TW202215027A - Glucose quantity calculation method - Google Patents
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本發明係關於一種以光學方式來量測人體等的被測量部位之內部的葡萄糖量(glucose quantity)的葡萄糖量算出方法。 The present invention relates to a glucose quantity calculation method for optically measuring the glucose quantity inside a part to be measured, such as a human body.
作為檢測被測量部位之內部的糖分的方法,係有侵入法與非侵入法。所謂侵入法係指從例如人體的指尖等進行採血且使用該血液來測量葡萄糖量的方法。所謂非侵入法係指不用從人體採取血液而是以配置於人體之外部的感測器(sensor)來測量葡萄糖量的方法。雖然為了算出正確的葡萄糖量一般是採用侵入法,但是為了減輕使用者的痛苦或提升便利性,而期望一種藉由非侵入法所為的葡萄糖量算出方法。 As a method for detecting the sugar content in the measurement site, there are an invasive method and a non-invasive method. The invasive method refers to a method in which blood is collected from, for example, a fingertip of a human body, and the amount of glucose is measured using the blood. The so-called non-invasive method refers to a method of measuring the amount of glucose with a sensor arranged outside the human body without taking blood from the human body. Although an invasive method is generally used to calculate the correct amount of glucose, a method for calculating the amount of glucose by a non-invasive method is desired in order to relieve the user's pain and improve convenience.
作為以非侵入法來測量葡萄糖量的方法之一例,已知有一種藉由將近紅外線光等照射於人體來進行光學式測量的方法。 As an example of a method of measuring the amount of glucose by a non-invasive method, a method of optically measuring by irradiating a human body with near-infrared light or the like is known.
又,作為葡萄糖量的光學式測量方法係有一種檢測近紅外線光之葡萄糖的吸收量之差異的方法。具體而言,在該方法中係使近紅外線光在某個部位穿透且根據該穿透光量來測量葡萄糖量(例如專利文獻1、專利文獻2)。 Moreover, as an optical measurement method of the amount of glucose, there is a method of detecting a difference in the amount of glucose absorbed by near-infrared light. Specifically, in this method, near-infrared light is transmitted at a certain location, and the amount of glucose is measured based on the amount of the transmitted light (for example, Patent Document 1 and Patent Document 2).
[先前技術文獻] [Prior Art Literature]
[專利文獻] [Patent Literature]
專利文獻1:日本特許第3093871號公報 Patent Document 1: Japanese Patent No. 3093871
專利文獻2:日本特許第3692751號公報 Patent Document 2: Japanese Patent No. 3692751
然而,在上述的各個專利文獻所記載之藉由非侵入法所為的葡萄糖量之測量方法中,有難謂一定能夠正確地測量葡萄糖量的課題。 However, in the method for measuring the amount of glucose by the non-invasive method described in each of the above-mentioned patent documents, there is a problem that it is difficult to always accurately measure the amount of glucose.
具體而言,在專利文獻1所記載的測量方法中,因藉由葡萄糖氧化酵素法來算出葡萄糖量,故有葡萄糖量之算出會較為繁雜的課題。又,在專利文獻2所記載的方法中,雖然是藉由光學手法來量測葡萄糖量,但是其為能夠判定糖尿病之可能性的程度,並未達到能夠定量地測量葡萄糖量。 Specifically, in the measurement method described in Patent Document 1, since the amount of glucose is calculated by the glucose oxidase method, there is a problem that the calculation of the amount of glucose is complicated. Further, in the method described in Patent Document 2, although the amount of glucose is measured by an optical method, it is to such an extent that the possibility of diabetes can be determined, and the amount of glucose cannot be quantitatively measured.
本發明係有鑑於如此的問題點而開發完成,本發明之目的係在於提供一種葡萄糖量算出方法,其以統計學方式利用沿貫穿人體之光軸而照射的各個光線之受光強度,藉此能夠正確地推測葡萄糖量。 The present invention has been developed in view of such a problem, and an object of the present invention is to provide a method for calculating the amount of glucose, which statistically utilizes the received light intensity of each light beam irradiated along the optical axis passing through the human body, thereby enabling Correctly guess the amount of glucose.
本發明之葡萄糖量算出方法,係包括:量測步驟,係將波長不同之複數個光線照射於被測量部位,且以受光元件來量測已穿透前述被測量部位後的前述複數個光線之強度;以及推測步驟,係依據換算式從前述複數個光線之受光強度推測葡萄糖量;在前述量測步驟中,前述複數個光線係通過以貫穿前述被測量部位之方式所規定的一個光軸。 The method for calculating the amount of glucose of the present invention includes: a measuring step of irradiating a plurality of light rays with different wavelengths on the measured part, and using a light-receiving element to measure the difference between the plurality of light rays having penetrated the above-mentioned measured part. The intensity; and the estimation step is to estimate the amount of glucose from the received light intensities of the plurality of light rays according to the conversion formula; in the measurement step, the plurality of light rays pass through an optical axis specified in a manner of penetrating the measured part.
又,本發明之葡萄糖量算出方法中,在前述量測步驟中,係將前 述複數個光線之前述受光強度、被測量部溫度及採血葡萄糖量作為一個實測資料集,並就不同的葡萄糖量取得複數個前述實測資料集,且依據前述複數個實測資料集進行多重迴歸分析,藉此製作複數個前述換算式;在前述推測步驟中,係從使用各自之前述換算式所算出來的複數個葡萄糖量推測結果,選擇最接近採血葡萄糖量的前述葡萄糖量推測結果,且將算出所選出之前述葡萄糖量推測結果的前述換算式,使用於下次以後的葡萄糖量推測。 In addition, in the method for calculating the amount of glucose of the present invention, in the aforementioned measuring step, the The aforementioned received light intensity, the temperature of the measured part, and the blood glucose amount of the plurality of rays are used as a measured data set, and a plurality of the aforementioned measured data sets are obtained for different glucose amounts, and multiple regression analysis is performed according to the aforementioned multiple measured data sets, Thereby, a plurality of the aforementioned conversion formulae are created; in the aforementioned estimation step, from the plurality of glucose amount estimation results calculated using the respective aforementioned conversion formulae, the aforementioned glucose amount estimation result closest to the blood collection glucose amount is selected, and will be calculated The conversion formula of the selected glucose amount estimation result is used for the next and subsequent glucose amount estimation.
又,本發明之葡萄糖量算出方法中,在前述量測步驟中,係量測前述被測量部位之溫度;在前述推測步驟中,係除了前述複數個光線之前述受光強度,還使用前述溫度來算出前述葡萄糖量。 In addition, in the method for calculating the amount of glucose of the present invention, in the measurement step, the temperature of the measured part is measured; in the estimation step, in addition to the received light intensities of the plurality of light rays, the temperature is also used to calculate the temperature. The aforementioned amount of glucose is calculated.
又,本發明之葡萄糖量算出方法中,前述換算式係使用事先記憶於記憶裝置的參數(parameter)。 Moreover, in the glucose amount calculation method of this invention, the said conversion formula uses the parameter (parameter) memorize|stored in the memory|storage device in advance.
又,本發明之葡萄糖量算出方法中,前述複數個光線係穿透指蹼(finger web,亦即手指間形成的膜狀部位)。 Furthermore, in the method for calculating the amount of glucose of the present invention, the plurality of light rays penetrate through the finger web (that is, the membrane-like portion formed between the fingers).
又,本發明之葡萄糖量算出方法中,前述換算式為藉由統計學手法所算出的多重迴歸式。藉此,依據本發明之葡萄糖量算出方法,由於依據統計學手法而算出換算式,因此可獲得依據各個受驗者之體質而來的換算式。 Moreover, in the glucose amount calculation method of this invention, the said conversion formula is a multiple regression formula calculated by a statistical method. In this way, according to the method for calculating the amount of glucose of the present invention, since the conversion formula is calculated according to the statistical method, the conversion formula according to the constitution of each subject can be obtained.
又,本發明之葡萄糖量算出方法中,在前述量測步驟中,係將波長不同之第一光線、第二光線及第三光線照射於前述被測量部位,且以受光元件來量測穿透前述被測量部位後的前述第一光線、前述第二光線及前述第三光線之強度;在前述推測步驟中,係依據前述換算式從前述第一光線、前述第二光線及前述第三光線之受光強度推測前述葡萄糖量。 In addition, in the method for calculating the amount of glucose of the present invention, in the above-mentioned measuring step, the first light, the second light and the third light with different wavelengths are irradiated on the above-mentioned part to be measured, and the light-receiving element is used to measure the penetration The intensities of the first light, the second light and the third light behind the measured part; in the estimation step, according to the conversion formula, from the first light, the second light and the third light The amount of glucose was estimated from the received light intensity.
本發明之葡萄萄量算出方法,其具備:量測步驟,係將波長不同之複數個光線照射於被測量部位,且以受光元件來量測穿透前述被測量部位的前述複數個光線之強度;以及推測步驟,係依據換算式從前述複數個光線之受光強度推測葡萄糖量;在前述量測步驟中,前述複數個光線係通過以貫穿前述被測量部位之方式所規定的一個光軸。藉此,依據本發明之葡萄糖量的量測方法,由於藉由使複數個光線通過一個光軸,而使複數個光線通過同一光學條件的人體部分,所以可以正確地量測葡萄糖量。 The method for calculating the amount of grapes according to the present invention includes: a measuring step of irradiating a plurality of light rays with different wavelengths on a measured part, and measuring the intensity of the plurality of light rays penetrating the measured part by a light-receiving element and the estimation step is to estimate the amount of glucose from the light-receiving intensities of the plurality of light rays according to the conversion formula; in the measurement step, the plurality of light rays pass through an optical axis specified in the manner of passing through the measured portion. Thus, according to the method for measuring the amount of glucose of the present invention, the amount of glucose can be accurately measured by passing the plurality of light rays through one optical axis and passing the plurality of light rays through the body part of the same optical condition.
又,本發明之葡萄糖量算出方法中,在前述量測步驟中,係將前述複數個光線之前述受光強度、被測量部溫度及採血葡萄糖量作為一個實測資料集,並就不同的葡萄糖量取得複數個前述實測資料集,且依據前述複數個實測資料集進行多重迴歸分析,藉此製作複數個前述換算式;在前述推測步驟中,係從使用各自之前述換算式所算出來的複數個葡萄糖量推測結果,選擇最接近採血葡萄糖量的前述葡萄糖量推測結果,且將算出所選出之前述葡萄糖量推測結果的前述換算式,使用於下次以後的葡萄糖量推測。藉此,依據本發明之葡萄糖量的量測方法,可以藉由準備複數個換算式來因應受驗者之體質而採用適當的換算式,而可以精度佳地推測血糖度。 In addition, in the method for calculating the amount of glucose of the present invention, in the measurement step, the received light intensity of the plurality of rays, the temperature of the measured part, and the amount of blood glucose collected are used as an actual measurement data set, and obtained for different amounts of glucose. A plurality of the above-mentioned measured data sets, and multiple regression analysis is performed according to the above-mentioned plurality of the above-mentioned measured data sets, thereby producing a plurality of the above-mentioned conversion formulas; in the above-mentioned estimation step, from the plurality of glucose calculated by using the respective above-mentioned conversion formulas As the amount estimation result, the glucose amount estimation result closest to the blood sampling glucose amount is selected, and the conversion formula for calculating the selected glucose amount estimation result is used for the next and subsequent glucose amount estimation. As a result, according to the method for measuring the amount of glucose of the present invention, by preparing a plurality of conversion formulas, an appropriate conversion formula can be adopted according to the constitution of the subject, so that the blood glucose level can be estimated with high accuracy.
又,本發明之葡萄糖量算出方法中,在前述量測步驟中,係量測前述被測量部位之溫度;在前述推測步驟中,係除了前述複數個光線之前述受光強度,還使用前述溫度來算出前述葡萄糖量。藉此,依據本發明之葡萄糖量的量測方法,則除了穿透人體的光線之受光強度,還使用人體之體溫來推測葡萄糖量,藉此可以更正確地推測葡萄糖量。 In addition, in the method for calculating the amount of glucose of the present invention, in the measurement step, the temperature of the measured part is measured; in the estimation step, in addition to the received light intensities of the plurality of light rays, the temperature is also used to calculate the temperature. The aforementioned amount of glucose is calculated. Therefore, according to the method for measuring the amount of glucose of the present invention, the amount of glucose can be estimated more accurately by using the body temperature in addition to the received light intensity of the light penetrating the human body.
又,本發明之葡萄糖量算出方法中,前述換算式係使用事先記憶 於記憶裝置的參數。藉此,依據本發明之葡萄糖量的量測方法,則受驗者本身不用採血就可以獲得換算式。 In addition, in the method for calculating the amount of glucose of the present invention, the aforementioned conversion formula is stored in advance using parameters in the memory device. Therefore, according to the method for measuring the amount of glucose of the present invention, the subject can obtain the conversion formula without taking blood.
又,本發明之葡萄糖量算出方法中,前述複數個光線係穿透指蹼。藉此,依據本發明之葡萄糖量的量測方法,則使用穿透脂肪較少、個人間之厚度不均較小、穿透距離較短之指蹼的各個光線來算出葡萄糖量,藉此就可以正確地推測葡萄糖量。 Furthermore, in the method for calculating the amount of glucose of the present invention, the plurality of light rays penetrate the finger web. Therefore, according to the method for measuring the amount of glucose of the present invention, the amount of glucose is calculated by using each light penetrating the finger webs that have less fat, less thickness variation between individuals, and shorter penetration distances, so as to calculate the amount of glucose. The amount of glucose can be correctly estimated.
又,本發明之葡萄糖量算出方法中,前述換算式為藉由統計學手法所算出的多重迴歸式。藉此,依據本發明之葡萄糖量算出方法,由於是依據統計學手法來算出換算式,所以可以獲得依據各個受驗者之體質而得的換算式。 Moreover, in the glucose amount calculation method of this invention, the said conversion formula is a multiple regression formula calculated by a statistical method. In this way, according to the method for calculating the amount of glucose of the present invention, since the conversion formula is calculated according to a statistical method, a conversion formula according to the constitution of each subject can be obtained.
又,本發明之葡萄糖量算出方法中,在前述量測步驟中,係將波長不同之第一光線、第二光線及第三光線照射於前述被測量部位,且以受光元件來量測穿透前述被測量部位的前述第一光線、前述第二光線及前述第三光線之強度;在前述推測步驟中,係依據前述換算式從前述第一光線、前述第二光線及前述第三光線之受光強度推測前述葡萄糖量。藉此,依據本發明之葡萄糖量算出方法,可以藉由使用波長不同之第一光線、第二光線及第三光線來更正確地算出葡萄糖量。 In addition, in the method for calculating the amount of glucose of the present invention, in the above-mentioned measuring step, the first light, the second light and the third light with different wavelengths are irradiated on the above-mentioned part to be measured, and the light-receiving element is used to measure the penetration The intensities of the first light, the second light and the third light at the measured part; in the estimation step, the light received from the first light, the second light and the third light according to the conversion formula Intensity estimates the aforementioned amount of glucose. Therefore, according to the method for calculating the amount of glucose of the present invention, the amount of glucose can be more accurately calculated by using the first light, the second light and the third light having different wavelengths.
10:葡萄糖量算出裝置 10: Glucose amount calculation device
11:發光部 11: Light-emitting part
12:操作輸入部 12: Operation input part
13:記憶部 13: Memory Department
14:透鏡 14: Lens
15:顯示部 15: Display part
17:運算控制部 17: Operation Control Department
18:被測量部位 18: Measured part
19:受光部 19: Receiver
21:溫度量測部 21: Temperature measurement section
22:光軸 22: Optical axis
111:第一發光部 111: The first light-emitting part
112:第二發光部 112: Second light-emitting part
113:第三發光部 113: The third light-emitting part
圖1係顯示在本發明之實施型態的葡萄糖量算出方法中所使用的葡萄糖量量測裝置之基本構成的概念圖。 FIG. 1 is a conceptual diagram showing the basic configuration of a glucose amount measuring apparatus used in a method for calculating a glucose amount according to an embodiment of the present invention.
圖2係顯示本發明之實施型態的葡萄糖量算出方法之流程圖(flowchart)。 FIG. 2 is a flowchart showing a method for calculating the amount of glucose according to the embodiment of the present invention.
圖3係顯示本發明之實施型態的葡萄糖量算出方法之示意圖,其中,(A)、(B)及(C)為顯示一邊使發光點移動一邊進行測量的狀況之側視圖。 3 is a schematic diagram showing a method for calculating the amount of glucose according to an embodiment of the present invention, wherein (A), (B) and (C) are side views showing the state of measurement while moving the light-emitting point.
圖4係顯示本發明之實施型態的葡萄糖量算出方法之圖表。 FIG. 4 is a graph showing a method for calculating the amount of glucose according to the embodiment of the present invention.
圖5係顯示本發明之另一型態的葡萄糖量算出方法之示意圖,其中,(A)為流程圖,(B)為概念地顯示該方法的方塊圖。 5 is a schematic diagram showing a method for calculating the amount of glucose in another aspect of the present invention, wherein (A) is a flowchart, and (B) is a block diagram conceptually showing the method.
圖6係顯示本發明之實施型態的葡萄糖量算出方法之示意圖,其中,(A)為顯示指蹼的示意圖,(B)為顯示在指尖測量葡萄糖量之結果的圖表,(C)為顯示在指蹼測量葡萄糖量之結果的圖表。 6 is a schematic diagram showing a method for calculating the amount of glucose according to an embodiment of the present invention, wherein (A) is a schematic diagram showing a finger web, (B) is a diagram showing the result of measuring the amount of glucose at the fingertip, (C) is A graph showing the results of measuring the amount of glucose in the fingertips.
參照圖1來說明本型態的葡萄糖量算出方法。圖1係顯示在本實施型態的葡萄糖量算出方法中所利用的葡萄糖量算出裝置10之基本構成的概念圖。在此,所謂葡萄糖量係指血中或是間質(stroma)的葡萄糖量。又,葡萄糖量有時亦被稱為血糖值等。
The method for calculating the amount of glucose in this embodiment will be described with reference to FIG. 1 . FIG. 1 is a conceptual diagram showing the basic configuration of a glucose
參照圖1,葡萄糖量算出裝置10係具備:發光部11,係射出被使用於測量的光線;屬於光學元件的透鏡(lens)14,係將從發光部11所射出的光線導引至被測量部位18;受光部19,係接收穿透被測量部位18的光線;運算控制部17,係依據受光部19之輸出而算出葡萄糖量;記憶部13;顯示部15;操作輸入部12;以及溫度量測部21。
Referring to FIG. 1 , the glucose
葡萄糖量算出裝置10的功能係在於:使光線穿透屬於被測量部位的人體,藉此利用非侵入法來量測人體的葡萄糖量。
The function of the glucose
發光部11係為了量測葡萄糖量而射出預定之波長的光線。發光部
11係具有射出波長不同之光線的第一發光部111、第二發光部112及第三發光部113。第一發光部111、第二發光部112及第三發光部113係分別由發光二極體(light emitting diode)所構成。例如,從第一發光部111所射出的第一光線之波長為1310nm,從第二發光部112所射出的第二光線之波長為1450nm,從第三發光部113所射出的第三光線之波長為1550nm。
The
又,發光部11係藉由未圖示的致動器(actuator)而朝向左右方向移動。藉由使發光部11移動,就可以將第一發光部111、第二發光部112及第三發光部113之其中任一個配置於同一光軸22之軸上。在此係顯示已將第二發光部112配置於光軸22之軸上的情況。
Moreover, the light-emitting
第一光線係不會被活體中之成分所吸收的光線,第二光線及第三光線係會被活體中之葡萄糖、蛋白質及水所吸收的光線。以第一光線來測量光軸22之光程長度,藉此就可以測量光程長度帶給各個光線之吸收率的影響且排除光程長度之影響,進而可以正確地算出葡萄糖量。
The first light is light that is not absorbed by components in the living body, and the second and third light is light that is absorbed by glucose, protein, and water in the living body. Using the first light to measure the optical path length of the
在本實施型態中,第一光線、第二光線及第三光線係沿光軸22從發光部11照射至受光部19為止。亦即,第一光線、第二光線及第三光線之在被測量部位18之內部的傳播路徑及傳播長度為相同。
In this embodiment, the first light, the second light and the third light are irradiated along the
藉如上述方式在各個光線共享光軸22就可以正確地量測葡萄糖量。具體而言,藉由朗伯-比爾定律(Lambert-Beer law),葡萄糖量就能以下列之數式1所算出。
By sharing the
數式1:C=-log10(I/Io)/(0.434×μa×r) Equation 1: C=-log 10 (I/I o )/(0.434×μ a ×r)
在上述的數式1中,C為葡萄糖量,I為射出光功率,Io為入射光功率,μa為皮膚的吸光係數,r為光程長度。 In the above equation 1, C is the amount of glucose, I is the output light power, I o is the incident light power, μ a is the light absorption coefficient of the skin, and r is the optical path length.
在本實施型態中,藉由第一光線、第二光線及第三光線共享光軸22而將光程長度r設成相同,藉此就可以使應算出的未知數減少,而正確地且簡單地求出葡萄糖量C。
In this embodiment, the optical path length r is set to be the same because the first light, the second light and the third light share the
透鏡14係將從上述之第一發光部111、第二發光部112及第三發光部113所射出來的第一光線、第二光線及第三光線,利用其折射作用或繞射作用而導引至被測量部位18。
The
被測量部位18係指由本型態之葡萄糖量算出裝置10量測葡萄糖量的部位。具體而言,作為被測量部位18係可以採用指尖、耳垂、指蹼等。如後面所述,作為被測量部位18,較佳為所含之脂肪量較少、厚度之個人差較少且未形成有較粗之血管的指蹼。
The portion to be measured 18 refers to a portion where the amount of glucose is measured by the glucose
受光部19例如是由光電二極體(photodiode)所構成的半導體元件,且形成有未圖示的受光部位,該受光部位係接收穿透被測量部位18的第一光線、第二光線及第三光線,且檢測其強度。受光部19係將與第一光線、第二光線及第三光線之受光強度相應的信號傳送至運算控制部17。
The light-receiving
記憶部13為由RAM(Random Access Memory;隨機存取記憶體)或ROM(Read Only Memory;唯讀記憶體)所構成的半導體記憶裝置等,記憶有用以從受光部19之輸出值算出葡萄糖量的計算式、參數、推測結果、用以執行本實施型態之葡萄糖量算出方法的程式(program)等。
The
操作輸入部12係受驗者對運算控制部17給予指示的部位,由開關(switch)、觸控面板(touch panel)等所構成。
The
溫度量測部21係藉由接觸到受驗者之身體來量測受驗者之體溫的部位。
The
運算控制部17係由CPU(Central Processing Unit;中央處理單元)所構成,進行各種運算並且控制構成葡萄糖量算出裝置10的各個部位之動作。詳言之,運算控制部17係從發光部11之第一發光部111、第二發光部112及第三發光部113照射第一光線、第二光線及第三光線。又,運算控制部17係依據從受光部19及溫度量測部21等所輸入的電信號,使用後述之屬於多重迴歸式的換算式來推測葡萄糖量。又,運算控制部17亦可將所算出來的葡萄糖量顯示於顯示部15。藉由將葡萄糖量顯示於例如屬於液晶監視器的顯示部15,使用葡萄糖量算出裝置10的使用者就可以即時知道本身的葡萄糖量之變化。又,在進行後述之量測的步驟中,為了將各個發光部之發光點配置於光軸22之軸上,運算控制部17係使發光部11移動。
The
參照圖2之流程圖亦一邊參照上述的圖1一邊說明使用葡萄糖量算出裝置10來推測受驗者之葡萄糖量的方法。在此,藉由受驗者進行採血及各個光線之照射來算出屬於使用於葡萄糖量之推測的換算式的多重迴歸式之參數,且使用該換算式從受光部19之輸出值來推測受驗者之葡萄糖量。在此,多重迴歸式之參數亦可以使用已事先記憶於葡萄糖量算出裝置10之記憶部13的參數,藉此可以提升受驗者之便利性。又,以下的各個步驟係依據儲存於記憶部13的程式而執行。
A method of estimating a subject's glucose amount using the glucose
在步驟S10中,首先從採自受驗者的血液來量測葡萄糖量。該採血係用以算出多重迴歸式之參數而為者,且藉由在最初進行採血就不需要在下次以後的測量中進行採血。 In step S10, first, the amount of glucose is measured from the blood collected from the subject. This blood collection is used to calculate the parameters of the multiple regression equation, and blood collection is not required for the next and subsequent measurements because blood collection is performed first.
在步驟S11中,接著測量通過受驗者之指蹼的光線之強度及體溫。具體而言,運算控制部17係從發光部11之第一發光部111、第二發光部112及第三
發光部113使第一光線、第二光線及第三光線放射。第一光線、第二光線及第三光線之波長係如同上面所述。並且,如圖1所示,將發光部11沿左右後方移動,藉此將第一光線、第二光線及第三光線沿光軸22照射。
In step S11, the intensity and body temperature of the light passing through the finger webs of the subject are then measured. Specifically, the
所放射的第一光線、第二光線及第三光線係藉由透鏡14來照射於被測量部位18之預定部位。入射於被測量部位18的第一光線、第二光線及第三光線係在人體之內部被吸收、衰減、反射之後,其一部分會穿透人體而到達受光部19。受光部19係依第一光線、第二光線及第三光線之各個波長帶而將相應於受光強度的電信號傳送至運算控制部17。在此,亦可以使用針孔(pinhole)取代透鏡14來調節各個光線並予以照射。
The radiated first light, second light and third light are irradiated on predetermined parts of the measured
參照圖3來說明在步驟S11中一邊使發光部11位移一邊照射各個光線的事項。圖3(A)係顯示從第二發光部112照射第二光線的狀況,圖3(B)係顯示從第一發光部111照射第一光線的狀況,圖3(C)係顯示從第三發光部113照射第三光線的狀況。在此,雖然是以第二發光部112、第一發光部111及第三發光部113之順序沿光軸22照射光線,但是該順序係可以變更。
The matter of irradiating each light beam while displacing the
參照圖3(A),在從第二發光部112照射第二光線時,首先運算控制部17係使發光部11移動以使第二發光部112之發光點與光軸22重疊。在第二發光部112之發光點與光軸22重疊之後,運算控制部17係從第二發光部112發出第二光線。所發出的第二光線係沿光軸22行進且在穿透被測量部位18之後照射於受光部19。表示受光部19接收到的第二光線之強度的電信號係傳送至運算控制部17。
3(A) , when the second
參照圖3(B),接著,運算控制部17係藉由未圖示的致動器使發光部11朝向右方移動,藉此使第一發光部111之發光點與光軸22之軸重疊。在第一
發光部111之發光點與光軸22重疊之後,運算控制部17係從第一發光部111發出第一光線。所發出來的第一光線係沿光軸22行進且在穿透被測量部位18之後照射於受光部19。表示受光部19接收到的第一光線之強度的電信號係傳送至運算控制部17。
Referring to FIG. 3(B), the
參照圖3(C),接著,運算控制部17係藉由未圖示的致動器使發光部11朝向左方移動,藉此使第三發光部113之發光點與光軸22之軸重疊。在第三發光部113之發光點與光軸22重疊之後,運算控制部17係從第三發光部113發出第三光線。所發出來的第三光線係沿光軸22行進且在穿透被測量部位18之後照射於受光部19。表示受光部19接收到的第三光線之強度的電信號係傳送至運算控制部17。
Referring to FIG. 3(C) , the
又,溫度量測部21係依據運算控制部17之指示來量測受驗者之體溫,而表示該體溫的電信號則傳送至運算控制部17。
In addition, the
上述的步驟S11係為了進行後述的多重迴歸分析而就複數個葡萄糖量進行複數次。 The above-mentioned step S11 is performed a plurality of times for a plurality of glucose amounts in order to perform a multiple regression analysis to be described later.
在步驟S12中,依據步驟S11之結果來求出多重迴歸式之參數。 In step S12, the parameters of the multiple regression equation are obtained according to the result of step S11.
將在步驟S11所量測到的採血葡萄糖量等顯示於以下的表1。 The amount of blood glucose and the like measured in step S11 are shown in Table 1 below.
[表1]
在表1中係從左方起顯示採血葡萄糖量、被測量部溫度、波長為1310nm的第一光線之受光強度、波長為1450nm的第二光線之受光強度、波長為1550nm的第三光線之受光強度以及所推測出的葡萄糖量。在此係以投予糖分等的方式一邊使受驗者之採血葡萄糖量變化一邊進行了採血、體溫測量、通過人體後的各個光線之受光、依據該受光強度的葡萄糖量之推測。 In Table 1, the amount of blood glucose, the temperature of the part to be measured, the received light intensity of the first light ray with a wavelength of 1310 nm, the received light intensity of the second light ray with a wavelength of 1450 nm, and the received light of the third light ray with a wavelength of 1550 nm are displayed from the left. strength and the estimated amount of glucose. Here, blood sampling, body temperature measurement, light reception of each light passing through the human body, and estimation of the glucose amount based on the received light intensity are performed while changing the blood glucose level of the subject by administration of sugar or the like.
在本實施型態中係依據表1的結果進行多重迴歸分析,且算出屬於換算式的多重迴歸式之各個參數。在本實施型態中係採用以下之數式2所示的多重迴歸式來作為推測葡萄糖量的換算式。 In this embodiment, multiple regression analysis is performed based on the results of Table 1, and each parameter of the multiple regression formula belonging to the conversion formula is calculated. In the present embodiment, a multiple regression equation shown in the following equation 2 is used as a conversion equation for estimating the amount of glucose.
數式2:推測葡萄糖量=切片+β 1×被測量部溫度+β 2×第一光線輸出電壓+β 3×第二光線輸出電壓+β 4×第三光線輸出電壓 Equation 2: Estimated amount of glucose = slice + β 1 × temperature of the part to be measured + β 2 × first light output voltage + β 3 × second light output voltage + β 4 × third light output voltage
構成數式2的參數係儲存於記憶部13且使用於葡萄糖量之推測。
The parameters constituting Equation 2 are stored in the
將藉由上述之多重迴歸分析所得的分析結果顯示於以下的表2。表2係包含表2-1、表2-2及表2-3。表2-1係顯示迴歸統計,表2-2係顯示分散分析, 表2-3係顯示藉由迴歸分析所得的迴歸係數等。 The analysis results obtained by the above-mentioned multiple regression analysis are shown in Table 2 below. Table 2 includes Table 2-1, Table 2-2, and Table 2-3. Table 2-1 shows regression statistics, Table 2-2 shows dispersion analysis, Table 2-3 shows regression coefficients and the like obtained by regression analysis.
[表2]
如表2可明白,由於P-值全部為0.05以下,所以可以判斷迴歸係數為有效,且利用上述之數式2所示的多重迴歸式可以正確地推測葡萄糖量。 As can be seen from Table 2, since all the P-values are 0.05 or less, the regression coefficient can be determined to be valid, and the glucose amount can be accurately estimated using the multiple regression equation shown in the above-mentioned Equation 2.
圖4係顯示推測葡萄糖量與採血葡萄糖量之關係的圖表。該圖表的橫軸係顯示採血葡萄糖量,縱軸係顯示推測葡萄糖量。在該圖表中係以實線來表示檢量曲線,以虛線來表示±5%誤差的線條。 Fig. 4 is a graph showing the relationship between the estimated glucose amount and the blood sampling glucose amount. The horizontal axis of the graph shows the blood glucose level, and the vertical axis shows the estimated glucose level. In this graph, the calibration curve is represented by a solid line, and a line with a ±5% error is represented by a dotted line.
在步驟S13及步驟S14中係使用上述的換算式來推測葡萄糖量。具體而言,參照圖1,運算控制部17首先是沿光軸22從發光部11之第一發光部111、第二發光部112及第三發光部113對被測量部位18將第一光線、第二光線及第三光線朝向被測量部位18照射。第一光線、第二光線及第三光線係在被測量部位18之內部進行衰減、反射及吸收,而其一部分會穿透被測量部位18而到達受光部
19。受光部19係將表示已到達受光部19的第一光線、第二光線及第三光線之強度的電信號傳送至運算控制部17。又,溫度量測部21所量測到之表示被測量部位18之溫度的電信號亦會傳送至運算控制部17。運算控制部17係依據表示第一光線、第二光線及第三光線之強度的電信號,以及表示被測量部位18之體溫的電信號,利用上述之數式2所示的換算式來推測葡萄糖量。
In step S13 and step S14, the amount of glucose is estimated using the above-mentioned conversion formula. Specifically, referring to FIG. 1 , the
表3係顯示與表1同樣的受驗者在不同日以步驟S13及步驟S14所示的方法來推測葡萄糖量後的結果。亦即,在此,為了導出換算式而進行了採血、光線照射及體溫量測的人,與使用該換算式來推測葡萄糖量的人為同一人。如從表3可明白,由於藉由本實施型態之推測方法所推測的推測葡萄糖量係極為接近採血葡萄糖量,所以能夠判斷為有進行正確的推測。 Table 3 shows the results of estimating the amount of glucose by the same subjects as in Table 1 by the methods shown in steps S13 and S14 on different days. That is, here, the person who has performed blood collection, light irradiation, and body temperature measurement in order to derive the conversion formula is the same person who estimated the amount of glucose using the conversion formula. As can be understood from Table 3, since the estimated glucose amount estimated by the estimation method of the present embodiment is very close to the blood sampling glucose amount, it can be determined that an accurate estimation has been performed.
[表3]
表4係顯示與表1(用以算出換算式的受驗者)不同之受驗者以步驟S13及步驟S14所示的方法來推測葡萄糖量後的結果。如從表4可知,即便是在用以導出換算式的受驗者與使用該換算式來推測葡萄糖量的受驗者為不同的情況下,由於推測葡萄糖量與採血葡萄糖量仍為接近,所以即便在該情況下亦進行正確的推測。 Table 4 shows the results of estimating the amount of glucose by the methods shown in steps S13 and S14 by subjects different from those in Table 1 (subjects for calculating the conversion formula). As can be seen from Table 4, even when the subject for which the conversion formula was derived and the subject for which the glucose amount was estimated using the conversion formula were different, since the estimated glucose amount and the blood sampling glucose amount were still close, so Even in this case, a correct guess is made.
[表4]
又,在圖4之圖表中係以鏤空的圓來表示使用於檢量曲線之算出的採血葡萄糖量及推測葡萄糖量。又,以塗黑的圓來表示表4及表5的值。如從該圖表可知,其他之受驗者的情況及任意日的測量值係配置於由大致±5%誤差之線條所包夾的區域。因而,可以藉由使用了上述之換算式的推測方法來精度佳地推測葡萄糖量。 In addition, in the graph of FIG. 4 , the blood sampling glucose amount and the estimated glucose amount used for the calculation of the calibration curve are indicated by hollowed circles. In addition, the values of Table 4 and Table 5 are represented by black circles. As can be seen from this graph, the cases of other subjects and the measurement values of any day are arranged in the area enclosed by the line with an error of approximately ±5%. Therefore, the amount of glucose can be accurately estimated by the estimation method using the above-mentioned conversion formula.
參照圖5來說明另一型態的葡萄糖量之推測方法。雖然在此說明的葡萄糖量之推測方法的概要係與上述同樣,但是藉由準備複數個換算式且選擇適於受驗者的換算式來提升推測精度的事項則與上述的方法不同。圖5(A)係顯示本實施型態的葡萄糖量之推測方法的流程圖,圖5(B)係概念地顯示本實施型態中的算出方法之方塊圖。 Another method of estimating the amount of glucose will be described with reference to FIG. 5 . The outline of the method for estimating the amount of glucose described here is the same as that described above, but the matter of improving the estimation accuracy by preparing a plurality of conversion formulae and selecting a conversion formula suitable for the subject is different from the above-described method. FIG. 5(A) is a flowchart showing a method of estimating the amount of glucose in this embodiment, and FIG. 5(B) is a block diagram conceptually showing a calculation method in this embodiment.
參照圖5(A),在步驟S20中係準備複數個換算式。具體而言,如圖5(B)所示,就不同的受驗者進行採血及使用了葡萄糖量算出裝置10的各個光線之應用及體溫測量,藉此獲得複數個多重迴歸式。在此,就受驗者A、受驗者B、受驗者C及受驗者D進行各個光線之照射及體溫測量、多重迴歸分析,藉此獲得有關各個受驗者之由第一光線、第二光線及第三光線之受光強度以及體溫所構成的實測資料集。從該各個實測資料集導出多重迴歸式A、多重迴歸式B、多重
迴歸式C及多重迴歸式D之參數。
Referring to FIG. 5(A), in step S20, a plurality of conversion expressions are prepared. Specifically, as shown in FIG. 5(B) , a plurality of multiple regression equations are obtained by performing blood collection, application of each light using the glucose
在步驟S21及步驟S22中係使用葡萄糖量算出裝置10並利用多重迴歸式A、多重迴歸式B、多重迴歸式C及多重迴歸式D,藉此來推測出推測葡萄糖量A、推測葡萄糖量B、推測葡萄糖量C及推測葡萄糖量D。具體而言,參照圖1,運算控制部17首先是從發光部11之第一發光部111、第二發光部112及第三發光部113沿光軸22對被測量部位18將第一光線、第二光線及第三光線朝向被測量部位18照射。受光部19係將表示已到達受光部19的第一光線、第二光線及第三光線之強度的電信號傳送至運算控制部17。又,溫度量測部21所量測到之表示被測量部位18之溫度的電信號亦會傳送至運算控制部17。接著,運算控制部17係依據表示第一光線、第二光線及第三光線之強度的電信號以及表示被測量部位18之體溫的電信號,並利用多重迴歸式A、多重迴歸式B、多重迴歸式C及多重迴歸式D來推測出推測葡萄糖量A、推測葡萄糖量B、推測葡萄糖量C及推測葡萄糖量D。又,為了進行步驟S23中之選擇而對受驗者採血以獲得採血葡萄糖量。
In steps S21 and S22, the estimated glucose amount A and the estimated glucose amount B are estimated by using the glucose
在步驟S23中係選擇推測葡萄糖量A、推測葡萄糖量B、推測葡萄糖量C及推測葡萄糖量D之中最接近採血葡萄糖量的推測葡萄糖量。該選擇係利用藉由受驗者所為的操作輸入部12之操作或運算控制部17所進行。例如,若推測葡萄糖量A最接近採血葡萄糖量,則藉由受驗者的操作輸入部12之選擇從下次之推測起使用多重迴歸式A來推測葡萄糖量。
In step S23, the estimated glucose amount closest to the blood sampling glucose amount among the estimated glucose amount A, the estimated glucose amount B, the estimated glucose amount C, and the estimated glucose amount D is selected. This selection is performed by the operation of the
在步驟S24中係使用所選出的多重迴歸式A來推測葡萄糖量。具體而言,運算控制部17首先是從發光部11之第一發光部111、第二發光部112及第三發光部113沿光軸22對被測量部位18將第一光線、第二光線及第三光線朝向被測量部位18照射。又,溫度量測部21所量測到之表示被測量部位18之溫度的電信號
亦會傳送至運算控制部17。運算控制部17係依據表示第一光線、第二光線及第三光線之強度的電信號以及表示被測量部位18之體溫的電信號,並利用如上述所選出的多重迴歸式A來推測葡萄糖量。
In step S24, the selected multiple regression formula A is used to estimate the amount of glucose. Specifically, the
參照圖6來說明指蹼適合作為為了推測葡萄糖量而照射各個光線的被測量部位之事項。圖6(A)係顯示受驗者之手的示意圖,圖6(B)係顯示使用指尖來推測出葡萄糖量後之誤差柵格(error grid)的圖表,圖6(C)係顯示使用指蹼來推測出葡萄糖量後之誤差柵格的圖表。在圖6(B)及圖6(C)中,橫軸係表示採血葡萄糖量,縱軸係顯示藉由本實施型態之方法所量測到的推測葡萄糖量。 Referring to FIG. 6 , a description will be given of the fact that the finger web is suitable as a measurement site to be irradiated with each light for estimating the amount of glucose. Fig. 6(A) is a schematic diagram showing the subject's hand, Fig. 6(B) is a graph showing an error grid after estimating the amount of glucose using the fingertip, and Fig. 6(C) is a graph showing an error grid using the fingertip A graph of the error grid after fingering the web to estimate the amount of glucose. In FIG. 6(B) and FIG. 6(C) , the horizontal axis represents the blood glucose level, and the vertical axis represents the estimated glucose level measured by the method of this embodiment.
參照圖6(A),所謂指蹼係指形成於人體之手指彼此之間的膜狀之部位,在本實施型態中係採用了形成於手的食指與拇指之間的指蹼作為用以測量葡萄糖量的被測量部位。在此,亦可以採用形成於其他手指彼此之間的指蹼作為被測量部位。 Referring to FIG. 6(A), the so-called webs refer to the membrane-like parts formed between the fingers of the human body. In this embodiment, the webs formed between the index finger and the thumb of the hand are used as The measurement site where the amount of glucose is measured. Here, the webs formed between the other fingers can also be used as the measurement site.
當參照圖6(B)時,表示測量結果的點(dot)是從虛線所示的基準線離開而分布。如此的理由係考慮下列情形:指尖之粗度的個人差較大且光程長度會因此而不同,以及存在於指尖之較粗的血管會帶來不良影響。 When referring to FIG. 6(B) , dots representing the measurement results are distributed away from the reference line indicated by the dotted line. The reason for this is that the individual differences in the thickness of the fingertips are large and the optical path lengths will vary accordingly, and that the thicker blood vessels existing in the fingertips may have adverse effects.
另一方面,當參照圖6(C)時,表示測量結果的點是分布於虛線所示的基準線之鄰近處。如此的理由在於:因指蹼的厚度是從2mm至4mm左右,個人間導致的差異較小,脂肪含量極少,且其內部沒有較粗的血管,故而可在毛細血管及真皮進行測量。更且,在採用了指蹼作為被測量部位的情況下,可以縮短光程長度,且能夠以低輸出的光來測量葡萄糖量。 On the other hand, when referring to FIG. 6(C), the points representing the measurement results are distributed in the vicinity of the reference line shown by the dotted line. The reason for this is that because the thickness of the web is about 2mm to 4mm, the difference between individuals is small, the fat content is very small, and there are no thick blood vessels inside, so it can be measured in the capillaries and dermis. Furthermore, when finger webs are used as the measurement site, the optical path length can be shortened, and the amount of glucose can be measured with low-output light.
參照表5,從脂肪含量的觀點來說明指蹼適合作為被測量部位的事項。 Referring to Table 5, the appropriateness of the finger web as the measurement site will be described from the viewpoint of the fat content.
[表5]
在表5中係就含脂肪的檢體1(表皮0.2mm、真皮0.8mm、脂肪1.5mm),與不含脂肪的檢體2(表皮0.2mm、真皮0.8mm、無脂肪)測量第一光線、第二光線及第三光線之穿透率後的結果。當顯示一例時,檢體1為人體的指尖,檢體2為指蹼。 In Table 5, the first ray was measured for specimen 1 with fat (epidermal 0.2 mm, dermis 0.8 mm, fat 1.5 mm), and specimen 2 without fat (epidermal 0.2 mm, dermis 0.8 mm, no fat) , the results of the transmittance of the second light and the third light. When an example is displayed, the specimen 1 is a fingertip of a human body, and the specimen 2 is a finger web.
在此的模擬條件係如下:光線條數為5000條,散射次數為每一條1000次,皮膚入射光徑為 1.5mm,受光面直徑為 3mm或 1mm。 The simulation conditions here are as follows: the number of light lines is 5000, the number of scattering times is 1000 times, and the incident light path of the skin is 1.5mm, the diameter of the light-receiving surface is 3mm or 1mm.
如表5所示,在波長為1310nm的第一光線中,檢體2的穿透率係成為檢體1的穿透率之3.4倍。又,在波長為1450nm的第二光線中,檢體2的穿透率係成為檢體1的穿透率之6.2倍。更且,在波長為1550nm的第三光線中,檢體2的穿透率係成為檢體1的穿透率之3.5倍。 As shown in Table 5, in the first light beam having a wavelength of 1310 nm, the transmittance of the specimen 2 is 3.4 times the transmittance of the specimen 1 . Also, in the second light beam having a wavelength of 1450 nm, the transmittance of the specimen 2 is 6.2 times the transmittance of the specimen 1 . Furthermore, in the third light having a wavelength of 1550 nm, the transmittance of the specimen 2 is 3.5 times the transmittance of the specimen 1 .
根據上述,屬於例如指尖的檢體1,因其第一光線至第三光線之穿透率較低,故不適合作為用以量測葡萄糖量的部位。更且,可明白當考慮脂肪含量的個人差較大時,脂肪的多寡就會對穿透率帶來影響,葡萄糖量之推測會因此 而變得困難。 According to the above, the specimen 1 belonging to, for example, a fingertip is not suitable as a part for measuring the amount of glucose because the transmittance of the first light to the third light is low. Moreover, it can be understood that when the individual difference in fat content is considered, the amount of fat will affect the penetration rate, and the estimation of the amount of glucose will be accordingly. become difficult.
另一方面,屬於指蹼的檢體2,由於其脂肪含量極為少,所以會使第一光線、第二光線及第三光線良好地穿透,而能依據穿透的各個光線之強度而正確地推測葡萄糖量。又,即便受驗者為肥胖身材,指蹼中所含的脂肪仍不會極端地增加。因而,只要使用穿透指蹼的各個光線來推測葡萄糖量,就不受到受驗者是否為肥胖身材的影響,而可以正確地推測葡萄糖量。 On the other hand, the specimen 2 belonging to the finger web has very little fat content, so the first light, the second light and the third light can penetrate well, and can be accurately penetrated according to the intensity of each light. predict the amount of glucose. Also, even if the subject is obese, the fat contained in the finger webs does not increase extremely. Therefore, as long as the amount of glucose is estimated using each light penetrating the web, the amount of glucose can be accurately estimated regardless of whether the subject is obese or not.
以上,雖然已顯示本發明的實施型態,但是本發明並非被限定於上述實施型態。 Although the embodiment of the present invention has been shown above, the present invention is not limited to the above-described embodiment.
例如,在上述的實施型態中,雖然已使用波長不同的第一光線、第二光線及第三光線來算出葡萄糖量,但是亦可以使用二個光線(例如,波長為1310nm的第一光線、波長為1550nm的第三光線)來算出葡萄糖量。 For example, in the above-mentioned embodiment, although the first light, the second light and the third light with different wavelengths have been used to calculate the amount of glucose, two light rays (for example, the first light with a wavelength of 1310 nm, The third light with a wavelength of 1550 nm) was used to calculate the amount of glucose.
10:葡萄糖量算出裝置 10: Glucose amount calculation device
11:發光部 11: Light-emitting part
12:操作輸入部 12: Operation input part
13:記憶部 13: Memory Department
14:透鏡 14: Lens
15:顯示部 15: Display part
17:運算控制部 17: Operation Control Department
18:被測量部位 18: Measured part
19:受光部 19: Receiver
21:溫度量測部 21: Temperature measurement section
22:光軸 22: Optical axis
111:第一發光部 111: The first light-emitting part
112:第二發光部 112: Second light-emitting part
113:第三發光部 113: The third light-emitting part
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