血压测量共振理论的实验验证(二):动脉脉音和血压听诊音的起源

The experimental verification of resonance vibration theory of blood pressure measurement (part 2):the origin of arterial sound and blood pressure auscultation sound

  • 摘要: 目的探究动脉脉音和血压听诊音的起源。方法将一只心音传感器绑缚于心前区心尖搏动最强处,将另一只心音传感器绑缚于右肱动脉血压听诊处或右颈动脉搏动最强处,分别记录未测量血压时和测量血压时心音与肱动脉脉音、心音与颈动脉脉音的同步图;将一只心音传感器绑缚于右颈动脉搏动最强处,将另一只心音传感器绑缚于右肱动脉血压听诊处,记录未测量血压时此两处动脉脉音的同步图。结果动脉主峰波形与第1心音波形群近乎同时发生;动脉后峰波形与第2心音波形群近乎同时发生;血压听诊音波形出现在主峰的位置上。结论动脉主峰脉音、血压听诊音和第1心音三者是同源的,均起源于房室瓣关闭所产生的振动;动脉后峰脉音与第2心音是同源的,均起源于主动脉瓣/肺动脉瓣关闭所产生的振动。

     

    Abstract: Objective To explore the origin of arterial sound and blood pressure auscultation sound by heart-sound sensor. Methods Firstly,the synchronization sound graph of heart and brachial artery(or carotid artery)at the time of blood pressure measuring or not was recorded respectively after one heart sound sensor was attached to the strongest beating place of the precordial region,and the other sensor was attached to the blood pressure auscultation place of right brachial artery(or the strongest impulse place of carotid artery). Secondly,the synchronization sound graph of right brachial artery and carotid artery was recorded after one heart sound sensor was attached to the strongest impulse place of the carotid artery,and the other sensor was attached to the blood pressure auscultation place of right brachial artery. Results The waveform of arterial main-peak and the waveform group of first heart sound occurred simultaneously. The waveform of arterial post-peak and the waveform group of second heart sound occurred simultaneously. The waveform of blood pressure auscultation sound appeared on the place of the mainpeak waveform. Conclusion The arterial main-peak sound,the blood pressure auscultation sound and the first heart sound were homologous,they all originated from the atrioventricular valves which generated vibration at the time of shutting. The arterial post-peak sound and the second heart sound were homologous,they both originated from the aortic/pulmonary valves which generating vibration at the time of shutting.

     

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