TW202145960A - Method for improving effective measurement of ecg and device thereof - Google Patents
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本發明是有關於一種量測方法,且特別是有關於一種提高心電圖(electrocardiogram, ECG)有效量測的方法及其裝置。The present invention relates to a measurement method, and more particularly, to a method and apparatus for improving the effective measurement of electrocardiogram (ECG).
在心電圖量測過程中,使用者的姿態不正確會影響心電圖的量測結果,致使心電圖機無法提供病徵分析。使用者在不明失敗原因的情況下,無法調整至正確的量測姿態,以致於需重複進行心電圖量測多次,造成使用者的困擾。In the process of ECG measurement, the incorrect posture of the user will affect the measurement result of the ECG, so that the ECG machine cannot provide symptom analysis. When the user does not know the reason for the failure, the user cannot adjust to the correct measurement posture, so that the ECG measurement needs to be repeated many times, causing the user to be troubled.
本發明係有關於一種提高心電圖有效量測的方法及其心電量測裝置,可減少重複進行心電圖量測的次數,並能提高精確度。The invention relates to a method for improving the effective measurement of electrocardiogram and an electrocardiogram measuring device, which can reduce the number of repeated electrocardiogram measurements and improve the accuracy.
根據本發明之一方面,提出一種提高心電圖有效量測的方法,包括下列步驟。使用者按壓一心電圖機的複數個電極片,啟動一心電圖量測程序以偵測使用者的一心電生理參數。偵測用以辨識使用者手指穩定度的一電容感測訊號。當電容感測訊號大於一電容臨界值時,產生一提示信號以通知該使用者注意手指穩定度。According to an aspect of the present invention, a method for improving the effective measurement of an electrocardiogram is provided, which includes the following steps. The user presses a plurality of electrode pads of an electrocardiograph to start an electrocardiogram measurement program to detect an electrophysiological parameter of the user's heart. A capacitive sensing signal for identifying the stability of the user's finger is detected. When the capacitance sensing signal is greater than a capacitance threshold, a prompt signal is generated to notify the user to pay attention to the finger stability.
根據本發明之一方面,提出一種心電量測裝置,包括複數個電極片以及一電容感測單元。電極片用以偵測使用者的一心電生理參數。電容感測單元用以辨識使用者手指穩定度,其中使用者的手指按壓該些電極片時,電容感測單元偵測一電容感測訊號,當該電容感測訊號大於一電容臨界值時,提示使用者注意手指穩定度。According to an aspect of the present invention, an electrocardiogram measuring device is provided, which includes a plurality of electrode pads and a capacitance sensing unit. The electrode sheet is used to detect a cardiac electrophysiological parameter of the user. The capacitive sensing unit is used to identify the stability of the user's finger. When the user's finger presses the electrode pads, the capacitive sensing unit detects a capacitive sensing signal. When the capacitive sensing signal is greater than a capacitance threshold, the capacitive sensing unit detects a capacitive sensing signal. The user is reminded to pay attention to finger stability.
為了對本發明之上述及其他方面有更佳的瞭解,下文特舉實施例,並配合所附圖式詳細說明如下:In order to have a better understanding of the above-mentioned and other aspects of the present invention, the following specific examples are given and described in detail in conjunction with the accompanying drawings as follows:
以下係提出實施例進行詳細說明,實施例僅用以作為範例說明,並非用以限縮本發明欲保護之範圍。以下是以相同/類似的符號表示相同/類似的元件做說明。以下實施例中所提到的方向用語,例如:上、下、左、右、前或後等,僅是參考所附圖式的方向。因此,使用的方向用語是用來說明並非用來限制本發明。The following examples are provided for detailed description, and the examples are only used as examples to illustrate, and are not intended to limit the scope of protection of the present invention. In the following, the same/similar symbols are used to represent the same/similar elements for description. The directional terms mentioned in the following embodiments, such as: up, down, left, right, front or rear, etc., only refer to the directions of the accompanying drawings. Accordingly, the directional terms used are illustrative and not limiting of the present invention.
請參照第1及2圖,其繪示依照本發明一實施例的心電量測裝置100及應用此心電量測裝置100的提高心電圖有效量測的方法的示意圖。Please refer to FIGS. 1 and 2 , which are schematic diagrams of an electrocardiogram measuring apparatus 100 according to an embodiment of the present invention and a method for improving effective electrocardiogram measurement using the electrocardiogram measuring apparatus 100 .
在第1圖中,心電量測裝置100用以偵測心電圖量測過程中使用者的心電生理訊號,例如心跳的波形、振幅、頻率等。為了得到正確的心電圖,心電量測裝置100採集到的心電生理訊號需使用波形濾波處理,藉以分離因晃動所產生的雜訊後,才能利用正確的心電圖進行病徵分析。若使用者的手部姿態改變或身體姿態改變,將無法得到正確的心電圖及進行病徵分析。據此,本實施例中提出一種提高心電圖有效量測的方法及其心電量測裝置。In FIG. 1, the electrocardiogram measuring device 100 is used to detect the electrophysiological signal of the user's electrocardiogram, such as the waveform, amplitude, frequency, etc. of the heartbeat. In order to obtain a correct electrocardiogram, the electrocardiogram physiological signal collected by the electrocardiogram measuring device 100 needs to be processed by waveform filtering, so that the correct electrocardiogram can be used for symptom analysis after the noise generated by shaking is separated. If the user's hand posture changes or the body posture changes, it will be impossible to obtain a correct ECG and perform symptom analysis. Accordingly, a method for improving the effective measurement of an electrocardiogram and an electrocardiogram measuring device are proposed in this embodiment.
在一實施例中,心電量測裝置100包括二個或多個電極片112、一心電圖機110、一電容感測單元120、一壓力感測單元122、一陀螺儀感測單元124、一運算模組130以及一傳輸模組140。電極片112用以偵測使用者的一心電生理參數。使用者例如以左手及右手拇指同時按壓二個電極片112,且在心電圖量測過程中,為了避免手指晃動或身體移動造成的量測誤差,以電容感測單元122或壓力感測單元122偵測用以辨識使用者手指穩定度的一電容感測訊號或一壓力感測訊號,並以陀螺儀感測單元124偵測用以辨識使用者身體穩定度的一陀螺儀感測訊號。此外,在心電圖量測過程中,壓力感測單元122還可即時偵測按壓位置或力量是否適當,若按壓位置或力量不適當,則通知使用者調整至適當的按壓位置或力量。In one embodiment, the electrocardiogram measuring device 100 includes two or
在心電圖量測過程中,使用者應維持固定的姿勢,例如固定坐姿或臥姿,且盡量放鬆肌肉、調整呼吸平穩,避免過大的按壓動作、手指滑動及身體晃動,以提高量測的有效性。若心電量測裝置100偵測到手指滑動,可發出手指滑動通知。若心電量測裝置100偵測到身體晃動而造成心電量測裝置100移動,可發出身體晃動通知。若心電量測裝置100偵測到手指滑動及身體晃動,可發出手指移動及身體晃動通知。此外,若心電量測裝置100偵測到異常的按壓力量,例如按壓力量過大或過輕,可發出按壓異常通知。During the ECG measurement, the user should maintain a fixed posture, such as a fixed sitting or lying posture, and try to relax the muscles, adjust the breathing smoothly, and avoid excessive pressing, finger sliding and body shaking, so as to improve the effectiveness of the measurement . If the electrocardiogram measuring device 100 detects a finger sliding, it can send a finger sliding notification. If the electrocardiogram measuring apparatus 100 detects body shaking and causes the electrocardiographic measuring apparatus 100 to move, a body shaking notification can be sent. If the electrocardiogram measuring device 100 detects finger sliding and body shaking, a notification of finger movement and body shaking can be sent. In addition, if the electrocardiogram measuring device 100 detects an abnormal pressing force, for example, the pressing force is too large or too light, a notification of abnormal pressing can be sent.
在第1圖中,運算模組130用以計算手指及/或身體移動次數及量測數值,藉以辨識使用者手指穩定度及/或身體穩定度。例如運算模組130根據電容感測單元120偵測使用者的手指移動量是否大於一臨界值,判斷使用者手指穩定度,或者,運算模組130根據壓力感測單元122偵測使用者的手指按壓力量是否大於一臨界值,判斷使用者手指穩定度,或者,運算模組130根據陀螺儀感測單元124偵測三軸中任一軸的變化量是否大於一臨界值,判斷使用者的身體穩定度。In FIG. 1, the
在第1圖中,傳輸模組140用以傳輸心電圖的量測結果至外部的一儲存裝置或一顯示裝置,例如是手機、電腦或遠端裝置。透過手機、電腦或遠端裝置,可記錄心電圖的量測結果,並可顯示心電圖的量測結果。In FIG. 1, the
請參照第2圖,在一實施例中,量測方法包括下列步驟。在步驟S100中,啟動一心電圖量測程序以偵測使用者的一心電生理參數。在步驟S102中,偵測用以辨識使用者手指穩定度的一電容感測訊號或一壓力感測訊號。在步驟S104中,偵測用以辨識使用者身體穩定度的一陀螺儀感測訊號。在步驟S106中,分析心電生理參數,並判斷心電生理參數的量測結果是否受使用者不正確姿態的影響。例如,判斷量測數值是否大於一臨界值。若量測數值大於一臨界值,則進行步驟S108,提示使用者注意手指穩定度或身體穩定度,並在步驟S110中通知使用者重新量測(回到步驟S100)。若量測數值未大於臨界值,則進行步驟S112,分析心電圖的量測結果,並可呈現量測結果在指示單元(例如顯示器)上。Referring to FIG. 2, in one embodiment, the measurement method includes the following steps. In step S100, an electrocardiogram measurement procedure is started to detect an electrophysiological parameter of the user's heart. In step S102, a capacitive sensing signal or a pressure sensing signal for identifying the stability of the user's finger is detected. In step S104, a gyroscope sensing signal for identifying the stability of the user's body is detected. In step S106, the electrophysiological parameters of the heart are analyzed, and it is determined whether the measurement results of the electrophysiological parameters of the heart are affected by the incorrect posture of the user. For example, it is determined whether the measured value is greater than a threshold value. If the measured value is greater than a threshold value, go to step S108 , prompt the user to pay attention to the finger stability or body stability, and notify the user to re-measure in step S110 (return to step S100 ). If the measured value is not greater than the critical value, step S112 is performed to analyze the measurement result of the electrocardiogram, and the measurement result can be displayed on the indication unit (eg, display).
第3圖繪示依照本發明一實施例的手持式心電量測裝置101的結構示意圖,第4圖繪示依照本發明另一實施例的手持式心電量測裝置101的結構示意圖。FIG. 3 is a schematic structural diagram of the handheld electrocardiogram measuring
請參照第3圖,手持式心電量測裝置101包括二個或多個電極片112,使用者的左手及右手拇指各別按壓一電極片112,以進行心電圖量測。此外,電容感測單元120可包括二金屬片121以及二電阻R1、R2,二金屬片121設置於電極片112上,且二金屬片121與電極片112之間例如以一絕緣層118相隔,以避免二金屬片121與電極片112接觸而短路。當使用者按壓電極片112時,同時接觸到二金屬片121,電容感測單元120比較二金屬片121上的電容差異比值以得到一電容感測訊號。當二金屬片121上的電容差異比值大於一電容臨界值(例如A點感測值與B點感測值的比值大於0.5)時,表示電容感測單元120偵測到使用者的手指相對於二金屬片121的移動量會影響心電生理參數的量測結果。反之,當二金屬片121上的電容差異比值小於一電容臨界值時,判斷心電生理參數的量測結果未受使用者的手指移動的影響。上述的電容差異比值為手指在二金屬片121上滑動時,A點與B點偵測到的波峰到波谷的振幅的變化量,若手指無滑動,振幅的變化量相對較小,因此可於後續分析心電圖時忽略不計或以雜訊濾波處理。Please refer to FIG. 3 , the hand-held
另外,陀螺儀感測單元124係為一陀螺儀125,例如為三軸陀螺儀,設置於手持式心電量測裝置101之中。當使用者的手指按壓電極片112時,若手指沒有移動,但身體產生晃動,則陀螺儀感測單元124偵測陀螺儀125移動時的三軸變化量,以得到一陀螺儀感測訊號,並根據三軸變化量中任一軸的變化量是否大於一臨界值,判斷使用者的身體穩定度。當任一軸的變化量大於臨界值時,表示使用者的身體的移動量會影響心電生理參數的量測結果。反之,當任一軸的變化量小於臨界值時,判斷心電生理參數的量測結果未受使用者的身體移動的影響。若偵測到任一軸的變化量太小,可於後續分析心電圖時忽略不計或以雜訊濾波處理。In addition, the
請參照第4圖,在另一實施例中,手持式心電量測裝置101包括二電極片112,使用者的左手及右手拇指各別按壓一電極片112,以進行心電圖量測。此外,壓力感測單元122包括一壓力計123,設置於電極片112上。當使用者按壓電極片112時,同時按壓壓力計123,以產生一壓力感測訊號。壓力感測單元122偵測使用者的手指相對於壓力計123的按壓力量是否大於一壓力臨界值,判斷使用者手指穩定度。當按壓力量大於一壓力臨界值時,表示壓力感測單元122偵測到使用者的手指的按壓力量會影響心電生理參數的量測結果。反之,當按壓力量小於一壓力臨界值時,判斷心電生理參數的量測結果未受使用者的手指按壓力量的影響。上述的按壓力量為手指在電極片112上重壓後放開時,偵測到的波峰到波谷的振幅的變化量,若手指無重壓,振幅的變化量相對較小,因此可於後續分析心電圖時忽略不計或以雜訊濾波處理。Referring to FIG. 4 , in another embodiment, the handheld
請參照第5圖,其繪示依照本發明一實施例的穿戴式心電量測裝置102的示意圖。穿戴式心電量測裝置102包括一指示單元103以及二個電極片112,其中一電極片112位於錶帶,另一電極片112(圖未繪示)位於指示單元103的背面。如第5圖所示,二個金屬片121設置於電極片112上,且二金屬片121與電極片112之間例如以一絕緣層(圖未繪示)相隔。此外,壓力計123設置於電極片112上,且壓力計123位於二金屬片121之間。當使用者按壓電極片112時,同時按壓二金屬片121以及壓力計123,以產生一電容感測訊號以及一壓力感測訊號,以判斷使用者手指穩定度。另外,陀螺儀125設置於穿戴式心電量測裝置102之中,用以判斷使用者身體穩定度。指示單元103例如為一顯示器或一發聲/發光裝置,顯示器用以即時顯示心電圖104及心跳數,當運算模組130(參見第1圖)判斷心電生理參數的量測結果受使用者不正確姿態(例如手指滑動或身體移動)的影響,顯示器可顯示心電圖104量測異常的訊息或通知使用者重新量測的文字訊息,或是以發聲/發光裝置發出量測異常的聲光訊息,以提示使用者注意手指穩定度或身體穩定度。Please refer to FIG. 5 , which is a schematic diagram of a wearable
請參照第6圖,其繪示依照本發明一實施例的提高心電圖有效量測的方法的示意圖。在一實施例中,步驟S200包括下列步驟:偵測使用者的一心電生理參數(如上述的步驟S100)、偵測用以辨識使用者手指穩定度的一電容感測訊號或一壓力感測訊號(如上述的步驟S102)、偵測用以辨識使用者身體穩定度的一陀螺儀感測訊號(如上述的步驟S104)、進行數值運算以判斷量測數值是否大於臨界值(如上述的步驟S106)、進行三軸變化量運算以判斷任一軸的變化量是否大於一臨界值(如上述的步驟S106)、若量測數值大於臨界值則指示使用者須調整量測姿態(如上述的步驟S108)、以及若量測數值小於臨界值則持續進行數值運算,以供分析量測結果(如上述的步驟S112)。Please refer to FIG. 6 , which is a schematic diagram of a method for improving effective measurement of an electrocardiogram according to an embodiment of the present invention. In one embodiment, step S200 includes the following steps: detecting a cardiac electrophysiological parameter of the user (such as the above-mentioned step S100 ), detecting a capacitive sensing signal or a pressure sensing signal for identifying the stability of the user's finger signal (as in the above-mentioned step S102 ), detect a gyroscope sensing signal for identifying the stability of the user's body (as in the above-mentioned step S104 ), and perform a numerical operation to determine whether the measured value is greater than the threshold value (as in the above-mentioned step S104 ) Step S106), perform a three-axis variation calculation to determine whether the variation of any axis is greater than a critical value (as in the above-mentioned step S106), if the measured value is greater than the threshold, instruct the user to adjust the measurement attitude (as in the above-mentioned step S106) Step S108 ), and if the measured value is less than the critical value, continue to perform numerical operations for analyzing the measurement result (as in the above-mentioned step S112 ).
根據本發明上述實施例的提高心電圖有效量測的方法及其心電量測裝置,可判斷心電生理參數的量測結果是否受使用者不正確姿態的影響,藉以指示使用者調整量測姿態,以得到正確的心電圖。如此,心電圖量測成功的機率(有效性)增加,可減少重複進行心電圖量測的次數。同時,心電量測裝置採集到的心電生理參數經由雜訊濾波處理,藉以分離因手部滑動或身體晃動所產生的雜訊後,再利用心電圖進行病徵分析,可提高量測準確度。According to the method for improving the effective measurement of electrocardiogram and the electrocardiogram measuring device thereof according to the above-mentioned embodiments of the present invention, it is possible to determine whether the measurement result of the electrophysiological parameters of the electrocardiogram is affected by the incorrect posture of the user, thereby instructing the user to adjust the measuring posture , to get the correct ECG. In this way, the probability (validity) of a successful ECG measurement is increased, and the number of repeated ECG measurements can be reduced. At the same time, the electrophysiological parameters collected by the electrocardiogram measurement device are processed by noise filtering, so as to separate the noise caused by hand sliding or body shaking, and then use the electrocardiogram to analyze the symptoms, which can improve the measurement accuracy.
綜上所述,雖然本發明已以實施例揭露如上,然其並非用以限定本發明。本發明所屬技術領域中具有通常知識者,在不脫離本發明之精神和範圍內,當可作各種之更動與潤飾。因此,本發明之保護範圍當視後附之申請專利範圍所界定者為準。To sum up, although the present invention has been disclosed by the above embodiments, it is not intended to limit the present invention. Those skilled in the art to which the present invention pertains can make various changes and modifications without departing from the spirit and scope of the present invention. Therefore, the protection scope of the present invention shall be determined by the scope of the appended patent application.
100:心電量測裝置 101:手持式心電量測裝置 102:穿戴式心電量測裝置 103:指示單元 104:心電圖 110:心電圖機 112:電極片 118:絕緣層 120:電容感測單元 121:金屬片 122:壓力感測單元 123:壓力計 124:陀螺儀感測單元 125:陀螺儀 130:運算模組 140:傳輸模組 R1,R2:電阻 A,B:點100: ECG measuring device 101: Handheld ECG measuring device 102: Wearable ECG Measurement Device 103: Indication unit 104: EKG 110: EKG machine 112: Electrode 118: Insulation layer 120: Capacitive sensing unit 121: sheet metal 122: Pressure Sensing Unit 123: Manometer 124: Gyroscope Sensing Unit 125: Gyroscope 130: Operation Module 140: Transmission module R1, R2: Resistors A, B: point
第1圖繪示依照本發明一實施例的心電量測裝置的示意圖;及 第2圖繪示依照本發明一實施例的提高心電圖有效量測的方法的示意圖。 第3圖繪示依照本發明一實施例的手持式心電量測裝置的結構示意圖。 第4圖繪示依照本發明另一實施例的手持式心電量測裝置的結構示意圖。 第5圖繪示依照本發明一實施例的穿戴式心電量測裝置的示意圖。 第6圖繪示依照本發明一實施例的提高心電圖有效量測的方法的示意圖。FIG. 1 is a schematic diagram of an electrocardiogram measuring device according to an embodiment of the present invention; and FIG. 2 is a schematic diagram illustrating a method for improving the effective measurement of an electrocardiogram according to an embodiment of the present invention. FIG. 3 is a schematic structural diagram of a handheld electrocardiogram measuring device according to an embodiment of the present invention. FIG. 4 is a schematic structural diagram of a handheld electrocardiogram measuring device according to another embodiment of the present invention. FIG. 5 is a schematic diagram of a wearable electrocardiogram measuring device according to an embodiment of the present invention. FIG. 6 is a schematic diagram illustrating a method for improving the effective measurement of an electrocardiogram according to an embodiment of the present invention.
100:心電量測裝置100: ECG measuring device
110:心電圖機110: EKG machine
112:電極片112: Electrode
120:電容感測單元120: Capacitive sensing unit
122:壓力感測單元122: Pressure Sensing Unit
124:陀螺儀感測單元124: Gyroscope Sensing Unit
130:運算模組130: Operation Module
140:傳輸模組140: Transmission module
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US6131464A (en) * | 1998-06-16 | 2000-10-17 | Smarttouch, Inc. | Pressure sensitive biometric input apparatus |
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