作者: 吳璋洋  張永亮  胡福松  吳慶園  金丹  馬祖長  周多奇  孫怡寧 
單位:中國科學(xué)院合肥智能機械研究所(合肥 230031)
關(guān)鍵詞: 脈搏波;中心動脈壓;采樣頻率;增長指數(shù) 
分類號:R318.04
出版年·卷·期(頁碼):2017·36·2(157-162)
摘要:

目的 比較不同采樣頻率獲取的脈搏波形參數(shù)的差異,研究低采樣頻率對脈搏波形參數(shù)計算結(jié)果的影響,以探討低采樣頻率的穿戴式心血管功能測試儀是否影響心血管參數(shù)的準(zhǔn)確性。方法 利用平面張力法獲取100例頸動脈脈搏數(shù)據(jù)(采樣頻率1000Hz),通過MATLAB重采樣至500Hz、250Hz和128Hz,分別利用波形分析技術(shù)提取包括中心動脈收縮壓(carotid systolic blood pressure, cSBP)、增長指數(shù)(augmentation index, AIx)和心內(nèi)膜下心肌活力率(subendocardial viability ratio, SEVR)等參數(shù)。以1000Hz的采樣頻率作為參考,對比不同采樣頻率計算的脈搏波形參數(shù)差異。結(jié)果 500Hz、250Hz和128Hz頸動脈數(shù)據(jù)計算的波形參數(shù)與其參考值之間具有非常高的相關(guān)性(r≥0.993, P< 0.001),Bland-Altman分析顯示95%的差異點位于一致界限范圍之內(nèi),表明具有很好的一致性。配對t檢驗結(jié)果顯示500Hz、250Hz和128Hz采樣頻率計算的頸動脈波形參數(shù)與參考值之間都存在顯著差異(P< 0.05),但平均差異很小,不具有臨床診斷意義。結(jié)論 對于獲取脈搏波形參數(shù),低采樣頻率可以達到與高采樣頻率一樣準(zhǔn)確的結(jié)果。但低采樣頻率降低了對硬件的要求,更能滿足穿戴式心血管功能監(jiān)測設(shè)備的要求。

Objective This paper evaluates the difference of pulse contour parameter obtained from different sampling frequency and studies the effect of low sampling frequency for the calculation of pulse contour parameter in order to explore whether low sampling frequency of wearable cardiovascular function monitoring equipment affects the accuracy of the cardiovascular parameter.Methods A total of 100 subjects were studied.Carotid waveforms were measured by applanation tonometry with a sampling frequency of 1000Hz.All the carotid waveform data were converted offline to 500Hz, 250Hz and 128Hz by MATLAB.Waveform analysis technology was utilized to extract carotid systolic blood pressure (cSBP), augmentation index (AIx), subendocardial viability ratio (SEVR), and other parameters.The parameters obtained from 500Hz, 250Hz and 128Hz were compared with the parameter obtained from 1000Hz.Results There was a significantly high correlation between each parameter and its reference standard (r ≥ 0.993, P< 0.001).Bland-Altman plots showed a good consistency, since 95% of the difference points were located in the limits of agreement.Paired t-test results indicated that each parameter obtained from 500Hz, 250Hz and 128Hz had significant difference with its reference standard (P< 0.05).However, the average difference was small so that there was no clinical diagnosis significance.Conclusions For the calculation of pulse contour parameter, low sampling frequency can achieve the same accurate results as high sampling frequency.And low sampling frequency could reduce the requirement for hardware to better meet the requirement of wearable cardiovascular function monitoring equipment.

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