新医学2025，Vol.56Issue(2)：206-214,9.DOI:10.12464/j.issn.0253-9802.2025-0008
非接触式连续生命体征监测在慢性阻塞性肺疾病患者病情评估中的应用研究
Research on the application of non-contact continuous vital signs monitoring in the assessment of patients with chronic obstructive pulmonary disease
摘要
Abstract
Objective To evaluate the clinical application value of non-contact vital signs monitoring in patients with chronic obstructive pulmonary disease(COPD),analyze the correlation between multi-dimensional vital signs parameters and disease severity,and explore their application value in COPD monitoring.Methods A total of 55 COPD patients treated at the Tianhe Campus of the Third Affiliated Hospital of Sun Yat-sen University from March 2021 to October 2023 were enrolled.All patients underwent deployment of a novel non-contact vital signs monitoring system and completed standardized pulmonary function assessments.Clinical baseline data were collected,and nocturnal physiological signals were recorded,with core monitoring indicators including heart rate variability(HRV),respiratory characteristics,and sleep structure.Based on pulmonary function assessments,patients were categorized into mild,moderate,severe,and very severe groups.The mild cases were classified as the non-severe group,while the moderate,severe,and very severe cases were combined into the severe group.Intergroup differences were compared,a risk model was constructed,and the efficacy of each parameter in assessing COPD severity was analyzed using receiver operating characteristic(ROC)curves.·睡眠医学·论著·Results Significant differences were observed among the mild,moderate,severe,and very severe cases in terms of gender,age,body mass index(BMI),forced expiratory volume in the first second(FEV1),forced vital capacity(FVC),and FEV1/FVC ratio(all P<0.05).Significant differences were also found between the two groups in total cardiac energy,total cardiac energy baseline value,sympathetic nerve tension index,sympathetic nerve tension baseline value,vagal nerve tension index,and vagal nerve tension baseline value(all P<0.05),with these indicators showing an increasing trend as disease severity worsened.No significant differences were observed in autonomic nerve balance and autonomic nerve balance baseline value between the groups(all P>0.05).HRV had a notable impact on COPD severity.The vagal nerve tension index,total cardiac energy baseline value,light sleep duration,and long-term baseline respiratory parameters demonstrated high efficacy in diagnosing disease severity,with areas under the ROC curve(AUC)values of 0.892,0.886,0.800,and 0.733,respectively.Conclusions Non-contact continuous vital signs monitoring is feasible in the management of COPD.Indicators such as HRV,light sleep duration,and long-term baseline respiratory rate hold significant clinical value in the monitoring and assessment of COPD patients.关键词
慢性阻塞性肺疾病/非接触式监测/心率变异性/自主神经功能/病情评估模型Key words
Chronic obstructive pulmonary disease(COPD)/Non-contact monitoring/Heart rate variability(HRV)/Autonomic nervous function/Disease severity assessment model引用本文复制引用
刘爽,龙志聪,周宇麒,罗英华,杨海玲..非接触式连续生命体征监测在慢性阻塞性肺疾病患者病情评估中的应用研究[J].新医学,2025,56(2):206-214,9.基金项目
广州市科技计划项目(202206010127) （202206010127）
