人体血氧饱和度检测中消除脉搏波信号高频噪声的方法

基于光电容积脉搏波的方法可以用于人体血氧饱和度的无创检测,基于光电容积脉搏波测量时,由于信号采集过程中随机噪声等干扰,脉搏波信号中存在高频噪声,影响最终的血氧饱和度测量精度。提出采用基于连续均方误差(CMSE)准则的经验模态分解(EMD)法消除脉搏波信号中的高频噪声。利用自行研制的光电容积脉搏波采集装置采集脉搏波信号,应用该方法消除信号中高频噪声,并采用信号的频谱进行效果评价。结果表明：该方法有效消除了高频噪声,这将有利于人体血氧饱和度无创检测精度的提高。     

反射式血氧饱和度检测方法的研究

近红外光谱技术可实现组织中血氧代谢的实时无损伤在体测量, 在生物医学领域得到了广泛应用。 本文利用红光、红外光双光束对指尖进行了基于反射式原理的血氧饱和度(SPO2)检测。通过改变入射光的强度, 并在距入射光1.5cm处采集其反射信号, 观察光强变化对光学体积描记（PPG）信号的影响。实验表明在入射光强不同时, 光到达生物组织层次不同, 所得信号幅度、信噪比都不同。以此提出改变光强法来检测组织不同层次的血氧饱和度。     

单波长光声光谱血氧饱和度检测技术研究（英文）

血氧饱和度(SO_2)为临床观察病情变化提供了有意义的指标。传统血氧饱和度检测研究工作多采用双光源和多光源光电容积脉搏波描记法实现无创检测来减少病人痛苦。通过研究生物组织对光的吸收和散射特性,将光谱学和光声技术相结合提出了一种无创式单光源检测血氧饱和度(SO_2)、脱氧血红蛋白浓度[HBR]和氧合血红蛋白浓度[HbO_2]的新方法。该方法基于血液对光信号的吸收和散射理论基础和光声信号呈现吸收线形关系建立单波长光声光谱血氧饱和度检测技术,不仅可以进行指标性参数分析还可以对组织成像。为了验证该技术可行性,在实验中采用单波长激光脉冲光源,以绿色和红色墨水的混合液体作为含有脱氧血红蛋白和氧合血红蛋白的血液模型注入软管模拟人体血液环境。其中红色墨水的含量类比于血液中含氧血红蛋白含量,从而可通过测量计算出红色和绿色墨水浓度来表征伪血氧饱和度(poseudo-SO_2)。实验结果表明,所测的伪血氧饱和度与实际浓度误差不超过6.97%,采用该方法量化血氧饱和度是可行的;同时利用实验结果,结合光声成像技术完成了对伪血液中单圆管截面成像。该方法替代多波长光谱分析的方法能显著降低激光系统和便携式实现成本。     

单波长光声光谱血氧饱和度检测技术研究

血氧饱和度(SO₂)为临床观察病情变化提供了有意义的指标。传统血氧饱和度检测研究工作多采用双光源和多光源光电容积脉搏波描记法实现无创检测来减少病人痛苦。通过研究生物组织对光的吸收和散射特性,将光谱学和光声技术相结合提出了一种无创式单光源检测血氧饱和度(SO₂)、脱氧血红蛋白浓度[HBR]和氧合血红蛋白浓度[HbO₂]的新方法。该方法基于血液对光信号的吸收和散射理论基础和光声信号呈现吸收线形关系建立单波长光声光谱血氧饱和度检测技术,不仅可以进行指标性参数分析还可以对组织成像。为了验证该技术可行性,在实验中采用单波长激光脉冲光源,以绿色和红色墨水的混合液体作为含有脱氧血红蛋白和氧合血红蛋白的血液模型注入软管模拟人体血液环境。其中红色墨水的含量类比于血液中含氧血红蛋白含量,从而可通过测量计算出红色和绿色墨水浓度来表征伪血氧饱和度(poseudo-SO₂)。实验结果表明,所测的伪血氧饱和度与实际浓度误差不超过6.97%,采用该方法量化血氧饱和度是可行的;同时利用实验结果,结合光声成像技术完成了对伪血液中单圆管截面成像。该方法替代多波长光谱分析的方法能显著降低激光系统和便携式实现成本。     

基于动态光谱的脉搏血氧测量精度分析

脉搏血氧仪具有连续、无创、快速、准确监测人体动脉血氧饱和度和心率的功能,现已在临床上发挥重要作用.脉搏血氧饱和度检测法结合分光光度测定法和容积描记法2个基本方法,用红光和红外光同时对手指及耳垂等组织照射和检测.红外光和红光的容积描记图的波幅比值,随动脉血氧饱和程度而变化.目前使用的脉搏血氧仪基本上采用的是传统的脉搏血氧饱和度检测方法,由于其结果受到测量原理,测量条件及个体差异等多方面因素影响,精度不能令人满意.文章从动态光谱的观点出发,通过分析传统脉搏血氧测量原理中产生误差的原因,从理论上推导出实现高精度脉搏血氧测量的方法.动态光谱方法在原理上具有抑制或克服个体差异和测量条件对检测光谱影响的优点.采用该方法可以消除脉搏血氧饱和度测量的理论上的绝大部分误差.     

一种改进的脉搏血氧饱和度测量方法

针对峰谷值法在低灌注下血氧饱和度测量准确度较低的缺点,采用了一种基于卷积建模测量血氧饱和度的改进方法。该方法基于脉搏波具有周期性和稀疏性的特性,通过对光电容积脉搏信号特征与其卷积信号特征进行分析,使用其卷积信号代替脉搏信号测量血氧饱和度。实验结果表明,提出的改进方法与峰谷值法在正常灌注指数下测量结果相近,且在低灌注指数至0.2%的条件下,峰谷值法平均偏差和准确度分别为5.304和3.296,改进方法的平均偏差和准确度分别为1.224和1.443,改进方法的测量精度更高、稳定性更好,为人体血氧饱和度测量提供了一种有效途径。     

一种光电容积脉搏信号的峰值点自动识别方法

光电容积脉搏信号的峰值点自动识别直接关系到无创血氧饱和度测量与脉搏波峰-峰间期提取的准确率。提出一种小波联合识别方法：基于小波多分辨率分析原理校正影响脉搏波峰值点幅值的基线干扰,再利用二次样条小波模极大算法自动识别峰值点。将该方法应用到自行研制的光电容积脉搏波测量系统中,对采集的信号进行了校正与峰值点识别,通过在信号中增加随机噪声以评价方法的稳定性与可靠性,然后利用10组实测数据,对比本方法与传统差分阈值法的峰值点识别准确率,进一步评价方法的有效性。结果表明：本方法在较好地消除了基线干扰的基础上,在染噪的信号中仍然会较精确地检测出脉搏波主波峰,具有较好的抗干扰能力,有利于提高血氧饱和度检测及峰-峰间期提取的准确性,从而有助于后期人体呼吸功能评价与心率变异性分析。     

皮肤组织容积脉搏波400~1000 nm光谱特性仿真研究

根据皮肤组织解剖结构特性建立了六层层状模型,并给出了皮肤组织各层的特性参数;考虑了氧合血红蛋白和还原血红蛋白的吸收特性,依据皮肤组织各层的水、血、脂肪、血氧饱和度含量以及血管大小给出了皮肤组织各层的光谱吸收系数;对不同波长散射系数做了适当简化,给出了皮肤组织各层的光谱散射系数。利用蒙特卡罗方法仿真血管组织在收缩与舒张两种状态下, 400~1 000 nm波长光在皮肤组织多层模型中的传输过程,并通过统计大量光子的分布特性,获得了皮肤组织光谱反射系数,并利用模拟所得的两种状态下的反射系数计算得到了光谱容积脉搏波幅度。仿真结果表明,当入射光强一定时,绿光的容积脉搏波幅度优于红光和蓝光。通过计算不同波长光沿皮肤组织深度方向光能流率衰减为1/e时对应的皮肤组织深度,获得了皮肤组织光谱穿透深度。结果显示,血管舒张状态下蓝光和绿光的穿透深度较小,蓝光大部分只能达到表皮层,绿光能到达微循环层,红光可直达真皮层。考虑到光在皮肤组织中传播包含了一个从收缩到舒张的动态过程,基于此,根据穿透深度定义了脉搏波信号产生深度,利用血管舒张与收缩两种不同状态下的穿透深度计算得到了光谱产生深度。结果表明,不同波长光产生深度大于其穿透深度,蓝光产生深度较浅,且其受到的血液吸收调制较小,因而其获得的脉搏信号易受噪声干扰;红光的容积脉搏波产生深度较大,但是相比于绿光其受血液吸收调制较小,且绿光产生深度足够达到真皮血管层,因而红光容积脉搏波的幅度小于绿光。上述仿真结果明确了皮肤组织部分光谱特性,为皮肤组织多光谱容积脉搏波的精确获取及其他相关研究提供了一定的理论基础。     

基于动态光谱法的多波长脉搏血氧饱和度测量

目前临床上血氧饱和度的无创检测主要基于双波长的脉搏血氧饱和度测量原理,但其检测精度仍然需要进一步的探究和完善。近年来,国内外的很多研究者采用三波长甚至八波长的方法测量血氧饱和度,从某种程度上减小了误差。动态光谱法作为一种新型血液成分无创检测方法,能消除受试者个体差异和测量环境等的影响,在血红蛋白浓度的无创检测研究中取得了很好的效果。基于动态光谱法对多波长下脉搏血氧饱和度检测进行了研究：对60名重症监护患者进行动态光谱采集以及动脉抽血分析血氧饱和度值;采用高灵敏度光纤光谱仪,采集受试者指端透射多波长下的光谱信息;以单拍提取法提取波长范围为606.44~987.55 nm的动态光谱;以动脉血气分析中血氧饱和度值为参考真值,建立血氧饱和度与多波长动态光谱数据的组合间隔偏最小二乘校正模型;得到预测集的相对误差为±0.017 6,而两波长测量装置监护仪上得到的数据相对误差为±0.116 4。结果表明：利用高灵敏度光纤光谱仪采集多波长光谱信息,用动态光谱法进行数据预处理,进行多波长血氧饱和度检测,有效降低了血氧饱和度的测量误差。     

基于红外反射光容积脉搏波的血管阻力研究

近红外光谱技术在血氧饱和度和血糖浓度的无损伤在体测量中得到了应用。本文利用基于反射式原理的红外光容积脉搏波对指尖和桡动脉进行了血管阻力等血流参数检测的研究。通过将提取到的光电容积脉搏波中峰峰值和特征K值参数与超声多普勒所测收缩期峰值血流速度和血管阻力参数进行相关性分析, 发现两者存在很强的相关性, 研究结果将扩展光电容积脉搏波在血流检测中的应用。     

近红外光谱方法在颌面外科皮瓣移植术后监测中的应用

近红外光谱技术作为一种无创组织氧监测手段,近年来在整形外科手术术后监测方面得到了越来越多的重视。文章利用一套近红外无损组织氧检测系统对6例手术成功病例的移植皮瓣侧和对照侧正常组织内的氧饱和度进行了长时间对比监测,发现两侧的组织氧饱和度之间存在显著性差异。还对一例血管吻合失败的病例下颌部的多个位置进行了检测,发现坏死部位的氧饱和度和正常组织相比处于很低的水平。实验结果表明,近红外光谱检测技术对于皮瓣内的血氧浓度动态变化具有很好的灵敏度,在移植皮瓣的术后监测方面具有良好的应用前景。     

Measurement of the hemoglobin oxygen saturation level with spectroscopic spectral-domain optical coherence tomography

We report the measurement of the hemoglobin (Hb) oxygen saturation level in human blood with a spectroscopic spectral-domain optical coherence tomography (SSD-OCT) system based on the crossover behavior of Hb and oxyhemoglobin (HbO(2)) absorption coefficients around 800 nm. By calculating the ratio of the exponential decay constant of A-mode scan signal in the long-wavelength range (>800 nm) over that in the short-wavelength range (<800 nm), the relative oxygen saturation level of Hb can be calibrated. Such a relative level can be used for practical diagnosis application after a golden standard is built by comparing the variation of the OCT result with that of a conventional method, such as the use of a blood gas analyzer. In our experiment, the variation curve based on the SSD-OCT measurement, which has the advantages of noninvasive, real-time, and high-resolution measurements, is coincident with that of using a commercial blood gas analyzer.     

拉曼光谱在血红蛋白结构及功能研究中的应用进展

血红蛋白发挥多种重要生理功能,但对其结构及功能的认识尚不能满足疾病诊治的需求。拉曼光谱在血红蛋白结构及功能研究中具有很大应用潜力,不但可以检测血红蛋白中血红素及其周围分子结构变化,还可以反映血红蛋白反应动力学具体过程。同时,血红蛋白拉曼光谱在疾病状态下异常血红蛋白检测,血氧饱和度定量测定及血液代用品的高铁血红蛋白含量检测中突显优势。本文综述了拉曼光谱在血红蛋白结构及功能领域中的研究,简述了拉曼光谱在一些病变血红蛋白诊断中的研究进展,分析了影响血红蛋白拉曼光谱检测的因素,以促进拉曼光谱技术在血红蛋白结构和功能研究中的应用。     

The role of optimum dielectric saturation in the reversible combination of oxygen with heme Fe2+ and the tuning of paramagnetic-diamagnetic switching

The paramagnetic-diamagnetic switching mechanism of hemoglobin, triggered by oxygen binding, is studied by a formalism involving an expression of work necessary to polarize the dielectric in Landau form. The “tuning” of the mechanism, or determination of occurrence of the switching in response to a certain input energy, is brought about by dielectric saturation of the medium. The relation between the effect of dielectric saturation of the medium and the effect of application of a constant (nonordering) magnetic field indicates charge transfer between the central Fe²⁺ ion and the porphyrin ring during switching.     

High coverage states of oxygen adsorbed on Pt(100) and Pt(111) surfaces

Oxygen adsorption on the Pt(100) and Pt(111) surfaces was investigated using X-ray photo-emission and thermal desorption spectroscopies. Low pressure (ca. 10^?5 Pa) oxygen dosing at near ambient crystal temperature resulted in the formation of dissociated adsorbed species at saturation coverages of nominally 0.2–0.25 monolayer on both surfaces. The combination of higher pressure (ca. 10^?3 Pa) and higher surface temperature (570 K) dosing produced a three to five times higher saturation coverage than the low pressure dosing. The effect of dosing condition on the saturation coverage appears to reconcile apparent discrepancies for the Pt(100) surface in the literature. Characterization by XPS of the higher coverage state for oxygen showed that it is in the same chemical state as the oxygen adsorbed at very low coverage. Angle-resolved XPS has shown that in all cases the oxygen appears to reside on the surface with no significant penetration of oxygen into the bulk, as would be characteristic of oxidation. However, some penetration on the surface by oxygen, such as by a place-exchange type restructuring of the first two atomic layers, cannot be entirely ruled out.     

The adsorption of oxygen on silicon (111) surfaces. II

At a wavelength of 546 nm the change of the ellipsometric angles δΔ (relative phase change) and δψ (relative amplitude change) has been studied on clean cleaved silicon (111) surfaces during adsorption of oxygen. δψ increases linearly with exposure up to a saturation value. The saturation dose, i.e. also the sticking coefficient for the corresponding process depends exponentially on the mean step density of the surface. δΔ is nearly independent of step density. The interpretation in terms of a macroscopic theory (Drude model) gives evidence of two adsorption processes, the formation of a monolayer of oxygen controlled by step density and a subsequent further oxidation process.     

Measurement of Cerebral Optical Pathlength as a Function of Oxygenation Using Near-infrared Time-resolved Spectroscopy in a Piglet Model of Hypoxia

Near-infrared spectroscopy (NIRS) has been used for measurement of changes in cerebral hemoglobin concentrations in neonates to study cerebral oxygenation and hemodynamics. In this study, measurements by time-resolved reflectance spectroscopy (TRS) were performed in a piglet model with various degrees of cerebral oxygenation to estimate the differential pathlength factor (DPF). A portable three-wavelength TRS system (TRS-10, Hamamatsu Photonics K.K.) with a probe attached to the head of a piglet was used. Eleven newborn piglets were anesthetized and respired by a ventilator to induce stepwise hypoxia loading. The DPF showed positive linear relationship with arterial hemoglobin (Hb) oxygen saturation and sagittal sinus venous Hb oxygen saturation at 761 and 795 nm. The DPF at 835 nm also showed very slight positive linear relationship with arterial hemoglobin oxygen saturation. The DPF values obtained in this study should contribute to a better understanding of noninvasive measurements by NIRS in neonates.     

Absolute coverages of CO and O on Pt(111); Comparison of saturation CO coverages on Pt(100), (110) and (111) surfaces

Nuclear microanalysis (NMA) has been used to determine the absolute coverages of oxygen and CO adsorbed on Pt(111). The saturation oxygen coverage at 300 K is 3.9 ± 0.4 × 10¹⁴ O atoms cm^?2 (θ = 0.26 ± 0.03), confirming the assignment of the LEED pattern as p(2 × 2). The saturation CO coverage at 300 K is 7.4 ± 0.3 × 10¹⁴ CO cm^?2 (θ = 0.49 ± 0.02). The low temperature saturation CO coverages on Pt(100), (110) and (111) surfaces are compared.