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NIBP cuff 사이즈에 따른 정확한 혈압측정에 대한 실험적 연구

An experimental study on the measurement of accurate blood pressure according to NIBP cuff size

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주제분류기계공학

초록

Nowadays, a hypertension becomes the common disease and accounts for larger percentage of interest in the medical academic field. One of the most common blood pressure measurement technique is the non-invasive method. When a larger cuff is used by comparing to the upper-arm circumference of the subject, the blood pressure is measured lower than expected. Conversely, the value obtained by it is higher than normal case if a smaller cuff size is used. In this experimental study, 400 pairs of simultaneous blood pressure measurements on 50 subjects were obtained by the auscultatory and the oscillometric methods respectively by using three kinds of cuff sizes(Small, Medium and Large). Experimental identification for blood pressure differences due to the cuff size was proceeded. Also, cuff size standard for Korean was presented to obtain more accurate blood pressure according to the arm circumferences. As the result of this study, the selection of the appropriate cuff size was found to be very important because the main factors influencing the accuracy of the oscillometric blood pressure measurement was the cuff size by depending on the arm circumference of the subject.

Abstract

Nowadays, a hypertension becomes the common disease and accounts for larger percentage of interest in the medical academic field. One of the most common blood pressure measurement technique is the non-invasive method. When a larger cuff is used by comparing to the upper-arm circumference of the subject, the blood pressure is measured lower than expected. Conversely, the value obtained by it is higher than normal case if a smaller cuff size is used. In this experimental study, 400 pairs of simultaneous blood pressure measurements on 50 subjects were obtained by the auscultatory and the oscillometric methods respectively by using three kinds of cuff sizes(Small, Medium and Large). Experimental identification for blood pressure differences due to the cuff size was proceeded. Also, cuff size standard for Korean was presented to obtain more accurate blood pressure according to the arm circumferences. As the result of this study, the selection of the appropriate cuff size was found to be very important because the main factors influencing the accuracy of the oscillometric blood pressure measurement was the cuff size by depending on the arm circumference of the subject.

참고문헌 (9)

  1. Korea Centers for Disease Control and Prevention, "National Health Statistics 2011", 414~420 (2012)
  2. 황락훈, "한국인 맞춤형 혈압계 커프 블래더", 한국통신학회논문지C, 38(9), pp.822~829 (2013), 한국통신학회
  3. 이종신, "Optimal Design & Reliability Evaluation of a Stopper Part Using Response Surface Methodology and Neural Network", 한국기계기술학회지, 11(1), pp.1~8 (2009), 한국기계기술학회
  4. G. Drzewiecki, "Theory of the oscillometric maximum and the systolic and diastolic detection ratio", Ann. Biomed. Eng, 22, pp.88~96 (1994)
  5. M. Ramsey, "Non-invasive automatic determination of mean arterial pressure", Med. Biol. Eng, 17(1), pp.17~18 (1979)
  6. D. Y. Yu, "A novel method for Korotkoff vibration BP measurement based on oscillomteric", Int. Conference on Intelligent Computation Technology&Automation, pp.136~143 (2013)
  7. A. Bur, "Accuracy of oscillometric blood pressure measurement according to the relation between cuff size and upper-arm circumference in critically ill patients", Critical Care Medicine, 28(2), pp.371~376 (2000)
  8. 이이선, "STD11의 선삭 시 절삭력 예측 및 요인별 상관계수 도출", 한국기계기술학회지, 15(4), pp.477~483 (2013), 한국기계기술학회
  9. T. G. Pickering, "Recommendations for Blood Pressure Measurement in Humans and Experimental Animals", Circulation, pp.697~716 (2005)

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