JP7504496B2 - Non-contact body temperature fluctuation detection system - Google Patents

Non-contact body temperature fluctuation detection system Download PDF

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JP7504496B2
JP7504496B2 JP2022187505A JP2022187505A JP7504496B2 JP 7504496 B2 JP7504496 B2 JP 7504496B2 JP 2022187505 A JP2022187505 A JP 2022187505A JP 2022187505 A JP2022187505 A JP 2022187505A JP 7504496 B2 JP7504496 B2 JP 7504496B2
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宣好 二木
亮 落合
弘樹 佐々木
芳夫 藤貫
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ハートランド・データ株式会社
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本発明は、被測定者が発熱したと推定される体温変動を非接触で検知できる非接触式体温変動検知システムに関する。 The present invention relates to a non-contact body temperature fluctuation detection system that can detect body temperature fluctuations that are presumed to be due to a person being measured having a fever without contacting the person.

老人ホームなどの介護施設では、要介護者の健康状態を把握するために、体温や血圧などのバイタルを定期的あるいは不定期に測定し、適切な対処を行うことが望まれている。しかしながら、認知機能の低下などにより、検温や血圧測定で他者に触られることを嫌がる要介護者もおり、強い抵抗を受けて適切なバイタル測定を行えなかったり、強引にバイタル測定を行うことで要介護者に強いストレスを与えてしまったりする。また、スマートウォッチのように、体の適所に装着することでバイタル測定可能な小型機器もあるが、認知機能の低下した要介護者の中には、小型機器が装着されていることを不快に感じて、小型機器を外そうと暴れたり、小型機器を破損させたりする場合もある。このような要介護者をバイタル情報の被測定者とする場合、被測定者を拘束せずに非接触でバイタル測定を行えることが望ましい。 In nursing homes and other care facilities, it is desirable to measure vital signs such as body temperature and blood pressure regularly or irregularly to understand the health condition of those requiring care and to take appropriate measures. However, some care recipients dislike being touched by others when taking their temperature or blood pressure due to factors such as a decline in cognitive function, and as a result, it is difficult to measure their vital signs properly due to strong resistance, or forcibly measuring their vital signs can cause them great stress. In addition, there are small devices such as smart watches that can measure vital signs by wearing them in appropriate places on the body, but some care recipients with reduced cognitive function may feel uncomfortable wearing such small devices and may become violent or damage the small devices in an attempt to remove them. When such care recipients are to be the subjects of vital information measurement, it is desirable to be able to measure their vital signs non-contact without restraining the subjects.

そこで、測定対象の人体に向けて電波を送信し、人体の表面にて反射した反射波を受信し、所定の演算を行うことで高精度に平均心拍周期を求めることができる心拍計測方法が提案されている(例えば、特許文献1を参照)。また、特許文献1に記載の心拍計測方法で用いる24GHz帯からミリ波帯の電波は、衣服や寝具を透過して人体の表面位置を正確に捉えることができるので、介護施設などでの利用に適している。さらに、特許文献1に記載の心拍計測方法では、心拍数に加えて呼吸数を求めることができる。 A heart rate measurement method has been proposed that can calculate the average heart rate cycle with high accuracy by transmitting radio waves toward the human body to be measured, receiving the waves reflected off the surface of the body, and performing a specified calculation (see, for example, Patent Document 1). Furthermore, the 24 GHz to millimeter wave band radio waves used in the heart rate measurement method described in Patent Document 1 can penetrate clothing and bedding to accurately capture the surface position of the human body, making it suitable for use in nursing facilities and the like. Furthermore, the heart rate measurement method described in Patent Document 1 can calculate the respiratory rate in addition to the heart rate.

特開2019-213772号公報JP 2019-213772 A

しかしながら、特許文献1に記載された心拍計測方法では、体温を求めることができない。介護施設などでは、要介護者のバイタル情報として体温は重要であり、抵抗力の弱った高齢の要介護者が発熱したような場合には、迅速な対処が求められる。したがって、特許文献1に記載の心拍計測方法にて、要介護者の心拍数や呼吸数を非接触で計測するだけでは不十分であり、体温計測は従前通り、要介護者や介護者にとって少なからぬ負担となってしまう。 However, the heart rate measurement method described in Patent Document 1 does not allow for the determination of body temperature. In care facilities and the like, body temperature is important as vital information for those requiring care, and if an elderly person requiring care with a weakened immune system develops a fever, prompt action is required. Therefore, it is insufficient to simply measure the heart rate and respiratory rate of the person requiring care without contact using the heart rate measurement method described in Patent Document 1, and body temperature measurement continues to be a significant burden for the person requiring care and the caregiver, as before.

また、赤外線センサにより皮膚の表面温度を測定する非接触式の体温計が広く用いられているが、検温のためには、要介護者の顔面や手首などに体温計を近づけなければならないので、要介護者に拒絶されて、上手く検温できない場合もあり、介護者にとって使い勝手が良いとは言えない。 In addition, non-contact thermometers that use infrared sensors to measure the surface temperature of the skin are widely used, but in order to take the temperature, the thermometer must be brought close to the face or wrist of the person requiring care. This can sometimes be rejected by the person requiring care, making it difficult to take the temperature properly, and is therefore not user-friendly for caregivers.

なお、介護施設などで要介護者の体温測定を行うのは、発熱している状態を知るためであり、必ずしも体温としての温度情報が必要なわけではない。要介護者それぞれ異なる平熱の状態から高い体温(発熱が疑われる温度)に変動した状態を知ることができれば、いち早く発熱への適切な対処を行うことができる。 The reason why care facilities and other facilities take the temperature of people requiring care is to know if they have a fever, and temperature information is not necessarily required as body temperature. If it is possible to know when a person's body temperature has changed from their normal temperature, which varies from person to person, to a high temperature (a temperature that may indicate a fever), it will be possible to take appropriate measures against the fever as soon as possible.

そこで、本発明は、被測定者が発熱したと推定される体温変動を非接触で検知できる非接触式体温変動検知システムの提供を目的とする。 Therefore, the present invention aims to provide a non-contact body temperature fluctuation detection system that can detect body temperature fluctuations that are presumed to be due to a fever in a subject without contact.

上記の課題を解決するために、被測定者に照射した電波の反射波を受信し、前記被測定者の拍動による体表面の振動に基づいて心拍数情報を取得する心拍数情報取得装置と、前記心拍数情報取得装置により取得された前記心拍数情報に基づく検出心拍数から前記被測定者の体温を推定し、推定される体温が前記被測定者の正常体温範囲を超えることで、前記被測定者の発熱による体温変動を検知する体温変動検知装置と、を含むことを特徴とする。 To solve the above problem, the present invention is characterized by including a heart rate information acquisition device that receives reflected waves of radio waves irradiated to the subject and acquires heart rate information based on vibrations on the body surface caused by the subject's pulsation, and a body temperature fluctuation detection device that estimates the subject's body temperature from a detected heart rate based on the heart rate information acquired by the heart rate information acquisition device, and detects body temperature fluctuations due to fever in the subject when the estimated body temperature exceeds the subject's normal body temperature range.

また、前記非接触式体温変動検知システムにおいて、前記体温変動検知装置は、前記被測定者の平熱時における心拍数を平熱基準値とし、発熱と看做し得る体温の上昇値に対応する心拍数を発熱判定値とし、前記平熱基準値と前記発熱判定値とを加算した心拍数を発熱基準値とし、前記検出心拍数が前記発熱基準値に達することで、前記被測定者の発熱による体温変動を検知しても良い。 In addition, in the non-contact body temperature fluctuation detection system, the body temperature fluctuation detection device may set the heart rate of the subject when the subject has a normal body temperature as a normal body temperature reference value, set the heart rate corresponding to the increase in body temperature that can be considered as a fever as a fever determination value, set the heart rate obtained by adding the normal body temperature reference value and the fever determination value as a fever reference value, and detect a body temperature fluctuation due to a fever of the subject when the detected heart rate reaches the fever reference value.

また、前記非接触式体温変動検知システムにおいて、前記体温変動検知装置は、高熱と看做し得る体温の上昇値に対応する心拍数を高熱判定値とし、前記平熱基準値と前記高熱判定値とを加算した心拍数を高熱基準値とし、前記検出心拍数が前記発熱基準値に達することで、前記被測定者が高熱を発していると推定される状態を検知しても良い。 In addition, in the non-contact body temperature fluctuation detection system, the body temperature fluctuation detection device may set the heart rate corresponding to the rise in body temperature that can be considered as a high fever as a high fever judgment value, set the heart rate obtained by adding the normal body temperature reference value and the high fever judgment value as a high fever reference value, and detect a state in which the subject is presumed to have a high fever when the detected heart rate reaches the fever reference value.

また、前記非接触式体温変動検知システムにおいて、前記体温変動検知装置は、体温の概日リズムに基づいて、時刻に応じた値を前記平熱基準値に設定しても良い。 In addition, in the non-contact body temperature fluctuation detection system, the body temperature fluctuation detection device may set the normal body temperature reference value to a value corresponding to the time of day based on the circadian rhythm of body temperature.

本発明に係る非接触式体温変動検知システムによれば、心拍数情報取得装置により非接触で取得された被測定者の心拍数情報に基づいて、体温変動検知装置が被測定者の発熱による体温変動を検知できる。 The non-contact body temperature fluctuation detection system according to the present invention allows the body temperature fluctuation detection device to detect body temperature fluctuations due to fever of the subject based on the subject's heart rate information acquired non-contact by the heart rate information acquisition device.

第1実施形態に係る非接触式体温変動検知システムの概略構成図である。1 is a schematic diagram of a non-contact body temperature variation detection system according to a first embodiment. 体温変動検知装置に予め設定しておく検知条件の第1例の説明図である。1 is an explanatory diagram of a first example of detection conditions that are set in advance in a body temperature variation detection device. FIG. 体温の概日リズムを示す特性図である。FIG. 1 is a characteristic diagram showing the circadian rhythm of body temperature. 体温変動検知装置に予め設定しておく検知条件の第2例の説明図である。FIG. 11 is an explanatory diagram of a second example of detection conditions that are set in advance in the body temperature variation detection device. 第2実施形態に係る非接触式体温変動検知システムの概略構成図である。FIG. 11 is a schematic diagram of a non-contact body temperature variation detection system according to a second embodiment.

以下、本発明の実施形態を、添付図面に基づいて詳細に説明する。まず、図1に示すのは、第1実施形態に係る非接触式体温変動検知システム1の概略構成である。この非接触式体温変動検知システム1では、心拍数情報取得装置10から被測定者Pに照射した電波の反射波を受信し、被測定者Pの拍動による体表面の振動に基づいて心拍数情報を取得する。心拍数情報取得装置10から心拍数情報が入力される体温変動検知装置20は、被測定者Pの体温を推定し、推定される体温が被測定者Pの正常体温範囲を超える発熱検知範囲に達することで、被測定者Pの発熱による体温変動を検知し、表示装置30により体温変動を表示させる。すなわち、被測定者Pの体温変動が表示される表示装置30を介護者等が見ていれば、被測定者Pの発熱状態をいち早く知ることができ、迅速に適正な対処を行える。なお、心拍数情報取得装置10と体温変動検知装置20との通信および体温変動検知装置20と表示装置30との通信には、有線接続を用いても無線接続を用いても構わない。 The embodiment of the present invention will be described in detail below with reference to the accompanying drawings. First, FIG. 1 shows a schematic configuration of a non-contact body temperature fluctuation detection system 1 according to the first embodiment. In this non-contact body temperature fluctuation detection system 1, a reflected wave of an electric wave irradiated to a person P from a heart rate information acquisition device 10 is received, and heart rate information is acquired based on the vibration of the body surface caused by the pulsation of the person P. The body temperature fluctuation detection device 20 to which the heart rate information is input from the heart rate information acquisition device 10 estimates the body temperature of the person P, and when the estimated body temperature reaches a fever detection range that exceeds the normal body temperature range of the person P, detects the body temperature fluctuation due to the fever of the person P, and displays the body temperature fluctuation on the display device 30. In other words, if a caregiver or the like is looking at the display device 30 on which the body temperature fluctuation of the person P is displayed, the caregiver or the like can quickly know the fever state of the person P and can quickly take appropriate measures. Note that communication between the heart rate information acquisition device 10 and the body temperature fluctuation detection device 20, and communication between the body temperature fluctuation detection device 20 and the display device 30 may be performed using either a wired connection or a wireless connection.

心拍数情報取得装置10は、送信アンテナ11aより照射したミリ波の反射波を受信アンテナ11bで検出するミリ波レーダーセンサー11と、ミリ波レーダーセンサー11の検出信号を加工処理する演算手段12と、図示を省略した電源と、をパッケージ化した小型のユニット構造にでき、部屋の壁や天井などに設置する。心拍数情報取得装置10は、被測定者Pの心拍数を計測し続ける常時駆動式でも良いし、一定時間毎あるいは所定のイベント発生時に起動して被測定者Pの心拍数を計測する間欠駆動式でも良い。 The heart rate information acquisition device 10 can be made into a small unit structure that packages a millimeter wave radar sensor 11 that detects the reflected waves of millimeter waves irradiated from a transmitting antenna 11a with a receiving antenna 11b, a calculation means 12 that processes the detection signal of the millimeter wave radar sensor 11, and a power source (not shown), and is installed on a wall or ceiling of a room. The heart rate information acquisition device 10 may be a constant-drive type that continues to measure the heart rate of the subject P, or an intermittent drive type that is activated at regular intervals or when a specified event occurs to measure the heart rate of the subject P.

心拍数情報取得装置10のミリ波レーダーセンサー11は、2~3メートル離れた位置の被測定者Pから十分な強度の反射波を受信できることが望ましい。また、送信アンテナ11aと受信アンテナ11bを複数(例えば、送信アンテナ11aを2本,受信アンテナ11bを4本)備えるMIMO方式のミリ波レーダーセンサー11を用いれば、検知エリア内にいる複数の被測定者Pの心拍数をそれぞれ求められる検出情報を取得できる。心拍数情報取得装置10の演算手段12は、コンピュータ機能と心拍数演算プログラム等を組み込んだカスタムICチップなどで構成でき、ミリ波レーダーセンサー11の検出信号を所定のアルゴリズムで演算することにより、呼吸数情報や心拍数情報(拍動周期や1分間の脈拍数など)を求める。なお、演算手段12で行う心拍数情報の演算アルゴリズムは特に限定されず、公知既存の適宜な演算手法を採用して構わない。 It is desirable that the millimeter wave radar sensor 11 of the heart rate information acquisition device 10 can receive reflected waves of sufficient strength from the subject P located 2 to 3 meters away. In addition, by using a MIMO type millimeter wave radar sensor 11 equipped with multiple transmitting antennas 11a and receiving antennas 11b (for example, two transmitting antennas 11a and four receiving antennas 11b), it is possible to obtain detection information that can determine the heart rates of multiple subjects P within the detection area. The calculation means 12 of the heart rate information acquisition device 10 can be composed of a custom IC chip that incorporates a computer function and a heart rate calculation program, etc., and calculates the detection signal of the millimeter wave radar sensor 11 using a specified algorithm to obtain respiratory rate information and heart rate information (pulse cycle, pulse rate per minute, etc.). The calculation algorithm for heart rate information used by the calculation means 12 is not particularly limited, and any appropriate existing calculation method known in the art may be used.

体温変動検知装置20は、取得心拍数記録手段21を備え、心拍数情報取得装置10から送信された心拍数情報をタイムスタンプと共に連続記憶しておき、後からでも心拍数の変化を時系列に確認することができる。なお、心拍数情報取得装置10から複数の被測定者Pの心拍数情報を受けた場合には、それぞれの被測定者Pを識別できるように、取得心拍数記録手段21に記録してゆく。また、心拍数情報取得装置10から被測定者Pの呼吸数情報が送信される場合には、取得心拍数と同様に取得呼吸数を記録してゆく取得呼吸数記録手段を設けても良い。この取得心拍数記録手段21は、最新の心拍数情報を含む表示用データを表示装置30に送信することで、表示装置30の表示部31に心拍数情報が可視表示される。表示部31に表示する内容は特に限定されず、最新の心拍数のみを表示しても良いし、一定時間遡って心拍数の変化を示すグラフとして表示しても良い。 The body temperature fluctuation detection device 20 is equipped with an acquired heart rate recording means 21, which continuously stores the heart rate information transmitted from the heart rate information acquisition device 10 together with a time stamp, so that the change in the heart rate can be confirmed in chronological order even later. When the heart rate information of multiple subjects P is received from the heart rate information acquisition device 10, the information is recorded in the acquired heart rate recording means 21 so that each subject P can be identified. When the respiration rate information of the subject P is transmitted from the heart rate information acquisition device 10, an acquired respiration rate recording means may be provided which records the acquired respiration rate as well as the acquired heart rate. This acquired heart rate recording means 21 transmits display data including the latest heart rate information to the display device 30, so that the heart rate information is visually displayed on the display unit 31 of the display device 30. The content displayed on the display unit 31 is not particularly limited, and only the latest heart rate may be displayed, or a graph showing the change in heart rate going back a certain time may be displayed.

また、体温変動検知装置20は、平熱基準値記憶手段22、発熱判定値記憶手段23、高熱判定値記憶手段24、変動状態判定手段25を備え、被測定者Pの発熱による体温変動、被測定者Pが高熱を発していると推定される状態を検知できる。これには、心拍数と体温に強い相関が見られるという医療分野で広く知られている知見を用いる。例えば、「推定体温〔℃〕=平常時体温〔℃〕+(検出脈拍数〔bpm〕-平常時脈拍数〔bpm〕)÷10×0.55」という推定温度の演算式が知られている。この式は、「体温が0.55〔℃〕上昇すると、心拍数が10〔回/分〕増える」ことを意味しており、平常時体温〔℃〕と平常時脈拍数〔bpm〕が既知であれば、心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数〔bpm〕から推定体温〔℃〕が一意に定まることを示す。 The body temperature fluctuation detection device 20 is equipped with a normal body temperature reference value storage means 22, a fever judgment value storage means 23, a high fever judgment value storage means 24, and a fluctuation state judgment means 25, and can detect body temperature fluctuations due to fever of the subject P, and a state in which the subject P is estimated to have a high fever. For this purpose, it uses the knowledge widely known in the medical field that there is a strong correlation between heart rate and body temperature. For example, the following calculation formula for estimated temperature is known: "Estimated body temperature [°C] = normal body temperature [°C] + (detected pulse rate [bpm] - normal pulse rate [bpm]) ÷ 10 x 0.55". This formula means that "when the body temperature rises by 0.55 [°C], the heart rate increases by 10 [beats/min]", and indicates that if the normal body temperature [°C] and the normal pulse rate [bpm] are known, the estimated body temperature [°C] can be uniquely determined from the detected heart rate [bpm] based on the heart rate information acquired by the heart rate information acquisition device 10.

ここで、図2の検知条件説明図に基づき、体温変動検知装置20が用いる検知条件の第1例について説明する。図2においては、被測定者Pの平熱(平常時体温)が36.5〔℃〕であり、平常時体温に対応する平常時脈拍数(平熱基準値N)が65〔bpm〕である。そこで、体温変動検知装置20の平熱基準値記憶手段22には、平熱36.5〔℃〕と心拍数の平熱基準値65〔bpm〕を記憶させておく。そして、変動状態判定手段25は、平熱基準値記憶手段22に記憶されている平熱36.5〔℃〕および平熱基準値65〔bpm〕と、心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数とを推定体温の演算式に適用して推定体温を求める。すなわち、心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数が65〔bpm〕であれば、推定体温=平常時体温=36.5〔℃〕となる。 Here, a first example of the detection conditions used by the body temperature fluctuation detection device 20 will be described based on the detection condition explanatory diagram in Figure 2. In Figure 2, the subject P's normal body temperature (normal body temperature) is 36.5 [°C], and the normal pulse rate (normal body temperature reference value N) corresponding to the normal body temperature is 65 [bpm]. Therefore, the normal body temperature of 36.5 [°C] and the normal body temperature reference value of 65 [bpm] are stored in the normal body temperature reference value storage means 22 of the body temperature fluctuation detection device 20. Then, the fluctuation state determination means 25 applies the normal body temperature of 36.5 [°C] and the normal body temperature reference value of 65 [bpm] stored in the normal body temperature reference value storage means 22 and the detected heart rate based on the heart rate information acquired by the heart rate information acquisition device 10 to the calculation formula for the estimated body temperature to obtain the estimated body temperature. In other words, if the detected heart rate based on the heart rate information acquired by the heart rate information acquisition device 10 is 65 bpm, the estimated body temperature = normal body temperature = 36.5°C.

また、感染症法においては発熱を37.5〔℃〕以上と定義しているので、この定義を検知条件に採用した場合、図2においては、被測定者Pの平熱36.5〔℃〕から37.5〔℃〕未満であれば、正常体温範囲と看做される。しかしながら、被測定者Pの体温が37.5〔℃〕に達して発熱検知範囲の温度域に入ると、被測定者Pが発熱している状態と判定する。被測定者Pの体温が平熱から発熱と判定されるまでの温度差10〔℃〕は、心拍数が平常時より18回増加した回数に等しい。そこで、体温変動検知装置20の発熱判定値記憶手段23には発熱判定値M1として+18回を記憶させておき、変動状態判定手段25は、平熱基準値Nと発熱判定値M1を加算した発熱基準値=N+M1=65+18=83〔bpm〕を求めておく。すなわち、被測定者Pの平熱時における心拍数を平熱基準値Nとし、発熱と看做し得る体温の上昇値に対応する心拍数を発熱判定値M1とし、平熱基準値Nと発熱判定値M1とを加算した心拍数を発熱基準値N+M1とし、これらの値を被測定者Pの発熱により生じた体温変動の検知に用いる。 In addition, the Infectious Diseases Act defines fever as 37.5°C or higher. If this definition is adopted as the detection condition, in FIG. 2, if the subject P's normal body temperature is between 36.5°C and 37.5°C, it is considered to be in the normal body temperature range. However, when the subject P's body temperature reaches 37.5°C and enters the temperature range of the fever detection range, the subject P is determined to have a fever. The temperature difference of 10°C from the normal body temperature to the temperature at which the subject P's body temperature is determined to have a fever is equal to the number of times that the heart rate increases 18 times from normal. Therefore, the fever determination value storage means 23 of the body temperature fluctuation detection device 20 stores +18 times as the fever determination value M1, and the fluctuation state determination means 25 calculates the fever reference value = N + M1 = 65 + 18 = 83 bpm, which is the sum of the normal body temperature reference value N and the fever determination value M1. That is, the heart rate of the subject P when his/her body temperature is normal is the normal body temperature reference value N, the heart rate corresponding to the rise in body temperature that can be considered as a fever is the fever determination value M1, and the heart rate obtained by adding the normal body temperature reference value N and the fever determination value M1 is the fever reference value N+M1, and these values are used to detect changes in body temperature caused by the subject P's fever.

そして、心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数が発熱基準値以上(83〔bpm〕以上)になると、変動状態判定手段25は、被測定者Pが発熱している状態と判定し、発熱検知信号を表示装置30へ出力する。すなわち、発熱基準値N+M1を発熱検知範囲の下限に設定することで、変動状態判定手段25は、検出心拍数との比較により被測定者Pが発熱していると推定される状態を検知できる。なお、正常体温範囲と発熱検知範囲の境界となる発熱基準値は、発熱検知範囲の下限として用いる場合に限らず、正常体温範囲の上限として用いても良い。その場合は、検出心拍数が発熱基準値を超えることを、発熱の検知条件とすれば良い。 When the detected heart rate based on the heart rate information acquired by the heart rate information acquisition device 10 reaches or exceeds the fever reference value (83 bpm or more), the fluctuation state determination means 25 determines that the subject P is in a fever state, and outputs a fever detection signal to the display device 30. That is, by setting the fever reference value N+M1 as the lower limit of the fever detection range, the fluctuation state determination means 25 can detect a state in which the subject P is presumed to be in a fever state by comparing with the detected heart rate. Note that the fever reference value, which is the boundary between the normal body temperature range and the fever detection range, may be used not only as the lower limit of the fever detection range, but also as the upper limit of the normal body temperature range. In that case, the condition for detecting a fever may be that the detected heart rate exceeds the fever reference value.

体温変動検知装置20の変動状態判定手段25より発熱検知信号を受信した表示装置30は、表示部31にて被測定者Pが発熱している旨の表示を行うなどして、介護者等に注意を促す。なお、表示装置30に発熱報知ランプ32(図1中、破線で示す)を設けておき、被測定者Pが発熱していることを介護者らが気付き易いように発熱報知ランプ32を点灯あるいは点滅させるようにしても良い。 The display device 30 receives a fever detection signal from the fluctuation state determination means 25 of the body temperature fluctuation detection device 20, and alerts the caregiver by displaying on the display unit 31 that the person being measured P has a fever. The display device 30 may be provided with a fever notification lamp 32 (shown by a dashed line in FIG. 1), which may be lit or flashed to make it easier for the caregiver to notice that the person being measured P has a fever.

また、感染症法においては高熱を38.0〔℃〕以上と定義しているので、この定義を検知条件に採用した場合、図2においては、被測定者Pの体温が38.0〔℃〕に達して高熱検知範囲の温度域に入ると、被測定者Pが高熱を発している状態と判定する。被測定者Pの体温が平熱から高熱と判定されるまでの温度差15〔℃〕は、心拍数が平常時より27回増加した回数に等しい。そこで、体温変動検知装置20の高熱判定値記憶手段24には高熱判定値M2として+27回を記憶させておき、変動状態判定手段25は、平熱基準値Nと高熱判定値M2を加算した高熱基準値=N+M2=65+27=92〔bpm〕を求めておく。すなわち、高熱と看做し得る体温の上昇値に対応する心拍数を高熱判定値M2とし、平熱基準値Nと高熱判定値M2とを加算した心拍数を高熱基準値N+M2とし、被測定者Pが高熱を発した状態の検知に用いる。 In addition, the Infectious Diseases Act defines a high fever as 38.0°C or higher. If this definition is adopted as the detection condition, in FIG. 2, when the body temperature of the person being measured P reaches 38.0°C and enters the high fever detection range, the person being measured P is determined to have a high fever. The temperature difference of 15°C from when the body temperature of the person being measured P is determined to be a high fever is equal to the number of times that the heart rate increases 27 times from normal. Therefore, the high fever determination value storage means 24 of the body temperature fluctuation detection device 20 stores +27 times as the high fever determination value M2, and the fluctuation state determination means 25 calculates the high fever reference value = N + M2 = 65 + 27 = 92 bpm, which is the sum of the normal body temperature reference value N and the high fever determination value M2. That is, the heart rate corresponding to the rise in body temperature that can be considered as a high fever is set as the high fever judgment value M2, and the heart rate obtained by adding the normal body temperature reference value N and the high fever judgment value M2 is set as the high fever reference value N+M2, which is used to detect when the subject P has a high fever.

そして、心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数が高熱基準値以上(92〔bpm〕以上)になると、変動状態判定手段25は、被測定者Pが高熱を発している状態と判定し、高熱検知信号を表示装置30へ出力する。すなわち、高熱基準値N+M2を高熱検知範囲の下限に設定することで、変動状態判定手段25は、検出心拍数との比較により被測定者Pが高熱を発していると推定される状態を検知できる。 When the detected heart rate based on the heart rate information acquired by the heart rate information acquisition device 10 reaches or exceeds the high fever reference value (92 bpm or more), the fluctuation state determination means 25 determines that the subject P is in a state of having a high fever, and outputs a high fever detection signal to the display device 30. In other words, by setting the high fever reference value N+M2 as the lower limit of the high fever detection range, the fluctuation state determination means 25 can detect a state in which the subject P is estimated to be having a high fever by comparing it with the detected heart rate.

体温変動検知装置20の変動状態判定手段25より高熱検知信号を受信した表示装置30は、表示部31にて被測定者Pが高熱を発している旨の表示を行うなどして、介護者等に注意を促す。なお、表示装置30に高熱報知ランプ33(図1中、破線で示す)を設けておき、被測定者Pが高熱を発していることを介護者らが気付き易いように高熱報知ランプ33を点灯あるいは点滅させるようにしても良い。なお、高熱基準値は発熱基準値よりも高い値となるので、当然ながら高熱検知範囲は発熱検知範囲に含まれており、発熱検知と高熱検知が同時に成立。そのため、表示装置30の発熱報知ランプ32と高熱報知ランプ33が同時に点灯あるいは点滅することとなるが、発熱検知よりも高熱検知の重要度を印象づけるように、発熱報知ランプ32と高熱報知ランプ33を排他的に制御しても良い。例えば、発熱検知範囲を高熱検知範囲の下限未満に設定することで、検出心拍数が発熱検知範囲を超えて高熱検知範囲に達したとき、変動状態判定手段25からの発熱検知信号が停止し、新たに高熱検知信号が表示装置30に入力されるようになるので、発熱報知ランプ32を消灯させ、高熱報知ランプ33を点灯あるいは点滅させる報知が可能となる。例えば、黄色に発光する発熱報知ランプ32が消灯して、赤色の高熱報知ランプ33が点滅するような報知を行うと、被測定者Pの体温が高熱と推定される状態にまで上がっていることを介護者等に印象づけることができる。 The display device 30, which receives a high fever detection signal from the temperature fluctuation state determination means 25 of the body temperature fluctuation detection device 20, alerts the caregiver by displaying on the display unit 31 that the person P is having a high fever. The display device 30 may be provided with a high fever notification lamp 33 (shown by a broken line in FIG. 1) so that the caregiver can easily notice that the person P is having a high fever. Since the high fever reference value is higher than the fever reference value, the high fever detection range is naturally included in the fever detection range, and fever detection and high fever detection are established simultaneously. Therefore, the fever notification lamp 32 and the high fever notification lamp 33 of the display device 30 will be lit or flashed at the same time, but the fever notification lamp 32 and the high fever notification lamp 33 may be controlled exclusively to emphasize the importance of high fever detection over fever detection. For example, by setting the fever detection range below the lower limit of the high fever detection range, when the detected heart rate exceeds the fever detection range and reaches the high fever detection range, the fever detection signal from the fluctuation state determination means 25 stops and a new high fever detection signal is input to the display device 30, making it possible to issue an alert by turning off the fever notification lamp 32 and turning on or blinking the high fever notification lamp 33. For example, by issuing an alert such as turning off the yellow-emitting fever notification lamp 32 and blinking the red high fever notification lamp 33, it is possible to impress upon the caregiver that the body temperature of the person P has risen to a state that is estimated to be a high fever.

なお、表示装置30に合成音声出力手段34(図1中、破線で示す)を設けておき、被測定者Pが発熱した状態あるいは高熱を発している状態である旨を合成音声で出力することにより、介護者等に気付かせるようにしても良い。また、体温変動検知装置20に、低体温の判定機能を設け、心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数から演算した被測定者Pの体温が正常体温範囲の下限を下回り、低体温検知範囲(図1中、破線で示す)に達した場合には、低体温検知信号を表示装置30へ出力させ、被測定者Pが低体温状態である旨を報知させても良い。 The display device 30 may be provided with a synthetic voice output means 34 (shown by the dashed line in FIG. 1) that outputs a synthetic voice to inform the caregiver that the person P has a fever or is emitting a high fever. The body temperature fluctuation detection device 20 may also be provided with a hypothermia determination function, so that when the body temperature of the person P calculated from the detected heart rate based on the heart rate information acquired by the heart rate information acquisition device 10 falls below the lower limit of the normal body temperature range and reaches the hypothermia detection range (shown by the dashed line in FIG. 1), a hypothermia detection signal may be output to the display device 30 to inform the person P that he or she is in a hypothermia state.

また、人間の体温は概日リズムとして一日(24時間)の時刻に応じた変化を呈することが知られており(例えば、図3の体温変化を参照)、直腸などで測る深部体温は昼間に上昇して夜間に低下する傾向にある。例えば、朝の9時頃に定期的な検温を行っている場合、図3に示すように、被測定者Pの平熱は36.5〔℃〕に設定するのが妥当であるものの、17時頃~23時頃までの平熱は37.5〔℃〕以上になっている。このため、17時~23時の間に心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数は、発熱基準値N+M1=83〔bpm〕に達することから、被測定者Pは平熱であるにもかかわらず、変動状態判定手段25が発熱による体温変動と判定してしまうという誤検知が生じる。高熱基準値N+M2についても同様に、被測定者Pは微熱程度であるにもかかわらず、変動状態判定手段25が高熱を発した状態と判定してしまうという誤検知が生じる。 It is also known that human body temperature changes according to the time of day (24 hours) as a circadian rhythm (see, for example, the body temperature changes in FIG. 3), and deep body temperature measured rectally tends to rise during the day and fall at night. For example, when regular temperature checks are taken around 9:00 a.m., as shown in FIG. 3, it is appropriate to set the normal body temperature of the subject P to 36.5°C, but the normal body temperature from around 5:00 p.m. to around 11:00 p.m. is 37.5°C or higher. For this reason, the detected heart rate based on the heart rate information acquired by the heart rate information acquisition device 10 between 5:00 p.m. and 11:00 p.m. reaches the fever reference value N+M1=83 bpm, resulting in a false positive detection in which the fluctuation state determination means 25 determines that the body temperature fluctuation is due to fever, even though the subject P has a normal body temperature. Similarly, for the high fever reference value N+M2, a false positive detection occurs in which the fluctuation state determination means 25 determines that the subject P has a high fever, even though the subject P has only a slight fever.

このような誤検知を低減するために、深部体温の平均値(例えば、上限値と下限値の中間である37.0〔℃〕辺り)を平熱に設定する対応も考えられるが、そのためには被測定者Pの概日リズムを知る必要がある。検温を嫌う要介護者が被測定者Pであった場合、短時間毎に体温を測定して概日リズムを記録するのは非常に困難である。しかしながら、本実施形態の非接触式体温変動検知システム1により、被測定者Pの心拍数を常時あるいは比較的短い時間毎に取得して記録しておけば、心拍数変動から推定できる体温の変化を記録できるので、体温の概日リズムを非接触で得ることが可能である。この概日リズムを複数日にわたって記録し、日毎の概日リズムを比較すれば平均的な概日リズムを推定でき、一日単位での妥当な平均体温を決定できる。また、推定される体温の概日リズムに応じて、適切な発熱判定値M1および高熱判定値M2を設定することで、体温変動の誤検知を低減でき、非接触式体温変動検知システム1としての信頼性を高めることができる。 In order to reduce such false positives, it is possible to set the average value of the deep body temperature (for example, around 37.0°C, which is halfway between the upper and lower limits) as the normal body temperature, but in order to do so, it is necessary to know the circadian rhythm of the person P to be measured. If the person P is a person requiring care who dislikes having their temperature taken, it is very difficult to measure the body temperature every short period of time and record the circadian rhythm. However, if the non-contact body temperature variation detection system 1 of this embodiment obtains and records the heart rate of the person P constantly or every relatively short period of time, it is possible to record the changes in body temperature that can be estimated from the heart rate fluctuation, so it is possible to obtain the circadian rhythm of body temperature without contact. By recording this circadian rhythm for multiple days and comparing the daily circadian rhythm, the average circadian rhythm can be estimated, and a reasonable average body temperature for each day can be determined. In addition, by setting appropriate fever determination value M1 and high fever determination value M2 according to the estimated circadian rhythm of body temperature, false positives of body temperature fluctuations can be reduced and the reliability of the non-contact body temperature variation detection system 1 can be improved.

上述した体温変動検知装置20に適用する第1例の検知条件では、被測定者Pの平常時体温〔℃〕と、このときの平常時脈拍数〔bpm〕を一定値として設定しておき、発熱判定値M1および高熱判定値M2の検知条件も演算により求まる一定値としたが、検知条件はこれに限定されるものではない。例えば、被測定者Pの体温を測る時刻によって平熱が変化する概日リズムを加味した検知条件を設定すれば、発熱による体温変動をより適切に検知することが可能となる。 In the first example of detection conditions applied to the body temperature fluctuation detection device 20 described above, the subject P's normal body temperature [°C] and normal pulse rate [bpm] at this time are set as constant values, and the detection conditions for the fever determination value M1 and high fever determination value M2 are also set to constant values obtained by calculation, but the detection conditions are not limited to this. For example, if detection conditions are set that take into account the circadian rhythm in which the subject P's normal body temperature changes depending on the time the body temperature is measured, it will be possible to more appropriately detect body temperature fluctuations due to fever.

そこで、体温の概日リズムを加味した第2例の検知条件(図4を参照)を体温変動検知装置20に適用して、被測定者Pの発熱による体温変動や高熱状態を適切に判定できるようにした非接触式体温変動検知システム1について説明する。なお、実測した深部体温の変化(実測体温変化)は、様々な要因により微小な変動が混入してしまい、これをそのまま体温の概日リズムとして用いるのは望ましくない。そこで、体温上昇あるいは体温低下の傾向を許容誤差範囲内で平滑化した体温の変化(平滑化体温変化)を被測定者Pの概日リズムとして、体温変動検知装置20が用いるものとする。 Here, we will explain a non-contact body temperature variation detection system 1 that applies the second example of detection conditions (see Figure 4) that take into account the circadian rhythm of body temperature to the body temperature variation detection device 20, making it possible to appropriately determine body temperature variations due to fever or a high fever state of the subject P. Note that the actual measured change in deep body temperature (actual measured body temperature change) is mixed with small fluctuations due to various factors, and it is not desirable to use this as the circadian rhythm of body temperature as it is. Therefore, the body temperature variation detection device 20 uses the body temperature change (smoothed body temperature change) in which the tendency of body temperature rise or fall has been smoothed within the allowable error range as the circadian rhythm of the subject P.

第2例の検知条件による体温変動の検知を可能にするため、体温変動検知装置20の平熱基準値記憶手段22には、被測定者Pの体温の概日リズムを記憶させておき、計時手段26から供給される時刻情報に基づいて、現在時刻に対応する平熱基準値Nを変動状態判定手段25に供給する。なお、平熱基準値記憶手段22には、24時間分の概日リズムとして、時間と心拍数との対応表を記憶させておいても良いし、時刻から心拍数を一意に求められる関係式を記憶させておいても良い。あるいは、所定時間幅を代表する1つの心拍数を平熱基準値として用いるようにしても良い。例えば、20時~22時の時間範囲では21時の体温(約37.6〔℃〕)を平熱とした心拍数を、22時~24時の時間範囲では23時の体温(約37.55〔℃〕)を平熱とした心拍数を、0時~2時の時間範囲では1時の体温(約37.35〔℃〕)を平熱とした心拍数を、2時~4時の時間範囲では3時の体温(約36.8〔℃〕)を平熱とした心拍数を、4時~6時の時間範囲では5時の体温(36.45〔℃〕)を平熱とした心拍数を、6時~8時の時間範囲では7時の体温(36.35〔℃〕)を平熱とした心拍数を、8時~10時の時間範囲では9時の体温(約36.45〔℃〕)を平熱とした心拍数を、10時~12時の時間範囲では11時の体温(約36.95〔℃〕)を平熱とした心拍数を、12時~14時の時間範囲では13時の体温(約37.25〔℃〕)を平熱とした心拍数を、14時~16時の時間範囲では15時の体温(約37.4〔℃〕)を平熱とした心拍数を、16時~18時の時間範囲では17時の体温(約37.5〔℃〕)を平熱とした心拍数を、18時~20時の時間範囲では19時の体温(約37.6〔℃〕)を平熱とした心拍数を用いる。 To enable detection of body temperature fluctuations under the detection conditions of the second example, the normal body temperature reference value storage means 22 of the body temperature fluctuation detection device 20 stores the circadian rhythm of the body temperature of the subject P, and supplies the normal body temperature reference value N corresponding to the current time to the fluctuation state determination means 25 based on the time information supplied from the clock means 26. The normal body temperature reference value storage means 22 may store a correspondence table between time and heart rate as a 24-hour circadian rhythm, or may store a relational equation that uniquely determines the heart rate from the time. Alternatively, one heart rate that represents a predetermined time span may be used as the normal body temperature reference value. For example, in the time range of 20:00 to 22:00, the heart rate is calculated based on the body temperature at 21:00 (approximately 37.6°C), in the time range of 22:00 to 24:00, the heart rate is calculated based on the body temperature at 23:00 (approximately 37.55°C), in the time range of 0:00 to 2:00, the heart rate is calculated based on the body temperature at 1:00 (approximately 37.35°C), in the time range of 2:00 to 4:00, the heart rate is calculated based on the body temperature at 3:00 (approximately 36.8°C), in the time range of 4:00 to 6:00, the heart rate is calculated based on the body temperature at 5:00 (36.45°C), in the time range of 6:00 to 8:00, the heart rate is calculated based on the body temperature at 7:00 (36.35°C), and in the time range of 8:00 to 10:00, the heart rate is calculated based on the body temperature at 23:00 (approximately 37.55°C). In the time range of 10:00, the heart rate is calculated based on the body temperature at 9:00 (approximately 36.45°C), in the time range of 10:00-12:00, the heart rate is calculated based on the body temperature at 11:00 (approximately 36.95°C), in the time range of 12:00-14:00, the heart rate is calculated based on the body temperature at 13:00 (approximately 37.25°C), in the time range of 14:00-16:00, the heart rate is calculated based on the body temperature at 15:00 (approximately 37.4°C), in the time range of 16:00-18:00, the heart rate is calculated based on the body temperature at 17:00 (approximately 37.5°C), and in the time range of 18:00-20:00, the heart rate is calculated based on the body temperature at 19:00 (approximately 37.6°C).

また、発熱を平熱+0.5〔℃〕とした場合、発熱判定値は0.5〔℃〕に対応する脈拍増加回数である+9回を用いれば良い。よって、発熱判定値記憶手段23には発熱判定値として「+9」を記憶させておく。また、高熱を平熱+1.0〔℃〕とした場合、高熱判定値は1.0〔℃〕に対応する脈拍増加回数である+18回を用いれば良い。よって、高熱判定値記憶手段24には高熱判定値として「+18」を記憶させておく。 If fever is normal temperature + 0.5 [°C], the fever judgment value should be +9, which is the number of pulse rate increases corresponding to 0.5 [°C]. Therefore, "+9" is stored in the fever judgment value storage means 23 as the fever judgment value. If high fever is normal temperature + 1.0 [°C], the high fever judgment value should be +18, which is the number of pulse rate increases corresponding to 1.0 [°C]. Therefore, "+18" is stored in the high fever judgment value storage means 24 as the high fever judgment value.

変動状態判定手段25は、心拍数情報取得装置10から心拍数情報を取得した時刻に、計時手段26が計時する時刻に応じた平熱基準値N(例えば、65〔bpm〕)と、発熱判定値記憶手段23に記憶された発熱判定値M1(例えば、+9回)とを取得し、発熱基準値N+M1(例えば、74〔bpm〕)を求め、検出心拍数と発熱基準値との対比を行う。「検出心拍数<発熱基準値」であれば正常体温範囲と推定されるので、変動状態判定手段25は発熱検知信号を出力しない。一方、「検出心拍数≧発熱基準値」であれば正常体温範囲を超えているので、高熱判定値記憶手段24に記憶された高熱判定値M2(例えば、+18回)を取得し、高熱基準値N+M2(例えば、83〔bpm〕)を求め、検出心拍数と高熱基準値との対比を行う。そして、「検出心拍数<高熱基準値」であれば発熱検知範囲と推定されるので、変動状態判定手段25は発熱検知信号を出力し、「検出心拍数≧高熱基準値」であれば高熱検知範囲と推定されるので、変動状態判定手段25は高熱検知信号を出力する。 At the time when the heart rate information is acquired from the heart rate information acquisition device 10, the fluctuation state determination means 25 acquires the normal body temperature reference value N (e.g., 65 [bpm]) corresponding to the time measured by the clock means 26 and the fever determination value M1 (e.g., +9 times) stored in the fever determination value storage means 23, calculates the fever reference value N + M1 (e.g., 74 [bpm]), and compares the detected heart rate with the fever reference value. If the "detected heart rate < fever reference value", it is estimated to be within the normal body temperature range, so the fluctuation state determination means 25 does not output a fever detection signal. On the other hand, if the "detected heart rate ≧ fever reference value", it is outside the normal body temperature range, so acquires the high fever determination value M2 (e.g., +18 times) stored in the high fever determination value storage means 24, calculates the high fever reference value N + M2 (e.g., 83 [bpm]), and compares the detected heart rate with the high fever reference value. If the "detected heart rate < high fever reference value", it is estimated to be within the fever detection range, so the fluctuation state determination means 25 outputs a fever detection signal, and if the "detected heart rate ≧ high fever reference value", it is estimated to be within the high fever detection range, so the fluctuation state determination means 25 outputs a high fever detection signal.

以上のように、体温変動検知装置20に第2例の検知条件を適用した場合でも、心拍数情報取得装置10により取得した心拍数情報に基づく検出心拍数から、被測定者Pの発熱による体温変動および被測定者Pが高熱を発していると推定される状態を的確に検知できる。しかも、平熱基準値Nとしては、予め用意しておいた体温の概日リズムにおける計測時の平熱に対応する心拍数を用いるので、計測時刻における被測定者Pの平熱が基準となり、平熱が低い時刻でも平熱が高い時刻でも、精度良く発熱状態(高熱状態を含む)を検知できる。 As described above, even when the detection conditions of the second example are applied to the body temperature fluctuation detection device 20, it is possible to accurately detect body temperature fluctuations due to fever of the subject P and a state in which the subject P is presumed to have a high fever from the detected heart rate based on the heart rate information acquired by the heart rate information acquisition device 10. Moreover, since the heart rate corresponding to the normal body temperature at the time of measurement in the circadian rhythm of body temperature prepared in advance is used as the normal body temperature reference value N, the normal body temperature of the subject P at the time of measurement becomes the reference, and a fever state (including a high fever state) can be accurately detected whether the normal body temperature is low or high.

なお、心拍数情報取得装置10が、複数の被測定者Pからそれぞれの心拍数情報を取得できるような場所に配置されている場合、心拍数情報取得装置10は、被測定者Pを特定可能な識別子を付けて心拍数情報を体温変動検知装置20へ送信する。そして、体温変動検知装置20は、識別子によって特定できる被測定者Pそれぞれの取得心拍数を記録すると共に、被測定者Pそれぞれの発熱による変動状態を判定できるように構成しておけば良い。また、表示装置30は、識別子によって特定できる被測定者Pそれぞれの情報を識別できるように表示あるいは報知できる構成としておけば良い。 When the heart rate information acquisition device 10 is placed in a location where it can acquire heart rate information from multiple subjects P, the heart rate information acquisition device 10 transmits the heart rate information to the body temperature fluctuation detection device 20 together with an identifier that can identify the subject P. The body temperature fluctuation detection device 20 can then be configured to record the acquired heart rate of each subject P who can be identified by the identifier, and to be able to determine the fluctuation state due to fever of each subject P. The display device 30 can also be configured to display or notify the information of each subject P who can be identified by the identifier so that it can be identified.

上述した第1実施形態の非接触式体温変動検知システム1では、被測定者Pの心拍数情報に基づく体温変動をモニターすることで、要介護者である被測定者Pの見守りに適しているものの、介護者等が表示装置30の表示内容を確認できないところにいると、被測定者Pの発熱が検知されても、迅速な対応を行うことができない。そこで、図5に示す第2実施形態の非接触式体温変動検知システム1′では、通信手段27を備える体温変動検知装置20′を用いることで、心拍数情報取得装置10から取得した心拍数情報に基づく取得心拍数の記録情報、発熱検知信号、高熱検知信号などを管理装置40に送信できるようにしたものである。 The non-contact body temperature variation detection system 1 of the first embodiment described above is suitable for watching over the person P who requires care by monitoring body temperature variations based on the heart rate information of the person P, but if the caregiver is in a place where he or she cannot see the display content of the display device 30, a prompt response cannot be made even if a fever is detected in the person P. Therefore, the non-contact body temperature variation detection system 1' of the second embodiment shown in Figure 5 uses a body temperature variation detection device 20' equipped with a communication means 27, which makes it possible to transmit recorded information on the acquired heart rate based on the heart rate information acquired from the heart rate information acquisition device 10, a fever detection signal, a high fever detection signal, etc. to the management device 40.

管理装置40は、各所の体温変動検知装置20′より無線通信(あるいは有線通信)でダイレクトに送信される情報や、各所の体温変動検知装置20′より公衆通信回線等のネットワークNを介して送信される情報を受信する情報受信手段41を備える。情報受信手段41により受信した情報は、収集情報管理手段42によって体温変動検知装置20′毎に管理される。また、収集情報から発熱や高熱などの報知が必要な報知状況であるか否かを報知状況判定手段43が判定し、報知が必要な状況であれば、報知情報送信手段44によって、発熱等の状況に該当する被測定者Pがいる介護施設の職員(介護者)などが所持する情報端末装置50へ報知情報を送信する。 The management device 40 is equipped with an information receiving means 41 that receives information sent directly by wireless communication (or wired communication) from the body temperature variation detection devices 20' at each location, and information sent from the body temperature variation detection devices 20' at each location via a network N such as a public communication line. The information received by the information receiving means 41 is managed for each body temperature variation detection device 20' by a collected information management means 42. In addition, a notification status determination means 43 determines whether the collected information indicates a notification situation that requires a notification, such as fever or high fever, and if a notification is required, a notification information transmission means 44 transmits notification information to an information terminal device 50 carried by a staff member (caregiver) at a care facility where a measured person P with a fever or other condition is present.

例えば、管理装置40の近傍あるいは同じフロアーなど無線通信の可能な範囲にある体温変動検知装置20′a,20′bから発熱検知信号あるいは高熱検知信号を受信した場合、管理装置40は、体温変動検知装置20′a,20′bでモニターしている被測定者Pの担当職員や該当する被測定者Pの近くにいる介護職員が所持している情報端末装置50a,50eを選定し、発熱検知信号あるいは高熱検知信号に基づく報知情報を送信する。これにより、発熱等の疑いがある被測定者Pの元に赴いた介護職員によって迅速な対処を行うことができる。 For example, when a fever detection signal or high fever detection signal is received from a body temperature variation detection device 20'a, 20'b that is within the range of wireless communication, such as in the vicinity of the management device 40 or on the same floor, the management device 40 selects an information terminal device 50a, 50e carried by a staff member in charge of the person P being measured who is being monitored by the body temperature variation detection device 20'a, 20'b or a care staff member near the person P in question, and transmits notification information based on the fever detection signal or high fever detection signal. This allows a care staff member who visits the person P who is suspected of having a fever or the like to take prompt action.

また、管理装置40が設置されている建物とは異なる別棟に入居している被測定者Pや在宅看護を受けている被測定者Pをモニターしている体温変動検知装置20′c,20′d,…,20′hから発熱検知信号あるいは高熱検知信号を受信した場合、管理装置40は、体温変動検知装置20′c,20′d,…,20′hでモニターしている被測定者Pの担当職員や該当する被測定者Pを担当している訪問看護師等が所持している情報端末装置50b,50c,50dを選定し、ネットワークNを介して、発熱検知信号あるいは高熱検知信号に基づく報知情報を送信する。これにより、発熱等の疑いがある被測定者Pの元に赴いた介護職員や訪問看護師等によって迅速な対処を行うことができる。 When the management device 40 receives a fever detection signal or a high fever detection signal from the body temperature fluctuation detection devices 20'c, 20'd, ..., 20'h that are monitoring a person P who lives in a separate building from the building where the management device 40 is installed or a person P who is receiving home care, the management device 40 selects the information terminal devices 50b, 50c, 50d carried by the staff member in charge of the person P monitored by the body temperature fluctuation detection devices 20'c, 20'd, ..., 20'h or the visiting nurse in charge of the person P, and transmits notification information based on the fever detection signal or high fever detection signal via the network N. This allows the care staff member or visiting nurse to quickly respond to the person P who is suspected of having a fever.

このように、第2実施形態に係る非接触式体温変動検知システム1′においては、管理装置40によって各種情報が集中管理され、必要に応じて情報端末装置50へ報知情報が送信されるので、被測定者Pのバイタルモニターとして設置された表示装置30を頻繁に確認する必要が無く、発熱等を検知したタイミングで必要な情報が送信されるので、介護職員等の煩雑さを解消できるという利点がある。 In this way, in the non-contact body temperature variation detection system 1' according to the second embodiment, various information is centrally managed by the management device 40, and notification information is sent to the information terminal device 50 as necessary, so there is no need to frequently check the display device 30 installed as a vital sign monitor for the person P, and the necessary information is sent when a fever or the like is detected, which has the advantage of eliminating the hassle for caregivers, etc.

以上、本発明に係る非接触式体温変動検知システムの実施形態を添付図面に基づいて説明したが、本発明は、これらの実施形態に限定されるものではなく、特許請求の範囲に記載の構成を変更しない範囲で、公知既存の等価な技術手段を転用することにより実施しても構わない。 The above describes the embodiments of the non-contact body temperature fluctuation detection system according to the present invention based on the attached drawings, but the present invention is not limited to these embodiments, and may be implemented by converting publicly known, existing equivalent technical means within the scope of the claims.

1,1′ 非接触式体温変動検知システム
10 心拍数情報取得装置
11 ミリ波レーダーセンサー
11a 送信アンテナ
11b 受信アンテナ
12 演算手段
20,20′ 体温変動検知装置
21 取得心拍数記録手段
22 平熱基準値記憶手段
23 発熱判定値記憶手段
24 高熱判定値記憶手段
25 変動状態判定手段
26 計時手段
27 通信手段
30 表示装置
31 表示部
32 発熱報知ランプ
33 高熱報知ランプ
34 合成音声出力手段
40 管理装置
41 情報受信手段
42 収集情報管理手段
43 報知状況判定手段
44 報知情報送信手段
50 情報端末装置
LIST OF SYMBOLS 1, 1' Non-contact body temperature fluctuation detection system 10 Heart rate information acquisition device 11 Millimeter wave radar sensor 11a Transmitting antenna 11b Receiving antenna 12 Calculation means 20, 20' Body temperature fluctuation detection device 21 Acquired heart rate recording means 22 Normal body temperature reference value storage means 23 Fever determination value storage means 24 High fever determination value storage means 25 Fluctuation state determination means 26 Time measurement means 27 Communication means 30 Display device 31 Display unit 32 Fever notification lamp 33 High fever notification lamp 34 Synthesized voice output means 40 Management device 41 Information receiving means 42 Collected information management means 43 Notification status determination means 44 Notification information transmission means 50 Information terminal device

Claims (3)

被測定者に照射した電波の反射波を受信し、前記被測定者の拍動による体表面の振動に基づいて心拍数情報を取得する心拍数情報取得装置と、
前記心拍数情報取得装置により取得された前記心拍数情報に基づく検出心拍数から前記被測定者の体温を推定し、推定される体温が前記被測定者の正常体温範囲を超えることで、前記被測定者の発熱による体温変動を検知する体温変動検知装置と、
を含み、
前記体温変動検知装置は、前記被測定者の心拍数を常時あるいは比較的短い時間毎に取得して、心拍数変動から推定できる体温の概日リズムを複数日にわたって記録し、日毎の前記概日リズムより推定される平均的概日リズムにおける体温上昇あるいは体温低下の傾向を許容誤差範囲内で平滑化して被測定者用概日リズムを設定し、前記心拍数情報が取得された時刻に対応する前記被測定者用概日リズムの体温値に基づいて前記正常体温範囲を設定することを特徴とする非接触式体温変動検知システム。
a heart rate information acquiring device that receives a reflected wave of a radio wave irradiated to a subject and acquires heart rate information based on vibrations on a body surface caused by the subject's heartbeat;
a body temperature fluctuation detection device that estimates the body temperature of the subject from a detected heart rate based on the heart rate information acquired by the heart rate information acquisition device, and detects a body temperature fluctuation due to fever of the subject when the estimated body temperature exceeds a normal body temperature range of the subject;
Including,
The body temperature fluctuation detection device is a non-contact body temperature fluctuation detection system that acquires the heart rate of the person being measured constantly or at relatively short intervals, records the circadian rhythm of body temperature that can be estimated from the heart rate fluctuations over multiple days, smoothes the tendency of body temperature increase or decrease in the average circadian rhythm estimated from the daily circadian rhythm within an allowable error range to set the circadian rhythm for the person being measured, and sets the normal body temperature range based on the body temperature value of the circadian rhythm for the person being measured corresponding to the time when the heart rate information was acquired.
前記体温変動検知装置は、前記心拍数情報が取得された時刻における前記被測定者用概日リズムの体温値に対応する心拍数を平熱基準値とし、発熱と看做し得る体温の上昇値に対応する心拍数を発熱判定値とし、前記平熱基準値と前記発熱判定値とを加算した心拍数を発熱基準値とし、前記検出心拍数が前記発熱基準値に達することで、前記被測定者の発熱による体温変動を検知することを特徴とする請求項1に記載の非接触式体温変動検知システム。 The non-contact body temperature fluctuation detection system described in claim 1, characterized in that the body temperature fluctuation detection device sets the heart rate corresponding to the body temperature value of the circadian rhythm of the subject at the time the heart rate information is acquired as a normal body temperature reference value, sets the heart rate corresponding to the increase in body temperature that can be considered a fever as a fever judgment value, and sets the heart rate obtained by adding the normal body temperature reference value and the fever judgment value as a fever reference value, and detects body temperature fluctuations due to fever of the subject when the detected heart rate reaches the fever reference value. 前記体温変動検知装置は、高熱と看做し得る体温の上昇値に対応する心拍数を高熱判定値とし、前記平熱基準値と前記高熱判定値とを加算した心拍数を高熱基準値とし、前記検出心拍数が前記発熱基準値に達することで、前記被測定者が高熱を発していると推定される状態を検知することを特徴とする請求項2に記載の非接触式体温変動検知システム The non-contact body temperature fluctuation detection system described in claim 2, characterized in that the body temperature fluctuation detection device sets the heart rate corresponding to the increase in body temperature that can be considered a high fever as a high fever judgment value, sets the heart rate obtained by adding the normal body temperature reference value and the high fever judgment value as a high fever reference value, and detects a state in which the person being measured is presumed to have a high fever when the detected heart rate reaches the fever reference value .
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JP2020113117A (en) 2019-01-15 2020-07-27 国立大学法人大阪大学 Group environmental assessment method and group environmental assessment system
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JP2016150084A (en) 2015-02-17 2016-08-22 禎 渡邊 Body temperature monitoring system
JP3236269U (en) 2016-10-21 2022-02-07 株式会社総和エステーツ Biometric information monitoring equipment and systems
JP2020065823A (en) 2018-10-26 2020-04-30 日本電信電話株式会社 Deep temperature estimation device
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