TW202216060A - Sleep-disordered-breathing screening equipment - Google Patents

Sleep-disordered-breathing screening equipment Download PDF

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TW202216060A
TW202216060A TW109136948A TW109136948A TW202216060A TW 202216060 A TW202216060 A TW 202216060A TW 109136948 A TW109136948 A TW 109136948A TW 109136948 A TW109136948 A TW 109136948A TW 202216060 A TW202216060 A TW 202216060A
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sleep
signal
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disordered breathing
cheek
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TWI735360B (en
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楊靜修
趙哲暘
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牙易科技有限公司
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Abstract

Disclosed is a sleep-disordered-breathing screening equipment, comprising a mouth-closing element; a cheek-bulging sensing component including a plurality of sensing elements attached on cheeks of a subject in a manner of having equal amounts and being located on opposite sides of the sealing element respectively, so as to obtain a cheek-bulging signal of the cheeks of the subject; and a signal-processing component receiving the cheek-bulging signal and an oxygen-saturation signal, performing a signal processing on a waveform of the cheek-bulging signal obtained by the sensing elements, and generating a signal-processing result and a sleep-disordered-breathing screening result for a sleep-disordered-breathing analysis according to a cross-reference comparison between the signal-processing result and the oxygen-saturation signal in unit time.

Description

睡眠呼吸障礙篩檢設備Sleep-disordered breathing screening equipment

本發明相關於睡眠呼吸障礙之篩檢,特別是關於一種睡眠呼吸障礙篩檢設備。The present invention relates to the screening of sleep-disordered breathing, in particular to a sleep-disordered breathing screening device.

睡眠呼吸中止症是種常見的睡眠呼吸障礙,主要可分為阻塞型及中樞型,其中阻塞型較為普遍,而中樞型較不常見。阻塞型睡眠呼吸中止症係為患者於睡眠期間,位在咽喉附近的軟組織因張力鬆弛而塌陷,進而壓迫上呼吸道,導致反覆的呼吸暫時停止。臨床表現包括打鼾、血氧濃度降低、睡眠中斷、容易感到疲憊及嗜睡等。目前眾多的臨床研究亦已證實睡眠呼吸中止症是高血壓、糖尿病、胃酸逆流、記憶力衰退,甚至青光眼、視網膜病變的重要病因。Sleep apnea is a common sleep-disordered breathing that can be divided into obstructive type and central type. Obstructive type is more common, while central type is less common. Obstructive sleep apnea is a condition in which the soft tissue near the throat collapses due to tension relaxation during sleep, thereby compressing the upper airway, resulting in a temporary cessation of repeated breathing. Clinical manifestations include snoring, decreased blood oxygen levels, disrupted sleep, fatigue, and lethargy. Numerous clinical studies have also confirmed that sleep apnea is an important cause of hypertension, diabetes, gastric acid reflux, memory loss, and even glaucoma and retinopathy.

對於是否確實罹患睡眠呼吸中止症之診斷,標準地是採用睡眠多項生理檢查(Polysomnography, PSG)。在進行PSG的過程中,受測者必須在睡眠檢查室裡過夜睡覺,由相關睡眠技術員協助測試、採集並記錄至少六小時睡眠期間的多項生理訊號。由於進行PSG需要投注大量的時間及醫療資源,一般情況下會在執行PSG前做篩檢,再依據篩檢結果決定受測者是否需要做PSG。For the diagnosis of sleep apnea, the standard is to use polysomnography (PSG). In the process of PSG, the subjects must sleep overnight in a sleep examination room, and the relevant sleep technicians will assist in testing, collecting and recording multiple physiological signals during at least six hours of sleep. Since PSG requires a lot of time and medical resources, in general, screening is performed before PSG is performed, and then whether the subject needs PSG is determined based on the screening results.

一般而言,篩檢評估受測者是否患有睡眠呼吸中止症之最重要的參考依據為睡眠期間受測者的血氧飽和度。篩檢的過程中,睡眠技術員主要係藉由觀察脈衝式血氧濃度器(Pulse oximeter)所感測出受測者的血氧飽和度的相關數據及圖表來推估受測者的呼吸型態,進而判斷是否患有睡眠呼吸中止症。然而,此判斷結果係為睡眠技術員推估受測者之呼吸型態而得,因此該判斷結果難免存在一些睡眠技術員個人主觀意識的成分,因而使得該判斷結果的客觀性以及準確度受到影響。Generally speaking, the most important reference for screening to assess whether a subject suffers from sleep apnea is the subject's blood oxygen saturation during sleep. During the screening process, the sleep technician mainly estimates the breathing pattern of the subject by observing the relevant data and graphs of the subject's blood oxygen saturation detected by the pulse oximeter. To determine whether there is sleep apnea. However, this judgment result is obtained by the sleep technician estimating the breathing pattern of the subject, so the judgment result inevitably contains some components of the sleep technician's personal subjective consciousness, thus affecting the objectivity and accuracy of the judgment result.

因此,習知用於篩檢睡眠呼吸中止症之相關設備及方法仍具有其改良之必要。Therefore, the related devices and methods for screening sleep apnea in the prior art still need to be improved.

因此,本發明的目的即在提供一種睡眠呼吸障礙篩檢設備,可輔助篩檢受測者是否患有睡眠呼吸中止症以提升睡眠技術員之判斷結果的客觀性以及準確度。Therefore, the purpose of the present invention is to provide a sleep-disordered breathing screening device, which can assist in screening whether a subject suffers from sleep apnea, so as to improve the objectivity and accuracy of the judgment result of the sleep technician.

本發明為解決習知技術之問題所採用之技術手段係提供一種睡眠呼吸障礙篩檢設備,包含:閉封元件,係經配置而覆蓋於受測者之雙唇而閉合口腔;臉頰鼓動感測構件,包含複數個感測元件,複數個該感測元件係以數量對稱且分別位於該閉封元件之相對二側的方式而貼附於該受測者之雙頰,其中該臉頰鼓動感測構件係取得該受測者之雙頰的臉頰鼓動訊號,以感測出該受測者是否於睡眠過程具有屬於因進行口呼吸所形成雙頰鼓動的動作;以及訊號處理構件,電性連接於該臉頰鼓動感測構件,而自複數個該感測元件接收該臉頰鼓動訊號、以及接收一血氧飽和度訊號,且該訊號處理構件對於來自複數個該感測元件的該臉頰鼓動訊號的波形執行訊號處理而產生訊號處理結果,並依據該訊號處理結果與該血氧飽和度訊號在單位時間內的相互參照比對,而產生用於供睡眠呼吸障礙分析的睡眠呼吸障礙篩檢結果,其中,該睡眠呼吸障礙分析係將該訊號處理結果之波形比對於該血氧飽和度訊號之曲線,而取得該受測者在該單位時間內進行口呼吸次數以及該血氧飽和度的對照而據以確認該受測者是否患有睡眠呼吸中止症。The technical means adopted by the present invention to solve the problems of the prior art is to provide a sleep-disordered breathing screening device, comprising: a sealing element configured to cover the lips of a subject to close the mouth; cheek agitation sensing The component includes a plurality of sensing elements, and the plurality of the sensing elements are attached to the cheeks of the subject in a symmetrical manner and are respectively located on opposite sides of the closing element, wherein the cheeks are moved to sense The component obtains the cheek agitation signal of the subject's cheeks, so as to sense whether the subject has the action of the cheek agitation formed by mouth breathing during the sleep process; and the signal processing component is electrically connected to the The cheek pulsation sensing component receives the cheek pulsation signal and a blood oxygen saturation signal from a plurality of the sensing elements, and the signal processing component responds to the waveform of the cheek pulsation signal from the plurality of the sensing components Perform signal processing to generate a signal processing result, and generate sleep-disordered breathing screening results for sleep-disordered breathing analysis according to the cross-reference comparison between the signal processing result and the blood oxygen saturation signal within a unit time, wherein , the sleep-disordered breathing analysis is based on the waveform ratio of the signal processing result to the curve of the blood oxygen saturation signal, and obtains the control of the number of mouth breaths and the blood oxygen saturation of the subject in the unit time. to confirm whether the subject suffers from sleep apnea.

在本發明的一實施例中係提供一種睡眠呼吸障礙篩檢設備,該血氧飽和度訊號係接收自該睡眠呼吸障礙篩檢設備之內部或外部之血氧感測構件,該血氧感測構件係感測該受測者於睡眠過程之血氧飽和度而取得血氧飽和度訊號。In an embodiment of the present invention, a sleep-disordered breathing screening device is provided. The blood oxygen saturation signal is received from an internal or external blood oxygen sensing component of the sleep-disordered breathing screening device. The blood oxygen sensing The component senses the blood oxygen saturation of the subject during sleep to obtain a blood oxygen saturation signal.

在本發明的一實施例中係提供一種睡眠呼吸障礙篩檢設備,該訊號處理構件所執行的該訊號處理為針對該受測者之該臉頰鼓動訊號的該波形進行濾波、波形辨識、波形註記的運算處理而產生該訊號處理結果。In an embodiment of the present invention, a sleep-disordered breathing screening device is provided. The signal processing performed by the signal processing component is filtering, waveform identification, and waveform annotation for the waveform of the cheek pulsation signal of the subject. to generate the signal processing result.

在本發明的一實施例中係提供一種睡眠呼吸障礙篩檢設備,包含一睡眠呼吸障礙分析構件,電性連接於該訊號處理構件,而根據該睡眠呼吸障礙篩檢結果進行該睡眠呼吸障礙分析。In one embodiment of the present invention, a sleep-disordered breathing screening device is provided, comprising a sleep-disordered breathing analysis component electrically connected to the signal processing component, and the sleep-disordered breathing analysis is performed according to the sleep-disordered breathing screening results .

在本發明的一實施例中係提供一種睡眠呼吸障礙篩檢設備,該臉頰鼓動感測構件包括第一感測元件以及第二感測元件,該第一感測元件以及該第二感測元件係分別設置於該受測者之該雙頰,且電性連接於該訊號處理構件。In an embodiment of the present invention, a sleep-disordered breathing screening device is provided. The cheek agitation sensing member includes a first sensing element and a second sensing element. The first sensing element and the second sensing element They are respectively arranged on the cheeks of the subject, and are electrically connected to the signal processing component.

在本發明的一實施例中係提供一種睡眠呼吸障礙篩檢設備,該感測元件為加速度感測器,該臉頰鼓動感測構件所測得之該臉頰鼓動訊號包含沿X軸振動的訊號、沿Y軸振動的訊號以及沿Z軸振動的訊號,該訊號處理係將該受測者之同一側臉頰之該沿X軸振動的訊號、該沿Y軸振動的訊號以及該沿Z軸振動的訊號的波形予以統合歸納而獲得具有時間記錄以及表示該受測者之雙頰鼓動次數的該訊號處理結果。In an embodiment of the present invention, a sleep-disordered breathing screening device is provided, the sensing element is an acceleration sensor, and the cheek agitation signal measured by the cheek agitation sensing member includes a signal vibrating along the X-axis, The signal vibrating along the Y axis and the signal vibrating along the Z axis, the signal processing is the signal vibrating along the X axis, the signal vibrating along the Y axis and the vibration signal along the Z axis of the same cheek of the subject The waveforms of the signals are integrated and summarized to obtain the signal processing results with a time record and representing the number of times the subject's cheeks are agitated.

在本發明的一實施例中係提供一種睡眠呼吸障礙篩檢設備,該血氧感測構件係為脈衝式血氧濃度器。In an embodiment of the present invention, a sleep-disordered breathing screening device is provided, and the blood oxygen sensing component is a pulse oximeter.

在本發明的一實施例中係提供一種睡眠呼吸障礙篩檢設備,在該睡眠呼吸障礙分析構件中,該睡眠呼吸障礙分析依據,在該單位時間內該受測者於睡眠過程進行每分鐘預定口呼吸次數以下的口呼吸、並且該血氧飽和度落在預定血氧飽和度變化之範圍,而確認該受測者並未患有睡眠呼吸中止症,該睡眠呼吸障礙分析依據,在該單位時間內該受測者於睡眠過程進行每分鐘該預定口呼吸次數以上的口呼吸、並且該血氧飽和度落在該預定血氧飽和度變化之範圍,而確認該受測者並未患有睡眠呼吸中止症,該睡眠呼吸障礙分析依據,在該單位時間內該受測者於睡眠過程進行每分鐘該預定口呼吸次數的口呼吸、並且該血氧飽和度低於該預定血氧飽和度變化而確認該受測者患有睡眠呼吸中止症。In an embodiment of the present invention, a sleep-disordered breathing screening device is provided. In the sleep-disordered breathing analysis component, the sleep-disordered breathing analysis is based on the fact that the subject performs a predetermined schedule per minute during the sleep process within the unit time. Mouth breathing less than the number of mouth breaths, and the blood oxygen saturation falls within the range of predetermined blood oxygen saturation changes, and it is confirmed that the subject does not suffer from sleep apnea, the sleep breathing disorder analysis basis, in this unit The subject performs mouth breathing more than the predetermined number of mouth breaths per minute during sleep, and the blood oxygen saturation falls within the range of the predetermined blood oxygen saturation variation, and confirms that the subject does not suffer from Sleep apnea, the sleep breathing disorder analysis is based on the fact that the subject performs mouth breathing at the predetermined number of mouth breaths per minute during sleep during the unit time, and the blood oxygen saturation is lower than the predetermined blood oxygen saturation change to confirm that the subject suffers from sleep apnea.

經由本發明的睡眠呼吸障礙篩檢設備所採用之技術手段,為睡眠技術員額外提供了多項評估及判斷受測者罹患睡眠呼吸中止症與否的參考依據,使得睡眠技術員於進行感測及推估受測者在睡眠期間的呼吸型態時,得以依據經該脈衝式血氧濃度器所測得之該血氧飽和度數據配合對比本發明之睡眠呼吸障礙篩檢設備所測得之該訊號處理結果而進行該睡眠呼吸障礙分析。換言之,本發明的睡眠呼吸障礙篩檢設備能夠使受測者在睡眠期間的呼吸型態能夠以更加具象化的方式呈現,進而幫助睡眠技術員提升判斷結果的客觀性以及準確度。Through the technical means adopted by the sleep apnea screening device of the present invention, a plurality of reference bases for evaluating and judging whether the subject suffers from sleep apnea is additionally provided for the sleep technician, so that the sleep technician can sense and estimate When the subject's breathing pattern during sleep, the signal processing measured by the sleep-disordered breathing screening equipment of the present invention can be compared according to the blood oxygen saturation data measured by the pulse oximeter. As a result, the sleep-disordered breathing analysis was performed. In other words, the sleep-disordered breathing screening device of the present invention can present the breathing pattern of the subject during sleep in a more concrete manner, thereby helping the sleep technician to improve the objectivity and accuracy of the judgment result.

以下根據第1圖至第5圖,而說明本發明的實施方式。該說明並非為限制本發明的實施方式,而為本發明之實施例的一種。Embodiments of the present invention will be described below with reference to FIGS. 1 to 5 . This description is not intended to limit the embodiments of the present invention, but is an example of the present invention.

如第1圖至第3圖所示,依據本發明的一實施例的一睡眠呼吸障礙篩檢設備100,包含:閉封元件1,係經配置而覆蓋於受測者S之雙唇而閉合口腔;臉頰鼓動感測構件2,包含複數個感測元件21,複數個該感測元件21係以數量對稱且分別位於該閉封元件1之相對二側的方式而貼附於該受測者S之雙頰,其中該臉頰鼓動感測構件2係取得該受測者S之雙頰的臉頰鼓動訊號MBS,以感測出該受測者S是否於睡眠過程具有屬於因進行口呼吸所形成雙頰鼓動的動作;血氧感測構件3,係感測該受測者S於睡眠過程之血氧飽和度OS而取得血氧飽和度訊號OSS;以及訊號處理構件4,電性連接於該臉頰鼓動感測構件2以及該血氧感測構件3,而自複數個該感測元件21接收該臉頰鼓動訊號MBS、以及自該血氧感測構件3接收該血氧飽和度訊號OSS,且該訊號處理構件4對於來自複數個該感測元件21的該臉頰鼓動訊號MBS的波形執行訊號處理SP而產生訊號處理結果SPR,並依據該訊號處理結果SPR與該血氧飽和度訊號OSS在單位時間內的相互參照比對,而產生用於供睡眠呼吸障礙分析A的睡眠呼吸障礙篩檢結果R,其中,該睡眠呼吸障礙分析A係將該訊號處理結果SPR之波形比對於該血氧飽和度訊號OSS之曲線,而取得該受測者S在該單位時間內進行口呼吸次數以及該血氧飽和度OS的對照而據以確認該受測者S是否患有睡眠呼吸中止症。As shown in FIG. 1 to FIG. 3, a sleep-disordered breathing screening apparatus 100 according to an embodiment of the present invention includes: a closing element 1, which is configured to cover the lips of the subject S and close Oral cavity; cheek incitement sensing member 2, comprising a plurality of sensing elements 21, a plurality of the sensing elements 21 are attached to the subject in a symmetrical manner and are respectively located on opposite sides of the closing element 1 The cheeks of S, wherein the cheek agitation sensing component 2 obtains the cheek agitation signal MBS of the subject S's cheeks, so as to sense whether the subject S has a problem caused by mouth breathing during sleep The action of pulsing the cheeks; the blood oxygen sensing component 3 is to sense the blood oxygen saturation OS of the subject S during sleep to obtain the blood oxygen saturation signal OSS; and the signal processing component 4 is electrically connected to the The cheek agitation sensing member 2 and the blood oxygen sensing member 3 receive the cheek agitation signal MBS from a plurality of the sensing elements 21 and the blood oxygen saturation signal OSS from the blood oxygen sensing member 3, and The signal processing component 4 performs signal processing SP on the waveform of the cheek pulsation signal MBS from the plurality of sensing elements 21 to generate a signal processing result SPR, and according to the signal processing result SPR and the blood oxygen saturation signal OSS in a unit A cross-reference comparison is performed over time to generate a sleep-disordered breathing test result R for sleep-disordered breathing analysis A, wherein the sleep-disordered breathing analysis A is the waveform ratio of the signal processing result SPR to the blood oxygen saturation The curve of the degree signal OSS is obtained, and the number of mouth breathing performed by the subject S in the unit time and the control of the blood oxygen saturation OS are obtained to confirm whether the subject S suffers from sleep apnea.

詳細而言,該封閉元件1係用於使該受測者S的該口腔閉合以便於該臉頰鼓動感測構件2於該受測者S進行口呼吸時,避免因空氣直接由口腔呼出而使該臉頰鼓動感測構件2所感測到之該臉頰鼓動訊號MBS過於微弱,而增加本發明之該睡眠呼吸障礙篩檢設備100進行該睡眠呼吸障礙分析A時的難易度。換言之,該封閉元件1係有助於該臉頰鼓動感測構件2感測出清楚、明顯的該臉頰鼓動訊號MBS。其中,該臉頰鼓動訊號MBS係以振動波形的方式呈現。該封閉元件1在本實施例中為透氣膠帶,亦可以為其他能夠用於使該受測者S的該口腔閉合但又不影響該受測者S進行口呼吸的任何物件。In detail, the closing element 1 is used to close the oral cavity of the subject S, so that the cheek agitation sensing member 2 can prevent the air from being directly exhaled from the oral cavity when the subject S performs mouth breathing. The cheek agitation signal MBS sensed by the cheek agitation sensing member 2 is too weak, which increases the difficulty of the sleep-disordered breathing screening apparatus 100 of the present invention to perform the sleep-disordered breathing analysis A. In other words, the closing element 1 helps the cheek pulsation sensing member 2 to sense the clear and obvious cheek pulsation signal MBS. Wherein, the cheek agitation signal MBS is presented in the form of a vibration waveform. The sealing element 1 is a breathable adhesive tape in this embodiment, and can also be any other object that can be used to close the oral cavity of the subject S without affecting the subject S to perform mouth breathing.

詳細而言,複數個該感測元件21係以數量對稱且分別位於該閉封元件1之相對二側的方式而貼附於該受測者S之雙頰。其中,數量對稱的複數個該感測元件21係指:若該受測者S之該雙頰的其中一側貼附有一個該感測元件21時,則該雙頰的另一側亦必定貼附有一個該感測元件21;若該雙頰之其中一側貼附有二個該感測元件21時,則該雙頰的另一側亦必定貼附有二個該感測元件21,以此類推。Specifically, a plurality of the sensing elements 21 are attached to the cheeks of the subject S in a symmetrical manner and are respectively located on two opposite sides of the closing element 1 . Wherein, a plurality of the sensing elements 21 with a symmetrical number means: if one side of the cheeks of the subject S is attached with one of the sensing elements 21, the other side of the cheeks must also be attached One of the sensing elements 21 is attached; if two of the sensing elements 21 are attached to one side of the cheeks, then two of the sensing elements 21 must also be attached to the other side of the cheeks , and so on.

詳細而言,雖然該臉頰鼓動感測構件2主要係感測因該受測者S進行口呼吸使雙頰鼓動而形成之該臉頰鼓動訊號MBS,但若是該受測者S於睡眠期間亦有進行鼻呼吸,該臉頰鼓動感測構件2亦能感測到因該受測者S進行鼻呼吸所產生的微弱振動,則該臉頰鼓動訊號MBS亦可能包括微小波形,一般會將此種微小波形視為鼻呼吸訊號。另一方面,該訊號處理構件4所執行的該訊號處理SP更包括了將所接收到的該臉頰鼓動訊號MBS之振幅放大的功能,因此,若睡眠技術員欲觀察該受測者S的鼻呼吸次數,便可利用該訊號處理構件4所執行的該訊號處理SP,將該臉頰鼓動訊號MBS的振幅放大以便觀察鼻呼吸次數。In detail, although the cheek pulsation sensing member 2 mainly senses the cheek pulsation signal MBS formed by the subject S's mouth breathing to pulsate the cheeks, if the subject S also has the signal MBS during sleep When performing nasal breathing, the cheek agitation sensing member 2 can also sense the weak vibrations generated by the subject S performing nasal breathing, and the cheek agitation signal MBS may also include a tiny waveform, which is generally regarded as such a tiny waveform. Take it as a nasal breathing signal. On the other hand, the signal processing SP executed by the signal processing component 4 further includes a function of amplifying the amplitude of the received cheek pulsation signal MBS. Therefore, if the sleep technician wants to observe the nasal breathing of the subject S If the number of times is reached, the signal processing SP performed by the signal processing component 4 can be used to amplify the amplitude of the cheek pulsation signal MBS so as to observe the number of nasal breathing.

如第2圖以及第3圖所示,依據本發明的實施例的睡眠呼吸障礙篩檢設備100,其中該訊號處理構件4所執行的該訊號處理SP為針對該受測者S之該臉頰鼓動訊號MBS的該波形進行該濾波F、該波形辨識WR、該波形註記WM的運算處理而產生該訊號處理結果SPR。As shown in FIG. 2 and FIG. 3 , in the sleep-disordered breathing screening apparatus 100 according to an embodiment of the present invention, the signal processing SP executed by the signal processing component 4 is the cheek agitation for the subject S The waveform of the signal MBS is subjected to the arithmetic processing of the filtering F, the waveform identification WR, and the waveform annotation WM to generate the signal processing result SPR.

詳細而言,第4圖以及第5圖係分別為歷時1分鐘內該臉頰鼓動感測構件2所感測出之該臉頰鼓動訊號MBS的原始訊號示意圖以及歷時1分鐘內經該訊號處理構件4執行該訊號處理SP所得出之該訊號處理結果SPR的示意圖。如第2圖至第5圖所示,由於該臉頰鼓動感測構件2於感測該受測者S在睡眠過程中因口呼吸而形成雙頰鼓動之該動作時,其他不具特殊意義的振動亦會被該臉頰鼓動感測構件2感測到,使得尚未經過該訊號處理SP之該臉頰鼓動訊號MBS存在雜訊,因而不利於後續一睡眠呼吸障礙分析構件5進行該睡眠呼吸障礙分析A。進行該訊號處理SP可視為該睡眠呼吸障礙分析構件5於進行該睡眠呼吸障礙分析A前的前置作業,目的為使該睡眠呼吸障礙分析構件5於進行該睡眠呼吸障礙分析A時能夠以更有效率的方式輔助確認該受測者S是否患有睡眠呼吸中止症。該訊號處理SP所包括之該濾波F運算處理係為將尚未經處理之該臉頰鼓動訊號MBS所存在之雜訊排除;該波形辨識WR運算處理係為針對該臉頰鼓動訊號MBS辨識每個因該受測者S進行口呼吸所形成之波形,以使該睡眠呼吸障礙分析構件5於進行該睡眠呼吸障礙分析A時便於計算該受測者S之單位時間內進行的口呼吸次數;該波形註記WM運算處理係為針對該臉頰鼓動訊號MBS的每個波峰標註記號,以使該睡眠呼吸障礙分析構件5於進行該睡眠呼吸障礙分析A時便於計算該受測者S之單位時間內進行口呼吸次數。In detail, FIG. 4 and FIG. 5 are respectively a schematic diagram of the original signal of the cheek pulsation signal MBS sensed by the cheek pulsation sensing member 2 for 1 minute and the execution of the process by the signal processing member 4 within 1 minute. A schematic diagram of the signal processing result SPR obtained by the signal processing SP. As shown in Fig. 2 to Fig. 5, when the cheek agitation sensing member 2 senses the movement of the subject S's cheeks pulsing due to mouth breathing during sleep, other vibrations that have no special significance It will also be sensed by the cheek agitation sensing component 2, so that the cheek agitation signal MBS that has not undergone the signal processing SP has noise, which is not conducive to the sleep-disordered breathing analysis component 5 to perform the sleep-disordered breathing analysis A. Performing the signal processing SP can be regarded as a pre-operation of the sleep-disordered breathing analysis component 5 before performing the sleep-disordered breathing analysis A, the purpose is to enable the sleep-disordered breathing analysis component 5 to perform the sleep-disordered breathing analysis A in a better manner. The efficient way assists in confirming whether the subject S suffers from sleep apnea. The filtering F arithmetic processing included in the signal processing SP is to eliminate the noise existing in the cheek pulsation signal MBS that has not been processed; the waveform identification WR arithmetic processing is to identify each cause of the cheek pulsation signal MBS for the cheek pulsation signal MBS. The waveform formed by the subject S performing mouth breathing, so that the sleep-disordered breathing analysis component 5 can easily calculate the number of mouth-breathing performed by the subject S per unit time during the sleep-disordered breathing analysis A; the waveform is marked WM arithmetic processing is to mark each peak of the cheek agitation signal MBS, so that the sleep-disordered breathing analysis component 5 facilitates the calculation of the subject S's mouth breathing per unit time when performing the sleep-disordered breathing analysis A. frequency.

如第2圖所示,依據本發明的實施例的睡眠呼吸障礙篩檢設備100,更包含該睡眠呼吸障礙分析構件5,電性連接於該訊號處理構件4,而根據該睡眠呼吸障礙篩檢結果R進行該睡眠呼吸障礙分析A。As shown in FIG. 2 , the sleep-disordered breathing screening device 100 according to an embodiment of the present invention further includes the sleep-disordered breathing analysis component 5 , which is electrically connected to the signal processing component 4 . Result R performs this sleep-disordered breathing analysis A.

詳細而言,該睡眠呼吸障礙分析構件5係為一睡眠檢測相關儀器,當然,本發明不以此為限。於其他實施例中,該睡眠呼吸障礙分析構件5亦可為其他能夠確認該受測者S是否患有睡眠呼吸中止症的相關人員,例如:睡眠技術員、醫師或是智慧型機器人等。In detail, the sleep-disordered breathing analysis component 5 is a sleep detection related instrument, of course, the present invention is not limited to this. In other embodiments, the sleep-disordered breathing analysis component 5 may also be other related personnel capable of confirming whether the subject S suffers from sleep apnea, such as a sleep technician, a physician, or an intelligent robot.

如第2圖所示,依據本發明的實施例的睡眠呼吸障礙篩檢設備100,該臉頰鼓動感測構件2包括第一感測元件21a以及第二感測元件21b,該第一感測元件21a以及該第二感測元件21b係分別設置於該受測者S之該雙頰,且電性連接於該訊號處理構件4。As shown in FIG. 2 , according to the sleep-disordered breathing screening apparatus 100 according to the embodiment of the present invention, the cheek agitation sensing member 2 includes a first sensing element 21 a and a second sensing element 21 b. The first sensing element 21a and the second sensing element 21b are respectively disposed on the cheeks of the subject S, and are electrically connected to the signal processing member 4 .

如第2圖至第5圖所示,依據本發明的實施例的睡眠呼吸障礙篩檢設備100,該感測元件21為加速度感測器(accelerometer),該臉頰鼓動感測構件2所測得之該臉頰鼓動訊號MBS包含沿X軸振動的訊號、沿Y軸振動的訊號以及沿Z軸振動的訊號,該訊號處理SP係將該受測者S之同一側臉頰之該沿X軸振動的訊號、該沿Y軸振動的訊號以及該沿Z軸振動的訊號的波形予以統合歸納而獲得具有時間記錄以及表示該受測者S之雙頰鼓動次數的該訊號處理結果SPR。As shown in FIG. 2 to FIG. 5 , according to the sleep-disordered breathing screening device 100 according to the embodiment of the present invention, the sensing element 21 is an accelerometer, and the cheek movement sensing member 2 measures the The cheek agitation signal MBS includes a signal vibrating along the X axis, a signal vibrating along the Y axis, and a signal vibrating along the Z axis, and the signal processing SP is the same side cheek of the subject S vibrating along the X axis. The waveforms of the signal, the signal vibrating along the Y-axis, and the signal vibrating along the Z-axis are integrated and summarized to obtain the signal processing result SPR with a time record and representing the number of times of cheek agitation of the subject S.

詳細而言,如第2圖至第4圖所示,該第一感測元件21a感測到所在之該側臉頰之該沿X軸振動的訊號為X1、該沿Y軸振動的訊號為Y1以及該沿Z軸振動的訊號為Z1;該第二感測元件21b感測到所在之該側臉頰之該沿X軸振動的訊號為X2、該沿Y軸振動的訊號為Y2以及該沿Z軸振動的訊號為Z2。In detail, as shown in FIGS. 2 to 4 , the signal vibrating along the X axis of the side cheek where the first sensing element 21a senses is X1 is X1, and the signal vibrating along the Y axis is Y1 And the signal vibrating along the Z axis is Z1; the second sensing element 21b senses the side cheek where the signal vibrating along the X axis is X2, the signal vibrating along the Y axis is Y2, and the signal along the Z axis is The signal of shaft vibration is Z2.

如第2圖至第5圖所示,該訊號處理SP更包括統合歸納CI運算處理,係將來自該第一感測元件21a的三軸訊號(X1、Y1以及Z1)統合成單一個統合訊號波形並命名為GS1,亦將來自該第二感測元件21b的三軸訊號(X2、Y2以及Z2)統合成單一個統合訊號波形並命名為GS2,以使該睡眠呼吸障礙分析構件5於進行該睡眠呼吸障礙分析A時便於判斷該受測者S之口呼吸次數、呼吸型態甚至側睡與否等睡眠狀況。As shown in FIG. 2 to FIG. 5, the signal processing SP further includes an integrated and integrated CI operation processing, which integrates the three-axis signals (X1, Y1 and Z1) from the first sensing element 21a into a single integrated signal The waveform is named GS1, and the triaxial signals (X2, Y2, and Z2) from the second sensing element 21b are also integrated into a single integrated signal waveform named GS2, so that the sleep-disordered breathing analysis component 5 can perform The sleep-disordered breathing analysis A is convenient for judging the subject S's mouth breathing frequency, breathing pattern, and even sleep conditions such as side sleeping.

詳細而言,在本實施例中,該第一感測元件21a係貼附於該受測者S之雙頰的左側臉頰,該第二感測元件21b係貼附於該受測者S之雙頰的右側臉頰。該第一感測元件21a以及該第二感測元件21b所感測得出之共六軸之訊號可依照方向性而分為兩種訊號,包括代表該臉頰鼓動訊號MBS之雙邊反向訊號(X、Y);以及代表正常呼吸所產生之身體位移的雙邊同向訊號(Z),其中該雙邊同向訊號(Z)係為微弱之訊號。上述兩者皆能捕捉連續/非連續的呼吸訊號,但為求能夠精簡兩邊訊號,遂將來自該第一感測元件21a的三軸訊號(X1、Y1以及Z1)統合成單一個統合訊號波形並命名為GS1,亦將來自該第二感測元件21b的三軸訊號(X2、Y2以及Z2)統合成單一個統合訊號波形並命名為GS2。In detail, in this embodiment, the first sensing element 21a is attached to the left cheek of the subject S's cheeks, and the second sensing element 21b is attached to the subject S's cheek The right cheek of both cheeks. The signals of a total of six axes sensed by the first sensing element 21a and the second sensing element 21b can be divided into two types of signals according to the directionality, including a bilateral reverse signal (X , Y); and the bilateral in-direction signal (Z) representing the body displacement produced by normal breathing, wherein the bilateral in-direction signal (Z) is a weak signal. Both of the above can capture continuous/discontinuous breathing signals, but in order to simplify the signals on both sides, the three-axis signals (X1, Y1 and Z1) from the first sensing element 21a are integrated into a single integrated signal waveform It is named as GS1, and the three-axis signals (X2, Y2 and Z2) from the second sensing element 21b are also integrated into a single integrated signal waveform and named as GS2.

如第1圖至第2圖所示,依據本發明的實施例的睡眠呼吸障礙篩檢設備100,該血氧感測構件3係為脈衝式血氧濃度器。As shown in FIGS. 1 to 2 , according to the sleep-disordered breathing screening apparatus 100 according to the embodiment of the present invention, the blood oxygen sensing component 3 is a pulse oximeter.

詳細而言,該脈衝式血氧濃度器可以為指夾式(Fingertip)、腕戴式(Wrist-worn)、坐檯式(Tabletop)、便攜式(Handheld)或是其他能夠以任何形式測量該血氧飽和度OS之該脈衝式血氧濃度器。In detail, the pulse oximeter can be a Fingertip, Wrist-worn, Tabletop, Handheld, or any other device capable of measuring the blood in any form. The pulse oximeter for oxygen saturation OS.

如第1圖至第3圖所示,該睡眠呼吸障礙篩檢設備100經啟動後,複數個該感測元件21開始感測該臉頰鼓動訊號MBS,該血氧感測構件3開始感測該血氧飽和度訊號OSS。該臉頰鼓動訊號MBS隨後經由該訊號處理構件4進行該訊號處理SP。該訊號處理SP係將該臉頰鼓動訊號MBS進行該濾波F、該波形辨識WR、該波形註記WM以及該統合歸納CI等運算處理而得到該訊號處理結果SPR。該訊號處理構件4遂將該訊號處理結果SPR與該血氧感測構件3所測得之該血氧飽和度訊號OSS相互參照比對,而產生用於供睡眠呼吸障礙分析A的睡眠呼吸障礙篩檢結果R。該睡眠呼吸障礙分析構件5遂依據該睡眠呼吸障礙篩檢結果R而進行該睡眠呼吸障礙分析A,以評估、確認該受測者S是否患有睡眠呼吸中止症。若該睡眠呼吸障礙分析構件5所進行之該睡眠呼吸障礙分析A的結果為否定,則表示該受測者S並未罹患睡眠呼吸中止症,隨後結束本次之篩檢;若該結果為肯定,則於本次篩檢結束後建議進行該睡眠多項生理檢查PSG,即,以更全面的醫學檢驗流程確認該受測者S是否確實罹患睡眠呼吸中止症。As shown in FIGS. 1 to 3, after the sleep-disordered breathing screening apparatus 100 is activated, the plurality of sensing elements 21 begin to sense the cheek pulsation signal MBS, and the blood oxygen sensing member 3 begins to sense the Blood oxygen saturation signal OSS. The cheek stirring signal MBS is then subjected to the signal processing SP through the signal processing means 4 . The signal processing SP is to perform the filtering F, the waveform identification WR, the waveform notation WM, and the integrated summation CI on the cheek pulsation signal MBS to obtain the signal processing result SPR. The signal processing component 4 then compares the signal processing result SPR and the blood oxygen saturation signal OSS measured by the blood oxygen sensing component 3 with each other, and generates sleep disordered breathing for sleep disordered breathing analysis A Screening Results R. The sleep apnea analysis component 5 then performs the sleep apnea analysis A according to the sleep apnea screening result R, so as to evaluate and confirm whether the subject S suffers from sleep apnea. If the result of the sleep-disordered breathing analysis A performed by the sleep-disordered breathing analysis component 5 is negative, it means that the subject S does not suffer from sleep apnea, and then this screening is ended; if the result is positive , then it is recommended to perform the sleep multiple physiological examination PSG after this screening, that is, to confirm whether the subject S is indeed suffering from sleep apnea by a more comprehensive medical examination process.

依據本發明的實施例的睡眠呼吸障礙篩檢設備100,其中在該睡眠呼吸障礙分析構件5中,該睡眠呼吸障礙分析A依據,在該單位時間內該受測者S於睡眠過程進行每分鐘預定口呼吸次數以下(例如:每分鐘三次以下)的口呼吸、並且該血氧飽和度OS落在預定血氧飽和度變化之範圍(例如:95~100%之範圍),而確認該受測者S並未患有睡眠呼吸中止症,該睡眠呼吸障礙分析A依據,在該單位時間內該受測者S於睡眠過程進行每分鐘該預定口呼吸次數以上(例如:每分鐘十三次及十三次以上)的口呼吸、並且該血氧飽和度OS落在該預定血氧飽和度變化之範圍(例如:95~100%之範圍),而確認該受測者S並未患有睡眠呼吸中止症,該睡眠呼吸障礙分析A依據,在該單位時間內該受測者S於睡眠過程進行每分鐘該預定口呼吸次數(例如:三至十二次)的口呼吸、並且該血氧飽和度OS低於該預定血氧飽和度變化之範圍(例如:低於90%)而確認該受測者S患有睡眠呼吸中止症。According to the sleep-disordered breathing screening apparatus 100 according to the embodiment of the present invention, in the sleep-disordered breathing analysis component 5, the sleep-disordered breathing analysis A is based on the fact that the subject S performs every minute of sleep during the unit time. If the mouth breaths are less than or equal to a predetermined number of mouth breaths (for example, three times per minute or less), and the blood oxygen saturation OS falls within the predetermined blood oxygen saturation change range (for example, the range of 95~100%), the tested subject is confirmed. Subject S does not suffer from sleep apnea, and the sleep apnea analysis A is based on the fact that the subject S performs more than the predetermined number of mouth breaths per minute during sleep during the unit time (for example: thirteen times per minute and more than thirteen times) mouth breathing, and the blood oxygen saturation OS falls within the predetermined blood oxygen saturation change range (for example: the range of 95~100%), and confirms that the subject S does not suffer from sleep Apnea, the sleep-disordered breathing analysis A is based on the fact that, within the unit time, the subject S performs the predetermined number of mouth breaths per minute (for example: three to twelve times) during sleep, and the blood oxygen When the saturation OS is lower than the predetermined range of blood oxygen saturation (eg, lower than 90%), it is confirmed that the subject S suffers from sleep apnea.

詳細而言,本發明之該睡眠呼吸障礙篩檢設備100係定義了複數種可能會出現於該受測者S之睡眠期間的呼吸型態,其中,由於「最大呼吸次數」係因人而異,因此該受測者S的該呼吸型態分類亦不盡相同。 定義複數種該呼吸型態的前置步驟為: (1) 該睡眠呼吸障礙分析構件5於該臉頰鼓動訊號MBS中找出連續3~5分鐘有出現口呼吸之波形或是微小波形(即,鼻呼吸之波形)的部分訊號,計算該部分訊號的平均呼吸次數,並將該平均呼吸次數界定為該「最大呼吸次數」。 (2) 將所計算出之該「最大呼吸次數」減去預定數值(例如減去三)後,所得數值將被視為每分鐘進行之口呼吸次數,且依據該口呼吸次數的不同,該口呼吸次數將被分類至代表複數種不同的呼吸型態來進行進一步之分析。 複數種該呼吸型態的定義為: (a)     在該單位時間內該受測者S於睡眠過程進行每分鐘該預定口呼吸次數以下(例如:每分鐘三次以下,不包含三次)的口呼吸:該睡眠呼吸障礙分析構件5將判定該單位時間之呼吸型態為全部鼻呼吸(Complete Nasal Breathing, CNB),此時之血氧濃度應正常,該血氧飽和度OS應落在該預定血氧飽和度變化之範圍(例如:95~100%),且呼吸中止次數(ODI)少。 (b)     在該單位時間內該受測者S於睡眠過程進行每分鐘該預定口呼吸次數以上(例如:每分鐘十三次及十三次以上)的口呼吸:該睡眠呼吸障礙分析構件5將判定該單位時間之呼吸型態為全部口呼吸(Complete Mouth Breathing, CMB),係為明顯出現臉頰鼓動現象之呼吸型態,此時之該血氧濃度應正常,該血氧飽和度OS應落在該預定血氧飽和度變化之範圍(例如:95~100%),且ODI少。 (c)     在該單位時間內該受測者S於睡眠過程進行每分鐘該預定口呼吸次數(例如:三至十二次)的口呼吸:該睡眠呼吸障礙分析構件5將判定該單位時間之呼吸型態為不連續口呼吸(Intermittent Mouth Breathing, IMB),代表出現了睡眠呼吸中止的症狀,此時之該血氧濃度會降低,該血氧飽和度OS應低於該預定血氧飽和度變化之範圍(例如:低於90%),且ODI多。 (d)     另外,該臉頰鼓動訊號MBS經由該統合歸納CI之運算處理而得出之兩軸訊號波形(GS1以及GS2)之該波形註記WM差值(G-sensor Diff.)的絕對值若大於3,則該睡眠呼吸障礙分析構件5將判定此種呼吸型態為側睡口呼吸(SS)。該側睡口呼吸係指該受測者S於睡眠過程中側睡所進行之口呼吸。詳細而言,由於該第一感測元件21a及該第二感測元件21b分別設置於該受測者S之該雙頰,因此,當其中一個感測元件21有感測到該臉頰鼓動訊號MBS但另一個感測元件21卻未感測到,且該兩軸訊號波形(GS1以及GS2)之該波形註記WM的差值(G-sensor Diff.)的絕對值大於三時,則該睡眠呼吸障礙分析構件5將判定該單位時間之呼吸型態為側睡口呼吸。 In detail, the sleep-disordered breathing screening apparatus 100 of the present invention defines a plurality of breathing patterns that may occur during the sleep of the subject S, wherein the “maximum number of breaths” varies from person to person. , so the classification of the breathing pattern of the subject S is also different. The pre-steps for defining multiple such breathing patterns are: (1) The sleep-disordered breathing analysis component 5 finds out the part of the signal in the cheek agitation signal MBS that has a waveform of mouth breathing or a small waveform (ie, the waveform of nasal breathing) for 3 to 5 consecutive minutes, and calculates the part of the signal The average number of breaths, and the average number of breaths is defined as the "maximum number of breaths". (2) After subtracting a predetermined value (for example, subtracting three) from the calculated "maximum number of breaths", the obtained value will be regarded as the number of mouth breaths per minute, and depending on the number of mouth breaths, the The number of mouth breaths will be classified to represent multiple different breathing patterns for further analysis. Plural definitions of this breathing pattern are: (a) During the unit time, the subject S performs mouth breathing less than the predetermined number of mouth breaths per minute (for example: less than three times per minute, excluding three times) during sleep: the sleep-disordered breathing analysis component 5 will determine The breathing pattern of the unit time is Complete Nasal Breathing (CNB), the blood oxygen concentration at this time should be normal, and the blood oxygen saturation OS should fall within the range of the predetermined blood oxygen saturation change (for example: 95 ~100%), and the number of respiratory interruptions (ODI) is low. (b) During the unit time, the subject S performs mouth breathing more than the predetermined number of mouth breaths per minute (for example: thirteen and more than thirteen times per minute) during sleep: the sleep-disordered breathing analysis component 5 The breathing pattern of the unit time will be determined as Complete Mouth Breathing (CMB), which is the breathing pattern with obvious cheek agitation. At this time, the blood oxygen concentration should be normal, and the blood oxygen saturation OS should be It falls within the range of the predetermined blood oxygen saturation change (for example: 95~100%), and the ODI is small. (c) During the unit time, the subject S performs mouth breathing of the predetermined number of mouth breaths per minute (for example: three to twelve times) during sleep: the sleep-disordered breathing analysis component 5 will determine the unit time. The breathing pattern is Intermittent Mouth Breathing (IMB), which represents the symptoms of sleep apnea. At this time, the blood oxygen concentration will decrease, and the blood oxygen saturation OS should be lower than the predetermined blood oxygen saturation. The range of variation (eg: less than 90%), and the ODI is high. (d) In addition, if the absolute value of the waveform mark WM difference (G-sensor Diff.) of the two-axis signal waveforms (GS1 and GS2) obtained by the operation processing of the integrated and inductive CI of the cheek agitation signal MBS is greater than 3, the sleep-disordered breathing analysis component 5 will determine that this breathing pattern is side sleep breathing (SS). The side-sleeping mouth breathing refers to the mouth breathing performed by the subject S in the side-sleeping process. In detail, since the first sensing element 21a and the second sensing element 21b are respectively disposed on the cheeks of the subject S, when one of the sensing elements 21 senses the cheek pulsation signal When the MBS is not sensed by the other sensing element 21, and the absolute value of the difference (G-sensor Diff.) of the waveform mark WM of the two-axis signal waveforms (GS1 and GS2) is greater than three, the sleep The breathing disorder analysis component 5 will determine that the breathing pattern of the unit time is side sleeping mouth breathing.

詳細而言,本發明之該睡眠呼吸障礙篩檢設備100係透過判定該受測者S於單位時間之呼吸型態以及該呼吸型態在整段睡眠期間所佔的比例,並搭配該血氧飽和度OS相互參照做比對,以檢視該受測者S整段睡眠過程中的睡眠狀況,進而判斷該受測者S是否罹患睡眠呼吸中止症以達成篩檢之目的。Specifically, the sleep-disordered breathing screening apparatus 100 of the present invention determines the breathing pattern of the subject S per unit time and the proportion of the breathing pattern in the entire sleep period, and matches the blood oxygen The saturation OS is compared with each other to check the sleep status of the subject S during the entire sleep process, and then to determine whether the subject S suffers from sleep apnea for the purpose of screening.

藉由本發明所採用之技術手段,使得睡眠呼吸障礙分析構件5(在此係指睡眠技術員)能夠在進行睡眠呼吸中止症的篩檢時,獲得更多項評估及判斷該受測者S罹患睡眠呼吸中止症與否的參考依據。睡眠技術員於進行感測及推估該受測者S在睡眠期間的呼吸型態時,得以將該血氧感測構件3所測得對應於該血氧飽和度訊號OSS之該血氧飽和度OS,與本發明之睡眠呼吸障礙篩檢設備100所測得對應於該訊號處理結果SPR之單位時間內的口呼吸次數相互參照比對,進而使該受測者S在睡眠期間的呼吸型態能夠以更加具象化的方式呈現,而睡眠技術員亦能藉此提升該睡眠呼吸障礙篩檢結果R的客觀性以及準確度。With the technical means adopted in the present invention, the sleep-disordered breathing analysis component 5 (herein referred to as a sleep technician) can obtain more evaluations and determine that the subject S suffers from sleep disorders during the screening of sleep apnea. Reference basis for apnea or not. When the sleep technician performs sensing and estimation of the breathing pattern of the subject S during sleep, the blood oxygen saturation measured by the blood oxygen sensing component 3 corresponds to the blood oxygen saturation signal OSS. The OS is cross-referenced and compared with the number of mouth breathing per unit time corresponding to the signal processing result SPR measured by the sleep-disordered breathing screening apparatus 100 of the present invention, so as to make the breathing pattern of the subject S during sleep It can be presented in a more concrete way, and the sleep technician can also improve the objectivity and accuracy of the sleep-disordered breathing screening result R.

除此之外,在治療睡眠呼吸中止症的諸多方法中,配戴陽壓呼吸器(Continuous Positive Airway Pressure, CPAP)係為常見的治療方式,睡眠技術員亦可藉由判讀本發明之該睡眠呼吸障礙篩檢設備100所產生之該睡眠呼吸障礙篩檢結果R來評估病患於配戴CPAP後的治療效果好壞。於治療睡眠呼吸中止症的期間,亦可利用該睡眠呼吸障礙篩檢設備100作治療效果的追蹤。再者,由於本發明之該睡眠呼吸障礙篩檢設備100能夠感測出該受測者S是否於睡眠過程具有屬於因進行口呼吸所形成雙頰鼓動的動作,而當該受測者S因進行口呼吸而形成雙頰鼓動的動作時,所代表的意義為:此時該受測者S的舌根應呈現無力的狀態。因此,本發明之該睡眠呼吸障礙篩檢設備100亦能夠幫助睡眠技術員了解該受測者S之舌肌力的狀況為何。In addition, among many methods of treating sleep apnea, wearing a continuous positive airway pressure (CPAP) is a common treatment method, and sleep technicians can also interpret the sleep apnea of the present invention by interpreting the The sleep-disordered breathing disorder screening result R generated by the disorder screening device 100 is used to evaluate whether the patient's treatment effect after wearing CPAP is good or not. During the treatment of sleep apnea, the sleep apnea screening device 100 can also be used to track the treatment effect. Furthermore, since the sleep-disordered breathing screening apparatus 100 of the present invention can detect whether the subject S has a movement of cheeks caused by mouth breathing during sleep, and when the subject S is due to When mouth breathing is performed to form the action of cheek agitation, the meaning represented is: at this time, the base of the tongue of the subject S should be in a state of weakness. Therefore, the sleep-disordered breathing screening apparatus 100 of the present invention can also help the sleep technician to know what the tongue muscle strength of the subject S is.

以上之敘述以及說明僅為本發明之較佳實施例之說明,對於此項技術具有通常知識者當可依據以下所界定申請專利範圍以及上述之說明而作其他之修改,惟此些修改仍應是為本發明之發明精神而在本發明之權利範圍中。The above descriptions and descriptions are only descriptions of preferred embodiments of the present invention. Those with ordinary knowledge in the art can make other modifications according to the scope of the patent application defined below and the above descriptions, but these modifications should still be It is within the scope of the right of the present invention for the inventive spirit of the present invention.

100:睡眠呼吸障礙篩檢設備 1:封閉元件 2:臉頰鼓動感測構件 21:感測元件 21a:第一感測元件 21b:第二感測元件 3:血氧感測構件 4:訊號處理構件 5:睡眠呼吸障礙分析構件 S:受測者 MBS:臉頰鼓動訊號 OS:血氧飽和度 OSS:血氧飽和度訊號 SP:訊號處理 SPR:訊號處理結果 A:睡眠呼吸障礙分析 R:睡眠呼吸障礙篩檢結果 F:濾波 WR:波形辨識 WM:波形註記 CI:統合歸納 PSG:睡眠多項生理檢查 100: Sleep-disordered breathing screening equipment 1: closed element 2: Cheek agitation sensing member 21: Sensing element 21a: the first sensing element 21b: Second sensing element 3: Blood oxygen sensing component 4: Signal processing components 5: Sleep-disordered breathing analysis component S: Subject MBS: Cheek Whispering Signal OS: blood oxygen saturation OSS: blood oxygen saturation signal SP: Signal Processing SPR: Signal Processing Result A: Analysis of sleep-disordered breathing R: Sleep-disordered breathing screening results F: Filter WR: Waveform Recognition WM: Waveform Annotation CI: Integrated Induction PSG: Sleep Multiple Physiological Tests

第1圖為顯示根據本發明的一實施例的睡眠呼吸障礙篩檢設備的系統圖; 第2圖為顯示根據本發明的實施例的睡眠呼吸障礙篩檢設備的硬體裝置示意圖; 第3圖為顯示根據本發明的實施例的睡眠呼吸障礙篩檢設備的系統運作流程圖; 第4圖為顯示根據本發明的實施例的睡眠呼吸障礙篩檢設備的原始訊號示意圖; 第5圖為顯示根據本發明的實施例的睡眠呼吸障礙篩檢設備的訊號處理結果示意圖。 FIG. 1 is a system diagram showing a sleep-disordered breathing screening device according to an embodiment of the present invention; FIG. 2 is a schematic diagram showing a hardware device of a sleep-disordered breathing screening apparatus according to an embodiment of the present invention; FIG. 3 is a flow chart showing the system operation of the sleep-disordered breathing screening apparatus according to an embodiment of the present invention; FIG. 4 is a schematic diagram showing the original signal of the sleep-disordered breathing screening apparatus according to an embodiment of the present invention; FIG. 5 is a schematic diagram showing a signal processing result of the sleep-disordered breathing screening apparatus according to an embodiment of the present invention.

100:睡眠呼吸障礙篩檢設備 100: Sleep-disordered breathing screening equipment

1:封閉元件 1: closed element

2:臉頰鼓動感測構件 2: Cheek agitation sensing member

21:感測元件 21: Sensing element

21a:第一感測元件 21a: the first sensing element

21b:第二感測元件 21b: Second sensing element

3:血氧感測構件 3: Blood oxygen sensing component

4:訊號處理構件 4: Signal processing components

5:睡眠呼吸障礙分析構件 5: Sleep-disordered breathing analysis component

S:受測者 S: Subject

Claims (8)

一種睡眠呼吸障礙篩檢設備,包含: 閉封元件,係經配置而覆蓋於受測者之雙唇而閉合口腔; 臉頰鼓動感測構件,包含複數個感測元件,複數個該感測元件係以數量對稱且分別位於該閉封元件之相對二側的方式而貼附於該受測者之雙頰,其中該臉頰鼓動感測構件係取得該受測者之雙頰的臉頰鼓動訊號,以感測出該受測者是否於睡眠過程具有屬於因進行口呼吸所形成雙頰鼓動的動作;以及 訊號處理構件,電性連接於該臉頰鼓動感測構件,而自複數個該感測元件接收該臉頰鼓動訊號、以及接收一血氧飽和度訊號,且該訊號處理構件對於來自複數個該感測元件的該臉頰鼓動訊號的波形執行訊號處理而產生訊號處理結果,並依據該訊號處理結果與該血氧飽和度訊號在單位時間內的相互參照比對,而產生用於供睡眠呼吸障礙分析的睡眠呼吸障礙篩檢結果, 其中,該睡眠呼吸障礙分析係將該訊號處理結果之波形比對於該血氧飽和度訊號之曲線,而取得該受測者在該單位時間內進行口呼吸次數以及該血氧飽和度的對照而據以確認該受測者是否患有睡眠呼吸中止症。 A sleep-disordered breathing screening device comprising: A closing element configured to cover the subject's lips to close the oral cavity; The cheek agitation sensing member includes a plurality of sensing elements, and the plurality of the sensing elements are attached to the cheeks of the subject in a symmetrical manner and are respectively located on opposite sides of the closing element, wherein the The cheek pulsation sensing component obtains the cheek pulsation signal of the subject's cheeks, so as to sense whether the subject has a movement of the cheek pulsation formed by mouth breathing during sleep; and A signal processing component is electrically connected to the cheek agitation sensing component, and receives the cheek pulsation signal and a blood oxygen saturation signal from a plurality of the sensing elements, and the signal processing component responds to the signals from the plurality of the sensing elements The waveform of the cheek agitation signal of the component performs signal processing to generate a signal processing result, and according to the cross-reference comparison between the signal processing result and the blood oxygen saturation signal in a unit time, a signal for sleep-disordered breathing analysis is generated. sleep-disordered breathing screening results, Wherein, the sleep-disordered breathing analysis is a curve of the waveform ratio of the signal processing result to the blood oxygen saturation signal, and obtains the comparison of the number of mouth breaths performed by the subject in the unit time and the blood oxygen saturation. Based on this, it can be confirmed whether the subject suffers from sleep apnea. 如請求項1所述之該睡眠呼吸障礙篩檢設備,其中該血氧飽和度訊號係接收自該睡眠呼吸障礙篩檢設備之內部或外部之血氧感測構件,該血氧感測構件係感測該受測者於睡眠過程之血氧飽和度而取得血氧飽和度訊號。The sleep-disordered breathing screening apparatus of claim 1, wherein the blood oxygen saturation signal is received from an internal or external blood-oxygen sensing component of the sleep-disordered breathing screening apparatus, and the blood-oxygen sensing component is The blood oxygen saturation signal is obtained by sensing the blood oxygen saturation of the subject during sleep. 如請求項1所述之該睡眠呼吸障礙篩檢設備,其中該訊號處理構件所執行的該訊號處理為針對該受測者之該臉頰鼓動訊號的該波形進行濾波、波形辨識、波形註記的運算處理而產生該訊號處理結果。The sleep-disordered breathing screening apparatus as claimed in claim 1, wherein the signal processing performed by the signal processing component is an operation of filtering, waveform identification, and waveform annotation for the waveform of the cheek pulsation signal of the subject processing to generate the signal processing result. 如請求項1所述之該睡眠呼吸障礙篩檢設備,更包含一睡眠呼吸障礙分析構件,電性連接於該訊號處理構件,而根據該睡眠呼吸障礙篩檢結果進行該睡眠呼吸障礙分析。The sleep-disordered breathing screening apparatus as claimed in claim 1 further comprises a sleep-disordered breathing analysis component electrically connected to the signal processing component, and the sleep-disordered breathing analysis is performed according to the sleep-disordered breathing screening result. 如請求項1所述之該睡眠呼吸障礙篩檢設備,其中該臉頰鼓動感測構件包括第一感測元件以及第二感測元件,該第一感測元件以及該第二感測元件係分別設置於該受測者之該雙頰,且電性連接於該訊號處理構件。The sleep-disordered breathing screening device as claimed in claim 1, wherein the cheek agitation sensing member comprises a first sensing element and a second sensing element, the first sensing element and the second sensing element being respectively It is arranged on the cheeks of the subject, and is electrically connected to the signal processing component. 如請求項1或3所述之該睡眠呼吸障礙篩檢設備,其中該感測元件為加速度感測器,該臉頰鼓動感測構件所測得之該臉頰鼓動訊號包含沿X軸振動的訊號、沿Y軸振動的訊號以及沿Z軸振動的訊號,該訊號處理係將該受測者之同一側臉頰之該沿X軸振動的訊號、該沿Y軸振動的訊號以及該沿Z軸振動的訊號的波形予以統合歸納而獲得具有時間記錄以及表示該受測者之雙頰鼓動次數的該訊號處理結果。The sleep-disordered breathing screening device as claimed in claim 1 or 3, wherein the sensing element is an acceleration sensor, and the cheek agitation signal measured by the cheek agitation sensing member comprises a signal vibrating along the X-axis, The signal vibrating along the Y axis and the signal vibrating along the Z axis, the signal processing is the signal vibrating along the X axis, the signal vibrating along the Y axis and the vibration signal along the Z axis of the same cheek of the subject The waveforms of the signals are integrated and summarized to obtain the signal processing results with a time record and representing the number of times the subject's cheeks are agitated. 如請求項1所述之該睡眠呼吸障礙篩檢設備,其中該血氧感測構件係為脈衝式血氧濃度器。The sleep-disordered breathing screening apparatus as claimed in claim 1, wherein the blood oxygen sensing component is a pulse oximeter. 如請求項6所述之該睡眠呼吸障礙篩檢設備,其中在該睡眠呼吸障礙分析構件中,該睡眠呼吸障礙分析依據,在該單位時間內該受測者於睡眠過程進行每分鐘預定口呼吸次數以下的口呼吸、並且該血氧飽和度落在預定血氧飽和度變化之範圍,而確認該受測者並未患有睡眠呼吸中止症, 該睡眠呼吸障礙分析依據,在該單位時間內該受測者於睡眠過程進行每分鐘該預定口呼吸次數以上的口呼吸、並且該血氧飽和度落在該預定血氧飽和度變化之範圍,而確認該受測者並未患有睡眠呼吸中止症, 該睡眠呼吸障礙分析依據,在該單位時間內該受測者於睡眠過程進行每分鐘該預定口呼吸次數的口呼吸、並且該血氧飽和度低於該預定血氧飽和度變化而確認該受測者患有睡眠呼吸中止症。 The sleep-disordered breathing screening apparatus according to claim 6, wherein in the sleep-disordered breathing analysis component, the sleep-disordered breathing analysis is based on the fact that the subject performs predetermined mouth breathing per minute during sleep during the unit time The number of mouth breaths is less than the number of times, and the blood oxygen saturation falls within the range of the predetermined blood oxygen saturation change, and it is confirmed that the subject does not suffer from sleep apnea, The sleep-disordered breathing analysis is based on, during the unit time, the subject performs mouth breathing more than the predetermined number of mouth breaths per minute during sleep, and the blood oxygen saturation falls within the range of the predetermined blood oxygen saturation variation, And confirm that the subject does not suffer from sleep apnea, The sleep-disordered breathing analysis is based on confirming that the subject performs mouth breathing at the predetermined number of mouth breaths per minute during sleep during the unit time, and the blood oxygen saturation is lower than the predetermined blood oxygen saturation change. Subject has sleep apnea.
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