微波血液传感监测高血压合并慢性神经系统疾病的治疗效果

K. Arkhypova, Fedir Folokh, V. Lychko, P. Krasov, A. Fisun, V. Malakhov
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摘要

目前的工作是我们对慢性神经系统疾病患者优化治疗的多学科研究的延续。本文旨在通过微波血液传感技术监测降压治疗的有效性。微波传感的概念是基于体外检测药物诱导的红细胞介电反应$(\Delta\varepsilon^{*})$。这种反应与膜肾上腺素能活动密切相关,表现出应激系统的个体特性,这取决于患者的健康状况和疾病的阶段。因此,在治疗过程中对其进行评估对于适当的药物治疗(特别是处方降压药)以及监测治疗效果具有重要意义。这些药物在血液样本中引起的效应的研究已经使用了物理和生化的综合方法。微波介电观测采用单频波导反射仪(39.5 GHz)对血液样品进行重复介电常数测量。为了验证电介质研究的结果,我们选择了一种生化技术,可以评估药物对红细胞的肾上腺素能作用。两种技术都显示了良好的相关数据,表明这种方法在抗高血压治疗中考虑患者的肾上腺素能状态时是成功的适用性。提出了先前报告的数据,并辅以新的发现。研究结果将对血液微波测量的专家和临床微波系统的开发人员有所帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Microwave Blood Sensing for Monitoring Treatment Efficiency in Hypertensive Patients with Chronic Neurological Disorders
The present work is a continuation of our multidisciplinary study on optimizing therapy in patients with chronic neurological conditions. Here we aim to monitor the efficiency of antihypertensive treatment via microwave blood sensing technique. The concept of microwave sensing is based on in vitro detecting drug-induced dielectric response $(\Delta\varepsilon^{*})$ of erythrocytes. This response is closely tied to a membrane adrenergic activity exhibiting individual peculiarities of the stress system, which varies significantly depending on a patient's health status and stage of the disease. That is why its evaluation during the course of treatment is of great importance for appropriate medication therapy (in particular, with prescribing antihypertensive drugs) as well as for the monitoring treatment efficiency. The study of these drug-induced effects in blood samples has been carried out using a complex of physical and biochemical methods. Microwave dielectric observations were performed as the repeated permittivity measurements of blood samples with a single-frequency waveguide-based reflectometry (39.5 GHz). To validate the results of the dielectric study we opted for a biochemical technique which allows evaluating the adrenergic effect of a pharmaceutical agent to erythrocytes. Both techniques have revealed well-correlated data which indicate the successful applicability of such an approach when considering the adrenergic status of a patient in antihypertensive treatment. Previously reported data supplemented by new findings are presented. The results would be helpful for the specialists dealing with microwave measurements of blood and the developers of clinically-oriented microwave systems.
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