TWI750531B - Detection device and detection method for apnea based on chest respiratory signal - Google Patents

Detection device and detection method for apnea based on chest respiratory signal Download PDF

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TWI750531B
TWI750531B TW108140967A TW108140967A TWI750531B TW I750531 B TWI750531 B TW I750531B TW 108140967 A TW108140967 A TW 108140967A TW 108140967 A TW108140967 A TW 108140967A TW I750531 B TWI750531 B TW I750531B
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chest
signal
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apnea
lead electrocardiogram
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TW202119170A (en
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林俊成
李政德
胡家耀
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國立勤益科技大學
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Abstract

A detection device and a detection method for an apnea based on a chest respiratory signal are provided. The detection device includes a processor, a storage medium, and a transceiver. The transceiver obtains a first chest respiratory signal and a first unipolar ECG corresponding to the chest respiratory signal. The processor accesses and executes a plurality of modules in the storage medium, wherein the plurality of modules include a training module and a detection module. The training module uses the first chest respiratory signal and the first unipolar ECG as training data to train a machine learning model. The detection module obtains, via the transceiver, a second chest respiratory signal and a second unipolar ECG of a subject, and determines, according to the machine learning model, the second chest respiratory signal, and the second unipolar ECG, whether at least one apnea event is happened on the subject.

Description

基於胸部呼吸訊號的呼吸暫停的偵測裝置和偵測方法Apnea detection device and detection method based on chest breathing signal

本揭露是有關於一種偵測裝置和偵測方法,且特別是有關於一種基於胸部呼吸訊號(chest respiratory signal)的呼吸暫停(Apnea)的偵測裝置和偵測方法。The present disclosure relates to a detection device and a detection method, and in particular, to a detection device and a detection method for apnea (Apnea) based on chest respiratory signals.

阻塞性睡眠呼吸暫停(obstructive sleep Apnea,OSA)是一種常見的睡眠障礙,其是在睡眠期間因為咽部塌陷造成完全或部分上呼吸道阻塞,而導致呼吸暫停或減弱的症狀。目前,要診斷阻塞型睡眠呼吸中止症,主要的依據是睡眠多項生理檢查(polysomnography,PSG)。進行PSG的檢查時,受試者必須到睡眠實驗室或睡眠中心睡一個晚上,在護理人員的監督下,在頭部、眼角、下巴、心臟、以及腿部貼上電極貼片,並且在胸部及腹部套上感應帶,在手指套上血氧測量器,在口鼻套上呼吸感應器,在手臂套上血壓計,以記錄整個晚上的睡眠生理資料。然而,並不是所有病患都有時間能在睡眠實驗室或睡眠中心過夜。據此,如何提出一種簡化的睡眠障礙診斷方法,是本領域人員致力的目標之一。Obstructive sleep apnea (OSA) is a common sleep disorder in which the pharynx collapses during sleep resulting in complete or partial upper airway obstruction, resulting in apnea or reduced symptoms. At present, the main basis for the diagnosis of obstructive sleep apnea is polysomnography (PSG). For PSG examination, subjects must go to a sleep laboratory or sleep center to sleep for one night, under the supervision of a nursing staff, with electrode patches on the head, canthus, chin, heart, and legs, and on the chest. Put an induction belt on your abdomen, a blood oxygen meter on your fingers, a breathing sensor on your nose and mouth, and a sphygmomanometer on your arm to record sleep physiological data throughout the night. However, not all patients have the time to spend the night in a sleep lab or sleep center. Accordingly, how to propose a simplified method for diagnosing sleep disorders is one of the goals of those in the art.

本揭露提供一種基於胸部呼吸訊號的呼吸暫停的偵測裝置和偵測方法,可利用受試者即時的單極導程(unipolar)心電圖(electrocardiography,ECG)以及胸部呼吸訊號來判斷受試者是否發生呼吸暫停事件。The present disclosure provides a detection device and detection method for apnea based on chest breathing signals, which can use the subject's real-time unipolar electrocardiogram (ECG) and chest breathing signals to determine whether a subject is An apnea event occurred.

本揭露的基於胸部呼吸訊號的呼吸暫停的偵測裝置,包括處理器、儲存媒體以及收發器。收發器取得第一胸部呼吸訊號以及對應於第一胸部呼吸訊號的第一單極導程心電圖。儲存媒體儲存多個模組。處理器耦接儲存媒體和收發器,並且存取和執行多個模組,其中多個模組包括訓練模組以及偵測模組。訓練模組將第一胸部呼吸訊號以及第一單極導程心電圖作為訓練資料以訓練機器學習模型。偵測模組通過收發器取得受試者的第二胸部呼吸訊號以及第二單極導程心電圖,並且根據機器學習模型、第二胸部呼吸訊號以及第二單極導程心電圖判斷受試者是否發生至少一呼吸暫停事件。The apparatus for detecting apnea based on the chest breathing signal of the present disclosure includes a processor, a storage medium, and a transceiver. The transceiver obtains a first chest breathing signal and a first unipolar lead electrocardiogram corresponding to the first chest breathing signal. The storage medium stores multiple modules. The processor is coupled to the storage medium and the transceiver, and accesses and executes a plurality of modules, wherein the plurality of modules includes a training module and a detection module. The training module uses the first chest breathing signal and the first unipolar lead electrocardiogram as training data to train the machine learning model. The detection module obtains the subject's second chest respiration signal and the second unipolar lead ECG through the transceiver, and determines whether the subject is At least one apnea event occurred.

在本揭露的一實施例中,上述的第一胸部呼吸訊號包括對應於呼吸暫停事件的第一資料集合以及對應於非呼吸暫停事件的第二資料集合,並且第一單極導程心電圖包括對應於呼吸暫停事件的第三資料集合以及對應於非呼吸暫停事件的第四資料集合。In an embodiment of the present disclosure, the first chest respiration signal includes a first data set corresponding to an apnea event and a second data set corresponding to a non-apneic event, and the first unipolar lead electrocardiogram includes a corresponding A third data set for apnea events and a fourth data set corresponding to non-apneic events.

在本揭露的一實施例中,上述的偵測模組根據至少一呼吸暫停事件的發生次數判斷受試者的阻塞性睡眠呼吸暫停症狀的嚴重程度。In an embodiment of the present disclosure, the above-mentioned detection module determines the severity of the symptoms of obstructive sleep apnea of the subject according to the number of occurrences of at least one apnea event.

在本揭露的一實施例中,上述的偵測模組響應於至少一呼吸暫停事件的發生次數大於第一閾值而判斷嚴重程度為高,響應於至少一呼吸暫停事件的發生次數小於或等於第一閾值但大於第二閾值而判斷嚴重程度為中,並且響應於至少一呼吸暫停事件的發生次數小於或等於第二閾值而判斷嚴重程度為低。In an embodiment of the present disclosure, the detection module determines that the severity is high in response to the number of occurrences of the at least one apnea event being greater than the first threshold, and in response to the occurrence number of the at least one apnea event being less than or equal to the first threshold A threshold value but greater than a second threshold value is judged as medium severity, and the severity is judged as low in response to the number of occurrences of at least one apnea event being less than or equal to the second threshold value.

在本揭露的一實施例中,上述的訓練模組根據第一單極導程心電圖測量多個RR間隔,根據多個RR間隔以及第一胸部呼吸訊號的至少其中之一產生第二訓練資料,並且根據第二訓練資料訓練支援向量機模型。In an embodiment of the present disclosure, the training module measures a plurality of RR intervals according to the first unipolar lead electrocardiogram, and generates the second training data according to at least one of the plurality of RR intervals and the first chest breathing signal, And the support vector machine model is trained according to the second training data.

在本揭露的一實施例中,上述的偵測模組根據支援向量機模型、機器學習模型、第二胸部呼吸訊號以及第二單極導程心電圖判斷受試者是否發生至少一呼吸暫停事件。In an embodiment of the present disclosure, the above-mentioned detection module determines whether the subject has at least one apnea event according to the support vector machine model, the machine learning model, the second chest breathing signal, and the second unipolar lead electrocardiogram.

在本揭露的一實施例中,上述的訓練模組從多個RR間隔或第一胸部呼吸訊號萃取多個特徵,並且根據多個特徵產生第二訓練資料。In an embodiment of the present disclosure, the above-mentioned training module extracts a plurality of features from a plurality of RR intervals or the first chest breathing signal, and generates the second training data according to the plurality of features.

在本揭露的一實施例中,上述的多個特徵關聯於下列的至少其中之一:RR間隔平均值、RR間隔的第二或第三序列相關係數、RR間隔對的數量,其中RR間隔對包括相鄰的兩個RR間隔,且兩個RR間隔之間的時間間隔超過50毫秒、相鄰的兩個RR間隔的標準差、RR間隔的正規化的極低頻範圍功率、胸部呼吸訊號的正規化的極低頻範圍功率、胸部呼吸訊號的正規化的低頻範圍功率以及胸部呼吸訊號的正規化的高頻範圍功率。In an embodiment of the present disclosure, the above-mentioned features are associated with at least one of the following: an average value of RR intervals, a second or third sequence correlation coefficient of RR intervals, and the number of RR interval pairs, wherein RR interval pairs Including two adjacent RR intervals, and the time interval between the two RR intervals exceeds 50 ms, the standard deviation of the two adjacent RR intervals, the normalized very low frequency range power of the RR intervals, the normalized chest respiration signal The normalized very low frequency range power, the normalized low frequency range power of the chest breathing signal, and the normalized high frequency range power of the chest breathing signal.

在本揭露的一實施例中,上述的偵測裝置,更包括穿戴式裝置。穿戴式裝置配戴在受試者的身上,並且通訊連接至收發器,其中穿戴式裝置包括單極導程電極以及加速度計。單極導程電極黏貼在受試者的胸部以測量第二單極導程心電圖。加速度計設置在受試者的胸部以測量第二胸部呼吸訊號。In an embodiment of the present disclosure, the above-mentioned detection device further includes a wearable device. A wearable device is worn on the subject and is communicatively connected to the transceiver, wherein the wearable device includes a monopolar lead electrode and an accelerometer. A unipolar lead electrode was attached to the subject's chest to measure a second unipolar lead ECG. An accelerometer was placed on the subject's chest to measure the second chest respiration signal.

本揭露的基於胸部呼吸訊號的呼吸暫停的偵測方法,包括:取得第一胸部呼吸訊號以及對應於第一胸部呼吸訊號的第一單極導程心電圖;將第一胸部呼吸訊號以及第一單極導程心電圖作為訓練資料以訓練機器學習模型;取得受試者的第二胸部呼吸訊號以及第二單極導程心電圖;以及根據機器學習模型、第二胸部呼吸訊號以及第二單極導程心電圖判斷受試者是否發生至少一呼吸暫停事件。The method for detecting apnea based on the chest breathing signal of the present disclosure includes: obtaining a first chest breathing signal and a first unipolar lead electrocardiogram corresponding to the first chest breathing signal; The polar lead ECG is used as training data to train the machine learning model; the subject's second chest breathing signal and the second unipolar lead ECG are obtained; and the second chest breathing signal and the second unipolar lead are obtained according to the machine learning model The electrocardiogram determines whether the subject has at least one apnea event.

基於上述,本揭露可基於受試者的胸部呼吸訊號和單極導程訊號來判斷受試者是否發生呼吸暫停事件以及該受試者之OSA症狀的嚴重程度。Based on the above, the present disclosure can determine whether a subject has an apnea event and the severity of OSA symptoms of the subject based on the subject's chest breathing signal and unipolar lead signal.

為了使本揭露之內容可以被更容易明瞭,以下特舉實施例作為本揭露確實能夠據以實施的範例。另外,凡可能之處,在圖式及實施方式中使用相同標號的元件/構件/步驟,係代表相同或類似部件。In order to make the content of the present disclosure more comprehensible, the following specific embodiments are given as examples on which the present disclosure can indeed be implemented. Additionally, where possible, elements/components/steps using the same reference numerals in the drawings and embodiments represent the same or similar parts.

圖1根據本揭露的實施例繪示基於胸部呼吸訊號的呼吸暫停的偵測裝置100的示意圖,其中偵測裝置100可根據受試者的胸部呼吸訊號以及單極導程心電圖判斷受試者的OSA症狀的嚴重程度。偵測裝置100包括處理器110、儲存媒體120以及收發器130。在一實施例中,偵測裝置100更包括穿戴式裝置140。FIG. 1 is a schematic diagram of an apnea detection apparatus 100 based on a chest breathing signal according to an embodiment of the present disclosure, wherein the detection apparatus 100 can determine the subject's breathing according to the chest breathing signal and the unipolar lead electrocardiogram of the subject. Severity of OSA symptoms. The detection device 100 includes a processor 110 , a storage medium 120 and a transceiver 130 . In one embodiment, the detection device 100 further includes a wearable device 140 .

處理器110例如是中央處理單元(central processing unit,CPU),或是其他可程式化之一般用途或特殊用途的微控制單元(micro control unit,MCU)、微處理器(microprocessor)、數位信號處理器(digital signal processor,DSP)、可程式化控制器、特殊應用積體電路(application specific integrated circuit,ASIC)、圖形處理器(graphics processing unit,GPU)、算數邏輯單元(arithmetic logic unit,ALU)、複雜可程式邏輯裝置(complex programmable logic device,CPLD)、現場可程式化邏輯閘陣列(field programmable gate array,FPGA)或其他類似元件或上述元件的組合。處理器110可耦接至儲存媒體120以及收發器130,並且存取和執行儲存於儲存媒體120中的多個模組和各種應用程式。The processor 110 is, for example, a central processing unit (CPU), or other programmable general-purpose or special-purpose micro control unit (micro control unit, MCU), microprocessor (microprocessor), digital signal processing digital signal processor (DSP), programmable controller, application specific integrated circuit (ASIC), graphics processor (graphics processing unit, GPU), arithmetic logic unit (arithmetic logic unit, ALU) , complex programmable logic device (complex programmable logic device, CPLD), field programmable logic gate array (field programmable gate array, FPGA) or other similar elements or a combination of the above elements. The processor 110 may be coupled to the storage medium 120 and the transceiver 130 , and access and execute a plurality of modules and various application programs stored in the storage medium 120 .

儲存媒體120例如是任何型態的固定式或可移動式的隨機存取記憶體(random access memory,RAM)、唯讀記憶體(read-only memory,ROM)、快閃記憶體(flash memory)、硬碟(hard disk drive,HDD)、固態硬碟(solid state drive,SSD)或類似元件或上述元件的組合,而用於儲存可由處理器110執行的多個模組或各種應用程式。在本實施例中,儲存媒體120可儲存包括訓練模組121以及偵測模組122等多個模組,其功能將於後續說明。The storage medium 120 is, for example, any type of fixed or removable random access memory (random access memory, RAM), read-only memory (ROM), and flash memory (flash memory). , a hard disk drive (HDD), a solid state drive (SSD), or similar components or a combination of the above components for storing a plurality of modules or various application programs executable by the processor 110 . In this embodiment, the storage medium 120 can store a plurality of modules including the training module 121 and the detection module 122, the functions of which will be described later.

收發器130以無線或有線的方式傳送及接收訊號。收發器130還可以執行例如低噪聲放大、阻抗匹配、混頻、向上或向下頻率轉換、濾波、放大以及類似的操作。收發器130可用以接收作為訓練資料的第一胸部呼吸訊號以及對應於第一胸部呼吸訊號的第一單極導程心電圖,或接收測量自受試者的第二胸部呼吸訊號以及對應於第二胸部呼吸訊號的第二單極導程心電圖。舉例來說,收發器130可通過例如全球行動通信(global System for mobile communication,GSM)、個人手持式電話系統(personal handy-phone system,PHS)、碼多重擷取(code division multiple access,CDMA)系統、寬頻碼分多址(wideband code division multiple access,WCDMA)系統、長期演進(long term evolution,LTE)系統、全球互通微波存取(worldwide interoperability for microwave access,WiMAX)系統、無線保真(wireless fidelity,Wi-Fi)系統或藍牙(Bluetooth)等通訊技術接收作為訓練資料的第一單極導程心電圖以及第一胸部呼吸訊號,或接收由配戴在受試者身上的穿戴式裝置140所測量到的第二單極導程心電圖以及第二胸部呼吸訊號,其中第一單極導程心電圖以及第一胸部呼吸訊號是在相同的時段被測量,並且第二單極導程心電圖以及第二胸部呼吸訊號是在相同的時段被測量。The transceiver 130 transmits and receives signals in a wireless or wired manner. Transceiver 130 may also perform operations such as low noise amplification, impedance matching, frequency mixing, up or down frequency conversion, filtering, amplification, and the like. The transceiver 130 can be used to receive the first chest breathing signal as training data and the first monopolar lead electrocardiogram corresponding to the first chest breathing signal, or receive the second chest breathing signal measured from the subject and corresponding to the second chest breathing signal. Second unipolar lead ECG of chest respiratory signals. For example, the transceiver 130 can use, for example, global system for mobile communication (GSM), personal handy-phone system (PHS), code division multiple access (CDMA) systems, wideband code division multiple access (WCDMA) systems, long term evolution (LTE) systems, worldwide interoperability for microwave access (WiMAX) systems, wireless fidelity (wireless) fidelity, Wi-Fi) system or Bluetooth (Bluetooth) and other communication technologies to receive the first unipolar lead electrocardiogram and the first chest respiration signal as training data, or receive information from the wearable device 140 worn on the subject. The measured second unipolar lead electrocardiogram and the second chest respiration signal, wherein the first unipolar lead electrocardiogram and the first chest respiration signal are measured at the same time period, and the second unipolar lead electrocardiogram and the second The chest respiration signal is measured at the same time period.

穿戴式裝置140可配戴在受試者的身上,並且透過例如藍牙(但不限於此)等通訊技術通訊連接至收發器130。穿戴式裝置140用於測量受試者的第二胸部呼吸訊號以及第二單極導程心電圖。具體來說,穿戴式裝置140可包括單極導程電極141以及加速度計142。單極導程電極141可黏貼在受試者的胸部以測量第二單極導程心電圖。加速度計142可設置在受試者的胸部以測量受試者的胸部起伏狀況,從而產生對應的第二胸部呼吸訊號。第二單極導程心電圖以及第二胸部呼吸訊號是在相同的時段測量的。因此,當第二單極導程心電圖在一特定時間產生對應於呼吸暫停事件的脈波的同時,第二胸部呼吸訊號應當也會在該特定時間產生對應於該呼吸暫停事件的脈波。The wearable device 140 can be worn on the body of the subject, and is communicatively connected to the transceiver 130 through a communication technology such as Bluetooth (but not limited thereto). The wearable device 140 is used to measure the second chest breathing signal and the second unipolar lead electrocardiogram of the subject. Specifically, the wearable device 140 may include a monopolar lead electrode 141 and an accelerometer 142 . The unipolar lead electrode 141 can be attached to the subject's chest to measure the second unipolar lead electrocardiogram. The accelerometer 142 can be disposed on the subject's chest to measure the subject's chest rise and fall, thereby generating a corresponding second chest breathing signal. The second unipolar lead ECG and the second chest respiration signal are measured at the same time period. Therefore, when the second unipolar lead ECG generates a pulse wave corresponding to the apnea event at a specific time, the second chest respiration signal should also generate a pulse wave corresponding to the apnea event at the specific time.

作為訓練資料的第一胸部呼吸訊號可包括對應於呼吸暫停事件的第一資料集合以及對應於非呼吸暫停事件的第二資料集合。在本實施例中,第一資料集合可包括多個一分鐘長度的胸部呼吸訊號,且每一個胸部呼吸訊號的期間發生過至少一次呼吸暫停事件。第二資料集合可包括多個一分鐘長度的胸部呼吸訊號,且每一個胸部呼吸訊號測量的期間並未發生呼吸暫停事件。另一方面,作為訓練資料的第一單極導程心電圖可包括對應於呼吸暫停事件的第三資料集合以及對應於非呼吸暫停事件的第四資料集合。在本實施例中,第三資料集合可包括多個一分鐘長度的心電圖,且每一個心電圖測量的期間發生過至少一次呼吸暫停事件。第四資料集合可包括多個一分鐘長度的心電圖,且每一個心電圖測量的期間並未發生呼吸暫停事件。The first chest breathing signal as training data may include a first data set corresponding to apnea events and a second data set corresponding to non-apneic events. In this embodiment, the first data set may include a plurality of one-minute chest breathing signals, and at least one apnea event occurs during each chest breathing signal. The second set of data may include a plurality of chest respiration signals of one minute in length, and no apnea event occurs during the measurement of each chest respiration signal. On the other hand, the first unipolar lead electrocardiogram as training data may include a third data set corresponding to apnea events and a fourth data set corresponding to non-apneic events. In this embodiment, the third data set may include a plurality of one-minute electrocardiograms, and at least one apnea event occurs during each electrocardiogram measurement. The fourth data set may include a plurality of one-minute-long electrocardiograms with no apneic events occurring during each electrocardiogram measurement.

訓練模組121可將第一資料集合、第二資料集合、第三資料集合以及第四資料集合作為訓練資料以訓練機器學習模型,其中訓練好的機器學習模型可用以根據測量自受試者的第二胸部呼吸訊號和第二單極導程心電圖判斷受試者是否發生呼吸暫停事件。值得注意的是,本實施例的訓練資料可以是未經小波轉換過的時域訊號,而非經小波轉換過的時頻訊號。由於時域訊號的維度較時頻訊號的維度為低,故使用時域訊號而非時頻訊號來訓練機器學習模型的訓練模組121將花費較少的運算力。The training module 121 can use the first data set, the second data set, the third data set and the fourth data set as training data to train the machine learning model, wherein the trained machine learning model can be used to The second chest respiration signal and the second unipolar lead electrocardiogram determine whether the subject has an apnea event. It should be noted that the training data in this embodiment may be time-domain signals that have not been wavelet-transformed, rather than time-frequency signals that have been wavelet-transformed. Since the dimension of the time-domain signal is lower than that of the time-frequency signal, the training module 121 that uses the time-domain signal instead of the time-frequency signal to train the machine learning model will spend less computing power.

在本實施例中,訓練資料可包括多筆分別對應於不同時段的資料對,且每一資料對包括對應於相同時段的第一胸部呼吸訊號以及第一單極導程心電圖。在訓練資料中,對應於相同資料對的第一胸部呼吸訊號以及第一單極導程心電圖被安排在相鄰的佇列。圖2A根據本揭露的實施例繪示卷積神經網路模型200(如圖2B所示)的訓練資料的示意圖。如圖2A所示,訓練資料可包括第一單極導程心電圖21、第一胸部呼吸訊號22、第一單極導程心電圖23和第一胸部呼吸訊號24。對應於第一特定時段的第一單極導程心電圖21被安排在第一佇列,並且對應於第一特定時段的第一胸部呼吸訊號22被安排在與第一佇列相鄰的第二佇列,其中第一單極導程心電圖21和第一胸部呼吸訊號22對應於相同的資料對。接著,對應於第二特定時段(即:緊接著第一特定時段後的時段)的第一單極導程心電圖23被安排在第三佇列,並且對應於第二特定時段的第一胸部呼吸訊號24被安排在與第三佇列相鄰的第四佇列,其中第一單極導程心電圖23和第一胸部呼吸訊號24對應於相同的資料對。訓練模組121可根據如圖2A所示的訓練資料來訓練機器學習模型。In this embodiment, the training data may include multiple data pairs corresponding to different time periods, and each data pair includes the first chest respiration signal and the first unipolar lead electrocardiogram corresponding to the same time period. In the training data, the first chest respiration signal and the first unipolar lead ECG corresponding to the same data pair are arranged in adjacent queues. FIG. 2A is a schematic diagram illustrating training data of a convolutional neural network model 200 (shown in FIG. 2B ) according to an embodiment of the present disclosure. As shown in FIG. 2A , the training data may include a first unipolar lead electrocardiogram 21 , a first thoracic respiration signal 22 , a first unipolar lead electrocardiogram 23 and a first thoracic respiration signal 24 . The first unipolar lead electrocardiogram 21 corresponding to the first specific period is arranged in the first queue, and the first chest respiration signal 22 corresponding to the first specific period is arranged in the second queue adjacent to the first queue. A queue in which the first unipolar lead electrocardiogram 21 and the first chest respiration signal 22 correspond to the same data pair. Next, the first unipolar lead electrocardiogram 23 corresponding to the second specific period (ie: the period immediately following the first specific period) is arranged in the third queue, and the first chest respiration corresponding to the second specific period The signals 24 are arranged in a fourth queue adjacent to the third queue, wherein the first unipolar lead electrocardiogram 23 and the first chest respiration signal 24 correspond to the same data pair. The training module 121 can train the machine learning model according to the training data shown in FIG. 2A .

在一實施例中,作為訓練資料的第一胸部呼吸訊號更包括代表受到雜訊干擾之胸部呼吸訊號的第五資料集合,並且作為訓練資料的第一單極導程心電圖更包括代表受到雜訊干擾之心電圖的第六資料集合。訓練模組121可將第一資料集合、第二資料集合、第三資料集、第四資料集合、第五資料集合和第六資料集合作為訓練資料以訓練機器學習模型。由第一資料集合、第二資料集合、第三資料集、第四資料集合、第五資料集合和第六資料集合所訓練出的機器學習模型不僅能根據測量自受試者的第二胸部呼吸訊號和第二單極導程心電圖判斷受試者是否發生呼吸暫停事件,還能根據第二胸部呼吸訊號和第二單極導程心電圖判斷由收發器130所接收的第二胸部呼吸訊號和第二單極導程心電圖的資料可能受到雜訊干擾。因此,偵測模組122在判斷受試者的OSA症狀的嚴重程度時,可先過濾掉受到雜訊干擾的資料。In one embodiment, the first thoracic respiration signal as training data further includes a fifth data set representing the thoracic respiration signal disturbed by noise, and the first unipolar lead electrocardiogram as training data further includes a fifth data set representing the thoracic respiration signal disturbed by noise The sixth data collection of the disturbed electrocardiogram. The training module 121 can use the first data set, the second data set, the third data set, the fourth data set, the fifth data set and the sixth data set as training data to train the machine learning model. The machine learning model trained by the first, second, third, fourth, fifth and sixth data sets not only The signal and the second unipolar lead electrocardiogram can determine whether the subject has an apnea event, and can also judge the second chest breathing signal and the first chest respiration signal received by the transceiver 130 according to the second chest breathing signal and the second unipolar lead electrocardiogram. Two unipolar lead ECG data may be disturbed by noise. Therefore, when judging the severity of the OSA symptoms of the subject, the detection module 122 can first filter out the data interfered with by the noise.

在訓練完機器學習模型後,偵測模組122可根據機器學習模型以及測量自受試者的第二胸部呼吸訊號和第二單極導程心電圖判斷受試者是否發生呼吸暫停事件。在一實施例中,偵測模組122更可根據呼吸暫停事件的發生次數判斷受試者的OSA症狀的嚴重程度。具體來說,偵測模組122可定義受試者呼吸暫停事件在每小時的發生次數為呼吸暫停指數(Apnea Index,AI)。偵測模組122可響應於AI大於第一閾值(例如:第一閾值為30)而判斷受試者的OSA症狀的嚴重程度為高。偵測模組122可響應於AI小於或等於第一閾值但大於第二閾值(例如:第二閾值為15)而判斷受試者的OSA症狀的嚴重程度為中。偵測模組122可響應於AI小於或等於第二閾值而判斷受試者的OSA症狀的嚴重程度為低(或判斷受試者不具有OSA症狀)。After training the machine learning model, the detection module 122 can determine whether the subject has an apnea event according to the machine learning model and the second chest breathing signal and the second unipolar lead electrocardiogram measured from the subject. In one embodiment, the detection module 122 may further determine the severity of the OSA symptoms of the subject according to the number of apnea events. Specifically, the detection module 122 can define the number of occurrences of apnea events of the subject per hour as an apnea index (Apnea Index, AI). The detection module 122 may determine that the severity of the OSA symptoms of the subject is high in response to the AI being greater than a first threshold (eg, the first threshold is 30). The detection module 122 may determine that the severity of the OSA symptoms of the subject is moderate in response to the AI being less than or equal to the first threshold but greater than a second threshold (eg, the second threshold is 15). The detection module 122 may determine that the severity of the symptoms of OSA in the subject is low (or determine that the subject does not have symptoms of OSA) in response to the AI being less than or equal to the second threshold.

在一實施例中,若偵測模組122判斷受試者出現嚴重的OSA症狀,則偵測模組122可通過收發器130發出警示以提示受試者的家人、醫師或周圍的人員該受試者的狀況。舉例來說,偵測模組122可在受試者出現嚴重的OSA症狀時,通過收發器130傳送警示訊息至受試者的家人的行動裝置。相較於傳統使用腦波儀來測量受試者的腦電圖(electroencephalography,EEG)以診斷受試者的OSA症狀的方式,本揭露僅需使用構造簡單且價格便宜的穿戴式裝置140的單極導程電極141和加速度計142就可即時地監看受試者的OSA症狀的嚴重程度。In one embodiment, if the detection module 122 determines that the subject has severe OSA symptoms, the detection module 122 may issue a warning through the transceiver 130 to remind the subject's family, doctors or people around that the subject should be affected. condition of the examinee. For example, the detection module 122 can transmit an alert message to the mobile devices of the subject's family through the transceiver 130 when the subject has severe OSA symptoms. Compared with the traditional method of using an electroencephalogram to measure the subject's electroencephalography (EEG) to diagnose the OSA symptoms of the subject, the present disclosure only needs to use a single unit of the wearable device 140 with a simple structure and a low price. The pole lead electrode 141 and the accelerometer 142 can then monitor the severity of the subject's OSA symptoms in real time.

上述的機器學習模型例如是卷積神經網路(convolutional neural network,CNN)模型。卷積神經網路與傳統的多層感知網路最大的差異在於卷積神經網路多了卷積層與池化層,這兩層讓卷積神經網路具有能力可以萃取出輸入訊號的特徵。卷積層的設計具有多項特色。第一個特色是局部感知。在傳統神經網路中每個神經元都要與每個取樣點互相連接,因此需要大量的權重,使得訓練網路時的困難度極高。而在卷積神經網路中,每個神經元的權重數量都與卷積核的尺寸相同,因此相當於每個神經元只與對應的部分取樣點互相連接,因而能大幅地減少權重的數量。比較少的權重數量可以降低過度擬合(overfitting)的風險。第二個特色是權重共享機制。卷積神經網路是通過反向傳播誤差算法來訓練並更新最佳的卷積核權重,但是在卷積的過程中,卷積核的權重並不會改變。第三個特色是多卷積核。如果只使用一個卷積核則只能萃取訊號的部份特徵。如果使用多個卷積核則可以萃取輸入訊號的多個特徵。卷積層的數量越多,卷積神經網路所能萃取的特徵越多。The above-mentioned machine learning model is, for example, a convolutional neural network (CNN) model. The biggest difference between the convolutional neural network and the traditional multi-layer perceptual network is that the convolutional neural network has more convolutional layers and pooling layers, which give the convolutional neural network the ability to extract the features of the input signal. The design of convolutional layers has several characteristics. The first feature is local awareness. In traditional neural networks, each neuron is connected to each sampling point, so a large number of weights are required, which makes training the network extremely difficult. In the convolutional neural network, the number of weights of each neuron is the same as the size of the convolution kernel, so it is equivalent to that each neuron is only connected to the corresponding part of the sampling points, which can greatly reduce the number of weights . A smaller number of weights reduces the risk of overfitting. The second feature is the weight sharing mechanism. The convolutional neural network trains and updates the optimal convolution kernel weight through the back-propagation error algorithm, but during the convolution process, the weight of the convolution kernel does not change. The third feature is multiple convolution kernels. If only one convolution kernel is used, only some features of the signal can be extracted. If multiple convolution kernels are used, multiple features of the input signal can be extracted. The greater the number of convolutional layers, the more features a convolutional neural network can extract.

在輸入訊號經過由卷積層和激活函數進行的非線性轉換後,可產生特徵圖(feature map)。激活函數最重要的功能在於引入神經網路的非線性,因為如果沒有加入激活函數,卷積層與全連接層只是單純的線性運算,對於線性不可分的問題仍然是無解。After the input signal is subjected to nonlinear transformation by convolutional layers and activation functions, a feature map can be generated. The most important function of the activation function is to introduce the nonlinearity of the neural network, because if the activation function is not added, the convolutional layer and the fully connected layer are only simple linear operations, and there is still no solution to the linear inseparable problem.

為了減少經卷積運算萃取出的特徵的維度並提高學習過程的速度,卷積層之後會接著一個池化層。池化層是一個壓縮特徵圖並保留重要資訊的方法。池化層採用的取樣方法可包括最大池化法(max pooling)或平均池化法(mean pooling)。最大池化法是選擇池化視窗中的最大值作為取樣值。平均池化法是將池化視窗中的所有值相加後取平均以作為取樣值。池化之後的特徵圖還是保留局部範圍比對的最大可能性。換言之,池化後的資訊更可以專注於特徵圖中是否存在相符的特徵,而不是專注於這些特徵所在的位置。因此,相較於傳統的神經網路,卷積神經網路更可以判斷出特徵圖中是否包含某項特徵,而不需考量到特徵所在的位置。因此,就算輸入訊號的特徵發生偏移,卷積神經網路也可辨識出該特徵。在池化層之後,全連接層會將前面經過多次卷積與池化後高度抽象化的特徵進行整合。然後再由輸出層對各種分類都輸出一個相對應的機率,其中所有分類的機率總和為1。In order to reduce the dimension of the features extracted by the convolution operation and increase the speed of the learning process, the convolutional layer is followed by a pooling layer. Pooling layers are a way to compress feature maps and preserve important information. The sampling method adopted by the pooling layer may include max pooling or mean pooling. The maximum pooling method selects the maximum value in the pooling window as the sampling value. The average pooling method is to add all the values in the pooling window and take the average as the sampling value. The feature map after pooling still retains the maximum likelihood of local range alignment. In other words, the pooled information can focus more on whether there are matching features in the feature map, rather than focusing on the location of these features. Therefore, compared with the traditional neural network, the convolutional neural network can better determine whether a feature is included in the feature map without considering the location of the feature. Therefore, even if the feature of the input signal is shifted, the convolutional neural network can recognize the feature. After the pooling layer, the fully connected layer will integrate the highly abstracted features after multiple convolutions and pooling. Then the output layer outputs a corresponding probability for each classification, where the sum of the probability of all classifications is 1.

圖2B根據本揭露的實施例繪示卷積神經網路模型200的示意圖,其中卷積神經網路模型200是由訓練模組121所訓練出的機器學習模型中的一種態樣。卷積神經網路模型200可包括輸入層220、卷積層231、池化層232、卷積層241、池化層242、全連接層251、全連接層252以及輸出層260。如圖2B所示的卷積神經網路模型200的輸入資料210例如是測量自受試者的第二胸部呼吸訊號以及第二單極導程心電圖,並且卷積神經網路模型200的輸出資料270代表是否發生呼吸暫停事件的判斷結果。FIG. 2B is a schematic diagram of a convolutional neural network model 200 according to an embodiment of the present disclosure, wherein the convolutional neural network model 200 is an aspect of the machine learning model trained by the training module 121 . The convolutional neural network model 200 may include an input layer 220 , a convolutional layer 231 , a pooling layer 232 , a convolutional layer 241 , a pooling layer 242 , a fully connected layer 251 , a fully connected layer 252 , and an output layer 260 . The input data 210 of the convolutional neural network model 200 shown in FIG. 2B is, for example, the second chest respiration signal and the second unipolar lead electrocardiogram measured from the subject, and the output data of the convolutional neural network model 200 270 represents the judgment result of whether an apnea event occurs.

在本實施例中,輸入資料210包括1分鐘的第二胸部呼吸訊號以及1分鐘的第二單極導程心電圖,並且輸入資料210包括在100Hz取樣頻率下取樣出的12,000個取樣點,其中第二胸部呼吸訊號和第二單極導程心電圖的取樣點分別為6,000點。卷積層231包括128個尺寸為

Figure 02_image001
的卷積核。經過卷積層231的輸入資料210會轉變為128個尺寸為
Figure 02_image003
的特徵圖。接著,池化層232使用尺寸為
Figure 02_image005
的滑動視窗對卷積層231輸出的特徵圖進行取樣以產生128個尺寸為
Figure 02_image007
的特徵圖。卷積層241包括64個尺寸16
Figure 02_image009
的卷積核。卷積層241進一步地對池化層232輸出的特徵圖進行卷積運算以產生64個尺寸為
Figure 02_image007
的特徵圖。接著,池化層242使用尺寸為
Figure 02_image011
的滑動視窗對卷積層241輸出的特徵圖進行取樣以產生64個尺寸為
Figure 02_image013
的特徵圖。而後,池化層242輸出的特徵圖依序地輸入至具有128個神經元的全連接層251以及具有64個神經元的全連接層252。輸出層260可根據Softmax激活函數來計算全連接層252的輸出的對應於暫停呼吸事件的第一機率以及對應於非暫停呼吸事件的第二機率。若第一機率大於第二機率,則偵測模組122可判斷輸入資料210對應於至少一暫停呼吸事件。反之,若第一機率小於或等於第二機率,則偵測模組122可判斷輸入資料210對應於非暫停呼吸事件。In this embodiment, the input data 210 includes the second chest respiration signal for 1 minute and the second unipolar lead electrocardiogram for 1 minute, and the input data 210 includes 12,000 sampling points sampled at a sampling frequency of 100 Hz, wherein the first The sampling points for the second chest respiration signal and the second unipolar lead ECG were 6,000 points, respectively. The convolutional layer 231 includes 128 layers of size
Figure 02_image001
the convolution kernel. The input data 210 passing through the convolutional layer 231 is transformed into 128 pieces of size
Figure 02_image003
feature map. Next, the pooling layer 232 uses a size of
Figure 02_image005
The sliding windows of the convolutional layer 231 output feature maps to produce 128 features of size
Figure 02_image007
feature map. The convolutional layer 241 includes 64 dimensions 16
Figure 02_image009
the convolution kernel. The convolutional layer 241 further performs a convolution operation on the feature map output by the pooling layer 232 to generate 64 dimensions of
Figure 02_image007
feature map. Next, the pooling layer 242 uses a size of
Figure 02_image011
The sliding window samples the feature map output by the convolutional layer 241 to produce 64 dimensions of
Figure 02_image013
feature map. Then, the feature maps output by the pooling layer 242 are sequentially input to the fully connected layer 251 with 128 neurons and the fully connected layer 252 with 64 neurons. The output layer 260 may calculate the output of the fully connected layer 252 according to the Softmax activation function, a first probability corresponding to a breathing pause event and a second probability corresponding to a non-pausing breathing event. If the first probability is greater than the second probability, the detection module 122 may determine that the input data 210 corresponds to at least one apnea event. Conversely, if the first probability is less than or equal to the second probability, the detection module 122 may determine that the input data 210 corresponds to a non-apneic breathing event.

值得注意的是,輸出層260所使用的激活函數可例如是softmax函數、sigmoid函數、hyperbolic tangent函數或線性整流單元(rectified linear unit,ReLU)函數,本揭露不限於此。It should be noted that the activation function used by the output layer 260 may be, for example, a softmax function, a sigmoid function, a hyperbolic tangent function or a rectified linear unit (ReLU) function, but the present disclosure is not limited thereto.

在一實施例中,訓練模組121更可產生支援向量機(support vector machine,SVM)模型。偵測模組122可根據支援向量機模型、機器學習模型以及測量自受試者的第二胸部呼吸訊號和第二單極導程心電圖判斷受試者是否發生呼吸暫停事件。舉例來說,若支援向量機模型以及機器學習模型的至少其中之一判斷受試者發生呼吸暫停事件,則偵測模組122可響應於支援向量機模型以及機器學習模型的至少其中之一判斷受試者發生呼吸暫停事件而輸出代表受試者發生呼吸暫停事件的判斷結果。In one embodiment, the training module 121 can further generate a support vector machine (SVM) model. The detection module 122 can determine whether the subject has an apnea event according to the support vector machine model, the machine learning model, and the second chest breathing signal and the second unipolar lead electrocardiogram measured from the subject. For example, if at least one of the support vector machine model and the machine learning model determines that the subject has an apnea event, the detection module 122 may determine in response to at least one of the support vector machine model and the machine learning model. The subject has an apnea event and a judgment result representing the occurrence of the subject's apnea event is output.

訓練模組121可根據第一胸部呼吸訊號和第一單極導程心電圖訓練出前述的支援向量機模型。訓練模組121可根據第一單極導程心電圖測量多個RR間隔。接著,訓練模組121可根據第一胸部呼吸訊號以及所述多個RR間隔的至少其中之一產生用以訓練支援向量機模型的第二訓練資料,並接著根據第二訓練資料來訓練前述的支援向量機模型。具體來說,訓練模組121可從第一胸部呼吸訊號或多個RR間隔萃取多個特徵,並且根據該些特徵產生第二訓練資料。所述多個特徵例如關聯於RR間隔平均值、RR間隔的第二或第三序列相關係數、RR間隔對的數量(RR間隔對包括相鄰的兩個RR間隔,且兩個RR間隔之間的時間間隔超過50毫秒)、相鄰的兩個RR間隔的標準差、RR間隔的正規化的極低頻範圍功率(very low frequency power,VLFP)、胸部呼吸訊號的正規化的極低頻範圍功率、胸部呼吸訊號的正規化的低頻範圍功率(low frequency power,LFP)或胸部呼吸訊號的正規化的高頻範圍功率(high frequency power,HFP),但本揭露不限於此。上述的LFP大約介於0.04-0.15Hz之間並且HFP大約介於0.15-0.4Hz之間。The training module 121 can train the aforementioned support vector machine model according to the first chest breathing signal and the first monopolar lead electrocardiogram. The training module 121 can measure a plurality of RR intervals according to the first unipolar lead electrocardiogram. Then, the training module 121 can generate second training data for training the support vector machine model according to the first chest breathing signal and at least one of the plurality of RR intervals, and then train the aforementioned training data according to the second training data Support vector machine model. Specifically, the training module 121 can extract a plurality of features from the first chest breathing signal or a plurality of RR intervals, and generate the second training data according to the features. The plurality of features are, for example, related to the average value of the RR interval, the second or third sequence correlation coefficient of the RR interval, the number of RR interval pairs (the RR interval pair includes two adjacent RR intervals, and the interval between the two RR intervals is time interval of more than 50 ms), the standard deviation of two adjacent RR intervals, the normalized very low frequency power (VLFP) of the RR interval, the normalized very low frequency power of the chest respiration signal, The normalized low frequency power (LFP) of the chest breathing signal or the normalized high frequency power (HFP) of the chest breathing signal, but the present disclosure is not limited thereto. The above-mentioned LFP is approximately between 0.04-0.15 Hz and the HFP is approximately between 0.15-0.4 Hz.

圖3根據本揭露的實施例繪示基於胸部呼吸訊號的呼吸暫停的偵測方法的流程圖,其中所述偵測方法例如是由如圖1所示的偵測裝置100實施。在步驟S301中,取得第一胸部呼吸訊號以及對應於第一胸部呼吸訊號的第一單極導程心電圖。在步驟S302中,將第一胸部呼吸訊號以及第一單極導程心電圖作為訓練資料以訓練機器學習模型。在步驟S303中,取得受試者的第二胸部呼吸訊號以及第二單極導程心電圖。在步驟S304中,根據機器學習模型、第二胸部呼吸訊號以及第二單極導程心電圖判斷受試者是否發生至少一呼吸暫停事件。FIG. 3 is a flowchart illustrating a method for detecting apnea based on a chest breathing signal according to an embodiment of the present disclosure, wherein the detecting method is implemented by, for example, the detecting device 100 shown in FIG. 1 . In step S301, a first chest breathing signal and a first unipolar lead electrocardiogram corresponding to the first chest breathing signal are obtained. In step S302, the first chest respiration signal and the first unipolar lead electrocardiogram are used as training data to train the machine learning model. In step S303, a second chest respiration signal and a second unipolar lead electrocardiogram of the subject are obtained. In step S304, it is determined whether the subject has at least one apnea event according to the machine learning model, the second chest breathing signal and the second unipolar lead electrocardiogram.

綜上所述,本揭露可基於受試者的胸部呼吸訊號和單極導程訊號來判斷受試者是否發生呼吸暫停事件以及該受試者之OSA症狀的嚴重程度。運用胸部呼吸訊號可顯著地改善呼吸暫停事件的偵測的準確度。胸部呼吸訊號以及單極導程心電圖不需經過小波轉換,也可以時域訊號的形式來作為機器學習模型的訓練資料,從而降低機器學習模型的訓練和使用所需消耗的運算力。穿戴式裝置可簡單地利用加速度計來測量胸部呼吸訊號即可利用胸部呼吸訊號準確地評估受試者的OSA症狀,而不需配置較為昂貴的腦波儀來測量腦電圖以作為機器學習模型的訓練資料。因此,本揭露的穿戴式裝置具有構造簡單以及價格便宜等優點。In conclusion, the present disclosure can determine whether a subject has an apnea event and the severity of OSA symptoms of the subject based on the subject's chest breathing signal and unipolar lead signal. The use of chest breathing signals can significantly improve the accuracy of detection of apnea events. The chest respiration signal and unipolar lead ECG do not need to undergo wavelet transformation, and can also be used as the training data of the machine learning model in the form of time domain signals, thereby reducing the computing power required for the training and use of the machine learning model. The wearable device can simply use the accelerometer to measure the chest breathing signal to accurately assess the OSA symptoms of the subject using the chest breathing signal, without the need to configure the more expensive EEG to measure the EEG as a machine learning model training data. Therefore, the wearable device of the present disclosure has the advantages of simple structure and low price.

100:偵測裝置 110:處理器 120:儲存媒體 121:訓練模組 122:偵測模組 130:收發器 140:穿戴式裝置 141:單極導程電極 142:加速度計 21、23:第一單極導程心電圖 22、24:第一胸部呼吸訊號 210:輸入資料 220:輸入層 231、241:卷積層 232、242:池化層 251、252:全連接層 260:輸出層 270:輸出資料 S301、S302、S303、S304:步驟100: Detection device 110: Processor 120: Storage Media 121: Training Module 122: Detection module 130: Transceiver 140: Wearables 141: Unipolar lead electrode 142: Accelerometer 21, 23: First unipolar lead ECG 22, 24: First chest breathing signal 210: Enter data 220: Input layer 231, 241: Convolutional layer 232, 242: Pooling layer 251, 252: fully connected layer 260: output layer 270: output data S301, S302, S303, S304: steps

圖1根據本揭露的實施例繪示基於胸部呼吸訊號的呼吸暫停的偵測裝置的示意圖。 圖2A根據本揭露的實施例繪示卷積神經網路模型的訓練資料的示意圖。 圖2B根據本揭露的實施例繪示卷積神經網路模型的示意圖。 圖3根據本揭露的實施例繪示基於胸部呼吸訊號的呼吸暫停的偵測方法的流程圖。FIG. 1 is a schematic diagram illustrating a device for detecting apnea based on a chest breathing signal according to an embodiment of the present disclosure. 2A is a schematic diagram illustrating training data of a convolutional neural network model according to an embodiment of the present disclosure. FIG. 2B is a schematic diagram of a convolutional neural network model according to an embodiment of the present disclosure. 3 is a flowchart illustrating a method for detecting apnea based on a chest breathing signal according to an embodiment of the present disclosure.

100:偵測裝置100: Detection device

110:處理器110: Processor

120:儲存媒體120: Storage Media

121:訓練模組121: Training Module

122:偵測模組122: Detection module

130:收發器130: Transceiver

140:穿戴式裝置140: Wearables

141:單極導程電極141: Unipolar lead electrode

142:加速度計142: Accelerometer

Claims (9)

一種基於胸部呼吸訊號的呼吸暫停的偵測裝置,包括:收發器,取得第一胸部呼吸訊號以及對應於所述第一胸部呼吸訊號的第一單極導程心電圖,其中所述第一單極導程心電圖以及所述第一胸部呼吸訊號是在相同的第一時段被測量;儲存媒體,儲存多個模組;以及處理器,耦接所述儲存媒體和所述收發器,並且存取和執行所述多個模組,其中所述多個模組包括:訓練模組,將所述第一胸部呼吸訊號以及所述第一單極導程心電圖作為訓練資料以訓練機器學習模型,其中所述訓練資料包括未經小波轉換過的時域訊號;以及偵測模組,通過所述收發器取得受試者的第二胸部呼吸訊號以及第二單極導程心電圖,其中所述第二單極導程心電圖以及所述第二胸部呼吸訊號是在相同的第二時段被測量,並且根據所述機器學習模型、所述第二胸部呼吸訊號以及所述第二單極導程心電圖判斷所述受試者是否發生至少一呼吸暫停事件,其中所述第一胸部呼吸訊號包括對應於呼吸暫停事件的第一資料集合以及對應於非呼吸暫停事件的第二資料集合,並且所述第一單極導程心電圖包括對應於所述呼吸暫停事件的第三資料集合以及對應於所述非呼吸暫停事件的第四資料集合。 A device for detecting apnea based on a chest breathing signal, comprising: a transceiver for obtaining a first chest breathing signal and a first unipolar lead electrocardiogram corresponding to the first chest breathing signal, wherein the first unipolar lead a lead electrocardiogram and the first chest respiration signal are measured at the same first time period; a storage medium storing a plurality of modules; and a processor coupled to the storage medium and the transceiver and accessing and Execute the plurality of modules, wherein the plurality of modules include: a training module that uses the first chest respiration signal and the first unipolar lead electrocardiogram as training data to train a machine learning model, wherein the The training data includes time-domain signals without wavelet conversion; and a detection module, which obtains the subject's second chest respiration signal and second unipolar lead electrocardiogram through the transceiver, wherein the second single The polar lead ECG and the second chest respiration signal are measured in the same second time period, and it is determined according to the machine learning model, the second chest respiration signal and the second unipolar lead Whether the subject has at least one apnea event, wherein the first chest breathing signal includes a first data set corresponding to an apnea event and a second data set corresponding to a non-apneic event, and the first monopolar The lead electrocardiogram includes a third data set corresponding to the apnea event and a fourth data set corresponding to the non-apneic event. 如申請專利範圍第1項所述的偵測裝置,其中所述偵測模組根據所述至少一呼吸暫停事件的發生次數判斷所述受試者的阻塞性睡眠呼吸暫停症狀的嚴重程度。 The detection device according to claim 1, wherein the detection module determines the severity of the symptoms of obstructive sleep apnea of the subject according to the number of occurrences of the at least one apnea event. 如申請專利範圍第2項所述的偵測裝置,其中所述偵測模組響應於所述至少一呼吸暫停事件的所述發生次數大於第一閾值而判斷所述嚴重程度為高,響應於所述至少一呼吸暫停事件的所述發生次數小於或等於所述第一閾值但大於第二閾值而判斷所述嚴重程度為中,並且響應於所述至少一呼吸暫停事件的所述發生次數小於或等於所述第二閾值而判斷所述嚴重程度為低。 The detection device of claim 2, wherein the detection module determines that the severity is high in response to the number of occurrences of the at least one apnea event being greater than a first threshold, and in response to The severity is determined to be medium in response to the occurrence of the at least one apnea event being less than or equal to the first threshold but greater than the second threshold, and in response to the occurrence of the at least one apnea event being less than or equal to the second threshold to judge the severity to be low. 如申請專利範圍第1項所述的偵測裝置,其中所述訓練根據所述第一單極導程心電圖測量多個RR間隔,根據所述多個RR間隔以及所述第一胸部呼吸訊號的至少其中之一產生第二訓練資料,並且根據所述第二訓練資料訓練支援向量機模型。 The detection device of claim 1, wherein the training measures a plurality of RR intervals according to the first unipolar lead electrocardiogram, and according to the plurality of RR intervals and the first chest respiration signal At least one of them generates second training data, and trains a support vector machine model according to the second training data. 如申請專利範圍第4項所述的偵測裝置,其中所述偵測模組根據所述支援向量機模型、所述機器學習模型、所述第二胸部呼吸訊號以及所述第二單極導程心電圖判斷所述受試者是否發生所述至少一呼吸暫停事件。 The detection device of claim 4, wherein the detection module is based on the support vector machine model, the machine learning model, the second chest breathing signal and the second monopolar conductor The electrocardiogram is used to determine whether the subject has the at least one apnea event. 如申請專利範圍第4項所述的偵測裝置,其中所述訓練模組從所述多個RR間隔或所述第一胸部呼吸訊號萃取多個特徵,並且根據所述多個特徵產生所述第二訓練資料。 The detection device of claim 4, wherein the training module extracts a plurality of features from the plurality of RR intervals or the first chest breathing signal, and generates the plurality of features according to the plurality of features Second training material. 如申請專利範圍第6項所述的偵測裝置,其中所述多個特徵關聯於下列的至少其中之一: RR間隔平均值、RR間隔的第二或第三序列相關係數、RR間隔對的數量,其中所述RR間隔對包括相鄰的兩個RR間隔,且所述兩個RR間隔之間的時間間隔超過50毫秒、相鄰的兩個RR間隔的標準差、RR間隔的正規化的極低頻範圍功率、胸部呼吸訊號的正規化的極低頻範圍功率、胸部呼吸訊號的正規化的低頻範圍功率以及胸部呼吸訊號的正規化的高頻範圍功率。 The detection device of claim 6, wherein the plurality of features are associated with at least one of the following: RR interval average value, second or third sequence correlation coefficient of RR interval, number of RR interval pairs, wherein the RR interval pair includes two adjacent RR intervals, and the time interval between the two RR intervals Over 50 ms, the standard deviation of two adjacent RR intervals, the normalized VLF power of the RR interval, the normalized VLF power of the chest respiration signal, the normalized low frequency range power of the chest respiration signal, and the chest Normalized high frequency range power of the respiration signal. 如申請專利範圍第1項所述的偵測裝置,更包括:穿戴式裝置,配戴在所述受試者的身上,並且通訊連接至所述收發器,其中所述穿戴式裝置包括:單極導程電極,黏貼在所述受試者的胸部以測量所述第二單極導程心電圖;以及加速度計,設置在所述受試者的所述胸部以測量所述第二胸部呼吸訊號。 The detection device according to claim 1, further comprising: a wearable device, which is worn on the subject and is communicatively connected to the transceiver, wherein the wearable device comprises: a single a polar lead electrode attached to the subject's chest to measure the second monopolar lead electrocardiogram; and an accelerometer disposed on the subject's chest to measure the second chest respiration signal . 一種基於胸部呼吸訊號的呼吸暫停的偵測方法,包括:取得第一胸部呼吸訊號以及對應於所述第一胸部呼吸訊號的第一單極導程心電圖,其中所述第一單極導程心電圖以及所述第一胸部呼吸訊號是在相同的第一時段被測量;將所述第一胸部呼吸訊號以及所述第一單極導程心電圖作為訓練資料以訓練機器學習模型,其中所述訓練資料包括未經小波轉換過的時域訊號;取得受試者的第二胸部呼吸訊號以及第二單極導程心電圖,其中所述第二單極導程心電圖以及所述第二胸部呼吸訊號是在相 同的第二時段被測量;以及根據所述機器學習模型、所述第二胸部呼吸訊號以及所述第二單極導程心電圖判斷所述受試者是否發生至少一呼吸暫停事件,其中所述第一胸部呼吸訊號包括對應於呼吸暫停事件的第一資料集合以及對應於非呼吸暫停事件的第二資料集合,並且所述第一單極導程心電圖包括對應於所述呼吸暫停事件的第三資料集合以及對應於所述非呼吸暫停事件的第四資料集合。A method for detecting apnea based on a chest breathing signal, comprising: obtaining a first chest breathing signal and a first unipolar lead electrocardiogram corresponding to the first chest breathing signal, wherein the first unipolar lead electrocardiogram and the first chest respiration signal is measured in the same first time period; the first chest respiration signal and the first monopolar lead electrocardiogram are used as training data to train a machine learning model, wherein the training data Including the time domain signal without wavelet conversion; obtaining the subject's second chest respiration signal and the second unipolar lead electrocardiogram, wherein the second unipolar lead electrocardiogram and the second chest respiration signal are in the Mutually The same second time period is measured; and according to the machine learning model, the second chest respiration signal and the second unipolar lead electrocardiogram to determine whether the subject has at least one apnea event, wherein the The first chest breathing signal includes a first set of data corresponding to an apnea event and a second set of data corresponding to a non-apneic event, and the first unipolar lead ECG includes a third set of data corresponding to the apnea event A data set and a fourth data set corresponding to the non-apneic event.
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