CN104757959B - Pulse wave transmission velocity detecting method and system based on image foldover - Google Patents
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Abstract
本发明涉及一种基于影像叠影的脉搏波传输速率检测方法和系统,该方法包括:步骤S1:采集心电信号和脉搏波信号;步骤S2:进行预处理和周期位置标识后,提取对应的多个周期序列;步骤S3:获取信号的周期序列的峰位特征,并根据峰位特征得到每个周期序列的位置;步骤S4:基于影像叠影技术根据峰位特征将心电信号和脉搏波信号的每个周期序列起始点对齐,对齐后的每个周期序列相应位置的值叠加得到单周期序列波形,获取单周期序列波形的功率谱最高点,心电信号和脉搏波信号功率谱最高点所对应的时间作为脉搏波传播传输时间PTT,进而得到脉搏波传输速率PWV。与现有技术相比,本发明具有测量时间短、PWV检测精度高等优点。
The present invention relates to a pulse wave transmission rate detection method and system based on image ghosting. The method includes: step S1: collecting ECG signals and pulse wave signals; step S2: after preprocessing and period position identification, extracting the corresponding Multiple periodic sequences; Step S3: Obtain the peak position characteristics of the periodic sequence of the signal, and obtain the position of each periodic sequence according to the peak position characteristics; Step S4: Based on the image ghosting technology, according to the peak position characteristics, the ECG signal and pulse wave The starting point of each cycle sequence of the signal is aligned, and the value of the corresponding position of each cycle sequence after alignment is superimposed to obtain a single-cycle sequence waveform, and the highest point of the power spectrum of the single-cycle sequence waveform, the highest point of the power spectrum of the ECG signal and pulse wave signal The corresponding time is used as the pulse wave transmission time PTT, and then the pulse wave transmission rate PWV is obtained. Compared with the prior art, the invention has the advantages of short measurement time, high PWV detection precision and the like.
Description
技术领域technical field
本发明涉及医学信号处理领域,尤其是涉及一种基于影像叠影的脉搏波传输速率检测方法和系统。The invention relates to the field of medical signal processing, in particular to a pulse wave transmission rate detection method and system based on image ghosting.
背景技术Background technique
脉搏波传输速度(Pulse Wave Velocity,PWV)是指脉搏波由动脉的一特定位置传播至另一特定位置的速率。动脉弹性及可扩张性的指标动脉硬度增高会使PWV数值上升,而动脉弹性减弱会使PWV数值下降。所以通过测量PWV数值,我们可以估计动脉的弹性及可扩张性。PWV数值还是一个极有用的非侵入性指标,使得动脉硬化症、高血压、高脂血症、糖尿病及肾病等多种血管类疾病的早期发现及诊断成为可能。Pulse Wave Velocity (PWV) refers to the rate at which the pulse wave propagates from one specific position of the artery to another specific position. Increased arterial stiffness, an index of arterial elasticity and expandability, will increase the PWV value, while weakening arterial elasticity will decrease the PWV value. So by measuring the PWV value, we can estimate the elasticity and distensibility of arteries. The PWV value is also a very useful non-invasive indicator, making it possible to detect and diagnose a variety of vascular diseases such as arteriosclerosis, hypertension, hyperlipidemia, diabetes and kidney disease early.
动脉硬化的检测越来越受到医学界的重视,其检测结果可以提醒患者自己动脉硬化的状况,及时治疗或增加相应的锻炼,改变饮食结构。PWV的计算公式非常简单,PWV的计算方法如公式:PTT表示脉搏波传输时间,L表示距离,没有什么值得研究,可是越简单的公式,对计算参数的要求就越高,而其中时间参数的测量就要求检测仪器提供很好的检测波形,这点非常困难,人体相应的信号带有很大的噪声,如何在带有严重噪声的信号中提取真实信号是医疗检测仪器共同面临的问题。传统的PWV检测仪器多用一般的滤波技术,或概率统计技术来尽可能的消除噪声。可是滤波技术会带来很大的时间延滞,PWV检测主要是计算间隔时间,延滞会带来很大的计算误差,而概率统计需要大量的样本数据,不但会大大增加测量时间,而且要有效去除信号噪声的样本量几乎是不可能实现的。The detection of arteriosclerosis has been paid more and more attention by the medical field. The detection results can remind patients of their own arteriosclerosis status, timely treatment or increase the corresponding exercise, and change the diet structure. The calculation formula of PWV is very simple, the calculation method of PWV is as follows: PTT means pulse wave transmission time, L means distance, there is nothing worth studying, but the simpler the formula, the higher the requirements for calculation parameters, and the measurement of time parameters requires the detection instrument to provide a good detection waveform. It is very difficult. The corresponding signal of the human body has a lot of noise. How to extract the real signal from the signal with severe noise is a common problem faced by medical testing instruments. Traditional PWV detection instruments use general filtering technology or probability statistics technology to eliminate noise as much as possible. However, filtering technology will bring a large time delay. PWV detection is mainly to calculate the interval time. The delay will bring a large calculation error, and probability statistics require a large amount of sample data, which will not only greatly increase the measurement time, but also effectively remove The signal-to-noise sample size is nearly impossible to achieve.
发明内容Contents of the invention
本发明的目的就是为了克服上述现有技术存在检测结果不够精确的缺陷而提供一种基于影像叠影的脉搏波传输速率检测方法和系统,采用影像叠影技术进行PWV检测。首先对输入信号(心电图信号和脉搏波信号)进行预处理;然后进行心电图信号的峰位特征提取,以供后面的影像叠影技术使用;最后采用影像叠影技术将连续的信号分成相应的独立模块,用互功率谱法对独立模块进行时延估计,不仅操作简便,而且检测结果精确可靠。The purpose of the present invention is to provide a pulse wave transmission rate detection method and system based on image ghosting to overcome the defect of inaccurate detection results in the above-mentioned prior art, and to use image ghosting technology for PWV detection. First, the input signal (ECG signal and pulse wave signal) is preprocessed; then the peak position feature extraction of the ECG signal is performed for the use of the image ghosting technology; finally, the continuous signal is divided into corresponding independent signals by the image ghosting technology. Modules, using the cross power spectrum method to estimate the time delay of independent modules, not only easy to operate, but also accurate and reliable detection results.
本发明的目的可以通过以下技术方案来实现:The purpose of the present invention can be achieved through the following technical solutions:
一种基于影像叠影的脉搏波传输速率检测方法包括:A pulse wave transmission rate detection method based on image ghosting comprises:
步骤S1:采集心电信号和脉搏波信号;Step S1: collecting ECG signals and pulse wave signals;
步骤S2:分别对步骤S1中心电信号和脉搏波信号进行预处理和周期位置标识后,提取心电信号和脉搏波信号的多个周期序列;Step S2: after performing preprocessing and periodic position identification on the ECG signal and the pulse wave signal in step S1 respectively, extract multiple periodic sequences of the ECG signal and the pulse wave signal;
步骤S3:分别获取步骤S2中心电信号和脉搏波信号的多个周期序列的峰位特征,并根据峰位特征得到心电信号和脉搏波信号中每个周期序列的位置;Step S3: Obtain the peak position characteristics of multiple periodic sequences of the central electrical signal and pulse wave signal in step S2 respectively, and obtain the position of each periodic sequence in the electrocardiographic signal and pulse wave signal according to the peak position characteristics;
步骤S4:基于影像叠影技术根据峰位特征分别将步骤S3中心电信号和脉搏波信号中每个周期序列起始点对齐,对齐后的每个周期序列相应位置的值叠加得到心电信号和脉搏波信号各自的单周期序列波形,分别获取两个单周期序列波形的功率谱最高点,将心电信号和脉搏波信号功率谱最高点所对应的时间间隔作为脉搏波传播传输时间PTT,由公式(1)得到脉搏波传输速率PWV:Step S4: Align the starting points of each cycle sequence in the central electrical signal and pulse wave signal in step S3 based on the image ghosting technology according to the peak position characteristics, and superimpose the values of the corresponding positions of each cycle sequence after alignment to obtain the ECG signal and pulse The single-period sequence waveforms of each wave signal, respectively obtain the highest point of the power spectrum of the two single-cycle sequence waveforms, and take the time interval corresponding to the highest point of the power spectrum of the ECG signal and the pulse wave signal as the pulse wave transmission time PTT, which is given by the formula (1) Obtain the pulse wave transmission rate PWV:
其中,L为动脉在两个既定点间的距离,通过测量体表获得该值。Among them, L is the distance of the artery between two given points, which is obtained by measuring the body surface.
所述步骤S2中预处理包括对心电信号的幅值、相位处理和脉搏波信号的幅值处理;The preprocessing in the step S2 includes amplitude and phase processing of the ECG signal and amplitude processing of the pulse wave signal;
心电信号的幅值、相位处理包括:取一组心电信号,获得这组心电信号的平均值、最大值和最小值,判断平均值到最大值的宽度是否大于平均值到最小值的宽度,若是,则心电信号输入为正向信号,否则,对心电信号进行值取反,判断后的心电信号进行归一化处理;The amplitude and phase processing of ECG signals includes: taking a group of ECG signals, obtaining the average value, maximum value and minimum value of this group of ECG signals, and judging whether the width from the average value to the maximum value is greater than the width from the average value to the minimum value. Width, if so, the ECG signal input is a positive signal, otherwise, the value of the ECG signal is reversed, and the judged ECG signal is normalized;
脉搏波信号的幅值处理包括:取一组脉搏波信号进行归一化处理。The amplitude processing of the pulse wave signal includes: taking a group of pulse wave signals for normalization processing.
所述步骤S2中周期位置标识包括:根据信号的变化规律,在每个信号周期结束时进行标识,删除信号周期不完整的部分,得到完整的周期序列。The period position identification in the step S2 includes: according to the change law of the signal, marking at the end of each signal period, deleting the incomplete part of the signal period, and obtaining a complete period sequence.
所述步骤S2中提取对应的10~20个周期序列。In the step S2, the corresponding 10-20 periodic sequences are extracted.
所述步骤S3中峰位特征包括波峰和波谷的个数及相应的位置。The peak position features in step S3 include the number and corresponding positions of peaks and valleys.
所述步骤S4中功率谱最高点为最高波峰特征点。The highest point of the power spectrum in the step S4 is the highest peak feature point.
一种实现上述方法的基于影像叠影的脉搏波传输速率检测系统包括:A pulse wave transmission rate detection system based on image ghosting for realizing the above method comprises:
数据采集模块,用于采集心电信号和脉搏波信号;The data acquisition module is used for collecting ECG signals and pulse wave signals;
预处理模块,用于接收数据采集模块的输出,分别对心电信号和脉搏波信号进行预处理和周期位置标识后,提取心电信号和脉搏波信号的多个周期序列;The preprocessing module is used to receive the output of the data acquisition module, and after performing preprocessing and periodic position identification on the ECG signal and the pulse wave signal respectively, extract multiple periodic sequences of the ECG signal and the pulse wave signal;
波峰检测模块,用于接收预处理模块的输出,分别获取心电信号和脉搏波信号的多个周期序列的峰位特征,并根据峰位特征得到心电信号和脉搏波信号中每个周期序列的位置;The peak detection module is used to receive the output of the preprocessing module, respectively obtain the peak position characteristics of multiple periodic sequences of the ECG signal and the pulse wave signal, and obtain each period sequence of the ECG signal and the pulse wave signal according to the peak position characteristics s position;
影像叠影模块,用于接收波峰检测模块的输出,基于影像叠影技术根据峰位特征分别将心电信号和脉搏波信号中每个周期序列起始点对齐,对齐后的每个周期序列相应位置的值叠加得到心电信号和脉搏波信号各自的单周期序列波形,获取两个单周期序列波形的功率谱最高点,将心电信号和脉搏波信号功率谱最高点所对应的时间作为脉搏波传播传输时间PTT,进而得到脉搏波传输速率PWV。The image ghosting module is used to receive the output of the peak detection module. Based on the image ghosting technology, the starting point of each cycle sequence in the ECG signal and the pulse wave signal is aligned according to the peak position characteristics, and the corresponding position of each cycle sequence after alignment The values of the superposition of the ECG signal and the pulse wave signal are the single-period sequence waveforms, and the highest point of the power spectrum of the two single-cycle sequence waveforms is obtained, and the time corresponding to the highest point of the power spectrum of the ECG signal and the pulse wave signal is used as the pulse wave Propagate the transmission time PTT, and then obtain the pulse wave transmission rate PWV.
所述数据采集模块包括:The data acquisition module includes:
传感器单元,用于采集心电信号和脉搏波信号;A sensor unit for collecting electrocardiographic signals and pulse wave signals;
信号调理单元,用于接收传感器单元的输出,对心电信号和脉搏波信号依次进行一级差分放大、低通滤波、高通滤波和二级放大;The signal conditioning unit is used to receive the output of the sensor unit, and sequentially perform primary differential amplification, low-pass filtering, high-pass filtering and secondary amplification on the ECG signal and the pulse wave signal;
AD转换单元,用于接收信号调理单元的输出,对心电信号和脉搏波信号进行AD转换后发送给预处理模块。The AD conversion unit is used to receive the output of the signal conditioning unit, perform AD conversion on the ECG signal and the pulse wave signal, and then send it to the preprocessing module.
所述预处理模块、波峰检测模块和影像叠影模块均由含有虚拟仪器的上位机实现。The preprocessing module, peak detection module and image superimposition module are all realized by a host computer containing virtual instruments.
与现有技术相比,本发明具有以下优点:Compared with the prior art, the present invention has the following advantages:
1)本发明方法一次只需有限个周期序列的输入信号样本,采样样本少,从而能快速实现信号的采集,同时剔除不完整的周期序列,经影像叠影技术处理后输出波形变化明显,且具有比较性,采用互功率谱函数对心电图信号和脉搏波信号的单周期的波形进行相应特征点的时间间隔估计,从叠影成功的波形可以精确地得到两信号最高波峰特征点的时间间隔,该时间间隔就是所要求的脉搏传播时间,此方法相比传统的PWV检测方法,能够有效克服噪声的影响,又不会引起时间上的延滞,提高了PWV检测精度。1) The method of the present invention only needs a limited number of input signal samples of periodic sequences at a time, and the sampling samples are few, so that the acquisition of signals can be quickly realized, and incomplete periodic sequences are eliminated at the same time, and the output waveform changes significantly after being processed by image ghosting technology, and Comparable, the cross power spectrum function is used to estimate the time interval of the corresponding feature points of the single-cycle waveforms of the electrocardiogram signal and the pulse wave signal, and the time interval of the highest peak feature points of the two signals can be accurately obtained from the waveform of the successful overlap. The time interval is the required pulse propagation time. Compared with the traditional PWV detection method, this method can effectively overcome the influence of noise without causing time delay, and improves the PWV detection accuracy.
2)本发明方法对心电信号和脉搏波信号进行相位判别和周期序列位置标识,防止出现心电图的反向信号而影响相位定位和剔除不完整的周期序列,减小计算误差。2) The method of the present invention performs phase discrimination and periodic sequence position identification on the electrocardiographic signal and the pulse wave signal, prevents the reverse signal of the electrocardiogram from affecting the phase location and eliminates incomplete periodic sequences, and reduces calculation errors.
3)本发明方法对心电图和脉搏波信号的峰位特征提取,获得输入信号的波峰\波谷个数及相应的位置,用于划分每个周期序列的位置,保证单周期序列划分精确。3) The method of the present invention extracts the peak position feature of the electrocardiogram and the pulse wave signal, obtains the number of peaks/troughs and corresponding positions of the input signal, and is used to divide the position of each cycle sequence to ensure accurate division of the single cycle sequence.
4)本发明方法分别提取心电信号和脉搏波信号的多个完整的周期序列进行叠加处理,得到幅值扩大多倍的心电信号和脉搏波信号的单周期波形,相加后得到的单周期信号波形幅度变化明显,实现了对有效信号的加强,减弱噪声对信号的影响。4) The method of the present invention extracts a plurality of complete periodic sequences of the electrocardiographic signal and the pulse wave signal respectively and carries out superimposition processing, obtains the single-period waveform of the electrocardiographic signal and the pulse wave signal whose amplitude is enlarged multiple times, and the single-period waveform obtained after adding The amplitude of the periodic signal waveform changes significantly, which realizes the strengthening of the effective signal and weakens the influence of noise on the signal.
5)本发明方法采用影像叠影技术和虚拟仪器LabVIEW设计了上位机结构,实用性强,可移植性好。5) The method of the present invention adopts image overlapping technology and virtual instrument LabVIEW to design a host computer structure, which has strong practicability and good portability.
6)本发明系统采用心电电极和脉搏波传感器采集心电信号和脉搏波信号,实现人体毫伏级信号的采集;设计了信号调理电路对信号进行去噪和放大处理,得到满足AD采样条件的模拟信号;采用NI公司的USB-6008数据采集卡,实现多路信号的同时采集及传送到上位机。同时设计了基于虚拟仪器的上位机,充分利用虚拟仪器在信号测试和分析上的强大优势,使得检测装置开发周期短、灵活高效,利用虚拟仪器实现影像叠影技术,有效克服噪声的影响,又不会引起时间上的延滞,提高了PWV检测精度。6) The system of the present invention adopts electrocardiographic electrodes and pulse wave sensors to collect electrocardiographic signals and pulse wave signals to realize the collection of human body millivolt signals; a signal conditioning circuit is designed to denoise and amplify the signals to obtain AD sampling conditions. The analog signal; the USB-6008 data acquisition card of NI Company is used to realize the simultaneous acquisition and transmission of multiple signals to the host computer. At the same time, a host computer based on virtual instruments is designed, making full use of the powerful advantages of virtual instruments in signal testing and analysis, making the development cycle of the detection device short, flexible and efficient, using virtual instruments to realize image ghosting technology, effectively overcoming the influence of noise, and No time lag is caused, and the PWV detection accuracy is improved.
附图说明Description of drawings
图1为本发明系统中数据采集模块结构示意图;Fig. 1 is the structural representation of data acquisition module in the system of the present invention;
图2为本发明系统中含有虚拟仪器的上位机结构示意图;Fig. 2 is the structural representation of the upper computer that contains the virtual instrument in the system of the present invention;
图3为本发明系统中信号调理单元电路示意图;Fig. 3 is the circuit diagram of signal conditioning unit in the system of the present invention;
图4为本发明方法中采集到的信号波形示意图;Fig. 4 is the signal waveform schematic diagram that gathers in the inventive method;
图5为本发明方法中标“|”处理后的信号波形示意图;Fig. 5 is the signal waveform schematic diagram after the mark "|" is processed in the method of the present invention;
图6为本发明方法中幅值相位处理后的心电信号和脉搏波信号波形示意图;Fig. 6 is the schematic diagram of electrocardiogram signal and pulse wave signal waveform after amplitude and phase processing in the method of the present invention;
图7为本发明方法中波峰检测函数示意图;Fig. 7 is a schematic diagram of the peak detection function in the method of the present invention;
图8为本发明方法中波形对齐函数示意图;Fig. 8 is a schematic diagram of a waveform alignment function in the method of the present invention;
图9为本发明方法中互功率谱函数示意图;Fig. 9 is a schematic diagram of cross power spectrum function in the method of the present invention;
图10为本发明方法中叠影后的信号波形示意图。Fig. 10 is a schematic diagram of the signal waveform after ghosting in the method of the present invention.
图中:1、数据采集模块,2、上位机,11、传感器单元,12、信号调理单元,13、AD转换单元,21、预处理模块,22、波峰检测模块,23、影像叠影模块,121、一级差分放大电路,122、低通滤波电路,123、高通滤波电路,124、二级放大电路。In the figure: 1. Data acquisition module, 2. Host computer, 11. Sensor unit, 12. Signal conditioning unit, 13. AD conversion unit, 21. Preprocessing module, 22. Peak detection module, 23. Image overlay module, 121, a first-stage differential amplifier circuit, 122, a low-pass filter circuit, 123, a high-pass filter circuit, and 124, a second-stage amplifier circuit.
具体实施方式detailed description
下面结合附图和具体实施例对本发明进行详细说明。本实施例以本发明技术方案为前提进行实施,给出了详细的实施方式和具体的操作过程,但本发明的保护范围不限于下述的实施例。The present invention will be described in detail below in conjunction with the accompanying drawings and specific embodiments. This embodiment is carried out on the premise of the technical solution of the present invention, and detailed implementation and specific operation process are given, but the protection scope of the present invention is not limited to the following embodiments.
如图1、图2所示,一种基于影像叠影的脉搏波传输速率检测系统包括数据采集模块1和上位机2两大部分。数据采集模块1用于采集心电信号和脉搏波信号,包含三个单元,分别为传感器单元11、信号调理单元12和AD转换单元13;含有虚拟仪器的上位机2包含有三个处理模块,分别为预处理模块21、波峰检测模块22和影像叠影模块23。As shown in Figure 1 and Figure 2, a pulse wave transmission rate detection system based on image ghosting includes two parts: a data acquisition module 1 and a host computer 2. The data acquisition module 1 is used to collect ECG signals and pulse wave signals, and includes three units, namely a sensor unit 11, a signal conditioning unit 12 and an AD conversion unit 13; the host computer 2 containing virtual instruments includes three processing modules, respectively It is a preprocessing module 21 , a peak detection module 22 and an image superimposition module 23 .
工作原理:首先,传感器单元11采集心电信号和脉搏波信号,输出信号为带有噪声和直流分量的模拟信号,需要经过信号调理单元12得到纯净的心电模拟信号和脉搏波模拟信号,调理后的信号再由AD转换单元13进行AD转换,AD转换单元13将采集到的心电和脉搏波的数字信号上传到上位机2,上位机2利用集成的虚拟仪器对心电信号、脉搏波信号进行处理和分析,并将处理分析后的结果输出。下面对各组成部分进行具体说明:Working principle: firstly, the sensor unit 11 collects the ECG signal and the pulse wave signal, and the output signal is an analog signal with noise and DC component, which needs to be obtained by the signal conditioning unit 12 to obtain a pure ECG analog signal and pulse wave analog signal, and the conditioning The final signal is then AD-converted by the AD conversion unit 13, and the AD conversion unit 13 uploads the collected digital signals of the electrocardiogram and pulse wave to the host computer 2, and the host computer 2 utilizes the integrated virtual instrument to analyze the electrocardiogram signal and the pulse wave. The signal is processed and analyzed, and the processed and analyzed results are output. Each component is described in detail below:
传感器单元11包括心电图电极和脉动传感器,脉动传感器采用PVDF压电薄膜,测量范围0~50g,精度误差≤5%F.S,灵敏度≥20mV/F.S,提取的脉搏波信号更真实,所测的人体脉搏波信号为毫伏级信号。The sensor unit 11 includes electrocardiogram electrodes and a pulsation sensor. The pulsation sensor adopts PVDF piezoelectric film, the measurement range is 0-50g, the accuracy error is ≤5% F.S, and the sensitivity is ≥20mV/F.S. The extracted pulse wave signal is more real, and the measured human pulse The wave signal is a millivolt level signal.
信号调理单元12的输入端连接传感器单元11的输出端。信号调理单元12分为心电信号调理电路和脉搏波信号调理电路,两个信号调理电路结构相似。脉搏波信号调理电路如图3所示,包括依次连接的一级差分放大电路121、低通滤波电路122、高通滤波电路123和二级放大电路124。一级差分放大电路121包括AD620差分放大器及其周围电路(包括电阻R1和电容C1、C2)。低通滤波电路122包括OPA2277芯片及其周围电路(包括电阻R2、R3、R4、R5和电容C3),高通滤波电路123包括OPA2277芯片及其周围电路(包括电阻R6、R7、R8和电容C4、C5),二级放大电路124包括OPA2277芯片及其周围电路(包括电阻R9、R10、R11、R12和电容C6、C7)。其中,OPA2277芯片是双运放电路,U2A和U2B是同一个芯片中的不同部分。两个信号调理电路将心电图电极、脉动传感器的采集信号通过差动放大器前置放大输出信号,提高信噪比,再通过低通滤波电路122去除信号中的高频噪声,再通过高通滤波电路123去除信号中的直流分量,再通过二级放大电路124得到满足AD采样条件的模拟信号。The input end of the signal conditioning unit 12 is connected to the output end of the sensor unit 11 . The signal conditioning unit 12 is divided into an electrocardiographic signal conditioning circuit and a pulse wave signal conditioning circuit, and the two signal conditioning circuits are similar in structure. As shown in FIG. 3 , the pulse wave signal conditioning circuit includes a first-stage differential amplifier circuit 121 , a low-pass filter circuit 122 , a high-pass filter circuit 123 and a second-stage amplifier circuit 124 connected in sequence. The primary differential amplifier circuit 121 includes AD620 differential amplifier and its surrounding circuits (including resistor R1 and capacitors C1 and C2). Low-pass filter circuit 122 comprises OPA2277 chip and surrounding circuit (comprising resistance R2, R3, R4, R5 and electric capacity C3), high-pass filtering circuit 123 comprises OPA2277 chip and surrounding circuit (comprising resistance R6, R7, R8 and electric capacity C4, C5), the secondary amplifier circuit 124 includes the OPA2277 chip and its surrounding circuits (including resistors R9, R10, R11, R12 and capacitors C6, C7). Among them, the OPA2277 chip is a dual operational amplifier circuit, and U2A and U2B are different parts of the same chip. The two signal conditioning circuits pre-amplify the output signals of the electrocardiogram electrodes and pulsation sensors through the differential amplifier to improve the signal-to-noise ratio, and then remove the high-frequency noise in the signal through the low-pass filter circuit 122, and then pass the high-pass filter circuit 123 The DC component in the signal is removed, and then the analog signal satisfying the AD sampling condition is obtained through the secondary amplifier circuit 124 .
AD转换单元13的输入端连接信号调理单元12的输出端,输出端连接上位机2的输入端。AD转换单元13采用NI公司的USB-6008数据采集卡。该卡是基于USB2.0串行口的多功能数据采集卡,有8个模拟输入端子可用于接收心电信号和脉搏波信号,每路输入范围为±10V,10Ks/s,12位分辨率。它将模拟信号转换成数字信号并通过USB数据线送入上位机2的USB接口,进一步处理。The input end of the AD conversion unit 13 is connected to the output end of the signal conditioning unit 12 , and the output end is connected to the input end of the upper computer 2 . The AD conversion unit 13 adopts the USB-6008 data acquisition card of NI Company. The card is a multi-function data acquisition card based on the USB2.0 serial port. There are 8 analog input terminals that can be used to receive ECG signals and pulse wave signals. Each input range is ±10V, 10Ks/s, and 12-bit resolution . It converts the analog signal into a digital signal and sends it to the USB interface of the upper computer 2 through the USB data line for further processing.
上位机2是集成了基于虚拟仪器图像编程的LabVIEW软件平台的计算机,实现对信号处理、分析、显示、存储、波形回放、信号平滑滤波、周期识别、基线调整、特征点识别等功能,充分利用含有虚拟仪器的上位机2在信号测试和分析上的强大优势,使得检测装置开发周期短、灵活高效。如图2所示,The upper computer 2 is a computer that integrates the LabVIEW software platform based on virtual instrument image programming, and realizes functions such as signal processing, analysis, display, storage, waveform playback, signal smoothing and filtering, cycle identification, baseline adjustment, and feature point identification. The powerful advantages of the upper computer 2 with virtual instruments in signal testing and analysis make the detection device development cycle short, flexible and efficient. as shown in picture 2,
预处理模块21,用于接收数据采集模块1的输出,分别对心电信号和脉搏波信号进行预处理和周期位置标识后,提取心电信号和脉搏波信号各自的10~20个周期序列,这样可以确保检测精度,减小测量时间,本实施例中选取15个周期序列;The preprocessing module 21 is used to receive the output of the data acquisition module 1, perform preprocessing and cycle position identification on the ECG signal and the pulse wave signal respectively, and extract 10 to 20 cycle sequences of the ECG signal and the pulse wave signal respectively, This can ensure the detection accuracy and reduce the measurement time. In this embodiment, 15 periodic sequences are selected;
波峰检测模块22,用于接收预处理模块21的输出,对心电信号和脉搏波信号的多个周期序列的峰位特征,并根据峰位特征得到每个周期序列的位置;The peak detection module 22 is used to receive the output of the preprocessing module 21, to the peak position characteristics of a plurality of periodic sequences of the electrocardiogram signal and the pulse wave signal, and obtain the position of each periodic sequence according to the peak position characteristics;
影像叠影模块23,用于接收波峰检测模块22的输出,基于影像叠影技术根据峰位特征分别将心电信号和脉搏波信号的每个周期序列起始点对齐,对齐后的每个周期序列相应位置的值叠加得到心电信号和脉搏波信号各自的单周期序列波形,获取两个单周期序列波形的功率谱最高点,将心电信号和脉搏波信号功率谱最高点所对应的时间作为脉搏波传播传输时间PTT(即从单周期的心电信号和脉搏波信号的波形图中得到相应特征点的时间间隔),进而得到脉搏波传输速率PWV。The image ghosting module 23 is used to receive the output of the peak detection module 22. Based on the image ghosting technology, according to the peak position characteristics, the starting points of each cycle sequence of the ECG signal and the pulse wave signal are respectively aligned, and each cycle sequence after alignment The values of the corresponding positions are superimposed to obtain the respective single-cycle sequence waveforms of the ECG signal and the pulse wave signal, and the highest point of the power spectrum of the two single-cycle sequence waveforms is obtained, and the time corresponding to the highest point of the power spectrum of the ECG signal and the pulse wave signal is taken as The pulse wave transmission time PTT (that is, the time interval for obtaining the corresponding feature points from the single-cycle ECG signal and the waveform diagram of the pulse wave signal), and then the pulse wave transmission rate PWV is obtained.
如图1、图2所示,一种利用上述检测系统进行基于影像叠影的脉搏波传输速率检测方法包括:As shown in Figure 1 and Figure 2, a pulse wave transmission rate detection method based on image ghosting using the above detection system includes:
步骤S1:数据采集模块1采集心电信号和脉搏波信号。心电信号指心脏活动时产生的生理电信号,脉搏波信号指桡动脉血液流动产生的生理信号。Step S1: The data collection module 1 collects ECG signals and pulse wave signals. The ECG signal refers to the physiological electrical signal generated when the heart is active, and the pulse wave signal refers to the physiological signal generated by the radial artery blood flow.
本发明采集了人体上、下肢及主动脉的信号,采集到的信号如图4所示,从上到下依次为颈动脉波形、桡动脉波形、股动脉波形、脚踝动脉波形、心音图、心电图。从波形可以看出可采集的信号有很大的噪声。本发明采用的是心电脉搏的方法,只需要对心电信号和一处的动脉末端脉搏波信号进行处理。本发明提取心电信号和噪声相对较小且容易测量的桡动脉的脉搏波的信号,即提取第二行和第六行信号。The present invention collects the signals of the upper and lower limbs and the aorta of the human body, and the collected signals are as shown in Figure 4, which are carotid artery waveform, radial artery waveform, femoral artery waveform, ankle artery waveform, phonocardiogram, and electrocardiogram from top to bottom. . It can be seen from the waveform that the signal that can be collected has a lot of noise. The present invention adopts the electrocardiographic pulse method, and only needs to process the electrocardiographic signal and the pulse wave signal of one arterial terminal. The present invention extracts the ECG signal and the pulse wave signal of the radial artery which is relatively small in noise and easy to measure, that is, extracts the second row and the sixth row signal.
步骤S2:预处理模块21分别对数据采集模块1输出的心电信号和脉搏波信号进行预处理和周期位置标识后,提取心电信号和脉搏波信号各自的15个周期序列。其中,预处理包括对心电信号的幅值、相位处理和脉搏波信号的幅值处理,具体为:Step S2: The preprocessing module 21 performs preprocessing and cycle position identification on the ECG signal and the pulse wave signal output by the data acquisition module 1 respectively, and then extracts 15 cycle sequences of the ECG signal and the pulse wave signal respectively. Among them, the preprocessing includes the amplitude and phase processing of the ECG signal and the amplitude processing of the pulse wave signal, specifically:
取一组心电图信号和一组脉搏波信号,获得这组心电图信号的平均值、最大值和最小值,比较平均值到最大值和平均值到最小值哪个宽度大,若平均值到最大值宽度较大,则输入为正向信号,输出到下一步,否则对输入端心电图信号进行值取反,最后对心电图和脉搏波信号进行归一化的幅值处理。Take a group of ECG signals and a group of pulse wave signals, obtain the average value, maximum value and minimum value of this group of ECG signals, compare the width from the average value to the maximum value and the average value to the minimum value, if the width from the average value to the maximum value If it is larger, the input is a positive signal, and the output goes to the next step; otherwise, the value of the ECG signal at the input terminal is reversed, and finally the normalized amplitude processing is performed on the ECG and pulse wave signals.
周期位置标识包括:心电信号和脉搏波信号分别对各自信号中数值进行比较,得到信号的变化规律,每个信号周期结束时进行标识,删除信号周期不完整的部分,最终分别得到心电信号和脉搏波信号的完整的周期序列。如图5所示,周期序列标识为对周期序列标“|”处理,即将原始的脉搏波序列划分为若干个子序列,除去首尾的两个子序列,剔除不完整的部分,中间的每一个子序列都是一个完整的脉搏周期,可以单独提取一个完整的周期序列,实现对原始脉搏波的周期识别。提取对应的15个完整的周期序列为影像叠影技术处理做准备,这样可以确保检测精度,减小测量时间。Periodic position identification includes: ECG signal and pulse wave signal are compared with the values in their respective signals to obtain the change rule of the signal, mark at the end of each signal period, delete the incomplete part of the signal period, and finally obtain the ECG signal respectively and a complete periodic sequence of pulse wave signals. As shown in Figure 5, the periodic sequence is marked with "|" for the periodic sequence, that is, the original pulse wave sequence is divided into several subsequences, the first and last two subsequences are removed, and the incomplete part is eliminated. Each subsequence in the middle They are all a complete pulse cycle, and a complete cycle sequence can be extracted separately to realize the cycle recognition of the original pulse wave. The corresponding 15 complete cycle sequences are extracted to prepare for image ghosting technology processing, which can ensure detection accuracy and reduce measurement time.
对心电信号和桡动脉信号经过预处理后两信号叠影的结果如图6所示。Figure 6 shows the superimposition results of the ECG signal and the radial artery signal after preprocessing.
步骤S3:波峰检测模块22分别获取预处理模块21输出的心电信号和脉搏波信号的周期序列的峰位特征,并根据峰位特征得到每个周期序列的位置。峰位特征包括波峰和波谷的个数及相应的位置。Step S3: The peak detection module 22 respectively acquires the peak position characteristics of the periodic sequence of the ECG signal and the pulse wave signal output by the preprocessing module 21, and obtains the position of each periodic sequence according to the peak position characteristic. Peak features include the number and corresponding positions of peaks and troughs.
波峰检测模块22采用标准的波峰检测函数,为labview虚拟软件的信号处理工具包中的一个波形检测控件,通过该控件可以得到提供波形的波峰数,相应波峰的幅值向量和波峰的位置向量,波峰检测函数如图7所示。The peak detection module 22 adopts a standard peak detection function, which is a waveform detection control in the signal processing toolkit of the labview virtual software, through which the number of peaks of the provided waveform, the amplitude vector of the corresponding peak and the position vector of the peak can be obtained, The peak detection function is shown in Figure 7.
步骤S4:影像叠影模块23基于影像叠影技术设计,根据峰位特征利用波形对齐函数分别将波峰检测模块22输出的心电信号和脉搏波信号的每个周期序列进行起始点对齐,时间和分量值相同,便于两信号比较,对齐后的每个周期序列相应位置的值叠加得到心电信号和脉搏波信号各自的单周期序列波形,再通过互功率谱函数获取两个单周期序列波形的功率谱最高点(功率谱最高点为最高波峰特征点),将心电信号和脉搏波信号功率谱最高点所对应的时间作为脉搏波传播传输时间PTT,由公式(1)得到脉搏波传输速率PWV:Step S4: The image ghosting module 23 is designed based on the image ghosting technology, and uses the waveform alignment function to align the starting point of each cycle sequence of the ECG signal and the pulse wave signal output by the peak detection module 22 according to the peak position characteristics, time and The component values are the same, which is convenient for the comparison of the two signals. The values of the corresponding positions of each cycle sequence after alignment are superimposed to obtain the respective single-cycle sequence waveforms of the ECG signal and the pulse wave signal, and then the two single-cycle sequence waveforms are obtained through the cross-power spectrum function. The highest point of the power spectrum (the highest point of the power spectrum is the highest peak feature point), the time corresponding to the highest point of the power spectrum of the ECG signal and the pulse wave signal is taken as the pulse wave transmission time PTT, and the pulse wave transmission rate is obtained by formula (1) PWV:
其中,L为动脉在两个既定点间的距离,例如桡动脉到股动脉两测量点的距离,通过测量体表获得该值。Among them, L is the distance between two given points of the artery, such as the distance between the radial artery and the femoral artery, which is obtained by measuring the body surface.
影像叠影技术是指将一个或多个波形叠加到另一个波形上,形成叠影的效果,叠影的每个波形在横坐标时间点必须是对齐的,在叠影之前还必须对波形进行去噪处理。Image ghosting technology refers to superimposing one or more waveforms on another waveform to form a ghosting effect. Each waveform of the ghosting must be aligned at the time point of the abscissa. Before the ghosting, the waveform must be Noise removal.
波形对齐函数如图8所示,为labview虚拟软件的信号处理工具包中的波形调理控件,结果中波形A输出和波形B输出的时间和分量值相同。波形对齐函数将心电信号和脉搏波信号的单周期波形的起始点对齐,以免出现图像错位而引起结果误差。The waveform alignment function is shown in Figure 8, which is the waveform conditioning control in the signal processing toolkit of the labview virtual software. In the result, the time and component values of the waveform A output and waveform B output are the same. The waveform alignment function aligns the starting point of the single-cycle waveform of the ECG signal and the pulse wave signal to avoid image misalignment and result errors.
互功率谱函数如图9所示,为labview虚拟软件的信号处理工具包中的谱分析控件,互功率谱反应输入信号在不同频率点的相互关系,其相位是一种常用的时延估计方法,该方法在弱噪声和中度一下混响的环境下,可以获得比较精确的时延估计值。互功率谱法获取心电信号和脉搏波信号相应特征点的时间间隔。The cross power spectrum function is shown in Figure 9, which is the spectrum analysis control in the signal processing toolkit of the labview virtual software. The cross power spectrum reflects the relationship between input signals at different frequency points, and its phase is a commonly used time delay estimation method. , this method can obtain a more accurate time delay estimate in the environment of weak noise and moderate reverberation. The cross power spectrum method obtains the time interval of the corresponding feature points of the ECG signal and the pulse wave signal.
心电图和脉搏波信号的15个完整的周期序列进行叠加处理,得到幅值扩大15倍的心电图信号和脉搏波信号的单周期波形,相加后得到的单周期信号波形幅度变化明显,实现了对有效信号的加强,减弱噪声对信号的影响。叠加成功的波形如图10所示,实线为脉搏波信号,虚线为心电信号,可以看出最后的波形图信号非常清晰,也没有延滞,这样计算的信号的相位延滞就非常准确,从而大大提高了测量精度和重复性。通过互功率谱函数得到心电信号和脉搏波信号相应特征点的时间间隔来计算PTT就能大大提高计算精度。The 15 complete cycle sequences of the electrocardiogram and pulse wave signals are superimposed and processed to obtain a single-cycle waveform of the electrocardiogram signal and pulse wave signal whose amplitude is enlarged by 15 times. The effective signal is strengthened, and the influence of noise on the signal is weakened. The successfully superimposed waveform is shown in Figure 10. The solid line is the pulse wave signal, and the dotted line is the ECG signal. It can be seen that the final waveform signal is very clear and has no delay, so the phase delay of the calculated signal is very accurate, so that Greatly improved measurement accuracy and repeatability. Calculating the PTT by obtaining the time interval of the corresponding feature points of the ECG signal and the pulse wave signal through the cross power spectrum function can greatly improve the calculation accuracy.
综上,本发明采用的方法为心电脉搏法,通过采集心电信号和动脉末端脉搏信号,计算心电与脉搏信号相应特征点的时间间隔,来表示传输时间。采用的处理技术为影像叠影技术,对采集的心电信号和脉搏波信号进行一系列处理,最后得到单周期的心电信号和脉搏波信号,对齐并影像叠影后利用互功率谱函数得到相应特征点的时间间隔,即脉搏波传输时间。To sum up, the method adopted in the present invention is the ECG pulse method, which represents the transmission time by collecting the ECG signal and the pulse signal at the end of the artery, and calculating the time interval between the corresponding feature points of the ECG signal and the pulse signal. The processing technology used is the image ghosting technology, which performs a series of processing on the collected ECG signal and pulse wave signal, and finally obtains the single-cycle ECG signal and pulse wave signal, and uses the cross power spectrum function to obtain the image after alignment and ghosting. The time interval of the corresponding feature points is the pulse wave transmission time.
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