Blood pressure measurement apparatus, blood pressure measurement method, and blood pressure measurement program
A CPU detects pulse waves in a pressure signal of a cuff detected during a period of reducing pressure applied by the cuff to a measurement site and acquires blood flow sound signals corresponding to blood flow sounds occurring in the pressure reduction period. Then, data for a pulse wave envelope that associates the amplitude values of the detected pulse waves with the pressurizing pressures at the pulse wave generation times, and data for a blood flow sound envelope that associates the amplitude values of the blood flow sound signals with the pressurizing pressures at the blood flow sound generation times are generated, and the data for the pulse wave envelope and the data for the blood flow sound envelope are used to determine whether or not there is periodic variation in the blood pressure during the pressure reduction period.
1. A blood pressure measurement apparatus comprising:
a cuff configured to be attached at a measurement site of a body;
a pressurizing pressure adjustment unit configured to change a pressurizing pressure applied by the cuff to the measurement site;
a pressure detection unit that detects pressure in the cuff during a period of changing the pressurizing pressure;
a pulse wave detection unit that detects pulse waves in a cuff pressure signal that is a signal output from the pressure detection unit, the pulse waves being pressure components superimposed on the pressurizing pressure in synchronization with the body's pulse;
a blood flow sound detection unit that detects blood flow sounds that occur during a period of changing the pressurizing pressure;
a pulse wave envelope data generation unit that generates data for a pulse wave envelope that associates amplitude values of the pulse waves detected by the pulse wave detection unit with the pressurizing pressures at times when the pulse waves were generated;
a blood pressure determination unit that determines a measured blood pressure value using the data for the pulse wave envelope;
a blood flow sound envelope data generation unit that generates data for a blood flow sound envelope that associates amplitude values of blood flow sound signals, which are signals output from the blood flow sound detection unit, with the pressurizing pressures at times when the blood flow sounds were generated;
a blood pressure variation determination unit that uses the data for the pulse wave envelope and the data for the blood flow sound envelope to determine whether or not there is periodic variation in the blood pressure during the period of changing the pressurizing pressure; and
a control unit that performs control according to the determination result of the blood pressure variation determination unit,
wherein if it is determined by the blood pressure variation determination unit that there is periodic variation in the blood pressure, the control unit corrects the data for the pulse wave envelope in accordance with the shape of the pulse wave envelope,
wherein if it is determined by the blood pressure variation determination unit that there is periodic variation in the blood pressure, the blood pressure determination unit uses the data for the pulse wave envelope, which was corrected by the control unit, to determine the measured blood pressure value,
wherein if the pulse wave envelope has a shape with a plurality of peak portions or a trapezoidal shape that rises accompanying an increase in the pressurizing pressure, subsequently flattens, and falls thereafter, and the blood flow sound envelope has a shape with a plurality of peak portions, each of the peak portions being determined based on peak amplitude values greater than trough amplitude values of adjacent trough portions by a threshold value, the blood pressure variation determination unit determines that there is periodic variation in the blood pressure, and
wherein the periodic variation is respiratory variation.
2. The blood pressure measurement apparatus according to claim 1 ,
wherein if it is determined by the blood pressure variation determination unit that there is periodic variation in the blood pressure and the pulse wave envelope has a shape with a plurality of peak portions, the control unit deletes amplitude values other than those of a portion of the pulse wave envelope extending from the highest peak portion of the plurality of peak portions to an adjacent trough portion, and in place of the deleted amplitude values, interpolates new amplitude values according to the shape of the pulse wave envelope that was deleted.
3. The blood pressure measurement apparatus according to claim 1 ,
wherein if it is determined by the blood pressure variation determination unit that there is periodic variation in the blood pressure and the pulse wave envelope has the trapezoidal shape, the control unit deletes amplitude values of the flat portion of the pulse wave envelope, and in place of the deleted amplitude values, interpolates new amplitude values according to the shape of the pulse wave amplitude envelope outside of the flat portion.
4. The blood pressure measurement apparatus according to claim 1 ,
wherein the control unit outputs information indicating the determination result of the blood pressure variation determination unit.
5. The blood pressure measurement apparatus according to claim 1 ,
wherein the control unit outputs information indicating the determination result of the blood pressure variation determination unit.
6. The blood pressure measurement apparatus according to claim 2 ,
wherein the control unit outputs information indicating the determination result of the blood pressure variation determination unit.
7. The blood pressure measurement apparatus according to claim 3 ,
wherein the control unit outputs information indicating the determination result of the blood pressure variation determination unit.
8. A blood pressure measurement method comprising:
a pulse wave detection step of detecting pulse waves in a pressure signal of a cuff configured to be attached at a measurement site of a body, the pressure signal being detected during a period of reducing a pressurizing pressure applied by the cuff to the measurement site, the pulse waves being pressure components superimposed on the pressurizing pressure in synchronization with the body's pulse;
a blood flow sound acquiring step of acquiring blood flow sound signals corresponding to blood flow sounds that occur during a period of changing the pressurizing pressure;
a pulse wave envelope data generation step of generating data for a pulse wave envelope that associates amplitude values of the pulse waves detected in the pulse wave detection step with the pressurizing pressures at times when the pulse waves were generated;
a blood pressure determination step of determining a measured blood pressure value using the data for the pulse wave envelope;
a blood flow sound envelope data generation step of generating data for a blood flow sound envelope that associates amplitude values of the blood flow sound signals acquired in the blood flow sound acquiring step with the pressurizing pressures at times when the blood flow sound signals were generated;
a blood pressure variation determination step of using the data for the pulse wave envelope and the data for the blood flow sound envelope to determine whether or not there is periodic variation in the blood pressure during the period of changing the pressurizing pressure; and
a control step of performing control according to the determination result of the blood pressure variation determination step,
wherein if it is determined in the blood pressure variation determination step that there is periodic variation in the blood pressure, the control step corrects the data for the pulse wave envelope in accordance with the shape of the pulse wave envelope,
wherein if it is determined in the blood pressure variation determination step that there is periodic variation in the blood pressure, in the blood pressure determination step, the data for the pulse wave envelope, which was corrected in the control step, is used to determine the measured blood pressure value,
wherein if the pulse wave envelope has a shape with a plurality of peak portions or a trapezoidal shape that rises accompanying an increase in the pressurizing pressure, subsequently flattens, and falls thereafter, and the blood flow sound envelope has a shape with a plurality of peak portions, each of the peak portions being determined based on peak amplitude values greater than trough amplitude values of adjacent trough portions by a threshold value, the blood pressure variation determination unit determines that there is periodic variation in the blood pressure, and
wherein the periodic variation is respiratory variation.
9. A non-transitory computer readable medium having stored thereon a blood pressure measurement program configured to cause a computer to execute the steps of the blood pressure measurement method according to claim 8 .