JP6005947B2 - Concentration measuring device and concentration measuring method - Google Patents

Description

  The present invention relates to a concentration measuring apparatus and a concentration measuring method.

As an apparatus for noninvasively measuring the concentration information of hemoglobin in a living body, for example, there is one described in Patent Document 1. In this apparatus, after light is incident on the living body, light scattered inside the living body is detected by each of the plurality of photodiodes. Based on the intensity of the detected light, the rate of change of the detected light quantity with respect to the distance direction from the light incident point is calculated. The hemoglobin oxygen saturation is calculated based on a predetermined relationship between the change rate of the detected light quantity and the light absorption coefficient. Further, based on a predetermined relationship between a change in the detected light amount with time and a change in the light absorption coefficient with time, each of oxygenated hemoglobin (O ₂ Hb), deoxygenated hemoglobin (HHb), and total hemoglobin (cHb) A change in density is calculated.

JP 7-255709 A

Susumu Suzuki et al. “Tissue oxygenation monitor using NIR spatially resolved spectroscopy”, Proceedings of SPIE 3597, pp.582-592

  In recent years, for example, as disclosed in Patent Document 1, near infrared light is incident on a living body, and light scattered in the living body is detected, so that the oxygenated hemoglobin concentration and the deoxygenated hemoglobin concentration are temporally relative to each other. A change amount is obtained, and a temporal relative change amount and oxygen saturation of the total hemoglobin concentration are obtained from these values. In such an apparatus, the oxygen saturation is obtained by sequentially calculating, for example, the ratio between the total hemoglobin concentration and the oxygenated hemoglobin concentration.

  On the other hand, if the relative change in the total hemoglobin concentration or oxygenated hemoglobin concentration in the head is measured at a frequency sufficiently faster than the heartbeat frequency using a concentration measurement device using near infrared light, the sternum is periodically compressed during sternum compression. Every time, a certain change occurs in the total hemoglobin concentration or oxygenated hemoglobin concentration inside the head (ie, the brain). This phenomenon is considered to be caused by fluctuations in blood flow in the brain due to chest compression, and can be an objective material for determining whether chest compression is performed appropriately.

  However, for example, in situations where chest compression is being performed, noise is likely to be mixed into the detection signal. For this reason, noise may be mixed in the calculated total hemoglobin concentration or oxygenated hemoglobin concentration value, and it may be difficult to accurately calculate the oxygen saturation. In particular, during the chest compression, a phase difference occurs between the phase of the temporal change in the oxygenated hemoglobin concentration and the phase of the temporal change in the deoxygenated hemoglobin concentration. Therefore, the temporal change in the total hemoglobin concentration is not stable, and it has been difficult to accurately obtain the oxygen saturation by the method based on the ratio between the total hemoglobin concentration and the oxygenated hemoglobin concentration as in the prior art.

  The present invention has been made in view of such problems, and provides a concentration measuring apparatus and a concentration measuring method capable of accurately calculating oxygen saturation even when noise is mixed in a detection signal. In particular, it is an object of the present invention to provide a concentration measuring device and a concentration measuring method for calculating an accurate oxygen saturation level during chest compression.

In order to solve the above-mentioned problems, a concentration measuring device according to the present invention is a concentration measuring device that measures a temporal relative change in total hemoglobin concentration and oxygenated hemoglobin concentration in the head, and includes a measuring light on the head. A light incident unit that detects the measurement light propagating through the inside of the head, generates a detection signal corresponding to the intensity of the measurement light, and a time of the total hemoglobin concentration based on the detection signal characterized by comprising specific relative amount of change, and a computing unit for determining the oxygen saturation from the slope of the regression straight lines and temporal relative change amount of the oxygenated hemoglobin concentration corresponding to said relative variation.

The concentration measuring method according to the present invention is a density measuring method of measuring a temporal relative change amount of total hemoglobin concentration and oxygenated hemoglobin concentration of the head, it is morphism enter the head of the inside of the head Based on a signal corresponding to the intensity of the transmitted measurement light, a regression line between a temporal relative change in the total hemoglobin concentration and a temporal relative change in the oxygenated hemoglobin concentration corresponding to the relative change is obtained. from the slope, characterized by the Turkey determined oxygen saturation by computing unit.

  In the concentration measuring apparatus and the concentration measuring method described above, the arithmetic unit calculates the oxygen saturation from the slope of the regression line in the scatter diagram of the temporal relative change in the total hemoglobin concentration and the temporal relative change in the oxygenated hemoglobin concentration. Find the degree. Such a method is resistant to noise, and even if a large amount of noise is mixed in the detection signal, the change in the slope of the regression line is small. Therefore, according to the concentration measuring apparatus and the concentration measuring method described above, the oxygen saturation can be accurately calculated even if noise is mixed in the detection signal.

In addition, the concentration measuring apparatus is configured so that the regression line includes temporal relative changes in a plurality of total hemoglobin concentrations acquired within a predetermined period and a corresponding plurality of oxygenated hemoglobin concentrations acquired within a predetermined period. It may be based on a relative change amount. As a result, even when there is a phase difference between the temporal change phase of the oxygenated hemoglobin concentration and the temporal change phase of the deoxygenated hemoglobin concentration, the oxygen saturation can be calculated appropriately. Can do. In this case, it is preferable between predetermined period is greater than or equal to 0.6 seconds. Thereby, even if it is a case where chest compression is enforced, oxygen saturation can be calculated appropriately.

  According to the concentration measuring apparatus and the concentration measuring method of the present invention, the oxygen saturation can be accurately calculated even if noise is mixed in the detection signal.

It is a conceptual diagram of the density | concentration measuring apparatus which concerns on one Embodiment of this invention. (A) It is a top view which shows the structure of a probe. (B) It is a sectional side view along the II-II line of (a). It is a block diagram which shows the structural example of a density | concentration measuring apparatus. It is a flowchart which shows the density | concentration measuring method by one Embodiment. (A) is a diagram showing an incident timing of the laser beam having a wavelength lambda ₁ to [lambda] _3. (B) It is a figure which shows the output timing of the digital signal from an A / D conversion circuit. Is a graph showing an example of a scatter diagram of the temporal relative change amount of total hemoglobin concentration (ΔcHb) the temporal relative change amount of the oxygenated hemoglobin concentration (ΔO 2 _Hb). It is a graph which shows the filter characteristic of a digital filter. Using the digital filter having the characteristics shown in FIG. 7, frequency components smaller than a predetermined frequency are removed from frequency components included in the temporal relative change amount (ΔO ₂ Hb) of oxygenated hemoglobin, and repeated compression of the chest It is a graph which shows the result of having extracted the time fluctuation part resulting from the spontaneous heartbeat imitating in (5). This is due to a spontaneous heartbeat that simulates repeated chest compressions by removing frequency components smaller than a predetermined frequency from frequency components included in the temporal relative change amount (ΔcHb) of total hemoglobin by using smoothing filtering. It is a graph which shows the result of having extracted the time fluctuation part. (A) as an example, it is a graph showing measured values of the time series data of the temporal relative change amount when the noise contained in the detected signal is small (ΔO 2 _Hb, ΔcHb). (B) A scatter diagram of the temporal relative change (ΔO ₂ Hb) in the oxygenated hemoglobin concentration and the temporal relative change (ΔcHb) in the total hemoglobin concentration corresponding to (a) is shown. (A) is a graph showing the time-series data of the temporal relative change amount when adding significant noise in FIG. _{10 (a) (ΔO 2 Hb} , ΔcHb). (B) A scatter diagram of the temporal relative change (ΔO ₂ Hb) in the oxygenated hemoglobin concentration and the temporal relative change (ΔcHb) in the total hemoglobin concentration corresponding to (a) is shown.

  Hereinafter, embodiments of a concentration measuring apparatus and a concentration measuring method according to the present invention will be described in detail with reference to the accompanying drawings. In the description of the drawings, the same elements are denoted by the same reference numerals, and redundant description is omitted.

FIG. 1 is a conceptual diagram of a concentration measuring apparatus 1 according to an embodiment of the present invention. This concentration measurement apparatus 1 is configured to measure the time from the initial amount of each of the total hemoglobin (cHb) concentration, oxygenated hemoglobin (O ₂ Hb) concentration, and deoxygenated hemoglobin (HHb) concentration of the head 51 of the subject 50. The change (relative change amount) is measured and the measurement result is displayed on the display unit 15. In addition, this concentration measuring apparatus 1 is an objective about whether or not chest compression (arrow A in the figure) is appropriately performed on the subject 50 when the subject 50 is a cardiopulmonary arrester, for example. Judgment materials may be provided. That is, the concentration measuring apparatus 1 measures the temporal relative change in the concentration of each of the hemoglobins (cHb, O ₂ Hb, HHb), which fluctuate due to repeated chest compressions, and the result is the chest compression enforcer. May be presented.

The concentration measuring apparatus 1 makes light of a predetermined wavelength (λ ₁ , λ ₂ , λ ₃ ) incident on a predetermined light incident position from the probe 20 fixed to the head 51, and from the predetermined light detection position on the head 51. by detecting the intensity of the emitted light, examined by oxygenated hemoglobin (O 2 _Hb) and deoxygenated hemoglobin (HHb) the influence on the light, oxygenated hemoglobin (O 2 _Hb) and de based on this The temporal relative change amount of oxygenated hemoglobin (HHb) is repeatedly calculated. Further, when measuring the temporal relative change in the concentration of each of the hemoglobins (cHb, O ₂ Hb, HHb) that vary due to chest compression, the time-series data that is the calculation result is filtered. To remove low frequency components. As a result, a short-cycle time variation resulting from repeated chest compressions is extracted, and the necessary processing thereafter is performed. Further, the time variation can be displayed more easily. For example, near infrared light is used as the light having a predetermined wavelength.

  FIG. 2A is a plan view showing the configuration of the probe 20. Moreover, FIG.2 (b) is a sectional side view along the II-II line of Fig.2 (a). The probe 20 has a light incident part 21 and a light detection part 22. The light incident part 21 and the light detection part 22 are arranged with an interval of, for example, 5 cm, and are substantially integrated by a flexible black silicon rubber holder 23. In addition, this space | interval should just be about 3-4 cm or more.

  The light incident portion 21 includes an optical fiber 24 and a prism 25, and has a structure in which measurement light transmitted from the main body portion 10 of the concentration measuring apparatus 1 is incident substantially perpendicularly to the skin layer of the head. The measurement light is, for example, pulsed laser light and is sent from the main body 10.

  The light detection unit 22 detects the measurement light propagated inside the head, and generates a detection signal corresponding to the intensity of the measurement light. The photodetection unit 22 is, for example, a one-dimensional photosensor, and includes N array photodetection elements 26 arranged in the distance direction from the light incident unit 21. The light detection unit 22 further includes a preamplifier unit 27 that integrates and amplifies the photocurrent output from the light detection element 26. Thereby, a weak signal can be detected with high sensitivity to generate a detection signal, and this signal can be transmitted to the main body 10 via the cable 28. The light detection unit 22 may be a two-dimensional light sensor, or may be configured by a charge coupled device (CCD). The probe 20 is fixed to the forehead portion having no hair, for example, with an adhesive tape, a stretchable band, or the like.

  FIG. 3 is a block diagram illustrating a configuration example of the concentration measuring apparatus 1. The concentration measuring apparatus 1 shown in FIG. 3 includes a main body 10 in addition to the probe 20 described above. The main body unit 10 includes a light emitting unit 11, a sample hold circuit 12, an A / D conversion circuit 13, a CPU 14, a display unit 15, a ROM 16, a RAM 17, and a data bus 18.

The light emitting unit 11 includes a laser diode and a circuit that drives the laser diode. The light emitting unit 11 is electrically connected to the data bus 18 and receives an instruction signal for instructing driving of the laser diode from the CPU 14 also electrically connected to the data bus 18. The instruction signal includes information such as the light intensity and wavelength (for example, any one of the wavelengths λ ₁ , λ ₂ , and λ ₃ ) of the laser light output from the laser diode. The light emitting unit 11 drives the laser diode based on the instruction signal received from the CPU 14 and outputs laser light to the probe 20 via the optical fiber 24. The light emitting element of the light emitting unit 11 may not be a laser diode as long as it can sequentially output light of a plurality of wavelengths in the near infrared region. Further, as the light incident part 21, a light emitting diode such as an LED built in the probe 20 may be used.

  The sample hold circuit 12 and the A / D conversion circuit 13 receive the detection signal transmitted from the probe 20 via the cable 28, hold it, convert it into a digital signal, and output it to the CPU 14. The sample hold circuit 12 simultaneously holds (holds) the values of the N detection signals. The sample hold circuit 12 is electrically connected to the data bus 18, and receives a sample signal indicating the timing for holding the detection signal from the CPU 14 via the data bus 18. When receiving the sample signal, the sample hold circuit 12 simultaneously holds the N detection signals input from the probe 20. The sample hold circuit 12 is electrically connected to the A / D conversion circuit 13 and outputs each of the held N detection signals to the A / D conversion circuit 13.

  The A / D conversion circuit 13 is means for converting the detection signal from an analog signal to a digital signal. The A / D conversion circuit 13 sequentially converts the N detection signals received from the sample hold circuit 12 into digital signals. The A / D conversion circuit 13 is electrically connected to the data bus 18 and outputs the converted detection signal to the CPU 14 via the data bus 18.

The CPU 14 is a calculation unit in the present embodiment, and based on the detection signal received from the A / D conversion circuit 13, the temporal relative change amount (ΔO ₂ Hb, first oxygenated hemoglobin concentration contained in the head) 1) and a temporal relative change amount (ΔHHb, second relative change amount) of the deoxygenated hemoglobin concentration. Further, the CPU 14 calculates a temporal relative change amount (ΔcHb) of the total hemoglobin concentration, which is the sum of these.

Further, the CPU 14 performs a filtering process on these temporal relative change amounts (ΔO ₂ Hb, ΔHHb, ΔcHb), and removes frequency components smaller than a predetermined frequency from the frequency components included in these, thereby providing a sternum. Extract time fluctuations due to repeated compression. Then, the oxygen saturation SO2 calculated from the temporal relative change amount (ΔcHb) of the total hemoglobin concentration and the temporal relative change amount (ΔO ₂ Hb) of the oxygenated hemoglobin concentration subjected to the filtering process is calculated. The CPU 14 sends time-series data indicating the calculated temporal relative change amounts (ΔO ₂ Hb, ΔHHb, ΔcHb) and time-series data indicating the oxygen saturation SO 2 to the display unit 15 via the data bus 18. Note that a method for calculating the temporal relative change amount (ΔO ₂ Hb, ΔHHb, ΔcHb) and oxygen saturation SO2 based on the detection signal and a method for filtering will be described later. The display unit 15 is electrically connected to the data bus 18 and displays the result sent from the CPU 14 via the data bus 18.

  Next, the operation of the concentration measuring apparatus 1 will be described. In addition, the concentration measurement method according to the present embodiment will be described. FIG. 4 is a flowchart showing the concentration measurement method according to the present embodiment.

First, the light emitting unit 11 sequentially outputs laser beams with wavelengths λ _{1 to} λ ₃ based on an instruction signal from the CPU 14. These laser beams propagate through the optical fiber 24, reach the light incident position of the forehead, and enter the head from the light incident position (light incident step, S11). The laser light incident in the head is scattered in the head and propagated while being absorbed by the component to be measured, and a part of the light reaches the light detection position of the forehead. The laser light that has reached the light detection position is detected by the N light detection elements 26 (light detection step, S12). Each photodetecting element 26 generates a photocurrent according to the intensity of the detected laser beam. These photocurrents are converted into voltage signals (detection signals) by the preamplifier unit 27, and these voltage signals are sent to and held by the sample hold circuit 12 of the main body unit 10, and then digitalized by the A / D conversion circuit 13. Converted to a signal.

Here, FIG. 5A is a diagram illustrating the incident timing of the laser beams having wavelengths λ _{1 to} λ ₃ , and FIG. 5B is a diagram illustrating the output timing of the digital signal from the A / D conversion circuit 13. FIG. As shown in FIG. 5, when a laser beam having a wavelength λ ₁ is incident, N digital signals D ₁ (1) to D ₁ (N) corresponding to the N photodetectors 26 are sequentially obtained. Subsequently, when the laser beam having the wavelength λ ₂ is incident, N digital signals D ₂ (1) to D ₂ (N) corresponding to the N photodetecting elements 26 are sequentially obtained. In this way, (3 × N) digital signals D ₁ (1) to D ₃ (N) are output from the A / D conversion circuit 13.

Subsequently, the CPU 14 uses at least one digital signal from among the digital signals D (1) to D (N) to change the oxygenated hemoglobin concentration with respect to time (ΔO ₂ Hb), the deoxygenated hemoglobin concentration. Relative time variation (ΔHHb) and the total relative hemoglobin concentration variation (ΔcHb) (calculation step, S13). Subsequently, the CPU 14 removes a frequency component smaller than a predetermined frequency from the frequency components included in the relative change amounts (ΔcHb, ΔO ₂ Hb, ΔHHb) by a filter process (calculation step, S14). Based on the filtered temporal relative change amount (ΔO ₂ Hb) of oxygenated hemoglobin concentration and temporal relative change amount (ΔcHb) of total hemoglobin concentration, the CPU 14 performs hemoglobin oxygen saturation (SO 2). Is calculated (calculation step, S15). The CPU 14 of the present embodiment uses a regression line in a scatter diagram of a temporal relative change amount (ΔcHb) of the total hemoglobin concentration and a temporal relative change amount (ΔO ₂ Hb) of the oxygenated hemoglobin concentration over a certain time. The inclination is calculated, and the oxygen saturation is obtained from the value of the inclination. A specific method for calculating the hemoglobin oxygen saturation will be described later.

Then, the time series data indicating the relative change amounts (ΔcHb, ΔO ₂ Hb, ΔHHb) and the time series data indicating the hemoglobin oxygen saturation are displayed on the display unit 15 (display step, S16). In the concentration measuring apparatus 1 and the concentration measuring method in the present embodiment, steps S11 to S16 described above are repeated.

  In the present embodiment, “filter processing for removing frequency components smaller than a predetermined frequency” means that the ratio of frequency components smaller than a predetermined frequency is such that the frequency components resulting from chest compressions can be sufficiently identified. This is a process for reducing the frequency, and is not limited to a process for completely removing a frequency component smaller than a predetermined frequency.

Here, the calculation method of the temporal relative change amounts (ΔO ₂ Hb, ΔHHb, ΔcHb) by the CPU 14 in the calculation step S13 will be described in detail.

In some light detection position, the value of the laser beam wavelength lambda ₁ to [lambda] ₃ detection signals corresponding to the respective at time _{T 0 D λ1 (T 0)} ~D λ3 (T 0), likewise the value at time _{T 1} D _{Assuming that λ1} (T ₁ ) to D _λ3 (T ₁ ), the amount of change in detected light intensity at times T _{0 to} T ₁ is expressed by the following equations (1) to (3).



However, in the equations (1) to (3), ΔOD ₁ (T ₁ ) is a temporal change amount of the detection light intensity at the wavelength λ ₁ , ΔOD ₂ (T ₁ ) is a change amount of the detection light intensity at the wavelength λ ₂ , ΔOD ₃ (T ₁ ) is a temporal change amount of the detected light intensity at the wavelength λ ₃ .

Also, if the temporal relative change amounts of the oxygenated hemoglobin and deoxygenated hemoglobin concentrations between time T ₀ and time T ₁ are ΔO ₂ Hb (T ₁ ) and ΔHHb (T ₁ ), respectively, (4).

However, in the formula (4), the coefficients a11 to a23 are constants obtained from the extinction coefficients of O ₂ Hb and HHb with respect to light of wavelengths λ ₁ , λ ₂ , and λ ₃ . Moreover, the temporal relative change amount ΔcHb (T ₁ ) of the total hemoglobin concentration in the head can be obtained by the following equation (5).

The CPU 14 performs the above calculation for one detection signal in the N light detection positions, and each temporal relative change amount (ΔO ₂ Hb,) of the oxygenated hemoglobin concentration, the deoxygenated hemoglobin concentration, and the total hemoglobin concentration. ΔHHb, ΔcHb) is calculated.

Moreover, the calculation method of the hemoglobin oxygen saturation by CPU14 in calculation step S15 is as follows. In this embodiment, the CPU 14 determines hemoglobin oxygen saturation from the slope of the regression line in the scatter diagram of the temporal relative change (ΔcHb) of the total hemoglobin concentration and the temporal relative change (ΔO ₂ Hb) of the oxygenated hemoglobin concentration. Calculate the degree.

FIG. 6 is a graph showing an example of a scatter diagram of the temporal relative change (ΔcHb) in the total hemoglobin concentration and the temporal relative change (ΔO ₂ Hb) in the oxygenated hemoglobin concentration. The vertical axis represents the temporal relative change (ΔO ₂ Hb) of the oxygenated hemoglobin concentration over a certain time, and the horizontal axis represents the temporal relative change (ΔcHb) of the total hemoglobin concentration over a certain time. And the straight line B shown in FIG. 6 has shown the regression line in this scatter diagram. For example, the CPU 14 calculates the slope of the regression line B in the scatter diagram as shown in FIG. 6 and outputs the value of the slope as the hemoglobin oxygen saturation.

Here, an example of a method for calculating the slope of the regression line B will be described. In a scatter diagram with x and y as variables, the slope k of the regression line can be obtained by the following equation (6).

However, Sx is a variance of x, Sy is a variance of y, and Sxy is a covariance of x and y. In addition, dispersion | distribution Sx and Sy and covariance Sxy are calculated | required by following Numerical formula (7)-(9), respectively. However, _{x 0} and _{y 0} are the average values of x and y, respectively. N is the number of samples.

Note that the concentration measuring apparatus 1 may obtain the variances Sx and Sy and the covariance Sxy by the following method in order to speed up the arithmetic processing. That is, the variances Sx and Sy and the covariance Sxy are also suitably obtained by the following formulas (10) to (12), respectively.

Therefore, for example, time series data of a plurality of total hemoglobin concentrations (ΔcHb) obtained over a certain period of time is set to x ₁ to x _n, and the oxygen concentration of the hemoglobin concentration corresponding to the time series ( ΔO ₂ Hb) time-series data is stored in association with y ₁ to y _n . Then, x _{1 to} x _n as time series data of a plurality of total hemoglobin concentrations (ΔcHb) at a predetermined time and a time relative change (ΔO ₂ Hb) of the plurality of oxygenated hemoglobin concentrations. when based on _y 1 ~y _n is a sequence data, it may determine the variance Sx and Sy and the covariance Sxy, the average value _{x 0} and _{y 0.} By substituting these into equation (6) described above, the slope k of the regression line can be obtained. The hemoglobin oxygen saturation SO2 is calculated as SO2 = k × 100 (%). In order to obtain the hemoglobin oxygen saturation SO2, the predetermined time (predetermined time) is preferably longer than at least one fluctuation time of chest compression, and may be, for example, 0.6 seconds or more. Moreover, since it is preferable that the degree of chest compression is stable, the predetermined time (predetermined time) is preferably 5 seconds or less.

In addition, as a filtering process for the temporal relative change amounts (ΔO ₂ Hb, ΔHHb, ΔcHb) by the CPU 14 in the calculation step S14, any one of the following methods (1) to (2) is suitable.

(1) Filter processing by digital filter Let X (n) be a data string related to temporal relative change amounts (ΔO ₂ Hb, ΔHHb, ΔcHb) obtained at a predetermined cycle. However, n is an integer. For this data string X (n), a non-cyclic linear phase digital filter is realized by multiplying each data by, for example, the following filter coefficient A (n) with n = 0 as the time center.
A (0) = 3/4
A (3) = A (−3) = − 1/6
A (6) = A (−6) = − 1/8
A (9) = A (-9) =-1/12

More specifically, the delay operator of the data string X (n) is expressed by the following equation (13). Note that f is a time frequency (unit: 1 / sec). Further, ω is an angular frequency, and ω = 2πf. T is a period in which the data string X (n) is obtained, and is set to a period of, for example, 1/20 second in order to measure a fluctuation waveform up to about 150 times per minute (2.5 Hz).

At this time, the digital filter characteristic when the above-described filter coefficient A (n) is used is described by the following equation (14).

As described above, the digital filter is represented by a product-sum operation between the data string X (n) and each corresponding coefficient. Then, when the time frequency f of the equation (7) is converted into a time frequency F (unit: 1 / min) per minute, the following equation (15) is obtained.

FIG. 7 is a graphical representation of this R (F), showing the filter characteristics of the digital filter. In FIG. 7, the horizontal axis represents the heart rate per minute, and the vertical axis represents the value of R (F). Further, FIG. 8 uses the digital filter shown in FIG. 7 to remove (reduce) frequency components smaller than a predetermined frequency among frequency components included in the temporal relative change amount (ΔO ₂ Hb) of oxygenated hemoglobin. It is a graph showing the result of extracting the time variation due to the spontaneous heartbeat that simulates repeated chest compressions. In FIG. 8, a graph G31 shows a relative change amount (ΔO ₂ Hb) before the filter processing, and a graph G32 shows a long-period component (predetermined frequency) included in the relative change amount (ΔO ₂ Hb) before the filter processing. The graph G33 shows the relative change amount (ΔO ₂ Hb) after the filtering process. As shown in FIG. 8, the above-described digital filter can suitably extract a time variation due to repetition of spontaneous heartbeat or chest compression.

(2) Filter processing by smoothing calculation (least square error curve fitting) In the above-described data string X (n), n = 0 is set as the time center, and during a predetermined time before and after that (for example, 3 seconds, 5 beats) Least square error curve fitting using a high-order function (for example, a quartic function) is performed on the obtained data string X (n). Then, the constant term of the obtained higher-order function is regarded as a smooth component (frequency component smaller than a predetermined frequency) at n = 0. That is, by subtracting the smoothed frequency component from the original data X (0), the frequency component smaller than the predetermined frequency is removed from the frequency components included in the relative change amount, and the time resulting from repeated chest compressions Fluctuations can be separated and extracted.

  FIG. 9 shows that the frequency component smaller than the predetermined frequency is removed (reduced) from the frequency components included in the temporal relative change amount (ΔcHb) of the total hemoglobin by using such a filtering process, and the compression of the chest compression is repeated. It is a graph which shows the result of having extracted the time fluctuation part resulting from the spontaneous heartbeat imitating in (5). In FIG. 9, a graph G41 shows a relative change amount (ΔcHb) before the filter processing, and a graph G42 shows a long-period component (a frequency component smaller than a predetermined frequency) included in the relative change amount (ΔcHb) before the filter processing. The graph G43 shows the relative change amount (ΔcHb) after the filter processing, and the graph G44 shows the average amplitude for 5 seconds in the relative change amount (ΔcHb) after the filter processing. As shown in FIG. 9, it is possible to suitably extract the time variation due to the repetition of the spontaneous heartbeat and the chest compression by the above-described filter processing by the smoothing calculation.

The effects of the concentration measuring apparatus 1 and the concentration measuring method according to the present embodiment having the above-described configuration are as follows. In the concentration measuring apparatus 1 and the concentration measuring method according to the present embodiment, the CPU 14 scatters the temporal relative change amount (ΔcHb) of the total hemoglobin concentration and the temporal relative change amount (ΔO ₂ Hb) of the oxygenated hemoglobin concentration. Hemoglobin oxygen saturation is obtained from the slope k of the regression line B in FIG. Such a method is resistant to noise, and even when a large amount of noise is mixed in the detection signal, the change in the slope k of the regression line B is small.

Here, FIG. 10A is a graph showing, as an example, actual measurement values of time series data of temporal relative change amounts (ΔO ₂ Hb, ΔcHb) when the noise included in the detection signal is small. FIG. 11A is a graph showing time-series data of temporal relative change amounts (ΔO ₂ Hb, ΔcHb) when large noise is added to FIG. 10A. 10 (a) and 11 (a), a graph G61 shows time-series data of the temporal relative variation (ΔO ₂ Hb) of the oxygenated hemoglobin concentration, and a graph G62 shows the temporal relative of the total hemoglobin concentration. The time series data of the amount of change (ΔcHb) is shown. 10A and 11A, the horizontal axis represents time (unit: second), and the vertical axis represents the amplitude (arbitrary unit) of the temporal relative change amount.

10 (b) and 11 (b) respectively show the amount of oxygenated hemoglobin concentration (ΔO ₂ Hb) and total hemoglobin corresponding to FIGS. 10 (a) and 11 (a), respectively. The scatter diagram of the temporal relative change amount (ΔcHb) of the concentration is shown. 10 (b) and 11 (b), the vertical axis represents the temporal relative change amount of oxygenated hemoglobin concentration (ΔO ₂ Hb, arbitrary unit), and the horizontal axis represents the temporal relative change amount of total hemoglobin concentration ( ΔcHb, arbitrary unit). And the straight line B drawn in FIG.10 (b) and FIG.11 (b) represents the regression line in these scatter diagrams. Incidentally, scatter plot shown in FIG. 10 (b) and 11 (b), which was measured 5 seconds temporal relative change amounts (ΔO ₂ Hb, ΔcHb) the sampling rate as 20 times / sec, 100 Has a plot.

  It was 0.63 as a result of calculating the inclination of the regression line B of FIG.10 (b) using the regression-line inclination calculation method mentioned above. On the other hand, the slope of the regression line B in FIG. As described above, since the slope of the regression line is small in fluctuation due to the strength of noise, even if a large amount of noise is mixed in the detection signal, the change in the slope k of the regression line B can be effectively suppressed. Therefore, according to the concentration measuring apparatus 1 and the concentration measuring method of the present embodiment, the hemoglobin oxygen saturation can be accurately calculated even if noise is mixed in the detection signal.

In addition, as in the present embodiment, the regression line includes the temporal relative variation (ΔcHb) of the plurality of total hemoglobin concentrations acquired within a predetermined period and the corresponding plurality of oxygenated hemoglobins acquired within the predetermined period. It is preferably based on the amount of relative change in concentration over time (ΔO ₂ Hb). Thus, even when there is a phase difference between the temporal change phase of the oxygenated hemoglobin concentration and the temporal change phase of the deoxygenated hemoglobin concentration, the oxygen saturation (SO2) is appropriately set. Can be calculated. In this case, it is preferable between predetermined period is greater than or equal to 0.6 seconds. Thereby, even if it is a case where chest compression is performed, oxygen saturation (SO2) can be calculated appropriately.

Further, as in the present embodiment, the CPU 14 (calculation unit), the frequency component included in the temporal relative change amount (ΔcHb) of the total hemoglobin concentration and the temporal relative change amount (ΔO ₂ Hb) of the oxygenated hemoglobin concentration. Of these, it is preferable to include a filter processing means (filter processing step) for removing a frequency component smaller than a predetermined frequency. Thereby, the information regarding the density | concentration change resulting from chest compression can be extracted suitably.

  The concentration measuring apparatus and the concentration measuring method according to the present invention are not limited to the above-described embodiments, and various other modifications are possible. For example, the method of calculating the slope of the regression line in the concentration measuring apparatus and the concentration measuring method according to the present invention is not limited to the above embodiment, and various methods can be used.

Further, the filtering process in the concentration measuring apparatus and the concentration measuring method according to the present invention is not limited to the one exemplified in the above embodiment, and a frequency component smaller than a predetermined frequency is removed from the relative change amount (ΔcHb, ΔO ₂ Hb). If it is a filter process which can do, it is used suitably in this invention.

  DESCRIPTION OF SYMBOLS 1 ... Density measuring apparatus, 10 ... Main-body part, 11 ... Light emission part, 12 ... Sample hold circuit, 13 ... Conversion circuit, 14 ... CPU, 15 ... Display part, 16 ... ROM, 17 ... RAM, 18 ... Data bus, 20 DESCRIPTION OF SYMBOLS ... Probe, 21 ... Light incident part, 22 ... Light detection part, 23 ... Holder, 24 ... Optical fiber, 25 ... Prism, 26 ... Photodetection element, 27 ... Preamplifier part, 28 ... Cable, 50 ... Subject, 51 ... head, B ... regression line.

Claims (4)

A concentration measuring device for measuring a temporal relative change in total hemoglobin concentration and oxygenated hemoglobin concentration in the head,
A light incident part for injecting measurement light into the head;
A light detection unit that detects the measurement light propagated inside the head and generates a detection signal corresponding to the intensity of the measurement light;
Based on the detection signal, an operation for obtaining the oxygen saturation from the slope of the regression line between the temporal relative change in the total hemoglobin concentration and the temporal relative change in the oxygenated hemoglobin concentration corresponding to the relative change. And a concentration measuring device.   The regression line includes a temporal relative change amount of a plurality of total hemoglobin concentrations acquired within a predetermined period, and a temporal relative change amount of a corresponding plurality of oxygenated hemoglobin concentrations acquired within the predetermined period. The concentration measuring device according to claim 1, wherein: Characterized in that between the plants regularly is more than 0.6 seconds, the concentration measuring apparatus according to claim 2. A concentration measurement method for measuring a temporal relative change in total hemoglobin concentration and oxygenated hemoglobin concentration in the head,
Based on the signal corresponding to the intensity of the measuring light propagated inside the head is morphism input to the head, and the temporal relative change amount of total hemoglobin concentration, oxygenation corresponding to said relative variation from the slope of the regression line of the temporal relative change amounts of hemoglobin concentration, and wherein the benzalkonium determined oxygen saturation by computing unit, a concentration measuring method.