Electronic sphygmomanometer An electronic sphygmomanometer is a medical device that uses modern electronic technology and the principle of indirect blood pressure measurement to measure blood pressure.
Electronic sphygmomanometers are divided into arm type, wrist type and watch type; its technology has experienced the most primitive first generation (mechanical fixed speed exhaust valve), second generation (electronic servo valve), and third generation (pressurized Synchronous measurement) and the development of the fourth generation (integrated gas circuit).
It usually consists of a blocking cuff, a sensor, an air pump, and a measuring circuit. Electronic equipment for blood pressure measurement using oscillometric method, offset sound method or similar non-invasive blood pressure indirect measurement principle.
Overview
The principle of the electronic sphygmomanometer adopts the oscillometric method, which is accurate in principle. The clinical verification of the electronic sphygmomanometer is designed with auscultation as the standard and using statistical methods. But this does not mean that the results measured by the auscultation method using a mercury pressure gauge are more accurate than those of an electronic sphygmomanometer. Of course, it is not necessarily correct to think that the measurement result of the electronic sphygmomanometer is more accurate than the result measured by the auscultation method using the mercury pressure gauge.
Because mercury is too destructive to the environment, it is recommended not to use a mercury sphygmomanometer. The country has also banned the use of mercury sphygmomanometers in legislation.
The mercury sphygmomanometer used by doctors in the hospital is just a tool for pressure measurement. The view that the mercury sphygmomanometer is an accurate sphygmomanometer is one-sided, because the mercury column sphygmomanometer is just a pressure gauge, and the focus is on the doctor`s auscultation through a stethoscope. Developed countries in the world generally prohibit the use of mercury column sphygmomanometers, and use pressure gauges, but due to the mechanical design principles of pressure gauges, it must be calibrated once every three months.
Nowadays, electronic sphygmomanometers have realized automatic and intelligent measurement. The measurement data can be automatically transmitted to the health management platform through the network, and the health data report will be generated and fed back to the user. The measurement results are more accurate than traditional electronic blood pressure monitors due to the use of more advanced technology.
It is normal for individual subjects to have differences between electronic sphygmomanometers and auscultation methods.
Function
Used to measure the patient's blood pressure on the arm or wrist.
Principle of sphygmomanometer
The indirect blood pressure measurement method is divided into the auscultatory method and the oscillometric method.
The auscultation method has its inherent shortcomings: First, there has been controversy over whether the diastolic blood pressure corresponds to the fourth phase or the fifth phase, and the discrimination error caused by this is very large. The second is to judge systolic blood pressure and diastolic blood pressure by listening to Korotkoff`s voice. The readings are affected by a series of factors such as the doctor`s mood, hearing, environmental noise, and the testee`s tension, which easily introduces subjective errors and is difficult to standardize.
Although the electronic sphygmomanometer made on the principle of auscultation has realized automatic detection, it still has not completely solved its inherent shortcomings, that is, large errors, poor repeatability, and susceptibility to noise interference.
Most blood pressure monitors and automatic electronic sphygmomanometers use the oscillometric method to measure blood pressure indirectly. The oscillometric method determines blood pressure by establishing the relationship between systolic blood pressure, diastolic blood pressure, average pressure and cuff pressure shock waves.
Because pulse pressure oscillating wave has a relatively stable correlation with blood pressure, in the application of self-testing blood pressure at home, the blood pressure measured by the principle of oscilloscope is more accurate than the auscultation method. Moreover, when the oscillometric method measures blood pressure, there is no pickup device in the cuff, the operation is simple, the ability to resist external noise interference is strong, and the average pressure can be measured at the same time.
It must be pointed out that from the principle of measurement, the two indirect measurement methods do not have the problem of which one is more accurate.
Product structure
There are three generations of electronic sphygmomanometers. The following describes its structure according to the third-generation electronic sphygmomanometer.
1. The first generation of electronic blood pressure monitor (G1-NIBPM)
The main components of the composition: fast pressurizing air pump or manual pressurizing pump, electronic quick exhaust valve, mechanical fixed speed exhaust valve, air pressure sensor
Due to the use of rubber valves that are prone to aging, they are generally considered inaccurate. This technology has been eliminated by mainstream electronic sphygmomanometer manufacturers.
2. The structure of the second-generation electronic blood pressure monitor (G2-NIBPM)
Main components: pressurized air pump, electronically controlled exhaust valve, air pressure sensor
Technology used: MWD technology (measured during decompression)
Measurement characteristics: Due to the use of electronically controlled exhaust valve servo technology (ECV SERVO TECHNOLOGY), the speed of fixed-speed exhaust is truly fixed, and can be intelligently pressurized according to the blood pressure of the measurer, and the measurement result is more stable (other Except for influencing factors).
Feature 1: Only one exhaust valve is used-electronically controlled exhaust valve, which is also used for fixed speed exhaust and rapid exhaust at the end of the measurement;
Feature 2: Intelligent pressure. That is, the sphygmomanometer will make a rough judgment on the measurer's blood pressure in advance during the pressurization process, so as to determine the final pressure value that needs to be added, usually the pressure value is added to the measurer's systolic blood pressure +30mmHg;
Feature 3: The deflation speed can be stabilized at 3~4mmHg/s from the beginning.
The second-generation electronic sphygmomanometer (G2-NIBPM) is characterized by its electronically controlled exhaust valve (ECV) and electronically controlled exhaust valve servo technology. Internationally, there are roughly the following companies that have mastered "Electronic Control Exhaust Valve (ECV) and Electronic Control Exhaust Valve Servo Technology": Jinyidi Technology, Omron, and Panasonic.
The first-generation and second-generation measurement technologies are collectively referred to as MWD technology (measurement during decompression), which corresponds to the following third-generation MWI technology (measurement during pressurization).
3. The structure of the third-generation electronic sphygmomanometer (G3-NIBPM)
Main components: servo pressurized air pump, electronically controlled exhaust valve, air pressure sensor
Technology used: MWI technology (measured under pressure)
Measurement features: pressurize at a constant speed, and measure blood pressure during the pressurization process.
Feature 1: Use a servo pressurized air pump-control the pressurization speed, and measure blood pressure during the pressurization process;
Feature 2: Use only one exhaust valve ------ electronic quick exhaust valve for quick exhaust at the end of the measurement. The technical difficulty of this generation of electronic sphygmomanometers is MWI technology (pressure simultaneous measurement). The companies that master this generation of technology in the world are roughly as follows: Jinyidi, Omron, Panasonic, Aintan.
The third-generation electronic sphygmomanometer (G3-NIBPM) is characterized by only using an electronically controlled quick exhaust valve and -MWI technology (pressure simultaneous measurement technology).
4. The structure of the fourth-generation electronic blood pressure monitor (G4-NIBPM)
The main components: integrated gas circuit
Technology used: MWI technology (measured when pressurized)
Measurement features: pressurize at a constant speed, and measure blood pressure during the pressurization process.
Feature 1: The entire integrated air circuit can be scaled down so that the entire air circuit can be scaled down to occupy only part of the space of an ordinary watch; laying the foundation for a wearable watch-type blood pressure monitor (blood pressure watch).
The fourth-generation electronic blood pressure monitor (G4-NIBPM) is characterized by an extremely compact structure, and the entire gas path is slightly reduced to occupy only part of the space of an ordinary watch.
Suitable for the crowd
Commonly used electronic sphygmomanometers (including commonly used medical mercury sphygmomanometers) are indirect methods to measure blood pressure. Compared with direct measurement methods, there are certain errors, which are usually between 5% and 20%.
The indirect measurement method is not suitable for people whose blood pressure is too low or too high, especially for patients with hemorrhage, whose blood pressure is severely low. Indirect measurement may cause more than 40% errors and cause doctors to make wrong judgments.
In addition, the wrist-type electronic blood pressure monitor has been widely used due to its convenient use. Especially in the cold winter, when the arm type electronic blood pressure monitor is not convenient to use.
Due to the successful development of the fourth-generation electronic sphygmomanometer technology, a wearable watch-type sphygmomanometer (blood pressure watch) will allow blood pressure to be detected anytime, anywhere (anytime, anywhere).
The finger sphygmomanometer, which was developed in Japan in the early years, proved to be unworkable before long. Therefore, the finger cuff type sphygmomanometer is not suitable for any people!
Sphygmomanometer classification
Wrist type electronic sphygmomanometer
A kind of electronic sphygmomanometer. The size of the palm, the smaller the space between the shape and the wrist, the bowl belt is made of antibacterial materials, and the blood pressure and pulse rate are displayed digitally.
Because the pressure measured by the wrist sphygmomanometer is the "pulse pressure value" of the wrist artery, it is particularly suitable for most middle-aged and elderly people, especially those with high blood viscosity, poor microcirculation, and patients with vascular sclerosis. In the crowd, there will be a big difference between the average value of multiple measurements with a wrist sphygmomanometer and an upper arm sphygmomanometer-a difference of ±1·3kPa (10mmHg) or more is very common. Therefore, for individuals who have purchased a wrist sphygmomanometer, it is recommended: Use it as a personal monitor-you can keep track of your own "blood pressure" changes at any time, but it must be clearly pointed out that what it measures is not what it is used to say. "Blood pressure value", but "wrist pulse pressure value".
Precautions for use
⒈ Rest for a while before the measurement to eliminate the influence of tension and fatigue on blood pressure;
⒉The arm of the examinee should be at the same height as the position of the heart;
⒊The cuff is placed flat, and the tightness is suitable for inserting two fingers;
⒋Generally, it is enough to test continuously for 2~3 times, and take the lowest value as the blood pressure data for this time.
Arm electronic sphygmomanometer
The measurement method is similar to the traditional mercury sphygmomanometer. The brachial artery is measured. Because the armband is placed on the upper arm, its measurement stability is better than that of a wrist sphygmomanometer, and it is more suitable for older people, irregular heartbeats, diabetes-induced peripheral vascular aging, etc. The disadvantage for patients to use is that there is no convenient wrist-type electronic sphygmomanometer.
Correct use method of arm electronic sphygmomanometer
Sit for a few minutes, put your arm into the armband and bind it
Take measurements with bare arms or wearing only thin clothes;
The armband has a moderate binding strength, so it is better to fit a finger;
The center of the armband is at the same height as the heart;
The lower part of the armband is 1-2cm away from the elbow joint.
Press the user key to start measurement automatically
When measuring, relax the palm with the palm up;
Keep calm and relax during the measurement;
Do not speak or move your body during the measurement.
The result shows, manual shutdown or automatic shutdown
After the measurement is completed, the blood pressure value and pulse value will be displayed;
In special circumstances, an arrhythmia prompt will appear;
The data is automatically uploaded to the Boumi Zhixin health management platform;
After the measurement is completed, press any key to shut down;
If you forget to turn it off, the sphygmomanometer will automatically turn off in 60s
Watch type sphygmomanometer
Watch-type sphygmomanometers are blood pressure watches, which are the latest type of sphygmomanometers different from wrist-type electronic sphygmomanometers. The size is the same as that of ordinary watches, and the way to wear them is the same as that of ordinary watches. The body of the watch is usually located on the back of the hand. The body of the wrist electronic sphygmomanometer is usually located on the side of the palm of the hand.
Voice electronic sphygmomanometer
Overview: The voice electronic sphygmomanometer is based on the original electronic sphygmomanometer with a voice broadcast function, which solves the problem of the elderly who cannot see clearly and is more humane.
Matters needing attention
The bottom of the cuff should be 1 to 2 cm above the elbow socket of the arm
Wrong cuff measurement results are different from time to time
Mercury sphygmomanometers require users to have professional training and use it with a stethoscope, so it is not very convenient for families. Sometimes inaccurate measurement results are actually caused by improper use of patients.
For example, some citizens do not know the correct position of wearing a blood pressure monitor cuff, so the results of each blood pressure measurement are different. In fact, whether it is a mercury sphygmomanometer or an electronic sphygmomanometer, the bottom of the cuff should be 1 to 2 cm above the elbow socket of the arm. Some patients wear the cuff too high or too low, and the pressure has changed when the blood flow passes through these places, and the measurement results are of course not accurate.
In addition, some electronic sphygmomanometer cuffs use a range of 22 to 32 cm, but some users have arm circumferences that are larger or smaller than the applicable range of the cuff. As a result, their blood pressure measurement values may also be inaccurate. So be sure to configure a cuff of the right size and wear it in an accurate position.
On the other hand, it is also important to fix a time for blood pressure measurement every day. Some people measure their blood pressure. You know, the change of human blood pressure within a day is relatively large. Strictly speaking, a person's blood pressure is different at every moment, and it also changes with the person's psychological state, time, season, temperature, and the measured location and body position. Therefore, the blood pressure measurement time should be fixed every day. The doctor suggested that the best time to measure blood pressure should be after getting up early in the morning, when the person is in a resting state, which can more truly reflect the blood pressure level.
2022 11/04