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系統識別號 U0026-1807201413532900
論文名稱(中文) 血行動力儀於心衰竭疾病臨床基礎檢測之應用
論文名稱(英文) An Application of Non-Invasive Hemodynamic Analyzer in Clinical Examination of Heart Failure
校院名稱 成功大學
系所名稱(中) 航空太空工程學系
系所名稱(英) Department of Aeronautics & Astronautics
學年度 102
學期 2
出版年 103
研究生(中文) 陳鵬丞
研究生(英文) Peng-Cheng Chen
學號 p46011521
學位類別 碩士
語文別 中文
論文頁數 77頁
口試委員 指導教授-尤芳忞
口試委員-李定智
口試委員-林三益
中文關鍵字 心衰竭  血行動力儀  心跳變異率分析  心室快速射血時間 
英文關鍵字 Heart Failure  Non-Invasive Hemodynamic Analyzer  HRV  Rapid Ejection Time of Ventricular 
學科別分類
中文摘要 本研究利用血行動力儀探討心衰竭病患的心臟機械功能的變化情形,血行動力儀是根據血液流體動力學理論發展而來,以電容式麥克風於手腕橈動脈測量脈搏跳動產出的聲音訊號,此訊號中包含了人體血流動力系統中任何的動態壓力變化訊息;由分析此訊號之原始波形配合心電圖測得之心電圖同步比對可辨別出此波形所代表之心臟與血管方面的各種動態訊息以及心臟供血動態狀況。本研究發現由原始波形中心室快速射血期時間以及心跳變異率分析中能量頻譜密度以及潘凱圖分析,可以建立出心臟衰竭程度以及收縮功能的相關標準。而血行動力儀具備了方便與易於判讀之特性,從其所獲得之心血管與心臟之動態資訊,來協助基層臨床醫療人員對於臨床症狀疑似心衰竭病患,提供初步心功能的評估對於基層醫療體系系統上心衰竭的診斷及治療一定大有助益。
英文摘要 The Non-Invasive Hemodynamic Analyzer (NIHD) is used to probe the variation of the mechanical function of heart, this device is developed based on the hemodynamics theory. On measuring the audio signal from the pulse beat from wrist artery from a condenser microphone, the results contains the detailed hemodynamics information of the cardiovascular system can be observed. The digital signal analysis of the data obtained can unveil the detailed cardiovascular behavior. The analysis of signal in-line with ECG wave and mean arterial pressure wave delivers much more detailed information corresponding to the cardiovascular system. This study try to build the basis standard for which the degree of heart failure and systole function of heart can be examined. From the data of rapid ejection time of ventricular, power spectral density (PSD) of heart rate variability and Pointcare’ plot is used for the examination. The device of NIHD has the characteristics of convenience on operation and easily interpretation on the data, it can be used to offer an early diagnostic on the heart failure disorder in the primary medical system.
論文目次 摘要 I
Abstract II
誌謝 VI
目錄 VII
表目錄 X
圖目錄 XI
符號索引 XIII
第一章 緒論 1
1-1前言 1
1-2 研究動機與目的 2
1-3 文獻回顧 4
1-3-1 循環理論 5
1-3-2 共振理論 7
1-3-3 心跳變異率 10
第二章 理論分析 14
2-1 心臟構造與生理功能 15
2-2 心電圖(Electrocardiogram,ECG) 17
2-2-1 心電圖量測原理 17
2-3共振理論 19
2-4快速傅立葉轉換(Fast Fourier Transform,FFT)原理 20
2-5心跳變異率 22
2-5-1 心跳變異率與自律神經系統 23
2-6心跳變異率分析 24
2-6-1 心跳變異率時域分析 25
2-6-2心跳變異率頻域分析 26
2-7 潘凱圖(Pointcare’ Plot)非線性分析法 27
第三章 實驗設備、方法及步驟 30
3-1實驗設備 30
3-2實驗方法與步驟 32
3-3電容式麥克風驗證設計與實驗 34
第四章 結果與討論 35
4-1麥克風驗證設計與實驗結果 35
4-2 臨床測試實驗結果與討論 37
4-2-1 脈波時域分析 38
4-2-2 脈波頻域分析 40
第五章 結論與建議 42
5-1 結論 42
5-2 建議 44
參考文獻 45
附錄 74
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