穿戴式生理参数监测及其临床应用研究进展  

Research progress on wearable physiological parameter monitoring and its clinical applications

作　　者：麻琛彬 徐浩然 李德玉(综述)[2] 张政波(审校)[1] MA Chenbin;XU Haoran;LI Deyu;ZHANG Zhengbo(Center for Artificial Intelligence in Medicine,Medical Innovation Research Department,PLA General Hospital,Beijing 100853,P.R.China;School of Biological Science and Medical Engineering,Beihang University,Beijing 100191,P.R.China;Medical School of Chinese PLA,Beijing 100853,P.R.China)

机构地区：[1]解放军总医院医学创新研究部医学人工智能研究中心,北京100853 [2]北京航空航天大学生物与医学工程学院,北京100191 [3]解放军医学院,北京100853

出　　处：《生物医学工程学杂志》2021年第3期583-593,共11页Journal of Biomedical Engineering

基　　金：国家自然科学基金面上项目(61471398);首长保健专项(16BJZ23);北京市科委医药协同科技创新研究(Z18110000s1918023);解放军总医院大数据研发项目(2018MBD-009)。

摘　　要：穿戴式生理参数监测设备由于其连续动态和低生理/心理负荷等特点,在日常健康监测和疾病诊疗领域发挥着越来越重要的作用。可穿戴技术经过几十年的发展,技术成熟度逐渐提高,研究重点也向临床应用领域拓展。本文综述了穿戴式生理参数监测技术及其在临床应用方面的研究进展。首先从传感技术和数据处理与分析方面介绍了穿戴式生理监测技术的研究进展,然后分析了当前的医疗级可穿戴设备的监测信号类型及原理,同时提出临床应用研究的三个典型方向:实时监护与预测预警、病情评估与鉴别诊断、康复训练与精准治疗,最后对穿戴式生理监测技术在生物医学领域所面临的挑战与应对策略展开讨论,突出其临床应用价值和临床应用模式,以期为可穿戴技术相关领域的研究提供有用的参考信息。Wearable physiological parameter monitoring devices play an increasingly important role in daily health monitoring and disease diagnosis/treatment due to their continuous dynamic and low physiological/psychological load characteristics.After decades of development,wearable technologies have gradually matured,and research has expanded to clinical applications.This paper reviews the research progress of wearable physiological parameter monitoring technology and its clinical applications.Firstly,it introduces wearable physiological monitoring technology’s research progress in terms of sensing technology and data processing and analysis.Then,it analyzes the monitoring physiological parameters and principles of current medical-grade wearable devices and proposes three specific directions of clinical application research:1)real-time monitoring and predictive warning,2)disease assessment and differential diagnosis,and 3)rehabilitation training and precision medicine.Finally,the challenges and response strategies of wearable physiological monitoring technology in the biomedical field are discussed,highlighting its clinical application value and clinical application mode to provide helpful reference information for the research of wearable technology-related fields.

关 键 词：可穿戴技术 生理监测 临床应用研究 医疗级 临床应用模式 

分 类 号：R318.6[医药卫生—生物医学工程]