• 제목/요약/키워드: Arterial Pulse

검색결과 220건 처리시간 0.028초

국산 산소농축기 시제품의 임상시험 (Clinical Test of prototype Oxygen Concentrator)

  • 김승철;성숙환
    • Tuberculosis and Respiratory Diseases
    • /
    • 제51권1호
    • /
    • pp.44-52
    • /
    • 2001
  • 배 경 : 만성호흡부전증 환자에게 산소농축기는 간편하면서도 경제적인 의료장비이나 국내에서는 생산되지 않아 수입한 값 비싼 외국산산소농축기를 사용하고 있는 실정이다. 서강대학교에서 개발한 국산 산소농축기를 임상에 사용하기 전에 성능을 검증하고자, 외국산 산소농축기와 임상시험을 통하여 비교 분석함으로써 국산 산소농축기의 효능 및 안전성을 측정하였다. 대상 및 방법 : 임상시험은 1999년 4월부터 1999년 8월까지 36명의 다한증환자를 대상으로 시행되었다. 동일한 환자에게 국산 산소농축기와 외국산 산소농축기를 nasal prong을 사용하여 60분동안 분당 3리터의 양으로 교대 사용하였다 어떤 기계를 먼저 적용할 것인 지는 무작위배정방법을 이용하였다. 산소농축기 적용전후의 동맥혈 산소압, 동맥혈 COHb, 동맥혈 pH, 동맥혈 이산화탄소압, 맥박수, 혈압, 호흡수 등을 각각 측정하여 그 변화량을 비교 검증하였다. 결 과 : 효능면에서 볼 때 동맥혈 산소압의 변화량은 통계적으로 유의한 차이가 없었고, 안전성면에서도 동맥혈 pH, 동맥혈 이산화탄소압, 맥박수, 혈압, 호흡수, 혈중 COHb 등의 변화 차이를 발견할 수 없었다. 결 론 : 현재 개발중인 국산 산소 농축기의 시제품의 성능을 임상시험한 결과 외국산 산소 농축기와 비교하여 동등한 만족스러운 성능을 보였다.

  • PDF

맥진 위치에 따른 AIx 변화 특성 연구 (Characteristic behaviors of the AIx depending on the palpation positions)

  • 전영주;김재욱;이유정;유현희;이혜정;우영재;김종열
    • 대한전기학회:학술대회논문집
    • /
    • 대한전기학회 2009년도 제40회 하계학술대회
    • /
    • pp.1966_1967
    • /
    • 2009
  • As an attempt to characterize the pulse behaviors at the three pulse diagnosis positions in the oriental medicine which are called Chon, Gwan, and Cheok, we measure the pluse waveforms by SphygmoCor apparatus, that has been used widely for the evaluation of the arterial stiffness, and examine the Augmentation Index (AIx) at the aorta. For the study, twenty healthy men at the age of twenties have participated as the subject group. The pulse has been measured twice at the three palpation positions, and by two-way repeated measures ANOVA we tested the repeatability and the mean differences in the aortic AIx between Chon, Gwan, and Cheok. The AIx was found to be statistically different between the measurement positions. Duncan's test shows that the AIx is statistically different between Chon and the other two positions. Our study may be used as a reference for further scientific quantification of the pulse diagnosis.

  • PDF

인체에서 맥파전달시간을 이용한 호흡노력 모니터링 (Respiratory Effort Monitoring Using Pulse Transit Time in Human)

  • 정동근
    • 대한의용생체공학회:의공학회지
    • /
    • 제23권6호
    • /
    • pp.485-489
    • /
    • 2002
  • 본 연구는 동맥의 압력에 따라 변하는 맥파전달시간(pulse transit time, PTT)을 이용하여 호흡노력을 검출하기 위하여 호흡에 따른 PTT 변화를 관찰하였다. PTT는 심전도의 R파 피크로부터 말초에서 나타나는 광전용적맥(photoplethysmograph, PPG)의 최대기울기점까지 시간이다. 생체 신호를 아날로그-디지탈 변환하여 PC에서 매번 심장주기마다 PTT를 측정하였으며 이산적인 결과를 스플라인 보간법을 사용하여 그래프로 제시하였다. 소프트웨어는 $C^{++}$을 사용하여 windows 환경에서 운용하였다. 안정상태 호흡 시에는 호흡의 주기와 일치하는 주기적인 PTT의 변화가 있었다. 호흡 심도를 증가시킴에 따라 PTT의 진폭이 증가하였으며, 기도저항을 증가시킨 경우에도 PTT의 진폭이 증가하는 양상을 보였다. 이러한 결과는 PTT가 호흡노력에 따라 반응하는 것을 시사한다. 아울러 PTT를 이용한 호흡노력 모니터링은 비침습적 방법으로써 호흡장애를 감시하는데 유용하게 사용될 수 있음을 시사한다.

적색 양파 함유 식품의 항고지혈증 효능에 대한 임상사례 보고 (Case Study of the Anti-Cholesterol Effects on the Prescription of Red Onion)

  • 김경철;김이순
    • 대한한의진단학회지
    • /
    • 제16권3호
    • /
    • pp.1-10
    • /
    • 2012
  • Objectives: The purpose of this study is to observe clinically the anti-cholesterol effects on the prescription of red onion. Materials and methods: The subject of study were middle-aged people. We measured clinically physiological index, body composition, radial arterial pulse wave after 2 month by taking medicine (the prescription of red onion) Results: The study results were as follows. 1. Systolic and diastolic blood pressure of subjects were decreased significantly in the statistics. 2. Total cholesterol and low-density lipoprotein were decreased significantly after 2 month taking medicine. Triglyceride was decreased after 2 month but there was no significant difference and high density lipoprotein was increased after 2 month but there was no significant difference. 3. Waist-Hip ratio, body mass index and body fat percentage were decreased significantly in the statistics, after 2 month taking medicine. 4. HR was increased significantly in the statistics after 2 month but ESV and ECO were decreased signficantly in the statistics after 2 month taking medicine. 5. Pulse wave energy was increased after 2 month but there was no significant difference in the statistics. 6. RAI was decreased significantly in the statistics after 2 month taking medicine. Conclusion: The prescription of purple onion was showed significant change in physiological index, character of body composition, blood circulation index, pulse wave energy and RAI. Therefore it was showed the effect of anti-cholesterol blood circulation clinically. In the future, with diversified study on effect of prescription of purple onion, Oriental medicinal herbs will be used extensively.

Reproducibility of Regional Pulse Wave Velocity in Healthy Subjects

  • Im Jae-Joong;Lee, Nak-Bum;Rhee Moo-Yong;Na Sang-Hun;Kim, Young-Kwon;Lee, Myoung-Mook;Cockcroft John R.
    • International Journal of Vascular Biomedical Engineering
    • /
    • 제4권2호
    • /
    • pp.19-24
    • /
    • 2006
  • Background: Pulse wave velocity (PWV), which is inversely related to the distensibility of an arterial wall, offers a simple and potentially useful approach for an evaluation of cardiovascular diseases. In spite of the clinical importance and widespread use of PWV, there exist no standard either for pulse sensors or for system requirements for accurate pulse wave measurement. Objective of this study was to assess the reproducibility of PWV values using a newly developed PWV measurement system in healthy subjects prior to a large-scale clinical study. Methods: System used for the study was the PP-1000 (Hanbyul Meditech Co., Korea), which provides regional PWV values based on the measurements of electrocardiography (ECG), phonocardiography (PCG), and pulse waves from four different sites of arteries (carotid, femoral, radial, and dorsalis pedis) simultaneously. Seventeen healthy male subjects with a mean age of 33 years (ranges 22 to 52 years) without any cardiovascular disease were participated for the experiment. Two observers (observer A and B) performed two consecutive measurements from the same subject in a random order. For an evaluation of system reproducibility, two analyses (within-observer and between-observer) were performed, and expressed in terms of mean difference ${\pm}2SD$, as described by Bland and Altman plots. Results: Mean and SD of PWVs for aorta, arm, and leg were $7.07{\pm}1.48m/sec,\;8.43{\pm}1.14m/sec,\;and\;8.09{\pm}0.98m/sec$ measured from observer A and $6.76{\pm}1.00m/sec,\;7.97{\pm}0.80m/sec,\;and\;\7.97{\pm}0.72m/sec$ from observer B, respectively. Between-observer differences ($mean{\pm}2SD$) for aorta, arm, and leg were $0.14{\pm\}0.62m/sec,\;0.18{\pm\}0.84m/sec,\;and\;0.07{\pm}0.86m/sec$, and the correlation coefficients were high especially 0.93 for aortic PWV. Within-observer differences ($mean{\pm}2SD$) for aorta, arm, and leg were $0.01{\pm}0.26m/sec,\;0.02{\pm}0.26m/sec,\;and\;0.08{\pm}0.32m/sec$ from observer A and $0.01{\pm}0.24m/sec,\;0.04{\pm}0.28m/sec,\;and\;0.01{\pm}0.20m/sec$ from observer B, respectively. All the measurements showed significantly high correlation coefficients ranges from 0.94 to 0.99. Conclusion: PWV measurement system used for the study offers comfortable and simple operation and provides accurate analysis results with high reproducibility. Since the reproducibility of the measurement is critical for the diagnosis in clinical use, it is necessary to provide an accurate algorithm for the detection of additional features such as flow wave, reflection wave, and dicrotic notch from a pulse waveform. This study will be extended for the comparison of PWV values from patients with various vascular risks for clinical application. Data acquired from the study could be used for the determination of the appropriate sample size for further studies relating various types of arteriosclerosis-related vascular disease.

  • PDF

맥파전달속도를 이용한 내중막 두께 추정에 관한 연구 (A Study on Estimation of Carotid Intima-Media Thickness(IMT) using Pulse Wave Velocity(PWV))

  • 송상하;장승진;김원식;이현숙;윤영로
    • 대한의용생체공학회:의공학회지
    • /
    • 제30권5호
    • /
    • pp.401-411
    • /
    • 2009
  • In this paper, we correct pulse wave velocity(PWV) with heart-rate and derive regression equations to estimate intima-media thickness(IMT). Widely used methods for diagnosis of arteriosclerosis are IMT and PWV. Arterial wall stiffness determines the degree of energy absorbed by the elastic aorta and its recoil in diastole but there is not correlation between sclerosis and IMT in an existing study. In this study, we will correct PWV with heart-rate and get regression equation to estimate IMT using heart-rate correction index(HCI). We executed experiments for this study. Made up question of physical condition and measured electrocardiogram(ECG), photoplethysmogram (PPG) of finger-tip and toe-tip and ultrasound image of carotid artery. Calculated PWV and IMT using ECG, PPG and ultrasound image. We found that every p-value between PWV and IMT is not significant(<0.05). But p-value between IMT and HCI which is a corrected PWV using heart-rate is significant(>0.01). We use HCI and various measured parameter for estimating regression equation and apply backward estimation to select parameters for regression analysis. Result of backward estimation, found that only HCI is possible to derive proper regression equation of IMT. Relationship between PWV and IMT is the second order. Result of regression equation of E-H PWV is $R^2$=0.735, adj $R^2$=0.711. This is the best correlation value. We calculate error of its analysis for verification of earlobe PWV regression equation. Its result is RMSEP=0.0328, MAPE(%) = 4.7622. Like this regression analysis, we know that HCI is useful parameter and relationship between PWV, HCI and IMT. In addition, we are able to suggest possibility which is that we can get different parameter of prediction throughout just one measurement.

한국 성인에서 Vitamin D와 맥압의 관련성-2010 국민건강영양조사에 근거하여 (The association of Vitamin D and Pulse pressure in Korean Adults: Korea National Health and Nutrition Survey, 2010)

  • 윤현;김광석
    • 한국산학기술학회논문지
    • /
    • 제14권6호
    • /
    • pp.2735-2742
    • /
    • 2013
  • 본 연구는 국가자료인 2010년도 국민건강영양조사 자료를 이용하여 20세 이상 성인에서 비타민 D와 맥압의 관련성을 평가하고자 실시하였다. 연구결과에서 PP에 양의 상관관계를 보이는 변수는 연령(p<0.01), TG(p<0.01), TC(p<0.01), FBS (p<0.01), BMI(p<0.01), 허리둘레(p<0.01) 등이었고, 음의 상관관계를 보이는 경우는 HDL-C(p<0.01), 신장(p<0.01), 체중(p<0.01), 25(OH)D(p<0.01) 등이었다. 연령, 신장, 체중, 허리둘레, BMI, TC, TG, HDL-C, FBS, 25(OH)D 등의 독립변수를 사용한 다중선형회귀분석결과에서, PP에 영향을 주는 독립변수는 연령(p<0.001)과 허리둘레(p<0.001), FBS (p<0.001), 25(OH)D(p<0.001), TC(p<0.001), 체중(p<0.001), HDL-C(p<0.001) 등이었다. 결론적으로, 비타민 D의 감소가 PP증가에 영향을 주는 요인이었으며, 비타민 D를 적정수준으로 유지 하는 것은 관상동맥질환의 발생률을 감소시킬 수 있을 것으로 기대된다.

A genome-wide association study of the association between single nucleotide polymorphisms and brachial-ankle pulse wave velocity in healthy Koreans

  • Xu, EnShi;Shin, Jinho;Lim, Ji Eun;Kim, Mi Kyung;Choi, Bo Youl;Shin, Min-Ho;Shin, Dong Hoon;Lee, Young-Hoon;Chun, Byung-Yeol;Hong, Kyung-Won;Hwang, Joo-Yeon
    • Journal of Genetic Medicine
    • /
    • 제14권1호
    • /
    • pp.8-17
    • /
    • 2017
  • Purpose: Pulse wave velocity (PWV) is an indicator of arterial stiffness, and is considered a marker of vascular damage. However, a genome-wide association study analyzing single nucleotide polymorphisms (SNPs) associated with brachial-ankle PWV (baPWV) has not been conducted in healthy populations. We performed this study to identify SNPs associated with baPWV in healthy populations in Korea. Materials and Methods: Genomic SNPs data for 2,407 individuals from three sites were analyzed as part of the Korean Genomic Epidemiologic Study. Without replication samples, we performed multivariable analysis as a post hoc analysis to verify the findings in site adjusted analysis. Healthy subjects aged between 40 and 70 years without self-reported history or diagnosis of hypertension, diabetes, hyperlipidemia, heart disease, cerebrovascular disease and cancer were included. We excluded subjects with a creatinine level >1.4 mg/dL (men) and 1.2 mg/dL (women). Results: In the site-adjusted association analysis, significant associations (P<$5{\times}10^{-8}$) with baPWV were detected for only 5 SNPs with low minor allele frequency. In multivariable analysis adjusted by age, sex, height, body mass index, mean arterial pressure, site, smoking, alcohol, and exercise, 11 SNPs were found to be associated (P<$5{\times}10^{-8}$) with baPWV. The 5 SNPs (P<$5{\times}10^{-8}$) linked to three genes (OPCML, PRR35 and RAB40C) were common between site-adjusted analysis and multivariable analysis. However, meta-analysis of the result from three sites for the 11 SNPs showed no significant associations. Conclusion: Using the recent standard for genome-wide association study, we did not find any evidence of significant association signals with baPWV.

용적맥파에 의한 동맥 혈관 특성 분석에 관한 연구 (A Study on Arterial Characteristic by using Photoplethysmography)

  • 한상휘;김형태;변미경;김정국;박영배;허웅
    • 대한전자공학회:학술대회논문집
    • /
    • 대한전자공학회 2003년도 하계종합학술대회 논문집 V
    • /
    • pp.2919-2922
    • /
    • 2003
  • In this paper, we present a new methodology to analyze the characteristics of artery by using 4 channels photophethysmography. The proposed parameter is a time difference of pulse transit time (PTT) between pulse waves at finger site and at toe site. As the results of experiments, the change of parameter was found according to ages. The result of regression analysis about relationships between the parameter and ages for n=51, the coefficient of correlation of non-normalized data has -0.79770 in left side and -0.80599 in right side and the coefficient of correlation of normalized data by height has -0.81345 in left side and -0.81605 in right side.

  • PDF

Radial Electrical Impedance: A Potential Indicator for Noninvasive Cuffless Blood Pressure Measurement

  • Huynh, Toan Huu;Chung, Wan-Young
    • 센서학회지
    • /
    • 제26권4호
    • /
    • pp.239-244
    • /
    • 2017
  • Noninvasive, cuffless, and continuous blood pressure (BP) monitoring is essential to prevent and control hypertension. A well-known existing method for this measurement is pulse transit time (PTT), which has been investigated by many researchers as a promising approach. However, the fundamental principle of the PTT method is based on the time interval taken by a pulse wave to propagate between the proximal and distal arterial sites. Consequently, this method needs an independent system with two devices placed at two different sites, which is a problem. Even though some studies attempted to synchronize the system, it is bulky and inconvenient by contemporary standards. To find a more sensitive method to be used in a BP measurement device, this study used radial electrical bioimpedance (REB) as a potential indicator for BP determination. Only one impedance plethysmography channel at the wrist is performed for demonstrating a ubiquitous BP wearable device. The experiment was evaluated on eight healthy subjects with the ambulatory BP monitor on the upper arm as a reference. The results demonstrated the potential of the proposed method by the correlation of estimated systolic (SBP) and diastolic (DBP) BP against the reference at $0.84{\pm}0.05$ and $0.83{\pm}0.05$, respectively. REB also tracked the DBP well with a root-mean-squared-error of $7.5{\pm}1.35mmHg$.