JP2001190524A - Respiratory effort detecting device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To directly and accurately detect a variation in the peripheral length of a chest or an abdomen. SOLUTION: A nonextensible-noncontractible material is adopted as belts 52, 53, and one end of the belt 52 is fixed to a left end part 55b of a moving plate 55. The base end 56a of a spring 56 is fixed to a prescribed part 51b of a detecting box 51, and the tip 56b of the spring 56 is fixed to a right end part 55a of the moving plate 55. One end of the belt 53 is fixed to an installing part 51a arranged on the right end of the detecting box 51. A graduation part 61 is arranged on the moving plate 55, and the graduation part 61 is constituted by printing lines having a prescribed dimension in large numbers at equal intervals in the belt lengthwise direction on a transparent film. A light emitting element and a light receiving element for constituting a photointerrupter 57 are arranged so as to sandwich the graduation part 61.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a respiratory effort detecting apparatus for detecting a respiratory effort of a subject, which is used for a respiratory function measuring apparatus for measuring an apnea state of the subject during sleep.

[0002]

2. Description of the Related Art It is generally known that sleep apnea syndrome, in which a relatively long apnea condition frequently occurs during sleep, causes a marked decrease in oxygen concentration in arterial blood and abnormal heart rate. In addition, the apnea state during sleep,
It causes light sleep and may cause drowsiness during the day. Conventionally, such a sleep apnea syndrome test is performed by measuring apnea states such as apnea frequency during sleep, brain waves, eye movements, oxygen saturation, etc. using sleep polysomnography. Have been done.

[0003] The sleep apnea syndrome includes a central type in which the respiratory effort itself stops, and an obstructive type in which the patient's throat becomes clogged to make it impossible to breathe. In the central case, there is no change in the circumference of the chest and abdomen because there is no respiratory effort, whereas in the case of obstruction, there is a change in the circumference due to the respiratory effort. Therefore, in order to determine whether a patient with sleep apnea is central or obstructive, it is necessary to detect the presence or absence of respiratory effort of the patient based on changes in the circumference of the chest and abdomen. In addition, the criterion for determining whether or not there is respiratory effort is that the change in the circumference of the chest or abdomen due to breathing is generally assumed to be 1/10 or less of that during normal breathing. Good detection is required.

As a method of detecting the amount of change in the circumference of the patient's chest or abdomen, a belt provided with a stretchable conductor is conventionally wrapped around the patient's chest or abdomen and the circumference of the patient is measured. A method of detecting a change in the resistance value, impedance or inductance of the conductor that expands and contracts due to a change, a method of arranging a piezoelectric element on a belt and detecting an output voltage according to the distortion of the piezoelectric element caused by expansion and contraction of the belt, and the like. It has been known. In particular, in the case of a piezoelectric element, a voltage corresponding to the distortion is output, so that there is no need to supply power to the detection unit, and therefore, there is an advantage that it can be realized with a simple configuration.

[0005]

However, in the above-mentioned conventional method, the amount of change in the circumference of the chest and abdomen is indirectly detected based on the amount of change in resistance and the amount of change in voltage. It has been difficult to detect the amount of change with high accuracy. FIG. 20 to FIG. 22 are diagrams illustrating an example in which the amount of change in the circumference of the chest or abdomen is detected using a piezoelectric element.

FIG. 20 shows an example in which even if the amount of change in the circumference of the chest or abdomen due to respiration is the same, the amplitude of the output voltage will differ if the respiration cycle differs. The figure (a) shows the case where the respiratory cycle is long (3.5 seconds), and the figure (b) shows the case where the respiratory cycle is short (1.8 seconds). If the respiratory cycle is long, the amplitude of the output voltage increases from 150 mV to 205 mV. are doing.

FIG. 21 shows an example in which the amount of change in the circumference of the chest or abdomen due to respiration is not proportional to the amplitude of the output voltage. FIG. 3A shows the case where the change amount of the perimeter is a predetermined reference value, FIG. 3B shows the case where the reference value is twice as large as the reference value, and FIG. Voltage amplitude is 70mV,
120 mV and 230 mV, and the amplitude of the output voltage is not proportional to the amount of change.

FIG. 22 shows an example in which, even if the amount of change in the circumference of the chest or abdomen due to breathing and the respiratory cycle are the same, the amplitude of the output voltage differs when the breathing mode differs.
FIG. 9A shows a case where intake and exhaust are performed continuously, and FIG. 9B shows a stop time between intake and exhaust.
In the case of a mode in which the inhalation / exhaust time is short and breathing is strong as compared with the case of continuous, the amplitude of the output voltage is 150 mV and 195, respectively.
mV, and the amplitude of the output voltage increases as the breathing mode becomes stronger even though the amount of change in the circumference and the breathing cycle are the same.

As described above, it is difficult to accurately detect the amount of change in the circumference of the chest or abdomen with the conventional method, and therefore, it is accurately determined whether or not the criteria for apnea are met. And there is a risk that a patient who should be judged as having apnea syndrome may be missed.

An object of the present invention is to solve the above-mentioned problem, and an object of the present invention is to provide a respiratory effort detection device capable of directly and accurately detecting a change in the circumference of the chest or abdomen.

[0011]

According to the first aspect of the present invention, a non-stretchable belt member is wrapped around the chest or abdomen of a subject so that both ends thereof overlap with each other, and the circumference of the chest or abdomen by the respiratory effort of the subject is measured. Respiratory effort detection device for detecting the amount of change in the size of the overlapping portion of both ends based on the change of the belt member, which is disposed between a predetermined position of one end of the belt member and a predetermined position of the other end of the belt member A stretchable elastic means for urging the belt member in the direction of tightening, a scale portion provided on one of both ends of the belt member, and a reading portion provided on the other side and reading the scale portion, A moving amount detecting means for detecting a moving amount of one end of the belt member relative to the other end.

[0012] According to this configuration, the non-stretchable belt member is wound around the chest or abdomen of the subject so that both ends thereof overlap with each other, and is opposed to the stretchable elastic means which urges the belt member in the tightening direction. When the circumference of the chest or abdomen changes due to the respiratory effort of the subject and the size of the overlapping portion of the both ends changes, the scale provided on one of the both ends of the belt member is replaced with the reading unit provided on the other. And the amount of movement of one end of the belt member relative to the other end is detected. Here, since the belt member is non-stretchable, the change in the circumference of the chest or abdomen due to the respiratory effort of the subject is accurately represented as a change in the size of the overlapping portion of the both ends, and thus the change in the circumference Is detected directly, and the amount of change in the perimeter is accurately detected.

According to a second aspect of the present invention, in the apparatus for detecting a respiratory effort according to the first aspect, a plurality of regions having predetermined characteristics are arranged at predetermined intervals in the length direction of the belt member. The reading unit is disposed to face the scale unit and detects the characteristic. The moving amount detecting unit detects the moving amount based on the number of areas having the characteristic detected by the reading unit. Is detected.

[0014] According to this configuration, the characteristics are detected by the reading unit disposed opposite to the scale unit in which a plurality of regions having predetermined characteristics are arranged at predetermined intervals in the length direction of the belt member. The area of the scale is detected, but the scale and the reading part relatively move due to a change in the circumference of the chest or abdomen, and the amount of movement is detected based on the number of detected areas. Thus, the change in the perimeter is accurately detected with a simple configuration.

According to a third aspect of the present invention, in the apparatus for detecting respiratory effort according to the first or second aspect, the belt member is divided into at least two parts, and the belt member is wound around the chest or abdomen of the subject. It is characterized in that the attachment length is configured to be adjustable.

According to this configuration, the belt member is divided into at least two parts, and the length of the belt member when it is wound around the chest or abdomen can be adjusted. It is possible to adjust the winding length to an appropriate value according to the length of the peripheral length, and it is possible to respond to the size of the subject.

According to a fourth aspect of the present invention, in the respiratory effort detecting apparatus according to the third aspect, when the belt member is wrapped around the chest or abdomen of the subject, the length of the overlapping portion of the both ends is predetermined. It is characterized by comprising a determining means for determining whether or not it is within the range, and a notifying means for notifying a result of the determination by the determining means.

[0018] If the winding length for winding around the chest or abdomen of the subject is adjustable, there is a possibility that the winding length may be too long. Without this, the change in the circumference of the chest or abdomen will not be accurately detected. However, if the length of the overlapping portion of the both ends when the belt member is wound around the chest or abdomen of the subject is within a predetermined range, the amount of extension of the elastic means is within a predetermined range, so The urging force in the tightening direction of the belt member by the means is within a predetermined range. Therefore, according to the configuration of the fourth aspect, the determination result by the determination means is notified, so that the adjustment to the appropriate winding length can be easily performed. It will be well detected.

According to a fifth aspect of the present invention, there is provided the apparatus for detecting respiratory effort according to the fourth aspect, wherein the time measuring means, the storing means,
Determination control means for performing the determination by the determination means at a predetermined cycle; and storage control means for storing the detection data by the movement amount detection means and the determination result by the determination means together with the elapsed time in the storage means. It is characterized by.

According to this structure, the determination by the determination means is performed at a predetermined cycle, and the detection data and the determination result by the movement amount detection means are stored in the storage means together with the elapsed time. By analyzing the data in the storage means after the detection of the amount of change in the perimeter is completed, it becomes possible to monitor the state of attachment of the belt member being detected, and the reliability of the amount of change in the perimeter, ie, the amount of change Can be determined whether or not was accurately detected.

[0021]

FIG. 1 is a view showing a state in which a respiratory function measuring device, which is an embodiment of a respiratory effort detecting device according to the present invention, is worn on a subject.

The respiratory function measuring device 1 is for measuring respiratory function of the subject P such as a sleep apnea state to notify respiratory abnormality, and includes an oxygen saturation detector 2 and a sound detector 3. , A respiration detection unit 4, a respiration effort detection unit 5, a relay unit 6, a body position detection unit 7 (FIG. 4), and a measurement processing unit 8.

The oxygen saturation detection section 2 and the measurement processing section 8
The sound detection unit 3, the respiration detection unit 4, the respiratory effort detection unit 5, and the relay unit 6 are connected by a connection cable 11, and are connected by connection cables 12, 13, and 14, respectively, and the relay unit 6 and the measurement processing unit 8 are connected. Means connection cables 12, 13,
14 are connected by a relay cable 15 that is a single unit.

Plugs 11a to 14a are attached to the ends of the connection cables 11 to 14, respectively, and the jack 8a of the measurement processing unit 8 (FIG. 10) and the jacks 6a, 6b, 6c of the relay unit 6 (FIG. 10), respectively. Is detachably connected. A plug 15a is attached to the end of the relay cable 15, and is detachably connected to a jack 8b (FIG. 10) of the measurement processing unit 8. The plugs 11a, 12a, 13a, 14a, 15a and the jacks 6a, 6b, 6c, 8a, 8b each constitute a connector and have a function as connection means for detachably electrically connecting.

Next, the configuration of each unit will be described with reference to FIGS. FIG. 2 is a diagram illustrating a configuration of the oxygen saturation detection unit.

The oxygen saturation detector 2 detects the oxygen saturation in the artery of the fingertip. As shown in FIG. 2, one end of the upper and lower clip plates 21 and 22 are pivotally connected and connected.
The other end is urged in the holding direction by a spring (not shown).
Can be attached to the fingertip by sandwiching it. The upper clip plate 21 includes an LED 23a that emits light (for example, red light) having a wavelength whose absorption rate depends on the oxygen concentration in blood,
An LED 23b that emits light of a wavelength (for example, infrared light) whose absorption rate hardly depends on the oxygen concentration in blood,
A photodiode 24 that receives light transmitted through the finger 16 among the light emitted from the LEDs 23a and 23b is provided at a position of the lower clip plate 22 that faces the LEDs 23a and 23b.
Is provided, and a light reception signal corresponding to the received light intensity is sent to the measurement processing unit 8 via the connection cable 11.

Returning to FIG. 1, the sound detection unit 3 is adhered to the vicinity of the throat of the subject P by, for example, an adhesive tape, and comprises a microphone for detecting tracheal sound and snoring sound of the subject P. Sound signal according to connection cable 1
2 and the measurement processing unit 8 via the relay cable 15.

The respiratory detecting section 4 detects an airflow generated by the respiration of the subject P. As shown in FIG. 3, the left nasal breath detecting section 41, the right nasal breath detecting section 42 and the breath detecting section 43 are provided.
And the left and right nose breath detectors 41 and 42 face the entrance of the nostril, respectively.
3 is adhered under the nose of the subject P by, for example, an adhesive tape so as to face the mouth (see FIG. 1).

The left nose breath detecting section 41, right nose breath detecting section 42 and breath detecting section 43 of the respiratory detecting section 4 each comprise, for example, a thermistor, and as shown in FIG.
The connection lines 13 are connected in series by conductive lines 45, 46, 47, and 48, and the conductive lines 45, 48 are united as a single connection cable 13 in a state where they are insulated from each other.

When airflow due to nose or mouth breathing hits any of the left nose breath detection section 41, the right nose breath detection section 42, and the breath detection section 43, the temperature of the detection section rises, and the space between the conductive lines 45, 48 is increased. It appears as a change in resistance. Accordingly, the change in the resistance value is detected as a change in the potential difference between the conductive lines 45 and 48 by the respiration detection unit 4.

The respiratory effort detector 5 is attached to the chest or abdomen of the subject P, and detects the amount of change in the circumference of the chest or abdomen due to the subject P's respiratory effort. The respiratory effort detection unit 5 wraps a non-stretchable belt member around the chest or abdomen of the subject P so that both ends overlap each other,
It detects the amount of change in the size of the overlapping portion of the both ends based on the change in the circumference of the chest or abdomen due to the respiratory effort of the subject P. By making the belt member non-stretchable, the change in the circumference is reduced. It is made to appear directly in the amount of change in the size of the overlapping portion.

FIG. 4 is a diagram showing the internal configuration of the detection box of the respiratory effort detection unit 5. As shown in FIG. 1, the respiratory effort detection unit 5 includes a detection box 51 and belts 52 and 53.
In the present embodiment, the detection plate 51 is attached to the chest of the subject P. As shown in FIG. 4, the detection box 51 includes a moving plate 55, a spring 56, a photo interrupter 57, guide plates 58a and 58b, and body position detection. A unit 7 (described later) and the like are provided.

The belts 52 and 53 have no elasticity so that a change in the circumference of the chest is accurately reflected on the movement of the movable plate 55 in the detection box 51. One end of the belt 52 is fixed to a left end 55b of the moving plate 55. A base end 56a of the spring 56 is fixed to a predetermined portion 51b of the detection box 51, and a distal end 56b of the spring 56 is fixed to a right end 55a of the movable plate 55. One end of the belt 53 is fixed to a mounting portion 51 a provided on the right end of the detection box 51.

As shown in FIG. 1, the other ends of the belts 52 and 53 are fixed to each other by a hook-and-loop fastener 59 so that the belts 52 and 53 can be freely attached and detached and their mounting positions can be adjusted. By adjusting the mounting position of the hook-and-loop fastener 59 to adjust the length of the wrapping around the subject P, the respiratory effort detection unit 5 can be brought into close contact with the chest of the subject P with an appropriate elastic force of the spring 56. I have.

In FIG. 4, a scale plate 61 is provided on a movable plate 55.
Is provided. As shown in FIG. 5A, the graduation portion 61 has a predetermined size (for example, 0.03 m in the present embodiment) in the longitudinal direction (horizontal direction in the figure) of the transparent film 62 in the belt.
m) at equal intervals (for example, 0.06 m in this embodiment).
m). And FIG.
As shown in (b), a light emitting element (for example, an LED) 64 and a light receiving element (for example, a photodiode) 65 constituting the photo interrupter 57 are arranged so as to sandwich the scale 61.

Referring to FIG. 4, the guide plates 58a, 5
8b is fixed to the detection box 51, and regulates the moving direction of the moving plate 55 when the belt 52 is pulled in the direction of arrow Q. FIG. 5B shows only the guide plate 58b. Each is formed in a U-shaped cross section so as to sandwich the movable plate 55.

The spring 56 constitutes an elastic means, and the belt 5
2, 53, the moving plate 55 and the detection box 51 constitute a non-stretchable belt member, the line 63 constitutes an area having predetermined characteristics, and the photo interrupter 57 constitutes a reading unit. Further, the lines 63 constitute a blocking area, and the portion of the film 62 between the lines 63 constitutes a transmitting area.

As shown in FIG. 1, in this embodiment, the respiratory effort detector 5 is mounted on the chest of the subject P, but may be mounted on the abdomen. Also, the spring 56
Instead, elastic means such as rubber may be used.

As shown in FIG. 4, in this embodiment, a scale 61 is provided on the movable plate 55, and the photo interrupter 5 is provided.
Although 7 is fixed to the detection box 51, the invention is not limited to this. A scale 61 may be provided in the detection box 51, and the photo interrupter 57 may be attached to the moving plate 55. That is, the moving plate 5 constituting one end of the belt member
It suffices if the relative movement amount between the right end 55a of No. 5 and the left end 51c of the detection box 51 constituting the other end of the belt member can be detected.

Returning to FIG. 1, the relay unit 6 includes three connection cables for connecting the sound detection unit 3, the respiration detection unit 4, and the respiration effort detection unit 5 to the measurement processing unit 8, and the wiring becomes congested. And is fixed to the belt 53 in a box shape. On one side of the relay section 6, connection cables 12, 1 for the sound detection section 3, the respiration detection section 4, and the respiration effort detection section 5 are provided.
Jacks 6a, 6b, 6c (FIG. 10) to which plugs 12a, 13a, 14a at the ends of 3, 14 are attached are provided, and a relay cable 15 connected to the measurement processing section 8 is fixed to the opposite side surface. And within the relay unit 6
The signal lines in the connection cables 12, 13, and 14 are grouped so as to be output by one relay cable 15 while being insulated from each other.

The body position detecting section 7 detects the posture of the subject P (standing,
Supine position, right side position, left side position, prone position, etc.).

The body position detecting section 7 has a rotation position sensor having a conductive movable body sealed in a container provided with a plurality of contacts, and the movable body is freely movable. And a short-circuit state in which two adjacent contacts are short-circuited. Then, when the movable body moves due to a change in the posture of the subject P, another two contacts are short-circuited. In this movable body, any two contacts are short-circuited between one short-circuit state and another short-circuit state. Does not have a dead state. This dead state occurs when transitioning from one short-circuit state to another.
This is caused by the presence of a state in which only one contact is in contact, but this cannot be distinguished from an open state in which the movable body does not contact any of the contacts.

In view of this, the body position detecting section 7 of the present embodiment has two rotational position sensors as described above, and has a positional relationship such that both rotational position sensors do not become insensitive at the same time. In this state, it is attached to the subject P.

FIG. 6 is a diagram showing the structure of the body position detecting unit.
(A) is a perspective view of the appearance, (b) is a cross-sectional view of the rotation position sensor, and (c) is a cross-sectional view taken along line CC of (b). FIG.
(A) and (b) are diagrams showing an arrangement state of a body position detection unit when the subject is in a supine position, FIG. 8 is a diagram showing a short-circuit state of a contact point with respect to a rotation position of a rotation position sensor, and FIG. FIG. 3 is a circuit diagram illustrating a detection circuit.

In FIG. 6A, the body position detecting section 7 includes rotational position sensors 71a and 71b having the same structure and a detecting circuit 7a.
2 are provided on the circuit board 73, respectively, and are housed in the detection box 51 of the respiratory effort detection unit 5, as shown in FIG. As described above, since the body position detecting unit 7 is accommodated in the detection box 51, it is not necessary to separately provide a box for accommodating the body position detecting unit 7, so that the mounting operation of the respiratory function measuring device 1 can be performed. The simplification and the discomfort of the subject P due to the wearing can be reduced.

As shown in FIGS. 6B and 6C, the rotational position sensors 71a and 71b are configured such that a movable body 76 whose surface is made of a conductive member moves into a hollow housing (container) 75 made of an insulating member. It is arranged freely. Housing 75
Has a substantially rectangular parallelepiped shape in a plan view, and spherical concave portions 75c and 75d are formed in the center of a top plate 75a and a bottom plate 75b, respectively. In addition, contact points 77a, 77b, 77c, and 77d made of plate-like conductors are protruded toward the central axis 71p at four corners of the side plate 75e and substantially at the center in the height direction, and the side plates 75e face each other. These contacts 77a, 77b, 7
7c, 77d, terminals 78a, 78b,
78c and 78d are protrudingly provided.

As shown in FIG. 6B, the contacts 77a, 77
7b, 77c, and 77d indicate that the distance d between adjacent contacts is
The distance is set slightly shorter than the diameter R of the movable body 76, and the portion facing the movable body 76 is smoothly formed in a circular shape centered on the central axis 71p. FIG. 6A,
As shown in FIG. 7, the rotation position sensors 71a and 71b
The circuit boards 73 are arranged on the circuit board 73 in a state where they are rotated around the central axis 71p (FIG. 6B) by a predetermined angle (for example, 45 ° in the present embodiment) (the phases are different). However, as shown in FIG. 4, it is fixed to the detection box 51 downward in the figure.

As shown in FIGS. 6 (b) and 7 (a), a contact S1 is provided between the contacts 77a and 77d of the rotational position sensor 71a, a contact S2 is provided between the contacts 77a and 77b, and a contact 77b and 77b. A portion between the contacts 77c and 77d is referred to as a contact portion S3, and a portion between the contacts 77c and 77d is referred to as a contact portion S4.
a and 77d, a contact portion T1, a contact portion between the contacts 77a and 77b, a contact portion T2, a contact portion between the contacts 77b and 77c, a contact portion T3, and a contact 7
A portion between 7c and 77d is referred to as a contact portion T4.

According to this configuration, when the subject P is in the upright position (standing state), the movable body 76 is fitted into the concave portion 75c.
a, 77b, 77c, 77d
The contacts are also opened (off).

On the other hand, when the subject P is in the supine position as shown in FIG.
In FIG. 7A, the movable body 76 of one rotation position sensor 71a is arranged so that the upper side of the paper surface is on the upper side (ceiling side) and the lower side of the paper surface is on the lower side (floor side). , 77d, the contact point S1 is short-circuited (turned on) between the two contacts 77a, 77d, that is, the movable body 7 of the other rotational position sensor 71b.
No. 6 is in a state of being fitted into the circular portion on the tip side of the contact 77a, so that any two contacts are open and insensitive (off).

Next, the state of each contact point of the rotational position sensors 71a and 71b when the body position of the subject changes will be described with reference to FIG. As described above with reference to FIG. 7, when the subject P is in the supine position, the movable body 76 of the rotational position sensor 71a is fitted between the contacts 77a and 77d, so that the contact portion S1 is short-circuited (ON). I do. When the subject P rotates clockwise in the drawing from the state shown in FIG. 7, the movable body 76 is temporarily fitted into the circular portion on the distal end side of the contact 77a, and there is no sense that any of the contacts is opened (off). The state becomes the state A1. When the subject further rotates, the movable body 76 of the rotation position sensor 71a is in a state of being fitted between the contacts 77a and 77b, and the contact portion S2 is short-circuited (ON).

When the subject further rotates clockwise, the rotational position sensor 71a detects that the movable member 76 is in the dead state A2 when the movable member 76 has been fitted into the distal end of the contact 77b → the contact portion S3 is on → the movable member 76 has reached the distal end of the contact 77c A3 in the dead state
→ The contact portion S4 is turned on → The state changes to the insensitive state A4 in which the movable body 76 fits into the tip of the contact 77d, and when the subject returns to the supine position, the contact portion S1 is turned on.

Thus, the range in FIG. 8 corresponds to the supine position, the range corresponds to the left lateral position, the range corresponds to the prone position, and the range corresponds to the right lateral position. And the contact portion S
The on states of 1, S2, S3, and S4 correspond to the respective positions, but in a period from when each contact section is turned on to when the next contact section is turned on, none of the contact sections is turned on.
A3 and A4 exist. Therefore, the rotation position sensor 7
With only 1a, in the insensitive state A1, A2, A3, A4, it cannot be distinguished from the open state when the subject P is standing.

On the other hand, the rotation position sensor 71b
(A), as shown in FIG.
a with respect to a predetermined angle (for example, 45 ° in the present embodiment)
It is arranged on the circuit board 73 in a state where it is rotated only counterclockwise. Therefore, when the subject P rotates clockwise in FIG. 7, the ON of the contact portions T1 to T4 is 1/8 of the ON of the contact portions S1 to S4, respectively, as shown in FIG.
Delay by period. Thereby, the rotation position sensor 71a
Are in the insensitive state A1, A2, A3, A4, respectively, the contact portions T1, T2, T3, T4 of the rotational position sensor 71b.
Turns on.

In this embodiment, the rotation position sensor 7
1b is disposed on the circuit board 73 in a state of being rotated counterclockwise by 45 ° with respect to the rotation position sensor 71a,
The present invention is not limited to this.
In the case of 1, A2, A3, and A4, any one of the contact portions T1 to T4 of the rotation position sensor 71b is turned on, that is, the rotation position sensors 71a and 71b are arranged so as not to be in the insensitive state at the same time. It is good. For example, 45
The angle may slightly increase or decrease compared to °, and -45 ° or
It may be arranged in a state rotated by an angle such as 135 °.

Next, the detection circuit 72 connected to the rotational position sensors 71a and 71b will be described with reference to the circuit diagram of FIG. In FIG. 9, the power supply voltage is V _CC ,
The resistance of R5 and R ₁ to R _5.

The terminal 78a of the rotational position sensor 71a is connected to the power supply line U3 via a resistor R1, the terminal 78b is connected to the ground line U4 via a series circuit composed of resistors R3 and R4, and the terminal 78c is connected to the power supply line U3. And the terminal 78d is connected to the resistors R3 and R4 via the resistor R2.
The connection point of the resistors R3 and R4 is connected to the output line U1. Thereby, the first detection circuit 72 that outputs a voltage of a predetermined level to the output line U1
a is configured.

On the other hand, the terminal 78 of the rotational position sensor 71b
a and 78c are directly connected to the power supply line U3, respectively, and the terminals 78b and 78d are respectively connected to the output line U2.
To the ground line U4 via a resistor R5. As a result, the output line U
2, a second detection circuit 72b that outputs a voltage of a predetermined level is configured.

The connection cable 73a extending from the circuit board 73 shown in FIG.
4 and the four conductive lines of the ground line U4 are insulated from each other.

With such a circuit configuration of the detection circuit 72, the voltages V1 to V4 output to the output line U1 when the contact portions S1 to S4 of the rotational position sensor 71a are on are:
V1 = V _CC · R ₄ / (R ₁ + R ₂ + R ₄ ) (1) V 2 = V _CC · R ₄ / (R ₁ + R ₃ + R ₄ ) (2) V 3 = V _CC · R ₄ / (R ₃ + R ₄ ) (3) V4 = V _CC · R ₄ / (R ₂ + R ₄ ) (4), and the voltage V5 output to the output line U1 when all the contacts S1 to S4 are off. Is V5 = 0.

On the other hand, the contact portion T1 of the rotational position sensor 71b
Voltage V6 that either ~T4 is output to the output line U2 when turned on, V6 = V _CC, and the output to the output line U2 when none of the contact portions T1~T4 rotational position sensor 71b is turned off The voltage V7 is V7 = 0.

For example, V _CC = 5 (V), R ₁ = 100 (kΩ), R ₂
= 200 (kΩ), R ₃ = 51 (kΩ), R ₄ = 100 (kΩ), R ₅ = 1
In the case of 00 (kΩ), V1 = 1.2 (V), V2 = 2.0 (V),
V3 = 3.3 (V), V4 = 1.7 (V), and V6 = 5 (V).

As described above, the resistance R of the first detection circuit 72a is
By setting the resistance values of 1 to R4 to appropriate values, it is possible to output different levels of voltages to the output line U1 when the contact portions S1 to S4 are turned on. Which of the sections S1 to S4 is turned on, or all the contact sections S1 to S4
It is possible to determine whether is turned off. Further, the rotation position sensor 71b is detected by the second detection circuit 72b.
It is possible to determine whether any of the contact portions T1 to T4 is turned on or whether all the contact portions T1 to T4 are turned off.

Therefore, with only one rotational position sensor 71a, it is determined whether the subject is in a standing position or in a lying and insensitive state when all the contacts S1 to S4 are off. Cannot be determined. On the other hand, according to the configuration of the present embodiment, even if all the contact portions S1 to S4 of the rotation position sensor 71a are off, any one of the contact portions T1 to T4 of the rotation position sensor 71b If the part is turned on, the subject's posture is lying down,
And all the contact portions T1 to T4
If is turned off, it can be determined that the body position of the subject is standing.

As a result, it is possible to reliably determine whether the subject is in the supine position, the left position, the right position, the prone position, or the standing position.

Further, by using the circuit configuration shown in FIG. 9 for the detection circuit 72, it is possible to make a distinction between the four conductive lines U1 to U4, and to determine the number of signal lines from the body position detection unit 7 to the measurement processing unit 8. Can be minimized. Also,
Since the rotation position sensor 71b only needs to be able to determine whether any of the contact portions is on or both are off, the second detection circuit 72b can have a simple circuit configuration.

The second detection circuit 72b may have the same circuit configuration as the first detection circuit 72a. Thus, when the rotational position sensor 71a is in the insensitive state while the subject is lying down, the contact portion where the rotational position sensor 71b is turned on can be determined, so that the subject can be positioned between any positions. Can be determined.

Returning to FIG. 1, the measurement processing section 8 is a box-shaped belt 8c that is passed through a belt loop (not shown) on the back side.
Is wrapped around the wrist of the subject P, and a hook-and-loop fastener (not shown)
And a power switch 81 and a display unit 82 on the surface.

Next, the electrical configuration of the measurement processing section 8 will be described. FIG. 10 is a block diagram showing an electrical configuration of the respiratory function measuring device 1, and FIG. 11 is a block diagram showing functional blocks of the CPU. 1 and 4 are denoted by the same reference numerals.

As shown in FIG. 10, the measurement processing section 8 includes a battery 80, a power switch 81, a display section 82, and a signal processing section 8.
3-86, an analog switch 87, an A / D converter 88,
A storage unit 89 and a CPU 90 are provided.

The battery 80 is composed of, for example, a 9 V power supply, and supplies power for operation to each unit. The power switch 81 starts the supply of power from the battery 80 to each unit. And displays the measurement results and the like.

The signal processing units 83, 84, 85, 86 are respectively provided with a light reception signal from the photodiode 24 of the oxygen saturation detection unit 2, a sound signal from the sound detection unit 3, and a respiration detection unit 4.
And a light receiving signal from the light receiving element 65 of the photo-interrupter 57 of the respiratory effort detecting unit 5 to perform amplification processing and waveform shaping processing of each signal.

For example, when the circumference of the chest increases or decreases due to the respiratory effort of the subject and the scale plate 61 moves between the light emitting element 64 and the light receiving element 65 of the photo interrupter 57, the transmission and blocking of the light emitted from the light emitting element 64 are performed. Is repeated by the light receiving element 65, and a light receiving signal as shown in FIG. 12A is obtained. This light receiving signal is subjected to a waveform shaping process by the signal processing unit 86, and a pulse signal as shown in FIG. Is obtained.

The signal processing section 85 has a function of converting a change in resistance value into a change in voltage by applying a preset voltage between the conductive lines 45 and 48 of the respiration detection section 4. I have.

Signal processing units 83 to 86 and body position detecting unit 7
The output signals from the A / D converters 88 are sequentially output one by one by an analog switch 87 controlled by the CPU 90.
And is A / D converted and input to the CPU 90.
The storage unit 89 stores a C containing a predetermined fixed data or the like.
ROM for storing a control program of the PU 90, RAM or EEPROM for temporarily storing detection data, etc.
Etc. This RAM or EEPROM has a capacity capable of storing, for example, detection data for 24 hours (3 days for 8 hours of sleep). Note that the control program of the CPU 90 is not stored in the built-in ROM,
The information may be supplied from the outside via an IC card or the like.

As shown in FIG. 11, the CPU 90 includes, as functional blocks, a measurement controller 91, a biological information calculator 92, a breathing effort determiner 93, and a body position determiner 94.

When the power switch 81 is turned on, the measurement control means 91 starts the measurement operation by controlling the operation of each section. For example, as shown in FIG. , 23b for a predetermined period T ₁ (for example, 10 msec) and a predetermined time T ₂ (for example, 2.5 msec)
The light emitting element 64 of the respiratory effort detection unit 5 is turned on alternately.

The biological information calculating means 92 calculates, for example, the following various biological information at predetermined intervals (for example, 5 seconds) based on the signals obtained from the respective units.
The calculation result and the like are stored in the storage unit 89.

The oxygen saturation detector 2 shown in FIG.
Period T of the amplitude of the light receiving signal of the photodiode 24 of FIG.
₃ (in the figure, for convenience illustrates a T _3/2) to calculate the pulse rate on the basis of.

The oxygen saturation detector 2 as shown in FIG.
The oxygen saturation is calculated based on the level of each light reception signal by the photodiode 24 when the LEDs 23a and 23b emit light.

The respiratory condition is determined by comparing the amplitude W of the sound signal from the sound detector 3 as shown in FIG. 14 with a preset level. For example, between time t ₀ ~ time t ₁ is determined to stop state of the tracheal tone by apnea, amplitude W ₁
Determining determines that normal breathing sounds, amplitude W ₂ is a snore. Moreover, to calculate the duration of the respiratory rate or apnea per unit time based on the interval T ₄ of the peak value.

[0082] calculating the duration of the respiratory rate or apnea per unit based on the period T ₅ of the change in the resistance value time in the breath detection unit 4 as shown in FIG. 15. Moreover, determining the strength of the breath based on the amplitude W ₃ of the peak value.

The number of apnea times per unit time and the number of apnea times for each position determined by the position determination means 94 are calculated.

Returning to FIG. 11, the breathing effort determination means 93
This is for determining the presence or absence of the respiratory effort of the subject P based on the signal from the respiratory effort detection unit 5. The functional blocks include a reference position determining unit 101, an elongation amount determining unit 102, a notification control unit 103, and a moving amount calculating unit 104. Have.

When the power switch 81 is turned on, the reference position determination means 101 determines that the extension amount of the spring 56 is 0, and uses the detection position of the scale plate 61 by the photo interrupter 57 at this time as a reference position. 89.

The extension determining means 102 determines whether or not the extension of the spring 56 is within a predetermined range when the respiratory effort detecting section 5 is worn on the subject P. Further, the elongation amount determining means 102 performs the above-described determination at predetermined intervals during the measurement.

The predetermined range is a range in which the optimum tensile strength (elastic force) is obtained (for example, the range detected by the photo interrupter 57 is the range X shown in FIG. 5A).
Is obtained in advance based on the relationship between the amount of elongation and the tensile strength, and is stored in the storage unit 89.

The predetermined range can be defined by the length of the overlapping portion between both ends of the belt member (moving plate 55 and detection box 51 in FIG. 4). For example, the position detected by the photo interrupter 57 is shown in FIG.
The upper limit is the length of the overlapping portion at the left end of the range X shown in (a), and the lower limit is the length of the overlapping portion when the detection position is at the right end of the range X.

When the amount of extension of the spring 56 falls within the predetermined range, the notification control means 103 displays the fact on the display unit 82 to notify the subject P. In addition, when the extension amount of the spring 56 is out of the predetermined range during the measurement, the notification control unit 103 notifies the subject P by displaying the fact on the display unit 82, and informs the subject P that the amount is out of the predetermined range. The storage unit 89 stores the data together with the measurement data and the elapsed time.
To be stored. This data is performed, for example, by setting a preset bit to 1. That is, if the setting bit is 0, it indicates that the measurement has been performed within the above-mentioned predetermined range.

The movement amount calculating means 104 is provided in the above-mentioned FIG.
Based on the number of pulses of the light receiving signal from the light receiving element 65 of the photointerrupter 57 as shown in (b), the amount of change in the chest circumference (surrounding length of the chest) of the subject due to respiratory effort is calculated,
The strength of the respiratory effort and the number of stops of the respiratory effort (for example, the number of stops for 10 seconds or more) are obtained and stored in the storage unit 89.

The position determination means 94 determines the position of the subject P based on the voltage levels of the output lines U1 and U2 (FIG. 9) of the position detection unit 7. That is, when the voltage V output to the output line U1 is V = V1 in the above equation (1), it is determined to be in the supine position, and when V = V2 in the above equation (2), it is determined to be in the left supine position. When V = V3 in the above formula (3), the prone position is determined, and when V = V4 in the above formula (4), the right prone position is determined. Further, the voltage V = 0 output to the output line U1
In, and when the voltage V = V _CC output to the output line U2, is determined to be a state subject P is lying, the voltage V to be output to the output line U1, U2 is, both V =
When it is 0, it is determined that the subject P is standing.

The elongation amount judging means 102 constitutes judging means and judging control means, the notification control means 103 and the display section 82 constitute notifying means, and the moving amount calculating means 104, the photo interrupter 57 and the scale section 61 constitute the moving amount. The detecting means is constituted.

As described above, the detection box 51, the belt 5
A non-stretchable belt member composed of the members 2, 53 and the moving plate 55 is attached to the subject P, and a spring 56 (elastic means) is disposed between both ends of the belt member to urge the belt member in a direction to tighten the belt member. Then, the scale 61 provided on the moving plate 55 which moves due to the increase or decrease of the circumference of the chest or abdomen due to the respiratory effort of the subject P is detected by the photo interrupter 57 to obtain the movement amount. Therefore, the change in the perimeter is directly obtained, whereby the amount of change in the perimeter can be obtained with high accuracy. Therefore, it is possible to accurately determine whether or not the patient is in the apnea state, and the patient who should be determined to have the sleep apnea syndrome will not be overlooked.

Further, the fact that the amount of extension of the spring 56 is within the predetermined range is displayed on the display unit 82. Therefore, when the respiratory effort detection unit 5 is mounted on the subject P, the display unit 82 displays the predetermined range. Hook-up fastener 59 so that the
Since the length of the belts 52 and 53 may be adjusted by adjusting the fixing position of the respiratory effort, the respiratory effort detection unit 5 can be easily worn with an appropriate tensile strength. Therefore, if the tensile strength when the respiratory effort detection unit 5 is worn is insufficient, the belt is loose and does not adhere to the subject, and it is difficult to accurately detect the amount of change in the circumference of the chest or abdomen. However, this problem can be solved, and the amount of change in the circumference of the chest or abdomen due to respiratory effort can be accurately detected.

When the amount of extension of the spring 56 is out of the predetermined range during the measurement, the data indicating the fact is stored in the storage unit 89. Therefore, it is determined whether or not a reliable and accurate measurement has been performed. It can be known by later analysis.

As shown by a dashed line in FIG. 10, a reference position storage switch 95 is provided, and when the reference position storage switch 95 is turned on, it is assumed that the amount of extension of the spring 56 is 0, and The position of the scale 61 may be stored in the storage 89 as a reference position.

Next, using the flowchart of FIG.
The measurement operation procedure in the respiratory effort detection unit 5 will be described.

When the power switch 81 is turned on, first, the reference position is stored in the storage unit 89 assuming that the amount of extension of the spring 56 is 0 (# 10). Wear on the chest or abdomen (# 2
0). At this time, the amount of extension of the spring 56 is detected (# 3).
0), it is confirmed whether or not a display indicating that it is within the predetermined range is made (# 40), and if there is no such display (N in # 40)
O), the length is adjusted by changing the fixing position of the hook-and-loop fastener 59 (# 50), and the steps # 30 to # 50 are repeated until the display within the predetermined range is performed, so that the extension amount of the spring 56 becomes the predetermined amount. When the respiratory effort detection unit 5 is mounted within the range (# 4)
If it is 0 (YES), the measurement is started (# 60).

Then, it is determined whether or not the measurement is performed within the above-mentioned predetermined range during the measurement (# 70). If the measurement is out of the above-mentioned predetermined range (NO in # 70), this is indicated by the measurement data or time. The data is stored in the storage unit 89 together with the data (# 80). Until the measurement is completed (NO in # 90), the determination of # 70 is performed at every predetermined sampling period.

The present invention is not limited to the above embodiment, but can adopt the following modifications (1) to (5).

(1) The scale 61 is a transparent film 62
Alternatively, a metal plate may be used, and a slit may be formed in the line 63 portion. In this case, the portion of the metal plate forms a blocking region, and the portion of the slit forms a transmission region.

As shown in FIG. 17A, the scale section 61 is a magnetic scale in which N poles and S poles of a predetermined size are alternately magnetized, and a magnetic detection section as shown in FIG. By disposing the means 66 close to the scale 61, the movement amount of the scale 61 may be detected. As the magnetic detection means 66, an MR (Magneto-Resistive) element whose resistance changes when the magnetic field changes, a Hall element which generates a voltage when the magnetic strength changes, or the like can be used.

(2) Instead of the photo interrupter (transmission type optical detection means) 57, a photo reflector (reflection type optical detection means) configured by arranging a light emitting element and a light receiving element on the same side of the scale 61 is used. You may do so. In this case, the scale 61 may be formed by alternately forming low-reflectance regions (including transmission, for example, slits or black printing) and high-reflectance regions (for example, metal plates).

(3) The detection of the movement amount is not limited to the non-contact type. A conductor is formed on the line 63 of the graduation portion 61 by, for example, vapor deposition of a metal, each conductor is grounded, and a contact pulled up to a predetermined potential is arranged so as to be in contact with the graduation portion. Thus, the number of times the potential of the contact drops to the ground level may be counted. According to this configuration, the movement amount can be detected by a contact method.

(4) As shown in FIG. 18, a region 67 representing the predetermined range may be provided on the scale 61, and a photo interrupter 68 for detecting the region 67 may be provided separately. In this case, it is not necessary to previously store the reference position where the amount of extension of the spring 56 is zero. If the region 67 is formed of a metal or the like, a proximity switch or the like can be used instead of the photo interrupter.

(5) As shown in FIG. 19, the relay section 6 may be accommodated in the detection box 51 of the respiratory effort detection section 5. Accordingly, it is not necessary to separately provide a box for the relay unit 6, and the mounting work of the respiratory function measuring device 1 can be further simplified, and the discomfort of the subject P due to the mounting can be further reduced.

[0107]

As described above, according to the first aspect of the present invention, a non-stretchable belt member is wrapped around the chest or abdomen of the subject so that both ends thereof overlap with each other, and the chest or the chest by the breathing effort of the subject is used. A respiratory effort detection device that detects an amount of change in the size of a portion where the both ends overlap based on a change in the circumference of the abdomen, wherein the belt member has a position between a predetermined position of one end and a predetermined position of the other end of the belt member. Elastic means for biasing the belt member in the direction of tightening, a scale section provided at one of both ends of the belt member, and a reading section provided at the other side for reading the scale section And a moving amount detecting means for detecting a moving amount of one end of the belt member relative to the other end. Is accurately represented as a change in the size of the overlapping portion of the both ends, so that the change in the perimeter can be directly detected, and thereby, the amount of change in the perimeter can be accurately detected. it can.

According to the second aspect of the present invention, the scale section has a plurality of regions having predetermined characteristics arranged in a longitudinal direction of the belt member at predetermined intervals. Since the moving amount detecting means is arranged to face the scale portion and detects the characteristic, the moving amount detecting means detects the moving amount based on the number of areas having the characteristic detected by the reading portion. The unit and the reading unit relatively move due to a change in the circumference of the chest or abdomen, and the amount of movement is detected based on the number of detected areas. Can be detected with high accuracy.

According to the third aspect of the present invention, the belt member is divided into at least two parts so that the length of the belt member when it is wound around the chest or abdomen can be adjusted. Therefore, the appropriate wrapping length can be adjusted according to the length of the circumference of the chest or abdomen of the subject, and the size of the subject can be adjusted.

According to the fourth aspect of the present invention, it is determined whether or not the length of the overlapping portion of the both ends when the belt member is wound around the chest or abdomen of the subject is within a predetermined range. And a notifying means for notifying the result of the judgment by the judging means, the length of the overlapping portion of the both ends when the belt member is wound around the chest or abdomen of the subject is within a predetermined range. If it is within the range, the amount of elongation of the elastic means is within a predetermined range, so that the biasing force of the elastic member in the tightening direction of the belt member is within a predetermined range. Is notified, it is possible to easily adjust the winding length to an appropriate value, whereby the amount of change in the peripheral length can always be detected with high accuracy.

According to the fifth aspect of the present invention, the timer means, the storage means, the judgment control means for making the judgment by the judgment means in a predetermined cycle, the data detected by the movement amount detection means, and the judgment means And storage control means for storing the result of the determination in the storage means together with the elapsed time, so that the data in the storage means is analyzed after the detection of the change in the perimeter due to the respiratory effort of the chest or abdomen is completed. This makes it possible to monitor the state of attachment of the belt member being detected, thereby making it possible to know whether or not the amount of change in the circumference has been accurately detected.

[Brief description of the drawings]

FIG. 1 is a diagram showing a state in which a respiratory function measurement device, which is one embodiment of a respiratory effort detection device according to the present invention, is worn on a subject.

FIG. 2 is a diagram illustrating a configuration of an oxygen saturation detector.

FIG. 3 is a diagram illustrating a configuration of a respiration detection unit.

FIG. 4 is a diagram showing an internal configuration of a detection box of a respiratory effort detection unit.

5A is a front view of a scale section, and FIG. 5B is a cross-sectional view showing a positional relationship of the scale section.

6A and 6B are diagrams showing a configuration of a body position detection unit, wherein FIG. 6A is a perspective view of an external appearance, FIG. 6B is a cross-sectional view of a rotation position sensor, and FIG. 6C is a cross-sectional view taken along line CC of FIG. is there.

FIGS. 7A and 7B are diagrams illustrating an arrangement state of a body position detection unit when the subject is in a supine position.

FIG. 8 is a diagram illustrating a short-circuit state of a contact point with respect to a rotation position of a rotation position sensor.

FIG. 9 is a circuit diagram illustrating a detection circuit of a body position detection unit.

FIG. 10 is a block diagram showing an electrical configuration of the respiratory function measuring device.

FIG. 11 is a block diagram illustrating functional blocks of a CPU.

12A is a diagram showing a light receiving signal obtained from a light receiving element of a photo interrupter, and FIG. 12B is a diagram showing a signal obtained by subjecting the light receiving signal shown in FIG.

FIG. 13 is a diagram showing a light emitting state of an LED of an oxygen saturation detecting section and a light receiving signal of a photodiode.

FIG. 14 is a diagram illustrating a sound signal from a sound detection unit.

FIG. 15 is a diagram illustrating a change in a resistance value in the respiration detection unit.

FIG. 16 is a flowchart illustrating a measurement operation procedure in a respiratory effort detection unit.

FIG. 17 is a view showing a modified form of the scale portion.

FIG. 18 is a diagram showing a modified form of the scale portion.

FIG. 19 is a diagram showing a form in which the relay unit is accommodated in a detection box of the breathing effort detection unit.

FIGS. 20 (a) and (b) show that when a piezoelectric element is used, even if the amount of change in the circumference of the chest or abdomen due to respiration is the same,
It is a figure which shows the conventional example from which an output voltage differs when a breathing cycle differs.

FIGS. 21 (a), (b) and (c) are diagrams showing a conventional example in which, when a piezoelectric element is used, the amount of change in the circumference of the chest or abdomen due to breathing is not proportional to the output voltage.

FIGS. 22 (a) and 22 (b) show conventional examples in which, when a piezoelectric element is used, even if the amount of change in the circumference of the chest or abdomen due to respiration and the respiration cycle are the same, the output voltage is different if the respiration mode is different. FIG.

[Explanation of symbols]

 REFERENCE SIGNS LIST 1 respiratory effort detecting device 5 respiratory effort detecting unit 57 photo interrupter 61 scale unit 63 line 8 measurement processing unit 82 display unit 90 CPU 93 respiratory effort determining unit 101 reference position determining unit 102 elongation amount determining unit 103 notification control unit 104 travel amount calculation means

Claims (5)

[Claims] 1. A non-stretchable belt member is wrapped around the chest or abdomen of a subject so that both ends overlap, and the overlapping portion of the both ends based on a change in the circumference of the chest or abdomen due to the respiratory effort of the subject. A respiratory effort detection device that detects an amount of change in size, is provided between a predetermined position at one end of the belt member and a predetermined position at the other end, and urges the belt member in a tightening direction. Elastic means that can be extended and contracted, a scale portion provided at one of both end portions of the belt member,
A respiratory effort detector, comprising: a reading unit provided on the other side for reading the scale unit; and a moving amount detecting means for detecting a relative moving amount of one end of the belt member with respect to the other end. apparatus. 2. The respiratory effort detecting device according to claim 1, wherein the scale section is formed by arranging a plurality of areas having predetermined characteristics in a length direction of the belt member at predetermined intervals, and the reading section. Is arranged to face the scale section and detects the characteristic, and the movement amount detecting means detects the movement amount based on the number of areas having the characteristic detected by the reading section. A respiratory effort detection device characterized by the above-mentioned. 3. The respiratory effort detection device according to claim 1, wherein the belt member is divided into at least two parts, and a winding length when the belt member is wound around the chest or abdomen of the subject can be adjusted. A respiratory effort detection device characterized by being constituted. 4. The respiratory effort detection device according to claim 3, wherein the length of the overlapping portion of the both ends when the belt member is wound around the chest or abdomen of the subject is within a predetermined range. A respiratory effort detection device, comprising: a determination unit for determining the respiratory effort; and a notification unit for notifying a determination result by the determination unit. 5. The respiratory effort detection device according to claim 4, wherein the time measurement means, the storage means, a judgment control means for making the judgment by the judgment means at a predetermined cycle, the detection data by the movement amount detection means, and Storage control means for storing the result of the determination by the determination means together with the elapsed time in the storage means.