JP2014193263A - Biological state estimation device, and computer program - Google Patents

Biological state estimation device, and computer program Download PDF

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JP2014193263A
JP2014193263A JP2013175073A JP2013175073A JP2014193263A JP 2014193263 A JP2014193263 A JP 2014193263A JP 2013175073 A JP2013175073 A JP 2013175073A JP 2013175073 A JP2013175073 A JP 2013175073A JP 2014193263 A JP2014193263 A JP 2014193263A
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Yoshinori Fujita
悦則 藤田
Shigeyuki Kojima
重行 小島
Yumi Ogura
由美 小倉
Udai Oda
宇大 小田
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Delta Tooling Co Ltd
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    • AHUMAN NECESSITIES
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    • A61B5/7239Details of waveform analysis using differentiation including higher order derivatives

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Abstract

PROBLEM TO BE SOLVED: To provide a technique for more accurately comprehending a biological state.SOLUTION: The present invention estimates a biological state, by using a predetermined central nervous system index value obtained from a central nervous system biological signal information and a predetermined peripheral nervous system index value obtained from a peripheral nervous system biological signal information, from a positional relationship between coordinate points on a coordinate system in which those indexes are set as coordinate axes. When performing state estimation of a person, a state of the person can be more accurately estimated by using both indexes as the present invention to have a configuration for determining the state of the person on a single coordinate system, so that each of variations of the indexes with respect to the state change of the person is emphasized, than using any one of indexes.

Description

本発明は、生体信号を用いて人の状態を推定する生体状態推定装置及びコンピュータプログラムに関する。   The present invention relates to a biological state estimation device and a computer program that estimate a human state using a biological signal.

本出願人は、特許文献1において、人の上体から採取した主に心循環系の波動である生体信号の時系列波形から周波数の時系列波形を求め、さらに、周波数傾きの時系列波形、周波数変動の時系列波形を求めてこれらを周波数解析する手順を有する装置を開示している。周波数解析の際には、予め定めた機能調整信号、疲労受容信号及び活動調整信号に相当する各周波数のパワースペクトルを求める。そして、各パワースペクトルの時系列変化から人の状態を判定する。   The present applicant, in Patent Document 1, obtains a time series waveform of a frequency from a time series waveform of a biological signal that is mainly a wave of the cardiovascular system collected from a human upper body, and further, a time series waveform of a frequency gradient, An apparatus having a procedure for obtaining time-series waveforms of frequency fluctuations and performing frequency analysis on these waveforms is disclosed. In the frequency analysis, the power spectrum of each frequency corresponding to a predetermined function adjustment signal, fatigue acceptance signal, and activity adjustment signal is obtained. And a person's state is judged from the time series change of each power spectrum.

また、本出願人は、特許文献2において、人の上体から採取した生体信号の時系列波形を用い、周波数解析して得られた対数パワースペクトル密度と対数周波数の関係において回帰直線を求め、この回帰直線の形等から人の状態をより正確に判定する技術を開示している。   In addition, in the patent document 2, the present applicant uses a time-series waveform of a biological signal collected from a human upper body, obtains a regression line in the relationship between logarithmic power spectral density and logarithmic frequency obtained by frequency analysis, A technique for more accurately determining the state of a person from the shape of the regression line is disclosed.

特開2011−167362号公報JP 2011-167362 A 特開2012−179202号公報JP 2012-179202 A

上記した技術は、いずれも、人の上体の中で背部の体表面に生じる振動をエアクッションを介して検出して解析するものである。この背部の体表面に生じる振動である脈波(背部体表脈波(Aortic Pulse Wave(APW)))は、心臓と大動脈の運動から生じる圧力振動であり、心室の収縮期及び拡張期の情報と、循環の補助ポンプとなる血管壁の弾力情報を含んでいる。そして、心拍変動に伴う信号波形は交感神経系及び副交感神経系の神経活動情報(交感神経の代償作用を含んだ副交感神経系の活動情報)を含み、大動脈の揺動に伴う信号波形には交感神経活動の情報を含んでいる。   All of the above-described techniques detect and analyze vibration generated on the body surface of the back in the upper body of a person via an air cushion. A pulse wave (Aortic Pulse Wave (APW)), which is a vibration generated on the body surface of the back, is a pressure vibration generated from the motion of the heart and the aorta, and information on the ventricular systole and diastole. And the elasticity information of the blood vessel wall which becomes an auxiliary pump for circulation. The signal waveform associated with heart rate variability includes sympathetic and parasympathetic nervous system activity information (parasympathetic activity information including the compensation of sympathetic nerves), and the signal waveform associated with aortic oscillation is sympathetic. Contains information on neural activity.

一方、例えば上記特許文献2に示されているように、背部体表脈波を解析するだけでなく、指尖容積脈波を周波数解析し、背部体表脈波及び指尖容積脈波の各解析結果を比較して人の状態を判定する手法も知られている。心臓の動きの特徴を捉える中枢系の生体信号情報である背部体表脈波と、末梢系の生体信号情報を捉える指尖容積脈波とは、所定の時間遅れをもって対応するのが通常であるが、心疾患患者等の場合には、背部体表脈波のみで心疾患特有の特徴が捉えられる場合があることから、解析結果における両者の乖離の程度を比較したものである。   On the other hand, for example, as shown in Patent Document 2 described above, not only the back body surface pulse wave is analyzed, but also the fingertip volume pulse wave is subjected to frequency analysis, and each of the back body surface pulse wave and the fingertip volume pulse wave is analyzed. There is also known a method for determining the state of a person by comparing analysis results. It is normal for the dorsal body surface pulse wave, which is the biological signal information of the central system that captures the characteristics of the heart movement, to correspond to the volume pulse wave of the fingertip that captures the biological signal information of the peripheral system with a predetermined time delay. However, in the case of a heart disease patient or the like, since a characteristic characteristic of heart disease may be captured only by the back body surface pulse wave, the degree of divergence between the two in the analysis result is compared.

しかし、背部体表脈波及び指尖容積脈波のそれぞれの解析結果同士を比較したものであり、両者の解析結果は、被験者が健康状態では近似しており、心臓付近に何らかの疾患のある被験者において乖離が生じることを開示している。つまり、人の基本的な健康状態の如何に拘わらず、覚醒度や注意力が低下した状態(覚低状態)にあるか否か、入眠予兆現象を生じたか否かといった日常活動の中での状態変化の推定を行う場合、従来の手法はいずれも、背部体表脈波のみか、あるいは、指尖容積脈波のみで行っており、両者を併せて推定することは行われていない。   However, the analysis results of the back body surface pulse wave and fingertip volume pulse wave are compared with each other, and the analysis results of both are similar when the subject is in a healthy state, and the subject has some disease near the heart. Discloses that divergence occurs. In other words, regardless of the basic health status of a person, whether or not they are in a state of low alertness or attention (a low consciousness state) When estimating the state change, all of the conventional methods are performed using only the back body surface pulse wave or only the fingertip volume pulse wave, and the both are not estimated together.

本発明は、上記した点に鑑みなされたものであり、中枢系生体信号情報と末梢系生体信号情報を併せて考察することにより、覚低状態や入眠予兆現象を従来よりも正確に推定することが可能な生体状態推定装置及びコンピュータプログラムを提供することを課題とする。   The present invention has been made in view of the above-described points, and is capable of estimating a hypoxia state and a sleep onset symptom more accurately than before by considering the central biological signal information and the peripheral biological signal information together. It is an object of the present invention to provide a biological state estimation device and a computer program capable of performing the above.

上記課題を解決するため、本発明の生体状態推定装置は、中枢系生体信号情報から所定の中枢系指標値を求める中枢系生体信号処理手段と、末梢系生体信号情報から所定の末梢系指標値を求める末梢系生体信号処理手段と、前記中枢系指標値及び前記末梢系指標値から得られる指標値を少なくとも一方の座標軸に用いた座標系上にプロットされた複数の座標点の位置関係から生体状態を推定する状態推定手段とを有することを特徴とする。   In order to solve the above problems, the biological state estimating apparatus of the present invention includes a central biological signal processing means for obtaining a predetermined central system index value from the central biological signal information, and a predetermined peripheral system index value from the peripheral biological signal information. A biological signal processing means for obtaining a peripheral system, and a living body from a positional relationship of a plurality of coordinate points plotted on a coordinate system using the central system index value and the index value obtained from the peripheral system index value as at least one coordinate axis. And a state estimating means for estimating the state.

前記状態推定手段は、前記複数の座標点の位置関係として、各座標点が、所定の分散状態にあるか否か、略一直線上に配向しているか否か、又は特異点を有するか否かを考慮して前記生体状態を推定する構成であることが好ましい。前記状態推定手段は、前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形における同時刻の各周波数を用い、前記中枢系指標値及び前記末梢系指標値を各座標軸にとった座標系上に、対応する前記各指標値同士の座標点を座標系上にプロットし、プロットされた複数の座標点の位置関係から生体状態を推定する構成であることが好ましい。   The state estimation means determines whether each coordinate point is in a predetermined dispersion state, or is aligned substantially on a straight line, or has a singular point as a positional relationship between the plurality of coordinate points. It is preferable that the biological state is estimated in consideration of the above. The state estimating means uses, as the central system index value and the peripheral system index value, each frequency at the same time in the original waveform of the central system biosignal information and the peripheral formation body signal information, and the central system index value and the peripheral system index value A configuration in which the coordinate points of corresponding index values are plotted on a coordinate system on a coordinate system in which peripheral index values are taken on the respective coordinate axes, and the biological state is estimated from the positional relationship of the plurality of plotted coordinate points It is preferable that

前記状態推定手段は、前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値を用い、前記中枢系指標値及び前記末梢系指標値を各座標軸にとった座標系上に、対応する前記各指標値同士の座標点を座標系上にプロットし、プロットされた複数の座標点の位置関係から生体状態を推定する構成であることが好ましい。前記状態推定手段は、前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値の比を一方の軸にとり、他方の軸に時間軸を用いた座標系上に、対応する指標値をプロットし、プロットされた複数の座標点の位置関係から生体状態を推定する構成であることが好ましい。前記中枢系生体信号情報が、背部から採取される背部体表脈波であることが好ましく、前記末梢系生体信号情報が、指尖容積脈波であることが好ましい。   In the inclination time series waveform obtained by performing slide calculation on the original waveform of the central system biosignal information and the peripheral formation body signal information under a predetermined condition as the central system index value and the peripheral system index value. Using each amplitude value at the same time, plotting the central system index value and the peripheral system index value on the coordinate system on each coordinate axis, plotting the coordinate points between the corresponding index values on the coordinate system, and plotting It is preferable that the biological state is estimated from the positional relationship between the plurality of coordinate points. In the inclination time series waveform obtained by performing slide calculation on the original waveform of the central system biosignal information and the peripheral formation body signal information under a predetermined condition as the central system index value and the peripheral system index value. The corresponding index value is plotted on the coordinate system using the ratio of each amplitude value at the same time on one axis and the time axis on the other axis, and the biological state is determined from the positional relationship between the plotted coordinate points. A configuration to be estimated is preferable. The central biological signal information is preferably a back body surface pulse wave collected from the back, and the peripheral biological signal information is preferably a fingertip volume pulse wave.

本発明のコンピュータプログラムは、生体状態を推定する生体状態推定装置としてのコンピュータに、中枢系生体信号情報から所定の中枢系指標値を求める中枢系生体信号処理手順と、末梢系生体信号情報から所定の末梢系指標値を求める末梢系生体信号処理手順と、前記中枢系指標値及び前記末梢系指標値から得られる指標値を少なくとも一方の座標軸に用いた座標系上にプロットされた複数の座標点の位置関係から生体状態を推定する状態推定手順とを実行させることを特徴とする。   The computer program of the present invention provides a computer as a biological state estimation device for estimating a biological state to a central biological signal processing procedure for obtaining a predetermined central system index value from central biological signal information and a predetermined value from peripheral biological signal information. A plurality of coordinate points plotted on a coordinate system using a peripheral biomedical signal processing procedure for obtaining a peripheral system index value and an index value obtained from the central system index value and the peripheral system index value as at least one coordinate axis And a state estimation procedure for estimating the biological state from the positional relationship.

前記状態推定手順は、前記複数の座標点の位置関係として、各座標点が、所定の分散状態にあるか否か、略一直線上に配向しているか否か、又は特異点を有するか否か、を考慮して前記生体状態を推定することが好ましい。前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形における同時刻の各周波数を用いることが好ましい。前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値を用いることが好ましい。前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値の比を用いることが好ましい。   In the state estimation procedure, as the positional relationship of the plurality of coordinate points, whether each coordinate point is in a predetermined dispersion state, is oriented in a substantially straight line, or has a singular point. It is preferable to estimate the biological state in consideration of. As the central system index value and the peripheral system index value, it is preferable to use respective frequencies at the same time in the original waveforms of the central system biosignal information and the peripheral formation body signal information. As the central system index value and the peripheral system index value, each amplitude value at the same time in the tilt time series waveform obtained by sliding calculation of the original waveform of the central system biological signal information and the peripheral formation body signal information under a predetermined condition Is preferably used. As the central system index value and the peripheral system index value, each amplitude value at the same time in the tilt time series waveform obtained by sliding calculation of the original waveform of the central system biological signal information and the peripheral formation body signal information under a predetermined condition It is preferable to use this ratio.

本発明は、中枢系生体信号情報から求められる所定の中枢系指標値と、末梢系生体信号情報から求められる所定の末梢系指標値を用い、これらを座標軸にとった座標系上の座標点の位置関係から生体状態を推定する。人の睡眠中枢と覚醒中枢との相互間の負のフィードバックは自律神経系、内分泌系の働きにより制御されている。これらの制御の様子を捉える指標として、上記したように、従来、指尖容積脈波が知られている一方、拘束力なく検出できる指標として、本出願人が提唱した背部体表脈波(APW)が知られている。しかし、背部体表脈波に代表される中枢系生体信号情報と、指尖容積脈波に代表される末梢系生体信号情報とは感度差がある。すなわち、背部体表脈波と比較した場合に、指尖容積脈波は脈波伝播速度に相当する時間遅れを伴っており、また、指尖に至るまでに生じる血流中の反射波の影響が大きい。それにより、背部体表脈波(APW)では、原波形の周波数解析において、指尖容積脈波では見られない0.5次成分の特徴的な周波数成分が存在する。つまり、中枢系生体信号情報と末梢系生体信号情報の検出された波形を比較した場合、原波形及びそれを処理した傾き時系列波形等が正確に一致するのではなく、両者にずれがあり、人の状態変化に対するそれらの変動の応答性が異なる。従って、人の状態推定を行う場合、いずれか一方を用いるよりも、本発明のように、両方の指標を用い、それを一つの座標系上で判定する構成とすることにより、人の状態変化に対するそれぞれの変動が強調され、人の状態をより正確に推定することができる。   The present invention uses a predetermined central system index value obtained from the central system biosignal information and a predetermined peripheral system index value obtained from the peripheral system biosignal information, and uses these as coordinate axes on the coordinate system on the coordinate system. The biological state is estimated from the positional relationship. Negative feedback between a human sleep center and awake center is controlled by the functions of the autonomic nervous system and endocrine system. As described above, fingertip plethysmogram is conventionally known as an index for capturing the state of these controls. On the other hand, as an index that can be detected without restraining force, the back body surface pulse wave (APW) proposed by the present applicant is proposed. )It has been known. However, there is a difference in sensitivity between the central biological signal information represented by the back body surface pulse wave and the peripheral biological signal information represented by the fingertip volume pulse wave. That is, when compared with the back body surface pulse wave, the fingertip volume pulse wave is accompanied by a time delay corresponding to the pulse wave velocity, and the influence of the reflected wave in the bloodstream that reaches the fingertip Is big. Thereby, in the back body surface pulse wave (APW), in the frequency analysis of the original waveform, there is a characteristic frequency component of the 0.5th order component that is not found in the fingertip volume pulse wave. In other words, when comparing the detected waveforms of the central biological signal information and the peripheral biological signal information, the original waveform and the tilt time series waveform processed there are not exactly the same, there is a shift between them, Responsiveness of those changes to human state changes is different. Therefore, when estimating the state of a person, rather than using either one, it is possible to change the state of the person by using both indicators and determining them on one coordinate system as in the present invention. Each variation with respect to is emphasized, and the state of the person can be estimated more accurately.

図1は、本発明の一の実施形態において用いた背部体表脈波を測定する生体信号測定装置の一例を示した斜視図である。FIG. 1 is a perspective view showing an example of a biological signal measuring apparatus for measuring a back body surface pulse wave used in an embodiment of the present invention. 図2は、図1に示した生体信号測定装置の分解斜視図である。2 is an exploded perspective view of the biological signal measuring apparatus shown in FIG. 図3は、図1に示した生体信号測定装置の要部断面図である。3 is a cross-sectional view of a main part of the biological signal measuring apparatus shown in FIG. 図4は、本発明の一の実施形態に係る生体状態推定装置の構成を模式的に示した図である。FIG. 4 is a diagram schematically showing the configuration of the biological state estimation apparatus according to one embodiment of the present invention. 図5は、図1に示した生体信号測定装置の荷重−たわみ特性を示した図である。FIG. 5 is a diagram showing the load-deflection characteristics of the biological signal measuring apparatus shown in FIG. 図6は、図5のグラフの縦軸をばね定数に変換した図である。FIG. 6 is a diagram in which the vertical axis of the graph of FIG. 5 is converted into a spring constant. 図7は、実験例1において得られた心電図、心音図、APW(原波形)、APWの二階微分波形、指尖容積脈波(原波形)、指尖容積脈波の二階微分波形の各関連事象の時相を比較した図である。FIG. 7 shows the relationship between the electrocardiogram, heart sound diagram, APW (original waveform), APW second-order differential waveform, fingertip volume pulse wave (original waveform), and second-order differential waveform of fingertip volume pulse wave obtained in Experimental Example 1. It is the figure which compared the time phase of the event. 図8(a)は、実験例1において得られた被験者Aのデータの中で、覚醒状態(安定状態(1))における関連事象を比較した図であり、図8(b)は、実験例において得られた被験者Aのデータの中で、睡眠状態(安定状態(2))における関連事象を比較した図である。FIG. 8A is a diagram comparing related events in the arousal state (stable state (1)) in the data of the subject A obtained in Experimental Example 1, and FIG. 8B is an experimental example. It is the figure which compared the related event in the sleep state (stable state (2)) in the data of the subject A obtained in. 図9(a)は、実験例1において得られた被験者Aのデータの中で、入眠予兆現象発現状態(遷移状態(1))における関連事象を比較した図であり、図9(b)は、実験例において得られた被験者Aのデータの中で、覚低状態(遷移状態(2))における関連事象を比較した図である。FIG. 9A is a diagram comparing the related events in the sleep onset sign phenomenon expression state (transition state (1)) in the data of the subject A obtained in Experimental Example 1, and FIG. It is the figure which compared the related event in a hypothetical state (transition state (2)) in the data of the subject A obtained in the experimental example. 図10(a)は、実験例1において得られた被験者Aのデータの中で、交感神経の亢進状態における関連事象を比較した図であり、図10(b)は、実験例において得られた被験者Aのデータの中で、副交感神経の亢進状態における関連事象を比較した図である。FIG. 10A is a diagram comparing the related events in the sympathetic nerve enhanced state in the data of the subject A obtained in Experimental Example 1, and FIG. 10B is obtained in the experimental example. It is the figure which compared the related event in the parasympathetic nerve enhancement state in the data of the subject A. 図11(a)〜(f)は、APWから求めた中枢系指標値と指尖容積脈波から求めた末梢系指標値として周波数の変動の値を採用して求めた被験者Hの6つの状態別の解析結果を示した図である。FIGS. 11A to 11F show the six states of the subject H obtained by adopting the frequency fluctuation values as the central system index value obtained from the APW and the peripheral system index value obtained from the fingertip volume pulse wave. It is the figure which showed another analysis result. 図12(a)〜(f)は、APWから求めた中枢系指標値と指尖容積脈波から求めた末梢系指標値として周波数の傾き時系列波形の振幅値を採用して求めた被験者Hの6つの状態別の解析結果を示した図である。FIGS. 12A to 12F show the subject H obtained by adopting the amplitude value of the time series waveform of the frequency gradient as the central system index value obtained from the APW and the peripheral system index value obtained from the fingertip volume pulse wave. It is the figure which showed the analysis result according to these six states. 図13(a)〜(f)は、図12の各振幅値の比を用いて求めた被験者Hの6つの状態別の解析結果を示した図である。FIGS. 13A to 13F are diagrams showing the analysis results for each of the six states of the subject H obtained using the ratio of the amplitude values in FIG. 図14(a)〜(d)は、図11及び図12を用いた判定と、医学的指標による入眠予兆現象、覚低状態、リラックス覚醒状態の判定とを統計処理して示した図である。FIGS. 14A to 14D are diagrams showing statistical processing of the determination using FIGS. 11 and 12 and the determination of a sleep onset symptom phenomenon, a wakefulness state, and a relaxed wakefulness state based on a medical index. . 図15(a)は、睡眠実験で睡眠欲求を受け入れて睡眠に至った被験者Hの解析結果を示した図であり、図15(b)は、被験者Bの覚低状態の解析結果を示した図であり、図15(c)は、被験者Cの睡眠に抵抗した事例の解析結果を示した図である。FIG. 15A is a diagram illustrating the analysis result of the subject H who has accepted sleep desire in the sleep experiment and has reached sleep, and FIG. 15B illustrates the analysis result of the hypothetical state of the subject B. FIG. 15C is a diagram showing an analysis result of a case where the subject C resisted sleep. 図16(a)は、実験例1の被験者11名の指尖容積脈波、APWの各原波形の周波数解析結果を示した図であり、図16(b),(c)は被験者Hの眠気の有無別の指尖容積脈波とAPWの原波形の周波数解析結果を示した図である。FIG. 16A is a diagram showing the frequency analysis results of the fingertip plethysmogram and the APW original waveforms of 11 subjects in Experimental Example 1, and FIGS. It is the figure which showed the frequency analysis result of the fingertip volume pulse wave according to the presence or absence of sleepiness and the original waveform of APW. 図17は、実験例2における被験者Fの指尖容積脈波のパワー値傾き時系列波形を示した図である。FIG. 17 is a diagram showing a power value gradient time series waveform of the fingertip volume pulse wave of the subject F in Experimental Example 2. 図18は、実験例2における被験者FのAPWのゼロクロス検出法による周波数傾き時系列波形を示した図である。FIG. 18 is a diagram showing a frequency gradient time-series waveform by the zero cross detection method of the APW of subject F in Experimental Example 2. 図19(a)は、被験者Fの各状態別の指尖容積脈波の傾き時系列波形を示した図であり、図19(b)は、被験者Fの各状態別のAPWの傾き時系列波形を示した図である。FIG. 19A is a diagram showing a tilt time series waveform of the fingertip volume pulse wave for each state of the subject F, and FIG. 19B is a slope time series of the APW for each state of the subject F. It is the figure which showed the waveform. 図20は、被験者Fの指尖容積脈波及びAPWの周波数の解析結果を示した図である。FIG. 20 is a diagram illustrating the analysis results of the fingertip volume pulse wave and APW frequency of the subject F. 図21(a)〜(f)は、被験者Fについて、APWから求めた中枢系指標値と指尖容積脈波から求めた末梢系指標値とを用いた解析結果を示した図である。FIGS. 21A to 21F are diagrams showing analysis results of the subject F using the central system index value obtained from the APW and the peripheral system index value obtained from the fingertip volume pulse wave. 図22(a)〜(f)は、実験開始直後から疲労感が高く、実験中盤に一瞬寝かけて、その後眠気が生じ再覚醒状態に移行した被験者の解析結果を示した図である。22 (a) to 22 (f) are diagrams showing the analysis results of subjects who had a high feeling of fatigue immediately after the start of the experiment, slept for a moment in the middle of the experiment, then drowsed and shifted to a re-wake state. 図23(a)〜(d)は、図22の指尖容積脈波及びAPWの各傾き時系列波形の変化の仕方と、覚醒時、入眠予兆現象の出現時及び覚低状態の各状態との相関性を示した図である。23 (a) to (d) show how the fingertip plethysmogram and APW slope time-series waveforms in FIG. 22 change, and the states of wakefulness, emergence of sleep onset, and wakefulness. It is the figure which showed the correlation of these. 図24(a)は、ノイズが乗っていない時間帯の被験者DのAPWの原波形の例を示し、図24(b)は、ノイズが重畳された時間帯の被験者AのAPWの原波形の例を示した図である。FIG. 24A shows an example of the original waveform of the APW of the subject D in the time zone in which no noise is on, and FIG. 24B shows the original waveform of the APW of the subject A in the time zone on which the noise is superimposed. It is the figure which showed the example. 図25は、被験者Aの関連事象を示した図である。FIG. 25 is a diagram showing a related event of the subject A. 図26は、被験者Bの関連事象を示した図である。FIG. 26 is a diagram illustrating a related event of the subject B. 図27(a)〜(c)は、被験者Aの覚醒状態、入眠予兆現象、覚低状態の状態別に、指尖容積脈波とAPWの原波形の周波数変動の様子を比較した図であり、図27(d)〜(f)は、被験者Bの覚醒状態、入眠予兆現象、覚低状態の状態別に、指尖容積脈波とAPWの原波形の周波数変動の様子を比較した図である。27 (a) to (c) are diagrams comparing the frequency fluctuations of the fingertip volume pulse wave and the original waveform of APW according to the state of wakefulness, sleep onset phenomenon, and hypoxia of subject A, FIGS. 27D to 27F are diagrams comparing frequency fluctuations of the fingertip volume pulse wave and the original waveform of the APW for each state of the awake state of the subject B, the sleep onset phenomenon, and the state of the hypoxia. 図28(a)〜(c)は、被験者Aの覚醒状態、入眠予兆現象、覚低状態におけるデータを示した図であり、図28(d)〜(f)は、被験者Bの覚醒状態、入眠予兆現象、覚低状態におけるデータを示した図である。28 (a) to 28 (c) are diagrams showing data on the wakefulness state, the sleep onset phenomenon, and the hypoactive state of the subject A, and FIGS. 28 (d) to 28 (f) are the wakefulness states of the subject B, It is the figure which showed the data in the sleep onset symptom phenomenon and a consciousness low state. 図29(a),(b)は、有効データ割合別の正答率を算出した2×2クロステーブルを示した図である。FIGS. 29A and 29B are diagrams showing a 2 × 2 cross table in which the correct answer rate is calculated for each valid data ratio. 図30は、実験例4の結果を示した図である。FIG. 30 is a diagram showing the results of Experimental Example 4.

以下、図面に示した本発明の実施形態に基づき、本発明をさらに詳細に説明する。本発明において採取する生体信号情報は、中枢系生体信号情報と末梢系生体信号情報の2種類である。末梢系生体信号情報は、典型的には指尖容積脈波であり、市販の指尖容積脈波計により採取される。中枢系生体信号情報は、典型的には、背部体表脈波(APW)であり、これは、本出願人が上記特許文献2等において提案している生体信号測定装置(以下、「背部体表脈波測定装置」)1により測定される。背部体表脈波(APW)は、人の上体背部から検出される心臓と大動脈の運動から生じる圧力振動であり、心室の収縮期及び拡張期の情報と、循環の補助ポンプとなる血管壁の弾性情報及び血圧による弾性情報を含んでいる。そして、心拍変動に伴う信号波形は交感神経系及び副交感神経系の神経活動情報(交感神経の代償作用を含んだ副交感神経系の活動情報)を含み、大動脈の揺動に伴う信号波形には交感神経活動の情報を含んでいる。   Hereinafter, the present invention will be described in more detail based on the embodiments of the present invention shown in the drawings. There are two types of biological signal information collected in the present invention: central biological signal information and peripheral biological signal information. The peripheral biological signal information is typically a fingertip volume pulse wave, and is collected by a commercially available fingertip volume pulse wave meter. The central biological signal information is typically a back body surface pulse wave (APW), which is a biological signal measuring device (hereinafter referred to as “back body” proposed by the applicant in the above-mentioned Patent Document 2). Table pulse wave measuring device ") 1 is measured. The back body surface wave (APW) is a pressure vibration generated from the motion of the heart and aorta detected from the upper back of a person, and information on ventricular systole and diastole and the blood vessel wall serving as an auxiliary pump for circulation Elasticity information and blood pressure elasticity information. The signal waveform associated with heart rate variability includes sympathetic and parasympathetic nervous system activity information (parasympathetic activity information including the compensation of sympathetic nerves), and the signal waveform associated with aortic oscillation is sympathetic. Contains information on neural activity.

ここで、背部体表脈波測定装置1の概略構成を、図2及び図3に基づいて説明する。背部体表脈波測定装置1は、これらの図に示したように、コアパッド11、スペーサパッド12、センサ13、フロントフィルム14、リアフィルム15を有して構成される。   Here, a schematic configuration of the back body surface pulse wave measuring device 1 will be described with reference to FIGS. 2 and 3. As shown in these drawings, the back body surface pulse wave measuring apparatus 1 includes a core pad 11, a spacer pad 12, a sensor 13, a front film 14, and a rear film 15.

コアパッド11は、例えば板状に成形され、脊柱に対応する部位を挟んで対称位置に、縦長の貫通孔11a,11aが2つ形成されている。コアパッド11は、板状に形成されたポリプロピレンのビーズ発泡体から構成することが好ましい。コアパッド11をビーズ発泡体から構成する場合、発泡倍率は25〜50倍の範囲で、厚さがビーズの平均直径以下に形成されていることが好ましい。例えば、30倍発泡のビーズの平均直径が4〜6mm程度の場合では、コアパッド11の厚さは3〜5mm程度にスライスカットする。   The core pad 11 is formed in, for example, a plate shape, and two vertically long through holes 11a and 11a are formed at symmetrical positions across a portion corresponding to the spinal column. The core pad 11 is preferably composed of a polypropylene bead foam formed in a plate shape. When the core pad 11 is composed of a bead foam, the foaming ratio is preferably in the range of 25 to 50 times, and the thickness is preferably less than the average diameter of the beads. For example, when the average diameter of 30 times expanded beads is about 4 to 6 mm, the core pad 11 is sliced to have a thickness of about 3 to 5 mm.

スペーサパッド12は、コアパッド11の貫通孔11a,11a内に装填される。スペーサパッド12は、三次元立体編物から形成することが好ましい。三次元立体編物は、例えば、特開2002−331603号公報、特開2003−182427号公報等に開示されているように、互いに離間して配置された一対のグランド編地と、該一対のグランド編地間を往復して両者を結合する多数の連結糸とを有する立体的な三次元構造となった編地である。三次元立体編物が人の背によって押圧されることにより、三次元立体編物の連結糸が圧縮され、連結糸に張力が生じ、生体信号に伴う人の筋肉を介した体表面の振動が伝播される。また、コアパッド11よりも、三次元立体編物からなるスペーサパッド12の方が厚いものを用いることが好ましい。これにより、フロントフィルム14及びリアフィルム15の周縁部を貫通孔11a,11aの周縁部に貼着すると、三次元立体編物からなるスペーサパッド12が厚み方向に押圧されるため、フロントフィルム14及びリアフィルム15の反力による張力が発生し、該フロントフィルム14及びリアフィルム15に固体振動(膜振動)が生じやすくなる。一方、三次元立体編物からなるスペーサパッド12にも予備圧縮が生じ、三次元立体編物の厚み方向の形態を保持する連結糸にも反力による張力が生じて弦振動が生じやすくなる。   The spacer pad 12 is loaded into the through holes 11 a and 11 a of the core pad 11. The spacer pad 12 is preferably formed from a three-dimensional solid knitted fabric. The three-dimensional solid knitted fabric includes, for example, a pair of ground knitted fabrics spaced apart from each other and the pair of grounds as disclosed in JP 2002-331603 A, JP 2003-182427 A, and the like. The knitted fabric has a three-dimensional three-dimensional structure having a large number of connecting yarns that reciprocate between the knitted fabrics to couple them together. When the 3D solid knitted fabric is pressed by the person's back, the connecting yarn of the 3D solid knitted fabric is compressed, tension is generated in the connecting yarn, and the vibration of the body surface through the human muscle accompanying the biological signal is propagated. The In addition, it is preferable to use a spacer pad 12 made of a three-dimensional solid knitted fabric that is thicker than the core pad 11. Accordingly, when the peripheral portions of the front film 14 and the rear film 15 are attached to the peripheral portions of the through holes 11a and 11a, the spacer pad 12 made of a three-dimensional solid knitted fabric is pressed in the thickness direction. Tension due to the reaction force of the film 15 is generated, and solid vibration (membrane vibration) is likely to occur in the front film 14 and the rear film 15. On the other hand, the spacer pad 12 made of a three-dimensional solid knitted fabric is also pre-compressed, and the connecting yarn that holds the shape of the three-dimensional solid knitted fabric in the thickness direction is also subjected to tension due to a reaction force, and string vibration is likely to occur.

センサ13は、上記したフロントフィルム14及びリアフィルム15を積層する前に、いずれか一方のスペーサパッド12に固着して配設される。スペーサパッド12を構成する三次元立体編物は上記したように一対のグランド編地と連結糸とから構成されるが、各連結糸の弦振動がグランド編地との節点を介してフロントフィルム14及びリアフィルム15に伝達されるため、センサ13はスペーサパッド12の表面(グランド編地の表面)に固着することが好ましい。センサ13としては、マイクロフォンセンサ、中でも、コンデンサ型マイクロフォンセンサを用いることが好ましい。   The sensor 13 is fixedly disposed on one of the spacer pads 12 before the front film 14 and the rear film 15 are laminated. As described above, the three-dimensional solid knitted fabric constituting the spacer pad 12 is composed of a pair of ground knitted fabrics and connecting yarns, and the string vibration of each connecting yarn is connected to the front film 14 and the ground via the nodes of the ground knitted fabric. In order to be transmitted to the rear film 15, the sensor 13 is preferably fixed to the surface of the spacer pad 12 (the surface of the ground knitted fabric). As the sensor 13, it is preferable to use a microphone sensor, in particular, a condenser microphone sensor.

次に、本実施形態の生体状態推定装置60の構成について図4に基づいて説明する。生体状態推定装置60は、中枢系生体信号処理手段61、末梢系生体信号処理手段62、状態推定手段63を有して構成される。生体状態推定装置60はコンピュータから構成され、このコンピュータに、中枢系生体信号処理手段61として機能する中枢系生体信号処理手順を実行させ、末梢系生体信号処理手段62として機能する末梢系生体信号処理手順を実行させ、状態推定手段63として機能する状態推定手順を実行させるコンピュータプログラムが設定されている。なお、コンピュータプログラムは、フレキシブルディスク、ハードディスク、CD−ROM、MO(光磁気ディスク)、DVD−ROM、メモリカードなどの記録媒体へ記憶させて提供することもできるし、通信回線を通じて伝送することも可能である。   Next, the configuration of the biological state estimating device 60 of the present embodiment will be described based on FIG. The biological state estimation device 60 includes a central biological signal processing means 61, a peripheral biological signal processing means 62, and a state estimation means 63. The biological state estimation device 60 is constituted by a computer, and causes the computer to execute a central biological signal processing procedure that functions as the central biological signal processing means 61, and a peripheral biological signal processing that functions as the peripheral biological signal processing means 62. A computer program for executing a procedure and executing a state estimation procedure that functions as the state estimation means 63 is set. The computer program can be provided by being stored in a recording medium such as a flexible disk, a hard disk, a CD-ROM, an MO (magneto-optical disk), a DVD-ROM, or a memory card, or transmitted through a communication line. Is possible.

中枢系生体信号処理手段61は、背部体表脈波測定装置1により背部から採取される背部体表脈波(APW)の時系列波形、すなわち、センサ13から得られる時系列の出力信号(好ましくは、フィルタリング処理(例えば、体動などにより生じた周波数成分を除去するフィルタリング処理)された時系列の出力信号(原波形))を受信する手段を有し、さらにその原波形を処理する手段を有し、中枢系指標値を求める。   The central biological signal processing means 61 is a time series waveform of the back body surface pulse wave (APW) collected from the back by the back body surface pulse wave measuring device 1, that is, a time series output signal obtained from the sensor 13 (preferably Has a means for receiving a filtering process (for example, a filtering process for removing a frequency component caused by body movement) and a time series output signal (original waveform)), and further, means for processing the original waveform Have central system index value.

ここでいう処理手段には、APWの傾き時系列波形を求める手段を含む。この手段は、まず、APWの原波形において、正から負に切り替わる地点(以下、「ゼロクロス地点」という)を用いて周波数の時系列波形を求める(以下、「ゼロクロス検出法」という)。すなわち、ゼロクロス地点を求めたならば、それを例えば5秒毎に切り分け、その5秒間に含まれる時系列波形のゼロクロス地点間の時間間隔の逆数を個別周波数fとして求め、その5秒間における個別周波数fの平均値を当該5秒間の周波数Fの値として採用する。そして、この5秒毎に得られる周波数Fを時系列にプロットすることにより、周波数の変動の時系列波形を求める。次に、周波数の変動の時系列波形から、所定のオーバーラップ時間で所定の時間幅の時間窓を設定し、時間窓毎に最小二乗法により周波数の傾きを求め、その傾き時を時系列の波形を出力する。この計算(移動計算)を順次繰り返し、APWの周波数の傾きの時系列変化を周波数の傾き時系列波形として出力する。   The processing means here includes means for obtaining an APW inclination time series waveform. This means first obtains a time-series waveform of frequency (hereinafter referred to as “zero cross detection method”) using a point where the APW original waveform is switched from positive to negative (hereinafter referred to as “zero cross point”). That is, when the zero cross point is obtained, it is divided every 5 seconds, for example, and the reciprocal of the time interval between the zero cross points of the time-series waveform included in the 5 second is obtained as the individual frequency f. The average value of f is adopted as the value of frequency F for 5 seconds. Then, by plotting the frequency F obtained every 5 seconds in time series, a time series waveform of frequency fluctuation is obtained. Next, a time window of a predetermined time width is set with a predetermined overlap time from a time-series waveform of frequency fluctuations, and the frequency slope is obtained by the least square method for each time window. Output the waveform. This calculation (movement calculation) is sequentially repeated to output a time-series change in the APW frequency gradient as a frequency gradient time-series waveform.

なお、周波数の変動の時系列波形は、背部体表脈波測定装置1のセンサ13から得られる背部体表脈波(APW)の時系列波形を平滑化微分して極大値(ピーク)を用いて求める方法(以下、「ピーク検出法」という)を採用することもできる。例えば、SavitzkyとGolayによる平滑化微分法により極大値を求める。次に、例えば5秒ごとに極大値を切り分け、その5秒間に含まれる時系列波形の極大値(波形の山側頂部)間の時間間隔の逆数を個別周波数fとして求め、その5秒間における個別周波数fの平均値を当該5秒間の周波数Fの値として採用する。そして、この5秒毎に得られる周波数Fを時系列にプロットすることにより、周波数の時系列波形を求め、それを用いて上記と同様にして周波数の傾き時系列波形を求める。   Note that the time series waveform of the frequency fluctuation uses a maximum value (peak) by smoothing and differentiating the time series waveform of the back body surface pulse wave (APW) obtained from the sensor 13 of the back body surface pulse wave measuring device 1. (Hereinafter, referred to as “peak detection method”). For example, the maximum value is obtained by a smoothing differential method using Savitzky and Golay. Next, for example, the local maximum value is divided every 5 seconds, and the reciprocal of the time interval between the local maximum values of the time series waveform included in the 5 seconds (the peak on the peak side of the waveform) is obtained as the individual frequency f. The average value of f is adopted as the value of frequency F for 5 seconds. Then, by plotting the frequency F obtained every 5 seconds in a time series, a time series waveform of the frequency is obtained, and a time series waveform of the frequency gradient is obtained by using the same.

背部体表脈波(APW)は、中枢系である心臓の制御の様子を主として含む生体信号、すなわち、動脈の交感神経支配の様子、並びに、自律神経系の交感神経系と副交感神経系の出現情報を含む生体信号であり、この生体信号のゼロクロス検出法による傾き時系列波形を絶対値処理した波形は、心臓の制御の状態により関連しており、交感神経の出現状態を反映している。ピーク検出法によるものは、心拍変動により関連しており、交感神経による代償作用が加味された副交感神経系の動態を捉えている。なお、ピーク検出法による傾き時系列波形を絶対値処理したものは、指尖容積脈波のウェーブレット解析による副交感神経の動態(この副交感神経の動態は交感代償作用が加味されたものである)に比較的近似している。そのため、ゼロクロス検出法は、自律神経系の制御で対処されるストレスへの適応の結果となる体調を表す指標に用いることができると考えられる。ゼロクロス検出法は、心臓の制御の状態への関連が高いため、心拍変動の切痕の情報も含んでおり、指尖容積脈波では得られない、心拍成分の0.5次成分である0.5Hz近傍の周波数成分も情報として得られる。従って、APWを用いて生体状態を判定するに当たって、ゼロクロス検出法により得られたデータを主として用いることが好ましい。   The dorsal body surface pulse wave (APW) is a biological signal mainly including the state of control of the heart, which is the central system, that is, the state of sympathetic innervation of the arteries, and the appearance of the sympathetic and parasympathetic nervous systems of the autonomic nervous system A biological signal including information, and a waveform obtained by performing absolute value processing on a tilt time-series waveform of the biological signal by the zero-cross detection method is more related to the state of control of the heart and reflects the appearance state of the sympathetic nerve. The method based on the peak detection method is related to heart rate variability, and captures the dynamics of the parasympathetic nervous system in consideration of the compensation effect of the sympathetic nerve. Note that the absolute value processing of the slope time series waveform by the peak detection method is based on the parasympathetic nerve dynamics by wavelet analysis of the fingertip plethysmogram (this parasympathetic nerve dynamics take into account the sympathetic compensation effect). It is relatively approximate. Therefore, it is considered that the zero-cross detection method can be used as an index representing a physical condition resulting from adaptation to stress that is dealt with by control of the autonomic nervous system. Since the zero-crossing detection method is highly related to the state of control of the heart, it also includes information on notches of heart rate variability, and it is 0 which is the 0.5th-order component of the heart rate component that cannot be obtained with the fingertip volume pulse wave. A frequency component in the vicinity of .5 Hz is also obtained as information. Therefore, it is preferable to mainly use data obtained by the zero cross detection method when determining the biological state using the APW.

末梢系生体信号処理手段62は、指尖容積脈波計から得られる指尖容積脈波の時系列波形(原波形)を受信する手段を含むと共に、その原波形を処理する手段を含み、末梢系指標値を求める。その処理手段は、上記のAPWの傾き時系列波形を求める手段と同様に、指尖容積脈波のパワー値の傾き時系列波形を求める手段を含む。パワー値の傾き時系列波形を求める手段は、具体的には、指尖容積脈波の時系列波形(原波形)を、それぞれ、SavitzkyとGolayによる平滑化微分法により、極大値と極小値を求める。そして、5秒ごとに極大値と極小値を切り分け、それぞれの平均値を求める。求めた極大値と極小値のそれぞれの平均値の差の二乗をパワー値とし、このパワー値を5秒ごとにプロットし、パワー値の時系列波形を作る。この時系列波形から、ある時間窓Tw(180秒)について最小二乗法でパワー値の傾きを求める。次に、オーバーラップ時間Tl(162秒)で次の時間窓Twを同様に計算して結果をプロットする。この計算(移動計算)を順次繰り返してパワー値の傾きの時系列波形を得る。   The peripheral biological signal processing means 62 includes means for receiving a time series waveform (original waveform) of the fingertip volume pulse wave obtained from the fingertip volume pulse wave meter, and includes means for processing the original waveform, Obtain system index values. The processing means includes means for obtaining the inclination time series waveform of the power value of the fingertip volume pulse wave, similar to the means for obtaining the APW inclination time series waveform. Specifically, the means for obtaining the power time gradient time series waveform is obtained by calculating the maximum value and the minimum value of the time series waveform (original waveform) of the fingertip plethysmogram by the smoothing differentiation method using Savitzky and Golay, respectively. Ask. Then, the maximum value and the minimum value are divided every 5 seconds, and the average value of each is obtained. The square of the difference between the average values of the obtained local maximum and local minimum is used as a power value, and this power value is plotted every 5 seconds to create a time series waveform of the power value. From this time-series waveform, the slope of the power value is obtained by the least square method for a certain time window Tw (180 seconds). Next, the next time window Tw is similarly calculated at the overlap time Tl (162 seconds), and the result is plotted. This calculation (movement calculation) is sequentially repeated to obtain a time series waveform of the gradient of the power value.

状態推定手段63は、中枢系生体信号処理手段61により求めた中枢系指標値と、末梢系生体信号処理手段62により求めた末梢系指標値とを各座標軸にとった座標系上に、対応する各指標値同士の座標点を座標系上にプロットし、プロットされた複数の座標点の位置関係から生体状態を推定する。座標系としては、例えば、直交座標系が用いられ、中枢系指標値を縦軸及び横軸の一方に、末梢系指標値を他方にとって形成される。   The state estimation means 63 corresponds to a coordinate system in which the central system index value obtained by the central biological signal processing means 61 and the peripheral system index value obtained by the peripheral biological signal processing means 62 are taken on each coordinate axis. The coordinate points between the index values are plotted on the coordinate system, and the biological state is estimated from the positional relationship between the plotted coordinate points. As the coordinate system, for example, an orthogonal coordinate system is used, and the central system index value is formed on one of the vertical axis and the horizontal axis, and the peripheral system index value is formed on the other side.

状態推定手段63において用いられる中枢系指標値及び末梢系指標値としては、中枢系生体信号情報(APW)及び末梢形成体信号情報(指尖容積脈波)に関して求められたものであれば種々のものを使用可能であるが、生体状態によって顕著な違いが生じる指標として、後述の実験例のような指標値を用いることが好ましい。   As the central system index value and the peripheral system index value used in the state estimation means 63, various values can be used as long as they are obtained with respect to the central system biosignal information (APW) and the peripheral body formation signal information (finger plethysmogram). Although an index can be used, it is preferable to use an index value as in an experimental example described later as an index that causes a significant difference depending on the biological state.

すなわち、(1)中枢系生体信号情報(APW)及び末梢形成体信号情報(指尖容積脈波)の原波形における同時刻の各周波数を指標値とする手段、(2)APWの原波形からゼロクロス検出法を用いてスライド計算して求めた周波数の傾き時系列波形と、指尖容積脈波のパワー値の時系列波形をスライド計算して求めたパワー値の傾き時系列波形とにおける、同時刻の各振幅値を指標値とする手段、(3)APWの周波数の傾き時系列波形と、指尖容積脈波のパワー値の傾き時系列波形とにおける、同時刻の各振幅値の比を用いる手段の少なくとも一つを採用することが好ましい。   That is, (1) means for using each frequency at the same time in the original waveform of central biological signal information (APW) and peripheral formation signal information (finger plethysmogram) as an index value, and (2) from the original waveform of APW The frequency slope time series waveform obtained by slide calculation using the zero cross detection method and the power value slope time series waveform of the power value obtained by sliding the fingertip plethysmograph power value time series waveform are the same. Means using each amplitude value of time as an index value, (3) The ratio of each amplitude value at the same time in the slope time series waveform of APW frequency and the slope time series waveform of the power value of fingertip volume pulse wave It is preferable to employ at least one of the means used.

また、状態推定手段63は、プロットされた複数の座標点の位置関係として、各座標点が、所定の分散状態にあるか否か、略一直線上に配向しているか否か、又は特異点を有するか否か、を考慮して判定する。詳細は後述の実験例で説明するが、例えば、上記(1)の指尖容積脈波とAPWの各原波形の周波数で比較した場合、覚醒状態では、ほぼ同一直線上にプロットされ、入眠予兆現象を発現している場合には、座標点が所定の範囲に分散するといった特徴的な傾向を示す。また、例えば、(3)の指尖容積脈波とAPWの各傾き時系列波形における同時刻の各振幅値を用いた場合には、入眠予兆現象を発現している場合に、相関性のない特異点がプロットされるといった特徴的な傾向を示す。   Further, the state estimating means 63 determines whether each coordinate point is in a predetermined dispersion state, or is oriented substantially in a straight line, or a singular point as the positional relationship between the plotted coordinate points. It is determined in consideration of whether or not it has. Details will be described in an experimental example to be described later. For example, when comparing the frequency of the fingertip plethysmogram and the APW original waveforms in (1) above, in the arousal state, it is plotted on almost the same straight line, When the phenomenon is manifested, it shows a characteristic tendency that the coordinate points are dispersed within a predetermined range. Also, for example, when the amplitude values at the same time in the fingertip volume pulse wave and the APW slope time-series waveform of (3) are used, there is no correlation when the sleep onset symptom is expressed. It shows a characteristic tendency that singular points are plotted.

(実験例1)
上記実施形態に係る背部体表脈波測定装置1により背部体表脈波(APW)を測定すると共に、指尖容積脈波計により指尖容積脈波を測定し、中枢系指標値と末梢系指標値を用いた座標系による状態判定を行った。
(Experimental example 1)
The back body surface pulse wave (APW) is measured by the back body surface pulse wave measuring device 1 according to the above embodiment, the finger tip volume pulse wave is measured by the finger tip volume pulse wave meter, and the central system index value and the peripheral system are measured. The state was determined by the coordinate system using the index value.

実験で用いた背部体表脈波測定装置1は、図1〜図3に示した構成を有しているもので、被験者の背部に当接して計測した。また、この背部体表脈波測定装置1の物理的特性は次のとおりであった。すなわち、島津製作所製オートグラフに直径98mmの木製円盤を装着して、50mm/minの移動速度で200Nまでの荷重を図3のZ方向に印加したときに図5に示した荷重−たわみ特性が得られるものである。図6は、図5の縦軸をばね定数に変換した図であり、背部体表脈波測定装置1は、圧縮代1〜4.5mmの間では、ばね定数が一定の値を示し、その値はk=19400N/mであった。   The back body surface pulse wave measuring apparatus 1 used in the experiment has the configuration shown in FIGS. 1 to 3 and was measured in contact with the back of the subject. Moreover, the physical characteristics of this back body surface pulse wave measuring apparatus 1 were as follows. That is, when a 98 mm diameter wooden disk is mounted on an autograph manufactured by Shimadzu Corporation and a load of up to 200 N is applied in the Z direction in FIG. 3 at a moving speed of 50 mm / min, the load-deflection characteristics shown in FIG. It is obtained. FIG. 6 is a diagram in which the vertical axis of FIG. 5 is converted into a spring constant, and the back body surface pulse wave measuring apparatus 1 shows a constant value of the spring constant during the compression margin of 1 to 4.5 mm. The value was k = 19400 N / m.

指尖容積脈波は、被験者の左手人差し指に光学式指尖容積脈波センサ((株)アムコ製フィンガークリッププローブSR−5C)を用いて測定した。また、被験者の状態を、心音、心電図、脳波を同時に測定して検証した。心音は、心音センサ・心音脈波アンプとして日本光電工業(株)製TA701T,AS101Dを用いて測定し、心電図は、心電計として日本光電工業(株)製BSM−2301を用いて測定した。なお、心音と指尖容積脈波は、アナログ信号をAPWと同期させた上で、(株)コンテック製USB2.0対応アナログ入力ターミナルAI−1608AY−USBにより、A/D変換したデータを用いた。脳波計測は日本光電工業(株)製の脳波計EEG−9100を使用し、国際脳波学会連合標準電極配置法(ten-twenty electrocode system)に基づいて電極を装着し、単極誘導にて測定した。睡眠段階の判定は、Rechtschanffen & Kalesによって標準化された睡眠段階判定法により判定した。   The fingertip plethysmogram was measured using an optical fingertip plethysmograph sensor (Amco's finger clip probe SR-5C) on the left index finger of the subject. In addition, the subject's condition was verified by simultaneously measuring heart sound, electrocardiogram, and electroencephalogram. The heart sound was measured using TA701T and AS101D manufactured by Nippon Koden Kogyo Co., Ltd. as a heart sound sensor / heart sound pulse wave amplifier, and the electrocardiogram was measured using BSM-2301 manufactured by Nihon Koden Kogyo Co., Ltd. as an electrocardiograph. The heart sound and the fingertip plethysmogram were obtained by synchronizing the analog signal with the APW and using A / D-converted data by Contec's USB 2.0 compatible analog input terminal AI-1608AY-USB. . The electroencephalogram measurement was performed by using an electroencephalograph EEG-9100 manufactured by Nihon Kohden Kogyo Co., Ltd., with electrodes attached based on the Ten-twenty electrocode system of the International Electroencephalographic Society and measured by monopolar induction. . The sleep stage was determined by the sleep stage determination method standardized by Rechtschanffen & Kales.

被験者は、20歳代の健常男性11名(平均年齢26.78歳)で、安静・仰臥位姿勢で1時間計測を行った。被験者には前半の30分間は極力起きている状態を維持し、後半30分間はリラックス状態で寝ても良いと指示した。
図7は、本実験によって得られた心電図、心音図、APW(原波形)、APWの二階微分波形、指尖容積脈波(原波形)、指尖容積脈波の二階微分波形の各関連事象の時相を比較したもので、心周期の1波形分を示している。心周期は、大きく三つの相、すなわち心房収縮期、心室収縮期、心室拡張期で捉え、関連事象の時相を比較した。その結果、心室収縮期の開始時にあたる心電図のR波と心音図のI音及びAPWのボトム(α点)の一致が認められ、脈波伝播速度に関係して約0.2秒の遅れで指尖容積脈波のボトムが相対することが認められた。次に心室拡張初期にある心電図T波、心音図II音、APWのトップ(β点)、指尖容積脈波の切痕の一致が認められた。
The subjects were 11 healthy men in their 20s (average age 26.78 years), and measured for 1 hour in a resting / supposed posture. The subject was instructed to remain awake as much as possible for the first 30 minutes and to sleep in the relaxed state for the latter 30 minutes.
FIG. 7 shows related events of the electrocardiogram, heart sound diagram, APW (original waveform), second-order differential waveform of APW, fingertip volume pulse wave (original waveform), and second-order differential waveform of fingertip volume pulse wave obtained by this experiment. The time phases are compared, and one waveform of the cardiac cycle is shown. The cardiac cycle was roughly divided into three phases: atrial systole, ventricular systole, and ventricular diastole, and the time phases of related events were compared. As a result, the R wave of the electrocardiogram at the beginning of the ventricular systole coincides with the I sound of the electrocardiogram and the bottom (α point) of the APW, with a delay of about 0.2 seconds related to the pulse wave velocity. It was recognized that the bottom of the fingertip plethysmogram was opposite. Next, the coincidence of ECG T wave, ECG II sound, APW top (β point), and fingertip plethysmogram notches in the early ventricular dilation period was recognized.

すなわち、心周期におけるAPWと指尖容積脈波の原波形、二階微分波形及び時相は酷似しており、両者は同一の血行動態の中で生まれた現象と考えられる。また、血管の弾性に変化が生じると弾性抵抗及び反射波の影響から波形に乱れが生じる。従って、APWは、同じ血管の中を流れている血行動態を示し、さらに大動脈と末梢循環系の動態を示し、指尖容積脈波と同質の振動も拾っているものと言える。   That is, the APW and fingertip plethysmogram original waveforms, second-order differential waveforms and time phases in the cardiac cycle are very similar, and both are considered to be born in the same hemodynamics. Further, when a change occurs in the elasticity of the blood vessel, the waveform is disturbed due to the influence of the elastic resistance and the reflected wave. Therefore, the APW shows hemodynamics flowing in the same blood vessel, further shows the dynamics of the aorta and the peripheral circulatory system, and can be said to pick up vibrations of the same quality as the fingertip volume pulse wave.

図8〜図10は、本実験において得られたデータの中で、安定状態2種(図8(a),(b))、遷移状態2種(図9(a),(b))、自律神経系機能亢進状態2種(図10(a),(b))の6つの状態別に各種関連事象を比較したものである。関連事象とは、指尖容積脈波の原波形と二階微分波形、APWの原波形と二階微分波形のα点・β点、心音図のI音・II音、指尖容積脈波をウェーブレット解析して求めた交感・副交感の出現度合いであり、これらの各種関連事象間の時相差も求めた。交感神経ないし副交感神経が亢進すると、図9(a),(b)及び図10(a)に示したように、指尖容積脈波、APW、心音図の各関連事象間の時相差に乱れが生じることが認められた。   FIGS. 8 to 10 show that among the data obtained in this experiment, two stable states (FIGS. 8A and 8B), two transition states (FIGS. 9A and 9B), Various related events are compared according to six states of two types of autonomic nervous system hyperfunction states (FIGS. 10A and 10B). Related events are wavelet analysis of fingertip plethysmogram original waveform and second-order differential waveform, APW original waveform and second-order differential waveform α and β points, heart sounds I and II sounds, and fingertip plethysmogram The degree of appearance of sympathy / subsympathy obtained in this way, and the time difference between these various related events was also obtained. When the sympathetic nerve or parasympathetic nerve is enhanced, as shown in FIGS. 9A, 9B, and 10A, the time difference between the related events of fingertip volume pulse wave, APW, and heart sound diagram is disturbed. Was observed to occur.

なお、安定状態2種とは、図8(a)の交感・副交感神経がバランスよく出現している覚醒状態(安定状態(1))と、図8(b)の副交感神経優位な睡眠状態(安定状態(2))のことである。遷移状態2種とは、図9(a)の交感神経の一時的かつ急激な亢進を表すバースト波が出現している状態:入眠予兆現象(遷移状態(1))と、図9(b)の交感・副交感神経の一時的で急激な亢進が認められる覚醒度や注意力の低下した覚低状態(遷移状態(2))の状態である。自律神経系機能亢進状態2種とは、図10(a)の交感神経の亢進している状態と、図10(b)の副交感神経の亢進している状態である。これらの状態を捉えることにより、生体の状態変化、特に、運転においては覚低走行状態や居眠り運転を捉えることができるため、これらの状態に注目した。   The two stable states are the arousal state (stable state (1)) in which the sympathetic / parasympathetic nerves appear in a balanced manner in FIG. 8A and the parasympathetic dominant sleep state in FIG. 8B ( It is a stable state (2)). Two types of transition states are states in which a burst wave representing temporary and rapid enhancement of the sympathetic nerve of FIG. 9A appears: a sleep onset sign phenomenon (transition state (1)), and FIG. 9B. This is a state of low wakefulness (transition state (2)) in which the degree of arousal and attention are reduced, in which temporary and rapid enhancement of sympathetic / parasympathetic nerves is observed. The two types of the autonomic nervous system hyperfunction state are the state where the sympathetic nerve is enhanced in FIG. 10A and the state where the parasympathetic nerve is enhanced in FIG. By capturing these states, it was possible to capture changes in the state of the living body, in particular, drowsiness and drowsiness during driving.

図8〜図10から次のことが言える。まず、遷移状態の交感神経の亢進、いわゆるバースト波的な亢進が示される場合には、指尖容積脈波とAPWの際の差、及び、APWと心音図の差が、図9(a),(b)及び図10(a)の最下図のそれぞれの時相差をプロットした図に示されているように、回帰直線で示される線形相関の傾向を示す。心室収縮期にあたるa−α,α−Iの各軸と心室拡張期にあたるe−β,β−IIの各軸が共にずれる傾向となることを示す。原波形からは、指尖容積脈波は基線動揺を示しながら周波数に変動が生じていることがわかる。これは指尖容積脈波から得られる最大リアプノフ指数に変化が生じながらもパワー値に変動が生じることを示している。一方、APWでは、図9(a),(b)及び図10(a)中の囲みで表す波形となり、α点とβ点の平均値となるゼロクロス点に周波数変動が生じている。従って、遷移状態の交感神経亢進時には、指尖容積脈波の周波数とAPWのゼロクロス点の周波数の変動の相関性が認められる。   The following can be said from FIGS. First, when transition state sympathetic nerve enhancement, so-called burst wave enhancement, is shown, the difference between fingertip volume pulse wave and APW and the difference between APW and heart sound diagram are shown in FIG. , (B) and FIG. 10 (a) show the tendency of the linear correlation shown by the regression line, as shown in the plots of the time differences in the bottom diagram. It shows that each axis of a-α and α-I corresponding to the ventricular systole tends to be shifted from each axis of e-β and β-II corresponding to the ventricular diastole. From the original waveform, it can be seen that the fingertip plethysmogram has a fluctuation in frequency while exhibiting baseline fluctuations. This indicates that the power value varies while the maximum Lyapunov exponent obtained from the fingertip plethysmogram changes. On the other hand, in the APW, the waveform is represented by the box in FIGS. 9A, 9B, and 10A, and the frequency variation occurs at the zero cross point that is the average value of the α point and the β point. Therefore, at the time of transition state sympathetic nerve enhancement, a correlation between the frequency of the fingertip volume pulse wave and the frequency of the APW zero-cross point is recognized.

次に、遷移状態の副交感神経の亢進は、指尖容積脈波の周波数変動はなく、基線動揺が生じている。従って、主に最大リアプノフ指数に変化が生じたことになる。一方、APWでは、振幅変動が生じ、低周波の周波数成分と高周波の周波数成分が重畳されたものになった。これは、APWに副交感神経亢進による血管弾性の変化あるいは反射波の影響が示唆される。そして、指尖容積脈波とAPWの時相は心室収縮期にあたるa−α,α−Iの各軸、心室拡張期にあたるe−β,β−IIの各軸が共にずれる傾向を示し、前述の遷移状態での交感神経亢進時と同じ変動の仕方となる。   Next, in the transition state parasympathetic nerve enhancement, there is no frequency fluctuation of the fingertip volume pulse wave, and the baseline fluctuation occurs. Therefore, a change has occurred mainly in the maximum Lyapunov exponent. On the other hand, in the APW, amplitude fluctuation occurs, and a low frequency component and a high frequency component are superimposed. This suggests that APW may be affected by changes in vascular elasticity or reflected waves due to parasympathetic enhancement. The finger plethysmogram and the APW time phase show a tendency that the axes of a-α and α-I corresponding to the ventricular systole and the axes of e-β and β-II corresponding to the ventricular diastolic phase are shifted together. It becomes the same way of fluctuation as in the sympathetic nerve enhancement in the transition state.

次に交感神経の亢進は、指尖容積脈波では周波数変動が生じてない基線動揺と基線動揺の少ない周波数変動の組み合わせとなって現れた。一方、APWでは、図9(a),(b)及び図10(a)中の囲みで表す分数調波共振波形となった。この事例では、指尖容積脈波、APW、心音図の各関連事象間の差分値が2つの回帰曲線を持つ収束方向になった。心室収縮期にあたるa−α,α−Iの各軸に変動が生じ、APWのゼロクロス点が動くことを示し、指尖容積脈波の周波数の変動とAPWのゼロクロス点の周波数の変動の相関性が示唆される。また、安定状態(覚醒・睡眠両状態)及び副交感神経の亢進では、ゆらぎが少ない状態となっている。周波数の変動が生じるが調和の取れた波形の連続になり、指尖容積脈波、APWの周波数の変動に変化は、ほぼ1対1の関係となっている。   Next, the increase in sympathetic nerve appeared as a combination of baseline fluctuation in which no frequency fluctuation occurred in fingertip plethysmogram and frequency fluctuation with little baseline fluctuation. On the other hand, the APW has a subharmonic resonance waveform represented by a box in FIGS. 9A, 9B, and 10A. In this case, the difference value between the related events of fingertip plethysmogram, APW, and phonocardiogram is in the convergence direction having two regression curves. It shows that the axis of a-α and α-I corresponding to the ventricular systole fluctuates and the APW zero cross point moves. Correlation between the fluctuation of the frequency of the fingertip volume pulse wave and the fluctuation of the frequency of the APW zero cross point Is suggested. Moreover, in the stable state (both wakefulness and sleep state) and the enhancement of the parasympathetic nerve, there is little fluctuation. Although the fluctuation of the frequency occurs, a harmonious waveform is continuous, and the change in the fluctuation of the fingertip volume pulse wave and the APW frequency has a one-to-one relationship.

次に、上記のことを前提として、生体状態推定装置60の中枢系生体信号処理手段61、末梢系生体信号処理手段62、状態推定手段63による解析結果を説明する。   Next, on the premise of the above, the analysis results by the central biological signal processing means 61, the peripheral biological signal processing means 62, and the state estimating means 63 will be described.

図11は、中枢系生体信号処理手段61により得られる中枢系指標値としてAPWの原波形の周波数を採用し、末梢系生体信号処理手段62により得られる末梢系指標値として指尖容積脈波の原波形の周波数を採用し、状態推定手段63が、APWの原波形の周波数を縦軸に、指尖容積脈波の原波形の周波数を横軸にとり、同時刻の各周波数から求められる座標点をプロットしたものであり、被験者Hの解析結果を示したものである。   FIG. 11 adopts the frequency of the APW original waveform as the central system index value obtained by the central biological signal processing means 61, and the fingertip volume pulse wave as the peripheral system index value obtained by the peripheral biological signal processing means 62. The frequency of the original waveform is adopted, and the state estimation means 63 takes the frequency of the APW original waveform on the vertical axis and the frequency of the fingertip volume pulse wave on the horizontal axis, and is a coordinate point obtained from each frequency at the same time , And the analysis result of subject H is shown.

図11から、安定状態である覚醒状態(a)と睡眠状態(b)、並びに覚低状態(d)は指尖容積脈波とAPWの周波数の変動は1対1の関係を示し、状態変化に対応して周波数が変動することがわかる。一方、睡眠中枢に対して負のフィードバックが働いていると考えられる入眠予兆現象発現時(c)、交感神経が亢進しているとき(e)、副交感神経が亢進しているとき(f)には指尖容積脈波とAPWの周波数成分の相関性が低くなり、周波数の変動の仕方がランダムになって分散していることがわかる。これらの結果から自律神経系に負のフィードバックが作用している場合は、交感・副交感神経の一時的かつ急激な亢進により、指尖容積脈波、APWの周波数に乱れが生じると言える。これらの周波数の変動と分散によるゆらぎの発現は、APWと指尖容積脈波の両周波数は大きな変動が生じていることを示す。従って、両神経系の亢進はAPWのβ−α点間が小さくなりダウンクロス点に変化が生じるということになり、交感神経の亢進はゼロクロス検出法による周期特性に影響を与えると考えることになる。なお、交感神経の亢進が少なく、機能が抑制される傾向にある覚低状態は原波形の周波数変動は大きいが、指尖容積脈波とAPWの周波数変動に対する相関性が高いため、乱れが少なく、安定状態と区別しにくくなっている。   From FIG. 11, the steady state of the awake state (a), the sleep state (b), and the hypoactive state (d) show a one-to-one relationship between the fingertip volume pulse wave and the APW frequency variation, and the state change It can be seen that the frequency varies corresponding to. On the other hand, at the onset of sleep onset, which is thought to be negative feedback to the sleep center (c), when the sympathetic nerve is elevated (e), when the parasympathetic nerve is elevated (f) It can be seen that the correlation between the finger plethysmogram and the APW frequency component is low, and the frequency variation is random and dispersed. From these results, it can be said that when negative feedback is acting on the autonomic nervous system, the sympathetic and parasympathetic nerves are temporarily and suddenly increased, and the fingertip volume pulse wave and the APW frequency are disturbed. The expression of fluctuations due to these frequency fluctuations and dispersions indicates that both the APW and fingertip plethysmogram frequencies are fluctuating greatly. Therefore, the enhancement of both nervous systems means that the APW β-α point becomes small and changes occur in the down cross point, and the enhancement of the sympathetic nerve is considered to affect the periodic characteristics by the zero cross detection method. . It should be noted that although the sympathetic nerve is less prominent and the hypotension state, in which the function tends to be suppressed, the frequency fluctuation of the original waveform is large, but because the correlation between the fingertip volume pulse wave and the APW frequency fluctuation is high, there is little disturbance. It is difficult to distinguish from a stable state.

これらのことから、APW及び指尖容積脈波の原波形の周波数を中枢系指標値、末梢系指標値として用い、これを座標系上にプロットし、得られた座標点が1対1で対応しているか(略一直線上に配向しているか)否か、所定の分散状態にあるか否かを、任意の閾値を設定して判定することにより、交感・副交感神経の亢進状態にあるか否かの状態判定を明確に行うことができる。なお、閾値の設定は、複数のデータを処理することにより統計的に処理して設定することができる。   For these reasons, the APW and fingertip plethysmogram waveform frequencies are used as central system index values and peripheral system index values and plotted on the coordinate system, and the obtained coordinate points correspond one-to-one. Whether or not the sympathetic / parasympathetic nerves are in an enhanced state by determining whether or not they are oriented (substantially in a straight line) and whether or not they are in a predetermined dispersion state by setting an arbitrary threshold value. Such state determination can be clearly performed. The threshold value can be set by statistically processing a plurality of data.

図12は、状態推定手段63が、中枢系指標値として、APWのゼロクロス検出法を用いて算出した傾き時系列波形を絶対値処理したものを用い、末梢系指標値として指尖容積脈波のパワー値の傾き時系列波形を絶対値処理したものを用いて、同時刻の各振幅値を座標系上にプロットしたものである。   FIG. 12 shows that the state estimation means 63 uses an absolute value processed inclination time series waveform calculated using the APW zero cross detection method as the central system index value, and the fingertip volume pulse wave as the peripheral system index value. Each amplitude value at the same time is plotted on a coordinate system using a power value gradient time series waveform obtained by absolute value processing.

図12に示される入眠予兆現象や覚低状態及び交感神経の亢進による現象、つまり入眠する前の眠気やその眠気に抵抗する状態は、指尖容積脈波のパワー値及びAPWのゼロクロス検出法による各傾き時系列波形の振幅変動が大きくなることがわかる。また、高周波成分の乗った分数調波共振のような波形は、二拍で一拍の様相を示し、振幅が増大して長周期になる。また原波形で急変部位となる点は、傾き時系列波形では,分数調波共振の波形と心拍変動のゆらぎが原波形の変動する時間幅で、長周期の波形となって反映される。つまり、覚低状態の捕捉は捉え難い各原波形の心拍変動ではなく、傾き時系列波形の振幅の増減で捉えると、捕捉の精度の向上が期待できる。   The sleep onset symptom, sympathetic state, and sympathetic nerve enhancement shown in FIG. 12, that is, sleepiness before going to sleep and a state that resists drowsiness are based on the power value of finger plethysmogram and APW zero cross detection method. It can be seen that the amplitude variation of each tilt time series waveform increases. Further, a waveform such as a subharmonic resonance with a high frequency component shows an aspect of two beats, and the amplitude increases and becomes a long cycle. In addition, the point that becomes a sudden change part in the original waveform is reflected in the time-series waveform of the gradient as a long-period waveform with the time width in which the waveform of the subharmonic resonance and the fluctuation of the heartbeat fluctuation fluctuate in the original waveform. In other words, capture accuracy can be expected to improve by capturing changes in the amplitude of the tilt time-series waveform rather than heartbeat fluctuations of each original waveform, which is difficult to capture in the hypoxia state.

より具体的に述べると、図12(a),(b)の2種の安定状態は、これらの図のL線の範囲内に座標点がプロットされている。従って、状態判定手段63は、このL線で囲まれた範囲を基準として各座標点の分散の程度を判定するように設定する。L線は、覚醒時のような安定状態と、入眠予兆現象や覚低状態のような遷移状態における自律神経系機能亢進状態との境界を示す。なお、L値は、安定状態の傾き値の最大値群の平均値から求めたもので、時間経過に伴う状態変化を、基準値に対する相対変化としてとられるものである。なお、このL値は、被験者毎に固有の値となる。   More specifically, in the two stable states of FIGS. 12A and 12B, the coordinate points are plotted within the range of the L line in these drawings. Therefore, the state determination means 63 is set so as to determine the degree of dispersion of each coordinate point with reference to the range surrounded by the L line. The L line indicates the boundary between a stable state such as when awakening and an autonomic nervous system hyperfunction state in a transition state such as a sleep symptom phenomenon or a wakefulness state. The L value is obtained from the average value of the maximum value group of the slope values in the stable state, and the state change with the passage of time is taken as a relative change with respect to the reference value. Note that this L value is a unique value for each subject.

すなわち、図12(a)をもとにしてL値を設定する。図12(b)を見ると、各座標点はL値の範囲内でより収束傾向を示し、副交感神経優位な状態では2つの時系列波形の振幅が小さくなることを意味する。また、図12(c),(e),(f)の交感・副交感神経が亢進した状態は、いずれも指尖容積脈波から得られる末梢系指標値の軸に沿った方向に分散する傾向があるのに対し、図12(d)の覚低状態では、APWから得られる中枢系指標値の軸に沿った方向に分散する傾向がある。このことから、状態判定手段63において、その分散方向に閾値を設定することで、覚低状態を、交感神経の亢進状態及び副交感神経の亢進状態と区別できることがわかる。つまり、図12の傾き時系列波形を用いた場合には、2種の安定状態と2種の交感・副交感神経の亢進状態の区別に加え、覚低状態をも区別した状態判定ができる。   That is, the L value is set based on FIG. In FIG. 12B, each coordinate point shows a tendency of convergence within the range of the L value, which means that the amplitudes of the two time-series waveforms become smaller in the parasympathetic dominant state. 12 (c), (e), and (f) are all in a state in which the sympathetic / parasympathetic nerves are enhanced tend to be dispersed in the direction along the axis of the peripheral index value obtained from the fingertip volume pulse wave. On the other hand, in the hypoxic state of FIG. 12D, there is a tendency to disperse in the direction along the axis of the central system index value obtained from the APW. From this, it can be seen that the state determination means 63 can distinguish the hypoactive state from the enhanced state of the sympathetic nerve and the enhanced state of the parasympathetic nerve by setting a threshold value in the dispersion direction. That is, in the case of using the tilt time series waveform of FIG. 12, in addition to the distinction between the two stable states and the two sympathetic / parasympathetic enhancement states, it is possible to make a state determination that also distinguishes the conscious state.

図13は、状態推定手段63が、中枢系指標値としてAPWのゼロクロス検出法による傾き時系列波形の振幅値と、末梢系指標値として指尖容積脈波のパワー値の傾き時系列波形の振幅値との比を縦軸として、時間を横軸として採用してプロットした座標を示した図である。本図の縦軸が1の時は、指尖容積脈波の傾き時系列波形とAPWの傾き時系列波形が1対1の関係になっていることを示す。従って、入眠予兆現象など交感神経が亢進する時間帯以外、すなわちバースト波が出現しない指尖容積脈波とAPWの両傾き時系列波形の相関性は高くなる。なお、図13の振幅比は、具体的には次のように求める。すなわち、APWのゼロクロス検出法を用いて算出した傾き時系列波形と指尖容積脈波のパワー値の傾き時系列波形を、それぞれ微分処理、絶対値処理を行う。次に、図12に示したように、安定状態を示す時系列波形を微分処理したものからL値を設定し、絶対値処理した各時系列波形の各点をL値で除し、APWから求めた値を分母にとし、指尖容積脈波から求めた値を分子にした値を横軸の時間に対してプロットする。   FIG. 13 shows that the state estimation means 63 uses the APW zero cross detection method as the central system index value and the amplitude value of the gradient time series waveform by the APW zero cross detection method and the amplitude of the gradient time series waveform of the power value of the fingertip plethysmogram as the peripheral system index value. It is the figure which showed the coordinate which employ | adopted ratio as a vertical axis | shaft and time was plotted as a horizontal axis. When the vertical axis of this figure is 1, it indicates that the fingertip volume pulse waveform tilt time-series waveform and APW tilt time-series waveform have a one-to-one relationship. Accordingly, the correlation between the fingertip volume pulse wave where the burst wave does not appear and the time series waveform of both slopes of the APW becomes high except for a time zone in which the sympathetic nerve is enhanced, such as a sleep symptom predictive phenomenon. Specifically, the amplitude ratio in FIG. 13 is obtained as follows. In other words, the gradient time series waveform calculated using the APW zero cross detection method and the gradient time series waveform of the power value of the fingertip plethysmogram are respectively subjected to differential processing and absolute value processing. Next, as shown in FIG. 12, the L value is set from the differential processing of the time series waveform indicating the stable state, each point of each time series waveform subjected to the absolute value processing is divided by the L value, and the APW Using the obtained value as the denominator, the value obtained from the fingertip volume pulse wave as the numerator is plotted against the time on the horizontal axis.

図13(c)では、座標点が分散し、その中に他の座標点から大きく外れた特異点が存在することがわかる。これは、APWと指尖容積脈波の相関性の低いポイントであり、これがいわゆる交感神経のバースト波に相当する。従って、図13(c)から、このような特異点が存在する場合に、交感神経のバースト波が出現する入眠予兆現象を生じている状態と判定することができる。   In FIG. 13 (c), it can be seen that the coordinate points are dispersed and there are singular points greatly deviating from other coordinate points. This is a point with low correlation between APW and finger plethysmogram, and this corresponds to a so-called sympathetic burst wave. Therefore, from FIG. 13C, when such a singular point exists, it can be determined that a sleep onset symptom in which a sympathetic burst wave appears is occurring.

以上のことから、状態推定手段63によって、図11〜図13の座標点の傾向を捉えることで人の状態推定を行うことができることがわかる。また、より適確な状態推定を行うためには、図11、図12、図13の各推定手段を併用することが好ましい。   From the above, it can be seen that the state estimation means 63 can estimate the state of the person by capturing the tendency of the coordinate points in FIGS. Moreover, in order to perform more accurate state estimation, it is preferable to use the estimation means in FIGS. 11, 12, and 13 in combination.

図14(a)〜(d)は、図11及び図12を用いた判定と、医学的指標による入眠予兆現象、覚低状態、リラックス覚醒状態の判定とを統計処理したものである。カイ二乗検定によるp値が0.05以下となり、有意な差を示すことが示された。ここに、指尖容積脈波とAPWの同質性、並びに、各傾き時系列波形による解析によって検出感度が向上することがわかる。   FIGS. 14A to 14D show statistical processing of the determination using FIGS. 11 and 12 and the determination of a sleep onset symptom phenomenon, a wakefulness state, and a relaxed wakefulness state by a medical index. The p-value by the chi-square test was 0.05 or less, indicating a significant difference. Here, it can be seen that the detection sensitivity is improved by the homogeneity of the finger plethysmogram and the APW, and the analysis based on each inclination time series waveform.

図15(a)は、睡眠実験で睡眠欲求を受け入れて睡眠に至った事例を示す。図15(a)は、上から順に、脳波による睡眠段階の判定と脳波の分布率、指尖容積脈波のパワー値の傾き時系列波形、APW原波形のゼロクロス検出法を用いて算出した傾き時系列波形、図13の計算要領で算出した振幅比を時間軸に対してプロットした座標点(座標点の中で特異点としてかけ離れて出現したものが交感神経のバースト波に相当する)、指尖容積脈波のウェーブレット解析を用いた自律神経系機能の交感・副交感神経出現の分布図を示す。また、図15(b)は、被験者Bの覚低状態の事例であり、図15(c)は、被験者Cの睡眠に抵抗した事例を示す。ここに指尖容積脈波をウェーブレット解析した交感神経の出現度合いは、APWのゼロクロス検出法、指尖容積脈波のパワー値の傾きから得られた振幅値を図13の計算要領を用いて算出した交感神経の模擬バースト波と近似していることがわかる。   FIG. 15 (a) shows an example in which sleep desires were accepted in sleep experiments and resulted in sleep. FIG. 15A shows, in order from the top, determination of sleep stage based on brain waves, brain wave distribution rate, slope time series waveform of power value of fingertip plethysmogram, slope calculated using zero cross detection method of APW original waveform. A time series waveform, a coordinate point in which the amplitude ratio calculated in the calculation procedure of FIG. 13 is plotted with respect to the time axis (the one that appears apart as a singular point in the coordinate point corresponds to a burst wave of a sympathetic nerve), a finger The distribution map of sympathetic / parasympathetic nerve appearance of autonomic nervous system function using wavelet analysis of apical volume pulse wave is shown. FIG. 15B is an example of the hypothetical state of the subject B, and FIG. 15C shows an example of the subject C resisting sleep. Here, the degree of appearance of the sympathetic nerve obtained by wavelet analysis of the fingertip volume pulse wave is calculated using the APW zero cross detection method, the amplitude value obtained from the slope of the power value of the fingertip volume pulse wave using the calculation procedure of FIG. It can be seen that it approximates the simulated sympathetic burst wave.

図16(a)は、本実験の被験者11名(合計11時間分)の指尖容積脈波、APWの各原波形の周波数解析結果を示す。指尖容積脈波とAPWは、0.5Hz、1.0Hz、1.3Hz、2.1Hz、2.6Hzで差が認められた。図16(b),(c)は被験者Hの眠気の有無別の約10分間の指尖容積脈波とAPWの原波形の周波数解析結果を示す。眠気の有無により、指尖容積脈波では、心拍成分と2.5Hzに差が認められ、APWでは0.5Hzの成分に有意な差となって現れた。従って、指尖容積脈波の眠気の有無で生じる心拍成分の変動はAPWでは0.5Hzの成分となって現れた。ここに本実験の被験者11名分の周波数解析結果では、指尖容積脈波とAPWは、心拍変動成分である1Hzと1.3Hzにピークがあり、さらにAPWでは0.5Hzにおいて、指尖容積脈波よりもパワースペクトルが大きくなっていたため、多くの被験者が遷移状態にあったことが示唆された。   FIG. 16A shows the frequency analysis results of the original waveform of fingertip volume pulse wave and APW of 11 subjects (total 11 hours) of this experiment. Differences were observed between finger plethysmogram and APW at 0.5 Hz, 1.0 Hz, 1.3 Hz, 2.1 Hz, and 2.6 Hz. FIGS. 16B and 16C show the frequency analysis results of the fingertip volume pulse wave and the APW original waveform for about 10 minutes for each subject H with or without sleepiness. Depending on the presence or absence of drowsiness, a difference between the heart rate component and 2.5 Hz was observed in the fingertip volume pulse wave, and a significant difference appeared in the 0.5 Hz component in APW. Therefore, the fluctuation of the heart rate component caused by the presence or absence of sleepiness of the fingertip volume pulse wave appeared as a 0.5 Hz component in the APW. Here, in the frequency analysis results for 11 subjects in this experiment, the fingertip volume pulse wave and APW have peaks at 1 Hz and 1.3 Hz, which are heart rate variability components, and the fingertip volume at 0.5 Hz in APW. Since the power spectrum was larger than the pulse wave, it was suggested that many subjects were in the transition state.

(実験例2)
実験例1の仰臥位姿勢と比較して交感神経が亢進しやすい自動車の座席に着座した座位姿勢で、覚低状態、入眠予兆現象を捉える実験を行った。
(Experimental example 2)
An experiment was conducted to capture a hypoxic state and a sleep symptom phenomenon in a sitting position in which the sympathetic nerve is more likely to be enhanced than in the supine position in Experimental Example 1.

被験者は、運転席に着座した状態で、エンジンはアイドリング状態か、あるいは、アイドリングストップ状態で睡眠移行実験を行った。APWは実験例1で用いた背部体表脈波測定装置1を運転席のシートバックにセットして行った。指尖容積脈波の測定には、実験例1と同じ光学式指尖容積脈波センサを用いた。なお、被験者の状態はカメラで視察し、心理指標としてVAS(Visual Analog Scale)を用いて5分ごとに眠気を判定した。実験時間は60分で、実験終了までできる限り覚醒状態を維持することを被験者に伝えて行った。被験者は20〜30歳代の健常な男性10名、女性2名である。   The subject performed the sleep transition experiment while sitting in the driver's seat and the engine was idling or idling stopped. APW was performed by setting the back body surface pulse wave measuring device 1 used in Experimental Example 1 on the seat back of the driver's seat. The same fingertip plethysmogram sensor as in Experimental Example 1 was used for measurement of the fingertip plethysmogram. The condition of the subject was observed with a camera, and sleepiness was determined every 5 minutes using VAS (Visual Analog Scale) as a psychological index. The experiment time was 60 minutes, and the subjects were told that they would remain awake as much as possible until the end of the experiment. The test subjects were 10 healthy men in their 20s and 30s and 2 women.

図17は、指尖容積脈波のパワー値傾き時系列波形を示し、図18はAPWのゼロクロス検出法による周波数傾き時系列波形を示す。官能評価で最も眠気が増大した時間帯は図18中にハッチングで示される2400〜2700秒間の300秒間である。また、眠気が増大した時間帯の前には、図17、図18では振幅が増大(aからbへと増大)し、周期が長くなる(fが長周期化する)ことから、破線で取り囲まれたタイミングが入眠予兆現象であることが示唆される。眠気が増大した時間帯は、振幅が増減していく途中にあり、覚低状態は振幅の増減が混在することが示唆された。図17、図18共にこれらの現象の出現時間のタイミングが一致した。   FIG. 17 shows a power value gradient time series waveform of the fingertip volume pulse wave, and FIG. 18 shows a frequency gradient time series waveform by the APW zero cross detection method. The time zone in which drowsiness increased most in the sensory evaluation is 300 seconds from 2400 to 2700 seconds indicated by hatching in FIG. In addition, before the time period when sleepiness increased, the amplitude increases (increases from a to b) in FIG. 17 and FIG. 18, and the period becomes longer (f becomes longer). It is suggested that this timing is a predictive phenomenon of falling asleep. It was suggested that the time when sleepiness increased was in the middle of increasing or decreasing the amplitude, and that the consciousness state was mixed with increasing or decreasing amplitude. The timing of the appearance time of these phenomena coincides in both FIG. 17 and FIG.

より詳細には、まず、図18に示した心理指標から、被験者Fは、実験開始から900秒間は比較的覚醒度が高く、900〜2100秒の間は、一度覚醒度が低下傾向になりながらも、一定の覚醒水準を示し、2100〜2700秒の間で覚醒度がさらに低下し、3000秒以降は実験開始時まで戻していることがわかる。   More specifically, first, from the psychological index shown in FIG. 18, subject F has a relatively high arousal level for 900 seconds from the start of the experiment, and once the arousal level tends to decrease for a period of 900 to 2100 seconds. Shows a certain level of wakefulness, and the degree of wakefulness further decreases between 2100 and 2700 seconds, and after 3000 seconds it returns to the start of the experiment.

これを図17及び図18に示した時系列波形で考察する。指尖容積脈波及びAPW共に、各傾き時系列波形は、入眠予兆現象発現時の900〜2100秒間は振幅が増大傾向となり、長周期になっている。覚醒水準が低下して上昇する2100〜3000秒間は、ほぼ長周期のままで振幅が増減し、覚醒水準が元に戻る際は一部長周期の波形を残しながら相対的に短周期小振幅の傾向となった。
図19は、多少眠気はあるが、リラックスして覚醒している状態(0〜900秒間)、交感神経のバースト波が発生して入眠予兆現象が発現している状態(900〜2100秒間)、覚醒水準の低下、眠気の発生、覚醒水準の上昇(2100〜2700秒間)、リラックスして再覚醒した状態(2700〜3600秒間)の各状態別の傾き時系列波形の周波数解析結果を示す。
This will be considered with the time-series waveforms shown in FIGS. Both the fingertip plethysmogram and the APW have a long period in each inclination time-series waveform, and the amplitude tends to increase during 900 to 2100 seconds when the sleep onset sign phenomenon appears. During 2100 to 3000 seconds, when the arousal level rises and rises, the amplitude increases and decreases with almost a long period, and when the arousal level returns to the original level, a relatively short period and small amplitude tend to remain It became.
FIG. 19 shows a state in which there is some sleepiness but is relaxed and awake (0 to 900 seconds), a sympathetic burst wave is generated and a sleep onset symptom is expressed (900 to 2100 seconds), The frequency analysis result of the inclination time series waveform according to each state of the fall of arousal level, generation | occurrence | production of sleepiness, a raise of arousal level (2100-2700 second), and the state which relaxed and re-awakened (2700-3600 second) is shown.

図19の各傾き時系列波形の周波数解析結果から見ると、指尖容積脈波の傾き時系列波形は、覚醒時はパワースペクトルのピークが、0.003Hz、0.007Hz、0.011Hzに観察され、再覚醒時には0.002Hz、0.005Hz、0.007Hz、0.011Hzに観察された。入眠予兆現象発現時には0.003Hz以下に高いピークが出現した。覚醒水準が低下した場合は、パワースペクトルのPSDが著しく低下し、ピーク周波数は0.005Hzとなった。これらの結果から指尖容積脈波は、入眠予兆現象発現時に傾き時系列波形が大振幅・長周期化し、覚低状態発現時には、小振幅・高周期化の傾向になることが示唆される。   As seen from the frequency analysis results of each tilt time series waveform in FIG. 19, the peak time peak waveform of the fingertip volume pulse wave is observed at 0.003 Hz, 0.007 Hz, and 0.011 Hz at the time of waking. At the time of re-wakening, it was observed at 0.002 Hz, 0.005 Hz, 0.007 Hz, and 0.011 Hz. A high peak appeared at 0.003 Hz or less when the sleep onset symptom occurred. When the arousal level was lowered, the PSD of the power spectrum was significantly lowered, and the peak frequency was 0.005 Hz. These results suggest that the fingertip plethysmogram tends to have a large amplitude / long period when the sleep onset symptom appears, and a small amplitude / high period when the hypotension appears.

一方、APWでは、指尖容積脈波と同様に眠気を伴った覚醒時は0.003Hz、0.0065Hzにピークが観察され、再覚醒時は0.0045Hzにピークが観察され、最初の覚醒と最後の再覚醒でパワースペクトルのピークが高周波側にシフトした。入眠予兆現象発現時は0.003Hzと0.005Hzにピークが存在し、覚低状態では0.003Hzにピークが観察された。そして、比較的覚醒度は高いが眠気を有する覚醒時より、入眠予兆現象発現時の方がパワースペクトルが大きくなる傾向を示した。これらのことから、覚醒状態と入眠予兆現象の境界、覚醒状態と覚低状態の境界を表す周波数が、いずれも0.003Hz近傍に存在すると言える。   On the other hand, in APW, the peak is observed at 0.003 Hz and 0.0065 Hz at the time of arousal accompanied by sleepiness, and the peak is observed at 0.0045 Hz at the time of re-awakening. The peak of the power spectrum shifted to the high frequency side at the last re-awakening. Peaks were observed at 0.003 Hz and 0.005 Hz at the onset of the onset of sleep phenomenon, and peaks were observed at 0.003 Hz in the conscious state. The power spectrum tended to be larger at the onset of sleep onset than at the time of awakening with a high level of arousal but drowsiness. From these facts, it can be said that the frequencies representing the boundary between the arousal state and the sleep symptom predictive phenomenon and the boundary between the arousal state and the low wake state exist in the vicinity of 0.003 Hz.

図20は、図18中の官能評価(sensitive response)で眠気の発生が認められる1040〜1060秒間の指尖容積脈波とAPWの原波形の周波数解析結果を示す。図13から、アイドリング状態での座位であっても、図16の仰臥位状態で実験した被験者Hと同様の結果を示していることがわかる。   FIG. 20 shows the frequency analysis results of the fingertip volume pulse wave and the APW original waveform for 1040 to 1060 seconds in which the occurrence of sleepiness is recognized in the sensory evaluation in FIG. From FIG. 13, it can be seen that even in the sitting position in the idling state, the same results as those of the subject H experimented in the supine position in FIG. 16 are shown.

一方、図21は、本発明の分析手法である図11、図12、図13に示した手法を用いて、入眠予兆現象(1400〜2100秒間)と覚低状態(2100〜2800秒間)となった時間帯を図示したものである。具体的には、図21(a)〜(f)は、順に、図11(c)、図12(c)、図13(c)、図11(d)、図12(d)及び図13(d)に対応する。図21(a)〜(f)と対応するこれらの図11〜図13の各図を比較すると、特に、図21(d)に示した覚低状態における原波形の周波数変動の座標点が、図11(d)のように1対1で対応しておらず、分散している点で顕著に異なる。図11(d)の仰臥位状態の覚低状態では、上記したように、交感神経の亢進が少なく、機能が抑制される傾向にある。しかし、アイドリング状態での座位の場合には、覚低状態が交感神経優位の中で生じている。これは、運転席に着座するだけで交感神経機能が高まることを意味するものであり、本発明の判定を運転時に適用する場合には、覚低状態の判定では、仰臥位状態よりも座標点の分散の程度が高くなることを考慮して閾値を設定する必要があることがわかる。   On the other hand, FIG. 21 shows a sleep onset symptom (1400 to 2100 seconds) and a wakefulness state (2100 to 2800 seconds) by using the methods shown in FIGS. 11, 12, and 13 which are analysis methods of the present invention. The time zone is illustrated. Specifically, FIGS. 21A to 21F are sequentially shown in FIGS. 11C, 12C, 13C, 11D, 12D, and 13 respectively. Corresponds to (d). When comparing each of FIGS. 11 to 13 corresponding to FIGS. 21A to 21F, in particular, the coordinate point of the frequency variation of the original waveform in the hypothetical state shown in FIG. As shown in FIG. 11 (d), there is no one-to-one correspondence, and there is a significant difference in that it is dispersed. In the supine state in the supine position in FIG. 11D, as described above, there is little increase in sympathetic nerves and functions tend to be suppressed. However, in the sitting position in the idling state, a hypoxia state occurs in the sympathetic nerve dominant. This means that the sympathetic nerve function is enhanced only by sitting in the driver's seat, and when the determination of the present invention is applied at the time of driving, the coordinate point is higher than that of the supine position in the determination of the conscious state. It can be seen that it is necessary to set a threshold value in consideration of the degree of variance of.

図22は、実験開始直後から疲労感が高く、実験中盤に一瞬眠りかけて、その後眠気が生じ再覚醒状態に移行した被験者の解析結果を示したものである。このうち、図22(a)〜(c)は、覚醒状態、入眠予兆現象、覚低状態の際のAPW及び指尖容積脈波の各原波形の周波数変動を指標値としてプロットした図11と同様の座標系を示したものである。図22(d)〜(f)は、覚醒状態、入眠予兆現象、覚低状態の際のAPW及び指尖容積脈波の各傾き時系列波形の振幅値を指標値としてプロットした図12と同様の座標系を示したものである。   FIG. 22 shows an analysis result of a subject who has a high feeling of fatigue immediately after the start of the experiment, sleeps for a moment in the middle of the experiment, then becomes sleepy and then shifts to a re-awake state. Among these, FIGS. 22A to 22C are FIGS. 11A and 11B in which frequency fluctuations of the original waveforms of APW and fingertip plethysmogram in an arousal state, a sleep onset phenomenon, and a hypoxia state are plotted as index values. A similar coordinate system is shown. 22D to 22F are the same as FIG. 12 in which the amplitude values of the time series waveforms of the APW and fingertip plethysmogram in the awake state, the sleep onset phenomenon, and the hypoxia state are plotted as index values. The coordinate system of is shown.

これらの図から、原波形では座標点の分散の程度の区別が困難であり、状態判定を行いにくい。これは、仰臥位状態よりも交感神経機能が優位であることによるものである。これに対し、傾き時系列波形を用いた図22(d)〜(f)は、APWの周波数0.003Hz付近を境界として覚醒時(安定状態での覚醒時)(図22(d))に対し、入眠予兆現象の出現時及び覚低状態はその分散の程度が明らかに異なる。従って、APWの傾き時系列波形で求められる周波数0.003Hzで閾値を設定することで、覚醒状態か否かを状態推定手段63により判定することができる。   From these figures, it is difficult to distinguish the degree of dispersion of coordinate points in the original waveform, and it is difficult to determine the state. This is because the sympathetic nerve function is superior to the supine position. On the other hand, FIGS. 22D to 22F using the gradient time-series waveform are shown in FIG. 22D at the time of awakening (at the time of awakening in a stable state) with the APW frequency around 0.003 Hz as a boundary. On the other hand, the degree of dispersion is clearly different between the appearance of the sleep onset symptom and the state of wakefulness. Therefore, by setting the threshold value at a frequency of 0.003 Hz obtained from the APW slope time series waveform, the state estimation unit 63 can determine whether or not the user is in the awake state.

また、図22(f)の覚低状態は、図22(e)の入眠予兆現象の出現時よりも座標点の分散が縦軸に沿っている。これは、仰臥位状態における図12(d)の覚低状態と図12(c)の入眠予兆現象出現時とを比較しても同様であるが、図22(f)の座位での覚低状態は、図12(d)の仰臥位での覚低状態よりも横軸方向への広がりが大きい。上記したように、これは、運転席に着座することで交感神経機能が高まっていることによるものであり、覚低状態を入眠予兆現象と区別して判定する場合には、この点に留意して閾値を設定する。   Also, in the hypoactive state of FIG. 22 (f), the distribution of coordinate points is along the vertical axis compared to the appearance of the sleep onset sign phenomenon of FIG. 22 (e). This is the same when comparing the hypoactive state of FIG. 12D in the supine position with the appearance of the sleep onset symptom in FIG. 12C, but the hypoactive state in the sitting position of FIG. 22F. The state has a larger spread in the horizontal axis direction than in the hypothetical state in the supine position of FIG. As mentioned above, this is because the sympathetic nerve function is enhanced by sitting in the driver's seat. Set the threshold.

図23は、図22の指尖容積脈波及びAPWの各傾き時系列波形の変化の仕方と、覚醒時、入眠予兆現象の出現時及び覚低状態の各状態との相関性をカイ二乗検定により求めた結果である。覚醒時と入眠予兆現象の比較では、「振幅一定」の時間帯の回数、「振幅の増大」を生じた回数を比較し、覚醒時と覚低状態では、「振幅一定」の時間帯の回数と、図18に示したような「振幅の増減」の生じた回数を比較した。その結果、pp値は0.005以下であり、統計的に有意であることがわかった。   FIG. 23 is a chi-square test for the correlation between the fingertip volume pulse wave and APW slope time-series waveform changes of FIG. 22 and the states of awakening, the appearance of a sleep symptom, and a wakefulness state. It is the result calculated | required by. Compare the number of times of “constant amplitude” time period and the number of times “increase of amplitude” occurred in the comparison of awakening and sleep onset symptom phenomenon. The number of occurrences of “increase / decrease in amplitude” as shown in FIG. 18 was compared. As a result, the pp value was 0.005 or less, which was found to be statistically significant.

(実験例3)
実験例2のうち、男性被験者6名分のデータを用いて、ノイズの影響のある環境下での傾き時系列波形を用いた状態推定の有効性について検討した。いずれの被験者もアイドリング状態及びアイドリングストップ状態の両方で測定を行い、アイドリングストップ状態の測定結果の中で、体動などの影響を除いたAPWの原波形の最大振幅値を基準値として設定し、アイドリング状態の測定結果及びアイドリングストップ状態の測定結果の両方において、この基準値を超えるデータをノイズと定義した。
(Experimental example 3)
In Experiment 2, the effectiveness of state estimation using a time-series waveform of inclination in an environment affected by noise was examined using data for six male subjects. All subjects measured in both idling and idling stop states, and set the maximum amplitude value of the APW original waveform excluding the influence of body movement as a reference value in the measurement results in idling stop state. Data exceeding this reference value was defined as noise in both the measurement result in the idling state and the measurement result in the idling stop state.

図24(a)は、ノイズが乗っていない時間帯の被験者DのAPWの原波形の例を示し、図24(b)は、ノイズが重畳されたと時間帯の被験者AのAPWの原波形の例を示す。図24(a)のAPW原波形は、振幅±0.1(V)以下の領域の波形となっており、図24(b)では、APWの原波形の中に反射波の影響か、外部振動の影響か判別できないものが混在している。なお、以下の解析ではこの状態の波形を用いて入眠予兆現象等の状態推定を行う。   FIG. 24A shows an example of the original waveform of the APW of the subject D in the time zone when no noise is on, and FIG. 24B shows the original waveform of the APW of the subject A in the time zone when the noise is superimposed. An example is shown. The APW original waveform in FIG. 24 (a) is a waveform in a region of amplitude ± 0.1 (V) or less. In FIG. 24 (b), the influence of the reflected wave in the APW original waveform is There is a mixture of things that cannot be determined from the effects of vibration. In the following analysis, the state of the sleep onset symptom is estimated using the waveform in this state.

まず、全時間の波形データの中からノイズの影響を受けていない有効なデータの割合を求めた。各被験者の有効なデータの割合は、アイドリング状態の波形データにおいて、被験者Aは41.3%、被験者Bは70.5%、被験者Cは67.0%、被験者Dは71.5%、被験者Eは68.4%、被験者Fは62.2%であった。   First, the ratio of valid data that was not affected by noise was determined from the waveform data of all time. The percentage of valid data for each subject is: 41.3% for subject A, 70.5% for subject B, 67.0% for subject C, 71.5% for subject D E was 68.4% and subject F was 62.2%.

図25は、有効なデータの割合が41.3%の被験者Aの関連事象を示し、図26は、有効なデータの割合が70.5%の被験者Bの関連事象を示す。なお、ここでの関連事象は、上から順に、VASによる眠気の判定と、指尖容積脈波のウェーブレット解析を用いた自律神経系機能の交感・副交感神経出現の分布図、指尖容積脈波のパワー値と最大リアプノフ指数の傾き時系列波形、APW原波形のゼロクロス検出法を用いて算出した傾き時系列波形である。   FIG. 25 shows a related event for subject A with a percentage of valid data of 41.3%, and FIG. 26 shows a related event for subject B with a percentage of valid data of 70.5%. The related events here are, from the top, the sleepiness determination by VAS, the distribution of the appearance of sympathetic / parasympathetic nerves of autonomic nervous system function using wavelet analysis of fingertip volume pulse wave, fingertip volume pulse wave The slope time series waveform of the power value and the maximum Lyapunov exponent, and the slope time series waveform calculated using the zero cross detection method of the APW original waveform.

図27(a)〜(c)は、被験者Aの覚醒状態、入眠予兆現象、覚低状態の状態別に、指尖容積脈波とAPWの原波形の周波数変動の様子を比較したものであり、図27(d)〜(f)は、被験者Bの覚醒状態、入眠予兆現象、覚低状態の状態別に、指尖容積脈波とAPWの原波形の周波数変動の様子を比較したものである。   FIGS. 27 (a) to (c) are comparisons of the frequency fluctuations of the fingertip volume pulse wave and the original waveform of the APW for each state of the subject A's arousal state, sleep onset symptom phenomenon, and hypoxia state, FIGS. 27D to 27F compare the frequency fluctuations of the fingertip volume pulse wave and the original waveform of the APW for each state of the subject B's arousal state, sleep onset symptom phenomenon, and hypoxia state.

図28は、指尖容積脈波のパワー値の傾き時系列波形とAPWのゼロクロス検出法を用いた傾き時系列波形をそれぞれ絶対値処理して、同時刻のそれぞれの傾きの相関を取ったものである。そして、図28(a)〜(c)は、被験者Aの覚醒状態、入眠予兆現象、覚低状態におけるデータであり、図28(d)〜(f)は、被験者Bの覚醒状態、入眠予兆現象、覚低状態におけるデータである。図中のL線、L値の意味は上記の実験例と同様である。   FIG. 28 shows the correlation between the slopes at the same time by performing absolute value processing on the slope time series waveform of the power value of the fingertip plethysmogram and the slope time series waveform using the APW zero cross detection method. It is. 28 (a) to (c) are data on the awakening state, sleep onset phenomenon, and low onset state of the subject A, and FIGS. 28 (d) to (f) are data on the awakening state of the subject B, the sleep onset sign. This is data in a phenomenon, hypoxia. The meaning of the L line and L value in the figure is the same as in the above experimental example.

図29(a),(b)は、有効データ割合別の正答率を算出した2×2クロステーブルである。図29(a)は、被験者B〜Fの5名のデータから求めたもので、図29(b)は、被験者A〜Fの6名のデータから求めたものである。図29(a),(b)を比較すると、有効なデータの割合が41.3%の被験者Aを含めると、正答率が78.0%から73.5%に低下していることがわかる。従って、本実験によれば、被験者Aを除いた中で有効なデータの割合が最も低かった被験者Dの62.2%以上であれば、ノイズのある環境下でも精度の高い状態推定が可能であると言える。   FIGS. 29A and 29B are 2 × 2 cross tables in which the correct answer rate is calculated for each valid data ratio. FIG. 29A is obtained from data of five subjects B to F, and FIG. 29B is obtained from data of six subjects A to F. Comparing FIGS. 29 (a) and 29 (b), it can be seen that when subject A has a valid data ratio of 41.3%, the correct answer rate has decreased from 78.0% to 73.5%. . Therefore, according to this experiment, if the proportion of valid data excluding subject A is 62.2% or more of subject D, which is the lowest, accurate state estimation is possible even in noisy environments. It can be said that there is.

また、図27に示したように、外部振動ノイズのあるアイドリング状態の条件下では、指尖容積脈波及びAPWの原波形を用いたのでは、状態推定が困難であるのに対し、図28のように、指尖容積脈波及びAPWの傾き時系列波形の解析結果を用いると、被験者A,B共に、覚醒状態ではL値以下に収まり、入眠予兆現象、覚低状態ではL値を超える値が多く検出されており、ノイズの影響が小さくなっていることがわかる。   In addition, as shown in FIG. 27, it is difficult to estimate the state using the fingertip volume pulse wave and the original APW waveform under the idling condition with external vibration noise, whereas FIG. When using the analysis results of fingertip plethysmogram and APW slope time-series waveform as shown above, both subjects A and B fall below the L value in the wakefulness state, and exceed the L value in the sleep onset symptom phenomenon and the wakefulness state. Many values are detected, and it can be seen that the influence of noise is reduced.

これらのことから、傾き時系列波形を用いた判定は原波形を用いた判定よりもロバスト性が高く、ノイズのある環境下でも精度良く判定できることがわかる。   From these facts, it can be seen that the determination using the gradient time-series waveform has higher robustness than the determination using the original waveform, and can be determined with high accuracy even in a noisy environment.

また、図25及び図26に示す各関連事象を比較すると、被験者A,B共に比較的早い段階から入眠予兆現象と覚低状態が交互に出現し、覚醒状態を維持しようとしていることがわかる。VASとと指尖容積脈波による被験者の状態の判定結果と、APWの傾き時系列解析による判定結果を比較すると、比較的近い傾向にある。しかし、ノイズが多く、有効なデータの割合が41.3%の被験者Aの場合、2100〜3000秒間の入眠予兆現象と覚低状態の判定が、指尖容積脈波の傾き時系列波形を用いたものとAPWの傾き時系列波形を用いたものとで少し違う傾向であることがわかる。これは、有効なデータの割合が低いため、判定精度に差が生じたものと考えられる。   In addition, when the related events shown in FIGS. 25 and 26 are compared with each other, it can be seen that both the subjects A and B appear to alternate from the early sleep onset phenomenon and the hypoxia state to maintain the arousal state. Comparing the determination result of the subject's state by the VAS and the fingertip volume pulse wave with the determination result by the APW inclination time series analysis, it tends to be relatively close. However, in the case of the subject A having a lot of noise and a valid data ratio of 41.3%, the judgment of the sleep onset symptom for 2100 to 3000 seconds and the state of hypoxia use the time series waveform of the fingertip volume pulse wave inclination. It can be seen that there is a slightly different tendency between the one using the APW slope time series waveform. This is considered to be due to a difference in determination accuracy because the proportion of valid data is low.

(実験例4)
背部体表脈波測定装置1をトラックの運転席に装着し、通常運行中の運転手の体表脈波を計測して評価した。被験者は運送業に従事する20歳代から50歳代までの職業運転手(男性9名)で、全被験者の総運行回数は91回であった。
(Experimental example 4)
The back body surface pulse wave measuring device 1 was mounted on the driver's seat of the truck, and the body surface pulse wave of the driver who was operating normally was measured and evaluated. The test subjects were professional drivers (9 men) in their 20s to 50s engaged in the transportation business, and the total number of operations for all subjects was 91 times.

図30は、職業運転手(男性9名)91例分の実運行履歴のAPWのゼロクロス検出法を用いた傾き時系列波形から得た入眠予兆現象や覚低状態のような遷移状態における自律神経系機能亢進状態の発生回数を横軸の運行時間に対して縦軸にプロットしたものである。   FIG. 30 shows an autonomic nerve in a transition state such as a sleep symptom and a hypoxia state obtained from an inclination time-series waveform using the APW zero-cross detection method of actual driving history for 91 occupational drivers (9 men). The number of occurrences of system hyperactivity state is plotted on the vertical axis against the operation time on the horizontal axis.

このグラフから10時間超の業務では、運行時間2時間超から10時間までの間が警告の多発する時間帯であり、かつまた業務差や個人差によるばらつきが生じる時間帯であることがわかる。ところが業務開始後10時間超の仕事終わりの時間帯には、極端に警告が少なくなっている。これは、仕事を始めて2時間を越えるところから8時間前後の間に良い意味での緊張が続いているが、この緊張感のリバウンドが仕事終わりの弛緩状態を生み出している可能性がある。すなわち、業務開始後2時間超から交感神経代償作用が生じ、業務開始後10時間を超えるところで一旦機能しなくなる時間帯がある。この弛緩状態が疲労の進行度合との複合作用でヒューマンエラーの発生しやすい環境を作り出す可能性がある。本実験で協力頂いた被験者を管理する運行事業管理者によれば、経験則から、運行開始から30分間と、運行終了前の30分間が最も事故が起きやすいとのことであったが、本実験では、上記のようにこの経験則に沿った結果が得られた。   From this graph, it can be seen that in work over 10 hours, the operation time is from 2 hours to 10 hours is a time zone in which warnings frequently occur, and also a time zone in which variations due to business differences and individual differences occur. However, there are extremely few warnings at the end of work over 10 hours after the start of work. This is a good sense of tension that lasts for more than 8 hours from the start of work for more than 2 hours, but this rebound of tension may create a relaxed state at the end of work. That is, there is a time zone in which the sympathetic nerve compensation effect occurs from more than 2 hours after the start of business, and once it does not function after 10 hours after the business starts. This relaxed state may create an environment in which human error is likely to occur due to a combined action with the progress of fatigue. According to the operating business manager who manages the subjects who cooperated in this experiment, the rule of thumb is that accidents are most likely to occur during the 30 minutes from the start of the operation and 30 minutes before the end of the operation. In the experiment, the result according to this rule of thumb was obtained as described above.

1 背部体表脈波測定装置
11 コアパッド
12 スペーサパッド
13 センサ
14 フロントフィルム
15 リアフィルム
60 生体状態推定装置
61 中枢系生体信号処理手段
62 末梢系生体信号処理手段
63 状態推定手段
DESCRIPTION OF SYMBOLS 1 Back body surface pulse wave measuring apparatus 11 Core pad 12 Spacer pad 13 Sensor 14 Front film 15 Rear film 60 Living body state estimation apparatus 61 Central body biological signal processing means 62 Peripheral body biological signal processing means 63 State estimation means

Claims (12)

中枢系生体信号情報から所定の中枢系指標値を求める中枢系生体信号処理手段と、
末梢系生体信号情報から所定の末梢系指標値を求める末梢系生体信号処理手段と、
前記中枢系指標値及び前記末梢系指標値から得られる指標値を少なくとも一方の座標軸に用いた座標系上にプロットされた複数の座標点の位置関係から生体状態を推定する状態推定手段と
を有することを特徴とする生体状態推定装置。
A central biological signal processing means for obtaining a predetermined central system index value from the central biological signal information;
Peripheral biosignal processing means for obtaining a predetermined peripheral index value from peripheral biosignal information;
State estimation means for estimating a biological state from a positional relationship of a plurality of coordinate points plotted on a coordinate system using an index value obtained from the central system index value and the peripheral system index value as at least one coordinate axis The biological state estimation apparatus characterized by the above-mentioned.
前記状態推定手段は、前記複数の座標点の位置関係として、各座標点が、所定の分散状態にあるか否か、略一直線上に配向しているか否か、又は特異点を有するか否かを考慮して前記生体状態を推定する請求項1記載の生体状態推定装置。   The state estimation means determines whether each coordinate point is in a predetermined dispersion state, or is aligned substantially on a straight line, or has a singular point as a positional relationship between the plurality of coordinate points. The biological state estimation apparatus according to claim 1, wherein the biological state is estimated in consideration of 前記状態推定手段は、前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形における同時刻の各周波数を用い、前記中枢系指標値及び前記末梢系指標値を各座標軸にとった座標系上に、対応する前記各指標値同士の座標点を座標系上にプロットし、プロットされた複数の座標点の位置関係から生体状態を推定する請求項1又は2記載の生体状態推定装置。   The state estimating means uses, as the central system index value and the peripheral system index value, each frequency at the same time in the original waveform of the central system biosignal information and the peripheral formation body signal information, and the central system index value and the peripheral system index value Claims: On a coordinate system in which peripheral index values are taken on respective coordinate axes, coordinate points between corresponding index values are plotted on a coordinate system, and a biological state is estimated from the positional relationship between the plotted coordinate points. Item 3. The biological state estimation apparatus according to Item 1 or 2. 前記状態推定手段は、前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値を用い、前記中枢系指標値及び前記末梢系指標値を各座標軸にとった座標系上に、対応する前記各指標値同士の座標点を座標系上にプロットし、プロットされた複数の座標点の位置関係から生体状態を推定する請求項1又は2記載の生体状態推定装置。   In the inclination time series waveform obtained by performing slide calculation on the original waveform of the central system biosignal information and the peripheral formation body signal information under a predetermined condition as the central system index value and the peripheral system index value. Using each amplitude value at the same time, plotting the central system index value and the peripheral system index value on the coordinate system on each coordinate axis, plotting the coordinate points between the corresponding index values on the coordinate system, and plotting The biological state estimation apparatus according to claim 1, wherein the biological state is estimated from a positional relationship between the plurality of coordinate points. 前記状態推定手段は、前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値の比を一方の軸にとり、他方の軸に時間軸を用いた座標系上に、対応する指標値をプロットし、プロットされた複数の座標点の位置関係から生体状態を推定する請求項1又は2記載の生体状態推定装置。   In the inclination time series waveform obtained by performing slide calculation on the original waveform of the central system biosignal information and the peripheral formation body signal information under a predetermined condition as the central system index value and the peripheral system index value. The corresponding index value is plotted on the coordinate system using the ratio of each amplitude value at the same time on one axis and the time axis on the other axis, and the biological state is determined from the positional relationship between the plotted coordinate points. The biological state estimation apparatus according to claim 1 or 2 for estimation. 前記中枢系生体信号情報が、背部から採取される背部体表脈波である請求項1〜5のいずれか1に記載の生体状態推定装置。   The biological state estimating apparatus according to any one of claims 1 to 5, wherein the central biological signal information is a back body surface pulse wave collected from the back. 前記末梢系生体信号情報が、指尖容積脈波である請求項1〜6のいずれか1に記載の生体状態推定装置。   The biological state estimation device according to any one of claims 1 to 6, wherein the peripheral biological signal information is a fingertip volume pulse wave. 生体状態を推定する生体状態推定装置としてのコンピュータに、
中枢系生体信号情報から所定の中枢系指標値を求める中枢系生体信号処理手順と、
末梢系生体信号情報から所定の末梢系指標値を求める末梢系生体信号処理手順と、
前記中枢系指標値及び前記末梢系指標値から得られる指標値を少なくとも一方の座標軸に用いた座標系上にプロットされた複数の座標点の位置関係から生体状態を推定する状態推定手順と
を実行させるコンピュータプログラム。
To a computer as a biological state estimating device for estimating a biological state,
A central biological signal processing procedure for obtaining a predetermined central system index value from the central biological signal information;
Peripheral biosignal processing procedure for obtaining a predetermined peripheral index value from peripheral biosignal information;
A state estimation procedure for estimating a biological state from a positional relationship of a plurality of coordinate points plotted on a coordinate system using an index value obtained from the central system index value and the peripheral system index value as at least one coordinate axis Computer program to make.
前記状態推定手順は、前記複数の座標点の位置関係として、各座標点が、所定の分散状態にあるか否か、略一直線上に配向しているか否か、又は特異点を有するか否か、を考慮して前記生体状態を推定する請求項8記載のコンピュータプログラム。   In the state estimation procedure, as the positional relationship of the plurality of coordinate points, whether each coordinate point is in a predetermined dispersion state, is oriented in a substantially straight line, or has a singular point. The computer program according to claim 8, wherein the biological state is estimated in consideration of. 前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形における同時刻の各周波数を用いる請求項8又は9記載のコンピュータプログラム。   The computer program according to claim 8 or 9, wherein each frequency at the same time in an original waveform of the central biological signal information and the peripheral formed body signal information is used as the central system index value and the peripheral system index value. 前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値を用いる請求項8又は9記載のコンピュータプログラム。   As the central system index value and the peripheral system index value, each amplitude value at the same time in the tilt time series waveform obtained by sliding calculation of the original waveform of the central system biological signal information and the peripheral formation body signal information under a predetermined condition 10. The computer program according to claim 8 or 9, wherein: 前記中枢系指標値及び末梢系指標値として、前記中枢系生体信号情報及び前記末梢形成体信号情報の原波形を所定条件下でスライド計算して求めた傾き時系列波形における同時刻の各振幅値の比を用いる請求項8又は9記載のコンピュータプログラム。   As the central system index value and the peripheral system index value, each amplitude value at the same time in the tilt time series waveform obtained by sliding calculation of the original waveform of the central system biological signal information and the peripheral formation body signal information under a predetermined condition The computer program according to claim 8 or 9, wherein a ratio of
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