九、發明說明： 【發明所屬之技術領域】 本發明係有關-種可判讀心跳不規則之方法，尤於一 種在-定時間㈣被量測者進行量測血壓過程中，同^ 錄的脈波數’是否達到足夠進行判斷心跳不規則的條件 下’並判頃被置測者是否有心跳不規則的現象。 【先前技術】 據醫學相關報告，在猝死的病人中，有九成以上是因 快速的心室頻脈或心室顫動所引起，所以對於心跳不規則 (又稱心跳不規則）病徵之量測與判斷是預防 一項重要參數。 、麻之 已知，目前對於心跳不規則之量測，都是透過心 e錄器（霍特氏心電記）暨心電圖來檢驗與判讀，而心電 圖之檢驗必須到專業醫療單位進行，而且專業醫療單位所 使用的心電圖記錄器等之探測儀器設備價格高，亦非 人所蹲買的起。因&，業者將量測心跳不規則的量測方^ 結合於-㈣電子血Μ計中’讓使用者隨時量測血壓、^ 跳狀態與判讀。 3如目前本國專利公報第522〇〇4號之「非侵入式血虔測 置及探測心跳不規則的方法及裝置」發明專㈣（即同於 美國第6485429號發明專利案），此專利案所訴求之重點 乃是在以動脈搏動描記測量法，來測量血壓的裝置或方 法，其脈搏時間差值的測定係與血壓的測量一起完成，其 後該脈搏時間差值會被存放在儲存單位，，脈搏；間差值 5 1351266 的分佈係於計算單位中被計算，且於比較單位中與預存的 >考值相較’當脈搏時間差值的分佈或數值超越預定的數 值時，將啟動指示有心跳不規則的現象。 龍^本國專利公報第555545號之「心跳不規則 =系4」發明專利案’此專利案所訴求之重點乃是在由 “己錄者長打間心電訊號資料量測記錄之資料庫，取出任 一__之心電訊號資料或來自心電圖機之即時量測之 心電訊號資料，細|% # 飄#㈣，，，工重新取樣，及解析度、消除雜訊、訊號 鐘-Vi之心電訊號資料’送入資料演算各項數據，與 庫:乍資料比對’以條件式比對之方式，將各心臟 帶入條件式作曾數運笪ΐ 對條件式’將相關數據 則彦味-」r 條件作邏輯比對，條件相符 、 >考貝料，通知量測者與醫療人員，量測者目前 心臟之狀況，並作為醫療上之建議。 1測者目則 r卢上ί各專利案都是將量測所得之心電訊號或心跳脈波 行比對判讀，此尸… 軚4值或比對條件進 估 t 一4值係將統計結果產生一平均參數 值’而母一被量測者的心跳特性 測參數比對上，並非適用於每=!、：因而在具體量 判斷結果。 ^成―上之誤差性高，進而影響 【發明型内容】 本發明之主要目的’在於解決上述傳統缺失 失存在，本發明將心跳不^ 、··、 、 不規則的置測與判讀方法重新設 計’以提高心跳不規則的量測與判讀的準確性。 法，目的’本發明之可判讀心跳不規則之方 血塵二制里測t驟’對被量測者於—定量測時間内’進行 ㈣⑽心跳脈波數量，並記錄兩脈波間的時 間差及累計記錄脈波時間之次數； t 波間算步驟’根據上述量測所得參數以計算平均脈 計算根據上述汁异所得之平均脈波間的時間以進行心跳數 於判斷步驟，進行第一級判斷，由上、f AI — 果，進行比對整個量測血壓結 是否達到足夠進行判斷心跳不規則的们=錄的脈波數， -相於符合上述第一級判斷者，繼續進行每 目鄰脈波間之時間差與平均脈波間 比較判斷，並累計比齡刹 ]疋古為"吊之 要件； D、，Ό果疋否達到心跳不規則判斷 於一顯示步驟，根據上述判斷 則判斷要件者，為心跳不…：屬“買符合心跳不規 不顯示η 料_付號⑸；對於^符合者則 、U兆不規則符號，並結束判讀步 【實施方式】 明如ΐ有關本發明之技術内容及詳細說明，現配合圖式說 請參閱第一、二 、三圖所示，係本發明之可判讀心跳 7 135126,6 I * 不規貝j之方法的判步驟流程圖及心跳對cuff反應的脈波 訊不意圖。如圖所示：本發明之可判讀心跳不規則（心跳 不規則）之方法’主要是對每一位被量測者於一定量測時 間内’以里測被里測者是否有心跳不規則之方法，該方法 步驟包括： &百先，於一量測步驟，如流程步驟100，對每一位被 量測者於-定量測血壓時間内，同時進行心跳數的量測， #並記錄兩相鄰脈波間的時間差（ΔΤ)及累計記錄脈波時 間差之次數，如第二圖之流程步驟200 ; 上述該兩脈波間的時間（ΛΤ)差，是指前一脈波與 後一脈波間之時間差計算，如 △τι—Τ2—丁1，是指第一個脈波與第二個脈波 間的時間差。 △ Τ2=Τ 3—丁2，是指第二個脈波與第三個脈波 間的時間差。 3 Τ 4 Τ 3，疋指苐三個脈波與第四個脈波 間的時間差。以此類推計算 △ Τ η — Τ ( η+ι ) — τ η，是指第η個脈波與第 η+1個脈波間的時間差。 於一計算步驟，如流程步驟1〇2 : —根據上述量測所得參數以計算平均脈波間的時間，如 第二圖=流程步驟202，換言之，該平均脈波間的日曰夺間° (Τ)=記錄整個量測過程的時間暨全部所量測之脈波間 的時間差總和，除以整個量測過程之總脈波次數: 8 135126,6 如公式（一）： 公式（一） IV - 接著’根據上述計算所得之平均㈣ 利用以公式（：）進彳Μ職（ίϊΤΤΤ^·^^) 程步驟204 ; # 如第二圖之流 • 公式（二） 心跳汲）=—;. 平均脈波間的時間(Γ)人數/_) 於一判斷步驟，如流程步驟104，進行筮 如第二圖之流程步驟206，由上述表數^第一級_， 時進行脈波時間差的總次數 結果，同 比對結果異常脈波時間之記錄次數二=數人數⑺，若 即結束判讀步驟，如第二圖之流程步驟2〇8 · (2)者， 第二級判斷，如第二圖之流程 第—級判斷者暨比# α ，在符合上述 次數（z) 果脈波時差的總次數是大於或等於 脈波間的時間（τ;::母一相鄰脈波間之時間差與平均 心跳不規則二；:：累計達到判讀結果是否達到 將記錄之每，件该心跳不規則判斷要件是經設定， 波間波間之時間差，比較是否超出平均脈 於之異常脈波時間數累計數量者； 驟’如流程步驟⑽’根據上述流程步驟 9 1351266 104之判斷步驟，於判讀符合心跳不規則判斷要件者，為 心跳不規則符號顯示，如第二圖之流程步驟212 ;對於不 符合者則不顯示該心跳不規則之符號，並結束判讀步驟， 如第二圖之流裎步驟214。 再切參閱第四、五圖所示，係本發明之可判讀心跳不 規則之方法一具體判讀實施例的心跳對c u f f反應的脈波訊 及判讀步驟流裎圖。如圖所示：根據本發明上述之心跳不 規則判讀^法，於流程步驟3〇〇，以量測心跳脈波之量測 方法，對每一位被量測者於一設定量測時間内，進行多次 之心跳數量測，並記錄兩相鄰脈波間的時間差（△丁）= ==時間的次數’其令如第四圖所示之量測記錄 之A、B一脈波時間差與其他不同，即屬於 不規則心跳之脈波時間差信號； 接著於„十算步驟，根& ^ ^ 公式㈠以計算平均脈波 ：二數由上述 測過程的時間翏全邱所旦、曰（）、己錄整個量 整個量測…脈波間的時間差總和，除以 :二=所得之平均脈波間的時間（τ)，利： 經計算上述量測脈波的時^异’如流程步驟304 ; 判斷步驟，首先進行第— =、:爾參數後，進行 實施例中之所設定比較判斷」㈣’在本 合要件，由上述參數計曾 數（Ζ)為達16次者即符 是不同於平均脈波間白^ 若異常脈波時間暨經判斷 Τ间之記錄次數累計小於次數 135126.6 (z )暨16次者，即έ士庚釗吃 異常脈波時間之判斷;記錄:數步驟3〇8，若 …暨糾者，即進入第二級:斷=等於減 。亥第一級判斷之步驟’在本麻丨士 讀之心跳不規則判斷要件二：例2於此步驟中判 記錄之多數個量測脈波間的時間差中7匕::件，其一是 Y ]產宁，累计判斷為異常脈 二 =達到三個，上是超過平均脈波的時間達A% _，累舛则另其一疋§己錄之多數個量測脈波間的時間差 累计判斷為異常脈波時間數·^達到二 平均脈波的時間達Β %比率以上者，於任1二 就時即判讀為d残則； 〃 t率條件成 根據上述之心跳不規則判斷要件，於判斷初始狀態， 異吊脈波時間數X、Y之計數均歸零，如流程步驟310， 接著，進行第-比率條件暨每一量測相鄰脈波間的時間差 比較是否超過平均脈波的時間達A%比率或以上，如流程 步驟312，當每一相鄰脈波間的時間判讀比較結果，二^ 判斷是超過平均脈波的時間達A%比率者，即執行一次異 常脈波時間數X計數累加，如流程步驟314，接著，判斷 是否累計之異常脈波時間數X是否已達到三個或以上，如 流程步驟316 ’若判斷結果為是，則顯示心跳不規則符 號，如流程步驟318 ，若判斷結果為否者，即進入第二比 率條件比較暨每一量測相鄰脈波間的時間差是否超過平均 脈波的時間達B %比率之比較判斷，如流程步驟32〇，去 每一相鄰脈波間的時間差判讀比較結果，一有判斷是赶^、巧 平均脈波的時間達B %比 數Y之計數累加’如流程步驟3二次==間 波時間數γ是否已達 接f再賴異㊉脈 判斷結果為是，則顯示心跳流程步驟微，若 326，若判斷” ^ 殘則付號’如流程步驟 測脈波信號，如流程步驟3 # 。有圯錄之心跳數量 到上述步驟312之第f若判斷結果為是者，即回 士果率條件繼續進行比較判讀，若判 ^為否者即結束判讀步驟，如流程步驟330。 由於上述之方法所進行之不規則心跳判讀—执 疋1測時間中量測所得之多赵 。又 于之夕數個心跳脈波之平均脈波的時 間，進仃與母一相鄰脈波間之時間差進行比對判讀，換古 之，所量測及計算所得之比#夂 、σ 于您比對參數疋由母一被量測者所量 、 侍，所以旎更因人適用、更精確的比對判讀每一 者心跳不規狀症狀，同時，即是在每次量測時自 汁產生其判s胃之比對參數，不受預設標準值之限制， 能通用於每-被量測者個人之心跳脈波特性，降低判讀誤 差0 、 上述僅為本發明之較佳實施例而已，並非用來限定本 發明實施範圍。即凡依本發明申請專利範圍所做的均等變 化與修飾，皆為本發明專利範圍所涵蓋。 【圖式簡單說明】 第一圖係本發明一實施例之判讀步驟流程圖（一）。 第二圖係本發明一實施例之判讀步驟流程圖（二）。 第二圖係本發明一實施例之心跳對cuff反應的脈波訊示意 1351266 圖。 第四圖係本發明一具體實施例之心跳對cuff反應的脈波訊 示意圖示意圖。 第五圖係本發明一具體實施例之判讀步驟流程圖。 【主要元件符號說明】 流程步驟10CM06 流程步驟200〜212 流程步驟300〜330IX. Description of the invention: [Technical field to which the invention pertains] The present invention relates to a method for arbitrarily reading a heartbeat irregularity, and more particularly to a method for measuring blood pressure during a measured time in a predetermined time (four) Whether the wave number 'is sufficient to judge the irregular heartbeat' and determine whether the person being tested has a heartbeat irregularity. [Prior Art] According to medical reports, more than 90% of sudden death patients are caused by rapid ventricular frequency or ventricular fibrillation, so the measurement and judgment of irregular heartbeat (also known as irregular heartbeat) It is an important parameter for prevention. Known that hemp is known. At present, the measurement of irregular heartbeat is tested and interpreted through the heartbeat (Hot's ECG) and electrocardiogram, and the ECG test must be carried out in a professional medical unit. The price of the detection equipment such as the electrocardiograph recorder used by the medical unit is high, and it is not bought by others. Because &, the operator will measure the abnormal measurement of the heartbeat and combine it with the - (4) electronic blood tester to let the user measure the blood pressure, the state of the jump and the interpretation at any time. 3 For example, in the current national patent publication No. 522〇〇4, “Non-invasive blood stasis measurement and method and device for detecting heartbeat irregularity” (4) (that is, the same as US Patent No. 6485429), this patent case The focus of the appeal is on a device or method for measuring blood pressure by arterial pulsation measurement. The measurement of the pulse time difference is performed together with the measurement of blood pressure, after which the pulse time difference value is stored in the storage unit. ,, pulse; the distribution of the difference 5 1351266 is calculated in the calculation unit and compared with the pre-stored > in the comparison unit. 'When the distribution or value of the pulse time difference exceeds a predetermined value, The start indication has a phenomenon that the heartbeat is irregular. Long ^ National Patent Gazette No. 555545 "Heartbeat Irregularity = Department 4" Invention Patent Case" The focus of this patent case is on the database of the measurement records of the ECG signal data recorded by the recorded long-distance Out of any __ ECG signal data or ECG signal data from the ECG machine, fine |% # 飘#(4),,, re-sampling, and resolution, noise elimination, signal clock-Vi ECG signal data 'send data calculus data, and library: 乍 data comparison 'in a conditional comparison, the heart is brought into the conditional formula for the number of operations. The taste-"r condition is logically matched, the condition is consistent, > test, the measurer and the medical staff are informed, the current state of the heart is measured, and as a medical recommendation. 1 tester's purpose r Lu Shang ί each patent case is to measure the ECG signal or heartbeat pulse line comparison, this corpse... 軚4 value or comparison condition to estimate t 4 value will be statistical As a result, an average parameter value is generated, and the heartbeat characteristic parameter of the mother is measured, which is not applicable to every =!, and thus the result is judged in a specific amount. The error is high, and thus affects the content of the invention. The main purpose of the present invention is to solve the above-mentioned conventional loss, and the present invention re-sets the heartbeat, the irregularity, and the interpretation method. Design 'to improve the accuracy of heartbeat irregular measurement and interpretation. Method, the purpose of the present invention can be read the irregular heartbeat of the blood-dust two-system test t-measurement of the measured person in the -quantometric time (four) (10) the number of heartbeat pulse, and record the time difference between the two pulses And accumulating the number of times of the pulse wave time; t inter-wave calculation step 'calculating the average pulse according to the above-mentioned measured parameters to calculate the time between the average pulse waves obtained according to the above-mentioned juice difference to perform the heartbeat number in the judging step, and performing the first level judgment, From the upper, f AI — results, whether the blood pressure knot is sufficient to determine whether the blood pressure is sufficient to determine the irregularity of the heartbeat = the number of pulse waves recorded, and the phase is judged by the first level, and continues to proceed with each eye. The time difference between the waves and the average pulse wave are compared and judged, and the cumulative time is compared with the age of the brakes. The ancient elements are the requirements of the hanging; D,, the result of whether the heartbeat irregularity is judged in a display step, and the judgement is judged according to the above judgment. For the heartbeat not...: belongs to "buy in accordance with the heartbeat, do not display η material _ pay (5); for ^ compliant, U mega irregular symbol, and end the interpretation step [implementation] The technical content and detailed description of the Ming, together with the schema, please refer to the first, second and third figures, which are the steps and heartbeats of the method for reading the heartbeat 7 135126, 6 I * irregular The pulse wave response to the cuff is not intended. As shown in the figure: the method for arbitrarily reading the heartbeat irregularity (heartbeat irregularity) of the present invention is mainly for each measured person within a certain measurement time. The method for measuring whether the person in the test has irregular heartbeat, the method steps include: & hundred steps, in a measurement step, such as process step 100, for each measured person in the - quantitative blood pressure measurement time At the same time, the measurement of the heartbeat number is performed, # and the time difference between the two adjacent pulse waves (ΔΤ) and the cumulative recording pulse time difference are recorded, as in the process step 200 of the second figure; the time between the two pulses (ΛΤ) The difference is the time difference between the previous pulse and the latter pulse, such as Δτι—Τ2—丁1, which refers to the time difference between the first pulse and the second pulse. △ Τ2=Τ 3—丁2 Is the time difference between the second pulse and the third pulse. 3 Τ 4 Τ 3, 疋 refers to the time difference between the three pulse waves and the fourth pulse wave. By analogy, Δ Τ η — Τ ( η+ ι ) — τ η is the ηth pulse wave and the η+ The time difference between one pulse wave. In a calculation step, such as process step 1〇2: - calculating the average pulse wave time according to the above measured parameters, as shown in the second figure = process step 202, in other words, between the average pulse waves曰 间 ° ° (Τ) = record the time of the entire measurement process and the total time difference between the measured pulse waves, divided by the total number of pulse times throughout the measurement process: 8 135126,6 as in formula (a): Formula (I) IV - Then 'According to the above calculated average (4) Use formula (:) to enter the job (ίϊΤΤΤ^·^^) Step 204; # Flow as the second figure • Formula (2) Heartbeat ==;. The average time between the pulse waves (Γ) / _) In a decision step, such as process step 104, for example, the process step 206 of the second figure is performed by the above table number ^ first level _, The total number of times of pulse wave time difference, the number of records of the abnormal pulse time of the result is two times Number (7), if the end of the interpretation step, as in the second diagram of the process steps 2 〇 8 · (2), the second level of judgment, such as the second diagram of the process of the first-level judger cum ratio # α, in accordance with the above number of times (z) The total number of time intervals of the pulse wave is greater than or equal to the time between the pulse waves (τ;:: the time difference between the mother and the adjacent pulse wave and the average heartbeat irregularity;:: the cumulative achievement of the interpretation result reaches the record will be The condition of the heartbeat irregularity judgment is set, the time difference between the waves, and whether the comparison exceeds the cumulative number of the abnormal pulse time of the average pulse; [step of process step (10)' according to the above process step 9 1351266 104 For reading the condition that meets the heartbeat irregularity judgment, it is displayed for the heartbeat irregular symbol, as shown in step 212 of the second figure; for the non-conformity, the symbol of the heartbeat irregularity is not displayed, and the interpretation step is ended, as shown in the second figure. Flowing through step 214. Referring again to the fourth and fifth figures, the method for reading the heartbeat irregularity of the present invention is a flow chart of the heartbeat and c u f f reaction of the embodiment. As shown in the figure: according to the above-mentioned heartbeat irregularity interpretation method of the present invention, in the process step 3〇〇, the measurement method of the heartbeat pulse wave is measured, and each of the measured persons is set in a measurement time. Perform multiple times of heartbeat measurement and record the time difference between two adjacent pulse waves (△丁) = == the number of times', which makes the A and B pulse time difference of the measurement record as shown in the fourth figure Other differences, that is, the pulse wave time difference signal belonging to the irregular heartbeat; then in the "10 calculation steps, root & ^ ^ formula (a) to calculate the average pulse wave: the number of times from the above measurement process 翏 邱 所 曰, 曰 ( ), the entire measurement has been recorded... the sum of the time differences between the pulse waves, divided by: 2 = the time between the average pulse waves obtained (τ), and the following: In the judgment step, after the first -=,: parameter is set, the comparison judgment set in the embodiment is performed. (4) 'In the present requirement, the number of times (Ζ) is 16 times when the above parameters are different. Between the average pulse wave white ^ If the abnormal pulse time and the judgment time The cumulative number of records is less than the number of times 135126.6 (z) and 16 times, that is, the judgment of the abnormal pulse time of the gentleman Geng ;; record: the number of steps 3 〇 8, if ... cum corrector, that is to enter the second level: broken = Equal to minus. The first step of judging the judgment of Hai's heartbeat in the reading of the heartbeat irregularity judgment 2: Example 2 The time difference between the majority of the measured pulse waves recorded in this step is 7:: one, Y is Y ] 宁宁, the cumulative judgment is abnormal pulse 2 = up to three, the time above the average pulse wave reaches A% _, the cumulative time is another 疋 § recorded the time difference between the majority of the measured pulse waves is judged as abnormal The number of pulse wave times ^^ which reaches the time of the second average pulse wave is greater than or equal to the % ratio, and is judged as d residual when it is 1 or 2; 〃 t rate condition is determined according to the above-mentioned heartbeat irregularity judgment, and the initial judgment is made. The state, the count of the different hanging pulse wave times X and Y are all zeroed, as in step 310 of the process, and then the first-rate condition and the time difference between the adjacent pulse waves of each measurement are compared to the average pulse wave time A. % ratio or above, as in process step 312, when the time between each adjacent pulse wave is interpreted as a comparison result, the second judgment is that the time exceeding the average pulse wave reaches the A% ratio, that is, an abnormal pulse wave time number X count accumulation is performed. , as in process step 314, then, to determine If the accumulated abnormal pulse time number X has reached three or more, as in step 316 'If the judgment result is yes, the heartbeat irregularity symbol is displayed, as in step 318, if the judgment result is no, then the first entry is made. The comparison of the two ratio conditions and the comparison of whether the time difference between adjacent pulse waves exceeds the average pulse wave reaches the B% ratio, as in step 32 of the process, the time difference between each adjacent pulse wave is used to interpret the comparison result, It is judged that the time of the average pulse wave is up to B% and the count of the number Y is accumulated. If the process step 3 is twice == the number of inter-wave time γ has reached the point of f, then the result of the judgment is yes. Then, the step of the heartbeat process is displayed. If 326, if the judgment "^ residual is the payment number", the process step is to measure the pulse wave signal, such as the process step 3 #. The number of heartbeats recorded is the f of the above step 312. Yes, that is, the return rate condition continues to be compared, and if the judgment is no, the interpretation step is ended, as in step 330. The irregular heartbeat interpretation by the above method is performed. Place As many as Zhao. On the eve of the evening, the time of the average pulse wave of the heartbeat pulse wave, the time difference between the entrance and the mother and the adjacent pulse wave is compared and interpreted, and the ratio of the measured and calculated is changed. σ is the amount of 比 您 比 疋 疋 疋 疋 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 母 您 您 您 您The measurement results from the juice to determine the s stomach comparison parameter, is not limited by the preset standard value, can be used for the heartbeat pulse characteristics of each-measured person, and reduce the interpretation error 0, the above is only the present invention The preferred embodiments are not intended to limit the scope of the invention, that is, the equivalent variations and modifications made by the scope of the invention are covered by the scope of the invention. A flow chart (1) of the interpretation step of an embodiment of the present invention. The second figure is a flow chart (2) of the interpretation step of an embodiment of the present invention. The second figure is a pulse wave signal 1351266 diagram of a heartbeat cuff reaction according to an embodiment of the present invention. The fourth figure is a schematic diagram of a pulse wave signal of a heartbeat cuff reaction according to an embodiment of the present invention. The fifth drawing is a flow chart of the interpretation steps of a specific embodiment of the present invention. [Main component symbol description] Process step 10CM06 Process steps 200 to 212 Process steps 300 to 330