Continuous monitoring of pulse waves plays a significant role in reflecting physical conditions and disease diagnosis. However, the current collection equipment cannot simultaneously achieve wearable and continuous monitoring under varying pressure and provide personalized pulse wave monitoring targeted different human bodies. To solve the above problems, this paper proposed a novel wearable and real-time pulse wave monitoring system based on a novel flexible compound sensor. Firstly, a custom-packaged pressure sensor, a signal stabilization structure, and a micro pressurization system make up the flexible compound sensor to complete the stable acquisition of pulse wave signals under continuously varying pressure. Secondly, a real-time algorithm completes the analysis of the trend of the pulse wave peak, which can quickly and accurately locate the best pulse wave for different individuals. Finally, the experimental results show that the wearable system can both realize continuous monitoring and reflecting trend differences and quickly locate the best pulse wave for different individuals with the 95% accuracy. The weight of the whole system is only 52.775 g, the working current is 46 mA, and the power consumption is 160 mW. Its small size and low power consumption meet wearable and portable scenarios, which has significant research value and commercialization prospects.

In pulse wave analysis, the changing curve of pulse wave strength with continuous increasing pressure, that is, the P-S (pressure-strength) curve, contains abundant human physiological information, but there is no accurate model to describe the formation mechanism of the curve. Therefore, this paper proposes a modeling method of the radial artery P-S curve based on the radial vibration of the vascular wall. The modeling method includes three parts. Firstly, based on hemodynamics, we proposed the blood motion equation in the pulsation process of healthy people. Secondly, the motion equation of the vascular wall based on the fluid–structure interaction between blood motion and vascular wall was established. Finally, according to the elastic theory of the vascular wall, the relationship between pulse strength and extravascular pressure of blood vessels was found. To verify the accuracy and applicability of the model, this paper simulated the changes in the vascular wall stress and the intravascular pressure with the extravascular pressure during the process of vascular deformation. In addition, 69 healthy volunteers were selected to participate in this study. Based on the gradient compression, the pulse strength envelope under the continuous pressure sequence of the radial artery, namely the pulse P-S curve, was extracted. We also analyzed the relationship between the individual P-S curve difference and BMI. The results show that the actual human body data collection and analysis results are consistent with the theoretical model established in this paper, which indicates that the model can provide a novel idea for the evaluation of the state of the human body.