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穿戴式心電及心振信號(hào)監(jiān)測(cè)系統(tǒng)的研制

Development of wearable ECG and SCG monitoring system

作者: 魯亞磊  王瑞  胡敏露  王衛(wèi)東 
單位:<span style="font-family:宋體">上海大學(xué)通信與信息工程學(xué)院(上海 200444)</span><p><span style="font-family:宋體">中國(guó)人民解放軍總醫(yī)院醫(yī)學(xué)保障部(北京 100853)</span></p>
關(guān)鍵詞: 可穿戴技術(shù);  心臟監(jiān)測(cè)系統(tǒng);  心振圖;  心電圖;  電-機(jī)械耦聯(lián) 
分類號(hào):<span style="font-size: 14px; font-family: arial, helvetica, sans-serif;">R318.04</span>
出版年·卷·期(頁(yè)碼):2018·37·4(381-386)
摘要:

目的 心臟的電活動(dòng)及機(jī)械活動(dòng)對(duì)于研究心臟的生理功能和病理改變具有重要作用, 為此本研究研制了一套心電 (electrocardiogram, ECG) 及心振 (seismocardiogram, SCG) 信號(hào)同步監(jiān)測(cè)系統(tǒng)。方法 采用單導(dǎo)聯(lián)方式進(jìn)行心電檢測(cè), 通過(guò)測(cè)量胸廓皮膚表面的三軸線加速度和三軸角速度來(lái)獲取心振信號(hào), ARM Cotex-M3內(nèi)核的低功耗微處理器STM32作為主控芯片將數(shù)據(jù)存儲(chǔ)至SD, 或通過(guò)低功耗藍(lán)牙將采集的數(shù)據(jù)發(fā)送至手機(jī)端上位機(jī)并進(jìn)行數(shù)據(jù)處理及波形顯示。結(jié)果 對(duì)人體進(jìn)行測(cè)量以獲取ECGSCG信號(hào), 結(jié)果表明系統(tǒng)能夠?qū)崟r(shí)采集、傳輸、顯示具有較高信噪比的心電和心振信號(hào), 并能實(shí)現(xiàn)信號(hào)的長(zhǎng)期離線記錄。結(jié)論 該系統(tǒng)具有便攜、操作簡(jiǎn)單的特點(diǎn), 能夠長(zhǎng)期穩(wěn)定工作, 為下一步分析心臟的電活動(dòng)與機(jī)械活動(dòng)之間的耦聯(lián)關(guān)系奠定了基礎(chǔ)。

Objective The electrical properties and mechanical activities of the heart play an important role in the physiological and pathological cardiac research.Therefore, we develop a synchronous monitoring system for electrocardiogram (ECG) and seismocardiogram (SCG) .Methods The detection of ECG is designed by single lead and SCG is obtained by measuring the tri-axial acceleration and the tri-axial angular velocity of the skin surface at chest.A low power consumption microprocessor named STM32 with ARM Cortex-M3 kernel is used to store data to the SD card, or send data to the mobile phone by low-power bluetooth, process data and display waveform.Results ECG and SCG signals of human body are acquired, and the results show that the system can collect, transmit and display the signals of ECG and SCG with high signal-to-noise ratio in real time, and the system can complete the record of signals over a long period of time.Conclusions The monitoring system is portable and easy to operation, and can work steadily for a long time.This work makes the foundation for further analysis of the coupling relationship between the electrical activities and the mechanical activities of the heart.

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